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IT-65 2007

Indiana Department of Revenue

Schedule IN K-1

Partner's Share of Indiana Adjusted Gross Income, Deductions, Modiﬁ cations and Credits

State Form 49181

(R6/8-07)

Tax Year Beginning _____________/________/ 2007 and Ending _____________/________/ __________

Name of Partnership

Federal Identiﬁ cation Number

Distributions - Provide IN K-1 to each partner. Attach IN K-1 to IT-65 return. For information on the acceptable electronic data ﬁ le format visit the

Department’s Web site at

Pro rata amounts for lines 1 through 15 of any nonresident partners must be multiplied by the Indiana apportionment percent, if applicable from

IT-65, line 4.

Part 1 – Partner’s Identiﬁ cation Section

(

a) If Partner is an Individual (please print clearly)

Last Name:

First Name:

Social Security Number:

(b) If Partner is an Other Entity (please print clearly)

Federal Identiﬁ cation Number:

Name:

(c)

Partner's State of Residence or Commercial Domicile:

(d) Indiana Tax Withheld for Nonresident Partner (on WH-18):

(e) Partner's Federal Pro Rata Percentage:

Part 2 – Distributive Share Amount (Use apportioned ﬁ gures for nonresident partners.)

Ordinary business income (loss) ....................................................................................................

Net rental real estate income (loss) ................................................................................................

Other net rental income (loss) .........................................................................................................

Guaranteed payments ....................................................................................................................

Interest income ...............................................................................................................................

6a.

Ordinary dividends ..........................................................................................................................

Royalties .........................................................................................................................................

Net short-term capital gain (loss) ....................................................................................................

9a.

Net long-term capital gain (loss) .....................................................................................................

10.

Net IRC Section 1231 gain (loss) ...................................................................................................

11.

Other income (loss) ........................................................................................................................

12.

IRC Section 179 expense deduction ..............................................................................................

13A.

Portion of expenses related to investment portfolio income, including

investment interest expense and other (federal non-itemized) deductions ....................................

13A

13B.

Other information from line 20 of federal K-1 related to investment

interest and expenses not listed elsewhere ...............................................................................

13B

14.

Total pro rata distributions (Add lines 1 through 11, subtract lines 12, 13A and

13B when applicable.) ....................................................................................................................

15.

State modiﬁ cations - Designate the distributive share amount of each

modiﬁ cation for Indiana adjusted gross income from line 2 on front of

Form IT-65 (For nonresidents, apply apportioned ﬁ gures):

State income taxes deducted

2(a) ____________________

Net bonus depreciation allowance 2(b) ____________________

Excess IRC Section 179 deduction 2(c) ____________________

Interest on U.S. obligations

2(d) ____________________

Indiana lottery prize money

2(e) ____________________

Total distributive share of modiﬁ cations ......................................

Part 3 - Pro Rata Share of Indiana Pass-through Tax Credits from Partnership

16. Enter the name of the tax credit program, its three-digit ID code, and dollar amount of the partner's distributive share for each allowable credit.

Name of credit:

16c

Code No. b __ __ __

16f

Code No. e __ __ __

16i

Code No. h __ __ __