Form 38 - Fiduciary Income Tax Return - 2009

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Form
North Dakota Office of State Tax Commissioner
38
Fiduciary income tax return
2009
Calendar year 2009
A
(Jan. 1 - Dec. 31, 2009)
This return is
filed for:
Fiscal year:
,
, 20
Beginning
2009, and ending
B Name of estate or trust
C
Federal
EIN *
D
Name and title of fiduciary
Date
created:
Mailing address
Apt. or suite no.
E TOTAL no. of beneficiaries
Enter number of
State
Zip Code
City
Resident individual beneficiaries
Nonresident individual beneficiaries
F Residency status:
Resident
Nonresident
Other types of beneficiaries
G Entity type:
1
7
4
10
Decedent's estate
Qualified disability trust
Bankruptcy estate (Ch. 7)
Other (Identify below):
2
8
5
Simple trust
ESBT (S portion only)
Bankruptcy estate (Ch. 11)
3
9
6
Complex trust
Pooled income fund
Grantor type trust
H Fill in all that apply:
Initial return
Final return
Composite return
Amended return
Extension
Before completing lines 1 through 17 on this page, complete the Tax Computation Schedule (on page 2).
1
1
Tax on fiduciary's North Dakota taxable income (from page 2, Tax Computation Schedule, line 8)
2
2
Credit for income tax paid to another state (from page 3, Schedule CR, line 7)
3
3
Other credits (Attach supporting schedule)
4
4
Net income tax liability on fiduciary's taxable income. Line 1 less lines 2 and 3
5
5
Income tax withheld from nonresident individual beneficiaries (from page 3, Schedule BI, line 3)
6
6
Composite income tax for electing nonresident individual beneficiaries (from page 3, Schedule BI, line 4)
7
7
Total taxes due. Add lines 4, 5, and 6
8
8
North Dakota income tax withholding (Attach supporting W-2s, W-2Gs, and 1099s)
9
9
Estimated tax paid on 2009 Forms 401-ES and 38-EXT
10
10
Total payments. Add lines 8 and 9
11 Overpayment.
If line 10 is MORE than line 7, subtract line 7 from line 10 and enter result;
11
otherwise, go to line 14. If result is less than $5.00, enter 0
12
12
Amount of line 11 to be applied to 2010 estimated tax
13
13 Refund.
Subtract line 12 from line 11. If result is less than $5.00, enter -0-
REFUND
14 Tax due.
If line 10 is LESS than line 7, subtract line 10 from line 7.
14
If result is less than $5.00, enter 0
15
15
Interest
Enter total penalty and interest
Penalty
16
16 Balance due.
BALANCE DUE
Add lines 14, 15, and, if applicable, line 17
17
17
Interest on underpaid estimated tax (from 2009 Form 38-UT)
Attach a complete copy of the 2009 Form 1041 (including Federal Schedule K-1s)
Attach a copy of all North Dakota Schedule K-1s (Form 38)
Privacy Act - See inside front cover of booklet
I declare that this return is correct and complete to the best of my knowledge and belief.
*
Date
Signature of fiduciary
I authorize the ND Office of State Tax Commissioner
to discuss this return with the paid preparer.
Print name of fiduciary
Phone
For Tax
Department
Use Only
Paid preparer signature
Date
Print name of paid preparer
EIN/SSN/PTIN
Phone
Mail to: Office of State Tax Commissioner, 600 E. Blvd. Ave., Dept. 127,
Bismarck, ND 58505-0599

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