Form 105 - Colorado Fiduciary Income Tax - 2014 Page 4

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*140105==49999*
Form 105 Schedule
Schedule C — Computation of the percentage of federal distributable net income from Colorado sources for use in
Schedule D, columns 7 and 8, in determining the modified federal income reportable to Colorado by nonresident beneficiaries.
1. Per Federal Form 1041
2. From Colorado Sources
1. Dividends
$
$ XXXXXXXXXXXXXXXXXXXXXX XX
2. Interest (Include exempt interest)
$ XXXXXXXXXXXXXXXXXXXXXX XX
3. Partnership/Fiduciary income
4. Net rents and royalties
5. Net profit (loss) business
6. Other income
7. Total lines 1 through 6
$
$
8. Expenses
9. Federal distributable net income
$
$
10. Percent of federal distributable net income from Colorado sources:
(Line 9, column 2 divided by line 9, column 1)
%
Form 105 Schedule
Schedule D—Beneficiaries Social Security Numbers, Income, Modifications and Withholding
1. Resident Beneficiary’s
2. Federal Fiduciary Income
3. Schedule B Percentage
4. Fiduciary Adjustment
Social Security Number
% $
(a)
$
% $
(b)
$
% $
(c)
$
% $
(d)
$
% $
(e)
$
5. Nonresident Beneficiary’s
7. Schedule C
8. Income Reportable
9. Colo. Withholding
6. Federal
Social Security Number
Distributable Net
Percentage
Required 4.63%
to Colorado
Income
of Column 8
% $
(f)
$
$
00
% $
(g)
$
$
00
% $
(h)
$
$
00
% $
(i)
$
$
00
% $
(j)
$
$
00

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