661117
Final K-1
Amended K-1
OMB No. 1545-0092
2017
Schedule K-1
Beneficiary’s Share of Current Year Income,
Part III
(Form 1041)
Deductions, Credits, and Other Items
Department of the Treasury
For calendar year 2017, or tax year
11
1
Interest income
Final year deductions
Internal Revenue Service
2017
Ordinary dividends
2a
/
/
/
/
beginning
ending
Beneficiary’s Share of Income, Deductions,
2b
Qualified dividends
Credits, etc.
See back of form and instructions.
▶
Part I
Information About the Estate or Trust
Net short-term capital gain
3
A
Estate’s or trust’s employer identification number
4a
Net long-term capital gain
28% rate gain
12
Alternative minimum tax adjustment
B
Estate’s or trust’s name
4b
4c
Unrecaptured section 1250 gain
Other portfolio and
5
nonbusiness income
C
Fiduciary's name, address, city, state, and ZIP code
6
Ordinary business income
Net rental real estate income
7
13
Credits and credit recapture
8
Other rental income
9
Directly apportioned deductions
D
Check if Form 1041-T was filed and enter the date it was filed
14
Other information
E
Check if this is the final Form 1041 for the estate or trust
Part II
Information About the Beneficiary
10
Estate tax deduction
F
Beneficiary's identifying number
G
Beneficiary's name, address, city, state, and ZIP code
*See attached statement for additional information.
Note: A statement must be attached showing the
beneficiary’s share of income and directly apportioned
deductions from each business, rental real estate, and
other rental activity.
H
Domestic beneficiary
Foreign beneficiary
For Paperwork Reduction Act Notice, see the Instructions for Form 1041.
Cat. No. 11380D
Schedule K-1 (Form 1041) 2017