Enlarge image | 2016 DELAWARE 2016 DO NOT WRITE OR STAPLE IN THIS AREA - REVENUE CODE 0042 CORPORATION INCOME TAX RETURN FORM 1100 FOR CALENDAR YEAR 2016 Reset for Fiscal year beginning and ending Print Form EMPLOYER IDENTIFICATION NUMBER Name of Corporation Street Address City State Zip Code CHECK APPLICABLE BOX: Delaware Address if Different than Above INITIAL RETURN CHANGE OF ADDRESS EXTENSION ATTACHED City State Zip Code IF OUT OF BUSINESS, ENTER DATE HERE: State of Incorporation: Nature of Business: DATE OF INCORPORATION: ATTACH COMPLETED COPY OF FEDERAL FORM 1120 1. Federal Taxable Income (See Specific Instructions) .......................................................................................................................... 2. Subtractions: (a) Foreign dividends, interest and royalties ........................................................... (b) Net interest from U.S. securities (Schedule 1, Column 2) ................................. (c) Interest from affiliated companies (Schedule 1, Column 3) ............................... (d) Gain from sale of U.S. or Delaware securities ................................................... (e) Wage deduction - Federal Jobs Credit .............................................................. (f) Handicapped accessibility deduction (Attach statement) ................................... (g) Net operating loss carry-over ............................................................................. (h) Other .................................................................................................................. (i) Total. Add Lines 2(a) through 2(h) ..................................................................................................................... 3. Line 1 minus Line 2(i) ....................................................................................................................................................................... 4. Additions: (a) All state and political subdivision income taxes deducted in computing Line 1 .... (b) Loss from sale of U.S. or Delaware securities ...................................................... (c) Interest income from obligations of any state except DE (Schedule 1, Column 4) (d) Depletion expense - oil and gas ............................................................................ (e) Interest paid affiliated companies (See Instructions) ............................................. (f) Donations included in Line 1 for which Delaware income tax credits were granted (g) Total. Add Lines 4(a) through 4(f) ......................................................................................................................... 5. Entire net income [Line 3 plus Line 4(g)] .......................................................................................................................................... WHERE LINE 5 IS DERIVED ENTIRELY FROM SOURCES WITHIN DELAWARE, ENTER AMOUNT ON LINE 11. WHERE THE ENTIRE INCOME IS NOT DERIVED FROM SOURCES WITHIN DELAWARE, COMPLETE ITEMS 6 TO 10 INCLUSIVE. 6. Total non-apportionable income (or loss) (Schedule 2, Column 3, Line 8) ....................................................................................... 7. Income (or loss) subject to apportionment (Line 5 minus Line 6) .................................................................................................... 8. Apportionment percentage (Schedule 3D, Line 8) .......................................................................... 9. Income (or loss) apportioned to Delaware (Line 7 multiplied by Line 8) .......................................................................................... 10. Non-apportionable income (or loss) (Schedule 2, Column 1, Line 8) ............................................................................................... 11. Total (Line 9 plus or minus Line 10) ................................................................................................................................................. 12. Delaware Taxable Income (Line 5 or Line 11, whichever is less) .................................................................................................... 13. Tax @ 8.7% .................................................................................................................................................................................... 14. Delaware tentative tax paid ............................................................................................................. 15. Credit carry-over from prior year ...................................................................................................... 16. Other payments (attach statement) ................................................................................................. 17. Approved income tax credits ........................................................................................................... 18. Total payments and credits. Add Lines 14 through 17 ..................................................................................................................... 19. If Line 13 is greater than Line 18 enter BALANCE DUE AND PAY IN FULL ................................................................................... 20. If Line 18 is greater than Line 13 enter OVERPAYMENT: (a) Total OVERPAYMENT ........................................ (b) to be REFUNDED ............................................... *DF11016019999* (c) to be CREDITED to 2017 TENTATIVE TAX ....... DF11016019999 PLEASE SEE REVERSE SIDE FOR SIGNATURE LINES AND MAILING INSTRUCTIONS. |
Enlarge image | SCHEDULE 1 - INTEREST INCOME 2016 FORM 1100 PAGE 2 Description Of Column 1 Column 2 Column 3 Column 4 Column 5 Interest Foreign Interest Interest Received Interest Received From Interest Received Other Interest From U.S. Securities Affiliated Companies From State Obligations Income 1 1 2 2 3 3 4 4 5 5 6 Totals 6 SCHEDULE 2 - NON-APPORTIONABLE INCOME ALLOCATED WITHIN AND WITHOUT DELAWARE Description Column 1 Column 2 Column 3 Within Delaware Without Delaware Total 1 Rentsand royalties from tangible property 00 00 00 1 2 Royalties from patents and copyrights 00 00 00 2 3 Gains or(losses) from sale ofreal property 00 00 00 3 4 Gains or(losses) from sale ofdepreciable tangible property 00 00 00 4 5 Interest income from Schedule 1, Columns 4 and 5, Line 6 00 00 00 5 6 Total 00 00 00 6 7 Less: Applicable expenses (Attach statement) 00 00 00 7 8 Total non-apportionable income 00 00 00 8 SCHEDULE 3 - APPORTIONMENT PERCENTAGE Schedule 3-A - Gross Real and Tangible Personal Property Within Delaware Within and Without Delaware Description Beginning of Year End of Year Beginning of Year End of Year 1 Real and tangible property owned 00 00 00 00 1 2 Real and tangible property rented (Eight times annualrental paid) 00 00 00 00 2 3 Total 00 00 00 00 3 4 Less: Value at original cost of real and tangible property, the 00 00 00 00 4 income from which is separately allocated (See instructions) 5 Total 00 00 00 00 5 6 Average value (See instructions) 00 00 6 Schedule 3-B - Wages, Salaries, and Other Compensation Paid or Accrued to Employees Description Within Delaware Within and Without Delaware 1 Wages, salaries, and other compensation of all employees 00 00 1 2 Less: Wages, salaries, and other compensation of general executive officers 00 00 2 3 Total 00 00 3 Schedule 3-C - Gross Receipts Subject to Apportionment 1 Gross receipts from sales of tangible personal property 00 00 1 2 Gross income from other sources (Attach statement) 00 00 2 3 Total 00 00 3 Schedule 3-D - Determination of Apportionment Percentage 1 Averagevalue ofreal and tangible propertywithin Delaware 00 % 1 = 2 Averagevalue ofreal and tangible propertywithin and without Delaware 00 2 3 Wages, salaries and other compensation paid toemployees within Delaware 00 = % 3 4 Wages, salaries and other compensation paid toemployees within and without Delaware 00 4 5 Gross receipts and gross income from within Delaware 00 = % 5 6 Gross receipts and gross income from within and without Delaware 00 6 7 Total 7 *DF11016029999* 8 Apportionment percentage (See instructions) DF11016029999 % 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 true, correct, and complete. If prepared by a person other than the taxpayer, the declaration is based on all information of which the preparer has any knowledge. Date Signature of Officer Title Email Address Date Signature of individual or firm preparing the return Address MAKE CHECK PAYABLE AND MAIL TO: Delaware Division of Revenue, P.O. Box 2044, Wilmington, DE 19899-2044 (Form Revised 07/2016) |