120005AL
BUSINESS PRIVILEGE
SCHEDULE
TAX YEAR
AL-CAR
2012
Alabama Department of Revenue
Alabama Secretary of State Corporation Annual Report
1a FEIN
1b LEGAL NAME OF BUSINESS ENTITY (PLEASE TYPE OR PRINT)
•
1c CONTACT PERSON CONCERNING THIS FORM
1d CONTACT PERSON’S PHONE NUMBER
1e TAXPAYER’S E-MAIL ADDRESS
2a
2a County of incorporation or organization for all Alabama entities. . . . . . . .
2b
2b State or country of incorporation or organization for all foreign entities . .
3a Date of qualification or registration in Alabama for foreign entities . . . . . .
3a
3b Date of incorporation or organization for all entities. . . . . . . . . . . . . . . . .
3b
3c
3c Telephone number of the taxpayer . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4a Name of registered agent in Alabama. . . . . . . . . . . . . . . . . . . . . . . . . . .
4a
4b FEIN or social security number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4b
4c
4c Street address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4d City, state, and zip code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4d
•
5a Name of corporate president . . . . . . . . . . . . . . . . . . . . . (update
)
5a
5b
5b Social security number. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5c
5c Street address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5d City, state, and zip code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5d
•
6a Name of corporate secretary . . . . . . . . . . . . . . . . . . . . . (update
)
6a
6b
6b Social security number. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6c Street address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6c
6d City, state, and zip code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6d
7
7 Kind of business done in Alabama . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8 Street address of the principal place of business in Alabama . . . . . . . . .
8
City, state, and zip code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
9 Kind of business done generally. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
10 Mailing address of the principal office and place of business if
outside State of Alabama . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
City, state, and zip code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule AL-CAR must be completed by C-corporations and S-corpora-
Taxpayers filing an initial return are not required to complete Schedule
tions and is a required attachment to Form CPT or PPT pursuant to the
AL-CAR or pay the $10 Secretary of State fee.
Code of Alabama 1975, Section 10A-2-16.22. Limited Liability entities
are not required to complete Schedule AL-CAR.
If there are any updates or changes to the corporate president or corpo-
rate secretary then please check boxes 4b or 4c on Form CPT or PPT.
In addition, there is a $10 Secretary of State fee for C-corporations and
S-corporations that should be recorded on page 1, line 6 of form CPT or
PPT.
ADOR