Form Et-1 - Financial Institution Excise Tax Return - 2006 Page 3
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5Form ET-1 (2006)
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SCHEDULE H – Balance Sheets
BEGINNING OF TAXABLE YEAR
END OF TAXABLE YEAR
(A) AMOUNT
(B) TOTAL
(C) AMOUNT
(D) TOTAL
ASSETS
1 Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Trade notes and accounts receivable . . . . . . . . . . . . . . . . . . . . . . . . .
(a) Less allowance for bad debts. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 Inventories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Government obligations:
(a) U.S. and instrumentalities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(b) State, subdivisions thereof, etc. . . . . . . . . . . . . . . . . . . . . . . . . . .
5 Other current assets (attach schedule) . . . . . . . . . . . . . . . . . . . . . . .
6 Loans to stockholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 Mortgage and real estate loans. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8 Other investments (attach schedule). . . . . . . . . . . . . . . . . . . . . . . . . .
9 Buildings and other fixed depreciable assets. . . . . . . . . . . . . . . . . .
(a) Less accumulated depreciation. . . . . . . . . . . . . . . . . . . . . . . . . . .
10 Depletable assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(a) Less accumulated depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11 Land (net of any amortization) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12 Intangible assets (amortizable only) . . . . . . . . . . . . . . . . . . . . . . . . . .
(a) Less accumulated amortization. . . . . . . . . . . . . . . . . . . . . . . . . . .
13 Other assets (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14 Total assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
LIABILITIES AND STOCKHOLDERS’ EQUITY
15 Accounts payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16 Mortgages, notes, bonds payable in less than 1 yr. . . . . . . . . . . .
17 Other current liabilities (attach schedule) . . . . . . . . . . . . . . . . . . . . .
18 Loans from stockholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19 Mortgages, notes, bonds payable in 1 yr. or more . . . . . . . . . . . .
20 Other liabilities (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21 Capital stock: (a) Preferred stock . . . . . . . . . . . . . . . . . . . . . . . . . .
(b) Common stock. . . . . . . . . . . . . . . . . . . . . . . . . . .
22 Paid-in or capital surplus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23 Retained earnings – Appropriated (attach schedule) . . . . . . . . . .
24 Retained earnings – Unappropriated . . . . . . . . . . . . . . . . . . . . . . . . .
(
)
(
)
25 Less cost of treasury stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26 Total liabilities and stockholders’ equity . . . . . . . . . . . . . . . . . . . . . . .
SCHEDULE I – Reconciliation of Income Per Books with Income Per Return
1 Net income per books . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 Income recorded on books this year
2 State Excise Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
not included in this return
3 Income subject to tax not recorded on books
(itemize)
this year (itemize)
8 Deductions in this tax return not
4 Expenses recorded on books this year not in this
charged against book income this
return (itemize):
year (itemize):
(a) Depreciation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(a) Depreciation. . . . . . . . . . . . . . . . . . . . . . . . . . .
(b) Depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(b) Depletion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(c) Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(c) Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 Excess of Federal Income Tax booked over
9 Excess of Federal Income Tax paid
paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
over amount booked. . . . . . . . . . . . . . . . . . . . . . .
10 Total of lines 7, 8a, 8b, 8c, and 9. . . . . . . . . . .
6 Total of lines 1 through 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11 Income (line 6 less line 10) . . . . . . . . . . . . . . . .
SCHEDULE J – Analysis of Unappropriated Retained Earnings Per Books
(Line 24 Above)
1 Balance at beginning of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 Distributions:
2 Net income per books . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(a) Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 Other increases (itemize)
(b) Stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(c) Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Other decreases (itemize)
7 Total of lines 5a, 5b, 5c, and 6 . . . . . . . . . . . . .
4 Total of lines 1, 2, and 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8 Balance at end of year (line 4 less line 7)
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