Schedule A-2 (Form Rev-961 Ct) - Corporation Tax, Schedule A-3 (Form Rev-961 Ct) - Adjustments To Net Income Per Books Page 2

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MMDDYYYY
REV-961 CT (05-11)
TAX YEAR
BEGINNING
TAX
TAX YEAR
CORPORATION NAME
ACCOUNT ID
ENDING
SCHEDULE A-3
ADJUSTMENTS TO NET INCOME PER BOOKS
(See CT-1 booklet at for requirements to complete this schedule)
PART A
1. Net Income per Books from federal
Schedule M-1 or federal Schedule M-3.
Additions
Reductions
2. Dividends from subsidiary corporations
8. Income from subsidiary corporations
not included in Line 1
included in Line 1
3. Losses from subsidiary corporations
9. Income from Limited Liability Companies
deducted in arriving at Line 1
included in Line 1*
4. Losses from Limited Liability Companies
10. Distributions to Materially Participating
deducted in arriving at Line 1*
Member of Limited Liability Companies**
5. Distributions from Limited Liability
11. Other (Itemize)
Companies not included in Line 1*
6. Other (Itemize)
12. Total Lines 8 to 11
13. Revised Net Income per Books
7. Total Lines 1 to 6
(Line 7 minus Line 12)
*
Any taxpayer making these adjustments must provide a copy of federal Schedule K-1, if the investee LLC files federal Form
1065, or a reconciliation of beginning and ending net worth of the investee LLC, if the investee LLC is a disregarded entity.
** This reduction may only be taken by LLCs and Business Trusts not taxed as corporations for federal income tax purposes. Taxpayers
claiming this reduction must complete Part B below.
PART B
Name of Member
Current-Year Distribution
Less Current-Year Distribution included
SSN or EIN of Member
in Prior-Year Reduction
How does member qualify as materially participating under IRC Section 469?
Plus Current-Year Reduction distributed
in subsequent year
Current-Year Reduction
Name of Member
Current-Year Distribution
SSN or EIN of Member
Less Current-Year Distribution included
in Prior-Year Reduction
How does member qualify as materially participating under IRC Section 469?
Plus Current-Year Reduction distributed
in subsequent year
Current-Year Reduction
Name of Member
Current-Year Distribution
SSN or EIN of Member
Less Current-Year Distribution included
in Prior-Year Reduction
How does member qualify as materially participating under IRC Section 469?
Plus Current-Year Reduction distributed
in subsequent year
Current-Year Reduction
Total Reduction from Supplemental Schedule (Attach additional schedule(s) if necessary) . . . . . . . . . . . . . . . . . . . . . .
Total Reduction for Distributions to Materially Participating Members (carry to Part A - Line 10) . . . . . . . . . . . . . . . . . .
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