Instructions For Pa20s/pa-65 Schedule Nrk-1

delivery zone number is included in

First Line of Address

company. If a partnership issued the

the address:

PA Schedule NRK-1, leave this field

Enter the street address of the owner

blank.

receiving the PA-20S/PA-65 Schedule

NORTH BY NORTHWEST CO

NRK-1. If the address has an

1010 CLEAR ST

Caution.

Do not enter the tax

apartment number, suite or RR

OTTAWA ONT K1A OB1

number, enter it after the street

number assigned by the

CANADA

address.

Department of State.

The U.S. Postal Service

If the entity’s address does not fit

preference is to put the actual

Amended Schedule

in the available spaces on the PA-

delivery address on the line

Fill in the oval if the PA-20S/PA-65

20S/PA-65 Schedule NRK-1 using

immediately above the city, state

Schedule NRK-1 is an amended

this format, submit a separate

and ZIP code.

schedule.

statement that includes the entity’s

name, entity’s federal employer

Note.

If the street address

Final

identification number, tax year and

along with the apartment

Fill in the oval if the PA-20S/PA-65

complete address.

number, suite or RR number does

Schedule NRK-1 is a final schedule.

not fit on the first line of address,

then enter the street address on the

Shareholder’s Stock

Part I

second line of address and the

Ownership

apartment number, suite or RR

General Information

Enter the shareholder’s percentage of

number on the first line of address.

stock ownership in the PA S

corporation.

SSN

Second Line of Address

Enter the nine-digit Social Security

Valid values are: “00000” to

Enter the post office box, if

number (SSN) of the individual

“10000”, where 10000 = 100%

appropriate, of the owner receiving

receiving the PA-20S/PA-65 Schedule

Decimal point is implied after 3

the PA-20S/PA-65 Schedule NRK-1.

NRK-1.

character from the left

If there is no post office box, leave

e.g. to indicate 33.33%, the value

the second line of the address blank.

Last Name, Suffix, First

should be “03333”

For a foreign address enter the

Name, Middle Initial

e.g. to indicate 25%, the values

city or municipal designation. See

should be “02500”

Enter the last name; suffix such as

Foreign Address Example.

Jr., Sr., etc.; first name; and middle

For a Canadian address, enter the

initial of the individual receiving the

city and postal delivery zone number.

Beneficiary’s Year-End

PA-20S/PA-65 Schedule NRK-1.

See

Canada Address Example.

Distribution

This line is for the PA-41 Schedule

Spouse’s SSN

Important.

If the address

NRK-1 and will never be used for the

Enter the nine-digit SSN of the

has only a post office box,

PA-20S/PA-65 Information Return.

spouse (if jointly held) receiving the

enter on the first line of address.

The estate or trust submits this

PA-20S/PA-65 Schedule NRK-1.

information on the PA-41 Schedule

City, State and ZIP Code

NRK-1 with its PA-41 Fiduciary

Enter the appropriate information in

Income Tax Return.

FEIN

each box. Eliminate all punctuation

Enter the

nine-digit

federal employer

such as apostrophes, commas,

Partnership Percentage

identification number (FEIN) of the

periods and hyphens.

owner (if other than an individual)

Enter the partner’s percentage of

receiving the PA-20S/PA-65 Schedule

each of the following at the close of

NRK-1.

the taxable year:

Name of Entity Issuing

● Profit sharing

NRK-1

Name of Owner Receiving

● Loss sharing

Enter the name of the entity issuing

● Ownership of capital

NRK-1 (Other Than an

the PA-20S/PA-65 Schedule NRK-1.

Individual)

Valid values are: “00000” to

City, State and ZIP Code

If the owner of the entity is a

“10000”, where 10000 = 100%

partnership, PA S corporation,

Decimal point is implied after 3

Enter the appropriate information in

estate, trust or entity formed as a

each box. Eliminate all punctuation

character from the left

limited liability company classified as

such as apostrophes, commas,

e.g. to indicate 33.33%, the value

a partnership or PA S corporation for

periods and hyphens.

should be “03333”

federal income tax purposes, enter

e.g. to indicate 25%, the values

the name of the entity owner

FEIN

should be “02500”

receiving the PA-20S/PA-65

Enter the nine-digit FEIN of the entity

Schedule NRK-1.

issuing the PA-20S/PA-65 Schedule

Owner

If the PA Schedule NRK-1 is

NRK-1.

Fill in the oval that designates what

being issued to an individual, leave

type of owner received the PA-20S/

this field blank.

Revenue ID

PA-65 Schedule NRK-1. Fill in one

Enter the Revenue ID of the PA S

oval only.

corporation or limited liability

Instructions For Pa20s/pa-65 Schedule Nrk-1 - 2013 Page 3

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