Schedule 2k-1 - Beneficiary'S Massachusetts Information - 2013
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1
22013
Schedule 2K-1
Massachusetts
Department of
Beneficiary’s Massachusetts Information
Revenue
Name of estate or trust
Estate or trust employer identification
Name of beneficiary
Legal domicile of beneficiary (state)
Beneficiary’s identification number
Mailing address of beneficiary
City/Town
State
Zip
Name of fiduciary
Mailing address of fiduciary
City/Town
State
Zip
In care of address
City/Town
State
Zip
Check if:
Amended 2K-1
Final 2K-1 Beneficiary’s percentage of taxable income
What type of entity is this beneficiary?
Individual
Estate/trust
Charitable organization
Other
Is this beneficiary a nonresident of Massachusetts?
Yes
No
a. Amount
c. Total amounts
d.
from federal
b.
using Mass-
Massachusetts
(see instructions)
(see instructions)
llocable share item
1041 allocable
Massachusetts
achusetts law
source income
Part B income
to this beneficiary
adjustments
11 Wages, salaries, tips and other employee compensation . . . 1
12 Taxable pensions and annuities . . . . . . . . . . . . . . . . . . . . . . . 2
13 Business/profession or farm income or loss. . . . . . . . . . . . . . 3
14 Rental, royalty and REMIC income or loss . . . . . . . . . . . . . . . 4
15 Massachusetts bank interest. . . . . . . . . . . . . . . . . . . . . . . . . . 5
16 Other income, such as winnings, lump-sum distributions,
etc. (itemize) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
17 Deductions allowed decedents . . . . . . . . . . . . . . . . . . . . . . . . 7
18 Interest and dividend income (do not include income from
Part
interest and dividend income
common trust funds) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
19 Common trust fund interest and dividend income . . . . . . . . . 9
10 Taxable Part A 12% capital gains (do not include income
Part
capital gains
from common trust funds). . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Part A 12% short-term common trust fund capital gains . . . 11
12 Part C 5.25% long-term capital gains (do not include
Part C capital gains
income from common trust funds) . . . . . . . . . . . . . . . . . . . . 12
13 Part C 5.25% long-term common trust fund capital gains. . . 13
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