Form PTE-R Fillable Request for Relief of Composite Payment
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

P O Box 327900 Please print your completed form and sign and date below before submission (334) 242 1030 (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (Detailed Facts to Support Your Rel [11]) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) 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