Form 480.30(Ii) - Income Tax Return For Exempt Business Under The Puerto Rico Incentives Programs Page 3

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Form 480.30(II) Rev. 05.02
Incentives - Page 3
Part V
Exempt Business - Comparative Balance Sheet
Beginning of the year
Ending of the year
Assets
Total
Total
1.
00
00
Cash on hand and banks ..............
(1)
(1)
2.
00
00
Accounts receivable ......................
(2)
(2)
(
3.
Less: Reserve for bad debts ..........
00
)
00
(
00
)
00
(3)
(3)
4.
00
00
Notes receivable ...........................
(4)
(4)
5.
00
00
Inventories ...................................
(5)
(5)
00
00
6.
Investments ..................................
(6)
(6)
7.
00
00
Depreciable assets ........................
(7)
(7)
8.
Less: Reserve for depreciation ......
(
00
)
00
(
00
00
)
(8)
(8)
9.
00
00
Land .............................................
(9)
(9)
10.
00
00
Other assets .................................
(10)
(10)
11.
Total Assets ................................
00
00
(11)
(11)
Liabilities and Net Worth
Liabilities
12.
Accounts payable ..........................
00
00
(12)
(12)
13.
00
00
Notes payable ...............................
(13)
(13)
14.
00
00
Accrued expenses (not paid) ..........
(14)
(14)
15.
00
00
Other liabilities ..............................
(15)
(15)
16.
00
00
Total Liabilities ............................
(16)
(16)
Net Worth
17.
Capital stock
00
00
(a) Preferred stock ........................
(17a)
(17a)
(b) Common stock ..........................
00
00
(17b)
(17b)
18.
00
00
Additional paid in capital ...............
(18)
(18)
19.
00
00
Retained earnings ..........................
(19)
(19)
20.
00
00
Reserves ........................................
(20)
(20)
21.
00
00
Total Net Worth ...........................
(21)
(21)
22.
Total Liabilities and Net Worth ...
(22)
(22)
00
00
Part VI
Reconciliation of Net Income (or Loss) per Books with Net Taxable Income (or Loss) per Return
00
Net income (or loss) per books .......
1.
7.
Income recorded on books this year not
(1)
00
Income tax ...........................................
2.
included on this return (Itemize, use
(2)
Excess of capital losses over capital
3.
schedule if necessary)
00
gains ....................................................
(a) Exempt interest ________________
(3)
Taxable income not recorded on
4.
(b) ____________________________
books this year (Itemize)
(c) ____________________________
(a) ________________________
(d) ____________________________
0 0
(b) ________________________
Total .............................................................
(7)
(c) ________________________
8.
Deductions on this tax return not charged
(d) ________________________
against book income this year (Itemize,
00
Total .....................................................
use schedule if necessary)
(4)
Expenses recorded on books this
5.
(a) Depreciation _________________
year not claimed on this return
(b) ____________________________
(Itemize, use schedule if necessary)
(c) ____________________________
(a) Meal and entertainment (portion
(d) ____________________________
0 0
not claimed ) _________________
Total .............................................................
(8)
0 0
(b) Depreciation ______________
9.
Total (Add lines 7 and 8) ..........................
(9)
(c)
________________________
Net taxable income (or loss) per return
10.
0 0
(d)
________________________
(Subtract line 9 from line 6) .....................
(10)
00
Total .....................................................
(5)
00
Total (Add lines 1 through 5) ...........
6.
(6)
Part VII
Analysis of Unappropriated Retained Earnings per Books
5.
Distributions:
(a)
Cash .........................
(5a)
00
00
Balance at beginning of year ..........
1.
(1)
(b)
Property ....................
(5b)
00
00
Net income per books ......................
2.
(2)
(c)
Stock .........................
(5c)
00
Other increases (Itemize, use
3.
6.
Other decreases (Use schedule if
schedule if necessary) _________
necessary) .........................................
(6)
00
___________________________
7.
Total (Add lines 5 and 6) .....................
(7)
00
00
___________________________
(3)
Balance at end of year (Subtract line
8.
00
Total (Add lines 1, 2 and 3) .............
4.
(4)
7 from line 4)
.............................................
00
(8)
Conservation Period: Ten (10) years

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