Form It 1041 - Fiduciary Income Tax Return - 2016 Page 2
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62016 Ohio IT 1041
Fiduciary Income Tax Return
Rev. 8/16
16180206
FEIN
0 0
.
14. Net payments from line 80 on page 5
......................14.
15. Refundable business credits (include documen-
0 0
.
tation)
.......................................................................15.
0 0
.
16. Total (sum of lines 14 and 15)
..................................16.
0 0
.
17. If line 16 is more than line 13, subtract line 13 from line 16. This is your overpayment
.................... 17.
18. Amount of line 17 to be credited to 2017 estimated tax
0 0
.
liability ..................................... CREDIT TO 2017
18.
0 0
.
19.
19. Amount of line 17 to be refunded (subtract line 18 from line 17) ...................... YOUR REFUND
20. Net amount due, if any (if line 13 is more than line 16, subtract line 16 from line 13, but not less than
0 0
.
-0-)
...................................................................................................................................................... 20.
0 0
.
21. Interest and penalty on late-paid and/or late-fi led return, if any
.............................................................. 21.
22. Total amount due, if any (sum of lines 20 and 21). Make check payable to Ohio Treasurer of State,
0 0
.
include Ohio IT 1041P and place FEIN on check .....................................TOTAL AMOUNT DUE
22.
If your refund is $1.00 or less, no refund will be issued. If you owe $1.00 or less, no payment is necessary.
Sign Here (required):
I declare under penalties of perjury that this report, including any ac-
Do not staple or otherwise attach.
companying schedules and statements, has been examined by me and to the best of my knowledge
Place any supporting documents, including
and belief is a true, correct and complete return and report.
K-1’s, after the last page of this return.
Signature of fi duciary or trust offi cer
Preparer’s name (print name)
Mail to:
Ohio Department of Taxation
Title
Date
Preparer’s address (including ZIP code)
P.O. Box 2619
Fiduciary’s or trust offi cer’s phone number
Preparer’s phone number
Columbus, OH 43216-2619
Preparer’s e-mail address
PTIN
Instructions for this form are on our
Web site at tax.ohio.gov.
Do you authorize your preparer to contact us regarding this return? Yes
No
Schedule A – Adjustments to Federal Taxable Income Net of Related Expenses
Additions
0 0
.
23. Federal and/or non-Ohio state or local government interest and dividends not distributed
............... 23.
0 0
.
24. Pass-through entity and fi nancial institutions taxes paid and related member add-back
................... 24.
0 0
.
25. Income from an ESBT not shown in federal taxable income
.............................................................. 25.
0 0
.
....................................................... 26.
26. Losses from sale or other disposition of Ohio public obligations
0 0
.
27. Recovery of amount previously deducted or excluded
....................................................................... 27.
28. Adjustment for Internal Revenue Code section 168(k) depreciation expense.
0 0
.
2/3,
5/6 or
6/6 (check applicable box)
............................................................................. 28.
0 0
.
29. Federal personal exemption (estates only) and miscellaneous federal tax adjustments
................... 29.
0 0
.
30. Expenses claimed on Ohio estate return (estates only)
..................................................................... 30.
0 0
.
31. Total additions (add lines 23 through 30)
........................................................................................... 31.
For Department Use Only
/
/
Do not write in this area; for department use only.
Postmark date
Code
2016 IT 1041 – pg. 2 of 5
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