For office use only
OREGON
Date received
Form
•
CORPORATION
1999
20
Payment
•
•
EXCISE TAX
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1
2
3
•
•
•
RETURN
or Fiscal Year
If you filed a return in 1998, indicate if you
Mo
Day
Year
Mo
Day
Year
•
•
99
had a:
Name change
Address change
Beginning:
Ending:
Name
Federal employer ID number
Business identification number
•
Mailing address
•
An extension is attached
City
State
ZIP Code
•
Form 37 is attached
Contact person
Telephone number
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This is an amended return
(
)
Complete A through D only if this is your first return or the answer
are in effect and dates on which waivers expire.
changed during 1999.
•
•
A.
Incorporated in
(state), on
(date)
I.
List the tax years for which your federal taxable income was changed
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B.
State of commercial domicile
by an IRS audit, or by an amended federal return filed during this tax
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C.
Date began business activity in Oregon
year:
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D.
Business Activity Code from your federal return
Send a copy of the agent’s report or the amended return under sepa-
•
rate cover, if not furnished previously.
E.
(1) Was a consolidated federal return filed?
.............
Yes
No
•
Yes
J.
If this is your first return, indicate whether:
(2) Is this a consolidated Oregon return?
.................
No
New business, or
Successor to previously existing business.
(3)
Are corporations included in the consolidated
Enter name and federal employer identification number of previous
federal return, but not in the Oregon return?
.......
Yes
No
business:
If (1), (2) or (3) is yes, please see instructions.
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F.
K.
If this is your final return, indicate whether:
If you have more than 13 affiliates doing
business in Oregon, check the box and
Withdrawn,
Dissolved,
Merged or reorganized. Enter name
see instructions ...................................................................
and federal employer identification number of merged or reorganized
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G.
Are you a high-income taxpayer? Please see
corporation:
•
L.
instructions
................................................................
Yes
No
If you didn’t complete Schedule AP, enter gross receipts from federal
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H.
List the tax years for which federal waivers of the statute of limitations
Form 1120 or 1120A, line 1a: $
PLEASE ATTACH A COMPLETE COPY OF YOUR FEDERAL FORM 1120 OR 1120-A AND SCHEDULES
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1.
Taxable income from U.S. corporation income tax return, Form 1120 (line 28) or 1120-A (line 24)
.............
1
ADDITIONS (see instructions, page 5)
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2.
State, municipal, and other interest income excluded in arriving at line 1
..........................
2
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3.
Oregon excise tax, other state or foreign taxes on or measured by net income or profits
3
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4.
Income of related FSC or DISC
..................................................................................................
4
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5.
Other additions. Attach schedule and explanation
5
............................................................
6.
Total additions (add lines 2 through 5)
......................................................................................................................
6
7.
Income after additions (line 1 plus line 6)
..................................................................................................................
7
SUBTRACTIONS (see instructions, page 6)
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Work opportunity credit wages not deducted on federal Form 1120 or 1120-A
8.
................
8
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9.
Dividend deduction. Attach schedule and explanation
.....................................................
9
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10.
Income of nonunitary corporations. Attach schedule and explanation
...........................
10
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11.
Other subtractions. Attach schedule and explanation
......................................................
11
12.
Total subtractions (add lines 8 through 11)
...............................................................................................................
12
Income before net loss deduction (line 7 minus line 12)
13.
.........................................................................................
13
If income is derived from sources both in Oregon and other states, carry amount on line 13
to Schedule AP-2, line 1, and skip line 14 below.
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..................
14.
Net loss deduction and net capital loss deduction. Attach schedule (see instructions, page15)
14
15.
Oregon taxable income (line 13 minus line 14 or amount from Schedule AP-2, line 11)
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(carry forward to page 2, line 16)
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15
150-102-020 (Rev. 9-99)
Now go to the back of this form