Arizona Nonresident and Out-of-State
ARIZONA FORM
2002
165
Partner’s Share of Income and Deductions
Schedule K-1(NR)
CHECK ONE:
MM
MM
DD
DD
YYYY
YYYY
MM
MM
DD
DD
YYYY
YYYY
Original
Amended
For taxable year beginning ______/______/________, and ending ______/______/________
Partner’s identifying number
Partnership’s identifying number
Partner’s name, address, and ZIP code
Partnership’s name, address, and ZIP code
Before change
or termination
End of year
Partner’s percentage of:
%
%
Profi t sharing......................................................................
%
%
Loss sharing.......................................................................
%
%
Ownership of capital ..........................................................
Type of partner (individual, trust, etc.): ___________________________________________________________
NOTE: ALL CORPORATE PARTNERS MUST USE THIS SCHEDULE.
(a)
(b)
(c)
Form 140NR Filers
Distributive
Arizona
Arizona
Part I - Distributive Share Items From Federal Form 1065
Enter the Amount
Share
Apportionment
Source
Schedule K-1
in Column (c) on:
Amount
Ratio
Income
1 Ordinary income (loss) from trade or business activities
2 Net income (loss) from rental real estate activities
3 Net income (loss) from other rental activities
4 Total - Add lines 1, 2 and 3
Line B10
5 Portfolio income (loss):
5a Interest
Line B5
5b Dividends
Line B6
5c Royalties
Line B10
5d Net short-term capital gain (loss)
Line B9
5e Net long-term capital gain (loss)
Line B9
5f Other portfolio income (loss) - attach schedule
Line B11
6 Guaranteed payments to partner
7 Net IRC Section 1231 gain (loss)
Line B9
8 Other income (loss) - attach schedule
Line B11
9 IRC Section 179 expense
Line B10
10 Deductions related to portfolio income - attach schedule
11 Other deductions - attach schedule
(a)
(b)
(c)
Form 140NR Filers
Distributive
Arizona
Arizona
Part II - Partner’s Distributive Share of the Adjustment of
Enter the Amount
Share
Apportionment
Source
Partnership Income From Federal to Arizona Basis
in Column (c) on:
Amount
Ratio
Income
12 Adjustment of partnership income from federal to Arizona
Line C19 or D30
basis - from Form 165, page 1, line 6
NOTE: Corporate partners see Form 120 or Form 120A instructions for information on reporting the amount from line 12.
ADOR 91-0033 (02)