Form Pte-R - Relief Of Composite Payment Request, Composite Payment
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Alabama Department of Revenue
PTE R
20
Pass-Through Entity Section
_______
Request for Relief of Composite Payment
2/2016
Pursuant to Sec. 40-18-24.2, Code of Alabama 1975, all subchapter K entities taxed as partnerships are required to file an annual Alabama composite tax return and
remit any tax liability due on behalf of non-resident members.
You must submit this form requesting relief from required payments on behalf of non-resident members if extenuating facts and circumstances are present. Please
provide any supporting documentation with this form. To ensure proper processing, the request must be submitted 30 days before the original due date of Form PTE-
C. If the request is not approved, payments made after the original due date will be subject to interest and penalty charges. Each non-resident member that is included
in the request for exemption from the composite payment must complete a non-resident agreement (NRA-R) which must be filed with the PTE-R requesting relief.
All items should be completed in their entirety. If assistance is needed with completing this form, please contact the Pass-Through Entity Section at (334)
353-9378.
Taxpayer Name: _______________________________________________________________________________________________
Taxpayer FEIN: __________________________________________ Tax Year: ____________________________________________
Billing Notice or Assessment Received?
Yes
No
If yes, please attach a copy.
Are multiple flow-through entities involved in a tiered structure?
Yes
No
If yes, please provide a list of all taxpayer names,
FEINs and also attach an organizational chart that shows the ownership percentages of each flow-through entity.
Are any of the taxpayer's nonresident members/partners considered tax-exempt entities for income tax purposes?
Yes
No
If yes, please identify the members as such in your explanation below.
Detailed Facts to Support Your Relief Request: (attach additional sheets as needed)
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
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Complete the following information so that the Department will know who to contact if further information is needed.
Contact Person: ________________________________________________ Position: ______________________________________
Phone Number: (_______)__________________ Email Address: _______________________________________________________
UNSIGNED FORMS WILL NOT BE REVIEWED.
Signature: ___________________________________________________________________________________________________
Printed Name: ________________________________________________________________________________________________
Position/Title: ___________________________________________________ Date: ________________________________________
Your completed form and supporting documentation pertaining to your request for relief from the composite return payment requirement
may be submitted for consideration via fax, email or regular mail to the following:
FAX:
(334) 242-1030
EMAIL: Tiniko.Arrington@revenue.alabama.gov
MAIL:
Alabama Department of Revenue-PTE
Attn: Tiniko Arrington
P.O. Box 327900
Montgomery, AL 36132-7900
ADOR
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