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ARIZONA FORM
120S
Nonresident Shareholder’s Share of
2013
Schedule K-1(NR)
Income and Deductions
M M D D
2 0 1 3 and ending
M M D D Y Y Y Y
For the
calendar year 2013 or
fiscal year beginning
.
CHECK ONE:
Original
Amended
Shareholder’s Identifying Number
S Corporation’s Employer Identification Number (EIN)
Shareholder’s Name
S Corporation’s Name
Shareholder’s Address – number and street or rural route
S Corporation’s Address – number and street or rural route
Shareholder’s City, Town or Post Office
State ZIP Code
S Corporation’s City, Town or Post Office
State ZIP Code
%
Shareholder’s percentage of stock ownership for the taxable year:
Part I:
Share of Income and Deductions
(a)
(b)
(c)
Form 140NR Filers:
Pro Rata Share Items From
Distributive
Arizona
Arizona
Enter the amount in
Federal Form 1120-S, Schedule K-1
Share Amount
Apportionment Ratio
Source Income
column (c) on:
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 B11
4 Total: Add lines 1, 2, and 3 ......................................
Line B6
5 Interest......................................................................
Line B7
6 Dividends ..................................................................
Line B11
7 Royalties ...................................................................
Line B10
8 Net short-term capital gain (loss)..............................
Line B10
9 Net long-term capital gain (loss) ...............................
Line B10
10 Net IRC Section 1231 gain (loss) .............................
11 Deferred amount of discharge of indebtedness
income included in federal income in the current
Line B12
year under IRC Section 108(i) ..................................
Line B11
12 Other income (loss) ..................................................
Line B11
13 IRC Section 179 expense .........................................
14 Deferred amount of original issue discount deduction
included in federal income in the current year under
Line B11
IRC Section 108(i) ....................................................
15 Other deductions: attach schedule ..........................
ADOR 10338 (13)