Sample Return - AD Tax...
Transcript of Sample Return - AD Tax...
Sample Return
ARTHUR DIMARSKY 32 ERIC LN STATEN ISLAND NY 10308- (646)637-326908-02-2011CAPE CRUSADERS 11-1111111
INSTRUCTIONS FOR FILING 2010 FEDERAL FORM 1120S .YOUR TAX OBLIGATION IS EXACTLY MET. NO ADDITIONAL TAX IS DUE. .AN OFFICER MUST SIGN THE RETURN. .MAIL YOUR RETURN ON OR BEFORE 09-15-2011 TO: DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CENTER CINCINNATI, OH 45999-0013__________________________________________________________________________INSTRUCTIONS FOR FILING 2010 GEORGIA FORM 600S .YOUR RETURN HAS A BALANCE DUE OF $10.00. .AN OFFICER MUST SIGN THE RETURN. .MAKE A CHECK FOR $10.00 PAYABLE TO: TAXPAYER SERVICES DIVISION .WRITE YOUR EMPLOYER IDENTIFICATION NUMBER ON THE CHECK. .THE PAYMENT IS DUE IMMEDIATELY AND SHOULD BE MAILED AS SOON AS POSSIBLE. .FORM 600 S-CA MUST BE SIGNED AND DATED BY EACH NONRESIDENT SHAREHOLDER. .MAIL YOUR RETURN ON OR BEFORE 09-15-2011 TO: GA DEPARTMENT OF REVENUE PROCESSING CENTER PO BOX 740391 ATLANTA, GA 30374-0391__________________________________________________________________________INSTRUCTIONS FOR FILING 2010 KANSAS FORM K-120S .YOUR TAX OBLIGATION IS EXACTLY MET. NO ADDITIONAL TAX IS DUE. .AN OFFICER MUST SIGN THE RETURN. .MAIL YOUR RETURN ON OR BEFORE 10-18-2011 TO: PARTNERSHIP OR SMALL BUSINESS TAX KANSAS DEPARTMENT OF REVENUE 915 SW HARRISON STREET TOPEKA KS 66699-4000__________________________________________________________________________INSTRUCTIONS FOR FILING 2010 LOUISIANA FORM CIFT-620 .YOUR RETURN HAS A BALANCE DUE OF $185.00. .AN OFFICER MUST SIGN THE RETURN. .MAKE A CHECK FOR $185.00 PAYABLE TO: LOUISIANA DEPT OF REVENUE .WRITE YOUR EMPLOYER IDENTIFICATION NUMBER ON THE CHECK. .THE PAYMENT IS DUE IMMEDIATELY AND SHOULD BE MAILED AS SOON AS POSSIBLE. .MAIL YOUR RETURN ON OR BEFORE 11-15-2011 TO: LOUISIANA DEPARTMENT OF REVENUE PO BOX 91011 BATON ROUGE, LA 70821-9011
Sample ReturnSample Return
. ARTHUR DIMARSKY 32 ERIC LN STATEN ISLAND NY 10308- (646)637-326908-02-2011CAPE CRUSADERS 11-1111111
INSTRUCTIONS FOR FILING 2010 NEW MEXICO FORM PTE .YOUR RETURN HAS A BALANCE DUE OF $1,262.00. .AN OFFICER MUST SIGN THE RETURN. .MAKE A CHECK FOR $1,262.00 PAYABLE TO: NM TAXATION & REVENUE DEPT .WRITE YOUR EMPLOYER IDENTIFICATION NUMBER ON THE CHECK. .THE PAYMENT IS DUE IMMEDIATELY AND SHOULD BE MAILED AS SOON AS POSSIBLE. .MAIL RETURN ON OR BEFORE 09-15-2011 TO: NM TAXATION & REVENUE DEPT P.O. BOX 25127 SANTA FE, NM 87504-5127__________________________________________________________________________INSTRUCTIONS FOR FILING 2010 NEW YORK FORM CT-3-S .YOUR RETURN HAS A BALANCE DUE OF $300.00. .AN OFFICER MUST SIGN THE RETURN. .MAKE A CHECK FOR $300.00 PAYABLE TO: NY STATE CORPORATION TAX .WRITE YOUR EMPLOYER IDENTIFICATION NUMBER ON THE CHECK. .THE PAYMENT IS DUE IMMEDIATELY AND SHOULD BE MAILED AS SOON AS POSSIBLE. .MAIL YOUR RETURN ON OR BEFORE 03-15-2011 TO: NYS CORPORATION TAX PROCESSING UNIT PO BOX 22092 ALBANY, NY 12201-2092
Sample ReturnSample Return
Department of the TreasuryInternal Revenue Service
(see instructions)
Check if Sch. M-3
attached
Gross receipts or sales Less returns and allowances Bal
S FE OE R
I LN IS MT IR TU AC TT II OO NN SS
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge andbelief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
May the IRS discuss this returnwith the preparer shown below(see inst.)?
TWF 39193 Copyright Forms (Software Only) - 2010 TWJVA
OMB No. 1545-0130Form
, 20For calendar year 2010 or tax year beginning , 2010, endingS election Name Number, street, room/suite no. City/town, state, & Zip codeeffective date
Business activity Date incorporatedcode number
Total assets (see inst.)
$Is the corporation electing to be an S corporation beginning with this tax year? Yes No If ``Yes," attach Form 2553 if not already filedCheck if: Final return Name change Address change
Amended return S election termination or revocationEnter the number of shareholders who were shareholders during any part of the tax year
Include trade or business income and expenses on lines 1a through 21. See the instructions for more information.
Cost of goods sold (Schedule A, line 8)Gross profit. Subtract line 2 from line 1cNet gain (loss) from Form 4797, Part II, line 17 (attach Form 4797)Other income (loss) (see instructions -- attach statement)
Add lines 3 through 5Compensation of officersSalaries and wages (less employment credits)Repairs and maintenanceBad debtsRentsTaxes and licensesInterestDepreciation not claimed on Schedule A or elsewhere on return (attach Form 4562)DepletionAdvertisingPension, profit-sharing, etc., plansEmployee benefit programsOther deductions (attach statement)
Add lines 7 through 19Subtract line 20 from line 6
Excess net passive income or LIFO recapture tax (see instructions)Tax from Schedule D (Form 1120S)Add lines 22a and 22b (see instructions for additional taxes)2010 estimated tax payments and 2009 overpayment credited to 2010Tax deposited with Form 7004Credit for federal tax paid on fuels (attach Form 4136)Add lines 23a through 23cEstimated tax penalty (see instructions). Check if Form 2220 is attached
If line 23d is smaller than the total of lines 22c and 24, enter amount owedIf line 23d is larger than the total of lines 22c and 24, enter amount overpaid
Enter amount from line 26
Signature of officer Date TitlePreparer's signature if PTINPrint/Type preparer's name Date Check
self-employedFirm's name Firm's EINFirm's address Phone no.
Form (2010)
Do not file this form unless the corporation has filed or isattaching Form 2553 to elect to be an S corporation.
See separate instructions.
Employer ID no.A D
TYPEB EORPRINT F
C
GH (1) (2) (3)
(4) (5)ICaution. only
1a 1cb cI 2 2N
3 3CO 4 4M
5 5E6 6Total income (loss).7 78 89 9
10 10D 11 11E
12 12DU 13 13C
14 14TI 15 15(Do not deduct oil and gas depletion.)O 16 16N
17 17S18 1819 1920 Total deductions. 2021 21Ordinary business income (loss).22a 22a
Tb 22bA
X c 22cA 23a 23aN b 23bD
c 23cPA d 23dY 24 24ME 25 25Amount owed.NT 26 Overpayment. 26S 27 Refunded 27Credited to 2011 estimated tax
Yes No
For Paperwork Reduction Act Notice, see separate instructions.10 1120S12
PaidPreparerUse Only
1120S
U.S. Income Tax Return for an S Corporation
SignHere
1120S2010
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05-01-2001 CAPE CRUSADERS 11-1111111567 WAYNE LANE 05-01-2002
999999 MANHATTAN NY 10001898,322
X
3 600,000 600,000
59,000 541,000
541,000 250,000 55,000 100
60,000
6,100 371,200 169,800
0
0 0
0 0
VICE PRESIDENTX
A P00011111ARTHUR DIMARSKY32 ERIC LNSTATEN ISLAND NY 10308 (646)637-3269
#1
#2
Sample ReturnSample Return
TWF 39194 Copyright Forms (Software Only) - 2010 TWJVA
Form 1120S (2010) Page(see instructions)
Inventory at beginning of yearPurchasesCost of laborAdditional section 263A costs (attach statement)Other costs (attach statement)
Add lines 1 through 5Inventory at end of year
Subtract line 7 from line 6. Enter here and on page 1, line 2Check all methods used for valuing closing inventory: (i) Cost as described in Regulations section 1.471-3
(ii) Lower of cost or market as described in Regulations section 1.471-4(iii) Other (Specify method used and attach explanation.)
Check if there was a writedown of subnormal goods as described in Regulations section 1.471-2(c)Check if the LIFO inventory method was adopted this tax year for any goods (if checked, attach Form 970)If the LIFO inventory method was used for this tax year, enter percentage (or amounts) of closinginventory computed under LIFOIf property is produced or acquired for resale, do the rules of section 263A apply to the corporation? Yes NoWas there any change in determining quantities, cost, or valuations between opening and closing inventory? Yes NoIf ``Yes," attach explanation.
(see instructions)AccrualCheck accounting method: Cash Other (specify)
See the instructions and enter the:Business activity Product or service
At the end of the tax year, did the corporation own, directly or indirectly, 50% or more of the voting stock of a domesticcorporation? (For rules of attribution, see section 267(c).) If ``Yes," attach a statement showing: name and employeridentification number (EIN), percentage owned, and if 100% owned, was a qualified subchapter S subsidiaryelection made?
Has this corporation filed, or is it required to file, Material Advisor Disclosure Statement, to provide informationon any reportable transaction?
Check this box if the corporation issued publicly offered debt instruments with original issue discountIf checked, the corp. may have to file Information Return for Publicly Offered Original Issue Discount Instruments.
If the corporation: was a C corporation before it elected to be an S corporation the corporation acquired an asset witha basis determined by reference to the basis of the asset (or the basis of any other property) in the hands of a C corporation
has net unrealized built-in gain in excess of the net recognized built-in gain from prior years, enter the net unrealizedbuilt-in gain reduced by net recognized built-in gain from prior years (see instructions) $
$Enter the accumulated earnings and profits of the corporation at the end of the tax year.Are the corporation's total receipts (see instructions) for the tax year its total assets at the end of the tax year lessthan $250,000? If ``Yes," the corporation is not required to complete Schedules L and M-1
During the tax year, was a qualified subchapter S subsidiary election terminated or revoked? If ``Yes," see instructions
Ordinary business income (loss) (page 1, line 21)Net rental real estate income (loss) (attach Form 8825)Other gross rental income (loss)Expenses from other rental activities (attach statement)Other net rental income (loss). Subtract line 3b from line 3aInterest incomeDividends: Ordinary dividends
Qualified dividendsRoyaltiesNet short-term capital gain (loss) (attach Schedule D (Form 1120S))Net long-term capital gain (loss) (attach Schedule D (Form 1120S))Collectibles (28%) gain (loss)Unrecaptured section 1250 gain (attach statement)Net section 1231 gain (loss) (attach Form 4797)Other income (loss) (see instructions) Type
Form (2010)
1 12 23 34 45 56 6Total.7 78 8Cost of goods sold.9a
bcd
9def
Yes No1 a b c2
a b
3(a)
(b) (c)
4 Form 8918,
5Form 8281,
6 (a) or
and (b)
78 and
9Total amount
1 12 23a 3a
Ib 3bNc 3cC
O 4 4M 5 a 5aE
b 5b6 67 7L
O 8a 8aS b 8bS
c 8c9 9
10 1010 1120S12
2Schedule A Cost of Goods Sold
Schedule B Other Information
Schedule K Shareholders' Pro Rata Share Items
1120S
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95,000 30,000
125,000 66,000 59,000
X
XX
XUNCLASSIFIED FIGHTING CRIME
XX
XX
169,800
3,000 1,000
1,000 30,000 15,000
CAPE CRUSADERS 11-1111111
Sample ReturnSample Return
TWF 39195 Copyright Forms (Software Only) - 2010 TWJVA
Form 1120S (2010) Page(continued)
Section 179 deduction (attach Form 4562)ContributionsInvestment interest expenseSection 59(e)(2) expenditures Type AmountOther deductions (see instructions) TypeLow-income housing credit (section 42(j)(5))Low-income housing credit (other)Qualified rehabilitation expenditures (rental real estate) (attach Form 3468)Other rental real estate credits (see instructions) TypeOther rental credits (see instructions) TypeAlcohol and cellulosic biofuel fuels credit (attach Form 6478)Other credits (see instructions) TypeName of country or U.S. possessionGross income from all sourcesGross income sourced at shareholder levelForeign gross income sourced at corporate levelPassive categoryGeneral categoryOther (attach statement)Deductions allocated and apportioned at shareholder levelInterest expenseOtherDeductions allocated and apportioned at corporate level to foreign source incomePassive categoryGeneral categoryOther (attach statement)Other informationTotal foreign taxes (check one): Paid AccruedReduction in taxes available for credit (attach statement)Other foreign tax information (attach statement)Post-1986 depreciation adjustmentAdjusted gain or lossDepletion (other than oil and gas)Oil, gas, and geothermal properties--gross incomeOil, gas, and geothermal properties--deductionsOther AMT items (attach statement)Tax-exempt interest incomeOther tax-exempt incomeNondeductible expensesDistributions (attach statement if required) (see instructions)Repayment of loans from shareholdersInvestment incomeInvestment expensesDividend distributions paid from accumulated earnings and profitsOther items and amounts (attach statement)
Combine the amounts on lines 1 through 10 in the far rightcolumn. From the result, subtract the sum of the amounts on lines 11 through 12d and 14l
Form (2010)
Shareholders' Pro Rata Share Items Total amount11 1112a 12a
Deduc- b 12btionsc (1) (2) 12c(2)d 12d
13a 13ab 13bc 13c
Credits d 13de 13ef 13fg 13g
14ab 14bc 14c
d 14de 14ef 14f
Foreigng 14gTrans-
actions h 14h
i 14ij 14jk 14k
l 14lm 14mn
15a 15aAltern-b 15bative
Mini- c 15cmum
d 15dTax(AMT) e 15eItems f 15f
16a 16aItemsAffect- b 16bing c 16cShare-holder d 16dBasis e 16e
17a 17aOther b 17bInform-
c 17cationd
Recon- 18 Income/loss reconciliation.ciliation18
10 1120S34
3
1120S
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . .
125,000 1,500
5,000 40,000 4,000
92,300
CAPE CRUSADERS 11-1111111
#3
#4
Sample ReturnSample Return
Mortgages, notes, bonds payable in less than 1 yr
Mortgages, notes, bonds payable in 1 year or more
Adjustments to shareholders' equity (attach stmt.)
Income (loss) (Schedule K, line 18). Line 4 less line 7
Balance at end of tax year. Subtract line 7 from line 6
TWF 39196 Copyright Forms (Software Only) - 2010 TWJVA
Form 1120S (2010) PageBeginning of tax year End of tax year
CashTrade notes and accounts receivableLess allowance for bad debts ( ) ( )InventoriesU.S. government obligationsTax-exempt securities (see instructions)Other current assets (attach statement)Loans to shareholdersMortgage and real estate loansOther investments (attach statement)Buildings and other depreciable assetsLess accumulated depreciation ( ) ( )Depletable assets
(Less accumulated depletion ( ) )Land (net of any amortization)Intangible assets (amortizable only)Less accumulated amortization ( ) ( )Other assets (attach statement)Total assets
Accounts payable
Other current liabilities (attach statement)Loans from shareholders
Other liabilities (attach statement)Capital stockAdditional paid-in capitalRetained earnings
)Less cost of treasury stock ( ) (Total liabilities and shareholders' equity
Schedule M-3 required instead of Schedule M-1 if total assets are $10 million or more -- see instructionsIncome recorded on books this year notNet income (loss) per booksincluded on Schedule K, lines 1 throughIncome included on Schedule K, lines 1, 2, 10 (itemize):3c, 4, 5a, 6, 7, 8a, 9, and 10, not recordedTax-exempt interest $on books this year (itemize):
Expenses recorded on books this year not Deductions included on Schedule K, linesincluded on Schedule K, lines 1 through 1 through 12 and 14l, not charged against12 and 14l (itemize): book income this year (itemize):Depreciation $ Depreciation $Travel and entertainment $
Add lines 5 and 6Add lines 1 through 3
(see instructions)Shareholders'Accumulated Other adjustments undistributed taxableadjustments account account income previously taxed
Balance at beginning of tax yearOrdinary income from page 1, line 21Other additionsLoss from page 1, line 21 ( )Other reductions ( ) ( )Combine lines 1 through 5Distributions other than dividend distributions
Form (2010)
Balance Sheets per BooksAssets (a) (b) (c) (d)
12ab
3456789
10ab
11ab
1213a
b1415
Liabilities and Shareholders' Equity161718192021222324252627
512
a
3 6
a ab
74 8
(c)(a) (b)
12345678
10 1120S34
4Schedule L
Schedule M-1 Reconciliation of Income (Loss) per Books With Income (Loss) per ReturnNote:
Schedule M-2 Analysis of Accumulated Adjustments Account, Other Adjustments Account, andShareholders' Undistributed Taxable Income Previously Taxed
1120S
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .
. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .
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. . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .
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. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .
. .
199,039 807,022 2,500 3,300
2,500 3,300 95,000 66,000 11,000 12,000
125,000 125,000
10,000 10,000
317,539 898,322 155,456 8,000
680,939 5,000 5,000 157,083 204,383
317,539 898,322
87,300
5,000 5,000 92,300 92,300
157,083 169,800 49,000 131,500 244,383 40,000 204,383
CAPE CRUSADERS 11-1111111
#7
#5#6
Sample ReturnSample Return
Department of the TreasuryInternal Revenue Service
JVA TWF 39033 Copyright Forms (Software Only) - 2010 TW
OMB No. 1545-0130
Name
Description of property Date acquired Date sold Cost or otherSales price
(Example: 100 shares of Z Co.) (mo., day, yr.) (mo., day, yr.) basis (see inst.) (Subtract (e) from (d))
Short-term capital gain from installment sales from Form 6252, line 26 or 37Short-term capital gain or (loss) from like-kind exchanges from Form 8824Combine lines 1 through 3 in column (f)
(Tax on short-term capital gain included on line 21 below )Combine lines 4 and 5. Enter here and on Form 1120S,
Schedule K, line 7 or 10
Description of property Date acquired Date sold Cost or otherSales price
(Example: 100 shares of Z Co.) (mo., day, yr.) (mo., day, yr.) basis (see inst.) (Subtract (e) from (d))
Long-term capital gain from installment sales from Form 6252, line 26 or 37Long-term capital gain or (loss) from like-kind exchanges from Form 8824Capital gain distributionsCombine lines 7 through 10 in column (f)
(Tax on long-term capital gain included on line 21 below )Combine lines 11 and 12. Enter here and on Form 1120S,
Schedule K, line 8a or 10
(See instructions completing this part.)
Excess of recognized built-in gains over recognized built-in losses (attach computation schedule)Taxable income (attach computation schedule)Net recognized built-in gain. Enter the smallest of line 14, line 15, or line 6 of Schedule BSection 1374(b)(2) deductionSubtract line 17 from line 16. If zero or less, enter -0- here and on line 21Enter 35% of line 18Section 1374(b)(3) business credit and minimum tax credit carryforwards from C corporation years
Subtract line 20 from line 19 (if zero or less, enter -0-). Enter here and on Form 1120S,page 1, line 22b
Attach to Form 1120S.See separate instructions.
Employer identification number
(a) (b) (c) (e) (f) Gain or (loss)(d)
1
2 23 34 45 56 Net short-term capital gain or (loss).
6
(a) (b) (c) (e) (f) Gain or (loss)(d)
7
8 89 9
10 1011 1112 12
Net long-term capital gain or (loss).1313
before
14 1415 1516 1617 1718 1819 1920 2021 Tax.
21For Paperwork Reduction Act Notice, see the Instructions for Form 1120S. Schedule D (Form 1120S) 2010
10 1120SD1
SCHEDULE D(Form 1120S)
Part I Short-Term Capital Gains and Losses -- Assets Held One Year or Less
Part II Long-Term Capital Gains and Losses -- Assets Held More Than One Year
Part III Built-in Gains Tax
Capital Gains and Losses and Built-in Gains2010j
j
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CAPE CRUSADERS 11-1111111
FROM SCH K-1 REC'DJ AND M PARTNERSHIPVARIOUS VARIOUS 30000 30000
30000
30000
100SHRSINTEL STOCK 04-01-200306-01-2008 30000 5000 25000FROM SCH K-1 REC'DJ AND M PARTNERSHIPVARIOUS VARIOUS -10000 -10000
15000
15000
Sample ReturnSample Return
Department of the TreasuryInternal Revenue Service
(business/investment useonly -- see instructions)
JVA TWF 38848 Copyright Forms (Software Only) - 2010 TW
OMB No. 1545-0172Form
Attachment(99) Sequence No.
Name(s) shown on return Business or activity to which this form relates
If you have any listed property, complete Part V before you complete Part I.
Maximum amount (see instructions)Total cost of section 179 property placed in service (see instructions)Threshold cost of section 179 property before reduction in limitation (see instructions)Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0-Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately,see instructions
Description of property Cost (busn. use only) Elected cost
Listed property. Enter the amount from line 29Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7Tentative deduction. Enter the of line 5 or line 8Carryover of disallowed deduction from line 13 of your 2009 Form 4562Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instructions)Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11Carryover of disallowed deduction to 2011. Add lines 9 and 10, less line 12
Do not use Part II or Part III below for listed property. Instead, use Part V.include listed property.) (See instructions.)
Special depreciation allowance for qualified property (other than listed property) placed in serviceduring the tax year (see instructions)Property subject to section 168(f)(1) electionOther depreciation (including ACRS)
include listed property.) (See instructions.)
MACRS deductions for assets placed in service in tax years beginning before 2010If you are electing to group any assets placed in service during the tax year into one or moregeneral asset accounts, check here
Month and Basis for depr. Recovery Method DepreciationClassification of property year placed in period Convention deductionservice3-year property5-year property7-year property
10-year property15-year property20-year property
25 yrs.25-year property S/L27.5 yrs. MM S/LResidential rental
property 27.5 yrs. MM S/L39 yrs. MM S/LNonresidential real
property MM S/L
Class life S/L12-year 12 yrs. S/L
40 yrs.40-year MM S/L(See instructions.)
Listed property. Enter amount from line 28Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here
and on the appropriate lines of your return. Partnerships and S corporations -- see instructionsFor assets shown above and placed in service during the current year,enter the portion of the basis attributable to section 263A costs
Form (2010)
See separate instructions. Attach to your tax return.Identifying number
Note:
1 12 23 34 45
5(a) (b) (c)6
778 89 smaller 9
10 1011 1112 1213 13Note:
(Do not14
1415 1516 16
(Do notSection A
17 1718
Section B -- Assets Placed in Service During 2010 Tax Year Using the General Depreciation System(b) (c) (d) (e) (f) (g)(a)
19abcdefgh
i
Section C -- Assets Placed in Service During 2010 Tax Year Using the Alternative Depreciation System20a
bc
21 2122 Total.
2223
23For Paperwork Reduction Act Notice, see separate instructions.
10 45621
67
Part I Election To Expense Certain Property Under Section 179
Part II Special Depreciation Allowance and Other Depreciation
Part III MACRS Depreciation
Part IV Summary
4562
(Including Information on Listed Property)Depreciation and Amortization4562
2010j j
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j
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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. . . . . . . . . . .
CAPE CRUSADERS FOR FORM 1120S 11-1111111
SEE SECTION 179 WRKSHT
0 125,000
Sample ReturnSample Return
Ordinary business inc. (loss)Department of the TreasuryInternal Revenue Service
Net rental real estate inc. (loss)
Other net rental income (loss)
Net short-term cap. gain (loss)
Net long-term cap. gain (loss)
Collectibles (28%) gain (loss)
Unrecaptured sec. 1250 gain
Alternative min. tax (AMT) items
TWF 39183 Copyright Forms (Software Only) - 2010 TWJVA
Final K-1 Amended K-1 OMB No. 1545-0130
For calendar year 2010, or tax Creditsyear beginning , 2010
ending , 20
Interest income
Ordinary dividendsCorporation's employer identification number
Qualified dividends Foreign transactionsCorporation's name, address, city, state, and ZIP code
Royalties
IRS Center where corporation filed return
Shareholder's identifying number
Net section 1231 gain (loss)Shareholder's name, address, city, state, and ZIP code
Other income (loss)
Shareholder's percentage of stock%ownership for tax year
Section 179 deduction Items affectingshareholder basis
Other deductions
Other information
* See attached statement for additional information.
131
2
3See page 2 and separate instructions.
4
A 5a
B 5b 14
6
7
C 8a
8b
D 8c
E 9
10 15
F
11 16
12
17
For Paperwork Reduction Act Notice, see Instructions for Form 1120S. Schedule K-1 (Form 1120S) 201010 120SK112
Schedule K-1 Shareholder's Share of Current Year Inc.,Part III(Form 1120S) Deductions, Credits, and Other Items
Information About the CorporationPart I
Information About the ShareholderPart II
For IRS Use Only
Shareholder's Share of Income, Deductions,Credits, etc.
2010
671110
j
. . . . . . . . . . . .
56,611
1,00011-1111111 333CAPE CRUSADERS 333567 WAYNE LANEMANHATTAN NY 10001
10,002CINCINNATI 5,001
111-11-1111
BATMAN567 WAYNE LANEMANHATTAN NY 10001
33.340000
41,675C* 1,667
A* 500 D 13,336
A 1,334
#1
Sample ReturnSample Return
Ordinary business inc. (loss)Department of the TreasuryInternal Revenue Service
Net rental real estate inc. (loss)
Other net rental income (loss)
Net short-term cap. gain (loss)
Net long-term cap. gain (loss)
Collectibles (28%) gain (loss)
Unrecaptured sec. 1250 gain
Alternative min. tax (AMT) items
TWF 39183 Copyright Forms (Software Only) - 2010 TWJVA
Final K-1 Amended K-1 OMB No. 1545-0130
For calendar year 2010, or tax Creditsyear beginning , 2010
ending , 20
Interest income
Ordinary dividendsCorporation's employer identification number
Qualified dividends Foreign transactionsCorporation's name, address, city, state, and ZIP code
Royalties
IRS Center where corporation filed return
Shareholder's identifying number
Net section 1231 gain (loss)Shareholder's name, address, city, state, and ZIP code
Other income (loss)
Shareholder's percentage of stock%ownership for tax year
Section 179 deduction Items affectingshareholder basis
Other deductions
Other information
* See attached statement for additional information.
131
2
3See page 2 and separate instructions.
4
A 5a
B 5b 14
6
7
C 8a
8b
D 8c
E 9
10 15
F
11 16
12
17
For Paperwork Reduction Act Notice, see Instructions for Form 1120S. Schedule K-1 (Form 1120S) 201010 120SK112
Schedule K-1 Shareholder's Share of Current Year Inc.,Part III(Form 1120S) Deductions, Credits, and Other Items
Information About the CorporationPart I
Information About the ShareholderPart II
For IRS Use Only
Shareholder's Share of Income, Deductions,Credits, etc.
2010
671110
j
. . . . . . . . . . . .
56,594
1,00011-1111111 333CAPE CRUSADERS 333567 WAYNE LANEMANHATTAN NY 10001
9,999CINCINNATI 5,000
222-22-2222
ROBIN44 BAT CAVE ROADMANHATTAN NY 10001
33.330000
41,663C* 1,667
A* 500 D 13,332
A 1,333
#2
Sample ReturnSample Return
Ordinary business inc. (loss)Department of the TreasuryInternal Revenue Service
Net rental real estate inc. (loss)
Other net rental income (loss)
Net short-term cap. gain (loss)
Net long-term cap. gain (loss)
Collectibles (28%) gain (loss)
Unrecaptured sec. 1250 gain
Alternative min. tax (AMT) items
TWF 39183 Copyright Forms (Software Only) - 2010 TWJVA
Final K-1 Amended K-1 OMB No. 1545-0130
For calendar year 2010, or tax Creditsyear beginning , 2010
ending , 20
Interest income
Ordinary dividendsCorporation's employer identification number
Qualified dividends Foreign transactionsCorporation's name, address, city, state, and ZIP code
Royalties
IRS Center where corporation filed return
Shareholder's identifying number
Net section 1231 gain (loss)Shareholder's name, address, city, state, and ZIP code
Other income (loss)
Shareholder's percentage of stock%ownership for tax year
Section 179 deduction Items affectingshareholder basis
Other deductions
Other information
* See attached statement for additional information.
131
2
3See page 2 and separate instructions.
4
A 5a
B 5b 14
6
7
C 8a
8b
D 8c
E 9
10 15
F
11 16
12
17
For Paperwork Reduction Act Notice, see Instructions for Form 1120S. Schedule K-1 (Form 1120S) 201010 120SK112
Schedule K-1 Shareholder's Share of Current Year Inc.,Part III(Form 1120S) Deductions, Credits, and Other Items
Information About the CorporationPart I
Information About the ShareholderPart II
For IRS Use Only
Shareholder's Share of Income, Deductions,Credits, etc.
2010
671110
j
. . . . . . . . . . . .
56,595
1,00011-1111111 334CAPE CRUSADERS 334567 WAYNE LANEMANHATTAN NY 10001
9,999CINCINNATI 4,999
333-33-3333
BATWOMAN55 TOUGHER THAN BATMAN AVENUEMANHATTAN NY 10001
33.330000
41,662C* 1,666
A* 500 D 13,332
A 1,333
#3
Sample ReturnSample Return
M0505AJVA Copyright Forms (Software Only) - 2010 TW 10_CSM1
Income (loss) (Schedule M-1, line 8) carries from Form 1120S, page 3, line 18
Increases:Deductions on return not charged against book income (Schedule M-1, line 6)Income recorded on books not included on return (Schedule M-1, line 5)
Decreases:Expenses recorded on books not included on return (Schedule M-1, line 3)Income subject to tax not recorded on books (Schedule M-1, line 2)
Computed net income (loss) per books (Schedule M-1, line 1)
Computation of Net Income (Loss) Per BooksForm 1120, Schedule M-1, Line 1
2010 SCHEDULE M-1 EXPLANATION ATTACHMENT
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CAPE CRUSADERS11-1111111
92,300
5,000
87,300
Sample ReturnSample Return
Department of the TreasuryInternal Revenue Service
JVA Copyright Forms (Software Only) - 2010 TW C0110D 10_DP179O
OMB No. 1545-0172Form
AttachmentSequence No.
Name(s) shown on return Business or activity to which this form relates
If you have any listed property, complete Part V before you complete Part I.
Maximum amount (see instructions)Total cost of section 179 property placed in service (see instructions)Threshold cost of section 179 property before reduction in limitationReduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0-Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately,see instructions
Description of property Cost (busn. use only) Elected cost
Listed property. Enter the amount from line 29Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7Tentative deduction. Enter the of line 5 or line 8Carryover of disallowed deduction from line 13 of your 2009 Form 4562Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instructions)Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11Carryover of disallowed deduction to 2011. Add lines 9 and 10, less line 12
See separate instructions. Attach to your tax return.Identifying number
Note:
1 12 23 34 45
5(a) (b) (c)6
778 89 smaller 9
10 1011 1112 1213 13
For Paperwork Reduction Act Notice, see page 1 of the separate Instructions.
Schedule or ElectedMultiple Description Cost CommentForm Cost
67
Part I Election To Expense Certain Property Under Section 179
Section 179 Summary (from Asset Manager)
(Including Information on Listed Property)Depreciation and Amortization4562
2010j j
j
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. . . . . . . . . . . . . . . . .. . .
CAPE CRUSADERS FOR SECTION 179 SUMMARY 11-1111111
500,000 125,000 2,000,000
500,000SEE STATEMENT BELOW 125,000
125,000 125,000 419,800 125,000
K 1 EQUIPMENT 100 115000 115000K 1 MACHINE 101 10000 10000TOTAL TO SEC 179 SUMMARY LINE 6: 125000
Sample ReturnSample Return
JVA Copyright Forms (Software Only) - 2010 TW C0514D 10_LSSTMT
2010 DETAIL STATEMENTSCAPE CRUSADERS11-1111111 PAGE 1 STATEMENT #1 - TAXES AND LICENSES (1120S PG1 - DED LINE 12) STATE INCOME TAXES............................. 60,000 TOTAL CARRIED TO 1120S PG1 - DED LINE 12................... 60,000__________________________________________________________________________ STATEMENT #2 - OTHER DEDUCTIONS (1120S PG1 LINE 19) OTHER DEDUCTIONS: ACCOUNTING........................... 1,000 MEALS & ENTERTAINMENT 50%............ 5,000 OTHER BUSINESS DEDUCTIONS............ 100 TOTAL OTHER DEDUCTIONS......................... 6,100 TOTAL CARRIED TO 1120S PG1 LINE 19......................... 6,100__________________________________________________________________________ STATEMENT #3 - CONTRIBUTIONS (1120S PG 3 LINE 12A) CODE A - CASH CONTRIBUTIONS (50%) 1,500 TOTAL CARRIED TO 1120S PG 3 LINE 12A...................... 1,500__________________________________________________________________________ STATEMENT #4 - NONDEDUCTIBLE EXPENSES (1120S PG 3 LINE 16C) CODE C - DISALLOWED MEALS/ENTERTAINMENT 5,000 TOTAL CARRIED TO 1120S PG 3 LINE 16C...................... 5,000__________________________________________________________________________ STATEMENT #5 - OTHER ADDITIONS (1120S PG 4 M-2 LINE 3(A)) INTEREST INCOME................................ 3,000 DIVIDEND INCOME................................ 1,000 NET SHORT TERM CAPITAL GAIN.................... 30,000 NET LONG TERM CAPITAL GAIN..................... 15,000 TOTAL CARRIED TO 1120S PG 4 M-2 LINE 3(A).................. 49,000__________________________________________________________________________ STATEMENT #6 - OTHER REDUCTIONS (1120S PG 4 M-2 LINE 5(A)) CHARITABLE CONTRIBUTIONS....................... 1,500 SECTION 179 DEDUCTION.......................... 125,000 DISALLOWED MEALS & ENTERTAINMENT............... 5,000 TOTAL CARRIED TO 1120S PG 4 M-2 LINE 5(A).................. 131,500__________________________________________________________________________
Sample ReturnSample Return
JVA Copyright Forms (Software Only) - 2010 TW C0514D 10_LSSTMT
2010 DETAIL STATEMENTSCAPE CRUSADERS11-1111111 PAGE 2 STATEMENT #7 - TAX EXEMPT SECURITIES (1120S PG4 SCH L LINE 5) BEGINNING ENDING NEW YORK MUNICIPAL BONDS............. 11,000 12,000 TOTAL CARRIED TO 1120S PG4 SCH L LINE 5......... 11,000 12,000__________________________________________________________________________
Sample ReturnSample Return
Form 1120SEQUIPMENT 100 07-06-10 200DBHY 7 115,000 0 115,000 0 0 00MACHINE 101 06-01-10 200DBHY 7 10,000 0 10,000 0 0 00
02 Assets Totals: 125,000 0 125,000 0 0 0
2 Assets Grand Totals: 125,000 0 125,000 0 00
Balance Sheet Reconciliation
Grand Totals: 125,000 0 125,000 0 0 0 00000000Less Future Purchases:
Less Current Year Disposals: 0 0 0 0 0 0 0
0000125,0000125,000End of Year Totals:
125,000Buildings and Other Depreciable Assets: 0Prior Depreciation:0Current Depreciation:
125,000179:0Special Depreciation Allowance:
125,000Ending Accumulated Depreciation (Per Balance Sheet):
0Land:
0Intangible Assets (Amortizable Only): 0Prior Amortization:0Current Amortization:0179:0Special Depreciation Allowance:
0Ending Accumulated Amortization (Per Balance Sheet):
0
2010 Federal Depreciation Schedule
Description Date Method Year
08-02-201111-1111111
Cost Land/Other §179 Basis Prior CurrentSpec
Allow
Cape Crusaders
1
* Asset disposed this year~C Carryover basis in like-kind exchange transaction~B Excess basis in like-kind exchange transaction
Copyright Forms (Software Only) - 2010 TW C0514D 10_LSK1SUMMJVA
2010 SCHEDULE K-1 SUMMARY ATTACHMENTCAPE CRUSADERS 2010 SYSTEM 1120SEIN 11-1111111 SCHEDULE D - SHORT-TERM GAIN (LOSS) AND LOSS CARRYOVER J AND M PARTNERSHIP..................... 30,000 TOTAL TO SCHEDULE D, LINE 1........................... 30,000------------------------------------------------------------------------ SCHEDULE D - LONG-TERM GAIN (LOSS) AND LOSS CARRYOVER J AND M PARTNERSHIP..................... -10,000 TOTAL TO SCHEDULE D, LINE 7, COL (F).................. -10,000------------------------------------------------------------------------
Sample ReturnSample Return
Payroll WH Number Nonres. WH Number
(to be used by Foreign Corporations only)
TWF 42480A Copyright Forms (Software Only) - 2010 TW
Corporation Tax ReturnGeorgia Department of Revenue (Approved booklet version)
Income Tax ReturnBeginning
UET Annualization Exception attachedEnding Original ReturnC Corp Last Year ExtensionNet Worth Tax Return Initial Net WorthAmended Return
Final Return CompositeBeginning Address Change Name ChangeReturn FiledEnding
Name (Corporate title) Please give former name if applicable.A. Federal Employer I.D. Number E. Date of Incorporation
B. GA. Withholding Tax Acct. Number Business Address (Number and Street) F. Incorporated under lawsof what state
State Zip CodeC. GA. Sales Tax Reg. Number City or Town G. Date admitted into GA
Telephone NumberD. NAICS Code Location of Books for Audit (city) & (state) H. Kind of Business
Total Shareholders Total Nonresident ShareholdersI. J. Federal Ordinary IncomeK. Indicate latest taxable year adjusted by IRS And when reported to Georgia
(ROUND TO NEAREST DOLLAR)
1. Georgia Taxable Income (See instructions) 1.2. Tax -- 6% x Line 1 2.
(ROUND TO NEAREST DOLLAR)
A. Within Georgia B. Total Everywhere C. GA. ratio (A/B)1. Total value of property owned (Total assets from Federal balance sheet)2. Gross receipts from business3. Totals (Line 1 + 2)4. Georgia ratio (Divide Line 3A by 3B)
(ROUND TO NEAREST DOLLAR)
1. Total Capital stock issued 1.2. Paid in or Capital surplus 2.3. Total Retained earnings 3.4. Net Worth (Total of Lines 1, 2, and 3) 4.
Ratio (GA. and Dom. For. Corp. -- 100%) (Foreign Corp. -- Line 4, Sch. 2)5. 5.Net Worth Taxable by Georgia (Line 4 x Line 5)6. 6.
7. Net Worth Tax (from table in instructions) 7.
(ROUND TO NEAREST DOLLAR)A. Income Tax B. Net Worth Tax C. Total
1. Total Tax (Schedule 1, Line 2 and Schedule 3, Line 7) 1.2. Less: Credits and payments of estimated tax 2.3. Less: Credits from Schedule 10, Line 6* 3.4. Withholding Credits (G-2A, G-2LP and/or G-2RP) 4.5. Balance of tax due (Line 1, less Lines 2, 3 and 4) 5.6. Amount of overpayment (Lines 2, 3 and 4 less Line 1) 6.7. Interest due (See Instructions) 7.8. Penalty due (See Instructions) 8.9. Balance of Tax, Interest and Penalty due with return 9.
10. Amount of Line 6 to be credited to 2011 estimated tax RefundedAny tax credits from Schedule 10 may be applied against income tax liability only, net worth tax liability.
Georgia Form 600S (Rev. 11/10)
(attach explanation)
COMPUTATION OF GEORGIA TAXABLE INCOME AND TAX SCHEDULE 1
SCHEDULE 2COMPUTATION OF NET WORTH RATIO
SCHEDULE 3COMPUTATION OF NET WORTH TAX
SCHEDULE 4COMPUTATION OF TAX DUE OR OVERPAYMENT
*NOTE: not
10 GA600S1
2010
2011
1101500711
1043-
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. . . . . . . . . .. . . . . . . .
01-01-201012-31-2010
01-01-201112-31-2011
11-1111111 CAPE CRUSADERS 05-01-2002
567 WAYNE LANE NY
MANHATTAN NY 10001 05-01-2002
999999 MANHATTAN NY UNCLASSIFIED 3 3 169800.00
15000.00 898322.00 40000.00 600000.00 55000.00 1498322.00
0.036708
5000.00
204383.00 209383.00
0.036708 7686.00 10.00
10.00 10.00
10.00 0.00
10.00
Sample ReturnSample Return
C. DO NOT ROUNDCOL (A)/ COL (B)COMPUTE TO SIX DECIMALS
Georgia Public Revenue Code Section 48-2-31 stipulates that taxes shall be paid in lawful money of the United States, free of any expense to the State of Georgia.
I/We declare under the penalties of perjury that I/we have examined this return (including accompanying schedules and statements) and to the best of my/our
knowledge and belief it is true, correct, and complete. If prepared by a person other than taxpayer, their declaration is based on all information of which they have any knowledge.
Check the box to authorize
the Georgia Department of
SIGNATURE OF OFFICER DATE SIGNATURE OF INDIVIDUAL OR FIRM PREPARING THE RETURN Revenue to discuss the contents
of this tax return with the named
TITLE IDENTIFICATION OR SOCIAL SECURITY NUMBER preparer.
TWF 42481B Copyright Forms (Software Only) - 2010 TW
Georgia Form (Corporation) Name FEIN(ROUND TO NEAREST DOLLAR)
1. State and municipal bond interest (other than Georgia or political subdivision thereof) 1.2.2. Net income or net profits taxes imposed by taxing jurisdictions other than Georgia
3. Expense attributable to tax exempt income 3.4. Federal deduction for income attributable to domestic production activities (IRC Section 199) 4.
Intangible expenses and related interest costs5. 5.6.6. Captive REIT expenses and costs
7. Other Additions (Attach Schedule) 7.8. TOTAL -- Enter here and on Line 8, Schedule 8 8.
(ROUND TO NEAREST DOLLAR)1. Interest on obligations of United States (must be reduced by direct and indirect interest expense) 1.
Exception to intangible expenses and related interest costs (Attach IT-Addback)2. 2.3. Exception to captive REIT expenses and costs (Attach IT-REIT) 3.4. Other Subtractions (Must Attach Schedule) 4.5. TOTAL -- Enter here and on Line 10, Schedule 8 5.
Gross receipts from business1.2. Georgia Ratio (Divide Column A by Column B)
(ROUND TO NEAREST DOLLAR)1. Ordinary income (loss) per Federal return 1.2. Net income (loss) from rental real estate activities 2.3. a. Gross income from other rental activities 3a.
b. Less: expenses 3b.c. Net business income from other rental activities (Line 3a less Line 3b) 3c.
4. Portfolio income (loss): a. Interest Income 4a.b. Dividend Income 4b.c. Royalty Income 4c.d. Net short-term capital gain (loss) 4d.e. Net long-term capital gain (loss) 4e.f. Other portfolio income (loss) 4f.
5. Net gain (loss) under section 1231 5.6. Other Income (loss) 6.7. Total Federal Income (Add Lines 1 through 6) 7.8. Additions to Federal Income (Schedule 5 above) 8.9. Total (Add Lines 7 & 8) 9.
10. Subtractions from Federal Income (Schedule 6 above) 10.11. Total Income for Georgia purposes (Subtract Line 10 from Line 9) 11.
Georgia Department of RevenueGeorgia Department of Revenue, Processing Center, P.O. Box 740391, Atlanta, Georgia 30374-0391
600S/2010ADDITIONS TO FEDERAL TAXABLE INCOME SCHEDULE 5
SCHEDULE 6SUBTRACTIONS FROM FEDERAL TAXABLE INCOME
APPORTIONMENT OF INCOME SCHEDULE 7A. WITHIN GEORGIA B. EVERYWHERE
SCHEDULE 8COMPUTATION OF TOTAL INCOME FOR GEORGIA PURPOSES
A Copy of the Federal Return and supporting Schedules must be attached, otherwise this return shall be deemed incomplete.Noextension of time for filing will be allowed unless a copy of the request for a Federal extension or Form IT-303 is attached to this return.
Make check payable to:Mail to:
Declaration:
Email Address:
10 GA600S2
1101500721
1043-
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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CAPE CRUSADERS 11-1111111
0.00
0.00
1.000000
169800.00
3000.00 1000.00
30000.00 15000.00
218800.00
218800.00
218800.00
X
VICE PRESIDENT P00011111
Sample ReturnSample Return
TWF 42482 Copyright Forms (Software Only) - 2010 TW
Georgia Form (Corporation) Name FEIN Page 3(ROUND TO NEAREST DOLLAR)
1. Total Income for Georgia purposes (Line 11, Schedule 8) 1.2. Income allocated everywhere (Must Attach Schedule) 2.3. Business Income subject to apportionment (Line 1 less Line 2) 3.4. Georgia Ratio (Schedule 7, Column C) 4.5. Net business income apportioned to Georgia (Line 3 x Line 4) 5.6. Net income allocated to Georgia (Attach Schedule) 6.7. Total Georgia net income (Add Line 5 and Line 6) 7.
(ROUND TO NEAREST DOLLAR)
See instructions for a list of available credits and their applicable codes. You must list the appropriate credit type code in the space provided.If the tax credit is flowing or being assignedIf you claim more than four credits, attach a schedule. Enter the total of the additional schedule on Line 5.
into this corporation from another corporation, please enter the name and FEIN of the corporation where the tax credit originated. If the creditoriginated with the corporation filing this return, enter ``Same" in the spaces for corporation and FEIN.
FEINCredit Type Code Corporation Name Amount of Credit1. 1.2. 2.3. 3.4. 4.5. Enter the total from attached schedule(s) 5.6. Enter the total of Lines 1 through 5 here and on Schedule 4, Line 3, Page 1 6.
(ROUND TO NEAREST DOLLAR)
Georgia Code Section 48-7-42 provides that in lieu of claiming any Georgia income tax credit for which a taxpayer otherwise is eligible for the taxableyear, the taxpayer may elect to assign credits in whole or in part to one or more ``affiliated entities".The term ``affiliated entities'' is defined as:
1) A corporation that is a member of the taxpayer's affiliated group within the meaning of Section 1504(a) of the Internal Revenue Code; or2) An entity affiliated with a corporation, business, partnership, or limited liability company taxpayer, which entity:
(a) Owns or leases the land on which a project is constructed;(b) Provides capital for construction of the project; and(c) Is the grantor or owner under a management agreement with a managing company for the project.
No carryover attributable to the unused portion of any previously claimed or assigned credit may be assigned or reassigned, except if the assignor andthe recipient of an assigned tax credit cease to be affiliated entities, then any carryover attributable to the unused portion of the credit is transferred backto the assignor of the credit. The assignor is permitted to use any such carryover and also shall be permitted to assign the carryover to one or moreaffiliated entities, as if such carryover were an income tax credit for which the assignor became eligible in the taxable year in which the carryover wastransferred back to the assignor. In the case of any credit that must be claimed in installments in more than one taxable year, the election under thissubsection may be made on an annual basis with respect to each such installment. For additional information, please refer to Georgia Code Section48-7-42.
If the corporation filing this return is assigning tax credits to other affiliates, please provide detail below specifying where the tax credits are beingassigned.
Credit Type Code Corporation Name FEIN Amount of Credit1. 1.2. 2.
3.3.4. 4.
600S/2010COMPUTATION OF GEORGIA NET INCOME SCHEDULE 9
CLAIMED TAX CREDITS SCHEDULE 10
ASSIGNED TAX CREDITS SCHEDULE 11
s 48-7-42 (b).All assignments of credits must be made before the statutory due date (including extensions) per O.C.G.A.s
10 GA600S3
1101500731
1043-
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CAPE CRUSADERS 11-1111111
218800.00
218800.00
218800.00
218800.00
Sample ReturnSample Return
Copyright Forms (Software Only) - 2010 TW L0525M 10_SGAOJVA
GeorgiaProfitName and Address Source IncomeSharing %
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
K.
L.
M.
N.
O.
P.
Q.
6.5.
12
4312
4312
4312
4312
4312
4312
4312
4312
4312
4312
4312
4312
4312
4312
4312
4312
43
Total
2010 GEORGIA SHAREHOLDER SUMMARY
CAPE CRUSADERS11-1111111
BATMAN567 WAYNE LANEMANHATTAN NY 10001 111-11-1111 33.340 72947.00ROBIN44 BAT CAVE ROADMANHATTAN NY 10001 222-22-2222 33.330 72926.00BATWOMAN55 TOUGHER THAN BATMAN AVENUEMANHATTAN NY 10001 333-33-3333 33.330 72927.00
218800.00
Sample ReturnSample Return
Copyright Forms (Software Only) - 2010 TWTWF 43693
CALENDAR YEARor other taxable yearBeginningEnding
Under Sections 48-7-21 and 48-7-27 of the Georgia Income Tax Act and Regulations thereunder, all nonresident shareholders must execute anagreement wherein said shareholders agree to pay Georgia income tax on their proportionate part of the corporation's Georgia taxable incomeor the S Corporation election will be terminated by the Commissioner.
For Tax year's beginning on or after January 1, 2008, nonresident shareholders of `S' corporations will only need to file a single consent agreementin the year in which the Subchapter `S' corporation is first required to file a Georgia income tax return. For a Subchapter `S' corporation in existenceprior to January 1, 2008, the consent agreement must be filed for each shareholder in the first Georgia tax return filed for a year beginning on or afterJanuary 1, 2008. A consent agreement will also need to be filed in any subsequent year for any additional nonresident who first becomes ashareholder of the Subchapter `S' corporation in that year.
As a nonresident shareholder in the above-captioned corporation, I hereby agree to:
File a Georgia Individual Tax Return, Form 500, and report my pro rata share of income and pay any tax due onthe return for each tax year; or
Be included in a composite tax return, Form IT CR, filed by the above corporation for each tax year.
Taxpayer's Signature Date
CONSENT AGREEMENT OF NONRESIDENT SHAREHOLDERS OF S CORPORATIONS
To ensure Georgia's recognition of your S Corporation election, attacha properly completed Form 600S-CA for each nonresident shareholder to Form 600S when filed as specified below, even when acomposite return has been filed.
FEINCORPORATE NAME
BUSINESS ADDRESS
STATE Country ZIP CODECITY
NONRESIDENT SHAREHOLDER
SOCIAL SECURITY NUMBERNAME
ADDRESS
STATE CountryCITY ZIP CODE
NUMBER OF SHARES OWNED
E-MAIL ADDRESS TELEPHONE NUMBER
10 GA00SC1
FORM 600S-CADEPARTMENT OF REVENUETAXPAYER SERVICES DIVISION
IF ANY ONE OR MORE NONRESIDENT SHARHOLDERS FAILS OR REFUSES TO FILE THE CONSENTAGREEMENT HEREIN, DO NOT USE FORM 600S. FILE ON FORM 600.
Create as many copies as needed.
STATE OF GEORGIA 2010
CAPE CRUSADERS 11-1111111567 WAYNE LANEMANHATTAN NY 10001
BATMAN 111-11-1111567 WAYNE LANEMANHATTAN NY 10001
Sample ReturnSample Return
Copyright Forms (Software Only) - 2010 TWTWF 43693
CALENDAR YEARor other taxable yearBeginningEnding
Under Sections 48-7-21 and 48-7-27 of the Georgia Income Tax Act and Regulations thereunder, all nonresident shareholders must execute anagreement wherein said shareholders agree to pay Georgia income tax on their proportionate part of the corporation's Georgia taxable incomeor the S Corporation election will be terminated by the Commissioner.
For Tax year's beginning on or after January 1, 2008, nonresident shareholders of `S' corporations will only need to file a single consent agreementin the year in which the Subchapter `S' corporation is first required to file a Georgia income tax return. For a Subchapter `S' corporation in existenceprior to January 1, 2008, the consent agreement must be filed for each shareholder in the first Georgia tax return filed for a year beginning on or afterJanuary 1, 2008. A consent agreement will also need to be filed in any subsequent year for any additional nonresident who first becomes ashareholder of the Subchapter `S' corporation in that year.
As a nonresident shareholder in the above-captioned corporation, I hereby agree to:
File a Georgia Individual Tax Return, Form 500, and report my pro rata share of income and pay any tax due onthe return for each tax year; or
Be included in a composite tax return, Form IT CR, filed by the above corporation for each tax year.
Taxpayer's Signature Date
CONSENT AGREEMENT OF NONRESIDENT SHAREHOLDERS OF S CORPORATIONS
To ensure Georgia's recognition of your S Corporation election, attacha properly completed Form 600S-CA for each nonresident shareholder to Form 600S when filed as specified below, even when acomposite return has been filed.
FEINCORPORATE NAME
BUSINESS ADDRESS
STATE Country ZIP CODECITY
NONRESIDENT SHAREHOLDER
SOCIAL SECURITY NUMBERNAME
ADDRESS
STATE CountryCITY ZIP CODE
NUMBER OF SHARES OWNED
E-MAIL ADDRESS TELEPHONE NUMBER
10 GA00SC1
FORM 600S-CADEPARTMENT OF REVENUETAXPAYER SERVICES DIVISION
IF ANY ONE OR MORE NONRESIDENT SHARHOLDERS FAILS OR REFUSES TO FILE THE CONSENTAGREEMENT HEREIN, DO NOT USE FORM 600S. FILE ON FORM 600.
Create as many copies as needed.
STATE OF GEORGIA 2010
CAPE CRUSADERS 11-1111111567 WAYNE LANEMANHATTAN NY 10001
ROBIN 222-22-222244 BAT CAVE ROADMANHATTAN NY 10001
Sample ReturnSample Return
Copyright Forms (Software Only) - 2010 TWTWF 43693
CALENDAR YEARor other taxable yearBeginningEnding
Under Sections 48-7-21 and 48-7-27 of the Georgia Income Tax Act and Regulations thereunder, all nonresident shareholders must execute anagreement wherein said shareholders agree to pay Georgia income tax on their proportionate part of the corporation's Georgia taxable incomeor the S Corporation election will be terminated by the Commissioner.
For Tax year's beginning on or after January 1, 2008, nonresident shareholders of `S' corporations will only need to file a single consent agreementin the year in which the Subchapter `S' corporation is first required to file a Georgia income tax return. For a Subchapter `S' corporation in existenceprior to January 1, 2008, the consent agreement must be filed for each shareholder in the first Georgia tax return filed for a year beginning on or afterJanuary 1, 2008. A consent agreement will also need to be filed in any subsequent year for any additional nonresident who first becomes ashareholder of the Subchapter `S' corporation in that year.
As a nonresident shareholder in the above-captioned corporation, I hereby agree to:
File a Georgia Individual Tax Return, Form 500, and report my pro rata share of income and pay any tax due onthe return for each tax year; or
Be included in a composite tax return, Form IT CR, filed by the above corporation for each tax year.
Taxpayer's Signature Date
CONSENT AGREEMENT OF NONRESIDENT SHAREHOLDERS OF S CORPORATIONS
To ensure Georgia's recognition of your S Corporation election, attacha properly completed Form 600S-CA for each nonresident shareholder to Form 600S when filed as specified below, even when acomposite return has been filed.
FEINCORPORATE NAME
BUSINESS ADDRESS
STATE Country ZIP CODECITY
NONRESIDENT SHAREHOLDER
SOCIAL SECURITY NUMBERNAME
ADDRESS
STATE CountryCITY ZIP CODE
NUMBER OF SHARES OWNED
E-MAIL ADDRESS TELEPHONE NUMBER
10 GA00SC1
FORM 600S-CADEPARTMENT OF REVENUETAXPAYER SERVICES DIVISION
IF ANY ONE OR MORE NONRESIDENT SHARHOLDERS FAILS OR REFUSES TO FILE THE CONSENTAGREEMENT HEREIN, DO NOT USE FORM 600S. FILE ON FORM 600.
Create as many copies as needed.
STATE OF GEORGIA 2010
CAPE CRUSADERS 11-1111111567 WAYNE LANEMANHATTAN NY 10001
BATWOMAN 333-33-333355 TOUGHER THAN BATMAN AVENUEMANHATTAN NY 10001
Sample ReturnSample Return
JVA Copyright Forms (Software Only) 2010 TW L0525M 10_SGAK1
For income year beginning , and endingS Corporation Name Employer Identification Number
Name and Address of ShareholderShareholder's Identifying Number
Shareholder's Profit Sharing %
Nonresident shareholder YesApportionment %Final K-1 Yes
Ordinary income (loss)Net income (loss) from rental real estate activitiesNet business income from other rental activitiesPortfolio income (loss):Interest incomeDividend incomeRoyalty incomeNet short-term capital gain (loss)Net long-term capital gain (loss)Other portfolio income (loss)Net gain (loss) under section 1231Other income (loss)Total federal income (add lines 1 through 6)Additions to federal income (Schedule 5)Total (add lines 7 and 8)Subtractions from federal income (Schedule 6)Total income for Georgia purposes (subtract line 10 from line 9)
Total income for Georgia purposesIncome allocated everywhereBusiness income subject to apportionment (line 1 less line 2)Georgia ratio (line 4, Part 2, Schedule 7)Net business income apportioned to Georgia (line 3 x line 4)Net income allocated to GeorgiaTotal Georgia net income (line 5 plus line 6)
Shareholder's Information Relating to S Corporation Income
Information Applicable to All Shareholders
Computation of total income for Georgia purposes:
1. 12. 23. 34.
a. 4ab. 4bc. 4cd. 4de. 4ef. 4f
5. 56. 67. 78. 89. 9
10. 1011. 11
Computation of Georgia net income for nonresident shareholders:
1. 12. 23. 34. 45. 56. 67. 7
Form 600S - GASHAREHOLDER'S INFORMATION RELATING TO 2010S CORPORATION INCOME
jj
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01-01-2010 12-31-2010CAPE CRUSADERS 11-1111111
111-11-1111 33.340
BATMAN X567 WAYNE LANE 100.0000MANHATTAN NY 10001
56611.00
1000.00 333.00 10002.00 5001.00
72947.00 72947.00 72947.00
72947.00 72947.00 1.000000 72947.00 72947.00
GEORGIA SECTION 179 EXPENSE 41675.00
Sample ReturnSample Return
JVA Copyright Forms (Software Only) 2010 TW L0525M 10_SGAK1
For income year beginning , and endingS Corporation Name Employer Identification Number
Name and Address of ShareholderShareholder's Identifying Number
Shareholder's Profit Sharing %
Nonresident shareholder YesApportionment %Final K-1 Yes
Ordinary income (loss)Net income (loss) from rental real estate activitiesNet business income from other rental activitiesPortfolio income (loss):Interest incomeDividend incomeRoyalty incomeNet short-term capital gain (loss)Net long-term capital gain (loss)Other portfolio income (loss)Net gain (loss) under section 1231Other income (loss)Total federal income (add lines 1 through 6)Additions to federal income (Schedule 5)Total (add lines 7 and 8)Subtractions from federal income (Schedule 6)Total income for Georgia purposes (subtract line 10 from line 9)
Total income for Georgia purposesIncome allocated everywhereBusiness income subject to apportionment (line 1 less line 2)Georgia ratio (line 4, Part 2, Schedule 7)Net business income apportioned to Georgia (line 3 x line 4)Net income allocated to GeorgiaTotal Georgia net income (line 5 plus line 6)
Shareholder's Information Relating to S Corporation Income
Information Applicable to All Shareholders
Computation of total income for Georgia purposes:
1. 12. 23. 34.
a. 4ab. 4bc. 4cd. 4de. 4ef. 4f
5. 56. 67. 78. 89. 9
10. 1011. 11
Computation of Georgia net income for nonresident shareholders:
1. 12. 23. 34. 45. 56. 67. 7
Form 600S - GASHAREHOLDER'S INFORMATION RELATING TO 2010S CORPORATION INCOME
jj
j. . . . .
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01-01-2010 12-31-2010CAPE CRUSADERS 11-1111111
222-22-2222 33.330
ROBIN X44 BAT CAVE ROAD 100.0000MANHATTAN NY 10001
56594.00
1000.00 333.00 9999.00 5000.00
72926.00 72926.00 72926.00
72926.00 72926.00 1.000000 72926.00 72926.00
GEORGIA SECTION 179 EXPENSE 41663.00
Sample ReturnSample Return
JVA Copyright Forms (Software Only) 2010 TW L0525M 10_SGAK1
For income year beginning , and endingS Corporation Name Employer Identification Number
Name and Address of ShareholderShareholder's Identifying Number
Shareholder's Profit Sharing %
Nonresident shareholder YesApportionment %Final K-1 Yes
Ordinary income (loss)Net income (loss) from rental real estate activitiesNet business income from other rental activitiesPortfolio income (loss):Interest incomeDividend incomeRoyalty incomeNet short-term capital gain (loss)Net long-term capital gain (loss)Other portfolio income (loss)Net gain (loss) under section 1231Other income (loss)Total federal income (add lines 1 through 6)Additions to federal income (Schedule 5)Total (add lines 7 and 8)Subtractions from federal income (Schedule 6)Total income for Georgia purposes (subtract line 10 from line 9)
Total income for Georgia purposesIncome allocated everywhereBusiness income subject to apportionment (line 1 less line 2)Georgia ratio (line 4, Part 2, Schedule 7)Net business income apportioned to Georgia (line 3 x line 4)Net income allocated to GeorgiaTotal Georgia net income (line 5 plus line 6)
Shareholder's Information Relating to S Corporation Income
Information Applicable to All Shareholders
Computation of total income for Georgia purposes:
1. 12. 23. 34.
a. 4ab. 4bc. 4cd. 4de. 4ef. 4f
5. 56. 67. 78. 89. 9
10. 1011. 11
Computation of Georgia net income for nonresident shareholders:
1. 12. 23. 34. 45. 56. 67. 7
Form 600S - GASHAREHOLDER'S INFORMATION RELATING TO 2010S CORPORATION INCOME
jj
j. . . . .
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01-01-2010 12-31-2010CAPE CRUSADERS 11-1111111
333-33-3333 33.330
BATWOMAN X55 TOUGHER THAN BATMAN AVENUE 100.0000MANHATTAN NY 10001
56595.00
1000.00 334.00 9999.00 4999.00
72927.00 72927.00 72927.00
72927.00 72927.00 1.000000 72927.00 72927.00
GEORGIA SECTION 179 EXPENSE 41662.00
Sample ReturnSample Return
Department of the TreasuryInternal Revenue Service
JVA Copyright Forms (Software Only) - 2010 TW L0525M 10_GADP179O
OMB No. 1545-0172Form
AttachmentSequence No.
Name(s) shown on return Business or activity to which this form relates
If you have any listed property, complete Part V before you complete Part I.
Maximum amount. See the instructions for a higher limit for certain businessesTotal cost of section 179 property placed in service (see instructions)Threshold cost of section 179 property before reduction in limitationReduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0-Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately,see instructions
Description of property Cost (busn. use only) Elected cost
Listed property. Enter the amount from line 29Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7Tentative deduction. Enter the of line 5 or line 8Carryover of disallowed deduction from line 13 of your 2008 Form 4562Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instructions)Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11Carryover of disallowed deduction to 2010. Add lines 9 and 10, less line 12
See separate instructions. Attach to your tax return.Identifying number
Note:
1 12 23 34 45
5(a) (b) (c)6
778 89 smaller 9
10 1011 1112 1213 13
For Paperwork Reduction Act Notice, see page 1 of the separate Instructions.
Schedule or ElectedMultiple Description Cost CommentForm Cost
67
Part I Election To Expense Certain Property Under Section 179
Section 179 Summary (from Asset Manager)
(Including Information on Listed Property)Depreciation and Amortization4562
2010j j
j
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. . . . . . . . . . . . . . . . .. . .
CAPE CRUSADERS FOR SECTION 179 SUMMARY 11-1111111
250,000 125,000 800,000
250,000SEE STATEMENT BELOW 125,000
125,000 125,000 250,000 125,000
K 1 EQUIPMENT 100 115000 115000K 1 MACHINE 101 10000 10000TOTAL TO SEC 179 SUMMARY LINE 6: 125000
GEORGIA
Sample ReturnSample Return
(business use only)
TWF 43485A
Copyright Forms (Software Only) - 2010 TW
(Rev. 4/11)
Attach to your return.See separate instructions.Name(s) shown on return Business or activity to which this form relates Identification number
If you have any listed property, complete Part V before you complete Part I.Maximum amount. See IRS instructions for a higher limit for certain businessesTotal cost of IRC Section 179 property placed in service (see IRS instructions)Threshold cost of IRC Section 179 property before reduction in limitationReduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0-Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately,see IRS instructions
(b) Cost(a) Description of property (c) Elected cost
Listed property. Enter the amount from line 29Total elected cost of IRC Section 179 property. Add amounts in column (c), lines 6 and 7Tentative deduction. Enter the of line 5 or line 8Carryover of disallowed deduction from line 13 of your 2009 Form 4562Business income limitation. Enter the smaller of business income (not less than zero) or line 5IRC Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11Carryover of disallowed deduction to 2011. Add lines 9 and 10, less line 12
Do not use Part II or Part III below for listed property. Instead, use Part V.include listed property.)
Special depreciation allowance for qualified property (see instructions)(other than listed property) placed in service during the tax yearProperty subject to IRC Section 168(f)(1) electionOther depreciation (including ACRS)
include listed property.)
MACRS deductions for assets placed in service in tax years beginning before 2010If you are electing under IRC Section 168(i)(4) to group any assets placed in service duringthe tax year into one or more general asset accounts, check here
Month and Basis for depr. MethodRecovery DepreciationClassification of (business/investmentyear placed inproperty period Convention deductionuse only.) See IRS inst.service3-year property5-year property7-year property10-year property15-year property20-year property25-year property 25 yrs. S/LResidential rental 27.5 yrs. MM S/Lproperty 27.5 yrs. MM S/LNonresidential real 39 yrs. MM S/Lproperty MM S/L
Class life S/L12-year 12 yrs. S/L40-year 40 yrs. MM S/L
Listed property. Enter amount from line 28Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21Enter here and on the appropriate lines of your returnFor assets shown above and placed in service during the current year, enter theportion of the basis attributable to IRC Section 263A costs
Form
Note: Georgia does not allow any additional depreciation benefits provided by I.R.C.Section 168(k), 1400L, and 1400N(d)(1), and certain other provisions.
Note:$250,0001 1
2 2$800,0003 3
4 45
56
7 78 89 smaller 9
10 1011 1112 1213 13Note:
(Do not14 Not allowed for
14 Georgia purposes15 1516 16
10 GA45621(Do notSection A
17 1718
Section B -- Assets Placed in Service During 2010 Tax Year Using the General Depreciation System(b) (c) (d) (f) (g)(e)(a)
a19bcdefgh
i
Section C -- Assets Placed in Service During 2010 Tax Year Using the Alternative Depreciation Systema20bc
(See IRS instructions)21 2122
2223
23
(Including Information on Listed Property)
Part I Election To Expense Certain Tangible Property Under Section 179
Part II Special Depreciation Allowance and Other Depreciation
Part III MACRS Depreciation
Part IV
Summary
Georgia Depreciation and Amortization4562
GEORGIAZZZ Z ZZCC C C CZZC Z Z Z Z
ZCZCZZ CZC CZC
j j
j
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CAPE CRUSADERS FOR FORM 1120S 11-1111111
0 0
SEE SECTION 179 WRKSHT
0 125,000
Sample ReturnSample Return
TWF 39048 Copyright Forms (Software Only) - 2010 TW
(Rev. 6/10)
For the taxable year beginning , ending
Filing an return? EIN
This return is being filed for 1. Partnership 2. S Corporation Date Business Began in KS Tax credits schedules are enclosed?
Original federal due date if other thanMethod Used to Determine Income of Corporation in Kansas 15th day of 3rd month after the end of
the tax year.
Activity wholly within Kansas or single entity apportionment method Date Business Discontinued in KS
Combined income method (Enclose Sch K-121S) Name or address has changed?
Common carrier mileage (Enclose mileage apportionment schedule) State and Date of Incorporation Are you filing Form K-40C?
Alternative or separate accounting (See instructions under ``Definitions''Have you submitted Form K-120EL?enclose letter of authorization & schedule)
Qualified elective two-factor (Part I) Year qualified State of Commercial Domicile
Enter number of shareholders/partnersBusiness Activity Code (NAICS) included in Part II
Total subtractions from federal incomeOrdinary income from federalSchedule K (Add lines 8, 9 & 10)
Net income before apportionment (AddTotal of all other income fromline 3 to line 7 and subtract line 11)federal Sch. K.
Nonbusiness income -- Total companyTotal of allowable deductions from(Sch. Req.)federal Schedule K
Apportionable business incomeTotal federal income (Add lines 1 toline 2a and subtract line 2b ) (Subtract line 13 from line 12)
Average percent to Kansas (Part III,Total state and municipal interestlines A, B, C & E)(Sch. Req.)A. B.
Taxes on or measured by income orfees or payments in lieu of income C. E.taxes (Sch. Req.) Amount to Kansas (Multiply line 14 by
line 15)Other additions to federal income(Sch. Req.)
Nonbusiness income -- Kansas(Sch. Req.)
Total additions to federal income(Add lines 4, 5 & 6)
Total Kansas income (Add lines16 & 17)
Interest on U.S. governmentobligations (Sch. Req.) Estimated tax paid and amount
credited forward (Sep. Sch.)IRC Sec. 78 and 80% of foreigndividends (Sch. Req)
Other tax payments (Sep. Sch.)Other subtractions from federalincome (Sch. Req.)
Refund (Add lines 19 & 20)
OfficerDateSignature Title
Preparer Preparer SSNPreparer Phone
or EIN/PTIN DateNumberSignature
S-CORPORATION915 SW HARRISON STTOPEKA KS 66699-4000 F o r O f f i c e U s e O n l y
A. D. I.
J.B.
1. E.
2. K.
3. F. L.
4. M.
5. G.
H.C.
11.1.
12.2a.
13.2b.
14.3.
15.4.
5.
16.6.
17.7.
18.8.
19.
9.
20.10.
21.
I authorize the Director of Taxation or the Director's designee to discuss my K-120S and any enclosures with my preparer.I declare under the penalties of perjury that to the best of my knowledge and belief this is a true, correct and complete return.
10 KS120S1
AMENDED
and
KANSAS PARTNERSHIP ORS CORPORATION INCOME TAX RETURN
K-120S 2010 154010201
01012010 12312010
CAPE CRUSADERS567 WAYNE LANE 111111111MANHATTAN NY 10001
X05012002
X
NY 05012002NY
999999 3
169800.00 49000.00 153800.00 125000.00 93800.00 153800.00
5.7190 0.6557 60000.00 1.1556 2.5101
3861.00
60000.00 3861.00
X
VICE PRESIDENT6466373269 00011111
ARTHUR DIMARSKY 32 ERIC LN STATEN ISLAND NY 10308
Sample ReturnSample Return
Did the corporation file a Kansas income return under the same name for the preceding Has your corporation been involved in any reorganization during the period
year? Yes No If ``no", enter previous name and EIN. covered by this return? Yes No If ``yes", enclose a
detailed explanation.
If your federal taxable income has been redetermined for any prior years that
Enter the address of the corporation's principal location in Kansas. have not previously been reported to Kansas, check the applicable box(es)
below and state the calendar, fiscal, or short period year ending date. You are
required to submit, the federal forms or
Revenue Agent's Report along with the Kansas amended return (Form K-120S).
The corporation's books are in care of: Revenue Agent's Report Net Operating Loss
Name
Address Amended Return Years ended
Telephone
This schedule is to be completed for all partners or shareholders. If you have nonresident partners or shareholders, complete Form KW-7S. If there are more than 8 partners orshareholders, you must complete a schedule similar to the schedule below and submit it with your return. Individual partners or shareholders complete columns 1 through 8. All otherpartners and shareholders complete columns 1 through 5.
Partner's orSocial Security Number or Partner's profit percent orCheck box ifName and address of partner or shareholdershareholder's percentEmployee identification shareholder's applicablenonresident
of ownershipNumber (EIN) percentage
Income from Kansas sources. Partner's or shareholder's Partner's or shareholder's Partner's or Shareholder'sportion of federal ordinary portion of total Kansas income. modification.
Multiply column 4 by line 12, page 1. and other income (losses) and Multiply the percentage in See instructions. Enter resultdeductions. column 4 by line 12, page 1. in Part A of Schedule S, FormIf income is earned only from Kansas Multiply the percentage in K-40.sources multiply column 4 by line 12, page 1. If earned from inside and column 4 by line 3, page 1.outside of Kansas, multiply column 4 by line 18, page 1.Multiply column 4 by line 18.
TWF 39049 Copyright Forms (Software Only) - 2010 TW
Page 2
1. 4.
5.2.
3.
(4)(1) (3)(2)
(a)(b)(c)(d)(e)(f)(g)(h)(i)(j)(k)(l)
See instructions for Nonresident Partner's or Shareholder's Computation of Columns 6, 7 and 8.
(5) (6) (7) (8)
(a)(b)(c)(d)(e)(f)(g)(h)(i)(j)(k)(l)
under separate cover,
Kansas resident individuals:Nonresident individuals:
All other partners or shareholders:
10 KS120S2
PART I -- ADDITIONAL INFORMATION
PART II -- PARTNER'S OR SHAREHOLDER'S DISTRIBUTION OF INCOME
K-120S
X X
567 WAYNE LANEMANHATTAN NY 10001
BATMAN 567 WAYNE LANE MANHATTAN NY X 111111111 33.34 33.34ROBIN 44 BAT CAVE ROAD MANHATTAN NYX 222222222 33.33 33.33BATWOMAN 55 TOUGHER THAN BATMAN AVEX 333333333 33.33 33.33
1287.00 31273.00 51277.00 -20004.00 1287.00 31264.00 51262.00 -19998.00 1287.00 31264.00 51262.00 -19998.00
CAPE CRUSADERS 11-1111111201
Sample ReturnSample Return
TWF 40700 Copyright Forms (Software Only) - 2010 TW
(6/10)
For the taxable year beginning , ending
Name as shown on Form K-120S Employer Identification Number (EIN)
WITHIN KANSAS TOTAL COMPANY PERCENTA. PropertyWITHIN(1) Value of owned real and tangible personal
Beginning End Beginning End KANSASproperty used in the business at original costof Year of Year of Year of Year
InventoryDepreciable assetsLandOther tangible assets (Enclose schedule)Less: Construction in progressTotal property to be averaged
.Average owned property (Beg. + End 2)--.(2) Net annual rented property. Multiplied by 8TOTAL PROPERTY (Enter on line 15, Block A,page 1) A %
B. Payroll (Those corporations qualified and utilizing the elective two-factor formula must Within Kansas Total Companycomplete this area only during the first year of qualifying)
(1) Compensation of officers(2) Wages, salaries and commissions(3) Payroll expense included in cost of goods sold(4) Payroll expense included in repairs
(5) Other wages and salariesTOTAL PAYROLL (Enter on line 15, Block B, page 1) (if qualified and utilizing theelective two-factor formula, carry this percentage to page 1) B %
C. Sales (Gross receipts, less returns and allowances)(1) Sales delivered or shipped to purchasers in Kansas:
(a) Shipped from outside Kansas(b) Shipped from within Kansas
(2)Sales shipped from Kansas to:(a) The United States Government(b) Purchasers in a state where the taxpayer would not be taxable (e.g., under
federal Public Law 86-272)(3) Dividends
InterestRentsRoyaltiesGains/losses from intangible asset salesGross proceeds from tangible asset salesOther income (Enclose schedule)
TOTAL SALES (Enter on line 15, Block C, page 1) C %
D(1). Total percent (Sum of lines A, B & C if utilizing three-factor formula) D(1) %D(2). Total percent (Sum of lines A & C if qualified and utilizing two-factor formula) D(2) %E. Average percent of either D(1) or D(2), whichever is applicable (Enter on line 15, page 1) E %
FOR USE BY CORPORATIONS APPORTIONING INCOME(Corporations using the combined income method must use Schedule K-121S)
do not
10 KS20SAS1
PART III -- APPORTIONMENT FORMULA
K-120S AS KANSASCorporation Apportionment Schedule
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. . . . . . . . . . . . . . . . . . . . . . . .
01012010 12312010
CAPE CRUSADERS 111111111
10000 7500 95000 66000 125000
10000 10000
10000 7500 105000 201000 8750 153000
8750 153000 5.7190
2000 250000 55000
2000 305000 0.6557 7500 600000
1000 3000
45000 7500 649000 1.1556
7.5303 0.0000 2.5101
201
Sample ReturnSample Return
TWF 40701 Copyright Forms (Software Only) - 2010 TW
Page 2
The distributions from the entities listed below have been passed-through and are included in your entity.
KansasEntity Address
Entity Name EIN Principal Product or Services Operations(Number and Street, City, State, Zip)
(Y / N)1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
The QSub or Disregarded entities listed below are included in this return.
KansasEntity Address
QSub or Disregarded Entity Name EIN Principal Product or Services Operations(Number and Street, City, State, Zip)
(Y / N)1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
10 KS20SAS2
PART IV -- KANSAS PASS-THROUGH SCHEDULE
PART V -- KANSAS QSUB / DISREGARDED ENTITY SCHEDULE
K-120S AS
Sample ReturnSample Return
JVA Copyright Forms (Software Only) - 2010 TW L0524M 10_BKSK1
TWLS
, and endingCalendar year 2010 or fiscal year beg.
Partner's/Shareholders Identifying Number Partnership's/Shareholders FEINPartner's/Shareholders Name, Address and ZIP code Partnership's/Shareholders Name, Address, and ZIP code
Partner's/Shareholders taxable percentage %Apportionment percentage %
1. Total state and municipal interest not specifically exempt from Kansas tax 1.2. Taxes on or measured by income or fees or payments in lieu of income taxes 2.3. Other additions to federal income 3.4. Interest on obligations of the United States 4.5. IRC Section 78 and 80% of foreign dividends 5.6. Other subtractions from federal ordinary income 6.7. Nonbusiness Income - Total company 7.8. Kansas community service contribution credit 8.9. Kansas disabled access credit 9.10. Kansas habitat management credit 10.11. Kansas regional foundation contribution credit 11.12. Kansas small employer healthcare credit 12.13. Kansas swine facility improvement credit 13.14. Other credits 14.
KS-K-1
MODIFICATIONS
2010 PARTNER'S/SHAREHOLDERS SHARE OF INCOME2010DEDUCTIONS, CREDITS, ETC.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
111-11-1111 11-1111111
BATMAN CAPE CRUSADERS567 WAYNE LANE 567 WAYNE LANEMANHATTAN NY 10001 MANHATTAN NY 10001
33.3400 2.5101 502
Sample ReturnSample Return
JVA Copyright Forms (Software Only) - 2010 TW L0524M 10_BKSK1
TWLS
, and endingCalendar year 2010 or fiscal year beg.
Partner's/Shareholders Identifying Number Partnership's/Shareholders FEINPartner's/Shareholders Name, Address and ZIP code Partnership's/Shareholders Name, Address, and ZIP code
Partner's/Shareholders taxable percentage %Apportionment percentage %
1. Total state and municipal interest not specifically exempt from Kansas tax 1.2. Taxes on or measured by income or fees or payments in lieu of income taxes 2.3. Other additions to federal income 3.4. Interest on obligations of the United States 4.5. IRC Section 78 and 80% of foreign dividends 5.6. Other subtractions from federal ordinary income 6.7. Nonbusiness Income - Total company 7.8. Kansas community service contribution credit 8.9. Kansas disabled access credit 9.10. Kansas habitat management credit 10.11. Kansas regional foundation contribution credit 11.12. Kansas small employer healthcare credit 12.13. Kansas swine facility improvement credit 13.14. Other credits 14.
KS-K-1
MODIFICATIONS
2010 PARTNER'S/SHAREHOLDERS SHARE OF INCOME2010DEDUCTIONS, CREDITS, ETC.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
222-22-2222 11-1111111
ROBIN CAPE CRUSADERS44 BAT CAVE ROAD 567 WAYNE LANEMANHATTAN NY 10001 MANHATTAN NY 10001
33.3300 2.5101 502
Sample ReturnSample Return
JVA Copyright Forms (Software Only) - 2010 TW L0524M 10_BKSK1
TWLS
, and endingCalendar year 2010 or fiscal year beg.
Partner's/Shareholders Identifying Number Partnership's/Shareholders FEINPartner's/Shareholders Name, Address and ZIP code Partnership's/Shareholders Name, Address, and ZIP code
Partner's/Shareholders taxable percentage %Apportionment percentage %
1. Total state and municipal interest not specifically exempt from Kansas tax 1.2. Taxes on or measured by income or fees or payments in lieu of income taxes 2.3. Other additions to federal income 3.4. Interest on obligations of the United States 4.5. IRC Section 78 and 80% of foreign dividends 5.6. Other subtractions from federal ordinary income 6.7. Nonbusiness Income - Total company 7.8. Kansas community service contribution credit 8.9. Kansas disabled access credit 9.10. Kansas habitat management credit 10.11. Kansas regional foundation contribution credit 11.12. Kansas small employer healthcare credit 12.13. Kansas swine facility improvement credit 13.14. Other credits 14.
KS-K-1
MODIFICATIONS
2010 PARTNER'S/SHAREHOLDERS SHARE OF INCOME2010DEDUCTIONS, CREDITS, ETC.
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333-33-3333 11-1111111
BATWOMAN CAPE CRUSADERS55 TOUGHER THAN BATMAN AVENUE 567 WAYNE LANEMANHATTAN NY 10001 MANHATTAN NY 10001
33.3300 2.5101 502
Sample ReturnSample Return
Department of the TreasuryInternal Revenue Service
(see instructions)
Check if Sch. M-3
attached
Gross receipts or sales Less returns and allowances Bal
S FE OE R
I LN IS MT IR TU AC TT II OO NN SS
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge andbelief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
May the IRS discuss this returnwith the preparer shown below(see inst.)?
TWF 39193 Copyright Forms (Software Only) - 2010 TWJVA
OMB No. 1545-0130Form
, 20For calendar year 2010 or tax year beginning , 2010, endingS election Name Number, street, room/suite no. City/town, state, & Zip codeeffective date
Business activity Date incorporatedcode number
Total assets (see inst.)
$Is the corporation electing to be an S corporation beginning with this tax year? Yes No If ``Yes," attach Form 2553 if not already filedCheck if: Final return Name change Address change
Amended return S election termination or revocationEnter the number of shareholders who were shareholders during any part of the tax year
Include trade or business income and expenses on lines 1a through 21. See the instructions for more information.
Cost of goods sold (Schedule A, line 8)Gross profit. Subtract line 2 from line 1cNet gain (loss) from Form 4797, Part II, line 17 (attach Form 4797)Other income (loss) (see instructions -- attach statement)
Add lines 3 through 5Compensation of officersSalaries and wages (less employment credits)Repairs and maintenanceBad debtsRentsTaxes and licensesInterestDepreciation not claimed on Schedule A or elsewhere on return (attach Form 4562)DepletionAdvertisingPension, profit-sharing, etc., plansEmployee benefit programsOther deductions (attach statement)
Add lines 7 through 19Subtract line 20 from line 6
Excess net passive income or LIFO recapture tax (see instructions)Tax from Schedule D (Form 1120S)Add lines 22a and 22b (see instructions for additional taxes)2010 estimated tax payments and 2009 overpayment credited to 2010Tax deposited with Form 7004Credit for federal tax paid on fuels (attach Form 4136)Add lines 23a through 23cEstimated tax penalty (see instructions). Check if Form 2220 is attached
If line 23d is smaller than the total of lines 22c and 24, enter amount owedIf line 23d is larger than the total of lines 22c and 24, enter amount overpaid
Enter amount from line 26
Signature of officer Date TitlePreparer's signature if PTINPrint/Type preparer's name Date Check
self-employedFirm's name Firm's EINFirm's address Phone no.
Form (2010)
Do not file this form unless the corporation has filed or isattaching Form 2553 to elect to be an S corporation.
See separate instructions.
Employer ID no.A D
TYPEB EORPRINT F
C
GH (1) (2) (3)
(4) (5)ICaution. only
1a 1cb cI 2 2N
3 3CO 4 4M
5 5E6 6Total income (loss).7 78 89 9
10 10D 11 11E
12 12DU 13 13C
14 14TI 15 15(Do not deduct oil and gas depletion.)O 16 16N
17 17S18 1819 1920 Total deductions. 2021 21Ordinary business income (loss).22a 22a
Tb 22bA
X c 22cA 23a 23aN b 23bD
c 23cPA d 23dY 24 24ME 25 25Amount owed.NT 26 Overpayment. 26S 27 Refunded 27Credited to 2011 estimated tax
Yes No
For Paperwork Reduction Act Notice, see separate instructions.10 1120S12
PaidPreparerUse Only
1120S
U.S. Income Tax Return for an S Corporation
SignHere
1120S2010
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05-01-2001 CAPE CRUSADERS 11-1111111567 WAYNE LANE 05-01-2002
999999 MANHATTAN NY 10001898,322
X
3 600,000 600,000
59,000 541,000
541,000 250,000 55,000 100
60,000
6,100 371,200 169,800
0
0 0
0 0
VICE PRESIDENTX
A P00011111ARTHUR DIMARSKY32 ERIC LNSTATEN ISLAND NY 10308 (646)637-3269
#1
#2
Sample ReturnSample Return
TWF 39194 Copyright Forms (Software Only) - 2010 TWJVA
Form 1120S (2010) Page(see instructions)
Inventory at beginning of yearPurchasesCost of laborAdditional section 263A costs (attach statement)Other costs (attach statement)
Add lines 1 through 5Inventory at end of year
Subtract line 7 from line 6. Enter here and on page 1, line 2Check all methods used for valuing closing inventory: (i) Cost as described in Regulations section 1.471-3
(ii) Lower of cost or market as described in Regulations section 1.471-4(iii) Other (Specify method used and attach explanation.)
Check if there was a writedown of subnormal goods as described in Regulations section 1.471-2(c)Check if the LIFO inventory method was adopted this tax year for any goods (if checked, attach Form 970)If the LIFO inventory method was used for this tax year, enter percentage (or amounts) of closinginventory computed under LIFOIf property is produced or acquired for resale, do the rules of section 263A apply to the corporation? Yes NoWas there any change in determining quantities, cost, or valuations between opening and closing inventory? Yes NoIf ``Yes," attach explanation.
(see instructions)AccrualCheck accounting method: Cash Other (specify)
See the instructions and enter the:Business activity Product or service
At the end of the tax year, did the corporation own, directly or indirectly, 50% or more of the voting stock of a domesticcorporation? (For rules of attribution, see section 267(c).) If ``Yes," attach a statement showing: name and employeridentification number (EIN), percentage owned, and if 100% owned, was a qualified subchapter S subsidiaryelection made?
Has this corporation filed, or is it required to file, Material Advisor Disclosure Statement, to provide informationon any reportable transaction?
Check this box if the corporation issued publicly offered debt instruments with original issue discountIf checked, the corp. may have to file Information Return for Publicly Offered Original Issue Discount Instruments.
If the corporation: was a C corporation before it elected to be an S corporation the corporation acquired an asset witha basis determined by reference to the basis of the asset (or the basis of any other property) in the hands of a C corporation
has net unrealized built-in gain in excess of the net recognized built-in gain from prior years, enter the net unrealizedbuilt-in gain reduced by net recognized built-in gain from prior years (see instructions) $
$Enter the accumulated earnings and profits of the corporation at the end of the tax year.Are the corporation's total receipts (see instructions) for the tax year its total assets at the end of the tax year lessthan $250,000? If ``Yes," the corporation is not required to complete Schedules L and M-1
During the tax year, was a qualified subchapter S subsidiary election terminated or revoked? If ``Yes," see instructions
Ordinary business income (loss) (page 1, line 21)Net rental real estate income (loss) (attach Form 8825)Other gross rental income (loss)Expenses from other rental activities (attach statement)Other net rental income (loss). Subtract line 3b from line 3aInterest incomeDividends: Ordinary dividends
Qualified dividendsRoyaltiesNet short-term capital gain (loss) (attach Schedule D (Form 1120S))Net long-term capital gain (loss) (attach Schedule D (Form 1120S))Collectibles (28%) gain (loss)Unrecaptured section 1250 gain (attach statement)Net section 1231 gain (loss) (attach Form 4797)Other income (loss) (see instructions) Type
Form (2010)
1 12 23 34 45 56 6Total.7 78 8Cost of goods sold.9a
bcd
9def
Yes No1 a b c2
a b
3(a)
(b) (c)
4 Form 8918,
5Form 8281,
6 (a) or
and (b)
78 and
9Total amount
1 12 23a 3a
Ib 3bNc 3cC
O 4 4M 5 a 5aE
b 5b6 67 7L
O 8a 8aS b 8bS
c 8c9 9
10 1010 1120S12
2Schedule A Cost of Goods Sold
Schedule B Other Information
Schedule K Shareholders' Pro Rata Share Items
1120S
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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. . . . . . . .
95,000 30,000
125,000 66,000 59,000
X
XX
XUNCLASSIFIED FIGHTING CRIME
XX
XX
169,800
3,000 1,000
1,000 30,000 15,000
CAPE CRUSADERS 11-1111111
Sample ReturnSample Return
TWF 39195 Copyright Forms (Software Only) - 2010 TWJVA
Form 1120S (2010) Page(continued)
Section 179 deduction (attach Form 4562)ContributionsInvestment interest expenseSection 59(e)(2) expenditures Type AmountOther deductions (see instructions) TypeLow-income housing credit (section 42(j)(5))Low-income housing credit (other)Qualified rehabilitation expenditures (rental real estate) (attach Form 3468)Other rental real estate credits (see instructions) TypeOther rental credits (see instructions) TypeAlcohol and cellulosic biofuel fuels credit (attach Form 6478)Other credits (see instructions) TypeName of country or U.S. possessionGross income from all sourcesGross income sourced at shareholder levelForeign gross income sourced at corporate levelPassive categoryGeneral categoryOther (attach statement)Deductions allocated and apportioned at shareholder levelInterest expenseOtherDeductions allocated and apportioned at corporate level to foreign source incomePassive categoryGeneral categoryOther (attach statement)Other informationTotal foreign taxes (check one): Paid AccruedReduction in taxes available for credit (attach statement)Other foreign tax information (attach statement)Post-1986 depreciation adjustmentAdjusted gain or lossDepletion (other than oil and gas)Oil, gas, and geothermal properties--gross incomeOil, gas, and geothermal properties--deductionsOther AMT items (attach statement)Tax-exempt interest incomeOther tax-exempt incomeNondeductible expensesDistributions (attach statement if required) (see instructions)Repayment of loans from shareholdersInvestment incomeInvestment expensesDividend distributions paid from accumulated earnings and profitsOther items and amounts (attach statement)
Combine the amounts on lines 1 through 10 in the far rightcolumn. From the result, subtract the sum of the amounts on lines 11 through 12d and 14l
Form (2010)
Shareholders' Pro Rata Share Items Total amount11 1112a 12a
Deduc- b 12btionsc (1) (2) 12c(2)d 12d
13a 13ab 13bc 13c
Credits d 13de 13ef 13fg 13g
14ab 14bc 14c
d 14de 14ef 14f
Foreigng 14gTrans-
actions h 14h
i 14ij 14jk 14k
l 14lm 14mn
15a 15aAltern-b 15bative
Mini- c 15cmum
d 15dTax(AMT) e 15eItems f 15f
16a 16aItemsAffect- b 16bing c 16cShare-holder d 16dBasis e 16e
17a 17aOther b 17bInform-
c 17cationd
Recon- 18 Income/loss reconciliation.ciliation18
10 1120S34
3
1120S
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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. . . . .
125,000 1,500
5,000 40,000 4,000
92,300
CAPE CRUSADERS 11-1111111
#3
#4
Sample ReturnSample Return
Mortgages, notes, bonds payable in less than 1 yr
Mortgages, notes, bonds payable in 1 year or more
Adjustments to shareholders' equity (attach stmt.)
Income (loss) (Schedule K, line 18). Line 4 less line 7
Balance at end of tax year. Subtract line 7 from line 6
TWF 39196 Copyright Forms (Software Only) - 2010 TWJVA
Form 1120S (2010) PageBeginning of tax year End of tax year
CashTrade notes and accounts receivableLess allowance for bad debts ( ) ( )InventoriesU.S. government obligationsTax-exempt securities (see instructions)Other current assets (attach statement)Loans to shareholdersMortgage and real estate loansOther investments (attach statement)Buildings and other depreciable assetsLess accumulated depreciation ( ) ( )Depletable assets
(Less accumulated depletion ( ) )Land (net of any amortization)Intangible assets (amortizable only)Less accumulated amortization ( ) ( )Other assets (attach statement)Total assets
Accounts payable
Other current liabilities (attach statement)Loans from shareholders
Other liabilities (attach statement)Capital stockAdditional paid-in capitalRetained earnings
)Less cost of treasury stock ( ) (Total liabilities and shareholders' equity
Schedule M-3 required instead of Schedule M-1 if total assets are $10 million or more -- see instructionsIncome recorded on books this year notNet income (loss) per booksincluded on Schedule K, lines 1 throughIncome included on Schedule K, lines 1, 2, 10 (itemize):3c, 4, 5a, 6, 7, 8a, 9, and 10, not recordedTax-exempt interest $on books this year (itemize):
Expenses recorded on books this year not Deductions included on Schedule K, linesincluded on Schedule K, lines 1 through 1 through 12 and 14l, not charged against12 and 14l (itemize): book income this year (itemize):Depreciation $ Depreciation $Travel and entertainment $
Add lines 5 and 6Add lines 1 through 3
(see instructions)Shareholders'Accumulated Other adjustments undistributed taxableadjustments account account income previously taxed
Balance at beginning of tax yearOrdinary income from page 1, line 21Other additionsLoss from page 1, line 21 ( )Other reductions ( ) ( )Combine lines 1 through 5Distributions other than dividend distributions
Form (2010)
Balance Sheets per BooksAssets (a) (b) (c) (d)
12ab
3456789
10ab
11ab
1213a
b1415
Liabilities and Shareholders' Equity161718192021222324252627
512
a
3 6
a ab
74 8
(c)(a) (b)
12345678
10 1120S34
4Schedule L
Schedule M-1 Reconciliation of Income (Loss) per Books With Income (Loss) per ReturnNote:
Schedule M-2 Analysis of Accumulated Adjustments Account, Other Adjustments Account, andShareholders' Undistributed Taxable Income Previously Taxed
1120S
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .
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. .
199,039 807,022 2,500 3,300
2,500 3,300 95,000 66,000 11,000 12,000
125,000 125,000
10,000 10,000
317,539 898,322 155,456 8,000
680,939 5,000 5,000 157,083 204,383
317,539 898,322
87,300
5,000 5,000 92,300 92,300
157,083 169,800 49,000 131,500 244,383 40,000 204,383
CAPE CRUSADERS 11-1111111
#7
#5#6
Sample ReturnSample Return
Department of the TreasuryInternal Revenue Service
JVA TWF 39033 Copyright Forms (Software Only) - 2010 TW
OMB No. 1545-0130
Name
Description of property Date acquired Date sold Cost or otherSales price
(Example: 100 shares of Z Co.) (mo., day, yr.) (mo., day, yr.) basis (see inst.) (Subtract (e) from (d))
Short-term capital gain from installment sales from Form 6252, line 26 or 37Short-term capital gain or (loss) from like-kind exchanges from Form 8824Combine lines 1 through 3 in column (f)
(Tax on short-term capital gain included on line 21 below )Combine lines 4 and 5. Enter here and on Form 1120S,
Schedule K, line 7 or 10
Description of property Date acquired Date sold Cost or otherSales price
(Example: 100 shares of Z Co.) (mo., day, yr.) (mo., day, yr.) basis (see inst.) (Subtract (e) from (d))
Long-term capital gain from installment sales from Form 6252, line 26 or 37Long-term capital gain or (loss) from like-kind exchanges from Form 8824Capital gain distributionsCombine lines 7 through 10 in column (f)
(Tax on long-term capital gain included on line 21 below )Combine lines 11 and 12. Enter here and on Form 1120S,
Schedule K, line 8a or 10
(See instructions completing this part.)
Excess of recognized built-in gains over recognized built-in losses (attach computation schedule)Taxable income (attach computation schedule)Net recognized built-in gain. Enter the smallest of line 14, line 15, or line 6 of Schedule BSection 1374(b)(2) deductionSubtract line 17 from line 16. If zero or less, enter -0- here and on line 21Enter 35% of line 18Section 1374(b)(3) business credit and minimum tax credit carryforwards from C corporation years
Subtract line 20 from line 19 (if zero or less, enter -0-). Enter here and on Form 1120S,page 1, line 22b
Attach to Form 1120S.See separate instructions.
Employer identification number
(a) (b) (c) (e) (f) Gain or (loss)(d)
1
2 23 34 45 56 Net short-term capital gain or (loss).
6
(a) (b) (c) (e) (f) Gain or (loss)(d)
7
8 89 9
10 1011 1112 12
Net long-term capital gain or (loss).1313
before
14 1415 1516 1617 1718 1819 1920 2021 Tax.
21For Paperwork Reduction Act Notice, see the Instructions for Form 1120S. Schedule D (Form 1120S) 2010
10 1120SD1
SCHEDULE D(Form 1120S)
Part I Short-Term Capital Gains and Losses -- Assets Held One Year or Less
Part II Long-Term Capital Gains and Losses -- Assets Held More Than One Year
Part III Built-in Gains Tax
Capital Gains and Losses and Built-in Gains2010j
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CAPE CRUSADERS 11-1111111
FROM SCH K-1 REC'DJ AND M PARTNERSHIPVARIOUS VARIOUS 30000 30000
30000
30000
100SHRSINTEL STOCK 04-01-200306-01-2008 30000 5000 25000FROM SCH K-1 REC'DJ AND M PARTNERSHIPVARIOUS VARIOUS -10000 -10000
15000
15000
Sample ReturnSample Return
Department of the TreasuryInternal Revenue Service
Consolidated return(attach Form 851)Life/nonlife consoli-dated returnPersonal holding co.(attach Sch. PH)Personal service corp.(see instructions)
Schedule M-3attached
Less returns and allowances Bal
Bal
Form 4136Form 2439
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules & statements, & to the best of my knowledge & belief, it is true,correct, & complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
May the IRS discuss this returnwith preparer shown below(see inst.)?
TWF 38905 Copyright Forms (Software Only) - 2010 TWJVA
OMB No. 1545-0123Form
Name No., street, and room or suite no. City/town, state, and ZIP code
Date incorporated
Total assets (see instructions)
Check if: Initial return Final return Name change Address changeGross receipts/salesCost of goods sold (Schedule A, line 8)Gross profit. Subtract line 2 from line 1cDividends (Schedule C, line 19)InterestGross rentsGross royaltiesCapital gain net income (attach Schedule D (Form 1120))Net gain or (loss) from Form 4797, Part II, line 17 (attach Form 4797)Other income (see instructions -- attach schedule)
Add lines 3 through 10Compensation of officers (Schedule E, line 4)Salaries and wages (less employment credits)Repairs and maintenanceBad debtsRentsTaxes and licensesInterestCharitable contributionsDepreciation from Form 4562 not claimed on Schedule A or elsewhere on return (attach Form 4562)DepletionAdvertisingPension, profit-sharing, etc., plansEmployee benefit programsDomestic production activities deduction (attach Form 8903)Other deductions (attach schedule)
Add lines 12 through 26Taxable income before net operating loss deduction and special deductions. Subtract line 27 from line 11
Net operating loss deduction (see instructions)Special deductions (Schedule C, line 20)
Subtract line 29c from line 28 (see instructions)(Schedule J, line 10)
2009 overpayment credited to 20102010 estimated tax payments2010 refund applied for on Form 4466 ( )Tax deposited with Form 7004Credits:Refundable credits from Form 3800, line 19c, and Form 8827, line 8cEstimated tax penalty (see instructions). Check if Form 2220 is attached
If line 32h is smaller than the total of lines 31 and 33, enter amount owedIf line 32h is larger than the total of lines 31 and 33, enter amount overpaid
Enter amt. from line 35 you want:
Signature of officer Date TitlePrint/Type preparer's name Preparer's signature Date Check if PTIN
self-employedFirm's EINFirm's namePhone no.Firm's address
Form (2010)
For calendar year 2010 or tax year beginning , 2010, end. , 20See separate instructions.
A Check if: B Employer identification no.1ab Print C
or2type3 D
$4(1) (2) (3) (4)E
1a b c 1c2 23 34 4I5 5N
C 6 6O
7 7ME 8 8
9 910 1011 Total income. 1112 12D
E 13 13D
L 14 14UIC 15 15MTII 16 16TOA 17 17NTS 18 18I
S O 19 19E NE 20S 20I O 21 21N N 22 22S
DT 23 23ERDU 24 24UCC 25 25TTI 26 26IOON 27 Total deductions. 27NS
28S 28F
29 Less: a 29aOR b 29b 29c
30Taxable income.30CR 3131 Total taxT E
A D 32a 32aX Ib 32bT
SR c 32c d 32dE A e 32eF NU D (2)f (1) 32fN
PD g 32g 32hAA3333B Y
L M 34Amount owed.34E EN 3535 Overpayment.TS 3636 Credited to 2011 estimated tax Refunded
Yes No
For Paperwork Reduction Act Notice, see separate instructions.10 112012
SignHere
PaidPreparerUse Only
1120
U.S. Corporation Income Tax Return11202010j
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INCOME CALCULATION FOR LOUISIANA USE 11-1111111 CAPE CRUSADERS 567 WAYNE LANE MANHATTAN NY 10001 600,000 600,000 59,000 541,000 1,000 3,000
45,000
590,000 250,000 55,000 100
60,000 1,500 125,000
6,100 497,700 92,300
Sample ReturnSample Return
Entity is not requiredto file franchise tax.
First time filing ofCal. yr. returns are due See inst. for fiscal years. this form.Mark the appropriate box forShort period or Final return.
less federal tax refund applicable to loss
less federal tax refund applicable to loss
TWF 42462Copyright Forms(Software Only) - 2010 TW
CIFT-620 - SD (1/11)(Not FEIN):
Post Office Box 91011Baton Rouge, LA 70821-9011 Legal Name
Name change.Louisiana Corporation Louisiana Corporation Trade Name
Return for Return Amended return.or Fiscal Year for or Fiscal Year Address
BegunBegun , 2010 , 2011Ended , 2012Ended , 2011
Final return State ZIPCityShort period return
Enter the corporation's name and complete mailing address above.
A. A.Federal Employer Identification Number
B. Federal taxable income B.
C. C.Federal income tax
D. Income tax apportionment percentage (two decimal places) D. %
E. Gross revenues E.
Total assets F.F.
G. NAICS code G.
H. Was the income of this corporation included in a consolidated federal income tax return? NoH. Yes
I. Is CIFT-620A, Apportionment and Allocation Schedules included with this return? I. NoYes
J.J. Do the books of the corporation contain intercompany debt? Yes No
1A. Louisiana net income before loss adjustments and federal income tax deduction --From either CIFT-620 Schedule D, Line 13 OR from CIFT-620A Schedule P, Line 31 1A.
1B. Subchapter S corporation exclusion -- Attach schedule. 1B.
Loss1C. Attach schedule.$ $ 1C.carryforwardLoss1D. $$ 1D.Attach schedule.carryback
1E. Federal income tax deduction 1E.
1E1. Federal Disaster Relief Credits 1E1.
1F. Louisiana taxable income -- Subtract Lines 1B, 1C, 1D, and 1E from Line 1A. 1F.
2. Louisiana income tax -- From CIFT-620 Schedule E, Line 4 2.
3. Total nonrefundable income tax credits -- From CIFT-620 Schedule NRC, Line 10 3.
4. Income tax after nonrefundable credits -- Subtract Line 3 from Line 2. 4.
5.5. Estimated tax payments -- From CIFT-620 Schedule I, Line 7
6.6. Amount of income tax due or overpayment -- Subtract Line 5 from Line 4.
Enter your LA Revenue Account For officeuse only.Louisiana Department of Revenue Number here
Check box if:
Income Tax Franchise Tax2010 2011
April 15.
Computation of Income Tax
10 LA6201Vendor Code:
FOR OFFICE USE ONLY.Field flag
SPECCODE
* Complete the following page, sign and date return and remitany amount due shown on Line 25. Do not send cash.
www.revenue.louisiana.gov
][[ ][[ ] ]
2121
2118
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CAPE CRUSADERS
567 WAYNE LANE
MANHATTAN NY 10001
11-1111111 92,300
4.43 600,000 898,322 999999
XX
X
4,620
4,620 185
185
185
20404 243 12312010 00000000 00000185009 8
Sample ReturnSample Return
Total capital stock, surplus, & undivided profits -- From CIFT-620 Schedule A-1, Line 25, Column 2.
Enter name of officer Signature of preparer
Signature of officer Firm name
Title of officer Telephone Date
Telephone Date
TWF 42463 Copyright Forms (Software Only) - 2010 TW
LA CIFT-620 SD (2010) Page 2
7A.7A.Franchise tax apportionment percentage -- From CIFT-620A Schedule N, either Line 1D OR Line 4 --7B.
%7B.Percentage must be carried out to 2 decimal places. Do not exceed 100.00%.
7C. Franchise taxable base -- Multiply Line 7A by Line 7B. 7C.
8.Amount of assessed value of real and personal property in Louisiana in 20108.
9. 9.Louisiana franchise tax -- From CIFT-620 Schedule F, Line 6
Total nonrefundable franchise tax credits -- From CIFT-620 Schedule NRC, Line 11 10.10.
11. Franchise tax after nonrefundable credits -- Subtract Line 10 from Line 9. 11.
12. Previous payments 12.
13. Amount of franchise tax due or overpayment -- Subtract Line 12 from Line 11. 13.
14. 14.Total income and franchise tax due or overpayment -- Add Lines 6 and 13.
15. 15.Louisiana Citizens Insurance Credit
15A. Other refundable credits -- From CIFT-620 Schedule RC, Line 6 15A.
15B. Subtotal -- Add Lines 15 and 15A and enter the result. 15B.
16.16. Net income and franchise taxes
17.17. Amount of overpayment you want to donate to The Military Family Assistance Fund
18.18. Amount of you want
19. Amount of you want to 2011 19.
20. Amount due -- If Line 14 is greater than Line 15B, subtract Line 15B from Line 14 and enter the result. 20.
21. Delinquent filing penalty 21.
22. Delinquent payment penalty 22.
23. Interest 23.
24. Additional donation to The Military Family Assistance Fund 24.
25. 25.Total amount due -- Add Lines 20 through 24.
Under the penalties of perjury, I declare that I have examined this return, including all accompanying documents, and to the best of my knowledge andbelief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which he has any knowledge.
Enter your LA Revenue Account Number here.
Computation of Franchise Tax
Net Amount Due
overpayment.
overpayment Refunded
overpayment Credited
10 LA6202
Make payment to Louisiana Department of Revenue. DO NOT SEND CASH.
2119
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3.72
185
185
185
BATWOMANARTHUR DIMARSKY
VICE PRESIDENT (646)637-3269
CAPE CRUSADERS 11-1111111
Sample ReturnSample Return
Total Income Tax Credits: Add credit amounts in Column A. Enter here and on CIFT-620, Line 3.
Total Franchise Tax Credits: Add credit amounts in Column B. Enter here and on CIFT-620, Line 10.
Donations of Materials, Equip-ment, Advisors, Instructors
La Community Economic Dev
Ports of Louisiana Investor
Motion Picture Infrastructure
Biomed/University Research
Manufacturing Establishments
Sugarcane Trailer Conversion
Retention and Modernization
Ad Valorem Offshore Vessels Technology Commercialization
Telephone Company Property
Prison Industry Enhancement Research and DevelopmentSchool Readiness Business-- Supported Child Care
School Readiness Fees andGrants to Resource andReferral Agencies
TWF 42464 Copyright Forms (Software Only) - 2010 TW
LA CIFT-620 SD (2010) Page 3
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Premium Tax Neighborhood Assistance Motion Picture ResidentBone Marrow Cane River Heritage Area Capital CompanyNonviolent Offenders Other LCDFI Credit
Atchafalaya TraceQualified Playgrounds Apprenticeship New MarketsPreviously UnemployedDebt Issuance Brownfields InvestorRecycling Credit Ports of Louisiana ImportContributions to
Export CargoEducational Institutions Basic Skills Training OtherDedicated Research Motion Picture InvestmentDonations to
Public Schools New Jobs Credit Research & Development Tax EqualizationRefunds by Utilities Historic StructuresEligible Re-entrants Digital Interactive Media Enterprise Zone
Other
1.
2.
3.
4.
5.
6. Total: Add lines 1 through 5. Enter the result here and on Line 15A.
Inventory Tax Mentor-Protege Wind and Solar EnergySystemsAd Valorem Natural Gas Milk ProducersSchool Readiness Child Conversion of VehicleCare Provider to Alternative FuelAngel Investor
Musical and TheatricalProductionUrban Revitalization Other Refundable
Enter your LA Revenue Account Number here.
Schedule NRC -- Nonrefundable Tax Credits, Exemptions, and RebatesCorporation CorporationDescription Code Income Tax (A) Franchise Tax (B)
DescriptionDescription Code Code Description Code Description Code100 230 256
175120 232 257
199140 234 258200150 236 259208155 238 260210 261240160212 299220 251 300
170224 252 305226 253 310228 254 315
399
Schedule RC -- Refundable Tax Credits and RebatesDescription Code Amount of Credit Claimed
F
F
F
F
F
DescriptionDescription Code Description Code Code Description Code50F 57F 69F
64F51F 58F 70F52F 59F
65F 71F54F 61F
72F55F 67F62F56F 80F
68F
10 LA6203
00
2120
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CAPE CRUSADERS 11-1111111
Sample ReturnSample Return
TWF 42465 Copyright Forms (Software Only) - 2010 TW
LA CIFT-620 SD (2010) Page 4
1. CashTrade notes and accounts receivable2.
3. Reserve for bad debts )( ) (4. Inventories5. Investment in United States government obligations6. Other current assets -- Attach schedule.7. Loans to stockholders8. Stock and obligations of subsidiaries9. Other investments -- Attach schedule.10. Buildings and other fixed depreciable assets11. Accumulated amortization and depreciation )( ) (12. Depletable assets13. Accumulated depletion )( ) (
Land14.15. Intangible assets16. Accumulated amortization )( ) (17. Other assets -- Attach schedule.18. Excessive reserves or undervalued assets -- Attach schedule.
20. Accounts payable21. Mortgages, notes, and bonds payable one year old or less at balance sheet date and
having a maturity of one year or less from original date incurred22. Other current liabilities -- Attach schedule.23. Loans from stockholders -- Attach schedule.24. Due to subsidiaries and affiliates25. Mortgages, notes, and bonds payable more than one year old at balance sheet date
or having a maturity of more than one year from original date incurred26. Other liabilities -- Attach schedule.27. Capital stock: a. Preferred stock
b. Common stock28. Paid-in or capital surplus29. Surplus reserves -- Attach schedule.30. Earned surplus and undivided profits31. Excessive reserves or undervalued assets
Enter your LA Revenue Account Number here.All applicable schedules must be completed.
Schedule A -- Balance Sheet
1. Beginning of year 2. End of yearASSETS
19. Totals -- Add Lines 1 through 18.
Liabilities and Capital
32. Totals -- Add Lines 20 through 31.
10 LA62042122
j
199,039 807,022 2,500 3,300 95,000 66,000 11,000 12,000
125,000 125,000
10,000 10,000
317,539 898,322
155,456 8,000
680,939
5,000 5,000
157,083 204,383 317,539 898,322
CAPE CRUSADERS 11-1111111
Sample ReturnSample Return
TWF 42466 Copyright Forms (Software Only) - 2010 TW
LA CIFT-620 SD (2010) Page 5
For Schedule A-1 see Revenue Information Bulletin (RIB) 05-026 and Revenue Ruling (RR) 06-010.Complete lines 1 through 11 only if there is an end of year balance in the ``Due to Subsidiaries and
Affiliates" account or an on the books of the corporation.
1. Capital Stock:1A. Common Stock -- Include paid-in or Capital Surplus1B. Preferred Stock -- Include paid-in or Capital Surplus
2. Total Capital stock -- Add Lines 1A and 1B.3. Surplus and undivided profits4. Surplus reserves -- Include any excessive reserves or undervalued assets.5. Total -- Add Lines 2, 3, and 4.6. Due to subsidiaries and affiliates7. Deposit liabilities to affiliates -- Included in the amount on Line 68. Accounts payable less than 180 days old -- Included in the amount on Line 69. Adjusted debt to affiliates -- Subtract Lines 7 and 8 from Line 6.
10A. If Line 9 is greater than zero, AND Line 5 is greater than or equal to zero, subtract Line 5 from Line 9. If bothconditions of this line do not apply, skip to Line 10B.
10A1. If Line 10A is less than zero, enter zero on Line 11 and Line 24, column 2. If Line 10A is greater than zero,multiply Line 10A by 50 percent and enter this amount on Line 11 and Line 24, column 2.
10B. If Line 9 is greater than zero, AND Line 5 is less than or equal to zero, subtract Line 5 from Line 9.Multiply the difference by 50 percent and enter the result here.
10B1. Enter the lesser of Line 9 or Line 10B on Line 11 and Line 24, column 2. If Line 9 equals Line 10B, enter thatamount on Line 11 and on Line 24, column 2.
11. Enter the amount from either Line 10A1 or 10B1.
12. Accounts payable13. Mortgages, notes and bonds payable one year old or less at balance sheet date and
having a maturity of one year or less from original date incurred.14. Other current liabilities -- Attach Schedule.15. Loans from stockholders -- Attach Schedule.16. End of year balance due to subsidiaries and affiliates.17. Mortgages, notes and bonds payable more than one year old at balance sheet date
or having a maturity of more than one year from original date incurred.18. Other liabilities -- Attach schedule.19. Capital Stock: Common Stock
Preferred Stock20. Paid-in or capital surplus -- Include items of paid-in capital in excess of par value.21. Surplus reserves -- Attach schedule.22. Earned surplus and undivided profits23. Excess reserves or undervalued assets24. Additional surplus and undivided profits -- From Line 11 above
All items of capital, surplus and undivided profits must be included in the franchise taxable base. Column 1 should reflect the values of anyliabilities and capital as shown on the books of the corporation. Enter in Column 2 those items of Column 1 that are included in the franchisetaxable base.
Enter your LA Revenue Account Number here.
All applicable schedules must be completed.equivalent account
Schedule A-1 Computation of Franchise Tax Base
1 2End of year Amounts in Col 1 that are
included in the franchisetaxable base.
25. Total -- Add the amounts on Lines 12 through 24 in each column. Enter the totalof Column 2 on CIFT-620, Line 7A. Round to the nearest dollar.
Note:
10 LA6205
2123
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CAPE CRUSADERS 11-1111111
Sample ReturnSample Return
Total -- Add Lines 1, 2, and 3. Balance at end of year -- Subtract Line 7 from Line 4.
Louisiana net income before S corporation exclusion, loss adjustments, and federal income tax deduction -- Add the amount on Line 1
to the amount on Line 6, and subtract the amount on Line 12. Round to the nearest dollar. Enter here and on CIFT-620, Line 1A.
TWF 42467 Copyright Forms (Software Only) - 2010 TW
LA CIFT-620 SD (2010) Page 6
1. Balance at beginning of year 5. Distributions: a. Cash
2. Net income per books b. Stock
3. Other increases -- Itemize. c. Property
6. Other decreases -- Itemize.
7. Total -- Add Lines 5 and 6.4. 8.
1. Federal taxable income
2. Net operating loss deduction claimed on federal return3. Dividends received deduction claimed on federal return4. Louisiana income tax deducted on federal return5. Other additions to federal taxable income -- Attach schedule.6. Total additions -- Add Lines 2 through 5.
7. Refunds of Louisiana income tax reported on federal return8. Louisiana depletion in excess of federal depletion -- Attach schedule.9. Expenses not deducted on the federal return due to Internal Revenue Code Section 280(C)10. Road Home -- The amount included in federal taxable income.11. Other subtractions -- Attach schedule.12. Total subtractions -- Add Lines 7 through 11.13.
Enter your LA Revenue Account Number here.All applicable schedules must be completed.
Schedule C -- Analysis of Schedule A, Line 30, Column 2 -- Earned surplus and undivided profits per books
Schedule D -- Computation of Louisiana Taxable IncomeSchedule D need not be completed if Form CIFT-620A, Schedule P is filed with this return.
Additions to Federal Taxable Income
Subtractions from Federal Taxable Income
Schedule B omitted on purpose.
10 LA62062124
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157,083 40,000 39,300
40,000 196,383 156,383
CAPE CRUSADERS 11-1111111
Sample ReturnSample Return
TWF 42468 Copyright Forms (Software Only) - 2010 TW
Page 7LA CIFT-620 SD (2010)
1. Enter the amount of net taxable income from CIFT-620, Line 1F.
2. Calculation of tax Net incomeTAXin each bracket
a. First $25,000 of net income x 4% =b. Next $25,000 x 5% =c. Next $50,000 x 6% =d. Next $100,000 x 7% =e. Over $200,000 x 8% =
3. Add the amounts in Column 1, Lines 2a through 2e and enter the result.4. Add the amounts in Column 2, Lines 2a through 2e. Round to the nearest
dollar. Enter in Column 2 and on CIFT-620, Line 2.
1. Enter the amount from CIFT-620, Line 7C or Line 8, whichever is greater.2. Enter the amount of Line 1 or $300,000, whichever if less.3. Multiply the amount on Line 2 by $1.50 for each $1,000 or major fraction and enter the result.4. Subtract Line 2 from Line 1 and enter the result.5. Multiply the amount on Line 4 by $3.00 for each $1,000 or major fraction and enter the result.6. Add Lines 3 and 5. Round to the nearest dollar. Enter the result here and on CIFT-620, Line 9.
1. Enter the total net income calculated under federal law before special deductions.2.
a. Louisiana income taxb.c.d.e.f.
a. Dividendsb. Interestc. Road Home -- The amount included in federal taxable incomed.e.f.
3. Louisiana net income from all sources -- The amount should agree with Form CIFT-620A, Schedule P, Line 26.
Enter your LA Revenue Account Number here.All applicable schedules must be completed.
Schedule E -- Calculation of Income Tax
Column 1Column 2
RATE
Schedule F -- Calculation of Franchise Tax
Schedule G -- Reconciliation of Federal and Louisiana Net IncomeSchedule G is required if Form CIFT-620A, Apportionment and Allocation Schedules are filed with this return.
Important! See R.S. 47:287.71 and R.S. 47:287.73 for information.
Additions to federal net income:
Subtractions from federal net income:
10 LA62072125
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4,620
4,620 185
4,620 185
92,300 60,000
3,000
149,300
CAPE CRUSADERS 11-1111111
Sample ReturnSample Return
TWF 42469 Copyright Forms (Software Only) - 2010 TW
LA CIFT-620 SD (2010) Page 8
7. Income recorded on books this year, but not1. Net income per books2. included in this return -- Itemize.Louisiana income tax3. Excess of capital loss over capital gains4. Taxable income not recorded on books
this year -- Itemize. 8. Deductions in this tax return not chargedagainst book income this year:a. Depreciationb. Depletion
5. c. OtherExpenses recorded on books this year,but not deducted in this return:a. Depreciationb. Depletionc. Other
9. Total -- Add Lines 7 and 8.10.Net income from all sources per return --
6. Subtract Line 9 from Line 6.Total -- Add Lines 1 through 5.
1. Credit from prior year return2. First quarter estimated payment3. Second quarter estimated payment4. Third quarter estimated payment5. Fourth quarter estimated payment6. Payment made with extension request7. Total
1. 5.Indicate principal At the end of the taxable year, did you directly or indirectly own 50% ormore of the voting stock of any corporation or an interest of any part-place of business.
2. nership, including any entity treated as a corporation or partnership?Describe the nature of your business activity and specify yourYes Noprincipal product or service, both in Louisiana and elsewhere.
If ``yes," show name, address, and percentage owned.Louisiana:
Elsewhere:
6. At the end of the tax year, did any corporation, individual, partnership,trust, or association directly or indirectly own 50% or more of your voting
3. stock? Yes NoIndicate date & state of incorporation.4. If ``yes," show name, address, and percentage owned.Indicate parishes in which property is located.
All applicable schedules must be completed. Enter your LA Revenue Account Number here.
Schedule H -- Reconciliation of Income Per Books with Income Per Return
Schedule I -- Summary of Estimated Tax Payments
Check number Date Amount
Additional Information Required
10 LA62082126
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39,300 60,000
OTHERTRAVEL & ENTERTAINMENT 5,000
104,300 104,300
XUNCLASSIFIED
05-01-2002 LA X
CAPE CRUSADERS 11-1111111
Sample ReturnSample Return
Investment in U.S. govt. obligations
Stock and obligations of subsidiaries
Other investments -- Attach schedule
Other intangible assets -- Attach sch.
Total intangible assets -- Add Lines 1-9
Bldgs. and other depreciable assets
Other real & tangible assets --Attach schedule
Add Lns. 10 & 19
Total -- Add the amounts in Cols. 2 & 3. Calculate the ratio andenter the result in Col. 4. For taxpayers whose primary businessis manufacturing, use this apportionment ratio.
Divide Line 3 by applicable number of ratios. Enter here and on CIFT-620, Line 7B
TWF 42470A Copyright Forms (Software Only) - 2010 TW
CIFT-620A-SD (1/11)
Income taxable period coveredName as shown on CIFT-620
1. Items 2. Beginning of year 3. End of year 4. End of year 5. Beginning of year 6. End of year
1. Cash2. Notes and accounts receivable3. Reserve for bad debts ( ) ( ) ( )4.5.6.7. Loans to stockholders8.9. Accumulated depreciation ( ) ( ) ( )
10.
11. Inventories12.13. Accumulated depreciation ( ) ( ) ( ) ( ) ( )14. Depletable assets15. Accumulated depletion ( ) ( ) ( ) ( ) ( )16. Land17.18. Excessive reserves, assets
not reflected on books, orundervalued assets
19. Total real and tangible assets --Add Lines 11 through 18
20.21. Enter amt. above22. Less real & tangible assets
used in production of net appor-tionable income -- Attach sch
23. Balance24. Beginning of year balance25. Total -- Add Lines 23 and 24
.26. Franchise tax property ratio (Line 20, Column 4 - Line 20, Column 3). %.27. Income tax property ratio (Line 25, Column 6 - Line 25, Column 3). %
1. Net sales of merchandise, charges for services,and other revenuesA. Sales
Charges for servicesB.C. Other Revenues
(i) Rents and royalties(ii) Dividends and interest from subsidiaries
Other dividends and interest(iii)(iv) All other revenues
D.%
2. Franchise tax property ratio -- Enter in Column 4 the percentage from Schedule M, Line 26 %Total of applicable percents in Column 4 %3.Average of percents -- %4.
COMPLETE ALL APPLICABLE SCHEDULES.Enter your LA Revenue Account Number here.
Schedule M -- Computation of Corporate Franchise Tax and Income Tax Property RatiosLocated in Louisiana
Located everywhere Franchise tax Income tax property factorproperty factor
Intangible assets
Real and tangible assets
Total assets --from Line 19
not
Schedule N -- Computation of Corporate Franchise Tax Apportionment Percentage.1. Description of items used as ratios 2. Total amount 3. Louisiana amount (Col. 3 -. Col. 2)4. Percent
For ManufacturersThis is your apportionment ratio.Enter here & on Page 2, Line 7B ofCIFT-620. Do NOT proceed further.
10 LA620A1
T
Corporation Apportionment and Allocation Schedules
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CAPE CRUSADERS 01-01-2010 TO 12-31-2010
199039 807022 2500 3300
11000 12000
212539 822322 95000 66000 4500 7000 4500
125000 125000
10000 10000
105000 76000 4500 7000 4500 317539 898322 4500 105000 76000 7000 4500
105000 76000 7000 4500 105000 7000 181000 11500
0.50 6.35
600000 45000
4000 45000 649000 45000 6.93
0.50 7.43 3.72
Sample ReturnSample Return
If separate (direct) method of reporting is used, enter here and on Line 31.
Louisiana net income before loss adjustments and federal income tax deduction -- Add Column 3, Line 29 toColumn 3, Line 30E. Enter the result or the amount on Line 25, whichever is applicable, here and on FormCIFT-620, Line 1A. Round to the nearest dollar.
Total -- Add the amounts in Columns 2 and 3. Calculate theratio and enter the result in Column 4. For taxpayers whoseprimary business is manufacturing or merchandising, usethis apportionment ratio.
Wages, salaries, & other personal service comp. pd. during year --Enter amts. in Col. 2 & Col. 3. Calculate ratio & enter result in Col. 4.Income tax property ratio -- Enter percentage from Schedule M, Line 27
Average of percents -- Multiply this result by the amount on Schedule P, Line 28 to determine the amount ofLouisiana apportionable income
TWF 42471 Copyright Forms (Software Only) - 2010 TW
Page 2LA CIFT 620A-SD (1/11)
(Lines 1 through 25)Less returns and allowances1. Gross receipts
2. Less: Cost of goods sold and/or operations -- Attach schedules.3. Gross profit4. Gross rents5. Gross royalties
Income from estates, trusts, partnerships6.Income from construction, repair, etc.7.
8. Other income -- Attach schedule.
10. Compensation of officers11. Salaries and wages (not deducted elsewhere)12. Repairs -- Do not include cost of improvements or capital expenditures.13. Bad debts14. Rent15. Taxes -- Attach schedule.16. Interest17. Contributions18. Depreciation -- Attach schedule.19. Depletion -- Attach schedule.20. Advertising21. Pension, profit sharing, stock bonus, and annuity plans22. Other employee benefit plans23. Other deductions -- Attach schedule.
Net income from LA sources --25.26. Net income from all sources -- Subtract Column 3, Line 24 from Column 3, Line 9.27. Allocable income from all sources -- Attach schedule supporting each amount.
A. Net rents and royalties from immovable or corporeal movable propertyRoyalties from the use of patents, trademarks, etc.B.Income from estates, trusts, and partnershipsC.
D. Income from construction, repair, etc.E. Other allocable income
28. Net income subject to apportionment -- Subtract Line 27E, Column 3 from Line 26, Col. 3.29. Net income apportioned to Louisiana
Allocable income from LA sources -- Attach schedule supporting each amount.30.Net rents and royalties from immovable or corporeal movable propertyA.Royalties from the use of patents, trademarks, etc.B.Income from estates, trusts, and partnershipsC.
D. Income from construction, repair, etc.Other allocable incomeE.
31.
Net sales of merchandise and/or charges for services1.A. SalesB. Charges for servicesC. Other gross apportionable incomeD.
2.
3.Total of percents in Column 44.
5.
Enter your LA Revenue Account Number here.Schedule P -- Computation of Louisiana Net Income
Column 3 must be completed. Column 2 must also be completed if the separate accounting method is used. Those corporations employingthe separate accounting method should review R.S. 47:287.94H for guidance.
1. Items 2. LA amounts 3. Totals
9. Total income -- Add Lines 3 through 8.
24. Total deductions -- Add Lines 10 through 23.
Schedule Q -- Computation of Income Tax Apportionment Percentage.1. Description of items used as ratios 2. Total amount 3. Louisiana amount 4. Percent (Col. 3. Col. 2)--.
For Manufacturers / Merchandisers. This isyour apportionment ratio. Use this result indetermining inc. apportioned to LA. on Ln.29, Sch. P above. Do NOT proceed further.
%%%%%
10 LA620A2
TVT
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600000 600000 59000 541000
1000 542000 250000 55000 100
1500 125000
6100 437700 104300
104300 4620
4620
600000 45000 49,000 649000 45000 6.93 305000 0.00
6.35 13.28 4.43
CAPE CRUSADERS 11-1111111
Sample ReturnSample Return
JVA Copyright Forms (Software Only) - 2010 TW B0427S 10_SLAK1
For income year beginning , and endingCorporation Name Employer Identification Number
Federal Identifying Number orSocial Security Number
Number of Shares atend of S Corps Taxable year
Nonresident Yes No
Distribution share of S-Corp Net Income
Name and address of shareholder
FORM LA-CIFT-620LOUISIANA S CORPORATION 2010
SHAREHOLDERS' INFORMATION
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01-01-2010 12-31-2010CAPE CRUSADERS 11-1111111
111-11-1111BATMAN567 WAYNE LANEMANHATTAN NY 10001 XSample ReturnSample Return
JVA Copyright Forms (Software Only) - 2010 TW B0427S 10_SLAK1
For income year beginning , and endingCorporation Name Employer Identification Number
Federal Identifying Number orSocial Security Number
Number of Shares atend of S Corps Taxable year
Nonresident Yes No
Distribution share of S-Corp Net Income
Name and address of shareholder
FORM LA-CIFT-620LOUISIANA S CORPORATION 2010
SHAREHOLDERS' INFORMATION
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01-01-2010 12-31-2010CAPE CRUSADERS 11-1111111
222-22-2222ROBIN44 BAT CAVE ROADMANHATTAN NY 10001 XSample ReturnSample Return
JVA Copyright Forms (Software Only) - 2010 TW B0427S 10_SLAK1
For income year beginning , and endingCorporation Name Employer Identification Number
Federal Identifying Number orSocial Security Number
Number of Shares atend of S Corps Taxable year
Nonresident Yes No
Distribution share of S-Corp Net Income
Name and address of shareholder
FORM LA-CIFT-620LOUISIANA S CORPORATION 2010
SHAREHOLDERS' INFORMATION
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01-01-2010 12-31-2010CAPE CRUSADERS 11-1111111
333-33-3333BATWOMAN55 TOUGHER THAN BATMAN AVENUEMANHATTAN NY 10001 XSample ReturnSample Return
Name as shown on Form LA ICFT-620
Federal employer identification number (FEIN)
Distribution ShareSocial Security Number SharesRes of S Corporationor FEIN Net IncomeName Address
JVA Copyright Forms (Software Only) - 2010 TW B0427S 10_SLAEXC
Attach to your Form LA-1120S
Month Year
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
Year ending
Identify your shareholders or partners
2010 LA PARTNERS OR SHAREHOLDERS IDENTIFICATION OF S CORP EXCLUSION
CAPE CRUSADERS 12 201011-1111111
567 WAYNE LANEBATMAN MANHATTAN NY 10001 111-11-1111
44 BAT CAVE ROADROBIN MANHATTAN NY 10001 222-22-2222
55 TOUGHER THAN BATMAN ABATWOMAN MANHATTAN NY 10001 333-33-3333
Sample ReturnSample Return
JVA Copyright Forms (Software Only) - 2010 TW B0428S 10_BLAW
1A. Louisiana net income (Line 1A Form CIFT-620)
1B. Loss carryforward (Line 1C Form CIFT-620)
1C. Loss carryback (Line 1D Form CIFT-620)
1D. Louisiana net income before federal income taxdeduction (Subtract Lines 1B and 1C from Line 1A)
2. Adjustments to convert Louisiana net income to a federal basis
Net adjustment
3. Louisiana net income on a federal basis (Subtract Line 2 from Line 1D)
4. Federal net income
5. Less creditable expenses
6. Federal net income (Subtract Line 5 from Line 4)
7. Ratio of Louisiana net income to federal net income (Divide Line 3 by Line 6)
8. Federal income tax liability
9. Less alternative minimum tax
10. Less environmental tax
11. Federal income tax (Subtract Lines 9 and 10 from Line 8)
12. Federal income tax attributable to Louisiana income (Multiply Line 7 by Line 11)
Federal income tax disaster relief credits13.
13a. Federal income tax disaster relief credit attributable to Louisiana (Multiply Line 13 by Line 7 and print theamount here and on Form CIFT-620, Line 1E1
14. Add lines 12 and 13a (Enter on Line 1E of CIFT -620)
The amount of federal income tax to be deducted is that portion levied on the income derived from sources in this state. See R.S.47:287.83 and 85and Louisiana Administrative Code 61:1.1122 and 1123 for specific information regarding the computation of the federal income tax deduction.
$
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%
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$
$
$
2010 LOUISIANA FEDERAL INCOME TAX DEDUCTION WORKSHEET
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CAPE CRUSADERS11-1111111
4,620
4,620
LOUISIANA INCOME TAX (REFUND) 60,000
60,000 -55,380 92,300
92,300
Sample ReturnSample Return
Taxpayer's name
Mailing address
City, state and ZIP code
statemailing address city ZIP code
WILL THIS REFUND GO TOHAVE YOUR REFUND DIRECTLY DEPOSITED. SEE INSTRUCTIONS AND FILL IN 1, 2, 3 AND 4. OR THROUGH AN ACCOUNT LOCATEDOUTSIDE THE UNITED STATES? If yes, youmay not use this refund delivery option.See instructions.
Enter ``X" Enter ``X" You must answerYES NO this question.
I declare that I have examined this return, including accompanying schedules andstatements, and to the best of my knowledge and belief, it is true, correct and complete.Declaration of preparer (other than taxpayer or an employee of the taxpayer) is based onall information of which preparer has any knowledge. Signature of preparer if other than employee of the taxpayer Date
Print preparer's nameSignature of officer, member or partner Date NM CRS Identification no.
FEINTitle Contact phone number SSN or PTIN
Taxpayer's E-mail address Preparer's phone no.
TWF 42618 Copyright Forms (Software Only) - 2010 TW
Original Return PartnershipAmended S Corporation
Tax Year Beginning Tax Year Ending Extended Due Date DEPARTMENT USE ONLY
A. Date of organizationState in which organized B.C. D. Date terminated in New MexicoDate business began in New MexicoE. Name and address of registered agent in New Mexico
F. Check this box if federal Form(s) 8886, Reportable Transaction Disclosure Statement, is required to be attached.
1. Income taxable to corporation (Line 4, column 1 of PTE-C. See instructions)2. Tax on amount on line 1 (See Tax Rate Tables, page 2, in instructions)3. %New Mexico percentage (Enter 100% OR percentage from line 5 of PTE-C)4. New Mexico income tax (Multiply line 2 by line 3)5. Withholding tax (Enter total of withholding from PTE-D)
Check this box if a publicly traded partnership, exempt from withholding.6. Total non-refundable credits (Attach PTE-CR, Non-refundable Credit Schedule)7. Net income and withholding tax (Subtract line 6 from the sum of lines 4 and 5)8. Franchise tax ($50 per S corporation or entity taxed as S corporation)9. Total income, withholding and franchise tax (add lines 7 and 8)10. (Enter 2010 refunds received and overpayments applied to 2011)11. Subtotal (Add lines 9 and 10)12. Total payments: extension applied from prior year13. New Mexico income tax withheld (Attach all annual statements of withholding)14. New Mexico income tax withheld from oil and gas proceeds (Attach 1099, Forms WT or RPD-41285)15. Approved film production tax credit claimed16. Approved renewable energy production tax credit claimed (Attach Form RPD-41227)17. Total payments, tax withheld and credits (Add lines 12, 13, 14, 15 and 16)18. Overpayment (If line 17 is greater than line 11, enter the difference. This is your refund.)
18a. Amount of overpayment to be applied to 2011 liability (Not more than line 18)18b. Net overpayment to be refunded (Subtract line 18a from line 18)
19. Tax Due (If line 11 is greater than line 17, subtract line 17 from line 11)20. Penalty (See PTE Instructions)21. Interest (See PTE Instructions)22. Total amount due (Add lines 19, 20 and 21)
Checking Savings1. Routing number: 3.Type:2. Account number:
CHECK ONE: TAXED FEDERALLY AS:
Federal Employer Identification No. (Required) New Mexico CRS Identification No. NAICS Code (Required)
S Corporation Filers Only: Complete lines 1 through 412345
6789
10Amended returns only:111213141516171818a18b19202122
4. REQUIRED:
Paid preparer's use only:
10 NMPTE1
New Mexico Income andInformation Return for Pass-Through Entities
REFUND EXPRESS:
2010 PTE
1043
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CAPE CRUSADERS567 WAYNE LANEMANHATTAN NY 10001 X
04 1 X
11-1111111 999999
NEW YORK 05/01/2002
1,212
1,212 50 1,262 1,262
1,262
1,262
X
ARTHUR DIMARSKYP00011111
VICE PRESIDENTP00011111
(646)637-3269
Sample ReturnSample Return
TWF 42619Copyright Forms (Software Only) - 2010 TW
11. Ordinary income (loss) from Federal Form 1065 or 1120S, Schedule K
22. Other income (loss) from Federal Form 1065 or 1120S, Schedule K
33. Interest income from municipal bonds (Excluding New Mexico bonds)
4Subtotal of lines 1 through 34.
5Interest from U.S. government obligations or federally taxed New Mexico bonds5.
6Allowable deductions from Schedule K6.
7Allocated income (From PTE-B, column 1, line 8)7.
8Apportionable income (Subtract lines 5, 6 and 7 from line 4)8.
9 %Average New Mexico percentage (From PTE-A, line 5)9.
10New Mexico apportionable income (Multiply line 8 by line 9)10.
1111. New Mexico allocated income (From PTE-B, column 2, line 9)
1212. New Mexico taxable income (Add lines 10 and 11; enter on line 1, PTE-D)
PERCENTCOLUMN 1 COLUMN 2EVERYWHERE WITHIN NEW MEXICO WITHIN NEW MEXICO
Average annual value of inventoryAverage annual value of real propertyAverage annual value of personal propertyRented property (Annual rental value times 8)Total Property
1. Property factor (Divide column 2 by column 1 and multiply by 100) 1 %
Total compensation of employees
2 %2. Payroll factor (Divide column 2 by column 1 and multiply by 100)
Gross receipts
3 %3. Sales factor (Divide column 2 by column 1 and multiply by 100)
4. TOTAL FACTORS (Add lines 1, 2 and 3) 4 %4a. The entity submitted written notification of its election to apportion business income utilizing the
four-factor method for the tax year endingDate election was made (See instructions)
AVERAGE PERCENT (Divide the factor on line 4 by the number of factors computed above;5.5 %enter on PTE-1, line 9)
Federal Employer Identification Number (FEIN)
COMPUTATION OF NET INCOME TAXABLE TO OWNERS
PROPERTY FACTOR
10 NMPTEA1
PAYROLL FACTOR
SALES FACTOR
Income Taxable to Owners
New Mexico Apportionment Factors
2010 PTE-1
2010 PTE-A
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1
11-1111111 169,800 49,000
218,800
126,500
92,30026.8267
24,761
24,761
80,500 3,000 72,500
153,000 3,000 1.9608
305,000 75,00024.5902
649,000 350,00053.929180.4801
26.8267
CAPE CRUSADERS
Sample ReturnSample Return
TWF 42684 Copyright Forms (Software Only) - 2010 TW
Page of(Duplicate page if additional page is needed.)
Name Federal Employer ID Number (FEIN)
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
1. New Mexico Taxable Income (from PTE-1, line 12)
COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4 COL. 5 COLUMN 6 COLUMN 7Name & Address Social Security Owner's Owner's Taxable Resident Withholding for PTE-TA on
Number/FEIN Percentage Income (Column Nonresidents File3 x line 1)
Total Withholding Tax for Page
Total Withholding Tax for All Pages
10 NMPTED1
Owner Information
Do not attach Federal K-1 Schedules unless 100% New Mexico
2010 PTE-D
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1 1
CAPE CRUSADERS 11-1111111
24,761
BATMAN567 WAYNE LANEMANHATTAN NY 10111-11-1111 33.340 8,255 404ROBIN44 BAT CAVE ROAMANHATTAN NY 10222-22-2222 33.330 8,253 404BATWOMAN55 TOUGHER THANMANHATTAN NY 10333-33-3333 33.330 8,253 404
1,212 1,212
Sample ReturnSample Return
JVA Copyright Forms (Software Only) - 2010 TW E0511B 10_BNMK1
For income year beginning , and endingName of Shareholder/Partner Employer Identification No.
Name and Address of Shareholder/PartnerIdentifying numberDistribution percentage
New Mexico residentResidencyStatus New Mexico nonresident
1. Share of total distribution to shareholder/partnerShare of
Adjustments
Non New Mexico bond interest2.Income from federally taxed bonds3.Interest from U. S. government obligations4.
Nonresident Owner's Only
5. New Mexico tax withheld
Form PTE-1 SHAREHOLDER'S/PARTNER NEW MEXICO INFORMATION 2010
jj
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# 101/01/2010 12/31/2010
CAPE CRUSADERS 11-1111111111-11-1111
BATMAN 33.340567 WAYNE LANEMANHATTAN NY 10001 X
8,255
404
Sample ReturnSample Return
JVA Copyright Forms (Software Only) - 2010 TW E0511B 10_BNMK1
For income year beginning , and endingName of Shareholder/Partner Employer Identification No.
Name and Address of Shareholder/PartnerIdentifying numberDistribution percentage
New Mexico residentResidencyStatus New Mexico nonresident
1. Share of total distribution to shareholder/partnerShare of
Adjustments
Non New Mexico bond interest2.Income from federally taxed bonds3.Interest from U. S. government obligations4.
Nonresident Owner's Only
5. New Mexico tax withheld
Form PTE-1 SHAREHOLDER'S/PARTNER NEW MEXICO INFORMATION 2010
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# 201/01/2010 12/31/2010
CAPE CRUSADERS 11-1111111222-22-2222
ROBIN 33.33044 BAT CAVE ROADMANHATTAN NY 10001 X
8,253
404
Sample ReturnSample Return
JVA Copyright Forms (Software Only) - 2010 TW E0511B 10_BNMK1
For income year beginning , and endingName of Shareholder/Partner Employer Identification No.
Name and Address of Shareholder/PartnerIdentifying numberDistribution percentage
New Mexico residentResidencyStatus New Mexico nonresident
1. Share of total distribution to shareholder/partnerShare of
Adjustments
Non New Mexico bond interest2.Income from federally taxed bonds3.Interest from U. S. government obligations4.
Nonresident Owner's Only
5. New Mexico tax withheld
Form PTE-1 SHAREHOLDER'S/PARTNER NEW MEXICO INFORMATION 2010
jj
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# 301/01/2010 12/31/2010
CAPE CRUSADERS 11-1111111333-33-3333
BATWOMAN 33.33055 TOUGHER THAN BATMAN AVENUEMANHATTAN NY 10001 X
8,253
404
Sample ReturnSample Return
Department of the TreasuryInternal Revenue Service
(see instructions)
Check if Sch. M-3
attached
Gross receipts or sales Less returns and allowances Bal
S FE OE R
I LN IS MT IR TU AC TT II OO NN SS
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge andbelief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
May the IRS discuss this returnwith the preparer shown below(see inst.)?
TWF 39193 Copyright Forms (Software Only) - 2010 TWJVA
OMB No. 1545-0130Form
, 20For calendar year 2010 or tax year beginning , 2010, endingS election Name Number, street, room/suite no. City/town, state, & Zip codeeffective date
Business activity Date incorporatedcode number
Total assets (see inst.)
$Is the corporation electing to be an S corporation beginning with this tax year? Yes No If ``Yes," attach Form 2553 if not already filedCheck if: Final return Name change Address change
Amended return S election termination or revocationEnter the number of shareholders who were shareholders during any part of the tax year
Include trade or business income and expenses on lines 1a through 21. See the instructions for more information.
Cost of goods sold (Schedule A, line 8)Gross profit. Subtract line 2 from line 1cNet gain (loss) from Form 4797, Part II, line 17 (attach Form 4797)Other income (loss) (see instructions -- attach statement)
Add lines 3 through 5Compensation of officersSalaries and wages (less employment credits)Repairs and maintenanceBad debtsRentsTaxes and licensesInterestDepreciation not claimed on Schedule A or elsewhere on return (attach Form 4562)DepletionAdvertisingPension, profit-sharing, etc., plansEmployee benefit programsOther deductions (attach statement)
Add lines 7 through 19Subtract line 20 from line 6
Excess net passive income or LIFO recapture tax (see instructions)Tax from Schedule D (Form 1120S)Add lines 22a and 22b (see instructions for additional taxes)2010 estimated tax payments and 2009 overpayment credited to 2010Tax deposited with Form 7004Credit for federal tax paid on fuels (attach Form 4136)Add lines 23a through 23cEstimated tax penalty (see instructions). Check if Form 2220 is attached
If line 23d is smaller than the total of lines 22c and 24, enter amount owedIf line 23d is larger than the total of lines 22c and 24, enter amount overpaid
Enter amount from line 26
Signature of officer Date TitlePreparer's signature if PTINPrint/Type preparer's name Date Check
self-employedFirm's name Firm's EINFirm's address Phone no.
Form (2010)
Do not file this form unless the corporation has filed or isattaching Form 2553 to elect to be an S corporation.
See separate instructions.
Employer ID no.A D
TYPEB EORPRINT F
C
GH (1) (2) (3)
(4) (5)ICaution. only
1a 1cb cI 2 2N
3 3CO 4 4M
5 5E6 6Total income (loss).7 78 89 9
10 10D 11 11E
12 12DU 13 13C
14 14TI 15 15(Do not deduct oil and gas depletion.)O 16 16N
17 17S18 1819 1920 Total deductions. 2021 21Ordinary business income (loss).22a 22a
Tb 22bA
X c 22cA 23a 23aN b 23bD
c 23cPA d 23dY 24 24ME 25 25Amount owed.NT 26 Overpayment. 26S 27 Refunded 27Credited to 2011 estimated tax
Yes No
For Paperwork Reduction Act Notice, see separate instructions.10 1120S12
PaidPreparerUse Only
1120S
U.S. Income Tax Return for an S Corporation
SignHere
1120S2010
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .
. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .
. . . . . . . . . .. . . . . . . . .
05-01-2001 CAPE CRUSADERS 11-1111111567 WAYNE LANE 05-01-2002
999999 MANHATTAN NY 10001898,322
X
3 600,000 600,000
59,000 541,000
541,000 250,000 55,000 100
60,000
6,100 371,200 169,800
0
0 0
0 0
VICE PRESIDENTX
A P00011111ARTHUR DIMARSKY32 ERIC LNSTATEN ISLAND NY 10308 (646)637-3269
#1
#2
Sample ReturnSample Return
TWF 39194 Copyright Forms (Software Only) - 2010 TWJVA
Form 1120S (2010) Page(see instructions)
Inventory at beginning of yearPurchasesCost of laborAdditional section 263A costs (attach statement)Other costs (attach statement)
Add lines 1 through 5Inventory at end of year
Subtract line 7 from line 6. Enter here and on page 1, line 2Check all methods used for valuing closing inventory: (i) Cost as described in Regulations section 1.471-3
(ii) Lower of cost or market as described in Regulations section 1.471-4(iii) Other (Specify method used and attach explanation.)
Check if there was a writedown of subnormal goods as described in Regulations section 1.471-2(c)Check if the LIFO inventory method was adopted this tax year for any goods (if checked, attach Form 970)If the LIFO inventory method was used for this tax year, enter percentage (or amounts) of closinginventory computed under LIFOIf property is produced or acquired for resale, do the rules of section 263A apply to the corporation? Yes NoWas there any change in determining quantities, cost, or valuations between opening and closing inventory? Yes NoIf ``Yes," attach explanation.
(see instructions)AccrualCheck accounting method: Cash Other (specify)
See the instructions and enter the:Business activity Product or service
At the end of the tax year, did the corporation own, directly or indirectly, 50% or more of the voting stock of a domesticcorporation? (For rules of attribution, see section 267(c).) If ``Yes," attach a statement showing: name and employeridentification number (EIN), percentage owned, and if 100% owned, was a qualified subchapter S subsidiaryelection made?
Has this corporation filed, or is it required to file, Material Advisor Disclosure Statement, to provide informationon any reportable transaction?
Check this box if the corporation issued publicly offered debt instruments with original issue discountIf checked, the corp. may have to file Information Return for Publicly Offered Original Issue Discount Instruments.
If the corporation: was a C corporation before it elected to be an S corporation the corporation acquired an asset witha basis determined by reference to the basis of the asset (or the basis of any other property) in the hands of a C corporation
has net unrealized built-in gain in excess of the net recognized built-in gain from prior years, enter the net unrealizedbuilt-in gain reduced by net recognized built-in gain from prior years (see instructions) $
$Enter the accumulated earnings and profits of the corporation at the end of the tax year.Are the corporation's total receipts (see instructions) for the tax year its total assets at the end of the tax year lessthan $250,000? If ``Yes," the corporation is not required to complete Schedules L and M-1
During the tax year, was a qualified subchapter S subsidiary election terminated or revoked? If ``Yes," see instructions
Ordinary business income (loss) (page 1, line 21)Net rental real estate income (loss) (attach Form 8825)Other gross rental income (loss)Expenses from other rental activities (attach statement)Other net rental income (loss). Subtract line 3b from line 3aInterest incomeDividends: Ordinary dividends
Qualified dividendsRoyaltiesNet short-term capital gain (loss) (attach Schedule D (Form 1120S))Net long-term capital gain (loss) (attach Schedule D (Form 1120S))Collectibles (28%) gain (loss)Unrecaptured section 1250 gain (attach statement)Net section 1231 gain (loss) (attach Form 4797)Other income (loss) (see instructions) Type
Form (2010)
1 12 23 34 45 56 6Total.7 78 8Cost of goods sold.9a
bcd
9def
Yes No1 a b c2
a b
3(a)
(b) (c)
4 Form 8918,
5Form 8281,
6 (a) or
and (b)
78 and
9Total amount
1 12 23a 3a
Ib 3bNc 3cC
O 4 4M 5 a 5aE
b 5b6 67 7L
O 8a 8aS b 8bS
c 8c9 9
10 1010 1120S12
2Schedule A Cost of Goods Sold
Schedule B Other Information
Schedule K Shareholders' Pro Rata Share Items
1120S
jjj
j
j j
j
j
j
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .
. . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . .
95,000 30,000
125,000 66,000 59,000
X
XX
XUNCLASSIFIED FIGHTING CRIME
XX
XX
169,800
3,000 1,000
1,000 30,000 15,000
CAPE CRUSADERS 11-1111111
Sample ReturnSample Return
Staple forms here
(see instructions)
Employer identification number File number Business telephone numberIf you claim anIf you have any subsidiariesoverpayment, markincorporated outside NYS,an X in the boxmark an X in the box
Trade name/Legal name of corporation DBA
State or country ofMailing name (if diff. from legal name above) Date received (for Tax Dept. use only)incorporationc/o
Number & street or PO box Date of incorporation
Foreign corporations: dateState ZIP code began business in NYS
If you need to update your address or phoneNAICS business code number (from federal return) Audit (for Tax Department use only)information for corporation tax, or other tax
If address/phone above types, you can do so online. Visit our Web siteis new, mark an at www.nystax.gov and look for the changeX in the box my address option. Otherwise, see Business
information in the instructions.
Principal business activity
ll
Enter your business allocation percentage (if you did not complete Form CT-3-S-ATT, Schedule A, you must enter either or
Enter your investment allocation percentage (if you did not complete Form CT-3-S-ATT, Schedule B, you must enter either or
Mark an in the box if you are filing Form CT-3-S as a result of the mandatory New York S election of Tax Law, Article 22, section 660(i)
TWF 39532 Copyright Forms (Software Only) - 2010 TW
New York State Department of Taxation and Finance
beginning ending
City
Has the corporation revoked its election to be treated as a New York S corporation? Number of shareholders
Yes No If Yes, enter effective date:Payment enclosed
Pay amount shown on line 46. Make payable to:Attach your payment here. Detach all check stubs. (See instructions for details.)
If you filed a return(s) other than federal Form 1120S, enter the form number(s) here
If you included a qualified subchapter S subsidiary (QSSS) in this return, mark an in the box and attach Form CT-60-QSSS
Have you underreported your tax due on past returns? To correct this without penalty, visit us at
%
%
Did the S corporation make an IRC section 338 or 453 election? Yes No
Did this entity have an interest in real property located in New York State during the last three years? Yes No
Has there been a transfer or acquisition of a controlling interest in this entity during the last three years? Yes No
If the IRS has completed an audit of any of your returns within the last five years, list yearsIf this return is for a New York S termination year, mark an in the appropriate box to indicate which method of accounting was used for theNew York S short year (see instructions) Normal accounting rules Daily pro rata allocation
Issuer's allocation percentage (see instructions) %
All filers must enter tax period:Final return Amended return
A. New York State Corporation TaxA.
You must attach a copy of the following: (1) federal Form 1120S as filed; (2) Form CT-34-SH; (3) Form CT-3-S-ATT (if required; seeinstructions); and (4) any applicable credit claim forms.B.
C. X
D. www.nystax.gov.
E. 0 100)
F. 0 100)
G.
H.
I.
J.K. X
L.
M. X
10 NYCT3S1
Tax Law -- Articles 9-A and 22
<
2010 CT-3-SNew York S CorporationFranchise Tax Return
...
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01-01-10 12-31-10
11-1111111CAPE CRUSADERS
CAPE CRUSADERSNEW YORK
567 WAYNE LANE 05-01-02MANHATTAN NY 10001
999999UNCLASSIFIED
X 3
300.
100.0000100.0000
XXX
100.0000
Sample ReturnSample Return
TWF 39534 Copyright Forms (Software Only) - 2010 TW
New York Page 2 of 3 CT-3-S (2010)
(Show any negative amounts with a minus (-) sign; do not use parentheses or brackets.)
Ordinary business income or lossNet rental real estate income or loss
Other net rental income or lossInterest incomeOrdinary dividendsRoyaltiesNet short-term capital gain or loss
Net long-term capital gain or lossNet section 1231 gain or lossOther income or lossLoans to shareholders (from federal Form 1120S, Schedule L, line 7, columns b and d)
Beginning of tax year End of tax year
Total assets (from federal Form 1120S, Schedule L, line 15, columns b and d)
Beginning of tax year End of tax year
Loans from shareholders (from federal Form 1120S, Schedule L, line 19, columns b and d)
Beginning of tax year End of tax year
(Show any negative amounts with a minus (-) sign; do not use parentheses or brackets.)
C. Shareholders' undistributedA. Accumulated adjustments account B. Other adjustments account taxable income previously taxed
Balance at beginning of tax yearOrdinary income from federal
Form 1120S, page 1, line 21Other additionsLoss from federal Form 1120S,
page 1, line 21Other reductionsAdd lines 14 through 18Distributions other than
dividend distributionsBalance at end of tax year.
Subtract line 20 from line 19(see instructions)
New York receiptsFixed dollar minimum taxRecapture of tax creditsTotal tax after recapture of tax credits (add lines 23 and 24)Special additional mortgage recording tax credit (from Form CT-43)Tax due after tax credits (subtract line 26 from line 25)
Enter amount from line 27If you filed a request for extension, enter amount from Form CT-5.4, line 2If you did not file Form CT-5.4 and line 28 is over $1,000, enter 25% (.25) of line 28Otherwise enter 0Add line 28 and line 29 or 30
Provide the information for lines 1 through 10 from the corresponding lines on your federal Form 1120S, Schedule K, total amountcolumn.
1 1.2 2.
3 3.4 4.5 5.6 6.7 7.
8 8.9.9
10.1011
12
13
Provide the information for lines 14 through 21 from the corresponding lines on your federal Form 1120S, Schedule M-2.
1415
1617
181920
21
You must enter an amount on line 22; if none, enter 0.22 22.23 23.24 24.25 25.26 26.
27.27
28.2829 29.30
30.31 31.
10 NYCT3S2
Computation of tax
First installment of estimated tax for the next tax period:
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169,800.
3,000. 1,000. 30,000. 15,000.
317,539. 898,322.
157,083. 169,800. 49,000.
131,500. 244,383. 40,000. 204,383.
600,000. 300. 0. 300. 0. 300. 300.
300.
CAPE CRUSADERS 11-1111111
Sample ReturnSample Return
(see instructions; mark an in the box if Form CT-222 is attached)
Designee's phone number(see instructions) Designee's e-mail address
E-mail address of authorized person
Signature of individual preparing this return
E-mail address of individual preparing this return Preparer's NYTPRIN
TWF 39535 Copyright Forms (Software Only) - 2010 TW
New York Page 3 of 3 CT-3-S (2010)
(continued)(see instructions):
Mandatory first installmentSecond installment from Form CT-400Third installment from Form CT-400Fourth installment from Form CT-400Payment with extension request from Form CT-5.4Overpayment credited from prior years
Total prepayments (add lines 32 through 37)Balance (subtract line 38 from line 31; if line 38 is larger than line 31, enter 0)Estimated tax penaltyInterest on late paymentLate filing and late payment penaltiesBalance (add lines 39 through 42)
(see instructions):Return a Gift to WildlifeBreast Cancer Research & Education FundProstate Cancer Research, Detection, and Education Fund9/11 MemorialVolunteer Firefighting & EMS Recruitment FundAdd lines 31, 40, 41, 42, and 44a through 44eBalance due (If line 38 is less than line 45, subtract line 38 from line 45 and enter here.
This is the amount due;Overpayment (If line 38 is more than line 45, subtract line 45 from line 38 and enter here.
This is the amount of your overpayment; see instructions.)Amount of overpayment to be credited to next periodRefund of overpayment (subtract line 48 from line 47)If you claim a refund of unused special additional mortgage recording tax credit,
enter the amount from Form CT-43, line 13 (see instructions)Amount of special additional mortgage recording tax credit to be applied as an
overpayment to next period
If filing an amended return, mark an in the box for any items that apply and attach documentation.
Final federal determination If marked, enter date of determination:
Yes NoDesignee's name (print)
PINI certify that this return and any attachments are to the best of my knowledge and belief true, correct, and complete.
Signature of authorized personOfficial title
DateFirm's name (or yours if self-employed) Firm's EIN Preparer's PTIN or SSN
Address City State ZIP code
Date
See instructions for where to file.
Date paid Amount32 32.33 33.34 34.35 35.36 36.37 37.
38 38.39 39.40 X 40.41 41.42 42.43 43.
44a 44a.44b 44b.44c 44c.44d 44d.44e 44e.
45 45.46
enter your payment amount on line A on page 1.) 46.47
47.48 48.49 49.50
50.51
51.
X
Paidpreparer
useonly
10 NYCT3S3
Computation of taxComposition of prepayments
Voluntary gifts/contributions
Amended return information
Third-partydesignee
Certification:
Authorizedperson
44003101043
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0. 300. 0.
300.
300. 300.
X
VICE PRESIDENT
ARTHUR DIMARSKY P0001111132 ERIC LN STATEN ISLAN NY 10308
CAPE CRUSADERS 11-1111111
Sample ReturnSample Return
Staple forms here
TWF 41423 Copyright Forms (Software Only) - 2010 TW
New York State Department of Taxation and Finance
Legal name of corporation Employer ID number
(Enter the total amount reportedby the New York S corporation on each line. Each shareholder must include his or her pro rata share of these amounts on hisor her personal income tax return.)
New York State franchise tax imposed under Article 9-A or Article 32Federal depreciation deduction from Form CT-399, if applicable (see instructions)Other additions (see instructions)
Allowable New York depreciation from Form CT-399, if applicable (see instructions)Other subtractions (see instructions and attach explanation)
(see instructions and attach explanation)Additions to federal itemized deductionsSubtractions from federal itemized deductionsNew York State adjustments to federal tax preference items
Investment tax credit, retail enterprise tax credit, historic barn credit, and employmentincentive credit (attach Form CT-46 and, if applicable, Form CT-46-ATT)
Investment tax credit on research and development property (attach Form CT-46)Investment tax credit for financial services industry (attach Form CT-44)Tax on early dispositions -- investment tax credit, retail enterprise tax credit, historic barn credit,
investment tax credit on research and development property, or investment tax credit forfinancial services industry (attach Form CT-44 or CT-46)
EZ wage tax credit (attach Form CT-601)
Investments in certified EZ businesses (attach Form CT-602)Monetary contributions to EZ community development projects (attach Form CT-602)EZ investment tax credit (attach Form CT-603)EZ investment tax credit for financial services industry (attach Form CT-605)Recaptured tax credit -- EZ capital tax credit, EZ investment tax credit, or EZ investment tax
credit for financial services industry (attach Form CT-602, CT-603, or CT-605)
QEZE real property tax credit allowed (attach Form CT-606)Net recapture of QEZE real property tax credit (attach Form CT-606)
(attach Form CT-604):QEZE employment increase factorQEZE zone allocation factorQEZE benefit period factor
(see instructions; for multiple partnerships attach separate statement)QEZE partnership employer identification numberQEZE employment increase factor (obtain factor from your partnership)QEZE zone allocation factor (obtain factor from your partnership)QEZE benefit period factor (obtain factor from your partnership)
Additions1 1.2 2.3 3.
Subtractions4 4.5 5.
Other items6 6.7 7.8 8.
Investment tax credits9
9.10 10.11 11.12
12.Empire zone (EZ) tax credits
13 13.EZ capital tax credit:
14 14.15 15.16 16.17 17.18
18.Qualified empire zone enterprise (QEZE) tax credits
19.1920 20.
QEZE tax reduction credit21.2122.22
23 23.QEZE tax reduction credit factors from partnership
24 24.25 25.26 26.27 27.
10 NY34SH1
2010
Attachment to Form CT-3-S or CT-32-S
Part 1 -- Total shareholder modifications related to S corporation items
Part 2 -- Total S corporation New York State credits and taxes on early dispositions
Schedule A -- Shareholders' New York State modifications and credits
CT-34-SH New York S CorporationShareholders' Information Schedule
43301101043
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CAPE CRUSADERS 11-1111111
300.Sample ReturnSample Return
Brownfield redevelopment tax credit -- site preparation credit component (attach Form CT-611)
Brownfield redevelopment tax credit -- tangible property credit component (attach Form CT-611)
Credit for taxicabs and livery service vehicles accessible to persons with disabilities (attach Form CT-239)
TWF 41424 Copyright Forms (Software Only) - 2010 TW
New York of 3 (2010)
(continued)
(see instructions)Total acres of qualified agricultural propertyTotal amount of eligible school district property taxes paidTotal acres of qualified agricultural property converted to nonqualified useTotal acres of qualified conservation property
Alternative fuels credit (attach Form CT-40)Recapture of alternative fuels credit (attach Form CT-40)Credit for employment of persons with disabilities (attach Form CT-41)QETC employment credit (attach Form DTF-621)QETC capital tax credit (attach Form DTF-622)Recapture of QETC capital tax credit (attach Form DTF-622)Empire State commercial production credit (attach Form CT-246)Credit for purchase of an automated external defibrillator (attach Form CT-250)Low-income housing credit (attach Form DTF-624)Recapture of low-income housing credit (attach Form DTF-626)Green building credit (attach Form DTF-630)Long-term care insurance credit (attach Form CT-249)Empire State film production credit (attach Form CT-248)
Brownfield redevelopment tax credit -- on-site groundwater remediation credit component(attach Form CT-611)
Recapture of brownfield redevelopment tax credit (attach Form CT-611)Remediated brownfield credit for real property taxes (attach Form CT-612)Recapture of remediated brownfield credit for real property taxes (attach Form CT-612)Environmental remediation insurance credit (attach Form CT-613)Recapture of environmental remediation insurance credit (attach Form CT-613)QETC facilities, operations, and training credit (attach Form DTF-619)
Security officer training tax credit (attach Form CT-631)Brownfield redevelopment tax credit -- site preparation credit component
(attach Form CT-611.1)Brownfield redevelopment tax credit -- tangible property credit component
(attach Form CT-611.1)Brownfield redevelopment tax credit -- on-site ground water remediation credit component
(attach Form CT-611.1)Recapture of brownfield redevelopment tax credit (attach Form CT-611.1)Biofuel production credit (attach Form CT-243)Clean heating fuel credit (attach Form CT-241)
Rehabilitation of historic properties credit (attach Form CT-238)Recapture of rehabilitation of historic properties credit (attach Form CT-238)
Other tax credit(s) (see instructions)
Page 2 CT-34-SH
Farmers' school tax credit28 28.29 29.30 30.31 31.
Other credits32 32.33 33.34 34.35 35.36 36.37 37.38 38.39 39.
40.4041.4142.4243.4344.44
45 45.46 46.47
47.48 48.49 49.50 50.51 51.52 52.53 53.545556 56.
57a57a.
57b57b.
57c57c.
57d 57d.58 58.59 59.60 60.61 61.62 62.
63 63.
10 NY34SH2
Part 2 -- Total S corporation New York State credits and taxes on early dispositions
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CAPE CRUSADERS 11-1111111
Sample ReturnSample Return
Shareholderentity status
(mark only one(make only one entry) entry)for N. Y. State1 I for individualfor city of N. Y.2 F for estate or
3 for city of Yonkers trustE for exempt org.for NYS non-res.4
TWF 41425 Copyright Forms (Software Only) - 2010 TW
New York (2010) of 3
(Photocopy Schedule B, as needed, attach additional sheets, and mark an in the box. )For each shareholder, Identifying number Percentage
Shareholderenter last name, first name, middle initial on first line; (SSN or EIN) of ownership residency statusenter home address on second, third and fourth lines.
(attach federal Schedule K-1 for each shareholder)
CT-34-SH Page 3
XA B C D E
1. 1.
2. 2.
3. 3.
4. 4.
5. 5.
6. 6.
7. 7.
8. 8.
9. 9.
10. 10.
11. 11.
10 NY34SH3
Schedule B -- Shareholders' identifying information
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BATMAN567 WAYNE LANEMANHATTAN NY 10001 111-11-1111 33.3400 2 IROBIN44 BAT CAVE ROADMANHATTAN NY 10001 222-22-2222 33.3300 2 IBATWOMAN55 TOUGHER THAN BATMAN AVMANHATTAN NY 10001 333-33-3333 33.3300 2 I
CAPE CRUSADERS 11-1111111
Sample ReturnSample Return
Form 1120SEQUIPMENT 100 07-06-10 200DBHY 7 115,000 0 115,000 0 0 00MACHINE 101 06-01-10 200DBHY 7 10,000 0 10,000 0 0 00
02 Assets Totals: 125,000 0 125,000 0 0 0
2 Assets Grand Totals: 125,000 0 125,000 0 00 0
2010 New York Depreciation Schedule
Description Date Method Year
08-02-201111-1111111
Cost Land/Other §179 Basis Prior CurrentSpec
Allow
Cape Crusaders
1
* Asset disposed this year~C Carryover basis in like-kind exchange transaction~B Excess basis in like-kind exchange transaction
Tax on early dispositions - Investment tax credit, real enterprise tax credit, historic barn credit, investment tax credit on research anddevelopment property, or investment tax credit for financial services industry
Recaptured tax credit - EZ capital tax credit, EZ investment tax credit or EZ investment tax credit for financial services industry
JVA Copyright Forms (Software Only) - 2010 TW A1122W 10_SNYK1
For income year beginning , and endingEmployer I.D. number File NumberS Corporation Name
Shareholder's I.D. No.Shareholder's distribution %
New York StateNew York CityYonkersNYS NonresidentIndividualEstate or TrustExempt organization
Business allocation percentageInvestment allocation percentage
New York State franchise tax imposed under article 9-A or Article 321.2. Federal depreciation deduction from Form CT-399
Other additions3.New York depreciation4.Other subtractions5.Additions to federal itemized deductions6.Subtractions from federal itemized deductions7.New York State adjustments to federal tax preference items:8.
9. Investment tax credit, real enterprise tax credit, historic barn credit & employment incentive credit10. Investment tax credit on research and development property11. Investment tax credit for financial services industry12.13. EZ wage tax credit14. Investments in certified EZ businesses15. Monetary contributions to EZ community development projects16. EZ investment tax credit17. EZ investment tax credit for financial services industry18.19. QEZE real property tax credit allowed20. Net recapture of QEZE real property tax credit21. QEZE employment increase factor22. QEZE zone allocation factor23. QEZE benefit period factor24. QEZE partnership employer identification number25. QEZE employment increase factor26. QEZE zone allocation factor27. QEZE benefit period factor28. Total acres of qualified agricultural property29. Total amount of eligible school district property taxes paid30. Total acres of qualified agricultural property converted to nonqualified use31. Total acres of qualified conservation property32. Alternative fuels credit33. Recapture of alternative fuels credit34. Credit for employment of persons with disabilities35. QETC employment credit36. QETC capital tax credit37. Recapture of QETC capital tax credit38. Empire state commercial production credit
ShareholderResidency
Status
ShareholderEntityStatus
Shareholders' Shares of New York State Credits and Taxes on Early Dispositions
Form CT-34-SH
Part I -- Name and Address of Shareholder
%%
Part I -- Shareholder Information - Shareholders' shares of Modifications Related to S Corporation Items
Part II -- Shareholder Information
NEW YORK S CORPORATION SHAREHOLDER'S 2010INFORMATION
jj
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01-01-2010 12-31-2010CAPE CRUSADERS 11-1111111
111-11-111133.3400
BATMAN X567 WAYNE LANE XMANHATTAN NY 10001
X
100.0000100.0000
100.
Sample ReturnSample Return
JVA Copyright Forms (Software Only) - 2010 TW A1122W 10_SNYK12
39. Credit for purchase of an automated external defibrillator40. Low-income housing credit41. Recapture of low-income housing credit42. Green building credit43. Long-term care insurance credit44. Empire State film production credit45. Brownfield redevelopment tax credit--site preparation credit component (CT-611)46. Brownfield redevelopment tax credit--tangible property credit component (CT-611)47. Brownfield redevelopment tax credit--on-site ground water remediation credit component (CT-611)48. Recapture of brownfield redevelopment tax credit (CT-611)49. Remediated brownfield credit for real property taxes50. Recapture of remediated brownfield credit for real property taxes51. Environmental remediation insurance credit52. Recapture of environmental remediation insurance credit53. QETC facilities, operations, and training credit54.55.56. Security officer training tax credit57a. Brownfield site preparation credit (CT-611.1)57b. Brownfield tangible property credit (CT-611.1)57c. Brownfield on site ground water remediation (CT-611.1)57d. Brownfield credit recapture (CT-611.1)58. Biofuel production credit59. Clean heating fuel credit60. Credit for taxicabs and livery service vehicles accessible to persons with disabilities61. Rehabilitation of historic properties credit62. Recapture of rehabilitation of historic properties credit63. Other tax credit(s) (see instructions)
Specify:
CT-34-SH (2009) (Page 2)
Shareholders' shares of New York S corporation's New York State tax credits and taxes on early dispositionsPart II -- Shareholder Information (applicable to Form CT-3-S only) (continued)
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BATMAN 111-11-1111
Sample ReturnSample Return
Tax on early dispositions - Investment tax credit, real enterprise tax credit, historic barn credit, investment tax credit on research anddevelopment property, or investment tax credit for financial services industry
Recaptured tax credit - EZ capital tax credit, EZ investment tax credit or EZ investment tax credit for financial services industry
JVA Copyright Forms (Software Only) - 2010 TW A1122W 10_SNYK1
For income year beginning , and endingEmployer I.D. number File NumberS Corporation Name
Shareholder's I.D. No.Shareholder's distribution %
New York StateNew York CityYonkersNYS NonresidentIndividualEstate or TrustExempt organization
Business allocation percentageInvestment allocation percentage
New York State franchise tax imposed under article 9-A or Article 321.2. Federal depreciation deduction from Form CT-399
Other additions3.New York depreciation4.Other subtractions5.Additions to federal itemized deductions6.Subtractions from federal itemized deductions7.New York State adjustments to federal tax preference items:8.
9. Investment tax credit, real enterprise tax credit, historic barn credit & employment incentive credit10. Investment tax credit on research and development property11. Investment tax credit for financial services industry12.13. EZ wage tax credit14. Investments in certified EZ businesses15. Monetary contributions to EZ community development projects16. EZ investment tax credit17. EZ investment tax credit for financial services industry18.19. QEZE real property tax credit allowed20. Net recapture of QEZE real property tax credit21. QEZE employment increase factor22. QEZE zone allocation factor23. QEZE benefit period factor24. QEZE partnership employer identification number25. QEZE employment increase factor26. QEZE zone allocation factor27. QEZE benefit period factor28. Total acres of qualified agricultural property29. Total amount of eligible school district property taxes paid30. Total acres of qualified agricultural property converted to nonqualified use31. Total acres of qualified conservation property32. Alternative fuels credit33. Recapture of alternative fuels credit34. Credit for employment of persons with disabilities35. QETC employment credit36. QETC capital tax credit37. Recapture of QETC capital tax credit38. Empire state commercial production credit
ShareholderResidency
Status
ShareholderEntityStatus
Shareholders' Shares of New York State Credits and Taxes on Early Dispositions
Form CT-34-SH
Part I -- Name and Address of Shareholder
%%
Part I -- Shareholder Information - Shareholders' shares of Modifications Related to S Corporation Items
Part II -- Shareholder Information
NEW YORK S CORPORATION SHAREHOLDER'S 2010INFORMATION
jj
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01-01-2010 12-31-2010CAPE CRUSADERS 11-1111111
222-22-222233.3300
ROBIN X44 BAT CAVE ROAD XMANHATTAN NY 10001
X
100.0000100.0000
100.
Sample ReturnSample Return
JVA Copyright Forms (Software Only) - 2010 TW A1122W 10_SNYK12
39. Credit for purchase of an automated external defibrillator40. Low-income housing credit41. Recapture of low-income housing credit42. Green building credit43. Long-term care insurance credit44. Empire State film production credit45. Brownfield redevelopment tax credit--site preparation credit component (CT-611)46. Brownfield redevelopment tax credit--tangible property credit component (CT-611)47. Brownfield redevelopment tax credit--on-site ground water remediation credit component (CT-611)48. Recapture of brownfield redevelopment tax credit (CT-611)49. Remediated brownfield credit for real property taxes50. Recapture of remediated brownfield credit for real property taxes51. Environmental remediation insurance credit52. Recapture of environmental remediation insurance credit53. QETC facilities, operations, and training credit54.55.56. Security officer training tax credit57a. Brownfield site preparation credit (CT-611.1)57b. Brownfield tangible property credit (CT-611.1)57c. Brownfield on site ground water remediation (CT-611.1)57d. Brownfield credit recapture (CT-611.1)58. Biofuel production credit59. Clean heating fuel credit60. Credit for taxicabs and livery service vehicles accessible to persons with disabilities61. Rehabilitation of historic properties credit62. Recapture of rehabilitation of historic properties credit63. Other tax credit(s) (see instructions)
Specify:
CT-34-SH (2009) (Page 2)
Shareholders' shares of New York S corporation's New York State tax credits and taxes on early dispositionsPart II -- Shareholder Information (applicable to Form CT-3-S only) (continued)
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ROBIN 222-22-2222
Sample ReturnSample Return
Tax on early dispositions - Investment tax credit, real enterprise tax credit, historic barn credit, investment tax credit on research anddevelopment property, or investment tax credit for financial services industry
Recaptured tax credit - EZ capital tax credit, EZ investment tax credit or EZ investment tax credit for financial services industry
JVA Copyright Forms (Software Only) - 2010 TW A1122W 10_SNYK1
For income year beginning , and endingEmployer I.D. number File NumberS Corporation Name
Shareholder's I.D. No.Shareholder's distribution %
New York StateNew York CityYonkersNYS NonresidentIndividualEstate or TrustExempt organization
Business allocation percentageInvestment allocation percentage
New York State franchise tax imposed under article 9-A or Article 321.2. Federal depreciation deduction from Form CT-399
Other additions3.New York depreciation4.Other subtractions5.Additions to federal itemized deductions6.Subtractions from federal itemized deductions7.New York State adjustments to federal tax preference items:8.
9. Investment tax credit, real enterprise tax credit, historic barn credit & employment incentive credit10. Investment tax credit on research and development property11. Investment tax credit for financial services industry12.13. EZ wage tax credit14. Investments in certified EZ businesses15. Monetary contributions to EZ community development projects16. EZ investment tax credit17. EZ investment tax credit for financial services industry18.19. QEZE real property tax credit allowed20. Net recapture of QEZE real property tax credit21. QEZE employment increase factor22. QEZE zone allocation factor23. QEZE benefit period factor24. QEZE partnership employer identification number25. QEZE employment increase factor26. QEZE zone allocation factor27. QEZE benefit period factor28. Total acres of qualified agricultural property29. Total amount of eligible school district property taxes paid30. Total acres of qualified agricultural property converted to nonqualified use31. Total acres of qualified conservation property32. Alternative fuels credit33. Recapture of alternative fuels credit34. Credit for employment of persons with disabilities35. QETC employment credit36. QETC capital tax credit37. Recapture of QETC capital tax credit38. Empire state commercial production credit
ShareholderResidency
Status
ShareholderEntityStatus
Shareholders' Shares of New York State Credits and Taxes on Early Dispositions
Form CT-34-SH
Part I -- Name and Address of Shareholder
%%
Part I -- Shareholder Information - Shareholders' shares of Modifications Related to S Corporation Items
Part II -- Shareholder Information
NEW YORK S CORPORATION SHAREHOLDER'S 2010INFORMATION
jj
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01-01-2010 12-31-2010CAPE CRUSADERS 11-1111111
333-33-333333.3300
BATWOMAN X55 TOUGHER THAN BATMAN AVENUE XMANHATTAN NY 10001
X
100.0000100.0000
100.
Sample ReturnSample Return
JVA Copyright Forms (Software Only) - 2010 TW A1122W 10_SNYK12
39. Credit for purchase of an automated external defibrillator40. Low-income housing credit41. Recapture of low-income housing credit42. Green building credit43. Long-term care insurance credit44. Empire State film production credit45. Brownfield redevelopment tax credit--site preparation credit component (CT-611)46. Brownfield redevelopment tax credit--tangible property credit component (CT-611)47. Brownfield redevelopment tax credit--on-site ground water remediation credit component (CT-611)48. Recapture of brownfield redevelopment tax credit (CT-611)49. Remediated brownfield credit for real property taxes50. Recapture of remediated brownfield credit for real property taxes51. Environmental remediation insurance credit52. Recapture of environmental remediation insurance credit53. QETC facilities, operations, and training credit54.55.56. Security officer training tax credit57a. Brownfield site preparation credit (CT-611.1)57b. Brownfield tangible property credit (CT-611.1)57c. Brownfield on site ground water remediation (CT-611.1)57d. Brownfield credit recapture (CT-611.1)58. Biofuel production credit59. Clean heating fuel credit60. Credit for taxicabs and livery service vehicles accessible to persons with disabilities61. Rehabilitation of historic properties credit62. Recapture of rehabilitation of historic properties credit63. Other tax credit(s) (see instructions)
Specify:
CT-34-SH (2009) (Page 2)
Shareholders' shares of New York S corporation's New York State tax credits and taxes on early dispositionsPart II -- Shareholder Information (applicable to Form CT-3-S only) (continued)
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BATWOMAN 333-33-3333
Sample Return