California Form 100x Advance Draft - Amended Corporation Franchise Or Income Tax Return - 2007 Page 2
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1
2Part V Explanation of Changes
Enter name, address, and California corporation number used on original tax return (if same as shown on this amended return, write “Same”) .
California corporation number
Federal employer identification number (FEIN)
-
Address including Suite, Room, or PMB no.
Corporation name
City
State
ZIP Code
2 Explanation of Changes to items in Part I, Part II, Part III, and Part IV.
Enter the line number from Side 1 for each item that is changing and give the reason for each change . Attach all supporting forms and schedules for items
changed . Include federal schedules if a change was made to the federal return . Be sure to include the corporation name and California corporation number
on each attachment . Refer to the instructions and forms in the tax booklet for the year that is being amended .
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Under penalties of perjury, I declare that I have filed an original return and I have examined this amended return, including accompanying schedules and statements, and
Please
to the best of my knowledge and belief, this amended return is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which
preparer has any knowledge.
Sign
Here
Signature of officer
Title
Date
Telephone
(
)
Paid preparer’s SSN/PTIN
Preparer’s signature
Date
Check if self-
employed
Paid
Preparer’s
FEIN
-
Use Only
Firm’s name (or yours, if
self-employed) and address
Telephone
(
)
Where to File
If the Form 100X results in a refund or no
If the Form 100X results in an amount due,
Form 00X
amount due, mail the amended tax return to:
mail the amended tax return to:
FRANCHISE TAX BOARD
FRANCHISE TAX BOARD
PO BOX 942857
PO BOX 942857
SACRAMENTO CA 94257-0500
SACRAMENTO CA 94257-050
Side 2 Form 100X
2006
3632063
For Privacy Notice, get form FTB 1131.
C1
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