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California Allocation of Estimated Tax
TAXABLE YEAR
FORM
2005
Payments to Beneficiaries
541-T
For calendar year 2005 or fiscal year beginning month ____ day ____ year 2005, and ending month ____ day ____ year ______
Name of estate or trust
FEIN
-
Name and title of fiduciary
Address of fiduciary (number and street , including suite number, PO Box or rural route)
PMB no.
City
State
ZIP Code
-
If you are filing this form for the final year of the estate or trust, check this box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 Total amount of estimated taxes to be allocated to beneficiaries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$ ___________________
2 Allocation to beneficiaries:
(a)
(b)
(c)
(d)
(e)
No.
Beneficiary’s name and address
Beneficiary’s
Amount of estimated
Proration
Social Security no.
tax payment allocated
percentage
or FEIN
to beneficiary
1
%
2
%
3
%
4
%
5
%
6
%
7
%
8
%
9
%
10
1 2 3 4 5 6 7 8 9 0 1
%
1 2 3 4 5 6 7 8 9 0 1
1 2 3 4 5 6 7 8 9 0 1
1 2 3 4 5 6 7 8 9 0 1
1 2 3 4 5 6 7 8 9 0 1
3 Total from additional sheet(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
1 2 3 4 5 6 7 8 9 0 1
1 2 3 4 5 6 7 8 9 0 1
1 2 3 4 5 6 7 8 9 0 1
1 2 3 4 5 6 7 8 9 0 1
1 2 3 4 5 6 7 8 9 0 1
4 Total amounts allocated. (Must equal line 1, above) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
1 2 3 4 5 6 7 8 9 0 1
Under penalties of perjury, I declare that I have examined this allocation, including accompanying schedules and statements, and to the
best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all informa-
tion of which preparer has any knowledge.
Sign Here
Signature of fiduciary or officer representing fiduciary
Date
FRANCHISE TAX BOARD
Mailing
PO BOX 942840
Address
SACRAMENTO CA 94240-0002
Note: Do not file with Form 541.
Form 541-T 2005
541T05103
For Privacy Act Notice, get form FTB 1131.