Form Mo-1065 - Partnership Return Of Income - 2012

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2012
FORM
MISSOURI DEPARTMENT OF REVENUE
MO-1065
PARTNERSHIP RETURN OF INCOME
(REV. 11-2012)
FOR THE YEAR JANUARY 1 – DECEMBER 31, 2012, OR FISCAL YEAR BEGINNING
2012, AND ENDING
20
AMENDED RETURN
FINAL RETURN
NAME, ADDRESS, FEIN CHANGE
COMPOSITE
BUSINESS NAME
DOR USE
ONLY
NUMBER AND STREET
MISSOURI I.D. NUMBER
CITY OR TOWN, STATE, ZIP CODE
FEDERAL I.D. NUMBER
INFORMATION FOR FILING
If you are a Limited Liability Company,
1. Does the partnership have ANY Missouri modifications?
YES
NO
If YES, complete Parts 1 and 2 below.
being taxed as a partnership,
2. Does the partnership have ANY nonresident partners?
YES
NO
If YES, complete Form MO‑NRP.
please check here.
NOTE: If NO to both questions, do not complete remainder of return. Attach a copy of Federal Form 1065 and all its schedules, including Schedule K‑1, sign below, and mail.
PART 1 — MISSOURI PARTNERSHIP ADJUSTMENT
Additions (attach detailed explanation of each item)
00
1. State and local income taxes deducted on Federal Form 1065 ..................................
1
00
2. Less: Kansas City and St. Louis earnings taxes .........................................................
2
00
3. Net (subtract Line 2 from Line 1) ..................................................................................................................................................
3
00
4. State and local bond interest (except Missouri) ..........................................................
4
00
5. Less: related expenses (omit if less than $500) ..........................................................
5
00
6. Net (subtract Line 5 from Line 4) ..................................................................................................................................................
6
00
7.
Partnership
Fiduciary
Other adjustments (list _______________________________ ) ............................
7
00
8. Food Pantry Contributions ...........................................................................................................................................................
8
00
9. Total of Lines 3, 6, 7 and 8 ...........................................................................................................................................................
9
Subtractions (attach explanation of each item)
00
10. Interest from exempt federal obligations .....................................................................
10
00
11. Less: related expenses (omit if less than $500) ..........................................................
11
00
12. Net (subtract Line 11 from Line 10) ..............................................................................................................................................
12
00
13. Amount of any state income tax refund included in federal ordinary income ...............................................................................
13
00
14.
Partnership
Fiduciary
Other adjustments (list _______________________________ ) ............................
14
00
15. Missouri depreciation adjustment (See Section 143.121, RSMo.) ...............................................................................................
15
00
16. Total of Lines 12, 13, 14 and 15 ...................................................................................................................................................
16
00
17. Missouri partnership adjustment — NET ADDITION — excess Line 9 over Line 16 ...................................................................
17
00
18. Missouri partnership adjustment — NET SUBTRACTION — excess Line 16 over Line 9 ..........................................................
18
PART 2 — ALLOCATION OF MISSOURI PARTNERSHIP ADJUSTMENT TO PARTNERS
COMPLETE IF PART 1 INDICATES A PARTNERSHIP ADJUSTMENT
2. CHECK BOX
5. PARTNER’S PARTNERSHIP ADJUSTMENT
1. NAME OF EACH PARTNER. ALL PARTNERS MUST BE LISTED
4. PARTNER’S
IF PARTNER IS
3. SOCIAL SECURITY NUMBER
USE ATTACHMENT IF MORE THAN FOUR.
ADDITION
SUBTRACTION
SHARE %
NONRESIDENT
00
a)
%
00
b)
%
00
c)
%
00
d)
%
00
TOTAL
100 %
COLUMN 4 —
Enter percentages from Federal Form 1065, Schedule K‑1. Round percentages to whole numbers.
COLUMN 5 —
Enter Missouri partnership adjustment from Part 1, Line 17 or 18. Multiply each percentage in Column 4 times the total in Column 5. Indicate at the top of Column 5, whether the adjustments are
additions or subtractions. A copy of this part (or its information) must be provided to each partner. The amount after each partner’s name in Column 5 must be reported as a modification on his or her Form MO‑1040,
Individual Income Tax Return, Part 1 of the Form MO‑A, as an addition to, or subtraction from, the federal adjusted gross income. Each partner must attach an explanation for the adjustment to his or her return.
AUTHORIZATION
I authorize the Director of Revenue or delegate to discuss my return
PREPARER’S TELEPHONE NUMBER
and attachments with the preparer or any member of his or her firm.
YES
NO
(
)
SIGNATURE — PLEASE SIGN BELOW
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief it is true, correct, and complete. Declaration of
preparer (other than partner or member) is based on all information of which he or she has any knowledge. I also declare under penalties of perjury that I employ no illegal or unauthorized aliens as defined under federal
law and that I am not eligible for any tax exemption, credit or abatement if I employ such aliens.
SIGNATURE OF GENERAL PARTNER
PREPARER’S SIGNATURE (OTHER THAN TAXPAYER)
FEIN, SSN, OR PTIN
DATE (MM/DD/YYYY)
TELEPHONE NO.
PREPARER’S ADDRESS AND ZIP CODE
DATE (MM/DD/YYYY)
(
)
__ __ / __ __ / __ __ __ __
__ __ / __ __ / __ __ __ __
ATTACH COPY OF FEDERAL FORM 1065 AND ALL ITS SCHEDULES, INCLUDING K‑1 AND SEND WITH COMPLETED RETURN TO: Missouri Department of Revenue P.O. Box 3000, Jefferson City, MO 65105‑3000.
For Privacy Notice, see the instructions.
MO-1065 (11-2012)

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