Form C-8000x - Single Business Tax Amended Return - 2001 Page 2
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1
2C-8000X, Page 2
Federal Employer Identification Number
TAX BASE
As Reported or Adjusted
Correct Amount
.00
.00
34
What amount did you enter on line 32 or 33, whichever applies?
34
34
ADJUSTMENTS
.00
.00
35
Recapture of capital acquisition deduction, from C-8000D
35
35
36
Adjusted tax base before loss deduction and statutory exemption.
.00
.00
Add line 34 and line 35. If line 35 is negative, subtract.
36
36
.00
.00
37
Business loss deduction
37
37
.00
.00
38
Adjusted tax base before statutory exemption. Subtract line 37 from 36
38
38
STATUTORY EXEMPTION -
See form C-8043.
.00
.00
39
Allowable statutory exemption from C-8043
39
39
40
ADJUSTED TAX BASE. Subtract line 39 from line 38.
.00
.00
Check if C-8000G is attached.
40
40
REDUCTIONS, NON-REFUNDABLE CREDITS, TAX
.00
.00
41
Reduction to adjusted tax base, if applicable. See form C-8000S.
41
41
Compensation
Gross Receipts
Check method being used:
Reduction
Reduction
.00
.00
42
Taxable base. Subtract line 41 from 40 or enter amount from C-8000S
42
42
.00
.00
43
Tax Before All Credits. Multiply line 42 by the applicable tax rate
43
43
.00
.00
44
Tax After Investment Tax Credit. See form C-8000ITC.
44
44
Amend the small business and contribution credits on form C-8000C before continuing.
If you did not claim these credits enter the amount from line 44 on line 45.
.00
.00
45
Enter either the amount from C-8000, line 44, C-8000C or C-8009
45
45
.00
.00
46
Unincorporated/S-Corp Credit
46
46
.00
.00
47
Nonrefundable Credits
47
47
.00
.00
48
Add lines 46 and 47
48
48
.00
.00
49
Tax After Nonrefundable Credits. Subtract line 48 from line 45
49
49
PAYMENTS
.00
.00
50
Overpayment credited from prior year
50
50
.00
.00
51
Estimated tax payments
51
51
.00
.00
52
Tax paid with request for extension
52
52
.00
.00
53
Refundable Credits from C-8000MC
53
53
.00
54
Amount paid with original return plus additional tax paid after original return was filed
54
.00
55
Add lines 50 - 54
55
.00
56
Overpayment, if any, as shown on original return or as previously adjusted
56
.00
57
Subtract line 56 from line 55
57
TAX DUE/OVERPAYMENT
.00
58
Tax due. If line 49 is more than line 57, enter the difference
58
.00
59
Amended return penalty _________ and interest _________
59
.00
60
Add lines 58 and 59. Enter here and on page 1, line 64
60
.00
61
If line 49 is less than line 57, enter the difference. You overpaid this amount
61
.00
62
Amount of line 61 to be credited forward
62
.00
REFUND
63
Subtract line 62 from line 61
63
SIGNATURE AND PREPARER AUTHORIZATION
TAXPAYER'S DECLARATION
PREPARER'S DECLARATION
I declare under penalty of perjury, that this return is true
I declare under penalty of perjury, that this return is based
and correct to the best of my knowledge.
on all information of which I have any knowledge.
I authorize Treasury to discuss my return with my preparer.
Preparer's Signature
Date
Yes
No
Taxpayer's Signature
Date
Business Address and Phone
Title
C-8000X 2001
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