STATE OF ARKANSAS
AR1002
2001
Fiduciary Return
For 2001 or Fiscal Year beginning _______________________ and ending ___________________ 20 _____
Name of Estate or Trust
Type of Entity:
Decedent’s estate
Simple trust
Address - Street and Number, P. O. Box or Rural Route
Federal Identification Number
Complex trust
Grantor trust
City, Town, or Post Office, State and Zip Code
Date trust created
Charitable trust
Pooled income fund
ORIGINAL RETURN
AMENDED RETURN
FINAL RETURN
A. FEDERAL RETURN
B. ARKANSAS INCOME
00
00
1. Interest Income: ........................................................................................................ 1
1
00
00
2. Ordinary Dividends: ................................................................................................... 2
2
00
00
3. Net Profit from Trade or Business: (Attach Schedule) ...................................................... 3
3
00
00
4. Capital Gains: (See Instructions) ................................................................................... 4
4
00
00
5. Rents, Royalties, Partnerships, other Estates and Trusts, etc: (Attach Schedule) ............... 5
5
00
00
6. Farm Income or (Loss): ................................................................................................ 6
6
00
00
7. Other Income: ............................................................................................................. 7
7
00
00
8. Total Income: (Add Lines 1 through 7) ............................................................................ 8
8
00
00
9. Interest ....................................................................................................................... 9
9
00
00
10. Taxes ....................................................................................................................... 10
10
00
00
11. Fiduciary Fees ........................................................................................................... 11
11
00
00
12. Charitable Deduction .................................................................................................. 12
12
00
00
13. Attorney, Accountant, and Return Preparer Fees ........................................................... 13
13
00
00
14. Other Deductions ...................................................................................................... 14
14
00
00
15. Total Deductions: (Add Line 9 through Line 14) ............................................................. 15
15
00
00
16. Adjusted Income (Subtract Line 15 from Line 8) ............................................................ 16
16
00
00
17. Amounts to be Distributed to Beneficiaries: ................................................................... 17
17
00
00
18. Net Taxable Income: (Subtract Line 17 from Line 16) ..................................................... 18
18
00
19. Enter Tax from REGULAR TAX TABLE 2 using the Amount on Line 18, Column B: .................................................... 19
20
00
20. Personal Tax Credit: ................................................................................................... 20
00
21. Other State Tax Credit: ............................................................................................... 21
00
22. Business and Incentive Tax Credit: .............................................................................. 22
00
23. Total Tax Credits: (Add Line 20 through Line 22) ............................................................................................................. 23
00
24. Tax Liability: (Subtract Line 23 from Line 19) .................................................................................................................. 24
00
25. Estimated Tax Paid or Credit Brought Forward From Last Year: ...................................... 25
00
26. Tax Paid with Extension: ............................................................................................. 26
00
27. Payments Made With or After the Filing of Original Return: (See Instructions) .................. 27
00
28. Total Payments: (Add Line 25 through Line 27) ............................................................. 28
00
29. Overpayments Received: (See Instructions) ................................................................. 29
00
30. Net Payments: (Subtract Line 29 from Line 28) .............................................................................................................. 30
00
31. Amount of Overpayment: (If Line 30 is greater than Line 24, enter difference) .................................................................... 31
00
32. Amount to be Applied to 2002 Estimated Tax: ............................................................... 32
33. AMOUNT TO BE REFUNDED TO YOU: (Subtract Line 32 from Line 31) ............................................................... 33
00
00
34. AMOUNT DUE: (If Line 30 is less than Line 24, enter difference) .................................................................................... 34
Under penalties of perjury, I declare that I have examined this return and to the best of my knowledge and belief, the
May the Arkansas Revenue
statements are true and complete.
Agency discuss this return with
the preparer shown to the left?
Yes
No
Taxpayer’s Signature _________________________________________________ Date _________________________
OFFICE USE ONLY
A
Preparer’s Signature _________________________________________________ Date _________________________
B
C
Name ___________________________________________________________ ID/SSN ________________________
D
E
Address ________________________________________________________________________________________
F
G
City, State, and Zip ________________________________________________________________________________
H
AR1002 (R 10/01)