Name (as shown on page 1)
EIN
Penalty Calculation
Part C
(a)
(b)
(c)
(d)
17 Forms 120 and 120A: Enter the date of payment or the 15th day
of the 4th month after the close of the taxable year, whichever is
earlier.
Form 120S: Use 3rd month instead of 4th month.
Form 99T: Use 5th month instead of 4th month ..........................
17
M M D D Y Y M M D D Y Y M M D D Y Y M M D D Y Y
18 Number of days from due date of installment on line 7
to the date shown on line 17 ........................................................
18 Days:
Days:
Days:
Days:
19 Number of days on line 18 after 4/15/2015 and before 7/1/2015 ....
19 Days:
Days:
Days:
Days:
Number of days on line 19
20 Underpayment on line 15 ×
× 3%
........
20
365
21 Number of days on line 18 after 6/30/2015 and before 10/1/2015 ..
21 Days:
Days:
Days:
Days:
Number of days on line 21
22 Underpayment on line 15 ×
× 3%
........
22
365
23 Number of days on line 18 after 9/30/2015 and before 1/1/2016 ....
23 Days:
Days:
Days:
Days:
Number of days on line 23
24 Underpayment on line 15 ×
× 3%
........
24
365
25 Number of days on line 18 after 12/31/2015 and before 4/1/2016 ..
25 Days:
Days:
Days:
Days:
Underpayment on line 15
Number of days on line 25
26
×
× 3%
+ compounding, if applicable
366
26
27 Number of days on line 18 after 3/31/2016 and before 7/1/2016 ....
27 Days:
Days:
Days:
Days:
Underpayment on line 15
Number of days on line 27
28
×
× * %
+ compounding, if applicable
366
28
29 Number of days on line 18 after 6/30/2016 and before 10/1/2016 ..
29 Days:
Days:
Days:
Days:
Underpayment on line 15
Number of days on line 29
30
×
× * %
+ compounding, if applicable
366
30
31 Number of days on line 18 after 9/30/2016 and before 1/1/2017 ....
31 Days:
Days:
Days:
Days:
Underpayment on line 15
Number of days on line 31
32
×
× * %
+ compounding, if applicable
366
32
33 Number of days on line 18 after 12/31/2016 and before 3/15/2017
33 Days:
Days:
Days:
Days:
Underpayment on line 15
Number of days on line 33
34
×
× * %
+ compounding, if applicable
365
34
35 Add lines 20, 22, 24, 26, 28, 30, 32, and 34 ..................................
35
36 Penalty Limitation: In columns (a) through (d), list the smaller
of Part B, line 15 × 10% OR the amount from Part C, line 35 .........
36
37 Penalty: Add columns (a) through (d) of line 36. Enter the total here and on Form 99T, line 22; or Form 120, line 29;
or Form 120A, line 21; or Form 120S, line 25 ........................................................................................................................................
37
00
* Percentage rate to be announced
Continued on page 3
Page 2 of 4
ADOR 10342 (15)
AZ Form 220 (2015)