Form Sc 990-T - Exempt Organization Business Tax Return
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1
2
3
4STATE OF SOUTH CAROLINA
DEPARTMENT OF REVENUE
1350
Mail this return to:
EXEMPT ORGANIZATION
SC 990-T
SC DEPARTMENT OF REVENUE
BUSINESS TAX RETURN
(Rev. 7/22/11)
Corporation Return
Return is due on or before the 15th day of the
3315
5th month following the close of the taxable year.
Columbia, SC 29214-0100
TAXPAYER ID INFORMATION
Attach complete copy of Federal Return.
SC FILE #
Extension requested:
Yes
No
Amended Return
Check if
Consolidated Return
INCOME TAX PERIOD ENDING
If Final Return, Indicate Whether:
Merged
FEIN
Reorganized
Dissolved
Withdrawn
County or Counties in SC Where Property is Located:
NAME
City
Audit Location
State
MAILING ADDRESS
CITY
STATE
ZIP CODE
Audit Contact
Telephone Number
Change of
Address
Accounting Period
14-0804
1.
1.
Federal unrelated business taxable income from Form 990T.......................................................................
2.
2.
Net Adjustment from line 12, Schedule A and B...........................................................................................
3.
3.
Total Net Income as Reconciled (line 1 plus or minus line
2)............................................................................
4.
4.
If Multi-state Organization, enter amount from line 6, Sch. G; otherwise, enter amount from line 3.............
5.
5.
LESS: South Carolina net operating loss carryover, if applicable................................................................
6.
6.
South Carolina Net Income Subject to tax (line 4 less line 5).......................................................................
7.
7.
TAX: Multiply amount on line 6 by .05 (5.0%)...............................................................................................
8.
8.
Non-refundable credits from line 5, Schedule C...........................................................................................
9.
9.
Balance of tax (line 7 less line 8) Enter the difference but not less than zero...............................................
10.
Payments: (a) Tax Withheld (Attach 1099s, I-290s, and/or W-2s)
(b) Paid by Declaration
(c) Paid with Tentative Return
11.
11.
Total Payments (add lines 10a through 10c)................................................................................................
12.
12.
Balance of Tax Due (line 9 less line 11)........................................................................................................
Interest Due
Penalty Due
(See instructions for penalty and interest.)
13.
13.
TOTAL INCOME TAX,
. . . . . . . . . . . . . . . . . . . BALANCE DUE
14.
Interest and Penalty (add lines 12 and 13)
14.
15.
OVERPAYMENT (line 11 less line 9)
To be applied as follows:
(a) Estimated Tax
(b) REFUNDED
M
ake check payable to: South Carolina Department of Revenue. Include Business Name, FEIN and SC File #.
Signature of Officer
Date
Title
Please
I authorize the Director of the Department of Revenue or delegate to
Sign
Yes
No
discuss this return, attachments and related tax matters with the preparer.
Here
Preparer Printed Name
Preparer telephone number
Check if
self-employed
PTIN or FEIN
Preparer
Paid
signature
ZIP Code
Preparer's
Firm's name (or
Use Only
yours if self-employed)
and address
33151028
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