Form Tc 803 – Fill Out and Use This PDF

Form Tc 803 is a form specifically created to support governing documentation. This important document serves as an initial first step when documenting transactions. Whether completing mergers or complying with SEC transactions, Form Tc 803 can provide insight and data critical to the later stages of the process. By using this form, businesses can track their operations at the detail level while still remaining consistent with federal regulations. As such, it remains paramount that companies utilize Form Tc 803 in the standardized processes of their everyday activity.

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Form Tc 803 PDF Details

Form TC 803 is an application used to request relief from Canadian taxes. This form can be used by individuals or businesses who believe they are paying too much in taxes, or by those who would like to dispute a tax assessment. In order to complete this form correctly, it is important to understand the eligibility requirements and how to provide the necessary documentation. Seeking professional assistance can help ensure your application is processed as quickly as possible.

Question	Answer
Form Name	Form Tc 803
Form Length	4 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min
Other names	tc 803 utah form tc 803

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Utah State Tax Commission

210 North 1950 West - Salt Lake City - Utah 84134 - Telephone (801) 297-2200

Collection Information For Businesses

TC-803 Rev. 1/96

. Name

and A ddress of Business

2 . Business Telephone Number

3 . (Check appropriate box )

Sole Proprietor

Other (specif y)

Partnership

Corporation

. Name

and Title of

Person Interview ed

5 . A ccount Number:

6 . Type of Business

Sales

W ithholding

Other

. Inf ormation about

Ow ner, Partners, Of f icers,

etc.

Name and Title

Ef f ective Date

Home A ddress

Telephone

Number

Social Security Number

Total Shares

Section One: General Financial Information

8 . Latest Filed Income Tax Return

Form

Tax Year Ended

Net Income Bef ore Tax es

Bank A ccounts (List all types of accounts including payroll and general, savings, certif icates of deposit, etc.)

Name of Institution	A ddress	Type of	A ccount	Balance
Name of Institution	A ddress	A ccount	Number	Balance
		A ccount	Number
				$

			9 . Total	(Enter in	item	1 6 )

Bank Credit A vailable (Lines of	credit, etc.)

Name of Institution		A ddress	Credit	A mount		Credit	Monthly
Name of Institution		A ddress	Limit	Ow ed		A vailable	Payment

			$	$	$		$

1 0 . Totals (Enter in Items 2 3 or 2 4 as appropriate)

FORM TC8 0 3 A 1 / 9 6

SECTION I, General Financial Inf ormation - Continued

1 1 . Real Estate: (Enter values, balance due, equity in asset, and monthly payment in item 1 9 .)

Brief Description and Type of Ow nership

A ddress (Include County and State)

1 2 . Lif e Insurance Policies Ow ned w ith Business as Benef iciary

Name Insured

Company

Policy Number

Type

Face A mount

Accumulative Cash V alue

1 2 . Total (Enter in Item 1 8 )

1 3 . A dditional Inf ormation Regarding Financial Condition (court proceedings, bankruptcies f iled or anticipated, transf ers of assets f or less than f ull value, changes in market conditions, etc.; including inf ormation regarding company participation in trusts, estates, prof it- sharing plans, etc.)

1 4 . A ccounts/ Notes Receivable (Include loans to stockholders, of f icers, partners, etc.)

Name

A ddress

A mount Due

Date Due

Status

1 4 , Total (Enter in Item 1 7 )

For additional information, you may access the Tax Commission's W orld W ide Home Page at: http://www.tax.ex.state.ut.us	FORM TC8 0 3 B 1 / 9 6

If you need an accommodation under the Americans with Disabilities Act, contact the Tax Commission at (801) 297-3811 or Telecommunication Device for the Deaf (801) 297-3819. Please allow three working days for a response.

S e c tio n Two : As s e t and Liability Analys is

Description

Current

Liabilities

Equity

A mount of

Name and A ddress of

Date

Date of

Market

Balance

Monthly

Final

Lien/ Note Holder/ Obligee

V alue

Due

A sset

Payment

Pledged

Payment

(a)

(b)

(c)

(d)

(e)

(f )

(g)

(h)

1 5

. Cash

1 6

. Bank

A ccounts (f rom item

9 )

1 7

A ccounts/ Notes Receivable

(f rom

item 1 4 )

1 8

Lif e Insurance Loan V alue

(f rom

item 1 2 )

1 9

. Real

Property

2 0

. V ehicles

Model, Year,

License

2 1

. Machines

and

Equipment

(Specif y)

2 2

. Merchan-

dise

Inventory

(Specif y)

2 3

. Other

A ssets

(Specif y)

(f rom item

1 0 )

2 4

. Other

Liabili-

ties

(included

notes

and

j udg-

ments)

(f rom

item 1 0 )

2 5

. Federal Tax es Ow ed

2 6

. State

Tax es Ow ed

2 7

. Total

FORM TC8 0 3 C 1 / 9 6

S e c tio n Thre e : Mo nthly Inc o me and Expe ns e Analys is

The following information applie s to inc ome and e xpe ns e s					A ccounting method			used: (cash or	accrual)
during the pe riod _ _ _ _ _ _ _ _ _			to _ _ _ _ _ _ _ _ _ _

		Income						Ex penses
		Income

2 8	. Gross	receipts f rom sales,	services, etc.	$	3 4	. Materials purchased				$

2 9	. Gross	rental income			3 5	. Net w ages	and	salaries

3 0	. Interest				3 6	. Rent

3 1	. Dividends				3 7	. Installment	payments

3 2	. Other	income (specif y)			3 8	. Supplies

					3 9	. Utilities/ Telephone

					4 0	. Gasoline/ Oil

					4 1	. Repairs and maintenance

					4 2	. Insurance

					4 3	. Current tax es

					4 4	. Other (specif y)







3 3	. TOTA L			$	4 5	. TOTA L				$

					4 6	. NET DIFFERENCE				$

CERTIFICATION

Under penalties of perj ury, I declare that to the best of my know ledge and belief , this statement of assets, liabilities, and other inf ormation is true, correct, and complete.

Signature:

Date:

FORM TC8 0 3 D 1 / 9 6

Form Tc 803 – Fill Out and Use This PDF

Form Tc 803 PDF Details

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