Form TC-20 Corporation Franchise or Income Tax Return

!DDPORATIONSSchedule M Supplemental SheetUMPORATION sEIN 5TAHPORATION Name 4AX9EARD Qualification Number IFERENTT * A Sales Factor Weighted Taxpayer is a taxpayer having greater than 50 percent of total sales everywhere generated by economic activities performed by the taxpayer and classified in any NAICS code except those in sections 21 31 32 33 48 49 51 (except Subsector 519) or 52 See Schedule J instructions for more information 15b 00 00 00 1b 00 00 00 1e 00 00 00 23es 00 23f s 00 4 Total prepayments add lines 1 through 3 4 00 7 All entities: Enter your NAICS code here s 7 A 4OTALUMBERPORATIONSPORATED USINESSH s a Address B ULTIPLYYUMPORATION s b Corporation name divide line 12 by 4 (or the number of factors present counting the sales factor twice) divide line 15 by 12 (or the number of factors present counting the sales factor 10 times) divide line 8 by 3 (or the number of factors present) s 3EEUCTIONS4# State Telephone number Yes No Did this corporation at any time during its tax year own more than 50 percent of the Yes No Did this corporation or its subsidiary(ies) have a change in control or ownership Yes No Is more than 50 percent of the voting stock of this corporation owned by another corporation? If yes provide the following information about the corporation: Name of corporation Address ZIP + 4 (Column A) (Column B) (Column A) (Column B) (Column C) (Column D) (Column E) (corporation not taxable in the buyer s state) (Use with TC 20 TC 20S & TC 65) (Use with TC 20 TC 20S TC 20MC & TC 65) /2012 1 Overpayment applied from prior year 1 00 1 Property Factor 10 00s 11 00 12 00 s 13 00s 14 00 15a 00 00 00 15c 00 00 00 15d 00 00 00 15e 00 00 00 18a Description of direct expenses Amount of related to line 15a (above): direct expense: 00 18b Description of direct expenses Amount of related to line 15b (above): direct expense: 00 18c Description of direct expenses Amount of related to line 15c (above): direct expense: 00 18d Description of direct expenses Amount of related to line 15d (above): direct expense: 00 18e Description of direct expenses Amount of related to line 15e (above): direct expense: 00 1a 00 00 00 1c 00 00 00 1d 00 00 00 20202 20203 20204 20205 20206 20208 20209 20261 20262 20263 23a s 00 23b s 00 23cs 00 23d s 00 27 Refundable credits (see instructions for two digit codes) 27a s 00 27b s 00 27cs 00 27d s 00 4a Description of direct expenses Amount of related to line 1a (above): direct expense: 00 4b Description of direct expenses Amount of related to line 1b (above): direct expense: 00 4c Description of direct expenses Amount of related to line 1c (above): direct expense: 00 4d Description of direct expenses Amount of related to line 1d (above): direct expense: 00 4e Description of direct expenses Amount of related to line 1e (above): direct expense: 00 7 Contribution carryover to next year s 7 00 (subtract line 6 from line 5) a carryback Use form TC 20L to claim a refund of prior year tax for a loss carryback a Date: Check no 3a 00 a Federal jobs credit salary reduction s 4a 00 a Income taxes paid to any state s 2a 00 a Total wages salaries commissions s 3a 00 s 00 and other compensation Acquisition Date Investment Used Investment Used Add lines 1 and 2 3 00 Additions to Unadjusted Income Additions to unadjusted income from Schedule B line 15 s 2 00 address Address Adjusted income (loss) subtract line 4 from line 3 s 5 00 Adjustments due to basis difference s 8 00 All others complete Part 1 or Part 2 if electing to double weight the sales factor AMENDED RETURN (CODE 1 4) Amended returns only (see instructions) s 29 00 Amount of overpayment on line 12 to be applied to next taxable year Any income franchise or capital stock taxes imposed by a foreign country s 2d 00 Apportionable income (loss) before contributions deduction subtract line 8 from line 5 s 9 00 Apportionable income (loss) subtract line 10 from line 9 11 00 Apportionable income before contributions from Schedule A line 9 s 1 00 If a loss no contribution deduction is allowed Apportionable Income Factors Inside Utah Inside and Outside UtahColumn A Column B Apportioned income (loss) line 11 multiplied by line 12 s 13 00 Apportionment fraction enter 1 000000 or Schedule J line 9 13 or 16 if applicable 12 Apportionment Schedule Page 1 Auditing Division Utah State Tax Commission 210 North 1950 West Salt Lake City UT 84134 2000 Average asset value line 23 divided by 2 00 00 Average asset value line 9 divided by 2 00 00 b Date: Check no 3b 00 Basis adjustments s 10 00 Beginning of year assets (enter in 00 00 Beginning Value of Ending Value of Briefly describe the nature and location(s) of your Utah business activities: Business and occupation taxes paid to any state s 2e 00 Calculate the Apportionment Fraction to SIX DECIMALS s 13 Calculate the Apportionment Fraction to SIX DECIMALS s 16 Calculate the Apportionment Fraction to SIX DECIMALS s 9 Calculation of tax (see instructions): Capital loss carryover s 4 00 Carry to Schedule A page 2 line 22 City state ZIP Code Code Amount Code Amount Col A the amount from line 16 Col C) Col A the amount from line 2 Col C) combined report election under report UC 59 7 402(2) Continued on page 2 Contributions to Utah Educational Savings Plan (UESP) 529 accounts s 13 00 Corporate stock taxes paid to any state s 2c 00 corporation so owned: (attach additional pages if necessary): Corporations Included in Combined Filings Current year contributions s 3 00 date of final determination Forward information to: Date: Check no 3c 00 Date: Check no 3d 00 Depreciable assets s 1b 00 s 00 Dividends received from admitted insurance company subsidiaries s 12 00 exempt under UC 59 7 102(1)(c) Dividends received or deemed received by a member of the unitary group s 14 00 from a captive REIT Double sales factor multiply line 6 by 2 11 Emplo y er Identification Number : Employer Identification Number: Employer Identification Number: Employer Identification Number: Employer Identification Number: End of year assets (enter in Col A 00 00 Enter here and on Schedule A line 10 Enter here and on Schedule A line 2 Enter here and on Schedule A line 28 Enter here and on Schedule A line 4 Enter here and on TC 20 line 7 Enter here and on TC 20 line 8 Enter on Schedule A line 18b Enter on: TC 20 Schedule A line 6; Enter on: TC 20 Schedule A line 7; Enter the fraction from line 9 line 13 or line 16 above as follows: Enter total tax from Schedule A page 1 line 21 s 22 00 Enter X if using the double weighted sales factor s 10 Expense reduction for other federal credits (attach schedule) s 4d 00 Expenses attributable to 50 percent unitary foreign dividend exclusion s 9 00 Extension prepayment Date: Check number: 2 00 Federal charitable contributions from federal form 1120 line 19 s 6 00 Federal deductions taken previously on a Utah return s 5 00 Federal income previously taxed by Utah s 6 00 Federal orphan drug credit clinical testing expense reduction s 4c 00 Federal research and development credit expense reduction s 4b 00 Fifty percent exclusion for dividends from unitary foreign subsidiaries s 7 00 Fifty percent exclusion of foreign operating company income (loss) s 8 00 for Non Utah Nonbusiness Income Nonbusiness Income Total Assets (Column A) (Column B) For the calendar year 2012 or fiscal year to Foreign country (if not U S ) Foreign dividend gross up s 2 00 Foreign income (loss) for worldwide combined filers s 13 00 Franchise or Income Tax Return TC 20 Franchise or privilege taxes paid to any state s 2b 00 Gain (loss) on IRC Sections 338(h)(10) or 336(e) s 7 00 Gain (loss) on stock sale not recognized for federal purposes (but included in s 9 00 taxable income) when IRC Sections 338(h)(10) or 336(e) have been elected If this corporation conducted any UTAH business activity during the taxable year enter X s 1 If this corporation is dissolved or withdrawn see Dissolution or Withdrawal in the General Instructions If this corporation joined in a federal consolidated return enter X s 2 If this corporation made an election for any member of the federal affiliated group during the taxable year enter X : s 4a IRC Section 338 s 4b IRC Section 338(h)(10) s 4c IRC Section 336 (e) If this return includes any financial institution as defined by Tax Commission Rule R865 6F 32 enter X s 5 IMPORTANT: To protect your privacy use the "Clear form" button when you are finished IMPORTANT: To protect your privacy use the "Clear form" button when you are finished IMPORTANT: To protect your privacy use the "Clear form" button when you are finished IMPORTANT: To protect your privacy use the "Clear form" button when you are finished IMPORTANT: To protect your privacy use the "Clear form" button when you are finished IMPORTANT: To protect your privacy use the "Clear form" button when you are finished Income (loss) from IRC Section 936 corporations s 12 00 Income (loss) of unitary corporations not included in federal consolidated return s 14 00 Indirect related expenses for non Utah nonbusiness income line 25 multiplied by line 26 00 Indirect related expenses for Utah nonbusiness income line 11 multiplied by line 12 00 Indirect Related Expenses to Produce Non Utah Installment sales income previously reported for federal but not Utah purposes s 10 00 Instructions s ISTonly CORPORATIONSPORATED USINESS s )FOU ET s &EDERALYYYPORATIONSXCLUDEDTING s #ORPORATIONSUTORMVE s 4HEUMPORATIONPORATIONPORATED USINESS Intercompany dividend elimination (see instructions) s 1 00 Interest expense deducted in computing Utah taxable income (see instructions) 00 Interest expense not deducted on federal return under IRC Section 265(b) or 291(e) s 11 00 Interest from state obligations s 1 00 Interest on installment sales s 19 00 Inventory and supplies s 1c 00 s 00 IRC Section 857(b)(2)(E) deduction from a captive REIT s 15 00 Land s 1a 00 s 00 liability for each year for which federal audit adjustments have not been reported to the Tax Commission and indicate Mark X (one only) if this return constitutes a: Mark X if this is a new address: Minimum Tax Minimum tax enter $100 or amount from Schedule M line b s18b 00 Tax amount enter the greater of line 18a or line 18b s 18 00 mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy IMPORTANT: To protect your privacy use the "Clear form" button when you are finished Multiply line 17 by 5% ( 05) (not less than zero) 18a 00 Name of corporation Net capital loss s 3 00 Net tax Subtract line 23 from line 22 (cannot be less than line 18b or less than zero) s 24 00 Net Utah taxable income (loss) subtract line 16 from line 15 s 17 00 Non qualified withdrawal from Utah Educational Savings Plan (UESP) 529 account s 11 00 Non Utah net nonbusiness income from Schedule H line 28 s 7 00 Non Utah nonbusiness assets ratio line 24 Column A divided by line 24 Column B Non Utah nonbusiness income net of direct related expenses subtract line 19 from line 17 s 00 Nonbusiness Income Asset(s) Nonbusiness Income Nonbusiness Income Utah Nonbusiness Income Nonbusiness Income business Asset(s) Nonbusiness Income Nonbusiness Income Non Utah Nonbusiness Income Nonbusiness Income Net of Expenses Page 1 Nonrefundable credits (see instructions for two digit codes) Note: Failure to complete this form may result in disallowance of the nonbusiness income Note: Use this schedule only if the entity does business in Utah and one or more other states and income must be apportioned to Utah Note: Utah Code 59 7 519 extends the Statute of Limitations for tax assessment if federal audit adjustments are not fully reported OffOff OffOff OffOffOff OffOffOffOffOff OffOffOffOffOffOff ONUST or acquire control or ownership of any other legal entity this year? Other prepayments (attach additional pages if necessary) Other tangible property s 1e 00 s 00 Overpayment subtract the sum of line 7 and line 10 from line 8 (not less than zero) Parent/Affiliate/Subsidiary Corporations Included in the Combined Filing Part 1: Equally weighted Three Factor Formula Election Part 1: Utah Nonbusiness Income (nonbusiness income allocated to Utah) Part 2: Double weighted Sales Factor Formula Election Part 2: Non Utah Nonbusiness Income (nonbusiness income allocated outside Utah) Part 3: Sales Factor Weighted Taxpayers Only (see instructions below)* Payroll Factor Payroll factor (to six decimals) line 3a Column A divided by line 3a Column B s 4 Penalties and interest (see instructions) Percentage of stock held % Percentage of stock owned % Date stock acquired (mm/dd/yyyy) Prepayments from Schedule E line 4 s 28 00 Prepayments of Any Type Property factor (to six decimals) line 1f Column A divided by line 1f Column B s 2 purchasers from outside Utah purchasers from within Utah Recapture of low income housing credit s 20 00 Refund subtract line 13 from line 12 Rent and royalty income s 5f 00 s 00 Rented property s 1d 00 s 00 s 10 For what years have extensions for proposing additional assessments of federal tax been agreed to with the Internal Revenue Service? s 3a water's edge s 3b water s edge s 3c worldwide combined OffOffOff s 7 00 s 8 00s 9 00 s 9 For what years are federal examinations now in progress and/or final determination of past examinations still pending? s Mailing Off s Mark X if you filed federal Form 8886 s Physical Off Safe harbor lease adjustments s 3 00 Safe harbor lease adjustments s 5 00 Sales delivered or shipped to Utah s 5b 00 Sales delivered or shipped to Utah s 5c 00 Sales Factor Sales factor (to six decimals) line 5h Column A divided by line 5h Column B s 6 Sales Factor Weighted Taxpayers complete only Part 3 (see instructions) Sales shipped from Utah to buyers in states s 5e 00 Sales shipped from Utah to the s 5d 00 sEIN 5TAHPORATION Name 4AX9EARD Qualification Number IFERENTT Service income (attach schedule) s 5g 00 s 00 Subtractions from Unadjusted Income Subtractions from unadjusted income from Schedule C line 16 s 4 00 Sum of beginning and ending asset 00 00 Supplemental Information to be Supplied by All Corporations Supplemental Sheet Tax Due subtract line 8 from line 7 (not less than zero) TC 20 2 2012 TC 20 A 1 2012 TC 20 A 2 2012 TC 20 B 2012 TC 20 C 2012 TC 20 D E 2012 TC 20 filers: Enter on TC 20 Schedule A line 12 TC 20 H 1 2012 TC 20 H 2 2012 (Use with TC 20 TC 20S & TC 65) TC 20 J 1 2012 TC 20 J 2 2012 (Use with TC 20 TC 20S TC 20MC & TC 65) TC 20 Schedule A TC 20 Schedule A continued Page 2 TC 20 Schedule B TC 20 Schedule C TC 20 Schedule D TC 20 Schedule E TC 20 Schedule H TC 20 Schedule H continued Page 2 TC 20 Schedule J TC 20 Schedule J continued Page 2 TC 20 Schedule M TC 20MC filers: Enter on TC 20MC Schedule A where indicated TC 20S filers: Enter on TC 20S Schedule A line 11 TC 20S Schedule A line 7; or TC 20S Schedule A line 8; or TC 65 filers: Enter on TC 65 Schedule A line 14 TC 65 Schedule A line 10 TC 65 Schedule A line 11 Ten times the sales factor multiply line 6 by 10 14 the amount from line 16 Col D) the amount from line 2 Col D) Total additions add lines 1 through 14 s 15 00 Total Assets Used Total Assets Used Indirect Related Expenses to Produce Utah for Utah Nonbusiness Income Nonbusiness Income Total Assets Total contributions available add lines 3 and 4 5 00 Total direct related expenses add lines 18a through 18e 00 Total direct related expenses add lines 4a through 4e 00 Total Due Pay this amount add lines 9 and 10 Total factors add lines 2 4 and 11 12 Total factors add lines 2 4 and 14 15 Total factors add lines 2 4 and 6 8 Total non Utah nonbusiness income add column E for lines 15a through 15e 00 Total non Utah nonbusiness income net of expenses subtract line 27 from line 20 s 00 Total nonbusiness income net of expenses add lines 6 and 7 8 00 Total nonrefundable credits add lines 23a through 23f s 23 00 Total of other prepayments add lines 3a through 3d 3 00 Total refundable credits add lines 27a through 27d s 27 00 Total refundable credits and prepayments Add lines 27 through 29 s 30 00 Total refundable credits and prepayments Enter amount from Schedule A line 30 Total sales (gross receipts less returns and allowances) s 5a 00 Total sales and services add lines s 5h 00 s 00 5a through 5g Total subtractions add lines 1 through 15 s 16 00 Total tangible property add lines s 1f 00 s 00 1a through 1e Total tax Add lines 18 through 20 s 21 00 Total tax Add lines 24 and 25 s 26 00 Total Tax enter amount from Schedule A line 26 Total Utah nonbusiness income add column E for lines 1a through 1e 00 Total Utah nonbusiness income net of expenses subtract line 13 from line 6 s 00 Totals of columns C and D 00 00 Type of Non Utah of Non Utah Non to Produce Non Utah to Produce Non Utah Type of Utah of Utah Nonbusiness to Produce Utah to Produce Utah Ultimate U S parent's name and EIN: s Unadjusted income (loss) before NOL and special deductions from federal form 1120 line 28 s 1 00 Under separate cover send a summary and supporting schedules for all federal adjustments and the federal tax United States government Utah contribution carryforward (attach schedule) s 4 00 Utah contribution limitation multiply line 1 by 10% ( 10) (not less than zero) 2 00 Utah Contributions Deduction Utah contributions deduction from Schedule D line 6 s 10 00 Utah contributions deduction lesser of line 2 or line 5 s 6 00 Utah Corporation Utah income (loss) before Utah net loss deduction add lines 13 and 14 s 15 00 If line 15 is a loss and you elected to forego the federal net operating loss carryback do Utah Incorporation/Qualification Number: Utah net loss carried forward from prior years (attach documentation) s 16 00 Utah net nonbusiness income (from line 6 above) 14 00 Utah net nonbusiness income from Schedule H line 14 s 6 00 Utah Net Taxable Income and Tax Calculation Page 1 Utah nonbusiness assets ratio line 10 Column A divided by line 10 Column B Utah nonbusiness income net of direct related expenses subtract line 5 from line 3 s 00 Utah use tax s 25 00 values add lines 21 and 22 values add lines 7 and 8 voting stock of another corporation or corporations? If yes provide the following for each What is the date of incorporation (mm/dd/yyyy) and in what state or country? What is the state or country of commercial domicile? s 8 What is the last year for which a federal examination has been completed? Where are the corporate books and records maintained? where the corporation has no nexus you elect to forego the Utah loss carryback? If no box is checked the loss must be treated as s Yes s No