130005K11283
A
D
R
SCHEDULE
LABAMA
EPARTMENT OF
EVENUE
Reset Form
K-1
I
& C
T
D
NDIVIDUAL
ORPORATE
AX
IVISION
Owner’s/Shareholder’s Share of
2013
(Form 65 and Form 20S)
Income, Deductions, Credits, etc.
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Subchapter K entity
SEE INSTRUCTIONS
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S corporation
Final K-1
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Tax year beginning _________________, 2013 and ending _________________, 20_____
QIP Indicator
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
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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
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O
O2
Investment interest expense related to portfolio income
D
Owner’s/Shareholder’s name
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P
P2
Portfolio income
E
Owner’s/Shareholder’s street address
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Q
Q2
Other expenses related to portfolio income – do not include interest expense
F
Owner’s/Shareholder’s city, state, ZIP code
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•
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R
R2
Charitable contributions
G •
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General partner or LLC
Limited partner or other LLC
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member manager
member
S
S2
Other separately stated business items (attach schedule)
H
What type of entity is this owner/shareholder?
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T
T2
Tax exempt entity
Composite payment made on behalf of owner/shareholder (see instructions)
I
Owner’s/Shareholder’s percentage of profit and (loss) sharing
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U
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0.00%
U.S. income taxes paid (see instructions)
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J
Check if owner/shareholder is a nonresident
Nonresident
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V
V2
If a nonresident, provide state of legal residence:
Casualty losses (see instructions)
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W
W2
Check if the owner is a single member LLC.
Withdrawals and distributions
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Owner ____________________________________________________
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X
K
Owner’s basis at end of tax year
Small business health insurance premiums (attach explanation)
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Y
L
1. Credit for taxes paid to foreign country
Oil and gas depletion
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Z
Z2
2 Heroes for Hire Credit
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Separately stated nonbusiness items (attach schedule)
3 Full Employment Act of 2011
AA •
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Alabama exempt income (attach explanation)
4 Capital Credit
AB •
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AB2
5 AL New Markets Development Credit
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6 Enterprise Zone Credit
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A completed Alabama Schedule K-1 for each member in the Subchapter K
7 Irrigation Credit
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entity/ S corporation must be attached to Form 65/Form 20S.
ADOR