Instructions For Connecticut S Corporation Information And Composite Income Tax Return Form Ct-1120si

PART II

Income Apportionment (See instructions)

(A)

There are one or more nonresident shareholders; and

Complete this part ONLY

(B)

The S corporation carries on business both within and outside of Connecticut; and

if ALL of the following apply:

(C)

The books and records do not satisfactorily disclose the portion of income derived from or

connected with Connecticut sources.

Column A

Column B

Column C

Items Used as Factors

Totals Everywhere

Connecticut Only

Decimal Notation

1. Real property owned ...................................................... 1

Percent Column B

is of

2. Real property rented from others ................................. 2

Column A

3. Tangible personal property owned or rented .............. 3

4. Property owned or rented (Add Lines 1, 2, and 3) .. 4

5. Employee wages and salaries ...................................... 5

6. Gross income from sales and services ........................ 6

7. Total (Add Lines 4, 5, and 6, Column C) ......................................................................................................................... 7

8. Apportionment fraction (Divide Line 7 by three or actual number of fractions) .......................................

Attach schedule to the back of this return listing all places, both within and

PART III

Business Information

outside of Connecticut, where the S corporation carries on business.

PART IV

Shareholders Information

Nonresident

Federal ID Number

% Stock

Shareholder #

(List nonresidents first, residents next)

or Social Security Number

Ownership

Yes

< <

PART V

Nonresident Shareholders’ Share of Connecticut Source Income (Including Connecticut Modifications)

SHAREHOLDER

Connecticut-sourced portion of items from federal

Schedule K-1 (Form 1120S)

# ____

(See instructions)

1. Ordinary (nonseparately stated) income (loss) .................................

2. Net income (loss) from rental real estate activities ..........................

3. Net income (loss) from other rental activities ...................................

4. Portfolio income ....................................................................................

5. Expense deduction for property under I.R.C. §179 ........................

6. Other deductions ..................................................................................

7. Net gain (loss) under I.R.C. §1231 (other than due to casualty or theft) ...

8. Other income (loss) (Attach schedule) ............................................

The S corporation must provide each nonresident shareholder with a schedule of amounts of income derived from or connected with sources within

Connecticut for inclusion by the shareholder on the appropriate lines of Schedule CT-SI of Form CT-1040NR/PY or Schedule CT-1041FA of Form CT-1041,

as the case may be.

PART VI

Shareholders’ Share of Connecticut Modifications

SHAREHOLDER

# ____

ADDITIONS — ENTER ALL AMOUNTS AS POSITIVE NUMBERS

1. Interest on state and local obligations other than Connecticut ......

Exempt-interest dividends on state and local obligations other than CT .........

Certain deductions relating to income exempt from Connecticut Income Tax

4. Ordinary loss (See instructions) Enter 55% of each

shareholder’s share ..............................................................................

5. Other (Specify) ____________________________ .......................

SUBTRACTIONS — ENTER ALL AMOUNTS AS POSITIVE NUMBERS

6. Interest on U.S. obligations .................................................................

7. Dividends from certain mutual funds owning U.S. obligations .......

8. Certain expenses related to income exempt from federal income

tax but subject to Connecticut tax ......................................................

9. Ordinary income (See instructions) Enter 55% of each

shareholder’s share ..............................................................................

10. Other (Specify) ____________________________ .......................

The S corporation must provide each shareholder with the amounts of Connecticut modifications (as reported in Part VI) for inclusion by the shareholder on

Schedule 1 of Form CT-1040 or Form CT-1040NR/PY, or Schedule A of Form CT-1041, as the case may be. The S corporation must also provide each

nonresident shareholder with information about the portion of the amounts reported in Part VI that is Connecticut sourced for inclusion by the shareholder on

Schedule CT-SI of Form CT-1040NR/PY or Schedule CT-1041FA of Form CT-1041, as the case may be.

CT-1120SI Back (Rev. 12/99)