Form 20 - Beneficiary'S Claim Of No Tax Status Exemption

Form 20 - Beneficiary'S Claim Of No Tax Status Exemption - 2000 Page 2

2000 Form 20 Page 2

To Be Completed By the Trustee or Other Fiduciary

This beneficiary’s share of income taxable in Massachusetts as reported in the fiduciary return (Form 2) to which this No Tax Status Claim relates:

a Income taxed at 5.85% from Form 2, line 18. . . . . . . . . . . . . . . . . . . . . . . . . . . . . a

Include in line 20

b Interest (other than from Mass. banks) and dividends from Form 2, line 26 . . . . . b

Include in line 28

c 12% capital gains from Form 2, line 34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c

Include in line 36

d Long-term capital gains from Schedule D, line 22, column A . . . . . . . . . . . . . . . . d

Include in Schedule D, line 24a, column A

e Long-term capital gains from Schedule D, line 22, column B . . . . . . . . . . . . . . . . e

Include in Schedule D, line 24a, column B

f Long-term capital gains from Schedule D, line 22, column C . . . . . . . . . . . . . . . . f

Include in Schedule D, line 24a, column C

g Long-term capital gains from Schedule D, line 22, column D . . . . . . . . . . . . . . . . g

Include in Schedule D, line 24a, column D

h Long-term capital gains from Schedule D, line 22, column E . . . . . . . . . . . . . . . . h

Include in Schedule D, line 24a, column E

i Long-term common trust fund capital gains from Schedule D-1, line 1, column A i

Include in Schedule D-1, line 3a, column A

j Long-term common trust fund capital gains from Schedule D-1, line 1, column B j

Include in Schedule D-1, line 3a, column B

k Long-term common trust fund capital gains from Schedule D-1, line 1, column C k

Include in Schedule D-1, line 3a, column C

l Long-term common trust fund capital gains from Schedule D-1, line 1, column D l

Include in Schedule D-1, line 3a, column D

m Long-term common trust fund capital gains from Schedule D-1, line 1, column E m

Include in Schedule D-1, line 3a, column E

Form 20 - Beneficiary'S Claim Of No Tax Status Exemption - 2000 Page 2