MARYLAND
2011
FORM
510
PASS-THROUGH ENTITY
SCHEDULE
Member’s Information
11510K049
K-1
OR FISCAL YEAR BEGINNING _________ 2011 ENDING _________
INFORMATION ABOUT THE PASS-THROUGH ENTITY (PTE)
PTE Name
PTE FEIN
Street Address
City
State
Zip Code
INFORMATION ABOUT THE MEMBER
Member Number
Member Name
Member’s SSN/FEIN
Street Address
Resident
Distributive or Pro Rata Share Percentage
Yes
%
No
City
State
Zip Code
A. Member’s Income
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1. Distributive or pro rata share of income from federal Schedule K-1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. _____________________
▌
2. Distributive or pro rata share allocable to Maryland (Nonresidents only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2. _____________________
B. Additions
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1. Non-Maryland municipal interest and dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. _____________________
▌
2. Tax preference items . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2. _____________________
▌
3. Net decoupling modification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3. _____________________
▌
4. Net decoupling modification from another PTE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4. _____________________
▌
5. Other additions (specify additions with amounts in part F of this form) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5. _____________________
C. Subtractions
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1. Income from U.S. obligations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. _____________________
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2. Work opportunity credit salary expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2. _____________________
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3. Net decoupling modification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3. _____________________
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4. Net decoupling modification from another PTE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4. _____________________
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5. Other subtractions (specify subtractions with amounts in part F of this form) . . . . . . . . . . . . . . . . . . . . . . . . .5. _____________________
D. Nonresident Tax - Enter the member’s distributive or pro rata share
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1. Nonresident tax paid by this PTE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. _____________________
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2. Nonresident tax paid by other PTEs on behalf of this entity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2. _____________________
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3. Total (add lines 1 and 2. See instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3. _____________________
E. Credits (***Required documentation or certification must be attached.)
Nonrefundable Credits
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1. Enterprise Zone Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. _____________________
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2. Employment Opportunity Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2. _____________________
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3. Maryland Disability Employment Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3. _____________________
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4. Job Creation Tax Credit*** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4. _____________________
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5. Community Investment Tax Credit*** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5. _____________________
COM/RAD 045
11-49