Form Bpt-In - Alabama Business Privilege Tax Initial Privilege Tax Return - 2017 Page 2

FORM

Alabama Department of Revenue

170002BN

Alabama Business Privilege Tax

BPT-IN

2017

Initial Privilege Tax Return

PAGE 2

ADOR

1a. FEIN

1b. LEGAL NAME OF BUSINESS ENTITY

1c. DATE OF QUALIFICATION, ORGANIZATION OR

INCORPORATION (MM/DD/YYYY)

Part A – Net Worth Computation. Complete I, II or III only.

I. Corporations & Entities Taxed as Corporations

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1. Issued capital stock and any additional paid in capital, but without reduction for treasury stock . . . . . . . . .

1

2. Retained earnings, but not less than zero, including dividends payable. For LLC’s taxed as

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corporations and non-stock issuing entities such as business trusts, enter assets minus liabilities. . . . . . .

2

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3. Gross amount of related party debt exceeding the sum of lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . .

3

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4. For C corporations, all payments for compensation or similar amounts in excess of $500,000. . . . . . . . . .

4

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5. For S corporations, all payments for compensation, distributions or similar amounts in excess of $500,000

5

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6. Total net worth (add lines 1 - 5). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6

II. Limited Liability Entities (LLE’s)

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7. Sum of the partners’/members’ capital accounts, but not less than zero . . . . . . . . . . . . . . . . . . . . . . . . . .

7

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8. All compensation, distributions, or similar amounts paid to a partner/member in excess of $500,000. . . . .

8

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9. Gross amount of related party debt exceeding the amount of line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9

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10. Total net worth (add lines 7, 8 and 9). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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III. Disregarded Entities

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11. Single Member Name:

FEIN/SSN:

12. If a disregarded entity has as its single member a taxpayer that is subject to the privilege tax, then the disregarded entity pays the minimum tax. (Go to Part B, line 20.)

13. Assets minus liabilities for all disregarded entities that have as a single member an entity that is

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not subject to the privilege tax (attach documentation) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13

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14. Gross amount of related party debt exceeding the amount on line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14

15. For disregarded entities, all compensation, distributions, or similar amounts paid to a member in

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excess of $500,000. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

15

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16. Total net worth (add lines 13, 14, and 15 and go to Part B, line 1.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

16

Part B – Privilege Tax Exclusions and Deductions

Exclusions (Attach supporting documentation) (See instructions)

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1. Net worth from Part A – line 6, 10, or 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1

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2. Book value of the investments by the taxpayer in the equity of other taxpayers. . . . . . . . . . . . . . . . . . . . .

2

3. Financial institutions only – Book value of the investments in other corporations or LLE’s if the taxpayer

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owns more than 50% of the corporation or LLE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3

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4. Unamortized portion of goodwill and core deposit intangibles resulting from a direct purchase . . . . . . . . .

4

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5. Unamortized balance of properly elected post-retirement benefits pursuant to FASB 106 . . . . . . . . . . . . .

5

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6. Financial institutions only – The amount adjusted net worth that exceeds 6% of assets. . . . . . . . . . . . . . .

6

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7. Total exclusions (sum of lines 2 - 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7

%

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8. Net worth subject to apportionment (line 1 less line 7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8

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9. Alabama Property Factor as of date of organization, incorporation or qualification . . . . . . . . . . . . .

9

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10. Total Alabama net worth (multiply line 8 by line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10

Deductions (Attach supporting documentation) (See instructions)

11. Net investment in bonds and securities issued by the State of Alabama or political subdivision

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thereof, when issued prior to January 1, 2000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11

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12. Net investment in all air, ground or water pollution control devices in Alabama . . . . . . . . . . . . . . . . . . . . .

12

13. Reserves for reclamation, storage, disposal, decontamination, or retirement associated with a

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plant, facility, mine or site in Alabama. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13

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14. Book value of amount invested in qualifying low income housing projects (see instructions) . . . . . . . . . . .

14

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15. Total deductions (add lines 11 - 14). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

15

.00025

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16. Taxable Alabama net worth (line 10 less line 15) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

16

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17. Tax rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

17

%

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18. Gross privilege tax calculated (multiply line 16 by line 17) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

18

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19. Ratio of the days remaining in the Tax year divided by 365. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

19

20. Privilege Tax Due (multiply line 18 by line 19) (minimum $100, for maximum see instructions).

Go to Page 1 of BPT-IN

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Enter also on Form BPT-IN, page 1, line 14, Privilege Tax Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

20