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2023 Scannable Alternative Forms Examples
Alternative F-1120X form changes
Note: Refer to the 2023 Alternative Forms Requirements Guide for barcode and OCR line specifications.
1. Upper OCR Line:
a) Changed Vendor ID portion from ‘82xx’ to ‘83xx’.
2. Coupon Section:
a) Lower OCR Line:
• Changed Vendor ID portion from ‘82xx’ to ‘83xx’.
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Company ID Here
Amended Florida Corporate Income/Franchise F-1120X
Tax Return R. 01/16
Rule 12C-1.051
Florida Administrative Code
83XX09999999900020050498301234567800009 Effective 01/16
Name Reason for amended return: FEIN _____________________________________
___Amended federal return (attach copy)
___IRS audit adjustment (attach copy) For tax year:
Formerly known as (if applicable) Date of Revenue Beginning Ending
Agent Report
(mm/dd/yy) (RAR)
Address ___Other adjustment ____________________ __________________
(mm/dd/yy) (mm/dd/yy)
Type of return being amended:
City/State/ZIP ___F-1120 ___F-1120A ___F-1120X Date last return filed________________________
(mm/dd/yy)
Fill in applicable items and use Part II to explain any changes. Check A. Check B.
Part I if As originally reported if Correct amount
negative or as adjusted negative (attach amended
schedule)
1. Federal taxable income .......................................................................____ ... 999999999.99 ......____ .. 999999999.99
2. State income taxes deducted in computing federal taxable income ..____ ... 999999999.99 ......____ .. 999999999.99
3. Additions to federal taxable income ....................................................____ ... 999999999.99 ......____ .. 999999999.99
4. Total of Lines 1 through 3 ....................................................................____ ... 999999999.99 ......____ .. 999999999.99
5. Subtractions from federal taxable income ...........................................____ ... 999999999.99 ......____ .. 999999999.99
6. Adjusted federal income (Line 4 minus Line 5) ....................................____ ... 999999999.99 ......____ .. 999999999.99
7. Florida portion of adjusted federal income ..........................................____ ... 999999999.99 ......____ .. 999999999.99
8. Nonbusiness income allocated to Florida ...........................................____ ... 999999999.99 ......____ .. 999999999.99
9. Florida exemption ........................................................................................... 999999999.99 ................ 999999999.99
10. Florida net income (Line 7 plus Line 8 minus Line 9....................................... 999999999.99 ................999999999.99
Do Not Detach Coupon
PERF LINE--------------------------------------------------------------------------------
Amended Florida Corporate Income/Franchise Company ID Here
Tax Return F-1120X
Date last return filed ____/____/____ R. 01/16
for tax year ending ____/____/____
Name
FDOR - Corporate Test ~
Address 5050 W Tenneessee Street Check here if you transmitted funds electronically
City/State/ZIP Tallahassee, FL 32399-0141
012345678901234000012345678901234000012345678901234000012345678901234000000000
201201018901234000012345678901234000012345678901234000012345678901234000000000
201212318901234000012345678901234000012345678901234000012345678901234000000000
212345678901234000 123456789012340000 012345678901234000012345678901234000000000
200610158901234000012345678901234000012345678901234000012345678901234000000000
1123456789012340000123456789012340000 0123456789012340000000000
2006013189001230000123456789012340000 012345678901234000000000
2006123183901230000123456789012340000123456789012340000123456789012340
012345678901234 83XX 0 99999999 0002005049 8 3012345678 0000 9
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A. B.
As originally reported Correct amount
or as adjusted (Attach amended
schedules)
11. Tax due Check here if paying FL AMT ............................................................... 999999999.99 .........999999999.99
12. Credits against the tax ........................................................................................... 999999999.99 .........999999999.99
13. Total corporate income/franchise tax due ............................................................. 999999999.99 .........999999999.99
14. Penalty and interest (attach Florida Form F-2220 and/or schedule) .................... 999999999.99 .........999999999.99
15. Total of Lines 13 and 14 ........................................................................................ 999999999.99 .........999999999.99
16. a) Estimated payments __________ b) Tentative payment __________
c) Tax paid with or after return __________ ......................................Total o ........................................ 999999999.99
17. a) Credit__________ b) Refund __________if any shown on last return,
or as later adjusted ...........................................................................Total o........................................ 999999999.99
18. Total payments (Line 16 minus Line 17) ................................................................................................ 999999999.99
19. Total amount due or overpayment (Line 15 minus Line 18). Enter on payment coupon, also. ............ 999999999.99
20. Credit: Enter amount of overpayment credited to ______ estimated tax here
and on payment coupon ........................................................................................................................ 999999999.99
21. Offset: Enter amount of overpayment to be offset ................................................................................ 999999999.99
22. Refund: Enter amount of overpayment to be refunded here and on payment coupon ......................... 999999999.99
Contact person: _________________________________ Telephone number: ( _________ ) ________________________
Contact person email address:___________________________________________________________________________
Part II — Explanation of changes to income, deductions, credits, etc. Attach separate sheet if needed. To expedite
processing, please indicate if this tax year has been previously audited by the Department; include the service
notification (audit) number.
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 Title
Signature of officer (must be an original signature) Date
Preparer Preparer’s Tax
signature employed Number (PTIN)
Paid Preparer’s Date check if self- Identification
preparers
only Firm’s name (or yours FEIN
if self-employed)
and address ZIP
This return is considered incomplete unless a copy of the federal return is attached.
A return that is not signed, or improperly signed and verified, will be subject to a penalty. The statute of limitations period will not start until
the return is properly signed and verified. This return must be completed in its entirety.
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