Form Ar8453-Pe - Arkansas Partnership Return Declaration For Electronic Filing - 2013
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1
2AR8453-PE
2013
ARKANSAS
PARTNERSHIP RETURN
DECLARATION FOR ELECTRONIC FILING
For calendar year 2013, or tax year beginning
, 20
, ending
, 20
Name of Company
Federal Employer Identification Number
Telephone Number
Mailing Address
City, State, and Zip Code
PART 1
TAX RETURN INFORMATION (Whole Dollars Only)
1
00
1.
Gross Receipts or Sales (Form AR1050, Line 1, Arkansas Column) .......................................................................
00
2
2.
Cost of Goods Sold (Form AR1050, Line 2, Arkansas Column) ...............................................................................
00
3
3.
Total Income (Form AR1050, Line 11, Arkansas Column) ........................................................................................
00
4
4.
Total Deductions (Form AR1050, Line 23, Arkansas Column)..................................................................................
5
00
5.
Net Income or Loss (Form AR1050, Line 24, Arkansas Column) .............................................................................
PART 2
DECLARATION OF OFFICER (Sign only after Part I is completed)
If my federal partnership return is rejected, I understand my state partnership return may also be rejected.
Under penalties of perjury, I declare that I am a general partner or limited liability company member manager of the above partnership and that the informa-
tion I have given my electronic return originator (ERO), transmitter, and/or intermediate service provider (ISP) and the amounts in Part I above agree with
the amounts on the corresponding lines of the partnership’s 2013 Arkansas income tax return. To the best of my knowledge and belief, the partnership’s
return is true, correct, and complete. I consent to my ERO, transmitter, and/or ISP sending the partnership’s return, this declaration, and accompanying
schedules and statements to the State of Arkansas. I also consent to the State of Arkansas sending my ERO, transmitter, and/or ISP an acknowledgment
of receipt of transmission and an indication of whether or not the partnership’s return is accepted, and, if rejected, the reason(s) for the rejection. If the
processing of the partnership’s return is delayed, I authorize the State of Arkansas to disclose to my ERO, transmitter, and/or ISP the reason(s) for the
delay, or when the refund was sent.
Sign
Here
General Partner or Limited Liability
Title
Signature of
Date
Company Member Manager
PART 3
DECLARATION OF ELECTRONIC RETURN ORIGINATOR (ERO) AND PAID PREPARER
I declare that I have reviewed the above Partnership return and that the entries on Form AR8453-PE are complete and correct to the best of my knowledge.
If I am only a collector, I understand that I am not responsible for reviewing the partnership’s return; I declare that Form AR8453-PE accurately reflects the
data on the return. I have obtained the general partner or limited liability company member manager signature on Form AR8453-PE before submitting this
return to the State of Arkansas, and have provided the general partner or limited liability company member manager with a copy of all forms and informa-
tion to be filed with the State of Arkansas. If I am also the Paid Preparer, under penalties of perjury I declare that I have examined the above partnership’s
return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct and complete. This declaration of
Paid Preparer is based on all information of which the preparer has knowledge.
ERO’s
Date
Check if also
Check if
ERO’s SSN or PTIN
ERO’S
signature
paid preparer
self-employed
Use
Firm’s name (or yours
EIN
Only
if self-employed)
Phone No. (
)
address and ZIP code
Under penalties of perjury, I declare that I have examined the above partnership’s return and accompanying schedules and statements, and to the
best of my knowledge and belief, they are true, correct and complete. This declaration is based on all information of which I have any knowledge.
Preparer’s
Date
Check if
Preparer’s SSN or PTIN
Paid
signature
self-employed
Preparer’s
Firm’s name (or yours
EIN
Use Only
if self-employed)
Phone No. (
)
address and ZIP code
DO NOT MAIL THIS FORM
AR8453-PE (9/23/2013)
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