Form 1115 - California Request For Consent For A Water'S-Edge Re-Election - 2014

Request for Consent for a Water’s-Edge

TAXABLE YEAR

CALIFORNIA FORM

20

1115

Re-Election

Fill out the form completely. Do not change the method of filing until the Franchise Tax Board has approved this request.

Corporation name

Key California corporation number

Address (suite, room, or PMB no.)

City

State

ZIP Code

Part I Effective Dates

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Enter the taxable year ending date of the taxpayer’s last filed water’s-edge tax return: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(mm/dd/yyyy)



/

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Enter the beginning date of the water’s-edge re-election: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(mm/dd/yyyy)

Part II Basis to Request a Water’s-Edge Re-Election. See instructions .

Explain the basis for the request to re-elect water’s-edge . Attach additional sheets if necessary .

Part III List of Taxpayers Requesting Water’s-Edge Re-Election. Attach additional sheets if necessary .

Taxpayer’s name

California corporation number

FEIN

Signature

I attest to the belief that the water’s-edge re-election is permitted by law and to the accuracy of factual statements .

Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge,

it is true, correct, and complete .

____________________________________________________ ______________________________________ _________________

Signature of officer

Title

Date

(

)

_______________________________________________________________ ______________________________________________

Print or type name of person to contact

Telephone

THIS FORM MUST BE FILED SEPARATELY FROM THE TAX RETURN

FTB 1115

2014

7181143

C1