Form 165 - Arizona Partnership Income Tax Return - 2011 Page 2
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1
2Name:
EIN:
AZ Form 165 (2011)
Page 2 of 2
Schedule C - Apportionment Formula (Multistate Partnerships Only)
See instructions, pages 6 through 8.
NOTE: Qualifying air carriers must use Schedule ACA
C1 Property Factor
Column A
Column B
Column C
Value of real and tangible personal property (by averaging the
Total Everywhere
Total Within Arizona
Ratio Within
value of owned property used at the beginning and end of the
Round to the
Round to the
Arizona
tax period; rented property at capitalized value)
Nearest Dollar
Nearest Dollar
A ÷ B
a. Owned property (at original cost):
Inventories .......................................................................................
Depreciable assets - (do not include Construction in Progress) ......
Land .................................................................................................
Other assets - (describe)
(
)
(
)
Less: Nonbusiness property (if included in above totals) ................
Total of section a ..............................................................................
b. Rented property (capitalize at 8 times net rental paid) ....................
•
c.
Total owned and rented property (section a total plus section b).....
C2 Payroll Factor
Total wages, salaries, commissions and other compensation
•
paid to employees (per federal Form 1065 or payroll reports).........
C3 Sales Factor
a. Sales delivered or shipped to Arizona purchasers...........................
b. Other gross receipts ........................................................................
c.
Total sales and other gross receipts ................................................
X 2
OR
X 8
d. Weight Arizona sales - (STANDARD uses X 2; ENHANCED uses X 8) ...
e. Sales factor (for column A - multiply item c by item d;
•
for column B - enter the amount from item c) ..................................
•
C4 Total ratio - add C1(c), C2, and C3(e), in column C .............................................................................................................
C5 Average apportionment ratio
Divide line C4, column C, by the denominator (STANDARD divides by four (4); ENHANCED divides by ten (10)).
•
Enter the result in column C and on the Arizona Form 165, Schedule K-1(NR) in column (b) ..............................................
Schedule D - Business Information
Describe briefl y the nature and location(s) of the partnership’s Arizona business activities:
Describe briefl y the nature and location(s) of the partnership’s business activities outside of Arizona:
Schedule E - Partner Information
Prepare a schedule that lists each partner’s name, address, TIN, and pro rata share of the amount
shown on line 5. Label the listing as “Schedule E - Partner Information” and attach the schedule immediately after page 2 of Form 165.
Certifi cation
I, the undersigned partner of the partnership for which this return is made, certify under penalty of perjury, that this return, including
the accompanying schedules and statements, has been examined by me and is to the best of my knowledge and belief, a correct
and complete return, made in good faith, for the taxable year stated pursuant to the income tax laws of the State of Arizona.
Please
Sign Here
Partner’s signature
Date
Title
Paid
Preparer’s signature
Date
Preparer’s EIN, PTIN or SSN
Preparer’s
Use Only
Firm’s name (or preparer’s, if self-employed)
Firm’s
EIN or
SSN
Firm’s address
Zip code
Firm’s telephone number
Print
Reset form
Attach all schedules to this return including federal Form 1065 and federal Schedule(s) K-1 (Form 1065).
Mail to: Arizona Department of Revenue, PO Box 52153, Phoenix AZ 85072-2153
ADOR 10343 (11)
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