*16000265*
2
Form 65 — 2016
Page
SCHEDULE A
(NONSEPARATELY STATED RECONCILIATION ADJUSTMENTS)
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1. Related members interest or intangible expenses or costs. From Schedule PAB (see instructions). . . . . . . . . . . . . . . . . . . . . . . . .
1
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2. Nondeductible Federal Depreciation (Economic Stimulus Act of 2008) (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
Additions
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3. Other reconciling items (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
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4. Total additions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
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5. Expenses not deductible on federal income tax return due to election to claim federal tax credit . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
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6. Adjustments due to the Federal Economic Stimulus Act of 2008 (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
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7. Other reconciling items (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deductions
7
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8. Total deductions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
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9. Total reconciliation adjustments (subtract line 8 from line 4 above) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
SCHEDULE B
ALLOCATION OF NONBUSINESS INCOME, LOSS, AND EXPENSE
Identify by account name and amount all items of nonbusiness income, loss, and expense
Rule 810-27-1-4-.01, which states, “Any allowable deduction that is ap pli ca ble to both business
removed from apportionable income and those items which are directly allocable to Alabama.
and nonbusiness income of the taxpayer shall be prorated to each class of income in determin-
Adjustment(s) must also be made for any proration of expenses under Alabama Income Tax
ing income subject to tax as provided…” (See instructions).
DIRECTLY ALLOCABLE ITEMS
ALLOCABLE GROSS INCOME / LOSS
RELATED EXPENSE
NET OF RELATED EXPENSE
Column A
Column B
Column C
Column D
Column E
Column F
Everywhere
Alabama
Everywhere
Alabama
Everywhere
Alabama
(Col. A less Col. C)
(Col. B less Col. D)
Nonseparately stated items
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1a
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1b
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1c
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1d Total (add lines 1a, 1b, and 1c)
Separately stated items
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1e
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1f
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1g
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1h Total (add lines 1e, 1f, and 1g)
Person to contact for information regarding this return:
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Name:
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Telephone Number:
(
)
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Email:
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I authorize a representative of the Department of Revenue to discuss my return and attachments with my preparer.
Please
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true,
correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Sign
Here
(
)
Signature of general partner
Date
Daytime Telephone No.
Social Security No.
Date
Preparer’s PTIN
Preparer’s
Check if
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Signature
self-employed
Telephone No.
E.I. No.
Paid
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Firm’s name (or yours,
(
)
Preparer’s
if self-employed)
and address
ZIP Code
Use Only
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Email Address
ADOR