Form Cpt - Alabama Business Privilege Tax Return - 2011 Page 10

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110005AL
BUSINESS PRIVILEGE
SCHEDULE
Reset Schedule AL-CAR
TAX YEAR
AL-CAR
2011
Alabama Department of Revenue
Alabama Secretary of State Corporation Annual Report
1a FEIN
1b LEGAL NAME OF BUSINESS ENTITY (PLEASE TYPE OR PRINT)
1c CONTACT PERSON CONCERNING THIS FORM
1d CONTACT PERSON’S PHONE NUMBER
1e TAXPAYERS E-MAIL ADDRESS
2a
2a County of incorporation or organization for all Alabama entities. . . . . . . .
2b
2b State or country of incorporation or organization for all foreign entities . .
3a Date of qualification or registration in Alabama for foreign entities . . . . . .
3a
3b Date of incorporation or organization for all entities. . . . . . . . . . . . . . . . .
3b
3c
3c Telephone number of the taxpayer . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4a Name of registered agent in Alabama. . . . . . . . . . . . . . . . . . . . . . . . . . .
4a
4b FEIN or social security number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4b
4c
4c Street address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4d City, state and zip code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4d
5a Name of corporate president . . . . . . . . . . . . . . . . . . . . . (update
)
5a
5b
5b Social security number. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5c
5c Street address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5d City, state and zip code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5d
6a Name of corporate secretary . . . . . . . . . . . . . . . . . . . . . (update
)
6a
6b
6b Social security number. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6c Street address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6c
6d City, state and zip code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6d
7
7 Kind of business done in Alabama . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8 Street address of the principal place of business in Alabama . . . . . . . . .
8
City, state and zip code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
9 Kind of business done generally. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
10 Mailing address of the principal office and place of business if
outside State of Alabama . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Return to Page 1
City, state and zip code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule AL-CAR must be completed by C-corporations and S-corpora-
Taxpayers filing an initial return are not required to complete Schedule
tions and is a required attachment to Form CPT or PPT pursuant to the
AL-CAR or pay the $10 Secretary of State fee.
Code of Alabama 1975, Section 10-2B-16.22. Limited Liability entities
are not required to complete Schedule AL-CAR.
If there are any updates or changes to the corporate president or corpo-
rate secretary then please check boxes 4b or 4c on Form CPT or PPT.
In addition, there is a $10 Secretary of State fee for C-corporations and
S-corporations that should be recorded on page 1, line 6 of form CPT or
PPT.
ADOR

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