Form Fae 170 - Franchise, Excise Tax Return Page 3
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TAXABLE YEAR
ACCOUNT NO./FEIN/SSN
TAXPAYER NAME
COMPUTATION OF EXCISE TAX
Schedule J-1 -- COMPUTATION OF NET EARNINGS FOR ENTITIES TREATED AS PARTNERSHIPS
1.
Ordinary Income or Loss from Federal Form 1065, Line 22 ......................................................................................... (1) __________________________
Additions:
2. Additional income items specifically allocated to partners, including guaranteed payments to partners
(Fed 1065 - Sch K) ......................................................................................................................................................... (2) __________________________
3. Any net loss or expense received from a “pass-through” entity subject to the excise tax, or any net loss or
expense distributed to a publicly traded REIT (include schedule of entities and FEINs) .............................................. (3) __________________________
4. Total - Add lines 1, 2, and 3 ........................................................................................................................................... (4) __________________________
Deductions:
5. Additional expense items specifically allocated to partners (Fed 1065 -Sch K) ............................................................ (5) __________________________
6. Amount subject to self-employment taxes distributable or paid to each partner or member net of medical insurance
payments previously deducted to determine Ordinary Income (Loss) on Form 1065 (If negative, enter zero)
(Include on Schedule K, Line 3) ...................................................................................................................................... (6) __________________________
7. Amount of contribution, not previously deducted, to qualified pension or benefit plans of any partner or member,
including all IRC 401plans (Include on Schedule K, Line 3) ......................................................................................... (7) __________________________
8. Any net gain or income received from a “pass-through” entity subject to the excise tax, or any net gain or
income distributed to a publicly traded REIT (include schedule of entities and FEINs) ............................................... (8) __________________________
9. Total deductions - Add lines 5 through 8 ....................................................................................................................... (9) __________________________
10. Total - Line 4 less Line 9 (Enter here and on Schedule J, Line 1) ................................................................................. (10) __________________________
Schedule J-2 -- COMPUTATION OF NET EARNINGS FOR A SINGLE MEMBER LLC FILING AS AN INDIVIDUAL
Additions:
1. Business Income from Form 1040, Schedule C .............................................................................................................. (1) __________________________
2. Business Income from Form 1040, Schedule D .............................................................................................................. (2) __________________________
3. Business Income from Form 1040, Schedule E .............................................................................................................. (3) __________________________
4. Business Income from Form 1040, Schedule F .............................................................................................................. (4) __________________________
5. Business Income from Form 4797 .................................................................................................................................. (5) __________________________
6. Other: Form __________ , Schedule ____________ ..................................................................................................... (6) __________________________
7. Any net loss or expense received from a “pass-through” entity subject to the excise tax (include schedule
of entities and FEINs) .................................................................................................................................................... (7) __________________________
8. Total - Add lines 1 through 7 ......................................................................................................................................... (8) __________________________
Deductions:
9. Amount subject to self-employment taxes distributable or paid to the single member (If negative, enter zero)
(Include on Schedule K, Line 3) ...................................................................................................................................... (9) __________________________
10. Any net gain or income received from a “pass-through” entity subject to the excise tax (include schedule
of entities and FEINs) .................................................................................................................................................. (10) __________________________
11. Total deductions - Add lines 9 and 10 .......................................................................................................................... (11) __________________________
12. Total - Line 8 less Line 11 (Enter here and on Schedule J, Line 1) ............................................................................... (12) __________________________
Schedule J-3 -- COMPUTATION OF NET EARNINGS FOR ENTITIES TREATED AS SUBCHAPTER S CORPORATIONS
1. Ordinary Income or Loss from Federal Form 1120S, Line 21 ........................................................................................ (1) __________________________
Additions:
2. Income items to extent includable in federal income were it not for “S” status election (Fed 1120S - Schedule K) ...... (2) __________________________
3. Any net loss or expense received from a “pass-through” entity subject to the excise tax, or any net loss or expense
distributed to a publicly traded REIT (include schedule of entities and FEINs) ........................................................... (3) __________________________
4. Total - Add lines 1, 2 and 3 ............................................................................................................................................ (4) __________________________
Deductions:
5. Expense items to extent includable in federal expenses were it not for “S” status election (Fed 1120S - Schedule K) . (5) __________________________
6. Any net gain or income received from a “pass-through” entity subject to the excise tax, or any net gain or income
distributed to a publicly traded REIT (include schedule of entities and FEINs) ........................................................... (6) __________________________
7. Total deductions - Add lines 5 and 6 .............................................................................................................................. (7) __________________________
8. Total - Line 4 less Line 7 (Enter here and on Schedule J, Line 1) ................................................................................... (8) __________________________
Schedule J-4 -- COMPUTATION OF NET EARNINGS FOR ENTITIES TREATED AS CORPORATIONS AND "OTHER" ENTITIES
Enter the amount of income(loss) from the applicable federal return to Schedule J, Line 1
1. Federal Form 1120 - Line 28 (Taxable income or loss before net operating loss deduction and special deductions) .... (1) __________________________
2. Federal Form 990-T, Line 30 (unrelated business taxable income) ................................................................................ (2) __________________________
3. Other: Form __________ , Schedule ____________ ..................................................................................................... (3) __________________________
Additions:
4. Any net loss or expense received from a “pass-through” entity subject to the excise tax, or any net loss
or expense distributed to a publicly traded REIT (include schedule of entities and FEINs) ......................................... (4) __________________________
Deductions:
5. Any net gain or income received from a “pass-through” entity subject to the excise tax, or any net gain
or income distributed to a publicly traded REIT (include schedule of entities and FEINs) ........................................... (5) __________________________
6. Total - Lines 1 through 4 less Line 5 (Enter here and on Schedule J, Line 1) ................................................................. (6) __________________________
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