Allocation Factor Interrogatories (Illinois)
This form is a list of property and business transactions and is a supplemental form to the Statement of Correction (Illinois). The form provided here is simply a sample of what the actual Form BCA-1.35 looks like.
Form BCA-1.35
Jesse White
Secretary of State
Department of Business Services
Springfield, IL 62756
Telephone (217) 785-2237
(217) 785-6033
https://www.sos.state.il.us
This form acts as a supplement to form BCA-1.15, Statement of Correction
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File # ________________________________
This space for use by Secretary of State
Date ________________________________
Reviewed: ________________________________
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ALLOCATION FACTOR INTERROGATORIES
INTERROGATORIES to be answered and returned to Jesse White, Secretary of State, Department of Business Services, Springfield, Illinois 62756.
In accordance with the provisions of the Business Corporation Act of 1983, as amended, the Secretary of State herewith propounds the following interrogatories verifying property owned and business transacted as of the applicable date.
PART I: COMPUTATION OF PROPERTY
(Gross assets -- see notes on page 3)
The information below is given as of __________________________ (Month & Day), ________ (Year)
Cash
Line reference to Schedule L of IRS Forms 1120 & 1120S: 1
(a) Property wherever located: $ ________________
(b) Property located in Illinois: $ ________________
Trade notes and accounts receivable
Line reference to Schedule L of IRS Forms 1120 & 1120S: 2a
(a) Property wherever located: $ ________________
(b) Property located in Illinois: $ ________________
Inventories
Line reference to Schedule L of IRS Forms 1120 & 1120S: 3
(a) Property wherever located: $ ________________
(b) Property located in Illinois: $ ________________
U.S. Government obligations
Line reference to Schedule L of IRS Forms 1120 & 1120S: 4
(a) Property wherever located: $ ________________
(b) Property located in Illinois: $ ________________
Tax-exempt securities
Line reference to Schedule L of IRS Forms 1120 & 1120S: 5
(a) Property wherever located: $ ________________
(b) Property located in Illinois: $ ________________
Other current assets
Line reference to Schedule L of IRS Forms 1120 & 1120S: 6
(a) Property wherever located: $ ________________
(b) Property located in Illinois: $ ________________
Loans to stockholders
Line reference to Schedule L of IRS Forms 1120 & 1120S: 7
(a) Property wherever located: $ ________________
(b) Property located in Illinois: $ ________________
Mortgage and real estate loans
Line reference to Schedule L of IRS Forms 1120 & 1120S: 8
(a) Property wherever located: $ ________________
(b) Property located in Illinois: $ ________________
Other investments
Line reference to Schedule L of IRS Forms 1120 & 1120S: 9
(a) Property wherever located: $ ________________
(b) Property located in Illinois: $ ________________
Buildings and other depreciable assets
Line reference to Schedule L of IRS Forms 1120 & 1120S: 10a
(a) Property wherever located: $ ________________
(b) Property located in Illinois: $ ________________
Depletable assets
Line reference to Schedule L of IRS Forms 1120 & 1120S: 11a
(a) Property wherever located: $ ________________
(b) Property located in Illinois: $ ________________
Land
Line reference to Schedule L of IRS Forms 1120 & 1120S: 12
(a) Property wherever located: $ ________________
(b) Property located in Illinois: $ ________________
Intangible assets
Line reference to Schedule L of IRS Forms 1120 & 1120S: 13a
(a) Property wherever located: $ ________________
(b) Property located in Illinois: $ ________________
Other assets
Line reference to Schedule L of IRS Forms 1120 & 1120S: 14
(a) Property wherever located: $ ________________
(b) Property located in Illinois: $ ________________
TOTAL PROPERTY (Gross Assets)
(a) Property wherever located: $ ________________
(b) Property located in Illinois: $ ________________
PART II: COMPUTATION OF BUSINESS TRANSACTED
(Gross receipts -- see notes on page 4)
The information below is given as of __________________________ (Month & Day), ________ (Year)
Gross receipts, less returns
Line reference to IRS Form 1120: 1c
Line reference to IRS Form 1120S: 1c
(C) Gross amount of business transacted everywhere: $ ________________
(d) Gross amount of business transacted at or from Illinois: $ ________________
Dividends
Line reference to IRS Form 1120: 4
Line reference to IRS Form 1120S: 4b (Sch. K)
(C) Gross amount of business transacted everywhere: $ ________________
(d) Gross amount of business transacted at or from Illinois: $ ________________
Interest
Line reference to IRS Form 1120: 5
Line reference to IRS Form 1120S: 4a (Sch. K)
(C) Gross amount of business transacted everywhere: $ ________________
(d) Gross amount of business transacted at or from Illinois: $ ________________
Gross rents
Line reference to IRS Form 1120: 6
Line reference to IRS Form 1120S: 3a (Sch. K) and Line 2 (form 8825)
(C) Gross amount of business transacted everywhere: $ ________________
(d) Gross amount of business transacted at or from Illinois: $ ________________
Gross royalties
Line reference to IRS Form 1120: 7
Line reference to IRS Form 1120S: 4c (Sch. K)
(C) Gross amount of business transacted everywhere: $ ________________
(d) Gross amount of business transacted at or from Illinois: $ ________________
Capital gains-gross sales price
Line reference to IRS Form 1120: Sch. D [Line 1 col. (d)]
Line reference to IRS Form 1120S: Sch. D [Line 1 col. (d)]
(C) Gross amount of business transacted everywhere: $ ________________
(d) Gross amount of business transacted at or from Illinois: $ ________________
Sales of business property-gross sales price
Line reference to IRS Form 1120: Form 4797 [Line 2 col. (d) and Line 22]
Line reference to IRS Form 1120S: Form 4797 [Line 2 col. (d) and Line 22]
(C) Gross amount of business transacted everywhere: $ ________________
(d) Gross amount of business transacted at or from Illinois: $ ________________
Other income
Line reference to IRS Form 1120: 10
Line reference to IRS Form 1120S: 5
(C) Gross amount of business transacted everywhere: $ ________________
(d) Gross amount of business transacted at or from Illinois: $ ________________
Non-taxable receipts: Tax-exempt interest or dividends
Line reference to IRS Form 1120: Sch. M-1 Line 7
Line reference to IRS Form 1120S: Sch. M-1 Line 5a
(C) Gross amount of business transacted everywhere: $ ________________
(d) Gross amount of business transacted at or from Illinois: $ ________________
TOTAL GROSS RECEIPTS
(Gross Amount of Business Transacted)
(C) Gross amount of business transacted everywhere: $ ________________
(d) Gross amount of business transacted at or from Illinois: $ ________________
IMPORTANT!
These interrogatories must be accompanied by a photocopy of the appropriate pages of the IRS Form 1120 or 1120S containing the line references for all lines completed above. If the corporation is included in a consolidated return, the appropriate schedules must also be provided.
The undersigned corporation has caused this statement to be signed by its duly authorized officers, each of whom affirms, under penalties of perjury, that the facts stated herein are true.
Dated ________________________________ (Month/Day), _____________ (Year)
________________________________ (Exact Name of Corporation)
attested by ________________________________ (Signature of Secretary or Assistant Secretary)
by ________________________________ (Signature of President or Vice President)
________________________________ (Type or Print Name and Title)
________________________________ (Type or Print Name and Title)
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INSTRUCTIONS FOR FILLING OUT THIS FORM
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NOTES TO COMPUTATION OF PROPERTY (Part I)
Total property means gross assets, including all real, personal, tangible and intangible property, without qualification. The value of gross assets is original cost without reduction for allowances, reserves, depreciation, etc. Total Gross Assets for this interrogatory should not equal "total assets" on Line 15 of Federal Schedule L (IRS Forms 1120 and 1120S).
(1) Real and personal tangible property, including inventories, buildings, and other depreciable assets, depletable assets, land, and uninvested cash are located in Illinois if they are physically located in this State.
(2) Trade notes and accounts receivable are located in Illinois if arising from Illinois sales. [See Notes (2) and (3) of Computation of Business Transacted.]
(3) Invested cash, U.S. Government obligations, tax-exempt securities, loans to stockholders, mortgage and real estate loans, and other investments are located in Illinois if the notes, securities or certificates evidencing such investments are located in Illinois. If there are no notes, securities or certificates evidencing such investments, such investments are located in Illinois if they are administered, managed, or controlled in Illinois.
(4) Intangible property is located in Illinois if arising from the acquisition of a business located in Illinois.
(5) All property not listed above, including other intangible assets and property, patents, prepaid expenses, and other miscellaneous assets, are located in Illinois if the property was acquired, produced or primarily used in Illinois.
(6) Do not show a negative amount on this form. If the entry on the federal return shows a negative amount, insert "0" on the appropriate line of this document
NOTES TO COMPUTATION OF BUSINESS TRANSACTED (Part II)
Total gross receipts from whatever source derived must be allocated to Illinois based on the gross amount of business transacted by the corporation at or from places of business in Illinois. Gross receipts are not reduced by the cost of goods sold. Capital gains are not reduced by basis. Total gross receipts should not equal "total income" on Line 11 of IRS Form 1120 or Line 6 of IRS Form 1120S.
(1) Sales of tangible personal property are allocated to Illinois if the sale of the property occurs in Illinois or is shipped from an Illinois location or the contract evidencing the sale is accepted in Illinois.
(2) Service income, sales, other than the sales of tangible personal property, and other receipts are allocated to Illinois if the income-producing activity is performed in Illinois or is administered, managed, or controlled in Illinois.
(3) Income from investments such as dividends and interest (whether taxable or non-taxable) is allocated to Illinois if such investments are administered, managed, or controlled in Illinois.
(4) Dividends and interest from a subsidiary, if more than 10% owned, are allocated to Illinois if the subsidiary transacts business primarily at or from places of business in Illinois.
(5) Gross rents are allocated to Illinois if the property being rented is located in Illinois.
(6) Gross royalties from oil, mineral, or other leases are allocated to Illinois if the leased property is located in Illinois; other royalty income is allocated to Illinois if the activity giving rise to the payment of the royalty was transacted at or from locations in Illinois. [See (1) and (2) above.]
(7) Gross sales prices for dispositions of real estate, business property and capital assets are allocated to Illinois if the property sold was located in Illinois at the time of the sale.
(8) Do not show a negative amount on this form. If the entry on the federal return shows a negative amount, insert "0" on the appropriate line of this document