Form Ia 1065- Schedule K-1- Partner'S Share Of Iowa Income, Deductions, Modifications, Form Ia 1120s - Schedule K-1 - Shareholder'S Share Of Iowa Income, Deductions, Modifications - 2010 Page 2
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22010 IA 1120S Schedule K-1
Iowa Department of Revenue
Shareholder’s Share of Iowa Income, Deductions, Modifications
Part I: General Information
Amended K-1
Corporation Information:
Shareholder’s Entity Type:
Name: __________________________________________________
Individual
Estate
Trust
FEIN: _________________________________________________
Bank
Exempt Organization
Shareholder Information:
Resident Shareholder
Nonresident Shareholder
Name: _________________________________________________
Shareholder’s Ownership Percentage: ____________ %
Social Security Number / FEIN: _____________________________
S Corp Iowa Receipts: $ __________________
Address: ________________________________________________
S Corp Total Receipts: $ __________________
City State ZIP Code: ______________________________________
S Corp BAR from page 1, Part IV, line 13: _________ %
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Part II: Shareholder’s Pro Rata Share Items
NONRESIDENT SHAREHOLDERS ONLY
(a)
(b)
(c)
Federal K-1 Amount
Business Activity Ratio Apportionable To Iowa
(Same ratio applies
(a) x (b)
to each line item)
1. Ordinary business income (loss) ................................................... 1. _________________________________________________
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2. Net rental real estate income (loss) ............................................... 2. _________________________________________________
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3. Other net rental income (loss) ........................................................ 3. _________________________________________________
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4. Interest income ............................................................................... 4. _________________________________________________
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5. Dividends line 5a, federal K-1 ........................................................ 5. _________________________________________________
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6. Royalties ......................................................................................... 6. _________________________________________________
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7. Net short-term capital gain (loss) ................................................... 7. _________________________________________________
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8. Net long-term capital gain (loss) line 8a, federal K-1 .................... 8. _________________________________________________
9. Net section 1231 gain (loss) ........................................................ 9. _________________________________________________
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10. Other income (loss) ...................................................................... 10. _________________________________________________
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Total Income. Add lines 1 through 10. .............................................
_________________________________________________
11. Section 179 deduction ................................................................. 11. _________________________________________________
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12. Other deductions .......................................................................... 12. _________________________________________________
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Total deductions. Add lines 11 and 12. ...........................................
_________________________________________________
Balance. Subtract total deductions from total income. .................
_________________________________________________
13. Credits from the credit section of federal K-1 .............................. 13. _________________________________________________
14. a) Post-1986 depreciation adjustment ....................................... 14a. _________________________________________________
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b) Adjusted gain or loss ............................................................. 14b. _________________________________________________
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c) Depletion other than oil and gas ........................................... 14c. _________________________________________________
d) Gross income from oil, gas, and geothermal properties ....... 14d. _________________________________________________
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e) Deductions allocable to oil, gas, and geothermal properties 14e. _________________________________________________
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f) Other adjustments and tax preference items.
Attach schedule. ..................................................................... 14f. _________________________________________________
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(a)
(b)
(c)
All Source Modifications
Business Activity Ratio
Apportionable To Iowa
(a) x (b)
15. MODIFICATIONS SCHEDULE .................................................... 15. _________________________________________________
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Part III: Shareholders Portion of IA Credits /Withholding
Type of Iowa Credit
Certificate Number
Current Year Amount
IA Income Tax Withheld
TO THE SHAREHOLDER: You may have a filing requirement with the State of Iowa, regardless of whether or not you are a resident
of another state. The corporation may file a composite return on behalf of its nonresident shareholders and should notify you if they
have done so. To claim any withholding or tax credits, a return must be filed. Filing information for individuals, corporations, and
other entities are provided on our Web site: / or by calling (515) 281-3114 or 1-800-367-3388.
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