1 If a federal audit was finalized this year enter the latest year audited
10 Is one or more corporations in this report paying the Idaho premium tax? Yes No
11 Federal taxable income 11
12 Interest and dividends not taxable under Internal Revenue Code 12
13 State municipal and local taxes measured by net income 13
14 Net operating loss deducted on federal return 14
15 Dividends received deduction on federal return 15
16 Bonus depreciation Include computations 16
17 Other additions including additions from Form 42 Part II 17
18 Add lines 11 through 17 18
19 Foreign dividend gross up (Sec 78 Internal Revenue Code) 19
2 Is this an inactive corporation or nameholder corporation? Yes No
20 Interest from Idaho municipal securities 20
21 Interest on U S Government obligations Include a schedule 21
22 Interest and other expenses related to lines 20 and 21 22
23 Add lines 20 and 21 and subtract line 22 23
24 Technological equipment donation 24
25 Allocated income Include a schedule 25
26 Interest and other expenses related to line 25 Include a schedule 26
27 Subtract line 26 from line 25 27
28 Bonus depreciation Include computations 28
29 Other subtractions including subtractions from Form 42 Part II 29
3 a Were federal estimated tax payments required? Yes No
30 Total subtractions Add lines 19 23 24 27 28 and 29 30
31 Net business income subject to apportionment Subtract line 30 from line 18 31
32 Net business income subject to apportionment Enter the amount from line 31 32
33 Corporations with all activity in Idaho enter 100% Multistate/multinational corporations
34 Net business income apportioned to Idaho Multiply line 32 by the percent on line 33 34
35 Income allocated to Idaho See instructions 35
36 Idaho net operating loss carryover carryback Enter total 36
37 Idaho taxable income Add lines 34 and 35 and subtract line 36 If the corporation has an
38 Idaho income tax Multiply line 37 by 7 6% Minimum $20 for each corporation (see instructions) 38
39 Credit for contributions to Idaho educational entities 39
4 Is this a final return? Yes No
40 Credit for contributions to Idaho youth and rehabilitation facilities 40
41 Total business income tax credits from Form 44 Part I line 11
42 Total credits Add lines 39 through 41 42
43 Subtract line 42 from line 38 If line 42 is greater than line 38 enter zero 43
44 Permanent building fund tax Enter $10 Combined reports include $10 for
45 Total tax from recapture of income tax credits from Form 44 Part II line 7 Include Form 44 45
46 Fuels tax due Include Form 75 46
47 Sales/Use tax due on Internet mail order and other nontaxed purchases 47
48 Tax from recapture of qualified investment exemption (QIE) Include Form 49ER 48
49 Total tax Add lines 43 through 48 49
5 Enter the extended federal due date if this is a short period return
50 Underpayment interest Include Form 41ESR 50
51 Donation to Opportunity Scholarship Program 51
52 Add lines 49 through 51 52
53 Estimated tax payments 53
54 Special fuels tax refund Gasoline tax refund Include Form 75 54
55 Hire One Act credit Include Form 72 55
56 Total payments and other credits Add lines 53 through 55 56
57 Tax due Subtract line 56 from line 52 57
58 Penalty Interest from due date Enter total 58
59 TOTAL DUE Add line 57 and line 58
6 Is this an electrical or telephone utility? Yes No
60 Overpayment Subtract line 52 from line 56 60
61 REFUND Amount of line 60 you want refunded to you
62 ESTIMATED TAX Amount you want credited to your 2012 estimated tax
63 Total due (line 59) or overpayment (line 60) on this return 63
64 Refund from original return plus additional refunds 64
65 Tax paid with original return plus additional tax paid 65
66 Amended tax due or refund Add lines 63 and 64 and subtract line 65 66
7 Did you use the combined reporting method? Yes No
8 If you are a multinational unitary group answer questions a b and c Complete Form 42
9 Did you claim the property tax exemption for investment tax credit property acquired this tax year? Yes No
a Check the box for your filing method: worldwide return water's edge return See Form 14
a Does this corporation own more than 50% of another corporation? Yes No
b Does another corporation own more than 50% of this corporation? Yes No
b If a water's edge return is filed do you elect not to file water's edge spreadsheets? Yes No
b Were estimated tax payments based on annualized amounts? Yes No
c Are more than 50% of this corporation and another corporation owned by the same interest? Yes No
c If a worldwide return is filed is foreign income computed by making book to tax adjustments? Yes No
complete and attach Form 42 Enter the apportionment factor from Form 42 Part I line 21 33
d Are two or more corporations in this report operating in Idaho or authorized to do business in Idaho? Yes No
each corporation operating or authorized to do business in Idaho 44
EFO00025p2 08 25 11 Form 41 Page 2
If yes check the proper box below and enter the date the event occurred
Include Form 44 41
NOL and is electing to forego the carryback period check here 37
Signature of officer Date
Subtract line 61 from line 60 62
Title Phone number
Under penalties of perjury I declare that to the best of my knowledge and belief this return is true correct and complete
Withdrawn from Idaho Dissolved Merged or reorganized Enter new EIN
Within 180 days of receiving this return the Idaho State Tax Commission may discuss this return with the paid preparer identified below
{ # }
08 25 11
additions
Address and phone number
AMENDED RETURN check the box
amended return only Complete this section to determine your tax due or refund
Business mailing address
Business name State use only Federal employer identification number
City State and Zip Code
credits
EFO00025
ending
for amending and enter the number
For calendar year 2011 or fiscal
IDAHO CORPORATION INCOME TAX RETURN
If line 52 is more than line 56 GO TO LINE 57 If line 52 is less than line 56 GO TO LINE 60
INCLUDE A COMPLETE COPY OF YOUR FEDERAL FORM 1120 OR 1120A
MAIL TO: Idaho State Tax Commission PO Box 56 Boise ID 83756 0056
Mo Day Year
other taxes
Paid preparer's signature Preparer's EIN SSN or PTIN
payments and other credits
refund or payment due
See instructions page 6 for the reasons
State use only
subtractions
year beginning