Form 480.80 - Fiduciary Income Tax Return (Estate Or Trust)

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Form 480.80 Rev. 05.10
Reviewer:
Liquidator:
20__
GOVERNMENT OF PUERTO RICO
20__
Serial Number
DEPARTMENT OF THE TREASURY
Field Audited by:
Fiduciary Income Tax Return
(Estate or Trust)
AMENDED RETURN
Date ____/ ____/ ____
Payment Stamp
FOR THE CALENDAR YEAR 20____ OR TAXABLE YEAR
R
M
N
BEGINNING ON _____________ , 20____ AND ENDING ON _____________ , 20____
Employer Identification Number
Estate or Trust Name
Industrial Code
Municipal Code
Postal Address
Telephone Number - Extension
Municipality
Country
Zip Code
Location of Principal Industry or Business (Number, Street, City)
Date created
Day_____ Month_____ Year
_____
Place created
Check the corresponding box, if applicable:
6
First Return
Last Return
Change of Address
1.
Type of taxpayer:
Estate
Trust
Receipt No. _____________________________
2.
If the taxpayer is an estate, indicate:
Yes
No
Amount:
_______________________________
a) date of death of decedent ____________________________
5. Indicate the name and address:
b) social security number ______________________________
a) Fiduciary: __________________________________________________________
3.
Indicate accounting method used:
____________________________________________________________________________
Cash
Accrual
Other ___________
4.
b) Trustee: ___________________________________________________________
If the gross income of the estate or trust was $5,000 or more, include with this
____________________________________________________________________________
return a copy of the testament or trust's deed.
1.
Income (or losses)
00
A)
Interest income (Submit Schedule F Individual) ....................................................................................................................
(1A)
00
B)
Distributable share on special partnerships profits (Submit Schedule F Individual and Schedule R) ................................................
(1B)
00
C)
Distributable share on special partnerships losses (Submit Schedule R) ...................................................................................
(1C)
00
D)
Dividends from corporations or distributions from partnerships subject to withholding (Submit Schedule F Individual) ........................
(1D)
00
E)
Dividends from corporations or distributions from partnerships not subject to withholding (Submit Schedule F Individual) ..............................
(1E)
00
F)
Distributable share on profits from Subchapter N Corporations of Individuals (Submit Schedule F Individual) ................................
(1F)
00
G)
Miscellaneous income (Submit Schedule F Individual) ............................................................................................................
(1G)
00
H)
Dividends from Capital Investment or Tourism Fund (Submit Schedule Q1) ..............................................................................
(1H)
00
I)
Profit (or loss) from industry or business (Submit Schedule K Individual) .................................................................................
(1I)
00
J)
Profit (or loss) from farming (Submit Schedule L Individual) ....................................................................................................
(1J)
00
K)
Profit (or loss) from professions and commissions (Submit Schedule M Individual) .....................................................................
(1K)
00
L)
Profit (or loss) from rental business (Submit Schedule N Individual) .........................................................................................
(1L)
00
M)
Profit (or loss) from sale or exchange of capital assets (Submit Schedule D Individual) ..............................................................
(1M)
00
N)
Net long-term capital gain on Investment Funds (Submit Schedule Q1) .....................................................................................
(1N)
00
2.
Total Adjusted Gross Income (Add lines 1A through 1N) .............................................................................................................
(2)
3.
Deductions:
00
A)
Amounts distributed to beneficiaries (Total of Part IV, Column A) ......................................................
(3A)
00
B)
Contributions (Part V) ................................................................................................................
(3B)
00
C)
Total (Add lines 3A and 3B) .......................................................................................................
(3C)
00
4.
Net income (Subtract line 3C from line 2) ...................................................................................................................................
(4)
00
5.
Less: Credit ($1,300 if an Estate; $100 if a Trust) ........................................................................................................................
(5)
6.
Net taxable income (Subtract line 5 from line 4) ..........................................................................................................................
(6)
00
OATH
I hereby declare under the penalty of perjury that this return (including the statements, schedules and other documents attached) has been examined by me and
to the best of my knowledge and belief is a true, correct and complete return. The declaration of the person that prepares this return (except the taxpayer) is with
respect to the information received, and this information has been verified.
Date
Fiduciary or Agent's Name
Date
NOTE TO TAXPARER
x
Indicate if you made payments for the preparation of your return:
Yes
No.
Date
Fiduciary or Agent's Signature
If you answered "Yes", require the Specialist's signature and registration number.
x
Name of Firm or Business
Specialist's Signature
Specialist's Name (Print)
04
Date
Registration Number
Address
Employer Identification Number
Self-employed Specialist
Zip Code
(check here)
Retention Period: Ten (10) years

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