Form 725 - Kentucky Single Member Llc Individually Owned Llet Return

Form 725 (2013)

Page 3

*1300010343*

Commonwealth of Kentucky

DEPARTMENT OF REVENUE

Q—S

CHEDULE

INGLE

EMBER

IMITED

IABILITY

OMPANY

UESTIONNAIRE

Was the limited liability company doing business in Kentucky

IMPORTANT: Questions 1—10 must be completed by the limited

other than through its interest held in a pass-through entity

liability company.

doing business in Kentucky?  Yes  No

1. Single member’s (owner) name, address and Social Security

7. Is the entity filing this Kentucky tax return organized as a

number or federal I.D. number _________________________

statutory trust or a series statutory trust as provided by KRS

______________________________________________________

Chapter 386A?  Yes  No

______________________________________________________

2. List the following Kentucky account numbers. Enter N/A

If yes, is the entity filing this Kentucky tax return a series

for any number not applicable.

within a statutory trust?  Yes  No

Employer Withholding ________________________________

Sales and Use Tax Permit _____________________________

If yes, enter the name, address and federal I.D. number of

Consumer Use Tax ___________________________________

the statutory trust registered with the Kentucky Secretary

Unemployment Insurance _____________________________

of State: ______________________________________________

Coal Severance and/or

Processing Tax ______________________________________

8. Was this return prepared on: (a)  cash basis, (b)  accrual

3. If a foreign limited liability company, enter the date qualified

basis, (c)  other

_____________________________________

to do business in Kentucky.

__ __ / __ __ / __ __

9. Did the limited liability company file a Kentucky tangible

4. The limited liability company’s books are in care of: (name

personal property tax return for January 1, 2014?

and address)

 Yes  No

______________________________________________________

If yes, list the name and federal I.D. number of entity(ies)

______________________________________________________

filing return(s): ________________________________________

______________________________________________________

5. Are disregarded entities included in this return?

______________________________________________________

 Yes  No

______________________________________________________

If yes, list name, address and federal I.D. number of the

______________________________________________________

entity(ies).

______________________________________________________

10. Is the single member limited liability company currently under

______________________________________________________

audit by the Internal Revenue Service?  Yes  No

______________________________________________________

If yes, enter years under audit

______________________________________________________

Was the limited liability company a partner in a pass-through

If the Internal Revenue Service has made final and

entity doing business in Kentucky for the tax year being

unappealable adjus tment s to the limited liabilit y

reported?  Yes  No

company’s taxable income which have not been reported

If yes, list name and federal I.D. of the pass-through

to this department, check here  and file Form 740X for tax

entity(ies).

years 2005 through 2013 or Form 740-XP for 2004 and prior

______________________________________________________

tax years, whichever is applicable, and file an amended

______________________________________________________

Form 725 for each year adjusted. Attach a copy of the final

______________________________________________________

determination to each amended return.

______________________________________________________

Form 725 - Kentucky Single Member Llc Individually Owned Llet Return - 2013 Page 3

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