*1700010343*
FORM 725 (2017)
Page 3 of 4
S
Q—S
M
L
L
C
Q
CHEDULE
INGLE
EMBER
IMITED
IABILITY
OMPANY
UESTIONNAIRE
6(b) Was the limited liability company doing business in Kentucky
IMPORTANT: Questions 3—10 must be completed by all single
other than through its interest held in a pass-through entity
member limited liability companies (LLC). If this is the single
doing business in Kentucky? Yes No
member LLC’s initial return or if the single member LLC did not
file a return under the same name and same federal I.D. number
for the preceding year, questions 1 and 2 must be answered.
Failure to do so may result in a request for a delinquent return.
7. Is the entity filing this Kentucky tax return organized as a
statutory trust or a series statutory trust per KRS Chapter
386A? Yes No
1. Single member’s (owner) name, address, and Social Security
number or federal I.D. number _________________________
______________________________________________________
If yes, is the entity filing this Kentucky tax return a series
______________________________________________________
within a statutory trust? Yes No
2. If a foreign limited liability company, enter the date qualified
to do business in Kentucky.
__ __ / __ __ / __ __
If yes, enter the name, address and federal I.D. number of
the statutory trust registered with the Kentucky Secretary
3. List the following Kentucky account numbers. Enter N/A
of State: ______________________________________________
for any number not applicable.
KY Secretary of State Organization ______________________
Nonresident Income Tax Withholding ____________________
8. Was this return prepared on: (a) cash basis, (b) accrual
Employer Withholding ________________________________
basis, (c) other
_____________________________________
Sales and Use Tax Permit ______________________________
Consumer Use Tax ____________________________________
Unemployment Insurance _____________________________
9. Did the limited liability company file a Kentucky tangible
Coal Severance and/or Processing Tax ___________________
personal property tax return for January 1, 2018?
4. The limited liability company’s books are in care of: (name
Yes No
and address)
______________________________________________________
______________________________________________________
If yes, list the name and federal I.D. number of entity(ies)
______________________________________________________
filing return(s): ________________________________________
______________________________________________________
______________________________________________________
5. Are disregarded entities included in this return?
______________________________________________________
Yes No
______________________________________________________
If yes, list name, address and federal I.D. number of the
______________________________________________________
entity(ies).
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
10. Is the single member limited liability company currently
______________________________________________________
under audit by the Internal Revenue Service? Yes No
6(a) Was the limited liability company a partner in a pass-through
If yes, enter years under audit
entity doing business in Kentucky for the tax year being
______________________________________________________
reported? Yes No
If the Internal Revenue Service has made final and
If yes, list name and federal I.D. of the pass-through
unappealable adjustments to the LLC’s taxable income
entity(ies).
which have not been repor ted to this depar tment,
______________________________________________________
c h e c k h e r e a n d f i l e a n a m e n d e d F o r m 7 2 5
______________________________________________________
for each year adjusted. Attach a copy of the final
______________________________________________________
determination to each amended return.
______________________________________________________
41A725 (22JUN17-DRAFT)