Arizona Form
2015
Arizona Corporation Income Tax Return (Short Form)
120A
M M D D
2 0 1 5 and ending
M M D D
2 0
Y Y
For the
calendar year 2015 or
fiscal year beginning
.
Business Telephone Number
Name
Employer Identification Number (EIN)
(with area code)
Address – number and street or PO Box
Business Activity Code
(from federal Form 1120)
City, Town or Post Office
State
ZIP Code
CHECK BOX IF return filed under extension:
82
68 Check box if:
82F
This is a first return
Name change
Address change
REVENUE USE ONLY. DO NOT MARK IN THIS AREA.
88
A
Is FEDERAL return filed on a consolidated basis? ........................
Yes
No
If “Yes”, list EIN of common parent from consolidated return ........
NOTE: Use Form 120 to file an ARIZONA consolidated return.
Taxpayers cannot use Form 120A to file an Arizona consolidated return.
81 PM
66 RCVD
B
Is this the corporation’s final ARIZONA return under this EIN? .....
Yes
No
If “Yes”, check one:
Dissolved
Withdrawn
Merged/Reorganized
List EIN of the successor corporation, if any .................................
Arizona Taxable Income Computation
00
1 Taxable income per included federal return .................................................................................................................
1
00
2 Additions to taxable income from page 2, Schedule A, line A8 ....................................................................................
2
00
3 Total taxable income: Add lines 1 and 2 .....................................................................................................................
3
00
4 Subtractions from taxable income from page 2, Schedule B, line B11 ........................................................................
4
00
5 Adjusted income: Subtract line 4 from line 3 ..............................................................................................................
5
00
6 Arizona basis net operating loss carryforward: Include computation schedule ..........................................................
6
00
7 Arizona taxable income: Subtract line 6 from line 5 ....................................................................................................
7
Arizona Tax Liability Computation
00
8 Enter tax: Tax is 6.0 percent of line 7 or fifty dollars ($50), whichever is greater ................................................
8
00
9 Tax from recapture of tax credits from Arizona Form 300, Part 2, line 31 ....................................................................
9
00
10 Subtotal: Add lines 8 and 9 .........................................................................................................................................
10
00
11 Nonrefundable tax credits from Arizona Form 300, Part 2, line 56 ..............................................................................
11
12 Credit type:
12
3
3
3
3
Enter form number for each nonrefundable credit used:
00
13 Tax liability: Subtract line 11 from line 10 ....................................................................................................................
13
Tax Payments
14 Refundable tax credits: Check box(es) and enter amount: 14
00
308
342
349
14
00
15 Extension payment made with Form 120EXT or online: See instructions .................... 15
00
16 Estimated tax payments: See instructions .................................................................... 16
00
17 Total payments: See instructions ................................................................................................................................
17
Computation of Total Due or Overpayment
00
18 Balance of tax due: If line 13 is larger than line 17, enter balance of tax due. Skip line 19 .......................................
18
00
19 Overpayment of tax: If line 17 is larger than line 13, enter overpayment of tax ..........................................................
19
00
20 Penalty and interest .....................................................................................................................................................
20
00
21 Estimated tax underpayment penalty: If Form 220 is included, check box ......................................................
A
21
21
00
22 TOTAL DUE: See instructions ................................................................ Non-EFT payment must accompany return
22
00
23 OVERPAYMENT: See instructions .............................................................................................................................
23
00
24 Amount of line 23 to be applied to 2016 estimated tax .................................................. 24
00
25 Amount to be refunded: Subtract line 24 from line 23 ................................................................................................
25
Continued on page 2
ADOR 10949 (15)