Form D-30 - Unincorporated Business Franchise Tax Return - 2013 Page 3

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D-30 FORM, PAGE 3

Round cents to the nearest dollar. If an amount is zero, make no entry.

Schedule A - COST OF GOODS SOLD (See specific instructions for Line 2.)

1. Inventory at beginning of year (if different from last year’s closing inventory, attach an explanation).

2. Purchases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $_________________________________

Minus cost of items withdrawn for personal use . . . . . . . . . . . $_________________________________ Enter result here

3. Cost of Labor.

4 . Material and supplies.

5 . Other costs (attach statement) –

(Additional 30% and 50% federal bonus depreciation and additional IRC

179 expenses are not allowed.)

6. Total of lines 1 through 5.

7. Inventory at end of year.

8. Cost of goods sold (Line 6 minus Line 7). Enter here and on D-30, Line 2.

Method of inventory valuation used

__________________________________________________________________

Schedule B - CONTRIBUTIONS AND/OR GIFTS (See specific instructions for Line 18.)

TOTAL

(Limited to 15% of net income – also enter on D-30, Line 18.)

Schedule C - TAXES (See specific instructions for Line 16.)

Amount

Type of Tax

Amount

Type of Tax

TOTAL

Schedule E - INTEREST EXPENSE (See specific instructions for Line 17.)

Name and Address of Payee

Amount

Name and Address of Payee

Amount

TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Schedule D has been deleted.