Form 20s - S Corporation Information/tax Return - 2012 Page 4

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1200042S1283
4
FORM 20S – 2012
Page
SCHEDULE K – Distributive Share Items
Apportionment
Enter on Alabama
Federal Amount
Apportioned Amount
Factor
Schedule K-1
1 Alabama nonseparately stated income (Schedule E, line 7). . . .
1
Part III, Line M
Separately Stated Items:
2 Contributions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
Part III, Line S
3 Oil and gas depletion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
Part III, Line Z
4 I.R.C. §179 expense deduction
4
Part III, Line O
5 Casualty losses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
Part III, Line W
6 Portfolio income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
Part III, Line Q
7 Interest expense related to portfolio income . . . . . . . . . . . . . . . . .
7
Part III, Line P
8 Other expenses related to portfolio income (attach schedule) . .
8
Part III, Line R
9 Other separately stated business items (attach explanation) . . .
9
Part III, Line T
10 Small business health insurance premiums (attach explanation)
10
Part III, Line Y
11 Separately stated nonbusiness items (attach schedule) . . . . . . .
11
Part III, Line AA
12 Composite payment made on behalf of owner/shareholder . . . .
12
Part III, Line U
13 U.S. taxes paid (attach explanation) . . . . . . . . . . . . . . . . . . . . . . . .
13
Part III, Line V
14 Alabama exempt income (attach explanation) . . . . . . . . . . . . . . .
14
Part III, Line AB
15 Reemployment Act of 2010 deduction (attach explanation) . . . .
15
Part III, Line AC
Transactions with Owners:
100%
16 Property distributions to owners. . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
Part III, Line X
I authorize a representative of the Department of Revenue to discuss my return and attachments with my preparer.
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are
true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Please
Sign
Date
Daytime Telephone No.
Social Security No.
Signature
Here
of Officer
(
)
Title
of Officer
Telephone No.
Date
Preparer’s PTIN
Preparer’s
Signature
(
)
Paid
E.I. No.
Firm’s Name (or yours
Preparer’s
if self-employed)
and address
Use Only
ZIP Code
Email
Address
CHECK LIST
HAVE THE FOLLOWING FORMS BEEN ATTACHED TO THE FORM 20S:
ALABAMA SCHEDULE K-1 (one for each shareholder)
ALABAMA SCHEDULE NRA (if applicable)
FEDERAL FORM 1120S (entire form as filed with IRS)
FEDERAL FORM 1120S PROFORMA (if applicable)
FORM BIT-V (if applicable)
Returns without Payments
Returns with Payments
MAIL TO: Alabama Department of Revenue
MAIL TO: Alabama Department of Revenue
Pass Through Entity
Pass Through Entity
PO Box 327441
PO Box 327444
Montgomery, AL 36132-7441
Montgomery, AL 36132-7444
ADOR

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