Interest Charge Domestic International
1120-IC-DISC
Sales Corporation Return
(Rev. December 2012)
OMB No. 1545-0938
(Please type or print.)
Department of the Treasury
Information about Form 1120-IC-DISC and its separate instructions is at
Internal Revenue Service
▶
.
For calendar year 20
, or tax year beginning
, 20
, and ending
, 20
C Employer identification number
Name
A Date of IC-DISC election
Number, street, and room or suite no. (or P.O. box if mail is not delivered to street address)
D Date incorporated
City or town, state, and ZIP code
B Business activity code no.
E Total assets (see instructions)
(See instructions.)
$
Check applicable box(es): (1)
(2)
Final return (3)
(4)
(5)
F
Initial return
Name change
Address change
Amended return
G(1)
Did any corporation, individual, partnership, trust, or estate own, directly or indirectly, 50% or more of the
Yes
No
IC-DISC’s voting stock at the end of the IC-DISC’s tax year? (See section 267(c) for rules of attribution.)
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If “Yes,” complete the following schedule. (If a foreign owner, see instructions.)
Identifying
Voting
Foreign
Total assets
Name
Address
number
stock
(corporations only)
owner
owned
Yes
No
%
%
(2)
Enter the following for any corporation listed in G(1) that will report the IC-DISC’s income:
Tax year of first corporation
IRS Service Center where return will be filed
Tax year of second corporation
IRS Service Center where return will be filed
H(1)
Check the appropriate box(es) to indicate any intercompany pricing rules that were applied to 25% or more of gross income (line 1
below):
50-50 combined taxable income method
4% gross receipts method
Section 482 method (“arm’s length pricing”)
(2)
Check here
if the marginal costing rules under section 994(b)(2) were applied in figuring the combined taxable income for any
transactions.
All Computations Must Reflect Intercompany Pricing Rules If Used (Section 994)
See separate Schedule P (Form 1120-IC-DISC).
Taxable Income
1
Gross income. Enter amount from Schedule B, line 4, column (e) .
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1
2
2
Cost of goods sold from Schedule A, line 8
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3
Total income. Subtract line 2 from line 1
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3
4
Deductions. Enter amount from Schedule E, line 3
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4
5
Taxable income before net operating loss deduction and dividends-received deduction. Subtract line
4 from line 3 .
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5
6 a
Net operating loss deduction (attach statement) .
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6a
b
Dividends-received deduction from Schedule C, line 9 .
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6b
c
6c
Add lines 6a and 6b .
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7
Taxable income. Subtract line 6c from line 5 .
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7
8
Refundable credit for federal tax paid on fuels (attach Form 4136)
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8
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is
Sign
true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Here
Signature of officer
Date
Title
Print/Type preparer’s name
Preparer's signature
Date
PTIN
Paid
Check
if
self-employed
Preparer
Use Only
Firm’s name
Firm's EIN
▶
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Firm's address
Phone no.
▶
1120-IC-DISC
For Paperwork Reduction Act Notice, see instructions.
Form
(Rev. 12-2012)
Cat. No. 11473P