Form 720 - Kentucky Consolidated Return Schedule - Continuation Sheet

KCR-C

SCHEDULE

Taxable Year Ending

KENTUCKY

__ __ / __ __

Form 720

CONSOLIDATED RETURN SCHEDULE—Continuation Sheet

Mo.

Yr.

41A720KCR-C (10-12)

Commonwealth of Kentucky

(Attach All Applicable Schedules)

DEPARTMENT OF REVENUE

Name of Corporation

Federal Identification Number

Kentucky Corporation/LLET

Account Number

___ ___ — ___ ___ ___ ___ ___ ___ ___

___ ___ ___ ___ ___ ___

Name

________________________________

FEIN __________________________

KY Corp./LLET Acct. No.

________________________________

1. Federal taxable income

(Schedule CR-C, line 28) ................

Additions

2. Interest income (state and

local obligations) ...........................

3. State taxes based on net/gross

income ............................................

4. Depreciation adjustment ...............

5. Deductions attributable to

nontaxable income ........................

6. Related party expenses .................

7. Dividend paid deduction (REIT) ....

8. Domestic production activities

deduction .......................................

9. Other (attach schedule) .................

10. Revenue Agent Report (RAR) .......

11. Total (add lines 1 through 10) ......

Subtractions

12. Interest income (U.S. obligations)

13. Dividend income ............................

14. Federal work opportunity credit ...

15. Depreciation adjustment ...............

16. Other (attach schedule) .................

17. Revenue Agent Report (RAR) .......

18. Net income (line 11 less

lines 12 through 17) .......................

19. Net nonbusiness income ..............

20. Kentucky net nonbusiness

income ............................................

Form 720 - Kentucky Consolidated Return Schedule - Continuation Sheet - 2012

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