STATE OF CONNECTICUT
DEPARTMENT OF REVENUE SERVICES
(Rev. 12/98)
For calendar year 1998, or other taxable year
beginning
__
, 1998, and
ending
__
, 19 _
.
Name of Partnership
Federal Employer ID Number
Physical Address
Number and Street
P.O. Box
Date Received (FOR DEPARTMENT USE ONLY)
City or Town
State
ZIP Code
Connecticut Tax Registration Number
A. Check here if:
(out of business in CT)
B. Total number of partners during the taxable year:
Resident _____________
Nonresident ______________
C. Enter the amount from federal Form 1065, Schedule K, Line 1:
$ __________________________
D. Date business commenced: __________________________
Date business commenced in Connecticut: __________________________________
E. Check here if any partners are corporate entities
F. Does this partnership have an interest in real property located in Connecticut? ...................................................... F.
G. Did this partnership transfer a controlling interest in an entity owning Connecticut real property? ....................... G.
If “YES,” enter entity name _____________________________________________________
and federal employer ID number _________________________________________________
H. Was a controlling interest in this partnership transferred? .......................................................................................... H.
If “YES,” enter transferor name _________________________________________________
and social security number or federal employer ID number __________________________
I. Was there a distribution of property from the partnership or a transfer of a partnership interest during
the taxable year? (If “YES,” attach explanation.) ........................................................................................................... I.
Complete only if the partnership carries on business
both WITHIN and OUTSIDE of Connecticut.
Check One
DESCRIPTION
STREET ADDRESS
CITY AND STATE
ACTIVITY AT THIS LOCATION
OF PLACE
OWNED
RENTED
(A)
There are one or more nonresident partners;
Complete Schedule B ONLY
(B)
The partnership carries on business both within and outside of Connecticut; and
if ALL of the following apply:
(C)
Books and records do not satisfactorily disclose income earned in Connecticut.
Totals Everywhere
Connecticut Only
Decimal Notation
1. Real property owned ................................................... 1
Percent Column B
is of
2. Real property rented from others ............................... 2
Column A
3. Tangible personal property owned or rented ............ 3
4. Property owned or rented (Add Lines 1, 2 and 3) .... 4
5. Employee wages and salaries .................................... 5
6. Gross income from sales and services ..................... 6
7. Total (Add Column C, Lines 4, 5 and 6) ............................................................................................................................ 7
8. Business apportionment fraction (Divide Line 7 by three or actual number of factors) ............................... 8
This return must be filed with the Connecticut Department of Revenue Services, PO Box 2935, Hartford CT 06104-2935 not later than the 15th day of
the fourth month following the close of the taxable year.
I declare under the penalties of false statement that I have examined this return and, to the best of my knowledge and belief, it is true,
complete and correct. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Signature of General Partner
Date
Telephone Number
(
)
Paid Preparer’s Signature
Date
Federal Employer ID Number
Keep
a copy of
Firm Name and Address
this return
for your
records
Check if you used a paid preparer and do not wish forms sent to you next year.
Checking this box does not relieve you of your responsibility to file.