Form 81-132-12-8-1-000 - Fiduciary Schedule K-1 - 2012

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Mississippi
Form 81-132-12-8-1-000 (Rev. 5/12)
Fiduciary Schedule K-1
__ __ - __ __ __ __ __ __ __
Estate or Trust FEIN
2012
__ __ __ - __ __ - __ __ __ __
__ __ - __ __ __ __ __ __ __
Beneficiary SSN
Beneficiary FEIN
Name of Trust or Decedent Estate
Beneficiary Name
Fiduciary Name
Mailing Address
Mailing Address
Zip +4
State
Zip +4
City
State
City
A. Check applicable boxes: (Beneficiary)
Non-Resident
Final K-1
Resident
Amended K-1
%
__ __ __ . __ __
B. Beneficiary percentage of interest in the entity for tax year
Mississippi Allocable Share Item
Amount
1. Interest
__, __ __ __, __ __ __.
00
2. Dividends
__, __ __ __, __ __ __.
00
3 a. Net Short-Term Capital Gain
__, __ __ __, __ __ __.
00
b. Net Long-Term Capital Gain
__, __ __ __, __ __ __.
00
4 a. Annuities, Royalties, and Other Non-passive Income before Directly Apportioned Deductions
__, __ __ __, __ __ __.
00
b. Depreciation
__, __ __ __, __ __ __.
00
c. Depletion
__, __ __ __, __ __ __.
00
d. Amortization
__, __ __ __, __ __ __.
00
5 a. Trade or Business, Rental Real Estate, and Other Rental Income before Directly Apportioned Deductions
__, __ __ __, __ __ __.
00
b. Depreciation
__, __ __ __, __ __ __.
00
c. Depletion
__, __ __ __, __ __ __.
00
d. Amortization
__, __ __ __, __ __ __.
00
6. Estate Tax Deduction
__, __ __ __, __ __ __.
00
7. Deductions in the Final Year of Trust or Decedent's Estate:
__, __ __ __, __ __ __.
00
a. Excess Deductions on Termination
__, __ __ __, __ __ __.
00
b. Short-Term Capital (Loss) Carryover
__, __ __ __, __ __ __.
00
c. Long-Term Capital (Loss) Carryover
__, __ __ __, __ __ __.
00
d. Net Operating (Loss) (NOL) Carryover
__, __ __ __, __ __ __.
00
8. Other:
__, __ __ __, __ __ __.
00
a. Estimated Tax Payments and/or Amount Paid with Extension
__, __ __ __, __ __ __.
00
b. Tax Exempt Interest
__, __ __ __, __ __ __.
00
9. Credits
__, __ __ __, __ __ __.
00
a. Ad Valorem Tax Credit
Code:
1
__, __ __ __, __ __ __.
00
4
__ __
b. Other Credits (Enter description and code number):
__, __ __ __, __ __ __.
00
(1)
Code:
__, __ __ __, __ __ __.
00
__ __
__, __ __ __, __ __ __.
00
__ __
(2)
Code:
(3)
Code:
__, __ __ __, __ __ __.
00
__ __
(4)
Code:
__, __ __ __, __ __ __.
00
__ __
10. Mississippi Income (Add Lines 1 through 3b, 4a, and 5a)
__, __ __ __, __ __ __.
00
NOTE: Mississippi law conforms to the Internal Revenue Code with respect to passive activity and rental real estate activity
limitations. The amounts shown above reflect Mississippi income or loss and related expenses.
Duplex and Photocopies are NOT Acceptable

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