1100X 2022 AMENDED DELAWARE DO NOT WRITE OR STAPLE IN THIS AREA - REVENUE CODE 0042 CORPORATION INCOME TAX RETURN For Fiscal year beginning MM DD YY and ending MMMM DD YY Print Form Reset Name of Corporation EMPLOYER IDENTIFICATION NUMBER Street Address City State Zip Code YES NO Delaware address, if different than above: City State Zip Code State of Incorporation: Nature of Business: A B C ORIGINALLY NET CHANGE CORRECT IMPORTANT - ALL Schedules and lines MUST be completed. REPORTED Increase/Decrease AMOUNT 1. Federal Taxable Income ....................................................................................... 2. Subtractions: 1 00 00 00 1 (a) Foreign dividends, interest and royalties ....................................................... 2a 00 00 00 2a (b) Net interest from U.S. securities (Schedule 1, Column 2) .............................. 2b 00 00 00 2b (c) ............................ 2c 00 00 00 2c (d) Gain from sale of U.S. or Delaware securities .............................................. 2d 00 00 00 2d (e) Wage deduction - Federal Jobs Credit .......................................................... 2e 00 00 00 2e (f) Handicapped accessibility deduction (Attach statement) .............................. 2f 00 00 00 2f (g) Net operating loss carry-over ........................................................................ 2g 00 00 00 2g (h) NBI must attach form 1100 NBI....................................................................... 2h 00 00 00 2h (i) Total [Lines 2(a) through 2(h)] ....................................................................... 2i 00 00 00 2i 3. Line 1 minus Line 2 (i) .......................................................................................... 3 00 00 00 3 4. Additions: (a) All state and political subdivision income tax deducted in 4a 00 00 00 4a computing Line 1 ........................................................................................... (b) Loss from sale of U.S. or Delaware securities .............................................. 4b 00 00 00 4b (c) Interest income from obligations of any state except DE (Sch.1 Col. 4) 4c 00 00 00 4c (d) Depletion allowance - oil and gas .................................................................. 4d 00 00 00 4d (e) .................................................................. 4e 00 00 00 4e (f) Donations included in Line 1 for which Delaware income tax credits were granted ...................................................................................... 4f 00 00 00 4f (g) Total [Lines 4(a) through 4 (f)] ....................................................................... 4g 00 00 00 4g 5. Entire Net Income [Line 3 plus Line 4(g) ] ............................................................ 5 00 00 00 5 6. Total non-apportionable income (or loss) (Schedule 2, Column 3) ...................... 6 00 00 00 6 7. Income (or loss) subject to apportionment (Line 5 minus Line 6) ........................ 7 00 00 00 7 8. Apportionment percentage (Schedule 3B, Page 2) ............................................. 8 00 00 00 8 9. Income (or loss) apportioned to Delaware (Line 7 multiplied by Line 8) .............. 9 00 00 00 9 10. Non-apportionable income (or loss) (Schedule 2, Column 1) .............................. 10 00 00 00 10 11. Total (Line 9 plus or minus Line 10) ..................................................................... 11 00 00 00 11 12. Delaware Taxable Income (Line 5 or Line 11 whichever is less) .......................... 12 00 00 00 12 13. Tax @ 8.7% .......................................................................................................... 13 00 00 00 13 14. Delaware tentative tax paid ............................................................................................................................................................... 14 00 14 15. Credit carry-over from prior years ..................................................................................................................................................... 15 00 15 16. Other payments (Attach statement) .................................................................................................................................................. 16 00 16 17. Approved income tax credits ............................................................................................................................................................. 17 00 17 18. Previous overpayments ......................................... )a( R : s s e L m i a l c d n u f e d e v i e c e r d n a d e .......................................................... 18a 00 18a ........................................ )b( d e t s e u q e r y l s u o i v e r p r e v o - y r r a c x a t e v i t a t n e T : s s e L .................................. 18b 00 18b 19. Total payments and credits (Less refunds and carry-overs) ............................................................................................................. 19 00 19 20. (a) If Line 13 is greater than Line 19 enter BALANCE DUE ............................................................................................................ 20a 00 20a (b) Interest at 1/2% per month .......................................................................................................................................................... 20b 00 20b (c) Total Tax and Interest Due .......................................................................................................................................................... 20c 00 20c 21. If Line 19 is greater than Line 13 enter OVERPAYMENT (a) TOTAL OVERPAYMENT ........................................................... 21a 00 21a (b) ot R e b EFUNDE . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D ............................... 21b 00 21b *df12222019999* (c) to be CREDITED TO _________ TENTATIVE TAX .................. 21c 00 21c DF12222019999 |
SCHEDULE 1 - INTEREST INCOME 2022 FORM 1100X 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 From State Obligations Income 1 00 00 00 00 00 1 2 00 00 00 00 00 2 3 00 00 00 00 00 3 4 00 00 00 00 00 4 5 00 00 00 00 00 5 6 TOTALS 00 00 00 00 00 6 SCHEDULE 2 - NON-APPORTIONABLE INCOME ALLOCATED WITHIN AND WITHOUT DELAWARE Description Column 1 Column 2 Column 3 Within Delaware Without Delaware Total 1 Rents and royalties from tangible property 00 00 00 1 2 Royalties from patents and copyrights 00 00 00 2 3 Gains or (losses) from sale of real property 00 00 00 3 4 Gains or (losses) from sale of depreciable 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 Receipts Subject to Apportionment Description Within Delaware Within and Without Delaware 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-B - Determination of Apportionment Percentage 1 Gross receipts and gross income from within Delaware 00 % 1 = 2 Gross receipts and gross income from within and without Delaware 00 2 3 Apportionment percentage (see instructions) % 3 Schedule 3-C - Gross Real and Tangible Personal Property Description Within Delaware Within and Without Delaware 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 annual rental paid) 00 00 00 00 2 3 Total 00 00 00 00 3 Less: Value at original cost of real and tangible property, the 4 income from which is separately allocated (See instructions) 00 00 00 00 4 5 Total 00 00 00 00 5 6 Average value (See instructions) 00 00 6 Schedule 3-D - 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 00 00 2 3 Total 00 00 3 *df12222029999* DF12222029999 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 Title Email Address Address Date Address Address MAKE CHECK PAYABLE AND MAIL TO: Delaware Division of Revenue, P.O. Box 2044, Wilmington, DE 19899-2044 (Revised 04/2022) |