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Interest Charge Domestic International
Form 1120-IC-DISC
(Rev. December 2021) Sales Corporation Return OMB No. 1545-0123
Department of the Treasury (Please type or print.)
Internal Revenue Service ▶ Go to www.irs.gov/Form1120ICDISC for instructions and the latest information.
For calendar year 20 , or tax year beginning , 20 , and ending , 20 .
A Date of IC-DISC election Name C Employer identification number
Number, street, and room or suite no. (or P.O. box if mail is not delivered to street address) D Date incorporated
B Business activity code no. City or town, state, and ZIP code E Total assets (see instructions)
(see instructions)
$
F Check applicable box(es): (1) Initial return (2) Final return (3) Name change (4) Address change (5) Amended return
G(1) Did any corporation, individual, partnership, trust, or estate own, directly or indirectly, 50%-or-more of the IC-DISC’s Yes No
voting stock at the end of the IC-DISC’s tax year? See section 267(c) for rules of attribution . . . . . . . . .
If “Yes,” complete the following schedule. If a foreign owner, see instructions.
Name Identifying Address Voting Total assets Foreign
number stock (corporations only) owner
owned Yes No
%
%
(2) Enter the following for any corporation listed in G(1) that will report the IC-DISC’s income:
Tax year of first corporation IRS Service Center where return will be filed
Tax year of second corporation IRS Service Center where return will be filed
H(1) Check the appropriate box(es) to indicate any intercompany pricing rules that were applied to 25%-or-more of gross income (line 1
below):
50-50 combined taxable income method 4% gross receipts method Section 482 method (“arm’s-length pricing”)
(2) Check here if the marginal costing rules under section 994(b)(2) were applied in figuring the combined taxable income for any
transactions.
All Computations Must Reflect Intercompany Pricing Rules if Used (Section 994)
See separate Schedule P (Form 1120-IC-DISC).
Taxable Income
1 Gross income. Enter amount from Schedule B, line 4, column (e) . . . . . . . . . . . . . 1
2 Cost of goods sold from Schedule A, line 8 . . . . . . . . . . . . . . . . . . . 2
3 Total income. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . 3
4 Deductions. Enter amount from Schedule E, line 3 . . . . . . . . . . . . . . . . . 4
5 Taxable income before net operating loss deduction and dividends-received deduction. Subtract line 4
from line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 a Net operating loss deduction (attach statement) . . . . . . . . . 6a
b Special deductions from Schedule C, line 21, column (c) . . . . . . 6b
c Add lines 6a and 6b . . . . . . . . . . . . . . . . . . . . . . . . . . . 6c
7 Taxable income. Subtract line 6c from line 5 . . . . . . . . . . . . . . . . . . . 7
8 Refundable credit for federal tax paid on fuels (attach Form 4136) . . . . . . . . . . . . 8
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
Sign true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
▲ ▲
Here
Signature of officer Date Title
Print/Type preparer’s name Preparer’s signature Date PTIN
Paid Check if
self-employed
Preparer
Use Only Firm’s name ▶ Firm’s EIN ▶
Firm’s address ▶ Phone no.
For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 11473P Form 1120-IC-DISC (Rev. 12-2021)
