Form D-41 - Fiduciary Income Tax Return - 2011
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*110410110002*
2011
D-41 Fiduciary
Government of the
District of Columbia
Income Tax Return
This is a FILL-IN format. Please do not handwrite
any data on this form other than your signature.
OFFICIAL USE ONLY
Vendor ID#0002
Information
amended return
Fill in:
if
See page 3.
Fill in:
if this is your final return.
Estate
Simple trust
Complex trust
Tax year ending (MMYY)
Fill in type of entity:
Testamentary (created by a will)
Inter vivos (living)
Fill in type of trust:
Estate or trust’s federal employer ID number
Estate or trust’s social security number
Daytime telephone number
Estate or trust name
Fiduciary’s name and title
#
Fiduciary’s address (number, street and suite/apartment number (if applicable))
Suite/Apartment
City
State
Zip Code +4
Complete if entity
Complete if entity
(MMDDYYYY)
(MMDDYYYY)
is an estate
is a trust
Date created
Date of deceased’s death
(MMDD)
(MMDD)
If estate ended in 2011, enter date
If trust ended in 2011, enter date
Name of grantor
Yes
No
Has a DC D-76 or D-76EZ estate tax return been filed?
Yes
No
If no, will one be filed?
Address of grantor (number and street)
City
State
Zip Code
Income
Round cents to nearest dollar. If amount is zero, leave line blank.
.
$
00
1
1 Federal total income
Fill in if loss
from federal Form 1041, Line 9.
.
$
00
2
2 Additions to federal total income
from Calculation A, line f, page 5 of instructions.
.
$
00
3
Fill in if loss
3
4
Add Lines 1 and 2.
.
$
00
Subtractions from federal total income
4
from Calculation B, line d, page 5 of instructions.
.
$
00
5
5 Total DC fiduciary income
Fill in if loss
Subtract Line 4 from Line 3. If zero or a loss,
stop here; do not fill in rest of form.
Deductions and exemptions
.
$
00
6
6 Interest
from Form 1041, Line 10.
.
$
00
7 Taxes
7
Subtract the state, local and DC franchise tax entered on Form 1041, Line 11.
.
$
00
8
8 Deduction for distributions to beneficiaries
from Form 1041, Line 18.
.
$
00
9
9 Other deductions
Enter total of Lines 12, 13, 14, 15a, 15b and 19 from Form 1041.
.
$
00
10
10 Exemption
Enter $1,675 for estates and $100 for trusts. If the estate ended during 2011,
prorate the exemption. See page 6 for instructions.
.
$
00
11
11 Total deductions and exemptions
Add Lines 6–10.
.
$
00
12
12 Taxable fiduciary income
Fill in if loss
Subtract Line 11 from Line 5.
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2011 D-41 P1
Fiduciary Income Tax Return
Revised 09/11
2011 D-41.indd 7
11/4/2011 3:35:19 PM
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