P O Box 327900
Please print your completed form and sign and date below before submission
(334) 242 1030
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(Detailed Facts to Support Your Rel [11])
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Alabama Department of Revenue PTE
Alabama Department of Revenue2014
All items should be completed in their entirety
Are any of the taxpayer's nonresident members/partners considered tax exempt entities for income tax purposes? D
Are multiple flow through entities involved in a tiered structure? D
are present that you would like the Department to consider
Attn: Tiniko Arrington
Billing Notice or Assessment Received? D
Code of Alabama 1975 all subchapter K entities taxed as partnerships are required to file an annual Alabama
Complete the following information so that the Department will know who to contact if further information is needed
composite tax return and remit any tax liability due on behalf of non resident members
Contact Person: Position:
Detailed Facts to Support Your Relief Request:
EMAIL: Tiniko Arrington@revenue alabama gov
Entity section at (334) 353 9378
FEINS and also attach an organizational chart that shows the ownership percentages of each flow through entity
If assistance is needed with completing this form please contact the Pass Through
If yes please identify the members as such in your explanation below
MAIL:
may be submitted for consideration via fax email or regular mail to the following:
Montgomery AL 36132 7900
No If yes please attach a copy
No If yes please provide a list of all taxpayer names
Pass Through Entity Section
Phone Number: ( ) Email Address:
Please provide any supporting documentation with this form that you would like the Department to consider when reviewing your request
Position/Title: Date:
Printed Name:
PTE R
Pursuant to Sec 40 18 24 3
Request for Relief of Composite Payment
Signature:
Summary of Relief Sought:
Taxpayer FEIN: Tax Year:
Taxpayer Name:
Unsigned forms will not be reviewed
Yes D
Yes D
You must submit this form requesting relief from required payments on behalf of non resident members if extenuating facts and circumstances
Your completed form and supporting documentation pertaining to your request for relief from the composite return payment requirement