Appendix B Pali Rao, istockphoto

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1 Appendix B Pali Rao, istockphoto Tax Forms (Tax forms can be obtained from the IRS website: Form 1040 U.S. Individual Income Tax Return B-2 Schedule C Profit or Loss from Business B-4 Schedule D Capital Gains and Losses B-6 Form 1065 U.S. Return of Partnership Income B-8 Schedule K-1 Partner s Share of Income, Deductions, Credits, etc. B-13 Form 1120 U.S. Corporation Income Tax Return B-14 Schedule M 3 Form 1120S Schedule K-1 Net Income (Loss) Reconciliation for Corporations with Total Assets of $10 Million or More B-19 U.S. Income Tax Return for an S Corporation B-22 Shareholder s Share of Income, Deductions, Credits, etc. B-27 Form 2553 Election by a Small Business Corporation B-28 Form 4562 Depreciation and Amortization B-30 Form 4626 Alternative Minimum Tax Corporations B-32 Form 4797 Sales of Business Property B-33 Form 6251 Alternative Minimum Tax Individuals B-35 Form 8949 Sales and Other Dispositions of Capital Assets B-37 B-1

2 B-2 Appendix B Tax Forms Form 1040 Department of the Treasury Internal Revenue Service (99) OMB No U.S. Individual Income Tax Return 2012 IRS Use Only Do not write or staple in this space. For the year Jan. 1 Dec. 31, 2012, or other tax year beginning, 2012, ending, 20 See separate instructions. Your first name and initial Last name Your social security number If a joint return, spouse s first name and initial Last name Spouse s social security number Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Make sure the SSN(s) above and on line 6c are correct. City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Presidential Election Campaign Foreign country name Foreign province/state/county Foreign postal code Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund. You Spouse Filing Status 1 Single 4 Head of household (with qualifying person). (See instructions.) If 2 Married filing jointly (even if only one had income) the qualifying person is a child but not your dependent, enter this Check only one 3 Married filing separately. Enter spouse s SSN above child s name here. box. and full name here. 5 Qualifying widow(er) with dependent child 6a Yourself. If someone can claim you as a dependent, do not check box 6a..... Exemptions } b Spouse c Dependents: (2) Dependent s (3) Dependent s (4) if child under age 17 (1) First name Last name social security number relationship to you qualifying for child tax credit (see instructions) If more than four dependents, see instructions and check here Income Attach Form(s) W-2 here. Also attach Forms W-2G and 1099-R if tax was withheld. If you did not get a W-2, see instructions. Enclose, but do not attach, any payment. Also, please use Form 1040-V. Adjusted Gross Income d Total number of exemptions claimed Wages, salaries, tips, etc. Attach Form(s) W a Taxable interest. Attach Schedule B if required a b Tax-exempt interest. Do not include on line 8a... 8b 9 a Ordinary dividends. Attach Schedule B if required a b Qualified dividends b 10 Taxable refunds, credits, or offsets of state and local income taxes Alimony received Business income or (loss). Attach Schedule C or C-EZ Capital gain or (loss). Attach Schedule D if required. If not required, check here Other gains or (losses). Attach Form a IRA distributions. 15a b Taxable amount... 15b 16 a Pensions and annuities 16a b Taxable amount... 16b 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E Farm income or (loss). Attach Schedule F Unemployment compensation a Social security benefits 20a b Taxable amount... 20b 21 Other income. List type and amount Combine the amounts in the far right column for lines 7 through 21. This is your total income Educator expenses Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 or 2106-EZ Health savings account deduction. Attach Form Moving expenses. Attach Form Deductible part of self-employment tax. Attach Schedule SE Self-employed SEP, SIMPLE, and qualified plans Self-employed health insurance deduction Penalty on early withdrawal of savings a Alimony paid b Recipient s SSN 31a 32 IRA deduction Student loan interest deduction Tuition and fees. Attach Form Domestic production activities deduction. Attach Form Add lines 23 through Subtract line 36 from line 22. This is your adjusted gross income Boxes checked on 6a and 6b No. of children on 6c who: lived with you did not live with you due to divorce or separation (see instructions) Dependents on 6c not entered above Add numbers on lines above For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Cat. No B Form 1040 (2012)

3 Appendix B Tax Forms B-3 Form 1040 (2012) Page 2 38 Amount from line 37 (adjusted gross income) Tax and 39a Check You were born before January 2, 1948, Blind. Total boxes Credits { } if: Spouse was born before January 2, 1948, Blind. checked 39a Standard b If your spouse itemizes on a separate return or you were a dual-status alien, check here 39b Deduction for 40 Itemized deductions (from Schedule A) or your standard deduction (see left margin).. 40 People who 41 Subtract line 40 from line check any box on line 42 Exemptions. Multiply $3,800 by the number on line 6d a or 39b or 43 Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter who can be claimed as a 44 Tax (see instructions). Check if any from: a Form(s) 8814 b Form 4972 c 962 election 44 dependent, see 45 Alternative minimum tax (see instructions). Attach Form instructions. 46 Add lines 44 and All others: 47 Foreign tax credit. Attach Form 1116 if required Single or Married filing 48 Credit for child and dependent care expenses. Attach Form separately, $5, Education credits from Form 8863, line Married filing 50 Retirement savings contributions credit. Attach Form jointly or Qualifying 51 Child tax credit. Attach Schedule 8812, if required widow(er), $11, Residential energy credits. Attach Form Head of 53 Other credits from Form: a 3800 b 8801 c 53 household, $8, Add lines 47 through 53. These are your total credits Subtract line 54 from line 46. If line 54 is more than line 46, enter Other Taxes 56 Self-employment tax. Attach Schedule SE Unreported social security and Medicare tax from Form: a 4137 b Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required a Household employment taxes from Schedule H b First-time homebuyer credit repayment. Attach Form 5405 if required b 60 Other taxes. Enter code(s) from instructions Add lines 55 through 60. This is your total tax Payments 62 Federal income tax withheld from Forms W-2 and estimated tax payments and amount applied from 2011 return 63 If you have a qualifying child, attach Schedule EIC. Refund Direct deposit? See instructions. Amount You Owe Third Party Designee Sign Here Joint return? See instructions. Keep a copy for your records. Paid Preparer Use Only 64a Earned income credit (EIC) a b Nontaxable combat pay election 64b 65 Additional child tax credit. Attach Schedule American opportunity credit from Form 8863, line Reserved Amount paid with request for extension to file Excess social security and tier 1 RRTA tax withheld Credit for federal tax on fuels. Attach Form Credits from Form: a 2439 b Reserved c 8801 d Add lines 62, 63, 64a, and 65 through 71. These are your total payments If line 72 is more than line 61, subtract line 61 from line 72. This is the amount you overpaid 73 74a Amount of line 73 you want refunded to you. If Form 8888 is attached, check here. 74a b Routing number c Type: Checking Savings d Account number 75 Amount of line 73 you want applied to your 2013 estimated tax Amount you owe. Subtract line 72 from line 61. For details on how to pay, see instructions Estimated tax penalty (see instructions) Do you want to allow another person to discuss this return with the IRS (see instructions)? Yes. Complete below. No Designee s Phone Personal identification name no. number (PIN) 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. Your signature Date Your occupation Daytime phone number Spouse s signature. If a joint return, both must sign. Date Spouse s occupation If the IRS sent you an Identity Protection PIN, enter it here (see inst.) Print/Type preparer s name Preparer s signature Date Check if PTIN self-employed Firm s name Firm s address Firm's EIN Phone no. 59a Form 1040 (2012)

4 B-4 Appendix B Tax Forms SCHEDULE C (Form 1040) Department of the Treasury Internal Revenue Service (99) Name of proprietor Profit or Loss From Business (Sole Proprietorship) For information on Schedule C and its instructions, go to Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form OMB No Attachment Sequence No. 09 Social security number (SSN) A Principal business or profession, including product or service (see instructions) B Enter code from instructions C Business name. If no separate business name, leave blank. D Employer ID number (EIN), (see instr.) E Business address (including suite or room no.) City, town or post office, state, and ZIP code F Accounting method: (1) Cash (2) Accrual (3) Other (specify) G Did you materially participate in the operation of this business during 2012? If No, see instructions for limit on losses. Yes No H If you started or acquired this business during 2012, check here I Did you make any payments in 2012 that would require you to file Form(s) 1099? (see instructions) Yes No J If "Yes," did you or will you file required Forms 1099? Yes No Part I Income 1 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on Form W-2 and the Statutory employee box on that form was checked Returns and allowances (see instructions) Subtract line 2 from line Cost of goods sold (from line 42) Gross profit. Subtract line 4 from line Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) Gross income. Add lines 5 and Part II Expenses Enter expenses for business use of your home only on line Advertising Car and truck expenses (see instructions) Commissions and fees Contract labor (see instructions) Depletion Depreciation and section 179 expense deduction (not included in Part III) (see instructions) Employee benefit programs (other than on line 19) Insurance (other than health) Interest: a Mortgage (paid to banks, etc.) 16a b Other b 17 Legal and professional services Office expense (see instructions) Pension and profit-sharing plans Rent or lease (see instructions): a Vehicles, machinery, and equipment 20a b Other business property... 20b 21 Repairs and maintenance Supplies (not included in Part III) Taxes and licenses Travel, meals, and entertainment: a Travel a b Deductible meals and entertainment (see instructions). 24b 25 Utilities Wages (less employment credits) a Other expenses (from line 48).. 27a b Reserved for future use... 27b 28 Total expenses before expenses for business use of home. Add lines 8 through 27a Tentative profit or (loss). Subtract line 28 from line Expenses for business use of your home. Attach Form Do not report such expenses elsewhere Net profit or (loss). Subtract line 30 from line 29. If a profit, enter on both Form 1040, line 12 (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3. } 31 If a loss, you must go to line If you have a loss, check the box that describes your investment in this activity (see instructions). } If you checked 32a, enter the loss on both Form 1040, line 12, (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see the line 31 instructions). Estates and 32a All investment is at risk. trusts, enter on Form 1041, line 3. 32b Some investment is not at risk. If you checked 32b, you must attach Form Your loss may be limited. For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No P Schedule C (Form 1040) 2012

5 Appendix B Tax Forms B-5 Schedule C (Form 1040) 2012 Page 2 Part III Cost of Goods Sold (see instructions) 33 Method(s) used to value closing inventory: a Cost b Lower of cost or market c Other (attach explanation) 34 Was there any change in determining quantities, costs, or valuations between opening and closing inventory? If Yes, attach explanation Yes No 35 Inventory at beginning of year. If different from last year s closing inventory, attach explanation Purchases less cost of items withdrawn for personal use Cost of labor. Do not include any amounts paid to yourself Materials and supplies Other costs Add lines 35 through Inventory at end of year Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line Part IV Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9 and are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must file Form When did you place your vehicle in service for business purposes? (month, day, year) / / 44 Of the total number of miles you drove your vehicle during 2012, enter the number of miles you used your vehicle for: a Business b Commuting (see instructions) c Other 45 Was your vehicle available for personal use during off-duty hours? Yes No 46 Do you (or your spouse) have another vehicle available for personal use? Yes No 47a Do you have evidence to support your deduction? Yes No b If Yes, is the evidence written? Yes No Part V Other Expenses. List below business expenses not included on lines 8 26 or line Total other expenses. Enter here and on line 27a Schedule C (Form 1040) 2012

6 B-6 Appendix B Tax Forms SCHEDULE D (Form 1040) Department of the Treasury Internal Revenue Service (99) Name(s) shown on return Capital Gains and Losses Attach to Form 1040 or Form 1040NR. Information about Schedule D and its separate instructions is at Use Form 8949 to list your transactions for lines 1, 2, 3, 8, 9, and 10. OMB No Attachment Sequence No. 12 Your social security number Part I Short-Term Capital Gains and Losses Assets Held One Year or Less Complete Form 8949 before completing line 1, 2, or 3. This form may be easier to complete if you round off cents to whole dollars. 1 Short-term totals from all Forms 8949 with box A checked in Part I Short-term totals from all Forms 8949 with box B checked in Part I Short-term totals from all Forms 8949 with box C checked in Part I (d) Proceeds (sales price) from Form(s) 8949, Part I, line 2, column (d) (e) Cost or other basis from Form(s) 8949, Part I, line 2, column (e) (g) Adjustments to gain or loss from Form(s) 8949, Part I, line 2, column (g) (h) Gain or (loss) Subtract column (e) from column (d) and combine the result with column (g) 4 Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and Net short-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K Short-term capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss Carryover Worksheet in the instructions ( ) 7 Net short-term capital gain or (loss). Combine lines 1 through 6 in column (h). If you have any longterm capital gains or losses, go to Part II below. Otherwise, go to Part III on the back Part II Long-Term Capital Gains and Losses Assets Held More Than One Year Complete Form 8949 before completing line 8, 9, or 10. This form may be easier to complete if you round off cents to whole dollars. (d) Proceeds (sales price) from Form(s) 8949, Part II, line 4, column (d) (e) Cost or other basis from Form(s) 8949, Part II, line 4, column (e) (g) Adjustments to gain or loss from Form(s) 8949, Part II, line 4, column (g) 8 Long-term totals from all Forms 8949 with box A checked in Part II Long-term totals from all Forms 8949 with box B checked in Part II Long-term totals from all Forms 8949 with box C checked in Part II Gain from Form 4797, Part I; long-term gain from Forms 2439 and 6252; and long-term gain or (loss) from Forms 4684, 6781, and Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1 12 (h) Gain or (loss) Subtract column (e) from column (d) and combine the result with column (g) 13 Capital gain distributions. See the instructions Long-term capital loss carryover. Enter the amount, if any, from line 13 of your Capital Loss Carryover Worksheet in the instructions ( ) 15 Net long-term capital gain or (loss). Combine lines 8 through 14 in column (h). Then go to Part III on the back For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No H Schedule D (Form 1040) 2012

7 Appendix B Tax Forms B-7 Schedule D (Form 1040) 2012 Page 2 Part III Summary 16 Combine lines 7 and 15 and enter the result If line 16 is a gain, enter the amount from line 16 on Form 1040, line 13, or Form 1040NR, line 14. Then go to line 17 below. If line 16 is a loss, skip lines 17 through 20 below. Then go to line 21. Also be sure to complete line 22. If line 16 is zero, skip lines 17 through 21 below and enter -0- on Form 1040, line 13, or Form 1040NR, line 14. Then go to line Are lines 15 and 16 both gains? Yes. Go to line 18. No. Skip lines 18 through 21, and go to line Enter the amount, if any, from line 7 of the 28% Rate Gain Worksheet in the instructions Enter the amount, if any, from line 18 of the Unrecaptured Section 1250 Gain Worksheet in the instructions Are lines 18 and 19 both zero or blank? Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions for Form 1040, line 44 (or in the instructions for Form 1040NR, line 42). Do not complete lines 21 and 22 below. No. Complete the Schedule D Tax Worksheet in the instructions. Do not complete lines 21 and 22 below. 21 If line 16 is a loss, enter here and on Form 1040, line 13, or Form 1040NR, line 14, the smaller of: The loss on line 16 or ($3,000), or if married filing separately, ($1,500) } ( ) Note. When figuring which amount is smaller, treat both amounts as positive numbers. 22 Do you have qualified dividends on Form 1040, line 9b, or Form 1040NR, line 10b? Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions for Form 1040, line 44 (or in the instructions for Form 1040NR, line 42). No. Complete the rest of Form 1040 or Form 1040NR. Schedule D (Form 1040) 2012

8 B-8 Appendix B Tax Forms Form 1065 Department of the Treasury Internal Revenue Service A Principal business activity U.S. Return of Partnership Income For calendar year 2012, or tax year beginning, 2012, ending, 20. Information about Form 1065 and its separate instructions is at Name of partnership OMB No D Employer identification number B Principal product or service C Business code number Print or type. Number, street, and room or suite no. If a P.O. box, see the instructions. City or town, state, and ZIP code E Date business started F Total assets (see the instructions) $ G Check applicable boxes: (1) Initial return (2) Final return (3) Name change (4) Address change (5) Amended return (6) Technical termination - also check (1) or (2) H Check accounting method: (1) Cash (2) Accrual (3) Other (specify) I Number of Schedules K-1. Attach one for each person who was a partner at any time during the tax year J Check if Schedules C and M-3 are attached Caution. Include only trade or business income and expenses on lines 1a through 22 below. See the instructions for more information. Income Deductions (see the instructions for limitations) Sign Here 1a Gross receipts or sales a b Returns and allowances b c Balance. Subtract line 1b from line 1a c 2 Cost of goods sold (attach Form 1125-A) Gross profit. Subtract line 2 from line 1c Ordinary income (loss) from other partnerships, estates, and trusts (attach statement) Net farm profit (loss) (attach Schedule F (Form 1040)) Net gain (loss) from Form 4797, Part II, line 17 (attach Form 4797) Other income (loss) (attach statement) Total income (loss). Combine lines 3 through Salaries and wages (other than to partners) (less employment credits) Guaranteed payments to partners Repairs and maintenance Bad debts Rent Taxes and licenses Interest a Depreciation (if required, attach Form 4562) a b Less depreciation reported on Form 1125-A and elsewhere on return 16b 16c 17 Depletion (Do not deduct oil and gas depletion.) Retirement plans, etc Employee benefit programs Other deductions (attach statement) Total deductions. Add the amounts shown in the far right column for lines 9 through Ordinary business income (loss). Subtract line 21 from line Paid Preparer Use Only Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than general partner or limited liability company member manager) is based on all information of which preparer has any knowledge. May the IRS discuss this return with the preparer shown below (see instructions)? Yes No Signature of general partner or limited liability company member manager Date Print/Type preparer s name Preparer s signature Date Check if PTIN self- employed Firm s name Firm's EIN Firm s address Phone no. For Paperwork Reduction Act Notice, see separate instructions. Cat. No Z Form 1065 (2012)

9 Appendix B Tax Forms B-9 Form 1065 (2012) Page 2 Schedule B Other Information 1 What type of entity is filing this return? Check the applicable box: Yes No a Domestic general partnership b Domestic limited partnership c Domestic limited liability company d Domestic limited liability partnership e Foreign partnership f Other 2 At any time during the tax year, was any partner in the partnership a disregarded entity, a partnership (including an entity treated as a partnership), a trust, an S corporation, an estate (other than an estate of a deceased partner), or a nominee or similar person? At the end of the tax year: a Did any foreign or domestic corporation, partnership (including any entity treated as a partnership), trust, or tax-exempt organization, or any foreign government own, directly or indirectly, an interest of 50% or more in the profit, loss, or capital of the partnership? For rules of constructive ownership, see instructions. If Yes, attach Schedule B-1, Information on Partners Owning 50% or More of the Partnership b Did any individual or estate own, directly or indirectly, an interest of 50% or more in the profit, loss, or capital of the partnership? For rules of constructive ownership, see instructions. If Yes, attach Schedule B-1, Information on Partners Owning 50% or More of the Partnership At the end of the tax year, did the partnership: a Own directly 20% or more, or own, directly or indirectly, 50% or more of the total voting power of all classes of stock entitled to vote of any foreign or domestic corporation? For rules of constructive ownership, see instructions. If Yes, complete (i) through (iv) below (i) Name of Corporation (ii) Employer Identification Number (if any) (iii) Country of Incorporation (iv) Percentage Owned in Voting Stock b Own directly an interest of 20% or more, or own, directly or indirectly, an interest of 50% or more in the profit, loss, or capital in any foreign or domestic partnership (including an entity treated as a partnership) or in the beneficial interest of a trust? For rules of constructive ownership, see instructions. If Yes, complete (i) through (v) below.. (i) Name of Entity (ii) Employer Identification Number (if any) (iii) Type of Entity (iv) Country of Organization (v) Maximum Percentage Owned in Profit, Loss, or Capital 5 Did the partnership file Form 8893, Election of Partnership Level Tax Treatment, or an election statement under section 6231(a)(1)(B)(ii) for partnership-level tax treatment, that is in effect for this tax year? See Form 8893 for more details Does the partnership satisfy all four of the following conditions? a The partnership s total receipts for the tax year were less than $250,000. b The partnership s total assets at the end of the tax year were less than $1 million. c Schedules K-1 are filed with the return and furnished to the partners on or before the due date (including extensions) for the partnership return. d The partnership is not filing and is not required to file Schedule M If Yes, the partnership is not required to complete Schedules L, M-1, and M-2; Item F on page 1 of Form 1065; or Item L on Schedule K-1. 7 Is this partnership a publicly traded partnership as defined in section 469(k)(2)? During the tax year, did the partnership have any debt that was cancelled, was forgiven, or had the terms modified so as to reduce the principal amount of the debt? Has this partnership filed, or is it required to file, Form 8918, Material Advisor Disclosure Statement, to provide information on any reportable transaction? At any time during calendar year 2012, did the partnership have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)? See the instructions for exceptions and filing requirements for Form TD F , Report of Foreign Bank and Financial Accounts. If Yes, enter the name of the foreign country. Yes No Form 1065 (2012)

10 B-10 Appendix B Tax Forms Form 1065 (2012) Page 3 Schedule B Other Information (continued) 11 At any time during the tax year, did the partnership receive a distribution from, or was it the grantor of, or transferor to, a foreign trust? If Yes, the partnership may have to file Form 3520, Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts. See instructions a Is the partnership making, or had it previously made (and not revoked), a section 754 election? See instructions for details regarding a section 754 election. b Did the partnership make for this tax year an optional basis adjustment under section 743(b) or 734(b)? If Yes, attach a statement showing the computation and allocation of the basis adjustment. See instructions.... c Is the partnership required to adjust the basis of partnership assets under section 743(b) or 734(b) because of a substantial built-in loss (as defined under section 743(d)) or substantial basis reduction (as defined under section 734(d))? If Yes, attach a statement showing the computation and allocation of the basis adjustment. See instructions. 13 Check this box if, during the current or prior tax year, the partnership distributed any property received in a like-kind exchange or contributed such property to another entity (other than disregarded entities wholly-owned by the partnership throughout the tax year) At any time during the tax year, did the partnership distribute to any partner a tenancy-in-common or other undivided interest in partnership property? If the partnership is required to file Form 8858, Information Return of U.S. Persons With Respect To Foreign Disregarded Entities, enter the number of Forms 8858 attached. See instructions 16 Does the partnership have any foreign partners? If Yes, enter the number of Forms 8805, Foreign Partner s Information Statement of Section 1446 Withholding Tax, filed for this partnership. 17 Enter the number of Forms 8865, Return of U.S. Persons With Respect to Certain Foreign Partnerships, attached to this return. 18 a Did you make any payments in 2012 that would require you to file Form(s) 1099? See instructions..... b If Yes, did you or will you file required Form(s) 1099? Enter the number of Form(s) 5471, Information Return of U.S. Persons With Respect To Certain Foreign Corporations, attached to this return. 20 Enter the number of partners that are foreign governments under section 892. Designation of Tax Matters Partner (see instructions) Enter below the general partner or member-manager designated as the tax matters partner (TMP) for the tax year of this return: Yes No Name of designated TMP If the TMP is an entity, name of TMP representative Address of designated TMP Identifying number of TMP Phone number of TMP Form 1065 (2012)

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

12 B-12 Appendix B Tax Forms Form 1065 (2012) Page 5 Analysis of Net Income (Loss) 1 Net income (loss). Combine Schedule K, lines 1 through 11. From the result, subtract the sum of Schedule K, lines 12 through 13d, and 16l Analysis by partner type: (i) Corporate (ii) Individual (active) (iii) Individual (passive) (iv) Partnership (v) Exempt organization (vi) Nominee/Other a General partners b Limited partners Schedule L Balance Sheets per Books Beginning of tax year End of tax year Assets (a) (b) (c) (d) 1 Cash a Trade notes and accounts receivable... b Less allowance for bad debts Inventories U.S. government obligations Tax-exempt securities Other current assets (attach statement).. 7a Loans to partners (or persons related to partners) b Mortgage and real estate loans Other investments (attach statement)... 9a Buildings and other depreciable assets.. b Less accumulated depreciation a Depletable assets b Less accumulated depletion Land (net of any amortization) a Intangible assets (amortizable only)... b Less accumulated amortization Other assets (attach statement) Total assets Liabilities and Capital 15 Accounts payable Mortgages, notes, bonds payable in less than 1 year 17 Other current liabilities (attach statement). 18 All nonrecourse loans a Loans from partners (or persons related to partners) b Mortgages, notes, bonds payable in 1 year or more 20 Other liabilities (attach statement) Partners capital accounts Total liabilities and capital Schedule M-1 Reconciliation of Income (Loss) per Books With Income (Loss) per Return Note. Schedule M-3 may be required instead of Schedule M-1 (see instructions). 1 Net income (loss) per books Income included on Schedule K, lines 1, 2, 3c, 5, 6a, 7, 8, 9a, 10, and 11, not recorded on books this year (itemize): 3 Guaranteed payments (other than health insurance) Expenses recorded on books this year not included on Schedule K, lines 1 through 13d, and 16l (itemize): a Depreciation $ b Travel and entertainment $ 5 Add lines 1 through Schedule M-2 1 Balance at beginning of year... 2 Capital contributed: a Cash... b Property.. 3 Net income (loss) per books Other increases (itemize): 5 Add lines 1 through Analysis of Partners Capital Accounts 6 Income recorded on books this year not included on Schedule K, lines 1 through 11 (itemize): a Tax-exempt interest $ 7 Deductions included on Schedule K, lines 1 through 13d, and 16l, not charged against book income this year (itemize): a Depreciation $ 8 Add lines 6 and Income (loss) (Analysis of Net Income (Loss), line 1). Subtract line 8 from line 5. 6 Distributions: a Cash b Property Other decreases (itemize): 8 Add lines 6 and Balance at end of year. Subtract line 8 from line 5 Form 1065 (2012)

13 Appendix B Tax Forms B-13 Schedule K-1 (Form 1065) 2012 Department of the Treasury Internal Revenue Service For calendar year 2012, or tax year beginning, 2012 ending, 20 Partner s Share of Income, Deductions, Credits, etc. See back of form and separate instructions. A B Part I Information About the Partnership Partnership s employer identification number Partnership s name, address, city, state, and ZIP code Part III Final K-1 Amended K OMB No Partner s Share of Current Year Income, Deductions, Credits, and Other Items 1 Ordinary business income (loss) 2 Net rental real estate income (loss) 3 Other net rental income (loss) 4 Guaranteed payments 5 Interest income 6a Ordinary dividends 15 Credits 16 Foreign transactions 6b Qualified dividends C IRS Center where partnership filed return 7 Royalties D Check if this is a publicly traded partnership (PTP) 8 Net short-term capital gain (loss) Part II Information About the Partner 9a Net long-term capital gain (loss) 17 Alternative minimum tax (AMT) items E Partner s identifying number 9b Collectibles (28%) gain (loss) F Partner s name, address, city, state, and ZIP code 9c Unrecaptured section 1250 gain 10 Net section 1231 gain (loss) 18 Tax-exempt income and nondeductible expenses G General partner or LLC member-manager Limited partner or other LLC member 11 Other income (loss) H Domestic partner Foreign partner I1 I2 What type of entity is this partner? (see instructions) If this partner is a retirement plan (IRA/SEP/Keogh/etc.), check here (see instructions) Section 179 deduction 19 Distributions J Partner s share of profit, loss, and capital (see instructions): Beginning Ending 13 Other deductions Profit % % 20 Other information Loss % % Capital % % K Partner s share of liabilities at year end: Nonrecourse $ 14 Self-employment earnings (loss) Qualified nonrecourse financing. $ Recourse $ L Partner s capital account analysis: Beginning capital account... $ Capital contributed during the year $ Current year increase (decrease). $ Withdrawals & distributions.. $ ( ) Ending capital account.... $ Tax basis GAAP Section 704(b) book Other (explain) *See attached statement for additional information. For IRS Use Only M Did the partner contribute property with a built-in gain or loss? Yes No If Yes, attach statement (see instructions) For Paperwork Reduction Act Notice, see Instructions for Form IRS.gov/form1065 Cat. No R Schedule K-1 (Form 1065) 2012

14 B-14 Appendix B Tax Forms Form 1120 Department of the Treasury Internal Revenue Service A Check if: 1a Consolidated return (attach Form 851). b Life/nonlife consolidated return... 2 Personal holding co. (attach Sch. PH).. 3 Personal service corp. (see instructions).. 4 Schedule M-3 attached Income Deductions (See instructions for limitations on deductions.) Tax, Refundable Credits, and Payments Sign Here U.S. Corporation Income Tax Return For calendar year 2012 or tax year beginning, 2012, ending, 20 TYPE OR PRINT OMB No Information about Form 1120 and its separate instructions is at Name B Employer identification number Number, street, and room or suite no. If a P.O. box, see instructions. City or town, state, and ZIP code C Date incorporated D Total assets (see instructions) $ E Check if: (1) Initial return (2) Final return (3) Name change (4) Address change 1a Gross receipts or sales a b Returns and allowances b c Balance. Subtract line 1b from line 1a c 2 Cost of goods sold (attach Form 1125-A) Gross profit. Subtract line 2 from line 1c Dividends (Schedule C, line 19) Interest Gross rents Gross royalties Capital gain net income (attach Schedule D (Form 1120)) Net gain or (loss) from Form 4797, Part II, line 17 (attach Form 4797) Other income (see instructions attach statement) Total income. Add lines 3 through Compensation of officers (see instructions attach Form 1125-E) Salaries and wages (less employment credits) Repairs and maintenance Bad debts Rents Taxes and licenses Interest Charitable contributions Depreciation from Form 4562 not claimed on Form 1125-A or elsewhere on return (attach Form 4562) Depletion Advertising Pension, profit-sharing, etc., plans Employee benefit programs Domestic production activities deduction (attach Form 8903) Other deductions (attach statement) Total deductions. Add lines 12 through Taxable income before net operating loss deduction and special deductions. Subtract line 27 from line a Net operating loss deduction (see instructions) a b Special deductions (Schedule C, line 20) b c Add lines 29a and 29b c 30 Taxable income. Subtract line 29c from line 28 (see instructions) Total tax (Schedule J, Part I, line 11) Total payments and refundable credits (Schedule J, Part II, line 21) Estimated tax penalty (see instructions). Check if Form 2220 is attached Amount owed. If line 32 is smaller than the total of lines 31 and 33, enter amount owed Overpayment. If line 32 is larger than the total of lines 31 and 33, enter amount overpaid Enter amount from line 35 you want: Credited to 2013 estimated tax Refunded 36 Paid Preparer Use Only Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. May the IRS discuss this return with the preparer shown below (see instructions)? Yes No Signature of officer Date Title Print/Type preparer s name Preparer's signature Date PTIN Check if self-employed Firm s name Firm's EIN Firm's address Phone no. For Paperwork Reduction Act Notice, see separate instructions. Cat. No Q Form 1120 (2012)

15 Appendix B Tax Forms B-15 Form 1120 (2012) Page 2 Schedule C Dividends and Special Deductions (see instructions) (a) Dividends received 1 Dividends from less-than-20%-owned domestic corporations (other than debt-financed stock) Dividends from 20%-or-more-owned domestic corporations (other than debt-financed stock) Dividends on debt-financed stock of domestic and foreign corporations Dividends on certain preferred stock of less-than-20%-owned public utilities... 5 Dividends on certain preferred stock of 20%-or-more-owned public utilities Dividends from less-than-20%-owned foreign corporations and certain FSCs... 7 Dividends from 20%-or-more-owned foreign corporations and certain FSCs... 8 Dividends from wholly owned foreign subsidiaries (b) % see instructions (c) Special deductions (a) (b) 9 Total. Add lines 1 through 8. See instructions for limitation Dividends from domestic corporations received by a small business investment company operating under the Small Business Investment Act of Dividends from affiliated group members Dividends from certain FSCs Dividends from foreign corporations not included on lines 3, 6, 7, 8, 11, or Income from controlled foreign corporations under subpart F (attach Form(s) 5471). 15 Foreign dividend gross-up IC-DISC and former DISC dividends not included on lines 1, 2, or Other dividends Deduction for dividends paid on certain preferred stock of public utilities Total dividends. Add lines 1 through 17. Enter here and on page 1, line Total special deductions. Add lines 9, 10, 11, 12, and 18. Enter here and on page 1, line 29b Form 1120 (2012)

16 B-16 Appendix B Tax Forms Form 1120 (2012) Page 3 Schedule J Tax Computation and Payment (see instructions) Part I Tax Computation 1 Check if the corporation is a member of a controlled group (attach Schedule O (Form 1120)) Income tax. Check if a qualified personal service corporation (see instructions) Alternative minimum tax (attach Form 4626) Add lines 2 and a Foreign tax credit (attach Form 1118) a b Credit from Form 8834, line 30 (attach Form 8834) b c General business credit (attach Form 3800) c d Credit for prior year minimum tax (attach Form 8827) d e Bond credits from Form e 6 Total credits. Add lines 5a through 5e Subtract line 6 from line Personal holding company tax (attach Schedule PH (Form 1120)) a Recapture of investment credit (attach Form 4255) a b Recapture of low-income housing credit (attach Form 8611) b c d Interest due under the look-back method completed long-term contracts (attach Form 8697) c Interest due under the look-back method income forecast method (attach Form 8866) d e Alternative tax on qualifying shipping activities (attach Form 8902) e f Other (see instructions attach statement) f 10 Total. Add lines 9a through 9f Total tax. Add lines 7, 8, and 10. Enter here and on page 1, line Part II Payments and Refundable Credits overpayment credited to estimated tax payments refund applied for on Form ( ) 15 Combine lines 12, 13, and Tax deposited with Form Withholding (see instructions) Total payments. Add lines 15, 16, and Refundable credits from: a Form a b Form b c Form 8827, line 8c c d Other (attach statement see instructions) d 20 Total credits. Add lines 19a through 19d Total payments and credits. Add lines 18 and 20. Enter here and on page 1, line Schedule K Other Information (see instructions) 1 Check accounting method: a Cash b Accrual c Other (specify) Yes No 2 See the instructions and enter the: a Business activity code no. b Business activity c Product or service 3 Is the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group? If Yes, enter name and EIN of the parent corporation 4 At the end of the tax year: a Did any foreign or domestic corporation, partnership (including any entity treated as a partnership), trust, or tax-exempt organization own directly 20% or more, or own, directly or indirectly, 50% or more of the total voting power of all classes of the corporation s stock entitled to vote? If "Yes," complete Part I of Schedule G (Form 1120) (attach Schedule G) b Did any individual or estate own directly 20% or more, or own, directly or indirectly, 50% or more of the total voting power of all classes of the corporation s stock entitled to vote? If "Yes," complete Part II of Schedule G (Form 1120) (attach Schedule G). Form 1120 (2012)