Form Fid-D - Annual Withholding Of Net Income From A Fiduciary Detail Report - 2013 Page 2

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2013 FID-D (supplemental form)
*138490200*
Annual Withholding of Net Income
From a Fiduciary Detail Report
Name of trust or estate
FEIN
______
_______
Page
of
Column 1
Column 2
Column 3
Col. 5
Column 4
Beneficiary’s share of
Beneficiary’s name, street address,
Beneficiary’s
Beneficiary’s share
RPD-41353
city, state, ZIP code
SSN/FEIN
on file
of withholding tax
allocable net income
YES
Check one:
FEIN
SSN
Check if outside the U.S.
YES
Check one:
FEIN
SSN
Check if outside the U.S.
YES
Check one:
FEIN
SSN
Check if outside the U.S.
YES
Check one:
FEIN
SSN
Check if outside the U.S.
YES
Check one:
FEIN
SSN
Check if outside the U.S.
YES
Check one:
FEIN
SSN
Check if outside the U.S.
YES
Check one:
FEIN
SSN
Check if outside the U.S.
YES
Check one:
FEIN
SSN
Check if outside the U.S.
Line 2. Total withholding
If more space is needed, print the Supplemental Form directly
2.
this page.
from the website and attach the additional supplemental forms
to the first page of this form. Reproducing from a photocopy
reduces the readability of the bar code on scanning equipment.

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