Arizona Form 120a - Arizona Corporation Income Tax Return (Short Form) - 2012

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ARIZONA FORM

2012

120A

Arizona Corporation Income Tax Return (Short Form)

M M D D Y Y Y Y

For the

calendar year 2012 or

ﬁ scal year beginning

and ending

Business telephone number

Name

Employer identification number (EIN)

Please

(with area code)

Type

Number and street or PO Box

Business activity code number

AZ transaction privilege tax number

(from federal Form 1120)

City or town, state, and ZIP code

CHECK BOX IF: Return filed under extension.

68 Check box if:

This is a first return

Name change

Address change

REVENUE USE ONLY. DO NOT MARK IN THIS AREA.

Is FEDERAL return filed on a consolidated basis?

Yes

If yes, list EIN of common parent from consolidated return:

NOTE: Use Form 120 to file an ARIZONA consolidated return.

Taxpayers cannot use Form 120A to file an Arizona consolidated return.

Is this the corporation’s final ARIZONA return?

Yes

If yes, check one:

Dissolved

Withdrawn

Merged/Reorganized

List EIN of the successor corporation, if any:

Arizona Taxable Income Computation

1 Taxable income - per attached federal return ...................................................................................................................

2 Additions to taxable income - from page 2, Schedule A, line A11 ....................................................................................

3 Total taxable income - add lines 1 and 2 ..........................................................................................................................

4 Subtractions from taxable income - from page 2, Schedule B, line B12...........................................................................

5 Adjusted income - subtract line 4 from line 3 ....................................................................................................................

6 Arizona basis net operating loss carryforward - attach computation schedule .................................................................

7 Arizona taxable income - subtract line 6 from line 5 .........................................................................................................

Arizona Tax Liability Computation

8 Enter tax. Tax is 6.968 percent of line 7 or fifty dollars ($50), whichever is greater ..................................................

9 Tax from recapture of tax credits - from Form 300, Part II, line 28 ...................................................................................

10 Subtotal - add lines 8 and 9 .............................................................................................................................................. 10

11 Nonrefundable tax credits - from Form 300, Part II, line 52 ..............................................................................................

12 Credit type - enter form number for each nonrefundable credit claimed:

13 Tax liability - subtract line 11 from line 10 ......................................................................................................................... 13

14 Clean Elections Fund Tax Credit. SEE INSTRUCTIONS BEFORE COMPLETING THIS LINE ...................................... 14

15 Tax liability after Clean Elections Fund tax credit - subtract line 14 from line 13 .............................................................. 15

Tax Payments

16 Refundable tax credits. Check box(es) and enter amount(s) ............ 16

308

342

17 Extension payment made with Form 120EXT or online - see instructions ...........................

18 Estimated tax payments - see instructions ...........................................................................

19 Total payments - see instructions ..................................................................................................................................... 19

Computation of Total Due or Overpayment

20 Balance of tax due - If line 15 is larger than line 19, enter balance of tax due. Skip line 21 ............................................ 20

21 Overpayment of tax - If line 19 is larger than line 15, enter overpayment of tax .............................................................. 21

22 Penalty and interest .......................................................................................................................................................... 22

23 Estimated tax underpayment penalty - If Form 220 is attached, check box.................................................. 23A

24 TOTAL DUE - see instructions ....................................................................................Payment must accompany return

25 OVERPAYMENT - see instructions .................................................................................................................................. 25

26 Amount of line 25 to be applied to 2013 estimated tax .........................................................

27 Amount to be refunded - subtract line 26 from line 25 ...................................................................................................... 27

ADOR 10949 (12)