Form Form-1065X Amended Return or Administrative Adjustment Request (AAR

Version A, Cycle 8

Form

1065X

Amended Return or Administrative
Adjustment Request (AAR)

(January 2012)
Department of the Treasury
Internal Revenue Service

OMB No. 1545-XXXX

For tax year ending
▶

(For use by filers of Forms 1065, 1065-B, and 1066)
▶

(Enter month and year.)

See separate instructions.

Employer identification number

Name

Please
Type
or
Print

Number, street, and room or suite no. (If a P.O. box, see instructions.)
City or town, state, and ZIP code

Telephone number (optional)

Enter name and address used on original return (If same as above, write “Same”)
▲

Internal Revenue Service Center
where original return was filed

TEFRA/NonTEFRA Determination
A Has the partnership made an election to be treated as an electing large partnership (ELP) under the
provisions of section 775?
Yes
No
If "Yes," the partnership is not subject to TEFRA. Enter the date of the election ▶
, go to Item E, and
check the "Not subject to TEFRA" box. Do not complete Items B through D.
You must determine if the partnership is subject to the rules for consolidated audit proceedings (TEFRA proceedings) under sections
6221 through 6234. See instructions for details.
B Did the partnership have 10 or fewer partners at all times during the tax year? (Note. A husband and wife are considered one
partner for TEFRA purposes.)
Yes
No
C At all times during the partnership's tax year, were all partners U.S. citizens, resident aliens, C corporations, or estates of
deceased partners?
Yes
No
If the answers to questions B and C are "Yes," the partnership is not subject to TEFRA proceedings. A partnership that is not subject
to TEFRA cannot file an Administrative Adjustment Request. See instructions for details.

DRAFT AS OF
December 20, 2010

D If the partnership is not otherwise subject to TEFRA, has the partnership filed Form 8893, Election of Partnership Level Tax
Treatment, or its equivalent, to make an election to be treated as a TEFRA partnership?
Yes
No
If the answer to question D is "Yes," enter the tax year that the election to be treated as a TEFRA partnership was originally filed with
the partnership return ▶
Not subject to TEFRA
Subject to TEFRA
E The partnership is
F Check the applicable box (see instructions):
Amended Return
Administrative Adjustment Request (AAR)
G If you are a Tax Matters Partner (TMP) or a Partner With Authority (PWA) filing an AAR on behalf of the pass-through entity, are you
requesting substituted return treatment? (see instructions)
Yes
No
H Check the applicable box to identify the type of pass-through entity:
Partnership
Electing Large Partnership (ELP)
Real Estate Mortgage Investment Conduit (REMIC)

I

Partnerships and ELPs, enter the number of Schedules K-1 being filed with this return

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Fill in applicable items and use Part III to explain any changes

Income (Loss)

Part I

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2
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5
6a
b
7
8
9a
b
c
10
11

Amended or Administrative Adjustment Request
(AAR) Items for Partnerships Filing Form 1065 Only
(ELPs and REMICs, use Part II)
Ordinary business income (loss) . . . . . .
Net rental real estate income (loss) . . . . .
Other net rental income (loss) (see instructions) .
Guaranteed payments . . . . . . . . .
Interest income . . . . . . . . . . . .
Ordinary dividends . . . . . . . . . .
Qualified dividends . . . . . . . . . .
Royalties . . . . . . . . . . . . . .
Net short-term capital gain (loss) . . . . . .
Net long-term capital gain (loss) . . . . . .
Collectibles (28%) gain (loss) . . . . . . .
Unrecaptured section 1250 gain (see instructions)
Net section 1231 gain (loss)
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Other income (loss) (see instructions) . . . .

For Paperwork Reduction Act Notice, see instructions.

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(a) As originally
(b) Net change —
reported on Schedule K increase or (decrease) —
or as previously adjusted
explain in Part III

(c) Correct amount

1
2
3
4
5
6a
6b
7
8
9a
9b
9c
10
11
Cat. No. 54882S

Form 1065X (1-2012)

Version A, Cycle 8

Other Information

Alternative Minimum Tax (AMT) Items

Foreign Transactions

Credits

Self-Employment

Deductions

Form 1065X (1-2012)

Page

12
13a
b
c
d

Section 179 deduction . . . .
Contributions . . . . . . .
Investment interest expense . .
Section 59(e) expenditures . . .
Other deductions (see instructions)

14a
b
c
15a
b
c
d
e
f
16a
b
c
d

Net earnings (loss) from self-employment . . . . .
Gross farming or fishing income . . . . . . . .
Gross nonfarm income . . . . . . . . . . .
Low-income housing credit (section 42(j)(5)) . . . .
Low-income housing credit (other) . . . . . . .
Qualified rehabilitation expenditures (rental real estate)
Other rental real estate credits (see instructions) . . .
Other rental credits (see instructions) . . . . . .
Other credits (see instructions)
. . . . . . . .
Name of country or U.S. possession ▶
Gross income from all sources
. . . . . . . .
Gross income sourced at partner level . . . . . .
Foreign gross income sourced at partnership level passive
category . . . . . . . . . . . . . . . .
Foreign gross income sourced at partnership level general
category . . . . . . . . . . . . . . . .

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13a
13b
13c
13d
14a
14b
14c
15a
15b
15c
15d
15e
15f
16b
16c
16d

16e
f Foreign gross income sourced at partnership level other
16f
g Deductions allocated and apportioned at partner level
interest expense . . . . . . . . . . . . .
16g
h Deductions allocated and apportioned at partner level other 16h
i Deductions allocated and apportioned at partnership level
to foreign source income passive category
. . . .
16i
j Deductions allocated and apportioned at partnership level
to foreign source income general category . . . . .
16j
k Deductions allocated and apportioned at partnership level
to foreign source income other . . . . . . . .
16k
l Total foreign taxes (check one) ▶ Paid
Accrued
16l
m Reduction in taxes available for credit (see instructions)
16m
n Other foreign tax information (see instructions) . . .
17a Post-1986 depreciation adjustment . . . . . . .
17a
b Adjusted gain or loss . . . . . . . . . . . .
17b

DRAFT AS OF
December 20, 2010

c

Depletion (other than oil or gas)

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17c

d

Oil, gas, and geothermal properties—gross income .

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17d

e

Oil, gas, and geothermal properties—deductions

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17e

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17f
18a
18b
18c
19a
19b
20a
20b
20c

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18a
b
c
19a
b
20a
b
c

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Other AMT Items (attach statement) . . . .
Tax-exempt interest income. . . . . . .
Other tax-exempt income . . . . . . .
Nondeductible expenses . . . . . . .
Distributions of cash and marketable securities
Distributions of other property . . . . . .
Investment income . . . . . . . . .
Investment expenses . . . . . . . . .
Other items and amounts (see instructions) .

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Note. Amended Schedules K-1: File amended Schedules K-1 with Form 1065X. If the partnership is filing Form 1065X for an
administrative adjustment request (AAR), please inform the partners receiving the amended Schedules K-1 that the partnership is filing
the AAR. If the partnership is not subject to the rules for consolidated audit proceedings (TEFRA proceedings) under sections 6221
through 6234, the partnership cannot file an AAR; and instead must furnish the amended Schedules K-1 to its partners. The partners
must then file their own amended returns (see instructions).
Form 1065X (1-2012)

Version A, Cycle 8
Form 1065X (1-2012)

Part II

Page

3

Amended or Administrative Adjustment Request (AAR) Items for ELPs and REMICs Only
(b) As originally
reported or as previously
adjusted

(a) Description of Item Being Amended or
Adjusted (see instructions)

1
2
3
4
5

(c) Net change —
increase or (decrease) —
explain in Part III

(d) Correct amount

1
2
3
4
5

Tax and Payments (see instructions)
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7
8
9
10
11
12
13
14
15

ELPs ONLY: Tax and other payments . . . . .
REMICs ONLY: Tax on net income from prohibited
transactions . . . . . . . . . . . . . .
REMICs ONLY: Tax on net income from foreclosure
property . . . . . . . . . . . . . . .
REMICs ONLY: Tax on contributions after the startup
day . . . . . . . . . . . . . . . . .

6
7
8

9
Total tax . . . . . . . . . . . . . . .
10
Tax paid with Form 7004 . . . . . . . . . .
11
Tax paid with (or after) the filing of the original return
. . . . .
Add lines 11 and 12, column (d) . . . . . . . . . . . .
Overpayment, if any, as shown on original return or as later adjusted
Subtract line 14 from line 13 . . . . . . . . . . . . . .

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13
14
15

Tax Due. Subtract line 15 from line 10, column (d). For details on how to pay, see instructions .
Overpayment. Subtract line 10, column (d), from line 15 . . . . . . . . . . . . .

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DRAFT AS OF
December 20, 2010

Tax Due or Overpayments (see instructions)
16
17

Note. Amended Schedules K-1 or Schedules Q. File amended Schedules K-1 or Schedules Q with Form 1065X. If the ELP or
REMIC is filing Form 1065X for an administrative adjustment request (AAR), do not furnish the amended Schedules K-1 or Schedules
Q to the partners or residual interest holders. If the REMIC is not filing for an AAR and is not subject to the rules for consolidated audit
proceedings under sections 6221 through 6231, the REMIC must furnish the amended Schedules Q to its residual interest holders.
See instructions for details.

Signature of general partner, limited liability company
member manager, or authorized individual

Print/Type preparer's name
Firm’s name

▶

Firm's address ▶

Date

Preparer's signature

▲

Paid
Preparer
Use Only

▲

Sign
Here

Under penalties of perjury, I declare that I have filed an original return and that I have examined this amended return, including accompanying
schedules and statements, and to the best of my knowledge and belief, this amended return is true, correct, and complete. Declaration of preparer
(other than taxpayer) is based on all information of which preparer has any knowledge.

Title
Date

Check
if
self-employed

PTIN

Firm's EIN ▶
Phone no.
Form 1065X (1-2012)

Version A, Cycle 8
Form 1065X (1-2012)

Part III

Page

4

Explanation of Changes to Items in Part I and Part II. Enter the line number from Part I or Part II for the
items you are changing, and give the reason for each change. For partnerships, show the box number and
code used to report the item on Schedule K-1. Show any computation in detail. Also, see What To Attach in
the instructions.

If this amended return or AAR is reporting any change in the allocation of the partnership's or REMIC's income, gain, loss,
deduction, or credit among its partners or residual interest holders, see Changes in Allocation in the instructions, and check
here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶

DRAFT AS OF
December 20, 2010

Form 1065X (1-2012)