Form 541-Qft - California Income Tax Return For Qualified Funeral Trusts - 2015

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California Income Tax Return for
TAXABLE YEAR
FORM
2015
541-QFT
Qualified Funeral Trusts
For calendar year 2015 or short year beginning (mm/dd/yyyy)
, and ending month (mm/dd/yyyy)
Name of estate or trust
FEIN
A
-
Name and title of trustee
R
Additional information (see instructions)
RP
Street address of trustee (number and street) or PO box
Apt. no./ste. no.
PMB/private mailbox
City
State
ZIP code
-
Foreign country name
Foreign province/state/county
Foreign postal code
Check applicable boxes:
 Initial tax return
 Amended tax return
 Final tax return
 New trustee
 Updated information for trustee
1 Interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
00
2 Dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
00
3 Capital gain or (loss) . Attach Schedule D (541) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
00
4 Other income . State nature of income ___________________________________________________ . . . . . . . . . . . . . . .
4
00
5 Total income. Combine line 1 through line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
00
6 Taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
00
7 Trustee fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
00
8 Attorney, accountant, and preparer fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
00
9 Other deductions NOT subject to the 2% floor _______________________________________________ . . . . . . . . . . . . .
9
00
10 Allowable miscellaneous itemized deductions subject to the 2% floor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
00
11 Total deductions. Add line 6 through line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
00
12 Taxable income . Subtract line 11 from line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
00
13 Tax from:  Tax Rate Schedule (see instructions)  Composite tax return
Number of QFTs included on this tax return __________ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
00
14 Credits . Attach worksheet . If one credit, enter code . ________ If more than one credit, attach a detailed list . . . . . . . . . . . 14
00
28 Total tax . Subtract line 14 from line 13 . See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
28
00
29 Withholding (Form 592-B and/or 593) . See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
29
00
30 California income tax previously paid . See instructions _______________________________________________ . . . .
30
00
32 2015 CA estimated tax, amount applied from 2014 tax return, and payment with form FTB 3563 . . . . . . . . . . . . . . . . . . .
32
00
33 Total payments . Add line 29, line 30, and line 32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
00
37 Tax due. If line 28 is larger than line 33,
.
,
,
00
subtract line 33 from line 28 and enter the amount owed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
37
38 Overpaid tax. If line 28 is less than line 33, subtract line 28 from line 33 and enter the amount overpaid . . . . . . . . . . . . .
38
00
39 Amount of line 38 to be credited to 2016 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
39
00
.
,
,
00
40 Amount of line 38 to be refunded . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
40
44 Underpayment of estimated tax . Check the box: FTB 5805
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
44
00
Under penalties of perjury, I declare that I have examined this tax return, including accompanying schedules and statements, and to the best of my knowledge and belief, it
is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Sign
Here
Signature of trustee or officer representing fiduciary
Date
X
  
Preparer’s signature
Date
Check if self-
PTIN
X
employed
  
-
Paid
Firm’s name (or yours, if self-employed) and address.
FEIN
Preparer’s
Use Only
Telephone
(
)
 
 
May the FTB discuss this tax return with the preparer shown above (see instructions)?. . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Form 541-QFT
2015
C1
3171153

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