MARYLAND
FORM
PAGE 2
500
CORPORATION INCOME TAX RETURN
2011
115000149
Name _________________________________ FEIN _____________________
Column 1
Column 2
Column 3
SCHEDULE A –
COMPUTATION OF APPORTIONMENT FACTOR
TOTALS
TOTALS
DECIMAL FACTOR
(
)
WITHIN
WITHIN AND
(Applies only to multistate corporations – see instructions)
Column 1 ÷ Column 2
Special apportionment formulas are required for rental/leasing, financial
MARYLAND
WITHOUT
NOTE:
rounded to six places
institutions, transportation and manufacturing companies.
MARYLAND
1A. Receipts
a. Gross receipts or sales less returns and allowances . . . . . . . . . . .
b. Dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Gross rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e. Gross royalties. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f. Capital gain net income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g. Other income (Attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
h. Total receipts (Add lines 1A(a) through 1A(g), for Columns 1 and 2)
1B. Receipts
Enter the same factor shown on line 1A, Column 3. Disregard this line
.
if special apportionment formula used . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.
Property
a. Inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Machinery and equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Buildings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Land . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e. Other tangible assets (Attach schedule) . . . . . . . . . . . . . . . . . . . . . . .
f. Rent expense capitalized (multiplied by eight) . . . . . . . . . . . . . . . . . .
.
g. Total property (Add lines 2a through 2f, for Columns 1 and 2) . . .
3.
Payroll
a. Compensation of officers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Other salaries and wages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
c. Total payroll (Add lines 3a and 3b, for Columns 1 and 2) . . . . . . .
.
4.
Total of factors (Add entries in Column 3) ................................................................................................................................................................
5.
Maryland apportionment factor Divide line 4 by four for three-factor formula, or by the number of factors used if special apportionment
.
formula required. (If factor is zero, enter 000001 on line 6 page 1.) .......................................................................................................................
SCHEDULE B – ADDITIONAL INFORMATION REQUIRED
(Attach a separate schedule if more space is necessary)
1. Telephone number of corporation tax department: __________________________________________________________________________________
If a multistate operation, provide the following:
2. Address of principal place of business in Maryland (if other than indicated on page 1): ______________________________________________________
___________________________________________________________________________________________________________________________
3. Brief description of operations in Maryland: _________________________________________________________________________________________
___________________________________________________________________________________________________________________________
4. Has the Internal Revenue Service made adjustments (for a tax year in which a Maryland return was required) that were not previously reported to the
Maryland Revenue Administration Division?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
If “yes”, indicate tax year(s) here:__________and submit an amended return(s) together with a copy of the IRS adjustment report(s) under separate cover.
5. Did the corporation file employer withholding tax returns/forms with the Maryland Revenue Administration Division for the last calendar year?
Yes
No
6. Is this entity part of a federal consolidated filing? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
7. Is this entity a multistate corporation that is a member of a unitary group? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
8. Is this entity a multistate manufacturer with more than 25 employees? If so, complete and attach Form 500MC to your Form 500. . . . .
Yes
No
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. If prepared by a person other than taxpayer, the declaration is based on all information of which the preparer has any knowledge. Check here
if you
authorize your tax preparer to discuss this return with us.
Officer’s signature
Date
Preparer’s SSN or PTIN (required by law)
Preparer’s signature
Title
Preparer’s name, address and telephone number
Make checks payable and mail to:
Comptroller of Maryland, Revenue Administration Division
110 Carroll Street, Annapolis, Maryland 21411-0001
Write federal employer identification number on check using blue or black ink.
COM/RAD-001
11-49