Form Tc-65 - Utah Partnership/limited Liability Partnership/limited Liability Company Return - 2012

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Utah Partnership/Limited Liability Partnership/
65201
TC-65
Limited Liability Company Return
9998
2012
/
/
/
/
For the 2012 calendar year, or fiscal year________________ to ________________
mm/dd/yyyy
mm/dd/yyyy
Clear form
___ AMENDED RETURN (CODE 1 - 4)
___ Mark “X” if you filed federal Form 8886
Partnership name
Mark “X” if this
is a new address:
Employer Identification Number:
Address
___ Physical
___________________
address
City
State
ZIP Code
___ Mailing
address
Foreign country (if not U.S.)
Telephone number
ENTITY TYPE (check one):
___ General partnership
___ Limited partnership
___ Other (describe below)
___ Limited liability partnership
___ Limited liability company
______________
/
/
1. Date registered in Utah (mm/dd/yyyy) ........................................................................
1 _________________
/
/
2. If dissolved, date of dissolution (mm/dd/yyyy) ............................................................
2 _________________
3. Total pass-through withholding tax – Enter the total amount from Schedule N, column I ..
3 _________________ . 00
Note: This amount must be paid by the due date of the return, without extensions.
4. Utah use tax................................................................................................................
4 _________________ . 00
5. Total tax – add lines 3 and 4 ..................................................................................................
5 _________________ . 00
6. Prepayments made for the year.............................................................................................
6 _________________ . 00
(Do not include any pass-through withholding tax or credits – see instructions)
7. Amended return only (see instructions) ......................................................................
7 _________________ . 00
8. Total payments – add lines 6 and 7 ..................................................................................
8 _________________ . 00
9. Tax due – subtract line 8 from line 5 – not less than zero ..........................................
9 _________________ . 00
10. Penalties and interest (see instructions) .....................................................................
10 _________________ . 00
11. Total Due – Pay this amount – add lines 9 and 10........................................................
11 _________________ . 00
12. Overpayment – subtract the sum of line 5 and line 10 from line 8 – not less than zero
12 _________________ . 00
13. Amount of overpayment on line 12 to be applied to next year....................................
13 _________________ . 00
USTC USE ONLY
14. Refund – subtract line 13 from line 12 ......
14 _________________ . 00
Under penalties of perjury, I declare to the best of my knowledge and belief,
this return and accompanying schedules are true, correct and complete.
Signature of general partner or member manager
Title
Date
Check here if the Tax Commission
SIGN
may discuss this return with the
HERE
preparer shown below
Preparer’s signature
Date
Preparer’s phone no.
Preparer’s PTIN
Paid
Preparer's
Name of preparer’s firm (or yourself, if self-employed)
Preparer’s EIN
Section
Preparer’s complete address (street, city, state, ZIP)
Clear form
IMPORTANT: To protect your privacy, use the "Clear form" button when you are finished.

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