2012
*1200020033*
SCHEDULE K-1
FORM 741
42A741(K-1)
K
B
S
ENTUCKY
ENEFICIARY’S
HARE
Department of Revenue
O
I
, D
, C
, E
.
F
NCOME
EDUCTIONS
REDITS
TC
For calendar year or fiscal year
➤ Complete a separate Schedule K-1
for each beneficiary.
beginning _____________________ , 2012, and ending _____________________ , 2013.
Amended K-1
Name of estate or trust ➤
Final K-1
Estate or trust’s federal
Beneficiary’s identifying number ➤
employer identification number ➤
Beneficiary’s name, address and ZIP code
Fiduciary’s name, address and ZIP code
(a) Allocable Share Item
(b) Federal Amount
(c) Difference
(d) Kentucky Amount
1. Interest ...................................................................................
2. Dividends ...............................................................................
3. Net short-term capital gain ..................................................
4. Net long-term capital gain ....................................................
5. a Annuities, royalties and other nonpassive income
before directly apportioned deductions
(see federal instructions) .................................................
b Depreciation .....................................................................
c Depletion ..........................................................................
d Amortization .....................................................................
6. a Trade or business, rental real estate and other
rental income before directly apportioned
deductions (see federal instructions) .............................
b Depreciation .....................................................................
c Depletion ..........................................................................
d Amortization .....................................................................
7. Federal estate tax deduction (attach computation) ............
8. Foreign taxes (attach schedule) ...........................................
9. Deductions in the final year of estate or trust:
a Excess deductions on termination (attach computation) ..
b Short-term capital loss carryover ...................................
c Long-term capital loss carryover ....................................
d Net operating loss (NOL) carryover ...............................
e
f
10. Other: (itemize)
a
b
c
Resident Adjustment
11. Add lines 1 through 6 and portions of lines 9 and 10 in column (c). Add income
amounts and subtract (loss) and deduction amounts (see instructions).
Enter on Form 740, Schedule M, line 3, if difference is positive, or
line 15, if difference is negative (see instructions) .....................................................
PASS-THROUGH CREDIT
12. a Limited liability entity tax credit (KRS 141.0401(2)) .................................................................................12a
b Refundable Certified Rehabilitation Credit (KRS 141.382(1)(b)) ..............................................................12b
c Film Industry Tax Credit (KRS 141.383) .................................................................................................... 12c
d Nonresident Withholding from Form PTE-WH not included on Form 741, line 21e .............................12d