Form Tc-65 - Utah Partnership/limited Liability Partnership/limited Liability Company Return Of Income - 2002

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P
Utah Partnership/Limited Liability Partnership/
2002
A
Limited Liability Company Return of Income
TC-65
R
For the year ending Dec. 31, 2002, or fiscal taxable year beginning
T
Rev. 12/02
___________________ and ending ___________________.
N
E
Partnership/Limited Liability Partnership/Limited Liability Company Name
R
S
Address
H
I
City
State
Zip Code
P
Telephone Number
Employer Identification Number (EIN)
(
)
Indicate whether the
General or Limited
P
O
L
Limited Liability Partnership
Limited Liability Company
entity named above is a:
Partnership
Attach a copy of the federal Form 1065 without K-1s, except for nonresident partners/members whose Utah reportable income
is over $1,000.
Number of partners/members who are not Utah residents
1
1.
(If all partners/members are Utah residents, complete lines 2, 3, 4 and 5 only)
2
/
/
2. Date registered in Utah (MM/DD/YY)
3
/
/
3. If dissolved, date of dissolution (MM/DD/YY)
Did the entity have income derived from Utah sources or maintain
4
4.
Yes
No
a bona fide office, store, factory or place of business in Utah?
5. Amount of Utah income (Attach Schedules A and B, if applicable.)
00
5
Percentage of Utah income attributable to nonresidents
6.
%
6
Is this a composite return on behalf of nonresident partners/members?
7.
Yes
No
7
If you answered yes to line 7, you must complete lines 8 through 15
Utah income attributable to nonresident partners/members included in composite filing
00
8
8.
(Attach form TC-65, Schedule N)
9. Deduction amount (multiply line 8 by .15)
00
9
Utah taxable income attributable to nonresident partners/members
10.
00
included in composite filing (line 8 minus line 9)
10
11. Tax rate
.07
11
12. Tax (line 10 multiplied by line 11)
00
12
13. Taxes prepaid (this includes extension prepayments and voluntary prepayments)
00
13
14.
Net tax due (if line 12 is greater than line 13, subtract line 13 from line 12)
00
14
15
00
Refund (if line 13 is greater than line 12, subtract line 12 from line 13)
15.
Official Use Only
Under penalties of perjury, I declare that to the best of my knowledge, this return and accompanying schedules
are true, correct and complete.
Signature of general partner/member
Date
Paid preparer's signature
Date
Preparer's SSN / PTIN
Check if
self-employed
Paid
Preparer's
Firm's name (or yours if self-employed)
Telephone number
Employer identification number
Section
Paid preparer's complete address
City
State
ZIP Code
Return to be filed with the Utah State Tax Commission, 210 N 1950 W, SLC, UT 84134-0270, telephone (801) 297-2200 or 1-800-662-4335.

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