S-Corporation Return
(IRS Form 1120S)
Business Information
Responsible Party Name (person signing on behalf of the organization)
*
First Name
Last Name
Company Name
*
Please type the complete, legal name of the company
Tax Year
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Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is your primary address of business different from mailing address?
*
Primary Address of Business (if different from Mailing Address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Number of officers issued W-2s during tax year
*
Number of employee issued W-2s during tax year
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Principal business activity
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Product or service
Did the company have any change in ownership during tax year?
*
Purchaser Information
Purchaser's Name
Purchaser's Address
Purchaser's SSN
Ownership Percentage
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Other Information
During the tax year did the corporation have any non-shareholder debt that was canceled, was forgiven, or had the terms modified so as to reduce the principal amount of the debt?
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Enter the amount of principal reduction
During the tax year was a qualified sub-chapter S subsidiary election terminated or revoked?
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During the tax year did the corporation make any payments that would require it to file Form(s) 1099?
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Did the corporation file or will it file required Form(s) 1099?
Does the corporation satisfy both of the following conditions: the corporation's total receipts for the tax year were less than $250,000 AND the corporation's total assets at the end of the tax year were less than $250,000?
*
Assets (as of 12/31)
Cash (including bank account balances)
Inventories
Loans to Shareholders
Other Investments?
*
Other Investment (please specify)
Amount $
Other Investment (please specify)
Amount $
Investment File Upload(s)
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Other Assets?
*
Other Asset (please specify)
Amount $
Other Asset (please specify)
Amount $
Asset File Upload(s)
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Liabilities (as of 12/31)
Mortgages, notes, bonds payable in less than 1 year
Loans from shareholders
Mortgages, notes, bonds payable in 1 year or more
Other Liabilities?
*
Other Liability (please specify)
Amount $
Other Liability (please specify)
Amount $
Other Liability (please specify)
Amount $
Liability File Upload(s)
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Did you have additional paid-in capital (cash owner contributions)?
*
Name of Officer #1
Amount $
Name of Officer #2
Amount $
Name of Officer #3
Amount $
Name of Officer #4
Amount $
Did you have shareholder distributions (cash)?
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Name of Officer #1
Amount $
Name of Officer #2
Amount $
Name of Officer #3
Amount $
Name of Officer #4
Amount $
Officer Compensation
Did you have Officer Compensation (reported on W-2)?
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Name of Officer #1
Amount $
Name of Officer #2
Amount $
Name of Officer #3
Amount $
Name of Officer #4
Amount $
Did you have Officer Compensation (NOT reported on W-2)?
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Name of Officer #1
Amount $
Name of Officer #2
Amount $
Name of Officer #3
Amount $
Name of Officer #4
Amount $
Did you have additional paid-in capital (cash owner contributions)?
*
Name of Officer #1
Amount $
Name of Officer #2
Amount $
Name of Officer #3
Amount $
Name of Officer #4
Amount $
Did you have shareholder distributions (cash)?
*
Name of Officer #1
Amount $
Name of Officer #2
Amount $
Name of Officer #3
Amount $
Name of Officer #4
Amount $
Additional notes or changes to your tax return compared to last year
Signature
I confirm that the information provided on this worksheet is correct and accurate to the best of my knowledge. I will notify Accent Financial Services in a timely manner if any changes occur.
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Date
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Month
-
Day
Year
Date
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