Form 61a200 - Public Service Company Property Tax Return - 2006 Page 9
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43PUBLIC SERVICE COMPANY PROPERTY TAX RETURN
61A200 (11-06)
This return must be filed with the
Commonwealth of Kentucky
For Year Ending December 31, 2006
Office of Property Valuation between
DEPARTMENT OF REVENUE
January 1 and April 30, 2007.
Office of Property Valuation
➤ See Instructions
Division of State Valuation
APRIL 2007
Frankfort, KY 40620
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Type of Public Service Company
Type of Ownership
Foreign
Corporation
Partnership
Individual
S Corporation
LLC
Other
Taxpayer Name 1
LEAVE BLANK
Name 2
GNC
Address 1
Postmark
Address 2
City
State
ZIP Code
FEIN
Contact Person
Preaudit
Phone
Fax
E-Mail
(
)
(
)
Tax Agent Name 1
Taxpayers completing
Name 2
this return must complete
the agency portion in
Address 1
order to maintain an
agent status.
Address 2
Agents completing this
return must have a
City
State
ZIP Code
FEIN
current power of attorney
on file with the Kentucky
Contact Person
Department of Revenue
or include one.
Phone
Fax
E-Mail
(
)
(
)
Which address above is to be used for mailing the assessment notice, tax bills and certifications?
Taxpayer Address
Other
Tax Agent Address
Do you want a public service company packet of forms mailed to you next year?
Yes
No
If no, you must obtain your tax return via the Internet.
Is your company affiliated with any other companies? (Parent/Subs)
Yes
No
If yes, submit organizational chart and informational reports. (KRS 136.130 and 136.140)
Has an independent authority or agency valued your property?
Yes
No
If yes, submit a copy of the appraisal report. (KRS 136.130 and 136.140)
Has the company or a fraction thereof sold, been purchased or merged within the last year?
Yes
No
If yes, complete the appropriate informational report, Revenue Form 61A209 or Revenue Form 61A210, included in this packet.
Has your company filed bankruptcy within the last three years?
Yes
No
If yes, provide the district in which the case was filed, the petition date and the case number.
Do you intend to claim the Coal Incentive Tax Credit?
Yes
No
If yes, provide a copy of the Coal Incentive Tax Credit Certificate. (KRS 141.0405)
I declare under penalties of perjury that this return, including any accompanying schedules and statements, has been examined by me and to the best of my knowledge
and belief is a true, correct and complete return.
Signature
Title
Date
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