Form 1041-T - Allocation Of Estimated Tax Payments To Beneficiaries - 2013
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21041-T
Allocation of Estimated Tax Payments to Beneficiaries
OMB No. 1545-1020
Form
(Under Code section 643(g))
2013
Information about Form 1041-T and its instructions is at
▶
Department of the Treasury
For calendar year 2013 or fiscal year beginning
, 2013, and ending
, 20
Internal Revenue Service
Employer identification number
Name of trust (or decedent’s estate)
Fill In Fiduciary’s
Name and title of fiduciary
Telephone number (optional)
Name and
Address Only If
Number, street, and room or suite no. (If a P.O. box, see instructions.)
You Are Filing
This Form
Separately and
City, state, and ZIP code
If you are filing this form for the final year of
Not With Form
1041.
the estate or trust, check this box
▶
1
Total amount of estimated taxes to be allocated to beneficiaries. Enter here and on Form 1041, line 24b
$
▶
2
Allocation to beneficiaries:
(d)
(c)
(e)
(a)
(b)
Amount of estimated
Beneficiary’s identifying
Proration
tax payment allocated
No.
Beneficiary’s name and address
number
percentage
to beneficiary
1
%
2
%
3
%
4
%
5
%
6
%
7
%
8
%
9
%
10
%
3
3
Total from additional sheet(s)
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4
Total amounts allocated. (Must equal line 1, above.) .
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4
Sign Here Only
Under penalties of perjury, I declare that I have examined this allocation, including accompanying schedules and statements, and to the best of my
If You Are Filing
knowledge and belief, it is true, correct, and complete.
This Form
Separately and
Not With Form
1041.
Date
Signature of fiduciary or officer representing fiduciary
1041-T
For Paperwork Reduction Act Notice, see back of form.
Form
(2013)
Cat. No. 64305W
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