ARIZONA FORM
141AZ
Resident or Part-Year Resident Beneficiary’s
2012
Share of Fiduciary Adjustment
Schedule K-1
For calendar year 2012, or
fi scal year beginning
M M D D Y Y Y Y
and ending
M M D D Y Y Y Y
.
Name of Estate or Trust
Estate or Trust Employer Identification Number (EIN)
Beneficiary’s Name
Fiduciary’s Name
Beneficiary’s I.D. Number
Fiduciary’s Address - number and street, or rural route
Beneficiary’s Address - number and street, or rural route
Fiduciary’s City, Town or Post Office
State Zip Code
Beneficiary’s City, Town or Post Office
State Zip Code
Fiduciary’s Phone Number – include area code
Beneficiary’s Daytime Phone Number – include area code
1 Net fiduciary adjustment to be allocated: Enter the amount from Form 141AZ,
00
Schedule C, line C14 ........................................................................................................
1
2 Percent of beneficiary’s share of federal distributable income from Form 141AZ,
%
Schedule C .......................................................................................................................
2
00
3 Multiply the amount on line 1 by the percent on line 2, and enter the result. ...................
3
Full-year Resident Individual Beneficiaries:
• If the amount on line 3 is a positive number, enter this amount as an other addition
to income on Arizona Form 140, page 2, line B11.
• If the amount on line 3 is a negative number, enter this amount as an other subtraction
from income on Arizona Form 140, page 2, line C29.
Part-year Resident Individual Beneficiaries:
• If the amount on line 3 is a positive number, enter that portion of line 3 allocable to
estate or trust income taxable by Arizona as an other addition to income on
Arizona Form 140PY, page 2, line C23.
• If the amount on line 3 is a negative number, enter that portion of line 3 allocable to
estate or trust income taxable by Arizona as an other subtraction from income on
Arizona Form 140PY, page 2, line D35.
Print Form
ADOR 10585 (12)