Form Ct-1065/ct-1120si - Supplemental Attachment

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Department of Revenue Services
Form CT-1065/CT-1120SI
State of Connecticut
Supplemental Attachment
(Rev. 12/11)
Complete this form in blue or black ink only.
Part I Schedule B – PE Member Composite Return
Attach supplemental attachment(s), if needed.
Column B
Column C
Column D
Column E
Column F
Column A
Connecticut Income
Members' Credit
Identifi cation Number
Connecticut-Sourced Income
Multiply Column C
Member #
Tax Liability
Schedule CT K-1,
From Part IV
See instructions.
See instructions.
by 6.7% (0.067)
Column D minus
Part IV, Line 5, Col. B
Column E
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Supplemental Attachment Subtotal -
Total Columns C,
D, E, and F. Enter the total of all supplemental attachments
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on Form CT-1065/CT-1120SI, Part I, Schedule B, Line 9.
Part I Schedule D – Connecticut-Sourced Income From Subsidiary PE(s)
Only a parent PE must complete this schedule.
 Refer to federal Schedule K-1 and Schedule CT K-1 for amounts to enter in Columns A, B, and C.
 Amounts reported in Column B are subject to the passive activity limitations, at-risk limitations, and capital loss limitations.
Column A
Column B
Column C
Name of
FEIN
Amount Reported
Amount From
CT Income Tax Liability
Subsidiary PE
on Federal K-1
Connecticut Sources
Schedule CT K-1, Part III, Line 1
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Supplemental Attachment Subtotal - Total Columns A, B,
and C. Enter the total of all supplemental attachments on
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Form CT-1065/CT-1120SI, Part I, Schedule D, Line 9.

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