Form Fr-399 - Qualified High Technology Companies Tax Package Page 16

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CERTIFICATION OF GROSS REVENUE WORKSHEET
File this worksheet with the Form D-20CR.
Title Line. Enter the beginning and ending dates of the tax year
for which certification applies, the name of the business and the
Federal Employer Identification Number.
Column 1. DC address or location of each business.
Column 2. For each business location, enter gross revenue from
each permitted activity listed.
Column 3. Enter the total for columns A through E for each
business location.
Column 4. Enter the gross revenue from the total of non-
permitted activities for each location.
Column 5. Enter the total gross revenue (add columns 3 and 4)
from permitted and non-permitted activities for each location.
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