additional refunds
additional tax paid
Amended return to report IRS audit or Form 1120X
Dividends qualifying for 42% deduction
Dividends qualifying for 48% deduction
Dividends qualifying for 70% deduction
Less: Overpayment previously credited to
Less: Refund from original return and
Other if applicable (enter % in column B)
Tax paid with original return and
This is a protective claim
(if less than 3 factors are used see instructions)
0405 6000 Rev 01/01/2016 page 1
1 ALASKA CONSOLIDATED RETURNS ONLY: LIST ALL CORPORATIONS OTHER THAN THE TAXPAYER SHOWN ON PAGE 1 WITH
100% of dividends from foreign corporations Divide Schedule H line 6d by 80%
2 If any taxpayer included in this return is included in a federal consolidated return (Form 1120) provide the name address and EIN of the common
3 If this is the first return indicate if: Successor to previously existing business (Enter name address and EIN of previous business)
4 Name and EIN on the prior year s return if different from page 1 State the reason for the change (e g merger name change etc )
80% of dividends received from foreign corporations
80% of royalties accrued or received from foreign corporations
Add lines 17 19 Enter here and on Schedule H line 11a
Add lines 3 7 Enter here and on Schedule A line 5
Add lines 4 8 and 12
Add lines 5 6
Additions
Address
Address
Address
Adjustment for in state oil refinery expenditures under AS 43 20 053
AK factor
Alaska
Alaska capital and Section 1231 gain (loss) from Schedule J line 20
Alaska capital loss carryover utilized ( ) carryback utilized ( ) Total
Alaska charitable contribution carryover from Form 6385 line 18
Alaska charitable contribution deduction Enter the lesser of line 7 or line 9 here and on Schedule H line 11b
Alaska charitable contribution deduction from Schedule K line 10
Alaska Corporation Net Income Tax Return
Alaska credit for prior year minimum tax (see instructions)
Alaska dividends received deduction (see instructions)
Alaska Gain or (loss)
Alaska incentive credits applied against tax from Form 6300 line 45
Alaska incentive credits claimed as refund from Form 6300 line 36
Alaska income (loss) from Schedule H line 12
Alaska income tax Add lines 4 5
Alaska income tax from Schedule D line 7
Alaska Items
Alaska net capital gain Excess net long term capital gain line 16 over net short term capital loss line 10
Alaska net non recaptured Section 1231 losses from prior years Enter as a positive number
Alaska net operating loss utilized: carryover ( ) carryback ( ) Total
Alaska taxable income (loss) before net operating loss Add lines 9 10 and 11d Enter here and on
Alaska taxable income Add lines 1 2
Alaska taxable income from Schedule A line 3
Alternative minimum tax from federal Form 4626
Amended return
Amended return only:
Amount
applies
Apportionable income (loss) Subtract line 6j from line 5
Apportionable LTCG/(L) Subtract line 12 from line 11
Apportionable STCG/(L) Subtract line 6 from line 5
Apportioned
Apportioned dividends Multiply line 3 by line 4
Apportionment factor Divide line 13 by 3
Apportionment factor from Schedule I line 14
Apportionment factor from Schedule I line 14
Carryback is waived for net operating loss
Check if
Check if the DOR may discuss this return
Combined
Combined Reporting
Company
Consolidated Alaska return
Contact Email Address
Contact Fax Number
Contact Person
Contact Telephone Number
Current Alaska charitable contributions Multiply line 3 by line 4
Current charitable contributions
Current Section 1231 gains and (losses) If a loss enter the
Dividend income included in Schedule H line 3
Dividends
Dividends allocable to Alaska included on Schedule H line 10
Dividends qualifying for 100% deduction
Dividends qualifying for 80% deduction
Dividends subtracted on Schedule H line 6f as non business income
DRD (A x B)
Education credit contributions from Form 6310 line 5
Enter amount from line 3
Enter here and on Schedule D line 2
Enter the lesser of line 6 column A or B here and on Schedule A line 4
Estimated Payments
Excess net short term capital gain line 10 over net long term capital loss line 16
Exempt organization with UBTI
Expenses incurred to produce non business income
Factor numerators to be reported: property payroll sales
Factor numerators to be reported: property payroll sales
Federal based credits from Form 6390 line 33
Federal charitable contributions from federal Form 1120 line 19
Federal extension is in effect
Federal Form 1120 line 8 capital gain income
Federal taxable (income) loss of corporations with U S factors of less than 20%
Federal taxable (income) loss of non unitary corporations
Federal taxable income (loss) (see instructions)
Federal taxable income (loss) of corporations not included in line 1
Final Alaska return
First
For calendar year 2015 or the taxable year beginning 2015 ending 20
Foreign corporations with 20% or greater U S factors
Form 6000
Form 6000
Form 6000
Form 6000
Fourth
HOA filing Form 1120 H
I declare under penalty of perjury that I have examined this return including accompanying schedules and
If amended return box above is checked then check the following boxes if applicable:
If line 1C is a gain enter the lesser of line 1C or line 2 here and on line 19 otherwise enter zero
If line 1C is a gain subtract line 2 from line 1C but not less than zero Enter here and on line 15
If line 1C is a loss enter here otherwise enter the amount from line 4
Income (loss) apportioned to Alaska Multiply line 7 by line 8
Income from tax haven corporations and any FSC profit
Insurance
Intercompany dividends
Intercompany dividends from Schedule H line 6b
Intercompany eliminations (see instructions)
Interest from obligations of the United States
Less: Quick Refund from Form 6230
Long term Capital Gains and Losses LTCG/(L)
Mailing Address Check if new address
Multiply line 1 by line 2
Multiply line 8 by 10%
NAICS Code
Name of each corporation with nexus in Alaska
Net Alaska income tax Subtract the sum of lines 7 8 from line 6 If more than $500 attach Form 6220
Net capital gain from Schedule J line 18
Net income before state modifications and adjustments Add lines 1 and 2g
Net LTCG/(L) Add lines 13C 14 and 15
Net Section 1231 losses from federal Form 4797 line 11
Net STCG/(L) add lines 7C 8 and 9
NEXUS IN ALASKA INCLUDED IN THIS RETURN FAILURE TO PROPERLY COMPLETE MAY RESULT IN PENALTIES
Non business income (attach schedule)
Non business income (loss) net of expenses allocable to Alaska (attach schedule)
Non business LTCG/(L)
Non business LTCG/(L) allocable to Alaska
Non business STCG/(L)
Non business STCG/(L) allocable to Alaska
Non recaptured Section 1231 losses from prior years from federal Form 4797 line 12
Not Eligible
Officer s Signature
Oil and gas service industry expenditures Enter amount from Form 6327 line 2
Ordinary income Subtract line 2 from line 1 If less than zero enter zero
Other (attach schedule)
Other taxes (see instructions)
Other taxes from Schedule E line 8
Overpayment credited to 2016 estimated tax (enter as positive number)
Overpayment from prior year
P L 86 272
Page 2
Page 3
Page 4
Page 5
Page 6
Page 7
parent of the federal consolidated group
Payment with extension
Payments from page 3 Schedule C
Payroll
Payroll everywhere
Payroll factor Divide line 6 by line 7
Payroll within Alaska
Penalty for underpayment of estimated tax (see instructions)
Percentage
Personal Holding Company
Personal Holding Company tax (see instructions)
Phone
preparer (other than taxpayer) is based on all information of which preparer has any knowledge
Preparer firm s name (or yours if
Preparer s Signature
Preparer s SSN or PTIN
Property
Property everywhere
Property factor Divide line 2 by line 3
Property within Alaska
Public Law 86 272 applies
Reason
Refund Add lines 15 16
result on line 19
Return Information (check applicable boxes)
S Corporation (attach Form 1120S)
Sales
Sales everywhere
Sales factor Divide line 10 by line 11
Sales within Alaska
Schedule A line 1
SCHEDULE A NET INCOME TAX SUMMARY
SCHEDULE B ALASKA TAXPAYER INFORMATION
SCHEDULE C TAX PAYMENT RECORD
SCHEDULE D ALASKA TAX COMPUTATION
SCHEDULE E OTHER TAXES
SCHEDULE H COMPUTATION OF ALASKA INCOME
SCHEDULE I APPORTIONMENT FACTOR
SCHEDULE J ALASKA CAPITAL AND SECTION 1231 GAINS AND LOSSES
SCHEDULE K CHARITABLE CONTRIBUTION DEDUCTION
SCHEDULE L ALASKA DIVIDENDS RECEIVED DEDUCTION (DRD)
Second
Section 1231 Gains and Losses
Section 78 gross up dividends
Section 78 gross up dividends from Schedule H line 6c
self employed
self employed) and address
Short Term Capital Gains and Losses STCG/(L)
Small corporation exemption (see instructions)
State
State
State
State
statements and to the best of my knowledge and belief it is true correct and complete Declaration of
Subtract line 2 from line 1
Subtractions
Summary
Tax due (overpaid) Subtract the sum of lines 10 12 from line 9
Tax on early cessation of operations gas storage facility
Tax on early cessation of operations LNG storage facility
Tax on net capital gain Multiply line 2 by 4 5%
Tax on ordinary income Use Tax Rate Table to compute tax on line 3
Tax Rate Table is contained in instructions
Taxable income for deduction limitation purposes (see instructions)
Taxes based on or measured by net income
Tentative dividends received deduction Add lines 8a 8f column C (see instructions)
Third
Title
Total Add lines 3 and 4h
Total additions Add lines 4a 4g
Total adjustments for combined reporting Add lines 2a 2f
Total Alaska items (add lines 11a 11c)
Total amount due (overpaid) Add lines 13 14 If greater than zero STOP
Total current LTCG/(L)
Total current STCG/(L)
Total dividends eligible for DRD Subtract line 2e from line 1
Total dividends included in taxable income Add lines 5 6
Total dividends not eligible for DRD Add lines 2a 2d
Total estimated tax payments
Total net payments to Schedule A line 10
Total of line 1 column C
Total of line 5 column C
Total of line 9 column C
Total subtractions Add lines 6a 6i
Total tax Add lines 4 5
with the preparer (see instructions)
Zip Code
Zip Code
Zip Code
Zip Code