Form Tc-41 - Utah Fiduciary Income Tax Return - 2016 Page 3
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15Fiduciary Supplemental Schedule
TC-41A
Pg. 1
41603
2016
EIN or SSN
Estate/trust name
USTC ORIGINAL FORM
Part 1 -
Additions to Income (enter the code and amount of each addition to income)
Code
Amount
.00
Code
Code
•
51 Lump sum distributions
58 ESBT S corporation income
.00
54 Utah Educational Savings Plan (UESP) addback*
62 Fiduciary adjustments - attach explanation
•
57 Municipal bond interest
69 Equitable adjustments - attach explanation
.00
* to the extent previously deducted or credited on Utah return
•
.00
•
.00
Total additions to income (add all additions to income and enter total here and on TC-41, line 5)
Part 2 - Subtractions from Income (enter the code and amount of each subtraction from income)
Code
Amount
.00
Code
Code
•
71 Interest from U.S. Government Obligations
79 Equitable adjustments - attach explanation
.00
77 Native American Income:
84 Nontaxable income from irrevocable resident
•
Tribe
trust
Enrollment Number
Code
.00
•
86 Nongrantor charitable lead trust charitable
•
78 Railroad retirement income
contribution
.00
87 Fiduciary adjustment - attach explanation
•
.00
Total subtractions from income (add all subtractions from income and enter total here and on TC-41, line 12)
Part 3 - Apportionable Nonrefundable Credits
(enter the code and amount of each credit)
Code
Amount
.00
Code
•
04 Capital gain transactions credit
.00
20 Utah Educational Savings Plan (UESP) credit
•
24 Qualifying solar project credit
.00
26 Gold and silver coin sale credit
•
.00
•
.00
Total apportionable nonrefundable credits
.00
Less apportionable nonrefundable credit distributed to beneficiaries on Schedule K-1
•
91
.00
Total apportionable nonrefundable credits claimed by fiduciary
(subtract credit allocated to beneficiaries from total credit and enter this amount on TC-41, page 2, line 24)
Part 4 - Nonapportionable Nonrefundable Credits (enter the code and amount of each credit)
Code
Amount
.00
Code
Code
•
02 Qualified sheltered workshop credit - name:
13 Carryforward of mach./equip. research credit
.00
17 Tax paid to another state (attach TC-41S)
•
05 Clean fuel vehicle credit
21 Renewable residential energy systems credit
.00
06 Historic preservation credit
25 Combat related death credit
•
07 Carryforward of enterprise zone credit
27 Veteran employment tax credit
.00
08 Low-income housing credit
28 Employing persons who are homeless
•
10 Recycling market dev. zone credit
63 Achieving a Better Life Experience Prog. credit
12 Research activities credit
.00
Total nonapportionable nonrefundable credits
.00
Less nonapportionable nonrefundable credit distributed to beneficiaries on Schedule K-1
•
92
.00
Total nonapportionable nonrefundable credits claimed by fiduciary
(subtract credit allocated to beneficiaries from total credit and enter this amount on TC-41, page 2, line 27)
Submit page ONLY if data entered.
Attach completed schedule to your Utah Fiduciary Tax Return.
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