Arizona Corporation Income Tax Return Form
If a corporation that is registered in the State of Arizona wishes to report its income tax return to the state, this form has to be used. Complete the form and submit it along with all the required information.
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ADOR 10336 (12) 1 Taxable income - per attached federal return ........................................................................\
........................................... 1
00
2 Additions to taxable income - from page 2, Schedule A, line A11 .......................................................................\
............. 2 00
3 Total taxable income - add lines 1 and 2 .......................................................................\
................................................... 3 00
4 Subtractions from taxable income - from page 2, Schedule B, line B12........................................................................\
... 4 00
5 Adjusted income - subtract line 4 from line 3. WHOLLY ARIZONA CORPORATIONS GO TO LINE 13 .......................... 5 00
6 Arizona adjusted income - from line 5. MULTISTATE CORPORATIONS ONLY .............................................................. 6 00
7 Nonapportionable or allocable amounts - from page 3, Schedule D, line D8. Multistate corporations only ..................... 7 00
8 Adjusted business income - subtract line 7 from line 6. Multistate corporations only ....................................................... 8 00
9 Arizona apportionment ratio - from Schedule C or Schedule ACA .......................... 9 • 10 Adjusted business income apportioned to Arizona - line 8 multiplied by line 9. Multistate corporations only ................... 10 00
11 Other income allocated to Arizona - from page 3, Schedule E, line E7. Multistate corporations only .............................. 11 00
12 Adjusted income attributable to Arizona - add lines 10 and 11. Multistate corporations only ........................................... 12 00
13 Arizona income before NOL - from line 5 or line 12 .......................................................................\
................................... 13 00
14 Arizona basis net operating loss carryover - attach computation schedule ...................................................................... 14 00
15 Arizona taxable income - subtract line 14 from line 13 .......................................................................\
.............................. 15 00
16 Enter tax. Tax is 6.968 percent of line 15 or fifty dollars ($50), whichever is gr\
eater ................................................ 16 00
17 Tax from recapture of tax credits - from Form 300, Part II, line 28 .......................................................................\
............ 17 00
18 Subtotal - add lines 16 and 17 .......................................................................\
....................................................... ............ 18 00
19 Nonrefundable tax credits - from Arizona Form 300, Part II, line 52 .......................................................................\
.......... 19 00
20 Credit type - enter form number for each nonrefundable credit claimed:
20
3 3 3 3
21 Tax liability - subtract line 19 from line 18 .......................................................................\
.................................................. 21 00
22 Clean Elections Fund Tax Credit. SEE INSTRUCTIONS BEFORE COMPLETING THIS LINE ...................................... 22 00
23 Tax liability after Clean Elections Fund tax credit - subtract line 22 from line 21 .............................................................. 23 00
24 Refundable tax credits. Check box(es) and enter amount(s) ......... 24 … 308 … 342
24 00
25 Extension payment made with Form 120EXT or online - see instructions ........................... 25 00
26 Estimated tax payments - see instructions .......................................................................\
.... 26 00
27 Total payments - see instructions .......................................................................\
....................................................... ....... 27 00
28 Balance of tax due - If line 23 is larger than line 27, enter balance of tax due. Skip line 2\
9 ............................................ 28 00
29 Overpayment of tax - If line 27 is larger than line 23, enter overpayment of tax .............................................................. 29 00
30 Penalty and interest ........................................................................\
.................................................................................. 30 00
31 Estimated tax underpayment penalty. If Form 220 is attached, check box ........................................................... 31A … 31 00
32 TOTAL DUE - see instructions ........................................................................\
............. Payment must accompany return 32 00
33 OVERPAYMENT - see instructions .......................................................................\
....................................................... .... 33 00
34 Amount of line 33 to be applied to 2013 estimated tax ......................................................... 34 00
35 Amount to be refunded - subtract line 34 from line 33 .......................................................................\
............................... 35 00
Arizona Corporation Income Tax Return
AZ transaction privilege tax number Employer identification number (EIN)
City or town, state, and ZIP code Name
Number and street or PO Box
Business telephone number
(with area code
)
Business activity code number
(from federal Form 1120)
68 Check box if: † This is a first return † Name change † Address change
A Is FEDERAL return filed on a consolidated basis?
† Yes † No
If yes, list EIN of common parent from consolidated return:
B ARIZONA filing method - see instructions, page 1 (check only one ):
1
† Separate company 2 † Combined (unitary group) 3 † Consolidated
C If ARIZONA filing method is combined or consolidated, see Form 51 instructions.
Is Form 51 attached?
† Yes † No
D Multistate corporations only:
ARIZONA apportionment ( check only one):
† AIR Carrier † STANDARD Sales Factor † ENHANCED Sales Factor
E Is this the corporation’s final ARIZONA return?
† Yes † No
If yes, check one:
† Dissolved † Withdrawn † Merged/Reorganized
List EIN of the successor corporation, if any:
ARIZONA FORM
120
For the … calendar year 2012 or … fi scal year beginning and ending \
. MMDDYYYY MMDDYYYY
2012
81 66
82 82 F
CHECK BOX IF: Return filed under extension.
Please
Type
or
Print
REVENUE USE ONLY. DO NOT MARK IN THIS AREA.
ADOR 10336 (12)
Name (as shown on page 1)EIN
AZ Form 120 (2012) Page 3 of 4
Schedule D - Nonapportionable Income and Expenses (Multistate Corporati\
ons Only)
D1 Nonbusiness dividends and interest income:
a Total nonbusiness dividends not deducted on page 2, Schedule B ................................ D1a
00
b Interest from nonbusiness sources ........................................................................\
......... D1b 00
c Total nonbusiness dividends and interest - add lines D1a and D1b .......................................................................\
..... D1c 00
D2 Net royalties from nonbusiness patents and copyrights - attach schedule .......................................................................\
D2 00
D3 Net income from rental of nonbusiness assets - attach schedule .......................................................................\
............. D3 00
D4 Net gain or (loss) from sale or exchange of nonbusiness assets utilize\
d for production of nonbusiness
income - attach schedule .......................................................................\
....................................................... .................... D4
00
D5 Other income or (loss) - attach schedule .......................................................................\
................................................... D5 00
D6 Subtotal - add lines D1c through D5 .......................................................................\
....................................................... ... D6 00
D7 Expenses attributable to income derived from a foreign corporation which\
is not itself subject to Arizona
income tax - attach schedule .......................................................................\
....................................................... .............. D7
00
D8 Total - subtract line D7 from line D6. Enter total here and on page 1, line 7 .................................................................... D8 00
Schedule E - Other Income Allocated to Arizona (Multistate Corporations Only)
E1 Gain or (loss) from sale or exchange of real estate and other tangible\
assets utilized for the production of
nonbusiness income - attach schedule........................................................................\
..................................................... E1
00
E2 Net income or (loss) from rental of nonbusiness assets - attach schedule ...................................................................... E2 00
E3 Net royalties from nonbusiness assets - attach schedule........................................................................\
......................... E3 00
E4 Net income or (loss) from intangible property specifically allocable t\
o Arizona - attach schedule .................................... E4 00
E5 Federal income tax refunds received in the taxable year - see instructions ..................................................................... E5 00
E6 Other income or (loss) directly allocable to Arizona - attach schedule .......................................................................\
...... E6 00
E7 Total - add lines E1 through E6. Enter total here and on page 1, line 11 ........................................................................\
.. E7 00
Schedule F - Schedule of Tax Payments
Name of corporation EIN Date of paymentType of payment
(Estimated orExtension) Amount of
payment
Total
ADOR 10336 (12)
Name (as shown on page 1)EIN
AZ Form 120 (2012) Page 4 of 4
Schedule G - Other Information
G1 Date business began in Arizona or date income was first derived from Arizona sources: MMDDYYYY
G2 Address at which tax records are located for audit purposes:
G3 The taxpayer designates the individual listed below as the person to con\
tact to schedule an audit of this return and authorizes the disclosure of
confidential information to this individual. (See instructions, page 16.)
Name: Phone number:
Title:
G4 List prior taxable years for which a federal examination has been finali\
zed:
NOTE: ARS § 43-327 requires the taxpayer, within ninety days after final determination, to report these changes \
under separate cover to the
Arizona Department of Revenue or to file amended returns reporting these\
changes. (See instructions, page 4.)
G5 List the taxable years for which federal examinations are now in progres\
s, or final determination of past examinations is still pending:
G6 List the taxable years for which federal waivers of the statute of limit\
ations are in effect and dates on which waivers expire:
G7 Amount of Arizona taxable income for prior taxable year (2011 Form 120, line 15) .........................................................
$ 00
G8 Indicate tax accounting method: … Cash … Accrual … Other (Specify method.)
Multistate taxpayers:
G9 Are the nonbusiness items reported on Schedule D, lines D1 through D5, a\
nd the apportionment factor items reported on Schedule C, column B,
treated consistently on all state tax returns filed under the Uniform Di\
vision of Income for Tax Purposes Act?
… Yes … No
If no, the taxpayer must disclose the nature and extent of the variance \
upon request by the department.
G10 Has the taxpayer changed the way income is apportioned or allocated to Arizona from prior taxable year returns?
… Yes … No
If yes, attach explanation.
Consolidated Return Filers:
G11 Enter the year Form(s) 122 were filed to make the Arizona consolidated election:
Mail to: Arizona Department of Revenue, PO Box 29079, Phoenix AZ 85038-9079
CertificationThe following certification must be signed by one or more of the followi\
ng officers (president, treasurer, or any other principal officer).
Under penalties of perjury, I(we), the undersigned officer(s) authorized to sign this return, declare that I(we) have exa\
mined this return,
including the accompanying schedules and statements, and to the best of \
my(our) knowledge and belief, it is a true, correct and
complete return, made in good faith, for the taxable year stated pursuan\
t to the income tax laws of the State of Arizona.
Officer’s Signature DateTitle
Please
Sign
Here Officer’s Signature DateTitle
Paid
Preparer’s
Use Only Preparer’s Signature Date Preparer’s PTIN
Firm’s Name (or Preparer’s Name, if self-employed)
Firm’s
† EIN or † SSN
Firm’s Address ZIP CodeFirm’s Telephone Number
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