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Form 725 Draft - Kentucky Single Member Llc Individually Owned Income And Llet Return - 2017 Page 2

*1700010271*

FORM 725 (2017)

Page 2 of 4

PART III—LLET CREDIT FOR MEMBER

1. LLET liability (Part II, the total of lines 4 and 6) .................................................................................

2. Minimum tax ........................................................................................................................................

175

3. Member’s LLET credit (line 1 less line 2) ...........................................................................................

PART IV—EXPLANATION OF FINAL RETURN AND/OR SHORT–PERIOD RETURN

¨ Ceased operations in Kentucky

¨ Change in filing status

¨ Change of ownership

¨ Merger

¨ Successor to previous business

¨ Other _________________________________________________

PART V—EXPLANATION OF AMENDED RETURN CHANGES

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and

belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Signature of Officer

Date

Sign

Here

Name of Officer

Title

Signature of Preparer

Date

Paid

Name of Preparer or Firm

ID Number

Preparer