Form 725 - Kentucky Single Member Llc Individually Owned Llet Return

Form 725 (2008)

Page 2

*0800010271*

Commonwealth of Kentucky

DEPARTMENT OF REVENUE

Q—S

CHEDULE

INGLE

EMBER

IMITED

IABILITY

OMPANY

UESTIONNAIRE

6. Was the limited liability company a partner in a pass-through

IMPORTANT: Questions 1—9 must be completed by the limited

liability company.

entity doing business in Kentucky for the tax year being



reported?

Yes

1. Single member’s (owner) name, address and Social Security

If yes, list name and federal I.D. of the pass-through

number or federal I.D. number _________________________

entity(ies).

______________________________________________________

2. List the following Kentucky account numbers. Enter N/A

Was the limited liability company doing business in

for any number not applicable.

Kentucky, other than the interest held in a pass-through



entity doing business in Kentucky?

Yes

Employer Withholding ________________________________

Sales and Use Tax Permit ______________________________



7. Was this return prepared on: (a)

cash basis, (b)

accrual

Consumer Use Tax ____________________________________



basis, (c)

other

_____________________________________

Unemployment Insurance _____________________________

8. Did the limited liability company file a Kentucky tangible

Coal Severance and/or

personal property tax return for January 1, 2009?

Processing Tax _______________________________________



Yes

3. If a foreign limited liability company, enter the date qualified

__ __

/ __ __ / __

to do business in Kentucky.

9. Is the single member limited liability company currently under

4. The limited liability company’s books are in care of: (name



audit by the Internal Revenue Service?

Yes

and address)

If yes, enter years under audit

______________________________________________________

If the Internal Revenue Service has made final and

______________________________________________________

unappealable adjustments to the limited liability company’s

______________________________________________________

taxable income which have not been reported to this

5. Are disregarded entities included in this return?



department, check here

and file Form 740X, Amended



Yes

Kentucky Individual Income Tax Return for Tax Year 2005

through 20 08, or Form 740-XP, Amended Kentuck y

If yes, list name, address and federal I.D. number of the

Individual Income Tax Return for Tax Year 2004 and prior

entity(ies).

years, whichever is applicable, and file an amended Form

______________________________________________________

725, Kentucky Single Member LLC Individually Owned

______________________________________________________

Corporation Income Tax or LLET Return, for each year

adjusted and attach a copy of the final determination.

______________________________________________________

I, the undersigned, declare under the penalties of perjury, that I have examined these returns, including all accompanying schedules and

statements, and to the best of my knowledge and belief, they are true, correct and complete.

✍

Signature of member (owner)

SSN or FEIN

Date

Name of person or firm preparing return

SSN, PTIN or FEIN

Date

May the DOR discuss this return with the preparer?



Yes

E-mail Address:

Telephone No.:

Form 725 - Kentucky Single Member Llc Individually Owned Llet Return - 2008 Page 2

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