Form 480.10 - Partnership Income Tax Return

Form 480.10

Rev. 02.11

Partnership - Page 4

Compensation to Partners

Percentage of time

Percentage of partnership

Compensation

Name of partner

devoted to

Social security number

ownership

industry or business

Total compensation to partners (Enter in Part V, line 21) .......................................................................................................................

Questionnaire

Yes No

If a foreign partnership, indicate if the trade or business in Puerto Rico was

Did the partnership claim a deduction for expenses connected with:

(1)

held as a branch ................................................................................

(a)

Vessels? ...............................................................................

(9a)

If a branch, indicate the percent that represents the income from sources

(b)

Living expenses? .................................................................

(9b)

within Puerto Rico from the total income of the partnership:_______%

(c)

Employees attending conventions or meetings outside

Did the partnership keep any part of its records on a

Puerto Rico or the United States? .............................................

(9c)

(3)

computerized system during this year? ...............................................

10.

Did the partnership distribute profits in excess of the partnership's current

The partnership's books are in care of:

and accumulated profits during the tax year? ........................................

(10)

Name ________________________________________________________

11.

Is the partnership a partner in any special partnership? ......................

(11)

Address ______________________________________________________

Name of special partnership __________________________________

_______________________________________________________________

Employer identification number_________________________________

Indicate the accounting method used for book (tax) purposes:

12.

Is the partnership a member of a controlled group? ............................

(12)

Cash

Accrual

13.

Enter the amount of exempt interest: ____________________________

Other (specify): ____________________________________________

14.

Enter the amount corresponding to charitable contributions to

Did the partnership file the following documents?:

municipalities included in Part V, line 43:_________________________

(6a)

(a) Informative Return (Forms 480.5, 480.6A, 480.6B) ............................

15.

Indicate if insurance premiums were paid by an unauthorized

(6b)

(b) Withholding Statement (Form 499R-2/W-2PR) ...................................

insurer.........................................................................................

(15)

If the gross income exceeds $3,000,000, are financial statements audited by a CPA

16.

Employer's number assigned by the Department of Labor and

(7)

licensed in Puerto Rico included with this return? .........................................

Human Resources: __________________________________________

Number of employees during the year: _____________________________

17.

Number of partners: _________________________________________

OATH

I, _______________________________________, managing partner of the partnership for which this income tax return is made, declare under penalty of perjury, that

this return (including schedules and statements attached) has been examined by me, and to the best of my knowledge and belief, is a true, correct and complete

return, made in good faith, pursuant to the Puerto Rico Internal Revenue Code of 1994, as amended, and the Regulations thereunder.

____________________________________________

Managing partner's signature

NOTARY

Affidavit No. _________________

SEAL

Sworn and subscribed before me by ________________________________________________, of legal age, ___________________________ [civil status], ___________________________

[occupation], and resident of ______________________, _____________________, personally known to me or identified by means of _____________________________________________________,

at _________________________________, _________________________________, this ____ day of _________________, ______.

_________________________________________________

____________________________________________

Title of the person administering oath

Signature of the person administering oath

SPECIALIST'S USE ONLY

I declare under penalty of perjury that this return (including schedules and statements attached) has been examined by me, and to the best of my knowledge and belief is a true, correct,

and complete return. The declaration of the person who prepares this return is with respect to the information received and this information may be verified.

Specialist's name (Print)

Registration number

Date

Self-employed Specialist

Firm's name

Employer identification number

Address

Zip Code

Specialist's signature

NOTE TO TAXPAYER

Indicate if you made payments for the preparation of your return:

Yes