Form Pte-C - Alabama Nonresident Composite Payment Return - 2014

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Alabama Department of Revenue
Reset Form
CY •
140001PT
Individual & Corporate Tax
FORM
FY •
PTE-C
SY •
2014
Nonresident Composite Payment Return
For the year January 1-December 31, 2014 or other tax year beginning • _______________, 2014, ending • ________________, _______
Form PTE-C is used to report Alabama taxable income for all or some of the nonresident owners/shareholders from reported Subchapter K entity or S corporation income and to
make payment on behalf of the owners/shareholders in lieu of individual reporting. (CAUTION: Do not include losses on this form .)
FEDERAL EMPLOYER IDENTIFICATION NUMBER
FEDERAL BUSINESS CODE
DEPARTMENT USE ONLY
Check applicable box:
Subchapter K entity
NAME
S corporation
ADDRESS
Qualified Investment
Partnership
CITY
STATE
ZIP CODE
TOTAL NUMBER OF
NUMBER OF NONRESIDENT
IF YOU FILED A 2013 RETURN
Check if amended:
Amended return
OWNERS/
OWNERS/SHAREHOLDERS
WITH A DIFFERENT
SHAREHOLDERS IN ENTITY:
INCLUDED IN COMPOSITE FILING:
ADDRESS, CHECK HERE.
DO NOT ATTACH TO OR MAIL WITH FORM 65 OR 20S, THIS FORM MUST BE MAILED SEPARATELY.
1. Amount of tax due (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2. Interest Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
3. Penalty Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
4. Total tax, interest, and penalty due. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
5a. Overpayment from 2013. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5a
b. Estimated and automatic extension tax payments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5b
c. Composite payment made on behalf of this entity.
Paid by • ___________________________________________________________ FEIN • ________________________________ . . . .
5c
d. Total of all payments/credits (add lines 5a through 5c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5d
6. Amount to be remitted or (overpayment) (subtract line 5d from line 4). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
If paid by check or money order, FORM PTE-V MUST ACCOMPANY PAYMENT.
If paid electronically check here
7a. Overpayment to be credited to 2015 return. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7a
b. Overpayment amount to be refunded. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7b
I authorize a representative of the Department of Revenue to discuss my return and attachments with my preparer.
UNDER PENALTIES OF PERJURY, I declare that I have examined this return and accompanying schedules and statements and, to the best of my knowledge and belief, they
are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Please
(
)
Sign
Your Signature
Title or Position
Daytime Telephone No.
Date
Here
Date
Preparer’s PTIN
Preparer’s
Check if
Signature
self-employed
Preparer’s
Printed Name
E.I. Number
Paid
Firm’s Name (or yours,
Preparer’s
if self-employed)
Telephone Number
Use Only
and Address
(
)
Email Address
Make remittance payable to: Alabama Department of Revenue
Mail to: Alabama Department of Revenue – PTE-C
Write – Form PTE-C, tax year, and FEIN on remittance for verification purposes.
Include with payment Form PTE-V available at
P.O. Box 327444
Montgomery, AL 36132-7444
ADOR

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