Form 541 - California Fiduciary Income Tax Return - 2001 Page 2

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Schedule A Charitable Deduction Do not complete for a simple trust or a pooled income fund. Attach statement listing the name
and address of each charitable organization to which your contributions totaled $3000 or more.
1 Amounts paid or permanently set aside for charitable purposes from gross income. See instructions . . . . . . . . . . . . . . . . . . . . .
1 _________________
2 Tax-exempt income allocable to charitable contributions. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 _________________
3 Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 _________________
4 Capital gains for the tax year allocated to corpus and paid or permanently set aside for charitable purposes . . . . . . . . . . . . . . . .
4 _________________
5 Add line 3 and line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 _________________
6 R&TC Section 18152.5 exclusion allocable to capital gains paid or permanently set aside for charitable purposes . . . . . . . . . . .
6 _________________
7 Charitable deduction. Subtract line 6 from line 5. Enter here and on Side 1, line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
_________________
Schedule B Income Distribution Deduction
1 Adjusted total income. Enter amount from Side 1, line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 _________________
2 Adjusted tax-exempt interest and nontaxable gain from installment sale of small business stock. See instructions . . . . . . . . . . .
2 _________________
3 Net gain shown on Schedule D (541), line 9, column a. If net loss, enter -0-. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 _________________
4 Enter amount from Schedule A, line 4 (reduced by any allocable R&TC Section 18152.5 exclusion) . . . . . . . . . . . . . . . . . . . . . . .
4 _________________
5 Enter capital gain included on Schedule A, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 _________________
6 If the amount on Side 1, line 4 is a gain, enter the amount here as a negative number.
If the amount on Side 1, line 4 is a loss, enter the loss as a positive number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 _________________
7 Distributable net income. Combine line 1 through line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 _________________
8 Income for the taxable year determined under the governing instrument (accounting income) . . . . . .
8 _________________
9 Income required to be distributed currently (IRC Section 651) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9 _________________
10 Other amounts paid, credited, or otherwise required to be distributed (IRC Section 661) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10 _________________
11 Total distributions. Add line 9 and line 10. If the result is greater than line 8, see federal Form 1041
instructions for line 12 to see if you must complete Schedule J (541) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11 _________________
12 Enter the total amount of tax-exempt income included on line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12 _________________
13 Tentative income distribution deduction. Subtract line 12 from line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13 _________________
14 Tentative income distribution deduction. Subtract line 2 from line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14 _________________
15 Income distribution deduction. Enter the smaller of line 13 or line 14 here and on Side 1, line 18 . . . . . . . . . . . . . . . . . . . . . . . . .
15
_________________
Schedule C Voluntary Contributions. See instructions.
¼
¼
00
00
1 Alzheimer’s Disease/Related Disorders Fund . . . . . . . . . . . . . .
52
6 California Firefighters’ Memorial Fund . . . . . . . . . . . . . . . . . .
57
¼
¼
00
00
7 Emergency Food Assistance Program Fund . . . . . . . . . . . . . .
58
2 California Fund for Senior Citizens . . . . . . . . . . . . . . . . . . . . .
53
¼
¼
00
00
8 California Peace Officer Memorial Foundation Fund . . . . . . . .
59
3 Rare and Endangered Species Preservation Program . . . . . . .
54
¼
¼
00
00
4 State Children’s Trust Fund for the Prevention of Child Abuse
55
9 Lupus Foundation of America, California Chapters Fund . . . . .
60
¼
00
5 California Breast Cancer Research Fund . . . . . . . . . . . . . . . . .
56
¼
10 Total voluntary contributions. Add line 1 through line 9. Enter here and on Side 1, line 36 . . . . . . . . . . . . . . . . . . . . . . . . . .
61 10
00
Other Information Note: Income of final year is taxable to beneficiaries
1
Date trust was created or, if an estate, date of decedent’s death:
5
Did the estate or trust receive tax-exempt income? _________________
_______________________________________________________
If yes, attach computation of the allocation of expenses.
2
a If an estate, was decedent a California resident? _______________
6
Is this return for a short taxable year? . . . . . . . . .
______________
b Was decedent married at date of death? _____________________
7
If a trust, enter number of:
¼
c If yes, enter surviving spouse’s social security number and name:
a California resident trustees . . . . . . . . . . . . . .
______________
¼
_______________________________________________________
b Nonresident trustees . . . . . . . . . . . . . . . . . . .
______________
¼
3
If an estate, enter fair market value (FMV) of:
c Trustees (line a plus line b) . . . . . . . . . . . . . .
______________
¼
a Decedent’s assets at date of death . . . . . . . . . .
______________
d California resident beneficiaries . . . . . . . . . . .
______________
¼
b Assets located in California . . . . . . . . . . . . . . .
______________
e Nonresident beneficiaries . . . . . . . . . . . . . . . .
______________
¼
c Assets located outside California . . . . . . . . . . .
______________
f
Beneficiaries (line d plus line e) . . . . . . . . . . .
______________
4
If this is the final return, enter date of court
8
Is the trust required to complete federal Form 8271?
______________
order authorizing final distribution of the estate . .
______________
If federal Form 8271 is required, please attach a copy to this form.
9
Attach a copy of 2001 federal Form 1041, pages 1 and 2.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct,
Please
and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Sign
Date
Here
Signature of fiduciary or officer representing fiduciary
Preparer’s SSN or PTIN
Check if self-
¼
Preparer’s
employed
Date
Paid
signature
FEIN
Preparer’s
-
Firm’s name (or yours, if
Use Only
self-employed) and address
Telephone (
)
Side 2 Form 541
2001
54101204
C1
For Privacy Act Notice, get form FTB 1131.

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