Fillable Form Ia 1041 - Iowa Fiduciary Return

Iowa Department of Revenue

2015 IA 1041

https://tax.iowa.gov

For Calendar Year 2015 or fiscal year beginning ______ ,2015, and ending ________ , 20 ___

Iowa Fiduciary Return

Check one:

Name of Estate or Trust

Federal Employer ID Number

Estate

Grantor Trust

Name, Address, and Title of Fiduciary

Decedent’s Social Security Number

Simple Trust

Complex Trust

Name of Attorney

Attorney’s Phone Number

Iowa county in which

Bankruptcy Estate

estate is pending

If trust, check one:

Mailing Address (city, state, ZIP)

Probate number

Testamentary

Inter Vivos

Authorization is granted to the attorney listed above to receive confidential tax information under Iowa Code section 421.60 to act as the trust

Date of decedent’s death

or estate’s representative before the Iowa Department of Revenue and to make written or oral presentations on behalf of the trust or estate.

Initial Return

Final Return

Amended Return

Check applicable boxes:

_____/______/_____

Is an Iowa 706 being filed?

Is Income Tax Certificate of Acquittance requested?

Yes

1. Taxable interest income. ......................................................................................................... 1. _____________________

2. Ordinary dividend income. .................................................................................................... 2. _____________________

3. Income from partnerships and other fiduciaries. Include supporting schedule. ............ 3. _____________________

4. Net rents and royalties. .......................................................................................................... 4. _____________________

5. Net business and farm income (loss). Include Schedules C or C-EZ and F, federal form 1040. . 5. _____________________

6. Net gain (loss) from capital assets. ..................................................................................... 6. _____________________

7. Ordinary gains (losses). Include federal form 4797. ......................................................... 7. _____________________

8. Other income. State nature of income. ................................................................................ 8. _____________________

9. Total income. (Add lines 1 through 8.) .............................................................................................................................. 9. __________________ L

10. Interest. Enter on Schedule D, page 2. ............................................................................ 10. _____________________

11. Taxes. Enter on Schedule D, page 2. ............................................................................... 11. _____________________

12. Fiduciary fees. Enter on Schedule D, page 2. ................................................................. 12. _____________________

13. Charitable deduction from income in compliance with Will or Trust instrument. ......... 13. _____________________

14. Attorney, accountant, and return preparer fees. Enter on Schedule D, page 2. ........ 14. _____________________

15. Other deductions not subject to 2% floor. Enter on Schedule D, page 2. ................... 15. _____________________

16. Allowable miscellaneous itemized deductions. Enter on Schedule D, page 2. ............ 16. _____________________

17. Total deductions (Add lines 10 through 16.) .................................................................................................................. 17. __________________ L

18. Balance. (Subtract line 17 from line 9.) ........................................................................................................................... 18. __________________ L

19. Distributions to beneficiaries. Complete Schedule B on page 2 or include federal Schedule K-1. 19. _____________________

20. Federal estate tax attributable to income in respect of a decedent (fiduciary’s share).20. ____________________

21. Total. (Add lines 19 and 20.) ............................................................................................................................................ 21. ____________________

22. Taxable income of fiduciary. (Subtract line 21 from line 18.) Must be zero on final return ................................. 22. __________________ L

23. Compute tax from rate Schedule E, page 2. .................................................................... 23. _____________________

24. Iowa lump-sum tax. Include federal Schedule 4972. ...................................................... 24. _____________________

25. Iowa alternative minimum tax. Include IA 6251. .............................................................. 25. _____________________

26. Tax before credits. (Add lines 23 through 25.) .............................................................................................................. 26. ____________________

40.00

27. Personal exemption credit. This is a nonrefundable credit. ........................................... 27. _____________________

28. Out-of-state or nonresident tax credit. Include copy of out-of-state return and

form IA 130 or IA 1041 Schedule C. ................................................................................. 28. _____________________

29. Motor fuel tax credit. Include Schedule IA 4136. ............................................................. 29. _____________________

30. Other credits. Include IA 148 Tax Credits Schedule. ..................................................... 30. _____________________

31. Total credits. (Add lines 27 through 30.) ........................................................................................................................ 31. ____________________

32. Tax liability. (Subtract line 31 from 26.) ............................................................................................................................ 32. ____________________

33. Tax paid with additional Iowa Fiduciary Income Tax Payment Voucher ......................................................................... 33. ____________________

34. Refund. If line 33 is larger than line 32, enter the difference. ......................................................................................... 34. __________________ L

35. Amount due. If line 33 is less than line 32, enter the difference. .................................................................................... 35. __________________ L

Mail to: Fiduciary Return Processing, Iowa Department of Revenue, PO Box 10467 Des Moines IA 50306-0467

DECLARATION:

The undersigned hereby certifies and declares that this return, and any schedules or papers included hereto, has been duly examined; that to the best

knowledge and belief of the undersigned, it is a true, correct, and complete return for the taxable year as required by the income tax law of the State of Iowa and the rules and

regulations issued under authority thereof. Note: State tax information may be disclosed to tax officials of another state or of the United States for tax administrative purposes.

When you pay by check, you authorize the Department of Revenue to convert

Signature of fiduciary or officer representing fiduciary

Date

your check to a one-time electronic banking transaction.

63-001a (07/14/15)

Signature of preparer other than fiduciary

Preparer’s ID No.

Address

Date