2004—Form 65
Page 2
Yes
No
7. Other taxing authorities.
A. Do partnership employees perform services in the TriMet Transportation District? ......................................
B. Do any partners have self-employment income from the partnership in the TriMet
Transportation District?..................................................................................................................................
C. Do partnership employees perform services in the Lane Transit District? ....................................................
D. Do any partners have self-employment income from the partnership in the Lane Transit District? ..............
If you answered yes to A, B, C, or D, Form TM or Form LTD must be fi led by the individual partners
or the partnership may elect to fi le on the partners' behalf.
8. Who has the partnership books?
Name of partner who has the partnership books
Tele phone Num ber
(
)
Street Address
City
State
ZIP Code
SCHEDULE I—Oregon modifi cations to federal partnership income passed through to partners. Attach schedules to
explain and compute the modifi cations. Indicate which federal Schedule K-1 line item each modifi cation is for.
ADDITIONS—Items not included in federal partnership income which are taxable to Oregon.
1. Interest on government bonds of other states .....................................................(K-1 line ___) 1
2. Gain on property transactions not deferred for Oregon .......................................(K-1 line ___) 2
3. Depreciation, see instructions on page 2 for more information ................................................
3
4. Recognition of previously deferred capital gain ........................................................................
4
5. Depletion in excess of property basis .......................................................................................
5
6. Gain or loss on sale of assets when Oregon basis is different from federal basis ...................
6
7. Other additions. Identify_______________________________________________________ 7
SUBTRACTIONS—Items included in federal partnership income which are not taxable to Oregon.
8. U.S. government interest .....................................................................................(K-1 line ___) 8
9. Gain on property transactions already taxed by Oregon ..........................................................
9
10. Depreciation, see instructions on page 2 for more information ...........................(K-1 line ___) 10
11. Work opportunity credit ........................................................................................(K-1 line ___) 11
12. Gain or loss on sale of assets when Oregon basis is different from federal basis ................... 12
13. Other subtractions. Identify____________________________________________________ 13
Note: Generally, a partner’s share of each Oregon modifi cation is fi gured by using the partner’s profi t/loss sharing percentage.
A partner’s share of each modifi cation must be reported to the partner on federal Schedule K-1 or an equivalent form.
— Attach a copy of your 2004 federal Partnership return —
➨
Under penalties for false swearing, I declare that I have examined this return, including ac com pa ny ing sched ules
I authorize the Department of Rev-
and statements. To the best of my knowledge and belief it is true, correct, and complete. If prepared by a person
enue to contact this preparer about
other than the taxpayer, this dec la ra tion is based on all in for ma tion of which the preparer has any knowledge.
the processing of this return.
➨
X
X
Date
Signature of preparer other than taxpayer
License No.
Your signature
SIGN
HERE
Street Address
Street Address
City
State
ZIP Code
City
State
ZIP Code
➨
Tear off the instructions and fi le the return on or before the 15th day
of the fourth month after the close of the partnership’s tax year.
Mail to:
Oregon Department of Rev e nue
PO Box 14260
Salem OR 97309-5060
150-101-065 (Rev. 12-04) Web