Form Ia 1041 - Iowa Fiduciary Return - 2015 Page 2
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3Fiduciary Schedules A, B, D, and E
Schedule A - Background Information:
Answer all applicable questions.
1. Date estate was opened or created: _____________________________
2. Decedent’s age at death: ______________________
3. Was a decedent’s final return filed?
Yes
No
4. Did will of decedent create trust?
Yes
No
5. Decedent’s business or occupation: _____________________________
6. Did decedent file IOWA return(s) up to the date of death?
Yes
No If no, include earnings statement or explanatory affidavit.
7. Enter decedent’s name and address: ___________________________________________________________________________________________
______________________________________________________________________________________________________________________________
8. Name and Social Security Number of decedent’s spouse, if any: ____________________________________________________________________
9. Enter name(s) of executor(s): __________________________________________________________________________________________________
10. Enter date(s) and amount(s) of executor’s fees paid to executor(s): _________________________________________________________________
11. Has a prior return of decedent or the estate or trust been subject to federal audit?
Yes
No
Is an audit now in process?
Yes
No
12. Have expenses of administration or selling expenses been deducted for federal estate tax purposes?
Yes
No
13. Did you as fiduciary withhold on income distributions made to nonresident beneficiaries?
Yes
No
14. Does the estate/trust elect to recognize the gain (loss) on a distribution of property under section IRC 643(e)(3)?
Yes
No
Schedule B - Beneficiaries’ Shares of Income and Credits:
Include additional pages as necessary. In lieu of Sch. B, include federal Sch. K-1.
Beneficiary A
Beneficiary B
Beneficiary C
TOTALS
1. Names of each beneficiary ....................................... 1. ______________________________________________________________________________
2. Social Security Number ............................................ 2. ______________________________________________________________________________
3. Address ...................................................................... 3. ______________________________________________________________________________
4. Iowa resident (Yes/No) .............................................. 4. ______________________________________________________________________________
5. Net short-term capital gain ........................................ 5. ______________________________________________________________________________
6. Net long-term capital gain (100%) ............................ 6. ______________________________________________________________________________
7. Depreciation and depletion ........................................ 7. ______________________________________________________________________________
8. Ordinary income subject to Iowa income tax .......... 8. ______________________________________________________________________________
9. Income not subject to Iowa income tax ................... 9. ______________________________________________________________________________
10. Excess deductions .................................................. 10. ______________________________________________________________________________
REGARDING IOWA NONRESIDENT INCOME ...........................................................................................................................................................................
11. Iowa income tax withheld, if any ............................ 11. ______________________________________________________________________________
12. Withholding agent’s identification number ............. 12. ______________________________________________________________________________
Schedule D - Explanation of Expenses
Line No.
Explanation
Amount
Schedule E - Tax Rates
63-001b (07/14/15)
Taxable Income
Of Excess
Over But Not Over
Tax Rate
Over
$0
$1,539
$0.00
+ (0.36%
x
$0)
$1,539
$3,078
$5.54
+ (0.72%
x
$1,539)
$3,078
$6,156
$16.62
+ (2.43%
x
$3,078)
$6,156
$13,851
$91.42
+ (4.50%
x
$6,156)
$13,851
$23,085
$437.70
+ (6.12%
x
$13,851)
$23,085
+ (6.48%
x
$23,085)
$30,780
$1,002.82
$30,780
$46,170
$1,501.46
+ (6.80%
x
$30,780)
$46,170
$69,255
$2,547.98
+ (7.92%
x
$46,170)
$69,255
over
$4,376.31
+ (8.98%
x
$69,255)
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