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BC-1120 BATTLE CREEK
CORPORATION INCOME TAX RETURN
For fiscal year or other taxable period beginning and ending
IDENTIFICATION AND INFORMATION
Name of Corporation Federal Employer Identification Number
PLEASE Number and Street Where incorporated: Date incorporated:
TYPE Principal business activity:
OR Address 2 Main address in Battle Creek:
PRINT
Location of Battle Creek records:
City, Town or Post Office State Zip Code Person in charge of records:
AL Telephone number:
A. Mark applicable boxes AMENDED RETURN SHORT PERIOD RETURN INITIAL BATTLE CREEK RETURN FINAL BATTLE CREEK RETURN
Is amended return based on a federal audit? If yes, enter determination date:
B. Name and Address of resident agent in Michigan:
C. Is this a consolidated return? Yes No If yes, attached a statement listing the FEIN, name, address, type of entity and percentage of ownership of each included entity.
Was a consolidated return filed with the IRS? Yes No
D. Number of Battle Creek locations included in this return: Number of locations everywhere:
List addresses Battle Creek locations:
E. During the period of this return, was your federal tax liability for any other tax year changed by an audit by the federal government or the filing of an amended federal return?
Yes No If yes, attach an explanation if an amended Battle Creek return was not filed.
TAXABLE INCOME AND TAX COMPUTATION
1. Taxable income before net operating loss deduction and special deduction per U.S. Corporation Income Tax Return
Form 1120, 1120-A or for Subchapter S corporations, taxable income per Form BC-1120, page 2, Schedule S.
Attach a copy of federal Form 1120, 1120-A or 1120S, Schedule K and all ancillary schedules filed with the IRS. 1
2. Enter items not deductible under Battle Creek Income Tax Ordinance (From page 2, Schedule C, column 1, line 6) 2
3. Total (Add lines 1 and 2) 3
4. Enter items not taxable under Battle Creek Income Tax Ordinance (From page 2, Schedule C, column 2, line 13) 4
5. Total (Line 3 less line 4) 5
6. Allocation percentage from page 2, Schedule D, line 5 (If all business was conducted in Battle Creek, enter 100% and do not fill in Sch. D) %
7. Total allocated income (Multiply line 5 by percentage on line 6) 7
8. Adjustments (From page 2, Schedule G, line 4) (NOL carryover, capital loss carryover and/or allocated partnership income) 8
9. Net income (Combine line 7 and line 8) 9
10. Renaissance Zone (Attach Renaissance Zone Deduction Schedule) 10
11. Total income subject to tax (Line 9 less line 10) 11
12. CITY OF BATTLE CREEK INCOME TAX (Multiply line 11 by 0.01) 12
TAX PAYMENTS
13. Tax paid (Total of credit forward, estimated tax payments, extension payment and tax paid by a partnership) 13
OVERPAYMENT OR BALANCE DUE
OVERPAYMENT 14. If payments (line 13) are larger than tax due (line 12), enter overpayment and complete lines 15 through 18 14
CREDIT FORWARD 15. Overpayment from line 14 to be applied to next year estimated tax 15
a. 16a
RESERVED FOR
FURTURE USE b. 16b
c. 16c
REFUND 17. Overpayment refund. For direct deposit mark Refund box on line 18 and complete line 18 a, b & c. 17
18. Mark one: Refund Direct Deposit
ELECTRONIC a. Routing number
REFUND DATA
b. Account number c. Account type: Checking Savings
19. If the tax due (Line 12) is larger than tax payments (Line 13), enter balance due
BALANCE DUE
Enclose check or money order payable to the City of Battle Creek. 19
DISCLOSURE 20. May the Income Tax Office discuss this return with the preparer shown below? (See Instructions) Yes No
I declare that I have examined this return (including accompanying schedules) and to the best of my knowledge and belief, it is true, correct and complete.
If prepared by a person other than the taxpayer, this declaration is based on all information of which the preparer has any knowledge.
(Date) (Signature of Officer) (Title) (Phone number)
(Date) (Individual or firm signature of preparer) (Address) (Phone number)
MAIL TO: Battle Creek Income Tax Office, PO Box 1657, Battle Creek, MI 49016-1657
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