Schedule In K-1 - Partner'S Share Of Indiana Adjusted Gross Income, Deductions, Modifications And Credits (Green) - 2005

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IT-65 2005
Indiana Department of Revenue
Schedule IN K-1
Partner's Share of Indiana Adjusted Gross Income, Deductions, Modifications and Credits
State Form 49181
(R4/8-05)
For Tax Year Beginning ________/________/ 2005 and Ending ________/________/ __________
AA
BB
Name of Partnership
Federal Identification Number
B
A
Distributions -
Provide IN K-1 information for each partner. Attach IN K-1 to IT-65 return.
Pro rata amounts for lines 1 through 13 of any non-resident partners must be multiplied by the Indiana apportionment percent, if applicable from IT-65,
line 4.
Identification Section of Partner:
(a) Name of Partner:
(b) Social Security Number or Federal Identification Number:
(c) Partner's State of Residence:
(d) Indiana Tax Withheld for Nonresident Partner:
$
(e) Partner's Federal Pro Rata Percentage:
%
Distributive Share Amounts
(Omit Cents)
1.
Ordinary income (loss) from trade or business activities ..............................................
2.
Income (loss) from rental real estate activities .............................................................
3.
Other net rental income (loss) .....................................................................................
4.
Guaranteed payments to partner .................................................................................
5.
Interest Income ...........................................................................................................
6a.
Ordinary dividends .......................................................................................................
7.
Royalties .....................................................................................................................
8.
Net short-term capital gain (loss) Schedule D, Form 1065 ...........................................
9a.
Net long-term capital gain (loss) Schedule D, Form 1065 ............................................
10.
Net IRC Section 1231 gain (loss) Form 4797 ...............................................................
11.
Other income (loss) .....................................................................................................
12.
IRC Section 179 expense deduction ............................................................................
13A.
Portion of expenses related to investment portfolio income, including investment interest
expense and other (federal non-itemized) deductions ..................................................
13B.
Other information from line 20 of federal K-1 related to investment interest and expenses
not listed elsewhere ....................................................................................................
14.
Total pro rata distributions (add lines 1 through 11, subtract lines 12 and 13 when applicable).
15.
State modifications - Designate the distributive share amount of each modification
for Indiana adjusted gross income from line 2 on front of Form IT-65:
2(a) __________
2(b) __________
2(c) __________
2(d) __________
2(e) __________
2(f) __________
Total distributive share of modifications
16.
Pro rata share of Indiana income tax credits pass-through from partnership
(indicate type and amount): _____________________________________________)

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