Schedule F Individual - Other Income - 2004 Page 3
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3Schedule F Individual - Page 3
Rev. 05.04
Taxpayer's name
Social Security Number
Part VI
Miscellaneous Income
Column A
Column B
Column C
Column D
Income from Major League
Judicial or
Income from
Baseball teams and the
Employer's Identification
Miscellaneous
Account Number
Payer's name
Extrajudicial
Prizes and Contests
National Basketball
Number
Income
Indemnification
Association
(13)
00
00
00
00
(14)
00
00
00
00
(15)
00
00
00
00
00
00
00
00
(17)
(18)
(19)
1.
(16)
Total ..............................................................................................................................................................
00
Tax on income from Major League Baseball teams and the National Basketball Association (20% of line 1D. Transfer to Part 4, line 25 of the return) ............................................................................
2.
(20)
Total miscellaneous income (Add total of Columns A, B and C. Transfer to Part 2, line 2H of the return) ...........................................................................................................................................
00
3.
(21)
Part VII
Distributions from Individual Retirement Accounts and Educational Contribution Accounts
Column A
Column B
Column C
Column D
IRA Distributions
Account Number
IRA Distributions of
Payer's name
Employer's Identification Number
IRA or Educational
to Government
IRA Distributions
Income from Sources
Contribution
Pensioners
under Section 1169A
Within P.R.
Accounts Distributions
(excluding contributions)
(22)
00
00
00
00
(23)
00
00
00
00
(24)
00
00
00
00
(25)
00
00
00
00
(26)
00
00
00
00
(27)
00
00
00
00
(29)
(28)
(30)
(31)
00
00
00
00
Total ..................................................................................................................................................................................
1.
Tax on IRA or Educational Contribution Accounts distributions of income from sources within P.R. (17% of line 1B.
2.
00
Enter in Part 4, line 21 of the return) ......................................................................................................................................................................................................................................
(32)
00
Tax on IRA distributions to Government pensioners (10% of line 1C. Enter in Part 4, line 22 of the return) ................................................................................................................................
3.
(33)
00
4.
Tax on IRA distributions under Section 1169A (10% of line 1D. Enter in Part 4, line 23 of the return) ..........................................................................................................................................
(34)
Option to pay taxes from distributions of income from sources within P.R. and from distributions to Government pensioners as ordinary income (Enter total of Columns B and/or C,
5.
00
only if you elected to include such distributions as ordinary income) ..........................................................................................................................................................................................
(35)
00
6.
Total distributions from Individual Retirement Accounts and Educational Contribution Accounts (Add total of Column A and line 5. Transfer to Part 2, line 2 I of the return) ...............................
(40)
Conservation Period: Ten (10) years
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