Minnesota Corporate Income Tax Return

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MNGen Minnesota Corporate Income Tax Return General Information MNGen (06) MN Minnesota tax ID Initial return (If different from federal) Final return (C Corp) Former name (If changed since last return) Financial institution (S Corp) E-mail address for correspondence (If different from federal) 6 This e-mail address belongs to ( = Employee, = Paid preparer, = Other (S Corp Only)) Minnesota Department of Revenue authorized to discuss return with preparer ( = Yes, = No) (If different from federal) 8 Contact person: (If different from federal) First name 9 Last name 0 Title Daytime phone number Limited liability company General footnote M Additional Information (C Corp) Federal consolidated parent: (If different from federal) Name Federal ID number Years federal examination has been finalized Years federal examination now in progress Tax years and expiration dates of federal waivers 9 Reason this is the final return ( = Withdrawn, = Dissolved, = Merged, = S corp election) Cooperative association (If different from federal) Cooperative association is exempt from minimum fee In bankruptcy RIC, REIT, or REMIC (If different from federal) 8 6 0 M8 Additional Information (S Corp) Final return (If different from federal) Qualified subchapter S subsidiary 6 Contributions Nongame wildlife fund donation

MNAdj Minnesota Adjustments Income MNAdj (06) MN Net income from a foreign operating corporation Additions Taxes deducted on federal Federal deduction for capital losses adjustment Exempt interest dividends (as defined in IRC Section 8(b)()) Losses from mining operations subject to occupation tax Federal deduction for percentage depletion (under IRC Section 6-6 and 9) Federal bonus depreciation adjustment Fines, fees and penalties deducted federally as a trade or business expense 6 8 Subtractions State tax refunds Minnesota deduction for capital losses adjustment Research expenses, salary expenses, disability expenditures disallowed Expenses of income taxable by Minnesota but federally exempt (Force) Dividends paid by a bank to the US government on preferred stock Income or gains from mining operations subject to the occupation tax Deduction for cost depletion Minnesota depreciation for pre-98 certified pollution control facilities Federal specific, special and section 8 deductions (Form MNP only) Advertising revenues from a section 0(c)() organization (Form MNP only) Lawful gambling revenues (Form MNP only) Other subtractions (Form MNP only) Other deductions (Form MNP only) 6 8 9 0 Alternative Minimum Tax Excess of prior ACE increases over reductions AMT credit carryover from prior year Deduction for Dividends Received Dividends from less-than-0-percent owned companies Foreign sales corporation dividends Combined intercompany dividends Dividends received from real estate investment trust 6 8 9

MNKS Minnesota Shareholder's Pro Rata Share Items Modifications MNKS (06) MN Interest income from non-minnesota state and municipal bonds State income tax deducted in arriving at ordinary income or net rental income Expenses deducted on federal return that are attributable to exempt income Fines, fees and penalties deducted federally as a trade or business expense Addition due to federal changes not adopted by Minnesota Subtraction due to federal changes not adopted by Minnesota Intangible drilling costs Gross income from oil, gas, and geothermal properties (Force) Deductions allocable to oil, gas, and geothermal properties (Force) Depletion 6 8 Nonresident Income and Loss Adjustments Amounts entered in adjustment fields are added to federal amounts before Minnesota apportionment % is applied Source gross income (Used to calculate nonresident shareholder Minnesota gross income) Ordinary income (loss) Rental real estate activities gain (loss) Other rental activities gain (loss) Interest income Ordinary dividends Royalties Short-term capital gain (loss) Long-term capital gain (loss) Section gain (loss) Other income (loss) Section 9 expense deduction 9 0 6 8 9 0 Adjustment Sale or Exchange of Section 9 Property Gain or (loss) reported separately from federal Schedule K, line d Section 9 included in gain or (loss) Calculated Amount Force

MNEst Minnesota Estimates Overpayment Application MNEst (06) MN Application of current year overpayment = Refund 00% of overpayment = Apply amount specified below to estimates until exhausted; refund excess = Apply 00% of overpayment to next year's estimates; refund excess = Apply to first estimate; refund excess = Apply equally to each estimate; refund excess Amount for code # or #8 6 = Apply to first and second estimates; refund excess - Apply 00% of overpayment to next year's estimates; no refund 8 = Apply amount below Estimates Estimates - declaration for next year = Use current year liability, if less than $00 use zero = Use current year liability adjusted by amount below = Use current year liability even if less than $00 Amount for code # Amounts for code #,#9 or next year estimates paid: st payment nd payment rd payment th payment Number of estimates desired Amount to round up each estimate Expected liability for next year if large corporation (C Corp) Taxable income: 0 (Force) 0 0 = Use amounts entered below, before overpayment 8 = Use tax liability from Tax Projection Worksheet (M and M8 only) 9 = Use amounts entered below (If applying overpayment, only use code or 8) 6 8 Amounts for Code # or #9 9 0 Next Year Estimates Paid 6 8

MNCrC Minnesota Credits Credits MNCrC (06) MN Enterprise zone credit (Schedule EPC) Historic structure rehabilitation credit Internship credit Research credit (Schedule RD) Employer transit pass credit (Schedule ETP) SEED capital investment credit (Form MNP only) Other credits against tax (Form MNP only) Other refundable credits (Form MNP only) 6 8

MN Minnesota IRC Section (a)() Election General Information MN (06) MN6 Calculate Minnesota (a)() Election Date of shareholder termination Modifications Non-Minnesota state and municipal bond interest income State income taxes deducted Expenses attributable to income not taxed by Minnesota Shareholder's flow-through section 9 expensing for Minnesota Federal bonus depreciation Fines, fees and penalties deducted federally Addition due to federal changes not adopted by Minnesota Interest from US government bonds Subtraction due to federal changes not adopted by Minnesota Employer transit pass credit Enterprise zone credit Credit for increasing research activities Minnesota internship credit Credit for historic structure rehabilitation 6 8 9 0 6 8 9 0 6 8 9 0 Altemative Minimum Tax Items Intangible drilling costs Gross income from oil, gas and geothermal properties Deductions allocable to oil, gas and geothermal properties Depletion 6 8 9 Income Minnesota source gross income Ordinary Minnesota source income (loss) Income (loss) from Minnesota rental real estate and other rentals Interest income Ordinary dividend income Royalties Net Minnesota short-term capital gain (loss) Net Minnesota long-term capital gain (loss) Section Minnesota net gain (loss) Other Minnesota income (loss) 0 6 8 9 0 6 8 9 Deduction Section 9 expense deduction apportionable to Minnesota 60 6

MNAR Minnesota Annual Renewal General Information MNAR (06) MN Annual renewal ( = Domestic Corporation, = Domestic and Foreign Limited Liability Company) File number Name (If different from federal) Alternate name (Foreign LLC only) Registered office address Registered agent name Principal executive office address (if different from mailing address) Name of chief executive officer or manager Address of chief executive officer or manager 6 8 9 0 Financial interest in land capable of being farmed? ( = Yes, = No ) Name of contact person (If different from state) Daytime phone number (If different from client phone number) Extension E-mail address (If different from federal) Exclude email address from requests for bulk data Number of Minnesota based full time employees Partner self-identify as member of community Woman Member of a community of color Veteran Member of a disability community Member of an immigrant community NAICS code (If different from federal) Full time or part time endeavor? ( = Full time, = Part time) Gross revenue 6 8 0 9 6 8 9 0

MNCO Minnesota Capital Loss Carryover Capital Loss Carryover MNCO (06) MN8 Preceding Tax Year Net Capital Gain (Net Capital Loss) 00 00 00 00 00 006 00 008 009 00 0 0 0 0 0 Use these fields to calculate the combined capital loss deduction (Applies to combined clients only) 6 8 9 0 6 8 9 0 6 8 9 0 Prior Year (Gain Offset) Loss Utilized

MNPenC Minnesota Penalties and Interest General Information MNPenC (06) MN Date return filed (If different from original due date of return) Prior year tax Prior year is less than months (If different from federal) Large corporation (C Corp) Suppress penalties on return: Underpayment of estimated tax Late interest Failure to file Failure to pay 6 8 Adjusted Seasonal Installment Method Taxable income 0 Taxable income 0 Taxable income 0 Taxable income 06 Taxable income 0 Taxable income 0 Taxable income 0 Extraordinary items AMT Other taxes Credits months months 8 months 9 0 6 8 9 0 months 6 months 9 months 6 8 9 0 6 8 9 0 6 8 9 0 Annualized Income Installment Method months months Annualized period elected for next year = Option A (First,, 6 and 9 months) = Option B (First,, 8 and months) Taxable income Extraordinary items AMT Other taxes Credits Period Period Period 6 8 9 60 6 6 6 6 6 66 6 68 69 0 Period

MNAmendC Minnesota Amended Return General Information MNAmendC (06) MN Date original return filed Filing as member of unitary group Reason for amended return = IRS adjustment = Net operating loss = Other If code #, reason for amended IRS assessed penalty for negligence Failed to report federal changes within 80 days Explanation of adjustments on amended return 6 Amounts as Previously Reported Transfer original information Net income (loss) Nonapportionable income (loss) Apportionment percentage (x.xxxxxx) Nonapportionable (income) loss Net operating loss deduction Dividends received deduction AMT Minimum fee AMT credit Research credit Employer transit pass credit Enterprise zone credit Historic structure rehabilitation credit Internship credit Payments Amount due Refund 9 0 6 8 9 0 8 Amended Amounts Amount due on previously amended return Amount refunded on previously amended return Interest 6 8

MNPOA Minnesota Power of Attorney General Information MNPOA (06) MN Power of attorney or authorization to release tax information ( = REV8, = REV8, = Both) Type of power of attorney ( = Add, = Change, = Remove) (Form REV8 only) Display Minnesota ID instead of FEIN Expiration date Grant full authority Election for appointee to receive all correspondence Authorize to communicate by e-mail Representative Information 6 Representative name Name of firm Representative address City, state, zip code Telephone number Fax number E-mail address 8 9 0 6 Individual income tax Property tax refund Nontax debt matters Corporate franchise Business income taxes Tax Matters Information Indicate periods for all types of tax authorized Year(s) or Period(s) Sales and use tax Withholding tax MinnesotaCare taxes Other Describe 8 9 0 6 8 9 0 Year(s) or Period(s) Appointee is not authorized to sign returns (Form REV8 only) 6

MNSRLY Minnesota Separate Return Years Limitation Years Enter an X to indicate a separate return limitation year. The program uses this information to calculate net capital loss carryover amounts for combined returns. MNSRLY (06) MN6 Preceding Tax Year Preceding Tax Year 00 006 00 00 00 008 00 009 00 00 6 8 9 0 Preceding Tax Year 0 0 0 0 0 Member's Cumulative Contributions Member's cumulative contribution to consolidated capital gain (Force) 6

MNPmt Minnesota Payments and Extension Payments MNPmt (06) MN Prior year overpayment Total, or Treat calculated amounts as paid Specific payments if unequal or not timely: st payment nd payment rd payment th payment th payment Paid with extension (For page of the return) Date Paid Amount Paid Calculated Amount 6 8 9 0 6 8 Extension Calculate extension payment = Use 00% of current year liability = Use 90% of current year liability Extended due date (For filing instructions, penalties and interest calculations) Balance due on extension (Force) 0 9

MNNOL Minnesota Net Operating Loss Carryover Net Operating Loss Carryover - Regular Tax MNNOL (06) MN8 Prior Year Preceding Income (Income Offset) Tax Year (Loss) NOL Utilized 00 00 00 00 00 006 00 008 009 00 0 0 0 0 0 Net operating loss footnote 6 8 9 0 6 8 9 0 6 8 9 0

MNNOLAMT Minnesota Net Operating Loss Carryover - AMT Net Operating Loss Carryover - AMT MNNOLAMT (06) MN9 Preceding Tax Year 00 00 00 00 00 006 00 008 009 00 0 0 0 0 0 AMT net operating loss footnote Income (Loss) 6 8 9 0 6 8 9 0 6 8 9 0 Prior Year (Income Offset) NOL Utilized

MNCrS Minnesota Credits Credits MNCrS (06) MN0 Total employer transit pass credit Employer transit pass credit claimed by the corporation (Force) Total enterprise zone credit Enterprise zone credit claimed by the corporation (Force) Credit for increasing research activities Internship Credit Credit for historic structure rehabilitation 6

MNAmendS Minnesota Amended Return General Information MNAmendS (06) MN Former name or address, if changed Reason for amended return = Amended federal return = IRS adjustment = Changes affecting Schedule KS = Changes affecting M8A = Changes affecting nonresident withholding IRS assessed a penalty for negligence or disregard of rules or regulations Failed to report federal changes to the Minnesota department of revenue within 80 days Explanation of adjustments on amended return Transfer original information Taxes Schedule D Passive income LIFO recapture Minimum fee Composite income tax Nonresident withholding Employer transit pass credit Enterprise zone credit Estimated tax and or extension payments Amount due Refund Interest due on additional tax Amounts as Previously Reported Amended Amounts 6 8 9 6 8 9 0

MNNP Minnesota Nonprofit Return General Information MNNP (06) MN County Federal tax-exempt status: 0(c) 8 Other Combined income return

MNAlloc Nonapportioned income Intercompany eliminations Minnesota Allocable Income Nonapportioned Income Minnesota Total MNAlloc (06) MN

MNKSep Minnesota Shareholders' Separately Stated Items Section A Description Amount MNKSep (06) MN 6 8 9 0 6 8 9 0 6 8 9 0 6 8 9 0

MNAffil Minnesota Affiliate Information General Information MNAffil (06) MN6 Member name Member address City, state, zip code Member Minnesota federal employer identification number Member Minnesota tax identification number No nexus in Minnesota 6 8 9

MNOthTax Minnesota Other Taxes Additional Taxes MNOthTax (06) MN Built-in gains tax and excess net passive income tax LIFO recapture tax

MNNPAmnd Explanation of changes Minnesota Amended Nonprofit Return General Information Amounts as Previously Reported MNNPAmnd (06) MN8 Transfer original information Tax paid with (or after) original return Overpayment on original return Amended Amounts Overpayment to be applied Interest Penalty 6 8

MNBank Minnesota Direct Deposit and Electronic Funds Withdrawal Account Information MNBank (06) MN9 Suppress direct deposit of refund Name of financial institution Routing transit number Account number Type of account ( = Checking, = Saving) Non-US financial institution 6

MNELF Minnesota Electronic Filing General Information By using a computer system and software to prepare and transmit my client's return electronically, I consent to the disclosure of all information pertaining to my use of the system and software to create my client's return and to the electronic transmission of my client's tax return to the Minnesota Department of Revenue, as applicable by law. Suppress Minnesota electronic file when filing federal return electronically Signature date (if different from federal) Electronic funds withdrawal for balance due returns: Requested payment date (Mandatory if using the electronic funds withdrawal method) Credit card Name control Calculated Value 6 MNELF (06) Force MN0

MNPenS Minnesota Penalties and Interest General Information MNPenS (06) MN Date return filed (If different from original due date of return) Prior year tax Prior year is less than months (If different from federal) Suppress penalties on return: Underpayment of estimated tax Late interest Failure to file Failure to pay 6 Annualized Income Installment Method Annualized period elected for next year 8 Taxable income Additions Subtractions Minimum fee Other taxes Credits Period Period Period 9 0 6 8 9 0 6 8 9 0 Period