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2012 Schedule K-1 (568) -- Member's Share of Income, Deductions ...

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Other Member Information<br />

Table 1 — Member’s share <strong>of</strong> nonbusiness income from intangibles (source <strong>of</strong> income is dependent on residence or commercial domicile <strong>of</strong><br />

the member):<br />

Interest $ ____________________ Sec . 1231 Gains/Losses $ _____________________ Capital Gains/Losses $ ____________________<br />

Dividends $ ____________________ Royalties $ _____________________ Other $ ____________________<br />

FOR USE BY MEMBERS ONLY – See instructions .<br />

Table 2 — Member’s share <strong>of</strong> distributive items .<br />

A . Member’s share <strong>of</strong> the LLC’s business income . See instructions . $_________________<br />

B . Member’s share <strong>of</strong> nonbusiness income from real and tangible personal property sourced or allocable to California .<br />

Capital Gains/Losses $ ___________________ Rents/Royalties $ ___________________<br />

Sec . 1231 Gains/Losses $ ___________________ Other $ ___________________<br />

C . Member’s distributive share <strong>of</strong> the LLC’s property, payroll, and sales: California Sales – Doing Business Test $ _______________<br />

Factors Total within and outside California Total within California<br />

Property: Beginning $ $<br />

Ending $ $<br />

Annual rent expense $ $<br />

Payroll $ $<br />

Sales $ $<br />

7903123<br />

<strong>Schedule</strong> K-1 (<strong>568</strong>) <strong>2012</strong> Side 3

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