Form 20sc - Nonresident Composite Payment Return And Extension - 2003

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A
D
R
CY
LABAMA
EPARTMENT OF
EVENUE
FORM
2003
20SC
FY
Nonresident Composite Payment Return and Extension
SY
For the year January 1 – December 31, 2003, or other tax year beginning _______________________, 2003, ending _______________________, _________
Form 20SC is used to report Alabama taxable income for all or some of the nonresident shareholders from reported S corporation income and to make pay-
ment on behalf of the shareholders. (CAUTION: Do not include losses on this form – see instructions.)
DEPARTMENT USE ONLY
FEDERAL EMPLOYER IDENTIFICATION NUMBER
Important
Add’tl Tax
Penalty/Int.
Check
Audited By
K-1’s
NAME
applicable box:
Reviewed By
Extension
CN
ADDRESS
Amended return
If you filed a return for 2002
CITY, STATE, COUNTRY (IF NOT U.S.)
9-DIGIT ZIP CODE
Refund due
and above name or address is
different, check here
(A) Nonresident Shareholder’s Name,
(B) Social Security
(C) Shareholder’s
(D) Shareholder’s Share of
Street Address, City, State, and ZIP
Number
Share of Income
Tax Due (Col. C x 5%)
1
2
3
4
5
IF MORE THAN FIVE SHAREHOLDERS, CONTINUE ON PAGE 2
6 Total tax due on this page and from page 2 (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7a
7a Payment made with extension (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7b
b Composite payment made on behalf of this entity (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . .
Paid by____________________________________ FEIN ____________________________
7c
c Tax credits (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If claiming capital credit, enter Project ID here
d Total payment and credits (add lines 7a, 7b, and 7c). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8 Penalties and interest due (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9a Total amount due and remitted with this return. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b If payment made through Electronic Funds Transfer (EFT) check this box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10 Overpayment and amount to be refunded . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11 Amount of line 10 to be applied to your 2004 composite payment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12 Amount to be refunded (subtract line 11 from line 10 and enter result here). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13 Refund warrant amount/date/number
. . . . . . . . . .
(Department Use Only)
Please
I authorize a representative of the Department of Revenue to discuss my return and attachments with my preparer.
Sign
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.
Here
Your Signature
Title or Position
Date
Date
Preparer’s social security no.
Paid
Preparer’s
signature
Preparer’s
Firm’s name (or yours,
E.I. No.
Use Only
if self-employed)
ZIP Code
and address
Make Remittance Payable To:
Mail To:
ALABAMA DEPARTMENT OF REVENUE
ALABAMA DEPARTMENT OF REVENUE
PTE UNIT
Write — Form 20SC, tax year, and FEIN on remittance for verification purposes
P.O. BOX 327444
MONTGOMERY, AL 36132-7444
CAUTION: Do not attach to or mail with Form 20C or 20S

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