Delaware Application for Exemption from Corporate Income Tax - Holding Company

Application for Exemption from Corporate Income Tax - Holding Company
1902-AP.pmd
Form 1902-AP

STATE OF DELAWARE
DIVISION OF REVENUE
APPLICATION FOR EXEMPTION FROM CORPORATION INCOME TAX
SECTION 1902(b)(8) HOLDING COMPANIES

PART 1
Name of Applicant
Address

Zip Code

Delaware Address if Different from Above

Zip Code

Date and State of Incorporation

Nature of Business

Federal Employer Identification Number

PART 2
Name and address of Delaware employees. (If additional space is needed, attach list.)

Address

Name

PART 3
Name and address of persons (individuals, corporations, etc.) owning more than 10% of the stock of corporation.
(If additional space is needed, attach list.)

Address

Name

PART 4
Describe in detail below your operations in Delaware and list each type of intangible investment owned and all sources of
income. RECITING THE STATUTE DOES NOT CONSTITUTE AN ANSWER.
(If additional space is needed, please provide attachments.)

1.

Will the corporation act as a general partner in a partnership?
If yes, please describe the activities of the partnership.

YES

NO

2.

Will the corporation participate in a joint venture?
If yes, please describe the activities of the joint venture.

YES

NO

3.

Will the corporation receive income from patents, royalties, copyrights, know-how, etc.?
If yes, please describe any services which will be performed by the corporation
with regard to such intangibles.

YES

NO

4.

Will the corporation engage in business outside of Delaware?
If yes, please describe the activities.

YES

NO

Signature and Title

Date

RETURN TO: STATE OF DELAWARE, DIVISION OF REVENUE, 820 N. FRENCH STREET, WILMINGTON, DELAWARE 19801 ATTN: CONFEREE
(Revised 01/28/13)

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