Form 355u - Excise For Taxpayers Subject To Combined Reporting - Massachusetts Department Of Revenue - 2013

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2013
Form 355U
Massachusetts
Excise for Taxpayers
Department of
Subject to Combined Reporting
Revenue
For calendar year 2013 or taxable period beginning
2013 and ending
Name of principal reporting corporation
Federal Identification number
3
3
Principal address
City/Town
State
Zip
Contact person
Telephone number
11 Type of group (check one only):  3
Financial 
Non-financial 
Mixed
12 Are you making or are you subject to an affiliated group or worldwide election?  3
Affiliated group 
Worldwide 
Neither
13 If an affiliated group or worldwide election applies, is it a new election for the current year?  3
Yes 
No
14 Is any member of the group requesting alternate apportionment?  3
Yes 
No
15 Is this an amended filing?  3
Yes 
No
16 Is the group or any member deducting interest expense paid to a related entity?  3
Yes 
No
17 Is the group or any member deducting intangible expense paid to a related entity?  3
Yes 
No
18 Does the group have an excluded parent?  3
Yes 
No
19 Has the group elected a Massachusetts adjusted basis for non-taxable members?  3
Yes 
No
10 Is any member currently under audit by the Internal Revenue Service (IRS)?  3
Yes 
No
11 Is any member taking a Massachusetts film credit against its excise tax?  3
Yes 
No
12 Is any member taking a life science credit against its excise tax?  3
Yes 
No
13 Last year for which any member was audited by IRS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 13
14 Enter the number of federal disclosure statements filed by members for this tax year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 14
15 Enter the number of Massachusetts taxpayer disclosure statements included with return . . . . . . . . . . . . . . . . . . . . . . . . . . 3 15
16 Total number of taxable members included in the combined report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 16
17 Number of members subject to non-income measure only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 17
18 Number of non-taxable members in the combined group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 18
19 Number of U.S. Schedules M-3 filed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 19
20 Number of U.S. Forms 5471 filed by members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 20
Excise Tax Calculation
21 Total financial institution excise due from members. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 21
22 Total utility corporation excise due from members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 22
23 Total business corporation measure of excise due from members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 23
24 Total excise before credits and payments. Add lines 21 through 23. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
25 Credits taken by corporations using their own credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 25
26 Credits taken under sharing rules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 26
27 Excise due before voluntary contribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
28 Voluntary contribution for endangered wildlife conservation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 28
29 Excise due plus voluntary contribution. Add lines 27 and 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
30 2012 overpayment applied to 2013 tax (from Schedule CG, Part 1, line 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 30
31 Estimated tax payments (group) (from Schedule CG, Part 1, total of lines 3 through 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 31
32 Payment with extension (group) (from Schedule CG, Part 1, line 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 32
33 Pass-through entity withholding (total of all Schedules U-ST, line 42) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 33
34 Total refundable credits (total of all Schedules U-ST, line 43) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 34
35 Other payment or refund for this tax year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 35
36 Total payments for the combined group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
37 Amount overpaid. Subtract line 29 from line 36 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
38 Amount overpaid to be credited to 2014 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 38
39 Amount overpaid to be refunded . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 39
40 Balance due. Subtract line 36 from line 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
41 M-2220 penalty 3 $ _______________________ ; Other penalties 3 $ ______________________. . . . . . . . Total penalty 41
42 Interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 42
43 Excise due plus statutory additions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 43

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