Form Ar4Pt A PDF Details

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QuestionAnswer
Form NameForm Ar4Pt A
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesar4pt, dfa transmittal form, arkansas a withholding affidavit fill, ar member withholding affidavit form

Form Preview Example

AR4PT-A

STATE OF ARKANSAS

Transmittal of Nonresident Member Withholding

Exemption Afidavit

Name of Entity

 

 

 

 

FEIN

 

 

 

 

 

 

 

 

Address

 

 

 

 

Name of Contact Person

 

 

 

 

 

 

 

 

City, State and ZIP

 

 

 

 

Contact Person’s Telephone Number

 

 

 

 

 

 

 

 

Type of Media (check one)

 

Diskette

 

CD

 

 

Paper

 

 

 

 

 

 

 

 

 

 

 

 

To assist us in processing your information accurately, please use this form as a cover for the transmittal of the diskette(s) or CD(s) containing the afidavit information or for the transmittal of the paper copies of Form(s)

AR4PT.

Please label the diskette or CD with the name of the pass-through entity, the Federal Identiication Number and the number of records. If your information resides on more than one diskette or CD, each must be labeled:

1 of ___, 2 of ___, etc.

Attach the diskette, CD or Form(s) AR4PT to this form and mail to the address below on or before the due date

of the pass-through entity’s income tax return, including extensions.

For those taxpayers that have received a waiver from the iling of the nonresident member information by CD or diskette, copies of all Nonresident Member Withholding Exemption Afidavits (Form AR4PT) must be iled

with this form and mailed to the address below on or before the due date of the pass-through entity’s income tax return, including extensions.

Note: This form must not be included or attached to any other documents or tax forms being mailed

to the Arkansas Department of Finance and Administration. Please mail independently of other report or form ilings.

Mail to: Individual Income Tax Section

Pass-Through Entity

Post Ofice Box 3628

Little Rock, AR 72203-3628

AR4PT-A (R 10/23/07)

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Writing section 1 of arkansas transmittal member withholding form

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