2003
Form 355SBC
Massachusetts
Small Business Corporation Excise Return
Department of
Revenue
(domestic corporations only)
For calendar year 2003 or taxable year beginning
and ending
Name of corporation
Federal business code
Federal Identification number (FID)
❿
❿
Principal business address
City/Town
State
Zip
2 ❿!Date of charter in Massachusetts:
3 ❿!Average number of employees in Massachusetts:
1 Kind of business:
4 ❿!Is this return a final return?
5 ❿!U.S. tax return filed:
Yes
No
1120
1120-A
Use whole dollar method
× .0026 = ❿ 1
11. Taxable Massachusetts tangible property, if applicable (from line 19e). . . . . . . . . . . . . . . ❿ $
× .0026 = ❿ 2
12. Taxable net worth, if applicable (from line 25c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿ $
×
13. Massachusetts taxable income (from line 35) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿ $
= ❿ 3
.0950
14. Total excise.
Add line 3 to either line 1 or line 2, whichever applies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
456
15. Minimum excise (cannot be prorated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
16. Excise due before voluntary contribution (line 4 or line 5, whichever is larger) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
17. Voluntary contribution for endangered wildlife conservation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿ 7
18. Excise due plus voluntary contribution. Add lines 6 and 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿ 8
19. Prepayments:
a. 2002 overpayment applied to your 2003 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿ 9a
b. 2003 Massachusetts estimated tax payments (do not include amount in line 9a) . . . . . . . ❿ 9b
c. Payments made with extension (attach Form 355-7004) . . . . . . . . . . . . . . . . . . . . . . . . . . ❿ 9c
9d. Total. Add lines 9a through 9c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9d
10. If line 9d is larger than line 8, enter amount overpaid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11. Enter amount of line 10 to be credited to 2004 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . ❿ 11
12. Enter amount overpaid to be refunded. Subtract line 11 from line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿ 12
13. If line 8 is larger than line 9d, enter balance due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14. M-2220 penalty ❿!$ ________________ ; Late file/pay penalties ❿!$ _______________ ; . . . . . . . . . . . . . . . . . . Total penalty 14
15. Interest on unpaid balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿ 15
16. Total payment due at time of filing. Add lines 13 through 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total due ❿ 16
Corporate Disclosure Schedule: Massachusetts requires all corporations to complete the following items.
11. Enter the amount for charitable contributions (from U.S. Form 1120, or 1120-A, line 19) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿ 1
12. Enter the amount of the deduction for federal research expenses (included in U.S. 1120, or 1120-A) allowed under IRC
sec 174, plus the credit for research allowed by IRC sec. 41 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿ 2
Enter in line 3 the amounts of any accelerated depreciation (ACRS, MACRS or others) allowed as a federal deduction for the taxable year. In line 4, enter depreciation for
property included in line 3 determined by using generally accepted accounting principles. Subtract line 4 from line 3 and enter the result in line 5.
Buildings
Pollution
Equipment
Rental housing
(other than rental housing)
control facilities
❿
❿
❿
❿
13. Accelerated depreciation allowed federally . . . . . . . . 3
14. Depreciation calculated according to generally
❿
❿
❿
❿
accepted accounting principles . . . . . . . . . . . . . . . . . 4
❿
❿
❿
❿
15. Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . . . . 5
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of
my knowledge and belief, it is true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which
he/she has knowledge.
Signature of appropriate officer (see instructions)
Date
Social Security number
Title
Individual or firm signature of preparer ❿
Date
Employer ID number
Address
If you are signing as an authorized delegate of the appropriate corporate officer, check here
and attach Massachusetts Form M-2848, Power of Attorney. Privacy act
notice available upon request. Mail to: Massachusetts Department of Revenue, PO Box 7050, Boston, MA 02204.