Form 150-101-00 - Schedule K-1- Distributive Share Of Income, Deductions, Credits, Etc. For Individual Owners Of Pass-Through Entities - 2012

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2012 Oregon Schedule K-1
Clear Form
Distributive Share of Income, Deductions, Credits, etc.
For Individual Owners of Pass-Through Entities
Final K-1
Amended K-1
For calendar year 2012 or fiscal year beginning ____________________, 2012 and ending ____________________, 20_____.
Part I—Pass-Through Entity (PTE) information
Partnership
S Corporation
PTE FEIN
PTE BIN
PTE name
PTE address
City
State
ZIP code
Part II—Owner information
Owner’s SSN
Owner’s name
Owner’s address
Owner’s entity type
City
State
ZIP code
General partner or LLC member manager
Limited partner or other LLC member
Individual
Shareholder
Oregon resident?
If no, state of legal residence
Owner’s share of profit and loss
If a nonresident, was the owner included on Form OC?
Yes
No
Yes
No
N/A
Beginning
%
End
%
Part III—Distributive share items
PTE Oregon apportionment percentage
%
(a)
(b)
(c)
Federal
Oregon
Form 40N
Income (losses)
column
column
Line numbers
1
18
Ordinary business income (loss) ...................................
2
18
Net rental real estate income (loss) ...............................
3
18
Other net rental income (loss) .......................................
4
Guaranteed payments to partners ................................
18
5
9
Interest income ..............................................................
6
10
Ordinary/Qualified dividends .........................................
7
18
Royalties ........................................................................
8
14
Net short-term capital gain (loss) ..................................
9
14
Net long-term capital gain (loss) ...................................
10 Net section 1231 gain (loss) ..........................................
14
11 Other income (loss)(attach schedule) ............................
Varies
Adjustments
12 IRC section 179 expense ..............................................
18
13 Other adjustments (attach schedule) ............................
28
Oregon additions
14 Qualified dom. production activities ..............................
28
15 Interest on state & local gov’t bonds .............................
31
16 Other additions (attach schedule) .................................
33
Oregon subtractions
17 U.S. government interest ..............................................
37
18 Depreciation ..................................................................
37
19 Other subtractions (attach schedule) ............................
37
Oregon credits
20 Credits (attach schedule) ............................................................................................
56
Payments
21 PTE owner payment for nonresident ..........................................................................
61
22 Tax paid on Form OC for owner .................................................................................
150-101-002 (Rev. 12-12)

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