Rev. 12/00
                                                     Form AA-1                                             Massachusetts
                                                     Application for Section 42                            Department of
                                                                                                           Revenue
                                                     Method of Apportionment
For the year 20or taxable year beginning                                 , 20                    and ending     20
Registration
Business code number (from U.S. return)                             Federal Identification number

Name of corporation or corporate trust

Present address of principal office

Present location of principal office in Massachusetts

Pursuant to MGL ch. 63, s. 42 and 830 CMR 63.42.1 the corporation or corporate trust named herein makes application for permission
to use section 42 alternative apportionment. An applicant seeking permission to use an alternative apportionment method must first file
a return and pay the tax using the statutory method. See 830 CMR 63.42.1. Note: If the Commissioner does not act upon an application
before the expiration of nine months from the date of filing, the application is deemed denied. The Commissioner and the applicant may
agree in writing to extend the time for decision on the application.

Attach to this Application Form:
A statement of the reasons, supported by detailed facts, why the applicant believes that the allocation and apportionment provisions of
MGL Ch. 63 are not reasonably adapted to approximate its Massachusetts income. The applicant must show by clear and cogent evidence
that the income attributed to Massachusetts using statutory apportionment is in fact out of all appropriate proportion to the business trans-
acted in Massachusetts or that use of statutory apportionment has led to a grossly distorted result.
A detailed description of the sought after proposed alternative apportionment method. The applicant must provide a written summary justi-
fying the proposed alternative method, attaching sufficient documentation to justify the figures used, their origin, nature and relation to the
overall result reached.

Sign Here
Under penalties of perjury, I declare that I have examined this application including accompanying materials, and to the best of my knowledge
and belief, it is true, correct and complete.
Type or print name of responsible corporate officer
❿
Signature of responsible corporate officer                          Title                                  Date

Type or print paid preparer’s name
❿
Individual or firm signature of preparer                            Address                                Date

Authorized representatives or employees of the corporation to whom contents may be disclosed in discussing questions which may arise in connection with
this application: Such person must submit a properly completed Power of Attorney (Form M-2848).
Name of authorized person                                           Title

Address

Note:This application must be attached to the return. The application and return must be filed together with payment in full as determined
using the statutory apportionment method. Make check or money order payable to the Commonwealth of Massachusetts. Send the
application and return to: Massachusetts Department of Revenue, PO Box 7044, Boston, MA 02204