Form 3 - Wisconsin Partnership Return - 2016 Page 4

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2016 Form 3
Name
ID Number
Page 4 of 5
(a) Distributive share items
(b) Federal amount
(c) Adjustment
(d) Amount under Wis. law
18a Tax-exempt interest income . . 18a
18a
b Other tax-exempt income . . . . 18b
18b
c Nondeductible expenses . . . . 18c
18c
19a Distributions of cash and
marketable securities . . . . . . . 19a
19a
b Distributions of other property
19b
19b
20a Investment income . . . . . . . . . 20a
20a
b Investment expenses . . . . . . . 20b
20b
c Other items and amounts
(attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20c
21a Related entity expense addback . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21a
b Related entity expense allowable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21b
22
Income (loss) (see instructions) 22
. . . . . . . . . . . . . . . . . . . . .
22
23
Gross income (before deducting
expenses) from all activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
Third
Do you want to allow another person to discuss this return with the department?
Yes
No
Complete the following.
Party
Personal Identification
Print
Phone Number
Number (PIN)
Designee’s
Designee
Name
Person to contact concerning this return:
Phone #:
Fax #:
Under penalties of law, I declare that this return and all attachments are true, correct, and complete to the best of my knowledge and belief .
Signature of General Partner
Date
Signature of Preparer
Date
If you are not filing electronically, paper clip (don’t staple or bind) a copy of your federal Form 1065, any
accompanying schedules, and Schedules 3K-1.
File electronically through the Federal/State E-Filing Program, or
Mail to:
Wisconsin Department of Revenue
If partnership completed Part I . . . . . . . . . . PO Box 8908, Madison, WI 53708-8908
If partnership only completed Part II. . . . . . PO Box 8965, Madison, WI 53708-8965

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