2021-679-E-AMS-OWASA-Community Climate Action Grant

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FEDERAL EMPLOYER IDENTIFICATION NUMBERNAME OF COMPANY ADDRESS OF COMPANY TELEPHONE NUMBER BPT ACCOUNT NUMBER Date ERO’s PTINERO’s signature Check if also paid preparer Check if self-employed Firm’s name (or yours if self-employed), address and ZIP code EIN Phone No. Date Preparer’s PTINPreparer’s signature Check if self-employed Firm’s name (or yours if self-employed), address and ZIP code EIN Phone No. 935421 09-06-19 Alabama Department of Revenue. Alabama Department of Revenue. FORM For the tax period , 20 , through , 20 1 2 3 4 5 1 2 3 4 5 Sign Here ERO’s Use Only Under penalties of perjury, Paid Preparer’s Use Only ERO must retain this form for a period of three years from the due date of the return or the date the return was filed, whichever is later. Do not submit this form to the Alabama Department of Revenue unless requested to do so. (Whole Dollars Only) (Sign only after Part I is completed.) (See Instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Under penalties of perjury, I declare that I am an officer/partner of the above company and that the information I have given my electronic return originator (ERO), transmitter, and/or intermediate service provider (ISP) and the amounts in Part I above agree with the amounts on the corresponding lines of the company’s Alabama Business Privilege tax return. To the best of my knowledge and belief, the company’s return is true, correct, and complete. I consent to my ERO, transmitter, and/or ISP sending the company’s return, this declaration, and accompanying schedules and statements to the Alabama Department of Revenue. I also consent to the Alabama Department of Revenue sending my ERO, transmitter, and/or ISP an acknowledgment of receipt of transmission and an indication of whether or not the company’s return is accepted, and, if rejected, the reason(s) for the rejection. By using a computer system and software to prepare and transmit this business return electronically, I consent to the disclosure of all information pertaining to the user of the system and software to create this business return and to the electronic transmission of this business tax return to I authorize the Alabama Department of Revenue and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financialinstitution account indicated in the tax preparation software for payment of the corporation/partnership’s Alabama taxes owed on this return, and the financial institution todebit the entry to this account. I authorize a representative of the Department of Revenue to discuss my return and attachments with my preparer. Signature of Officer/Partner Date Title I declare that I have reviewed the above company’s return and that the entries on Form AL8453-B are complete and correct to the best of my knowledge. If I am only a collector, I am not responsible for reviewing the return and only declare that this form accurately reflects the data on the return. The company’s officer will have signed this form before I submit the return. I will give the officer a copy of all forms and information to be filed with the Alabama Department of Revenue, and have followed all other requirements in Pub. 3112, IRS e-file Application and Participation, and Pub. 4163, Modernized e-File Information for Authorized IRS e-file Providers and Pub. AL4164 Software Developers and Transmitters Guidelines and Schemas for Alabama Business Privilege Tax Returns. If I am also the Paid Preparer, under penalties of perjury I declare that I have examined the above company’s return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. By using a computer system and software to prepare and transmit my client’s return electronically, I consent to the disclosure of all information pertaining to my use of the system and software to create my client’s return and to the electronic transmission of my client’s tax return to the This Paid Preparer declaration is based on all information of which I have any knowledge. Tax Return Information Net Annual Report Fee Due (Forms CPT and PPT, line 8) Total Business Privilege Tax Due (Forms CPT and PPT, line 14)~~~~~~~~~~~~~~~~~~~~~~~~ Refund (Forms CPT and PPT, line 17)~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Amount you owe (Forms CPT and PPT, line 15) Amount of payment remitted electronically ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Declaration of Officer/Partner Declaration of Electronic Return Originator (ERO) and Paid Preparer I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. PART I PART II PART III INDIVIDUAL & CORPORATE TAX DIVISION ALABAMA DEPARTMENT OF REVENUE Business Privilege TaxDeclaration for Electronic Filing 2020AL8453-B == == == JAN 1 19 DEC 31 19 EAGLE SOLAR & LIGHT, LLC 81-2080160 4005 2ND AVENUE SOUTH 205-202-2208 BIRMINGHAM AL 35222 395 395 X 03/10/2020 CEO 03/10/20 X P01288988 CLAUDE H. ESTES + COMPANY, P.C.63-1103751 2117 MAGNOLIA AVE. SOUTH, SUIT 35205 205-930-9789 1019 DocuSign Envelope ID: 6F2DEF91-DA4B-449D-8062-2F5319D9C9CC