Form 725 (2015)
Page 3
*1500030343*
Commonwealth of Kentucky
DEPARTMENT OF REVENUE
S
Q—S
M
L
L
C
Q
CHEDULE
INGLE
EMBER
IMITED
IABILITY
OMPANY
UESTIONNAIRE
6(b) Was the limited liability company doing business in Kentucky
IMPORTANT: Questions 4—10 must be completed by all single
other than through its interest held in a pass-through entity
member limited liability companies (LLC). If this is the single
doing business in Kentucky? Yes No
member LLC’s initial return or if the single member LLC did
not file a return under the same name and same federal I.D.
7. Is the entity filing this Kentucky tax return organized as a
number for the preceding year, questions 1, 2 and 3 must
statutory trust or a series statutory trust as provided by KRS
be answered. Failure to do so may result in a request for a
Chapter 386A? Yes No
delinquent return.
If yes, is the entity filing this Kentucky tax return a series
1. Single member’s (owner) name, address and Social Security
within a statutory trust? Yes No
number or federal I.D. number _________________________
______________________________________________________
If yes, enter the name, address and federal I.D. number of
______________________________________________________
the statutory trust registered with the Kentucky Secretary
2. List the following Kentucky account numbers. Enter N/A
of State: ______________________________________________
for any number not applicable.
Employer Withholding ________________________________
8. Was this return prepared on: (a) cash basis, (b) accrual
Sales and Use Tax Permit ______________________________
basis, (c) other
_____________________________________
Consumer Use Tax ____________________________________
Unemployment Insurance _____________________________
9. Did the limited liability company file a Kentucky tangible
Coal Severance and/or
personal property tax return for January 1, 2016?
Processing Tax _______________________________________
Yes No
3. If a foreign limited liability company, enter the date qualified
If yes, list the name and federal I.D. number of entity(ies)
to do business in Kentucky.
__ __ / __ __ / __ __
filing return(s): ________________________________________
4. The limited liability company’s books are in care of: (name
______________________________________________________
and address)
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
5. Are disregarded entities included in this return?
Yes No
10. Is the single member limited liability company currently under
If yes, list name, address and federal I.D. number of the
audit by the Internal Revenue Service? Yes No
entity(ies).
If yes, enter years under audit
______________________________________________________
______________________________________________________
______________________________________________________
If the Internal Revenue Service has made final and
______________________________________________________
unappealable adjustments to the LLC’s taxable income
______________________________________________________
which have not been repor ted to this depar tment,
______________________________________________________
c h e c k h e r e a n d f i l e a n a m e n d e d F o r m 7 2 5
______________________________________________________
for each year adjusted. Attach a copy of the final
6(a) Was the limited liability company a partner in a pass-through
determination to each amended return.
entity doing business in Kentucky for the tax year being
reported? Yes No
If yes, list name and federal I.D. of the pass-through
entity(ies).
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________