Form 100-Fee-X - Amended Water'S-Edge Election Fee
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1INCOME YEAR
CALIFORNIA FORM
19
Amended Water’s-Edge Election Fee
100-FEE-X
For calendar year 1998 or fiscal year beginning month _______ day ______ year 1998, and ending month _______ day ______ year _______
Please Type or Print Corporation Name and Address
Corporation name
California corporation number
Number and street
Was the original Form 100-FEE paid
on a single return?
YES
NO
City
State
ZIP Code
Has Form 100 or Form 100S
been amended?
YES
NO
Part I Election Fee
On line 1, enter the DIFFERENCE between the amount reported on your original Form 100-FEE-A and the amount reported on the attached
Amended Form 100-FEE-A. Use brackets to indicate negative amounts.
1
1 Election fee (net change) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part II Payments and Credits
2
2 Overpayments from prior year allowed as credit . . . . . . . . . . . . . . . . . . . . . .
3
3 Estimated election fee payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
4 Amount paid with form FTB 3539 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
5 Payment with original Form 100-FEE . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
6 Amount credited from franchise or income tax . . . . . . . . . . . . . . . . . . . . . . .
7
7 Other payments (explain) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
8 Total payments. Add line 2 through line 7. . . . . . . . . . . . . . . . . . . . . . . . . .
9 Overpayment, if any, shown on original Form 100-FEE. . . . . . . . . . . . . . . . . .
9
10
10 Balance. Subtract line 9 from line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part III Election Fee Due or Refund
11
11 Total correct election fee (from Amended Form 100-FEE-A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
,
,
,
, ,
,
,
,
•
•
12 Additional election fee due. Subtract line 10 from line 11 . . . . . . . . . . . . . . .
12
,
,
,
, ,
,
,
,
•
•
13 Refund. Subtract line 11 from line 10 . . . . . . . . . . . . . . . . . . . . . . . . . .
13
Part IV Explanation of Changes to Property, Payroll, Sales, etc. See General Information C.
THIS FORM MUST BE ATTACHED TO THE FRONT OF FORM 100-FEE-A
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 preparer has any knowledge.
Please
Sign
Signature of officer
Title
Date
Telephone
Here
(
)
Preparer’s signature
Date
Preparer’s social security no.
Check if self-
Paid
employed
Preparer’s
FEIN
Use Only
Firm’s name (or yours, if
self-employed) and address
Telephone (
)
100FX98109
Form 100-FEE-X
1998 Side 1
For Privacy Act Notice, get form FTB 1131.
C1
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