Form Ct-1065 - Connecticut Partnership Income Tax Return

Attach additional sheets for Schedules C, D, and E in the same format as the original if necessary.

SCHEDULE C - Partner Information (See instructions for order in which to list)

Nonresident Partner

Partner

Name and Address

Identification Number

Profit %

Yes

Complete Schedule D only if the partnership has

SCHEDULE D - Partners’ Share of Connecticut Modifications

Connecticut modifications (See instructions)

PARTNER

Total

All

Connecticut Modifications

# ______

Partners

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ADDITIONS:

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ENTER ALL AMOUNTS AS POSITIVE NUMBERS

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6

1. Interest on state and local government obligations other than

Connecticut

2. Mutual fund exempt-interest dividends from state or municipal

government obligations other than Connecticut

3. Certain deductions relating to income exempt from Connecticut

income tax (See instructions)

4. Special depreciation allowance for qualified property

5. Other - (Specify) ____________________________________

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6

SUBTRACTIONS:

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6

ENTER ALL AMOUNTS AS POSITIVE NUMBERS

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6

6. Interest on United States government obligations

7. Exempt dividends from certain qualifying mutual funds derived

from United States government obligations

8. Certain expenses relating to income exempt from federal

income tax (See instructions)

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6

9. Reserved for future use

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6

10. Other - (Specify) ____________________________________

The partnership must provide each partner (other than partners that are C corporations) with a schedule of Connecticut modification

amounts, if any, for inclusion on the appropriate forms.

SCHEDULE E - Computation of Connecticut Source Income

PARTNER

Connecticut-sourced portion of items from federal

Total

Form 1065, Schedule K-1 (See instructions)

Partners

# ______

1. Ordinary income (loss) from trade or business activities

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

3. Net income (loss) from other rental activities

4. Portfolio income (loss)

5. Guaranteed payments to partners

6. Net gain (loss) under I.R.C. §1231 (other than due to casualty

or theft)

7. Other income (loss)

8. Expense deduction for property under I.R.C. §179

9. Other deductions

The partnership must provide each partner (other than partners that are resident individuals or that are C corporations) with a schedule

of amounts of income derived from or connected with sources within Connecticut for inclusion on the appropriate forms.

CT-1065 Back (Rev. 12/02)

Form Ct-1065 - Connecticut Partnership Income Tax Return - 2002 Page 2

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