KCR
SCHEDULE
Taxable Year Ending
KENTUCKY
__ __ / __ __
Form 720
CONSOLIDATED RETURN SCHEDULE
Mo.
Yr.
41A720KCR (10-12)
(Attach All Applicable Schedules)
Commonwealth of Kentucky
DEPARTMENT OF REVENUE
Name of Corporation
Federal Identification Number
Kentucky Corporation/LLET
Account Number
___ ___ — ___ ___ ___ ___ ___ ___ ___
___ ___ ___ ___ ___ ___
Name
Name
________________________________
________________________________
Consolidated
Intercompany
FEIN __________________________
FEIN __________________________
Parent
Totals
Eliminations
KY Corp./LLET Acct. No.
KY Corp./LLET Acct. No.
________________________________
________________________________
1. Federal taxable income
(Schedule CR, line 28) ...................
1
00
00
00
00
00
Additions
2. Interest income (state and
local obligations) ...........................
2
00
00
00
00
00
3. State taxes based on net/gross
income ............................................
3
00
00
00
00
00
4. Depreciation adjustment ...............
4
00
00
00
00
00
5. Deductions attributable to
nontaxable income ........................
5
00
00
00
00
00
6. Related party expenses .................
6
00
00
00
00
00
7. Dividend paid deduction (REIT) ....
7
00
00
00
00
00
8. Domestic production activities
deduction .......................................
8
00
00
00
00
00
9. Other (attach schedule) .................
9
00
00
00
00
00
10. Revenue Agent Report (RAR) .......
10
00
00
00
00
00
11. Total (add lines 1 through 10) ......
11
00
00
00
00
00
Subtractions
12. Interest income (U.S. obligations)
12
00
00
00
00
00
13. Dividend income ............................
13
00
00
00
00
00
14. Federal work opportunity credit ...
14
00
00
00
00
00
15. Depreciation adjustment ...............
15
00
00
00
00
00
16. Other (attach schedule) .................
16
00
00
00
00
00
17. Revenue Agent Report (RAR) .......
17
00
00
00
00
00
18. Net income (line 11 less
lines 12 through 17) .......................
18
00
00
00
00
00
19. Net nonbusiness income ..............
19
00
00
00
00
00
20. Kentucky net nonbusiness
income ............................................
20
00
00
00
00
00