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661117 (Form 1041) 2017 Part III Beneficiary’s Share …

schedule K-1 (Form 1041) 2017 Beneficiary s Share of Income, Deductions, Credits, etc. Department of the Treasury internal revenue Service See back of form and instructions. OMB No. 1545-0092 661117 Final K-1 Amended K-1 For calendar year 2017, or tax year beginning/ / 2017ending / / Information About the Estate or Trust Part I A Estate s or trust s employer identification number B Estate s or trust s nameC Fiduciary's name, address, city, state, and ZIP codeDCheck if Form 1041-T was filed and enter the date it was filed ECheck if this is the final Form 1041 for the estate or trust Information About the BeneficiaryPart II F Beneficiary's identifying numberG Beneficiary's name, address, city, state, and ZIP codeHDomestic beneficiaryForeign beneficiaryBeneficiary s Share of Current Year Income, Deductions, Credits, and Other Items Part III 1 Interest income 2a Ordinary dividends2b Qualified dividends3 Net short-term capital gain4a Net long-term capital gain4b 28% rate gain 4c Unrecaptured section 1250 gain5 Other portfolio and nonbusiness income6 Ordinary business income7 Net rental real estate income8 Other rental income9 Directly apportioned deductions10 Estate tax deduction11 Final year deductions12 Alternative minimum tax adjustment13 Credits and credit recapture14 Other information*See att

Schedule K-1 (Form 1041) 2017 Beneficiary’s Share of Income, Deductions, Credits, etc. Department of the Treasury Internal Revenue Service

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