Arizona Form 141 Schedule K-1 - Resident Or Part-Year Resident Benefi Ciary'S Share Of Income - 2002 Page 2

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ARIZONA FORM
2002
Nonresident Benefi ciary’s
141
Share of Income
Schedule K-1(NR)
For calendar year 2002, or
/
/
/
/
M M
M M
D D
D D
Y Y Y Y
Y Y Y Y
M M
M M
D D
D D
Y Y Y Y
Y Y Y Y
other tax year beginning
, and ending
.
Name of Estate or Trust
Benefi ciary’s I.D. Number
Estate or Trust I.D. Number
Benefi ciary’s Name, Address and Zip Code
Estate or Trust Name, Address and Zip Code
1 Total distributable income from Arizona Form 141, line 11d ........................................
1
00
2 Percentage of benefi ciary’s interest.............................................................................
2
%
3 Total distributable Arizona source income (to all benefi ciaries) ...................................
3
00
4 Benefi ciary’s share of Arizona distributable income: Multiply the percentage on
line 2 by the amount on line 3. .....................................................................................
4
00
NOTE: Individual benefi ciaries: Enter the amount from line 4 on your Arizona
Form 140NR, page 2, line B10 of the “Arizona” column.
ADOR 91-0039 (02)

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