Form 720s - Kentucky S Corporation Income Tax And Llet Return

Form 720s - Kentucky S Corporation Income Tax And Llet Return - 2013 Page 2

Form 720S (2013)

Page 2

*1300010257*

Commonwealth of Kentucky

DEPARTMENT OF REVENUE

PART IV—EXPLANATION OF FINAL RETURN AND/OR SHORT–PERIOD RETURN

¨ Ceased operations in Kentucky

¨ Change in filing status

¨ Change of ownership

¨ Merger

¨ Successor to previous business

¨ Other _________________________________________________

PART V—EXPLANATION OF AMENDED RETURN CHANGES

OFFICER INFORMATION (Failure to Provide Requested Information May Result in a Penalty)

Attach a schedule listing the name, home address and Social Security number of the vice president, secretary and treasurer.

Has the attached officer information changed from the last return filed?

Yes

President’s Name

President’s Home Address

President’s Social Security Number

Date Became President

I, the undersigned, declare under the penalties of perjury, that I have examined this return, including all

accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and

complete.

✍

Signature of principal officer or chief accounting officer

Date

Name of person or firm preparing return

SSN, PTIN or FEIN

May the DOR discuss this return with the preparer?



Yes

Email Address:

Telephone No.:

Form 720s - Kentucky S Corporation Income Tax And Llet Return - 2013 Page 2