Form Et-1 - Financial Institution Excise Tax Return - 2012 Page 2
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4Alabama ET-1 – 2012
120002E1
Page 2
ADOR
SCHEDULE A – IN ACCORDANCE WITH SECTION 40-16-6, THE INFORMATION REQUESTED BELOW MUST BE PROVIDED
Department
Percentage In Department
Municipalities In Which Business Is
Percentage In
Counties In Which Business Is Conducted
Use Only
Each County
Use Only
Conducted In Each County
Each Municipality
%
%
%
%
%
%
Check
%
%
here if no
office is
%
%
maintained
%
%
in this state.
%
%
%
%
%
%
%
%
SCHEDULE B – Alabama Net Operating Loss Carryforward Calculation
Column 1
Column 2
Column 3
Column 4
Column 5
Loss Year End
Amount of Alabama
Amount used in years
Amount used
Remaining unused
MM / DD / YYYY
net operating loss
prior to this year
this year
net operating loss
•
•
•
•
•
•
•
•
•
•
•
•
Alabama net operating loss (enter here and on line 30, page 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SCHEDULE D – Bad Debts – Reserve Method (See Instructions)
Trade Notes and Accounts Receivable
Amount Added To Reserve
Amount Charged
Reserve For Bad Debts
Year
Outstanding at End of Year
Current Year’s Provision
Recoveries
Against Reserve
At End of Year
•
2006
•
2007
•
2008
•
2009
•
2010
•
2011
SCHEDULE E – Taxes Deducted
SCHEDULE F – Alabama Taxes Used As Credits
•
•
Franchise Taxes and Permits
Sales Taxes: Supplies, etc.
•
•
Privilege Taxes
Furniture, Fixtures
•
•
Social Security Taxes
Use Taxes
•
•
Ad Valorem Taxes
State Tax on Utilities
•
•
Other Taxes – Attach Schedule
State Tax on Telephone
•
•
TOTAL TO LINE 12, PAGE 1. . . . . . . . . . . . . . . . . . .
Other Allowable Credits
•
TOTAL TO LINE 33a, PAGE 1 . . . . . . . . . . . . . . . . .
AFFIDAVIT
•
I authorize a representative of the Department of Revenue to discuss my return and attachments with my preparer.
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and
complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Your Signature
Date
Title or Position
Please
Sign
Here
Preparer’s Signature
Date
Preparer’s Tax Identification Number
•
•
Firm’s Name (or yours
•
•
Paid
if self employed)
E.I. No.
Preparer’s
•
•
Address
ZIP Code
Use Only
Name
Telephone Number
Person to contact for
•
•
information concerning this return:
•
Email address:
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