Form Cpt - Alabama Business Privilege Tax Return And Annual Report - 2011
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1
2FORM
111001CP
CPT 2011
Alabama Department of Revenue
Alabama Business Privilege Tax Return
and Annual Report
— FOR C-CORPORATIONS AND OTHER SPECIFIED ENTITIES —
•
1a
Calendar Year (Taxable Year 2011 – determination period beginning
and ending 12/31/2010)
•
1b
Fiscal Year (Taxable Year 2011 – determination period beginning
and ending
/2011)
•
1c
Amended Return (Attach Supporting Documentation)
•
•
Type of taxpayer (check only one):
2a
C Corporation
2b
Insurance Company (See definitions)
•
•
•
2c
LLE Taxed as Corporation
2d
Financial Institution Group Member
2e
Real Estate Investment Trust (REIT)
•
2f
Business Trust
TAXPAYER INFORMATION
3a LEGAL NAME OF
FEIN NOT REQUIRED
•
BUSINESS ENTITY
3b FEIN
(SEE INSTRUCTIONS)
3c MAILING
3d BPT ACCOUNT NO.
•
ADDRESS
(SEE INSTRUCTIONS)
3h FEDERAL BUSINESS CODE NO.
•
3e CITY
3f STATE
3g ZIP CODE
(NAICS) (SEE )
3i
CONTACT PERSON
3j CONTACT PERSON’S
CONCERNING THIS FORM
PHONE NO.
3k TAXPAYER’S
E-MAIL ADDRESS
RETURN INFORMATION
•
4a
Address Change for Taxpayer
•
4b
Corporation President Information Change on attached Schedule AL-CAR (Corporation Annual Report)
•
4c
Corporation Secretary Information Change on attached Schedule AL-CAR (Corporation Annual Report)
5a
Date of Incorporation or Organization
5b State of Incorporation or Organization
5c County of Incorporation or Organization
•
COMPUTATION OF AMOUNT DUE OR REFUND DUE
Amount Due
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6 Secretary of State corporate annual report fee $10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
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7 Less: Annual report fee previously paid for the taxable year . . . . . . . . . . . . . . . . . . . . . . . .
7
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8 Net annual report fee due (line 6 less line 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
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9 Privilege tax due (Page 2, Part B, line 20). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
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10 Less: Privilege tax previously paid for the taxable year . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
•
11 Net privilege tax due (line 9 less line 10). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
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12 Penalty due (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
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13 Interest due (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
•
14 Total privilege tax due (add lines 11, 12 and 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
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15 Net tax due (add lines 8 and 14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
16 Payment due with return if line 15 is positive. (Form BPT-V must be submitted if payment is made by check.)
Full payment of any amount due for a taxable year is due by the original due date of the return (without
•
consideration of any filing extensions in place). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
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17 Amount to be refunded if line 15 is negative . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
18 Check here if paid electronically
•
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
Please
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.
Sign
Title
Date
Officer’s
Here
Signature
Paid
•
Date
Preparer’s signature
Preparer’s
•
Firm’s name (or yours, if
E.I. No.
Use Only
self-employed) and address
•
ZIP Code
Phone No.
Preparer’s SSN/PTIN
If you are not making a payment, mail your return to:
If you are making a payment, mail your return, Form BPT-V, and payment to:
Alabama Department of Revenue
Alabama Department of Revenue
Business Privilege Tax Section
Business Privilege Tax Section
P.O. Box 327431
P.O. Box 327320
Montgomery, AL 36132-7431
Montgomery, AL 36132-7320
Telephone Number: (334) 353-7923
Web site:
ADOR
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