Form 1041-Qft - U.s. Income Tax Return For Qualified Funeral Trusts- 2012
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41041-QFT
OMB No. 1545-1593
Form
U.S. Income Tax Return for Qualified Funeral Trusts
2012
Department of the Treasury
Information about Form 1041-QFT and its instructions is at
▶
Internal Revenue Service
For calendar year 2012 or short year beginning
, 2012, and ending
, 2012.
General Information
Part I
1
Name of trust or other entity filing return
2 Employer identification number
3a Name and title of trustee
3b Number, street, and room or suite no. (If a P.O. box, see the instructions.)
3c City or town, state, and ZIP code
4 Number of QFTs included on this return
5
Check applicable boxes:
Initial return
Amended return
Final return
Change in the fiduciary or fiduciary's name
Change in fiduciary's address
Tax Computation
Part II
1a Interest income .
1a
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b Tax-exempt interest. Do not include on line 1a .
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1b
2 a Total ordinary dividends .
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2a
b Qualified dividends .
2b
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3
3
Capital gain or (loss) (attach Schedule D (Form 1041))
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4
Other income. List type and amount
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5
5
Total income. Combine lines 1a, 2a, 3, and 4
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Taxes
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6
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Trustee fees .
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Attorney, accountant, and return preparer fees .
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9
Other deductions not subject to the 2% floor .
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9
10
Allowable miscellaneous itemized deductions subject to the 2% floor .
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10
Total deductions. Add lines 6 through 10
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11
11
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12
Taxable income. Subtract line 11 from line 5 .
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12
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13
Tax. (If this is a composite return, check here
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13
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Credits (see instructions). Specify the credits claimed
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Net tax. Subtract line 14 from line 13 (see instructions) .
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15
16
Payments (see instructions) .
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16
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17
Tax due. If line 16 is smaller than line 15, enter amount owed
17
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18
Overpayment. If line 16 is larger than line 15, enter amount overpaid .
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18
19
Amount of line 18 to be: a Credited to 2013 estimated tax
b Refunded
19
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Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge
Sign
and belief, it is true, correct, and complete. Declaration of preparer (other than trustee) is based on all information of which preparer has any knowledge.
Here
May the IRS discuss this return
with the preparer shown below
Signature of trustee or officer representing trustee
Date
(see instructions)?
Yes
No
Print/Type preparer’s name
Preparer's signature
Date
PTIN
Paid
Check
if
self-employed
Preparer
Use Only
Firm’s name
Firm's EIN
▶
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Firm's address
Phone no.
▶
1041-QFT
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 25368F
Form
(2012)
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