Form 480.30(Ii) - Income Tax Return For Exempt Business Under The Puerto Rico Incentives Programs

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Form 480.30(II) Rev. 05.02
Liquidator:
Reviewer:
Serial Number
COMMONWEALTH OF PUERTO RICO
DEPARTMENT OF THE TREASURY
Field Audited by:
Income Tax Return for Exempt
Businesses Under the Puerto Rico
q
AMENDED RETURN
Date ___/ ___/ ___
Incentives Programs
Payment Stamp
R
M
N
TAXABLE YEAR BEGINNING ON ___________, ____ AND ENDING ON ___________, _____
Employer's Identification Number
Name
Department of State Registry No.
Postal Address
Industrial Code
Municipal Code
Zip Code
Telephone Number - Extension
Location of Principal Industry or Business - Number, Street and Country
(
)
-
Date Incorporated
hange of address
C
Type of Principal Industry or Business
Month____/ Day____/ Year ____
q
q
Yes
No
Place Incorporated
Receipt No. ___________________________
eturn
2003 R
Contracts with Governmental Entities
Amount: ______________________________
q
q
q
q
Spanish
English
Yes
No
E - mail
0 0
1.
Tax liability:
a)
Schedule K Incentives, Part I, line 15, Columns A, B and C ...
(1a)
0 0
b)
Schedule O Incentives, Part II, line 9 ...........................................
(1b)
0 0
c)
Schedule V Incentives, Part IV, line 4 ...........................................
(1c)
0 0
d)
Schedule W Incentives, Part II, line 5 ...........................................
(1d)
(1e)
0 0
e)
Total (Add lines 1(a) through 1(d)) ............................................................................................
0 0
0 0
(2)
2.
Addition to the Tax for Failure to Pay Estimated Tax (Schedule T Incentives, Part III, line 43) .......................
0 0
a)
0 0
3.
Less:
Tax withheld at source ...................................................................................
(3a)
b)
0 0
Current year estimated tax payments ..........................................................
(3b)
c)
0 0
Excess from previous years not included on line 3(b) .............................
(3c)
d)
Tax withheld on partners and stockholders distributable share
0 0
from special partnerships .............................................................................
(3d)
e)
0 0
Amount paid with automatic extension of time or with original return
(3e)
f)
0 0
Tax withheld for professional services (Form 480.6B) ............................
(3f)
g)
Total payments (Add lines 3(a) through 3(f)) .........................................................................................
(3g)
0 0
0 0
4.
Balance of tax due (Subtract line 3(g) from line 1(e))..
a)
Tax .................................
(4a)
0 0
b)
Interest .........................
(4b)
0 0
c)
Surcharges ..................
(4c)
0 0
(4d)
d)
Total (Add lines 4(a) through 4(c)) ......................
5.
Amount paid with this return ......................................................................................................................................
0 0
(5)
6.
Amount overpaid to be credited to estimated tax for 2003 ...................................................................................
0 0
(6)
7.
Amount to be refunded ................................................................................................................................................
0 0
(7)
8.
Special surtax
(Schedule
N Incentives, Part II, line 6) .......................................................................................
0 0
(8)
a)
0 0
9.
Less:
Amount paid with automatic extension of time or with original return ..
(9a)
b)
0 0
Amount paid in excess from previous year ................................................
(9b)
c)
0 0
Credit (Article 41A-6) .......................................................................................
(9c)
d)
Total payments (Add lines 9(a) through 9(c)) .........................................................................................
0 0
(9d)
0 0
10.
Balance of tax due (Subtract line 9(d) from line 8)......
a)
Tax .................................
(10a)
0 0
b)
Interest .........................
(10b)
0 0
c)
Surcharges ..................
(10c)
0 0
(10d)
d)
Total (Add lines 10(a) through 10(c)) ....................
11.
Amount paid with this return ......................................................................................................................................
0 0
(11)
12.
Amount overpaid to be credited to the special surtax for 2003 ...........................................................................
0 0
(12)
13.
Prepayment of tollgate tax (Part IV, line 11) .........................................................................................................
0 0
(13)
14.
Tollgate tax applied against tax withheld attributable to current year distribution ...........................................
0 0
(14)
15.
Total prepayment of tollgate tax liability (Add lines 13 and 14) ....................................
0 0
(15)
a)
0 0
16.
Less:
Current year estimated tollgate tax payments .........................................
(16a)
b)
0 0
Excess from previous years not included on line 16(a) ........................
(16b)
0 0
c)
Amount paid with automatic extension of time or with original return
(16c)
d)
Total (Add lines 16(a) through 16(c)) ......................................................................................................
0 0
(16d)
0 0
17.
Balance of tax due (Subtract line 16(d) from line 15)..
a)
Tax ...............................
(17a)
0 0
b)
Interest .......................
(17b)
0 0
c)
Surcharges ................
(17c)
0 0
d)
Total (Add lines 17(a) through 17(c)) ..................
(17d)
18.
Amount paid with this return ......................................................................................................................................
0 0
(18)
19.
Amount overpaid to be credited to estimated prepayment of tollgate tax for 2003 .........................................
0 0
(19)
Conservation Period: Ten (10) years

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