Form Ct-12s - Tax Return For Split-Interest Trusts - 2002 Page 2
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1
2Section II.
Fee Calculation
8.
Charitable Distribution ..............................................................................................................
8.
(Line 12 on Form 1041-A.)
9.
Charitable Distribution Fee ......................................................................................................................................................
9.
(See chart below. Minimum fee is $10.)
Amount on Line 8
Charitable Distribution Fee
$0
-
$24,999
$10
$25,000
-
$49,999
$25
$50,000
-
$99,999
$45
$100,000
-
$249,999
$75
$250,000
-
$499,999
$100
$500,000
-
$749,999
$135
$750,000
-
$999,999
$170
$1,000,000
or
more
$200
10.
Net Assets at the End of the Reporting Period ..........................................................................
10.
(Line 45b on Form 1041-A or line 46b on Form 5227.)
11.
Net Assets Fee ........................................................................................................................................................................
11.
(Line 10 multiplied by .0001. If the fee is less than $5, write $0. Not to exceed $1,000. Round cents to the nearest whole dollar.)
12.
Delinquency Penalty ...............................................................................................................................................................
12.
(If report is submitted after the due date, the delinquency penalty is $20.)
13.
Total Amount Due ...................................................................................................................................................................
13.
(Add Lines 9, 11, and 12. Make check payable to the Oregon Department of Justice.)
14.
Attach a copy of the trust’s federal tax returns and all supporting schedules and attachments.
Please
Under penalties of perjury, I declare that I have examined this return, including all accompanying forms, schedules, and attachments, and
to the best of my knowledge and belief, it is true, correct, and complete.
Sign
⇒
Here
_______________________________________
_____________________
_____________________
Signature of officer
Date
Title
⇒
Paid
Preparer’s
_______________________________________
_____________________
_____________________
Use Only
Preparer’s signature
Date
Phone
_______________________________________
___________________________________________________
Preparer’s name
Address
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