Form 725 - Kentucky Single Member Llc Individually Owned Llet Return - 2007 Page 2

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Form 725 (2007)
Page 2
*0700020271*
S
Q—S
M
L
L
C
Q
CHEDULE
INGLE
EMBER
IMITED
IABILITY
OMPANY
UESTIONNAIRE
IMPORTANT: Questions 1—9 must be completed by the limited
6. Was the limited liability company a partner in a pass-
liability company.
through entity doing business in Kentucky for the tax year
being reported?
Yes
No
1. Single member's (owner) name, address and Social Security
If yes, list name and federal I.D. of the pass-through
number or federal I.D. number _______________________
entity(ies).
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
2. List the following Kentucky account numbers. Enter N/A
Was the limited liability company doing business in
for any number not applicable.
Kentucky, other than the interest held in a pass-through
entity doing business in Kentucky?
Yes
No
Employer Withholding _______________________________
Sales and Use Tax Permit ____________________________
7. Was this return prepared on: (a)
cash basis, (b)
accrual
Consumer Use Tax __________________________________
basis, (c)
other
___________________________________
Unemployment Insurance
___________________________
8. Did the limited liability company file a Kentucky tangible
Coal Severance and/or
personal property tax return for January 1, 2008?
Processing Tax _____________________________________
Yes
No
3. If a foreign limited liability company, enter the date qualified
__ __
__
/ __ __ / __
to do business in Kentucky.
9. Is the single member limited liability company currently
4. The limited liability company’s books are in care of: (name
under audit by the Internal Revenue Service?
Yes
No
and address)
If yes, enter years under audit
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
If the Internal Revenue Service has made final and
unappealable adjustments to the limited liability company’s
_____________________________________________________
taxable income which have not been reported to this
5. Are disregarded entities included in this return?
department, check here
and file Form 740X, Amended
Yes
No
Kentucky Individual Income Tax Return for Tax Year 2005,
2006 or 2007, or Form 740-XP, Amended Kentucky Individual
If yes, list name, address and federal I.D. number of the
Income Tax Return for Tax Year 2004 and prior years,
entity(ies).
whichever is applicable, and file an amended Form 725,
_____________________________________________________
Kentucky Single Member LLC Individually Owned
_____________________________________________________
Corporation Income Tax or LLET Return, for each year
_____________________________________________________
adjusted and attach a copy of the final determination.
_____________________________________________________
I, the undersigned, declare under the penalties of perjury, that I have examined these returns, including all accompanying schedules and
statements, and to the best of my knowledge and belief, they are true, correct and complete.
Signature of member (owner)
SSN or FEIN
Date
Name of person or firm preparing return
SSN, PTIN or FEIN
Date
May the DOR discuss this return with the
preparer?
Yes
No
E-mail Address:
Telephone No.:

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