Form Et-1 - Financial Institution Excise Tax Return - Alabama Department Of Revenue - 2003
ADVERTISEMENT
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5A
D
R
FORM
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LABAMA
EPARTMENT OF
EVENUE
2003
ET-1
FY
Financial Institution Excise Tax Return
SY
For the year January 1 – December 31, 2002, or other tax year beginning _______________________, ________, ending _____________________________
(For Official Use Only)
NATURE OF BUSINESS
CODE
FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN)
DEPARTMENT USE ONLY
Extension ______________________
NAME (IF NAME HAS CHANGED, ALSO GIVE FORMER NAME)
Balance________________________
ADDRESS
Additional Tax ___________________
CITY, STATE, COUNTRY (IF NOT U.S.)
9-DIGIT ZIP CODE
Date Paid ______________________
Reviewed by________ Date________
TELEPHONE NUMBER
STATE OF INCORPORATION
DATE OF INCORPORATION
(
)
Important
Audited by__________ Date________
THIS COMPANY’S
DATE QUALIFIED IN ALABAMA
Check applicable box:
TOTAL ASSETS
Is this an Alabama Consolidated
Initial Return
DOES THIS COMPANY OPERATE IN MORE THAN ONE STATE?
Excise Tax return?
Final Return
If you filed a return for 2002 and above
address is different, check here
YES
NO
YES
NO
Amended Return
Does this company file as part of a consolidated Federal return?
YES
NO
If yes, enter name and FEIN of common parent corporation.
If payment made through Electronic Funds
Name
FEIN
Transfer (EFT), check this box
FILING STATUS: (See Instructions)
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Corporation operating only in Alabama
Multistate Corporation–Apportionment
Multistate Corporation–Separate (Direct) Accounting (Prior written approval required)
1a
1 Interest and Dividends: (a) Loans and Discounts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
(b) Obligations of the United States Government . . . . . . . . . . . . .
1c
(c) Obligations of States and Political Subdivisions . . . . . . . . . . .
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2 Dividend Income (Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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3 Rental Income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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4 Gain or (Loss) on Sale of Assets (Schedule B) ..............................................
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5 Other Income (attach schedule)...............................................................
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6 TOTAL INCOME (add lines 1 through 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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7 Compensation of Officers (Schedule C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CN
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8 Salaries and Wages of Employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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9 Repairs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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10 Bad Debts (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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11 Rent. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
– UNLESS A COPY OF THE
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12 Taxes – Actual Amount Paid in 2002 (Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FEDERAL INCOME TAX
RETURN IS ATTACHED,
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13 Interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
THIS RETURN WILL BE
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14 Contributions (limited to 5% – see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CONSIDERED INCOMPLETE –
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15 Depreciation (Schedule G). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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16 Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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17 Pension, Profit Sharing Plans, Etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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18 Dividends – Section 40-16-1(2)(g)(i)(j). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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19 Other Deductions (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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20 TOTAL DEDUCTIONS (add lines 7 through 19). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21 Net Income or (Loss) (subtract line 20 from line 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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22 Net Non Business (Income)/Loss (from column E, Schedule K) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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23 Apportionable Income (add lines 21 and 22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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%
24 Alabama Apportionment Factor (from line 26, Schedule L) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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25 Income Apportioned to Alabama (multiply line 23 by line 24) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26 Net Non Business Income/(Loss) (from column F, Schedule K) allocated to this state . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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27 Alabama Income Before Federal Income Tax Deduction (line 25 plus line 26) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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28 Federal Income Tax Deduction/(Refund) (from line 7, Schedule M) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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29 Alabama Income Before Net Operating Loss (NOL) (line 27 less line 28) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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30 Alabama NOL Deduction (do not exceed line 29 – attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
31 Alabama Taxable Income (line 29 less line 30). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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32 FINANCIAL INSTITUTION EXCISE TAX (6-1/2% of line 31) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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33 Less Taxes Used as Credits (Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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34 Balance of Tax after Credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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35 Less Previous Payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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36 Balance of Tax Due with this Return or (Overpayment/Refund). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
37 Interest from April 15 to Date of Payment at the Internal Revenue Service Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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38 Penalty for late filing and/or late payment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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39 TOTAL AMOUNT DUE (add lines 36, 37, and 38) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
40 AMOUNT REMITTED WITH THIS RETURN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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