Form Tc-41c - Bankruptcy Estate Schedule Page 2
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1
2Nonresident and Part-Year Resident
TC-41C
Clear form
Bankruptcy Estate Schedule C - Page 2
Rev. 12/09
41906
Name of bankruptcy estate
EIN of bankruptcy estate
Residency status:
Nonresident. Home state abbreviation:
Part-year Utah resident from
______________
to
______________
mm/dd/yyyy
mm/dd/yyyy
INCOME
COLUMN A - UTAH
COLUMN B - FEDERAL
20. Wages, salaries, tips, etc. (1040 line 7)
.00
.00
21
. Taxable interest income
(1040 line 8a)
.00
.00
22
. Ordinary dividends
(1040 line 9a)
.00
.00
23. Taxable refunds, credits, or offsets of state and local income taxes (1040 line 10)
.00
.00
24
. Alimony received
(1040 line 11)
.00
.00
.00
.00
25
. Business income or (loss)
(1040 line 12)
26
. Capital gain or (loss)
(1040 line 13)
.00
.00
27
. Other gains or (losses)
(1040 line 14)
.00
.00
28
. IRA distributions - taxable amount
(1040 line 15b)
.00
.00
29
. Pensions and annuities - taxable amount
(1040 line 16b)
.00
.00
30
. Rental real estate, royalties, part., S corp., trusts, etc.
(1040 line 17)
.00
.00
31
. Farm income or (loss)
(1040 line 18)
.00
.00
.00
32
. Unemployment compensation
(1040 line 19)
.00
.00
.00
33
. Social Security benefits - taxable amount
(1040 line 20b)
34
. Other income
(1040 line 21)
.00
.00
35. Total income (add lines 20 through 34)
.00
.00
ADJUSTMENTS
COLUMN A - UTAH
COLUMN B - FEDERAL
36
. Educator expenses
)
.00
.00
37 Certain business expenses
.
4
.00
.00
38 Health savings account deduction
.
.00
.00
39 Moving expenses (1040 line 26; enter only expenses moving into Utah in col. A)
.
.00
.00
40 One-half of self-employment tax
.
.00
.00
41 Self-employed SEP, SIMPLE and qualified plans
.
.00
.00
42 Self-employed health insurance deduction (1040 line 29)
.
.00
.00
43 Penalty on early withdrawal of savings (1040 line 30)
.
.00
.00
44 Alimony paid
.
.00
.00
45 IRA deduction
.00
.00
46. Student loan interest deduction (1040 line 33)
.00
.00
.00
47. Tuition and fees deduction
.00
.00
.00
48. Domestic production activities deduction (1040 line 35)
.00
49 Nonresident military active duty pay included on line 1 column B (page 7)
.
50. Total adjustments (add lines 36 through 49)
.00
.00
.
Subtract line
from line
for
both COLUMNS A and B. COLUMN B total
51
50
35
must equal TC-4
(unless line
is completed)
.00
1C, page 1, line 3
49
.00
NON OR PART-YEAR RESIDENT BANKRUPT ESTATE TAX
52. Divide line 51 column A by line 51 column B (to 4 decimal places)
.
_ _
_
_ _ _ _ _ _ _ _
_
_
_
_
Do not enter a number greater than 1.0000.
53. Enter tax amount from TC-41, line 24
.00
54. Multiply the tax on line 53 by the decimal on line 52 and enter the result on TC-41, page 2, line 25
.00
Attach completed schedule to your 2009 Utah fiduciary return.
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