Form Ia 1120s - Schedule K-1 - Nonresident Shareholder Only - 2002

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I O WA
IA 1120S Schedule K-1 2002
d e p a r t m e n t o f R e v e n u e a n d F i n a n c e
Nonresident Shareholder Only
Corporation: Name ______________________________
Shareholder:
Name _____________________________
Federal T.I.N. _______________________
SSN or Federal T.I.N. ________________
(1) Federal K-1
(2) Iowa Business
(3) Amount
Shareholder’s Pro Rata Share Items
Amount
Activity Ratio
Apportionable to
from Schedule C
Iowa
(Col. 1 times Col. 2)
1. Ordinary income (loss) from trade or business activities .................................................... 1 _______________________________________________
2. Net income (loss) from rental real estate activities ............................................................... 2 _______________________________________________
3. Net income (loss) from other rental activities ........................................................................ 3 _______________________________________________
4. Portfolio income (loss)
(a) Interest income ................................................................................................................... 4a _______________________________________________
(b) Dividend income ................................................................................................................. 4b _______________________________________________
(c) Royalty income ................................................................................................................... 4c _______________________________________________
(d) Net short-term capital gain (loss) .................................................................................... 4d _______________________________________________
(e) Net long-term capital gain (loss) [line 4e(1), Federal Schedule K-1] ........................... 4e _______________________________________________
(f) Other portfolio income (loss) .............................................................................................. 4f _______________________________________________
5. Net gain (loss) under IRC section 1231 (other than due to casualty or theft) ................... 5 _______________________________________________
(line 5, Federal Schedule K-1)
6. Other income ............................................................................................................................... 6 _______________________________________________
7. Charitable contributions ............................................................................................................. 7 _______________________________________________
8. Section 179 expense deduction ................................................................................................ 8 _______________________________________________
9. Expenses related to portfolio income (loss) ............................................................................. 9 _______________________________________________
10. Other deductions ..................................................................................................................... 10 _______________________________________________
11. a) Interest expense on investment debts ............................................................................ 11a _______________________________________________
b) (1) Investment income included on lines 4a, 4b, 4c and 4f above ...................... 11b (1) _______________________________________________
(2) Investment expenses included on line 9 above ............................................... 11b (2) _______________________________________________
12. Federal credits, lines 12a through 12e, Federal Schedule K-1 .......................................... 12 _______________________________________________
13. Other credits and expenditures ............................................................................................. 13 _______________________________________________
14. a) Depreciation adjustment on property placed in service after 1986 ........................... 14a _______________________________________________
b) Adjusted gain or loss ....................................................................................................... 14b _______________________________________________
c) Depletion (other than oil and gas) ................................................................................. 14c _______________________________________________
d) (1) Gross income from oil, gas or geothermal properties .......................................... 14d _______________________________________________
(2) Deductions allocable to oil, gas or geothermal properties ................................... 14d _______________________________________________
e) Other adjustments and tax preference items .............................................................. 14e _______________________________________________
15. Enter any supplemental information that is required to be reported separately to each shareholder for filing with Federal form 1120S Schedule K-1.
Attach additional schedules if more space is needed. ______________________________________________________________________________
16. Shareholder’s all-source modifications (column (5), Schedule K of the IA 1120S) .......................................................................... 16 _______________
17. Iowa business activity ratio ..................................................................................................................................................................... 17 _______________
18. Shareholder’s Iowa-source modifications (multiply line 16 by the percentage on line 17; enter on line 14, IA126 if positive,
or line 24, IA126 if negative) ..................................................................................................................................................................... 18 _______________
Schedule C – Business Activity Ratio (BAR)
(see instructions)
Enter Whole Dollars
T y p e o f I n c o m e
Col. A- S Corporation Iowa Receipts
Col. B- S Corporation Receipts Everywhere
1 Gross Receipts
2 Net Dividends (see instructions)
3 Exempt Interest
4 Accounts Receivable Interest
5 Other Interest
6 Rent
7 Royalties
8 Capital Gains
9 Ordinary Gains
10 Partnership Gross Receipts (attach schedule)
11 Other (must attach schedule)
1 2
T O TA L S
13 Percentage (Line 12: Column A/Column B – to six decimal places) Enter % in Column 2 of K-1
above for nonresident shareholders or on line 16 of IA 134 for resident shareholders.
%

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