Form 355s - S Corporation Excise Return - 2012 Page 3
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92012 FORM 355S, PAGE 3
FEDERAL IDENTIFICATION NUMBER
CORPORATION NAME
Schedule A Balance Sheet
2012
A.
B. ACCUMULATED DEPRECIATION
C.
ASSETS
ORIGINAL COST
AND AMORTIZATION
NET BOOK VALUE
1
Capital assets in Massachusetts:
a. Buildings . . . . . . . . . . . . . . . . . . 3 1a
3
b. Land. . . . . . . . . . . . . . . . . . . . . . 3 1b
c. Motor vehicles and trailers . . . . 3 1c
3
d. Machinery taxed locally . . . . . . . 3 1d
3
e. Machinery not taxed locally. . . . . . 1e
f. Equipment . . . . . . . . . . . . . . . . . . . 1f
g. Fixtures . . . . . . . . . . . . . . . . . . . . . 1g
h. Leasehold improvements taxed
locally . . . . . . . . . . . . . . . . . . . . . . . 3 1h
3
i. Leasehold improvements not
taxed locally . . . . . . . . . . . . . . . . . . . . 1i
j. Other fixed depreciable assets . . . . 1j
k. Construction in progress. . . . . . . . 1k
l. Total capital assets in Massachusetts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 1l
2
Inventories in Massachusetts:
a. General merchandise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a
b. Exempt goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2b
3
Supplies and other non-depreciable assets in Massachusetts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4
Total tangible assetts in Massachusetts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 4
5
Capital assets outside of Massachusetts:
a. Buildings and other depreciable
assets . . . . . . . . . . . . . . . . . . . . . . . . . 5a
b. Land. . . . . . . . . . . . . . . . . . . . . . . . 5b
6
Leaseholds/leasehold improvements
outside Massachusetts . . . . . . . . . . . . 6
7
Total capital assets outside
Massachusetts . . . . . . . . . . . . . . . . . 3 7
3
BE SURE TO CONTINUE SCHEDULE A ON OTHER SIDE
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