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Schedule NJK-1 State of New Jersey
2021
(Form NJ-1065) Partner’s Share of Income
For Calendar Year 2021, or Fiscal Year Beginning , 2021 and ending , 20
Part I General Information
Partner’s SS # or Federal EIN (Do not use EIN of a disregarded entity. See instr.) Partnership’s Federal EIN
Partner’s Name Partnership’s Name
Street Address Partnership’s Street Address
City State ZIP Code City State ZIP Code
Enter partner’s percentage of:
What type of entity is partner? (see instructions) (i) Before Decrease (ii) End of Year
Code or Termination
Date partner’s interest in partnership began:
Month Day Year Profit Sharing % %
Final NJK-1 Hedge Fund Loss Sharing % %
Amended NJK-1 Member of Composite Return Capital Ownership % %
If the partner is a disregarded entity, check the box and enter the partner’s:
Federal EIN Name
Part II Income Information
NJ-1040 Filers
Income Classification A. Total Distribution Enter Amounts on Line B. New Jersey Source NJ-1040NR Filers
Shown Below Amounts
1. Partnership Income (Loss)
2. Net Guaranteed Payments
3. Partner’s 401(k) Contribution
4. Distributive Share of Partnership
Income (loss) (Line 1 plus line 2 Line 21 Line 23
minus line 3)
5. Pension Line 20a
6. Net Gain (Loss) From
Disposition of Assets as a Line 19 Line19
Result of a Complete Liquidation
Part III Partner’s Information
Line 10b, Page 1, CBT-100
Line 8b, Page 1, CBT-100S
Line 10, Page 1, CBT-100U
Line 8, NJ-CBT-1065
Line 51, NJ-1040NR
Line 23, NJ-1080C
1. Nonresident Partner’s Share of NJ Tax ................................................... 1. Line 34a, NJ-1041
2. Partner’s HEZ Deduction ........................................................................ 2.
3. Partner’s Sheltered Workshop Tax Credit ............................................... 3.
Part IV Supplemental Information (Attach Schedule)
This Form May be Reproduced
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