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nDIvIDuAl
orporAte
Ax
IvIsIon
owner’s/shareholder’s share of
(Form 65 and Form 20S)
2015
Income, Deductions, Credits, etc.
•
Subchapter K entity
SEE INSTRUCTIONS
•
•
S corporation
Final K-1
Tax year beginning _________________, 2015 and ending _________________, 20_____
•
•
QIP
Amended K-1
Owner’s/Shareholder’s Share of Current Year
PART I
Information About the Pass Through Entity
PART III
Alabama Income, Deductions, Credit, and Other Items
A
Entity’s Federal Employer Identification Number
Income allocated and apportioned
100% Alabama – to be reported
to Alabama
by Alabama residents
Nonseparately stated income
B
Entity’s name, address, city, state, and ZIP code
•
•
M
M2
Amount of guaranteed payments to partner to be reported by the partner as
Alabama source income (see instructions)
PART II
Information About the Owner/Shareholder
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•
N
N2
C
Owner’s/Shareholder’s identifying number
Section 179 expense
•
•
•
O
O2
D
Owner’s/Shareholder’s name
Investment interest expense related to portfolio income
•
•
•
P
P2
E
Owner’s/Shareholder’s street address
Portfolio income
•
•
•
Q
Q2
F
Owner’s/Shareholder’s city, state, ZIP code
QIP Exempt Income
•
Other expenses related to portfolio income – do not include interest expense
•
•
G •
•
R
R2
General partner or LLC
Limited partner or other LLC
Charitable contributions
member manager
member
H
What type of entity is this owner/shareholder?
•
•
S
S2
•
Other separately stated business items (attach schedule)
Nominee
I
Owner’s/Shareholder’s percentage of profit and (loss) sharing
•
•
T
T2
•
Composite payment made on behalf of owner/shareholder (see instructions)
0.00%
•
•
U
J
Check if owner/shareholder is a nonresident
Nonresident
U.S. income taxes paid (see instructions)
If a nonresident, provide state of legal residence: ________________________
Check if an Alabama Schedule NRA, nonresident agreement, has been filed for
•
•
V
V2
the shareholder.
Casualty losses (see instructions)
•
Schedule NRA filed
•
•
W
W2
Check if the owner is a single member LLC.
Withdrawals and distributions
•
Owner ____________________________________________________
•
X
• FEIN _________________________________________________________
Small business health insurance premiums (attach explanation)
K
Owner’s basis at end of tax year
•
Y
•
Oil and gas depletion
L
Credits
•
•
Z
Z2
Code
Amount
Separately stated nonbusiness items (attach schedule)
1. •
AA •
2. •
Alabama Exempt Income (attach explanation)
3. •
AB •
•
AB2
A completed Alabama Schedule K-1 for each member in the Subchapter K entity/ S corporation must be attached to Form 65/Form 20S.
ADOR