Form A-5052-TC Estimated Summary Tax Return

Enter Estimated Tax for current or subsequent period (as applicable) (Carry to Page 1 Line 2) Enter Estimated Tax for current or subsequent period (as applicable) (Carry to Page 1 Line 3) N J Corporation Number State and Date of Incorporation Date authorized to do business in New Jersey Date first began business in New Jersey Date first acquired real property in New Jersey Nature of business State Zip Code x (Date) (Signature of Duly Authorized Officer of Taxpayer) (Title) x (Date) (Signature of Individual Preparing Return) (Address) (Preparer s ID Number) $1 000 000 or more $2 000 $100 000 or more but less than $250 000 $750 $250 000 or more but less than $500 000 $1 000 $500 000 or more but less than $1 000 000 $1 500 (ATTACH RIDER FOR METHOD OF COMPUTATION OF ESTIMATED TAX IF APPLICABLE) (ATTACH RIDER FOR METHOD OF COMPUTATION OF ESTIMATED TAX IF APPLICABLE) (Name of Tax Preparer s Employer) (Address) (Employer s ID Number) (Submit separate checks for each tax) 1 (a) ADJUSTED ENTIRE NET INCOME 6 Signature A 5052 TC 5 11 R 15 STATE OF NEW JERSEY ESTIMATED SUMMARY TAX RETURN (IMPORTANT: See General Instructions on page 3 before completing this form) A 5052 TC Page 2 A 5052 TC Page 3 (5 11 R 15) A statement indicating whether taxpayer has realized or anticipates a gain on the sale transfer exchange or conversion of any capital or other assets other than normal sales of inventories for the period covered by this return The actual or estimated amount of such gains and the extent to which such gains have been included by the taxpayer in estimating its net income for the period covered by this return must be indicated Alternative Minimum Assessment for C corporations (See instruction 5(c) on page 3 and refer to CBT 100 instructions) Check here and enter zero if AMA is paid by Key Corporation AMOUNT DUE Amount of Estimated Liability for All Other Taxes $ (Complete Schedule IV) Amount of Estimated Liability for Corporation Business Tax $ (Complete Schedule I) Amount of Estimated Liability for Gross Income Tax (W/H) $ (Complete Schedule III) Amount of Estimated Liability for Sales and/or Use Taxes $ (Complete Schedule II) AMOUNT PAID Business Allocation Factor (if less than 100% allocated to New Jersey) Computation of Estimated Corporation Business Tax Computation of taxpayer s actual entire net income from the close of its last accounting period for which a return is required to be filed with the Division to the latest practicable data Corporation Name Estimated Corporation Business Tax Multiply line 1(c) by 09 or if applicable by 075 or 065 (Refer to instruction 5(a)) Refer to instruction 5(b) for minimum tax requirements New Jersey S Corporations must follow the instructions in 5(d) to calculate the appropriate estimated corporation business tax liability to be reported on this line Explanation of taxpayer s method of computing estimated entire net income between such latest practicable date and the proposed date of filing such Certificate with the Division of Revenue Business Liquidations Federal Employer I D Number For a taxpayer that has entire net income in excess of $100 000 for the privilege periods ending on or after July 1 2001 but on or before June 30 2006 the tax rate shall be 1 33% and for the privilege periods ending on or after July 1 2006 but on or before June 30 2007 the tax rate shall be 0 67%; and For a taxpayer that has entire net income of $100 000 or less or the privilege periods ending on or after July 1 2001 there shall be no rate of tax imposed However minimum tax shall apply See 5(b) above For the tax periods beginning on or after January 1 2002 the minimum tax is $500 provided however that for a taxpayer that is a member of an affiliated or controlled group (as per section 1504 or 1563 of the Internal Revenue Code of 1986) which has a total payroll of $5 000 000 or more for the return period the minimum tax shall be $2 000 Tax periods of less than 12 months are subject to the higher minimum tax if the prorated total payroll exceeds $416 667 per month The minimum tax cannot be prorated For the tax periods beginning on or after January 1 2006 the minimum tax is based on New Jersey Gross Receipts as follows (except for corporations that are members of affiliated groups with total payroll of $5 000 000 or more whose minimum tax is $2 000 annually see 5(b)(1) above) I declare and affirm under the penalties provided by law that this return (including any accompanying schedules and statements) has been examined by me and to the best of my knowledge and belief is a true ESTIMATE of tax liability under Title 54 of the revised Statues If the taxpayer is subject to the Alternative Minimum Assessment refer to the instructions included in the Corporation Business Tax Return (CBT 100) to compute the AMA CBT Return and instructions can be accessed on the Division s website at www state nj us/treasury/taxation/ INSTRUCTIONS FOR COMPLETING FORM A 5052 Less than $100 000 $500 Mailing Address Minimum Tax: NAME OF TAX/FEE New Jersey Gross Receipts Minimum Tax Other Taxes/Fees (UI/DI etc ) Period Beginning Ending Professional Corporation Fee Proposed date of legal dissolution withdrawal merger etc SCHEDULE I COMPUTATION OF ESTIMATED CORPORATION BUSINESS TAX SCHEDULE II COMPUTATION OF ESTIMATED NEW JERSEY SALES & USE TAX Enter tax paid over the last four reporting (quarterly) periods: PERIOD ENDING SCHEDULE III COMPUTATION OF ESTIMATED NEW JERSEY GROSS INCOME TAX EMPLOYER WITHHOLDINGS Enter tax paid over the last reporting periods: PERIOD ENDING SCHEDULE IV COMPUTATION OF ALL OTHER NEW JERSEY TAXES AND FEES SIGNATURE AND AFFIRMATION OF AN OFFICER OF THE CORPORATION SUMMARY OF NEW JERSEY STATE TAXES Tax Base In the case of a non allocating taxpayer enter amount at Item 1(a); if allocating multiply Item 1(a) by Item 1(b) and enter product here Tax Rates for New Jersey S Corporations: Taxpayers who fail to sign the return shall have their applications rejected and returned causing delay in issuing tax clearance certificates and eventual dissolution withdrawal or merger proceedings Tax prepares who fail to sign the return or provide their assigned tax identification number will be liable for $25 00 penalty for each such failure The maximum AMA for a taxpayer is $5 000 000 for a privilege period The AMA threshold limit is $20 000 000 for an affiliated group of five or more members The tax rate is 9 0% ( 09) on adjusted entire net income or such portion thereof as may be allocable to New Jersey For taxpayers with entire net income of $100 000 or less the tax rate is 7 5% ( 075) For accounting periods beginning on or after January 1 2002 if entire net income is $50 000 or less the tax rate is 6 5% ( 065) The tax rate is 9% ( 09) of entire net income that is subject to Federal income taxation or such portion thereof as may be allocable to New Jersey For a taxpayer that has entire income of $100 000 or less the tax rate is 7 5% ( 075) and if the entire income is $50 000 or less the tax rate is 6 5% ( 065) The tax rate on the net pro rata share of the S Corporation income allocated to New Jersey for the nonconsenting shareholders is 8 97% There must be annexed to the Estimated Summary Tax Return an affidavit of a corporate officer covering the following items: This form must be completed before a Tax Clearance Certificate may be issued It is to be completed on an estimated basis for the current period from the close of the last accounting period for which a return is required to be filed with the Division to the proposed date of dissolution merger withdrawal etc This form must be filed with the Application for Tax Clearance Certificate unless taxpayer complies with instruction #8 of Procedure for Dissolution (Form A 5033) Total Amount of Estimated Liability for All Taxes $ Total Estimated Corporation Business Tax Liability: Enter greater of 1(d) or 1(e) (Carry to Page 1 Line 1) TOTAL Estimated Fees and Other Taxes (Carry to Page 1 Line 4) Upon receipt of this form and the application for tax clearance certificate the taxpayer will be advised of any additional data required and of the amount of any additional payment that must be submitted before the Tax Clearance Certificate can be issued Upon completion of our audit after receipt of final return any tax found to have been overpaid will be refunded