Form 8865 - Return Of U.s. Persons With Respect To Certain Foreign Partnerships - 2015 Page 2

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2
Form 8865 (2015)
Page
Schedule A
Constructive Ownership of Partnership Interest. Check the boxes that apply to the filer. If you check
box b, enter the name, address, and U.S. taxpayer identifying number (if any) of the person(s) whose
interest you constructively own. See instructions.
a
b
Owns a direct interest
Owns a constructive interest
Check if
Check if
Name
Address
Identifying number (if any)
foreign
direct
person
partner
Schedule A-1
Certain Partners of Foreign Partnership (see instructions)
Check if
Name
Address
Identifying number (if any)
foreign
person
Does the partnership have any other foreign person as a direct partner?
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Yes
No
Schedule A-2
Affiliation Schedule. List all partnerships (foreign or domestic) in which the foreign partnership owns a
direct interest or indirectly owns a 10% interest.
Check if
EIN
Total ordinary
Name
Address
foreign
(if any)
income or loss
partnership
Schedule B
Income Statement—Trade or Business Income
Caution: Include only trade or business income and expenses on lines 1a through 22 below. See the instructions for more information.
1 a Gross receipts or sales
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1a
b Less returns and allowances .
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1b
1c
2
Cost of goods sold .
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2
3
3
Gross profit. Subtract line 2 from line 1c .
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4
4
Ordinary income (loss) from other partnerships, estates, and trusts (attach statement) .
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5
Net farm profit (loss) (attach Schedule F (Form 1040))
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5
6
Net gain (loss) from Form 4797, Part II, line 17 (attach Form 4797)
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6
7
Other income (loss) (attach statement)
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7
8
Total income (loss). Combine lines 3 through 7 .
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9
9
Salaries and wages (other than to partners) (less employment credits) .
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10
Guaranteed payments to partners .
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10
11
Repairs and maintenance .
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11
12
Bad debts .
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12
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13
Rent .
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14
14
Taxes and licenses .
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Interest .
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15
16 a Depreciation (if required, attach Form 4562) .
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16a
b Less depreciation reported elsewhere on return
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16b
16c
17
Depletion (Do not deduct oil and gas depletion.) .
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17
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18
Retirement plans, etc. .
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19
Employee benefit programs .
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19
20
Other deductions (attach statement) .
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20
21
21
Total deductions. Add the amounts shown in the far right column for lines 9 through 20 .
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22
22
Ordinary business income (loss) from trade or business activities. Subtract line 21 from line 8
8865
Form
(2015)

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