Form 765 - Kentucky Partnership Income And Llet Return

Form 765 (2011)

Page 2

*1100020264*

Commonwealth of Kentucky

DEPARTMENT OF REVENUE

Q—K

CHEDULE

ENTUCKY

ARTNERSHIP

UESTIONNAIRE

IMPORTANT: Questions 4—10 must be completed by all

New Year End:

Month ____________ and day of week __________

partnerships. If this is the partnership’s initial return or if the

If a 52/53 week filer: (Choose one of the options below.)

partnership did not file a return under the same name and same

 Option A: Ends on the same day of the week and

federal I.D. number for the preceding year, questions 1, 2 and 3

whatever date this same day of the week last occurs

must be answered. Failure to do so may result in a request for

in a calendar month.

a delinquent return.

ii.  Option B: Ends on the same day of the week and

whatever date this same day of the week occurs that

is the nearest to the last day of the calendar month.

1. Indicate whether: (a)  new business; (b)  successor to

5. The partnership’s books are in care of: (name and

previously existing business which was organized as:

(1)  corporation; (2)  partnership; (3)  sole proprietorship; or

address)

(4)  other _______________________________________________

______________________________________________________

_________________________________________________________

______________________________________________________

If successor to previously existing business, give name,

address and federal I.D. number of the previous business

6. Are disregarded entities included in this return?

organization. ____________________________________________

 Yes  No. If yes, list name, address and federal I.D.

_________________________________________________________

number of each entity. _________________________________

_________________________________________________________

______________________________________________________

2. List the following Kentucky account numbers. Enter N/A for

any number not applicable.

7. For the taxable period being reported, was the partnership

a partner in a pass-through entity doing business in

Employer Withholding ____________________________________

Kentucky?  Yes  No

Sales and Use Tax Permit _________________________________

If yes, list name and federal I.D. number of the pass-through

Consumer Use Tax _______________________________________

entity(ies). ____________________________________________

Unemployment Insurance ________________________________

______________________________________________________

Coal Severance and/or Processing Tax _____________________

______________________________________________________

3. If a foreign partnership, enter the date qualified to do business

For the taxable period being reported, was the

in Kentucky. __ __ / __ __ / __ __

partnership doing business in Kentucky other than through

its interest held in a pass-through entity doing business in

Kentucky?  Yes  No

4. If change of accounting period, Item E on page 1, is checked,

8. Was this return prepared on: (a)  cash basis, (b)  accrual

complete the following information:

basis, (c)  other ______________________________________

Year End before the change:

9. Did the partnership file a Kentucky tangible personal

Month _________________________ and Day _____________

property tax return for January 1, 2012?  Yes  No

a.  Change from a Fiscal Year to a Calendar Year (NOT

a 52/53 week filer)

b.  Change from a Calendar Year to a Fiscal Year (NOT

10. Is the partnership currently under audit by the Internal

Revenue Service?  Yes  No

a 52/53 week filer):

New Year End:

If yes, enter years under audit

___________________________

Month ______________ and Day _____________

_________________________________________________________

c.  Change from a Fiscal Year to a Calendar Year

If the Internal Revenue Service has made final and unappealable

(52/53 week filer):

adjustments to the partnership’s taxable income which have

New Year End: December and day of week ________

not been reported to the department, check here  and file an

d.  Change from a Calendar Year to a Fiscal Year

amended Form 765 for each year adjusted. Attach a copy of

(52/53 week filer):

the final determination to each amended return.

I, the undersigned, declare under the penalties of perjury, that I have examined this return, including all accompanying schedules and statements,

and to the best of my knowledge and belief, it is true, correct and complete.

✍

Signature of partner or member

SSN or FEIN

Date

Name of person or firm preparing return

SSN, PTIN or FEIN

Date

May the DOR discuss this return with the preparer?



Yes

Email Address:

Telephone No.:

Form 765 - Kentucky Partnership Income And Llet Return - 2011 Page 2

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