Form Ar8453-C - Corporation Income Tax Declaration For Electronic Filing - 2015

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AR8453-C
2015
CTEF151
ARKANSAS
CORPORATION INCOME TAX
DECLARATION FOR ELECTRONIC FILING
For calendar year 2015, or tax year beginning
, 20
, ending
, 20
Name of Company
Federal Employer Identification Number
Telephone Number
Mailing Address
City, State, and Zip Code
PART 1
TAX RETURN INFORMATION (Whole Dollars Only)
00
1
1.
Total Income (Form AR1100CT, Line 17) ..................................................................................................................
2
00
2.
Net Taxable Income (Form AR1100CT, Line 32). .....................................................................................................
00
3
3.
Total Tax Liability (Form AR1100CT, Line 35). .........................................................................................................
00
4
4.
Overpayment (Form AR1100CT, Line 39) .................................................................................................................
5
00
5.
Tax Due (Form AR1100CT, Line 43). ........................................................................................................................
PART 2
DECLARATION OF OFFICER (Sign only after Part I is completed)
If the corporation is filing a balance due return, I understand that if the State of Arkansas does not receive full and timely payment of its tax liability, the
corporation will remain liable for the tax liability and all applicable interest and penalties. If the federal corporation return is rejected, I understand the state
corporation return may also be rejected.
Under penalties of perjury, I declare that I am an officer of the above corporation and that the information I have given my electronic return originator (ERO),
transmitter, and/or internet service provider (ISP) and the amounts in Part I above agree with the amounts on the corresponding lines of the corporation’s
2015 Arkansas income tax return. To the best of my knowledge and belief, the corporation’s return is true, correct, and complete. I consent to my ERO,
transmitter, and/or ISP sending the corporation’s return, this declaration, and accompanying schedules and statements to the State of Arkansas.
I also consent to the State of Arkansas sending my ERO, transmitter, and/or ISP an acknowledgment of receipt of transmission and an indication of whether
or not the corporation’s return is accepted, and, if rejected, the reason(s) for the rejection. If the processing of the corporation’s return or refund is delayed,
I authorize the State of Arkansas to disclose to my ERO, transmitter, and/or ISP the reason(s) for the delay, or when the refund was sent. In addition, by
using a computer system and software to prepare and transmit my return electronically, I consent to the disclosure to the State of Arkansas of all information
pertaining to my use of the system and software and to the transmission of my tax
Sign
Here
Signature of officer
Date
Title
PART 3
DECLARATION OF ELECTRONIC RETURN ORIGINATOR (ERO) AND PAID PREPARER
I declare that I have reviewed the above corporation return and that the entries on Form AR8453-C are complete and correct to the best of my knowledge.
If I am only a collector, I understand that I am not responsible for reviewing the corporation’s return; I declare that Form AR8453-C accurately reflects the
data on the return. I have obtained the officer’s signature on Form AR8453-C before submitting this return to the State of Arkansas, and have provided the
officer with a copy of all forms and information to be filed with the State of Arkansas. If I am also the Paid Preparer, under penalties of perjury I declare that
I have examined the above corporations return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true,
correct, and complete. This declaration of Paid Preparer is based on all information of which the preparer has knowledge.
ERO’s
Date
Check if also
Check if
ERO’s SSN or PTIN
ERO’S
paid preparer
signature
self-employed
Use
Firm’s name (or yours
EIN
Only
if self-employed)
Phone No. (
)
address and ZIP code
Under penalties of perjury, I declare that I have examined the above corporation’s return and accompanying schedules and statements, and to the
best of my knowledge and belief, they are true, correct and complete. This declaration is based on all information of which I have any knowledge.
Preparer’s
Date
Check if
Preparer’s SSN or PTIN
Paid
signature
self-employed
Preparer’s
Firm’s name (or yours
EIN
Use Only
if self-employed)
Phone No. (
)
address and ZIP code
DO NOT MAIL THIS FORM
AR8453-C (8/18/2015)

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