Schedule Nra - Alabama Pass-Through Entity Nonresident Agreement - 2008
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1XX0005NR
Schedule
RESET FORM
NRA
A
D
R
LABAMA
EPARTMENT OF
EVENUE
Rev. 6/08
Alabama Pass-Through Entity Nonresident Agreement
For the year January 1 – December 31, 20_____, or other tax year beginning ______________________ 20______, ending ______________________ 20_____.
OWNER / SHAREHOLDER SOCIAL SECURITY NUMBER / FEIN
SUBCHAPTER K ENTITY / S CORPORATION FEIN
OWNER / SHAREHOLDER TAX YEAR
SUBCHAPTER K ENTITY / S CORPORATION TAX YEAR
NAME
NAME
LEGAL RESIDENT ADDRESS
ADDRESS
CITY
CITY
STATE OF LEGAL RESIDENCE
ZIP
STATE
ZIP
OWNER / SHAREHOLDER’S ENTITY TYPE
AGREEMENT
As a consideration of allowing the above named entity to elect to be an Subchapter K entity/S Corporation under the provisions of
Alabama law, I hereby agree as follows:
(1) That I will timely file a nonresident income tax return with the Alabama Department of Revenue and include therein my pro rata
share of the income, loss and deductions of the above named entity for any taxable year in which I am a owner/shareholder and
will pay any tax liability due thereon.
(2) That I hereby irrevocably appoint the registered agent of the above entity and any agent or officer of the entity present in Alabama
as my agent for service of process of any documents from the Alabama Department of Revenue in connection with my income tax
returns or those of the entity, and that I hereby consent to personal jurisdiction by the State of Alabama in connection with my
income tax returns or those of the entity. In addition, I hereby appoint the following person or firm in Alabama as agent for service of
process: (OPTIONAL)
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
(3) That this agreement will be binding upon my heirs, representatives, assigns, successors, executors and administrators.
(4) That I understand this agreement may not be revoked or cancelled after the due date (with extensions) of the entity’s Alabama
return.
__________________________________________________
__________________________________________________
SIGNATURE OF OWNER / SHAREHOLDER
TITLE OR STATUS
(If shares are jointly owned, each owner must execute a separate agreement. If held as trustee or custodian, indicate title or status. If
executed under power of attorney, so state.)
State of _____________________________________________
County of ___________________________________________
Before me, the undersigned authority, personally appeared___________________________________________________________,
who by me being first duly sworn, did depose and say that he/she is a nonresident of the State of Alabama, was a owner/shareholder of
the named entity during the taxable year indicated, has authority to execute this agreement, and has freely done so. Sworn to and
subscribed before me this ______________ day of __________________________________, 20_______.
___________________________________________________
SIGNATURE OF NOTARY PUBLIC
THIS FORM MUST BE ATTACHED TO FORM 65 OR FORM 20S THE INITIAL YEAR OF THE AGREEMENT.
ADOR
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