2011
Alaska Oil and Gas Corporation
650
DEPARTMENT USE ONLY
Net Income Tax Return
Envelope
FSN
For the calendar year 2011 or the taxable year beginning
____________, 2011 and ending ____________, _______
EIN
NAICS Code
Name
Phone Number
Mailing Address
Fax Number
City
State
Zip Code
Email Address
Contact Person
Title
Contact Phone Number
Check applicable boxes:
Exempt Organization (see instructions)
Check if a federal extension is in effect and
First Alaska return
attach a copy of Form 7004
S Corporation (Attach 1120S)
Carryback is waived for Net Operating Loss
Final Alaska return
Homeowners Association (Attach 1120H)
Name or address change since last year
SCHEDULE A - NET INCOME TAX SUMMARY
1
1. Alaska income (loss) from Schedule H, line 10 or Schedule M-1, line 4 ..............................................................
2
2. Alaska net operating loss deduction (attach schedule) ........................................................................................
3
3. Alaska taxable income. Subtract line 2 from line 1 ...............................................................................................
4
4. Alaska income tax from Schedule D, line 7 ..........................................................................................................
5
5. Other taxes from Schedule E, line 8 or Schedule M-3, line 7 ...............................................................................
6
(
)
6. Federal-based credits from Schedule F, line 16 or Schedule M-2, line 16 ...........................................................
7
7. Total Tax. Sum of lines 4, 5, and 6 .......................................................................................................................
8
(
)
8. Incentive Credits (see instructions) ......................................................................................................................
9
(
)
9. Education Credit from Schedule G, line 6 ............................................................................................................
10
10. Net Alaska income tax (line 7, net of lines 8 and 9) if more than $500, attach Form 0405-708 ...........................
11
11. Payments from Page 3, Schedule C .....................................................................................................................
12
12. Tax due. If line 10 is larger than line 11 enter amount of tax due .........................................................................
13
13. Overpayment. If line 11 is larger than line 10, enter amount overpaid (enter as a positive number) ...................
14
14. Penalty for underpayment of estimated tax (Form 0405-708, line 18, see instructions) ......................................
15
15. Penalty for failure to file (see instructions)............................................................................................................
16
16. Penalty for failure to pay (see instructions) ..........................................................................................................
17
17. Interest (see instructions) .....................................................................................................................................
18
18. Total amount due (overpaid). Line 12 plus lines 14-17, or line 13 less lines 14-17 ..............................................
19
19. Overpayment credited to 2012 estimated tax (see instructions) ..........................................................................
20
20. Refund (line 18 reduced by line 19)......................................................................................................................
I declare, under penalty of perjury, that I have examined this return, including accompanying schedules and statements,
May the DOR discuss this return with the
and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer)
preparer shown below (see instructions)
is based on all information of which preparer has any knowledge.
Yes
No
Officer’s Signature
Date
Title
DEPT. USE ONLY
Preparer’s Signature
Date
Preparer’s SSN or PTIN
Refund
Check if self-employed
CFWD
Preparer firm’s name (or yours if
EIN
Phone
self-employed) and address
Approved
City
State
Zip +4
Dept Use Only
Date
Validation Number:
650
Retain a copy for your records
0405-650 rev 2/12 - page 1