Corporation Franchise Tax Report - 2004
ADVERTISEMENT
1Charlie Daniels, Arkansas Secretary of State
Franchise Tax Report, 2004 Reporting Year
Annual Report as of December 31, 2003
CORPORATION FRANCHISE TAX REPORT
Reports and Taxes due on or before June 1, 2004. Substantial additional amounts due for reports with United States
Postal Services postmark after deadline. Reports may be filed over the Internet @
Report must be completed and signed in INK.
For Official Use Only
If tax contact information has changed, please correct below:
1.
Phone # of tax contact: _______________________
2.
Required Information
Federal Tax ID# _______________________________________
State of Incorporation ________________________
Please provide current names:
Treasurer ___________________________________
President _____________________________________________
Secretary___________________________________
Vice-President _________________________________________
Controller __________________________________
Your previous Franchise Tax information provided for your reference:
Tax Paid:
$
Authorized Stock:
Total Assets:
$
Outstanding Stock:
Arkansas Assets:
$
Stock and Asset Information for this reporting year (Required)
DATA FROM CORPORATE BALANCE SHEET:
IMPORTANT: If all assets are not applicable to Arkansas, attach a copy of your balance sheet.
3. TOTAL AUTHORIZED CAPITAL STOCK:
4. ISSUED AND OUTSTANDING CAPITAL STOCK:
(See instruction 13)
(See instruction 14)
NUMBER OF SHARES
PAR VALUE EACH
NUMBER OF SHARES
PAR VALUE EACH
$ TOTAL
*a
$
*a
X $
= $
*b
$
*b
X $
= $
No par value =$25
* c
$
* c
= $
per share
NO PAR VALUE =$25 PER SHARE
*d
(Add 4a +4b + 4c)
TOTAL:
* STATE THE NUMBER OF SHARES IN ALL CLASSES.*
____________ ÷ ÷ ÷ ÷ ____________ = ____________ x
5a.
____________ = ____________
ARKANSAS ASSETS
TOTAL ASSETS
PERCENTAGE
AMOUNT FROM LINE 4d
ARKANSAS CAPITAL STOCK
-
ENTER ON LINE 5b
5b.
____________ x
_____________
.0027 =
TAX DUE
MINIMUM TAX DUE $50
Corporations Without Authorized Stock Pay $100.00
ARKANSAS CAPITAL STOCK
IF LESS THAN $50 PAY $50
I declare, under the penalties of perjury, that the foregoing statements are true to the best of my knowledge and belief.
Signed this ______day of _______, _______ . Signature _________________________________________
(Day)
(Month)
(Year)
An officer listed in 2 above must sign this form in ink.
Due on or before June 1, 2004 -Substantial penalties due after June 1, 2004
Remittance must accompany this report and must be written and signed in ink.
Checks Payable to Arkansas Secretary of State • Phone (501)-682-3409 or 1-888-233-0325
Business and Commercial Services Division • P.O. Box 8014 • Little Rock, Arkansas 72203-8014
You may file this electronically over the Internet @
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal