Alternative Minimum Tax—Corporations OMB No. 1545-0175

(including environmental tax) Form 4626

© See separate instructions. Department of the Treasury

Internal Revenue Service © Attach to your tax return.

Name Employer identification number

1

Taxable income or (loss) before net operating loss deduction. (Important: See instructions if you are

subject to the environmental tax.)

1

2 Adjustments:

a Depreciation of tangible property placed in service after 1986 2a

b Amortization of certified pollution control facilities placed in service after 1986 2b

c Amortization of mining exploration and development costs paid or incurred after 1986 2c

2d

Amortization of circulation expenditures paid or incurred after 1986 (personal

holding companies only)

d

e Basis adjustments in determining gain or loss from sale or exchange of property 2e

2f f Long-term contracts entered into after February 28, 1986

g Installment sales of certain property 2g

h Merchant marine capital construction funds 2h

2i i Section 833(b) deduction (Blue Cross, Blue Shield, and similar type organizations only)

Tax shelter farm activities (personal service corporations only) 2j j

k Passive activities (closely held corporations and personal service corporations only) 2k

Certain loss limitations 2l l

m Other adjustments 2m

n Combine lines 2a through 2m 2n

3 Tax preference items:

a Depletion 3a

b Tax-exempt interest from private activity bonds issued after August 7, 1986 3b

c Appreciated property charitable deduction 3c

d Intangible drilling costs 3d

e Reserves for losses on bad debts of financial institutions 3e

Accelerated depreciation of real property placed in service before 1987 3f f

g Accelerated depreciation of leased personal property placed in service before

1987 (personal holding companies only) 3g

h Amortization of certified pollution control facilities placed in service before 1987 3h

3i i Add lines 3a through 3h

Pre-adjustment alternative minimum taxable income. Combine lines 1, 2n, and 3i 4 4

5 Adjusted current earnings adjustment. Enter the amount from line 12 of the worksheet on page 7 of the instructions 5

Combine lines 4 and 5. If zero or less, stop here (you are not subject to the alternative minimum tax) 6 6

7

Alternative tax net operating loss deduction. (Do not enter more than the excess, if any, of:

(a) 90% of line 6, over (b) line 7.)

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8

Alternative minimum taxable income. Subtract the sum of lines 7 and 8 from line 6

8

Exemption phase-out computation (if line 9 is $310,000 or more, skip lines 10a and 10b and enter

-0- on line 10c):

9

10a

Subtract $150,000 from line 9 (if you are a member of a controlled group, see

instructions). If the result is zero or less, enter -0-

a

b 10b

c

Multiply line 10a by 25%

10c

Exemption. Subtract line 10b from $40,000 (if you are a member of a controlled group, see

instructions). If the result is zero or less, enter -0-

Subtract line 10c from line 9. If the result is zero or less, enter -0- 11

10

Multiply line 11 by 20%

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12

Alternative minimum tax foreign tax credit. (See instructions for limitations.)

12

13

Tentative minimum tax. Subtract line 13 from line 12

13

14

Regular tax liability before all credits except the foreign tax credit and possessions tax credit

14

15

Alternative minimum tax—Subtract line 15 from line 14. If the result is zero or less, enter -0-. Also enter

the result on line 9a, Schedule J, Form 1120, or on the comparable line of other income tax returns

15

Environmental tax—Subtract $2,000,000 from line 6 (computed without regard to your environmental tax

deduction) and multiply the excess, if any, by 0.12% (.0012). Enter on line 9b, Schedule J, Form 1120, or

on the comparable line of other income tax returns (members of a controlled group, see instructions)

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16

For Paperwork Reduction Act Notice, see separate instructions. Form 4626 (1991)

Adjustment based on energy preferences. (Do not enter more than 40% of line 6.)

Cat. No. 12955I

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