Form Tc-20 Ubi - Utah Return Of Unincorporated Exempt Organization Or Exempt Corporation Having Unrelated Business Income - 2005

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20UB051
Utah State Tax Commission
2005
210 N 1950 W, Salt Lake City, UT 84134
Utah Return of Unincorporated Exempt
TC-20
UBI
Organization or Exempt Corporation
Rev. 12/05
Having Unrelated Business Income
This return is for the calendar year ending Dec. 31, 2005, or fiscal year beginning
Start Here --->
9999
_________________________ and ending ________________________.
FOR AMENDED RETURN - ENTER CODE (1 - 4) from page 4.
Corporation name
Employer Identification Number
Check box(es) if this
is a new address:
Address
Utah Incorporation/Qualification Number
Physical
address
Telephone Number
(
)
Mailing
address
City
State
Zip code
00
1. Unrelated business income from federal form 990-T, line 34 ...............................................
1
2. Apportionment fraction (enter 100%, or Schedule J, line 7, if applicable) .............................
2
00
3. UTAH TAXABLE INCOME (line 1 multiplied by line 2) ..........................................................
3
00
4. Tax (multiply line 3 by .05) .....................................................................................................
4
00
5. Total the penalties and interest listed below and enter on this line ......................................
5
Extension penalty
$ ______________
Late filing penalty
$ ______________
Late payment penalty $ ______________
Interest
$ ______________
00
6. Total tax, penalties and interest due (add lines 4 and 5) .........................................................
6
7. Refundable credits (see instructions)
Code
Code
00
00
00
7a
7b
7
00
8. Total prepayments (Schedule E, line 4) ....................................................................................
8
00
9. Total tax due (if line 6 is larger than sum of lines 7 and 8, subtract sum of lines 7 and 8 ......
9
from line 6)
Make check payable to: UTAH STATE TAX COMMISSION
00
10. Total overpayment (if sum of lines 7 and 8 are larger than line 6, subtract line 6 from sum
10
of lines 7 and 8)
00
11. Amount of overpayment to be applied as advance payment to next tax year ......................
11
00
12. Total refund (subtract line 11 from line 10) .............................................................................
12
1
2
3
4
13. Check box(es) corresponding with installments that qualify for exceptions .........................
(See instructions and attach supporting documentation.)
OFFICE USE ONLY
NOTE: Attach a copy of federal form 990-T to this return.
Under penalties of perjury, I declare to the best of my knowledge and belief, this return and
accompanying schedules are true, correct and complete.
Signature of officer
Title
Date
Check here if the Tax Commission
Don't forget to sign & date this return before filing with the Utah State Tax Commission.
may discuss this return with the preparer
shown below (see page 5)
Preparer's signature
Date signed
Preparer's SSN/PTIN
Paid
Firm's name (or yours, if self-employed)
Telephone
Preparer's EIN
Preparer's
Section
Preparer's complete address (street, city, state, zip code)
IMPORTANT: To protect your privacy, use the "Clear form" button when you are finished.
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