Form 2g - Grantor'S/owner'S Share Of A Grantor-Type Trust - 2016 Page 2
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2File pg. 2
2016 FORM 2G, PAGE 2
GRANTOR’S/OWNER’S IDENTIFICATION NUMBER
NAME OF GRANTOR/BENEFICIARY
11
Massachusetts long-term capital gain or loss included in U.S. Form 4797, Part II (not included
0 0
in line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 11
0 0
12
Long-term gains on collectibles and pre-1996 installment sales. . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 12
0 0
13
Short-term capital gain or loss differences. Enclose statement. . . . . . . . . . . . . . . . . . . . . . . . . . 3 13
0 0
14
Long-term capital gain or loss differences. Enclose statement . . . . . . . . . . . . . . . . . . . . . . . . . . 3 14
0 0
15
Massachusetts bank interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 15
0 0
16
Net rental and royalty income or loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 16
0 0
17
Business/profession or farm income or loss. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 17
0 0
18
Partnership or S corporation income or loss. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 18
0 0
19
Other income. Enclose statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 19
0 0
20
Short-term carryover losses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 20
0 0
21
Other adjustments. Enclose statement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 21
22
Massachusetts income tax withheld (enclose all Massachusetts Forms W-2, W-2G, 1099-G
0 0
or 1099R, if applicable) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 22
23
Nonresident withholding and pooled income fund/charitable remainder annuity or unitrust
0 0
withholding (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 23
24
Massachusetts income tax paid by trustee. Add lines 22 and 23. If grantor or beneficiary enter
0 0
this amount on Form 1, line 36 or Form 1-NR/PY, line 41. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 24
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