Form Tc-41c - Bankruptcy Estate Schedule - 2016 Page 2
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1
2Bankruptcy Estate Schedule
TC-41C
Pg. 2
41607
Non or Part-year Resident (continued)
2016
EIN or SSN
Estate/trust name
USTC ORIGINAL FORM
Residency Status:
/
/
/
/
•
Nonresident. Home state abbreviation:
•
Part-year resident from:
to
mm/dd/yy
mm/dd/yy
Income
Column A - Utah
Column B - Total
.00
.00
21
Wages, salaries, tips, etc.(1040 line 7)
.00
.00
22
Taxable interest income (1040 line 8a)
.00
.00
23
Ordinary dividends (1040 line 9a)
.00
.00
24
Taxable refunds, credits or offsets of state & local income tax (1040 line 10)
.00
.00
25
Alimony received (1040 line 11)
.00
.00
26
Business income or (loss) (1040 line 12)
.00
.00
27
Capital gain or (loss) (1040 line 13)
.00
.00
28
Other gains or (losses) (1040 line 14)
.00
.00
29
IRA distributions - taxable amount (1040 line 15b)
.00
.00
30
Pensions and annuities - taxable amount (1040 line 16b)
.00
.00
31
Rental real estate, royalties, partnerships, S corp., trust, etc. (1040 line 17)
.00
.00
32
Farm income or (loss) (1040 line 18)
.00
.00
33
Unemployment compensation (1040 line 19)
.00
.00
34
Social Security benefits - taxable amount (1040 line 20b)
.00
.00
35
Other income (1040 line 21)
.00
.00
36
Additions to income from TC-40A, Part 1 (Utah portion only in Utah column)
.00
.00
37
Total income (loss) - add lines 21 through 36 for both columns A and B
Adjustments
Column A - Utah
Column B - Total
.00
.00
38
Educator expenses (1040 line 23)
.00
.00
39
Certain business expenses (1040 line 24)
.00
.00
40
Health savings account deduction (1040 line 25)
.00
.00
41
Moving expenses (1040 line 26) - enter only expenses moving into Utah in col. A
.00
.00
42
Deductible part of self-employment tax (1040 line 27)
.00
.00
43
Self-employed SEP, SIMPLE and qualified plans (1040 line 28)
.00
.00
44
Self-employed health insurance deduction (1040 line 29)
.00
.00
45
Penalty on early withdrawal of savings (1040 line 30)
.00
.00
46
Alimony paid (1040 line 31a)
.00
.00
47
IRA deduction (1040 line 32)
.00
.00
48
Student loan interest deduction (1040 line 33)
.00
.00
49
Tuition and fees (1040 line 34)
.00
.00
50
Domestic production activities deductions (1040 line 35)
.00
.00
51
State tax refund included on federal form 1040 line 10
.00
.00
52
Subtractions from income from TC-40A, Part 2 (Utah portion only in Utah column)
.00
.00
53
(see instructions):
.00
.00
54
Total adjustments - add lines 38 through 53 for both columns A and B
.00
.00
55
Subtract line 54 from line 37 for both columns A and B
•
•
Line 55, column B must equal TC-41C, page 1, line 8
Non or Part-year Resident Bankruptcy Estate Tax
56
Divide line 55 column A by line 55 column B (to 4 decimal places)
56
Do not enter a number greater than 1.0000 or less than 0.0000
.00
57
Enter tax amount from TC-41, line 25
57
.00
58
Multiply line 57 by the decimal on line 56. This is your Utah tax. Carry to TC-41, line 26
• 58
Submit this page ONLY if data entered.
Attach completed schedule to your Utah Fiduciary Tax Return.
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