Form 49181 - Partner'S Share Of Indiana Adjusted Gross Income, Deductions, Modifi Cations And Credits Form - State Of Indiana

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IT-65 2006
Indiana Department of Revenue
Schedule IN K-1
Partner's Share of Indiana Adjusted Gross Income, Deductions, Modifi cations and Credits
State Form 49181
(R5/8-06)
BB
AA
Tax Year Beginning _____________/________/ 2006 and Ending _____________/________/ __________
Name of Partnership
Federal Identifi cation Number
A
B
Distributions - Provide IN K-1 to each partner. Attach IN K-1 to IT-65 return. For information on the acceptable electronic data fi le format visit the
Department’s Web site at
Pro rata amounts for lines 1 through 13 of any nonresident partners must be multiplied by the Indiana apportionment percent, if applicable from
IT-65, line 4.
Part 1 – Partner’s Identifi cation Section
(
a) If Partner is an Individual (please print clearly)
Last Name:
First Name:
Social Security Number:
a3
a1
a2
(b) If Partner is an Other Entity (please print clearly)
Federal Identifi cation Number:
Name:
b2
b1
(c)
Partner's State of Residence or Commercial Domicile:
c1
(d) Indiana Tax Withheld for Nonresident Partner (on WH-18):
,
,
.
d
00
(e) Partner's Federal Pro Rata Percentage:
e
.
%
Part 2 - Distributive Share Amount
,
,
.
00
1
1.
Ordinary business income (loss) ....................................................................................................
,
,
.
00
2.
Net rental real estate income (loss) ................................................................................................
2
,
,
.
00
3
3.
Other net rental income (loss) .........................................................................................................
,
,
.
00
4
4.
Guaranteed payments ....................................................................................................................
,
,
.
00
5
5.
Interest income ...............................................................................................................................
,
,
.
6a
00
6a.
Ordinary dividends ..........................................................................................................................
,
,
.
7
00
7.
Royalties .........................................................................................................................................
,
,
.
00
8
8.
Net short-term capital gain (loss) ....................................................................................................
,
,
.
00
9a
9a.
Net long-term capital gain (loss) .....................................................................................................
,
,
.
00
10
10.
Net IRC Section 1231 gain (loss) ...................................................................................................
,
,
.
00
11.
Other income (loss) ........................................................................................................................
11
,
,
.
12
12.
IRC Section 179 expense deduction ..............................................................................................
00
13A.
Portion of expenses related to investment portfolio income, including
,
,
.
00
investment interest expense and other (federal non-itemized) deductions ....................................
13A
13B.
Other information from line 20 of federal K-1 related to investment
,
,
.
interest and expenses not listed elsewhere ...............................................................................
00
13B
14.
Total pro rata distributions (Add lines 1 through 11, subtract lines 12, 13A and
,
,
.
00
14
13B when applicable.) ....................................................................................................................
15.
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-65:
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
15
Total distributive share of modifi cations ......................................
16. Pro rata share of Indiana pass-through tax credits from partnership - Enter the name of the tax credit program, its three-digit ID code, and
dollar amount of the partner's distributive share for each allowable credit.
Name of credit:
,
,
.
16c
$
00
a
Code No. b __ __ __
,
,
.
16f
$
00
d
Code No. e __ __ __
,
,
.
16i
$
00
g
Code No. h __ __ __

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