Form 765 - Kentucky Partnership Income And Llet Return - 2013 Page 2

Form 765 (2013)

Page 2

*1300010264*

Commonwealth of Kentucky

DEPARTMENT OF REVENUE

PART III—EXPLANATION OF FINAL RETURN AND/OR SHORT–PERIOD RETURN

¨ Ceased operations in Kentucky

¨ Change in filing status

¨ Change of ownership

¨ Merger

¨ Successor to previous business

¨ Other _________________________________________________

PART IV—EXPLANATION OF AMENDED RETURN CHANGES

I, the undersigned, declare under the penalties of perjury, that I have examined this return, including all accompanying schedules and statements,

and to the best of my knowledge and belief, it is true, correct and complete.

✍

Signature of partner or member

SSN or FEIN

Date

Name of person or firm preparing return

SSN, PTIN or FEIN

Date

May the DOR discuss this return with the preparer?



Yes

Email Address:

Telephone No.:

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Parent category: Financial