Ordinary income (loss) from trade or business activities

Ordinary dividends

Interest

SCHEDULE K-1 OMB No. 1545-1668 Partner’s Share of Income, Credits, Deductions, etc.

 See Instructions for Form 8865. (Form 8865)

For calendar year 2001 or tax year beginning , 2001, and ending , 20 Department of the Treasury

Internal Revenue Service

Partner’s identifying number  Partnership’s identifying number 

Partner’s name, address, and ZIP code Partnership’s name, address, and ZIP code

For Paperwork Reduction Act Notice, see Instructions for Form 8865. Cat. No. 28396B Schedule K-1 (Form 8865) (2001)

(b) End of tax year

Enter partner’s interest in:

Profits

Capital

Deductions

Analysis of partner’s capital account:

(e) Capital account at end

of year (combine columns

(a) through (d))

(d) Withdrawals and

distributions

(a) Capital account at

beginning of year

(c) Partner’s share of lines

3, 4, and 7, Form 8865,

Schedule M-2

(b) Capital contributed

during year

( )

(a) Beginning of tax year

Losses

(a) Distributive share item

1 1

2 Net income (loss) from rental real estate activities 2

3 Net income (loss) from other rental activities 3

4 Portfolio income (loss):

a 4a

b 4b

c Royalties 4c

d Net short-term capital gain (loss)

e (1) Net long-term capital gain (loss)

Income (Loss)

Other portfolio income (loss) 4f f (attach schedule)

5 Guaranteed payments to partner 5

6 Net section 1231 gain (loss) (other than due to casualty or theft)

7 Other income (loss) (attach schedule) 7

8 Charitable contributions (see instructions) (attach schedule) 8

9 Section 179 expense deduction 9

10 Deductions related to portfolio income (attach schedule) 10

Deductions

11 Other deductions (attach schedule) 11

Credits

13 Other credits 13

4d

(2) 28% rate gain (loss)

(3) Qualified 5-year gain

4e(1)

4e(2)

6

12a Low-income housing credit:

(1) From section 42(j)(5) partnerships

(2) Other than on line 12a(1)

b Qualified rehabilitation expenditures related to rental real estate activities

c Credits (other than credits shown on lines 12a and 12b) related to rental real estate activities

d Credits related to other rental activities

12a(1)

12a(2)

12b

12c

12d

(b) Amount

%

%

%

%

%

%

%

%

2001

4e(3)
(1) Interest expense

Supplemental information required to be reported separately to the partner (attach additional schedules if more space

is needed):

Schedule K-1 (Form 8865) (2001) Page 2

16a 16a

b Adjusted gain or loss 16b

16c

Depreciation adjustment on property placed in service after 1986

c Depletion (other than oil and gas)

d d(1)

e

(1) Gross income from oil, gas, and geothermal properties

Adjustments and Tax

Preference Items

(2) Deductions allocable to oil, gas, and geothermal properties d(2)

Other adjustments and tax preference items (attach schedule) 16e

18 Section 59(e)(2) expenditures: a Type  b Amount  18b

Other

24 Recapture of low-income housing credit:

25

19

20

21

Tax-exempt interest income

Other tax-exempt income

Nondeductible expenses

19

20

21

22 Distributions of money (cash and marketable securities) 22

23 Distributions of property other than money 23

14a Interest expense on investment debts 14a

b(1) b (1) Investment income included on lines 4a, 4b, 4c, and 4f

(2) Investment expenses included on line 10 b(2)

Investment

Interest

24a

15a 15a

b Gross farming or fishing income 15b

15c

Net earnings (loss) from self-employment

Self-employment

c Gross nonfarm income

Foreign Taxes

From section 42(j)(5) partnerships

Other than on line 24a

a

b 24b

(a) Distributive share item

Supplemental Information

e

f

Name of foreign country or U.S. possession 

Gross income sourced at partner level

Foreign gross income sourced at partnership level:

Deductions allocated and apportioned at partner level:

Deductions allocated and apportioned at partnership level to foreign source income:

Total foreign taxes (check one): Paid Accrued Amount 

17a

c

d

g

Listed categories (attach schedule)

(1) Passive

(3) General limitation

(2) Other

17c

17d(1)

17d(2)

17d(3)

17f(1)

17f(2)

17f(3)

17e(1)

17e(2)

17g

(b) Amount

Schedule K-1 (Form 8865) (2001)

h Reduction in taxes available for credit (attach schedule)

(2) Listed categories (attach schedule)

(1) Passive

(3) General limitation

17h

(2)

b Gross income from all sources 17b