Llc Franchise Tax Report Form - Arkansas Secretary Of State - 2002

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Charlie Daniels, Arkansas Secretary of State
Franchise Tax Report, 2003 Reporting Year
Annual Report as of December 31, 2002
LLC FRANCHISE TAX REPORT
Reports and Taxes due on or before June 1, 2003. Substantial additional amounts due for reports with United States
Postal Services postmark after deadline. Reports may filed over the Internet @
Report must be completed and signed in INK.
If tax contact information has changed, please correct below:
1.
Phone # of tax contact: ___________________
Required Information
2.
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, 2003 -Substantial penalties due after June 1, 2003
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
Corporations Division ● State Capitol Building ● Little Rock, Arkansas 72201-1094
You may file this electronically over the Internet @

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