Form 720s - Kentucky S Corporation Income Tax And Llet Return

Form 720S (2010)

Page 2

*1000020257*

Commonwealth of Kentucky

DEPARTMENT OF REVENUE

SCHEDULE Q— KENTUCKY S CORPORATION QUESTIONNAIRE

IMPORTANT: Questions 4—10 must be completed by all S corporations. If

Change from a Calendar Year to a Fiscal Year (52/53 week ﬁ ler):

this is the S corporation’s initial return or if the S corporation did not ﬁ le a

New Year End:

return under the same name and same federal I.D. number for the preceding

Month _______________

and day of week ________________

year, questions 1, 2 and 3 must be answered. Failure to do so may result in

If a 52/53 week ﬁ ler: (Choose one of the options below.)

a request for a delinquent return.

Option A: Ends on the same day of the week and whatever

date this same day of the week last occurs in a calendar

Indicate whether: (a)

new business; (b)

successor to previously

month.

existing business which was organized as:

ii.

Option B: Ends on the same day of the week and whatever

(1)

corporation; (2)

partnership; (3)

sole proprietorship;

date this same day of the week occurs that is the nearest to

or (4)

other _____________________________________________________

the last day of the calendar month.

If successor to previously existing business, give name, address and

The S corporation’s books are in care of: (name and address)

federal I.D. number of the previous business organization.

_________________________________________________________________

Are disregarded entities included in this return?

Yes

No. If yes,

list name, address and federal I.D. number of each entity.

List the following Kentucky account numbers. Enter N/A for any number

________________________________________________________________

not applicable.

________________________________________________________________

Employer Withholding ___________________________________________

________________________________________________________________

Sales and Use Tax Permit _________________________________________

________________________________________________________________

Consumer Use Tax _______________________________________________

Was the S corporation a partner or member in a pass-through entity

doing business in Kentucky?

Yes

No. If yes, list name and

Unemployment Insurance ________________________________________

federal I.D. number of each pass-through entity.

Coal Severance and/or Processing Tax _____________________________

________________________________________________________________

If a foreign S corporation, enter the date qualiﬁ ed to do business in

________________________________________________________________

Kentucky. __ __ / __ __ / __ __

Was the S corporation doing business in Kentucky other than

through its interest held in a pass-through entity doing business in

Kentucky?

Yes

If change of accounting period, Item E on page 1, is checked, complete

Was this return prepared on: (a)

cash basis, (b)

accrual basis,

the following information:

(c)

other ______________________________________________________

Year End before the change:

Did the S corporation ﬁ le a Kentucky tangible personal property tax

Month ______________________________

and Day ________________

return for January 1, 2011?

Yes

Change from a Fiscal Year to a Calendar Year (NOT a 52/53

week ﬁ ler)

10.

Is the S corporation currently under audit by the Internal Revenue

Change from a Calendar Year to a Fiscal Year (NOT a 52/53

Service?

Yes

week ﬁ ler):

If yes, enter years under audit ____________________________________

New Year End:

If the Internal Revenue Service has made ﬁ nal and unappealable

Month ___________________

and Day _________________

adjustments to the corporation’s taxable income which have not

Change from a Fiscal Year to a Calendar Year (52/53

been reported to the department, check here

and ﬁ le an amended

week ﬁ ler):

Form 720S for each year adjusted. Attach a copy of the final

New Year End: December and day of week _____________

determination to each amended return.

OFFICER INFORMATION (Failure to Provide Requested Information May Result in a Penalty)

Has the ofﬁ cer information entered below changed from the last return ﬁ led?

Yes

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 ofﬁ cer or chief accounting ofﬁ cer

Date

Name of person or ﬁ rm preparing return

SSN, PTIN or FEIN

Date

May the DOR discuss this return with the preparer?

Yes

E-mail Address:

Telephone No.:

Form 720s - Kentucky S Corporation Income Tax And Llet Return - 2010 Page 2

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