Form Psa - Alabama Business Privilege Tax Return, Corporate Shares Tax Return, And Annual Report (2000)

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A
D
R
LABAMA
EPARTMENT OF
EVENUE
FORM
Alabama Business Privilege Tax Return,
2000
PSA
Corporate Shares Tax Return, and Annual Report
1/2000
This Form Must Be Completed And Returned On Or Before March 15, 2000.
RECEIVING STAMP
LEGAL ENTITY NAME (PLEASE TYPE OR PRINT)
MAILING ADDRESS
CITY, STATE, AND ZIP CODE
DOES THIS REPRESENT A CHANGE
Yes
No
OF ADDRESS?
FEIN
FEDERAL BUSINESS CODE NUMBER (NAICS)
(This Space For Use By Alabama Department of Revenue)
CHECK BOX IF APPLICABLE
Initial Return (See Schedules E and F)
Final Return
Amended Return
Type of business entity (check one) :
C Corporation
S Corporation
Other
Regular C Corporation
Regular S Corporation
Real Estate Investment Trust
Insurance Company
Insurance Company
Limited Liability Entity
Utility/Railroad Company
Utility/Railroad Company
Business Trust
Financial Institution
Financial Institution
Disregarded Entity
1 State or country of incorporation or organization . . . . . . . . . . . . . . .
1
2a Date of qualification or registration in Alabama for foreign entities. .
2a
2b Date of incorporation or organization for all entities . . . . . . . . . . . . .
2b
3 Name of registered agent in Alabama. . . . . . . . . . . . . . . . . . . . . . . .
3
FEIN or social security number . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Street address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
City, state and zip code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Name of president or primary member/partner . . . . . . . . . . . . . . . . .
4
Social security number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Street address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
City, state and zip code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 Name of secretary or secondary member/partner . . . . . . . . . . . . . .
5
Social security number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Street address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
City, state and zip code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Kind of business done in Alabama . . . . . . . . . . . . . . . . . . . . . . . . . .
6
7 Principal place of business in Alabama. . . . . . . . . . . . . . . . . . . . . . .
7
8 Kind of business done generally . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
9 Principal office and place of business if outside State of Alabama
9
City, State and Zip code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FOR DEPARTMENT USE ONLY
10 Secretary of State annual report fee $10 (corporations only) . . . . . .
10
11 Less: annual report fee paid with extension . . . . . . . . . . . . . . . . . . .
11
12 Net annual report fee due (line 10 minus line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
13 Privilege tax due (Schedule B, line 24 or Schedule E, line 11) . . . .
13
14 Less: Privilege tax paid with extension . . . . . . . . . . . . . . . . . . . . . . .
14
15 Net privilege tax due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
16 Privilege tax penalty due (see instructions) . . . . . . . . . . . . . . . . . . . .
16
17 Privilege tax interest due (see instructions) . . . . . . . . . . . . . . . . . . .
17
18 Total privilege tax due (add lines 15, 16 and 17) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
19 Shares tax due (Schedule F, line 24) . . . . . . . . . . . . . . . . . . . . . . . .
19
20 Less: shares tax paid with extension . . . . . . . . . . . . . . . . . . . . . . . .
20
21 Net shares tax due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21
22 Shares tax penalty due (see instructions) . . . . . . . . . . . . . . . . . . . . .
22
23 Shares tax interest due (see instructions) . . . . . . . . . . . . . . . . . . . . .
23
24 Total shares tax due (add lines 21, 22 and 23) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
24
25 Net tax due (add lines 12, 18 and 24) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
25
26 Payment due with return if line 25 is positive (Electronic funds transfer is not available this year.) . . . .
26
27 Amount to be refunded if line 25 is negative . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
27
Make check payable to : Alabama Department of Revenue
Mail to: Alabama Department of Revenue, Business Privilege and Corporate Shares Tax Section, P.O. Box 327431, Montgomery, AL 36132-7431
Telephone number: (334) 353-7923

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