Form 500ec - Virginia Modified Net Income Tax Return For Electric Cooperatives - 2012
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1VIRGINIA Modified Net Income Tax
*VAECOP112888*
FORM 500EC
2012
Department of Taxation
Return For Electric Cooperatives
P.O. Box 1500
Richmond, VA 23218-1500
FISCAL year filer or SHORT year filer: ENTER beginning date
and CHECK HERE j
,
and ending date,
,
Federal Employer ID Number
Check if:
Mailing Address Change
Name
Amended Return
Final Return (No longer liable
Mailing Address
for tax)
City Or Town
State
ZIP Code
Date Incorporated
State or Country of Incorporation
Description of Business Activity
NAICS
1.
Total Revenue From Electricity Sales in Virginia ..........................................................................................................1.
.00
2.
Total Revenue From Electricity Sales to Members in Virginia .......................................................................................2.
.00
3.
Revenue From Electricity Sales to Nonmembers in Virginia (Subtract Line 2 from Line 1) .........................................3.
.00
4.
Nonmember Share of Ordinary and Necessary Expenses (From Line 22 or Line 25) .................................................4.
.00
Modified Net Income (Subtract Line 4 from Line 3) .......................................................................................................5.
5.
.00
6.
Tax (6% of Line 5) ........................................................................................................................................................6.
.00
Tax Credits (Enter the sum of Lines 134 and 142 from Schedule 500CR - see instructions) .......................................7.
7.
.00
Modified Net Income Tax (Line 6 less Line 7). Also, enter on Line 5 of Schedule 500MT ............................................8.
8.
.00
Tax Amount (Enter the amount from Line 12, Schedule 500MT ) ..............................................................................8a.
8a.
.00
Payments:
(a) 2012 estimated Virginia tax payments ..........................................................................................9(a)
9.
.00
(b) Extension payment and other payments .....................................................................................9(b)
.00
Total payments/credits [add Lines 9a and 9b] .......................................................................................................9.
.00
10.
Tax due (Subtract Line 9 from Line 8a) ........................................................................................................................10.
.00
11.
Penalty (See instructions) ..........................................................................................................................................11.
.00
Interest (See instructions) ...........................................................................................................................................12.
12.
.00
Additional charge (Attach Form 500 C ) .......................................................................................................................13.
13.
.00
Total due (Add Lines 10 through 13). Attach form 500 V with payment or, if paid by EFT, check this box
14.
......................14.
.00
Overpayment (If Line 9 is larger than Line 8a, subtract Line 8a from 9 and enter overpayment ) ..............................15.
15.
.00
Amount of Line 15 to be credited to 2013 estimated tax ............................................................................................. 16.
16.
.00
17.
Amount to be refunded (Subtract Line 16 from Line 15) .............................................................................................17.
.00
Nonmember Ordinary and Necessary Expenses-Use Either Method 1 or Method 2
Method 1
18.
Expenses Entirely Attributable to Electricity Sales to Nonmembers in Virginia (Attach Schedule) .......................................................... 18.
.00
19.
Other Expenses Not Entirely Attributable to Electricity Sales to Either Members or Nonmembers in Virginia ....................................... 19.
.00
Nonmember Sales
20.
Nonmember Ratio of Electric Sales:
................................................................................................................ 20.
%
Total Sales
Amount of Other Expenses Allocated to Electricity Sales to Nonmembers in Virginia. (Line 19 times Line 20) .........21.
21.
.00
Nonmember Share of Expenses: (Line 18 plus Line 21). Enter here and on Line 4 ..................................................22.
22.
.00
Method 2
Nonmember Sales
23.
Nonmember Ratio of Electric Sales:
................................................................................................. 23.
.00
Total Sales
24.
Total Expenses Attributed to All Electricity Sales in Virginia .......................................................................................24.
.00
Nonmember Share of Expenses: (Line 23 times Line 24). Enter here and on Line 4 ...............................................25.
25.
.00
Mail this return to the Virginia Department of Taxation, P. O. Box 1500, Richmond, Virginia 23218-1500 on or before the fifteenth day of the fourth month following
the close of the taxable year. Make checks payable to the Virginia Department of Taxation.
I, the undersigned president, vice-president, treasurer, assistant treasurer, chief accounting officer, or other officer duly authorized to act, of the cooperative for which this return
is made, declare under the penalties provided by law that this return (including any accompanying schedules and statements) has been examined by me and is, to the best of
my knowledge and belief, a true, correct, and complete return, made in good faith, for the taxable year stated, pursuant to the income tax laws of the Commonwealth of Virginia.
If prepared by a person other than taxpayer, their declaration is based on all information of which they have any knowledge.
(Date)
(Signature of officer)
(Title)
(Date)
(Individual or firm, signature of preparer, and phone number)
(Address)
Preparer's FEIN, PTIN or SSN
Approved Vendor Code
VA DEPT OF TAXATION
2601092-12 (REV 11/12)
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