Form 65 - Oregon Partnership Return Of Income - 2012 Page 2
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8. Other taxing authorities.
Yes
No
A. Do partnership employees perform services in the TriMet Transit District? .....................................................................
B. Do any partners have self-employment income from the partnership in the TriMet Transit District? ..............................
C. Do partnership employees perform services in the Lane Transit District? .......................................................................
D. Do any partners have self-employment income from the partnership in the Lane Transit District? ................................
If you answered yes to 8B and/or 8D, Form TM and/or Form LTD must be filed by the individual partners or the
partnership may elect to file on the partners’ behalf.
9. Who has the partnership books?
Name of partner who has the partnership books
Telephone number
(
)
Street address
City
State
ZIP code
Schedule I—Oregon modifications to federal partnership income passed through to partners. Attach schedules to explain and
compute the modifications. Check whether using Oregon or federal K-1s for reference. Indicate which federal or Oregon Schedule K-1
line item each modification is for.
Lines referenced are from: .................................................................................... federal Schedule K-1
OR Oregon Schedule K-1
Additions—Items not included in federal partnership income which are taxable to Oregon.
1. Interest on government bonds of other states ................................................................. (K-1 line
) 1
2. Gain on property transactions not deferred for Oregon .................................................. (K-1 line
) 2
3. Depreciation, see instructions .......................................................................................... (K-1 line
) 3
4. Recognition of previously deferred capital gain .........................................................................................
4
5. Depletion in excess of property basis ........................................................................................................
5
6. Gain or loss on sale of assets when Oregon basis is different from federal basis ...................................
6
7. Other additions. Identify
..............
7
Subtractions—Items included in federal partnership income which are not taxable to Oregon.
8. U.S. government interest .................................................................................................. (K-1 line
) 8
9. Gain on property transactions already taxed by Oregon .............................................................................. 9
10. Depreciation, see instructions .......................................................................................... (K-1 line
) 10
11. Work opportunity credit .................................................................................................... (K-1 line
) 11
12. Gain or loss on sale of assets when Oregon basis is different from federal basis ................................... 12
13. Other subtractions. Identify
.............. 13
Note: Generally, a partner’s share of each Oregon modification is figured using the partner’s profit/loss sharing percentage.
A partner’s share of each modification must be reported to the partner on their federal or Oregon Schedule K-1 or equivalent.
— Attach a complete copy of your 2012 federal partnership return —
➨
Under penalty of false swearing, I declare that the information in this return and any attachments is true, correct, and complete.
Signature of general partner or LLC member
Signature of paid preparer
License number of preparer
➨
•
X
X
Sign
here
Date
Date
Telephone number
(
)
Keep
a copy
Print name of general partner or LLC member
Print name of preparer
of this
return for
your tax
Title of general partner or LLC member
Address of preparer
records
➨
Attach federal Form 1065 or Form 1065-B and required schedules as indicated in instructions, and file the return on or before the 15th
day of the fourth month after the close of the partnership’s tax year. If required, attach payment and voucher to page 1.
Mail to:
Oregon Department of Revenue
PO Box 14260
Salem OR 97309-5060
Form 65, page 2 of 2
150-101-065 (Rev. 10-12)
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