Form 720s - Kentucky S Corporation Income Tax And Llet Return - 2012 Page 2
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4Form 720S (2012)
Page 2
*1200010257*
Commonwealth of Kentucky
DEPARTMENT OF REVENUE
SCHEDULE Q— KENTUCKY S CORPORATION QUESTIONNAIRE
IMPORTANT: Questions 4—12 must be completed by all S corporations. If
federal I.D. number of each pass-through entity.
this is the S corporation’s initial return or if the S corporation did not file a
________________________________________________________________
return under the same name and same federal I.D. number for the preceding
________________________________________________________________
year, questions 1, 2 and 3 must be answered. Failure to do so may result in
Was the S corporation doing business in Kentucky other than
a request for a delinquent return.
through its interest held in a pass-through entity doing business in
Kentucky? Yes No
1.
Indicate whether: (a) new business; (b) successor to previously
7.
Are related party costs as defined in KRS 141.205(1)(l) included in this
existing business which was organized as:
return ? Yes No. If yes, attach Schedule RPC, Related Party
(1) corporation; (2) partnership; (3) sole proprietorship;
Costs Disclosure Statement, and enter any related party cost additions
or (4) other _____________________________________________________
on Part I, Line 4.
If successor to previously existing business, give name, address and
8.
Is the entity filing this Kentucky tax return organized as a
federal I.D. number of the previous business organization.
limited cooperative association as provided by KRS Chapter
_________________________________________________________________
272A? Yes No
_________________________________________________________________
9.
Is the entity filing this Kentucky tax return organized as a statutory
_________________________________________________________________
trust or a series statutory trust as provided by KRS Chapter
386A? Yes No
2.
List the following Kentucky account numbers. Enter N/A for any number
not applicable.
If yes, is the entity filing this Kentucky tax return a series within a
Employer Withholding ___________________________________________
statutory trust? Yes No
Sales and Use Tax Permit ________________________________________
Consumer Use Tax ______________________________________________
If yes, enter the name, address and federal I.D. number of the statutory
trust registered with the Kentucky Secretary of State:
Unemployment Insurance ________________________________________
Coal Severance and/or Processing Tax ____________________________
________________________________________________________________
3.
If a foreign S corporation, enter the date qualified to do business in
________________________________________________________________
Kentucky. __ __ / __ __ / __ __
________________________________________________________________
10. Was this return prepared on: (a) cash basis, (b) accrual basis,
(c) other ______________________________________________________
4.
The S corporation’s books are in care of: (name and address)
11. Did the S corporation file a Kentucky tangible personal property tax
_________________________________________________________________
return for January 1, 2013? Yes No
_________________________________________________________________
_________________________________________________________________
5.
Are disregarded entities included in this return? Yes No. If
yes, list name, address and federal I.D. number of each entity.
12.
Is the S corporation currently under audit by the Internal Revenue
______________________________________________________________
Service? Yes No
______________________________________________________________
If yes, enter years under audit ____________________________________
______________________________________________________________
If the Internal Revenue Service has made final and unappealable
______________________________________________________________
adjustments to the corporation’s taxable income which have not
been reported to the department, check here and file an amended
6.
Was the S corporation a partner or member in a pass-through entity
Form 720S for each year adjusted. Attach a copy of the final
doing business in Kentucky? Yes No. If yes, list name and
determination to each amended return.
OFFICER INFORMATION (Failure to Provide Requested Information May Result in a Penalty)
Has the officer information entered below changed from the last return filed?
Yes
No
President’s Name: _______________________________________________________
Treasurer’s Name: _______________________________________________________
President’s Home Address: _______________________________________________
Treasurer’s Home Address: ______________________________________________
__________________________________________________________________________
_________________________________________________________________________
President’s Social Security Number: _______________________________________
Treasurer’s Social Security Number: ______________________________________
/
/
Date Became President
Vice President’s Name: ___________________________________________________
Secretary’s Name: _______________________________________________________
Vice President’s Home Address: __________________________________________
Secretary’s Home Address: ______________________________________________
__________________________________________________________________________
_________________________________________________________________________
Vice President’s Social Security Number: __________________________________
Secretary’s Social Security Number: ______________________________________
I, the undersigned, declare under the penalties of perjury, that I have examined this return, including all accompanying schedules and statements,
and to the best of my knowledge and belief, it is true, correct and complete.
✍
Signature of principal officer or chief accounting officer
Date
Name of person or firm preparing return
SSN, PTIN or FEIN
Date
May the DOR discuss this return with the preparer?
Yes
No
Email Address:
Telephone No.:
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