Form Tc-65, Schedule K - Partners' Distributive Share Items Page 2
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3TC-65, Schedule K-1
TC-65 K1 2012
65204
Partner’s Share of Utah Income, Deductions and Credits
Partnership Information
Partner’s Share of Utah Income, Deductions and Credits
A Partnership’s EIN:
_ ____ ______________
_ ___ __ ___ _ _ _ _ . 00
1. Utah ordinary business income (loss)
B Partnership’s name, address, city, state and ZIP Code:
__ ___ __ __ _ _ _ _ . 00
2. Utah net rental real estate income (loss)
_ ___ __ ___ _ _ _ _ . 00
3. Utah other net rental income (loss)
___ ___ __ _ _ _ _ _ . 00
4. Utah guaranteed payments
___ ___ __ _ _ _ _ _ . 00
5a. Utah U.S. government interest income
Partner Information
_ ___ __ ___ _ _ _ _ . 00
5b. Utah municipal bond interest income
C Partner’s SSN or EIN:
_ _______________
__ ___ __ _ _ _ _ _ _ . 00
5c. Utah other interest income
D Partner’s name, address, city, state and ZIP Code:
__ ___ ___ _ _ _ _ _ . 00
6. Utah ordinary dividends
___ ___ __ _ _ _ _ _ . 00
7. Utah royalties
_ ___ __ ___ _ _ _ _ . 00
8. Utah net short-term capital gain (loss)
E Partner’s phone number:
__ ______________
__ ___ __ _ _ _ _ _ _ . 00
9. Utah net long-term capital gain (loss)
F Percentage of ownership: __ ______________
___ ___ __ _ _ _ _ _ . 00
10. Utah net Section 1231 gain (loss)
G Enter “X” if limited partner or member: ____
__ ___ __ _ _ _ _ _ _ . 00
11. Recapture of Section 179 deduction
12. Utah other income (loss) (describe)
H Entity code from list below
__ __
:
____ __ ___ __ ___
_ ___ ___ _ _ _ _ _ _ . 00
I = Individual
P = Gen’l Partnership
____ __ ___ __ ___
_ ___ ___ _ _ _ _ _ _ . 00
C = Corporation
L = Limited Partnership
S = S Corporation
B = LLC
R = LLP
____ __ ___ __ ___
_ ___ ___ _ _ _ _ _ _ . 00
N = Nonprofit Corp.
T = Trust
O = Other
_ ___ __ ___ _ _ _ _ . 00
13. Utah Section 179 deduction
/
/
/
/
I
Enter date:
______ ____
__________
_ ___ ___ _ _ _ _ _ _ . 00
14. Contributions
affiliated
withdrawn
_ ___ __ __ _ _ _ _ _ . 00
15. Foreign taxes paid or accrued
Other Information
16. Utah other deductions (describe)
____ __ ___ __ ___
_ ___ ___ _ _ _ _ _ _ . 00
____ __ ___ __ ___
_ ___ ___ _ _ _ _ _ _ . 00
____ __ ___ __ ___
_ ___ ___ _ _ _ _ _ _ . 00
17. Utah nonrefundable credits:
Credit name
Code
Amount
____ __ ___ _ ___
_ ___ ___ _ _ _ _ _ _ . 00
____ __ ___ _ ___
_ ___ ___ _ _ _ _ _ _ . 00
Note:
__ ___ ___ __ __ _
___ ___ __ _ _ _ _ _ . 00
To complete lines 1 through 16:
__ ___ ___ __ __ _
___ __ ___ _ _ _ _ _ . 00
18. Utah refundable credits:
All filers complete lines 17 though 19.
Credit name
Code
Amount
Tax Commission Use Only
____ __ ___ _ ___
_ ___ ___ _ _ _ _ _ _ . 00
____ __ ___ _ ___
_ ___ ___ _ _ _ _ _ _ . 00
____ __ ___ _ ___
_ ___ ___ _ _ _ _ _ _ . 00
____ __ ___ _ ___
_ ___ ___ _ _ _ _ _ _ . 00
_ ___ __ ___ _ _ _ _ . 00
19. Utah tax withheld on behalf of partner
_ __
“X” if withholding waiver applied for:
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Parent category: Financial