DETACH ALONG THIS LINE AND MAIL VOUCHER WITH YOUR FULL PAYMENT Alabama Department of Revenue
Just key in your data prior to printing the form PLEASE DO NOT HANDWRITE ANY DATA ON THE FORM
This form has been enhanced to print a two dimensional (2D) barcode The PRINT FORM button MUST be used to generate the (2D) barcode which contains data entered on the form The use of a 2D barcode vastly improves processing of your return and reduces the costs associated with processing your return
ALABAMA DEPARTMENT OF REVENUE
AMOUNT PAID:
AMOUNT PAID: Enter the amount of the payment submitted with this voucher
BPT ACCOUNT NUMBER: Enter the taxpayer s BPT (Business Privilege Tax) account number only if the taxpayer does not have a FEIN (Federal Employer Identification Number) See the instructions for Form CPT Form PPT or Form BPT IN for more information regarding the entity s account number
BPT INITIAL RETURN INDICATOR Check this box if the taxpayer is making a payment with Form BPT IN (initial return) and enter the same date as shown on Form BPT IN Line 2a
BPT V 2011
Business Privilege Tax Payment Voucher
Business Privilege Tax Section
CITY STATE ZIP
D BPT Initial Return (Qualification date / /2011 from Form BPT IN Line 2a) D Automatic Extension Payment
D Calendar Year (Taxable Year 2011 determination period ending 12/31/2010) Tax Type: BPT
D Fiscal Year (Taxable Year 2011 determination period ending / /2011) Form Type: D CPT D PPT D BPT IN
ELECTRONIC PAYMENT Section 41 1 20 requires electronic payments for all single business tax payments of $750 or more Substantial penalties will be assessed for noncompliance
FEIN: BPT ACCOUNT NUMBER (IF NO FEIN ASSIGNED): SECRETARY OF STATE FILE/ACCOUNT NUMBER (IF NO FEIN ASSIGNED):
FEIN: Enter the entity s Federal Employer Identification Number (FEIN)
FISCAL YEAR INDICATOR Check this box if the taxpayer has a tax year end date other than a calendar year end and enter the deter mination period end date in the spaces provided
FORM TAXABLE/FORM YEAR
FORM TYPE: Enter an X in the appropriate box to identify the form for which the payment is being made Please note effective for taxable years beginning on or after 1/1/2009 Form BPT V must be used when making automatic extension payments unless the payments are made electronically
Full payment is due by the
Full payment of any amount due for a taxable year is due by the original due date of
INDIVIDUAL AND CORPORATE TAX DIVISION
LEGAL NAME
MAILING ADDRESS
NAME/ADDRESS SECTION: Enter the legal name of the taxpayer and a complete mailing address for the taxpayer
NOTE: Refer to our Web site at www revenue alabama gov for tax payment and form preparation requirements
OffOff
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original due date of the return
PO Box 327320 Montgomery AL 36132 7320 LINE INSTRUCTIONS FOR PREPARING FORM BPT V CALENDAR YEAR INDICATOR Check this box if the taxpayer has a December 31st tax year end
SECRETARY OF STATE FILE/ACCOUNT NUMBER: If the FEIN is not yet available please provide the file number assigned to the tax payer s incorporation/qualification documents by the Alabama Secretary of State s office
TAXABLE/FORM YEAR Business Privilege Tax Payment Voucher
Taxpayers making e payments via ACH Debit must have a Sign On ID and Access Code to login to the Alabama Department of Revenue (ADOR) Paperless Filing & Payment System Visit our Web site at www revenue alabama gov/eservice htm for additional information
the return (without consideration of any filing extensions in place)
WHEN TO FILE Taxpayers who report on a calendar basis must file the Business Privilege Tax return on or before March 15 2011 for corporations or April 18 2011 for LLE s Taxpayers who have a tax year other than a calendar year must file the Business Privilege Tax return no later than two and one half months (if a corporation) or three and one half months (if an LLE) after the beginning of each fiscal or short tax year For disregarded entities the return is due no later than the date its owner is required to file its business privilege tax or income tax return
WHERE TO FILE Alabama Department of Revenue
WHO MUST FILE Taxpayers making a payment of less than $750 for taxes due on a Form CPT PPT or BPT IN return must complete and file Form BPT V with the return Form BPT V is not required if payment is made electronically