Form Ft 1120s - Notice Of S Corporation Status

FT 1120S

Rev. 9/07

2008

Notice of

07150403

S Corporation Status

S corporation name

Federal employer I.D. number

I declare under penalties of perjury that this notice (including any

to pay or use any of its money or property for or in aid of or

accompanying schedule or statement) has been examined by

opposition to any political party, any candidate for election or

me and to the best of my knowledge and belief is a true, correct

nomination to public office, or any political action committee or

and complete notice and that this corporation has not unlawfully,

organization that supports or opposes any such candidate or in

during the preceding year, except as permitted by sections

any manner used any of its money or property for any partisan

3517.082, 3599.03 and 3599.031 of the Ohio Revised Code,

political purpose whatsoever, or for the reimbursement or in-

directly or indirectly paid, used or offered, consented, or agreed

demnification of any person for money or property so used.

An officer or managing agent of the corporation must sign this notice.

SIGN HERE (required)

Signature of officer or managing agent

Date

Title

Signature of preparer if other than taxpayer

Date

Do you authorize your preparer to contact us regarding this return?

Yes

Preparer’s Signature

Federal Privacy Act Notice

IRS Notice 2004-54 provides for alternative preparer-signature

Because we are requesting the Social Security account number

procedures for federal income tax paper returns that paid

for each investor, the Federal Privacy Act of 1974 requires us to

practitioners prepare on behalf of their clients. Paid preparers

inform you that your providing us the Social Security number is

can follow those same procedures with respect to the following

mandatory. Sections 5703.05, 5703.057 and 5747.08 of the Ohio

Ohio paper returns and notices: Ohio school district and

Revised Code authorize our asking you for this information. We

individual income tax returns, Ohio withholding tax returns

need the Social Security number(s) in order to administer this

(employer and pass-through entity) and Ohio corporation

tax. Your failure to supply any information requested on a tax

franchise tax reports. Statutory authority: sections 5703.262(B)

form prescribed by the tax commissioner may result in either the

and 5747.08(F) of the Ohio Revised Code.

imposition of penalties for failing to file a complete tax return or

the denial of a license application, if applicable.

2008

FT 1120S

pg. 4 of 4

Form Ft 1120s - Notice Of S Corporation Status - 2008 Page 4

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