Michigan Department of Treasury (Rev. 10-01)
2001
2001 MICHIGAN
C-8000X
Single Business Tax Amended Return
Complete and attach any schedules that have changed because you are amending.
Issued under authority of P.A. 228 of 1975. See instruction booklet for filing guidelines.
IDENTIFICATION
4
1
5
This return is for calendar year _____________ or for the following tax year
4
Federal Employer ID No. (FEIN) or TR No.
Beginning Date
Ending Date
month
year
month
year
6a
Check this box if address is new
b
Check this box if discontinued
2
Name (Type or Print)
Effective date of discontinuance
8
7
Business Start Date
Source of Change
d/b/a
IRS
Amended
Audit
Federal
Other
Street Address
9
Organization Type (check one)
City, State, ZIP
a.
b.
Individual
Fiduciary
c.
d.
Professional Corp.
S-Corp.
3
Check this box if you are filing a Michigan consolidated return.
e.
f.
Other Corp.
Partnership/
Enter authorization number
g.
LLC-Partnership
Limited Liability
4
Check this box if you are a member of a controlled group (see instruction book).
Company-Corporation
As Reported
Correct
Complete and attach any schedules that have changed.
or Adjusted
Amount
.00
.00
10
Gross receipts
10
10
.00
.00
11
Business income (50% method; see instructions)
11
11
COMPENSATION
.00
.00
12
Salaries, wages and other payments to employees
12
12
.00
.00
13
Employee insurance plans - health, life
13
13
.00
.00
14
Pension, retirement, profit sharing plans
14
14
.00
.00
15
Other payments - supplemental unemployment benefit trust, etc
15
15
.00
.00
16
Total Compensation. Add lines 12 - 15
16
16
ADDITIONS
.00
.00
17
Depreciation and other write-off of tangible assets
17
17
.00
.00
18
Taxes imposed on or measured by income, e.g.,city, state, foreign
18
18
.00
.00
19
Single business tax
19
19
.00
.00
20
Dividend, interest and royalty expenses
20
20
.00
.00
21
Capital loss carryover or carryback
21
21
.00
.00
22
Net operating loss carryover or carryback
22
22
23
Gross interest and dividend income from bonds and similar obligations
.00
.00
issued by states other than Michigan and its political subdivisions
23
23
24
Any deduction or exclusion due to classification as FSC or similar
.00
.00
classification and expenses of financial organizations, see inst.
24
24
.00
.00
25
Losses from partnerships, Account no.
25
25
.00
.00
26
Total Additions. Add lines 17 - 25
26
26
4
.00
.00
27
Subtotal. Add lines 11, 16 and 26
27
27
SUBTRACTIONS
.00
.00
28
Dividends, interest and royalty income included in business income
28
28
.00
.00
29
Capital losses not deducted in arriving at business income
29
29
30
Income from partnerships included in business income,
.00
.00
Account no.
30
30
.00
.00
31
Total Subtractions. Add lines 28 - 30
31
31
TAX BASE
.00
.00
32
Tax Base. Subract line 31 from line 27
32
32
.00
.00
33
Apportioned Tax Base. Multiply line 32 by ______% from C-8000H
33
33
4
Go to page 2
PAYMENT
4
.00
PAY THIS AMOUNT
64
64
What amount did you enter on page 2, line 60
Mail your return to: Michigan Department of Treasury, P.O. Box 30059, Lansing, MI 48909.
Make your check payable to "State of Michigan," and write your FEIN on the check.
Continue and sign on page 2.