Form Or-41 - Oregon Fiduciary Income Tax Return - 2016 Page 3
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32016 Form OR-41
00471601030000
Page 3 of 3, 150-101-041 (Rev. 10-16)
Oregon Department of Revenue
Name of estate or trust
FEIN
–
Schedule 1 —Oregon changes to distributable net income (DNI) and taxable income of fiduciary (TIF)
(Column A)
(Column B)
DNI
TIF
.00
•
24. Distributable net income (federal Form 1041, Schedule B, line 7) .... 24
.00
•
25. Taxable income of fiduciary (from federal Form 1041, line 22) ...................................................... 25
.00
.00
•
•
26. Difference in depreciation for Oregon (see instructions) .....
26
26
.00
.00
•
•
•
27. Other changes. Identify:
27
27
.00
.00
•
•
28. Line 26 plus line 27 ..............................................................
28
28
29. Revised distributable net income (column A, line 24 plus line 28);
.00
•
enter here and on page 1, line 1 ..........................................
29
.00
•
30. Total taxable income (column B, line 25 plus line 28) ...................................................................
30
.00
•
31. Changes included on column A, line 28, that were distributed ....................................................
31
32. Revised taxable income of fiduciary (line 30 minus 31);
.00
•
enter here and on page 1, line 4 ....................................................................................................
32
Schedule 2 —Fiduciary adjustment
(see instructions)
Subtractions
.00
•
33. 2016 federal income tax subtraction —limited to $6,500 .............................................................
33
.00
•
34. Interest on U.S. obligations included in income on federal Form 1041:
$
.00
.00
•
•
less allocation of administration and miscellaneous expenses:
$
34
.00
•
35. Oregon income tax refund included as income on federal Form 1041 ........................................
35
.00
•
36. Total other subtractions from Schedule OR-ASC-FID, section 2 .................................................
36
.00
•
37. Add lines 33 through 36 ...............................................................................................................
37
Additions
.00
•
38. Oregon income tax deducted on 2016 federal Form 1041 ...........................................................
38
.00
•
39. Interest on obligations of other states or their political subdivisions ............................................
39
.00
•
40. Depletion in excess of adjusted basis ...........................................................................................
40
.00
•
41. Estate taxes on income in respect to a decedent not taxable by Oregon ....................................
41
.00
•
42. Total other additions from Schedule OR-ASC-FID, section 1 .......................................................
42
.00
•
43. Add lines 38 through 42 ................................................................................................................
43
.00
•
44. Fiduciary adjustment (difference between lines 37 and 43) ..........................................................
44
This fiduciary adjustment is to be:
•
•
added or
subtracted. Enter amount on page 1, line 5.
2016 rate schedule—compute the tax using the following rates (see instructions)
If your taxable income is: ......................................Your tax is:
Not over $3,350 .......................................................5% of taxable income
Over $3,350 but not over $8,450 .............................$168 plus 7% of the excess over $3,350
Over $8,450 but not over $125,000 .........................$525 plus 9% of the excess over $8,450
Over $125,000 .........................................................$11,014 plus 9.9% of the excess over $125,000
Under penalty of false swearing, I declare that the information in this return and any included forms or statements is true, correct, and complete.
Signature of fiduciary
Print name
X
Title (if applicable)
Executor’s phone
Date
(
)
–
/
/
•
Check the box to authorize the following individual(s) to receive and provide confidential tax information relating to this return.
Preparer’s name (print)
Title
License number
•
Preparer’s mailing address
City
State ZIP code
Signature of preparer
Phone
Date
(
)
/
–
/
X
Mail to: Oregon Department of Revenue, PO Box 14110, Salem OR 97309-0910.
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