2003 Shareholder's Share of Income, Credits, Deductions, etc.


Submitted by:     Your Email Address:
Shareholder's Social Security Number


Company Name   Federal ID No   
(if shareholder is a company)
  S Corporation ID No
  S Corporation Name
  S Corp Street Address1
  S Corp Street Address2
  S Corp City, ST ZIP
  Shareholder's percentage of stock ownership for tax year
  IRS Center where corporation filed its return
S Corporation Tax Shelter Registration No
Is your investment in this activity "at risk"? Yes / No
Are you a "Passive" Shareholder in this activity? Yes / No
Did you "Materially Participate" in this activity? Yes / No



Check applicable box:
Final K-1 Amended K-1


INCOME:

  1 Ordinary Income (loss) from trade or business activities
  2 Net income (loss) from rental real estate activities
  3 Net income (loss) from other rental activities
  4 Portfolio income (loss):
      a Interest
      b(1) Qualified Dividends
      b(2) Ordinary Dividends
      c Royalties
      d(1) Net short term capital gain (loss) (post-May 5, 2003)
      d(2) Net short term capital gain (loss) (entire year)
      e(1) Net long term capital gain (loss) (post-May 5, 2003)
      e(2) Net long term capital gain (loss) (entire year)
      f Other Portfolio Income (loss)
  5a Net Gain Loss under Section 1231 (post-May 5, 2003)
      b Net Gain Loss under Section 1231 (entire year)
  6 Other income (loss)
DEDUCTIONS
  7 Charitable Contributions
  8 Section 179 expense deduction
  9 Deductions related to portfolio income (loss) (Explain in "Other" Below)
10 Other Deductions (Explain in "Other" Below)
INVESTMENT INTEREST
11a Interest expense on investment debts
    b (1) Investment income included on lines 4a,4b,4c,4f
    (2) Investment expenses included on line 9
CREDITS
12a Credit for alcohol used as fuel
12b Low-income housing credit:  
    (1) From section 42(j)(5) partnerships
    (2) Other than on line 12b(1)
    c Qualified rehabilitation expenditures related to rental real estate activities
    d Credits (other than 12b and 12c) related to rental real estate activities
    e Credits related to other rental activities
13 Other Credits
ADJUSTMENTS and TAX PREFERENCE ITEMS
  14a Depreciation adjustment on property placed in service after 1986
      b Adjusted gain or loss
      c Depletion (other than oil and gas)
    d (1) Gross Income from oil, gas, geothermal properties
    (2) Deductions allocable to oil, gas, geothermal
    e Other adjustments and tax preference items (Explain in "Other" Below)
FOREIGN TAXES
  15a Name of Foreign Country or US Possession  
      b Gross income from all sources
      c Gross income sourced at partner level
      d Foreign gross income sourced at partnership level  
    (1) Passive
    (2)Listed categories (Enter details in "Other Comments" below)
    (3) General limitation
      e Deductions allocated and apportioned at partner level  
    (1) Interest expense
    (2) Other
      f Deductions allocated and apportioned at partnership level to foreign source income:  
    (1) Passive
    (2) Listed categories (Enter details in "Other Comments" below)
    (3) General limitation
      g Total foreign taxes (check one) Paid Accrued
      h Reduction in taxes available for credit
OTHER
16 Section 59(e)(2) expenditures: a Type
      b Amount
17 Tax-exempt interest income
18 Other tax-exempt income
19 Nondeductible expenses
20 Property distributions (including cash) other than dividend distributions
reported to you on Form 1099-DIV
21 Amount of loan repayments for "Loans from S/H"
22 Recapture of low-income housing credit:  
      a From section 42(j)(5) partnerships
      b Other than on line 22a

Supplemental Information: ("Other")

    

      

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