Financial Schedule K1 Form

Financial Schedule K1 Form

Entity Information

Entity Name:

Partnership S Corporation Trust Estate Other

Partner / Beneficiary Information

Partner Name:

Partner's Share of Profit (Beginning):   Ending:   Capital Account Percentage:

Schedule K — Partner's Share of Income, Deductions, Credits and Other Items

1. Ordinary business income (loss):

2. Net rental real estate income (loss):

3. Other rental income (loss):

4. Guaranteed payments to partner:

5. Interest income:

6a. Ordinary dividends:  6b. Qualified dividends:

7. Royalties:

8. Net short-term capital gain (loss):

9. Net long-term capital gain (loss):

10. Net section 1231 gain (loss):

12. Section 179 deduction:

14. Self-employment earnings (loss) — subject to self-employment tax:

18. Tax-exempt income and nondeductible expenses:

19. Distributions — cash and property distributed to partner:

Partner's Capital Account Analysis

Beginning capital account:

Capital contributed during year:

Net income (loss) allocated to partner:

Withdrawals/distributions:

Ending capital account:

Tax basis Section 704(b) book Other (describe below)

Certification and Authorized Signature

Under penalties of perjury, the undersigned authorized representative of the entity certifies that this Schedule K1 is true, correct, and complete to the best of the representative's knowledge and belief, and that the amounts shown reflect items of income, deduction, credit and other tax attributes allocable to the partner named herein in conformity with the entity's books and applicable tax rules. The preparer and issuer retain documentation supporting the items reported and will furnish such documentation to appropriate parties upon lawful request.

Preparer / Contact for Additional Information

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