Fillable Form Tc-41a - Fiduciary Supplemental Schedule printable pdf download

Form Tc-41a - Fiduciary Supplemental Schedule

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TC-41A

Fiduciary Supplemental Schedule

Rev. 12/11

41103

Name of estate or trust

EIN

Part 1 - Additions to Income (write the code and amount of each addition to income, see page 9)

Code

Amount

Code

58 ESBT S corporation income

51 Lump sum distribution

.00

54 Utah Educational Savings Plan (UESP) addback

62 Fiduciary adjustments - attach explanation

.00

(to the extent deducted or credited on Utah return)

69 Equitable adjustments - attach explanation

57 Municipal bond interest

.00

Total additions to income (add all additions to income and enter total here and on TC-41, line 5)

Part 2 - Subtractions from Income (write the code and amount of each subtraction from income, see pages 9 and 10)

Code

Amount

Code

71 Interest from U. S. Government Obligations

78 Railroad retirement income

.00

77 Native American income

79 Equitable adjustments - attach explanation

.00

84 Nontaxable income from irrevocable resident trust

Enrollment number

Tribe Code

86 Nongrantor charitable lead trust charitable

.00

contribution

87 Fiduciary adjustments - attach explanation

.00

Total subtractions from income (add all subtractions and enter total here and on TC-41, line 12)

.00

Part 3 - Apportionable Nonrefundable Credits (write the code and amount of each nonrefundable credit, see pages 10 and 11)

Amount

Code

04 Capital gain transactions credit

.00

20 Utah Educational Savings Plan (UESP) credit

.00

24 Qualifying solar project credit

.00

Total apportionable nonrefundable credits

.00

Less nonrefundable credit distributed to beneficiaries on Schedule K-1

.00

Apportionable nonrefundable credits claimed by fiduciary (subtract credit allocated to

.00

beneficiaries from total credit and enter this amount on TC-41, page 2, line 24)

Part 4 - Nonapportionable Nonrefundable Credits (write the code and amount of each nonrefundable credit, see pages 11 - 14)

Code

Amount

Code

02 Qualified sheltered workshop credit

10 Recycling market dev. zone credit

.00

12 Research activities credit

Name ________________________________

05 Clean fuel vehicle credit

13 Carryover of mach./equip. research credit

.00

06 Historic preservation credit

17 Tax paid to another state (attach TC-41S)

.00

07 Enterprise zone credit

21 Renewable residential energy systems credit

.00

25 Combat related death credit

08 Low-income housing credit

Total nonapportionable nonrefundable credits

.00

Less nonrefundable credit distributed to beneficiaries on Schedule K-1

.00

Nonapportionable nonrefundable credits claimed by fiduciary (subtract credit allocated to

.00

beneficiaries from total credit and enter this amount on TC-41, page 2, line 27)

Submit this page ONLY if data entered

Attach completed schedule to your 2011 Utah fiduciary return

Form Tc-41a - Fiduciary Supplemental Schedule

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