Arizona Form 141 Az - Arizona Fiduciary Income Tax Return - 2015 Page 3
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1
2
3
4Name of Estate or Trust (as shown on page 1)
Employer Identification Number
SCHEDULE C
Fiduciary Adjustment Allocation
The Arizona fiduciary adjustment is allocated among the beneficiaries and the fiduciary in proportion to their share of the federal distributable net income.
(a)
(b)
(c)
Share of Federal
Distributable Net Income
Beneficiary
Percent
$
00
%
C1
$
00
%
C2
$
00
%
C3
$
00
%
C4
$
00
%
C5
$
00
%
C6
$
00
%
C7
$
00
%
C8
$
00
%
C9
$
00
%
C10
$
00
%
C11 Subtotal:
........................................ C11
If more than 10 beneficiaries, include an additional schedule
$
00
%
C12 Fiduciary ............................................................................................................................. C12
$
00
100 %
C13 Total:
This should total the federal distributable net income .......... C13
Add lines C11 and C12.
C14 Enter the fiduciary adjustment from Form 141AZ, Schedule B, line B11 here and also on
00
Form 141AZ Schedule K-1, line 1 or Form 141AZ Schedule K-1(NR), line 3 ................................................................. C14
C15 Multiply the amount on line C14 by the percentage on line C11.
Enter the result here and also on
00
.................................................................................................................................................. C15
Form 141AZ, page 1, line 9
C16 Multiply the amount on line C14 by the percentage on line C12.
Enter the result here and also on
00
................................................................................................................................................. C16
Form 141AZ, page 1, line 10
SCHEDULE D
Federal Distributable Net Income From Arizona Sources
Complete Schedule D only if the estate or trust has nonresident beneficiaries. Use the information in Schedule D to complete
Form 141AZ, Schedule K-1(NR). Do not complete Schedule D if all of the beneficiaries are Arizona residents.
(a)
(b)
(c)
FEDERAL
ARIZONA
00
00
D1
Dividends .................................................................................................................................. D1
00
00
D2
Interest...................................................................................................................................... D2
00
00
D3
Partnership/fiduciary income .................................................................................................... D3
00
00
D4
Net rents and royalties.............................................................................................................. D4
00
00
D5
Net profit (loss) business .......................................................................................................... D5
00
00
D6
Other income ............................................................................................................................ D6
00
00
D7
..................................................................................................... D7
Total:
Add lines D1 through D6
00
00
D8
Expenses .................................................................................................................................. D8
D9
Federal distributable income:
Subtract line D8 from line D7 and enter the difference here.
00
00
................................ D9
Also, enter the amount from column (c) on Form 141AZ, Schedule K-1(NR), line 1
ADOR 10584 (15)
AZ Form 141AZ (2015)
Page 3 of 4
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