Schedule K-1 (Forms Clt-4s And Pr-1) - Partner'S/shareholder'S Share Of Income (Loss), Deductions, Credits, Etc. - 2009

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2009 Schedule K-1 (Forms CLT-4S and PR-1)
Partner’s/Shareholder’s Share of Income (Loss), Deductions, Credits, etc.
Check one box:
Form CLT-4S
Form PR-1
Check applicable box(es):
Amended K-1
Final K-1
Part 1 - Pass-Through Entity Information
A Entity’s federal employer ID number ______________________________________
B Entity’s name, address and zip code
Part 2 - Partner/Shareholder Information
A Partner’s/shareholder’s identifying number (SSN/FEIN) ________________________
D Check this box if partner/sharesholder is a nonresident:
B Partner’s/shareholder’s name, address and zip code
If a nonresident, please check this box if a Montana Form PT-AGR,
nonresident agreement has been fi led for partner/shareholder
E Partner’s/shareholder’s share of profi t, loss and capital:
Beginning
Ending
_______________ % _______________ %
Profi t
_______________ % _______________ %
Loss
C What type of entity is this partner/shareholder? ______________________________
_______________ % _______________ %
Capital
Part 3 - All Partners/Shareholders–Montana Adjustments
Information only; see instructions.
Federal Schedule K-1 income (loss)
Montana additions to income
Federally tax-exempt interest
Taxes based on income or profi ts
Other additions. List type _______________________________ and amount
Montana subtractions from Income
Interest from U.S. Treasury obligations
Deduction for purchasing recycled material
Other subtractions. List type _________________________________ and amount
Multi-state pass-through entities
Apportioned income
Income apportioned to Montana
Information only; see instructions.
Allocable income
Income allocated to Montana. List type _________________________________ and amount
Information only; see instructions
Information only; see instructions
Total income taxable to partner/shareholder
Part 4 - Nonresident Individual, Estate or Trust Benefi ciary Only–Montana Source Income (Loss)
Montana apportionment percentage ___________________ %
Information only; see instructions
Ordinary business income (loss)
Net rental real estate income (loss)
Other net rental income (loss)
Guaranteed payments
Interest income
Ordinary dividends
Royalties
Net short-term capital gain (loss)
Net long-term capital gain (loss)
Net section 1231 gain (loss)
Other income (loss). List type ______________________________ and amount
Montana composite income tax paid on behalf or partner/shareholder
Montana income tax withheld on behalf of partner/shareholder
Part 5 - Supplemental Information
Premiums for Insure Montana Small Business Health Insurance credit expenses
Film Production Credit expenses
Mineral royalties tax withholding
Other information. List type ______________________________ and amount
Part 6 - Montana Tax Credits and Recapture (If Applicable)
1. Insure Montana Small Business Health Insurance credit and business FEIN _________________
2. Health insurance for uninsured Montanans credit (Form HI)
3. Contractor’s gross receipts tax credit
4. Other credit/recapture information. List type ______________________________ and amount

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