Form F -1065 - Florida Partnership Information Return - Department Of Revenue

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F-1065
R. 01/00
PAGE 1
Florida Partnership Information Return
A copy of federal Form 1065 must be attached to this return
For the Taxable Year
Beginning
,
, and ending
,
.
-
Federal Employer Identification No. (FEIN)
Name of Partnership
North American Industry Classification System
Street Address
City
State
ZIP
Part I Florida Adjustment to Partnership Income
A
Additions to federal income:
1. Federal tax exempt interest.
Total interest excluded from federal ordinary income
$ _____________
Less associated expenses not deductible in
computing federal ordinary income
$ _____________
Net Interest $ _____________
2. State income taxes deducted in computing federal ordinary income.
______________
3. Installment sales income adjustment (see instructions).
______________
4. Other additions.
______________
Total
A. $ _______________
B
Subtractions from federal income:
1. Installment sales income adjustment (see instructions).
______________
2. Other subtractions.
______________
Total
B. $ _______________
C
Sub-total (Line A Less Line B):
C. _________________
D
Net adjustment from other partnerships or ventures
D. _________________
E
Partnership Income adjustment:
1. Increase (Total of Lines C and D)
E.1. _______________
2. Decrease (Total of Lines C and D)
2.( _____________ )
Part II Distribution of Partnership Income Adjustment
(a)
(b)
(c)
Partner’s Name and Address (Include FEIN)
Amount shown Partner’s percentage
Column (a) times Column (b)
on Line E
of profits
= partner’s share of Line E.
Note: If there is no adjustment on Line E show partner’s percentage
Part I, above
Enter here and on F-1120
of profits in Column (b) and leave Columns (a) and (c) blank.
Schedule I, Line 9 (if decrease,
Schedule II, Line 8.)
A.
$
$
B.
C.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is
true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Signature of Partner or Member
Sign Here
(Must be an original signature.)
Date
Preparer’s social security number
Check if self-
Preparer’s
Paid
employed
Signature
Date
Preparer’s
Firm’s name (or yours
FEIN
Only
if self-employed)
and address
Zip Code
Mail To: Florida Department of Revenue, 5050 W. Tennessee St., Tallahassee FL 32399-0100

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