Form 4908 - Corporate Income Tax Annual Return For Financial Institutions

4908, Page 2

Taxpayer FEIN

PART 1: FRANCHISE TAX — Continued

18. Net Capital for Current Taxable Year. Divide line 17 by number of tax years reported in lines 10 through 16,

columns A through E. (UBGs, see instructions).....................................................................................................

18.

19. Apportioned Tax Base. Multiply line 18 by percentage on line 9c .......................................................................... 19.

20. Tax Liability. Multiply line 19 by 0.29% (0.0029). If less than or equal to $100, enter zero .................................. 20.

21. Recapture of Certain Business Tax Credits from Form 4902, line 20 ....................................................................

21.

22. Total Tax Liability. Add lines 20 and 21 ................................................................................................................ 22.

PART 2: PAYMENTS AND TAX DUE

23. Overpayment credited from prior return (MBT or CIT) .................................... 23.

24. Estimated tax payments .................................................................................. 24.

25. Flow-Through Withholding payments .............................................................. 25.

26. Tax paid with request for extension ................................................................. 26.

27. Total Payments. Add lines 23 through 26 .............................................................................................................

27.

28. TAX DUE. Subtract line 27 from line 22. If less than zero, leave blank .................................................................

28.

29. Underpaid estimate penalty and interest from Form 4899, line 38 ........................................................................

29.

30. Annual Return Penalty (see instructions) ..............................................................................................................

30.

31. Annual Return Interest (see instructions) ..............................................................................................................

31.

32. PAYMENT DUE. If line 28 is blank, go to line 33. Otherwise, add lines 28, 29, 30 and 31 ..................................

32.

PART 3: REFUND OR CREDIT FORWARD

33. Overpayment. Subtract lines 22, 29, 30 and 31 from line 27. If less than zero, leave blank (see instructions) ....

33.

34. CREDIT FORWARD. Amount on line 33 to be credited forward and used as an estimate for next tax year ............. 34.

35. REFUND. Subtract line 34 from line 33 .................................................................................................................

35.

Taxpayer Certification.

Preparer Certification.

I declare under penalty of perjury that the information in

I declare under penalty of perjury that this

this return and attachments is true and complete to the best of my knowledge.

return is based on all information of which I have any knowledge.

Preparer’s PTIN, FEIN or SSN

By checking this box, I authorize Treasury to discuss my return with my preparer.

Authorized Signature for Tax Matters

Preparer’s Business Name (print or type)

Authorized Signer’s Name (print or type)