Form 8865 - Return Of U.s. Persons With Respect To Certain Foreign Partnerships - 2012 Page 3

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3
Form 8865 (2012)
Page
Schedule K
Partners' Distributive Share Items
Total amount
1
1
Ordinary business income (loss) (page 2, line 22) .
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2
Net rental real estate income (loss) (attach Form 8825) .
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2
3 a Other gross rental income (loss) .
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3a
b Expenses from other rental activities (attach statement)
3b
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c Other net rental income (loss). Subtract line 3b from line 3a
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3c
4
Guaranteed payments .
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4
5
5
Interest income .
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6
Dividends:
a Ordinary dividends .
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6a
b Qualified dividends
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6b
7
7
Royalties .
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8
8
Net short-term capital gain (loss) (attach Schedule D (Form 1065))
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9 a Net long-term capital gain (loss) (attach Schedule D (Form 1065))
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9a
b Collectibles (28%) gain (loss) .
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9b
c Unrecaptured section 1250 gain (attach statement) .
9c
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10
Net section 1231 gain (loss) (attach Form 4797) .
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10
11
Type
11
Other income (loss) (see instructions)
12
12
Section 179 deduction (attach Form 4562) .
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13 a Contributions .
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13a
b Investment interest expense .
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13b
(1) Type
c Section 59(e)(2) expenditures:
(2) Amount
13c(2)
Type
d Other deductions (see instructions)
13d
14 a Net earnings (loss) from self-employment .
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14a
b Gross farming or fishing income .
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14b
c Gross nonfarm income .
14c
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15 a Low-income housing credit (section 42(j)(5))
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15a
b Low-income housing credit (other)
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15b
c Qualified rehabilitation expenditures (rental real estate) (attach Form 3468) .
15c
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Type
15d
d Other rental real estate credits (see instructions)
Type
15e
e Other rental credits (see instructions)
Type
15f
f
Other credits (see instructions)
16 a Name of country or U.S. possession
b Gross income from all sources
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16b
c Gross income sourced at partner level .
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16c
Foreign gross income sourced at partnership level
d
e General category
f
Passive category
16f
Other (attach statement)
Deductions allocated and apportioned at partner level
g Interest expense
h Other .
16h
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Deductions allocated and apportioned at partnership level to foreign source income
i
Passive category
j General category
k
16k
Other (attach statement)
l
16l
Total foreign taxes (check one):
Paid
Accrued
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m Reduction in taxes available for credit (attach statement)
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16m
n Other foreign tax information (attach statement)
17 a Post-1986 depreciation adjustment .
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17a
b Adjusted gain or loss
17b
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c Depletion (other than oil and gas)
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17c
d Oil, gas, and geothermal properties—gross income .
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17d
e Oil, gas, and geothermal properties—deductions .
17e
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f
Other AMT items (attach statement) .
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17f
18 a Tax-exempt interest income .
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18a
b Other tax-exempt income .
18b
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c Nondeductible expenses .
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18c
19 a Distributions of cash and marketable securities
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19a
b Distributions of other property
19b
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20 a Investment income .
20a
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b Investment expenses
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20b
c Other items and amounts (attach statement)
8865
Form
(2012)

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