FOR
Resident or Part-Year Resident Beneficiary’s
Arizona Form
CALENDAR YEAR
141AZ Schedule K-1
2015
Share of Fiduciary Adjustment
For the calendar year 2015 or fiscal year beginning
M M D D
2 0 1 5 and ending
M M D D Y Y Y Y
.
Name of Estate or Trust
Estate or Trust Employer Identification Number (EIN)
Beneficiary’s Name
Fiduciary’s Name
Beneficiary’s I.D. Number
Fiduciary’s Address - number and street, or rural route
Beneficiary’s Address - number and street, or rural route
Fiduciary’s City, Town or Post Office
State
ZIP Code
Beneficiary’s City, Town or Post Office
State
ZIP Code
Fiduciary’s Phone Number – include area code
Beneficiary’s Daytime Phone Number – include area code
Part 1
Beneficiary’s Share of Fiduciary Adjustment
00
1 Net fiduciary adjustment to be allocated: Enter the amount from Form 141AZ, Schedule C, line C14 ........... 1
%
2 Percent of beneficiary’s share of federal distributable income from Form 141AZ, Schedule C ....................... 2
00
3 Multiply the amount on line 1 by the percent on line 2, and enter the result .................................................... 3
Full-year Resident Individual Beneficiaries:
• If the amount on line 3 is a positive number, enter this amount as an Other Addition
to income on AZ Form 140, page 1, line 16.
• If the amount on line 3 is a negative number, enter this amount as an Other Subtraction
from income on AZ Form 140, page 1, line 35.
Part-year Resident Individual Beneficiaries:
• If the amount on line 3 is a positive number, enter that portion of line 3 allocable to
estate or trust income taxable by Arizona as an Other Addition to income on
AZ Form 140PY, page 1, line 30.
• If the amount on line 3 is a negative number, enter that portion of line 3 allocable to
estate or trust income taxable by Arizona as an Other Subtraction from income on
AZ Form 140PY, page 2, line 46.
Continued on page 2
ADOR 10585 (15)