Form 84-131-11-8-1-000 - Mississippi Schedule K - 2011 Page 3

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Mississippi
Form 84-132-11-8-1-000 (Rev. 08/11)
Schedule K-1
2011
Information About the Entity
Part I
Final K-1
Amended K-1
Composite
Partner's Share of Current Year Income,
S-Corporation
Partnership
Part III
Deductions, Credits and Other Items
Entity FEIN
A
1
Ordinary Business Income (Loss)
Self-Employment Earnings (Loss)
15
B Entity's Name, Address, City, State and ZIP Code
2
Credits
Net Rental Real Estate Income (Loss)
16
3
Other Net Rental Income (Loss)
17
4
Foreign Transactions
Guaranteed Payments
If partnership box was checked above, is the partnership a
C
Publicly Traded Partnership (PTP)?
5
Interest Income
Part II
Information About the Owner / Partner
6a
Owner / Partner's SSN or FEIN
Ordinary Dividends
D
6b
Owner / Partner's Name, Address, City, State and ZIP Code
Qualified Dividends
E
7
18
Alternative Minimum Tax (AMT) Items
Royalties
8
Net Short-Term Captial Gain (Loss)
F
General Partner or LLC
Limited Partner or Other LLC
Items Affecting Shareholder Basis
Member-Manager
Member
9a
19
Net Long-Term Capital Gain (Loss)
G
What type of entity is the partner?
9b
Collectibles (28%) Gain (Loss)
H
Check box if 5% of the net gain / profit was withheld?
Enter amount of withholding remitted for Partner
20
9c
Tax-Exempt Income and Nondeductible
$ ___________
Unrecaptured Section 1250 Gain
Expenses
Partner's Share of Profit, Loss and Capital:
I
10
Net Section 1231 Gain (Loss)
Beginning
Ending
%
Profit
%
11
21
Distributions
Other Income (Loss)
%
Loss
%
%
Capital
%
12
Section 179 Deduction
J
Partner's Share of Liablities at Year End:
Nonrecourse
.
.
.
.
.
.
$
22
Other Information
13
Charitable Contributions
Qualified Nonrecourse Financing
$
Recourse
.
.
.
.
.
.
.
$
14
Other Deductions
K
Partner's Mississippi Capital Account Analysis:
Part IV
Mississippi Tax Credits
Beginning Capital Account
.
.
$
(Enter Credit Code and Name from Form 84-401)
Capital Contributed During the Year
$
Current Year Increase (Decrease)
$
Amount
Code
Credit
Withdrawals & Distributions
$
(
)
Ending Capital Account
.
.
.
$
$
Other (Explain)
Tax Basis
GAAP
$
L Did the Partner Contribute Property With a Bulit-in Gain or Loss?
Yes
No
$
If "Yes", Attach Statement.
M Shareholder's Percentage of Stock Ownership for Tax Year
$
%
N Mississippi Apportionment Ratio for Tax Year
$
%

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