Form 120a Draft - Arizona Corporation Income Tax Return (Short Form) - 2009

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Arizona Corporation Income Tax Return (Short Form)
ARIZONA FORM
2009
120A
M M D D Y Y Y Y
M M D D Y Y Y Y
For the calendar year 2009 or fi scal year beginning
and ending
.
CHECK ONE:
Calendar year
Fiscal year
Business telephone number
Employer identifi cation number (EIN)
Name
Please
(
)
Number and street or PO Box
Type
Business activity code number
AZ transaction privilege tax number
or
(from federal Form 1120)
City, or town, state, and ZIP code
Print
CHECK BOX IF:
Check box if:
This is a first return
Name change
Address change
68
F
82
82
Return fi led under extension.
A
Is FEDERAL return filed on a consolidated basis?
Yes
No
REVENUE USE ONLY. DO NOT MARK IN THIS AREA.
If yes, list EIN of common parent from consolidated return:
NOTE: Use Form 120 to file an ARIZONA consolidated return. Taxpayers cannot use
Form 120A to file an Arizona consolidated return.
B
Is this the corporation’s final ARIZONA return?
Yes
No
If yes, check one:
Dissolved
Withdrawn
Merged/Reorganized
81
66
List EIN of the successor corporation, if any:
Arizona Taxable Income Computation
1 Taxable income - per attached federal return ..................................................................................................................................
1
00
2 Additions to taxable income - from page 2, Schedule A, line A11 ....................................................................................................
2
00
3 Total taxable income - add lines 1 and 2 .........................................................................................................................................
3
00
4 Subtractions from taxable income - from page 2, Schedule B, line B12 ..........................................................................................
4
00
5 Adjusted income - subtract line 4 from line 3 ...................................................................................................................................
5
00
6 Arizona basis net operating loss carryforward - attach computation schedule ................................................................................
6
00
7 Arizona taxable income - subtract line 6 from line 5 ........................................................................................................................
7
00
Arizona Tax Liability Computation
8 Enter tax. Tax is 6.968 percent of line 7 or fi fty dollars ($50), whichever is greater.................................................................
8
00
9 Tax from recapture of tax credits - from Form 300, Part II, line 23...................................................................................................
9
00
10 Subtotal - add lines 8 and 9 .............................................................................................................................................................
10
00
11 Clean Elections Fund Tax Reduction. Check this box to send $5 to the fund and reduce the tax (line 10) by $5.
Enter the amount of the tax reduction .............................................................................................................................
A
11
00
11
12 Nonrefundable tax credits - from Form 300, Part II, line 45 .............................................................................................................
12
00
13 Credit type - enter form number for each nonrefundable credit claimed... 13
3
3
3
3
14 Tax liability - subtract the sum of lines 11 and 12 from line 10 .........................................................................................................
14
00
15 Clean Elections Fund Tax Credit. SEE INSTRUCTIONS BEFORE COMPLETING THIS LINE ......................................................
15
00
16 Tax liability after Clean Elections Fund tax credit - subtract line 15 from line 14 .............................................................................
16
00
Tax Payments
17 Extension payment made with Form 120EXT - see instructions ......................................................
17
00
18 Estimated tax payments - see instructions .......................................................................................
18
00
19 Total payments - see instructions ....................................................................................................................................................
19
00
Computation of Total Due or Overpayment
20 Balance of tax due - If line 16 is larger than line 19, enter balance of tax due. Skip line 21 ............................................................
20
00
21 Overpayment of tax - If line 19 is larger than line 16, enter overpayment of tax .............................................................................
21
00
22 Penalty and interest .........................................................................................................................................................................
22
00
23 Estimated tax underpayment penalty - If Form 220 is attached, check box ................................................................
A
23
00
23
24 Donation to Citizens Clean Elections Fund - see instructions .........................................................................................................
24
00
25 TOTAL DUE - see instructions ..................................................................................................Payment must accompany return
25
00
26 OVERPAYMENT - see instructions .................................................................................................................................................
26
00
27 Amount of line 26 to be applied to 2010 estimated tax .....................................................................
27
00
28 Amount to be refunded - subtract line 27 from line 26 .....................................................................................................................
28
00
DRAFT 09-09-09
DRAFT 09-09-09
ADOR 91-0023 (09)

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