Form Ft 1-1a - Application For Tax Extension Request, Permit Application, And Annual Report (1999) Page 2
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2FT: 1-1A
PAGE 2
COMPUTATION OF PERMIT FEE
FEE – The fee to be paid, based on Total Alabama Capital is as follows:
Less than $1,000.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5.00
$1,000.00 and up to and including $10,000.00 . . . . . . . . . . . . . . . . . . . . . . . $ 10.00
Over $10,000.00 and up to and including $25,000.00. . . . . . . . . . . . . . . . $ 20.00
Over $25,000.00 and up to and including $50,000.00. . . . . . . . . . . . . . . . $ 50.00
Over $50,000.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $100.00
Extension Request
1. An extension request must be filed on or before the statutory filing date of March 15.
2. Payment of the Permit Fee, the Secretary of State Fee, and at least 80% of the taxpayer’s Franchise Tax liability for the
reporting period must be made with the extension request. No extension will be granted for the Permit Fee or
Secretary of State Fee. The maximum extension date will be September 15 (6 months).
Under the above conditions, request is hereby made for an extension of time in which to file the Foreign Corporation
Franchise Tax Return, Permit Application, and Annual Report.
____________________________________________________
____________________________________________________
DATE
SIGNATURE OF OFFICER
Enter by county the assessed value of all real and personal property held by the corporation in the State of Alabama. This
information is required by Section 40-12-44, Code of Alabama 1975. This schedule MUST be completed.
COUNTY
ASSESSED VALUE
COUNTY
ASSESSED VALUE
COUNTY
ASSESSED VALUE
1 Autauga
24 Dallas
47 Marion
2 Baldwin
25 Dekalb
48 Marshall
3 Barbour
26 Elmore
49 Mobile
4 Bibb
27 Escambia
50 Monroe
5 Blount
28 Etowah
51 Montgomery
6 Bullock
29 Fayette
52 Morgan
7 Butler
30 Franklin
53 Perry
8 Calhoun
31 Geneva
54 Pickens
9 Chambers
32 Greene
55 Pike
10 Cherokee
33 Hale
56 Randolph
11 Chilton
34 Henry
57 Russell
12 Choctaw
35 Houston
58 Shelby
13 Clarke
36 Jackson
59 St. Clair
14 Clay
37 Jefferson
60 Sumter
15 Cleburne
38 Lamar
61 Talladega
18 Coffee
39 Lauderdale
62 Tallapoosa
17 Colbert
40 Lawrence
63 Tuscaloosa
18 Conecuh
41 Lee
64 Walker
19 Coosa
42 Limestone
65 Washington
20 Covington
43 Lowndes
66 Wilcox
21 Crenshaw
44 Macon
67 Winston
22 Cullman
45 Madison
23 Dale
46 Marengo
TOTAL
For Department Use Only
EXTENSION REQUEST DENIED. The extension is denied for the following reason(s):
1. The extension request was postmarked after March 15.
2. Payment of the Secretary of State Fee, Permit Fee, and at least 80% of the corporation’s anticipated Franchise
Tax liability was not received with the extension request.
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