F. Total assets
G. Business code number
H. Was the income of this corporation included in a
consolidated federal income tax return?
I. Is an Apportionment and Allocation Schedule
(CIFT-620A) included with this return?
Yes No
7A. Total capital stock, surplus, undivided profits, & borrowed capital (Sch. A, Line 32, Col. 3)
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 2002
9. Louisiana franchise tax (Schedule F, Line 6)
10. Credits: A. Enterprise Zone Credit
B. Other credits. Explain. (Do not include ad valorem tax credit. See Line 15.)
C. Total credits (Add Lines 10A and 10B.)
11. Franchise tax after credits (Subtract Line 10C from Line 9.)
12. Less previous payments
13. Amount of franchise tax due or overpayment (Subtract Line 12 from Line 11.)
14. Total income and franchise tax due or overpayment (Add Lines 6 and 13.)
15. Refundable credits (See instructions.)
A. Inventory Credit
B. Telephone Company Property Credit
C. Prison Industry Enhancement (PIE)
D. Total refundable credits
16. Net income and franchise tax due or overpayment (Subtract Line 15D from Line 14.)
17. Penalties (See instructions.)
18. Interest (Enter 1.25% per month from due date of return to date of payment.)
19. 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 2003 tax
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.)
B. Enterprise Zone Credit
C. Louisiana Capital Companies Credit
D. Other credits. Explain.
E. Total nonrefundable 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.)
A. Federal Employer Identification Number
B. Federal taxable income
C. Federal income tax
D. Income tax apportionment percentage (two decimal places)
E. Gross revenues
10C. 00
11. 00
12. 00
13. 00
14. 00
15D. 00
16. 00
17. 00
18. 00
19. 00
1A. 00
1B. 00
1C. 00
1D. 00
1E. 00
1F. 00
2. 00
3E. 00
4. 00
5. 00
6. 00
CIFT-620 (01-03)
Louisiana Department of Revenue
Post Office Box 91011
Baton Rouge, LA 70821-9011
For office use only.
A.
B. $ 00
C. $ 00
D. ___ ___ ___ . ___ ___ %
E. $ 00
Computation of Income Tax
7A. 00
7B. ___ ___ ___ . ___ ___ %
7C. 00
8. 00
9. 00
10A. 00
10B. 00
▲▲▲
Calendar year returns are due April 15. See instructions for fiscal years.
3A. 00
3B. 00
3C. 00
3D. 00
Louisiana Corporation
Income Tax
Return for
2002
or Fiscal Year
Begun _______, 2002
Ended _______, 2003
H.
I.
20. 00
21. 00
Net Amount Due
Computation of Franchise Tax
Mark if your
address has
changed.
(Do not include ad valorem tax credit. See Line 15.)
Please print corporation name, and complete mailing address below.
Mark if this is
an amended
return.
2301
Please enter your Revenue
Account Number here:
15A. 00
15B. 00
15C. 00
Louisiana Corporation
Franchise Tax
Return for
2003
or Fiscal Year
Begun _______, 2003
Ended _______, 2004
▲▲
▲▲
F. $ 00
G.
▲▲
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.Other current liabilities (Attach schedule.)
23.Loans from stockholders (Attach schedule.)
24.Due to subsidiaries and affiliates
25.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)
26.Other liabilities (Attach schedule.)
27.Capital stock: a. Preferred stock
b. Common stock
28.Paid-in or capital surplus
29.Surplus reserves (Attach schedule.)
30.Earned surplus and undivided profits
31.Excessive reserves or undervalued assets
32.Totals (Add Lines 20 through 31. Enter the Column 3 total on Page 1,
Line 7A. Round to the nearest dollar.)
SCHEDULE C – ANALYSIS OF SCHEDULE A, COLUMN 2, LINE 30 (EARNED SURPLUS AND UNDIVIDED PROFITS PER BOOKS)
1. Balance at beginning of year
2. Net income per books
3. Other increases (Itemize.)
4. Total (Add Lines 1, 2, and 3.)
5. Distributions: a. Cash
b. Stock
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.)
SCHEDULE B – ANALYSIS OF SCHEDULE A, COLUMN 2, LINES 21, 23, AND 26
ALL APPLICABLE SCHEDULES MUST BE COMPLETED. Page 2
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.)
SCHEDULE A – BALANCE SHEET AND CORPORATION FRANCHISE TAXABLE BASE
Original date Due Installment Balance Taxable
of inception date Payee amount due amount
ASSETS 1. Beginning of year 2. End of year 3. End of year
LIABILITIES AND CAPITAL
TOTAL FRANCHISE
TAXABLE BASE
(Extend to Column 3,
amounts in Column 2
that are includable in the
franchise taxable base.)
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Signature
Signature of officer Date Signature of preparer Date
Title of officer Firm name
Telephone Telephone
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.
( )
( )
Column 1 Column 2
Net income in
each bracket RATE TAX
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.
5. Multiply the amount on Line 4 by $3.00 for each
$1,000 or major fraction thereof and enter here.
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.
1. Enter amount from
Page 1, Line 7C or 8,
whichever is greater.
2. Enter first $300,000 of
Line 1 above.
x 4% =
x 5% =
x 6% =
x 7% =
x 8% =
1. Enter the net
taxable income from
Page 1, Line 1F.
2. Calculation of tax
a. First $25,000 of
net income
b. Next $25,000
c. Next $50,000
d. Next $100,000
e. Over $200,000
3. Add Lines 2a through
2e of Column 1 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.
SCHEDULE E – CALCULATION OF INCOME TAX SCHEDULE F – CALCULATION OF FRANCHISE TAX
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
ALL APPLICABLE SCHEDULES MUST BE COMPLETED. (Schedule D need not be completed if Schedule P of Form CIFT-620A is filed with this return.) Page 3
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 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)
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SCHEDULE D – COMPUTATION OF LOUISIANA TAXABLE INCOME
ALL APPLICABLE SCHEDULES MUST BE COMPLETED. Page 4
SCHEDULE H – RECONCILIATION OF INCOME PER BOOKS WITH INCOME PER RETURN
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
19. Total (Add Lines 7 and 8.)
10. Net income from all sources per return (Subtract Line 9
from Line 6.)
Check number Date Amount
1. Credit from prior year return
2. First quarter estimated payment
3. Second quarter estimated payment
4. Third quarter estimated payment
5. Fourth quarter estimated payment
6. Payment made with extension request
7. Total
1. Net income per books
2. Louisiana income tax
3. Excess of capital loss over capital gains
4. Taxable income not recorded on books this year
(Itemize.)
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.)
SCHEDULE I – SUMMARY OF ESTIMATED TAX PAYMENTS
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:
Elsewhere:
3. Indicate the date and state of incorporation.
4. Indicate parishes in which property is located.
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.
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 No
If “yes,” show name, address, and percentage owned.
2304