Arizona Form 120s - Arizona S Corporation Income Tax Return - 2012 Page 2

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Name (as shown on page 1)

EIN

Schedule A – Apportionment Formula (Multistate S Corporations Only)

See instructions, pages 8 and 9.

NOTE: Qualifying air carriers must use Schedule ACA

A1 Property Factor

Column A

Column B

Column C

Value of real and tangible personal property (by averaging the

Total Everywhere

Ratio Within

Total Within Arizona

value of owned property at the beginning and end of the tax

Arizona

Round to the

period; rented property at capitalized value)

A ÷ B

Nearest Dollar

a Owned property (at original cost):

Inventories .......................................................................................

Depreciable assets – (do not include Construction in Progress) .....

Land .................................................................................................

Other assets – (describe)

Less: Nonbusiness property (if included in above totals) ...............

(

)

(

)

Total of section a ..............................................................................

b Rented property (capitalize at 8 times net rental paid) ....................

•

c Total owned and rented property (section a total plus section b) .....

A2 Payroll Factor

Total wages, salaries, commissions and other compensation

•

paid to employees (per federal Form 1120-S or payroll reports) .....

A3 Sales Factor

a Sales delivered or shipped to Arizona purchasers ...........................

b Other gross receipts ........................................................................

c Total sales and other gross receipts ................................................

d Weight AZ sales – (STANDARD uses X 2; ENHANCED uses X 8) ...

X 2

X 8

e Sales factor (for column A – multiply item c by item d;

•

for column B – enter the amount from item c) .................................

•

A4 Total ratio – add A1(c), A2, and A3(e), in column C ................................................................................................................

A5 Average apportionment ratio – divide line A4, column C, by the denominator (STANDARD divides by four (4);

•

ENHANCED divides by ten (10)). Enter the result in column C, and on page 1, line 7 ...........................................................

Schedule B – Other Information

M M D D Y Y Y Y

B1 Date business began in Arizona or date income was first derived from Arizona sources:

B2 Address at which tax records are located for audit purposes:

B3 The taxpayer designates the individual listed below as the person to contact to schedule an audit of this return and authorizes

the disclosure of confidential information to this individual. (See instructions, page 9.)

Name:

Phone number:

Title:

B4 List prior taxable years for which a federal examination has been finalized:

NOTE: ARS § 43-327 requires the taxpayer, within ninety days after final determination, to report these changes under separate

cover to the Arizona Department of Revenue or to file amended returns reporting these changes. (See instructions, page 1.)

B5 Amount of net income subject to Arizona corporate income tax for prior taxable year (2011 Form 120S, line 11.) .............

B6 Indicate tax accounting method:

Cash

Accrual

Other (Specify method.)

Schedule C – Shareholder Information

Prepare a schedule that lists each shareholder’s name, address, taxpayer identification number, and pro rata share of the amount shown on line 1.

Label the listing as “Schedule C – Shareholder Information” and attach the schedule immediately after page 2 of Form 120S.

Certification The following certification must be signed by one or more of the following officers (president, treasurer, or any other principal officer).

Under penalties of perjury, I(we), the undersigned officer(s) authorized to sign this return, declare that I(we) have examined this return,

including the accompanying schedules and statements, and to the best of my(our) knowledge and belief, it is a true, correct and

complete return, made in good faith, for the taxable year stated pursuant to the income tax laws of the State of Arizona.

Please

Officer’s Signature

Date

Title

Sign

Here

Officer’s Signature

Date

Title