Utah Corporation
20101
Franchise or Income Tax Return
TC-20
9998
2011
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For the calendar year 2011, or fiscal year________________ to ________________
mm/dd/yyyy
mm/dd/yyyy
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___ AMENDED RETURN (CODE 1 - 4)
___ Mark “X” if you filed federal Form 8886
Corporation name
Mark “X” if this
is a new address:
Employer Identification Number:
Address
_ __ Physical
______ ______ _______
address
City
State
ZIP + 4
Utah Incorporation/Qualification Number:
_ __ Mailing
address
Foreign country (if not U.S.)
Telephone number
______ ______ _______
1. If this corporation conducted any UTAH business activity during the taxable year, enter “X” ........................................
1 _ _ _
2. If this corporation joined in a federal consolidated return, enter “X”...............................................................................
2 _ _ _
3. Mark “X” (one only) if this return constitutes a:
3a __ _ “water's edge”
3b ___ “water’s edge”
3c ___ “worldwide” combined
combined report
election under
report
UC §59-7-402(2)
4. If this corporation made an election for any member of the federal affiliated group during the taxable year, enter “X”:
4a _____ IRC Section 338
4b ___ IRC Section 338(h)(10)
4c ___ IRC Section 336 (e)
5. If this return includes any financial institution as defined by Tax Commission Rule R865-6F-32, enter “X” ....................
5 _ _ _
6. Ultimate U.S. parent's name and EIN:
__ ____________ _______ ___
__ _______ _ _ _ _ _ _
Name
EIN
7. Total Tax – enter amount from Schedule A, line 26....................................................
7 ____ ______ ___ _ _ _ _ . 00
8. Total refundable credits and prepayments – Enter amount from Schedule A, line 30 ..
8 ___ _______ ___ _ _ _ _ . 00
9. Tax Due – subtract line 8 from line 7 (not less than zero) ..........................................
9 _______ ______ _ _ _ _ . 00
10. Penalties and interest (see instructions) .....................................................................
10 ____ ______ ___ _ _ _ _ . 00
11. Pay this amount – add lines 9 and 10.
.......
11 ______ ______ _ _ _ _ _ . 00
Make check to: Utah State Tax Commission
12. Overpayment – subtract line 7 from line 8 (not less than zero) .................................
12 ____ ______ ___ _ _ _ _ . 00
13. Amount of overpayment on line 12 to be applied to next taxable year .......................
13 _ _______ ____ _ _ _ _ _ . 00
14. Refund – subtract line 13 from line 12 .......................................................................
14 ____ ______ ___ _ _ _ _ . 00
15. Mark “X” for each quarterly estimated prepayment
USTC USE ONLY
1st
2nd
meeting exceptions (attach documentation):
___
___
3rd
4th
___
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Under penalties of perjury, I declare to the best of my knowledge and belief,
this return and accompanying schedules are true, correct and complete.
Signature of officer
Title
Date
Check here if the Tax Commission
SIGN
may discuss this return with the
HERE
preparer shown below (see page 7)
Preparer’s signature
Date
Preparer’s PTIN
Paid
Preparer's
Name of preparer’s firm (or yourself, if self-employed)
Preparer’s phone no.
Preparer’s EIN
Section
Preparer’s complete address (street, city, state, ZIP)
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