Llc Franchise Tax Report - Arkansas Secretary Of State

Llc Franchise Tax Report - Arkansas Secretary Of State - 2004

Charlie Daniels, Arkansas Secretary of State

Franchise Tax Report, 2004 Reporting Year

Annual Report as of December 31, 2003

LLC 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:

Phone # of tax contact: ___________________________

Required Information

Federal Tax ID# _______________________________________

LIMITED LIABILITY COMPANY MANAGEMENT IS MEMBER(S)

OR MANAGERS(S)

Please provide current names:

Manager / Member ___________________________

Manager / Member _____________________________________

Manager / Member ___________________________

Manager / Member _____________________________________

Manager / Member ___________________________

$ 50.00

ALL LIMITED LIABILITY COMPANIES PAY $50.00

TOTAL DUE

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)

This form must be signed in ink by: Member / Manager (Listed in 2 Above).

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 @

Llc Franchise Tax Report - Arkansas Secretary Of State - 2004