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Kentucky Corporation Income Tax Return Form

The following tax form has to be completed and submitted by any corporation that is conducting business operations in the State of Kentucky.

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KENTUCKY	 CORPORATION	
INCOME	 TAX AND 	LLET	 RETURN	
 	Name of Corporation 	 	
  	Number and Street  	
 City State ZIP Code   Telephone Number
 	E Name of Common Parent  Kentucky Corporation/LLET Account Number	
 	__ __ __ __ __ __	
  F 	Check if applicable:	  Initial return	 	 Final return 	(Complete Part IV)	 	 Short-period return 	(Complete Part IV)  	 Change  of name	 	 Change of address 	 Change  of accounting period	
  G 	Check if applicable:  	 Amended return	  Amended return–RAR	
  	Provide explanation of changes in Part V—Explanation of Amended Retur\
n Changes.	
B Check applicable box(es):	   LLET Receipts Method		 Gross Receipts			 Gross Profits			 $175 minimum	  	Nonfiling Status Code	
  Enter Code 	_____  _____	
C Income Tax Return	  	 Separate	
 	 Mandatory NEXUS	
 	Nonfiling Status Code	
  Enter Code 	_____  _____	
State and Date of Incorporation
Principal Business Activity in KY
NAICS Code Number(Relating to Kentucky Activity)(See 	www.census.gov	)	
D Federal  Identification Number 	__ __ 	– __ __ __ __ __ __ __	
2012	
Taxable Year Ending   	__ __ / __  __	 	Mo.  Yr.	
*1200020200*	
__ __ __ __ __ __	
Kentucky Corporation/LLET Account Number	
720
41A720	Department of Revenue	
A	
Taxable period beginning  _______________ , 201 ___, and ending  _______________ , 201 ___.	
PART II—INCOME TAX COMPUTATION	
 1.	 Income  tax	 (see instructions)	 ............	  1 	00	
 2.  Recycling/composting equipment
  tax credit recapture	 ............................	  2 	00	
 3.	 Tax installment on LIFO recapture	 ... 	3 	00	
  4.	 Total	 (add lines 1 through 3)	 ............	  4 	00	
 5.  Nonrefundable LLET credit
  from the Corporation 
 LLET Credit Worksheet(s)
 (see instructions)	 ...............................	  5 	00	
 6.  Nonrefundable LLET credit (Part I,
  line 6 less $175)	 .................................	  6 	00 	
 7.  Nonrefundable tax credits
  (attach Schedule TCS) 	 ......................	  7  	00	
 8.	 Net income tax liability	 (line 4 less	
  lines 5 through 7, but not less than
 zero)	 ....................................................	  8 	00	
 9.  Estimated tax payments
 	 Check if Form 2220-K attached	 .....	  9 	00	
10. Extension payment	 ...........................	  10 	00	
11.  Prior year’s tax credit	 ........................	  11 	00	
12.  LLET overpayment from Part I, 
 line 18	 .................................................	  12 	00	
13.  Corporation income tax paid on 
 original return	 ....................................	  13 	00	
14.  Corporation income tax 	 
overpayment	
 on original return	 ..............................	  14 	00	
15. 	Income tax due	 (lines 8 and 14 less	
  lines 9 through 13)	 ................................	  15 	00	
16. 	Income tax overpayment	 (lines 9	
  through 13 less lines 8 and 14)	 ...........	  16	 	00	
17.  Credited to 2012 LLET	 .......................	  17 	00	
18. Credited to 2013 corporation	
  income tax	 .........................................	  18 	00	
19. 	Amount to be refunded	 ....................	  19 	00	
 1. 	Schedule LLET	, Section D, line 1	 .........	  1 	00	
 2.  Recycling/composting equipment 
  tax credit recapture	 ...............................	  2 	00	
 3. 	Total 	(add lines 1 and 2)	 .......................	  3 	00	
 4.  Nonrefundable LLET credit from
  Kentucky Schedule(s) K-1	 .....................	  4 	00	
 5.  Nonrefundable tax credits
  (attach Schedule TCS)	 ...........................	  5 	00	
 6. 	LLET liability	 (greater of line 3 less	
  lines 4 and 5 or $175 minimum)	 ..........	  6 	00	
 7. 	Withholding  tax (Form PTE-WH)	 ..........	  7  	00	
 8.  Estimated tax payments	 .......................	  8 	00	
 9.  Certified rehabilitation tax credit	 .........	  9 	00	
10.  Film industry tax credit	 .........................	  10 	00	
11.  Extension payment	 ...............................	  11 	00	
12.  Prior year’s tax credit	 ............................	  12 	00	
13.  Income tax overpayment from
 Part II, line 17	 .........................................	  13 	00	
14.  LLET paid on original return	 .................	  14 	00	
15.  LLET overpayment on original
 return	 ......................................................	  15 	00	
16. 	LLET due	 (lines 6 and 15 less lines	
  7 through 14)	 .........................................	  16 	00	
17. 	LLET overpayment	 (lines 7 	
  through 14 less lines 6 and 15)	 ............	  17 	00	
18.  Credited to 2012 income tax	 .................	  18 	00	
19.  Credited to 2013 LLET	 ...........................	  19 	00	
20. 	Amount to be refunded	 ........................	  20 	00	
  PART I—LLET COMPUTATION	
Make check payable to:Kentucky State Treasurer
Mail return with payment to:Kentucky Department of RevenueFrankfort, Kentucky 40620	
 LLET  INCOME
 1. LLET due (Part I, Line 16)  	 $___________________	 1. 	Income tax due (Part II, Line 15)	 	 $___________________	
 2. Penalty  	 $___________________ 	2. Penalty  	  $___________________	
 3. Interest   	 $___________________ 	3. Interest 	 $___________________	
 4. Subtotal   	$___________________ 	4. Subtotal   	$___________________	
 TOTAL PAYMENT 	(Add Subtotals)	 ............................................................	➤	$  _________________________________________	 		
TAX PAYMENT SUMMARY  	(Round to nearest dollar)	
	➤	 See instructions.	
OFFICIAL USE ONLY	
PW 204	$

1. 	Federal taxable income (Form 1120,	
  line 28)	 ................................................	  1 	00	
ADDITIONS:
 2. 	Interest income (state and local 	
  obligations)	 .........................................	  2 	00	
 3.  State taxes based on net/gross
  income	 ................................................	  3 	00	
 4.  Depreciation adjustment	 ...................	  4 	00	
 5. 	Deductions attributable to nontaxable	
  income	 .................................................	  5 	00	
 6.  Related party expenses (attach 
  Schedule RPC)	 ....................................	  6 	00	
 7.  Dividend paid deduction (REIT)	 ........	  7  	00	
 8.  Domestic production activities 
  deduction	 ............................................	  8 	00	
 9.  Other (attach Schedule O-720)	 .........	  9 	00	
10.  Revenue Agent Report (RAR)	 ...........	  10 	00	
11. 	Total 	(add lines 1 through 10)	 ..........	  11 	00	
SUBTRACTIONS:
12.  Interest income (U.S. obligations)	 ....	  12 	00	
13.  Dividend income	 ................................	  13 	00	
PART III—TAXABLE INCOME COMPUTATION	
PART IV—EXPLANATION OF FINAL RETURN AND/OR SHORT–PERIOD RETURN	
PART V—EXPLANATION OF AMENDED RETURN CHANGES	
14.  Federal work opportunity credit	 .......	  14 	00	
15.  Depreciation adjustment	 ...................	  15 	00	
16.  Other (attach Schedule O-720)	 .........	  16 	00	
17.  Revenue Agent Report (RAR)	 ...........	  17 	00	
18. 	Net income	 (line 11 less lines 12 	
  through 17)	 ..........................................	  18 	00	
19. 	Current net operating loss 	
  adjustment (mandatory nexus only)	 ..  19 	00	
20. 	Kentucky net income	 (add lines 18	
  and 19)	 ................................................	  20 	00	
21.	 Taxable net income	
 	(attach Schedule A if applicable)	 ......	  21 	00	
22.  Net operating loss deduction 
 (NOLD)	 ................................................	  22 	00	
23. 	Taxable net income	 after NOLD	
  (line 21 less line 22)	 ...........................	  23 	00	
24.  Kentucky domestic production 
 activities deduction (KDPAD)	 ............	  24 	00	
25. 	Taxable net income	 after KDPAD	
 	(line 23 less line 24)	 ...........................	  25 	00	
*1200020201*	
Form 720 (2012)
Commonwealth of KentuckyDEPARTMENT OF REVENUE	
Page 2

Form 720 (2012)
Commonwealth of KentuckyDEPARTMENT OF REVENUE	
Page 3	
*1200020322*	
I,  the  undersigned,  declare  under  the  penalties  of  perjury,  that  I  have  examined  this  return,  including  all accompanying  schedules  and  statements,  and  to  the  best  of  my  knowledge  and  belief,  it  is  true,  correct  and complete.	
www.revenue.ky.gov	
OFFICER INFORMATION (Failure to Provide Requested Information May Resul\
t in a Penalty)
Attach a schedule listing the name, home address and Social Security num\
ber of the vice president, secretary and treasurer.
Has the attached officer information changed from the last return fi\
led? Yes No
President’s Name  President’s Home Address 
President’s Social Security Number
Date Became President   
✍ Signature of principal officer or chief accounting officer  Date
 Name of person or firm preparing return   SSN, PTIN or FEIN
 	
May  the  DOR  discuss  this return with the preparer?
 Yes   	 No	
Email Address:
Telephone Number:	
 /       /	
 8. Did  the  corporation  at  any  time  during  the  taxable  year  do 	business in Kentuck y and own 80 percent or more of the voting s toc k  of  another  c orp oration  doing  busine s s  in  Kentuc k y?   Y e s  	 No.  If yes, list name, address and federal I.D. number 	of each entit y. 	 _____________________________________________	 ____________________________________________________________ ____________________________________________________________	
  9.  Was 80 percent or more of the corporation's voting stock owned 	by any corporation doing business in Kentucky at any time of the year? 	  Yes 	  No.  If yes, list name, address and federal I.D. 	number of each entity. 	 _____________________________________	 ____________________________________________________________ ____________________________________________________________	
10.  The  federal  tax  return  attached  to  this  Kentucky  tax  return  is:  	  a  pro  forma  federal  tax  return 	  a  copy  of  the  federal  tax 	return filed with the Internal Revenue Ser vice	
11. Is the entity filing this Kentuck y tax return or any entity included 	in the tax return organized as a limited cooperative association 
as provided by KRS Chapter 272A? 	  Yes 	  No. If yes, and 	this is a nexus consolidated return, enter each limited cooperative association’s name, address and federal I.D. number included in the return:	 __________________________________________________	
12.  Is the entity filing this Kentucky tax return or any entity included 	in  this  tax  return  organized  as  a  statutory  trust  or  a  series statutory trust as provided by KRS Chapter 386A? 	  Yes 	  No 	
  If  yes,  is  the  entity  filing  this  Kentucky  tax  return  or  any  entity 	included  in  this  tax  return  a  series  within  a  statutory  trust?	 	  Yes 	  No	
  If  yes,  for  each  series  within  a  statutory  trust,  enter  the  name, 	address and federal I.D. number of the statutory trust registered with the Kentucky Secretary of State:	 _________________________	 ____________________________________________________________	
13.  Was this return prepared on: (a) 	 cash basis, (b) 	 accrual basis, 	(c) 	 other  	 _________________________________________________	
14.  Did the corporation file a Kentucky tangible personal property tax 	return for January 1, 2013? 	 Yes 	 No	
15.  Is the corporation currently under audit by the Internal Revenue 	Service? 	 Yes 	 No 	
  If yes, enter years under audit 	 ________________________________	
  If  the  Internal  Revenue  Service  has  made  final  and  unappealable 	
adjustments  to  the  corporation’s  taxable  income  which  have  not been reported to the department, check here	  and file an amended 	return. See 2012 Kentucky Corporation Income Tax and LLET Return instructions  for  information  regarding  amended  returns.  Attach  a copy of the final determination to each amended return. 	
SCHEDULE	 Q—K	ENTUCKY	 CORPORATION	/LLET Q	UESTIONNAIRE	
IMPORTANT:	 Questions 4—15 must be completed by all corporations. 	If this is the corporation’s initial return or if the corporation did not file a return under the same name and same federal I.D. number for the preceding year, questions 1, 2 and 3 must be answered. 	Failure 	to do so may result in a request for a delinquent return. 
  1.  I n d i c a t e     w h e t h e r :   ( a )  	 new  business;  (b) 	 s u c c e s s o r 	to  previously  existing  business  which  was  organized  as: (1) 	 corporation;  (2) 	 partnership;  (3) 	 sole  proprietorship; 	or (4) 	 other 	 ____________________________________________	 	
  If  successor  to  previously  existing  business,  give  name, 	address  and  federal  I.D.  number  of  the  previous  business organization. 	 ____________________________________________	 	  __________________________________________________________	
  2.  List  the  following 	Kentucky	 account  numbers.  Enter  N/A  for 	any number not applicable. 	  Employer Withholding 	 ___________________________________	  Sales and Use Tax Permit 	 ________________________________	  Consumer Use Tax 	 ______________________________________	  Unemployment Insurance 	 ________________________________	  Coal Severance and/or Processing Tax	 _____________________	 	
  3.  If a foreign corporation, enter the date qualified to do business 	in Kentucky.  __ __  / __ __  / __ __	
 4.  The corporation’s books are in care of: (name and address) 	 __________________________________________________________ __________________________________________________________ __________________________________________________________	
  5.  Are disregarded entities included in this return? 	 Yes 	 No.  If yes, list name, address and federal I.D. number 	of each entity. 	 ___________________________________________	 __________________________________________________________ __________________________________________________________	
  6.  Was  the  corporation  a  partner  or  member  in  a  pass-through 	entity  doing  business  in  Kentucky? 	 	 Yes 	 	 No.  If  yes, 	attach  schedule  listing  name  and  federal  I.D.  number  of  the pass-through entity(ies). 	 __________________________________	
 	Was  the  corporation  doing  business  in  Kentucky  other  than through its interest held in a pass-through entity doing business in Kentucky? 	 	 Yes 	 	 No	
7.  Are related party costs as defined in KRS 141.205(1)(l) included 	in  this  return? 	 	 Yes 	 	 No.  If  yes,  attach  Schedule  RPC, 	Related Party Costs Disclosure Statement, and enter any related party cost additions on Part III, Line 6.
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