Schedule 3k-1 - Partner'S Massachusetts Information - 2012
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FOR PRIVACY ACT NOTICE,
PRINT IN BLACK INK
SEE INSTRUCTIONS.
Calendar year filers enter 01-01-2012 and 12-31-2012 below. Fiscal year filers enter appropriate dates. Complete one Schedule 3K-1 for each partner.
Tax year beginning 3
Tax year ending 3
Schedule 3K-1
Partner’s Massachusetts Information
2012
TAXPAYER IDENTIFICATION NUMBER
NAME OF PARTNER
ADDRESS
CITY/TOWN/POST OFFICE
STATE
ZIP + 4
FEDERAL IDENTIFICATION NUMBER (FID)
NAME OF PARTNERSHIP
ADDRESS
CITY/TOWN/POST OFFICE
STATE
ZIP + 4
A. Type of entity (fill in one only):
Individual resident
Individual nonresident
Trust or estate
S corporation
Partnership or other PTE
IRA
Disregarded entity
Exempt organization
Corporation
B. Type of partner:
Limited
General
C. Type of form submission:
Final
Amended 3K-1
D. Was there a sale, transfer or liquidation of any part of this partnership interest during the tax year?
Yes
No
E. Did the partnership participate in one or more installment sales transactions?
Yes
No
If Yes, indicate whether information has been communicated to the partner to calculate an addition to Massachusetts tax under
M.G.L., ch. 62C, sec. 32A based on the following Internal Revenue Code (IRC) provisions (check all that apply):
IRC 453A
IRC 453(l)(2)(B)
If showing a loss, mark an X in box at left
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PARTNER’S DISTRIBUTIVE SHARE
0 0
1
Massachusetts ordinary income or loss (from Form 3, line 20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
0 0
2
Guaranteed payments to partners (deductible and capitalized) (from U.S. Form 1065, Schedule K) . . . 2
0 0
3
Separately stated deductions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
0 0
4
Combine lines 1 through 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5
Credits available:
0 0
a. Taxes due to another jurisdiction (full-year residents and part-year residents only). . . . . . . . . . . . . 5a
0 0
b. Lead Paint credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5b
c.
Economic Opportunity Area
0 0
Economic Development Incentive Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5c
0 0
d. Brownfields credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5d
0 0
e. Low-Income Housing credit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5e
0 0
f. Historic Rehabilitation credit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5f
0 0
g. Film Incentive credit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5g
0 0
h. Medical Device credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5h
0 0
i. Refundable Film credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5i
0 0
j. Refundable Dairy credit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5j
0 0
k. Refundable Conservation credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5k
0 0
l. Total credits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5l
0 0
6
Net income or loss from rental real estate activity(ies) (from Form 3, line 23) . . . . . . . . . . . . . . . . 6
BE SURE TO CONTINUE SCHEDULE 3K-1 ON OTHER SIDE
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