Form Ri-1041 - Rhode Island Fiduciary Income Tax Return - 2012 Page 2

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SCHEDULE I
BENEFICIARY INFORMATION
(All estates and trusts must complete this schedule)
State of
Residence
Name
Address
Social Security Number
20.
Beneficiary ..........................
21.
Beneficiary ..........................
22.
Beneficiary ..........................
If more space is needed, please attach the required information on a separate sheet of paper.
ALLOCATION AND MODIFICATION
SCHEDULE II
(To be completed by trusts and estates with nonresident beneficiaries)
Column A
Column B
Column C
Column D
Column E
Column A times total
Column A times total
Combine Columns B and C.
Residents enter amount from
federal income
net modifications
(add net increases or
col D. Nonresidents enter RI
Percent of
page 1, line 1
page 1, line 4
subtract net decreases.)
source income from col B.
beneficiaries’ interest
(must equal 100%)
Modifications to
Total Rhode Island
Total Federal Income
Modified Federal Income
Federal Income
Source Income
23.
Beneficiary ................
24.
Beneficiary ................
25.
Beneficiary ................
26.
Beneficiary ................
27.
Beneficiary ................
28.
Beneficiary ................
29.
Beneficiary ................
30.
Beneficiary ................
100%
31.
Total ....................................
32.
32.
Modifications to Rhode Island source income. Enter amount from column C that is included in column E .......................
33.
Modified Rhode Island source income. Combine lines 31, column E and 32 (add net increases - subtract net decreases).
33.
34.
RI allocation. Divide line 33 by line 31, column D (not greater than 1.000). Enter here and on RI-1041, page 1, line 9...
34.
___ . ___ ___ ___ ___
SCHEDULE III
CREDIT FOR INCOME TAXES PAID TO ANOTHER STATE
(resident estates or trusts only - a signed copy of the other state return must be attached)
35.
35.
Rhode Island income tax from page 1, line 8 .......................................................................................................................
36.
36.
Income from other state. If more than one state, see instructions.......................................................................................
37.
37.
Modified federal total income from page 1, line 5 .................................................................................................................
38.
38.
Divide line 36 by line 37 ........................................................................................................................................................
___ . ___ ___ ___ ___
39.
Multiply line 35 by line 38 ......................................................................................................................................................
39.
40.
Tax due and paid to other state ..................................................... Insert name of state paid
40.
41.
Maximum tax credit (line 35, 39 or 40, whichever is the SMALLEST). Enter here and on RI-1041, page 1, line 11 ........
41.
page 2

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