Form It 1041 - Fiduciary Income Tax Return - 2016 Page 6
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Do not use staples. Use only black ink.
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Rev. 2/17
Ohio IT K-1
10211411
For calendar year 20
or taxable year beginning
and ending
Investor’s / benefi ciary’s SSN / FEIN
Entity FEIN
Investor’s / benefi ciary’s name, address and ZIP code
Pass-through entity’s name, address and ZIP code
Investor’s percentage of
Beginning of year
End of year
Pass-through entity type
Profi t sharing ..................
%
%
IT 1140 qualifi ed investor
Loss sharing ...................
%
%
IT 4708 composite investor
Ownership of capital .......
%
%
Entity Apportionment Percentage
Ohio
Everywhere
Property ...................................................................................................................
Payroll......................................................................................................................
Sales........................................................................................................................
Total apportionment percentage ..............................................................................
Depreciation Information
Depreciation adjustment has been waived
Total current year bonus depreciation and Section 179 expense adjustment .....................................................
Prior years add-back (indicate add back deduction time frame next to amount, i.e., 2/3,5/6,6/6)
20
20
20
20
20
Investor’s / Benefi ciary’s Share of Ohio Taxable Income and Tax Credits
1. Ohio taxable income .....................................................................................................................................1.
2. Tax before credits..........................................................................................................................................2.
3. Nonrefundable business credits (attach certifi cate[s]) ..................................................................................3.
4. Ohio tax paid on behalf of this investor/benefi ciary (net of overpayments) (credit for Ohio taxes paid by
this entity) ....................................................................................................................................................4.
5. Total indirect pass-through entity credit for Ohio pass-through entity taxes paid ...........................................5.
FEIN(s) of pass-through entity (payors)
6. Refundable jobs credit (attach certifi cate) – percent of credit claimed
% .....................................6.
7. Ohio historic preservation credit (attach certifi cate) – percent of credit claimed
% ......................7.
8. Losses on loans made to Ohio venture capital program...............................................................................8.
9. Motion picture production credit (attach certifi cate) – percent of credit claimed
% ......................9.
10. Financial Institutions Tax (FIT) credit ..........................................................................................................10.
FEIN of the entity that paid the FIT
Supplemental Information
Ohio IT K-1 – pg. 1 of 1
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