Form Tc-65 - Utah Partnership/limited Liability Partnership/limited Liability Company Return - 2010

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65001
Utah Partnership/Limited Liability Partnership/
TC-65
Limited Liability Company Return
9998
2010
/
/
/
/
For the 2010 calendar year, or fiscal year______________ to ______________.
mm/dd/yyyy
mm/dd/yyyy
Clear form
__ _ AMENDED RETURN (CODE 1 - 4)
_ _ _ Mark “X” if you filed federal Form 8886
Partnership name
Mark “X” if this
is a new address:
Employer Identification Number:
Address
_ __ Physical
_ _ _ _ _ _ _ _ _ _ _ _ _ ___ ___
address
City
State
ZIP Code
_ __ Mailing
address
Foreign country (if not U.S.)
Telephone number
ENTITY TYPE (check one):
___ General partnership
___ Limited partnership
___ Other (describe below)
__ _ Limited liability partnership
___ Limited liability company
__ ______ __ __ __
/
/
1. Date registered in Utah (mm/dd/yyyy) ........................................................................
1 _________ ____ __ __
/
/
2. If dissolved, date of dissolution (mm/dd/yyyy) ............................................................
2 _________ ____ __ __
3. Total pass-through withholding tax – Enter the total amount from Schedule N, column I.
3 _______ _______ __ _ . 00
Note: This amount must be paid by the due-date of the return, without extensions.
4. Prepayments made for the year.............................................................................................
4 ____ ________ __ __ _ . 00
5. Amended returns only (see instructions) ....................................................................
5 __________ ___ __ __ . 00
6. Total payments – Add lines 4 and 5..................................................................................
6 ___ _________ __ __ _ . 00
7. Total due – Subtract line 6 from line 3 – not less than zero .......................................
7 ___________ ___ __ _ . 00
8. Penalties and interest (see instructions) .....................................................................
8 ___________ __ __ __ . 00
9. Pay this amount – Add lines 7 and 8. Make check to Utah State Tax Commission .......
9 __________ __ __ __ _ . 00
10. Overpayment – Subtract line 3 from line 6 – not less than zero................................
10 ______ ________ __ _ . 00
11. Amount of overpayment on line 10 to be applied to next year....................................
11 ___________ __ __ __ . 00
12. Refund – Subtract line 11 from line 10.......................................................................
12 _________ ____ __ __ . 00
USTC USE ONLY
Under penalties of perjury, I declare to the best of my knowledge and belief,
this return and accompanying schedules are true, correct and complete.
Signature of officer
Title
Date
Check here if the Tax Commission
SIGN
may discuss this return with the
HERE
preparer shown below
Preparer’s signature
Date
Preparer’s phone no.
Preparer’s PTIN
Paid
Preparer's
Name of preparer’s firm (or yourself, if self-employed)
Preparer’s EIN
Section
Preparer’s complete address (street, city, state, ZIP)
IMPORTANT: To protect your privacy, use the "Clear form" button when you are finished.
Clear form

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