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Form BPT-IN Fillable Alabama Business Privilege Tax Initial Privilege Tax Return
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)00025 (addlines11 15) (Attach (FormBPT Vmustbesubmittedifpayme (GotoPartB line21 )SingleMemberName: (line10lessline16) (line1lessline7) (LLE s) (mm/dd/yyyy) (multiplyline17byline18) (multiplyline19byline20)(minimum$100 formaximumseeinstructions) (multiplyline8byline9) (NAICS)(SEE (other (Page (Payment (Reserved (Signature (sumoflines2 6) *110002BN* *111001BN* /////////////// /////////////// /////////////// /////////////// 2 1/2 327320 36132 7320 accompanying ACCOUNTNO (SEE address Alabama Alabama Alabama Alabama Alabama whicheveroccurredfirst: AlabamaBusinessPrivilegeTaxInitialPrivilegeTaxReturn Allcompensation distributions orsimilaramountspaidtoapartner/memberinexcessof$500 000 Amount ANNUAL apportionment Assetsminusliabilitiesforalldisregardedentitiesthathaveasasinglememberanentitythatis attachments authorize based belief below) Bookvalueofamountinvestedinqualifyinglowincomehousingprojects(seeinstructions) BPT IN BPT IN BPT V BPTACCOUNTNO Business BUSINESSENTITY 3b BusinessTrust butnotlessthanzero calculated calendar CCorporation check City stateandzipcode City stateandzipcode City stateandzipcode complete Computation CONCERNINGTHISFORM CONTACTPERSON CONTACTPERSON S Corporations corporationsandnon stockissuingentitiessuchasbusinesstrusts enterassetsminusliabilities correct CountyofincorporationororganizationforallAlabamaentities Dateofincorporationororganizationforallentities DateofQualification DATEOFQUALIFICATION ORGANIZATIONOR DateofqualificationorregistrationinAlabamaforforeignentities DatestarteddoingbusinessinAlabama Declaration declare deductions Deductions Department Department Department discuss Disregarded DisregardedEntity divided documentation) E MAILADDRESS electronically) electronically: EnteralsoonFormBPT IN page1 line14 PrivilegeTaxDue Entities Entities examined excessof$500 000 exclusions Exclusions Factor FamilyLLEElection: FEDERALBUSINESSCODENO FEIN: FEINNOTREQUIRED FEINorsocialsecuritynumber filed FinancialInstitutionGroupMember Financialinstitutionsonly BookvalueoftheinvestmentsinothercorporationsorLLE sifthetaxpayer Financialinstitutionsonly Theamountadjustednetworththatexceeds6%ofassets Firm s ForCcorporationsallpaymentsforcompensationorsimilaramountsinexcessof$500 000 Fordisregardedentities allcompensation distributions orsimilaramountspaidtoamemberin ForScorporationsallpaymentsforcompensation distributionsorsimilaramountsinexcessof$500 000 ForScorporationsandLLEs 30percentoffederaltaxableincomeapportionedtoAlabama future Gross Grossamountofrelatedpartydebtexceedingtheamountofline7 Grossamountofrelatedpartydebtexceedingtheamountonline13 Grossamountofrelatedpartydebtexceedingthesumoflines1and2 Ifadisregardedentityhasasitssinglememberataxpayerthatissubjecttotheprivilegetax thenthedisregardedentitypaystheminimumtax incorporation INCORPORATION(MM/DD/YYYY) IncorporationorOrganization information Initial Initial instructions) instructions) INSTRUCTIONS) InsuranceCompany Interestdue(see Issuedcapitalstockandanyadditionalpaidincapital butwithoutreductionfortreasurystock Kindofbusinessdonegenerally KindofbusinessdoneinAlabama knowledge LEGALNAMEOF LEGALNAMEOFBUSINESSENTITY Liability Limited LimitedLiabilityEntity lines LLETaxedasCorporation MAILING MailingaddressoftheprincipalplaceofbusinessifoutsideStateofAlabama mentofRevenueWebsite(www revenue alabama gov) Montgomery months Nameofcorporatepresidentorprimarymember/partner Nameofcorporatesecretaryorsecondarymember/partner NameofregisteredagentinAlabama Netinvestmentinallair groundorwaterpollutioncontroldevicesinAlabama NetinvestmentinbondsandsecuritiesissuedbytheStateofAlabamaorpoliticalsubdivision NetworthfromPartA line6 10 or16 notsubjecttotheprivilegetax one): 1a organization ownsmorethan50%ofthecorporationorLLE payable payment penalties Penaltydue(see perjury Phone PHONENO plant facility mineorsiteinAlabama Please Pleaseenterthedatetheentityincorporated organized preparer preparer Preparer s Preparer s PrincipalplaceofbusinessinAlabama privilege Privilege Privilege Privilege Property qualification qualifiedorregisteredinAlabamaorstarteddoingbusinessin Ratio RealEstateInvestmentTrust registeredorstarteddoingbusinessinAlabamain2011 NOTE: remaining representative required Reservesforreclamation storage disposal decontamination orretirementassociatedwitha Retainedearnings butnotlessthanzero includingdividendspayable ForLLC staxedas return Return returns Revenue Revenue Revenue schedules SCorporation SECRETARYOFSTATEFILE/ Section SeethedetailedinstructionsontheAlabamaDepart self employed) signature SignHereTitleDateYourSignature Socialsecuritynumber SOS ALABAMA GOV) SSN/PTIN STATE statements Stateorcountryofincorporationororganizationforallforeignentities Streetaddress Streetaddress subject submitted Sumofthepartners /members capitalaccounts butnotlessthanzero supporting Taxable Taxed TAXPAYER TAXPAYER S taxpayer) Telephonenumberofthetaxpayer thereof whenissuedpriortoJanuary1 2000 ThisformistobecompletedONLYbytaxpayerswhoincorporated organized qualified tismadebycheck) Total Total Totalnetworth(addlines1 5) Totalnetworth(addlines13 14 and15andgotoPartB line1 ) Totalnetworth(addlines7 8and9) Totalprivilegetaxdue(add Typeoftaxpayer(check Unamortizedbalanceofproperlyelectedpost retirementbenefitspursuanttoFASB106 Unamortizedportionofgoodwillandcoredepositintangiblesresultingfromadirectpurchase Under unless use ) which within worth worth WWW CENSUS GOV) yours ZIPCODE