Form It-20s - Schedule In K-1 - Shareholder'S Share Of Indiana Adjusted Gross Income, Deductions, Modifi Cations And Credits - 2006

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IT-20S 2006
Indiana Department of Revenue
Schedule IN K-1
Shareholder's Share of Indiana Adjusted Gross Income, Deductions, Modifi cations and Credits
State Form 49193
(R5/8-06)
BB
AA
Tax Year Beginning _____________/________/ 2006 and Ending _____________/________/ __________
Name of Corporation
Federal Identifi cation Number
A
B
Provide IN K-1 to each shareholder. Attach IN K-1 to IT-20S return. For information on the acceptable electronic data le format visit the
Distributions -
Department’s Web site at
Pro rata amounts for lines 1 through 12 of any nonresident shareholders must be multiplied by the Indiana apportionment percent, if applicable from IT-20S, line 5.
Part 1 – Shareholder’s Identifi cation Section
(
a) If Shareholder is an Individual (please print clearly)
Last Name:
First Name:
Social Security Number:
a3
a1
a2
(b) If Shareholder is an Other Entity (please print clearly)
Federal Identifi cation Number:
Name:
b2
b1
(c)
Shareholder's State of Residence or Commercial Domicile:
c1
,
,
.
(d) Indiana Tax Withheld for Nonresident Shareholder (on WH-18):
d
00
e
.
(e) Shareholder's Federal Pro Rata Percentage:
%
Part 2 - Distributive Share Amount
,
,
.
00
1
1.
Ordinary business income (loss) ....................................................................................................
,
,
.
00
2.
Net rental real estate income (loss) ................................................................................................
2
,
,
.
00
3.
Other net rental income (loss) .........................................................................................................
3
,
,
.
00
4.
Interest income ...............................................................................................................................
4
,
,
.
00
5a.
Ordinary dividends ..........................................................................................................................
5a
,
,
.
00
6.
Royalties .........................................................................................................................................
6
,
,
.
00
7
7.
Net short-term capital gain (loss) ....................................................................................................
,
,
.
00
8a.
Net long-term capital gain (loss) .....................................................................................................
8a
,
,
.
00
9.
Net IRC Section 1231 gain (loss) ...................................................................................................
9
,
,
.
00
10.
Other income (loss) ........................................................................................................................
10
,
,
.
00
11
11.
IRC Section 179 expense deduction ..............................................................................................
12A.
Portion of expenses related to investment portfolio income, including investment interest
,
,
.
00
expense and other (federal non-itemized) deductions ...................................................................
12A
12B.
Other information from line 17 of federal K-1 related to investment interest and expenses
,
,
.
00
not listed elsewhere ........................................................................................................................
12B
13.
Total pro rata distributions (Add lines 1 through 10, subtract lines 11, 12A and 12B when
,
,
.
00
13
applicable.) ......................................................................................................................................
14.
State modifi cations - Designate the distributive share amount of each
modifi cation for Indiana adjusted gross income from line 2 on front of
Form IT-20S:
State income taxes deducted
2(a) ____________________
Net bonus depreciation allowance 2(b) ____________________
Excess IRC Section 179 deduction 2(c) ____________________
Interest on U.S. obligations
2(d) ____________________
Indiana lottery prize money
2(e) ____________________
,
,
.
00
14
Total distributive share of modifi cations .........................................................
15.
Pro rata share of Indiana pass-through tax credits from corporation - Enter the name of the
tax credit program, its three-digit ID code, and dollar amount of the shareholder’s distributive
share for each allowable credit.”
Name of credit:
,
,
.
00
a
15c
Code No. b __ __ __
,
,
.
15f
00
d
Code No. e __ __ __
,
,
.
00
15i
g
Code No. h __ __ __

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