Form D-65 - Partnership Return Of Income - 2002 Page 2
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2D-65 PAGE 2
*020650120000*
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TAXPAYER NAME:
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FEDERAL EMPLOYER IDENTIFICATION NO. (or SSN)
DATE (MM/DD/YYYY)
A. DATE ENTITY WAS ORGANIZED
......................................................................................
B. THIS RETURN IS
INITIAL
AMENDED
FINAL RETURN
RETURN
RETURN
CASH
ACCRUAL
OTHER (specify)
C. INDICATE YOUR ACCOUNTING METHOD
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D. NUMBER OF PARTNERS IN THIS PARTNERSHIP
E. IS THIS A LIMITED PARTNERSHIP?
YES
NO
F. IS THIS A LIMITED LIABILITY COMPANY?
YES
NO
G. ARE ANY PARTNERS IN THIS PARTNERSHIP ALSO PARTNERSHIPS OR CORPORATE ENTITIES?
NO
YES
H. IS THIS PARTNERSHIP A PARTNER IN ANOTHER PARTNERSHIP?
YES
NO
I. WAS THERE A DISTRIBUTION OR TRANSFER OF PROPERTY THAT CAUSED AN ADJUSTMENT
OF THE BASIS OF THE PARTNERSHIP’S ASSETS UNDER SEC. 754 (IRC)?
YES
NO
J. WAS A RETURN OF INCOME FILED FOR THE PRECEDING YEAR?
YES
NO
K. WAS A 2002 UNINCORPORATED BUSINESS FRANCHISE TAX RETURN (FORM D-30) FILED FOR THIS BUSINESS?
NO
YES
IF “YES”, PROVIDE NAME UNDER WHICH THE RETURN WAS FILED
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NO
L. HAVE YOU FILED ANNUAL FEDERAL INCOME TAX INFORMATION RETURN FORMS 1099 AND 1096?
YES
M. DID YOU WITHHOLD D.C. INCOME TAX FROM THE WAGES OF YOUR EMPLOYEES DURING 2002?
YES
NO
IF “NO”, STATE REASON :
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N. DURING 2002, HAS THE IRS MADE OR PROPOSED ANY ADJUSTMENTS IN YOUR FEDERAL FORM 1065,
NO
YES
OR DID YOU FILE AMENDED RETURNS WITH THE IRS?
IF “YES”, SUBMIT SEPARATELY A DETAILED EXPLANATION AND AN AMENDED RETURN TO:
THE OFFICE OF TAX AND REVENUE, P.O. BOX 447, WASHINGTON, D.C. 20044-0447.
• You must attach a copy of the Federal partnership return (Form 1065) with K-1 and other schedules which you file.
• You must attach a schedule showing the pass-through distribution of income to all members of the partnership.
• If you are filing this Form D-65, instead of Form D-30, attach an explanation (See instruction A).
Under penalties of law, I declare that I have examined this return and, to the best of my knowledge it is correct. Declaration of paid preparer is based on all information available to the preparer.
PLEASE
SIGN
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__________________________________________
HERE
TELEPHONE NUMBER
PARTNER OR MEMBER’S SIGNATURE
DATE
Preparer’s FIEN, SSN or PTIN
PREPARER’S SIGNATURE (If other than taxpayer)
DATE
PAID
PREPARER
ONLY
FIRM NAME, ADDRESS LINE #1
FIRM ADDRESS LINE #2
Mail return to: Government of the District of Columbia, Office of Tax and Revenue, P.O. Box 447, Washington, D.C. 20044-0447
D-65 P2
Partnership Return of Income
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