Form 1100s - Reconciliation And Shareholders Information Return - 2012 Page 4
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52012
S CORPORATION
2012
FORM 1100S
SHAREHOLDERS INFORMATION RETURN
SCHEDULE A-1
SHAREHOLDER'S SHARE OF INCOME, DEDUCTIONS & CREDITS
For Calendar Year 2012
or Fi scal year beginning
2012, and ending
2013
Shareholder's Identifying Number
S Corporation's Identifying Number
Shareholder's Name, Address and Zip Code:
S Corporation's Name, Address and Zip Code:
Column A
Column B
Percent age of St ock Owned
%
Resident
Non-Resident
1. Shareholder's portion of ordinary income (loss) from
00
00
Delaware Form 1100S, Schedule A, Line 3(a)
1.
ADDITIONS:
2. Net income (loss) from rental real estate activities,
00
00
Delaware Form 1100S, Schedule A, Line 4
2.
3. Net income (loss) from other rental activities,
00
00
Delaware Form 1100S, Schedule A, Line 5
3.
00
00
4. Interest income from Delaware Form 1100S, Schedule A, Line 6
4.
00
00
5. Dividend income from Delaware Form 1100S, Schedule A, Line 7
5.
00
00
6. Royalty income from Delaware Form 1100S, Schedule A, Line 8
6.
7. Net short term capital gain (loss)
00
00
from Delaware Form 1100S, Schedule A, Line 9
7.
8. Net long term capital gain (loss)
00
00
from Delaware Form 1100S, Schedule A, Line 10
8.
9. Net gain (loss) under Section 1231
00
00
from Delaware Form 1100S, Schedule A, Line 11
9.
10. Other income (loss) (Attach schedule)
00
00
from Delaware Form 1100S, Schedule A, Line 12
10.
00
00
11. Total. Add Lines 1 through 10
11.
SUBTRACTIONS:
12. Section 179 expense deduction from
00
00
Delaware Form 1100S, Schedule A, Line 14
12.
13. Charitable contributions
00
00
from Delaware Form 1100S, Schedule A, Line 15
13.
00
00
14. Other deductions from Delaware Form 1100S, Schedule A, Line 16
14.
00
00
15. Depletion expense from Delaware Form 1100S, Schedule A, Line 17
15.
00
00
16. Total. Add Lines 12 through 15
16.
00
00
17. Total Net Income (Loss). Line 11 minus Line 16
17.
STATE MODIFICATIONS
SUBTRACTIONS:
18. Net interest from U.S. Securities
00
00
from Delaware Form 1100S, Line 2(a)
18.
19. Wage deduction - Federal Jobs Credit
00
00
from Delaware Form 1100S, Line 2(b)
19.
*DF11412019999*
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