Form It-565 - Partnership Return Of Income

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State of Louisiana
IT-565 (3/02)
Department of Revenue
P.O. Box 3440, Baton Rouge, LA 70821-3440
Partnership Return of Income
(To be filed also by syndicates, pools, joint ventures, etc.)
For calendar year
or other taxable
year beginning
,
, and ending
,
Kind of business
If the partnership (1) has one or more nonresi-
dent partners and (2) derives income from
Name
sources within and without the State of Louisi-
Records are in care of
ana, secure Form IT-565B for further instruc-
tions and apportionment of net income.
Located at
Address
Cash or accrual basis
Federal Employer Identification Number
City, State, ZIP
Date of organization
Federal net income $
1.
Gross receipts or gross sales $
Less: Returns and allowances [
] = ............
$ _________________
2.
Less: Cost of goods sold (Schedule A) .....................................................................
$
_________________
3.
Gross profit (Line 1 less Line 2) ................................................................................
$
_________________
4.
Income (or loss) from other partnerships, syndicates, etc. (Attach schedule.) ........
$
_________________
5.
Dividends (Attach schedule.) .....................................................................................
$
_________________
6.
Interest (Attach schedule.) ........................................................................................
$
_________________
7.
Rents and royalties (Schedule B) ..............................................................................
$
_________________
8.
Net farm profit (or loss) (Attach schedule.) ..............................................................
$
_________________
9.
Net gain from sale of capital assets (Schedule D) ....................................................
$
_________________
10. Net gain (or loss) from sale of property other than capital assets (Schedule E) ......
$
_________________
11. Other income (Attach schedule.) ..............................................................................
$
_________________
12. Total income (Add Lines 3 through 11.) .........................................................................................................
$ ________________
13. Salaries and wages (other than to partners) .............................................................
$ _________________
14. Payments to partners (salaries and interest) ............................................................
$
_________________
15. Rent ............................................................................................................................
$
_________________
16. Interest (Explain on Schedule C.) ..............................................................................
$
_________________
17. Taxes (Explain on Schedule C.) ................................................................................
$
_________________
18. Losses by fire, storm, shipwreck, or other casualty or theft (Attach schedule.) .......
$
_________________
19. Bad debts (Schedule F) .............................................................................................
$
_________________
20. Repairs (Attach schedule.) ........................................................................................
$
_________________
21. Depreciation (Schedule G) ........................................................................................
$
_________________
22. Amortization (Attach schedule.) ................................................................................
$
_________________
23. Depletion of mines, oil and gas wells, timber, etc. (Attach schedule.) .....................
$
_________________
24. Other deductions authorized by law (Explain on Schedule H.) ................................
$
_________________
25. Total deductions (Add Lines 13 through 24.) ................................................................................................
$
________________
26. Net income (or loss) (Subtract Line 25 from Line 12.) .......................................................................................
$ ________________
27. Net gain from sale of capital assets (Line 9) ......................................................................................................
$
________________
28. Ordinary income (or loss) (Subtract Line 27 from Line 26.) ...............................................................................
$ ________________
Partners filing an individual return should use the information reported on the federal
partnership return instead of the amount shown on this schedule.
3. Ordinary income
4. Payments to partners
5. Net gain from sale of
6. Percentage of
1. State name and address of each partner
2. Social Security
(or loss)
(salaries and interest)
capital assets
time devoted to
(Designate nonresident individuals, if any.)
Number
(Line 28, Page 1)
(Line 14, Page 1)
(from Schedule D)
business
(a) ____________________________
(b) ____________________________
(c) ____________________________
(d) ____________________________
Total ....................................................................
$
$
$
%
Under the penalties of perjury, I declare that I have examined this return, including all accompanying documents, and to the best of my knowledge and belief, it is true,
correct, and complete. If prepared by a person other than taxpayer, his declaration is based on all information of which he has any knowledge.
(
)
_________________________________
___________________________
___________
Signature of partner or member
Telephone
Date
6043
_________________________________
___________________________
___________
Signature of preparer other than partner or member
Address
City, State, ZIP
Date

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