Form 165 - Arizona Partnership Income Tax Return

2000

Arizona Partnership Income Tax Return

ARIZONA FORM

165

CHECK ONE

For taxable year beginning ______/______/______ , and ending ______/______/______ .

Calendar year

Fiscal year

YYYY

CHECK ONE

Mail to: Arizona Department of Revenue, PO Box 29079, Phoenix AZ 85038-9079

Original

Amended

Business telephone number

Name

Federal employer ID number (FEIN)

Please

Number and street

AZ withholding tax number

(

)

or type

Business activity code number

(from federal Form 1065)

City or town, state, and ZIP code

AZ transaction privilege tax number

For DOR use only

Check box if:

This is a first return

Name change

Address change

A DBA

B Will a composite return be filed on Form 140NR? ..............

YES

Total number of nonresident individual partners

Total number of resident individual partners

CHECK BOX IF:

Total number of entity partners (see instruction page 2)

Federal extension used to file return.

F Date business commenced ______/______/______

YYYY

YES

G Is this the partnership's final return? .......................................................................................................................................................................

H Did you file 1998 and 1999 Arizona partnership returns? If no, state reason

Have you filed amended federal partnership returns for prior years? .....................................................................................................................

If yes, list years

J Have you attached a copy of your federal Form 1065 and supporting schedules to this return, including Schedule(s) K-1? ................................

K Has the Internal Revenue Service made any adjustments in any federal income tax return filed by the partnership not previously reported

to the department? If yes, indicate year(s)

, and submit under separate cover a copy of the IRS

report as finally determined ....................................................................................................................................................................................

L The partnership books are in care of:

located at:

1 Federal ordinary business and rental income - from Form 1065, Schedule K. See instructions ....................................

Adjustment of

2 Additions to partnership income - from page 2, Schedule A, line A5 .............................................................................

Partnership

3 Subtotal - add lines 1 and 2 ...........................................................................................................................................

Income From

4 Subtractions from partnership income - from page 2, Schedule B, line B7 ....................................................................

Federal to

5 Partnership income adjusted to Arizona basis - line 3 minus line 4 ..............................................................................

Arizona Basis

6 Net adjustment of partnership income from federal to Arizona basis - line 5 minus line 1 .............................................

7 Penalty for late filing or incomplete filing $500.00 ..........................................................................................................

Penalty

Penalty Code

Certification

I, the undersigned partner of the partnership for which this return is made, certify under penalty of perjury, that this return,

including the accompanying schedules and statements, has been examined by me and is to the best of my knowledge and belief,

a correct and complete return, made in good faith, for the taxable year stated pursuant to the income tax laws of the State of

Arizona.

Please

Sign Here

Partner

Date

Partner's social security number or EIN