Free F-1120 - Florida

Florida Corporate Income/Franchise and Emergency Excise Tax Return
Name Address City/State/ZIP
Use black ink. Example A - Handwritten Example B - Typed

F-1120 R. 01/09
Rule 12C-1.051 Florida Administrative Code Effective 01/09

0 1

2 3 4 5 6 7 8 9

0123456789

For calendar year 2008 or tax year beginning _________________, 2008 ending __________________________

Check here if any changes have been made to name or address

Federal Employer Identification Number (FEIN)

Year end date ____________

Computation of Florida Net Income and Emergency Excise Tax
1. Federal taxable income (see instructions). Attach pages 1­4 of federal return ................................................. 2. State income taxes deducted in computing federal taxable income (attach schedule) ................................................................................. 3. Additions to federal taxable income (from Schedule I) ....................... 4. Total of Lines 1, 2, and 3. .................................................................... 5. Subtractions from federal taxable income (from Schedule II) .............
Check here if negative Check here if negative Check here if negative Check here if negative Check here if negative Check here if negative

DoR use only

/

/
Cents

1. 2. 3. 4. 5. 6.

6. Adjusted federal income (Line 4 minus Line 5) ...................................

7. Florida portion of adjusted federal income (see instructions) ......................... 8. Nonbusiness income allocated to Florida (from Schedule R) .........................

9. Florida exemption ................................................................................................................. 9. 10. Florida net income (Line 7 plus Line 8 minus Line 9) .............................................................. 10. 11. Tax due: 5.5% of Line 10 or amount from Schedule VI, whichever is greater (see instructions for Schedule VI). ........................................................................................... 11. 12. Credits against the tax (from Schedule V) ............................................................................... 12. 13. Emergency excise tax due (from Schedule A)......................................................................... 13. 14. Total corporate income/franchise and emergency excise tax due (see instructions). ............ 14.

F-1120
Check here if negative Check here if negative

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7. 8.

US Dollars

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Payment Coupon for Florida Corporate Income Tax Return
YEAR ENDING

Do not detach coupon.

To ensure proper credit to your account, enclose your check with tax return when mailing. M M D D Y Y
Return is due 1st day of the 4th month after close of the taxable year.
Total amount due from Line 18 Total credit from Line 19 Total refund from Line 20
Enter FEIN if not pre-addressed

F-1120 R. 01/09

Check here if you transmitted funds electronically Enter name and address, if not pre-addressed:

Name Address City/St/ZIP

, , ,

US DOLLARS

, , ,

CENTS



FEIN

F-1120
9100 0 20089999 0002005037 9 3999999999 0000 2

F-1120 R. 01/09 Page 2 15. a) Penalty: F-2220 __________________ b) Other ___________________ c) Interest: F-2220 _________________ d) Other ___________________ Line 15 Total . .15. 16. Total of Lines 14 and 15 ....................................................................................................... 17. Payment credits: Estimated tax payments 17a $ Tentative tax payment 17b $ ............... 18. Total amount due: Subtract Line 17 from Line 16. If positive, enter amount due here and on payment coupon. If the amount is negative (overpayment), enter on Line 19 and/or Line 20 ............................................................................................ 19. Credit: Enter amount of overpayment credited to next year's estimated tax here and on payment coupon ............................................................................................. 16. 17.

18. 19.

20. Refund: Enter amount of overpayment to be refunded here and on payment coupon ..... 20.

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This return is considered incomplete unless a copy of the federal return is attached.
Ifyourreturnisnotsigned,orimproperlysignedandverified,itwillbesubjecttoapenalty.Thestatuteoflimitationswillnotstartuntilyourreturnisproperlysignedandverified.Your return must be completed in its entirety.
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. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Sign here
Signatureofofficer(mustbeanoriginalsignature) Date Preparer's signature Firm's name (or yours if self-employed) and address

Title
Preparer check if selfemployed FEIN ZIP Preparer's PTIN

Paid preparers only

Date

All Taxpayers Must Answer Questions A Through M Below -- See Instructions
A. B. C. D. E. State of incorporation: ______________________________________________________________ Florida Secretary of State document number:__________________________________________ YES NO . Initial return Finalreturn(finalfederalreturnfiled) Florida consolidated return? Taxpayer election section (s.) 220.03(5), Florida Statutes (F.S.) H-2. Part of a federal consolidated return? YES



NO

If yes, provide:

FEIN from federal consolidated return: ___________________________________ Name of corporation: _______________________________________________



H-3. General Rule I.

The federal common parent has sales, property, or payroll in Florida? YES



NO




F.

Election A



Location of corporate books: ____________________________________________________________ City: _________________________________________ State: _____________ ZIP: _______________

Election B J. K.

Principal Business Activity Code (as pertains to Florida)

Taxpayer is a member of a Florida partnership or joint venture? YES Enter date of latest IRS audit: ______________ a) List years examined: ____________



NO



G. H-1.

AFloridaextensionoftimewastimelyfiled?YES



NO


NO

Corporation is a member of a controlled group? YES





If yes, attach list.

L.

Contact person concerning this return: __________________________________________________ a) Contact person telephone number: ( _______) ___________________________________________

M.

Typeoffederalreturnfiled

1120 1120S or __________________

Where to Send Payments and Returns
Make check payable to and send with return to: Florida Department of Revenue 5050 W Tennessee Street Tallahassee FL 32399-0135 If you are requesting a refund (Line 20), send your return to: Florida Department of Revenue PO Box 6440 Tallahassee FL 32314-6440

Remember:
. Make your check payable to the Florida Department of Revenue. Write your FEIN on your check. Sign your check and return.



Attach a copy of your federal return. Attach a copy of your Florida Form F-7004 (extension of time) if applicable.

F-1120 R. 01/09 Page 3 NAME FEIN TAXABLE YEAR ENDING

Schedule A -- Computation of Emergency Excise Tax (for assets placed in service 1/1/81 to 12/31/86)
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Total depreciation expense deducted on federal Form 1120 Florida portion of adjusted federal income from F-1120, Page 1, Line 7 or Schedule VI, Line 7 (see instructions) Loss carry forward (Enter the loss as a positive number) Subtract Line 3 from Line 2 and enter result here Note: If a loss carry forward shown on Line 3 exceeds a loss on Line 2, enter positive difference of the loss amounts shown Depreciation deducted pursuant to Internal Revenue Code (IRC.) s. 168 for assets placed in service 1/1/81 to 12/31/86 Straight-line depreciation deducted pursuant to IRC s. 168(b)(3) and 60% of amounts of depreciation previously taxed on Schedule VI (for assets placed in service 1/1/81 to 12/31/86) All depreciation deducted pursuant to IRC s. 168 directly related to any amount shown as nonbusiness income Subtract the sum of Lines 6 and 7 from the amount on Line 5 and enter result here Multiply Line 8 by .40 (40%) and enter result here Florida apportionment fraction shown in Schedule IIIA or IIID of F-1120 (Taxpayers that are 100% in Florida enter 1.0) Multiply Line 9 by Line 10 and enter result here Determine the amount of depreciation deducted pursuant to IRC s. 168 [except pursuant to s. 168(b)(3)] used in computing nonbusiness income allocated to Florida, multiply the amount by .40 (40%), and enter result here Add Lines 11 and 12 and enter result here Loss shown on Line 4. Note: If Line 4 does not show a loss, enter 0 The portion of the exemption provided in s. 220.14, F.S., not used for Chapter 220, F.S. purposes, if any. If none, enter 0 Subtract the sum of Lines 14 and 15 from the amount on Line 13 and enter result here Multiply Line 16 by 2.5 (not 2.5 %) and enter result here. Note: If Line 16 shows a loss, enter 0 Total tax due (2.2% of Line 17) (a) Emergency excise tax credit: Balance of tax due (enter on Page 1, Line 13) (b) Emergency excise tax credit carryover: (attach schedule) Total 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20.

Schedule I -- Additions and/or Adjustments to Federal Taxable Income
1. 2. 3. 4. 5. Interest excluded from federal taxable income (see instructions) Undistributed net long-term capital gains (see instructions) Net operating loss deduction (attach schedule) Net capital loss carryover (attach schedule) Excess charitable contribution carryover (attach schedule) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17.

Column (a)
For page 1

For Schedule VI, AMT

Column (b)

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17.

6. Employeebenefitplancontributioncarryover(attachschedule) 7. 8. 9. Enterprise zone jobs credit (Form F-1156Z) Ad valorem taxes allowable as enterprise zone property tax credit (Form F-1158Z) Guaranty association assessment(s) credit

10. Rural and/or urban high crime area job tax credits 11. State housing tax credit 12. Creditforcontributionstononprofitscholarshipfundingorganizations 13. Renewable energy tax credits 14. Section 179 expense deduction above $25,000 15. Special 50% depreciation allowance 16. Other additions (attach statement) 17. Total Lines 1 through 16 in Columns (a) and (b). Enter totals for each column on Line 17. Column (a) total is also entered on Page 1, Line 3 (of the F-1120 return). Column (b) total is also entered on Schedule VI, Line 3.

F-1120 R. 01/09 Page 4 NAME FEIN TAXABLE YEAR ENDING Column (a)
For page 1 For Schedule VI, AMT

Schedule II -- Subtractions from Federal Taxable Income
1. Gross foreign source income less attributable expenses (a) Enter s. 78, IRC income $ ____________________ (b) plus s. 862, IRC dividends $ ____________________________ (c) less direct and indirect expenses $ ____________ _________________________________________________ 2. Gross subpart F income less attributable expenses (a) Enter s. 951, IRC subpart F income $ _________________ (b) less direct and indirect expenses $ _______________ Note: Taxpayers doing business outside Florida enter zero on Lines 3, through 6, and complete Schedule IV. 3. Florida net operating loss carryover deduction (see instructions) 4. Florida net capital loss carryover deduction (see instructions) 5. Florida excess charitable contribution carryover (see instructions) 6. Floridaemployeebenefitplancontributioncarryover(seeinstructions) 7. Nonbusiness income (from Schedule R, Line 3) 8. Eligible net income of an international banking facility (see instructions) 9. Other subtractions (attach statement) 10. Total Lines 1 through 9 in Columns (a) and (b). Enter totals for each column on Line 10. Column (a) total is also entered on Page 1, Line 5 (of the F-1120 return). Column (b) total is also entered on Schedule VI, Line 5. 3. 4. 5. 6. 7. 8. 9. 10. Total Total . 1. 2.

Column (b)

1. 2.

3. 4. 5. 6. 7. 8. 9. 10.

Schedule III -- Apportionment of Adjusted Federal Income
III-A For use by taxpayers doing business outside Florida, except those providing insurance or transportation services. (a) WITHIN FLORIDA
(Numerator)

(b) TOTAL EVERYWHERE
(Denominator)

(c) Col. (a) 4 Col. (b)
Rounded to Six Decimal Places

(d) Weight If any factor in Column (b) is zero, see note on Page 10 of the instructions. X 25% or ______ X 25% or ______ X 50% or ______

(e) Weighted Factors
Rounded to Six Decimal Places

1. Property (Schedule III-B below) 2. Payroll 3. Sales (Schedule III-C below) 4. Apportionment fraction [Sum of Lines 1, 2, and 3, Column (e)]. Enter here and on Schedule IV, Line 2. III-B For use in computing average value of property (use original cost). 1. Inventoriesofrawmaterial,workinprocess,finishedgoods 2. Buildings and other depreciable assets 3. Land owned 4. Othertangibleandintangible(financialorg.only)assets(attachschedule) 5. Total (Lines 1 through 4) WITHIN FLORIDA a. Beginning of year b. End of year

TOTAL EVERYWHERE c. Beginning of year d. End of year

6. Average value of property a. Add Line 5, Columns (a) and (b) and divide by 2 (for within Florida) .......... 6a. b. Add Line 5, Columns (c) and (d) and divide by 2 (for total everywhere) ......................................................................................... 6b. 7. Rented property (8 times net annual rent) a. Rented property in Florida .......................................................................... 7a. b. Rented property Everywhere ......................................................................................................................................................... 7b. 8. Total (Lines 6 and 7). Enter on Line 1, Schedule III-A, Columns (a) and (b). a. Enter Lines 6 a. plus 7 a. and also enter on Schedule III-A, Line 1, Column (a) for total average property in Florida ......................................... 8a. b. Enter Lines 6 b. plus 7 b. and also enter on Schedule III-A, Line 1, Column (b) for total average property Everywhere ......................................................................................................................... 8b. Average Florida III-C Sales Factor 1. Sales (gross receipts) 2. Sales delivered or shipped to Florida purchasers 3. Other gross receipts (rents, royalties, interest, etc. when applicable) 4. TOTAL SALES [Enter on Schedule III-A, Line 3, Columns (a) and (b)] III-D Special Apportionment Fractions (see instructions) 1. Insurance companies (attach copy of Schedule T­Annual Report) 2. Transportation services (a) WITHIN FLORIDA (b) TOTAL EVERYWHERE (c) FLORIDA Fraction [(a) 4 (b)]
Rounded to Six Decimal Places

Average Everywhere (b) TOTAL EVERYWHERE (Denominator)

(a) TOTAL WITHIN FLORIDA (Numerator)

N/A N/A

F-1120 R. 01/09 Page 5 NAME FEIN TAXABLE YEAR ENDING

Schedule IV -- Computation of Florida Portion of Adjusted Federal Income
Column (a) Adjusted Federal Income 1. 2. 3. 4. 5. 6. 7. 8. 9. Apportionable adjusted federal income from Page 1, Line 6 [or Line 6, Schedule VI for AMT in Col. (b)] Florida apportionment fraction [Schedule III-A, Line 4 or Schedule III-D, Column (c)] Tentative apportioned adjusted federal income (multiply Line 1 by Line 2) Net operating loss carryover apportioned to Florida (attach schedule; see instructions) Net capital loss carryover apportioned to Florida (attach schedule; see instructions) Excess charitable contribution carryover apportioned to Florida (attach schedule; see instructions) EmployeebenefitplancontributioncarryoverapportionedtoFlorida(attachschedule; see instructions) Total carryovers apportioned to Florida (add Lines 4 through 7) Adjusted federal income apportioned to Florida (Line 3 less Line 8; see instructions) 1. 2. 3. 4. 5. 6. 7. 8. 9. 1. 2. 3. 4. 5. 6. 7. 8. 9. Column (b) Adjusted AMT Income

Schedule V -- Credits Against the Corporate Income/Franchise Tax
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Florida health maintenance organization credit (attach assessment notice) Capitalinvestmenttaxcredit(attachcertificationletter) Enterprise zone jobs credit (from Form F-1156Z attached) Communitycontributiontaxcredit(attachcertificationletter) Enterprise zone property tax credit (from Form F-1158Z attached) Ruraljobtaxcredit(attachcertificationletter) Urbanhighcrimeareajobtaxcredit(attachcertificationletter) Emergency excise tax (EET) credit (see instructions and attach schedule) Hazardous waste facility tax credit Florida alternative minimum tax (AMT) credit 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18.

11. Contaminatedsiterehabilitationtaxcredit(attachtaxcreditcertificate) 12. Childcaretaxcredits(attachcertificationletter) 13. Statehousingtaxcredit(attachcertificationletter) 14. 15. 16. 17. 18. Creditforcontributionstononprofitscholarshipfundingorganizations(attachcertificate) Florida renewable energy technologies investment tax credit Florida renewable energy production tax credit Other credits (attach schedule) Total credits against the tax (sum of Lines 1 through 17 not to exceed the amount on Page 1, Line 11). Enter total credits on Page 1, Line 12

Schedule VI -- Computation of Florida Alternative Minimum Tax (AMT)
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Federal alternative minimum taxable income after exemption (attach federal Form 4626) State income taxes deducted in computing federal taxable income (attach schedule) Additions to federal taxable income [from Schedule I, Column (b)] Total of Lines 1 through 3 Subtractions from federal taxable income [from Schedule II, Column (b)] Adjusted federal alternative minimum taxable income (Line 4 minus Line 5) Florida portion of adjusted federal income (see instructions) Nonbusiness income allocated to Florida (see instructions) Florida exemption Florida net income (Line 7 plus Line 8 minus Line 9) Florida alternative minimum tax due (3.3% of Line 10). See instructions for Page 1, Line 11 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.

F-1120 R. 01/09 Page 6

NAME

FEIN

TAXABLE YEAR ENDING

Schedule R -- Nonbusiness Income
Line 1. Nonbusiness income (loss) allocated to Florida Type _____________________________________ _____________________________________ _____________________________________ Total allocated to Florida ................................................................................. (Enter here and on Page 1, Line 8 or Schedule VI, Line 8 for AMT) Line 2. Nonbusiness income (loss) allocated elsewhere Type State/country allocated to _____________________________________ ____________________________________ _____________________________________ ____________________________________ _____________________________________ ____________________________________ Total allocated elsewhere ................................................................................ Line 3. Total nonbusiness income Grand total. Total of Lines 1 and 2 .................................................................. (Enter here and on Schedule II, Line 7) Amount _____________________________________ _____________________________________ _____________________________________ 1. __________________________________

Amount _____________________________________ _____________________________________ _____________________________________ 2. __________________________________ 3. __________________________________

Estimated Tax Worksheet For Taxable Years Beginning on or After January 1, 2009
1. 2. 3. 4. Florida income expected in taxable year ................................................................................................... Florida exemption $5,000 (Members of a controlled group, see instructions on Page 15 of F-1120N) ..... Estimated Florida net income (Line 1 less Line 2) ...................................................................................... Total Estimated Florida tax (5.5% of Line 3)* .................................. $ ____________________________ Less: Credits against the tax ........................................................... $ ____________________________ 1. $ _______________ 2. $ _______________ 3. $ _______________ 4. $ _______________

* Taxpayers subject to federal alternative minimum tax must compute Florida alternative minimum tax at 3.3% and enter the greater of these two computations.

5. 6. 7.

Estimated emergency excise tax ............................................................................................................... 5. $ _______________ Total corporate and emergency excise tax (Line 4 plus Line 5) ................................................................. 6. $ _______________ IfLine6ismorethan$2,500,fileinstallmentascomputedonLine7;if$2,500orless,nodeclaration(FormF-1120ES)isrequired. Computation of installments: Payment due dates and payment amounts: Last day of 4th month - Enter 0.25 of Line 6 ..................................... Last day of 6th month - Enter 0.25 of Line 6 .................................... Last day of 9th month - Enter 0.25 of Line 6 ..................................... Lastdayoffiscalyear­Enter0.25ofLine6 .................................. 7a. 7b. 7c. 7d. _________________ _________________ _________________ _________________







NOTE: If your estimated tax should change during the year, you may use the amended computation below to determine the amended amounts to be entered on the declaration (Form F-1120ES). 1. 2. Amended estimated tax ............................................................................................................................. 1. $ _______________ Less: (a) Amount of overpayment from last year elected for credit to estimated tax and applied to date ............................................ 2a. -- $ __________________________ (b) Payments made on estimated tax declaration (F-1120ES) .... 2b. -- $ __________________________ (c) Total of Lines 2(a) and 2(b) .................................................................................................................. 2c. $ _______________ Unpaid balance (Line 1 less Line 2(c)) ........................................................................................................ 3. $ _______________ Amount to be paid (Line 3 divided by number of remaining installments) ................................................. 4. $ _______________

3. 4.

Change of Address or Business Name
Complete this form, sign it, and mail Mail to: it to the Department if: Florida Department of Revenue · Theaddressbelowisnotcorrect. 5050 W Tennessee St · Thebusinesslocationchanges. Tallahassee FL 32399-0100 · Thecorporationnamechanges.

CHANGE IN New Location Address

FEIN of entity

Business location____________________________________________________ City_______________________________State_______ZIP__________________ Business telephone (_______) ___________________County________________ In care of__________________________________________________________

F-1120
______________________________________________________ Signature of officer (Required) Date
Rule 12C-1.051 Florida Administrative Code Effective 01/09

New Mailing Address

Mailing address_____________________________________________________ City_______________________________State_______ZIP__________________ Owner's telephone (_______) ___________________County_________________

New Business DBA______________________________________________________________ Name New Corporation _________________________________________________________________________ Name

9100 0 20089999 0002005999 8 3999999999 0000 2

Florida Department of Revenue - Corporate Income Tax
Florida Tentative Income / Franchise and Emergency Excise Tax Return and Application for Extension of Time to File Return If typing, type through the boxes. (example)

F-7004 R. 01/09

You must write within the boxes. (example) 0 1 2 3 4 5 6 7 8 9 Write your numbers as shown and enter one number per box. Name Address City/St/ZIP

0123456789

F-7004

FEIN
Taxable year end: Corporation Partnership
FILING STATUS (Mark "X" in one box only) US DOLLARS CENTS

M M D D Y Y
Tentative tax due
(See reverse side)

Under penalties of perjury, I declare that I have been authorized by the above-named taxpayer to make this application, and that to the best of my knowledge and belief the statements herein are true and correct:

Sign here:___________________________________________ Date:__________________
Make checks payable and mail to: Florida Department of Revenue, 5050 W Tennessee St, Tallahassee FL 32399-0135

Check here if you transmitted funds electronically

9100 0 20089999 0002005030 6 3999999999 0000 2

Rule 12C-1.051 Florida Administrative Code Effective 01/09

Florida Department of Revenue -- Corporate Income Tax
Declaration/Installment of Florida Estimated Income/Franchise and Emergency Excise Tax for Taxable Year Beginning on or After January 1, 2009
If typing, type through the boxes. (example)

F-1120ES R. 01/09

Installment #_____

You must write within the boxes. (example) 0 1 2 3 4 5 6 7 8 9 Write your numbers as shown and enter one number per box.

0123456789

Name Address City/St/ZIP

F-1120ES
Check here if you transmitted funds electronically

FEIN
Taxable year end

M M D D Y Y

Estimated tax payment
(See reverse side)
US DOLLARS CENTS

Make checks payable and mail to: Florida Department of Revenue, 5050 W Tennessee St, Tallahassee FL 32399-0135

Officeuse only



M M D D Y Y

9100 0 20099999 0002005033 0 3999999999 0000 2



Closing or Sale of Business or Change of Legal Entity
The legal entity changed on _____ / _____ / _____ . If you change your legal entity and are continuing to do business in Florida and the corporation is registered for Sales and Use Tax, you must complete a new Application to Collect and Report Tax in Florida (Form DR-1). The business was closed permanently on _____ / _____ / _____ . (The Department will remove your corporate income tax obligation as of this date.) Areyouacorporation/partnershiprequiredtofilesalesandusetaxreturns? Yes No

The business was sold on _____ / _____ / _____ . The new owner information is: Name of new owner: ___________________________________________Telephone number of new owner: ( __________) ____________________________ Mailing address of new owner: ___________________________________________________________________________________________________________ City: ___________________________________________County: _____________________________ State: __________ZIP: ____________________________

FEIN

Sales and Use Tax Certificate Number



Signatureofofficer(Required) __________________________________________ Date ___________________ Telephone number ( _______) ________________

Information for Filing Form F-7004
When to file -- File this application on or before the original due date of the taxpayer'scorporateincometaxorpartnershipreturn.Donotfilebeforetheendof the tax year. Tofileonlinegotowww.myflorida.com/dor Penalties for failure to pay tax -- If you are required to pay tax with this application, failure to pay will void any extension of time and subject the taxpayer to penalties and interestforfailuretofileatimelyreturn(s)andpayalltaxesdue.Thereisalsoapenalty foralate-filedreturnwhennotaxisdue. Signature -- A person authorized by the taxpayer must sign Form F-7004. They mustbe(a)anofficerorpartnerofthetaxpayer,(b)apersoncurrentlyenrolledto practicebeforetheInternalRevenueService(IRS),or(c)anattorneyorCertified PublicAccountantqualifiedtopracticebeforetheIRSunderPublicLaw89-332. A. HaveyoufiledForm7004withtheIRS for the taxable year? ................................................................ If the answer is "No," complete Item B. An extension for Florida tax purposes may be granted, even though no federal extension was granted. See Rule 12C-1.0222, F.A.C., for information on the requirements that must be met for your request for an extension of time to be valid.

B. If applicable, state the reason you need the extension: ______________________ ______________________________________________________________________ ______________________________________________________________________ C.Typeoffederalreturnfiled:_______________________________________________ Contact person for questions: ____________________________________________ Telephone number: (________) ___________________________________________

F-7004 R. 01/09

Extension of Time Request 1. Tentative amount of Florida tax for the taxable year 1. 2.

Florida Income/Franchise Emergency Excise Tax Due



Yes



No

2. LESS: Estimated tax payments for the taxable year

3. Balance due -- You must pay 100% of the tax 3. tentatively determined due with this extension request. Transfer the amount on Line 3 to Tentative tax due on reverse side.

Information for Filing Form F-1120ES
1. Who must make estimated tax payments -- Every domestic or foreign corporation or other entity subject to taxation under the provisions of Chapter 220 and/or Chapter 221, Florida Statutes, must declare estimated tax for the taxable year if the amount of income tax liability and emergency excise tax liability for the year will be more than $2,500. 2. Due Date -- Generally, estimated tax must be paid on or before the last day of the 4th, 6th, and 9th month of the taxable year and the last day of the taxable year; 25 percent of the estimated tax must be paid with each installment. 3. Amended Declaration -- To prepare an amended declaration, write "Amended" on Florida Form F-1120ES and complete Lines 1 through 3 of the correct installment.Youmayfileanamendmentduringanyintervalbetweeninstallment dates prescribed for the taxable year. You must timely pay any increase in the estimated tax. 4. Interest and Penalties --Ifyoufailtocomplywiththelawaboutfilinga declaration or paying estimated tax, you will be assessed interest and penalties.

F-1120ES R. 01/09

Contact person for questions: ____________________________________________ Phone number: (________) ______________________________________________

To file online go to www.myflorida.com/dor

Estimated Tax Payment 1. Amount of this installment 1.

Combined Income/Franchise and Emergency Excise Tax

2. Amount of overpayment from last year for credit to 2. estimated tax and applied to this installment 3. Amount of this payment (Line 1 minus Line 2) 3.

Transfer the amount on Line 3 to Estimated tax payment box on front.

Rule 12C-1.051 Florida Administrative Code Effective 01/09

Florida Department of Revenue -- Corporate Income Tax
Declaration/Installment of Florida Estimated Income/Franchise and Emergency Excise Tax for Taxable Year Beginning on or After January 1, 2009
If typing, type through the boxes. (example)

F-1120ES R. 01/09

Installment #_____

You must write within the boxes. (example) 0 1 2 3 4 5 6 7 8 9 Write your numbers as shown and enter one number per box.

0123456789

Name Address City/St/ZIP

F-1120ES
Check here if you transmitted funds electronically

FEIN
Taxable year end

M M D D Y Y

Estimated tax payment
(See reverse side)
US DOLLARS CENTS

Make checks payable and mail to: Florida Department of Revenue, 5050 W Tennessee St, Tallahassee FL 32399-0135

Officeuse only



M M D D Y Y

9100 0 20099999 0002005033 0 3999999999 0000 2

Rule 12C-1.051 Florida Administrative Code Effective 01/09

Florida Department of Revenue -- Corporate Income Tax
Declaration/Installment of Florida Estimated Income/Franchise and Emergency Excise Tax for Taxable Year Beginning on or After January 1, 2009
If typing, type through the boxes. (example)

F-1120ES R. 01/09

Installment #_____

You must write within the boxes. (example) 0 1 2 3 4 5 6 7 8 9 Write your numbers as shown and enter one number per box.

0123456789

Name Address City/St/ZIP

F-1120ES
Check here if you transmitted funds electronically

FEIN
Taxable year end

M M D D Y Y

Estimated tax payment
(See reverse side)
US DOLLARS CENTS

Make checks payable and mail to: Florida Department of Revenue, 5050 W Tennessee St, Tallahassee FL 32399-0135

Officeuse only



M M D D Y Y

9100 0 20099999 0002005033 0 3999999999 0000 2

Rule 12C-1.051 Florida Administrative Code Effective 01/09

Florida Department of Revenue -- Corporate Income Tax
Declaration/Installment of Florida Estimated Income/Franchise and Emergency Excise Tax for Taxable Year Beginning on or After January 1, 2009
If typing, type through the boxes. (example)

F-1120ES R. 01/09

Installment #_____

You must write within the boxes. (example) 0 1 2 3 4 5 6 7 8 9 Write your numbers as shown and enter one number per box.

0123456789

Name Address City/St/ZIP

F-1120ES
Check here if you transmitted funds electronically

FEIN
Taxable year end

M M D D Y Y

Estimated tax payment
(See reverse side)
US DOLLARS CENTS

Make checks payable and mail to: Florida Department of Revenue, 5050 W Tennessee St, Tallahassee FL 32399-0135

Officeuse only



M M D D Y Y

9100 0 20099999 0002005033 0 3999999999 0000 2

Information for Filing Form F-1120ES
1. Who must make estimated tax payments -- Every domestic or foreign corporation or other entity subject to taxation under the provisions of Chapter 220 and/or Chapter 221, Florida Statutes, must declare estimated tax for the taxable year if the amount of income tax liability and emergency excise tax liability for the year will be more than $2,500. 2. Due Date -- Generally, estimated tax must be paid on or before the last day of the 4th, 6th, and 9th month of the taxable year and the last day of the taxable year; 25 percent of the estimated tax must be paid with each installment. 3. Amended Declaration -- To prepare an amended declaration, write "Amended" on Florida Form F-1120ES and complete Lines 1 through 3 of the correct installment.Youmayfileanamendmentduringanyintervalbetweeninstallment dates prescribed for the taxable year. You must timely pay any increase in the estimated tax. 4. Interest and Penalties --Ifyoufailtocomplywiththelawaboutfilinga declaration or paying estimated tax, you will be assessed interest and penalties.

F-1120ES R. 01/09

Contact person for questions: ____________________________________________ Phone number: (________) ______________________________________________

To file online go to www.myflorida.com/dor

Estimated Tax Payment 1. Amount of this installment 1.

Combined Income/Franchise and Emergency Excise Tax

2. Amount of overpayment from last year for credit to 2. estimated tax and applied to this installment 3. Amount of this payment (Line 1 minus Line 2) 3.

Transfer the amount on Line 3 to Estimated tax payment box on front.

Information for Filing Form F-1120ES
1. Who must make estimated tax payments -- Every domestic or foreign corporation or other entity subject to taxation under the provisions of Chapter 220 and/or Chapter 221, Florida Statutes, must declare estimated tax for the taxable year if the amount of income tax liability and emergency excise tax liability for the year will be more than $2,500. 2. Due Date -- Generally, estimated tax must be paid on or before the last day of the 4th, 6th, and 9th month of the taxable year and the last day of the taxable year; 25 percent of the estimated tax must be paid with each installment. 3. Amended Declaration -- To prepare an amended declaration, write "Amended" on Florida Form F-1120ES and complete Lines 1 through 3 of the correct installment.Youmayfileanamendmentduringanyintervalbetweeninstallment dates prescribed for the taxable year. You must timely pay any increase in the estimated tax. 4. Interest and Penalties --Ifyoufailtocomplywiththelawaboutfilinga declaration or paying estimated tax, you will be assessed interest and penalties.

F-1120ES R. 01/09

Contact person for questions: ____________________________________________ Phone number: (________) ______________________________________________

To file online go to www.myflorida.com/dor

Estimated Tax Payment 1. Amount of this installment 1.

Combined Income/Franchise and Emergency Excise Tax

2. Amount of overpayment from last year for credit to 2. estimated tax and applied to this installment 3. Amount of this payment (Line 1 minus Line 2) 3.

Transfer the amount on Line 3 to Estimated tax payment box on front.

Information for Filing Form F-1120ES
1. Who must make estimated tax payments -- Every domestic or foreign corporation or other entity subject to taxation under the provisions of Chapter 220 and/or Chapter 221, Florida Statutes, must declare estimated tax for the taxable year if the amount of income tax liability and emergency excise tax liability for the year will be more than $2,500. 2. Due Date -- Generally, estimated tax must be paid on or before the last day of the 4th, 6th, and 9th month of the taxable year and the last day of the taxable year; 25 percent of the estimated tax must be paid with each installment. 3. Amended Declaration -- To prepare an amended declaration, write "Amended" on Florida Form F-1120ES and complete Lines 1 through 3 of the correct installment.Youmayfileanamendmentduringanyintervalbetweeninstallment dates prescribed for the taxable year. You must timely pay any increase in the estimated tax. 4. Interest and Penalties --Ifyoufailtocomplywiththelawaboutfilinga declaration or paying estimated tax, you will be assessed interest and penalties.

F-1120ES R. 01/09

Contact person for questions: ____________________________________________ Phone number: (________) ______________________________________________

To file online go to www.myflorida.com/dor

Estimated Tax Payment 1. Amount of this installment 1.

Combined Income/Franchise and Emergency Excise Tax

2. Amount of overpayment from last year for credit to 2. estimated tax and applied to this installment 3. Amount of this payment (Line 1 minus Line 2) 3.

Transfer the amount on Line 3 to Estimated tax payment box on front.