Schedule K-1 (Form 1120s) - Shareholder’s Share Of Income, Deductions, Credits, Etc. - 2012

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671112
OMB No. 1545-0130
Final K-1
Amended K-1
Schedule K-1
2012
Shareholder’s Share of Current Year Income,
Part III
(Form 1120S)
Deductions, Credits, and Other Items
Department of the Treasury
13
1
Ordinary business income (loss)
Credits
For calendar year 2012, or tax
Internal Revenue Service
year beginning
, 2012
Net rental real estate income (loss)
2
ending
, 20
Shareholder’s Share of Income, Deductions,
3
Other net rental income (loss)
Credits, etc.
See back of form and separate instructions.
Interest income
4
Information About the Corporation
Part I
5a Ordinary dividends
A
Corporation’s employer identification number
5b Qualified dividends
14
Foreign transactions
B
Corporation’s name, address, city, state, and ZIP code
6
Royalties
Net short-term capital gain (loss)
7
8a Net long-term capital gain (loss)
C
IRS Center where corporation filed return
8b Collectibles (28%) gain (loss)
Information About the Shareholder
Part II
8c Unrecaptured section 1250 gain
D
Shareholder’s identifying number
Net section 1231 gain (loss)
9
E
Shareholder’s name, address, city, state, and ZIP code
10
15
Other income (loss)
Alternative minimum tax (AMT) items
Shareholder’s percentage of stock
F
%
ownership for tax year
.
.
.
.
.
.
Section 179 deduction
16
11
Items affecting shareholder basis
12
Other deductions
17
Other information
* See attached statement for additional information.
For Paperwork Reduction Act Notice, see Instructions for Form 1120S.
IRS.gov/form1120s
Cat. No. 11520D
Schedule K-1 (Form 1120S) 2012

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