Arizona Form 120s (Schedule K-1(Nr)) - Nonresident Shareholder'S Share Of Income And Deductions - 2015 Page 2

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Name of S Corporation (as shown on page 1)
Employer Identification Number
Part II
Net Capital Gain From Investment in a Qualified Small Business – Information Schedule
If the shareholder’s federal Schedule K-1 (Form 1120-S) does not include any net capital gain (loss) from investment in a qualified small
business, the S corporation is not required to complete Part II.
(a)
(b)
(c)
Pro Rata Share Items
Distributive Share Amount
Arizona Apportionment Ratio
Arizona Source Income
16 Net capital gain (loss) from investment in a
qualified small business...........................................
16
Part III
Net Long-Term Capital Gain Subtraction – Information Schedule
If the shareholder’s federal Schedule K-1 (Form 1120-S) includes capital gain (loss), complete line 17 and line 18. If the shareholder’s
federal Schedule K-1 (Form 1120-S) does not include any capital gain (loss), the S corporation is not required to complete Part III.
(a)
(b)
(c)
(d)
Item From Federal Form 1120-S, Schedule K-1
Distributive Share
Arizona Source Income
Net long-term capital
Net long-term capital
Amount
gain (loss) included
gain (loss) included
in column (b) from
in column (b) from
From page 1, line 9,
From page 1, line 9,
assets acquired before
assets acquired after
column (a).
column (c).
January 1, 2012
December 31, 2011
17 Total net long-term capital gain (loss) ............
17
ADDITIONAL INFORMATION:
18 Net long-term capital gain (loss) from
investment in a qualified small business
(amount already included in line 17,
column (d)) ...................................................
18
Print
ADOR 10338 (15)
AZ Form 120S, Schedule K-1(NR) (2015)
Page 2 of 2

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