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Schedule Ct-1041fa - Fiduciary Allocation - Connecticut Department Of Revenue - 2014 Page 2

Part 3 - Details of Federal Distributable Net Income and Amounts From Connecticut Sources

See instructions.

(A)

(B)

Lines 1 - 17, Column (A), are based on the entries on federal

Federal Amount

Amount of Column (A)

Form 1041, Page 1, with modiﬁ cations as speciﬁ ed in instructions.

as Modiﬁ ed

From Connecticut Sources

1. Interest income: See instructions for modiﬁ cations.

2. Dividends: See instructions for modiﬁ cations.

3. Business income (loss)

4. Capital gain (loss)

5. Rents, royalties, partnerships, S corporations, other trusts, and estates

6. Farm income (loss)

7. Ordinary gain (loss)

8. Other income (specify):

See instructions for modiﬁ cations.

9. Total income: Add Lines 1 through 8.

10. Interest

11. Taxes

12. Fiduciary fees

13. Charitable deductions from federal Form 1041, Schedule A, Line 7

14. Attorney, accountant, and return preparer’s fees

15. Other deductions

16. Total deductions: Add Lines 10 through 15.

17. Adjusted total income (loss): Subtract Line 16 from Line 9.

Lines 18 through 24 are based on entries from federal Form 1041 schedules.

18. Enter the amount from federal Form 1041, Schedule B, Line 3.

19. Enter long-term capital gain and short-term capital gain included on

federal Form 1041, Schedule B, Line 5.

20. Enter the amount from federal Form 1041, Schedule B, Line 4.

21. If amount on Line 4 above is a loss, enter amount here as a positive

number.

22. Total: Add Lines 17 through 21.

23. If amount on Line 4 above is a gain, enter amount here.

24. Distributable net income: Subtract Line 23 from Line 22.

Enter Column B amount on Part 2, Column 3, Total line.

Schedule CT-1041FA Back (Rev. 12/14)

Schedule Ct-1041fa - Fiduciary Allocation - Connecticut Department Of Revenue - 2014 Page 2