Name of Estate or Trust (as shown on page 1)
Employer Identification Number
SCHEDULE A: Nonresident Estate or Trust Source Income Schedule
Only nonresident estates and nonresident trusts should complete Schedule A. Arizona resident estates and Arizona resident trusts should not complete
Schedule A.
FEDERAL COLUMN
ARIZONA COLUMN
A1 Income (specify type):
00
00
A1(a)
A1(a)
00
00
A1(b)
A1(b)
00
00
A1(c)
A1(c)
00
00
A1(d)
A1(d)
00
00
A1(e)
A1(e)
00
00
A2 Total Income: Add lines A1(a) through A1(e) ....................................................................
A2
A3 Deductions (specify):
00
00
A3(a)
A3(a)
00
00
A3(b)
A3(b)
00
00
A3(c)
A3(c)
00
00
A3(d)
A3(d)
00
00
A3(e)
A3(e)
00
00
A4 Total deductions: Add lines A3(a) through A3(e) ...............................................................
A4
00
A5 Federal Taxable Income: Subtract line A4 from line A2 in the Federal column ...............
A5
A6 Arizona Gross Income: Subtract line A4 from line A2 in the Arizona column. Enter the difference
00
here and also on Form 141AZ, page 1, line 7 ................................................................................................................
A6
SCHEDULE B: Fiduciary Adjustment
Fiduciary adjustment increasing federal taxable income
00
B1 Positive Arizona fiduciary adjustment from another estate or trust .................................................................................
B1
00
B2 Non-Arizona municipal bond interest ..............................................................................................................................
B2
00
B3 Other additions to federal taxable income. See instructions ..........................................................................................
B3
00
B4 Total: Add lines B1 through B3 ......................................................................................................................................
B4
Fiduciary adjustment decreasing federal taxable income
00
B5 Negative Arizona fiduciary adjustment from another estate or trust ...............................................................................
B5
00
B6 Interest received from U.S. obligations ...........................................................................................................................
B6
00
B7 Refunds from other states ..............................................................................................................................................
B7
00
B8 Other subtractions from federal taxable income. See instructions ................................................................................
B8
00
B9 Total: Add lines B5 through B8 ......................................................................................................................................
B9
B10 Net adjustment: Subtract line B9 from line B4. If the result is a negative number, enter the
00
difference in brackets. Also, enter the difference on Form 141AZ, page 1, line 8 .........................................................
B10
ADOR 10584 (12)
AZ Form 141AZ (2012)
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