Form SCT-RTN — Delaware S Corporation Reconciliation and Shareholders' Information Return

# DELAWARE DIVISION OF REVENUE FORM

S Corporation r eCon Ciliation a nd Shareholder S information r eturn Revision 20250605 DFSCTRTN2025019999V1 For Fiscal Year beginning and ending

1. 6.
2. 7.

4d. 4d.

1. 5.
2. 8.
3. 9.
4. 10.
5. 11.
6. 3.
7. 12.

4a. 4a.

1. 1.

2a. 2a.
2b. 2b.
2c. 2c.

1. 13.

4b. 4b.

1. 14.

4c. 4c.
TOTAL - Subtract Line 2c from Line 1
DISTRIBUTIVE INCOME - Add Line 3 to Line 4d DISTRIBUTIVE INCOME ATTRIBUTABLE TO NON-RESIDENT SHAREHOLDERS - Multiply Line 5 by Line 6
TAX DUE ON BEHALF OF NON-RESIDENT SHAREHOLDERS - Multiply Line 7 by 6.60% TOTAL NET INCOME (Form SCT-SSA, Column B, Line 20) NET INTEREST FROM U.S. SECURITIES - To the extent included in Line 1

# WAGE DEDUCTION - FEDERAL JOBS CREDIT

SUBTRACTIONS:
ADDITIONS:

# DEPLETION EXPENSE APPROVED NON-REFUNDABLE INCOME TAX CREDITS

# APPROVED REFUNDABLE INCOME TAX CREDITS PERCENTAGE OF STOCK OWNED BY NON-RESIDENTS

ESTIMATED TAX PAID ON BEHALF OF NON-RESIDENT SHAREHOLDERS (Form SCT-TAX) INTEREST ON OBLIGATIONS FROM ANY STATE EXCEPT DELAWARE - To the extent excluded from Line 1 CHARITABLE CONTRIBUTIONS - Included in Line 1 for which the Delaware Land & Historic Resource Conservation credit was granted OTHER PAYMENTS (Attach schedule) .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 City City Nature of Business If Out of Business, Enter Date State State Zip Code Zip Code Name of Corporation Street Address Delaware Address (if different than above) Date of IncorporationState of Incorporation Taxpayer ID Check Applicable Box(es):
Initial Return
Change of Address
Amended Return
Extension Attached
ESOPSmall Corporation
TOTAL SUBTRACTIONS - Add Line 2a to Line 2b
TOTAL ADDITIONS - Add Line 4a through Line 4c
TOTAL PAYMENTS AND CREDITS - Add Line 9 through Line 12
BALANCE DUE AND PAY IN FULL - If Line 8 is greater than Line 13, Subtract Line 13 from Line 8 If Line 13 is greater than Line 8, the amount on Line 13 will be the estimated tax proportionally claimed by the non-resident shareholder(s) upon filing their Delaware non-resident personal income tax return.
A refund will not be issued directly to the S Corporation for any overpayment of estimated tax paid on behalf of the non-resident shareholder(s).
Attach Completed Copy of U.S. Income Tax Return for an S Corporation Form 1120S.

# SIGNATURE OF OFFICER PAID PREPARER SIGNATURE ADDRESS CITY

EIN, SSN or PTIN PHONE NUMBER

# EMAIL ADDRESS STATE ZIP CODE DATE DATE EMAIL ADDRESS PHONE NUMBER

# TITLE OF OFFICER

# BE SURE TO SIGN YOUR RETURN BELOW AND KEEP A COPY FOR YOUR RECORDS

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and believe it is true, correct and complete. If prepared by a person other than taxpayer, the declaration is based on all information of which the preparer has any knowledge.

# PAID PREPARER INFORMATION

Delaware Division of Revenue
PO Box 2044
Wilmington, DE 19899-2044

# MAIL COMPLETED FORM WITH

REMITTANCE PAYABLE TO:

# DELAWARE DIVISION OF REVENUE FORM

S Corporation r eCon Ciliation a nd Shareholder S information r eturn Revision 20250605 DFSCTRTN2025029999V1
SCHEDULE 1 - APPORTIONMENT PERCENTAGE
Within Delaware
Within Delaware
Within and Without Delaware
Within and Without Delaware

# GROSS RECEIPTS SUBJECT TO APPORTIONMENT DETERMINATION OF APPORTIONMENT PERCENTAGE

TOTAL - Add Line 1 to Line 2
TOTAL - Subtract Line 2 from Line 1
APPORTIONMENT PERCENTAGE (See instructions)
TOTAL COMBINED APPORTIONMENT PERCENTAGES (See instructions) GROSS INCOME FROM OTHER SOURCES (Attach statement)

# GROSS RECEIPTS FROM SALES OF TANGIBLE PERSONAL PROPERTY

AVERAGE VALUE OF REAL AND TANGIBLE PROPERTY within Delaware
AVERAGE VALUE OF REAL AND TANGIBLE PROPERTY within and without Delaware
GROSS RECEIPTS AND GROSS INCOME from within and without Delaware
GROSS RECEIPTS AND GROSS INCOME from within Delaware
WAGES, SALARIES, AND OTHER COMPENSATION Paid to employees within and without Delaware WAGES, SALARIES, AND OTHER COMPENSATION Paid to employees within Delaware .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 1.
1.

1. 1.

1.
1.
2.
2.

1. 2.
2. 3.

2.
2.
3.
3.

1. 5.
2. 7.
3. 4.
4. 6.
5. 8.

3.
3.
Within and Without DelawareWithin Delaware Beginning of Year Beginning of YearEnd of Year End of Year

# GROSS REAL AND TANGIBLE PERSONAL PROPERTY

TOTAL - Add Line 1 to Line 2
TOTAL - Subtract Line 4 from Line 3
AVERAGE VALUES - Add Line 5 Beginning and End of Year Totals, then Divide by 2 (See instructions) LESS: Value at original cost of real & tangible property, the income from which is separately allocated (See instructions)

# REAL & TANGIBLE PROPERTY OWNED

REAL & TANGIBLE PROPERTY RENTED (eight times annual rental paid) .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 1A

# SCHEDULE

2.
3.
4.
5.
6.
1.

# COLUMN B COLUMN B COLUMN B COLUMN A COLUMN A COLUMN A

# WAGES, SALARIES, AND OTHER COMPENSATION PAID OR ACCRUED TO EMPLOYEES

WAGES, SALARIES, AND OTHER COMPENSATION of all employees
LESS: WAGES, SALARIES, AND OTHER COMPENSATION of general executive officers 1B

# SCHEDULE

1C

# SCHEDULE

1D

# SCHEDULE

=
=
=
Name Taxpayer ID