Form 99t - Arizona Exempt Organization Business Income Tax Return - 2013

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2013
ARIZONA FORM
99T
Arizona Exempt Organization Business Income Tax Return
For the
calendar year 2013 or
fiscal year beginning
M M D D
2 0 1 3 and ending
M M D D Y Y Y Y
.
CHECK ONE:
Name
Employer Identification Number (EIN)
Original
Address – number and street or PO Box
Amended
Business Telephone Number
(with area code)
City, Town or Post Office
State
ZIP Code
CHECK BOX IF return filed under extension:
82
68
82F
Check box if:
This is a first return
Name change
Address change
REVENUE USE ONLY. DO NOT MARK IN THIS AREA.
M M D D Y Y Y Y
A Date Arizona operations began:
88
B Nature of unrelated business activities:
C Unrelated business activity codes:
D Arizona apportionment: (check only one) Multistate organizations only.
AIR Carrier
STANDARD Sales Factor
ENHANCED Sales Factor
E Did you file an Arizona Form 99?
Yes
No
81 PM
66 RCVD
F Check federal form filed:
990-T
Other (specify)
Attach a copy of the organization’s federal return.
Arizona Unrelated Business Taxable Income Computation
00
1 Unrelated business taxable income – from federal Form 990-T ......................................................................................
1
00
2 Additions related to Arizona tax credits claimed ..............................................................................................................
2
00
3 Subtotal – add line 1 and line 2 .......................................................................................................................................
3
4 Apportionment ratio – Multistate organizations only – see instructions ...................
4
00
5 Taxable income attributable to Arizona – line 3 multiplied by line 4 (or enter amount from line 3, if 100% Arizona) .......
5
Arizona Tax Liability Computation
00
6 Enter tax – Tax is 6.968 percent of line 5, or $50, whichever is greater ....................................................................
6
00
7 Tax from recapture of tax credits – from Arizona Form 300, Part II, line 29 .....................................................................
7
00
8 Subtotal – add line 6 and line 7 .......................................................................................................................................
8
00
9 Nonrefundable tax credits – from Arizona Form 300, Part II, line 53 ...............................................................................
9
10 Credit type –
3
3
3
3
10
enter form number for each nonrefundable credit claimed:
00
11 Tax liability – subtract line 9 from line 8 ...........................................................................................................................
11
Tax Payments
12 Refundable tax credits – Check box(es) and enter amount: 12
00
308
342
349
12
00
13 Extension payment made with Arizona Form 120EXT or online ........................................
13
00
14 Estimated tax payments ....................................................................................................
14
15 Payment made with original return plus all payments made after it was filed –
00
see instructions ..................................................................................................................
15
00
16 Subtotal payments – add lines 12 through 15 ...................................................................
16
00
17 Overpayments of tax from original return or later adjustments – see instructions .............
17
00
18 Total Payments – subtract line 17 from line 16 ................................................................................................................
18
Computation of Total Due or Overpayment
00
19 Balance of tax due – If line 11 is larger than line 18, enter balance of tax due. Skip line 20 ...........................................
19
00
20 Overpayment of tax – If line 18 is larger than line 11, enter overpayment of tax .............................................................
20
00
21 Penalty and interest .........................................................................................................................................................
21
00
22 Estimated tax underpayment penalty. If Form 220 is attached, check box .......................................................
A
22
22
00
23 TOTAL AMOUNT DUE – Add lines 19, 21, and 22. If money is due, non-EFT payment must accompany return .........
23
00
24 OVERPAYMENT – see instructions .................................................................................................................................
24
00
25 Amount of line 24 to be applied to 2014 estimated tax ......................................................
25
00
26 Amount to be refunded – subtract line 25 from line 24 ....................................................................................................
26
Continued on page 2
ADOR 10419 (13)

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