Form It 1041 - Fiduciary Income Tax Return - 2012 Page 2

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IT 1041
2012
Rev. 12/12
Fiduciary
12180206
Income Tax Return
FEIN
INCOME AND TAX INFORMATION...cont.
10. Resident credit from Schedule C (estates); nonresident credit from Schedule D (estates); business
credit for estates and trusts from Schedule E (attach Schedule E), Schedule I credit (nonresident
00
.
trusts) and grant for new manufacturing M&E. Attach grant request form
........................................ 10.
00
.
11. Tax after nonrefundable credits and grant (line 8 minus the amount on lines 9 and 10)
...................... 11.
00
.
12. Interest penalty on underpayment of estimated tax; attach Ohio form IT/SD 2210 (required)
.................... 12.
00
.
13. Total Ohio tax (sum of lines 11 and 12)
................................................................................................. 13.
.
00
14. Net payments (important: see instructions)
..................... 14.
00
.
15. Refundable business credits (attach documentation)
...... 15.
.
00
16. Total (sum of lines 14 and 15)
.......................................... 16.
00
.
17. If line 16 is more than line 13, subtract line 13 from line 16. This is your overpayment
...................... 17.
18. Amount of line 17 to be credited to 2013 estimated tax liability
00
.
(see instructions) .............................. CREDIT TO 2013 
18.
.
00
19. Amount of line 17 to be refunded (subtract line 18 from line 17)..........................YOUR REFUND 
19.
20. Net amount due, if any (if line 13 is more than line 16, subtract line 16 from line 13, but not less
00
.
............................................................................................................................................... 20.
than -0-)
.
00
................................................................ 21.
21. Interest and penalty on late-paid and/or late-fi led return, if any
22. Total amount owed, if any (sum of lines 20 and 21). Make check payable to Ohio Treasurer of State,
00
.
include Ohio form IT 1041P and place FEIN on check ..........................TOTAL AMOUNT OWED 
22.
If your refund is less than $1.01, no refund will be issued. If you owe less than $1.01, no payment is necessary.
SIGN HERE (required)
I have read this return. Under penalties of perjury, I declare that, to the best of my knowledge and
For Department Use Only
belief, the return and all enclosures are true, correct and complete.
Signature of fi duciary or trust offi cer
Preparer’s name (please print)
,
,
Title
Date
Preparer’s address (including ZIP code)
Fiduciary’s or trust offi cer’s telephone number
Preparer’s telephone number
Do you authorize your preparer to contact us regarding this return? Yes
No
Code
SCHEDULE A – ADJUSTMENTS TO FEDERAL TAXABLE INCOME NET OF RELATED EXPENSES
Additions
00
.
23. Non-Ohio state or local government interest and dividends not distributed
.......................................... 23.
00
.
.............................................................. 24.
24. Pass-through entity add-back and related member add-back
00
.
25. Income from an ESBT not shown in federal taxable income
................................................................. 25.
00
.
26. Losses from sale or other disposition of Ohio public obligations
.......................................................... 26.
00
.
27. Recovery of amount previously deducted or excluded
......................................................................... 27.
00
.
28. Add 2/3, 5/6 or 6/6 of the depreciation adjustment for Internal Revenue Code section 168(k)
............ 28.
29. Federal personal exemption (estates only), lump sum distribution add-back and miscellaneous
00
.
federal tax adjustments
......................................................................................................................... 29.
.
00
30. Expenses claimed on Ohio estate tax return (estates only)
.................................................................. 30.
00
.
.............................................................................................. 31.
31. Total additions (add lines 23 through 30)
2012 IT 1041
2012 IT 1041
pg. 2 of 5

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