Fillable Printable Form 1120A
Fillable Printable Form 1120A
Form 1120A
OMB No. 1545-0890
U.S. Corporation Short-Form Income Tax Return
1120-AForm
See separate instructions to make sure the corporation qualifies to file Form 1120-A.
Department of the Treasury
Internal Revenue Service
For calendar year 2001 or tax year beginning , 2001, ending , 20
Name
Employer identification number
B
Use
IRS
label.
Other-
wise,
print or
type.
A Check this box if the
corp. is a personal
service corp. (as
defined in Temporary
Regs. section
1.441-4T—see
instructions)
Number, street, and room or suite no. (If a P.O. box, see page 7 of instructions.)
Date incorporatedC
City or town, state, and ZIP code
D
Total assets (see page 8 of instructions)
1c
cBalance
䊳
b
Less returns and allowances
1a
Gross receipts or sales
2
2 Cost of goods sold (see page 14 of instructions)
3
3 Gross profit. Subtract line 2 from line 1c
4
4 Domestic corporation dividends subject to the 70% deduction
5
5 Interest
6
6 Gross rents
7
Income
7 Gross royalties
8
8 Capital gain net income (attach Schedule D (Form 1120))
9
9 Net gain or (loss) from Form 4797, Part II, line 18 (attach Form 4797)
10
10 Other income (see page 8 of instructions)
11 Total income. Add lines 3 through 10
䊳
11
12 Compensation of officers (see page 9 of instructions)
12
13
Salaries and wages (less employment credits)
13
14
14 Repairs and maintenance
15
15 Bad debts
16
16 Rents
17
17 Taxes and licenses
18
18 Interest
19
Charitable contributions (see page 10 of instructions for 10% limitation)19
(See instructions for
limitations on deductions.)
20
Depreciation (attach Form 4562)
20
21a 21b
Less depreciation claimed elsewhere on return21
22
Other deductions (attach schedule)22
23
Total deductions. Add lines 12 through 22
䊳
23
24
Taxable income before net operating loss deduction and special deductions. Subtract line 23 from line 11
24
Deductions
25a
Net operating loss deduction (see page 13 of instructions)
aLess:25
Special deductions (see page 13 of instructions)b
25b 25c
26
Taxable income. Subtract line 25c from line 24
26
27
Total tax (from page 2, Part I, line 8)27
Payments:28
28a
2000 overpayment credited to 2001
a
28b
2001 estimated tax paymentsb
()
Bal
䊳
28c 28d
Less 2001 refund applied for on Form 4466
c
28e
Tax deposited with Form 7004e
28f
Credit for tax paid on undistributed capital gains (attach Form 2439)f
28g
Credit for Federal tax on fuels (attach Form 4136). See instructions
g
Tax and Payments
28h
Total payments. Add lines 28d through 28g
h
29
Estimated tax penalty (see page 14 of instructions). Check if Form 2220 is attached
䊳
29
30
Tax due. If line 28h is smaller than the total of lines 27 and 29, enter amount owed
30
31
Overpayment. If line 28h is larger than the total of lines 27 and 29, enter amount overpaid
31
Refunded
䊳
Enter amount of line 31 you want: Credited to 2002 estimated tax
䊳
32
32
For Paperwork Reduction Act Notice, see page 20 of the instructions. Form 1120-A (2001)Cat. No. 11456E
$
E Check applicable boxes:
Initial return(1)
Name change(2)
Accrual
(2)
Other (specify)
䊳
(3)
Cash
(1)F Check method of accounting:
20
01
Address change(3)
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, 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 preparer has any knowledge.
Sign
Here
TitleDateSignature of officer
Date
Preparer’s SSN or PTIN
Preparer’s
signature
Check if
self-employed
Paid
Preparer’s
Use Only
Firm’s name (or
yours if self-employed),
address, and ZIP code
EIN
Phone no. ( )
May the IRS discuss this return
with the preparer shown below
(see instructions)?
Yes No
䊳
䊳
䊳
䊳
Page 2Form 1120-A (2001)
Tax Computation (See page 16 of instructions.)
1
Income tax. If the corporation is a qualified personal service corporation (see page 17), check here
䊳
1
General business credit. Check box(es) and indicate which forms are attached.
4a
4a
Form(s) (specify)
䊳
4b
Credit for prior year minimum tax (attach Form 8827)b
5
5 Total credits. Add lines 4a and 4b
6
Subtract line 5 from line 36
7
Other taxes. Check if from:
7
2
Alternative minimum tax (attach Form 4626)2
Total tax. Add lines 6 and 7. Enter here and on line 27, page 18
8
Other Information (See page 19 of instructions.)
If an amount is entered on line 2, page 1, enter from worksheet on page 14 instr.:
5a
See page 21 and enter the: a Business activity code no.
䊳
1
Purchases
(1)
Additional 263A costs (attach schedule)
(2)
(3)
Other costs (attach schedule)
Business activity
䊳
b
b
If property is produced or acquired for resale, do the rules of section
Product or service
䊳
c
At any time during the 2001 calendar year, did the corporation have
an interest in or a signature or other authority over a financial account
(such as a bank account, securities account, or other financial
6
2
At the end of the tax year, did any individual, partnership, estate, or
trust own, directly or indirectly, 50% or more of the corporation’s voting
stock? (For rules of attribution, see section 267(c).)
NoYes
If “Yes,” enter the name of the foreign country
䊳
If “Yes,” attach a schedule showing name and identifying number.
3 Enter the amount of tax-exempt interest received or accrued
$
(b) End of tax year(a) Beginning of tax year
Balance Sheets per Books
Cash1
Trade notes and accounts receivable2a
)()(
b Less allowance for bad debts
Inventories3
U.S. government obligations4
Tax-exempt securities (see instructions)5
Other current assets (attach schedule)
6
Loans to shareholders
7
Assets
Mortgage and real estate loans
8
Depreciable, depletable, and intangible assets
9a
)()(
Less accumulated depreciation, depletion, and amortization
b
10
Other assets (attach schedule)
11
12 Total assets
Accounts payable
13
Other current liabilities (attach schedule)
14
Loans from shareholders15
Mortgages, notes, bonds payable
16
Other liabilities (attach schedule)17
Capital stock (preferred and common stock)18
Additional paid-in capital
19
Liabilities and
Shareholders’ Equity
20
22
)()(
Less cost of treasury stock
Total liabilities and shareholders’ equity23
Reconciliation of Income (Loss) per Books With Income per Return (Note: The corporation is not
required to complete Part IV if the total assets on line 12, column (b), Part III are less than $25,000.)
1 Net income (loss) per books
6 Income recorded on books this year not included
on this return (itemize)
2 Federal income tax per books
3 Excess of capital losses over capital gains
4 Income subject to tax not recorded on books
this year (itemize)
7 Deductions on this return not charged against
book income this year (itemize)
8 Income (line 24, page 1). Enter the sum of
lines 1 through 5 less the sum of lines 6 and 7
5 Expenses recorded on books this year not
deducted on this return (itemize)
Par t IV
Par t I
Par t II
Par t III
4 Enter total amount of cash distributions and the book value
of property (other than cash) distributions made in this tax
$
Land (net of any amortization)
Retained earnings
Form 4255 Form 8611
If “Yes,” the corporation may have to file Form TD F 90-22.1.
Yes No
year
䊳
during the tax year
䊳
263A apply to the corporation?
account) in a foreign country? Yes No
Form 3800
21 Adjustments to shareholders’ equity (attach schedule)
Form 1120-A (2001)
3
Add lines 1 and 23
Other (attach schedule)
Form 8697 Form 8866
