F-1120X
Amended Florida Corporate Income/Franchise
R. 01/13
Tax Return
Rule 12C-1.051
Florida Administrative Code
Effective 01/13
Reason for amended return:
Use black ink. Example A - Handwritten Example B - Typed
Name
0 1
2 3 4 5 6 7 8 9
0123456789
Amended federal return (attach copy)
IRS audit adjustment (attach copy)
FEIN
Formerly known as (if applicable)
M M D D Y Y
Date of Revenue
Agent Report
For tax year:
Beginning
Ending
(RAR)
M M D D Y Y
M M D D Y Y
Other adjustment
Address
Type of return being amended:
M M D D Y Y
Date last return filed:
F-1120
F-1120A
F-1120X
City/State/ZIP
B.
A.
Fill in applicable items
Part I
and use Part II to explain
Correct amount
As originally reported or as adjusted
(Attach amended schedules)
any changes.
1. Federal taxable income
,
,
,
.
,
,
,
.
2. State income taxes deducted in
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,
.
,
,
,
.
computing federal taxable income
3. Additions to federal taxable income
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,
.
4. Total of Lines 1 through 3
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5. Subtractions from federal taxable
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income
6. Adjusted federal income
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(Line 4 minus Line 5)
7. Florida portion of adjusted federal
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income
8. Nonbusiness income allocated to
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Florida
9. Florida exemption
F-1120X
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10. Florida net income
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(Line 7 plus Line 8 minus Line 9)
(Continued on reverse side)
F-1120X
R. 01/13
Florida Department of Revenue
Amended Florida Corporate Income/Franchise
Tax Return
M M D D Y Y
YEAR
,
,
US DOLLARS
CENTS
ENDING
Total amount due
Check here if you transmitted funds electronically
from Line 19
,
,
Total credit
from Line 20
,
,
Total refund
Name
Address
from Line 22
City/St/ZIP
FEIN
F-1120X
9100000999999990000200504904039999999990000002