Form Tc-41a - Fiduciary Supplemental Schedule Page 2

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41204
TC-41A
(Page 2) Rev. 12/12
Name of estate or trust
EIN
Part 5 - Refundable Credits (write the code and amount of each refundable credit, see pages 16 - 17)
Amount
Code
Code
Code
39 Renewable commercial energy systems credit
46 Mineral production withholding tax
.00
47 Agricultural off-highway gas/undyed diesel
40 Targeted business tax credit
.00
48 Farm operation hand tools
43 Pass-through entity withholding
.00
.00
Total refundable credits
.00
Less refundable credit distributed to beneficiaries on Schedule K-1
93
.00
Total refundable credits claimed by fiduciary (subtract credit allocated to beneficiaries
.00
from total credit and enter this amount on TC-41, page 2, line 35)
Submit this page ONLY if data entered
Attach completed schedule to your 2012 Utah fiduciary return

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