California Form 1117 - Request To Terminate Water'S-Edge Election - 2013

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Request to Terminate Water’s-Edge
TAXABLE YEAR
CALIFORNIA FORM
20
Election
1117
Fill out the form completely. Do not change the method of filing until the Franchise Tax Board has approved this request.
Corporation name (as shown on original water’s-edge tax return)
Key California corporation number
Address (suite, room, or PMB no.)
City
State
ZIP Code
Part I Effective Dates
Enter the taxable year ending date that the request to terminate the water’s-edge election will be effective: . . . . . . . . . . . . . . .
/
/
(mm/dd/yyyy)
Enter the beginning date of the water’s-edge election: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
/
/
(mm/dd/yyyy)
Part II Basis to Terminate Water’s-Edge Election. See Instructions .
Explain the basis for the request to terminate the water’s-edge election . Attach additional sheets if necessary .
Part III List of Taxpayers Requesting to Terminate Water’s-Edge Election. Attach additional sheets if necessary .
Taxpayer’s name
California corporation number
FEIN
Part IV Gains and Losses. See General Information F, Gains and Losses . Attach additional sheets if necessary .
Corporation name
Item disposed of
Date sold/disposed of
Gain/loss
(mm/dd/yyyy)
Signature
I attest to the belief that the water’s-edge termination is permitted by law and to the accuracy of factual statements .
Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge,
it is true, correct, and complete .
____________________________________________________ ______________________________________ _________________
Signature of officer
Title
Date
(
)
_______________________________________________________________ _____________________________________________
Print or type name of person to contact
Telephone
THIS FORM MUST BE FILED SEPARATELY FROM THE TAX RETURN
FTB 1117
2013
7191133
C1

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