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Utah Fiduciary
2012
41201
Income Tax Return
TC-41
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For calendar year 2012 or fiscal year ending (mmyy) __________
Mark "X" if you filed
AMENDED RETURN - ENTER CODE (1 - 5)
_____
_____
federal form 8886
(USE ALL CAPS IN NAME AND ADDRESS FIELDS)
FEIN/SSN: NO dashes or blank spaces
Full name of the estate or trust
EIN or SSN
Name of fiduciary
_____
Mark "X" if this is an SSN
Fiduciary's address
State
City
Zip + 4
Foreign country, if not U. S.
2. Status Code
1. Type of Return - enter code
3. Mark "X" if this estate or
trust has
any
A
= Bankruptcy estate Ch 7
E
= Decedent's estate
S
= Simple trust
R= Resident
nonresident
B
= Bankruptcy estate Ch 11
F
= Qualified funeral trust (QFT)
T
= ESBT
_____
_____
_____
beneficiaries
N= Nonresident
C
= Complex trust
G
= Grantor type trust
P= Part-year resident
D
= Qualified disability trust
H
= Charitable trust
4. Federal total income from federal form 1041 line 9 or 1041-QFT line 5
4
.00
5
5. Additions to income from TC-41A, Part 1 - Only include amounts taxed at the trust level (page 10)
.00
6. Total adjusted income (add lines 4 and 5)
6
.00
7. Fiduciary fees for administering estate or trust and deducted on federal return (1041, line 12)
7
.00
8. Income distribution deduction (1041, line 18)
8
.00
9. Estate tax deduction, including certain generation-skipping transfer taxes (1041, line 19)
9
.00
10. Exemption (1041, line 20)
10
.00
11. State tax refund included in federal total income
11
.00
1 . 2 Subtractions from income from TC-41A, Part 2. Only include amounts that apply
12
to income taxed at trust level (page 10)
.00
13. Total deductions (add lines 7 through 12)
13
.00
14.
Utah taxable income (loss)
(subtract line 13 from line 6)
14
.00
15.
Utah tax
(multiply line 14 by 5% (.05) - not less than zero)
15
.00
16. Allowable deductions for estate or trust credit
16
(from worksheet on page 5 of instr.)
.00
17. Initial credit before phase-out (multiply line 16 by 6% (.06))
17
.00
18. Base phase-out amount
18
12,000
.00
19. Income subject to phase-out (subtract line 18 from line 14 -
19
not less than zero)
.00
20. Phase-out amount - multiply line 19 by 1.3% (.013)
20
.00
21. Estate or trust tax credit (subtract line 20 from line 17 - not less than zero)
21
.00
22.
Utah income tax
(subtract line 21 from line 15 - not less than zero)
22
.00
Enter amount from line 22 on page 2, line 23.