ANNUAL DECLARATION AND PAYMENT FORM FOR

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CD
ANNUAL DECLARATION AND PAYMENT FORM FOR CORPORATE INCOME TAX
UNIREF
[1] Tax Period:
[3] Fiscal Number:
[4] Taxpayer Name:
[5] Taxpayer’s Address:
[6] Owner:
Phone:
[7] Manager:
Phone:
[8] Accountant/Bookkeeper:
Phone:
[9] If the tax declaration is to amend a declaration filed previously for the same tax period, put an ‘X’in the box that describes the
type of amendment. (Please refer to the guide)
Addition
Correction
Payment only
[48] Amount Due (Transfer the amount from box [43])
[49] Amount of Tax paid
I declare that facts reported in this Statement are true.
(________________________________________________)
First Name/Last Name/Signature and Stamp
Section of the Bank
Account Number: 1000420070000373
Signature and Stamp
Date:
Amount of Tax paid
Text:
€
Date: ___/____/___________
Form No. CD-E-4 ; Revised 15.01.2011
[10] Net profit (loss) by Financial Declaration...............................................................................................................................[10]
Adustments to Income
[11] Foreign source of income (schedule A).......................................................................................[11]
[12] Recovery of bad debts (schedule B).............................................................................................[12]
[13] Capital gain (schedule C)..................................................................................................................[13]
[14] Dividends (schedule D).....................................................................................................................[14]
[15] Other income/gain (schedule E)....................................................................................................[15]
[16] Total adjustment to income (add lines [11] to [15])...........................................................................................................[16]
[17] Profit (loss) after adjustment to income (line [10] + line [16])........................................................................................[17]
Adjustments to Expenses (mostly negative numbers shown in brackets - except line 24)
[18] Disallowed expenses (schedule F).................................................................................................[18]
[19] Representation costs (schedule G)................................................................................................[19]
[20] Reserve funds (schedule H)..............................................................................................................[20]
[21] Payments to related persons (schedule I)..................................................................................[21]
[22] Depreciation (schedule J )................................................................................................................[22]
[23] Amortization (schedule K)................................................................................................................[23]
[24] Special allowance for new assets (schedule L) ........................................................................[24]
[25] Capital loss (schedule C)...................................................................................................................[25]
[26] Other expenses (schedule M)..........................................................................................................[26]
[27] Total adjustment to expenses (add lines [18] to [26]).......................................................................................................[27]
[28] Profit (loss) of business after adjustment to expenses (line [17]- line [27]), (When line 27 is in brackets add the whole numbers)
[29] Charitable contributions (attach receipts), (limit of 5% of line 28)....................................[29]
[30] Loss carry forward (refer to guide)................................................................................................[30]
[31] Add lines [29] and [30]..................................................................................................................................................................[31]
[32] Adjusted profit (line [28]- line [31])..........................................................................................................................................[32]
[33] Corporate income tax
(If line 32 is a profit, multiply by 10%. If line [32] is a loss, enter 0).....................................................[33]
For Insurance Companies only
[34] Gross premiums for the tax period...............................................................................................[34]
[35] Corporate Income Tax for Insurance Companies ( [34] * 5%)........................................................................................[35]
Refund or Amount Due
[36] Corporate Income Tax (add the amounts in the line [33] and [35] according to your situation)......................[36]
[37] Foreign states tax credit (schedule O)..........................................................................................[37]
[38] Tax withheld on interest, royalties and rent by resident payers (schedule P) -attach
certificates........................................................................................................................................................[38]
[39] Total Credits for the period [37] +[38] ..................................................................................................................................[39]
[40] Line [36] less [39] ...........................................................................................................................................................................[40]
[41] Installments paid (Schedule Q)..................................................................................................................................................[41]
[42] Tax to be paid with this form [40]-[41]...................................................................................................................................[42]
If the result on line [42] is (+) you have an Amount Due. If the result on line [42] is (-) you have a refund. Write the amount in the
appropriate box.
[43] Amount Due
[45] Bank Name ................................................
[46] Account Holder........................................
[47] Account Number.....................................
[44] Refund ..........
DECLARATION OF INCOME AND EXPENSES BY ACTIVITIES
Income from operating activities
[60] Gross receipts (Turnover)................................................................................................................................................[60]
Expenses from operating activities
[61] Opening inventory............................................................................................................................................................[61]
[62] Purchases or cost of production...................................................................................................................................[62]
[63] Total ([61]+[62])..................................................................................................................................................................[63]
[64] Ending inventory................................................................................................................................................................[64]
[65] Cost of goods sold ([63]-[64])........................................................................................................................................[65]
[66] Gross profit ([60]-[65])......................................................................................................................................................[66]
[67] Wages (including pension contributions).................................................................................................................[67]
[68] Depreciation and amortization expense (not included in cost of goods)....................................................[68]
[69] Selling expenses.................................................................................................................................................................[69]
[70] General and administrative expenses (not included in cost of goods)..........................................................[70]
[71] Research & development costs.....................................................................................................................................[71]
[72] Other operating expenses .............................................................................................................................................[72]
[73] Total operating expenses (Add [67] through [72])................................................................................................[73]
[74] PROFIT/LOSS FROM OPERATIONS ([66]-[73]) ..........................................................................................................[74]
NON-OPERATING ACTIVITES
[75] Other revenues or gains..................................................................................................................................................[75]
[76] Other expenses or losses.................................................................................................................................................[76]
[77] PROFIT/LOSS FROM NON-OPERATING ACTIVITIES ([75]-[76])............................................................................[77]
[78] Net profit (Loss) ([74]+[77]) ...........................................................................................................................................[78]
Enter line [78] – Net profit (loss) on line 10 of CIT Declaration
Attach to CIT Declaration