Form 541-Qft - California Income Tax Return For Qualified Funeral Trusts - 2012

California Income Tax Return for

TAXABLE YEAR

FORM

2012

541-QFT

Qualified Funeral Trusts

For calendar year 2012 or short year beginning month ______day______year______, and ending month______day______year______.

Name of estate or trust

FEIN

P

-

AC

Name and title of trustee

A

Address of trustee (number and street, PO Box, or PMB no.)

Apt. no./Ste. no.

R

City

State

ZIP Code

-

RP

Check Applicable Boxes:

 Initial tax return

 Amended tax return

 Final tax return

 New trustee

 Updated information for trustee

1 Interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1

00

2 Dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2

00

3 Capital gain or (loss) . Attach Schedule D (541) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3

00

4 Other income . State nature of income ___________________________________________________ . . . . . . . . . . . . . . .

4

00

5 Total income. Combine line 1 through line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5

00

6 Taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6

00

7 Trustee fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7

00

8 Attorney, accountant, and preparer fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8

00

9 Other deductions NOT subject to the 2% floor _______________________________________________ . . . . . . . . . . . . .

9

00

10 Allowable miscellaneous itemized deductions subject to the 2% floor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

00

11 Total deductions. Add line 6 through line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

00

12 Taxable income . Subtract line 11 from line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

00

13 Tax from:  Tax Rate Schedule (see instructions)  Composite return

Number of QFTs included on this tax return __________ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

00

14 Credits . Attach worksheet . If one credit, enter code . ________ If more than one credit, attach a detailed list . . . . . . . . . . . 14

00



28 Tax liability . Subtract line 14 from line 13 . See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

28

00



29 2012 Withholding (Form 592-B and/or Form 593) . See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

29

00



30 California income tax previously paid . See instructions _______________________________________________ . . . .

30

00



32 2012 CA estimated tax, amount applied from 2011 tax return, and payment with form FTB 3563 . . . . . . . . . . . . . . . . . . .

32

00

33 Total payments . Add line 29, line 30, and line 32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

00

34 Tax due. If line 28 is larger than line 33, subtract line 33 from line 28 and enter the amount owed .

Mail Form 541-QFT and the check or money order to:



.

,

,

FRANCHISE TAX BOARD, PO BOX 942867, SACRAMENTO CA 94267-0001 . . . . . . . . . . . . . . . . . . . .

34

00



35 Overpaid tax. If line 28 is less than line 33, subtract line 28 from line 33 and enter the amount overpaid . . . . . . . . . . . . .

35

00



36 Amount of line 35 to be credited to 2013 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

36

00

37 Amount of line 35 to be refunded . Mail Form 541-QFT to:



.

,

,

00

FRANCHISE TAX BOARD, PO BOX 942840, SACRAMENTO CA 94240-0001 . . . . . . . . . . . . . . . . . . . .

37







42 Underpayment of estimated tax . Check the box: FTB 5805

FTB 5805F

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

42

00

Under penalties of perjury, I declare that I have examined this tax return, including accompanying schedules and statements, and to the best of my knowledge and belief, it

Please

is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Sign

Date

Here



Signature of trustee or officer representing fiduciary

 

PTIN

Preparer’s signature

Date

Check if self-





 

 

employed



Paid

FEIN

Preparer’s

-

Firm’s name (or yours,

Use Only



if self-employed) and

Telephone

address.

(

)



 

 

May the FTB discuss this return with the preparer shown above (see instructions)?. . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

No

Form 541-QFT

2012

3171123

C1

For Privacy Notice, get form FTB 1131.