Form Tc-41 - Utah Fiduciary Income Tax Return - 2002
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1
2Clear form
2002
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. 12/02
For calendar year January 1, 2002 through December 31, 2002 or other taxable
periods 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
(Page 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
G
Grantor trust
(check one)
any
nonresident beneficiaries?
E
F
Qualified funeral trust (QFT)
H
Charitable trust
Decedent estate
Resident
S
A
Bankruptcy estate. Ch 7
D
Qualif. disability trust
Simple trust
Nonresident Beneficiaries
B
Nonresident
C
Bankruptcy estate. Ch 11
T
ESBT (S portion only)
Complex trust
1041 line 22 or 1041-QFT line 12 or Schedule A, line 10
00
4
4. Federal taxable income from federal form
(
)
5
00
5. State income taxes deducted on federal return (Utah portion only if nonresident)
6
00
6. Interest on U.S. government obligations allocated to beneficiaries (see instructions)
7. Total adjusted income (add lines 4, 5 and 6)
00
7
8. One-half of federal tax liability on federal return (see instructions)
00
8
00
9
9. State tax add-back allocated to beneficiaries (see instructions)
10. Other deductions (
page 5 for instructions and
codes
- dd lines 10a through 10f
a
)
CODE
CODE
CODE
10a.
10e.
00
10c.
00
00
10b.
00
10f.
10
00
00
00
10d.
00
11
11. Total deductions (add lines 8 through 10)
00
12. Utah taxable income (subtract line 11 from line 7)
12
00
13. Utah tax (compute from rate schedule on back using the amount on line 12)
13
14. Credit for tax paid to another state (from Schedule B, line 7)
00
14
15. Nonrefundable credits (
pages 6 through 9 for instructions and
codes
- dd lines 15a through 15f
a
)
CODE
CODE
CODE
15a.
15e.
00
15c.
00
00
15b.
00
15f.
15
00
00
15d.
00
If claiming the Qualified Sheltered Workshop cash contribution credit (
code 02
), write the
Qualified Sheltered Workshop name here:
___________________________________________________
00
16. Total tax paid to another state and nonrefundable credits (add lines 14 and 15)
16
17
00
17. Subtract line 16 from line 13 (if line 16 is greater than or equal to line 13, enter zero)
18
18. AMENDED RETURNS ONLY (previous refund received on original return)
00
00
19
19. Utah use tax (see instructions)
00
20
20. Total tax, additions and use tax (add lines 17, 18 and 19)
00
21
21. Utah tax withheld (see instructions)
00
22
22. Credit for Utah income taxes prepaid (from form TC-548)
00
23
23. AMENDED RETURNS ONLY (credit for taxes paid on original return)
24. Refundable credits (
page 10 for instructions and
codes
- dd lines 24a through 24f
a
)
CODE
CODE
CODE
24a.
24e.
00
24c.
00
00
24b.
24f.
00
00
24
00
24d.
00
If claiming the nonresident shareholder's tax
credit (
code 43
), enter your federal ID number
00
25
25. Total withholdings and credits (add lines 21 through 24)
00
26. TAX DUE - if line 20 is greater than line 25, subtract line 25 from line 20. This is the amount you owe.
TAX DUE
26
00
27. REFUND - if line 25 is greater than line 20, subtract line 20 from line 25. This is the amount you overpaid.
27
REFUND
This return must be signed on the back.
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