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IT 1041
Rev. 12/12
2012
Fiduciary
12180106
Income Tax Return
Use only black ink.
Federal employer I.D. number (FEIN)
Social Security no. of decedent (estates only)
For taxable year beginning on
/
M M
2
0
1 2
Use UPPERCASE letters.
Name of trust or estate
Name of trust or estate (second line)
Fiduciary name and title
Fiduciary name (second line) or care of address
Address (if address change, check box)
City
State
ZIP code
E-mail address
Check Applicable Box(es)
Simple trust
Resident trust
Complex trust
Nonresident trust
Mail to:
Decedent’s estate
Amended return
Ohio Dept. of Taxation
Bankruptcy estate
P.O. Box 2619
Columbus, OH 43216-2619
Instructions for this form are on our Web site at tax.ohio.gov.
Do not use staples, tape or glue. Place any
supporting documents, including K-1’s,
after the last page of this return.
INCOME AND TAX INFORMATION
If the amount below is negative, type a negative sign (“–”) before the fi gure.
00
.
1. Federal taxable income (from line 22 of IRS form 1041). Attach page 1 of IRS form 1041
...............1.
00
.
2. Net adjustments from Schedule A, line 42
......................................................................................2.
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3. Ohio taxable income (line 1 plus or minus line 2). Estates should skip lines 4-7
...........................3.
.
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4. Allocated qualifying trust amount from Schedule F, line 58 (trusts only)
........................................4.
.
00
...................................................5.
5. Apportioned trust income from Schedule G, line 61 (trusts only)
00
.
........................................................6.
6. Allocated trust income from Schedule H, line 64 (trusts only)
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7. Modifi ed Ohio taxable income (trusts add lines 4, 5 and 6; if less than zero, enter -0-
) .................7.
8. Tax on Ohio taxable income (estates, line 3) or tax on modifi ed Ohio taxable income
.
00
..........................................................8.
(trusts, line 7). See tax table on page 11 of the instructions
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9. Credits from Schedule B, line 47 (estates only)
.............................................................................9.
2012 IT 1041
2012 IT 1041
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