Form Pse - Extension Request For The Alabama Business Privilege Tax Return And Annual Report - 2006
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1RESET FORM
A
D
R
LABAMA
EPARTMENT OF
EVENUE
Extension Request For The Alabama
2006
PSE
Business Privilege Tax Return and Annual Report
Type of business entity (must check one) :
For Determination Period:
Beginning
C Corporation
S Corporation
Other
______/______/________
Regular C Corporation
Regular S Corporation
Real Estate Investment Trust
(mm/dd/yyyy)
Insurance Company
Insurance Company
Limited Liability Entity
Ending
Financial Institution Group Member
Financial Institution Group Member
Business Trust
______/______/________
(mm/dd/yyyy)
LLE Taxed as Corporation
LLE Taxed as Corporation
Disregarded Entity
CY (Calendar Year)
LEGAL ENTITY NAME (PLEASE TYPE OR PRINT)
FY (Fiscal Year)
SY (Short Year)
MAILING ADDRESS
FEIN
RECEIVING STAMP
CITY, STATE, AND ZIP CODE
(This Space For Use By Alabama Department of Revenue)
FEDERAL BUSINESS CODE NUMBER (NAICS)
INDICATE IF THE ADDRESS REPRE-
SENTS A CHANGE OF ADDRESS
FOR DEPARTMENT USE ONLY
1
1 Secretary of State annual report fee $10 (corporations only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
2 Privilege tax due (minimum $100). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
3 Payment due (sum of lines 1 and 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 If payment made through Electronic Funds Transfer (EFT) check this box. . . . . . . . . . . . . . . . . . .
I authorize a representative of the Department of Revenue to discuss my return and attachments with my preparer.
UNDER PENALTIES OF PERJURY, I declare that I have examined this return and accompanying schedules and statements and, to the best of my knowledge and
belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Please
Sign Here
Your
Signature
Title
Date
Date
Phone number
Preparer’s social security no.
Paid
Preparer’s
signature
Preparer’s
Firm’s name (or yours,
Telephone (
)
E.I. No.
Use Only
if self-employed)
ZIP Code
and address
MAIL TO: Alabama Department of Revenue, Business Privilege Tax Section, PO Box 327431, Montgomery, AL 36132-7431
Extension Requirements
file an extension request or tax return no later than two and one-half
months if a corporation or three and one-half months if an LLE, after
The Department will grant an extension of time, not to exceed six
the beginning of each fiscal or short tax year.
months, for filing the Business Privilege Tax return provided:
Please refer to the Alabama Department of Revenue website
A
1. The Extension Request (Form PSE) is received by the
T
( ) which provides detailed preparation
T
Department or postmarked by the U.S. Post Office on or before the
instructions for all Alabama business privilege tax forms.
A
due date, and
C
Electronic Funds Transfer
H
2. Full payment of the tax liability (but in no case less than
Tax Payment and Filing
$100.00) is made with the request. Corporations must also pay the
C
H
$10.00 Secretary of State Fee, and
Section 41-1-20, Code of Alabama 1975 , requires the use of
E
3. All sections of the Extension Request are completed, and
Electronic Funds Transfer (EFT) for all tax payments of $25,000 or
C
K
4. The Extension Request is signed.
more. Taxpayers must register to use EFT. Call the Revenue Depart-
An extension of time for filing an initial return is not allowed.
ment EFT Hotline at 1-800-322-4106 or (334) 242-0192 for further
H
E
Due Dates
information.
R
If payment is made by EFT, mail completed return to:
E
BUSINESS PRIVILEGE TAX – Taxpayers who report on a cal-
Alabama Department of Revenue
endar basis must file an extension request or tax return on or before
EFT Unit
March 15, 2006, for corporations or April 15, 2006, for LLE’s.
P.O. Box 327950
Taxpayers who have a tax year other than a calendar year must
Montgomery, AL 36132-7950
NOTE: Form PSA has been discontinued. The form has been replaced with Form PPT for pass-through entities and Form CPT for
C-corporations and other specified taxpayers. For additional information, please refer to the Alabama Department of Revenue web-
site ( ) or call the Business Privilege Tax Unit at (334) 353-7923.
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