Arizona Form 165 - Arizona Partnership Income Tax Return - 2012

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ARIZONA FORM

2012

165

Arizona Partnership Income Tax Return

CHECK ONE:

M M D D Y Y Y Y

For the

calendar year 2012 or

ﬁ scal year beginning

and ending

Original

Amended

Business telephone number

Name

Employer identification number (EIN)

(with area code)

Please

Number and street or PO Box

Type

Business activity code number

AZ transaction privilege tax number

(from federal Form 1065)

City or town, state, and ZIP code

CHECK BOX IF: Return filed under extension.

68 Check box if:

This is a first return

Name change

Address change

REVENUE USE ONLY. DO NOT MARK IN THIS AREA.

DBA

Will a composite return be filed on Form 140NR?

Yes

Total number of nonresident individual partners:

Total number of resident individual partners:

Total number of entity partners (see instructions, page 2):

M M D D Y Y Y Y

Date business commenced:

G Multistate partnerships only:

Arizona apportionment (check only one):

AIR Carrier

STANDARD Sales Factor

ENHANCED Sales Factor

YES

Is this the partnership’s final return? ...............................................................................................................................................

Did you file 2010 and 2011 Arizona partnership returns? ...............................................................................................................

If no, state reason:

Have you filed amended federal partnership returns for prior years? .............................................................................................

If yes, list years

Have you attached a copy of your federal Form 1065 and supporting schedules to this return, including Schedule(s) K-1? ........

Has the Internal Revenue Service made any adjustments in any federal income tax return filed by the partnership not

previously reported to the department? ..........................................................................................................................................

If yes, indicate year(s):

, and

submit under separate cover a copy of the IRS report as finally determined.

M The partnership books are in care of:

Located at:

Number and street or PO Box

City

State

ZIP Code

Adjustment of Partnership Income From Federal to Arizona Basis

1 Federal ordinary business and rental income – from Form 1065, Schedule K. See instructions ...................................

SCHEDULE A – Additions to Partnership Income

A1 Total federal depreciation ............................................................................................... A1

A2 Non-Arizona municipal bond interest ............................................................................. A2

A3 Capital investment by certified defense contractor......................................................... A3

A4 Additions related to Arizona tax credits .......................................................................... A4

A5 Other additions to partnership income ........................................................................... A5

2 Total additions to partnership income – add lines A1 through A5 ...................................................................................

3 Subtotal – add lines 1 and 2 ...........................................................................................................................................

SCHEDULE B – Subtractions From Partnership Income

B1 Recalculated Arizona depreciation – see instructions .................................................... B1

B2 Basis adjustment for property sold or otherwise disposed of during the taxable year –

see instructions .............................................................................................................. B2

B3 Interest from U.S. government obligations ..................................................................... B3

B4 Difference in adjusted basis of property ......................................................................... B4

B5 Agricultural crops charitable contribution – see instructions .......................................... B5

B6 Capital investment by certified defense contractor......................................................... B6

B7 Other subtractions from partnership income .................................................................. B7

4 Total subtractions from partnership income – add lines B1 through B7 ..........................................................................

5 Partnership income adjusted to Arizona basis – subtract line 4 from line 3 ....................................................................

6 Net adjustment of partnership income from federal to Arizona basis – subtract line 1 from line 5 .................................

Penalty

7 Penalty for late filing or incomplete filing – see instructions ..........................................................................................

ADOR 10343 (12)