Form Bpt-In - Alabama Business Privilege Tax Initial Privilege Tax Return - 2012 Page 2

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FORM
Alabama Department of Revenue
120002BN
BPT-IN
2012
Alabama Business Privilege Tax
Initial Privilege Tax Return
PAGE 2
ADOR
1a. FEIN
1b. LEGAL NAME OF BUSINESS ENTITY
1c. DATE OF QUALIFICATION, ORGANIZATION OR
INCORPORATION (MM/DD/YYYY)
Part A – Net Worth Computation. Complete I, II or III only.
I. Corporations & Entities Taxed as Corporations
1. Issued capital stock and any additional paid in capital, but without reduction for treasury stock . . . . . . . .
1
2. Retained earnings, but not less than zero, including dividends payable. For LLC’s taxed as
corporations and non-stock issuing entities such as business trusts, enter assets minus liabilities . . . . . .
2
3. Gross amount of related party debt exceeding the sum of lines 1 and 2. . . . . . . . . . . . . . . . . . . . . . . . . .
3
4. For C corporations, all payments for compensation or similar amounts in excess of $500,000 . . . . . . . . .
4
5. For S corporations, all payments for compensation, distributions or similar amounts in excess of $500,000
5
6. Total net worth (add lines 1 - 5). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
II. Limited Liability Entities (LLE’s)
7. Sum of the partners’/members’ capital accounts, but not less than zero. . . . . . . . . . . . . . . . . . . . . . . . . .
7
8. All compensation, distributions, or similar amounts paid to a partner/member in excess of $500,000 . . . .
8
9. Gross amount of related party debt exceeding the amount of line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
10. Total net worth (add lines 7, 8 and 9).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
III. Disregarded Entities
11. Single Member Name:
FEIN/SSN:
12. If a disregarded entity has as its single member a taxpayer that is subject to the privilege tax, then the disregarded entity pays the minimum tax. (Go to Part B, line 21.)
13. Assets minus liabilities for all disregarded entities that have as a single member an entity that is
not subject to the privilege tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
14. Gross amount of related party debt exceeding the amount on line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
15. For disregarded entities, all compensation, distributions, or similar amounts paid to a member in
excess of $500,000. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
16. Total net worth (add lines 13, 14, and 15 and go to Part B, line 1.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
Part B – Privilege Tax Exclusions and Deductions
Exclusions (Attach supporting documentation) (See instructions)
1. Net worth from Part A – line 6, 10, or 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2. Book value of the investments by the taxpayer in the equity of other taxpayers . . . . . . . . . . . . . . . . . . . .
2
3. Financial institutions only – Book value of the investments in other corporations or LLE’s if the taxpayer
owns more than 50% of the corporation or LLE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
4. Unamortized portion of goodwill and core deposit intangibles resulting from a direct purchase . . . . . . . . .
4
5. Unamortized balance of properly elected post-retirement benefits pursuant to FASB 106. . . . . . . . . . . . .
5
6. Financial institutions only – The amount adjusted net worth that exceeds 6% of assets . . . . . . . . . . . . . .
6
7. Total exclusions (sum of lines 2 - 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
8. Net worth subject to apportionment (line 1 less line 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
.
%
9. Alabama Property Factor as of date of organization, incorporation or qualification . . . . . . . . . . . . .
9
10. Total Alabama net worth (multiply line 8 by line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
Deductions (Attach supporting documentation) (See instructions)
11. Net investment in bonds and securities issued by the State of Alabama or political subdivision
thereof, when issued prior to January 1, 2000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
12. Net investment in all air, ground or water pollution control devices in Alabama . . . . . . . . . . . . . . . . . . . . .
12
13. Reserves for reclamation, storage, disposal, decontamination, or retirement associated with a
plant, facility, mine or site in Alabama . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
14. Book value of amount invested in qualifying low income housing projects (see instructions). . . . . . . . . . .
14
15. For S corporations and LLEs, 30 percent of federal taxable income apportioned to Alabama,
but not less than zero . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
16. Total deductions (add lines 11 - 15) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
17. Taxable Alabama net worth (line 10 less line 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
.00025
18. Tax rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
19. Gross privilege tax calculated (multiply line 17 by line 18) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
.
%
20. Ratio of the days remaining in the calendar year divided by 365 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20
21. Privilege Tax Due (multiply line 19 by line 20) (minimum $100, for maximum see instructions).
Go to Page 1 of BPT-IN
Enter also on Form BPT-IN, page 1, line 14, Privilege Tax Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21

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