Form R-6906A Fillable Corporation Franchise Tax Initial Return (CFT-4)
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

through (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) 10 Par ishes in which proper t y is located 11 Name and address of registered agent 1a Per iod covered: 1b Fiscal month 2 FEI number 3 Incor porated in state of: 4 Name and address of for mer owner (If this corporation is successor to an existing business) 5 Name and address of parent cor poration if applicable 6a Pr incipal place of business 6b Telephone number 7a Pr incipal Louisiana office location (street address city state zip code) 7b Telephone number 8a Date Louisiana char ter issued (mm/dd/yyyy) 8b Louisiana char ter number (issued by Louisiana Secretary of State) 9a Date business began in Louisiana (mm/dd/yyyy) 9b Nature of business operation Add the amounts calculated for each penalty and print the total amount of penalties The combined amount of delinquent Add the total penalty and interest due to the franchise tax amount of $10 00 and enter the total on Line 15 Make payment to amount of interest here and complete Declaration of preparer (other than taxpayer) is based on all information of which he has any knowledge as a representative of the firm or corporation preparing the return This verification is not required if the return is prepared by a regular assets are owned or any business operations are conducted until a Certificate of Dissolution is issued by the Louisiana Secretary of State Baton Rouge LA 70821 9011 be transmitted on or before the next business day in order to avoid penalty and interest business day in order to avoid penalty and interest Calculate Delinquent Filing Penalty for failure to file a return timely The penalty for failure to file a return on time except when Calculate Delinquent Payment Penalty for failure to pay the tax in full by the date the return is required by law to be filed The CASH 15 $ charter in Louisiana is authorized to do actually does business in Louisiana or uses any part of its capital or plant in Louisiana Example Cit y continues Corporation franchise tax for domestic corporations continues to accrue and must be filed on Form CIFT 620 regardless of whether any Corporation franchise tax for foreign corporations continues to accrue and must be filed on Form CIFT 620 as long as the corporation Corporation Franchise Tax Initial Return Date (mm/dd/yyyy) December 31 2013 The next franchise return would be due on or before April 15 2014 and must be filed on Form CIFT 620 If the fiscal Department is unable to provide a specific rate Refer to the Tax Rate Schedule (R 1111) for monthly interest rates that apply Describe the nature of the business operations in Louisiana DO NOT SEND due dates are as follows: The tax of ABC accrued on March 21 2013; its initial return and payment of $10 00 tax would be due on or before Enter the charter number assigned to this corporation by the Louisiana Secretary of State Enter the city and state of the principal place of business Enter the telephone number on line 6b Enter the date (month day year) the Louisiana charter was issued Enter the date (month day year) this corporation began business in Louisiana Enter the Federal Employer s Identification Number for the corporation Enter the month your accounting period closes The month should match the period ends date on Line 1a Enter the name and address of the registered agent for this corporation as recorded with the Louisiana Secretary of State Enter the parishes in Louisiana where corporate property is located Enter the period covered by this initial franchise tax return The period begins on the date the charter is filed with the Secretary Enter the primary Louisiana office location Provide a physical address of the primary location: street address city state and Enter the state where the corporation was originally incorporated Enter the telephone number Every new corporation subject to franchise tax must file an initial return and pay the initial tax of $10 00 This return is due on or before exercises its charter does business or owns or uses any part of its capital or plant in Louisiana and in the case of a qualified corporation failure is due to a reasonable cause is 5 percent of the tax for each 30 days or fraction thereof during which the failure to file filing and delinquent payment penalties cannot exceed 25 percent For Office Use Only Form R 1111 is available on the LDR s website at www revenue louisiana gov Calculate the interest amount and print the franchise return would be due on or before October 15 2013 and must be filed on Form CIFT 620 Delinquent returns and payments must full time employee of the taxpayer The telephone number of the preparer should also be furnished I declare under the penalties for filing false returns that this return has been examined by me and is to the best of my knowledge and belief true correct If the corporation is a subsidiary of another corporation enter the name and address of the parent corporation If the corporation is the successor to an existing business (i e through a merger or the incorporation of an existing entity include applicable penalty and interest If the due date falls on a holiday or weekend the return must be transmitted on or before the next Individual or fir m signature of preparer Date (mm/dd/yyyy) Initial Franchise Tax 12 $ 10 00 Instructions for corporation Franchise Tax Initial Return Interest (See instructions) 14 $ Interest is due on all items of tax not paid by the due date of the return Because the interest rate varies year to year the June 15 2013 If ABC adopted a calendar year accounting period this initial payment would cover the period March 21 2013 through Legal Name Line 10 Line 11 Line 12 Line 13 Line 14 Line 15 Line 1a Line 1b Line 2 Line 3 Line 4 Line 5 Line 6a Line 7a Line 7b Line 8a Line 8b Line 9a Line 9b Louisiana Depar tment of Revenue Louisiana Revenue Account Number Mailing Address of Revenue Otherwise leave blank of State or the date of Louisiana qualification or other taxing incidence The period ends on the date the first accounting officer should be furnished Any person firm or corporation who prepares a taxpayer s return other than the taxpayer must sign the return Penalt y (See instructions) 13 $ penalty is 5 percent of the tax not paid for each 30 days or fraction thereof during which the failure to pay continues period closes If books are kept on a calendar year basis the period covered must end on the last day of December If a fiscal PO Box 91011 R 6906A (1/14) shown on the charter issued by the Secretary of State For a foreign corporation the tax accrues on the date the corporation exercises its Signature of officer Title Signature of verification State such as a partnership) enter the name and address of the former business or owner Telephone the 15th day of the third month following the month in which the tax accrues If the due date falls on a holiday or weekend the return must the fifteenth day of the third month following the month in which the tax accrues For a domestic corporation the tax accrues on the date The initial franchise tax due is $10 00 the Louisiana Department of Revenue Do NoT seND cash The return must be signed by either the president vice president treasurer or another authorized officer The telephone number of the This space on the first page of the tax return is to be used only when specifically instructed by the Department To avoid a penalty this return must be filed with the Department of Revenue P O Box 91011 Baton Rouge LA 70821 9011 on or before Total Amount Due Make payment to: Louisiana Department of Revenue until a Certificate of Withdrawal is issued by the Louisiana Secretary of State year basis is used the period must end on the last day of any month and cannot exceed 12 months year ending June 30 2013 was adopted the initial return would cover the period from March 21 2013 through June 30 2013 The next zip code