Form Al8453-C - Corporation/partnership Income Tax Declaration For Electronic Filing 2006 - State Of Alabama

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FORM

2006

LABAMA

EPARTMENT OF

EVENUE

AL8453-C

& C

NDIVIDUAL

ORPORATE

IVISION

Corporation/Partnership

Income Tax Declaration for Electronic Filing

To be filed electronically with the company’s tax return. Do not send paper copies.

For calendar year 2006, or tax year beginning ______________________________, 2006, ending ______________________________, 20_______

NAME OF COMPANY

FEDERAL EMPLOYER IDENTIFICATION NUMBER

ADDRESS OF COMPANY

TELEPHONE NUMBER

PART I

Tax Return Information ( Whole Dollars Only)

1 Alabama taxable income (Form 20C, line 14); or Non Separately Stated Income

(Forms 20S/65, line 20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2 Total tax liability (Form 20C, line 15c; Form 20S, line 21) . . . . . . . . . . . . . . . . . . . . . . . . . .

3 Total payments and credits (Form 20C, line 16h; Form 20S, line 22e) . . . . . . . . . . . . . . . .

4 Refund (negative number reported on Form 20C, line 18; Form 20S, line 24b) . . . . . . . . .

5 Amount you owe (positive number reported on Form 20C, line 18; Form 20S, line 27) . . .

6 Amount of payment remitted electronically . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Declaration of Officer (Sign only after Part I is completed.)

PART II

Under penalties of perjury, I declare that I am an officer of the above company and that the information I have given my electronic return originator (ERO),

transmitter, and/or intermediate service provider (ISP) and the amounts in Part I above agree with the amounts on the corresponding lines of the compa-

ny’s 2006 Alabama income tax return. To the best of my knowledge and belief, the company’s return is true, correct, and complete. I consent to my ERO,

transmitter, and/or ISP sending the company’s return, this declaration, and accompanying schedules and statements to the Alabama Department of

Revenue. I also consent to the Alabama Department of Revenue sending my ERO, transmitter, and/or ISP an acknowledgment of receipt of transmission

and an indication of whether or not the company’s return is accepted, and, if rejected, the reason(s) for the rejection.

I authorize a representative of the Department of Revenue to discuss my return and attachments with my preparer.

Sign

Here

Signature of Officer

Date

Title

Declaration of Electronic Return Originator (ERO) and Paid Preparer (See Instructions)

PART III

I declare that I have reviewed the above company’s return and that the entries on Form AL8453-C are complete and correct to the best of my knowledge.

If I am only a collector, I am not responsible for reviewing the return and only declare that this form accurately reflects the data on the return. The com-

pany’s officer will have signed this form before I submit the return. I will give the officer a copy of all forms and information to be filed with the Alabama

Department of Revenue, and have followed all other requirements in Pub. 3112, IRS e-file Application and Participation, and Pub. 4163, Modernized e-

File Information for Authorized IRS e-file Providers and Pub. AL4164 Software Developers and Transmitters Guidelines and Schemas for Alabama

Corporation and Partnership Income Tax Returns. If I am also the Paid Preparer, under penalties of perjury I declare that I have examined the above com-

pany’s return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. This Paid

Preparer declaration is based on all information of which I have any knowledge.

Date

ERO’s SSN or PTIN

Check if also

Check if

ERO’s

paid preparer

self-employed

signature

Use

Firm’s name (or yours