Form 400 Fillable Schedule K-1
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

(b) Amount (a) Allocable share item (c) Enter the amounts in column (b) on (checkbox) Unchecked (checkbox) Unchecked (Print Form) Print Form (Reset the Form) Reset (Revised 11/18/14) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) *DF20714019999* 1 Beneficiary s Federal Distributable Net Income 10 Net S Corporation income allocable to Delaware 11 Net farm income allocable to Delaware 2 Beneficiary s share of additions 3 Beneficiary s share of subtractions 4 Net business income allocable to Delaware 5 Capital gain (loss) allocable to Delaware 6 Other gain (loss) allocable to Delaware 7 Net partnership income allocable to Delaware 8 Net estate and trust income allocable to Delaware 9 Net rent and royalty income allocable to Delaware Amended K 1 and ending Beneficiary s Address Beneficiary s ID Number Employer ID Number BENEFICIARY S INFORMATION Beneficiary s Name DELAWARE Tax Year Page 1DE 400 DF20714019999 Fiduciary s Address Fiduciary s Name Final K 1 Fiscal year beginning Form 200 01 Line 31 or 200 02 Line 19 Form 200 01 Line 36 or 200 2 Line 25 Form 200 02 Line 10 Form 200 02 Line 10 Form 200 02 Line 11 Form 200 02 Line 6 Form 200 02 Line 7a Form 200 02 Line 7b Name of Estate or Trust Non resident NON RESIDENT BENEFICIARY INFORMATION Percentage of Distributive Share SCHEDULE K 1 2014 ZIP CodeStateCity