Form Tc-41 - Utah Fiduciary Income Tax Return

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2003

Utah State Tax Commission

210 N 1950 W, Salt Lake City, Utah 84134

(801) 297-2200 or 1-800-662-4335

TC-41

Utah Fiduciary Income Tax Return

Rev. 12/03

For calendar year January 1, 2003 through December 31, 2003 or other taxable

period beginning date ________________, and ending date _______________.

1 - Amended IRS return

4 - Net operating loss

ENTER CODE (1 - 5) FOR

Check if

2 - Corrected state return

5 - Other

AMENDED RETURN

Final Return

3 - IRS audit/adjustment

(Pages 1 and 2)

Full name of the estate or trust

Employer identification number

Name of fiduciary

Federal identification or social security

Please type

number of fiduciary

or print in

Fiduciary's present address

black ink.

City, town or post office

State and ZIP code (foreign country)

2. Status of estate or trust

1. Type of return (check one)

3. Check if this estate or trust has

Grantor trust

(check one)

any

nonresident beneficiaries?

Qualified funeral trust (QFT)

Decedent estate

Charitable trust

Resident

Qualif. disability trust

Bankruptcy estate Ch 7

Simple trust

Nonresident Beneficiaries

Nonresident

Complex trust

Bankruptcy estate Ch 11

ESBT

1041 line 22 or 1041-QFT line 12 or Schedule A, line 10

4. Federal taxable income from federal form

(

)

5. Additions to income (

page 4 for instructions and

codes

- dd lines 5a through 5f

)

CODE

5a.

5c.

5e.

5b.

5f.

5d.

6. Total adjusted income (add lines 4 and 5)

7. One-half of federal tax liability on federal return (see page 5)

8. Other deductions (

page 5 for instructions and

codes

- dd lines 8a through 8f

)

CODE

8a.

8e.

8c.

8b.

8f.

8d.

9. Total deductions (add lines 7 and 8)

10. Utah taxable income (subtract line 9 from line 6)

11. Utah tax (compute from rate schedule on back using the amount on line 10)

12. Credit for tax paid to another state (from Schedule B, line 7 - page 6)

13. Nonrefundable credits (

pages 6 through 9 for instructions and

codes

- dd lines 13a through 13f

)

CODE

13e.

13a.

13c.

13b.

13f.

13d.

If claiming the Qualified Sheltered Workshop cash contribution credit (

code 02

), write the

Qualified Sheltered Workshop name here:

___________________________________________________

14. Total tax paid to another state and nonrefundable credits (add lines 12 and 13)

15. Subtract line 14 from line 11 (if line 14 is greater than or equal to line 11, enter zero)

16. AMENDED RETURNS ONLY (previous refund received on original return)

17. Utah use tax (see pages 9 and 10)

18. Total tax, additions and use tax (add lines 15, 16 and 17)

19. Utah tax withheld (see page 10)

20. Credit for Utah income taxes prepaid (from form TC-548)

21. AMENDED RETURNS ONLY (credit for taxes paid on original return)

22. Refundable credits (

pages 10 and 11 for instructions and

codes

- dd lines 22a through 22f

)

CODE

22a.

22e.

22c.

22b.

22f.

22d.

If claiming the nonresident shareholder's tax credit

(

code 43

), enter the S corporation federal ID number

23. Total withholdings and credits (add lines 19 through 22)

24. Tax Due - if line 18 is greater than line 23, subtract line 23 from line 18. This is the amount you owe.

TAX DUE

25. Refund - if line 23 is greater than line 18, subtract line 18 from line 23. This is the amount you overpaid.

REFUND

This return must be signed on the back.

Form Tc-41 - Utah Fiduciary Income Tax Return - 2003

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