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STATE OF SOUTH CAROLINA SC 1104
SAVINGS AND LOAN ASSOCIATION TAX RETURN (Rev. 4/25/22)
dor.sc.gov Due by the 15th day of the fourth month following the close of the taxable year. 3090
Income Tax period ending - - County or counties in SC where property is located
FEIN
Audit location: Street address
Name
City State ZIP
Mailing address
Audit contact Phone number
City State ZIP
Change of Address Accounting Period
Check if: Initial Return Amended Return
Check if you filed a federal or state extension.
Check if:
Attach complete copy of federal return
Merged Reorganized Final
Date organized Under the laws of the state of
Books are in care of Located at
If not incorporated in SC, date qualified to do business in SC
COMPUTATION OF SAVINGS AND LOAN ASSOCIATION TAX LIABILITY
1. Federal taxable income per federal tax return
(S Corporations: see General Information in Instructions).......................................................... 1. 00
2. Net adjustment from Schedule A and B, line 12........................................................................... 2. 00
3. Total net income as reconciled (add line 1 and line 2)................................................................... 3. 00
4. If multi-state association, enter amount from Schedule D, line 6; otherwise, enter amount from line 3..... 4. 00
5. South Carolina net operating loss carryover, if applicable.............................................................. 5. < 00 >
6. South Carolina net income subject to tax (subtract line 5 from line 4)........................................... 6. 00
7. Tax (multiply line 6 by 6%)...................................................................................................... 7. 00
8. Nonrefundable credits taken this year from SC1120TC............................................................. 8. 00
9. Balance of tax (subtract line 8 from line 7).................................................................................. 9. 00
10. Payments/ (a) Tax withheld (attach 1099s or I-290s)............................................................... 10a. 00
Refundable (b) Paid by declaration..................................................................................... 10b. 00
Credit (c) Paid with extension..................................................................................... 10c. 00
(d) Motor Fuel Income Tax Credit (attach I-385) .................................................... 10d. 00
11. Total payments and refundable credit (add line 10a through line 10d).............................................. 11. 00
12. Balance of tax (subtract line 11 from line 9) ............................................................................ 12. 00
13. (a) Interest 00 (b) Late file/pay penalty 00
(c) Declaration penalty (attach SC2220) 00
Total (add line 13a through line 13c) See penalty and interest instructions ......................................... 13. 00
14. Total Income Tax, interest, and penalty (add line 12 and line 13). . . . . . . . . . . . . . . BALANCE DUE 14. 00
15. Overpayment (subtract line 9 from line 11) 00 To be applied as follows:
(a) Estimated Tax 00 (b) REFUND 15. 00
Under penalty of law, I certify that I have examined this return, including accompanying statements and schedules, and it is true and complete to the
best of my knowledge.
Sign Signature of officer Officer's title Email
Here
Print officer's name Date Phone number
I authorize the Director of the SCDOR or delegate to discuss this return, Yes No Print preparer's name
attachments, and related tax matters with the preparer.
Paid Preparer's Date Check if Preparer's phone number
Preparer's signature self-employed
Use Only Firm's name (or yours ZIP PTIN or FEIN
if self-employed) and address
30901045
