Llc Franchise Tax Report Form - Arkansas Secretary Of State - 2006

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Charlie Daniels, Arkansas Secretary of State
Franchise Tax Report, 2006 Reporting Year
Annual Report as of December 31, 2005
LLC FRANCHISE TAX REPORT
Reports and Taxes due on or before May 1, 2006. Penalty and Interest will be due for reports if United States Postal Services postmark is
after the deadline. Complete report and sign in ink or file over the internet at
XML BATCH Filing Available
For Official Use Only
If tax contact information has changed, please correct below:
1.
Phone # of tax contact: ___________________________
E-mail address: _________________________________
Date of Qualification ___________________
Required Information
2.
Federal Tax ID# _______________________________________
LIMITED LIABILITY COMPANY MANAGEMENT IS MEMBER(S)
OR MANAGERS(S)
Please provide current names:
Manager / Member ___________________________
Manager / Member _____________________________________
Manager / Member ___________________________
Manager / Member _____________________________________
Manager / Member ___________________________
Tax Preparer ____________________________________________
$ 150.00
ALL LIMITED LIABILITY COMPANIES PAY $150.00
TOTAL DUE
I declare, under the penalties of perjury, that the foregoing statements are true to the best of my knowledge and belief.
Signed this ______ day of _______ , ______ . Signature _____________________________________
(Day)
(Month)
(Year)
This form must be signed in ink by: Member / Manager or Tax Preparer (Listed in 2 Above).
Due on or before May 1, 2006 – Penalty and Interest due after May 1, 2006
Remittance must accompany this report • Make Checks Payable to Arkansas Secretary of State
Phone 501-682-3409 or 1-888-233-0325
Mail to: Business and Commercial Services Division • P.O. Box 8014 • Little Rock, Arkansas 72203-8014
You may file this electronically over the Internet @

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