Form Ct-1120 - Corporation Business Tax Return - 2015 Page 3
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3Form CT-1120 (Rev. 12/15)
CT Tax Registration Number
Page 3 of 3
1120 00 15W 03 9999
Schedule F – Taxes
Column A
Column B
00
1. Payroll.............................................................................
1.
00
2. Real property ..................................................................
2.
00
3. Personal property ...........................................................
3.
00
4. Sales and use .................................................................
4.
00
5. Other: See instructions. .................................................
5.
00
6. Connecticut corporation business tax deducted in the computation of federal taxable income ........
6.
7. Tax on or measured by income or profi ts imposed by other states or political subdivisions
00
deducted in the computation of federal taxable income: Attach schedule. .......................................
7.
8. Total unallowable deduction for corporation business tax purposes: Add Line 6 and Line 7,
00
Column B. Enter here and on Schedule D, Line 3. ............................................................................
8.
Schedule G – Additional Required Information – Attach a schedule of corporate offi cers’ names, titles, and addresses. See instructions.
1. In which CT town(s) does the corporation own or lease, as lessee, real or tangible personal property, or perform services?
______________________________________________________________________________________________________________
2. (a) Did this corporation directly or indirectly transfer a controlling interest in an entity owning CT real property?
Yes
No
If Yes, enter: Entity name
___________________________________ Federal Employer ID Number
_________________________
(b) Was there a direct or indirect transfer of a controlling interest in your company owning CT real property?
Yes
No
If Yes, enter: Transferor name
_______________________________ Federal Employer ID Number
_________________________
(c) If the answer to either 2(a) or 2(b) is Yes, enter: Transferee(s) name ____________________________________________________
Date of transfer _________________________ , and attach a list of addresses for all Connecticut real property transferred.
3. Did any corporation at any time during the year own a majority of the voting stock of this corporation?
Yes
No
If Yes, enter: Corporation name _________________________________ Federal Employer ID Number ___________________________
4. Last taxable year this corporation was audited by the Internal Revenue Service
____________________
Were adjustments reported to CT?
Yes
No (If No, attach explanation.)
Declaration: I declare under penalty of law that I have examined this return (including any accompanying schedules and statements) and, to the best of
my knowledge and belief, it is true, complete, and correct. I understand the penalty for willfully delivering a false return or document to the Department
of Revenue Services (DRS) is a fi ne of not more than $5,000, imprisonment for not more than fi ve years, or both. The declaration of a paid preparer
other than the taxpayer is based on all information of which the preparer has any knowledge.
Corporate offi cer’s name (print)
Corporate offi cer’s signature
Date
This return MUST be fi led electronically!
Corporate offi cer’s email address (print)
Telephone number
DO NOT MAIL paper return to DRS.
(
)
Sign Here
Title
May DRS contact the preparer shown below about this return?
Keep a
Yes
No
See instructions.
copy
of this
Paid preparer’s name (print)
Date
return for
your
Paid preparer’s signature
Preparer’s SSN or PTIN
records.
Firm’s name and address
FEIN
Telephone number
(
)
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