Form 765 - Kentucky Partnership Income And Llet Return

Form 765 (2012)

Page 2

*1200010264*

Commonwealth of Kentucky

DEPARTMENT OF REVENUE

Q—K

CHEDULE

ENTUCKY

ARTNERSHIP

UESTIONNAIRE

IMPORTANT: Questions 4—12 must be completed by all

If yes, list name and federal I.D. number of the pass-through

partnerships. If this is the partnership’s initial return or if the

entity(ies). ____________________________________________

partnership did not file a return under the same name and same

______________________________________________________

federal I.D. number for the preceding year, questions 1, 2 and 3

______________________________________________________

must be answered. Failure to do so may result in a request for

For the taxable period being reported, was the

a delinquent return.

partnership doing business in Kentucky other than through

its interest held in a pass-through entity doing business in

1. Indicate whether: (a)  new business; (b)  successor to

Kentucky?  Yes  No

previously existing business which was organized as:

(1)  corporation; (2)  partnership; (3)  sole proprietorship; or

Are related party costs as defined in KRS 141.205(1)(l)

(4)  other _______________________________________________

included in this return?  Yes

 No. If yes, attach

_________________________________________________________

Schedule RPC, Related Party Costs Disclosure Statement,

If successor to previously existing business, give name,

and enter any related party cost additions on Part I, Line 4.

address and federal I.D. number of the previous business

organization. ____________________________________________

Is the entity filing this Kentucky tax return organized as a

_________________________________________________________

limited cooperative association as provided by KRS Chapter

_________________________________________________________

272A?  Yes  No

2. List the following Kentucky account numbers. Enter N/A for

any number not applicable.

Is the entity filing this Kentucky tax return organized as

a statutory trust or a series statutory trust as provided

Employer Withholding ___________________________________

by KRS Chapter 386A?  Yes  No. If yes, is the entity

Sales and Use Tax Permit _________________________________

filing this Kentucky tax return a series within a statutory

Consumer Use Tax _______________________________________

Unemployment Insurance ________________________________

trust?  Yes  No. If yes, enter the name, address and

Coal Severance and/or Processing Tax _____________________

federal I.D. number of the statutory trust registered with the

Kentucky Secretary of State:

3. If a foreign partnership, enter the date qualified to do business

______________________________________________________

in Kentucky. __ __ / __ __ / __ __

______________________________________________________

10. Was this return prepared on: (a)  cash basis, (b)  accrual

4. The partnership’s books are in care of: (name and

basis, (c)  other ______________________________________

address)

11. Did the partnership file a Kentucky tangible personal

______________________________________________________

property tax return for January 1, 2013?  Yes  No

______________________________________________________

12. Is the partnership currently under audit by the Internal

5. Are disregarded entities included in this return?

Revenue Service?  Yes  No

 Yes  No. If yes, list name, address and federal I.D.

If yes, enter years under audit

___________________________

number of each entity. _________________________________

_________________________________________________________

______________________________________________________

If the Internal Revenue Service has made final and unappealable

______________________________________________________

adjustments to the partnership’s taxable income which have

6. For the taxable period being reported, was the partnership

not been reported to the department, check here  and file an

amended Form 765 for each year adjusted. Attach a copy of

a partner in a pass-through entity doing business in

the final determination to each amended return.

Kentucky?  Yes  No

I, the undersigned, declare under the penalties of perjury, that I have examined this return, including all accompanying schedules and statements,

and to the best of my knowledge and belief, it is true, correct and complete.

✍

Signature of partner or member

SSN or FEIN

Date

Name of person or firm preparing return

SSN, PTIN or FEIN

Date

May the DOR discuss this return with the preparer?



Yes

Email Address:

Telephone No.:

Form 765 - Kentucky Partnership Income And Llet Return - 2012 Page 2

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