DELAWARE DIVISION OF REVENUE
1100P 9201
FORM 1100-P
– “S” CORPORATION PERSONAL INCOME TAX
FEDERAL IDENTIFICATION NUMBER
CALENDAR OR FISCAL YEAR ENDING
DUE ON OR BE FORE
VOUCHER
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0-000000000-000
12-31-12
12-17-12
P-4
Print Form
009401040000000000000
12311212171200000000000000000000
BUSINESS MAILING NAME AND ADDRESS
Check Here If A
Request For
Change Form
Is
BALANCE DUE FROM LINE 3
Being Filed
OF WORKSHEET
$
0 0
10
(
% OF ESTIMATED TAX FOR THE YEAR)
Mail This Form With Remittance Payable To:
Delaware Division of Revenue
P.O. Box 8751, Wilmington, DE 19899-8751
CHANGES MUST BE MADE ON THE REQUEST FOR CHANGE FORM.
CHECK THE BOX IF YOU ARE FILING A CHANGE FORM.
AUTHORIZED SIGNATURE I declare under penalties of perjury, that this
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If desired, provide an e-mail address where we may
is a true, correct and complete return.
contact you regarding this return.
(Cut Coupon on Line Above)
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TAXPAYERS WORKSHEET AND RECORD OF PAYMENTS
CALCULATION OF ESTIMATED TAX DUE
1. Estimated amount of distributive income for the taxable year.
$
.00
2a. Total percentage of stock owned by non-resident shareholders. X
%
0
2b. Multiply Line 1 by Line 2a and enter result on Line 2b.
$
.00
3. Multiply Line 2B by 6.95% and enter the result on Line 3.
0
(This is the total amont of personal income tax required to be
$
.00
paid on behalf of the non-resident shareholders.)
0
. 1
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$
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0
. 3
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$
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Please fill in the federal identification number, business name and address in the spaces provided. Sign
and date the tax return and supply a telephone number where we can contact someone regarding the
information on the tax return.
PLEASE NOTE: Voucher 1 (T-1) is due the 1st day of the 4th month following the end of the year.
Voucher 2 (T-2) is due the 15th day of the 6th month following the end of the year.
Voucher 3 (T-3) is due the 15th day of the 9th month following the end of the year.
Voucher 4 (T-4) is due the 15th day of the 12th month following the end of the year.