NJ-1065
Page 2
Partnership name as shown on Form NJ-1065
Federal EIN
PARTNERS DIRECTORY
.
List all partners, including principal address. Add additional sheets as necessary.
____________
1. Corporation Allocation Factor
A
B
G
H
C
D
E
F
I
J
K
Distributive Share of Partnership
Net Gain (Loss) From Disposition of Assets
Nonresident Partner’s
Nonresident
Income (Loss)
SS Number or FEIN
as a result of a Complete Liquidation
Code
Pension
Noncorporate
Corporate
Share of
Share of Total
Name and Principal Address
Total Distribution
NJ Source
Total Gain (Loss)
NJ Source
Partner’s Share
Partner’s Share
Income
NJ Income
of Tax
of Tax
% owned
Final
by Partner
% owned
Final
by Partner
% owned
Final
by Partner
2a. Total This Page. Enter zero, if no tax is reported in Column(s) J and/or K.
2b. Total From ___________________________ Additional Pages
Attached. Enter zero,
if no tax is
reported in Column(s) J and/or K.
2c. Total Tax (add Lines 2a and 2b). Enter the totals here and carry the total in Column J to
Line 24, Column B, and the total in Column K to Line 25, Column B on front of Form NJ-1065.
Signature of General Partner or Limited Liability Company
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true,
correct and complete. Declaration of preparer (other than general partner) is based on all information of which preparer has any knowledge.
Member.
Paid Preparer’s Signature
Date
Check if Self-Employed
Date
Firm’s Name (or yours if self-employed)
Preparer’s SS # or PTIN
Preparer’s Address
Preparer’s Federal EIN #
A complete Federal
Form 1065 including all schedules and supporting attachments may be required during the course of an audit.