Form Pse - Extension Request For The Alabama Business Privilege Tax Return And Annual Report - 2005
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1RESET FORM
A
D
R
LABAMA
EPARTMENT OF
EVENUE
Extension Request For The Alabama
2005
PSE
Business Privilege Tax Return and Annual Report
Type of business entity (must check one) :
For Determination Period:
Beginning
C Corporation
S Corporation
Other
______/______/________
Regular C Corporation
Regular S Corporation
Real Estate Investment Trust
(mm/dd/yyyy)
Insurance Company
Insurance Company
Limited Liability Entity
Ending
Financial Institution Group Member
Financial Institution Group Member
Business Trust
______/______/________
(mm/dd/yyyy)
LLE Taxed as Corporation
LLE Taxed as Corporation
Disregarded Entity
CY (Calendar Year)
LEGAL ENTITY NAME (PLEASE TYPE OR PRINT)
FY (Fiscal Year)
SY (Short Year)
MAILING ADDRESS
FEIN
RECEIVING STAMP
CITY, STATE, AND ZIP CODE
(This Space For Use By Alabama Department of Revenue)
FEDERAL BUSINESS CODE NUMBER (NAICS)
DOES THIS REPRESENT A CHANGE
Yes
OF ADDRESS?
FOR DEPARTMENT USE ONLY
1
1 Secretary of State annual report fee $10 (corporations only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
2 Privilege tax due (minimum $100). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
3 Payment due (sum of lines 1 and 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 If payment made through Electronic Funds Transfer (EFT) check this box. . . . . . . . . . . . . . . . . . .
I authorize a representative of the Department of Revenue to discuss my return and attachments with my preparer.
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.
Please
Sign Here
Your
Signature
Title
Date
Date
Phone number
Preparer’s social security no.
Paid
Preparer’s
signature
Preparer’s
Firm’s name (or yours,
Telephone (
)
E.I. No.
Use Only
if self-employed)
ZIP Code
and address
MAIL TO: Alabama Department of Revenue, Business Privilege Tax Section, PO Box 327431, Montgomery, AL 36132-7431
Extension Requirements
file an extension request or tax return no later than two and one-half
months if a corporation or three and one-half months if an LLE, after
The Department will grant an extension of time, not to exceed six
the beginning of each fiscal or short tax year.
months, for filing the Business Privilege Tax return provided:
A
If you have any questions, please contact the Business Privilege
T
1. The Extension Request (Form PSE) is received by the
Tax Section at (334) 353-7923. ( ).
T
Department or postmarked by the U.S. Post Office on or before the
A
Electronic Funds Transfer
C
due date, and
H
Tax Payment and Filing
2. A payment of 90% (but in no case less than $100.00) of the
C
tax liability is made with the request. Corporations must also pay the
Section 41-1-20, Code of Alabama 1975 , requires the use of
H
$10.00 Secretary of State’s fee, and
Electronic Funds Transfer (EFT) for all tax payments of $25,000 or
E
C
3. All sections of the Extension Request are completed, and
more. Taxpayers must register to use EFT. Call the Revenue Depart-
K
4. The Extension Request is signed.
ment EFT Hotline at 1-800-322-4106 or (334) 242-0192 for further
H
An extension of time for filing an initial return is not allowed.
information.
E
Due Dates
If payment is made by EFT, mail completed return to:
R
E
Alabama Department of Revenue
BUSINESS PRIVILEGE TAX – Taxpayers who report on a cal-
EFT Unit
endar year basis will file their extension request or tax return on or
P.O. Box 327950
before March 15, 2005 for corporations or April 15, 2005 for LLE’s.
Montgomery, AL 36132-7950
Taxpayers who have a tax year other than a calendar year must
NOTE: Effective for tax year 2005, the Form PSA has been discontinued. It has been replaced with Form CPT for C-corporations
and Form PPT for pass through Entities.
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