For office use only.
Louisiana Corporation Louisiana Corporation
Franchise Tax
Income Tax
Return for
Return for
2001
2002
or Fiscal Year
or Fiscal Year
Begun _______, 2001 Begun _______, 2002
Ended _______, 2002 Ended _______, 2003
Mark this box if
this is an amended
return.
Louisiana Department of Revenue
Post Office Box 91011
Baton Rouge, LA 70821-9011
Please enter your Revenue Account Number here:
Please print corporation name, and complete mailing address below.
Mark this box if
your address
has changed.
CIFT-620 (01-02)
Calendar year returns are due April 15. See instructions for fiscal years.
H. Does this corporation have, or file as, a FSC for federal Yes No
purposes; and, did this corporation file federal Form
H.
8873, Extraterritorial Income Exclusion?
I. Does this corporation file as a “small business
I.
corporation” for federal income tax purposes?
J. Was the income of this corporation included in a
J.
consolidated federal income tax return?
K. Is an Apportionment and Allocation Schedule
K.
(CIFT-620A) included with this return?
▲▲▲▲▲▲▲
1A.
1B.
1C.
1D.
1E.
1F.
2.
00
00
00
00
00
00
00
▲ ▲ ▲▲
Computation of Income Tax
00
00
____ ____ ____ . ____ ____ %
$
00
$
00
3E.
4.
5.
6.
00
00
00
00
____ ____ ____ . ____ ____ %
00
00
00
1A. Louisiana net income before loss adjustments and federal income tax deduction (Sch. D, Line 14, or Sch. P, Line 33)
1B. S corporation exclusion (See instructions.) Attach schedule.
1C. Loss carryforward ($
) less federal tax refund applicable to loss ($
) Attach schedule.
1D. Loss carryback ($
) less federal tax refund applicable to loss ($
) Attach schedule.
1E. Federal income tax deduction (See instructions.)
1F. Louisiana taxable income (Subtract Lines 1B, 1C, 1D, and 1E from Line 1A.)
2. Louisiana income tax (Schedule E, Line 4)
3. Credits: A. New Jobs Credit (Limited to 50% of net tax. See instructions.)
3A.
00
B. Enterprise Zone Credit
3B.
00
C. Louisiana Capital Companies Credit
3C.
00
D. Other credits. Explain. (Do not include ad valorem tax credit. See Line 15.)
3D.
00
E. Total credits (Add Lines 3A through 3D.)
4. Income tax after credits (Subtract Line 3E from Line 2.)
5. Less prepayments (Schedule I, Line 7)
6. Amount of income tax due or overpayment (Subtract Line 5 from Line 4.)
7A. Total capital stock, surplus, undivided profits, & borrowed capital (Sch. A, Line 32, Col. 3)
7A.
00
7B. Franchise tax apportionment percentage (Schedule N, Line 5, of CIFT-620A) (Carry to 2 decimal places or 100.00%.)
7C. Franchise taxable base (Multiply Line 7A by Line 7B.)
8. Amount of assessed value of real and personal property in Louisiana in 2001
9. Louisiana franchise tax (Schedule F, Line 6)
10A.
00
10. Credits: A. Enterprise Zone Credit
10B.
00
B. Other credits. Explain. (Do not include ad valorem tax credit. See Line 15.)
▲
▲▲▲▲
7B.
7C.
8.
9.
▲▲▲▲▲
10C.
11.
12.
13.
14.
15.
00
00
00
00
00
00
15C.
16.
17.
18.
19.
00
00
00
00
00
▲▲
Computation of Franchise Tax
$
$
▲▲▲▲
11.
12.
13.
14.
15.
▲▲
16.
17.
18.
19.
20.
21.
00
00
▲▲▲▲▲
C. Total credits (Add Lines 10A and 10B.)
Franchise tax after credits (Subtract Line 10C from Line 9.)
Less previous payments
Amount of franchise tax due or overpayment (Subtract Line 12 from Line 11.)
Total income and franchise tax due or overpayment (Add Lines 6 and 13.)
Credit for certain ad valorem taxes paid (See instructions.)
15A.
A. Inventory Credit
15B.
B. Telephone Company Property Credit
C. Total
Net income and franchise tax due or overpayment (Subtract Line 15C from Line 14.)
Penalties (See instructions.)
Interest (Enter 1.25% per month from due date of return to date of payment.)
Total amount due (Add Lines 16 through 18.) Make payment to Louisiana Department of Revenue. DO NOT SEND CASH.
20.
Amount of overpayment you want REFUNDED
21.
Amount of overpayment you want CREDITED to 2002 tax
▲▲
Net Amount Due
A.
B.
C.
D.
E.
F.
G.
▲ ▲ ▲ ▲
Federal Employer Identification Number
Federal taxable income
Federal income tax
Income tax apportionment percentage (two decimal places)
Gross revenues
Total assets
Business code number
▲▲ ▲▲▲▲▲
A.
B.
C.
D.
E.
F.
G.
00
00
2203
ALL APPLICABLE SCHEDULES MUST BE COMPLETED.
Page 2
SCHEDULE A – BALANCE SHEET AND CORPORATION FRANCHISE TAXABLE BASE
ASSETS
1. Beginning of year
2. End of year
1. Cash
2. Trade notes and accounts receivable
3. Reserve for bad debts
4. Inventories
5. Investment in United States government obligations
6. Other current assets (Attach schedule.)
7. Loans to stockholders
8. Stock and obligations of subsidiaries
9. Other investments (Attach schedule.)
10. Buildings and other fixed depreciable assets
11. Accumulated amortization and depreciation
12. Depletable assets
13. Accumulated depletion
14. Land
15. Intangible assets
16. Accumulated amortization
17. Other assets (Attach schedule.)
18. Excessive reserves or undervalued assets (Attach schedule.)
19. Totals (Add Lines 1 through 18.)
3. End of year
(
)
(
)
(
)
(
)
(
)
(
)
(
)
(
)
TOTAL FRANCHISE
TAXABLE BASE
(Extend to Column 3,
amounts in Column 2 that
are includable in the
franchise taxable base.)
LIABILITIES AND CAPITAL
20. Accounts payable
21. Mortgages, notes, and bonds payable (one year old or less at balance sheet date and
having a maturity of one year or less from original date incurred) (Complete Schedule B.)
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
Other current liabilities (Attach schedule.)
Loans from stockholders (Attach schedule.)
Due to subsidiaries and affiliates
Mortgages, notes, and bonds payable (more than one year old at balance sheet date or
having a maturity of more than one year from original date incurred)
Other liabilities (Attach schedule.)
Capital stock: a. Preferred stock
b. Common stock
Paid-in or capital surplus
Surplus reserves (Attach schedule.)
Earned surplus and undivided profits
Excessive reserves or undervalued assets
Totals (Add Lines 20 through 31. Enter the Column 3 total on Page 1, Line 7A. Round to the nearest dollar.)
SCHEDULE B – ANALYSIS OF SCHEDULE A, COLUMN 2, LINES 21, 23, AND 26
Original date
of inception
Due
date
Installment
amount
Payee
Balance
due
Taxable
amount
SCHEDULE C – ANALYSIS OF SCHEDULE A, COLUMN 2, LINE 30 (EARNED SURPLUS AND UNDIVIDED PROFITS PER BOOKS)
1. Balance at beginning of year
5. Distributions: a. Cash
2. Net income per books
b. Stock
3. Other increases (Itemize.)
c. Property
6. Other decreases (Itemize.)
7. Total (Add Lines 5 and 6.)
8. Balance at end of year (Subtract Line 7 from Line 4.)
4. Total (Add Lines 1, 2, and 3.)
Signature
Under the penalties of perjury, I declare that I have examined this return, including all accompanying documents, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of
preparer (other than taxpayer) is based on all information of which he has any knowledge.
Signature of officer
Date
Signature of preparer
Title of officer
(
)
Firm name
(
Telephone
Date
)
Telephone
2204
ALL APPLICABLE SCHEDULES MUST BE COMPLETED. (Schedule D need not be completed if Schedule P of Form CIFT-620A is filed with this return.)
SCHEDULE D – COMPUTATION OF LOUISIANA TAXABLE INCOME
1.
1. Federal net income
ADDITIONS TO FEDERAL NET INCOME
2. Net operating loss deduction claimed on federal return
3. Dividends received deduction claimed on federal return
4. Louisiana income tax deducted on federal return
5. Interest on obligations of other states or their political subdivisions
6. Other additions to federal net income (Attach schedule.)
7. Total additions (Add Lines 2 through 6.)
SUBTRACTIONS FROM FEDERAL NET INCOME
8. Refunds of Louisiana income tax reported on federal return
9. Corporate dividends that have borne Louisiana income tax
10. Louisiana depletion in excess of federal depletion (Attach schedule.)
11. Expenses not deducted on the federal return due to Internal Revenue Code Section 280(C)
12. Other subtractions (Attach schedule.)
13. Total subtractions (Add Lines 8 through 12.)
14. Louisiana net income before S corporation exclusion, loss adjustments, and federal income tax deduction
(Line 1 plus Line 7, less Line 13. Enter here and on Page 1, Line 1A. Round to the nearest dollar.)
SCHEDULE E – CALCULATION OF INCOME TAX
a. First $25,000 of
net income
b. Next $25,000
c. Next $50,000
d. Next $100,000
e. Over $200,000
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
SCHEDULE F – CALCULATION OF FRANCHISE TAX
1. Enter amount from
Page 1, Line 7C or 8,
whichever is greater.
1. Enter the net taxable
income from Page 1,
Line 1F.
2. Calculation of tax
Page 3
Column 1
Net income in
each bracket
Column 2
RATE
2. Enter first $300,000 of
Line 1 above.
TAX
x 4% =
x 5% =
x 6% =
x 7% =
x 8% =
3. Multiply the amount on Line 2 by $1.50 for each
$1,000 or major fraction thereof and enter here.
4. Subtract Line 2 from
Line 1 and enter here.
3. Add Lines 2a through
2e of Column 1 and
enter here.
5. Multiply the amount on Line 4 by $3.00 for each
$1,000 or major fraction thereof and enter here.
4. Add Lines 2a through 2e of Column 2. Enter here
and on Page 1, Line 2. Round to the nearest dollar.
6. Add Lines 3 and 5. Enter the result or $10.00,
whichever is greater, here and on Page 1, Line 9.
Round to the nearest dollar.
SCHEDULE G – RECONCILIATION OF FEDERAL AND LOUISIANA NET INCOME (Complete Schedule G only if filing an apportionment and allocation schedule [Form CIFT-620A] with this return.)
1. Enter total net income calculated under federal law before special deductions.
2. Additions to federal net income:
a. Louisiana income tax
b. Interest on obligations of other states and their political subdivisions
c. Other
Subtractions from federal net income: a. Dividends that have borne Louisiana income tax
b. United States government interest
c. Other
3. Louisiana net income from all sources (same as Schedule P, Line 28, of CIFT-620A)
2205
ALL APPLICABLE SCHEDULES MUST BE COMPLETED.
Page 4
SCHEDULE H – RECONCILIATION OF INCOME PER BOOKS WITH INCOME PER RETURN
1.
2.
3.
4.
Net income per books
Louisiana income tax
Excess of capital loss over capital gains
Taxable income not recorded on books this year (Itemize.)
17. Income recorded on books this year, but not included in
this return (Itemize.)
18. Deductions in this tax return not charged against book
income this year:
a. Depreciation
b. Depletion
c. Other
5. Expenses recorded on books this year, but not deducted in
this return:
a. Depreciation
b. Depletion
c. Other
6. Total (Add Lines 1 through 5.)
1.
2.
3.
4.
5.
6.
7.
19. Total (Add Lines 7 and 8.)
10. Net income from all sources per return (Subtract Line 9
from Line 6.)
SCHEDULE I – SUMMARY OF ESTIMATED TAX PAYMENTS
Check number
Date
Amount
Credit from prior year return
First quarter estimated payment
Second quarter estimated payment
Third quarter estimated payment
Fourth quarter estimated payment
Payment made with extension request
Total
ADDITIONAL INFORMATION REQUIRED
1. Indicate principal place of business.
2. Describe the nature of your business activity and specify your principal product or
service, both in Louisiana and elsewhere.
Louisiana:
5. At the end of the taxable year, did you directly or indirectly own 50% or more of the
voting stock of any corporation?
Yes
No
If “yes,” show name, address, and percentage owned.
Elsewhere:
6. At the end of the taxable year, did any corporation, individual, partnership, trust, or
association directly or indirectly own 50% or more of your voting stock?
Yes
If “yes,” show name, address, and percentage owned.
3. Indicate the date and state of incorporation.
4. Indicate parishes in which property is located.
2206
No
For office use only.
Louisiana Corporation Louisiana Corporation
Franchise Tax
Income Tax
Return for
Return for
2001
2002
or Fiscal Year
or Fiscal Year
Begun _______, 2001 Begun _______, 2002
Ended _______, 2002 Ended _______, 2003
Mark this box if
this is an amended
return.
Louisiana Department of Revenue
Post Office Box 91011
Baton Rouge, LA 70821-9011
Please enter your Revenue Account Number here:
Please print corporation name, and complete mailing address below.
Mark this box if
your address
has changed.
CIFT-620 (01-02)
Calendar year returns are due April 15. See instructions for fiscal years.
H. Does this corporation have, or file as, a FSC for federal Yes No
purposes; and, did this corporation file federal Form
H.
8873, Extraterritorial Income Exclusion?
I. Does this corporation file as a “small business
I.
corporation” for federal income tax purposes?
J. Was the income of this corporation included in a
J.
consolidated federal income tax return?
K. Is an Apportionment and Allocation Schedule
K.
(CIFT-620A) included with this return?
▲▲▲▲▲▲▲
1A.
1B.
1C.
1D.
1E.
1F.
2.
00
00
00
00
00
00
00
▲ ▲ ▲▲
Computation of Income Tax
00
00
%
00
00
3E.
4.
5.
6.
00
00
00
00
____ ____ ____ . ____ ____ %
00
00
00
1A. Louisiana net income before loss adjustments and federal income tax deduction (Sch. D, Line 14, or Sch. P, Line 33)
1B. S corporation exclusion (See instructions.) Attach schedule.
1C. Loss carryforward ($
) less federal tax refund applicable to loss ($
) Attach schedule.
1D. Loss carryback ($
) less federal tax refund applicable to loss ($
) Attach schedule.
1E. Federal income tax deduction (See instructions.)
1F. Louisiana taxable income (Subtract Lines 1B, 1C, 1D, and 1E from Line 1A.)
2. Louisiana income tax (Schedule E, Line 4)
3. Credits: A. New Jobs Credit (Limited to 50% of net tax. See instructions.)
3A.
00
B. Enterprise Zone Credit
3B.
00
C. Louisiana Capital Companies Credit
3C.
00
D. Other credits. Explain. (Do not include ad valorem tax credit. See Line 15.)
3D.
00
E. Total credits (Add Lines 3A through 3D.)
4. Income tax after credits (Subtract Line 3E from Line 2.)
5. Less prepayments (Schedule I, Line 7)
6. Amount of income tax due or overpayment (Subtract Line 5 from Line 4.)
7A. Total capital stock, surplus, undivided profits, & borrowed capital (Sch. A, Line 32, Col. 3)
7A.
00
7B. Franchise tax apportionment percentage (Schedule N, Line 5, of CIFT-620A) (Carry to 2 decimal places or 100.00%.)
7C. Franchise taxable base (Multiply Line 7A by Line 7B.)
8. Amount of assessed value of real and personal property in Louisiana in 2001
9. Louisiana franchise tax (Schedule F, Line 6)
10A.
00
10. Credits: A. Enterprise Zone Credit
10B.
00
B. Other credits. Explain. (Do not include ad valorem tax credit. See Line 15.)
▲
▲▲▲▲
7B.
7C.
8.
9.
▲▲▲▲▲
10C.
11.
12.
13.
14.
15.
00
00
00
00
00
00
15C.
16.
17.
18.
19.
00
00
00
00
00
▲▲
Computation of Franchise Tax
$
$
____ ____ ____ . ____ ____
$
$
▲▲▲▲
11.
12.
13.
14.
15.
▲▲
16.
17.
18.
19.
20.
21.
00
00
▲▲▲▲▲
C. Total credits (Add Lines 10A and 10B.)
Franchise tax after credits (Subtract Line 10C from Line 9.)
Less previous payments
Amount of franchise tax due or overpayment (Subtract Line 12 from Line 11.)
Total income and franchise tax due or overpayment (Add Lines 6 and 13.)
Credit for certain ad valorem taxes paid (See instructions.)
15A.
A. Inventory Credit
15B.
B. Telephone Company Property Credit
C. Total
Net income and franchise tax due or overpayment (Subtract Line 15C from Line 14.)
Penalties (See instructions.)
Interest (Enter 1.25% per month from due date of return to date of payment.)
Total amount due (Add Lines 16 through 18.) Make payment to Louisiana Department of Revenue. DO NOT SEND CASH.
20.
Amount of overpayment you want REFUNDED
21.
Amount of overpayment you want CREDITED to 2002 tax
▲▲
Net Amount Due
A.
B.
C.
D.
E.
F.
G.
▲ ▲ ▲ ▲
Federal Employer Identification Number
Federal taxable income
Federal income tax
Income tax apportionment percentage (two decimal places)
Gross revenues
Total assets
Business code number
▲▲ ▲▲▲▲▲
A.
B.
C.
D.
E.
F.
G.
00
00
2203
ALL APPLICABLE SCHEDULES MUST BE COMPLETED.
Page 6
SCHEDULE A – BALANCE SHEET AND CORPORATION FRANCHISE TAXABLE BASE
ASSETS
1. Beginning of year
2. End of year
1. Cash
2. Trade notes and accounts receivable
3. Reserve for bad debts
4. Inventories
5. Investment in United States government obligations
6. Other current assets (Attach schedule.)
7. Loans to stockholders
8. Stock and obligations of subsidiaries
9. Other investments (Attach schedule.)
10. Buildings and other fixed depreciable assets
11. Accumulated amortization and depreciation
12. Depletable assets
13. Accumulated depletion
14. Land
15. Intangible assets
16. Accumulated amortization
17. Other assets (Attach schedule.)
18. Excessive reserves or undervalued assets (Attach schedule.)
19. Totals (Add Lines 1 through 18.)
(
)
(
)
(
)
(
)
(
)
(
)
(
)
(
)
TOTAL FRANCHISE
TAXABLE BASE
(Extend to Column 3,
amounts in Column 2 that
are includable in the
franchise taxable base.)
LIABILITIES AND CAPITAL
20. Accounts payable
21. Mortgages, notes, and bonds payable (one year old or less at balance sheet date and
having a maturity of one year or less from original date incurred) (Complete Schedule B.)
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
3. End of year
Other current liabilities (Attach schedule.)
Loans from stockholders (Attach schedule.)
Due to subsidiaries and affiliates
Mortgages, notes, and bonds payable (more than one year old at balance sheet date or
having a maturity of more than one year from original date incurred)
Other liabilities (Attach schedule.)
Capital stock: a. Preferred stock
b. Common stock
Paid-in or capital surplus
Surplus reserves (Attach schedule.)
Earned surplus and undivided profits
Excessive reserves or undervalued assets
Totals (Add Lines 20 through 31. Enter the Column 3 total on Page 1, Line 7A. Round to the nearest dollar.)
SCHEDULE B – ANALYSIS OF SCHEDULE A, COLUMN 2, LINES 21, 23, AND 26
Original date
of inception
Due
date
Installment
amount
Payee
Balance
due
Taxable
amount
SCHEDULE C – ANALYSIS OF SCHEDULE A, COLUMN 2, LINE 30 (EARNED SURPLUS AND UNDIVIDED PROFITS PER BOOKS)
1. Balance at beginning of year
5. Distributions: a. Cash
2. Net income per books
b. Stock
3. Other increases (Itemize.)
c. Property
6. Other decreases (Itemize.)
7. Total (Add Lines 5 and 6.)
8. Balance at end of year (Subtract Line 7 from Line 4.)
4. Total (Add Lines 1, 2, and 3.)
Signature
Under the penalties of perjury, I declare that I have examined this return, including all accompanying documents, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of
preparer (other than taxpayer) is based on all information of which he has any knowledge.
Signature of officer
Date
Signature of preparer
Title of officer
(
)
Firm name
(
Telephone
Date
)
Telephone
2204
ALL APPLICABLE SCHEDULES MUST BE COMPLETED. (Schedule D need not be completed if Schedule P of Form CIFT-620A is filed with this return.)
SCHEDULE D – COMPUTATION OF LOUISIANA TAXABLE INCOME
1.
1. Federal net income
ADDITIONS TO FEDERAL NET INCOME
2. Net operating loss deduction claimed on federal return
3. Dividends received deduction claimed on federal return
4. Louisiana income tax deducted on federal return
5. Interest on obligations of other states or their political subdivisions
6. Other additions to federal net income (Attach schedule.)
7. Total additions (Add Lines 2 through 6.)
SUBTRACTIONS FROM FEDERAL NET INCOME
8. Refunds of Louisiana income tax reported on federal return
9. Corporate dividends that have borne Louisiana income tax
10. Louisiana depletion in excess of federal depletion (Attach schedule.)
11. Expenses not deducted on the federal return due to Internal Revenue Code Section 280(C)
12. Other subtractions (Attach schedule.)
13. Total subtractions (Add Lines 8 through 12.)
14. Louisiana net income before S corporation exclusion, loss adjustments, and federal income tax deduction
(Line 1 plus Line 7, less Line 13. Enter here and on Page 1, Line 1A. Round to the nearest dollar.)
SCHEDULE E – CALCULATION OF INCOME TAX
a. First $25,000 of
net income
b. Next $25,000
c. Next $50,000
d. Next $100,000
e. Over $200,000
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
SCHEDULE F – CALCULATION OF FRANCHISE TAX
1. Enter amount from
Page 1, Line 7C or 8,
whichever is greater.
1. Enter the net taxable
income from Page 1,
Line 1F.
2. Calculation of tax
Page 7
Column 1
Net income in
each bracket
Column 2
RATE
2. Enter first $300,000 of
Line 1 above.
TAX
x 4% =
x 5% =
x 6% =
x 7% =
x 8% =
3. Multiply the amount on Line 2 by $1.50 for each
$1,000 or major fraction thereof and enter here.
4. Subtract Line 2 from
Line 1 and enter here.
3. Add Lines 2a through
2e of Column 1 and
enter here.
5. Multiply the amount on Line 4 by $3.00 for each
$1,000 or major fraction thereof and enter here.
4. Add Lines 2a through 2e of Column 2. Enter here
and on Page 1, Line 2. Round to the nearest dollar.
6. Add Lines 3 and 5. Enter the result or $10.00,
whichever is greater, here and on Page 1, Line 9.
Round to the nearest dollar.
SCHEDULE G – RECONCILIATION OF FEDERAL AND LOUISIANA NET INCOME (Complete Schedule G only if filing an apportionment and allocation schedule [Form CIFT-620A] with this return.)
1. Enter total net income calculated under federal law before special deductions.
2. Additions to federal net income:
a. Louisiana income tax
b. Interest on obligations of other states and their political subdivisions
c. Other
Subtractions from federal net income: a. Dividends that have borne Louisiana income tax
b. United States government interest
c. Other
3. Louisiana net income from all sources (same as Schedule P, Line 28, of CIFT-620A)
2205
ALL APPLICABLE SCHEDULES MUST BE COMPLETED.
Page 8
SCHEDULE H – RECONCILIATION OF INCOME PER BOOKS WITH INCOME PER RETURN
1.
2.
3.
4.
Net income per books
Louisiana income tax
Excess of capital loss over capital gains
Taxable income not recorded on books this year (Itemize.)
17. Income recorded on books this year, but not included in
this return (Itemize.)
18. Deductions in this tax return not charged against book
income this year:
a. Depreciation
b. Depletion
c. Other
5. Expenses recorded on books this year, but not deducted in
this return:
a. Depreciation
b. Depletion
c. Other
6. Total (Add Lines 1 through 5.)
1.
2.
3.
4.
5.
6.
7.
19. Total (Add Lines 7 and 8.)
10. Net income from all sources per return (Subtract Line 9
from Line 6.)
SCHEDULE I – SUMMARY OF ESTIMATED TAX PAYMENTS
Check number
Date
Amount
Credit from prior year return
First quarter estimated payment
Second quarter estimated payment
Third quarter estimated payment
Fourth quarter estimated payment
Payment made with extension request
Total
ADDITIONAL INFORMATION REQUIRED
1. Indicate principal place of business.
2. Describe the nature of your business activity and specify your principal product or
service, both in Louisiana and elsewhere.
Louisiana:
5. At the end of the taxable year, did you directly or indirectly own 50% or more of the
voting stock of any corporation?
Yes
No
If “yes,” show name, address, and percentage owned.
Elsewhere:
6. At the end of the taxable year, did any corporation, individual, partnership, trust, or
association directly or indirectly own 50% or more of your voting stock?
Yes
If “yes,” show name, address, and percentage owned.
3. Indicate the date and state of incorporation.
4. Indicate parishes in which property is located.
2206
No
State of Louisiana
Department of Revenue
CIFT-620A (01-02)
Page 9
Corporation Apportionment and Allocation Schedules
COMPLETE ALL APPLICABLE SCHEDULES.
Name as shown on CIFT-620
Income taxable period covered
SCHEDULE M - COMPUTATION OF CORPORATE FRANCHISE TAX AND INCOME TAX PROPERTY RATIOS
Located in Louisiana
Located everywhere
1. Items
2. Beginning of year
Franchise tax
property factor
4. End of year
3. End of year
Income tax property factor
5. Beginning of year
6. End of year
Intangible assets
1. Cash .........................................................
2. Notes and accounts receivable .................
3. Reserve for bad debts .............................. (
) (
) (
)
) (
) (
)
) (
) (
) (
) (
)
) (
) (
) (
) (
)
4. Investment in U.S. govt. obligations .........
5. Stock and obligations of subsidiaries ........
6. Other investments (Attach schedule.) .......
7. Loans to stockholders ...............................
8. Other intangible assets (Attach schedule.)
9. Accumulated depreciation ........................ (
10. Total intangible assets (Add Lines 1-9.) ...
Real and tangible assets
11. Inventories ................................................
12. Bldgs. and other depreciable assets .........
13. Accumulated depreciation ........................ (
14. Depletable assets .....................................
15. Accumulated depletion ............................. (
16. Land ..........................................................
17. Other real & tangible assets (Attach sch.)
18. Excessive reserves, assets not reflected
on books, or undervalued assets ..............
19. Total real and tangible assets
(Add Lines 11 through 18.) .......................
20. Total assets (Add Lines 10 and 19.) ......
21. Enter amount from Line 19 above. ..........
22. Less real and tangible assets not used
in production of net apportionable income
(Attach schedule.) .....................................
23. Balance .....................................................
24. Beginning of year balance .........................
25. Total (Add Lines 23 and 24.) ......................
26. Franchise tax property ratio (Line 20, Column 4 ÷ Line 20, Column 3) ............................
____ ____ ____ . ____ ____ %
27. Income tax property ratio (Line 25, Column 6 ÷ Line 25, Column 3) .........................................................................................................
____ ____ ____ . ____ ____ %
SCHEDULE N - COMPUTATION OF CORPORATE FRANCHISE TAX APPORTIONMENT PERCENTAGE
1. Description of items used as ratios
2. Total
amount
3. Louisiana
amount
4. Percent
(Col. 3 ÷ Col. 2)
1. Net sales of merchandise, charges for services, and other revenues
A. Sales (See instructions.) .................................................................
B. Charges for services (See instructions.) .........................................
C. Other Revenues: Itemize. (See instructions.)
(i) Rents and royalties ...................................................................
(ii) Dividends and interest from subsidiaries ..................................
(iii) Other dividends and interest .....................................................
(iv) All other revenues .....................................................................
D. Total (Total the amounts in Cols. 2 and 3. Enter ratio in Column 4.) .......
____ ____ ____ . ____ ____ %
2.
Franchise tax property ratio (Enter in Col. 4 the percent from Line 26, Schedule M.) ...
____ ____ ____ . ____ ____ %
3.
Net sales of corporations engaged in the business of manufacturing (See instructions.)
____ ____ ____ . ____ ____ %
4. Total of applicable percents in Column 4 ....................................................................................................................
____ ____ ____ . ____ ____ %
5. Average of percents (Divide Line 4 by applicable number of ratios. Enter here and on Page 1, Line 7B of CIFT-620.) ...........
____ ____ ____ . ____ ____ %
2207
SCHEDULE P - COMPUTATION OF LOUISIANA NET INCOME
Page 10
Column 3 must be completed. Column 2 must also be completed if the separate accounting method is used.
2. LA amounts
(Lines 1 through 27)
1. Items
1. Gross receipts
Less returns and allowances
3. Totals
....................................
2. Less: Cost of goods sold and/or operations (Attach schedules.) .............................................................................
3. Gross profit ..............................................................................................................................................................
4. Dividends
Less: Dividends that have borne
LA income tax (Attach schedule.)
Balance
...........
5. Interest .....................................................................................................................................................................
6. Gross rents ..............................................................................................................................................................
7. Gross royalties .........................................................................................................................................................
8. Net gains from sale of capital assets (Attach schedule.) .........................................................................................
9. Net gains (loss) from sale of property other than capital assets (Attach schedule.) ................................................
10. Other income (Attach schedule.) .............................................................................................................................
11. Total income (Add Lines 3 through 10.) ...................................................................................................................
12. Compensation of officers .........................................................................................................................................
13. Salaries and wages (not deducted elsewhere) ........................................................................................................
14. Repairs (Do not include cost of improvements or capital expenditures.) .................................................................
15. Bad debts .................................................................................................................................................................
16. Rent .........................................................................................................................................................................
17. Taxes (Attach schedule.) .........................................................................................................................................
18. Interest .....................................................................................................................................................................
19. Contributions ............................................................................................................................................................
20. Depreciation (Attach schedule.) ...............................................................................................................................
21. Depletion (Attach schedule.) ....................................................................................................................................
22. Advertising ...............................................................................................................................................................
23. Pension, profit sharing, stock bonus, and annuity plans ..........................................................................................
24. Other employee benefit plans ..................................................................................................................................
25. Other deductions (Attach schedule.) .......................................................................................................................
26. Total deductions (Add Lines 12 through 25.) ...........................................................................................................
27. Net income from Louisiana sources (If separate [direct] method of reporting is used, enter here and on Line 33.) .......................
28. Net income from all sources (Subtract Line 26, Column 3 from Line 11, Column 3.) ..............................................
29. Less: Allocable income from all sources (See instructions.) Attach schedule supporting each amount.
A. Net rents and royalties .....................................................................................................................................
B. Net profits or losses from sales or exchanges of property not made in the regular course of business ..........
C. Other net allocable income ..............................................................................................................................
30. Net income subject to apportionment (Subtract Lines 29A, B, and C from Line 28.) .............................................
31. Net income apportioned to Louisiana (See instructions.) .......................................................................................
32. Add: Allocable income from Louisiana sources (See instructions.) Attach schedule supporting each amount.
A. Net rents and royalties .....................................................................................................................................
B. Net profits or losses from sales or exchanges of property not made in the regular course of business .............
C. Other net allocable income ...............................................................................................................................
33. Louisiana net income before loss adjustments and federal income tax deduction (Add Lines 31, 32A, B, and C or enter
amount from Line 27, whichever is applicable, here and on Page 1, Line 1A of Form CIFT- 620. Round to nearest dollar.) ..............
SCHEDULE Q - COMPUTATION OF INCOME TAX APPORTIONMENT PERCENTAGE
1. Description of items used as ratios
2. Total
amount
3. Louisiana
amount
4. Percent
(Col. 3 ÷ Col. 2)
1. Net sales of merchandise and/or charges for services
A. Sales (See instructions.) .................................................................
B. Charges for services (See instructions.) .........................................
C. Other gross apportionable income ..................................................
D. Total (Enter total of Lines A, B, and C in Col. 2 and Col. 3.)
(Enter ratio in Col. 4.) ................................................................................................
____ ____ ____ . ____ ____ %
2. Wages, salaries, and other personal service
compensation paid during the year (Enter amounts in
Column 2 and Column 3, and ratio in Column 4.) ...............................
3. Income tax property ratio (Enter percentage from Line 27, Schedule M.)
____ ____ ____ . ____ ____ %
____ ____ ____ . ____ ____ %
4. ONLY corporations primarily in the business of manufacturing or merchandising, enter ratio from Line 1D, Column 4
(See instructions.) .........................................................................................................................................................
____ ____ ____ . ____ ____ %
5. Total of percents in Column 4 .......................................................................................................................................
____ ____ ____ . ____ ____ %
6. Average of percents (Use this result in determining income apportioned to Louisiana on Line 31, Schedule P.) ......................
____ ____ ____ . ____ ____ %
2208
State of Louisiana
Department of Revenue
CIFT-620A (01-02)
Page 11
Corporation Apportionment and Allocation Schedules
COMPLETE ALL APPLICABLE SCHEDULES.
Name as shown on CIFT-620
Income taxable period covered
SCHEDULE M - COMPUTATION OF CORPORATE FRANCHISE TAX AND INCOME TAX PROPERTY RATIOS
Located in Louisiana
Located everywhere
1. Items
2. Beginning of year
Franchise tax
property factor
4. End of year
3. End of year
Income tax property factor
5. Beginning of year
6. End of year
Intangible assets
1. Cash .........................................................
2. Notes and accounts receivable .................
3. Reserve for bad debts .............................. (
) (
) (
)
) (
) (
)
) (
) (
) (
) (
)
) (
) (
) (
) (
)
4. Investment in U.S. govt. obligations .........
5. Stock and obligations of subsidiaries ........
6. Other investments (Attach schedule.) .......
7. Loans to stockholders ...............................
8. Other intangible assets (Attach schedule.)
9. Accumulated depreciation ........................ (
10. Total intangible assets (Add Lines 1-9.) ...
Real and tangible assets
11. Inventories ................................................
12. Bldgs. and other depreciable assets .........
13. Accumulated depreciation ........................ (
14. Depletable assets .....................................
15. Accumulated depletion ............................. (
16. Land ..........................................................
17. Other real & tangible assets (Attach sch.)
18. Excessive reserves, assets not reflected
on books, or undervalued assets ..............
19. Total real and tangible assets
(Add Lines 11 through 18.) .......................
20. Total assets (Add Lines 10 and 19.) ......
21. Enter amount from Line 19 above. ..........
22. Less real and tangible assets not used
in production of net apportionable income
(Attach schedule.) .....................................
23. Balance .....................................................
24. Beginning of year balance .........................
25. Total (Add Lines 23 and 24.) ......................
26. Franchise tax property ratio (Line 20, Column 4 ÷ Line 20, Column 3) ............................
____ ____ ____ . ____ ____ %
27. Income tax property ratio (Line 25, Column 6 ÷ Line 25, Column 3) .........................................................................................................
____ ____ ____ . ____ ____ %
SCHEDULE N - COMPUTATION OF CORPORATE FRANCHISE TAX APPORTIONMENT PERCENTAGE
1. Description of items used as ratios
2. Total
amount
3. Louisiana
amount
4. Percent
(Col. 3 ÷ Col. 2)
1. Net sales of merchandise, charges for services, and other revenues
A. Sales (See instructions.) .................................................................
B. Charges for services (See instructions.) .........................................
C. Other Revenues: Itemize. (See instructions.)
(i) Rents and royalties ...................................................................
(ii) Dividends and interest from subsidiaries ..................................
(iii) Other dividends and interest .....................................................
(iv) All other revenues .....................................................................
D. Total (Total the amounts in Cols. 2 and 3. Enter ratio in Column 4.) .......
____ ____ ____ . ____ ____ %
2.
Franchise tax property ratio (Enter in Col. 4 the percent from Line 26, Schedule M.) ...
____ ____ ____ . ____ ____ %
3.
Net sales of corporations engaged in the business of manufacturing (See instructions.)
____ ____ ____ . ____ ____ %
4. Total of applicable percents in Column 4 ....................................................................................................................
____ ____ ____ . ____ ____ %
5. Average of percents (Divide Line 4 by applicable number of ratios. Enter here and on Page 1, Line 7B of CIFT-620.) ...........
____ ____ ____ . ____ ____ %
2207
SCHEDULE P - COMPUTATION OF LOUISIANA NET INCOME
Page 12
Column 3 must be completed. Column 2 must also be completed if the separate accounting method is used.
2. LA amounts
(Lines 1 through 27)
1. Items
1. Gross receipts
Less returns and allowances
3. Totals
....................................
2. Less: Cost of goods sold and/or operations (Attach schedules.) .............................................................................
3. Gross profit ..............................................................................................................................................................
4. Dividends
Less: Dividends that have borne
LA income tax (Attach schedule.)
Balance
...........
5. Interest .....................................................................................................................................................................
6. Gross rents ..............................................................................................................................................................
7. Gross royalties .........................................................................................................................................................
8. Net gains from sale of capital assets (Attach schedule.) .........................................................................................
9. Net gains (loss) from sale of property other than capital assets (Attach schedule.) ................................................
10. Other income (Attach schedule.) .............................................................................................................................
11. Total income (Add Lines 3 through 10.) ...................................................................................................................
12. Compensation of officers .........................................................................................................................................
13. Salaries and wages (not deducted elsewhere) ........................................................................................................
14. Repairs (Do not include cost of improvements or capital expenditures.) .................................................................
15. Bad debts .................................................................................................................................................................
16. Rent .........................................................................................................................................................................
17. Taxes (Attach schedule.) .........................................................................................................................................
18. Interest .....................................................................................................................................................................
19. Contributions ............................................................................................................................................................
20. Depreciation (Attach schedule.) ...............................................................................................................................
21. Depletion (Attach schedule.) ....................................................................................................................................
22. Advertising ...............................................................................................................................................................
23. Pension, profit sharing, stock bonus, and annuity plans ..........................................................................................
24. Other employee benefit plans ..................................................................................................................................
25. Other deductions (Attach schedule.) .......................................................................................................................
26. Total deductions (Add Lines 12 through 25.) ...........................................................................................................
27. Net income from Louisiana sources (If separate [direct] method of reporting is used, enter here and on Line 33.) .......................
28. Net income from all sources (Subtract Line 26, Column 3 from Line 11, Column 3.) ..............................................
29. Less: Allocable income from all sources (See instructions.) Attach schedule supporting each amount.
A. Net rents and royalties .....................................................................................................................................
B. Net profits or losses from sales or exchanges of property not made in the regular course of business ..........
C. Other net allocable income ..............................................................................................................................
30. Net income subject to apportionment (Subtract Lines 29A, B, and C from Line 28.) .............................................
31. Net income apportioned to Louisiana (See instructions.) .......................................................................................
32. Add: Allocable income from Louisiana sources (See instructions.) Attach schedule supporting each amount.
A. Net rents and royalties .....................................................................................................................................
B. Net profits or losses from sales or exchanges of property not made in the regular course of business .............
C. Other net allocable income ...............................................................................................................................
33. Louisiana net income before loss adjustments and federal income tax deduction (Add Lines 31, 32A, B, and C or enter
amount from Line 27, whichever is applicable, here and on Page 1, Line 1A of Form CIFT- 620. Round to nearest dollar.) ..............
SCHEDULE Q - COMPUTATION OF INCOME TAX APPORTIONMENT PERCENTAGE
1. Description of items used as ratios
2. Total
amount
3. Louisiana
amount
4. Percent
(Col. 3 ÷ Col. 2)
1. Net sales of merchandise and/or charges for services
A. Sales (See instructions.) .................................................................
B. Charges for services (See instructions.) .........................................
C. Other gross apportionable income ..................................................
D. Total (Enter total of Lines A, B, and C in Col. 2 and Col. 3.)
(Enter ratio in Col. 4.) ................................................................................................
____ ____ ____ . ____ ____ %
2. Wages, salaries, and other personal service
compensation paid during the year (Enter amounts in
Column 2 and Column 3, and ratio in Column 4.) ...............................
3. Income tax property ratio (Enter percentage from Line 27, Schedule M.)
____ ____ ____ . ____ ____ %
____ ____ ____ . ____ ____ %
4. ONLY corporations primarily in the business of manufacturing or merchandising, enter ratio from Line 1D, Column 4
(See instructions.) .........................................................................................................................................................
____ ____ ____ . ____ ____ %
5. Total of percents in Column 4 .......................................................................................................................................
____ ____ ____ . ____ ____ %
6. Average of percents (Use this result in determining income apportioned to Louisiana on Line 31, Schedule P.) ......................
____ ____ ____ . ____ ____ %
2208
