Form Ft: 1-1 - Foreign Corporation Franchise Tax Return, Permit Application, And Annual Report - 1999 Page 4

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FT: 1-1
PAGE 4
Schedule E – LOCATION AND VALUE OF PROPERTY
Enter by county the assessed value of all real and personal property held by the corporation in the State of Alabama. This information is
required by Section 40-14-44, Code of Alabama 1975.
COUNTY
ASSESSED VALUE
COUNTY
ASSESSED VALUE
COUNTY
ASSESSED VALUE
1 Autauga
24 Dallas
47 Marion
2 Baldwin
25 Dekalb
48 Marshall
3 Barbour
26 Elmore
49 Mobile
4 Bibb
27 Escambia
50 Monroe
5 Blount
28 Etowah
51 Montgomery
6 Bullock
29 Fayette
52 Morgan
7 Butler
30 Franklin
53 Perry
8 Calhoun
31 Geneva
54 Pickens
9 Chambers
32 Greene
55 Pike
10 Cherokee
33 Hale
56 Randolph
11 Chilton
34 Henry
57 Russell
12 Choctaw
35 Houston
58 Shelby
13 Clarke
36 Jackson
59 St. Clair
14 Clay
37 Jefferson
60 Sumter
15 Cleburne
38 Lamar
61 Talladega
16 Coffee
39 Lauderdale
62 Tallapoosa
17 Colbert
40 Lawrence
63 Tuscaloosa
18 Conecuh
41 Lee
64 Walker
19 Coosa
42 Limestone
65 Washington
20 Covington
43 Lowndes
66 Wilcox
21 Crenshaw
44 Macon
67 Winston
22 Cullman
45 Madison
23 Dale
46 Marengo
TOTAL
CAUTION: In order to comply with Alabama law, all sections and schedules of form FT: 1-1 and, if filed, form FT: 1-1A must be
completed. All required supporting documentation and listings must be provided and the form(s) must be signed by the president or
any executive officer or the secretary of the corporation. Compliance with all applicable Alabama laws is required for the issuance of a
permit to transact business within the State of Alabama in accordance with Section 40-14-21 Code of Alabama 1975.
EXECUTION AND VERIFICATION (Required by Sections 10-2B-1.20 and 40-14-44, Code of Alabama 1975)
I _________________________________________________ the ____________________________________________, do hereby swear (or affirm),
NAME OF OFFICER
TITLE OF OFFICER
depose, and say that the foregoing statement made to the Department of Revenue for the annual report and the collection of the franchise tax and permit fee
of said corporation, is true, full, and correct and also, if a professional corporation, that all the shareholders, at least one director and the president of said
corporation are qualified persons or otherwise legally authorized to practice the profession in the State of Alabama.
(
)
Date _____________________________________ ___________________________________________________ ___________________________
SIGNATURE OF OFFICER
TELEPHONE NUMBER
COMPUTATION OF PERMIT FEE
FEE – The fee to be paid, based on Total Alabama Capital, (use amount
on line 13, Schedule D) is as follows:
Less than $1,000.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5.00
$1,000.00 and up to and including $10,000.00 . . . . . . . . . . . . . . . . . . . . . . $ 10.00
Over $10,000.00 and up to and including $25,000.00 . . . . . . . . . . . . . . . $ 20.00
Over $25,000.00 and up to and including $50,000.00 . . . . . . . . . . . . . . . $ 50.00
Over $50,000.00. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $100.00

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