R-6981 (2/21)

                               Louisiana Statement of Owner’s Share                 Attach this form to your  
                                          of Entity Level Tax Items                   IT-540 or IT-540B

Pass-Through Entity’s as shown on CIFT-620

LA Revenue Account Number                              Income Taxable Period Covered

Owner’s Name                                                         Last four digits of Owner’s Social Security Number

                               Owner’s Share of Current Year Income and Deductions
                                          As Reported on Federal Amounts Taxed at the           Income (Loss) Taxable 
                                          Schedule K-1              Entity Level                at the Owner’s Level
                          Part I: Items taxed at the entity level (as reported on the CIFT-620).
Ordinary Business Income (Loss)
Net Rental Real Estate Income (Loss)
Net Capital Gains (Loss)
Other Income (Loss)
Other Deductions
     Part II:   Items not taxed at the entity level (as reported on the CIFT-620) but taxable to individuals. 
Dividend Income
Interest Income
Louisiana depletion in excess of fed-
eral depletion

Exempt amount of related members 
interest\intangible\management fee 
expense or costs

Expenses not deducted on the federal 
return due to Internal Revenue Code 
Section 280C

Expenses not deducted on the federal 
return due to Internal Revenue Code 
Section 280E

Other
              Total of Part I and II

     Part III: Items taxed at the entity level (as reported on the CIFT-620) but not taxable to individuals.
Louisiana income tax

Related members interest\intangible\
management fee expenses or costs.

                   Total of Part III
                          Total 

R-6981i (2/21)

                                  Louisiana Statement of Owner’s Share                        Attach this form to your  
                                  of Entity Level Tax Items                                   IT-540 or IT-540B

Instructions
An entity that made the pass-through entity tax election must complete a Form R-6981, Louisiana Statement of Owner’s 
Share of Entity Level Tax Items, for each shareholder, member, or partner (“owner”) for the tax year.  As required by Louisi-
ana Administrative Code 61:I.1001(C)(3)(b), Form R-6981 for each owner must be attached to the CIFT-620. A copy of the 
form must also be provided to the owner.  
Part I - Items taxed at the entity level (as reported on the CIFT-620). The total of these items across all owners should 
total to Line 1A of the CIFT-620. 
Part II - Items not taxed at the entity level (as reported on the CIFT-620) but taxable to individuals. The total of each 
item across all owners must total to the appropriate line on CIFT-620, Schedule F. Pursuant to Louisiana Revised Statute 
(“R.S”) 47:297.14(A)(2) income not taxed at the entity level is taxable at the owner’s level. 
Total of Part I and II - Add the amounts in each column of Part I and Part II.
Part III - Items taxed at the entity level (as reported on the CIFT-620) but not taxable to individuals. The total of each item 
across all owners must total to the appropriate line on CIFT-620, Schedule F.
Total Part III - Add the amounts in each column of Part III. 
Total - Subtract the total of Part III from the total of Part I and Part II.