Schedule F Individual - Other Income - 2012 Page 3
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3Schedule F Individual - Page 3
Rev. Feb 19 13
Taxpayer's name
Social Security Number
Part V
Distributions from Deferred Compensation Plans (Non Qualified)
(A)
Fill in if you
Distribution
(B)
(C)
Description
Total Distribution
Prepaid
Date
Basis
Taxable Amount
1. Taxable as ordinary income (Transfer to Part VII, línea 4 of this Schedule) ..............................................
00
00
00
(22)
(21)
Part VI
Distributions from Qualified Retirement Plans (Partial or Lump - Sum Not due to Separation from Service or Plan Termination)
(A)
Fill in if you
Distribution
(B)
(C)
Description
Total Distribution
Prepaid
Date
Basis
Taxable Amount
00
00
00
(24)
1. Taxable as ordinary income (Transfer to Part VII, line 5 of this Schedule) ...............................................
(23)
00
2. Tax withheld (Submit the corresponding Informative Returns. Enter on Schedule B Individual, Part III, line 16) .............................................................................................................
(25)
Column A
Column C
Part VII
Miscellaneous Income
Column B
Column D
Income from Major League
Judicial or
Employer
Income from
Baseball teams and the U.S.
Miscellaneous
Payer's name
Account Number
Extrajudicial
Identification Number
Prizes and Contests
National Basketball
Income
Indemnification
Association
00
00
00
00
(26)
00
00
00
00
(27)
00
00
00
00
(28)
00
00
00
00
Amount received ....................................................................................................................................
(29)
(34)
(38)
(41)
1.
00
00
00
2.
Less: Expenses related to the production of these income (See instructions) ....................................................
(30)
(35)
(39)
3.
Subtotal (Subtract line 2 from line 1. Transfer the total in Column D to line 4(g), Columns A and B of Schedule A2
00
00
00
00
Individual) ......................................................................................................................................................
(31)
(36)
(40)
(42)
00
4.
(32)
Distributions from deferred compensation plans (From Part V, line 1) ...............................................................
00
5.
qualified retirement plans
.........................................................................
(33)
Distributions from
(From Part VI, line 1)
6.
Total miscellaneous income (Add the total of lines 3, 4 and 5 of Column A and line 3 of Columns B through D.
(42)
00
Transfer to Part 1, line 2G of the return or
) ............................................................................................
line 3G of Schedule CO Individual
(43)
7.
Tax withheld on payments for judicial or extrajudicial indemnification (Submit Form 480.6B. Enter on Schedule B Individual,
00
Part III, line 9)…………………………………………………………………...........................................................................................…..…
(37)
8.
Tax withheld on income from Major League Baseball teams and the U.S. National Basketball Association (Submit the corresponding Informative Returns. Enter on Schedule B Individual, Part III, line 18) ….
00
(44)
Retention Period: Ten (10) Years
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