Form Ar1100ctx - Amended Corporation Income Tax Return
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1State of Arkansas
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CTCX091
AR1100CTX
AMENDED
CORPORATION INCOME TAX RETURN
Amending Tax Year beginning
______/______/______ and ending
______/______/______
NAME
FEIN
ADDRESS
State
Zip Code
CITY
TELEPHONE Number
ENTER NAME AND ADDRESS USED ON ORIGINAL RETURN (If different from above)
FILL IN APPLICABLE ITEMS AND USE PART II TO EXPLAIN ANY CHANGES
Attach copy of completed Federal Form 1120X or IRS Revenue Agent’s Report.
PART I
(A)
(B)
(C)
As Originally Reported
Net Change
Correct Amount
or as Adjusted
(Increase or Decrease
INCOME (Round to whole dollars)
- Explain in Part II)
1.
Total Income (Line 17, AR1100CT)..........................................................................
1.
2.
Total Deductions (Line 29, AR1100CT) ...................................................................
2.
3.
Net Operating Losses (Line 31, AR1100CT) ...........................................................
3.
4.
Taxable Income (Line 1 less Lines 2 and 3) ...........................................................
4.
5.
Apportioned/Allocated Income (Sch. A, C4 AR1100CT, Page 2) .............................
5.
6.
Total Tax (Line 33, AR1100CT) ................................................................................
6.
PAYMENTS AND CREDITS (Round to whole dollars)
7.
Estimated Tax Payments
(Include Estimate Credit Carryforward and Extension Payments) ..........................
7.
8.
Business and Incentive Tax Credits (Line 34, AR1100CT) ......................................
8.
9.
9.
Tax Paid with (or after) Original Return ...................................................................
10.
Total Payments and Credits (Add Lines 7 through 9)............................................
10.
11.
Overpayment shown on Original Return or as Later Adjusted...............................
11.
12.
Tax Due (Add Lines 6 and 11, Subtract Line 10).
(Make check payable to “Department of Finance and Administration”).................
12.
13.
Interest on Tax Due (Refer to General Instructions on back).................................
13.
14.
Total Tax and Interest Due (Add Lines 12 and 13).................................................
14.
15.
Overpayment (Line 10 less Lines 6 and 11)..........................................................
15.
Credit Carryforward
a. Amount applied to
for Tax Year
Ending ______ / ______ / _______ ............................................................
15a.
Refund
b. Issue
in Amount of (Line 15 less Line 15a)...............................
15b.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules, statements and documents,
and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on
Please
all information of which preparer has any knowledge.
Sign
Signature of Offi cer
Date
Title
Preparer’s Signature
Preparer’s FEIN/SSN/PIN
Check if
Self-Employed
Paid
Preparer’s Name (or yours, if self-employed) and Address
FEIN
Preparer’s
May the Arkansas Revenue Agency
discuss this return with the preparer
Use
shown to the left?
Zip Code
Only
Yes
No
Mail completed form to: Corporation Income Tax. P. O. Box 919, Little Rock, AR 72203-0919
AR1100CTX (R 7/15/2011)
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