(b) Amount (a) Allocable share item (c) Enter the amounts in column (b) on
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(Revised 11/18/14)
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*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
