Form Al-1041 - City Of Albion Fiduciary Income Tax Return - 2001 Page 3

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AL-1041, page 3
SCHEDULE B - NAMES AND ADDRESSES OF RESIDENT BENEFICIARIES. Complete if any income is distributed.
1. Name
2. Address. If mailing address differs from
3. Social Security Number
home address, give both.
a.
b.
c.
d.
e.
f.
SCHEDULE C - RESIDENT BENEFICIARIES' SHARES OF EXCLUSIONS
4. Exclusion for
5. Exclusion for Capital
6. Exclusion for Interest
7. Exclusion for
8. Exclusion of Business
9. Total Misc. Estate
Dividends from National
Gains and Losses for the
from Government
Rentals
Income
and Trust Income
and State Bank Stock
Period Prior to Jan. 1, 1972
Obligations
Exclusion (Add
Columns 6, 7 and 8)
a.
b.
c.
d.
e.
f.

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