Form F-851 Fillable Corporate Income/Franchise Tax Affiliations Schedule R.01/16
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and ending Proposed rules notices of rule development workshops and more Tax Information Publications (TIPs) (DateField1) (DropDownList2) (DropDownList2) (DropDownList2) (DropDownList2) (DropDownList2) (DropDownList2) (DropDownList2) (DropDownList2) (DropDownList2) (DropDownList2) (DropDownList2) (DropDownList2) (DropDownList2) (DropDownList2) (DropDownList2) (RadioButtonList) Unchecked (RadioButtonList: 1) Unchecked (RadioButtonList: 1) Unchecked (RadioButtonList: 1) Unchecked (RadioButtonList: 1) Unchecked (RadioButtonList: 1) Unchecked (RadioButtonList: 1) Unchecked (RadioButtonList: 2) Unchecked (RadioButtonList: 2) Unchecked (RadioButtonList: 2) Unchecked (RadioButtonList: 2) Unchecked (RadioButtonList: 2) Unchecked (RadioButtonList: 2) Unchecked (TextField1) (TextField2) (TextField2) (TextField2) (TextField2) (TextField2) (TextField3) (TextField3) (TextField3) (TextField3) (TextField3) (TextField3) (TextField3) (TextField4) (TextField4) (TextField5) (TextField5) (TextField5) (TextField5) (TextField5) (TextField5) (TextField5) (TextField5) (TextField5) (TextField5) (TextField5) (TextField5) (TextField5) (TextField5) (TextField5) (TextField6) (TextField7) (Yes/No) 5050 W Tennessee St Address any subsidiary members that are no longer included in the consolidated return but were included in last year s return Attach this schedule to Florida Form F 1120 City State and ZIP complete to the best of my knowledge and belief for the taxable year as stated above composed of the identical component members as the federal consolidated group Only those consolidated group consolidated groups are identical Report changes to the consolidated group in Part II on the reverse side of this form Contact Us Corporate Income/Franchise Tax Affiliations Schedule DeletionAddition described in section 1504(a) of the Internal Revenue Code? Yes No Does corporation Effective 01/16 Federal Employer Identification Number (FEIN) FEIN Name of Corporation Florida Administrative Code Florida Common Parent Corporation Florida Department of Revenue Florida Nexus Group Check the box if the Florida consolidated group is different than the federal Florida nexus subgroup return and have continued to file as a subgroup for Florida corporate income For Calendar Year For written replies to tax questions write to: Go to: www myflorida com/dor/list group It must be filed by the parent corporation of the consolidated group You may substitute IRS Form 851 if the federal and Florida have Florida: Information forms and tutorials are available on our website: www myflorida com/dor Monday through Friday excluding holidays at 800 352 3671 NAICS Code(Yes/No) No Name and Address of Corporation FEIN Note: Section (s ) 220 131 Florida Statutes (F S ) requires the Florida consolidated group to be or Other taxable year beginning Page 2 PART I PART II Payroll? Property? R 01/16 return to change List all affected corporations and indicate whether they are deletions or additions by checking the correct box Deletions are Rule 12C 1 051 Sales? Schedule of Consolidated Changes Signature of Officer Date Statement of Affiliation Do the above corporations comprise an affiliated group of corporations as Subscribe to our tax publications to receive due date reminders or an email when we post: Tallahassee FL 32399 0112 tax purposes should check this box Taxpayer Services MS 3 2000 taxpayers that made a valid election in 1985 under s 220 131(1) F S (1985) to file a consolidated This form must be used by taxpayers filing a Florida consolidated income tax return and is used to report the members of the consolidated Title Telephone Number To find a taxpayer service center near you go to: www myflorida com/dor/contact html To speak with a Department representative call Taxpayer Services 8 a m to 7 p m ET Under penalties of perjury I declare that I have examined the above information and statements and they are true correct and Use the schedule below to record any changes that occurred during the tax year that caused the corporations included in the consolidated Who must file Florida Form F 851?