Form 4892 - Corporate Income Tax Amended Return

4892, Page 2

Taxpayer FEIN

PART 1: CORPORATE INCOME TAX (Continued)

A. As Originally Filed

or Previously Amended

B. Correct Amount

Subtractions from Business Income

26. Income from Non-Unitary Flow-Through Entities (Enter loss as a negative;

attach Form 4898; see instructions) ............................................................... 26.

27. Dividends and royalties received from persons other than U.S. persons

and foreign operating entities ....................................................................... 27.

28. Interest income derived from United States obligations .................................. 28.

29. Miscellaneous (see instructions) ..................................................................... 29.

30. Total Subtractions from Income. Add lines 26 through 29

30.

31. Corporate Income Tax Base. Subtract line 30 from line 25.

If negative, enter as a negative .................................................................... 31.

32. Apportioned Corporate Income Tax Base. Multiply line 31 by percentage

on line 9g ...................................................................................................... 32.

33. Apportioned Income from Non-Unitary Flow-Through Entities from Form

4898 (see instructions) ..................................................................................... 33.

34. a. Add line 32 and line 33 ............................................................................. 34a.

b. If box 9h is checked, multiply line 34a by percentage on line 9k.

All others enter amount from line 34a ..................................................... 34b.

35. Available CIT business loss carryforward from previous period’s CIT

return. Enter as a positive number................................................................ 35.

36. Subtract line 35 from line 34b. If negative, enter here as a negative.

A negative number here is the available business loss carryforward to the

next filing period (see instructions) ............................................................... 36.

37. Corporate Income Tax Before Credit. Multiply line 36 by 6% (0.06).

If less than zero, enter zero ............................................................................. 37.

PART 2: TOTAL CORPORATE INCOME TAX

38. Small Business Alternative Credit from Form 4893, line 14 or line 18,

whichever applies ......................................................................................... 38.

39. Tax Liability after Small Business Alternative Credit. Subtract line

38 from line 37. (If apportioned or allocated gross receipts are less than

$350,000, enter zero.) .................................................................................. 39.

40. Recapture of Certain Business Tax Credits from Form 4902, line 22 ............. 40.

41. Total Tax Liability. Add lines 39 and 40. If less than or equal to $100,

enter zero ..................................................................................................... 41.

PART 3: PAYMENTS AND TAX DUE

42. Overpayment credited from prior period return (MBT or CIT) ......................... 42.

43. Estimated tax payments................................................................................... 43.

44. Flow-Through Withholding payments .............................................................. 44.

45. Tax paid with request for extension ................................................................. 45.

46. Amount paid with original return plus additional tax paid after original return was filed ..................................

46.

47. Add line 42, column B, through line 45, column B, and line 46 .......................................................................

47.

48. Overpayment, if any, received on the original return or previous amended return ..........................................

48.

0000 2012 14 02 27 4

Continue and sign on Page 3

Form 4892 - Corporate Income Tax Amended Return - 2012 Page 2

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