Form Cift-620sf - 2004 Corporation Income And 2005 Franchise Taxes
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2CIFT–620SF
2004 Corporation Income and 2005 Franchise Taxes
For name change,
O
You must enter your Revenue Account
mark circle.
Number here
For address change,
O
mark circle.
For amended return,
O
P.O. Box 91011
mark circle.
Baton Rouge, LA 70821-9011
For final return,
O
mark circle.
For short period
O
return, mark circle.
FOR OFFICE USE ONLY.
O
Field flag
Extension
Entity is not required
O
to file franchise tax
Income Taxable Period
Franchise Taxable Period
Fiscal year beginning
Fiscal year beginning
Fiscal year ending
Fiscal year ending
E Gross revenues
$
00
A Federal Employer
Identification Number (FEIN)
F Total assets
$
00
B Federal taxable income
$
00
G NAICS
C Federal income tax
$
00
H Income included in federal consolidated filing? Yes J
No J
D Income tax apportionment %
100 00
Corporation Income Tax Information
Corporation Franchise Tax Information
7 Franchise tax apportionment %
100
00
1 Louisiana taxable income (from
Schedule A, Line 18 on back)
$
00
8 Louisiana taxable base
(from Line 3 of the Calculation of
2 Louisiana corporate income tax
Franchise Tax Worksheet on Page 6)
00
(from calculation of Income Tax
Worksheet, Page 6, Line 4)
$
00
9 Louisiana corporate franchise tax
(from Calculation of Franchise Tax
3 Less Enterprise Zone Credit
$
00
Worksheet, Page 6, Line 8)
00
4 Income tax after credit
(Subtract Line 3 from Line 2.)
$
00
10 Less Enterprise Zone Credit
00
11 Franchise tax after credit
5 Less prior payments
$
00
(Subtract Line 10 from Line 9.)
00
6 Amount of income tax
12 Less prior payments
00
due or overpayment
$
00
13 Amount of franchise tax
due or overpayment
(Subtract Line 12 from Line 11.)
00
Summary of Taxes Due
1 Total tax due
(Add Lines 6 and 13 above.)
$
6 Interest (See instructions.)
00
00
2 Ad Valorem Credit
7 Amount due or overpayment (Add
(See instructions.)
$
00
Lines 3, 4, 5, and 6.)
00
(Do not send cash.)
3 Net tax due or overpayment
8 Amount of overpayment to be
00
(Subtract Line 2 from Line 1.)
$
00
refunded
4 Delinquent filing penalty
9 Amount of overpayment credited to
(See instructions.)
$
00
00
2005 tax year
5 Delinquent payment penalty
$
00
Make payment to: Louisiana Department of Revenue,
or pay at
2520
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