Annual Foreign And Domestic Insurance Entities Franchise Tax Report (Legal Reserve Mutual) - Arkansas Secretary Of State - 2010

ADVERTISEMENT

Charlie Daniels, Arkansas Secretary of State
ANNUAL FOREIGN AND DOMESTIC INSURANCE ENTITIES
FRANCHISE TAX REPORT 2010 (Legal Reserve Mutual)
For the year ending 12/31/2009
Reports and Taxes are due on or before May 1, 2010. Penalty and Interest will be due for reports if the United States Postal Service’s
postmark is after the deadline. Complete this report online at or sign in ink and mail to the address
listed below.
1.
Save time, file online at anytime
day or night at
.
Correct any information, if needed, in space provided below
2.
Tax contact name: ____________________________________
Address: ____________________________________________
Address Line 2: _______________________________________
City, State, Zip: _______________________________________
Phone # of tax contact: _________________________________
E-mail address: _______________________________________
Required Information
Federal Tax ID# ______________________________________
Date of Arkansas Affiliation______________________________
3.
___A
4 & 5
LL OF THE INFORMATION IN SECTION
HAS BEEN
VERIFIED AND HAS BEEN FOUND TO BE EXACTLY THE SAME AS
.
LAST YEARS REPORT
Principal Arkansas Office Address
4.
Street Address _____________________________________
Address Line 2_____________________________________
City, State, Zip _____________________________________
Assets per Balance Sheet dated December 31,2008
ASSETS per Balance Sheet dated December 31, 2009
5.
If the assets of the entity total less than $100,000,000 the tax is $300. If the assets for the entity total
$100,000,000 or more the tax is $400.
Total Due
$
Total Amount Due:
State of __________________________________________
County of _________________________________________
I declare, under the penalties of perjury, that the foregoing statements are true to the best of my knowledge and belief.
Signature________________________________________ Executed this _________ day of __________________, ____________
Must be in ink by: Pres., Vice-Pres., Sec., Treasurer, controller or Tax Preparer
(Day)
(Month)
(Year)
Due on or before May 1, 2010 – Penalty and Interest due after May 1, 2010
You may file this electronically over the Internet @
Remittance must accompany this report • Make Checks Payable to Arkansas Secretary of State
Phone 501-682-3409 or 1-888-233-0325
Mail to: Business and Commercial Services Division • P.O. Box 8014 • Little Rock, Arkansas 72203-8014

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Annual Foreign And Domestic Insurance Entities Franchise Tax Report (legal Reserve Mutual) - Arkansas Secretary Of State - 2009 Annual Foreign And Domestic Insurance Entities Franchise Tax Report (legal Reserve Mutual) - Arkansas Secretary Of State - 2009 Legal
Annual Foreign And Domestic Insurance Entities Franchise Tax Report (authorized Capital Stock) - Arkansas Secretary Of State - 2010 Annual Foreign And Domestic Insurance Entities Franchise Tax Report (authorized Capital Stock) - Arkansas Secretary Of State - 2010 Legal
Annual Foreign And Domestic Insurance Entities Franchise Tax Report (authorized Capital Stock) - Arkansas Secretary Of State - 2009 Annual Foreign And Domestic Insurance Entities Franchise Tax Report (authorized Capital Stock) - Arkansas Secretary Of State - 2009 Legal
Annual Foreign And Domestic Insurance Entities Franchise Tax Report 2011 (legal Reserve Mutual) Form Annual Foreign And Domestic Insurance Entities Franchise Tax Report 2011 (legal Reserve Mutual) Form Legal
Annual Foreign And Domestic Insurance Entities Franchise Tax Report 2012 (legal Reserve Mutual) Form Annual Foreign And Domestic Insurance Entities Franchise Tax Report 2012 (legal Reserve Mutual) Form Legal
Annual Foreign And Domestic Insurance Entities Franchise Tax Report 2013 (legal Reserve Mutual) Form Annual Foreign And Domestic Insurance Entities Franchise Tax Report 2013 (legal Reserve Mutual) Form Legal
Annual Foreign And Domestic Insurance Entities Franchise Tax Report 2011 Annual Foreign And Domestic Insurance Entities Franchise Tax Report 2011 Legal
Annual Foreign And Domestic Insurance Entities Franchise Tax Report 2012 (authorized Capital Stock) Form Annual Foreign And Domestic Insurance Entities Franchise Tax Report 2012 (authorized Capital Stock) Form Legal
Annual Foreign And Domestic Insurance Entities Franchise Tax Report 2013 (authorized Capital Stock) Form Annual Foreign And Domestic Insurance Entities Franchise Tax Report 2013 (authorized Capital Stock) Form Legal
Annual Corporation Franchise Tax Report (non-stock Corporation) - Arkansas Secretary Of State - 2010 Annual Corporation Franchise Tax Report (non-stock Corporation) - Arkansas Secretary Of State - 2010 Legal

Related Categories

Parent category: Legal
Download
Go