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FEDERAL BUSINESS CODE NUMBER FEDERAL EMPLOYER IDENTIFICATION NUMBER
••
Name of Company
•
Number and Street
City or Town State 9 Digit ZIP Code
Partnership/Limited Liability Company Return of Income
State in Which Company Was Formed
•
DEPARTMENT USE ONLY
FN
If above name or address is different from the one
shown on your 2009 return, check here..................•
Check if the company operates
in more than one state ................•
For Calendar Year 2010 or Fiscal Year
beginning • _________________________________, 2010, and ending • ____________________________, _________
• CY
• FY
•SY
Nature of Business
•
Date Qualified in Alabama
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UNLESS A COPY OF FEDERAL FORM 1065 IS ATTACHED THIS RETURN IS INCOMPLETE
•
Amended Return
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Initial Return
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Final Return
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General Partnership
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Limited Partnership
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LLC/LLP
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Qualified Investment
Partnership
Important!
You Must Check
Applicable Box:
Total Federal income as shown on
Form 1065, line 8.
•
Total Federal deductions as shown on
Form 1065, line 21.
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Total assets as shown on Form 1065.
•
CN
2010
Check if the company qualifies for the Alabama
Enterprise Zone Credit or the Capital Credit ..........•
Number of Members
During The Tax Year ..............
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Number of Nonresident Members
Included in Composite Filing ...•
FORM
65
COMPUTATION OF SEPARATELY STATED AND NONSEPARATELY STATED INCOME
1
9
10
17
18
20
2
3
4
5
6
7
8
11
12
13
14
15
16
19
Signature of general partner Date Daytime Telephone No. Social Security No.
Please
Sign
Here
Paid
Preparer’s
Use Only
•
I authorize a representative of the Department of Revenue to discuss my return and attachments with my preparer.
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true,
correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Preparer’s
Signature
Firm’s name (or yours,
•
if self-employed)
and address
•
Email Address
Preparer’s Social Security No.
•
E.I. No.
ZIP Code
Date
•
Check if
self-employed
( )
Telephone No.
( )
Mail to: Alabama Department of Revenue, Individual and Corporate Tax Division, P.O. Box 327441, Montgomery, AL 36132-7441
on or before April 15, 2011. (Fiscal Year Returns must be filed on or before the 15th day of the fourth month following the close of the fiscal year.)
1 Federal Ordinary Income or (Loss) from trade or business activities........................................
2 Net short-term and long-term capital gains – income or (loss) .........
3 Salaries and wages reduced for federal employment credits ..........
4 Net income or (loss) from rental real estate activities .................
5 Net income or (loss) from other rental activities .....................
6 Net gain or (loss) under I.R.C. §1231
(other than casualty losses) .....
7 Adjustments due to the Federal Economic Stimulus Act of 2008
(attach schedule)................................................
8 Other reconciliation items
(attach schedule) ........................
9 Net reconciling items
(add lines 2 through 8) ............................................................
10 Net Alabama nonseparately stated income or (loss)
(add line 1 and line 9)..................................
11 Contributions ...................................................
12 Oil and gas depletion ............................................
13 I.R.C. §179 expense deduction
(complete Schedule K)...............
14 Casualty losses .................................................
15 Portfolio income or (loss) less expenses
(complete Schedule K) .......
16 Other separately stated items
(attach schedule) .....................
17 Net separately stated items
(add line 11 through 16) .....................................................
18 Total separately stated and nonseparately stated items (add line 10 and line 17) ............................
19 Alabama apportionment factor from Schedule D, line 4 ...............
20 Nonseparately Stated Income Allocated and Apportioned to Alabama from Schedule D, line 7.................
Reconciliation
to Alabama
Basis
(see
instructions)
Separately
Stated Items
(Related to
Business
Income)
SCHEDULE A
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ALSO TO BE FILED BY SYNDICATES, POOLS, JOINT VENTURES, ETC.
ALABAMA
DEPARTMENT OF REVENUE
ADOR
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