New York State Department of Taxation and Finance
IT-204-IP
New York Partner’s Schedule K-1
Tax Law – Article 22 (Personal Income Tax)
Final K-1
1 2
For calendar year 2012 or tax year beginning
and ending
Amended K-1
Partners: Before completing your income tax return, see Form IT-204-IP-I, Partner’s Instructions for Form IT-204-IP (available at ).
Partnership’s information
(see instructions)
Partnership’s name (as shown on Form IT-204)
Partnership’s EIN
A Mark an X in the box if either applies to your entity
Publicly traded partnership
Portfolio investment partnership
B Tax shelter registration number, if any .......................................................................................... B
%
C Business allocation percentage ............................................................................................................................... C
Partner’s information
(see instructions)
Partner’s name
Partner’s identifying number
Partner’s address
City
State
ZIP code
D The partner is a
General partner or LLC member-manager
Limited partner or other LLC member
(mark an X in the appropriate box)
E What is the tax filing status of the partner?
Individual
Estate/trust
Partnership
(Mark an X in the appropriate box, if known.)
F
If the partner is a disregarded entity or grantor trust,
enter the tax ID of the entity or individual reporting the income, if known ................................ F
G Did the partner sell its entire interest during the tax year? ................................................................................ G Yes
No
H Partner’s share of profit, loss, and capital
Beginning
Ending
1) Profit .............................................................................................................................. H1
%
%
%
%
2) Loss................................................................................................................................ H2
%
%
3) Capital ........................................................................................................................... H3
I
Partner’s share of liabilities at the end of the year
1) Nonrecourse ............................................................................................................................. I1
2) Qualified nonrecourse financing................................................................................................ I2
3) Recourse .................................................................................................................................. I3
J
Partner’s capital account analysis
1) Beginning capital account ........................................................................................................ J1
2) Capital contributed during the year – cash .............................................................................. J2
3) Capital contributed during the year – property ......................................................................... J3
4) Current year increase (decrease) ............................................................................................ J4
5) Withdrawals and distributions – cash ....................................................................................... J5
6) Withdrawals and distributions – property ................................................................................. J6
7) Ending capital account ............................................................................................................. J7
8) Method of accounting
(mark an X in the appropriate box)
Tax basis
GAAP
Book
Other
(submit explanation)
K Resident status
(mark an X in all boxes that apply)
NYS full-year resident
Yonkers full-year resident
NYC full-year resident
NYS part-year resident
Yonkers part-year resident
NYC part-year resident
NYS nonresident
Yonkers nonresident
If the partner was included in a group return, enter the special NYS identification number, if known ..... L
L
118001120094