Form 725 - Individually Owned Corporation Income Tax Return - 2005 Page 2

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Form 725 (2005)
Page 2
SCHEDULE Q—LIMITED LIABILITY COMPANY QUESTIONNAIRE
IMPORTANT: Questions 1—10 must be completed by the
Was the limited liability company doing business in Kentucky,
limited liability company.
other than the interest held in a general partnership doing
business in Kentucky?
Yes
No
1. Single member's (owner) name, address and Social Security
number or federal I.D. number
6. Are related party costs made to related members as defined
in KRS 141.205(1)(l) included in this return?
Yes
No. If
yes, list name, federal I.D. and/or Kentucky corporation
account number of the individual or entity.
2. List the following Kentucky account numbers. Enter N/A for
any number not applicable.
Employer Withholding
7. Was this return prepared on: (a)
cash basis, (b)
accrual
Sales and Use Tax Permit
basis, (c)
other
Consumer Use Tax
Unemployment Insurance
8. Is the limited liability company a public service corporation
Coal Severance and/or
subject to taxation under KRS 136.120?
Yes
No
Processing Tax
9. Did the limited liability company file a Kentucky tangible per-
3. If a foreign limited liability company, enter the date qualified
sonal property tax return for January 1, 2006?
Yes
No
__ __
__
/ __ __ / __
to do business in Kentucky.
4. The limited liability company’s books are in care of: (name
and address)
10. Is the corporation currently under audit by the Internal
Revenue Service?
Yes
No. If yes, enter years under
audit
If the Internal Revenue Service has made final and
unappealable adjustments to the limited liability company’s
5. Is the limited liability company a partner in a general part-
taxable income which have not been reported to this
nership doing business in Kentucky?
Yes
No
department, check here
and file Form 740X, Amended
If yes, list name, federal I.D. and Kentucky account number
Kentucky Individual Income Tax Return, or Form 740-XP,
of the general partnership(s).
Amended Kentucky Individual Income Tax Return for Tax
Years 2002, 2003, 2004, whichever is applicable, for each
year adjusted and attach a copy of the final determination.
I, the undersigned, declare under the penalties of perjury, that I have examined these returns, including all accompanying schedules and
statements, and to the best of my knowledge and belief, they are true, correct and complete.
Signature of member (owner)
Identification number of member (owner)
Date
Typed or printed name of preparer other than taxpayer
Identification number of preparer
Date
May the Department of
Revenue discuss this return
with the preparer?
Yes
No

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