140005K1
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
(Form 65 and Form 20S)
2014
Subchapter K entity
Income, Deductions, Credits, etc.
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S corporation
Final K-1
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SEE INSTRUCTIONS
QIP Indicator
Amended K-1
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Tax year beginning _________________, 2014 and ending _________________, 20_____
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
Entity’s Federal Employer Identification Number
A
Income allocated and apportioned
100% Alabama – to be reported
to Alabama
by Alabama residents
Nonseparately stated income
Entity’s name, address, city, state, and ZIP code
B
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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
Owner’s/Shareholder’s identifying number
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N
N2
Section 179 expense
C
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Owner’s/Shareholder’s name
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O
O2
Investment interest expense related to portfolio income
D
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Owner’s/Shareholder’s street address
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P
P2
Portfolio income
E
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Owner’s/Shareholder’s city, state, ZIP code
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Q
Q2
QIP Exempt Income
F
Other expenses related to portfolio income – do not include interest expense
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General partner or LLC
Limited partner or other LLC
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G •
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R
R2
Charitable contributions
member manager
member
What type of entity is this owner/shareholder?
H
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S
S2
Other separately stated business items (attach schedule)
Nominee
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Owner’s/Shareholder’s percentage of profit and (loss) sharing
I
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T
T2
Composite payment made on behalf of owner/shareholder (see instructions)
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0.00%
Check if owner/shareholder is a nonresident
Nonresident
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•
U
U.S. income taxes paid (see instructions)
J
If a nonresident, provide state of legal residence: ________________________
Check if the owner is a single member LLC.
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V
V2
Owner ____________________________________________________
Casualty losses (see instructions)
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• FEIN _________________________________________________________
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W
W2
Withdrawals and distributions
Owner’s basis at end of tax year
K
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1. Credit for taxes paid to foreign country
X
Small business health insurance premiums (attach explanation)
L
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2. Heroes for Hire Credit
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Y
Oil and gas depletion
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3. Full Employment Act of 2011
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Z
Z2
Separately stated nonbusiness items (attach schedule)
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4. Capital Credit
AA •
Alabama Exempt Income (attach explanation)
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5. AL New Markets Development Credit
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AB •
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6. Enterprise Zone Credit
AB2
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7. Irrigation Credit
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8. Historic Rehabilitation Credit
A completed Alabama Schedule K-1 for each member in the Subchapter K
entity/ S corporation must be attached to Form 65/Form 20S.
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ADOR