Alabama Form 65 PDF Details

The Alabama 65 form is a crucial document for partnerships and limited liability companies (LLCs) operating within Alabama, playing a significant role in the administration of state income tax obligations. This form, required by the Alabama Department of Revenue, serves as the "Partnership/Limited Liability Company Return of Income" and is also applicable to syndicates, pools, joint ventures, and similar entities. The form's comprehensive nature covers various aspects essential for the accurate reporting of income, deductions, and credits for the applicable fiscal or calendar year, specifically the year 2010 as per the provided example. Entities are required to provide detailed information including, but not limited to, total federal income and deductions as reported on Form 1065, assets, the nature of the business, and details regarding the company's operations in multiple states. Interestingly, the form also inquires about qualification for specific Alabama credits, such as the Enterprise Zone Credit or the Capital Credit, underscoring the state's interest in promoting investments within certain areas or sectors. Additional schedules attached to the form, such as Schedules A through E and Schedule K, guide the filer through the calculation of separately stated and non-separately stated income, allocations of nonbusiness income, apportionment factors for income produced across multiple states, and distributive share items. Overall, the Alabama 65 form embodies a critical filing requirement, ensuring partnerships and LLCs conform to Alabama tax laws by accurately reporting their income and activities, thereby facilitating the equitable assessment of state income taxes.

QuestionAnswer
Form NameAlabama Form 65
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesform al 65, alabama form 65, FEIN, preparer

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FORM

*10000165*

ALABAMA

65

 

DEPARTMENT OF REVENUE

CY

FY 2010

SY

 

 

 

 

 

Partnership/Limited Liability Company Return of Income

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ALSO TO BE FILED BY SYNDICATES, POOLS, JOINT VENTURES, ETC.

 

 

 

 

 

 

Important!

 

 

For Calendar Year 2010 or Fiscal Year

 

 

 

 

 

 

 

 

 

DEPARTMENT USE ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

beginning _________________________________, 2010, and ending ____________________________, _________

FN

 

You Must Check

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicable Box:

 

 

FEDERAL BUSINESS CODE NUMBER

 

 

 

 

FEDERAL EMPLOYER IDENTIFICATION NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amended Return

 

 

Name of Company

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Federal income as shown on

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Initial Return

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form 1065, line 8.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Final Return

 

 

 

Number and Street

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Federal deductions as shown on

General Partnership

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form 1065, line 21.

City or Town

 

 

 

 

 

 

State

 

9 Digit ZIP Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Limited Partnership

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total assets as shown on Form 1065.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LLC/LLP

 

 

 

Check if the company operates

 

 

If above name or address is different from the one

 

 

 

 

 

 

 

 

 

in more than one state

 

shown on your 2009 return, check here

 

 

.

. .

 

 

 

 

 

 

 

 

 

 

 

. .

.

. . . .

 

 

 

Qualified Investment

Check if the company qualifies for the Alabama

Number of Members

 

 

 

 

 

 

 

CN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Partnership

 

 

 

Enterprise Zone Credit or the Capital Credit .

. . . . .

. . . .

During The Tax Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State in Which Company Was Formed

Nature of Business

 

Date Qualified in Alabama

Number of Nonresident Members

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Included in Composite Filing . . .

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UNLESS A COPY OF FEDERAL FORM 1065 IS ATTACHED THIS RETURN IS INCOMPLETE

 

 

 

 

 

 

 

 

 

 

 

SCHEDULE A

 

 

 

COMPUTATION OF SEPARATELY STATED AND NONSEPARATELY STATED INCOME

 

 

 

 

 

 

 

 

1

Federal Ordinary Income or (Loss) from trade or business activities

. .

. . . . . . . . . . . . . . . . . . .

. . . . .

. . . . .

.

1

 

 

 

 

2

Net short-term and long-term capital gains – income or (loss)

. .

. .

.

. . . .

 

2

 

 

 

 

 

 

 

 

 

 

 

 

3

.Salaries and wages reduced for federal employment credits

. .

. .

.

. . . .

 

3

(

 

 

 

 

)

 

 

 

 

 

 

 

4

. . . . . . . .Net income or (loss) from rental real estate activities

. .

. .

.

. . . .

 

4

 

 

 

 

 

 

 

 

 

 

Reconciliation

5

. . . . . . . . . . . .Net income or (loss) from other rental activities

. .

. .

.

. . . .

 

5

 

 

 

 

 

 

 

 

 

 

6

Net gain or (loss) under I.R.C. §1231 (other than casualty losses)

 

 

6

 

 

 

 

 

 

 

 

 

 

 

to Alabama

. . . .

 

 

 

 

 

 

 

 

 

 

 

 

7

Adjustments due to the Federal Economic Stimulus Act of 2008

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basis (see

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(attach schedule)

 

 

 

 

 

 

 

 

7

 

 

 

 

 

 

 

 

 

 

 

instructions)

 

. . . .

. . . . . . . . . .

. .

. .

.

. . . .

 

 

 

 

 

 

 

 

 

 

 

 

8

Other reconciliation items (attach schedule)

 

 

 

 

 

 

 

8

 

 

 

 

 

 

 

 

 

 

 

 

. . . .

. . . . . . . . . .

. .

. .

.

. . . .

 

 

 

 

 

 

 

 

 

 

 

 

 

9

.Net reconciling items (add lines 2 through 8)

. . . .

. . . . . . . . . .

. .

. .

.

. . . . .

.

. .

. .

. . . . . . . . . . . . . . . . . . .

. . . . .

. . . . .

.

9

 

 

 

 

10

Net Alabama nonseparately stated income or (loss) (add line 1 and line 9)

. .

. .

. . . . . . . . . . . . . . . . . . .

. . . . .

. . . . .

.

10

 

 

 

 

11

Contributions

. . . .

. . . . . . . . . .

. .

. .

.

. . . .

 

11

(

 

 

 

 

)

 

 

 

 

 

 

 

12

. . . . . . . . . . . . . . . . . . . . .Oil and gas depletion

. . . .

. . . . . . . . . .

. .

. .

.

. . . .

 

12

(

 

 

 

 

)

 

 

 

 

 

 

 

13

. . . . . .I.R.C. §179 expense deduction (complete Schedule K)

. .

. .

.

. . . .

 

13

(

 

 

 

 

)

 

 

 

 

 

 

Separately

14

. . . . . . . . . . . . . . . . . . . . . . . . . .Casualty losses

. . . .

. . . . . . . . . .

. .

. .

.

. . . .

 

14

(

 

 

 

 

)

 

 

 

 

 

 

15

Portfolio income or (loss) less expenses (complete Schedule K)

 

 

15

 

 

 

 

 

 

 

 

 

 

 

Stated Items

. . . .

 

 

 

 

 

 

 

 

 

 

 

 

16

Other separately stated items (attach schedule)

 

 

 

 

 

16

 

 

 

 

 

 

 

 

 

 

 

(Related to

. .

. .

.

. . . .

 

 

 

 

 

 

 

 

 

 

 

 

Business

17

. . . . . . . .Net separately stated items (add line 11 through 16)

. .

. .

.

. . . . .

.

. .

. .

. . . . . . . . . . . . . . . . . . .

. . . . .

. . . . .

.

17

 

 

 

18

Total separately stated and nonseparately stated items (add line 10 and line 17)

 

 

 

 

 

18

 

 

 

Income)

. . . . .

. . . . .

.

 

 

 

19

Alabama apportionment factor from Schedule D, line 4

 

 

 

 

 

19

%

 

 

Do not multiply line 18 by line 19

 

 

. .

. .

.

. . . .

 

 

 

 

 

20

Nonseparately Stated Income Allocated and Apportioned to Alabama from Schedule D, line 7

. . . . .

. . . . .

.

20

 

 

I authorize a representative of the Department of Revenue to discuss my return and attachments with my preparer.

Please

Sign

Here

Under penalties of perjury, 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.

 

 

(

)

 

Signature of general partner

Date

Daytime Telephone No.

Social Security No.

 

Preparer’s

 

Signature

Paid

Firm’s name (or yours,

Preparer’s

if self-employed)

Use Only

and address

 

 

Date

Check if

 

Preparer’s Social Security No.

 

 

 

self-employed

 

Telephone No.

 

E.I. No.

()

ZIP Code

Email Address

Mail to: Alabama Department of Revenue, Individual and Corporate Tax Division, P.O. Box 327441, Montgomery, AL 36132-7441

ADOR

on or before April 15, 2011. (Fiscal Year Returns must be filed on or before the 15th day of the fourth month following the close of the fiscal year.)

 

 

 

 

*10000265*

 

Form 65 — 2010

Page 2

 

 

 

 

SCHEDULE B

 

ALLOCATION OF NONBUSINESS INCOME, LOSS, AND EXPENSE

Identify by account name and amount all items of nonbusiness income, loss, and expense removed from apportionable income and those items which are directly allocable to Alabama. Adjustment(s) must also be made for any proration of expens- es under Alabama Income Tax Rule 810-27-1-4-.01, which states, “Any allowable

deduction that is applicable to both business and nonbusiness income of the tax- payer shall be prorated to each class of income in determining income subject to tax as provided…” (See instructions).

 

DIRECTLY ALLOCABLE ITEMS

 

ALLOCABLE GROSS INCOME / LOSS

 

 

 

RELATED EXPENSE

 

NET OF RELATED EXPENSE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Column A

 

Column B

 

 

Column C

 

Column D

 

Column E

 

Column F

 

 

 

 

Everywhere

 

Alabama

 

 

Everywhere

 

Alabama

 

Everywhere

 

Alabama

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Col. A less Col. C)

(Col. B less Col. D)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nonseparately stated items

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1a

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1b

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1c

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1d Total (add lines 1a, 1b, and 1c)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Separately stated items

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1e

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1f

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1g

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1h Total (add lines 1e, 1f, and 1g)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCHEDULE C

 

 

APPORTIONMENT FACTOR SCHEDULE – Do not complete if the entity operates exclusively in Alabama.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TANGIBLE PROPERTY AT COST FOR

 

 

ALABAMA

 

 

 

 

 

EVERYWHERE

 

PRODUCTION OF BUSINESS INCOME

BEGINNING OF YEAR

 

END OF YEAR

 

BEGINNING OF YEAR

 

END OF YEAR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

Inventories

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

Land

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

Furniture and fixtures

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

Machinery and equipment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

Buildings and leasehold improvements

 

 

 

 

 

 

 

 

 

 

 

 

6

IDB/IRB property (at cost)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7

Government property (at FMV)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9

Less Construction in progress (if included)

 

 

 

 

 

 

 

 

 

 

 

 

10

Totals

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11

Average owned property (BOY + EOY ⎟ 2)

 

 

 

 

 

 

 

 

 

 

 

12

Annual rental expense

 

 

x8 =

 

 

 

 

 

 

x8 =

 

 

13

. . . . . . . . . . . . . . . . . . . . . . . . . . . . .Total average property (add line 11 and line 12)

 

13a

 

 

 

. . . . . .

. . . .

. . . . . . . . . . . .

13b

 

14

. . . . . . . . . . . . . . . . . . . . . . . . . . . . .Alabama property factor — 13a ⎟ 13b = line 14

.

. . . . . .

. . . . . .

. . . . . . . . . . .

. . . . . . .

. . . . .

. . . . . . .

. . . .

. . . . . . . . . . . .

14

%

 

SALARIES, WAGES, COMMISSIONS AND OTHER COMPENSATION

 

 

15a

ALABAMA

 

15b

EVERYWHERE

15c

 

 

RELATED TO THE PRODUCTION OF BUSINESS INCOME

 

 

 

 

 

 

 

 

 

 

 

 

15

Alabama payroll factor — 15a ⎟ 15b = 15c

.

. . . . .

 

 

 

 

 

 

 

 

%

 

 

 

 

SALES

 

 

 

 

ALABAMA

 

 

EVERYWHERE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16

Destination sales

. .

. . . . . . . . . . . . . . . . . . . . . .

. .

. . . .

 

 

 

 

 

 

 

 

 

17

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Origin sales

. .

. . . . . . . . . . . . . . . . . . . . . .

. .

. . . .

 

 

 

 

 

 

 

 

 

18

. .Total gross receipts from sales

. . . . . . . . . . . . . . . . . . .

. .

. . . . . . . . . . . . . . . . . . . . . .

. .

. . . .

 

 

 

 

 

 

 

 

 

19

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Dividends

. .

. . . . . . . . . . . . . . . . . . . . . .

. .

. . . .

 

 

 

 

 

 

 

 

 

20

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Interest

. .

. . . . . . . . . . . . . . . . . . . . . .

. .

. . . .

 

 

 

 

 

 

 

 

 

21

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Rents

. .

. . . . . . . . . . . . . . . . . . . . . .

. .

. . . .

 

 

 

 

 

 

 

 

 

22

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Royalties

. .

. . . . . . . . . . . . . . . . . . . . . .

. .

. . . .

 

 

 

 

 

 

 

 

 

23

. . . . . . .Gross proceeds from capital and ordinary gains

. . . . . . . . . . . . . . . . . . . . . .

. .

. . . .

 

 

 

 

 

 

 

 

 

24Other ____________________________________ (Federal 1065, line _____ )

25

Alabama sales factor — 25a ⎟ 25b = line 25c

25a

25b

 

25c

%

26

Sum of lines 14, 15c, and 25c ⎟ 3 = ALABAMA APPORTIONMENT FACTOR (Enter here and on line 4, Schedule D, page 3)

26

%

ADOR

 

 

 

*10000365*

 

Form 65 — 2010

Page 3

 

 

 

 

SCHEDULE D

 

APPORTIONMENT AND ALLOCATION OF INCOME TO ALABAMA

1 Net Alabama nonseparately stated income or (loss) from line 10, Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2 Nonseparately stated (income) or loss treated as nonbusiness income (line 1d, Column E, Schedule B)

– please enter income as a negative amount and losses as a positive amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3 Apportionable income or (loss) – add line 1 and line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4 Apportionment factor from line 26, Schedule C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 Income or (loss) apportioned to Alabama (multiply amount on line 3 by the percentage on line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6 Nonseparately stated income or (loss) allocated to Alabama as nonbusiness income (Column F, line 1d, Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7 Nonseparately Stated Income Allocated and Apportioned to Alabama (add lines 5 and 6). Enter this amount on line 20,

Schedule A and line 1, Schedule K – Alabama Amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1

2

 

3

 

4

%

5

 

6

7

 

SCHEDULE E

 

 

 

OTHER INFORMATION

 

 

 

1

Indicate method of accounting

(a)

cash

(b)

accrual

(c)

other

2

Check if the company is currently being audited by the IRS

What years are involved? __________________________________

3

Check if the IRS has completed any audits

 

 

 

 

 

4Enter this company’s Alabama Withholding Tax Account Number

5 Briefly describe your operations

6 Indicate if company has been(a) dissolved(b) sold(c) incorporated If company has been dissolved, sold, or incorporated, complete the following:

Nature of change

Name and address of new company, corporation, or owner(s)

7Location of the partnership records

8 Check if an Alabama business privilege tax return was filed for this entity

If the privilege tax return was filed using a different FEIN, please provide the name and FEIN used to file the return.

FEIN:

NAME:

 

 

 

9Taxpayer’s email address:

 

SCHEDULE K

 

DISTRIBUTIVE SHARE ITEMS

 

 

 

 

 

 

 

Federal Amount

 

Apportionment

 

Alabama Amount

Enter on Alabama

 

 

 

 

Factor

 

Schedule K-1

 

 

 

 

 

 

 

1

Alabama Nonseparately Stated Income (Schedule D, line 7)

 

 

 

 

 

 

 

 

 

 

Part III, Line M

 

Separately Stated Items:

 

 

 

 

 

 

2

. . . . . .Contributions

 

 

 

 

Part III, Line S

3

Oil and gas depletion

 

 

 

 

 

 

 

 

 

 

Part III, Line Z

4

I.R.C. §179 expense deduction

 

 

 

 

 

 

 

 

 

 

 

 

 

a. Amount allowed on 1065

 

 

 

 

 

 

. . . . . . . . . . . . . . . . . . . . . .b. Adjustments required (see instructions)

 

 

 

 

 

 

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .c. Amount to be apportioned

 

 

 

 

Part III, Line O

5

. . .Casualty losses

 

 

 

 

 

 

 

 

 

 

Part III, Line W

6

. . .Portfolio income

 

 

 

 

 

 

 

 

 

 

Part III, Line Q

7

Interest expense related to portfolio income

 

 

 

 

 

 

 

 

 

 

Part III, Line P

8

Other expenses related to portfolio income (attach schedule)

 

 

 

 

 

 

 

 

 

 

Part III, Line R

9

Other separately stated business items (attach explanation)

 

 

 

 

 

 

 

 

 

 

Part III, Line T

10

Small business health insurance premiums (attach explanation)

 

 

 

 

 

 

 

 

 

 

Part III, Line Y

11

. . . . . . . . . . .Separately stated nonbusiness items (attach schedule)

 

 

 

Part III, Line AA

12

. . . . . . . .Composite payment made on behalf of owner/shareholder

 

 

 

 

Part III, Line U

13

. . . . . . . . . . . . . . . . . . . . . . . . . . . .U.S. taxes paid (attach explanation)

 

 

 

 

Part III, Line V

14

Alabama exempt income (attach explanation)

 

 

 

 

 

 

 

 

 

 

Part III, Line AB

 

Transactions with Owners:

 

 

 

 

 

 

 

 

 

100%

 

 

 

15

Property distributions to owners

 

 

Part III, Line X

 

 

 

16

Guaranteed payments to partners

 

 

 

 

 

 

 

 

 

Part III, Line N

CHECK LIST

HAVE THE FOLLOWING FORMS BEEN ATTACHED TO THE FORM 65?

ALABAMA SCHEDULE K-1 (one for each owner)

ALABAMA SCHEDULE NRA (if applicable)

FEDERAL FORM 1065 (entire form as filed with the IRS)

ADOR

*10000465*

Form 65 — 2010

Page 4

Required Entity Information For Partnerships and LLCs

1. List general partners.

NAME OF GENERAL PARTNER

SSN / FEIN

ADDRESS

a.

b.

c.

d.

e.

PERCENT OF OWNERSHIP

2. List other states in which the Partnership/LLC operates, if applicable.

3. At any time during the tax year, did the Partnership/LLC transact business in a foreign country?

Yes

No

If yes, complete the information below:

 

 

 

 

 

 

 

 

 

NAME OF COUNTRY

NATURE OF BUSINESS

 

 

TAXABLE INCOME

 

 

REPORTED TO COUNTRY

 

 

 

 

 

 

 

 

 

a.

 

 

 

 

 

 

 

 

 

b.

 

 

 

 

 

 

 

 

 

c.

 

 

 

 

 

 

 

 

 

d.

 

 

 

 

 

 

 

 

 

e.

 

 

 

 

 

 

 

 

 

4. At any time during the tax year, did the Partnership/LLC invest in another Pass-Through entity?

Yes

 

No

If yes, complete the information below:

 

 

 

 

 

 

 

 

 

 

NAME OF ENTITY

 

 

FEIN

 

PERCENT OF

 

 

 

OWNERSHIP

 

 

 

 

 

 

 

 

 

 

 

a.

 

 

 

 

 

 

 

 

 

 

 

b.

 

 

 

 

 

 

 

 

 

 

 

c.

 

 

 

 

 

 

 

 

 

 

 

d.

 

 

 

 

 

 

 

 

 

 

 

e.

 

 

 

 

 

 

 

 

 

 

 

5.Person to contact for information regarding this return:

Name:

Telephone Number: (

 

)

Email:

ADOR

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Step no. 1 for filling in NONBUSINESS

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NONBUSINESS completion process detailed (part 3)

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NONBUSINESS writing process explained (step 4)

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NONBUSINESS completion process explained (part 5)

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