Schedule K-3 (Form 1065) 2021
Page 10
Name of partnership
EIN
Name of partner
SSN or TIN
Part IV Information on Partner’s Section 250 Deduction With Respect to Foreign-Derived Intangible Income (FDII)
Section 1—Information To Determine Deduction Eligible Income (DEI) and Qualified Business Asset Investment (QBAI) on Form 8993
1 Net income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2a DEI gross receipts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a
b DEI cost of goods sold (COGS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b
c DEI properly allocated and apportioned deductions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c
3 Section 951(a) inclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 CFC dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5 Financial services income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 Domestic oil and gas extraction income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7 Foreign branch income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Partnership QBAI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
Section 2—Information To Determine Foreign-Derived Deduction Eligible Income on Form 8993 (see instructions)
(a) Foreign-derived
income from all sales of
general property
(b) Foreign-derived
income from all sales of
intangible property
(c) Foreign-derived
income from all services
(d) Total
(add columns (a)
through (c))
9 Gross receipts . . . . . . . . . . . . . . . . . . . . . .
10 COGS . . . . . . . . . . . . . . . . . . . . . . . . .
11 Allocable deductions . . . . . . . . . . . . . . . . . . . .
12 Other apportioned deductions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
Section 3—Other Information for Preparation of Form 8993
DEI FDDEI Total
13 Interest deductions
A Interest expense specifically allocable under Regulations section 1.861-10(e) . . . . . . . . . . . .
B Other interest expense specifically allocable under Regulations section 1.861-10T . . . . . . . . . .
C Other interest expense . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14 Interest expense apportionment factors
A Total average value of assets . . . . . . . . . . . . . . . . . . . . . . . . . .
B Sections 734(b) and 743(b) adjustment to assets—average value . . . . . . . . . . . . . . .
C Assets attracting directly allocable interest expense under Regulations section 1.861-10(e) . . . . . . . .
D Other assets attracting directly allocable interest expense under Regulations section 1.861-10T . . . . . .
E Assets excluded from apportionment formula . . . . . . . . . . . . . . . . . . . . .
F
Total assets used for apportionment (the sum of lines 14C, 14D, and 14E subtracted from the sum of lines 14A and 14B)
R&E expenses apportionment factors
15 Gross receipts by SIC code
A
SIC code . . . . . . . . . . . . . . . . . . . . . . . . . . .
B SIC code . . . . . . . . . . . . . . . . . . . . . . . . . . .
C SIC code
. . . . . . . . . . . . . . . . . . . . . . . . . . .
16 R&E expenses by SIC code
A
SIC code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16A
B SIC code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16B
C SIC code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16C
Schedule K-3 (Form 1065) 2021