Form 4 À¾µº Department of the Treasury - nternal Revenue Servie U.S. nome Tax Return for Estates and Trusts OMB No. 545-0092 nformation aout Form 4 and its separate instrutions is at www.irs.gov/form4. A Chek all that apply: For alendar year 206 or fisal year eginning, 206, and ending, 20 Deedent's estate Simple trust Complex trust Qualified disaility trust ESBT (S portion only) Grantor type trust Bankrupty estate- Ch. 7 Bankrupty estate- Ch. Name of estate or trust (f a grantor type trust, see the instrutions.) C Employer identifiation numer Name and title of fiduiary NAME OF FDUCARY - COMPLANCE TEST ACCOUNT NAME OF FDUCARY - CONTNUED LNE 2 Numer, street, and room or suite no. (f a P.O. ox, see the instrutions.) City or town, state or provine, ountry, and ZP or foreign postal ode D E Date entity reated Nonexempt haritale and splitinterest trusts, hek appliale ox(es), see instrutions. Desried in se. 4947(a)(). Chek here if not a private foundation m Pooled inome fund Desried in se. 4947(a)(2) B Numer of Shedules K- F Chek attahed (see appliale nitial return Final return Amended return Net operating loss arryak instrutions) oxes: Change in trust's name Change in fiduiary Change in fiduiary's name Change in fiduiary's address G Chek here if the estate or filing trust made a setion 645 eletion Trust TN nome Dedutions Tax and Payments nterest inome m m m m SEE STATEMENT 2a Total ordinary dividends m m m SEE m m m m STATEMENT m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 2a Qualified dividends alloale to: () Benefiiaries,000. (2) Estate or trust NONE 3 Business inome or (loss). Attah Shedule C or C-EZ (Form 40) 3 4 Capital gain or (loss). Attah Shedule D (Form 4) m m m m m m m m m m m m m m m m m m 4 5 Rents, royalties, partnerships, other estates and trusts, et. Attah Shedule E (Form 40) 5 6 Farm inome or (loss). Attah Shedule F (Form 40) 6 7 Ordinary gain or (loss). Attah Form 4797 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 7 Other inome. List type and amount SEE STATEMENT 9 Total inome. Comine lines, 2a, and 3 through 9 nterest. Chek if Form 4952 is attahed Taxes m m m m Fiduiary fees m m m m m m m m m m m m m m m m Charitale dedution (from Shedule A, line 7) 4 Attorney, aountant, and return preparer fees m m m m m m m m 4 5 a Other dedutions not sujet to the 2% floor (attah shedule) 5a Net operating loss dedution. See instrutions m m m m m m m m m m m 5 Allowale misellaneous itemized dedutions sujet to the 2% floor m 5 6 Add lines through 5 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 6 7 Adjusted total inome or (loss). Sutrat line 6 from line 9 m m m m m m m m m m m m 7 23,666. nome distriution dedution (from Shedule B, line 5). Attah Shedules K- (Form 4) 9 Estate tax dedution inluding ertain generation-skipping taxes (attah omputation) 9 20 Exemption m m m m m m m m 20 2 Add lines through 20 m m m m m m m m m m m m m m m m m m m m m m 2 22 Taxale inome. Sutrat line 2 from line 7. f a loss, see instrutions 22 23 Total tax (from Shedule G, line 7) m m m m m m m m m m m m m m m m m m m m m m m 23 24 Payments: a 206 estimated tax payments and amount applied from 205 return 24a Estimated tax payments alloated to enefiiaries (from Form 4-T) 24 Sutrat line 24 from line 24a m m m m m 24 d Tax paid with Form 7004. See instrutions m m m m m m m m m m m m m m 24d e Federal inome tax withheld. f any is from Form(s) 99, hek 24e m m m m m m m m m m m m m m m m m m m m m Other payments: f Form 2439 ; g Form 46 ; Total 24h 25 Total payments. Add lines 24 through 24e, and 24h 25 26 Estimated tax penalty (see instrutions)m m m m m m m m m m m m m m m m m m m m m 26 27 Tax due. f line 25 is smaller than the total of lines 23 and 26, enter amount owed m m m m 27 2 Overpayment. f line 25 is larger than the total of lines 23 and 26, enter amount overpaid m m m m m m m m m m m m 2 29 Amount of line 2 to e: a Credited to 207 estimated tax ; Refunded 29 Under penalties of perjury, delare that have examined this return, inluding aompanying shedules and statements, and to the est of my knowledge and elief, it is true, orret, and omplete. Delaration of preparer (other than taxpayer) is ased on all information of whih preparer has any knowledge. Sign Here 2-22334 M Signature of fiduiary or offier representing fiduiary Date EN of fiduiary if a finanial institution Yes Paid FORM 960 TRUST - EAMPLE 2 (OPTON SELECTED TO ALTER TA CODE 33 EPENSE ALLOCATON) 2395 MDWAY RD CARROLLTON, T 75006 m m May the RS disuss this return with the preparer shown elow (see instr.)? Print/Type preparer's name Preparer's signature Date Chek if PTN self-employed Preparer Firm's name Firm's EN Use Only Firm's address Phone no. 2-34567 05/02/2007 6,666.,000.,000. 5,000. 32,666. 5,000. 4,000. 9,000.,666. 0.,766. 9,900.,9.,9. No For Paperwork Redution At Notie, see the separate instrutions. 6F 0.030 Form 4 (206) JSA
Form 4 (206) Page 2 Shedule A Charitale Dedution. Don't omplete for a simple trust or a pooled inome fund. Amounts paid or permanently set aside for haritale purposes from gross inome. See instrutions 2 Tax-exempt inome alloale to haritale ontriutions. See instrutions 2 3 Sutrat line 2 from line m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 3 4 Capital gains for the tax year alloated to orpus and paid or permanently set aside for haritale purposes 4 5 Add lines 3 and 4 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 5 6 Setion 02 exlusion alloale to apital gains paid or permanently set aside for haritale purposes. See instrutions 6 7 Charitale dedution. Sutrat line 6 from line 5. Enter here and on page, line m m m m m m m m m m m m m m m m 7 Shedule B nome Distriution Dedution Adjusted total inome. See instrutions 2 Adjusted tax-exempt interest m m m m m m m m m m m m m m m m m m m m m m m m m m 2 3 Total net gain from Shedule D (Form 4), line 9, olumn (). See instrutions m 3 4 Enter amount from Shedule A, line 4 (minus any alloale setion 02 exlusion) 4 5 Capital gains for the tax year inluded on Shedule A, line. See instrutions m m m m m m m m m m m m m m m m m m 5 6 Enter any gain from page, line 4, as a negative numer. f page, line 4, is a loss, enter the loss as a positive numer 6 7 Distriutale net inome. Comine lines through 6. f zero or less, enter -0- m m m m m m m m m m m m m m m m m m m 7 f a omplex trust, enter aounting inome for the tax year as determined under the governing instrument and appliale loal law,666. 9 nome required to e distriuted urrently m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 9 Other amounts paid, redited, or otherwise required to e distriuted m m m m Total distriutions. Add lines 9 and. f greater than line, see instrutions Enter the amount of tax-exempt inome inluded on line m m m m m Tentative inome distriution dedution. Sutrat line from line m m m m m m m m m m m 4 Tentative inome distriution dedution. Sutrat line 2 from line 7. f zero or less, enter -0- m m m 5 nome distriution dedution. Enter the smaller of line or line 4 here and on page, line m m m m m m m m m Shedule G Tax Computation (see instrutions) Tax: a Tax on taxale inome. See instrutions m m m m m a,3. Tax on lump-sum distriutions. Attah Form 4972 m m m m m m m Alternative minimum tax (from Shedule (Form 4), line 56) NONE m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 2a Foreign tax redit. Attah Form 6 m m m 2a General usiness redit. Attah Form 300 m m m m m m m m m m m m m m m m m m m m m 2 Credit for prior year minimum tax. Attah Form 0 m m m m m m m m m m m m m m m m 2 d Bond redits. Attah Form 9 m m m 2d e Total redits. Add lines 2a through 2d m m m m m m m 3 Sutrat line 2e from line d. f zero or less, enter -0-3 4 Net investment inome tax from Form 960, line 2 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 4 5 Reapture taxes. Chek if from: Form 4255 Form 6 5 6 Household employment taxes. Attah Shedule H (Form 40) m m m 6 7 Total tax. Add lines 3 through 6. Enter here and on page, line 23 m m m m m m m m m m m m m m m m m m m m m m m 7 d Total. Add lines a through d 2-34567 Other nformation Did the estate or trust reeive tax-exempt inome? f "Yes," attah a omputation of the alloation of expenses. Enter the amount of tax-exempt interest inome and exempt-interest dividends $ 2 Did the estate or trust reeive all or any part of the earnings (salary, wages, and other ompensation) of any individual y reason of a ontrat assignment or similar arrangement? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m over a ank, seurities, or other finanial aount in a foreign ountry? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m See the instrutions for exeptions and filing requirements for FinCEN Form 4. f "Yes," enter the name of the 3 At any time during alendar year 206, did the estate or trust have an interest in or a signature or other authority foreign ountry 4 During the tax year, did the estate or trust reeive a distriution from, or was it the grantor of, or transferor to, a foreign trust? f "Yes," the estate or trust may have to file Form 3520. See instrutions m m m m m m m m m m m m m m m m m m m m m m m m 5 Did the estate or trust reeive, or pay, any qualified residene interest on seller-provided finaning? f "Yes," see the instrutions for required attahment m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 6 f this is an estate or a omplex trust making the setion 663() eletion, hek here. See instrutions m 7 To make a setion 643(e)(3) eletion, attah Shedule D (Form 4), and hek here. See instrutions m m m m m m f the deedent's estate has een open for more than 2 years, attah an explanation for the delay in losing the estate, and hek here 9 Are any present or future trust enefiiaries skip persons? See instrutions m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Was the trust a speified domesti entity required to file Form 93 for the tax year (see the nstrutions for Form 93)? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 4 5 2e 23,666. NONE -,000.,666. 40,000. 40,000. NONE 40,000.,666.,666.,3.,3. 95.,9. Yes No JSA Form 4 (206) 6F20 0.050 W2793 L605 09/4/206 NE2
Net nvestment nome Tax- Form ¼½º ndividuals, Estates, and Trusts Department of the Treasury nternal Revenue Servie (99) Name(s) shown on your tax return Part 2 3 4a 5a nvestment nome OMB No. 545-2227 À¾µº Attah to your tax return. Attahment nformation aout Form 960 and its separate instrutions is at www.irs.gov/form960. Sequene No. 72 Your soial seurity numer or EN TO ALTER TA CODE 33 EPENSE ALLOCATON) 2-34567 Setion 60(g) eletion (see instrutions) Setion 60(h) eletion (see instrutions) Regulations setion.4-(g) eletion (see instrutions) Taxale interest (see instrutions) m Ordinary dividends (see instrutions) Annuities (see instrutions) m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Rental real estate, royalties, partnerships, S orporations, trusts, et. (see instrutions) m m m m m m m m m m m m m m m m m m m m m m m m m m m m 4a Adjustment for net inome or loss derived in the ordinary ourse of a non-setion 4 trade or usiness (see instrutions) 4 Comine lines 4a and 4 m m m m m m m m m m m m m m m m m m m m m m m Net gain or loss from disposition of property (see instrutions) m m m m m m 5a m m m m m m m m m m m m Net gain or loss from disposition of property that is not sujet to net investment inome tax (see instrutions) m m m m m m m m m m m m m m m 5 Adjustment from disposition of partnership interest or S orporation stok (see instrutions) m m m 5 Comine lines 5a through 5 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m STMT 4 Total investment inome. Comine lines, 2, 3, 4, 5d, 6, and 7 m m m m m m m m m m m m m m m m m m m nvestment interest expenses (see instrutions) m m m 9a State, loal, and foreign inome tax (see instrutions) m STMT 4 9 Misellaneous investment expenses (see instrutions) 9 Add lines 9a, 9, and 9 m m m m m m m m m m Additional modifiations (see instrutions) m m m m m m m STMT m 4 Total dedutions and modifiations. Add lines 9d and m m m m m m m m m m m m m m m m m m m m m m m d 6 Adjustments to investment inome for ertain CFCs and PFCs (see instrutions) 7 Other modifiations to investment inome (see instrutions) Part nvestment Expenses Alloale to nvestment nome and Modifiations 9a d Part 4 5 6 7 a 9 a 20 2 Tax Computation FORM 960 TRUST - EAMPLE 2 (OPTON SELECTED,000. 400. Net investment inome. Sutrat Part, line from Part, line. ndividuals omplete lines - 7. Estates and trusts omplete lines a-2. f zero or less, enter -0- m m m m m m m m m m m m m m m m m ndividuals: Modified adjusted gross inome (see instrutions) Threshold ased on filing status (see instrutions) m m 4 Sutrat line 4 from line. f zero or less, enter -0-5 Enter the smaller of line or line 5 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Net investment inome tax for individuals. Multiply line 6 y 3.% (.03). Enter here and inlude on your tax return (see instrutions) m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Estates and Trusts: Net investment inome (line aove) m m m m m m m m m m m m m m m m m m a Dedutions for distriutions of net investment inome and dedutions under setion 642() (see instrutions) m m m m m m m m m m m m Undistriuted net investment inome. Sutrat line from a (see instrutions). f zero or less, enter -0- m m Adjusted gross inome (see instrutions) STMT m m m m m 5m m m m m m m m m m m m 9a Highest tax raket for estates and trusts for the year (see instrutions) m m m m m m m m m m m m m m m m m m m m m m m m 9 Sutrat line 9 from line 9a. f zero or less, enter -0-9 Enter the smaller of line or line 9 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Net investment inome tax for estates and trusts. Multiply line 20 y 3.% (.03). Enter here and inlude on your tax return (see instrutions) m m m m m m m m m m m m m m m m m m m m m m m m m m m m 26,599.,666.,933. 4,900.,400. 2,500. For Paperwork Redution At Notie, see your tax return instrutions. Form 960 (206) 2 3 4 5d 6 7 9d 6 7 20 2 6,666.,000.,000. 3,333. 30,999. 400. 4,000. 4,400. 26,599. 2,500. 95. JSA 6F2735 0.0 W2793 L605 09/4/206 NE2 7
Shedule K- (Form 4) Department of the Treasury nternal Revenue Servie For alendar year 206, À¾µº or tax year eginning, 206, and ending, 20 Benefiiary's Share of nome, Dedutions, Credits, et. A Part See ak of form and instrutions. nformation Aout the Estate or Trust Estate's or trust's employer identifiation numer 66 Final K- Amended K- OMB No. 545-0092 Part 2a 2 3 4a nterest inome Ordinary dividends Qualified dividends Benefiiary's Share of Current Year nome, Dedutions, Credits, and Other tems,777.,000.,000. Net short-term apital gain Net long-term apital gain Final year dedutions B 2-34567 Estate's or trust's name 4 2% rate gain Alternative minimum tax adjustment FORM 960 TRUST - EAMPLE 2 (OPTON SELECTED TO ALTER TA CODE 33 EPENSE ALLOCATON) 4 5 Unreaptured setion 50 gain Other portfolio and nonusiness inome C Fiduiary's name, address, ity, state, and ZP ode NAME OF FDUCARY - COMPLANCE TEST ACCOUNT NAME OF FDUCARY - CONTNUED LNE 2 2395 MDWAY RD CARROLLTON, T 75006 6 7 Ordinary usiness inome 9. Net rental real estate inome Credits and redit reapture Other rental inome 9 Diretly apportioned dedutions D Chek if Form 4-T was filed and enter the date it was filed 4 Other information E Chek if this is the final Form 4 for the estate or trust Part nformation Aout the Benefiiary F Benefiiary's identifying numer 444--2345 G Benefiiary's name, address, ity, state, and ZP ode Estate tax dedution CHAMP DUGSTER 44 FORBES DRVE PLANO, T 75093 *See attahed statement for additional information. Note. A statement must e attahed showing the enefiiary's share of inome and diretly apportioned dedutions from eah usiness, rental real estate, and other rental ativity. H Domesti enefiiary Foreign enefiiary For Paperwork Redution At Notie, see the nstrutions for Form 4. RS.gov/form4 Shedule K- (Form 4) 206 For RS Use Only JSA 6F6 0.020 W2793 L605 09/4/206 NE2 9
FORM 960 TRUST - EAMPLE 2 (OPTON SELECTED 2-34567 Form 960 - Net nvestment nome (Setion 4) Detail Line 7 - Other Modifiations to nvestment nome ---------- State refund inludile in net investment inome 3,333. Total other modifiations to investment inome 3,333. State Tax Refund Alloale to Net nvestment nome (N) ----- State tax refund inluded in other inome 5,000. Portion of state tax refund alloale to N = (Prior year state tax, Form 960, ln 9/Prior year state tax, Form 4, ln ) x state tax refund inluded in other inome 3,333. = (,000./5,000.) x 5,000. Alloation of Dedutions (see following statement) ----------- nome Desription ----- Maximum Tax Rate -------- Gross ------------ Dedutions Net Other nterest (N) 43.4 6,666. 4,9.,777. Other nome (N) 43.4 3,333. 2,444. 9. Other nome (Non-N) 39.6,667.,667. Qualified Other Dividends (N) 23.,000.,000. Totals 22,666. 9,000.,666. Expense Alloation Methodology: Unless indiated otherwise, expenses have een offset against inome sujet to the lowest marginal tax rate last. Dedution Desription (Line referenes elow refer to Form 960) ----- Gross Alloale to Set 4 N Not Allo to Set 4 N State nome Taxes (Line 9) 400. 400. Real Estate Taxes (Non-rental property) * 4,600. 2,933.,667. Fiduiary Fees (Line ) 4,000. 4,000. Total Dedutions 9,000. 7,333.,667. * These expenses are offset first against Non-N inome to the extent possile. Form 960, Part, Expenses Alloale to nvestment nome ------- Line 9 - State inome tax 400. Line - Additional modifiations 4,000. Total dedutions and modifiations 4,400. Real estate taxes (non-rental property) are not allowed as a dedution on Part of Form 960. This inludes any portion of suh whih was alloated against N inome for purposes of Setion 652(). W2793 L605 09/4/206 NE2 STATEMENT 4 25
FORM 960 TRUST - EAMPLE 2 (OPTON SELECTED 2-34567 Form 960 - Net nvestment nome (Setion 4) Detail Adjusted Gross nome (Line 9a) ------. Total inome... 32,666. Less: 2. Fiduiary fees... 4,000. 3. Attorney, aountant, and return preparer fees... 4. Other dedutions not sujet to 2% AG floor... 5. nome distriution dedution...,666. 6. Exemption... 0. 7. Adjusted Gross nome... 4,900. W2793 L605 09/4/206 NE2 STATEMENT 5 26
FORM 960 TRUST - EAMPLE 2 (OPTON SELECTED 2-34567 Form 960 - Additional Expense Alloation Detail Dedutions to e Alloated Dedutions to e Alloated Against Non-N nome First 4,600. Other Dedutions (Not Speifially Allowed/Disallowed against N) 4,400. Total dedutions 9,000. Dedutions whih are to e Alloated Against Non-N nome First Real estate tax on non-rental property 4,600. Total dedutions to e alloated against Non-N inome first 4,600. Alloation of Dedutions Against Non-N nome First - nome Desription ----- Maximum Tax Rate -------- Gross ------------ Dedutions Gross as Adjusted Other nome (Non-N) 39.6,667.,667. Other nterest (N) 43.4 6,666.,955. 4,7. Other nome (N) 43.4 3,333. 97. 2,355. Qualified Other Dividends (N) 23.,000.,000. Totals 22,666. 4,600.,066. Alloation of Remaining Dedutions -------- nome Desription ----- Maximum Tax Rate -------- Gross as Adjusted ------------ Dedutions Net Other nterest (N) 43.4 4,7. 2,934.,777. Other nome (N) 43.4 2,355.,466. 9. Qualified Other Dividends (N) 23.,000.,000. Totals,066. 4,400.,666. Expense Alloation Methodology: Unless indiated otherwise, expenses have een offset against inome sujet to the lowest marginal tax rate last. W2793 L605 09/4/206 NE2 STATEMENT 6 27