Form Mi-1041d - Michigan Adjustments Of Capital Gains And Losses - 2011
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Michigan Department of Treasury
MI-1041D
(Rev. 02-12)
2011 MICHIGAN Adjustments of Capital Gains and Losses
Issued under authority of Public Act 281 of 1967.
Attach this form to your fiduciary income tax return MI-1041. Round all money items to whole dollars. Type or print in blue or black ink.
For 2011 or taxable year beginning ______________, 2011 and ending _______________, _______.
Federal Employer Identification Number (FEIN)
Name of Estate or Trust
PART 1: SHORT-TERM CAPITAL GAINS AND LOSSES - ASSETS HELD 1 YEAR OR LESS
A
B
C
D
E
Property Description
Date
Federal Gain/Loss
(Example, 100 shares, 7% preferred,
acquired
Date sold
From column f of
Gain/loss from federal column d
subject to Michigan income tax
of “Z” Co.)
(MM-DD-YYYY)
(MM-DD-YYYY)
U.S. Schedule D
1a.
b.
c.
d.
e.
f.
g.
2. Short-term capital gain/loss from U.S. Forms 4684,
6252, 6781 and 8824.......................................................
2.
3. Enter net short-term gain/loss from partnerships,
S corporations and other estates or trusts.......................
3.
4. Short-term capital loss carryover .....................................
4.
(
)
(
)
5. Net short-term gain/loss. Combine lines 1 through 4 in
columns D and E. Enter here and on line 14, column A ..
5.
PART 2: LONG-TERM CAPITAL GAINS AND LOSSES - ASSETS HELD MORE THAN 1 YEAR
6a.
b.
c.
d.
e.
f.
g.
7. Long-term capital gain/loss from U.S. Forms 2439,
4684, 6252, 6781 and 8824.............................................
7.
8. Enter net long-term gain/loss from partnerships,
S corporations and other estates or trusts.......................
8.
9. Capital gain distributions .................................................
9.
10. Enter gain, if applicable, from U.S. Form 4797................
10.
11. Net gain/loss. Combine lines 6 through 10 ......................
11.
(
)
(
)
12. Long-term capital loss carryover .....................................
12.
13. Net long-term gain/loss. Combine lines 11 and 12.
Enter here and on line 15, column A................................
13.
PART 3: SUMMARY OF PARTS 1 AND 2
C. Beneficiary
A. Gain/Loss
B. Fiduciary
Federal
Michigan
Federal
Michigan
Federal
Michigan
14. Net short-term gain/loss from line 5.................................
15. Net long-term gain/loss from line 13 ................................
16. Total net gain/loss. Combine lines 14 and 15 ..................
If line 16, column A is a net gain, (1) for resident estates and trusts complete Part 5; or (2) for nonresident estates and trusts carry line
16, column B, Michigan column, to Form MI-1041, Schedule 4, line 79. If line 16, column A is a net loss, complete Part 4.
Continued on page 2
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