Form 1902(B) - Delaware Information Return Holding Company I Investment Company - 2011 Page 4

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SPECIFIC INSTRUCTIONS
PART II - QUESTIONS RELATING TO NON-EXEMPT ACTIVITIES
If the answer to any of the following questions is yes, it would be an indication that the corporation is NOT exempt
from Delaware Corporate income tax under 30 Del. C. §1902(b)(8).
1.
Sources of Income. Did the corporation receive rental income from real property and/or tangible personal
property located within Delaware? Please check appropriate box for each source of income and provide a
description of the activities performed within Delaware for each “yes” box.
2.
Services Provided. Did the corporation provide in Delaware any of the services listed for an unaffiliated entity
or an affiliated entity other than as part of the corporation’s maintenance and management of its intangible
assets? Please check appropriate box for each service and provide a description of the service performed
within Delaware for each “yes” box.
PART III - QUESTIONS RELATING TO EXEMPT ACTIVITIES
If the answer to any of the following is “yes”, it would be an indication that the corporation is exempt from Delaware
corporate income tax under §1902(b)(8), 30 Del. C.
1.
Sources of Income Within Delaware. Did the corporation directly or indirectly receive income from anyone of
the sources listed? Please check appropriate box for each source of income and, for each “yes” response where
the income received is in excess of $1 million, provide a description of the activity performed in Delaware in the
space provided.
2.
Sources of Income Without Delaware. Is the corporation engaged in business activities outside of Delaware
other than those described in Question 1 above? If yes, please provide a brief description in the space provided.
PART IV - ADDITIONAL INFORMATION
Did the corporation have any sources of income other than the sources of income described in Parts II and III above?
If yes, please describe the source of income and the activity in Delaware relating to it in the space provided.
SIGNATURE
Please sign and date this return indicating the title of the officer or designee signing this return, detach Form 1902(b)
and mail to the Division of Revenue, 820 N. French Street, P.O. Box 2044, Wilmington, Delaware 19899-2044.
(Revised 12/09/10)

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