Arizona Nonresident and Out-of-State
ARIZONA FORM
2011
165
Partner’s Share of Income and Deductions
Schedule K-1(NR)
CHECK ONE:
M M D D Y Y Y Y
M M D D Y Y Y Y
For the
calendar year 2011 or
fi scal year beginning
and ending
.
Original
Amended
Partner’s identifying number
Partnership’s employer identifi cation number
Partner’s name, address, and ZIP code
Partnership’s name, address, and ZIP code
Before change
Partner’s percentage of:
or termination
End of year
%
%
Profi t sharing ........................................................................
%
%
Loss sharing .........................................................................
%
%
Ownership of capital.............................................................
Type of partner (individual, trust, etc.):
NOTE: ALL CORPORATE PARTNERS MUST USE THIS SCHEDULE.
(a)
(b)
(c)
Form 140NR Filers
Distributive
Arizona
Arizona
Part I - Distributive Share Items From
Enter the Amount
Share
Apportionment
Source
Federal Form 1065, Schedule K-1
Amount
Ratio
Income
in Column (c) on:
1 Ordinary income (loss) from trade or business activities
2 Net income (loss) from rental real estate activities
3 Net income (loss) from other rental activities
4 Total - Add lines 1, 2 and 3
Line B11
5 Interest
Line B6
6 Dividends
Line B7
7 Royalties
Line B11
8 Net short-term capital gain (loss)
Line B10
9 Net long-term capital gain (loss)
Line B10
10 Guaranteed payments to partner
11 Net IRC Section 1231 gain (loss)
Line B10
12 Deferred amount of discharge of indebtedness income included
Line B11
in federal income in the current year under IRC Section 108(i)
13 Other income (loss) - attach schedule
Line B12
14 IRC Section 179 expense
Line B11
15 Deferred amount of original issue discount deduction included
in federal income in the current year under IRC Section 108(i)
Line B11
16 Other deductions - attach schedule
(a)
(b)
(c)
Form 140NR Filers
Distributive
Arizona
Arizona
Part II - Partner’s Distributive Share of the Adjustment
Enter the Amount
Share
Apportionment
Source
of Partnership Income From Federal to Arizona Basis
in Column (c) on:
Amount
Ratio
Income
17 Adjustment of partnership income from federal to Arizona
Line C20 or D31
basis - from Form 165, page 1, line 6
NOTE: Corporate partners see Form 120 or Form 120A instructions for information on reporting the amount from line 17.
ADOR 10345 (11)
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