Form 63 Fi - Financial Institution Excise Return - 2012 Page 3

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Schedule B. Wholly Tax-Exempt Interest
a. Security
b. Rate
c. Maturity
d. Interest received
e. Amortization
f. Net interest
Enter col. d total on Schedule A, line 3
Schedule C. Business Locations Outside Massachusetts
Complete this schedule only if the corporation has income from business activities which is taxable both in Massachusetts and in any other states.
Location
Business activity
Number of
Registered to do
Files returns
(city and state)
conducted at location
locations
business in state?
in state?
Schedule D. Dividends Deduction
Beginning January 1, 1999, 95% of dividends received from or on account of the ownership of any class of stock, if the financial institution owns 15% or
more of the voting stock of the institution paying the dividend, will be allowed as a deduction to net income. Enclose schedule showing payers, amounts
and percent of voting stock owned by class of stock.
1 Total dividends (from U.S. Form 1120, Schedule C, line 19) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Dividends, if less than 15% of voting stock owned
a. On common stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a
b. On preferred stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b
3 Total taxable dividends. Add lines 2a and 2b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Dividends eligible for the deduction. Subtract line 3 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5 Dividends deduction. Multiply line 4 by .95. Enter here and in Schedule A, line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

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