Form 65 - Partnership/limited Liability Company Return Of Income - 2016 Page 4

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16000465
4
Form 65 — 2016
Page
ADOR
SCHEDULE E
OTHER INFORMATION
1. Enter this company’s Alabama Withholding Tax Account Number
2. Indicate if company has been
(a) dissolved
(b) sold
(c) incorporated
If company has been dissolved, sold, or incorporated, complete the following:
Nature of change
Name and address of new company, corporation, or owners
3. Check if an Alabama business privilege tax return was filed for this entity
Check this box, if entity is exempt from BPT
Enter entity’s net worth
If the privilege tax return was filed using a different FEIN, please provide the name and FEIN used to file the return.
FEIN:
NAME:
4. Taxpayer’s email address
5. At the end of the year:
a. Did any corporation, partnership, trust, or tax-exempt organization own, directly or indirectly, an interest of 50% or more in the profit, loss, or capital of the partnership?
Yes
No
If Yes, attach schedule of Partners owning 50% or more of the Partnership.
b. Did any individual or estate own, directly or indirectly, an interest of 50% or more in the profit, loss, or capital of the partnership?
Yes
No
If Yes, attach a schedule of Partners owning 50% or more of the Partnership.
6. At the end of the tax year, did the partnership:
a. Own directly 50% or more of the total voting power of all classes of stock entitled to vote of any corporation?
Yes
No
If Yes, attach a schedule.
b. Own directly an interest of 50% or more, directly or indirectly, in the profit, loss, or capital in any partnership or in the beneficial interest of a trust?
Yes
No
If Yes, attach a schedule.
Federal
Apportionment
Apportioned
Enter on Alabama
Partners’ Distributive Share Items
SCHEDULE K
Amount (A)
Factor (B)
Amount (C)
Schedule K-1
INCOME (LOSS)
1. Alabama Ordinary income (loss) (page 1, line 31) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
Part III, Line G
2
2. Net rental real estate income (loss) (attach Form 8825) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part III, Line H
3a
3. a. Other gross rental income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3b
b. Expenses from other rental activities (attach statement). . . . . . . . . .
c. Other net rental income (loss). Subtract 3b from line 3a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3c
Part III, Line H
4. Guaranteed payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
Part III, Line I
5
5. Interest income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part III, Line J
6. Dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
Part III, Line J
7. Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
Part III, Line J
8. Net short-term capital gain (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
Part III, Line K
9. Net long-term capital gain (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
Part III, Line K
10
10. Net section 1231 gain (loss) (attach Form 4797) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part III, Line K
11. Other income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
Part III, Line L
12. Nonbusiness items (attach schedule) (Schedule B, Column B, line 1h). . . . . . . . . . . . . . . . . . . . . . . . .
12
Part III, Line M
DEDUCTIONS
13. Section 179 deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
Part III, Line N
14a
14. a. Contributions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part III, Line O
b. Investment interest expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14b
Part III, Line P
15. Other deductions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
Part III, Line Q
16. Oil and gas depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
Part III, Line R
17. Casualty losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
Part III, Line S
18
18. Nonbusiness items (attach schedule) (Schedule B, Column D, line 1h) . . . . . . . . . . . . . . . . . . . . . . . .
Part III, Line M
OTHER
19. a. Tax-exempt interest income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19a
Part III, Line T
b. Other tax-exempt income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19b
Part III, Line T
c. Nondeductible expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19c
Part III, Line U
20a
20. a. Distributions of cash and marketable securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part III, Line V
b. Distributions of other property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20b
Part III, Line V
21. a. Investment income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21a
Part III, Line W
b. Investment expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21b
Part III, Line X
c. Other items and amounts (attach statement). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21c
Part III, Line Y
22. Total credits (attach Schedule PC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
Part II, Line F
23. Composite payment made on behalf of owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
Part III, Line Z

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