Form Et-1c - Alabama Consolidated Financial Institution Excise Tax Return - 2014

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2014
1400011C1283
FORM
Alabama Department of Revenue
•CY
ET-1C
Consolidated Financial
•FY
Institution Excise Tax Return
ADOR
•SY
For the year January 1 – December 31, 2013, or other tax year beginning
, 2013, ending
Check
Filing Status: (see instructions)
FEDERAL BUSINESS CODE NUMBER
FEDERAL EMPLOYER IDENTIFICATION NUMBER
applicable
1. Corporation operating only
box:
in Alabama.
NAME
Initial
ADDRESS
2. Multistate Corporation –
return
Apportionment (Sch. L).
CITY, STATE, COUNTRY (IF NOT U.S.)
9-DIGIT ZIP CODE
Final
3. Multistate Corporation –
return
Separate Accounting (Prior
STATE OF INCORPORATION
DATE OF INCORPORATION
written approval required and
Amended
must be attached).
return
DATE QUALIFIED IN ALABAMA
NATURE OF BUSINESS IN ALABAMA
Address
4. Alabama Consolidated Return.
change
(Caution: see instructions)
This company files as part of a consolidated federal return. Common parent corporation: Name
FEIN
Notification of Final IRS change
Files Business Privilege Tax
BPT FEIN:
Group’s total combined assets:
1 Alabama Taxable Income (sum of all Proforma ET-1(s), line 31). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2
2 FINANCIAL INSTITUTION EXCISE TAX (6.5% of line 31) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 Credits and Payments
3a
a. Sales Tax Credit (sum of Schedule F from all proforma returns) . . . . . . . . . . . . . .
b. Other Allowable Credits (sum of Schedule G from all proforma returns) . . . . . . .
3b
c. Extension Payment (ET-8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3c
3d
d. Additional Payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e. Total Credits and Payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3e
4 Penalties Due (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
5
5 Interest Due (Compute only on Tax Due). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Total Payment Due/(Refund Due) (subtract line 3e from the sum of lines 2, 4 and 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
If you paid electronically check here:
CN
– UNLESS A COPY OF THE FEDERAL INCOME TAX RETURN IS ATTACHED,
THIS RETURN WILL BE CONSIDERED INCOMPLETE (SEE FORM ET-1,
PROFORMA, PAGE 4, OTHER INFORMATION, NUMBER 3) –
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
Mail to: Alabama Department of Revenue
Individual and Corporate Tax Division
Consolidated Business Tax Compliance Unit (CBTCU)
PO Box 327437
Montgomery, AL 36132-7437

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