Arizona Form 165 - Schedule K-1 - Resident Partner'S Share Of Adjustment To Partnership Income - 2013

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ARIZONA FORM

165

Resident Partner’s Share of Adjustment

2013

Schedule K-1

to Partnership Income

M M D D

2 0 1 3 and ending

M M D D Y Y Y Y

For the

calendar year 2013 or

fiscal year beginning

CHECK ONE:

Original

Amended

Partner’s Identifying Number

Partnership’s Employer Identification Number (EIN)

Partner’s Name

Partnership’s Name

Partner’s Address – number and street or rural route

Partnership’s Address – number and street or rural route

Partner’s City, Town or Post Office

State ZIP Code

Partnership’s City, Town or Post Office

State ZIP Code

Before Change or

Partner’s Percentage of:

Termination

End of Year

Profit sharing ...............................................

Loss sharing ................................................

Ownership of capital ....................................

Type of partner (individual, trust, etc.) .........

NOTE: Corporate partners must use Form 165, Schedule K-1(NR)

Part I:

Arizona Partnership Adjustment

1 Adjustment of partnership income from federal to Arizona basis – from Form 165, page 1, line 6 ...... 1

•

2 Partner’s percentage of profit or loss (expressed as a decimal) ........................................................... 2

3 Partner’s distributive share of the adjustment of partnership income from federal to Arizona basis –

multiply line 1 by line 2 .......................................................................................................................... 3

PARTNER’S INSTRUCTIONS FOR PART I:

The partnership is required to adjust its income from a federal to Arizona basis. Line 3 of Form 165, Schedule K-1, is the partner’s

distributive share of that adjustment. Report the amount from line 3 on your Arizona tax return according to the instructions below.

Resident Individuals:

If line 3 is a positive number, enter the amount on Form 140, page 2, line B11.

If line 3 is a negative number, enter the amount on Form 140, page 2, line C29.

Part-Year Resident Individuals:

If line 3 is a positive number, enter that portion of line 3 that is allocable to partnership income taxable by Arizona on Form 140PY,

page 2, line C23.

If line 3 is a negative number, enter that portion of line 3 that is allocable to partnership income taxable by Arizona on Form 140PY,

page 2, line D35.

Resident Estates or Resident Trusts: