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ARIZONA FORM
165
Arizona Nonresident and Out-of-State Partner’s
2013
Schedule K-1(NR)
Share of Income and Deductions
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: All corporate partners must use this schedule.
(a)
(b)
(c)
Form 140NR Filers:
Part I: Distributive Share Items From
Distributive
Arizona
Arizona
Enter the amount in
Federal Form 1065, Schedule K-1
Share Amount
Apportionment Ratio
Source Income
column (c) on:
1 Ordinary income (loss) from trade or
business activities.....................................................
2 Net income (loss) from rental real estate activities ...
3 Net income (loss) from other rental activities ...........
4 Total: Add lines 1, 2, and 3 ......................................
Line B11
5 Interest......................................................................
Line B6
6 Dividends ..................................................................
Line B7
7 Royalties ...................................................................
Line B11
8 Net short-term capital gain (loss)..............................
Line B10
9 Net long-term capital gain (loss) ...............................
Line B10
10 Guaranteed payments to partner..............................
11 Net IRC Section 1231 gain (loss) .............................
Line B10
12 Deferred amount of discharge of indebtedness
income included in federal income in the current
year under IRC Section 108(i) ..................................
Line B11
13 Other income (loss) – attach schedule .....................
Line B12
14 IRC Section 179 expense .........................................
Line B11
15 Deferred amount of original issue discount deduction
included in federal income in the current year under
IRC Section 108(i) ....................................................
Line B11
16 Other deductions – attach schedule .........................
Part II: Partner’s Distributive Share of the
(a)
(b)
(c)
Form 140NR Filers:
Adjustment of Partnership Income From
Distributive
Arizona
Arizona
Enter the amount in
Federal to Arizona Basis
Share Amount
Apportionment Ratio
Source Income
column (c) on:
17 Adustment of partnership income from federal to
Arizona basis – from Form 165, page 1, line 6 .........
Line C20 or D31
NOTE: Corporate partners see Form 120 or Form 120A instructions for information on reporting the amount from line 17.
ADOR 10345 (13)