Form Al8453-C - Corporation/partnership Income Tax Declaration For Electronic Filing - 2008

FORM

A

D

R

LABAMA

EPARTMENT OF

EVENUE

AL8453-C

2008

I

& C

T

D

NDIVIDUAL

ORPORATE

AX

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 the tax period ______________________________, 20_______, through ______________________________, 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; Form 20C-C, line 1); or Non Separately

1

Stated Income Allocated and Apportioned to Alabama (Forms 20S/65, line 20) . . . . . . . . . . . . . . . . .

2

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

3 Total payments and credits (Form 20C, line 16h; Form 20C-C, line 3h;

3

Form 20S, line 22e) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4 Refund (negative number reported on Form 20C, line 18; Form 20C-C, line 5;

4

Form 20S, line 25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 Amount you owe (positive number reported on Form 20C, line 18; Form 20C-C, line 5;

5

Form 20S, line 26) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6

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

PART II

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

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 company’s 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

PART III

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

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 company’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 company’s return and accom-

panying 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

ERO’s

paid preparer

self-employed

signature

Use

EIN

Firm’s name (or yours

Only

if self-employed),

address and ZIP code

Phone No. (

)

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.

Date

Preparer’s SSN or PTIN

Check if

Preparer’s

Paid

self-employed

signature

Preparer’s

Firm’s name (or yours

EIN

Use Only

if self-employed),

address and ZIP code

Phone No. (

)