Schedule S - S Corporation Distributive Income, Schedule Sk-1 - Shareholder'S Massachusetts Information - 2002 Page 3
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Schedule SK-1
Massachusetts
Shareholder’s Massachusetts
Department of
Information
Revenue
For calendar year 2002 or taxable year beginning
and ending
Name of shareholder
Social Security or Federal Identification number
Street address
City/Town
State
Zip
Name of S corporation
Federal Identification number
Street address
City/Town
State
Zip
Individual resident
Individual nonresident
Trust
Estate
Type of shareholder:
Shareholder’s Distributive Share
The S corporation has completed the information on this tax schedule. Refer to Shareholder’s Instructions for Schedule SK-1 on the back before entering
information from this tax schedule on your tax return. For a nonresident shareholder eligible to apportion, enter in column b the amount of the shareholder’s
share of each applicable distributive share item multiplied by the apportionment percentage in Form 355S, Schedule F, line 5. For line 8, enter the amount
of the shareholder’s share without apportionment. For all other shareholders, enter in column b the amount of the shareholder’s share of each applicable
distributive share item.
b. Shareholder’s Mass.
c. Form 1, 1-NR/PY or 2 filers, use the amount
a. Distributive share line
distributive amount
in col. b to complete the following schedules:
11 Massachusetts ordinary income or loss (from Schedule S, line 25)
12 Separately stated deductions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13 Combine lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Form 1 or 1-NR/PY, Schedule E, Part II, or Form 2
14 Credits:
Taxes paid to another state or jurisdiction (for
residents only)
Lead paint
EOA
FEC
Brownfields
Low Income Housing . . . . . . . . . . . . . . . . . . . . .
See SK-1 instructions
15 Net income or loss from rental real estate activity(ies)
(from Schedule S, line 26) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
See SK-1 instructions
16 Net income or loss from other rental activity(ies)
(from Schedule S, line 27) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
See SK-1 instructions
17 5.3% interest from Massachusetts banks (from Schedule S, line 30)
See SK-1 instructions
18 Interest on U.S. obligations (from Schedule S, line 29) . . . . . . . . . .
See SK-1 instructions
19 Non-Massachusetts state and municipal bond interest
(from Schedule S, line 32) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
See SK-1 instructions
10 Other interest and dividend income (from Schedule S, line 31) . . . .
See SK-1 instructions
11 Royalty income (from Schedule S, line 33) . . . . . . . . . . . . . . . . . . .
See SK-1 instructions
12 Other Income (from Schedule S, line 34) . . . . . . . . . . . . . . . . . . . . .
See SK-1 instructions
13 Short-term capital gains (from Schedule S, line 35) . . . . . . . . . . . . .
Forms 1, 1-NR/PY or 2, Sch. B
14 Short-term capital losses (from Schedule S, line 36) . . . . . . . . . . . .
Forms 1, 1-NR/PY or 2, Sch. B
15 Gain on the sale, exchange or involuntary conversion
of property used in a trade or business and held for
one year or less (from Schedule S, line 37) . . . . . . . . . . . . . . . . . . .
Forms 1, 1-NR/PY or 2, Sch. B
16 Loss on the sale, exchange or involuntary conversion
of property used in a trade or business and held for
one year or less (from Schedule S, line 38) . . . . . . . . . . . . . . . . . . .
Forms 1, 1-NR/PY or 2, Sch. B
17 Long-term capital gain or loss (from Schedule S, line 39)* . . . . . . .
Forms 1, 1-NR/PY or 2, Sch. D
18 Net gain or loss under Section 1231 (from Schedule S, line 40)*. . . .
Forms 1, 1-NR/PY or 2, Sch. B & D
19 Other long-term gains and losses (from Schedule S, line 41)*. . . . .
Forms 1, 1-NR/PY or 2, Sch. B & D
20 Long-term gains on collectibles (from Schedule S, line 42)* . . . . . .
Forms 1, 1-NR/PY or 2, Sch. B & D
21 Differences and adjustments, if any (from Schedule S, line 43) . . . .
*The S corporation may provide each shareholder with a breakdown of long-term capital gains and losses by the applicable holding period(s) and transaction dates. If the S cor-
poration does not do so, all long-term capital gains and losses, excluding long-term gains on collectibles, are to be taxed at 5.3%.
Shareholder’s Basis Information
a. Number of shares
b. Amount
22 Federal basis as of 12-31-85, or later year, if applicable
(See instructions and specify year here: ___________ )
23 Massachusetts basis
24 Net Massachusetts
26 Massachusetts basis at
at beginning of year
adjustments
25 Net federal adjustments
end of year (23 + 24)
Stock
Indebtedness
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