Arizona Form 120s - Arizona S Corporation Income Tax Return - 2004 Page 3
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1
2
3ARIZONA FORM
Nonresident Shareholder’s Share of
2004
120S
Income and Deductions
Schedule K-1(NR)
CHECK ONE:
For taxable year beginning
, and ending
Original
Amended
Shareholder’s identifying number
Corporation’s identifying number
Shareholder’s name, address, and ZIP code
Corporation’s name, address, and ZIP code
Shareholder’s percentage of stock ownership for the taxable year __________%
(a)
(b)
(c)
Form 140NR Filers
Distributive
Arizona
Arizona
Pro Rata Share Items From
Enter the Amount
Share
Apportionment
Source
Federal Form 1120S Schedule K-1
in Column (c) on:
Amount
Ratio
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
Line B10
4 Total - Add lines 1, 2 and 3
5 Portfolio income (loss):
5a Interest
Line B5
5b Ordinary dividends
Line B6
Line B10
5c Royalties
Line B9
5d Net short-term capital gain (loss)
Line B9
5e Net long-term capital gain (loss)
5f Other portfolio income (loss) - attach schedule
Line B11
6 Net IRC Section 1231 gain (loss)
Line B9
Line B11
7 Other income (loss)
Line B10
8 IRC Section 179 expense
9 Deductions related to portfolio income (loss) - attach schedule
10 Other deductions - attach schedule
ADOR 91-0026 (04)
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