1065 Schedule K-3 Partner's Share of Income, Deductions, Credits, etc. - I

Final K-3

Schedule K-3
(Form 1065)
Department of the Treasury
Internal Revenue Service

Amended K-3

Partner’s Share of Income, Deductions,
Credits, etc.—International
For calendar year 2021, or tax year beginning
▶

/ 2021

/

, ending

OMB No. 1545-0123

/

2021

/

See separate instructions.

Information About the Partnership

Information About the Partner

A Partnership’s employer identification number (EIN)

C Partner’s SSN or Taxpayer Identification Number (TIN) (Do not use TIN of a
disregarded entity. See instructions.)

B Partnership’s name, address, city, state, and ZIP code

D Name, address, city, state, and ZIP code for partner entered in C. See instructions.

E

Check to indicate the parts of Schedule K-3 that apply.
1
2
3
4
5
6

Yes
.
.
.
.
.
.

.
.
.
.
.
.

.
.
.
.
.
.

.
.
.
.
.
.

.
.
.
.
.
.

.
.
.
.
.
.

.
.
.
.
.
.

.
.
.
.
.
.

.
.
.
.
.
.

.
.
.
.
.
.

.
.
.
.
.
.

.
.
.
.
.
.

.
.
.
.
.
.

.
.
.
.
.
.

.
.
.
.
.
.

.
.
.
.
.
.

.
.
.
.
.
.

.
.
.
.
.
.

Does Part VII apply? If “Yes,” complete and attach Part VII
Does Part VIII apply? If “Yes,” complete and attach Part VIII
Does Part IX apply? If “Yes,” complete and attach Part IX .
Does Part X apply? If “Yes,” complete and attach Part X .
Does Part XI apply? If “Yes,” complete and attach Part XI .
Reserved for future use . . . . . . . . . . .
Does Part XIII apply? If “Yes,” complete and attach Part XIII

.
.
.
.
.
.
.

.
.
.
.
.
.
.

.
.
.
.
.
.
.

.
.
.
.
.
.
.

.
.
.
.
.
.
.

.
.
.
.
.
.
.

.
.
.
.
.
.
.

.
.
.
.
.
.
.

.
.
.
.
.
.
.

.
.
.
.
.
.
.

.
.
.
.
.
.
.

.
.
.
.
.
.
.

.
.
.
.
.
.
.

.
.
.
.
.
.
.

.
.
.
.
.
.
.

.
.
.
.
.
.
.

.
.
.
.
.
.
.

No

1
2
3
4
5
6
7
8
9
10
11
12
13

For IRS Use Only

7
8
9
10
11
12
13

Does Part I apply? If “Yes,” complete and attach Part I .
Does Part II apply? If “Yes,” complete and attach Part II
Does Part III apply? If “Yes,” complete and attach Part III
Does Part IV apply? If “Yes,” complete and attach Part IV
Does Part V apply? If “Yes,” complete and attach Part V
Does Part VI apply? If “Yes,” complete and attach Part VI

For Paperwork Reduction Act Notice, see the Instructions for Form 1065.

www.irs.gov/Form1065

Cat. No. 74715S

Schedule K-3 (Form 1065) 2021

Schedule K-3 (Form 1065) 2021

Page
EIN

Name of partnership

Part I

2

SSN or TIN

Name of partner

Partner’s Share of Partnership’s Other Current Year International Information

Check box(es) for additional specified attachments. See instructions.
7. Form 8858 information
8. Form 5471 information
9. Other forms

✢❏❘

4. Foreign tax translation
5. High-taxed income
6. Section 267A disallowed deduction

✣❈❅❃❋

1. Gain on personal property sale
2. Foreign oil and gas taxes
3. Splitter arrangements

10. Partner loan transactions
11. Dual consolidated loss
12. Other international items
(attach description and statement)

Part II
Foreign Tax Credit Limitation
Section 1—Gross Income
Foreign Source
Description
1

(a) U.S. source

(b) Foreign branch
category income

(c) Passive
category income

(d) General
category income

(e) Other
(category code

)

(f) Sourced by
partner

(g) Total

Sales
A
B
C

2

Gross income from performance of services
A
B
C

3

Gross rental real estate income
A
B
C

4

Other gross rental income
A
B
C

5

Guaranteed payments .

6

Interest income

.

.

.

.

A
B
C
7

Ordinary dividends (exclude amount
on line 8)
A
B
C
Schedule K-3 (Form 1065) 2021

Schedule K-3 (Form 1065) 2021

Page
EIN

Name of partnership

3

SSN or TIN

Name of partner

Part II
Foreign Tax Credit Limitation (continued)
Section 1—Gross Income (continued)
Foreign Source
Description
8

(a) U.S. source

(b) Foreign branch
category income

(c) Passive
category income

(d) General
category income

(e) Other
(category code

)

(f) Sourced by
partner

(g) Total

Qualified dividends
A
B
C

9

Reserved for future use .

10

Royalties and license fees

.

.

.

.

A
B
C
11

Net short-term capital gain
A
B
C

12

Net long-term capital gain
A
B
C

13

Collectibles (28%) gain
A
B
C

14

Unrecaptured section 1250 gain
A
B
C

15

Net section 1231 gain
A
B
C
Schedule K-3 (Form 1065) 2021

Schedule K-3 (Form 1065) 2021

Page
EIN

Name of partnership

4

SSN or TIN

Name of partner

Part II
Foreign Tax Credit Limitation (continued)
Section 1—Gross Income (continued)
Foreign Source
Description
16
17
18

Section 986(c) gain .
Section 987 gain . .
Section 988 gain . .

19

.
.
.

(a) U.S. source
.
.
.

.
.
.

.
.
.

(b) Foreign branch
category income

(c) Passive
category income

(d) General
category income

(e) Other
(category code

)

(f) Sourced by
partner

(g) Total

.
.
.

Section 951(a) inclusions
A
B
C

20

Other income (see instructions)
A
B
C

21

Reserved for future use
A
B
C

22

Reserved for future use
A
B
C

23

Reserved for future use
A
B
C

24

Total gross income (combine lines 1
through 23) . . . . . . . ▶
A
B
C
Schedule K-3 (Form 1065) 2021

Schedule K-3 (Form 1065) 2021

Page
EIN

Name of partnership

5

SSN or TIN

Name of partner

Part II
Foreign Tax Credit Limitation (continued)
Section 2—Deductions
Foreign Source
Description

(a) U.S. source

25

Expenses allocable to sales income .

26

Expenses allocable to gross income
from performances of services
. .

27
28
29
30
31

Net short-term capital loss
Net long-term capital loss
Collectibles loss . . .
Net section 1231 loss .
Other losses . . . .

.
.
.
.
.

.
.
.
.
.

.
.
.
.
.

(b) Foreign branch
category income

(c) Passive
category income

(d) General
category income

(e) Other
(category code

)

(f) Sourced by
partner

(g) Total

.
.
.
.
.

32

Research & experimental (R&E) expenses
. . . .
A SIC code
. . . .
B SIC code
. . . .
C SIC code
33 Allocable rental expenses—
depreciation, depletion, and amortization
34

Allocable rental expenses—other than
depreciation, depletion, and amortization

35

Allocable royalty and licensing
expenses—depreciation, depletion,
and amortization . . . . . . .

36

Allocable royalty and licensing
expenses—other than depreciation,
depletion, and amortization
. . .

37

Depreciation not included on line 33
or 35 . . . . . . . . . .

38

Charitable contributions

39

Interest expense specifically allocable
under Regulations section 1.861-10(e)

40

Other interest expense specifically
allocable under Regulations section
1.861-10T
. . . . . . . .

41
42
43

Other interest expense—business
.
Other interest expense—investment .
Other interest expense—passive activity

44

Section 59(e)(2) expenditures,
excluding R&E expenses on line 32

.

45

Foreign taxes not creditable but
deductible
. . . . . .

.

.

.

.

.

.

Schedule K-3 (Form 1065) 2021

Schedule K-3 (Form 1065) 2021

Page
EIN

Name of partnership

6

SSN or TIN

Name of partner

Part II
Foreign Tax Credit Limitation (continued)
Section 2—Deductions (continued)
Foreign Source
Description

(a) U.S. source

46
47
48

Section 986(c) loss .
Section 987 loss . .
Section 988 loss . .

.
.
.

.
.
.

.
.
.

49

Other allocable deductions (see
instructions) . . . . . .

.

.

50

Other apportioned share of
deductions (see instructions) .

.

.

51
52
53

Reserved for future use .
Reserved for future use .
Reserved for future use .

.
.
.

.
.
.

54

Total deductions (combine lines 25
through 53) . . . . . . . ▶

55

Net income (loss) (subtract line 54
from line 24) . . . . . . .

.
.
.

.
.
.

.
.
.

.
.
.

(b) Foreign branch
category income

(c) Passive
category income

(d) General
category income

(e) Other
(category code

(f) Sourced by
partner

)

(g) Total

▶

Part III
Other Information for Preparation of Form 1116 or 1118
Section 1—R&E Expenses Apportionment Factors
Foreign Source
Description

1
A
B
C
D
E
F
2
A

B

(a) U.S. source

(b) Foreign branch
category income

(c) Passive
category income

(e) Other
(category code
(country code

(d) General
category income

(f) Sourced by
partner

)
)

(g) Total

Gross receipts by SIC code
SIC code
SIC code
SIC code
SIC code
SIC code
SIC code
Exclusive apportionment with respect to total R&E expenses entered on Part II, line 32. Enter the following.
R&E expense with respect to activity performed in the United States
. . . . . . . . . . . . . . . . . . . . . . .
(i) SIC code

.

.

.

.

.

.

.

.

.

.

.

.

.

.

▶

(ii) SIC code
. . . . . . . . . . . . .
(iii) SIC code
. . . . . . . . . . . . .
R&E expense with respect to activity performed outside the United States

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

▶

(i) SIC code
(ii) SIC code
(iii) SIC code

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

▶

▶
▶
▶

2A(i)
2A(ii)
2A(iii)
2B(i)
2B(ii)
2B(iii)
Schedule K-3 (Form 1065) 2021

Schedule K-3 (Form 1065) 2021

Page
EIN

Name of partnership

7

SSN or TIN

Name of partner

Part III
Other Information for Preparation of Form 1116 or 1118 (continued)
Section 2—Interest Expense Apportionment Factors
Foreign Source
Description

(a) U.S. source

1

Total average value of assets .

2

Sections 734(b) and 743(b)
adjustment to assets—average value .

3

Assets attracting directly allocable
interest expense under Regulations
section 1.861-10(e) . . . . .

.

4

Other assets attracting directly
allocable interest expense under
Regulations section 1.861-10T
.

.

5

Assets excluded from apportionment
formula . . . . . . . . .

.

(b) Foreign branch
category income

(c) Passive
category income

(d) General
category income

(e) Other
(category code
(country code

)
)

(f) Sourced by
partner

(g) Total

.

6a Total assets used for apportionment
(subtract the sum of lines 3, 4, and 5
from the sum of lines 1 and 2) . . .
b Assets attracting business interest
expense . . . . . . . .

.

c Assets attracting investment interest
expense . . . . . . . . .
d Assets attracting passive activity
interest expense . . . . . .

.

7

Basis in stock of 10%-owned
noncontrolled foreign corporations
(see attachment) . . . . . .

.

8

Basis in stock of CFCs (see attachment)

Section 3—Foreign-Derived Intangible Income (FDII) Deduction Apportionment Factors
Foreign Source
Description

(a) U.S. source

1
2

Foreign-derived gross receipts
Cost of goods sold . . . .

.
.

.
.

3

Partnership deductions allocable to foreignderived gross receipts . . . . . . .

.

4

Other partnership deductions apportioned to
foreign-derived gross receipts . . . . .

.

.
.

.
.

.
.

(b) Passive
category income

(c) General
category income

(d) Other
(category code
(country code

)
)

(e) Sourced by
partner

(f) Total

Schedule K-3 (Form 1065) 2021

Schedule K-3 (Form 1065) 2021

Page
EIN

Name of partnership

8

SSN or TIN

Name of partner

Part III
Other Information for Preparation of Form 1116 or 1118 (continued)
Section 4—Foreign Taxes
Description
1

Direct (section 901 or
903) foreign taxes:

(a) Type of tax

Paid

(b) Section 951A category income
U.S.
Foreign

U.S.

(c) Foreign branch category income
Foreign

Partner

Accrued

A
B
C
D
E
F
2
A
B
C
D
E
F
G
3

Reduction of taxes (total)
Taxes on foreign mineral income . . .
Reserved for future use . . . . . .
International boycott provisions . . .
Failure-to-file penalties . . . . . .
Taxes with respect to splitter arrangements
Taxes on foreign corporate distributions .
Other . . . . . . . . . . .

.
.
.
.
.
.
.

.
.
.
.
.
.
.

.
.
.

.
.
.

Foreign tax redeterminations
A
Related tax year ▶
Date tax paid ▶
B
Related tax year ▶
Date tax paid ▶
C

4
5
6

Related tax year ▶
Date tax paid ▶
Reserved for future use .
Reserved for future use .
Reserved for future use .

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

Schedule K-3 (Form 1065) 2021

Schedule K-3 (Form 1065) 2021

Page
EIN

Name of partnership

9

SSN or TIN

Name of partner

Part III
Other Information for Preparation of Form 1116 or 1118 (continued)
Section 4—Foreign Taxes (continued)
(d) Passive category income
U.S.

Foreign

(e) General category income
Partner

U.S.

Foreign

Partner

(f) Other
(category code

)

(g) Total

1
A
B
C
D
E
F
2
A
B
C
D
E
F
G
3
A
B
C
4
5
6

Section 5—Other Tax Information
Foreign Source
Description

1

Section 743(b)
positive income
adjustment .

2

Section 743(b)
negative income
adjustment .

3

Reserved for
future use . .

4

Reserved for
future use . .

(a) U.S. source

(b) Section 951A
category income

(c) Foreign branch
category income

(d) Passive
category income

(e) General
category income

(f) Other
(category code
(country code

)
)

(g) Sourced by
partner

(h) Total

Schedule K-3 (Form 1065) 2021

Schedule K-3 (Form 1065) 2021

Page
EIN

Name of partnership

10

SSN or TIN

Name of partner

Part IV
Information on Partner’s Section 250 Deduction With Respect to Foreign-Derived Intangible Income (FDII)
Section 1—Information To Determine Deduction Eligible Income (DEI) and Qualified Business Asset Investment (QBAI) on Form 8993
1 Net income (loss)
. . . .
2a DEI gross receipts . . . .
b DEI cost of goods sold (COGS)
3

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

1
2a
2b

c DEI properly allocated and apportioned deductions
Section 951(a) inclusions . . . . . . . .

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

2c
3

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

4
5
6

CFC dividends . . . . . . . .
Financial services income . . . . .
Domestic oil and gas extraction income .

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

4
5
6

7
8

Foreign branch income .
Partnership QBAI
. .

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

7
8

.
.

.
.

.
.

.
.

.
.

Section 2—Information To Determine Foreign-Derived Deduction Eligible Income on Form 8993 (see instructions)

9
10
11

Gross receipts . .
COGS . . . . .
Allocable deductions

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

12

Other apportioned deductions .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.
.
.

.
.
.

(a) Foreign-derived
income from all sales of
general property

(b) Foreign-derived
(c) Foreign-derived
income from all sales of
income from all services
intangible property

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

Section 3—Other Information for Preparation of Form 8993
DEI
13
A
B
C

Interest deductions
Interest expense specifically allocable under Regulations section 1.861-10(e) . .
Other interest expense specifically allocable under Regulations section 1.861-10T
Other interest expense . . . . . . . . . . . . . . . . . .

14
A
B
C
D
E
F

Interest expense apportionment factors
Total average value of assets . . . . . . . . . . . . . . . . . . . . . . . . . .
Sections 734(b) and 743(b) adjustment to assets—average value
. . . . . . . . . . . . . . .
Assets attracting directly allocable interest expense under Regulations section 1.861-10(e) . . . . . . . .
Other assets attracting directly allocable interest expense under Regulations section 1.861-10T . . . . . .
Assets excluded from apportionment formula . . . . . . . . . . . . . . . . . . . . .
Total assets used for apportionment (the sum of lines 14C, 14D, and 14E subtracted from the sum of lines 14A and 14B)

R&E expenses apportionment factors
Gross receipts by SIC code
. . . .
A SIC code
B SIC code
. . . .
. . . .
C SIC code

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

(d) Total
(add columns (a)
through (c))

12

FDDEI

Total

.
.
.

15

16

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

R&E expenses by SIC code
A

SIC code
B SIC code
C SIC code

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

16A
16B
16C
Schedule K-3 (Form 1065) 2021

Schedule K-3 (Form 1065) 2021

Page
EIN

Name of partnership

Part V

11

SSN or TIN

Name of partner

Distributions From Foreign Corporations to Partnership
(a) Name of distributing foreign corporation

(b) EIN or
reference ID number

(c) Date of distribution

(d) Functional currency of
distributing foreign corporation

(e) Amount of distribution
in functional currency

(j) Qualified foreign
corporation

(k) Reserved for
future use

A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
(f) Amount of E&P distribution
in functional currency

(g) Spot rate (functional
currency to U.S. dollars)

(h) Amount of distribution
in U.S. dollars

(i) Amount of E&P distribution
in U.S. dollars

A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
Schedule K-3 (Form 1065) 2021

Schedule K-3 (Form 1065) 2021

Page
EIN

Name of partnership

Part VI
a
b

Information on Partner’s Section 951(a)(1) and Section 951A Inclusions

Separate category (enter code) . . . . . . . . . . . .
If box is checked, this is completed with respect to U.S. source income

(b) EIN or
reference ID number

(a) Name of CFC

A
B
C
D
E
F
G
H
I
J
K
1

12

SSN or TIN

Name of partner

Partner’s total (sum for all CFCs)

(h) Tested loss

.

.

.

.

(i) Partner’s share of
tested income

.

.

.

.

.
.

.
.

.
.

.
.

.
.

.
.

.

.

.

(j) Partner’s share of
tested loss

.

.

.

.
.

.
.

.
.

.
.

.
.

.
.

(d) Partner’s share of
CFC items through its
ownership in the
partnership

(c) Ending of CFC
tax year

.

.
.

.

.

.

.

.

.

(k) Partner’s share of
Qualified Business Asset
Investment (QBAI)

.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

(e) Partner’s share of
subpart F income

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.

(f) Partner’s section
951(a)(1)(B) inclusion

.

.

.

.

.

.

▶

(g) Tested income

▶

(l) Partner’s share of
the tested loss
QBAI amount

(m) Partner’s share of
tested interest income

(n) Partner’s share of
tested interest expense

A
B
C
D
E
F
G
H
I
J
K
1
Schedule K-3 (Form 1065) 2021

Schedule K-3 (Form 1065) 2021

Page
EIN

Name of partnership

13

SSN or TIN

Name of partner

Part VII
Information To Complete Form 8621
Section 1—General Information on Passive Foreign Investment Company (PFIC), Qualified Electing Fund (QEF), or Qualifying Insurance Corporation (QIC)
General Information
(b) EIN or
reference ID number

(a) Name of PFIC

(c) Address of PFIC

Summary of Annual Information

(f) Description of each
class of PFIC shares

(g) Dates PFIC
shares acquired
during tax year
(if applicable)

(h) Partner’s share of
total number of
PFIC shares held by
partnership at end of
tax year

(d) Beginning of
PFIC tax year

(e) Ending of
PFIC tax year

Information Regarding Elections

(i) Partner’s share of
total value of
PFIC shares held by
partnership at end of
tax year

(k) Box is
checked if
(l) Box is
(m) Box is
(n) Box is
foreign
checked if PFIC checked if
checked if
corporation
has
has indicated
PFIC is also
(j) Election
PFIC meets
documented its
its shares are
a controlled
made by
eligibility to be
the income
“marketable
foreign
partnership
treated as a
test or asset
stock” within
corporation
(see
qualifying
test of section
instructions)
the meaning
(CFC) within
insurance
1297(a) for the
of section
the meaning of
corporation
tax year.
1296(e).
section 957.
under section
1297(f)(2).

Schedule K-3 (Form 1065) 2021

Schedule K-3 (Form 1065) 2021

Page
EIN

Name of partnership

14

SSN or TIN

Name of partner

Part VII
Information To Complete Form 8621 (continued)
Section 2—Additional Information on PFIC or QEF
General Information

(b) EIN or
reference ID number

(a) Name of PFIC

(c) Partner’s share of
ordinary earnings

Section 1291 and Other
Information

Mark-to-Market Information

QEF Information

(d) Partner’s share of net
capital gain

(e) Partner’s share of
fair market value of
PFIC shares held by
partnership at beginning
of tax year

(f) Partner’s share of
fair market value of
PFIC shares held by
partnership at end of
tax year

(g) Dates PFIC shares
were acquired

Section 1291 and Other Information
(h) Partner’s share of
amount of cash and fair
market value of property
distributed by PFIC
during the current tax
year (if applicable)

(i) Dates of
distribution

(j) Partner’s share of
total creditable foreign
taxes attributable to
distribution by PFIC

(k) Partner’s share of
total distributions from
PFIC in preceding
3 tax years

(l) Dates PFIC
shares disposed of
during tax year
(if applicable)

(n) Partner’s share of
(m) Partner’s share of
partnership’s tax basis (o) Partner’s share of
amount realized by
gain (loss) on
in PFIC shares on dates
partnership on
disposition by
of disposition (including
disposition of PFIC
partnership of PFIC
partner-specific
shares
shares
adjustments)

Schedule K-3 (Form 1065) 2021

Schedule K-3 (Form 1065) 2021

Page
EIN

Name of partnership

Part VIII
A
C

Partner’s Interest in Foreign Corporation Income (Section 960)
.
.
.

.
.
.

.
.
.

.

D

B Separate category. See instructions
If PAS was entered on line B, applicable grouping under Regulations section 1.904-4(c). See instructions . . . . . . . . . . .
Box is checked if there is more than one source country for a line. See attachment and instructions . . . . . . . . . . . . . .

.

.

.

.

.

.

.

.

.

.

.

▶

E
F

Box is checked if U.S. source income .
Box is checked if FORI or FOGEI . .

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

▶

EIN or reference ID number of controlled foreign corporation

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

Amounts are in functional currency unless otherwise noted.
See instructions.
1 Subpart F income groups
a Dividends, interest, rents, royalties, and annuities (total)
(1) Unit

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

(2) Unit
c Net gain from commodities transactions (total) .
(1) Unit

.

.

.

.

.

.

.

.

.

(2) Unit
d Net foreign currency gain (total)
(1) Unit

.

.

.

.

.

.

.

.

.

.

.

.

.

.

(2) Unit
e Income equivalent to interest (total)
(1) Unit

.

.

.

.

.

.

.

.

.

.

.

.

.

(2) Unit
f Foreign base company sales income (total) .
(1) Unit

.

.

.

.

.

.

.

.

.

.

(2) Unit
g Foreign base company services income (total) .
(1) Unit

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

(2) Unit
h Full inclusion foreign base company income (total)
(1) Unit
(2) Unit
Insurance income (total)
(1) Unit

.

.

.

.

.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

(i) Country code

(2) Unit
b Net gain from certain property transactions (total) .
(1) Unit

i

15

SSN or TIN

Name of partner

.

.

.

.

.

.

.

.

.

.

.

(2) Unit
j International boycott income (total) . . .
k Bribes, kickbacks, and other payments (total)
l Section 901(j) (total) . . . . . . . .

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

(ii) Partner’s share
of net income

.
.

.
.

(iii) Partner’s share of
average asset value

▶

(iv) Reserved for
future use

Schedule K-3 (Form 1065) 2021

Schedule K-3 (Form 1065) 2021

Page
EIN

Name of partnership

Part VIII

Partner’s Interest in Foreign Corporation Income (Section 960) (continued)

Amounts are in functional currency unless otherwise noted.
See instructions.
2
3

4

5

Recaptured subpart F income .
Tested income group (total)
.
(1) Unit
(2) Unit
Residual income group (total) .
(1) Unit
(2) Unit
Total . .

16

SSN or TIN

Name of partner

.

.

.

.

.

.

(i) Country code

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

▶

(ii) Partner’s share
of net income

(iii) Partner’s share of
average asset value

(iv) Reserved for
future use

(a) Total

(b) Total ECI gross
receipts

(c) Total non-ECI gross
receipts

(a) Total

(b) Total base erosion
payments

(c) Total base erosion
tax benefits

Part IX
Partner’s Information for Base Erosion and Anti-Abuse Tax (Section 59A)
Section 1—Applicable Taxpayer (see instructions)
Description
1
2
3
4

Gross receipts for section 59A(e) . . . .
Gross receipts for the first preceding year . .
Gross receipts for the second preceding year
Gross receipts for the third preceding year .

5

Amounts included in the denominator of the base erosion percentage as described in Regulations section
1.59A-2(e)(3) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.
.
.
.

.
.
.
.

.
.
.
.

.
.
.
.

.
.
.
.

.
.
.
.

.
.
.
.

.
.
.
.

.
.
.
.

.
.
.
.

.
.
.
.

.
.
.
.

.
.
.
.

.
.
.
.

.
.
.
.

.
.
.
.

.
.
.
.

.
.
.
.

Section 2—Base Erosion Payments and Base Erosion Tax Benefits (see instructions)
Description
6
7
8
9
10a
b
11
12

Reserved for future use . . . . . . . . . . . . . . . . .
Reserved for future use . . . . . . . . . . . . . . . . .
Purchase or creations of property rights for intangibles (patents, trademarks, etc.)
Rents, royalties, and license fees . . . . . . . . . . . . . .
Compensation/consideration paid for services not excepted by section 59A(d)(5)
Compensation/consideration paid for services excepted by section 59A(d)(5) .
Interest expense . . . . . . . . . . . . . . . . . . .
Payments for the purchase of tangible personal property . . . . . . .

.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.

13

Premiums and/or other considerations paid or accrued for insurance and reinsurance as covered by
sections 59A(d)(3) and 59A(c)(2)(A)(iii) . . . . . . . . . . . . . . . . . . .

.

.

14a
b
15
16

Nonqualified derivative payments . . . . . . . . . . . .
Qualified derivative payments excepted by section 59A(h) . . . . .
Payments reducing gross receipts made to surrogate foreign corporation
Other payments—specify ▶

.
.
.

.
.
.

17

Base erosion tax benefits related to payments reported on lines 6 through 16, on which tax is imposed by
section 871 or 881, with respect to which tax has been withheld under section 1441 or 1442 at the 30%
(0.30) statutory withholding tax rate
. . . . . . . . . . . . . . . . . . . . .

.
.
.

.
.
.

.
.
.
.
.
.
.
.

.
.
.

.
.
.
.
.
.
.
.

.
.
.

.
.
.
.
.
.
.
.

.
.
.

.
.
.
.
.
.
.
.

.
.
.

.
.
.
.
.
.
.
.

.
.
.

.
.
.

Schedule K-3 (Form 1065) 2021

Schedule K-3 (Form 1065) 2021

Page
EIN

Name of partnership

17

SSN or TIN

Name of partner

Part IX
Partner’s Information for Base Erosion and Anti-Abuse Tax (Section 59A) (continued)
Section 2—Base Erosion Payments and Base Erosion Tax Benefits (see instructions) (continued)
(a) Total
18

Portion of base erosion tax benefits reported on lines 6 through 16, on which tax is imposed by section
871 or 881, with respect to which tax has been withheld under section 1441 or 1442 at reduced
withholding rate pursuant to income tax treaty. Multiply ratio of percentage withheld divided by 30% (0.30)
times tax benefit. See instructions . . . . . . . . . . . . . . . . . . . . . .

19
20
21

Total base erosion tax benefits (subtract the sum of lines 17 and 18 from the sum of lines 8 through 16) .
Reserved for future use . . . . . . . . . . . . . . . . . . . . . . . . .
Reserved for future use . . . . . . . . . . . . . . . . . . . . . . . . .

22

Reserved for future use .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

Part X
Foreign Partner’s Character and Source of Income and Deductions
Section 1—Gross Income

.

.

(b) Total base erosion
payments

(c) Total base erosion
tax benefits

.

Partnership Determination
Description

(a) Total

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19

Ordinary business income (gross) . .
Gross rental real estate income . .
Other gross rental income . . . .
Guaranteed payments for services .
Guaranteed payments for use of capital
Interest income . . . . . . .
Dividends . . . . . . . . .
Dividend equivalents
. . . . .
Royalties and license fees . . . .
Net short-term capital gain . . . .
Net long-term capital gain . . . .
Collectibles (28%) gain . . . . .
Unrecaptured section 1250 gain . .
Net section 1231 gain . . . . .
Reserved for future use . . . . .
Reserved for future use . . . . .
Reserved for future use . . . . .
Reserved for future use . . . . .
Reserved for future use . . . . .

20

Other income (loss) not included on
lines 1 through 19 . . . . . .

21

Gross income (sum of lines 1
through 20) . . . . . .

.

(b) Partner
determination

ECI
(c) U.S. source

Non-ECI
(d) Foreign source

(e) U.S. source
(FDAP)

(f) U.S. source
(other)

(g) Foreign source

▶

Schedule K-3 (Form 1065) 2021

Schedule K-3 (Form 1065) 2021

Page
EIN

Name of partnership

18

SSN or TIN

Name of partner

Part X
Foreign Partner’s Character and Source of Income and Deductions (continued)
Section 2—Deductions, Losses, and Net Income
Partnership Determination
Description

(a) Total

1

Expenses related to ordinary business
income (gross) . . . . . . .

2
3
4
5
6

Research and experimental expenses
Expenses from rental real estate . .
Expenses from other rental activities .
Royalty and licensing expenses . .
Section 179 deduction . . . . .

7

Interest expense on U.S.-booked
liabilities . . . . . . . .

.

8

Interest expense directly allocable
under Regulations sections
1.882-5(a)(1)(ii)(B) and 1.861-10T .

.

9
10
11
12
13
14
15

Other interest expense . .
Section 59(e)(2) expenditures
Net short-term capital loss .
Net long-term capital loss .
Collectibles loss . . . .
Net section 1231 loss . .
Other losses . . . . .

.
.
.
.
.
.
.

.
.
.
.
.
.
.

.
.
.
.
.
.
.

16
17
18

Charitable contributions

.

.

.

.
.
.
.
.
.

.
.
.
.
.
.

19
20
21
22
23
24
25

.

Other ▶
Other ▶
Reserved for future use . . .
Reserved for future use . . .
Reserved for future use . . .
Reserved for future use . . .
Reserved for future use . . .
Total (sum of lines 1 through 23)

(b) Partner
determination

ECI
(c) U.S. source

Non-ECI
(d) Foreign source

(e) U.S. source
(FDAP)

(f) U.S. source
(other)

(g) Foreign source

Net income (loss) (line 21 (Section 1)
minus line 24 (Section 2)) . . . ▶
Schedule K-3 (Form 1065) 2021

Schedule K-3 (Form 1065) 2021

Page
EIN

Name of partnership

19

SSN or TIN

Name of partner

Part X
Foreign Partner’s Character and Source of Income and Deductions (continued)
Section 3—Allocation and Apportionment Methods for Deductions
1
a
b
2
a
b

Gross income
Gross ECI . . . . .
Worldwide gross income .

6
.
.

.
.

.
.

.
.

.
.

.
.

.
.

Assets
Average U.S. assets (inside basis) .

.

.

.

.

.

.

Worldwide assets .

.

.

.

.

.

.

.

.

.
.

.

.
.

.

.

Liabilities
U.S.-booked liabilities of partnership . .
Directly allocated partnership indebtedness

4
a
b

Personnel
Personnel of U.S. trade or business
Worldwide personnel . . . . .

5

Gross receipts from sales or services by SIC code
(i) SIC code
(ii) ECI

.
.

(ii)

(iii)

a
b
7

Other allocation and apportionment key
(i) Key/Factor

(ii) Allocation

Other allocation and apportionment key
(i) Key/Factor

(ii) Allocation

a
b

3
a
b

.
.

Reserved for future use
(i)

.
.

.
.

.
.

.
.

.
.

.
.

.
.

8
a
b

.
.

(iii) Worldwide

a
b

Section 4—Reserved for Future Use
Reserved
1
2
3
4
5
6
7
8
9
10

Reserved for future use
Reserved for future use
Reserved for future use
Reserved for future use
Reserved for future use
Reserved for future use
Reserved for future use
Reserved for future use
Reserved for future use
Reserved for future use

.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.

(a)
.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.

(b)

(c)

.
.
.
.
.
.
.
.
.
.
Schedule K-3 (Form 1065) 2021

Schedule K-3 (Form 1065) 2021

Page
EIN

Name of partnership

Part XI
1
2
3

Section 871(m) Covered Partnerships

Box is checked if the partnership is a publicly traded partnership as defined in section 7704(b) and the partnership is a covered partnership as defined in Regulations section 1.871-15(m)(1) or
directly or indirectly holds an interest in a lower-tier partnership that is a covered partnership
. . . . . . . . . . . . . . . . . . . . . . . . . . . ▶
Number of units held by the partner ▶
For each allocation period, see the following information for the number of units specified on line 2.
(i) Beginning of allocation period

(iii) Dividends
(enter four decimal places)

(ii) End of allocation period

(iv) Dividend equivalents
(enter four decimal places)

.
.
.
.

Reserved for future use

Part XIII

Foreign Partner’s Distributive Share of Deemed Sale Items on Transfer of Partnership Interest

Date of transfer of the partnership interest

B1 Percentage interest in the partnership transferred .

▶

(v) Total
(enter four decimal places)

.
.
.
.

Part XII

A

20

SSN or TIN

Name of partner

.

.

.

▶

.

▶

.

.

.

.

.

.

.

1
2

Total ordinary gain (loss) that would be recognized on the deemed sale of section 751 property . . . . . . . . .
Aggregate effectively connected ordinary gain (loss) that would be recognized on the deemed sale of section 751 property .

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

1
2

3
4
5

Aggregate effectively connected capital gain (loss) that would be recognized on the deemed sale of non-section 751 property . . . .
Gain (loss) that would be recognized under section 897(g) on the deemed sale of U.S. real property interests . . . . . . . . .
Check this box if the amount provided on line 2 or 3 is determined (in whole or in part) under Regulations section 1.864(c)(8)-1(c)(2)(ii)(E)
change in circumstances rule for a deemed sale of the partnership’s inventory property or intangibles) . . . . . . . . . . .

. . .
. . .
(material
. ▶

.
.

3
4

6
7

Reserved for future use .
Reserved for future use .

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

6
7

8

Reserved for future use .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

8

B3 Reserved for future use
Other

4

Profits

.

.

.

3

.

.

.

B2 Number of units in the partnership transferred ▶
C Check if: 1
Capital
2
Preferred

.

.
.
.
.

Partner’s Distributive Share

Schedule K-3 (Form 1065) 2021