Form Bca-1.35 - Allocation Factor Interrogatories - 1999
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1
2BCA-1.35
ALLOCATION FACTOR
Form
INTERROGATORIES
File #
(Rev. Jan. 1999)
Jesse White
Secretary of State
Department of Business
Services
Springfield, IL 62756
This space for use by
Telephone (217) 782-6961
Secretary of State
Date
This form acts as a supplement to
Reviewed:
form BCA-1.15, Statement of Cor-
rection
INTERROGATORIES to be answered and returned to Jesse White, Secretary of State, Department of Business Services,
Springfield, Illinois 62756.
In accordance with the provisions of the Business Corporation Act of 1983, as amended, the Secretary of State herewith
propounds the following interrogatories verifying property owned and business transacted as of the applicable date.
PART I: COMPUTATION OF PROPERTY
(Gross assets — see notes on page 3)
Line reference to
(a)
(b)
The information below
Schedule L of
Property
Property
is given as of
IRS Forms
wherever
located in
____________________ , _______
1120 & 1120S
located
Illinois
(Month & Day)
(Year)
Cash
1
$ ________________
$ ________________
Trade notes and accounts receivable
2a
$ ________________
$ ________________
Inventories
3
$ ________________
$ ________________
U.S. Government obligations
4
$ ________________
$ ________________
Tax-exempt securities
5
$ ________________
$ ________________
Other current assets
6
$ ________________
$ ________________
Loans to stockholders
7
$ ________________
$ ________________
Mortgage and real estate loans
8
$ ________________
$ ________________
Other investments
9
$ ________________
$ ________________
Buildings and other depreciable assets
10a
$ ________________
$ ________________
Depletable assets
11a
$ ________________
$ ________________
Land
12
$ ________________
$ ________________
Intangible assets
13a
$ ________________
$ ________________
Other assets
14
$ ________________
$ ________________
TOTAL PROPERTY
$ _____________
$ _____________
(Gross Assets)
C-287.3
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