Form Pse - Extension Request For The Alabama Business Privilege Tax Return, Corporate Shares Tax Return, And Annual Report - 2001

ADVERTISEMENT

RECEIVING STAMP
A
D
R
LABAMA
EPARTMENT OF
EVENUE
2001
Extension Request For The
Alabama Business Privilege Tax Return,
PSE
Corporate Shares Tax Return, and Annual Report
THIS FORM MUST BE SIGNED AND ALL SECTIONS MUST BE COMPLETED
LEGAL ENTITY NAME (PLEASE TYPE OR PRINT)
For Tax Year:
Beginning
______/______/________
MAILING ADDRESS
(mm/dd/yyyy)
Ending
CITY, STATE, AND ZIP CODE
(This Space For Use By Alabama Department of Revenue)
______/______/________
(mm/dd/yyyy)
FEIN
DOES THIS REPRESENT A CHANGE
CY (Calendar Year)
Yes
OF ADDRESS?
FY (Fiscal Year)
Type of business entity (check one):
SY (Short Year)
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 Group Member
Financial Institution Group Member
Disregarded Entity
LLE Taxed as Corporation
LLE Taxed as Corporation
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
A
3 Name of registered agent in Alabama. . . . . . . . . . . . . . (update
)
3
T
FEIN or social security number . . . . . . . . . . . . . . . . . . . . . . . . . . . .
T
A
Street address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
C
City, state and zip code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
H
4 Name of president or primary member/partner . . . . . . . (update
)
4
C
Social security number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
H
E
Street address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
C
City, state and zip code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
K
5 Name of secretary or secondary member/partner . . . . (update
)
5
H
Social security number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
E
R
Street address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
E
City, state and zip code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Kind of business done in Alabama . . . . . . . . . . . . . . . . . . . . . . . . . .
6
7 Principal place of business in Alabama. . . . . . . . . . . . . . . . . . . . . . .
7
City, state and zip code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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
10 Secretary of State annual report fee $10 (corporations only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
11 Privilege tax due* (minimum $100) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
12 Shares tax due* (minimum $0). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13 Payment due (sum of lines 10, 11 and 12)
13
(Electronic Funds Transfer is not available for these taxes) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
*To avoid late payment penalties, 90% of the actual liability must be paid with this extension request.
I __________________________________________________________ the __________________________________________________________ , do hereby swear (or
NAME OF OFFICER, PRIMARY MEMBER, PARTNER, OR PAID PREPARER**
TITLE OF OFFICER, PRIMARY MEMBER, PARTNER, OR PAID PREPARER**
affirm), depose, and say, under penalties of perjury, that the information presented in this Annual Report and Extension Request is truthful and correct.
_________________________________ ____________________________________________________________________ (____________)_____________________
DATE
SIGNATURE OF OFFICER, PRIMARY MEMBER, PARTNER, OR PAID PREPARER**
TELEPHONE NUMBER
Make check payable to: Alabama Department of Revenue. Mail to: Alabama Department of Revenue, P.O. Box 327431, Montgomery, AL 36132-7431.
Telephone Number: (334) 353-7923.
**Paid Preparer must have power of attorney on file with the Department of Revenue or include one with this filing.

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form Pse - Extension Request For The Alabama Business Privilege Tax Return, Corporate Shares Tax Return, And Annual Report - 2000 Form Pse - Extension Request For The Alabama Business Privilege Tax Return, Corporate Shares Tax Return, And Annual Report - 2000 Financial
Form Pse - Extension Request For The Alabama Business Privilege Tax Return And Annual Report - 2006 Form Pse - Extension Request For The Alabama Business Privilege Tax Return And Annual Report - 2006 Financial
Form Pse - Extension Request For The Alabama Business Privilege Tax Return And Annual Report - 2003 Form Pse - Extension Request For The Alabama Business Privilege Tax Return And Annual Report - 2003 Financial
Form Pse - Extension Request For The Alabama Business Privilege Tax Return And Annual Report - 2004 Form Pse - Extension Request For The Alabama Business Privilege Tax Return And Annual Report - 2004 Financial
Form Pse - Extension Request For The Alabama Business Privilege Tax Return And Annual Report - 2005 Form Pse - Extension Request For The Alabama Business Privilege Tax Return And Annual Report - 2005 Financial
Form Pse - Extension Request For The Alabama Business Privilege Tax Return And Annual Report - 2002 Form Pse - Extension Request For The Alabama Business Privilege Tax Return And Annual Report - 2002 Financial
Form Pse - Extension Request For Alabama Business Privilege Tax Return And Annual Report - 2007 Form Pse - Extension Request For Alabama Business Privilege Tax Return And Annual Report - 2007 Financial
Form Psa - Alabama Business Privilege Tax Return, Corporate Shares Tax Return, And Annual Report - 2001 Form Psa - Alabama Business Privilege Tax Return, Corporate Shares Tax Return, And Annual Report - 2001 Financial
Form Psi 1/2000 - Instructions For The Preparation Of The Alabama Business Privilege Tax, Corporate Shares Tax Return And Annual Report - 2000 Form Psi 1/2000 - Instructions For The Preparation Of The Alabama Business Privilege Tax, Corporate Shares Tax Return And Annual Report - 2000 Financial
Form Psi - Instructions For The Preparation Of The Alabama Business Privilege Tax Return And Annual Report - 2004 Form Psi - Instructions For The Preparation Of The Alabama Business Privilege Tax Return And Annual Report - 2004 Financial

Related Categories

Parent category: Financial
Download
Go