IMPORTANT-ALL schedules and lines MUST be completed. |
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A |
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B |
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C |
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ORIGINALLY |
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NET CHANGE |
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CORRECT |
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REPORTED |
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INCREASE/DECREASE |
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AMOUNT |
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1. |
Federal Taxable Income |
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1 |
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00 |
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00 |
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00 |
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1 |
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2. |
Subtractions: |
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(a) Foreign dividends, interest and royalties |
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2a |
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00 |
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00 |
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00 |
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2a |
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(b) Net interest from U.S. securities (Schedule 1, Column 2) |
2b |
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00 |
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00 |
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00 |
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2b |
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(c) Interest from affiliated companies (Schedule 1, Column 3) |
2c |
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00 |
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00 |
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00 |
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2c |
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(d) Gain from sale of U.S. or Delaware securities |
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2d |
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00 |
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00 |
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00 |
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2d |
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(e) Wage deduction - Federal Jobs Credit |
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2e |
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00 |
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00 |
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00 |
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2e |
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(f) Handicapped accessibility deduction (Attach statement) |
2f |
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00 |
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00 |
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00 |
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2f |
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(g) Net operating loss carry-over |
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2g |
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00 |
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00 |
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00 |
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2g |
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(h) Other |
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2h |
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00 |
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00 |
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00 |
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2h |
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(i) Total [Lines 2(a) through 2(h) ] |
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2i |
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2i |
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3. Line 1 minus Line 2 (i) |
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3 |
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00 |
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00 |
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00 |
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3 |
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4. |
Additions: |
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(a) All state and political subdivision income tax deducted in computing Line 1 .... |
4a |
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00 |
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00 |
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4a |
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(b) Loss from sale of U.S. or Delaware securities |
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4b |
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00 |
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00 |
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00 |
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4b |
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(c) Interest income from obligations of any state except Delaware (Schedule 1, |
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Column 4) |
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4c |
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00 |
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00 |
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00 |
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4c |
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(d) Depletion allowance - oil and gas |
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4d |
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00 |
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00 |
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00 |
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4d |
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(e) Interest paid affiliated companies |
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4e |
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00 |
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00 |
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00 |
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4e |
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(f) Donations included in Line 1 for which Delaware income tax credits were |
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granted |
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4f |
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00 |
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4f |
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(g) Total [Lines 4(a) through 4 (f)] |
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4g |
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00 |
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00 |
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4g |
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5. |
Entire Net Income [Line 3 plus Line 4(g) ] |
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5 |
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00 |
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00 |
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00 |
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5 |
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6. Total non-apportionable income (or loss) (Schedule 2, Column 3) |
6 |
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00 |
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00 |
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00 |
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6 |
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7. Income (or loss) subject to apportionment (Line 5 minus Line 6) |
7 |
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00 |
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00 |
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00 |
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7 |
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8. Apportionment percentage (Schedule 3D, Page 2) |
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8 |
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% |
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% |
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% |
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8 |
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9. Income (or loss) apportioned to Delaware (Line 7 multiplied by Line 8) |
9 |
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00 |
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9 |
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10. |
Non-apportionable income (or loss) (Schedule 2, Column 1) |
10 |
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00 |
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00 |
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00 |
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10 |
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11. |
Total (Line 9 plus or minus Line 10) |
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11 |
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00 |
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00 |
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00 |
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11 |
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12. |
Delaware Taxable Income (Line 5 or Line 11 whichever is less) |
12 |
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00 |
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00 |
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00 |
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12 |
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13. |
Tax @ 8.7% |
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13 |
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00 |
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13 |
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14. |
Delaware tentative tax paid |
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14 |
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00 |
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15. |
Credit carry-over from prior years |
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15 |
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00 |
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16. |
Other payments (Attach statement) |
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16 |
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00 |
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17. |
Approved income tax credits |
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17 |
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00 |
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18. |
Previous overpayments |
(a) Less: |
Refund claimed and received |
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18a |
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00) |
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(b) Less: |
Tentative tax carry-over previously requested |
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18b |
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00) |
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19. |
Total payments and credits (Less refunds and carry-overs) |
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19 |
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00 |
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20. |
(a) If Line 13 is greater than Line 19 enter BALANCE DUE |
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20a |
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(b) Interest at 1% per month |
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20b |
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00 |
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(c) Total Tax and Interest Due |
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20c |
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00 |
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21. |
If Line 19 is greater than Line 13 enter OVERPAYMENT |
(a) Total OVERPAYMENT |
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21a |
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00 |
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(FOR OFFICE USE ONLY |
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(b) to be REFUNDED |
21b |
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00 |
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....................................................(Computed Interest |
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(c) to be CREDITED TO |
TENTATIVE TAX |
21c |
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00 |
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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.
MAKE CHECK PAYABLE AND MAIL TO: DELAWARE DIVISION OF REVENUE, P.O. BOX 2044, WILMINGTON, DE 19899-2044