Form
North Dakota Office of State Tax Commissioner
60 S corporation income tax return
2012
(Jan. 1 - Dec. 31, 2012)
A This return is
Calendar year 2012
filed for:
20
Fiscal year:
2012, and ending
,
,
B
Corporation's name (legal)
C Federal
EIN *
Doing business as name (if different from legal name)
D Business code no.
(see instructions)
Mailing address
Apt. or Suite No.
E Date
incorporated
month
day
year
City
State
Zip Code
F Check all that apply:
Initial return
G TOTAL number of shareholders
Final return
Enter number of
Trust/estate
Farming/ranching
Resident individual
Amended return
corporation
shareholders
shareholders
Composite return
Extension
Nonresident individual
Tax-exempt
shareholders
organization
H Does this return include a qualified subchapter S subsidiary (QSSS)? If "Yes," attach a statement listing the
name(s) and federal employer identification number(s) of each entity
Yes
No
Before completing lines 1 through 11 on this page, complete Schedule FACT, Schedule K, and Schedule KS.
After completing Form 60, complete North Dakota Schedule K-1 (Form 60) for the shareholders.
1
1 Tax on excess net passive income and built-in gains, if any (from page 2, Schedule BG, line 8)
2
2 Income tax withheld from nonresident individual shareholders (from page 5, Schedule KS, line 3)
3 Composite income tax for electing nonresident individual shareholders (from page 5, Schedule KS,
3
line 4)
4
4 Total taxes due. Add lines 1, 2, and 3
5
5 Estimated tax paid on 2012 Forms 60-ES and 60-EXT plus any overpayment applied from 2011 return
6 Overpayment. If line 5 is more than line 4, subtract line 4 from line 5 and enter result; otherwise,
6
go to line 9. If result is less than $5.00, enter -0-
7 Amount of line 6 to be credited to 2013 estimated tax
7
8
8 Refund. Subtract line 7 from line 6. If result is less than $5.00, enter -0-
REFUND
9
9 Tax due. If line 4 is more than line 5, subtract line 5 from line 4. If result is less than $5.00, enter -0-
10
Interest
Enter total penalty and interest
10 Penalty
11
11 Balance due. Add lines 9 and 10
BALANCE DUE
Attach a complete copy of the 2012 Form 1120S (including Federal Schedule K-1s)
Attach a copy of all North Dakota Schedule K-1s (Form 60)
I declare that this return is correct and complete to the best of my knowledge and belief.
Privacy Act - See inside front cover of
*
b
kl
Date
Signature of officer
I authorize the ND Office of State Tax Commissioner
to discuss this return with the paid preparer.
Print name of officer
Phone
For Tax
Department
Use Only
Paid preparer signature
Date
Print name of paid preparer
Phone
EIN/SSN/PTIN
SCOR
Mail to: Office of State Tax Commissioner, 600 E. Blvd. Ave., Dept. 127,
Bismarck, ND 58505-0599