Clear Form
Montana Schedule K-1
(FID-3)
Benefi ciary’s Share of Income (Loss), Deductions, Credits, etc.
M M D D 2 0 1 2
M M D D Y Y Y Y
For the calendar year 2012, or tax year beginning
and ending
Mark applicable boxes:
Final Schedule K-1
Amended Schedule K-1
Name of Estate or Trust
Federal Employer
Identifi cation Number
Fiduciary’s Name
Mailing Address
City
State
Zip Code
Benefi ciary’ s Name
Federal Employer
Identifi cation Number
Mailing Address
OR
Social Security Number
City
State
Zip Code
What type of entity is this benefi ciary?
If benefi ciary is an individual, estate, or trust, the benefi ciary is a:
Full-year resident
Part-year resident
Nonresident
A Montana additions to income
1. Interest and mutual fund dividends from state, county and municipal bonds from other states ............... A1.
00
2. Other additions. List type __________________________________________________ and amount. A2.
00
B Montana deductions from income
1. Exempt interest and mutual fund dividends from federal bonds, notes and other obligations ................. B1.
00
2. Other deductions. List type ________________________________________________ and amount. B2.
00
1. Interest income ............................................................................................................................................1.
00
2. Dividends .....................................................................................................................................................2.
00
3. Business income or (loss) ...........................................................................................................................3.
00
4. Capital gain or (loss) ....................................................................................................................................4.
00
5. Rents, royalties, partnerships, S corporations, other estates and trusts, etc. .............................................5.
00
6. Net farm income or (loss) ............................................................................................................................6.
00
7. Ordinary gain or (loss) .................................................................................................................................7.
00
8. Other income. List type ____________________________________________________ and amount. 8.
00
9. Montana source additions to income reported on Form FID-3, Schedule A. Please include list with
types and amounts ......................................................................................................................................9.
00
1. Montana mineral royalty tax withheld ..........................................................................................................1.
00
2. Other information. List type _________________________________________________ and amount. 2.
00
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