Form Tc-20l - Utah Application For Refund From A Corporation Loss Carryback
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420898
Utah Application for Refund from
TC-20L
Rev. 12/10
a Corporation Loss Carryback
_ _ _ Mark “X” if a domestic production activities
deduction claimed in a carryback loss year
9999
Clear form
Print Form
•
_ _ _ Mark “X” if this is a REIT Loss Carryback
Corporation name
Mark “X” if this
is a new address:
Employer Identification Number:
Address
•
_ __ Physical
_ _ _ _ _ _ _ _ _ _ _ _ ______ _
address
City
State
ZIP Code
Utah Incorporation/Qualification Number:
•
_ __ Mailing
address
Foreign country (if not U.S.)
Telephone number
_ _ _ _ _ _ _ _ _ _ _ _ ______ _
Loss Carryback
•
/
/
1. Enter the taxable year-end of the loss year (enter as mm/dd/yyyy)............................
1 _____
_____
__ _ __ _ _
•
2. Loss from TC-20, Schedule A, or Utah REIT return (enter as a positive value) .........
2 _____ ______ __ __ _ _ . 00
3. Amount of loss on line 2 exceeding $1,000,000, if any...............................................
3 ___ _____ ____ __ _ __ . 00
If line 2 is less than $1,000,000, enter “0”
•
4. Loss available for carryback (subtract line 3 from line 2) ............................................
4 __ _____ ______ _ __ _ . 00
3rd Prior Taxable Year
•
/
/
5. Enter the 3rd prior taxable year-end (enter as mm/dd/yyyy).......................................
5 _____
_____
__ _ __ _ _
•
6. Utah taxable income from 3rd prior taxable year (enter only if gain) ..........................
6 __ _____ ______ _ __ _ . 00
•
7. Loss carryback amount (enter the lesser of line 4 or line 6) .......................................
7 __ _____ ______ _ __ _ . 00
8. Adjusted taxable income (subtract line 7 from line 6 – not less than zero) .................
8 __ _____ ______ _ __ _ . 00
9. Tax (multiply line 8 by 5% (.05), or enter minimum tax if greater) ...............................
9 __ _____ ______ _ __ _ . 00
•
10. Tax previously paid for 3rd prior taxable year..............................................................
10 _____ _____ __ __ _ __ . 00
•
11. Refund for 3rd prior taxable year (subtract line 9 from line 10)...............................
11 __ _____ ______ _ __ _ . 00
12. Loss remaining (subtract line 7 from line 4) ................................................................
12 _ _____ _____ ___ _ __ . 00
If line 12 is zero, skip lines 13 through 28 and go to line 29.
2nd Prior Taxable Year
•
/
/
13. Enter the 2nd prior taxable year-end (enter as mm/dd/yyyy)......................................
13 _____
_____
_ __ __ _ _
•
14. Utah taxable income from 2nd prior taxable year (enter only if gain) .........................
14 __ _____ ______ _ __ _ . 00
•
15. Loss carryback amount (enter the lesser of line 12 or line 14) ...................................
15 _ _____ _____ ___ _ __ . 00
16. Adjusted taxable income (subtract line 15 from line 14 – not less than zero) .............
16 __ _____ ______ _ __ _ . 00
17. Tax (multiply line 16 by 5% (.05), or minimum tax if greater) ......................................
17 __ _____ ______ _ __ _ . 00
•
18. Tax previously paid for 2nd prior taxable year.............................................................
18 _____ ______ ___ _ __ . 00
•
19. Refund for 2nd prior taxable year (subtract line 17 from line 18) ............................
19 __ _____ ______ _ __ _ . 00
20. Loss remaining (subtract line 15 from line 12) ............................................................
20 _ _____ _____ ___ _ __ . 00
If line 20 is zero, skip lines 21 through 28 and go to line 29.
Continue on page 2
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