Montana Schedule K-1 (Forms Clt-4s And Pr-1) - Partner'S/shareholder'S Share Of Income (Loss), Deductions, Credits, Etc.

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Montana Schedule K-1
Clear Form
(CLT-4S and PR-1)
Partner’s/Shareholder’s Share of Income (Loss), Deductions, Credits, etc.
For the calendar year 2013, or tax year beginning
and ending
M M D D 2 0 1 3
M M D D Y Y Y Y
Mark applicable boxes:
Form CLT-4S
Form PR-1
Amended Schedule K-1
Final Schedule K-1
Entity’s Name
Federal Employer
-
Identifi cation Number
Mailing Address
City
State
Zip Code
Name
Federal Employer
-
Identifi cation Number
OR
Mailing Address
-
-
Social Security Number
City
State
Zip Code
Resident
Nonresident
Is the partner/shareholder included in a composite income tax return?
Yes
No
If yes, the partner/shareholder does not fi le a Montana return.
A Montana additions to income
1. Federal tax-exempt interest and dividends ............................................................................................... A1.
00
2. Taxes based on income or profi ts ............................................................................................................. A2.
00
3. Other additions. List type __________________________________________________ and amount A3.
00
B Montana deductions from income
1. Interest on US government obligations .................................................................................................... B1.
00
2. Deduction for purchasing recycled material ............................................................................................. B2.
00
3. Other deductions. List type ________________________________________________ and amount B3.
00
1. Ordinary business income (loss) .................................................................................................................1.
00
2. Net rental real estate income (loss) .............................................................................................................2.
00
3. Other net rental income (loss) .....................................................................................................................3.
00
4. Guaranteed payments .................................................................................................................................4.
00
5. Interest income ............................................................................................................................................5.
00
6. Ordinary dividends .......................................................................................................................................6.
00
7. Royalties ......................................................................................................................................................7.
00
8. Net short-term capital gain (loss) .................................................................................................................8.
00
9. Net long-term capital gain (loss) ..................................................................................................................9.
00
10. Net section 1231 gain (loss) ......................................................................................................................10.
00
11. Other income (loss). List type ______________________________________________ and amount 11.
00
12. Section 179 expense deduction apportionable and/or allocable to Montana ............................................12.
00
13. Other expense deductions apportionable and/or allocable to Montana ....................................................13.
00
1. Montana composite income tax paid on behalf of partner/shareholder .......................................................1.
00
2. Montana income tax withheld on behalf of partner/shareholder ..................................................................2.
00
3. Montana mineral royalty tax withheld ..........................................................................................................3.
00
4. Separately stated allocable nonbusiness items (include schedule) ............................................................4.
00
5. Other information. List type _________________________________________________ and amount 5.
00
1. Insure Montana small business health insurance credit. Business FEIN _________________________ 1.
00
1a. Insure Montana small business health insurance premiums from Part 3, A - MT Additions, line 3 ...........1a.
00
2. Contractor’s gross receipts tax credit. If multiple CGR accounts, please mark here
.............................2.
00
CGR Account ID
-
- C G R
3. Health insurance for uninsured Montanans credit .......................................................................................3.
00
4. Other credit/recapture information. List type ____________________________________ and amount 4.
00
*13DZ0101*
*13DZ0101*

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