Form 8865

Department of the Treasury 

Internal Revenue Service

Return of U.S. Persons With Respect to Certain Foreign Partnerships

▶ Attach to your tax return.

▶ Information about Form 8865 and its separate instructions is at www.irs.gov/form8865.

Information furnished for the foreign partnership’s tax year

beginning , 2012, and ending , 20

OMB No. 1545-1668

2012

Attachment 

Sequence No. 118

Name of person filing this return Filer’s identifying number

Filer's address (if you are not filing this form with your tax return) A Category of filer (see Categories of Filers in the instructions and check applicable box(es)):

1 2 3 4 

B Filer’s tax year beginning , 20 , and ending , 20

C Filer's share of liabilities: Nonrecourse $ Qualified nonrecourse financing $ Other $

D If filer is a member of a consolidated group but not the parent, enter the following information about the parent:

Name EIN

Address

E Information about certain other partners (see instructions)

(1) Name (2) Address (3) Identifying number (4) Check applicable box(es)

 Category 1 Category 2 Constructive owner

F1 Name and address of foreign partnership 2(a) EIN (if any)

2(b) Reference ID number (see instr.)

3 Country under whose laws organized

4 Date of 

organization

5 Principal place of 

business

6 Principal business 

activity code number

7 Principal business 

activity

8a Functional currency 8b Exchange rate 

(see instr.)

G Provide the following information for the foreign partnership's tax year:

1 Name, address, and identifying number of agent (if any) in the 

United States

2 Check if the foreign partnership must file:

Form 1042 Form 8804 Form 1065 or 1065-B

Service Center where Form 1065 or 1065-B is filed:

3 Name and address of foreign partnership's agent in country of 

organization, if any

4 Name and address of person(s) with custody of the books and 

records of the foreign partnership, and the location of such books 

and records, if different

5 Were any special allocations made by the foreign partnership? . . . . . . . . . . . . . . . . . ▶ Yes No

6 Enter the number of Forms 8858, Information Return of U.S. Persons With Respect To Foreign Disregarded Entities, 

attached to this return (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . ▶

7 How is this partnership classified under the law of the country in which it is organized? . . ▶

8 Did the partnership own any separate units within the meaning of Regulations section 1.1503-2(c)(3), (4), or 

1.1503(d)-1(b)(4)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶ Yes No

9 Does this partnership meet both of the following requirements?

• The partnership’s total receipts for the tax year were less than $250,000 and

• The value of the partnership’s total assets at the end of the tax year was less than $1 million.

If “Yes,” do not complete Schedules L, M-1, and M-2.

} . . . . . ▶ Yes No

Sign Here 

Only If You 

Are Filing 

This Form 

Separately 

and Not With 

Your Tax 

Return.

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) is based on all 

information of which preparer has any knowledge.

▲

Signature of general partner or limited liability company member ▲

Date

Paid 

Preparer 

Use Only

Print/Type preparer's name Preparer’s signature Date Check if 

self-employed 

PTIN

Firm's name ▶

Firm's address ▶

Firm's EIN ▶

Phone no. 

For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 25852A Form 8865 (2012)
Form 8865 (2012) Page 2 

Schedule A Constructive Ownership of Partnership Interest. Check the boxes that apply to the filer. If you check 

box b, enter the name, address, and U.S. taxpayer identifying number (if any) of the person(s) whose 

interest you constructively own. See instructions.

a Owns a direct interest b Owns a constructive interest

Name Address Identifying number (if any)

Check if 

foreign 

person

Check if 

direct 

partner

Schedule A-1 Certain Partners of Foreign Partnership (see instructions)

Name Address Identifying number (if any)

Check if 

foreign 

person

Does the partnership have any other foreign person as a direct partner? . . . . . . . . . . . Yes No

Schedule A-2 Affiliation Schedule. List all partnerships (foreign or domestic) in which the foreign partnership owns a 

direct interest or indirectly owns a 10% interest.

Name Address EIN 

(if any)

Total ordinary 

income or loss

Check if 

foreign 

partnership

Schedule B Income Statement—Trade or Business Income

Caution. Include only trade or business income and expenses on lines 1a through 22 below. See the instructions for more information. Income

1 a Gross receipts or sales . . . . . . . . . . . . . . 1a 

b Less returns and allowances . . . . . . . . . . . . . 1b 1c 

2 Cost of goods sold . . . . . . . . . . . . . . . . . . . . . . . . . 2 

3 Gross profit. Subtract line 2 from line 1c . . . . . . . . . . . . . . . . . . 3 

4 Ordinary income (loss) from other partnerships, estates, and trusts (attach statement) . . . 4 

5 Net farm profit (loss) (attach Schedule F (Form 1040)) . . . . . . . . . . . . . 5 

6 Net gain (loss) from Form 4797, Part II, line 17 (attach Form 4797) . . . . . . . . . 6 

7 Other income (loss) (attach statement) . . . . . . . . . . . . . . . . . . 7 

8 Total income (loss). Combine lines 3 through 7 . . . . . . . . . . . . . . . 8 

Deductions (see instructions for limitations) 

9 Salaries and wages (other than to partners) (less employment credits) . . . . . . . . 9 

10 Guaranteed payments to partners . . . . . . . . . . . . . . . . . . . . 10 

11 Repairs and maintenance . . . . . . . . . . . . . . . . . . . . . . . 11 

12 Bad debts . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 

13 Rent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 

14 Taxes and licenses . . . . . . . . . . . . . . . . . . . . . . . . . 14 

15 Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 

16a Depreciation (if required, attach Form 4562) . . . . . . . . 16a

b Less depreciation reported elsewhere on return . . . . . . 16b 16c

17 Depletion (Do not deduct oil and gas depletion.) . . . . . . . . . . . . . . . 17 

18 Retirement plans, etc. . . . . . . . . . . . . . . . . . . . . . . . . 18 

19 Employee benefit programs . . . . . . . . . . . . . . . . . . . . . . 19 

20 Other deductions (attach statement) . . . . . . . . . . . . . . . . . . . 20 

21 Total deductions. Add the amounts shown in the far right column for lines 9 through 20 . . 21 

22 Ordinary business income (loss) from trade or business activities. Subtract line 21 from line 8 22 

Form 8865 (2012)
Form 8865 (2012) Page 3 

Schedule K Partners' Distributive Share Items Total amount Income (Loss)

1 Ordinary business income (loss) (page 2, line 22) . . . . . . . . . . . . . . . 1

2 Net rental real estate income (loss) (attach Form 8825) . . . . . . . . . . . . . 2

3a Other gross rental income (loss) . . . . . . . . . . . 3a

b Expenses from other rental activities (attach statement) . . . 3b

c Other net rental income (loss). Subtract line 3b from line 3a . . . . . . . . . . . 3c

4 Guaranteed payments . . . . . . . . . . . . . . . . . . . . . . . 4

5 Interest income . . . . . . . . . . . . . . . . . . . . . . . . . 5

6 Dividends: a Ordinary dividends . . . . . . . . . . . . . . . . . . . 6a

b Qualified dividends . . . . . . . . . 6b

7 Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

8 Net short-term capital gain (loss) (attach Schedule D (Form 1065)) . . . . . . . . . 8

9a Net long-term capital gain (loss) (attach Schedule D (Form 1065)) . . . . . . . . . 9a

b Collectibles (28%) gain (loss) . . . . . . . . . . . . 9b

c Unrecaptured section 1250 gain (attach statement) . . . . . 9c

10 Net section 1231 gain (loss) (attach Form 4797) . . . . . . . . . . . . . . . 10

11 Other income (loss) (see instructions) Type ▶ 11

Deductions

12 Section 179 deduction (attach Form 4562) . . . . . . . . . . . . . . . . . 12

13a Contributions . . . . . . . . . . . . . . . . . . . . . . . . . . 13a

b Investment interest expense . . . . . . . . . . . . . . . . . . . . . 13b

c Section 59(e)(2) expenditures: (1) Type ▶ (2) Amount ▶ 13c(2)

d Other deductions (see instructions) Type ▶ 13d

SelfEmployment

14a Net earnings (loss) from self-employment . . . . . . . . . . . . . . . . . 14a

b Gross farming or fishing income . . . . . . . . . . . . . . . . . . . . 14b

c Gross nonfarm income . . . . . . . . . . . . . . . . . . . . . . . 14c

Credits

15a Low-income housing credit (section 42(j)(5)) . . . . . . . . . . . . . . . . 15a

b Low-income housing credit (other) . . . . . . . . . . . . . . . . . . . 15b

c Qualified rehabilitation expenditures (rental real estate) (attach Form 3468) . . . . . . . 15c

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

Foreign Transactions

16a Name of country or U.S. possession ▶

b Gross income from all sources . . . . . . . . . . . . . . . . . . . . 16b

c Gross income sourced at partner level . . . . . . . . . . . . . . . . . . 16c

Foreign gross income sourced at partnership level

d Passive category ▶ e General category ▶ f Other (attach statement) ▶ 16f

Deductions allocated and apportioned at partner level

g Interest expense ▶ h Other . . . . . . . . . . . . ▶ 16h

Deductions allocated and apportioned at partnership level to foreign source income

i Passive category ▶ j General category ▶ k Other (attach statement) ▶ 16k

l Total foreign taxes (check one): ▶ Paid Accrued . . . . . . . . . . . 16l

m Reduction in taxes available for credit (attach statement) . . . . . . . . . . . . 16m

n Other foreign tax information (attach statement) 

Alternative 

Minimum Tax 

(AMT) Items

17a Post-1986 depreciation adjustment . . . . . . . . . . . . . . . . . . . 17a

b Adjusted gain or loss . . . . . . . . . . . . . . . . . . . . . . . 17b

c Depletion (other than oil and gas) . . . . . . . . . . . . . . . . . . . 17c

d Oil, gas, and geothermal properties—gross income . . . . . . . . . . . . . . 17d

e Oil, gas, and geothermal properties—deductions . . . . . . . . . . . . . . . 17e

f Other AMT items (attach statement) . . . . . . . . . . . . . . . . . . . 17f

Other Information

18a Tax-exempt interest income . . . . . . . . . . . . . . . . . . . . . 18a

b Other tax-exempt income . . . . . . . . . . . . . . . . . . . . . . 18b

c Nondeductible expenses . . . . . . . . . . . . . . . . . . . . . . 18c

19a Distributions of cash and marketable securities . . . . . . . . . . . . . . . 19a

b Distributions of other property . . . . . . . . . . . . . . . . . . . . 19b

20a Investment income . . . . . . . . . . . . . . . . . . . . . . . . 20a

b Investment expenses . . . . . . . . . . . . . . . . . . . . . . . 20b

c Other items and amounts (attach statement) 

Form 8865 (2012)
Form 8865 (2012) Page 4 

Schedule L Balance Sheets per Books. (Not required if Item G9, page 1, is answered "Yes.")

Beginning of tax year End of tax year

Assets (a) (b) (c) (d) 

1 Cash . . . . . . . . . . . . .

2a Trade notes and accounts receivable . . .

b Less allowance for bad debts . . . . .

3 Inventories . . . . . . . . . . .

4 U.S. government obligations . . . . .

5 Tax-exempt securities . . . . . . .

6 Other current assets (attach statement) . .

7a Loans to partners (or persons related to 

partners) . . . . . . . . . . . .

b Mortgage and real estate loans . . . .

8 Other investments (attach statement) . . .

9a Buildings and other depreciable assets . .

b Less accumulated depreciation . . . .

10a Depletable assets . . . . . . . . .

b Less accumulated depletion . . . . .

11 Land (net of any amortization) . . . . .

12a Intangible assets (amortizable only) . . .

b Less accumulated amortization . . . .

13 Other assets (attach statement) . . . .

14 Total assets . . . . . . . . . . .

Liabilities and Capital

15 Accounts payable . . . . . . . . .

16 Mortgages, notes, bonds payable in less than 1 year

17 Other current liabilities (attach statement) .

18 All nonrecourse loans . . . . . . . .

19a Loans from partners (or persons related to partners)

b Mortgages, notes, bonds payable in 1 year or more

20 Other liabilities (attach statement) . . . .

21 Partners’ capital accounts . . . . . .

22 Total liabilities and capital . . . . . .

Form 8865 (2012)
Form 8865 (2012) Page 5 

Schedule M Balance Sheets for Interest Allocation

(a) 

Beginning of 

tax year

(b) 

End of 

tax year

1 Total U.S. assets . . . . . . . . . . . . . . . .

 2 Total foreign assets:

a Passive category . . . . . . . . . . . . . . . .

b General category . . . . . . . . . . . . . . . .

c Other (attach statement) . . . . . . . . . . . . . .

Schedule M-1 Reconciliation of Income (Loss) per Books With Income (Loss) per Return. (Not required if Item G9, page

1, is answered “Yes.”)

1 Net income (loss) per books .

2 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) . . .

4 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 4 . . .

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 7 . . . . .

9 Income (loss). Subtract line 8 

from line 5 . . . . . . .

Schedule M-2 Analysis of Partners' Capital Accounts. (Not required if Item G9, page 1, is answered “Yes.”)

1 Balance at beginning of year 

2 Capital contributed:

a Cash . . .

b Property . .

3 Net income (loss) per books .

4 Other increases (itemize): 

5 Add lines 1 through 4 . . .

6 Distributions: a Cash . . .

b Property . .

7 Other decreases (itemize): 

8 Add lines 6 and 7 . . . . .

9 Balance at end of year. Subtract 

line 8 from line 5 . . . . .

Form 8865 (2012)
Form 8865 (2012) Page 6 

Schedule N Transactions Between Controlled Foreign Partnership and Partners or Other Related Entities

Important: Complete a separate Form 8865 and Schedule N for each controlled foreign partnership. Enter the totals for each type of

transaction that occurred between the foreign partnership and the persons listed in columns (a) through (d).

Transactions 

of 

foreign partnership

(a) U.S. person

filing this return

(b) Any domestic

corporation or partnership

controlling or controlled 

by the U.S. person filing 

this return

(c) Any other foreign

corporation or partnership

controlling or controlled 

by the U.S. person filing 

this return

(d) Any U.S. person with a

10% or more direct interest

in the controlled foreign

partnership (other than the 

U.S. person filing this return)

1 Sales of inventory . . .

2 Sales of property rights 

(patents, trademarks, etc.)

3 

 

 

Compensation received for 

technical, managerial, 

engineering, construction, or 

like services . . . . . .

4 Commissions received .

5 Rents, royalties, and license 

fees received . . . .

6 Distributions received . .

7 Interest received . . .

8 Other . . . . . . .

9 Add lines 1 through 8 . .

10 Purchases of inventory .

11 Purchases of tangible 

property other than inventory 

12 Purchases of property rights 

(patents, trademarks, etc.)

13 

 

 

Compensation paid for 

technical, managerial, 

engineering, construction, or 

like services . . . . .

14 Commissions paid . . .

15 Rents, royalties, and license 

fees paid . . . . . .

16 Distributions paid . . .

17 Interest paid . . . . .

18 Other . . . . . . .

19 Add lines 10 through 18 .

20 

 

 

Amounts borrowed (enter 

the maximum loan balance 

during the year). See 

instructions . . . . .

21 

 

 

Amounts loaned (enter the 

maximum loan balance 

during the year). See 

instructions . . . . .

Form 8865 (2012)