Form 725 - Individually Owned Corporation Income Tax Return

Form 725 (2006)

Page 2

*0600010271*

Q—

CHEDULE

IMITED

IABILITY

OMPANY

UESTIONNAIRE

IMPORTANT: Questions 1—11 must be completed by the

If yes, list name and federal I.D. of the general partnership(s).

limited liability company.

1. Single member's (owner) name, address and Social Security

number or federal I.D. number

Was the limited liability company doing business in Kentucky,

other than the interest held in a general partnership doing

business in Kentucky?

Yes

7. Are related party costs made to related members as defined

2. List the following Kentucky account numbers. Enter N/A for

in KRS 141.205(1)(l) included in this return?

Yes

No. If

any number not applicable.

yes, list name, federal I.D. and/or Kentucky corporation

Employer Withholding

account number of the individual or entity.

Sales and Use Tax Permit

Consumer Use Tax

Unemployment Insurance

Coal Severance and/or

Processing Tax

8. Was this return prepared on: (a)

cash basis, (b)

accrual

basis, (c)

other

3. If a foreign limited liability company, enter the date qualified

__ __

/ __ __ / __

to do business in Kentucky.

9. Is the limited liability company a public service corporation

subject to taxation under KRS 136.120?

Yes

4. The limited liability company’s books are in care of: (name

and address)

10. Did the limited liability company file a Kentucky tangible per-

sonal property tax return for January 1, 2007?

Yes

11. Is the corporation currently under audit by the Internal

Revenue Service?

Yes

No. If yes, enter years under

audit

5. Are disregarded entities included in this return?

Yes

No.

If the Internal Revenue Service has made final and

unappealable adjustments to the limited liability company’s

If yes, list name, address and federal I.D. number of the entity.

taxable income which have not been reported to this

department, check here

and file Form 740X, Amended

Kentucky Individual Income Tax Return for Tax Year 2005

or 2006, or Form 740-XP, Amended Kentucky Individual

Income Tax Return for Tax Year 2003 or 2004, whichever is

applicable, and file an amended Form 725, Kentucky Single

Member LLC Individually Owned Corporation Income Tax

6. Is the limited liability company a partner in a general part-

Return, for each year adjusted and attach a copy of the

nership doing business in Kentucky?

Yes

final determination.

I, the undersigned, declare under the penalties of perjury, that I have examined these returns, including all accompanying schedules and

statements, and to the best of my knowledge and belief, they are true, correct and complete.

✍

Signature of member (owner)

Identification number of member (owner)

Date

Typed or printed name of preparer other than taxpayer

Identification number of preparer

Date

May the Department of

Revenue discuss this return

with the preparer?

Yes

Form 725 - Individually Owned Corporation Income Tax Return - 2006 Page 2

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