Form D-41 - Columbia Fiduciary Income Tax Return - 2015 Page 2
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1
2D-41 PAGE 2
*150410120002*
Name
FEIN
Tax and payments
.
$
00
13 Tax on fiduciary income.
13
.
$
00
14
14
Credit for taxes paid to other states
Credit may not exceed amount on Line 13. See
instructions, page 7. Attach copy of state return.
.
15
$
00
Net tax on fiduciary income
Line 13 minus Line 14.
15
.
16a
16a
$
00
Income tax withheld.
.
16b
16b
$
00
2015 estimated fiduciary income tax payments.
.
$
00
17
17
Payments made with extension of time to file
from FR-127F calculation, Line 3.
.
$
00
18
18
If this is an amended 2015 return, payments made with original 2015 D-41.
.
$
00
19
19
Total payments
Add Lines 16a–18.
If Line 19 is more than Line 15 subtract Line 15 from Line 19.
If Line 19 is less than Line 15 subtract Line 19 from Line 15.
23
Amount owed
.
20
Amount of
$
00
.
$
00
overpayment
Will this payment come from an account outside the U.S.?
Yes
No See instructions
21
Amount, if any, to be applied to 2016 estimated tax
.
$
00
Payment
Attach check or money order (US dollars) to the D-41P voucher only;
22
Refund
Subtract
.
make it payable to: DC Treasurer. Write the estate or trust’s FEIN
$
00
Line 21 from Line 20
and “2015 D-41” on your payment.
Will this refund you requested go to an account outside the U.S.?
Yes
No
See instructions
Refund Options:
Mark one refund choice:
Direct deposit
Paper check
Direct Deposit.
To have your refund deposited to your
checking OR
savings account, fill in oval and enter bank routing and account numbers. See instructions.
Routing Number
Account Number
Signature
Under penalties of law, I declare that I have examined this return and, to the best of my knowledge, it is correct.
Declaration of paid preparer is based on the information available to the preparer.
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Signature of paid preparer
Preparer’s Tax Identification Number (PTIN)
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Send your signed and completed original return to:
Office of Tax and Revenue
PO Box 96153
Washington DC 20090-6153
2015 D-41 P2
Revised 03/15
Fiduciary Income Tax Return
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