Form 480.80(F) - Revocable Trust Or Grantor Trust Informative Income Tax Return

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Form 480.80(F) Rev. 05.13
20__
20__
COMMONWEALTH OF PUERTO RICO
Reviewer:
Liquidator:
Serial Number
DEPARTMENT OF THE TREASURY
Field audited by:
REVOCABLE TRUST OR GRANTOR TRUST
INFORMATIVE INCOME TAX RETURN
AMENDED RETURN
Date ___/ ___/ ___
CALENDAR YEAR 20___ OR TAXABLE YEAR BEGINNING ON
R
M N
Receipt Stamp
_________________________, 20______ AND ENDING ON __________________________, 20______
Employer Identification Number
Trust's Name
Industrial Code
Municipal Code
Postal Address
Telephone Number - Extension
Municipality
Country
Zip Code
Date created
Location of Principal Industry or Business (Number, Street, City)
Day_____ Month_____ Year _____
Place created
Fill in the corresponding oval, if applicable:
First Return (Submit copy of the trust deed)
Last Return
Total Forms 480.60 F
1.
Type of trust:
Revocable Trust
Merchant's Registration Number
Grantor Trust
Change of address: Yes
No
2.
Indicate the accounting method used:
3.
Indicate the name and address of the Trustee: _________________________________
Cash
Accrual
_______________________________________________________________________
Other _______________________________________________
________________________________________________________________________
DISTRIBUTABLE SHARE PER CATEGORY
Amount
Tax Withheld
1.
Income (or losses)
00
A)
00
Total distributions from qualified retirement plans (Schedule D Individual, Part IV, line 27) ...........................
(1A)
00
B)
00
Gain (or loss) from sale or exchange of short-term capital assets (Schedule D Individual, Part I, line 10) ...........
(1B)
00
C)
00
Gain (or loss) from sale or exchange of long-term capital assets (Schedule D Individual, Part II, line 21) .......
(1C)
D)
Gain (or loss) from sale or exchange of long-term capital assets realized under special legislation
00
00
(Schedule D Individual, Part III, line 22) ............................................................................................
(1D)
00
00
E)
Interest on deposits from financial institutions (Schedule F Individual, Part I, line 4, Columns B through E) ........
(1E)
00
00
F)
Other interest (Schedule F Individual, Part I, line 4, Columns A and F) ...................................................
(1F)
00
00
G)
Eligible distributions of dividends from corporations (Schedule F Individual, Part II, line 3, Column A) .........
(1G)
00
00
H)
Other dividends (Schedule F Individual, Part II, line 3, Column B) ........................................................
(1H)
00
00
I)
Miscellaneous income (Schedule F Individual, Part VII, line 6) .............................................................
(1I)
00
00
J)
Gain (or loss) from industry or business (Schedule K Individual, Part II, line 10) ......................................
(1J)
00
00
K)
Gain (or loss) from farming (Schedule L Individual, Part II, line 12) ........................................................
(1K)
00
00
L)
Gain (or loss) from professions and commissions (Schedule M Individual, Part II, line 6) ..........................
(1L)
00
00
M)
Gain (or loss) from rental business (Schedule N Individual, Part II, line 7) ..............................................
(1M)
00
00
N)
Dividends from Capital Investment or Tourism Fund (Submit Schedule Q1) .............................................
(1N)
00
00
O)
Net long-term capital gain on Investment Funds (Submit Schedule Q1) ...................................................
(1O)
P)
Distributable share on profits from partnerships, special partnerships and corporations of individuals (See
00
00
instructions) ...................................................................................................................................
(1P)
00
Q)
Exempt income (Schedule IE Individual) ...........................................................................................
(1Q)
R)
00
Exempt income subject to alternate basic tax (Schedule IE Individual) ..................................................
(1R)
S)
00
Adjustment for purposes of the alternate basic tax ......................................................................................
(1S)
2.
Deductions:
A)
00
Charitable contributions (Part IV) .......................................................................................................
(2A)
B)
00
Medical expenses incurred and paid for the benefit of the grantor or beneficiary (Part V) .................................
(2B)
C)
00
Home mortgage interest on residential property located in Puerto Rico (Part VI) ..............................................
(2C)
D)
00
Casualty loss on real property that constitutes the grantor’s principal residence (Part VII) ...............................
(2D)
E)
00
Loss of personal property as a result of certain casualties (Part VIII) ......................................................
(2E)
CREDITS
1)
Credit for investment in Capital Investment Fund, Tourism, other funds or direct investment ...............................................................
00
(1)
2)
Credit attributable to losses in the Capital Investment Fund or other funds .......................................................................................
00
(2)
3)
Credit for tax withheld at source from Industrial Development dividends (Act No. 8 of 1987) ..............................................................
00
(3)
4)
Credit for the purchase of tax credits (Submit detail) .....................................................................................................................
00
(4)
5)
Credit for the payment of additional duties on luxury vehicles under Act 42-2005 (See instructions) .....................................................
00
(5)
6)
Returning Heroes and Wounded Warriors work opportunity tax credit (Schedule B4 Flow-through Entity) .............................................
00
(6)
7)
Other credits not included on the preceding lines (Submit detail) (See instructions) ...........................................................................
00
(7)
OATH
I hereby declare under penalty of perjury that this return (including all schedules and other documents attached to it) has been examined by me and it is true,
correct and complete. The declaration of the person that prepares this return (except the taxpayer) is based on the information available, and this information
has been verified.
Fiduciary's or Agent's Name (Print)
Fiduciary's or Agent's Signature
Date
04
x
Specialist's Name (Print)
Name of the Firm or Business
Specialist's Signature
Date
Self - employed Specialist
Registration Number
(fill in here)
NOTE TO TAXPAYER: Indicate if you made payments for the preparation of your return:
Yes
No. If you answered "Yes", require the Specialist's signature and registration number.
Retention Period: Ten (10) years

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