Form It-565 - Partnership Return Of Income Page 6
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11IT-565 (1/13)
Partnership Return of Income
For calendar year _____________
(To be filed also by syndicates, pools, joint ventures, etc.)
or other taxable year
beginning _________, _________,
Louisiana Department of Revenue
ending _________, _________
P.O. Box 3440
Baton Rouge, LA 70821-3440
If the partnership has one or more nonresident partners
Kind of business
Name
and derives income from sources within and without
the State of Louisiana, secure Form IT-565B for further
Records are in care of
Address
instructions and apportionment of net income.
Cash or accrual basis
Located at
City, State, ZIP
Date of organization
Federal Employer Identification Number
Federal net income
1.
Gross receipts or gross sales $ __________________________________
Less: Returns and allowances [ __________________________________ ] =
$
2.
Less: Cost of goods sold (Schedule A)
3.
Gross profit (Line 1 less Line 2)
4.
Income (or loss) from other partnerships, syndicates, etc. (Attach schedule.)
5.
Dividends (Attach schedule.)
6.
Interest (Attach schedule.)
7.
Rents and royalties (Schedule B)
8.
Net farm profit (or loss) (Attach schedule.)
9.
Net gain from sale of capital assets (Schedule D)
10. Net gain (or loss) from sale of property other than capital assets (Schedule E)
11. Other income (Attach schedule.)
12. Total income (Add Lines 3 through 11.)
$
13. Salaries and wages (other than to partners)
$
14. Payments to partners (salaries and interest)
15. Rent
16. Interest (Explain on Schedule C.)
17. Taxes (Explain on Schedule C.)
18. Losses by fire, storm, shipwreck, or other casualty or theft (Attach schedule.)
19. Bad debts (Schedule F)
20. Repairs (Attach schedule.)
21. Depreciation (Schedule G)
22. Amortization (Attach schedule.)
23. Depletion of mines, oil and gas wells, timber, etc. (Attach schedule.)
24. Other deductions authorized by law (Explain on Schedule H.)
25. Total deductions (Add Lines 13 through 24.)
$
26. Net income (or loss) (Subtract Line 25 from Line 12.)
27. Net gain from sale of capital assets (Line 9)
28. Ordinary income (or loss) (Subtract Line 27 from Line 26.)
$
Partners filing an individual return should use the information reported on the federal partnership return instead of the amount shown on this schedule.
3. Ordinary income
4. Payments to partners
5. Net gain from sale
1. State name and address of each par tner
2. Social Security
(or loss)
(salaries and interest)
of capital assets
6. Percentage of time
(Designate nonresident individuals, if any.)
Number
(Line 28, Page 1)
(Line 14, Page 1)
(from Schedule D)
devoted to business
(a)
(b)
(c)
(d)
Total
$
$
$
%
Under the penalties of perjury, I declare that I have examined this return, including all accompanying documents, and to the best of my knowledge
and belief, it is true, correct, and complete. If prepared by a person other than taxpayer, his declaration is based on all information of which he has any
knowledge.
Signature of partner or member
Telephone
Date
6043
Signature of preparer other than partner or member
Address
City, State, ZIP
Date
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