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         Print Form                                 BATTLE CREEK INCOME TAX                                                                      BC-1065
                                                         PARTNERSHIP RETURN 

If not a calendar year then RETURN PERIOD FROM:                           TO:                                                                YEAR
                                                    IDENTIFICATION AND INFORMATION
         Name of Partnership                                                                        Federal ID Number

PLEASE 
         Address                                                                                    Type of return - mark one
TYPE 
                                                                                                    Information only      Pymt on behalf of ptnrs
    OR  
PRINT
         City                         State                                   Zip Code              Number of Partners    Number of Employees

              ATTACH A COPY OF PG 1 FEDERAL 1065 AND SCH K                                          Initial return        Final return   

NAME AND HOME ADDRESS OF EACH PARTNER                    SOCIAL SECURITY   COL A RESIDENT            COL B NON-          COL C PART-             Col D
                                                         NUMBER OR FEIN       FULL YEAR              RESIDENT             RESIDENT               C = Corp
                                                                                                     FULL YEAR            INDIVIDUAL             P = Ptnrs
                                                                                                                                                 O = Other
                                                                                                                     From:
                                                                                                                     To: 
                                                                                                                     From:
                                                                                                                     To: 
                                                                                                                     From:
                                                                                                                     To: 
                                                                                                                     From:
                                                                                                                     To: 
Note 1. The partnership may pay tax for partners only if it pays for ALL partners subject to the tax. If the partnership elects to use this return as an information  
return, complete pg 2 and fill in col 1 below, it will not be necessary to fill in col 2 thru 6 since a computation of tax need not be made. 
Note 2. A partner who has other income in addition to the partnership income must file an individual return and show on such return the amounts entered  below 
in col 1, 2, and 6. A partner who is claiming an exemption as a member of another partnership is NOT to claim the exemption in this partnership return in  col 3.

      ALL PARNTERSHIPS                 TAXPAYMENT BY PARTNERSHIP (If information return only, disregard this section)
                 Col 1                        Col 2            Col 3                   Col 4               Col 5 (a)      Col 5 (b)              Col 6
              TOTAL INCOME                    ALLOWABLE  EXEMPTIONS           TAXABLE INCOME               TAX AT         TAX AT                 CR/PYMTS
PTNRS    (From pg 2, Sch C col 7)             INDIVIDUAL (See note 2, above,  (Col 1 less col 2      RES/CORP             NONRES                 (See 
         (See note 1 above)           DEDUCTIONS         and instructions)             and 3)        (Multiply col 4     (Multiply col 4         instructions)
                                      (See instructions)                                                   by .01)        by .005)
1. a
2. b
3. c
4. d
5. TOTALS
6. Total tax (Add line 5 of col 5a and col 5b)
                                                         PAYMENTS AND CREDITS
         7 a. Tax paid with extension.
            b. Payments and credits on Declarations of Estimated Battle Creek income tax for the filing year.
         8.Total - add lines 7a, and b. This total must agree with the total on col 6 above.
              TAX DUE OR REFUND Direct Deposit and Electronic funds withdrawal information on pg 3
    BALANCE DUE  9. If the tax due (line 6) is larger than the payments (line 8), enter balance due.
                     Enclose check or money order payable to the City of Battle Creek or pay with
                     an electronic funds withdrawal. (see pg 4)
    REFUND       10. If payments (line 8) are lager than tax (line 6), enter overpayment for refund. 
CREDIT FORWARD   11. Overpayment to be credited forward and applied to                      estimated tax. 

MAIL TO: BATTLE CREEK INCOME TAX DEPARTMENT, P O BOX 1657, BATTLE CREEK, MI 49016-1657                                                           Page 1

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BATTLE CREEK INCOME TAX
PARTNERSHIP RETURN

Name show on BC-1065 - Federal Employer Identification Number -
SCHEDULE A - ALLOCABLE PARTNERSHIP ORDINARY BUSINESS INCOME
1. Ordinary income (or loss) from pg 1 line 22, US Partnership Return of Income, From 1065 (ATTACH COPY OF PG 1 FED 1065 & SCH K)
2. Add City of Battle Creek Income tax, if deducted in determining income on Federal Form 1065
3. Add interest and other costs incurred in connection with the production of income exempt form Battle Creek Income Tax
4. Deduct Sec. 179 depreciation (fed Sch K line 10) and other deductions allowed (ATTACH EXPLANATION)
5. Deduct ordinary income (loss) from other partnerships, estates & trusts (Fed Form 1065, pg 1, line 4; attach explanation)
6. Total adjusted ordinary business income (Add lines 1, 2, and 3 and subtract lines 4 and 5)
SCHEDULE B - NON-BUSINESS INCOME AND EXCLUSINONS
ATTACH COPY OF FEDERAL SCHEDULE K (1065) Federal Form Col 1 Col 2 Col 3 Col 4 Col 5
ATTACH SCHEDULES TO EXPLAIN ALL EXCLUSIONS 1065 Reference Apportioned Excludable Res and other Excludable Nonresident
Income Res and other ptnrs' portion Nonresident ptnrs' portion
ptnrs' portion of Portion of Partners of Col 1
Col 1 Col 1 taxable Portion of taxable at
0.01% Col 1 0.005%

INTEREST AND DIVIDENDS
1. Interest income Sch K, line 5
2. Dividend income Sch K, line 6a
SALE OR EXCHANGE OF PROPERTY (SEE INSTRUCTIONS)
3. Net short-term capital gain (loss) Sch K, line 8
4. Net long-term capital gain (loss) Sch K, L. line 9a - c
5. Net Section 1231 gain (loss) Sch K, line 10
RENTS AND ROYALTIES (IF NON-BUSINESS INCOME INCLUDES RENTAL REAL ESATE, ATTACH COPY OF FEDERAL FORM 8825)
6. Net income (loss) from rental real estate activate Sch K, line 2
7. Net income (loss) from other rental activities Sch K, line 3c
8. Royalty income Sch K, line 7
OTHER INCOME
9. Other Income Sch K, line 11
10. Ordinary income form other partnerships Fm 1065, line 4
11. Total apportioned income (Add lines 1 thru 10 for each col)
SCHEDULE C - DISTRIBUTION TO PARTNERS
PTNRS COL 1 Col 2 Col 3 Col 4 Col 5 Col 6a Col 6b Col 7
Adjusted Business Guaranteed Income subject to Allocation Allocated Resident Nonresident Total income
Income Payments to allocation Percentage Per Business Income Partners non- Partners Non- (Add col 5, 6a
(Sch A, line 6) Partners (Fed 1065, (Add col 1 and col 2) Sch D (Col 3 times % in business Business and 6b) Enter
Line 10) (Resident col 4) income (Total income (Total here and on pg
partners enter equals Sch B equals Sch B 1, col 1
100%) col 3, line 10) col 5, line 10)
a.
b.
c.
d.
Totals
SCHEDULE D - BUSINESS ALLOCATION PRECENTAGE
Col 1 Col 2 Col 3
Located Located in Percentage
everywhere Battle Creek (Col 2 divided by col 1)
1 a. Average net book value of real tangible personal property
b. Gross annual rent paid for real property only, multiplied by 8
c. Total (Add lines 1 and 1b)
2. Total wages, salaries, commissions and other compensation of all employees
3. Gross receipts from sales made or services rendered
4. Total percentages (Add the percentages computed in col 3 lines 1c, 2, and 3)
5. Business allocation percentage (Divide line 4 by the number of factors) Enter here and on Sch C col 4 (See note below)
Note 3. In determining the business allocation percentage (line 5), a factor shall be excluded from the computation only when such factor does not exist anywhere insofar
as the taxpayer's business operation is concerned. In such cases, the sum of the remaining percentages shall be divided by the number of factors actual used.
In the case of a taxpayer authorized by the Income Tax Administrator to use one of the special formulas, attach an explanation and use the lines provided below:
a. Numerator c. Percentage (a divided by b) Enter here and on Sch C, col 4
b. Denominator d. Date of Income Tax Administrator approval letter
SCHEDULE E - RENTAL REAL ESTATE (If business activity includes rental)
PROPERTY STREET ADDRESS GAIN OR LOSS PROPERTY STREET ADDRESS GAIN OR LOSS
1. 4.
2. 5.
3. TOTALS (ATTACH COPY OF FEDERAL FORM 8825)

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                                                                    BATTLE CREEK INCOME TAX
                                                                       PARTNERSHIP RETURN
Name shown on BC-1065 -                                                                        Federal Employer Identification number -
SCHEDULE F - ALLOCATED OR APPORTIONED GUARANTEED PAYMENTS ORDINARY BUSINESS INCOME (LOSS)
This schedule is used by partnerships making guaranteed payments to partners where one or more partners received a nontaxable or partially taxable guaranteed payment. 
Different  types of guaranteed payments are taxed differently under the Battle Creek Income Tax Ordinance. If guaranteed payments are 100% taxable list them on Schedule C, 
column 4. 
TYPES OF GUARANTEED PAYMENTS                                                                   TAXABILITY OF TYPE OF GUARANTEED PAYMENT
1. A qualified retirement benefit received by a resident individual                            NOT TAXABLE 
2. A qualified retirement benefit received by a nonresident individual                         NOT TAXABLE 
3. Interest for use of capital by a resident individual                                        100% TAXABLE 
4. Interest for use of capital by a nonresident individual                                     NOT TAXABLE 
5. Compensation for personal services received by a resident individual                        100% TAXABLE 
6. Compensation for person services received by a nonresident resident individual              WAGE APPORTIONED
          Column 1        Column 2 LIST TYPE OF GUARANTEED PAYMENT                             Column 3 PERCENTAGE TAXABLE                                                   Column 4 
                          R as qualified resident benefit (RQRB)                               guaranteed payment received; if reason is nonresident                         Battle Creek 
          Guaranteed                                                                           (Enter percentage taxable for partner based upon type of                        taxable 
          payments        N as a qualified retirement benefit (NQRB)                           compensation enter days or hours worked in columns 3A                         guaranteed 
          to partners
                                                                                               and 3B and compute percentage taxable)                                        payments 
          (Total equals   R as interest or use of capital (RINT)                                                                                                             (Column 1 
                                                                                               Column 3A                         Col 3B                               Col 3C multiplied by 
          amount reported N as interest for use of capital (NINT)                              work days or hours in work days or hours  Percent 
          on federal Form                                                                                                                                                    column 3C)
          1065, line 10)  R as compensation for personal services (RCOMP)                      Battle Creek          Everywhere          taxable
                          N as compensation for personal services (NCOMP)

Totals

                                                                        THIRD PARTY DESIGNEE
                          Do our want to allow another person to discuss this return with the Income Tax Department?                     Yes*                                No
                                                                                                                                         *if yes complete the following

Designee's Name                                                                   Phone Number              Personal Identification Number (PIN)

          PLEASE SIGN YOUR RETURN BELOW AND ATTACH A COPY OF PG 1 FEDERAL 1065 AND SCH K
I declare that I have examined this return (including accompanying schedules and statements) and to the best of my knowledge and belief it is true, correct and  
complete. If prepared by a person other than taxpayer, his/her declaration is based on all information of which he.she has any knowledge. 

SIGN HERE
                          Signature of partner or member                Phone number                        Address                                                            Date
SIGN HERE
                          Signature of preparer other than              Phone number                        Address                                                            Date
                          partner or member

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                BATTLE CREEK INCOME TAX 
                PARTNERSHIP RETURN

                ELECTRONIC REFUND OR PAYMENT INFORMATION

Mark one:       Refund-direct deposit Pay tax due-electonic funds withdrawal

Routing number:

Account number: Type of Account:        Checking        Savings

                                                        Revised: 1/10/13 Page 4

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