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In these instructions, all references to Massachusetts tax forms refer to 2018 forms. If you are using forms for any other year when supplying informa-
tion, be sure that you include the substantive information required by statute. Forms for other years may be numbered differently.
INSTRUCTIONS FOR COMPLETION OF THIS FORM
Note: The information for this filing must come from your most recently filed tax return or other document filed on or before June 30, 2020.
Please type or print clearly in ink as this document will be microfilmed. Incomplete or incorrect reports will be returned to sender for completion and/or correction.
Please send original document only; keep a photocopy for your files.
A. Insert Federal Identification Number (employer’s I.D.) at upper right-hand corner. If you do not have one, you must apply to the Internal Revenue Service.
B. Item 1. Insert the exact name of the corporation as it appears on the Articles of Organization or subsequent amendments. Do not use any d/b/a names, trade names, or ab-
breviations.
C. Item 2. Insert the full address of the corporation’s principal office, using number and street, city or town, state and zip code.
D. Item 3. Where two or more corporations file a combined return, all numerical information shall be reported on a combined basis. The names and full street addresses of all
corporations must be listed. If there is not sufficient space to respond, attach an 8 1/2 x 11 inch sheet of white bond paper with a left margin of at least one inch.
E. Complete the statement by inserting the name of the treasurer/assistant treasurer completing this form. Date and sign where indicated, and insert title. The officer who
prepares this report must be the one who signs it. In the absence of the treasurer/assistant treasurer, the report may be signed by the president, vice-president, or clerk.
F. Item 4. Insert the last day, month and year of the tax year for which the report is filed.
G. Item 5. Insert the gross receipts or sales as reported on Item 1 of Schedule E of Form 355.
H. Item 6. Insert either: 1) gross profits as reported on Item 2 of Schedule E of Form 355, or, 2) any excess Investment Tax Credit and/or Research Credit subject to carry-over to
future years as reported on the DOR Credit Manager Schedule filed with Form 355.
I. Item 7. Insert income subject to apportionment as reported on Item 19 of Schedule E of Form 355.
J. Item 8. Insert the amount of income taxable in Massachusetts as reported on Item 27 of Schedule E of Form 355.
K. Item 9. Insert the total amount of non-income tax excise of the excise calculation as reported on Item 2 from Form 355.
L. Item 10. Insert the amount of excise due as reported on Item 11 of the excise calculation of Form 355.
M. Item 11. Insert the amount of each tax credit taken against the excise imposed by Massachusetts General Law, Chapter 63 as reported on Form 355.
tdrcorp 12/16/20
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