Form 65 - Oregon Partnership Return Of Income - 2003 Page 2

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2003—Form 65
Page 2
7. Other taxing authorities.
Yes
No
A. Do partnership employees perform services in the TriMet Transportation District? .....................................
B. Do any partners have self-employment income from the partnership in the TriMet
Transportation District? ................................................................................................................................
C. Do partnership employees perform services in the Lane Transit District? ...................................................
D. Do any partners have self-employment income from the partnership in the Lane Transit District? .............
If you answered yes to A, B, C, or D, you must file Form TM or Form LTD.
8. Who has the partnership books?
Name of Partnership
Telephone Number
(
)
City
State
ZIP Code
Street Address
SCHEDULE I—Oregon modifications to federal partnership income passed through to partners. Attach schedules to
explain and compute the modifications. Indicate which federal Schedule K-1 line item each modification is for.
ADDITIONS—Items not included in federal partnership income which are taxable to Oregon.
1. Interest on government bonds of other states .................................................... (K-1 line ___) 1
2. Gain on property transactions not deferred for Oregon ...................................... (K-1 line ___) 2
3. Depreciation, see instructions on page 2 for more information ................................................
3
4. Recognition of previously deferred capital gain ........................................................................
4
5. Depletion in excess of basis .....................................................................................................
5
6. Gain or loss on sale of assets when Oregon basis is different .................................................
6
7. Other additions. Identify_______________________________________________________ 7
SUBTRACTIONS—Items included in federal partnership income which are not taxable to Oregon.
8. U.S. government interest .................................................................................... (K-1 line ___) 8
9. Gain on property transactions already taxed by Oregon ..........................................................
9
10. Depreciation, see instructions on page 2 for more information .......................... (K-1 line ___) 10
11. Work opportunity credit ...................................................................................... (K-1 line ___) 11
12. Gain or loss on sale of assets when Oregon basis is different ................................................. 12
13. Other subtractions. Identify____________________________________________________ 13
Note: Generally, a partner’s share of each Oregon modification is figured by using the partner’s profit/loss sharing percentage.
A partner’s share of each modification must be reported to the partner on federal Schedule K-1 or an equivalent form.
— Attach a copy of your 2003 federal Partnership return —
Under penalties for false swearing, I declare that I have examined this return, including accompanying schedules and statements. To the best of my knowledge and belief it
is true, correct, and complete. If prepared by a person other than the taxpayer, this declaration is based on all information of which the preparer has any knowledge.
X
X
Date
Signature of preparer other than taxpayer
License No.
Your signature
SIGN
HERE
Street Address
Street Address
City
State
ZIP Code
City
State
ZIP Code
Tear off the instructions and file the return on or before the 15th day
of the fourth month after the close of the partnership’s tax year.
Mail to:
Oregon Department of Revenue
PO Box 14260
Salem OR 97309-5060
150-101-065 (Rev. 12-03)

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