Form Tc-41 - Utah Fiduciary Income Tax Return - 2012 Page 3
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12TC-41A
Fiduciary Supplemental Schedule
Rev. 12/12
41203
Name of estate or trust
EIN
Part 1 - Additions to Income (write the code and amount of each addition to income, see page 10)
Code
Amount
Code
Code
51 Lump sum distribution
58 ESBT S corporation income
.00
54 Utah Educational Savings Plan (UESP) addback
62 Fiduciary adjustments - attach explanation
.00
(to the extent deducted or credited on Utah return)
69 Equitable adjustments - attach explanation
57 Municipal bond interest
.00
.00
.00
Total additions to income (add all additions to income and enter total here and on TC-41, line 5)
Part 2 - Subtractions from Income (write the code and amount of each subtraction from income, see pages 10 and 11)
Code
Amount
Code
Code
71 Interest from U. S. Government obligations
78 Railroad retirement income
.00
79 Equitable adjustments - attach explanation
77 Native American income
.00
84 Nontaxable income from irrevocable resident trust
Enrollment number
Tribe Code
86 Nongrantor charitable lead trust charitable
.00
contribution
87 Fiduciary adjustments - attach explanation
.00
Total subtractions from income (add all subtractions and enter total here and on TC-41, line 12)
.00
Part 3 - Apportionable Nonrefundable Credits (write the code and amount of each nonrefundable credit, see pages 11 and 13)
Amount
Code
Code
04 Capital gain transactions credit
.00
20 Utah Educational Savings Plan (UESP) credit
.00
24 Qualifying solar project credit
26 Gold and silver coin sale credit
.00
.00
Total apportionable nonrefundable credits
.00
91
Less nonrefundable credit distributed to beneficiaries on Schedule K-1
.00
Apportionable nonrefundable credits claimed by fiduciary (subtract credit allocated to
.00
beneficiaries from total credit and enter this amount on TC-41, page 2, line 24)
Part 4 - Nonapportionable Nonrefundable Credits (write the code and amount of each nonrefundable credit, see pages 13 - 16)
Code
Code
Amount
Code
12 Research activities credit
02 Qualified sheltered workshop credit
.00
13 Carryover of mach./equip. research credit
Name ________________________________
17 Tax paid to another state (attach TC-41S)
05 Clean fuel vehicle credit
.00
06 Historic preservation credit
21 Renewable residential energy systems credit
.00
07 Enterprise zone credit
25 Combat related death credit
.00
27 Veteran employment tax credit
08 Low-income housing credit
10 Recycling market dev. zone credit
Total nonapportionable nonrefundable credits
.00
Less nonrefundable credit distributed to beneficiaries on Schedule K-1
92
.00
Nonapportionable nonrefundable credits claimed by fiduciary (subtract credit allocated to
.00
beneficiaries from total credit and enter this amount on TC-41, page 2, line 27)
Submit this page ONLY if data entered
Attach completed schedule to your 2012 Utah fiduciary return
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