Form 510 - Schedule K-1 - Maryland Pass-Through Entity Member'S Information - 2012

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2012
FORM
MARYLAND
510
PASS-THROUGH ENTITY
SCHEDULE K-1
MEMBER’S INFORMATION
OR FISCAL YEAR BEGINNING
2012, ENDING
INFORMATION ABOUT THE PASS-THROUGH ENTITY (PTE)
PTE Name
PTE FEIN
Street Address
City
State
ZIP code
INFORMATION ABOUT THE MEMBER
Member Number
Member Name
Member’s SSN/FEIN
S
treet Address
Resident
Distributive or Pro Rata Share Percentage
Yes
%
No
City
State
ZIP code
A. Member’s Income
▌
1. Distributive or pro rata share of income from federal Schedule K-1 . . . . . . . . . . . . . . . . . . . . 1. ___________________
▌
2. Distributive or pro rata share allocable to Maryland (Nonresidents only) . . . . . . . . . . . . . . . . 2. ___________________
B. Additions
▌
1. Non-Maryland municipal interest and dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. ___________________
▌
2. Tax preference items . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. ___________________
▌
3. Net decoupling modification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. ___________________
▌
4. Net decoupling modification from another PTE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. ___________________
▌
5. Other additions (specify additions with amounts in part F of this form) . . . . . . . . . . . . . . . . . 5. ___________________
C. Subtractions
▌
1. Income from U.S. obligations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. ___________________
▌
2. Work opportunity credit salary expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. ___________________
▌
3. Net decoupling modification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. ___________________
▌
4. Net decoupling modification from another PTE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. ___________________
▌
5. Other subtractions (specify subtractions with amounts in part F of this form) . . . . . . . . . . . . 5. ___________________
D. Nonresident Tax - Enter the member’s distributive or pro rata share
▌
1. Nonresident tax paid by this PTE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. ___________________
▌
2. Nonresident tax paid by other PTEs on behalf of this entity . . . . . . . . . . . . . . . . . . . . . . . . . 2. ___________________
▌
3. Total (add lines 1 and 2. See instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. ___________________
E. Credits (***Required documentation or certification must be attached.)
Nonrefundable Credits
▌
1. Enterprise Zone Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. ___________________
▌
2. Maryland Disability Employment Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. ___________________
▌
3. Job Creation Tax Credit*** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. ___________________
▌
4. Community Investment Tax Credit*** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. ___________________
▌
5. Businesses that Create New Jobs Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. ___________________
COM/RAD 045
12-49
1

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