· 2010 AICPA-UI NATIONAL TAX EDUCATION PROGRAM WEEK III, JULY 12-16 ADVANCE PREPARATION MATERIAL...

2010 AICPA-UI NATIONAL TAX EDUCATION PROGRAM WEEK III, JULY 12-16

ADVANCE PREPARATION MATERIAL

TRUST INCOME TAX RETURN PROBLEM

Tony Toebasher, the first American soccer hero, died on January 8, 1994. On that date, his will established The Tony Toebasher Trust. The trustee is National Bank of Indiana, 1234 Meridian, Indianapolis, IN 46202 (EIN 22-8078071). The trust is a calendar year, cash basis taxpayer. The trust instrument requires that 1/4 of the trust income is to be distributed to Tony's surviving widow, Sophia (111-22-3333), for her life. The remaining trust income may, in the complete discretion of the trustee, be paid to Tony's son, Joseph (111-11-1234), or paid to designated charities or accumulated. The trust instrument provides for a depreciation reserve of $4,000 annually. In addition, the trust instrument provides that all capital gains are allocable to corpus. Estimated federal taxes paid equally throughout year were $10,000. For 2009, the trust's books and records reflect these transactions: Income and Capital Gains: Dividends from various stocks (all qualified) 30,000 Gross rents from residential real estate rentals 25,000 Interest: Bonds of the City of New York 25,000 U.S. government bonds 20,000 Capital Gains: IBM stock received from Tony's estate Sales price: May 2, 2009 $48,000 Basis (FMV on date of death) (30,000) Capital gain 18,000 Expenses: Trustee commissions allocable to income 8,000 Trustee commissions allocable to corpus 2,000 Rental property Depreciation reserve 4,000 Real estate tax 5,000 Repairs and maintenance 3,000 As shown above, the depreciation reserve required by the trust instrument is $4,000 annually. Tax depreciation, however, was $8,000 for the year. During 2009, the trustee distributed 1/4 of the trust's income to Sophia, 1/4 to Joseph, and 1/4 to the United Way, a qualifying charitable organization. The remaining income was accumulated. The trustee elects to allocate all expenses not directly related to a particular class of income to dividends. Prepare the 2009 income tax return for the Tony Toebasher Trust. Complete the form 1041 and all necessary schedules. Complete Schedules K-1 for the beneficiaries: Sophia Toebasher and Joseph Toebasher. Ignore the alternative minimum tax. The forms for preparing the tax return can be obtained at the IRS website: http://www.irs.gov/app/picklist/list/formsPublications.html

7 Total gift tax paid or payable with respect to gifts made by the decedent after December 31, 1976.Include gift taxes by the decedent's spouse for such spouse's share of split gifts (section 2513) onlyif the decedent was the donor of these gifts and they are includible in the decedent's gross estate(see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

8 Gross estate tax (subtract line 7 from line 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

9 Maximum unified credit (applicable credit amount) against estate tax . . . . 9

10 Adjustment to unified credit (applicable credit amount) (Thisadjustment may not exceed $6,000. See instructions.) . . . . . . . . . . . . . . . . . . 10

11 Allowable unified credit (applicable credit amount) (subtract line 10 from line 9) . . . . . . . . . . . . . . . . . . . . . . . 11

12 Subtract line 11 from line 8 (but do not enter less than zero) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

PART

2

TAX

COMPUTATION 13 Credit for foreign death taxes (from Schedule(s) P). (Attach

Form(s) 706-CE.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

14 Credit for tax on prior transfers (from Schedule Q) . . . . . . . . . . . . . . . . . . . . . 14

15 Total credits (add lines 13 and 14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

16 Net estate tax (subtract line 15 from line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

17 Generation-skipping transfer (GST) taxes payable (from Schedule R, Part 2, line 10) . . . . . . . . . . . . . . . . . . . 17

18 Total transfer taxes (add lines 16 and 17) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

19 Prior payments. Explain in an attached statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

20 Balance due (or overpayment) (subtractline 19 from line 18) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

1 Total gross estate less exclusion (from Part 5 ' Recapitulation, page 3, item 12) . . . . . . . . . . . . . . . . . . . . . . 1

2 Tentative total allowable deductions (from Part 5 ' Recapitulation, page 3, item 22) . . . . . . . . . . . . . . . . . . . 2

3a Tentative taxable estate (before state death tax deduction) (subtract line 2 from line 1) . . . . . . . . . . . . . . . . . 3a

b State death tax deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3b

c Taxable estate (subtract line 3b from line 3a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3c

4 Adjusted taxable gifts (total taxable gifts (within the meaning of section 2503) made by thedecedent after December 31, 1976, other than gifts that are includible in decedent's grossestate (section 2001(b))) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

5 Add lines 3c and 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

6 Tentative tax on the amount on line 5 from Table A in the instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Form 706United States Estate (and Generation-Skipping

Transfer) Tax Return(Rev September 2009)

OMB No. 1545-0015

Department of the TreasuryInternal Revenue Service

Estate of a citizen or resident of the United States (see separate instructions).To be filed for decedents dying after December 31, 2008 and before January 1, 2010.

1a Decedent's first name and middle initial (and maiden name, if any) 1 b Decedent's last name 2 Decedent's SSN

3a County, state, and ZIP, or foreign country, of legal residence (domicile) at time of death 3 b Year domicile estd 4 Date of birth 5 Date of death

6a Name of executor (see the instructions) 6 b Executor's address (number and street including apartment or suite no.; city,town, or post office; state; and ZIP code) and phone number.

6c Executor's social security number (see instructions)

PART

1

7a Name and location of court where will was probated or estate administered 7b Case number

8 GIf decedent died testate, check here . . . . and attach a certified copy of the will. 9 GIf you extended the time to file this Form 706, check here . . .

DECEDENT

AND

EXECUTOR

10 GIf Schedule R-1 is attached, check here . .

FDRA0201 10/01/09

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, itis true, correct, and complete. Declaration of preparer other than the executor is based on all information of which preparer has any knowledge.

A Signature of executor A Date

Signatureof

executor(s)

A Signature of executor A Date

Date Preparer's SSN or PTINPreparer'ssignature A

Check ifself-employed G

A EIN G

Signatureof preparerother thanexecutor

Firm's name(or yours ifself-employed),address, andZIP code Phone

no.

BAA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Form 706 (Rev 9-2009)

Bud Light 447-77-7777

1959Chicago, IL 60601 07/02/34 07/01/09

Charles E. Ton

111-22-3333

101 Shyster ParkwayChicago, IL 60601

(312) 123-4567

Cook County Probate Court, Probate Division 50 West Washington St. Chicago IL 60602 99

8,801,250.1,173,200.7,628,050.

100,000.7,528,050.

86,000.7,614,050.3,307,123.

580.3,306,543.

1,455,800.

1,455,800.1,850,743.

1,850,743.

1,850,743.

1,850,743.

X

Form 706 (Rev 9-2009)

Estate of:

Part 3 ' Elections by the Executor

Please check the 'Yes' or 'No' box for each question (see instructions). Yes No

Note. Some of these elections may require the posting of bonds or liens.

1 Do you elect alternate valuation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2 Do you elect special-use valuation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

If 'Yes,' you must complete and attach Schedule A-1.

3 Do you elect to pay the taxes in installments as described in section 6166? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

If 'Yes,' you must attach the additional information described in the instructions.

Note. By electing section 6166, you may be required to provide security for estate tax deferred under section 6166 andinterest in the form of a surety bond or a section 6324A special lien.

4 Do you elect to postpone the part of the taxes attributable to a reversionary or remainder interest as described insection 6163? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Part 4 ' General Information (Note: Please attach the necessary supplemental documents. You must attach the death certificate.)(see instructions)

Authorization to receive confidential tax information under Regulations section 601.504(b)(2)(i); to act as the estate's representative before the IRS; and to make written or oralpresentations on behalf of the estate if return prepared by an attorney, accountant, or enrolled agent for the executor:

Name of representative (print or type) State Address (number, street, and room or suite number, city, state, and ZIP code)

I declare that I am the attorney/ certified public accountant/ enrolled agent (you must check the applicable box) for the

executor and prepared this return for the executor. I am not under suspension or disbarment from practice before the Internal Revenue Serviceand am qualified to practice in the state shown above.

Signature CAF number Date Telephone number

1 Death certificate number and issuing authority (attach a copy of the death certificate to this return).

2 Decedent's business or occupation. If retired, check here G and state decedent's former business or occupation.

3 Marital status of the decedent at time of death:

Married

Widow or widower ' Name, SSN, and date of death of deceased spouse G

Single

Legally separated

Divorced ' Date divorce decree became final G

4 a Surviving spouse's name 4b Social security number 4c Amount received (see instrs)

5 Individuals (other than the surviving spouse), trusts, or other estates who receive benefits from the estate (do not includecharitable beneficiaries shown in Schedule O) (see instructions).

Name of individual, trust, or estate receiving $5,000 or more Identifying number Relationship to decedent Amount (see instructions)

GAll unascertainable beneficiaries and those who receive less than $5,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Please check the 'Yes' or 'No' box for each question. Yes No

6 Does the gross estate contain any section 2044 property (qualified terminable interest property (QTIP) from a prior gift orestate) (see the instructions)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7 aHave federal gift tax returns ever been filed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If 'Yes,' please attach copies of the returns, if available, and furnish the following information:

7 b Period(s) covered 7 c Internal Revenue office(s) where filed

8 aWas there any insurance on the decedent's life that is not included on the return as part of the gross estate? . . . . . . . . . . . . . . . . . .

b Did the decedent own any insurance on the life of another that is not included in the gross estate? . . . . . . . . . . . . . . . . . . . . . . . . . . . .

BAA (continued on next page) FDRA0202 10/01/09 Page 2

Bud Light 447-77-7777

XX

X

X

State of Illinois #12999876565

Brewmaster

X

Star Light 337-61-6666 1,111,250.

5,677,308.

XX

1979 Cincinnati, OHXX

Miller LightIma LightRed Light

FriendDaugherSon

106,000.2,255,654.3,315,654.

Form 706 (Rev 9-2009)

Part 4 ' General Information (continued)

If you answer 'Yes' to any of questions 9-16, you must attach additional information as described in the instructions. Yes No

9 Did the decedent at the time of death own any property as a joint tenant with right of survivorship in which (a) one or more ofthe other joint tenants was someone other than the decedent's spouse, and (b) less than the full value of the property isincluded on the return as part of the gross estate? If 'Yes,' you must complete and attach Schedule E . . . . . . . . . . . . . . . . . . . . . . . . .

10 a Did the decedent, at the time of death, own any interest in a partnership (for example, a family limited partnership), anunincorporated business, a limited liability company; or own any stock in an inactive or closely held corporation? . . . . . . . . . . . . . .

b If 'Yes,' was the value of any interest owned (from above) discounted on this estate tax return? If 'Yes,' see the instructionsfor Schedule F for reporting the total accumulated or effective discounts taken on Schedule F or G . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11 Did the decedent make any transfer described in section 2035, 2036, 2037, or 2038 (see the instructions for Schedule G inthe separate instructions)? If 'Yes,' you must complete and attach Schedule G . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

12 a Were there in existence at the time of the decedent's death any trusts created by the decedent during his or her lifetime? . . . . . . .

b Were there in existence at the time of the decedent's death any trusts not created by the decedent under which the decedentpossessed any power, beneficial interest, or trusteeship? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Was the decedent receiving income from a trust created after October 22, 1986 by a parent or grandparent? . . . . . . . . . . . . . . . . . . .

If 'Yes,' was there a GST taxable termination (under section 2612) upon the death of the decedent? . . . . . . . . . . . . . . . . . . . . . . . . . . .

d If there was a GST taxable termination (under section 2612), attach a statement to explain. Provide a copy of the trust or willcreating the trust, and give the name, address, and phone number of the current trustee(s).

e Did the decedent at any time during his or her lifetime transfer or sell an interest in a partnership, limited liability company, orclosely held corporation to a trust described in question 12a or 12b? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

GIf 'Yes,' provide the EIN number to this transferred/sold item . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13 Did the decedent ever possess, exercise, or release any general power of appointment? If 'Yes,' you must complete and attach Schedule H . . . . . . . . . . . . . . . . . .

14 Did the decedent have an interest in or a signature or other authority over a financial account in a foreign country, such as abank account, securities account, or other financial account? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

15 Was the decedent, immediately before death, receiving an annuity described in the 'General' paragraph of the instructions forSchedule I or a private annuity? If 'Yes,' you must complete and attach Schedule I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

16 Was the decedent ever the beneficiary of a trust for which a deduction was claimed by the estate of a pre-deceased spouseunder section 2056(b)(7) and which is not reported on this return? If 'Yes,' attach an explanation . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Part 5 ' Recapitulation

Item

number Gross estate Alternate value Value at date of death

1 Schedule A ' Real Estate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2 Schedule B ' Stocks and Bonds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Schedule C ' Mortgages, Notes, and Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

4 Schedule D ' Insurance on the Decedent's Life (attach Form(s) 712) . . . . . . . . . . . . 4

5 Schedule E ' Jointly Owned Property (attach Form(s) 712 for life insurance) . . . . . 5

6 Schedule F ' Other Miscellaneous Property (attach Form(s) 712 for life insurance) . . . . . . . . . . . . . . . 6

7 Schedule G ' Transfers During Decedent's Life (attach Form(s) 712 for life insurance) . . . . . . . . . . . . 7

8 Schedule H ' Powers of Appointment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

9 Schedule I ' Annuities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

10 Total gross estate (add items 1 through 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

11 Schedule U ' Qualified Conservation Easement Exclusion . . . . . . . . . . . . . . . . . . . . . . 11

12 Total gross estate less exclusion (subtract item 11 from item 10). Enter hereand on line 1 of Part 2 ' Tax Computation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Item

number Deductions Amount

13 Schedule J ' Funeral Expenses and Expenses Incurred in Administering Property Subject to Claims . . . . . . 13

14 Schedule K ' Debts of the Decedent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

15 Schedule K ' Mortgages and Liens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

16 Total of items 13 through 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

17 Allowable amount of deductions from item 16 (see the instructions for item 17 of the Recapitulation) . . . . . . . 17

18 Schedule L ' Net Losses During Administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

19 Schedule L ' Expenses Incurred in Administering Property Not Subject to Claims . . . . . . . . . . . . . . . . . . . . . . . . 19

20 Schedule M ' Bequests, etc, to Surviving Spouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

21 Schedule O ' Charitable, Public, and Similar Gifts and Bequests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

22 Tentative total allowable deductions (add items 17 through 21). Enter here and on line 2 of the Tax Computation . . . . . . . . . . . . . . . . . 22

BAA Page 3 FDRA0203 10/01/09

Bud Light 447-77-7777

X

X

X

X

XX

X

X

X

X

X

2,140,000.4,560,000.

126,000.0.

1,331,500.187,750.400,000.

0.56,000.

8,801,250.0.

8,801,250.

46,000.3,950.

49,950.49,950.

0.0.

1,111,250.12,000.

1,173,200.

Form 706 (Rev 9-2009)

Decedent's SSN

Estate of:

SCHEDULE A ' Real Estate?For jointly owned property that must be disclosed on Schedule E, see the instructions.

?Real estate that is part of a sole proprietorship should be shown on Schedule F.

?Real estate that is included in the gross estate under section 2035, 2036, 2037, or 2038 should be shown on Schedule G.

?Real estate that is included in the gross estate under section 2041 should be shown on Schedule H.

? If you elect section 2032A valuation, you must complete Schedule A and Schedule A-1.

Itemnumber Description

Alternatevaluation date

Total from continuation schedules or additional sheets attached to this schedule . . . . . . . . . . . .

TOTAL. (Also enter on Part 5 ' Recapitulation, page 3, at item 1.) . . . . . . . . . . . . . . . . . . . . . . . .

(If more space is needed, attach the continuation schedule from the end of this package or additional sheets of the same size.)

(See instructions.)

BAA FDRA0301 10/01/09 Schedule A ' Page 4

Alternate value Value at date of death

Bud Light 447-77-7777

2,140,000.

Personal Residence 640,000.1/2 interest in 4,000 acres of land

Telluride, Colorado 1,500,000.

Form 706 (Rev 9-2009)

Decedent's SSN

Estate of:

SCHEDULE B ' Stocks and Bonds(For jointly owned property that must be disclosed on Schedule E, see the instructions for Schedule E.)

Itemnumber

Description including face amount of bonds or number of sharesand par value for identification. Give CUSIP number. If trust,

partnership, or closely held entity, give EIN.Unit value

CUSIP number or EIN,where applicable.

Total from continuation schedules (or additional sheets) attached to this schedule . . . . . . . . .

TOTAL. (Also enter on Part 5 ' Recapitulation, page 3, at item 2.) . . . . . . . . . . . . . . . . . . . . . .

(If more space is needed, attach the continuation schedule from the end of this package or additional sheets of the same size.)(The instructions to Schedule B are in the separate instructions.)

BAA FDRA0501 10/01/09 Schedule B ' Page 12


Alternate valueValue at

date of death

Bud Light 447-77-7777

4,560,000.

1 State of Illinois Bonds 4,560,000.

Form 706 (Rev 9-2009)

Decedent's SSN

Estate of:

SCHEDULE C ' Mortgages, Notes, and Cash(For jointly owned property that must be disclosed on Schedule E, see the instructions for Schedule E.)

Itemnumber

DescriptionAlternate

valuation date


TOTAL. (Also enter on Part 5 ' Recapitulation, page 3, at item 3.) . . . . . . . . . . . . . . . . . . . . . .

(If more space is needed, attach the continuation schedule from the end of this package or additional sheets of the same size.)(See the instructions.)

BAA FDRA0601 10/01/09 Schedule C ' Page 13


Bud Light 447-77-7777

126,000.

1 Cash, Wrigley National Bank 126,000.

Form 706 (Rev 9-2009)

Decedent's SSN

Estate of:

SCHEDULE E ' Jointly Owned Property(If you elect section 2032A valuation, you must complete Schedule E and Schedule A-1.)

PART 1. Qualified Joint Interests ' Interests Held by the Decedent and His or Her Spouse as the Only Joint Tenants (Section 2040(b)(2))

Itemnumber

Description. For securities, give CUSIP number. If trust,partnership, or closely held entity, give EIN.


Alternate valueValue at

date of death


Total from continuation schedules (or additional sheets) attached to this schedule . . . . . . .

1 a Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1a

1 b Amounts included in gross estate (one-half of line 1a) . . . . . . . . . . . . . . . . . . . . . . . . . . . b

PART 2. All Other Joint Interests

2 a State the name and address of each surviving co-tenant. If there are more than three surviving co-tenants, list the additional co-tenantson an attached sheet.

Name Address (number and street, city, state, and ZIP code)

Itemnumber

Percentageincludible

Includiblealternate value

Includible valueat date of death

Enterletterfor co-tenant

Description (including alternate valuation date if any).For securities, give CUSIP number. If trust, partnership, or

closely held entity, give EIN.


Total from continuation schedules (or additional sheets) attached to this schedule . . . . . . . . . . .

2 b Total other joint interests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b

3 Total includible joint interests (add lines 1b and 2b). Also enter on Part 5 'Recapitulation, page 3, at item 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

(If more space is needed, attach the continuation schedule from the end of this package or additional sheets of the same size.) (See the instructions.)

BAA FDRA0801 10/02/09 Schedule E ' Page 17

Bud Light 447-77-7777

143,000.71,500.

1,260,000.

1,331,500.

Red Light 1234 Cub Drive, Chicago, IL 60601A

1 Cash Paine Webber Money Market Cash Fund 80,000.

2 Land on Lake Doll E. Pardon 63,000.

1 A 10,000 share of Accidental Petroleum 1,260,000.

Form 706 (Rev 9-2009)

Decedent's SSN

Estate of:

SCHEDULE F ' Other Miscellaneous Property Not Reportable Under Any Other Schedule(For jointly owned property that must be disclosed on Schedule E, see the instructions for Schedule E.)

(If you elect section 2032A valuation, you must complete Schedule F and Schedule A-1.)

Yes No1 Did the decedent at the time of death own any works of art or items with collectible value in excess of $3,000 or any

collections whose artistic or collectible value combined at date of death exceeded $10,000? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If 'Yes,' submit full details on this schedule and attach appraisals.

2 Has the decedent's estate, spouse, or any other person received (or will receive) any bonus or award as a result of thedecedent's employment or death? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If 'Yes,' submit full details on this schedule.

3 Did the decedent at the time of death have, or have access to, a safe deposit box? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If 'Yes,' state location, and if held in joint names of decedent and another, state name and relationship of joint depositor.

If any of the contents of the safe deposit box are omitted from the schedules in this return, explain fully why omitted.

Itemnumber




TOTAL. (Also enter on Part 5, Recapitulation, page 3, at item 6.) . . . . . . . . . . . . . . . . . . . . . . . .


BAA FDRA0901 10/02/09 Schedule F ' Page 19

Alternatevaluation date Alternate value Value at date of death

Bud Light 447-77-7777

X

X

X

187,750.

1 Baseball card collection 106,000.2 Polyester leisure suits,

pants, ties, shoes, 12,000.3 BMW automobile 17,750.4 Life insurance on wife

terminal reserve value 49,000.5 Unexpired premium on life

insurance policy 3,000.

Form 706 (Rev 9-2009)

Decedent's SSN

Estate of:

SCHEDULE G ' Transfers During Decedent's Life(If you elect section 2032A valuation, you must complete Schedule G and Schedule A-1.)

Itemnumber




A Gift tax paid or payable by the decedent or the estate for all giftsmade by the decedent or his or her spouse within 3 years beforethe decedent's death (section 2035(b)) . . . . . . . . . . . . . . . . . . . . . . . . . . . X X X X X

B Transfers includible under section 2035(a), 2036, 2037, or 2038:


TOTAL. (Also enter on Part 5 ' Recapitulation, page 3, at item 7.) . . . . . . . . . . . . . . . . . . . .

SCHEDULE H ' Powers of Appointment(Include '5 and 5 lapsing' powers (section 2041(b)(2)) held by the decedent.)

(If you elect section 2032A valuation, you must complete Schedule H and Schedule A-1.)

Itemnumber Description Alternate

valuation date Alternate value Value at date of death


TOTAL. (Also enter on Part 5 ' Recapitulation, page 3, at item 8.) . . . . . . . . . . . . . . . . . . . .

(If more space is needed, attach the continuation schedule from the end of this package or additional sheets of the same size.)(The instructions to Schedules G and H are in the separate instructions.)

BAA FDRA1001 10/02/09 Schedules G and H ' Page 21

Bud Light 447-77-7777

400,000.

1 Insurance policy transferred within 3 years of death included under Sec. 2035 200,000.

2 Luxury condominium transferred and retained interest included under Sec. 2036 200,000.

Form 706 (Rev 9-2009)

Decedent's SSN

Estate of:

SCHEDULE I ' Annuities

Note. Generally, no exclusion is allowed for the estates of decedents dying after December 31, 1984 (see the instructions).

Yes NoA Are you excluding from the decedent's gross estate the value of a lump-sum distribution described in section 2039(f)(2) (as in

effect before its repeal by the Deficit Reduction Act of 1984)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If 'Yes,' you must attach the information required by the instructions.

Itemnumber

DescriptionShow the entire value of the annuity before any exclusions.


Total from continuation schedules (or additional sheets) attached to this schedule . . . . .

TOTAL. (Also enter on Part 5 ' Recapitulation, page 3, at item 9.) . . . . . . . . . . . . . . . . . . .

(If more space is needed, attach the continuation schedule from the end of this package or additional sheets of the same size.) (Theinstructions to Schedule I are in the separate instructions.)

BAA FDRA1101 10/02/09 Schedule I ' Page 22

Includiblealternate value

Includible valueat date of death

Bud Light 447-77-7777

X

56,000.

1 Retirement annuity from Bigtime Brewery 56,000.

Form 706 (Rev 9-2009)

Decedent's SSN

Estate of:

SCHEDULE J ' Funeral Expenses and Expenses Incurred in Administering Property Subject to Claims

Note. Do not list on this schedule expenses of administering property not subject to claims. For those expenses, see the instructions forSchedule L.

If executors' commissions, attorney fees, etc, are claimed and allowed as a deduction for estate tax purposes, they are not allowable as adeduction in computing the taxable income of the estate for federal income tax purposes. They are allowable as an income tax deduction onForm 1041 if a waiver is filed to waive the deduction on Form 706 (see the Form 1041 instructions).

Itemnumber

Description Expense amount Total amount

A Funeral expenses:

GTotal funeral expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

B Administration expenses:

1 Executors' commissions ' amount estimated /agreed upon /paid. (Strike out the words that do

not apply.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2 Attorney fees ' amount estimated /agreed upon /paid. (Strike out the words that do not apply.) . . . . . .

3 Accountant fees ' amount estimated /agreed upon /paid. (Strike out the words that do not apply.) . .

4 Miscellaneous expenses:Expense amount

Total miscellaneous expenses from continuation schedules (or additionalsheets) attached to this schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

GTotal miscellaneous expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

GTOTAL. (Also enter on Part 5 ' Recapitulation, page 3, at item 13.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


BAA FDRA1201 10/02/09 Schedule J ' Page 23

Bud Light 447-77-7777

6,000.

25,000.

15,000.

46,000.

XXXXX XXXX

XXXXX XXXX

Miscellaneous 6,000.

Form 706 (Rev 9-2009)

Decedent's SSN

Estate of:

SCHEDULE K' Debts of the Decedent, and Mortgages and Liens

Itemnumber

Debts of the Decedent ' Creditor and nature of claim,and allowable death taxes

Amount unpaidto date

Amount incontest

Amount claimedas a deduction

BAA FDRA1301 10/01/09 Schedule K ' Page 25

Total from continuation schedules (or additional sheets) attached to this schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

TOTAL. (Also enter on Part 5 ' Recapitulation, page 3, at item 14.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Itemnumber Mortgages and Liens ' Description Amount



(If more space is needed, attach the continuation schedule from the end of this package or additional sheets of the same size.)(The instructions to Schedule K are in the separate instructions.)

Bud Light 447-77-7777

3,950.

1 K-Mart Bill for clothing 800. 800.2 Visa Credit Card bill 2,000. 2,000.3 St. Elsewhere hospital bill 1,000. 1,000.4 Country Club bill 150. 150.

Form 706 (Rev 9-2009)

Decedent's SSN

Estate of:

SCHEDULE L ' Net Losses During Administration andExpenses Incurred in Administering Property Not Subject to Claims

Itemnumber

Net losses during administration(Note. Do not deduct losses claimed on a federal income tax return.)

Amount



Itemnumber

Expenses incurred in administering property not subject to claims.(Indicate whether estimated, agreed upon, or paid.) Amount



(If more space is needed, attach the continuation schedule from the end of this package or additional sheets of the same size.)

Schedule L ' Page 26 (The instructions to Schedule L are in the separate instructions.)

BAA FDRA1401 10/02/09

Bud Light 447-77-7777

0.

0.

Form 706 (Rev 9-2009)

Decedent's SSN

Estate of:

SCHEDULE M ' Bequests, etc, to Surviving SpouseElection To Deduct Qualified Terminable Interest Property Under Section 2056(b)(7). If a trust (or other property) meets the requirements ofqualified terminable interest property under section 2056(b)(7), and

a The trust or other property is listed on Schedule M and

b The value of the trust (or other property) is entered in whole or in part as a deduction on Schedule M, then unless the executor

specifically identifies the trust (all or a fractional portion or percentage) or other property to be excluded from the election, the executorshall be deemed to have made an election to have such trust (or other property) treated as qualified terminable interest property undersection 2056(b)(7).

If less than the entire value of the trust (or other property) that the executor has included in the gross estate is entered as a deduction onSchedule M, the executor shall be considered to have made an election only as to a fraction of the trust (or other property). The numeratorof this fraction is equal to the amount of the trust (or other property) deducted on Schedule M. The denominator is equal to the total valueof the trust (or other property).

Election To Deduct Qualified Domestic Trust Property Under Section 2056A. If a trust meets the requirements of a qualified domestictrust under section 2056A(a) and this return is filed no later than 1 year after the time prescribed by law (including extensions) for filingthe return, and

a The entire value of a trust or trust property is listed on Schedule M and

b The entire value of the trust or trust property is entered as a deduction on Schedule M, then unless the executor specifically identifiesthe trust to be excluded from the election, the executor shall be deemed to have made an election to have the entire trust treated as qualifieddomestic trust property.

Yes No

1 Did any property pass to the surviving spouse as a result of a qualified disclaimer? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1If 'Yes,' attach a copy of the written disclaimer required by section 2518(b).

2 a In what country was the surviving spouse born?

b What is the surviving spouse's date of birth?

c Is the surviving spouse a U.S. citizen? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c

d If the surviving spouse is a naturalized citizen, when did the surviving spouse acquire citizenship? . . . . . . .

e If the surviving spouse is not a U.S. citizen, of what country is the surviving spouse a citizen? . . . . .

3 Election Out of QTIP Treatment of Annuities ' Do you elect under section 2056(b)(7)(C)(ii) not to treat as qualifiedterminable interest property any joint and survivor annuities that are included in the gross estate and would otherwisebe treated as qualified terminable interest property under section 2056(b)(7)(C)? (see instructions) . . . . . . . . . . . . . . . . . . . . . . 3

Itemnumber

Description of property interests passing to surviving spouse.For securities, give CUSIP number. If trust, partnership, or closely held entity, give EIN. Amount


4 Total amount of property interests listed on Schedule M . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

5 a Federal estate taxes payable out of property interests listed on Schedule M . . . . . . . . 5a

b Other death taxes payable out of property interests listed on Schedule M . . . . . . . . . . 5b

c Federal and state GST taxes payable out of property interests listed on Schedule M . . . . . . . . . . . . . . . . 5c

d Add items 5a, 5b, and 5c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5d

6 Net amount of property interests listed on Schedule M (subtract 5d from 4). Also enter on Part 5 'Recapitulation, page 3, at item 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6


BAA FDRA1501 10/02/09 Schedule M ' Page 27

Bud Light 447-77-7777

X

United States12/25/32

X

X

1,111,250.

1,111,250.

QTIP property:A1

All other property:B1 Personal residence 640,000.

Cash Wrigley National Bank 126,000.Paine Webber Money Market Account held in JTWROS 40,000.Lake Lot held in JTWROS 31,500.1996 BMW 17,750.Life insurance policy on Bud's life (wife beneficiary) 200,000.Retirement annuity 56,000.

Form 706 (Rev 9-2009)

Decedent's SSN

Estate of:

SCHEDULE O ' Charitable, Public, and Similar Gifts and Bequests

Yes No

1 a If the transfer was made by will, has any action been instituted to have interpreted or to contest the will or any of itsprovisions affecting the charitable deductions claimed in this schedule? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If 'Yes,' full details must be submitted with this schedule.

b According to the information and belief of the person or persons filing this return, is any such action planned? . . . . . . . . . . . . . . . . .

If 'Yes,' full details must be submitted with this schedule.

2 Did any property pass to charity as the result of a qualified disclaimer? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If 'Yes,' attach a copy of the written disclaimer required by section 2518(b).

Itemnumber

Name and address of beneficiary Character of institution Amount

c Federal and state GST taxes payable out of property interests listed above . . . 4c

d Add items 4a, 4b, and 4c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4d

5 Net value of property interests listed above (subtract 4d from 3). Also enter on Part 5 ' Recapitulation,page 3, at item 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

(If more space is needed, attach the continuation schedule from the end of this package or additional sheets of the same size.)(The instructions to Schedule O are in the separate instructions.)

BAA FDRA1601 10/02/09 Schedule O ' Page 31


3 Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

4 a Federal estate tax payable out of property interests listed above . . . . . . . . . . . . 4a

b Other death taxes payable out of property interests listed above . . . . . . . . . . . . . 4b

Bud Light 447-77-7777

X

X

X

12,000.

12,000.

Red Cross Clothing 12,000.

8 GIf the donor died during the year, check here . . . . . . and enter date of death . . . . . . . . . . . . . . . . . Yes No

9 GIf you extended the time to file this Form 709, check here

10 GEnter the total number of donees listed on Schedule A. Count each person only once . . . . . . . . . . . . . . . .

11a Have you (the donor) previously filed a Form 709 (or 709-A) for any other year? If 'No,' skip line 11b . . . . . . . . . . . . . . . . . .

b If the answer to line 11a is 'Yes,' has your address changed since you last filed Form 709 (or 709-A)? . . . . . . . . . . . . . . . . .

12 Gifts by husband or wife to third parties. Do you consent to have the gifts (including generation-skipping transfers)made by you and by your spouse to third parties during the calendar year considered as made one-half by each ofyou? (See instructions.) (If the answer is 'Yes,' the following information must be furnished and your spouse mustsign the consent shown below. If the answer is 'No,' skip lines 13-18 and go to Schedule A.) . . . . . . . . . . . . . . . . . . . . . . . . . .

13 Name of consenting spouse 14 SSN

15 Were you married to one another during the entire calendar year? (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

16 If 15 is 'No,' check whether married divorced or Gwidowed/deceased, and give date (see instructions)

17 Will a gift tax return for this year be filed by your spouse? (If 'Yes,' mail both returns in the same envelope.) . . . . . . . . . . .

18 Consent of Spouse ' I consent to have the gifts (and generation-skipping transfers) made by me and by my spouse to third partiesduring the calendar year considered as made one-half by each of us. We are both aware of the joint and several liability for taxcreated by the execution of this consent.

Consenting spouse's signature G Date G

1 Enter the amount from Schedule A, Part 4, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2 Enter the amount from Schedule B, line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Total taxable gifts. Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

4 Tax computed on amount on line 3 (see Table for Computing Gift Tax in separate instructions) . . . . . . . 4


6 Balance. Subtract line 5 from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Maximum unified credit (nonresident aliens, see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

8 Enter the unified credit against tax allowable for all prior periods (from Schedule B, line 1, column C) . . . . . . . . . . . . . . . . . . . . 8


10 Enter 20% (.20) of the amount allowed as a specific exemption for gifts made afterSeptember 8, 1976, and before January 1, 1977 (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

11 Balance. Subtract line 10 from line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

12 Unified credit. Enter the smaller of line 6 or line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

13 Credit for foreign gift taxes (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

14 Total credits. Add lines 12 and 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

15 Balance. Subtract line 14 from line 6. Do not enter less than zero . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

16 Generation-skipping transfer taxes (from Schedule C, Part 3, column H, Total) . . . . . . . . . . . . . . . . . . . . . . 16

17 Total tax. Add lines 15 and 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

18 Gift and generation-skipping transfer taxes prepaid with extension of time to file . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

19 If line 18 is less than line 17, enter balance due (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

20 If line 18 is greater than line 17, enter amount to be refunded . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Under penalties of perjury, I declare that I have examined this return, including any accompanying schedules and statements, and to the best of my knowledge and belief,it is true, correct, and complete. Declaration of preparer (other than donor) is based on all information of which preparer has any knowledge.

May the IRS discuss this return withthe preparer shown below(see insructions)?

Yes No

SignHere

A Signature of donor Date

Date Preparer's SSN or PTIN

Preparer'ssignature A Check if

Gself-employed . . .

EINPaidPreparer'sUse Only Firm's name (or you

self-employed), address,and ZIP code

GPhone no.

PART

1

GENERAL

INFORMATION

PART

2

TAX

COMPUTATION

ATTACH

CHECK

OR

MONEY

ORDER

HERE

BAA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. FDGA0101 07/13/09 Form 709 (2009)

OMB No. 1545-0020

Form 709 United States Gift (and Generation-Skipping Transfer)Tax Return

(For gifts made during calendar year 2009)Department of the TreasuryInternal Revenue Service G See separate instructions.

20091 Donor's first name and middle initial 2 Donor's last name 3 Donor's social security number

4 Address (number, street, and apartment number) 5 Legal residence (domicile)

6 City, state, and ZIP code 7 Citizenship (see instructions)

Sam S Sparkle 123-45-6789

1234 Elm Stree Younameit, IN

Smalltown, IN 46032 United States

7X

X

XSue Sparkle 111-22-3333

X

X

30,790.1,800,000.1,830,790.

704,656.690,800.13,856.

345,800.205,300.140,500.

6,000.134,500.13,856.

13,856.0.

0.

0.

Schedule A Computation of Taxable Gifts (Including transfers in trust) (see instrs)

A Does the value of any item listed on Schedule A reflect any valuation discount? If 'Yes,' attach explanation . . . . . . . . . . . . Yes No

B H Check here if you elect under section 529(c)(2)(B) to treat any transfers made this year to a qualified tuition program as maderatably over a 5-year period beginning this year. See instructions. Attach explanation.

Part 1 ' Gifts Subject Only to Gift Tax. Gifts less political organization, medical, and educational exclusions. See instructions.

A B C D E F G H

Itemno.

????

?

Donee's name and addressRelationship to donor (if any)Description of giftIf the gift was of securities, giveCUSIP numberIf closely held entity, give EIN

Donor's adjustedbasis of gift

Dateof gift

Value atdate of gift

For split gifts,enter 1/2 ofcolumn F

Net transfer(subtract columnG from column F)

Gifts made by spouse ' complete only if you are splitting gifts with your spouse and he/she also made gifts.

GTotal of Part 1. Add amounts from Part 1, column H . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Part 2 ' Direct Skips. Gifts that are direct skips and are subject to both gift tax and generation-skipping transfer tax. You must list thegifts in chronological order.

A B C D E F G H

Itemno.

????

?


2632(b)election

out


Dateof gift






Part 3 ' Indirect Skips. Gifts to trusts that are currently subject to gift tax and may later be subject to generation-skipping transfer tax.You must list these gifts in chronological order.

A B C D E F G H

Itemno.

????

?


2632(c)election


Dateof gift






BAA (If more space is needed, attach additional sheets of same size.) FDGA0102 07/13/09 Form 709 (2009)

Form 709 (2009) Page 2Sam S Sparkle 123-45-6789

X

207,500.

0.

0.

261,000. 65,500. 195,500.See Part 1 - Gifts Subject Only to Gift Tax

24,000. 12,000. 12,000.See Part 1 - Gifts Subject Only to Gift Tax Made by Spouse

Form 709, Schedule A

Part 1 - Gifts Subject Only to Gift Tax

A B C D E F G H

Item ? Donee's name and address Donor's Date Value For split Net

no. ? Relationship to donor (if any) adjusted of gift at date gifts, transfer

? Description of gift basis of gift enter (subtract

? If the gift was of securities, of gift 1/2 of col G

give CUSIP number column F from F)

? If closely held entity, give EIN

Sam S Sparkle

1

2

3

4

5

6

Miami University (No Relation), 111 1 St, Oxford

, OH

Cash

Sue Sparkel (Wife), 123 2 St, Indianapolis, IN 46202

Cash

Daisy (Mother), 123 2 St,

Indianapolis, IN 46202

Cash

Lulu (No Relation), 123 2 St, Indianapolis, IN 46202

Cash

Will Sparkel (Son), 123 2 St, Indianapolis, IN 46202

625 shares Common stock, IBM, NYSE

Ima Sparkel (Daughter), 123

2 St, Indianapolis, IN 46202

500 shares Common stock, Intel

29,000.

130,000.

7,420.

32,580.

15,000.

16,000.

05/01/09

05/01/09

05/01/09

05/01/09

05/01/09

05/01/09

29,000.

130,000.

7,420.

32,580.

50,000.

12,000.

261,000.

14,500.

3,710.

16,290.

25,000.

6,000.

65,500.

14,500.

130,000.

3,710.

16,290.

25,000.

6,000.

195,500.Total

Sam & Sue Sparkle 123-45-6789 111-22-3333 1


Part 1 - Gifts Subject Only to Gift Tax Made by Spouse

A B C D E F G H







Sam S Sparkle

1

2

United Way (No Relation), 123 2 St, Indianapolis, IN

46202

Cash



600 shares Common stock, Dell

5,000.

14,000.

05/01/09

05/01/09

5,000.

19,000.

24,000.

2,500.

9,500.

12,000.

2,500.

9,500.

12,000.Total

Sam & Sue Sparkle 123-45-6789 111-22-3333 2

Form 709 (2009) Page 3

Part 4 ' Taxable Gift Reconciliation1 Total value of gifts of donor. Add totals from column H of Parts 1, 2, and 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2 Total annual exclusions for gifts listed on line 1 (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Total included amount of gifts. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Deductions (see instructions)

4 Gifts of interests to spouse for which a marital deduction will be claimed,

based on item numbers of Schedule A . . . . 4

5 Exclusions attributable to gifts on line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

6 Marital deduction. Subtract line 5 from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Charitable deduction, based on item nos. less exclusions . 7

8 Total deductions. Add lines 6 and 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

9 Subtract line 8 from line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

10 Generation-skipping transfer taxes payable with this Form 709 (from Schedule C, Part 3, column H, Total) . . . . 10

11 Taxable gifts. Add lines 9 and 10. Enter here and on page 1, Part 2 ' Tax Computation, line 1 . . . . . . . . . . . . . . . 11

1 Totals for prior periods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2 Amount, if any, by which total specific exemption, line 1, column D, is more than $30,000 . . . . . . . . . . . . . . . . . . . . 2

3 Total amount of taxable gifts for prior periods. Add amount on line 1, column E, and amount, if any, online 2. Enter here and on page 1, Part 2 ' Tax Computation, line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3


Terminable Interest (QTIP) Marital Deduction. (See instructions for Schedule A, Part 4, line 4.)

If a trust (or other property) meets the requirements of qualified terminable interest property under section 2523(f), and:

a The trust (or other property) is listed on Schedule A, and

b The value of the trust (or other property) is entered in whole or in part as a deduction on Schedule A, Part 4, line 4, then the donorshall be deemed to have made an election to have such trust (or other property) treated as qualified terminable interest property undersection 2523(f).

If less than the entire value of the trust (or other property) that the donor has included in Parts 1 and 3 of Schedule A is entered as a deductionon line 4, the donor shall be considered to have made an election only as to a fraction of the trust (or other property). The numerator of thisfraction is equal to the amount of the trust (or other property) deducted on Schedule A, Part 4, line 6. The denominator is equal to thetotal value of the trust (or other property) listed in Parts 1 and 3 of Schedule A.

If you make the QTIP election, the terminable interest property involved will be included in your spouse's gross estate upon his or her death(section 2044). See instructions for line 4 of Schedule A. If your spouse disposes (by gift or otherwise) of all or part of the qualifying life incomeinterest, he or she will be considered to have made a transfer of the entire property that is subject to the gift tax (see Transfer of Certain LifeEstates Received From Spouse in the instructions).

12 Election Out of QTIP Treatment of Annuities

H Check here if you elect under section 2523(f)(6) not to treat as qualified terminable interest property any joint and survivor annuitiesthat are reported on Schedule A and would otherwise be treated as qualified terminable interest property under section 2523(f). Seeinstructions. Enter the item numbers from Schedule A for the annuities for which you are making this election G

Schedule B Gifts From Prior Periods

If you answered 'Yes' on line 11a of page 1, Part 1, see the instructions for completing Schedule B. If you answered 'No,' skip to the TaxComputation on page 1 (or Schedule C, if applicable).

ACalendar year orcalendar quarter(see instructions)

BInternal Revenue office

where prior return was filed

CAmount of unified

credit against gift taxfor periods after

December 31, 1976

DAmount of specificexemption for prior

periods ending beforeJanuary 1, 1977

EAmount of

taxable gifts


207,500.58,210.

149,290.

130,000.13,000.

117,000.1, S-1 1,500.

118,500.30,790.

30,790.

205,300. 30,000. 1,800,000.

1,800,000.

1976-419871999

CincinnatiCincinnatiCincinnati

186,800.18,500.

30,000. 100,000.700,000.

1,000,000.

Part 2 ' GST Exemption Reconciliation (Section 2631) and Section 2652(a)(3) ElectionCheck here G if you are making a section 2652(a)(3) (special QTIP) election (see instructions)

Enter the item numbers from Schedule A of the gifts for which you are making this election G

1 Maximum allowable exemption (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2 Total exemption used for periods before filing this return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Exemption available for this return. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

4 Exemption claimed on this return from Part 3, column C total, below . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

5 Automatic allocation of exemption to transfers reported on Schedule A, Part 3 (see instructions) . . . . . . . . . . . . . . 5

6 Exemption allocated to transfers not shown on line 4 or 5, above. You must attach a 'Notice of Allocation.'(see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Add lines 4, 5, and 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

8 Exemption available for future transfers. Subtract line 7 from line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Part 3 ' Tax Computation

AItem Number

(fromSchedule C,

Part 1)

BNet transfer

(fromSchedule C,

Part 1, column D)

CGST Exemption

Allocated

DDivide

column C bycolumn B

EInclusion Ratio

(subtractcolumn D

from 1.000)

FMaximum

EstateTax Rate

GApplicable Rate

(multiplycolumn E bycolumn F)

HGeneration-Skipping

Transfer Tax(multiply column B

by column G)

45% (.45)45% (.45)45% (.45)45% (.45)45% (.45)45% (.45)

Gifts made by spouse (for gift splitting only)

45% (.45)45% (.45)45% (.45)45% (.45)45% (.45)45% (.45)

Total exemption claimed. Enterhere and on Part 2, line 4,above. May not exceed Part 2,line 3, above . . . . . . . . . . . . . . . . . .

Total generation-skipping transfer tax. Enter here; on page 3,Schedule A, Part 4, line 10; and on page 1, Part 2 ' TaxComputation, line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(If more space is needed, attach additional sheets of same size.)

BAA FDGA0104 07/13/09 Form 709 (2009)

Form 709 (2009) Page 4

Schedule C Computation of Generation-Skipping Transfer Tax

Note: Inter vivos direct skips that are completely excluded by the GST exemption must still be fully reported(including value and exemptions claimed) on Schedule C.

Part 1 ' Generation-Skipping TransfersA

Item Number(from Schedule A,Part 2, column A)

BValue

(from Schedule A,Part 2, column H)

CNontaxable

portion of transfer

DNet Transfer

(subtract column Cfrom column B)



3,500,000.

3,500,000.

3,500,000.

8 GIf the donor died during the year, check here . . . . . . and enter date of death . . . . . . . . . . . . . . . . . Yes No

9 GIf you extended the time to file this Form 709, check here

10 GEnter the total number of donees listed on Schedule A. Count each person only once . . . . . . . . . . . . . . . .

11a Have you (the donor) previously filed a Form 709 (or 709-A) for any other year? If 'No,' skip line 11b . . . . . . . . . . . . . . . . . .

b If the answer to line 11a is 'Yes,' has your address changed since you last filed Form 709 (or 709-A)? . . . . . . . . . . . . . . . . .

12 Gifts by husband or wife to third parties. Do you consent to have the gifts (including generation-skipping transfers)made by you and by your spouse to third parties during the calendar year considered as made one-half by each ofyou? (See instructions.) (If the answer is 'Yes,' the following information must be furnished and your spouse mustsign the consent shown below. If the answer is 'No,' skip lines 13-18 and go to Schedule A.) . . . . . . . . . . . . . . . . . . . . . . . . . .

13 Name of consenting spouse 14 SSN

15 Were you married to one another during the entire calendar year? (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

16 If 15 is 'No,' check whether married divorced or Gwidowed/deceased, and give date (see instructions)

17 Will a gift tax return for this year be filed by your spouse? (If 'Yes,' mail both returns in the same envelope.) . . . . . . . . . . .

18 Consent of Spouse ' I consent to have the gifts (and generation-skipping transfers) made by me and by my spouse to third partiesduring the calendar year considered as made one-half by each of us. We are both aware of the joint and several liability for taxcreated by the execution of this consent.

Consenting spouse's signature G Date G

1 Enter the amount from Schedule A, Part 4, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2 Enter the amount from Schedule B, line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Total taxable gifts. Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3




7 Maximum unified credit (nonresident aliens, see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

8 Enter the unified credit against tax allowable for all prior periods (from Schedule B, line 1, column C) . . . . . . . . . . . . . . . . . . . . 8


10 Enter 20% (.20) of the amount allowed as a specific exemption for gifts made afterSeptember 8, 1976, and before January 1, 1977 (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

11 Balance. Subtract line 10 from line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

12 Unified credit. Enter the smaller of line 6 or line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

13 Credit for foreign gift taxes (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

14 Total credits. Add lines 12 and 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

15 Balance. Subtract line 14 from line 6. Do not enter less than zero . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

16 Generation-skipping transfer taxes (from Schedule C, Part 3, column H, Total) . . . . . . . . . . . . . . . . . . . . . . 16

17 Total tax. Add lines 15 and 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

18 Gift and generation-skipping transfer taxes prepaid with extension of time to file . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

19 If line 18 is less than line 17, enter balance due (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

20 If line 18 is greater than line 17, enter amount to be refunded . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Under penalties of perjury, I declare that I have examined this return, including any accompanying schedules and statements, and to the best of my knowledge and belief,it is true, correct, and complete. Declaration of preparer (other than donor) is based on all information of which preparer has any knowledge.

May the IRS discuss this return withthe preparer shown below(see insructions)?

Yes No

SignHere

A Signature of donor Date

Date Preparer's SSN or PTIN

Preparer'ssignature A Check if

Gself-employed . . .

EINPaidPreparer'sUse Only Firm's name (or you

self-employed), address,and ZIP code

GPhone no.

PART

1

GENERAL

INFORMATION

PART

2

TAX

COMPUTATION

ATTACH

CHECK

OR

MONEY

ORDER

HERE

BAA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. FDGA0101 07/13/09 Form 709 (2009)

OMB No. 1545-0020

Form 709 United States Gift (and Generation-Skipping Transfer)Tax Return

(For gifts made during calendar year 2009)Department of the TreasuryInternal Revenue Service G See separate instructions.

20091 Donor's first name and middle initial 2 Donor's last name 3 Donor's social security number

4 Address (number, street, and apartment number) 5 Legal residence (domicile)

6 City, state, and ZIP code 7 Citizenship (see instructions)

Sue Sparkle 111-22-3333

1234 Elm Stree Younameit, IN

Smalltown, IN 46032 United States

6X

XSam S Sparkle 123-45-6789

X

X

30,790.

30,790.6,174.

0.6,174.

345,800.

345,800.

345,800.6,174.

6,174.0.

0.

0.

Schedule A Computation of Taxable Gifts (Including transfers in trust) (see instrs)

A Does the value of any item listed on Schedule A reflect any valuation discount? If 'Yes,' attach explanation . . . . . . . . . . . . Yes No

B H Check here if you elect under section 529(c)(2)(B) to treat any transfers made this year to a qualified tuition program as maderatably over a 5-year period beginning this year. See instructions. Attach explanation.

Part 1 ' Gifts Subject Only to Gift Tax. Gifts less political organization, medical, and educational exclusions. See instructions.

A B C D E F G H

Itemno.

????

?



Dateof gift






Part 2 ' Direct Skips. Gifts that are direct skips and are subject to both gift tax and generation-skipping transfer tax. You must list thegifts in chronological order.

A B C D E F G H

Itemno.

????

?


2632(b)election

out


Dateof gift






Part 3 ' Indirect Skips. Gifts to trusts that are currently subject to gift tax and may later be subject to generation-skipping transfer tax.You must list these gifts in chronological order.

A B C D E F G H

Itemno.

????

?


2632(c)election


Dateof gift







Form 709 (2009) Page 2Sue Sparkle 111-22-3333

X

77,500.

0.

0.

24,000. 12,000. 12,000.See Part 1 - Gifts Subject Only to Gift Tax

131,000. 65,500. 65,500.See Part 1 - Gifts Subject Only to Gift Tax Made by Spouse


Part 1 - Gifts Subject Only to Gift Tax

A B C D E F G H







Sue Sparkle

1

2

United Way (No Relation), 123 2 St, Indianapolis, IN

46202

Cash



600 shares Common stock, Dell

5,000.

14,000.

05/01/09

05/01/09

5,000.

19,000.

24,000.

2,500.

9,500.

12,000.

2,500.

9,500.

12,000.Total



A B C D E F G H







Sue Sparkle

1

3

4

5

Miami University (No Relation), 111 1 St, Oxford

, OH

Cash

Daisy (Mother), 123 2 St,

Indianapolis, IN 46202

Cash

Lulu (No Relation), 123 2 St, Indianapolis, IN 46202

Cash

Will Sparkel (Son), 123 2 St, Indianapolis, IN 46202

625 shares Common stock,

29,000.

7,420.

32,580.

05/01/09

05/01/09

05/01/09

29,000.

7,420.

32,580.

14,500.

3,710.

16,290.

14,500.

3,710.

16,290.

Sam & Sue Sparkle 123-45-6789 111-22-3333 1



Continued

A B C D E F G H







Sue Sparkle

6

IBM, NYSE



500 shares Common stock, Intel

15,000.

16,000.

05/01/09

05/01/09

50,000.

12,000.

131,000.

25,000.

6,000.

65,500.

25,000.

6,000.

65,500.Total

Sam & Sue Sparkle 123-45-6789 111-22-3333 2

Form 709 (2009) Page 3

Part 4 ' Taxable Gift Reconciliation1 Total value of gifts of donor. Add totals from column H of Parts 1, 2, and 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2 Total annual exclusions for gifts listed on line 1 (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Total included amount of gifts. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Deductions (see instructions)

4 Gifts of interests to spouse for which a marital deduction will be claimed,

based on item numbers of Schedule A . . . . 4

5 Exclusions attributable to gifts on line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

6 Marital deduction. Subtract line 5 from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Charitable deduction, based on item nos. less exclusions . 7

8 Total deductions. Add lines 6 and 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8


10 Generation-skipping transfer taxes payable with this Form 709 (from Schedule C, Part 3, column H, Total) . . . . 10

11 Taxable gifts. Add lines 9 and 10. Enter here and on page 1, Part 2 ' Tax Computation, line 1 . . . . . . . . . . . . . . . 11

1 Totals for prior periods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2 Amount, if any, by which total specific exemption, line 1, column D, is more than $30,000 . . . . . . . . . . . . . . . . . . . . 2

3 Total amount of taxable gifts for prior periods. Add amount on line 1, column E, and amount, if any, online 2. Enter here and on page 1, Part 2 ' Tax Computation, line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3


Terminable Interest (QTIP) Marital Deduction. (See instructions for Schedule A, Part 4, line 4.)

If a trust (or other property) meets the requirements of qualified terminable interest property under section 2523(f), and:

a The trust (or other property) is listed on Schedule A, and

b The value of the trust (or other property) is entered in whole or in part as a deduction on Schedule A, Part 4, line 4, then the donorshall be deemed to have made an election to have such trust (or other property) treated as qualified terminable interest property undersection 2523(f).

If less than the entire value of the trust (or other property) that the donor has included in Parts 1 and 3 of Schedule A is entered as a deductionon line 4, the donor shall be considered to have made an election only as to a fraction of the trust (or other property). The numerator of thisfraction is equal to the amount of the trust (or other property) deducted on Schedule A, Part 4, line 6. The denominator is equal to thetotal value of the trust (or other property) listed in Parts 1 and 3 of Schedule A.

If you make the QTIP election, the terminable interest property involved will be included in your spouse's gross estate upon his or her death(section 2044). See instructions for line 4 of Schedule A. If your spouse disposes (by gift or otherwise) of all or part of the qualifying life incomeinterest, he or she will be considered to have made a transfer of the entire property that is subject to the gift tax (see Transfer of Certain LifeEstates Received From Spouse in the instructions).

12 Election Out of QTIP Treatment of Annuities

H Check here if you elect under section 2523(f)(6) not to treat as qualified terminable interest property any joint and survivor annuitiesthat are reported on Schedule A and would otherwise be treated as qualified terminable interest property under section 2523(f). Seeinstructions. Enter the item numbers from Schedule A for the annuities for which you are making this election G

Schedule B Gifts From Prior Periods

If you answered 'Yes' on line 11a of page 1, Part 1, see the instructions for completing Schedule B. If you answered 'No,' skip to the TaxComputation on page 1 (or Schedule C, if applicable).

ACalendar year orcalendar quarter(see instructions)

BInternal Revenue office

where prior return was filed

CAmount of unified

credit against gift taxfor periods after

December 31, 1976

DAmount of specificexemption for prior

periods ending beforeJanuary 1, 1977

EAmount of

taxable gifts


77,500.45,210.32,290.

0.1, S-1 1,500.

1,500.30,790.

30,790.

Part 2 ' GST Exemption Reconciliation (Section 2631) and Section 2652(a)(3) ElectionCheck here G if you are making a section 2652(a)(3) (special QTIP) election (see instructions)

Enter the item numbers from Schedule A of the gifts for which you are making this election G

1 Maximum allowable exemption (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2 Total exemption used for periods before filing this return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Exemption available for this return. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

4 Exemption claimed on this return from Part 3, column C total, below . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

5 Automatic allocation of exemption to transfers reported on Schedule A, Part 3 (see instructions) . . . . . . . . . . . . . . 5

6 Exemption allocated to transfers not shown on line 4 or 5, above. You must attach a 'Notice of Allocation.'(see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Add lines 4, 5, and 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

8 Exemption available for future transfers. Subtract line 7 from line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Part 3 ' Tax Computation

AItem Number

(fromSchedule C,

Part 1)

BNet transfer

(fromSchedule C,

Part 1, column D)

CGST Exemption

Allocated

DDivide

column C bycolumn B

EInclusion Ratio

(subtractcolumn D

from 1.000)

FMaximum

EstateTax Rate

GApplicable Rate

(multiplycolumn E bycolumn F)

HGeneration-Skipping

Transfer Tax(multiply column B

by column G)

45% (.45)45% (.45)45% (.45)45% (.45)45% (.45)45% (.45)


45% (.45)45% (.45)45% (.45)45% (.45)45% (.45)45% (.45)

Total exemption claimed. Enterhere and on Part 2, line 4,above. May not exceed Part 2,line 3, above . . . . . . . . . . . . . . . . . .

Total generation-skipping transfer tax. Enter here; on page 3,Schedule A, Part 4, line 10; and on page 1, Part 2 ' TaxComputation, line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(If more space is needed, attach additional sheets of same size.)

BAA FDGA0104 07/13/09 Form 709 (2009)

Form 709 (2009) Page 4

Schedule C Computation of Generation-Skipping Transfer Tax

Note: Inter vivos direct skips that are completely excluded by the GST exemption must still be fully reported(including value and exemptions claimed) on Schedule C.

Part 1 ' Generation-Skipping TransfersA

Item Number(from Schedule A,Part 2, column A)

BValue

(from Schedule A,Part 2, column H)

CNontaxable

portion of transfer

DNet Transfer

(subtract column Cfrom column B)



3,500,000.

3,500,000.

3,500,000.

1 Interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2a Total ordinary dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 a

b Qualified dividends allocable to: (1) Beneficiaries (2) Estate/trust

15a Other deductions not subject to the 2% floor (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 aDeduc-tions b Allowable miscellaneous itemized deductions subject to the 2% floor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 b

16 GAdd lines 10 through 15b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

17 Adjusted total income or (loss). Subtract line 16 from line 9 . . . . . . . . . 17

18 Income distribution deduction (from Schedule B, line 15). Attach Schedules K-1 (Form 1041) . . . . . . 18

19 Estate tax deduction including certain generation-skipping taxes (attach computation) . . . . . . . . . . . . . 19

20 Exemption . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

21 GAdd lines 18 through 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

22 Taxable income. Subtract line 21 from line 17. If a loss, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . 22

23 Total tax (from Schedule G, line 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

24 Payments: a 2009 estimated tax payments and amount applied from 2008 return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 a

b Estimated tax payments allocated to beneficiaries (from Form 1041-T) . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 b

c Subtract line 24b from line 24a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 c

d Tax paid with Form 7004 (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 dTaxandPayments e Federal income tax withheld. If any is from Form(s) 1099, check G . . . . . . . . . . . . . . . . . . . . . . 24 e

Other payments: f Form2439 ; g Form

4136 G; Total . . . . . . . 24 h

25 GTotal payments. Add lines 24c through 24e, and 24h . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

26 Estimated tax penalty (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

27 Tax due. If line 25 is smaller than the total of lines 23 and 26, enter amount owed . . . . . . . . . . . . . . . . 27

28 Overpayment. If line 25 is larger than the total of lines 23 and 26, enter amount overpaid . . . . . . . . . 28

29 Amount of line 28 to be: a Credited to 2010 estimated tax G G; b Refunded . . . . . . 29

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge andbelief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

GMay the IRS discuss this returnwith the preparer shown below

SignHere G Signature of fiduciary or officer representing fiduciary Date EIN of fiduciary if a financial institution (see instrs)? Yes No

DateCheck if self-employed

Preparer's SSN or PTINPreparer'ssignature G G

EINPaidPreparer'sUse Only Phone number

Fir(or selfaddress, andZIP code

BAA For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. FIFA0112 11/30/09 Form 1041 (2009)

Department of the Treasury ' Internal Revenue Service

Form 1041 U.S. Income Tax Return for Estates and Trusts 2009 OMB No. 1545-0092

A Type of entity (see instr): For calendar year 2009 or fiscal year beginning , 2009 and ending ,

Decedent's estate

Simple trust

Complex trust

Qualified disability trust

ESBT (S portion only)

Grantor type trust

Bankruptcy estate ' Chapter 7

Bankruptcy estate ' Chapter 11

Pooled income fund

B Number of Schs K-1 attached

G(see instructions) . . .

C Employer identification number

D Date entity created

E Nonexempt charitable and split-interesttrusts, check applicable boxes (see instr):

Described in section 4947(a)(1)

Not a private foundation

Described in section 4947(a)(2)

Change in trust's name

Change in fiduciary's address

Name of estate or trust (If a grantor type trust, see instructions.)

Name and title of fiduciary

Number, street, and room or suite number (If a P.O. box, see instructions.)

City or town, state, and ZIP code

F Initial return Final return Amended returnCheckapplicableboxes: Change in fiduciary Change in fiduciary's name

G GCheck here if the estate or filing trust made a section 645 election . . . . . .

3 Business income or (loss). Attach Schedule C or C-EZ (Form 1040) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

4 Capital gain or (loss). Attach Schedule D (Form 1041) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Income 5 Rents, royalties, partnerships, other estates and trusts, etc. Attach Schedule E (Form 1040) . . . . . . . . . . . . . . . . . . . . . . . . . 5

6 Farm income or (loss). Attach Schedule F (Form 1040) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Ordinary gain or (loss). Attach Form 4797 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

8 Other income. List type and amount 8

9 GTotal income. Combine lines 1, 2a, and 3 through 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

10 Interest. Check if Form 4952 is attached G . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

11 Taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

12 Fiduciary fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

13 Charitable deduction (from Schedule A, line 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

14 Attorney, accountant, and return preparer fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Tony Toebasher Trust

National Bank of Indiana

1234 Meridian

Indianapolis IN 46202

X

2

22-8078071

01/08/90

20,000.30,000.

21,053. 8,947.

18,000.12,000.

80,000.

15,000.7,500.

0.

22,500.57,500.

27,719.

100.27,819.29,681.4,496.

10,000.

10,000.

10,000.

5,504.5,504.

X

William Kulsrud

Text Box

$20,000 Distribution /$57,000 DNI = 70.18% x $30,000 = $21,053 (30,000 - 21,054 = 8,947)

William Kulsrud

Line

William Kulsrud

Line

Form 1041 (2009) Page 2

Schedule A Charitable Deduction. Do not complete for a simple trust or a pooled income fund.

1 Amounts paid or permanently set aside for charitable purposes from gross income (see instructions) . . . . . . . . . 1

2 Tax-exempt income allocable to charitable contributions (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2


4 Capital gains for the tax year allocated to corpus and paid or permanently set aside for charitable purposes . . . 4

5 Add lines 3 and 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

6 Section 1202 exclusion allocable to capital gains paid or permanently set aside for charitable purposes(see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Charitable deduction. Subtract line 6 from line 5. Enter here and on page 1, line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Schedule B Income Distribution Deduction1 Adjusted total income (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2 Adjusted tax-exempt interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Total net gain from Schedule D (Form 1041), line 15, column (1) (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . 3

4 Enter amount from Schedule A, line 4 (minus any allocable section 1202 exclusion) . . . . . . . . . . . . . . . . . . . . . . . . . 4

5 Capital gains for the tax year included on Schedule A, line 1 (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

6 Enter any gain from page 1, line 4, as a negative number. If page 1, line 4, is a loss, enter the loss as apositive number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Distributable net income. Combine lines1 through 6. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

8 If a complex trust, enter accounting income for the tax year as determinedunder the governing instrument and applicable local law . . . . . . . . . . . . . . . . . . . . . . . 8

9 Income required to be distributed currently . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

10 Other amounts paid, credited, or otherwise required to be distributed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

11 Total distributions. Add lines 9 and 10. If greater than line 8, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

12 Enter the amount of tax-exempt income included on line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

13 Tentative income distribution deduction. Subtract line 12 from line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

14 Tentative income distribution deduction. Subtract line 2 from line 7. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . 14

15 Income distribution deduction. Enter the smaller of line 13 or line 14 here and on page 1, line 18 . . . . . . . . . . . . 15

Schedule G Tax Computation (see instructions)

1 Tax: a Tax on taxable income (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 a

bTax on lump-sum distributions. Attach Form 4972 . . . . . . . . . . . . . . . . . . . . . . . 1 b

c Alternative minimum tax (from Schedule I, (Form 1041), line 56) . . . . . . . . . 1 c

d GTotal. Add lines 1a through 1c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 d

2 a Foreign tax credit. Attach Form 1116 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 a

b Other nonbusiness credits (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 b

c General business credit. Attach Form 3800 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 c

d Credit for prior year minimum tax. Attach Form 8801 . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 d

3 GTotal credits. Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

4 Subtract line 3 from line 1d. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

5 Recapture taxes. Check if from: Form 4255 Form 8611 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

6 Household employment taxes. Attach Schedule H (Form 1040) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 GTotal tax. Add lines 4 through 6. Enter here and on page 1, line 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Other Information Yes No

1 Did the estate or trust receive tax-exempt income? If 'Yes,' attach a computation of the allocation of expenses . . . . . . . . . . . . . . . . .

GEnter the amount of tax-exempt interest income and exempt-interest dividends . . $

2 Did the estate or trust receive all or any part of the earnings (salary, wages, and other compensation) of any individual byreason of a contract assignment or similar arrangement? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3 At any time during the calendar year 2009, did the estate or trust have an interest in or a signature or other authorityover a bank, securities, or other financial account in a foreign country? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

See the instructions for exceptions and filing requirements for Form TD F 90-22.1. If 'Yes,' enter the name of the

Gforeign country

4 During the tax year, did the estate or trust receive a distribution from, or was it the grantor of, or transferor to, a foreigntrust? If 'Yes,' the estate or trust may have to file Form 3520. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 Did the estate or trust receive, or pay, any qualified residence interest on seller-provided financing? If 'Yes,' see instructions for required attachment . . . . . . . . . .

6 GIf this is an estate or a complex trust making the section 663(b) election, check here (see instructions) . . . . . . . . . . . . . . . . . .

7 GTo make a section 643(e)(3) election, attach Schedule D (Form 1041), and check here (see instructions) . . . . . . . . . . . . . . . .

8 GIf the decedent's estate has been open for more than 2 years, attach an explanation for the delay in closing the estate, and check here . . . . . . . . . . . . . . .

9 Are any present or future trust beneficiaries skip persons? See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

FIFA0112 11/30/09 Form 1041 (2009)

Tony Toebasher Trust 22-8078071

20,000.5,000.

15,000.

15,000.

15,000.

57,500.17,500.

-18,000.

57,000.

80,000.20,000.20,000.40,000.12,281.27,719.39,500.27,719.

4,496.

0.4,496.

4,496.

4,496.

X25,000.

X

X

XX

X

FIFA0134 09/11/09

24 Alternative tax net operating loss deduction (See the instructions for the limitation that applies.) . . . . . . . . . . 24 ( )25 Adjusted alternative minimum taxable income. Combine lines 1 through 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Note: Complete Part II below before going to line 26.

26 Income distribution deduction from Part II, line 44 . . . . . . . . . . . . . . . . . . . . . . . . . . 26

27 Estate tax deduction (from Form 1041, line 19) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

28 Add lines 26 and 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

29 Estate's or trust's share of alternative minimum taxable income. Subtract line 28 from line 25 . . . . . . . . . . . . 29

If line 29 is:

? $22,500 or less, stop here and enter -0- on Form 1041, Schedule G, line 1c. The estate or trust is not liablefor the alternative minimum tax.

? Over $22,500, but less than $165,000, go to line 45.

? $165,000 or more, enter the amount from line 29 on line 51 and go to line 52.

Part I Estate's or Trust's Share of Alternative Minimum Taxable Income1 Adjusted total income or (loss) (from Form 1041, line 17) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2 Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

4 Miscellaneous itemized deductions (from Form 1041, line 15b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

5 Refund of taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 ( )6 Depletion (difference between regular tax and AMT) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Net operating loss deduction. Enter as a positive amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

8 Interest from specified private activity bonds exempt from the regular tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

9 Qualified small business stock (see the instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

10 Exercise of incentive stock options (excess of AMT income over regular tax income) . . . . . . . . . . . . . . . . . . . . . 10

11 Other estates and trusts (amount from Schedule K-1 (Form 1041), box 12, code A) . . . . . . . . . . . . . . . . . . . . . . 11

12 Electing large partnerships (amount from Schedule K-1 (Form 1065-B), box 6) . . . . . . . . . . . . . . . . . . . . . . . . . . 12

13 Disposition of property (difference between AMT and regular tax gain or loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

14 Depreciation on assets placed in service after 1986 (difference between regular tax and AMT) . . . . . . . . . . . . 14

15 Passive activities (difference between AMT and regular tax income or loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

16 Loss limitations (difference between AMT and regular tax income or loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

17 Circulation costs (difference between regular tax and AMT) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

18 Long-term contracts (difference between AMT and regular tax income) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

19 Mining costs (difference between regular tax and AMT) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

20 Research and experimental costs (difference between regular tax and AMT) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

21 Income from certain installment sales before January 1, 1987 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 ( )22 Intangible drilling costs preference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

23 Other adjustments, including income-based related adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Part II Income Distribution Deduction on a Minimum Tax Basis30 Adjusted alternative minimum taxable income (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

31 Adjusted tax-exempt interest (other than amounts included on line 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

32 Total net gain from Schedule D (Form 1041), line 15, column (1). If a loss, enter -0- . . . . . . . . . . . . . . . . . . . . . 32

33 Capital gains for the tax year allocated to corpus and paid or permanently set aside for charitablepurposes (from Form 1041, Schedule A, line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

34 Capital gains paid or permanently set aside for charitable purposes from gross income(see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

35 Capital gains computed on a minimum tax basis included on line 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 ( )36 Capital losses computed on a minimum tax basis included on line 25. Enter as a positive amount . . . . . . . . . 36

37 Distributable net alternative minimum taxable income (DNAMTI). Combine lines 30 through 36. If zero orless, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

38 Income required to be distributed currently (from Form 1041, Schedule B, line 9) . . . . . . . . . . . . . . . . . . . . . . . . 38

39 Other amounts paid, credited, or otherwise required to be distributed (from Form 1041, Schedule B, line 10) . . . . . . . . . . . . . . . . . . . . 39

40 Total distributions. Add lines 38 and 39 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

41 Tax-exempt income included on line 40 (other than amounts included on line 8) . . . . . . . . . . . . . . . . . . . . . . . . . 41

42 Tentative income distribution deduction on a minimum tax basis. Subtract line 41 from line 40 . . . . . . . . . . . . 42

BAA For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 1041. Schedule I (Form 1041) (2009)

SCHEDULE I Alternative Minimum Tax-Estates and Trusts OMB No. 1545-0092

(Form 1041)G Attach to Form 1041. See the separate instructions

for Schedule I (Form 1041).2009


Name of estate or trust Employer identification number


57,500.

0.

57,500.

27,719.

27,719.29,781.

57,500.17,500.

18,000.

57,000.20,000.20,000.40,000.12,281.27,719.

Schedule I (Form 1041) (2009) Page 2

FIFA0134 09/11/09

Part III Alternative Minimum Tax45 Exemption amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 $22,500.46 Enter the amount from line 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

47 Phase-out of exemption amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 $75,000.

48 Subtract line 47 from line 46. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . 48

49 Multiply line 48 by 25% (.25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

50 Subtract line 49 from line 45. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

51 Subtract line 50 from line 46 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

52 Go to Part IV of Schedule I to figure line 52 if the estate or trust has qualified dividends or has a gain onlines 14a and 15 of column (2) of Schedule D (Form 1041) (as refigured for the AMT, if necessary).Otherwise, if line 51 is '

? $175,000 or less, multiply line 51 by 26% (.26).

? Over $175,000, multiply line 51 by 28% (.28) and subtract $3,500 from the result . . . . . . . . . . . . . . . . . . . . 52

53 Alternative minimum foreign tax credit (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

54 Tentative minimum tax. Subtract line 53 from line 52 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

55 Enter the tax from Form 1041, Schedule G, line 1a (minus any foreign tax credit from Schedule G, line 2a) . . . . . . . . . . . . . . . . . . . . . 55

56 Alternative minimum tax. Subtract line 55 from line 54. If zero or less, enter -0-. Enter hereand on Form 1041, Schedule G, line 1c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

Part IV Line 52 Computation Using Maximum Capital Gains Rates

Schedule I (Form 1041) (2009)

61 Enter the smaller of line 57 or line 60 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61

62 Subtract line 61 from line 57 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62

63 If line 62 is $175,000 or less, multiply line 62 by 26% (.26). Otherwise, multiply line 62 by 28% (.28)Gand subtract $3,500 from the result . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63

64 Maximum amount subject to the 0% rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 $2,300.

65 Enter the amount from line 23 of Schedule D (Form 1041), line 14 of theSchedule D Tax Worksheet, or line 5 of the Qualified Dividends TaxWorksheet, for Form 1041, whichever applies (as figured for the regulartax). If you did not complete Schedule D or either worksheet for the regulartax, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

66 Subtract line 65 from line 64. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . 66

67 Enter the smaller of line 57 or line 58 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67

68 Enter the smaller of line 66 or line 67 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68

69 Subtract line 68 from line 67 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

70 GMultiply line 69 by 15% (.15) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70

If line 59 is zero or blank, skip lines 71 and 72 and go to line 73. Otherwise, go to line 71.

71 Subtract line 67 from line 61 71

72 GMultiply line 71 by 25% (.25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72

73 Add lines 63, 70, and 72 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

74 If line 57 is $175,000 or less, multiply line 57 by 26% (.26). Otherwise, multiply line 57 by 28% (.28)and subtract $3,500 from the result . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74

75 Enter the smaller of line 73 or line 74 here and on line 52 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75

Caution: If you did not complete Part V of Schedule D (Form 1041), the Schedule D Tax Worksheet, orthe Qualified Dividends Tax Worksheet, see the instructions before completing this part.

57 Enter the amount from line 51 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

58 Enter the amount from Schedule D (Form 1041), line 22, line 13 of theSchedule D Tax Worksheet, or line 4 of the Qualified Dividends TaxWorksheet, whichever applies (as refigured for the AMT, if necessary) . . . . . . . 58

59 Enter the amount from Schedule D (Form 1041), line 14b, column (2)(as refigured for the AMT, if necessary). If you did not completeSchedule D for the regular tax or the AMT, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . 59

60 If you did not complete a Schedule D Tax Worksheet for the regular tax orthe AMT, enter the amount from line 58. Otherwise, add lines 58 and 59and enter the smaller of that result or the amount from line 10 of theSchedule D Tax Worksheet (as refigured for the AMT, if necessary) . . . . . . . . . 60

Part II Income Distribution Deduction on a Minimum Tax Basis (continued)

43 Tentative income distribution deduction on a minimum tax basis. Subtract line 31 from line 37. If zero orless, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

44 Income distribution deduction on a minimum tax basis. Enter the smaller of line 42 or line 43. Enterhere and on line 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

39,500.

27,719.


29,781.

0.0.

22,500.7,281.

1,092.

1,092.4,496.

0.

7,281.

26,947.

0.

26,947.7,281.

0.

0.

2,734.0.

7,281.0.

7,281.1,092.

1,092.

1,893.1,092.

SCHEDULE D Capital Gains and Losses OMB No. 1545-0092

(Form 1041)

2009Department of the TreasuryInternal Revenue Service

G Attach to Form 1041, Form 5227, or Form 990-T. See the Instructions for

Schedule D (Form 1041) (also for Form 5227 or Form 990-T, if applicable).

Name of estate or trust Employer identification number

Note: Form 5227 filers need to complete only Parts I and II.

Part I Short-Term Capital Gains and Losses ' Assets Held One Year or Less

1 a(a)

Description of property(Example: 100 shares7% preferred of 'Z' Co)

(b)Date acquired(mo, day, yr)

(c)Date sold

(mo, day, yr)

(d)Sales price

(e)Cost or

other basis(see instructions)

(f)Gain or (loss)

for the entire yearSubtract (e) from (d)

b Enter the short-term gain or (loss), if any, from Schedule D-1, line 1b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 b

2 Short-term capital gain or (loss) from Forms 4684, 6252, 6781, and 8824 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Net short-term gain or (loss) from partnerships, S corporations, and other estates or trusts . . . . . . . . . . . . . . . . . . . 3

4 Short-term capital loss carryover. Enter the amount, if any, from line 9 of the 2008 Capital LossCarryover Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

5 Net short-term gain or (loss). Combine lines 1a through 4 in column (f). Enter here andGon line 13, column (3) on page 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Part II Long-Term Capital Gains and Losses ' Assets Held More Than One Year

6 a(a)

Description of property(Example: 100 shares7% preferred of 'Z' Co)

(b)Date acquired(mo, day, yr)

(c)Date sold

(mo, day, yr)

(d)Sales price

(e)Cost or

other basis(see instructions)

(f)Gain or (loss)

for the entire yearSubtract (e) from (d)

b Enter the long-term gain or (loss), if any, from Schedule D-1, line 6b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 b

7 Long-term capital gain or (loss) from Forms 2439, 4684, 6252, 6781, and 8824 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

8 Net long-term gain or (loss) from partnerships, S corporations, and other estates or trusts . . . . . . . . . . . . . . . . . . . 8

9 Capital gain distributions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

10 Gain from Form 4797, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

11 Long-term capital loss carryover. Enter the amount, if any, from line 14, of the 2008 Capital LossCarryover Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

12 Net long-term gain or (loss). Combine lines 6a through 11 in column (f). Enter here and on line 14a,Gcolumn (3) on page 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

BAA For Paperwork Reduction Act Notice, see the Instructions for Form 1041. FIFA1512 11/30/09 Schedule D (Form 1041) 2009


18,000.

IBM Stock Inherited 05/02/09 48,000. 30,000. 18,000.

Part III Summary of Parts I and IICaution: Read the instructions before completing this part.

(1) Beneficiaries'(see instructions)

(2)Estate's or trust's

(3)Total

13 Net short-term gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

14 Net long-term gain or (loss):

a Total for year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14a

b Unrecaptured section 1250 gain (see line 18 of the worksheetin the instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14b

c 28% rate gain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14c

15 GTotal net gain or (loss). Combine lines 13 and 14a . . . . . . . . . . 15

Note: If line 15, column (3), is a net gain, enter the gain on Form 1041, line 4 (or Form 990-T, Part I, line 4a). If lines 14a and 15, column (2),are net gains, go to Part V, and do not complete Part IV. If line 15, column (3), is a net loss, complete Part IV and the Capital LossCarryover Worksheet, as necessary.

Part IV Capital Loss Limitation16 Enter here and enter as a (loss) on Form 1041, line 4 (or Form 990-T, Part I, line 4c, if a trust), the smaller of:

a The loss on line 15, column (3) or b $3,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Note: If the loss on line 15, column (3), is more than $3,000, or if Form 1041, page 1, line 22 (or Form 990-T, line 34), is a loss, complete theCapital Loss Carryover Worksheet in the instructions to figure your capital loss carryover.

Schedule D (Form 1041) 2009 Page 2

Part V Tax Computation Using Maximum Capital Gains Rates

Form 1041 filers. Complete this part only if both lines 14a and 15 in column (2) are gains, or an amount is entered in Part I or Part II and thereis an entry on Form 1041, line 2b(2), and Form 1041, line 22, is more than zero.

Caution: Skip this part and complete the worksheet in the instructions if:

? Either line 14b, column (2) or line 14c, column (2) is more than zero, or

? Both Form 1041, line 2b(1), and Form 4952, line 4g are more than zero.

Form 990-T trusts. Complete this part only if both lines 14a and 15 are gains, or qualified dividends are included in income in Part I ofForm 990-T, and Form 990-T, line 34 is more than zero. Skip this part and complete the worksheet in the instructions if either line 14b,column (2) or line 14c, column (2) is more than zero.

FIFA1512 11/30/09

17 Enter taxable income from Form 1041, line 22 (or Form 990-T, line 34) . . . . . . . . . . 17

18 Enter the smaller of line 14a or 15 in column (2)but not less than zero . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

19 Enter the estate's or trust's qualified dividendsfrom Form 1041, line 2b(2) (or enter the qualifieddividends included in income in Part I ofForm 990-T) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

20 Add lines 18 and 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

21 If the estate or trust is filing Form 4952, enterGthe amount from line 4g; otherwise, enter -0- . . . . 21

22 Subtract line 21 from line 20. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . 22

23 Subtract line 22 from line 17. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . 23

24 Enter the smaller of the amount on line 17 or $2,300 . . . . . . . . . . . . . . . . . . . . . . . . . . 24

25 Is the amount on line 23 equal to or more than the amount on line 24?

Yes. Skip lines 25 and 26; go to line 27 and check the 'No' box.

No. Enter the amount from line 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

26 Subtract line 25 from line 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

31 Figure the tax on the amount on line 23. Use the 2009 Tax Rate Schedule for Estates and Trusts (see theSchedule G instructions in the instructions for Form 1041) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

32 Add lines 30 and 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

33 Figure the tax on the amount on line 17. Use the 2009 Tax Rate Schedule for Estates and Trusts (see theSchedule G instructions in the instructions for Form 1041) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

34 Tax on all taxable income. Enter the smaller of line 32 or line 33 here andon Form 1041, Schedule G, line 1a (or Form 990-T, line 36) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

Schedule D (Form 1041) 2009

27 Are the amounts on lines 22 and 26 the same?

Yes. Skip lines 27 through 30; go to line 31. No. Enter the smaller of line 17 or line 22 . . . 27

28 Enter the amount from line 26 (If line 26 is blank, enter -0-) . . . . . . . . . . . . . . . . . . . . 28

29 Subtract line 28 from line 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

30 Multiply line 29 by 15% (.15) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30


18,000. 18,000.

18,000. 18,000.

29,681.

18,000.

8,947.26,947.

0.26,947.2,734.

2,300.

X

X 26,947.

0.

26,947.4,042.

454.

4,496.

9,365.

4,496.

Income:Properties Totals

A B C (Add columns A, B, and C.)

3 Rents received . . . . . . . . . . . . . . . . . . . . . . . 3 3

4 Royalties received . . . . . . . . . . . . . . . . . . . . 4 4

Expenses:5 Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

6 Auto and travel (see instructions) . . . . . . 6

7 Cleaning and maintenance . . . . . . . . . . . . 7

8 Commissions . . . . . . . . . . . . . . . . . . . . . . . . 8

9 Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

10 Legal and other professional fees . . . . . . 10

11 Management fees . . . . . . . . . . . . . . . . . . . . 11

Mortgage interest paid to banks, etc12(see instructions) . . . . . . . . . . . . . . . . . . . . . 12 12

13 Other interest . . . . . . . . . . . . . . . . . . . . . . . . 13

14 Repairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

15 Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

16 Taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

17 Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

18 GOther (list)

20 Depreciation expense or depletion(see instructions) . . . . . . . . . . . . . . . . . . . . . 20 20

21 Total expenses. Add lines 19 and 20 . . . 21

22 Income or (loss) from rental real estate orroyalty properties. Subtract line 21 from line 3(rents) or line 4 (royalties). If the result is a(loss), see instructions to find out if you must

file Form 6198 . . . . . . . . . . . . . . . . . . . . . . . . . . 22

23 Deductible rental real estate loss.Caution. Your rental real estate loss on line 22may be limited. See instructions to find out if youmust file Form 8582. Real estate professionalsmust complete line 43 on page 2 . . . . . . . . . . . . . 23

24 Income. Add positive amounts shown on line 22. Do not include any losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

25 Losses. Add royalty losses from line 22 and rental real estate losses from line 23. Enter total losses here . . . . . 25

26 Total rental real estate and royalty income or (loss). Combine lines 24 and 25. Enter theresult here. If Parts II, III, IV, and line 40 on page 2 do not apply to you, also enter thisamount on Form 1040, line 17, or Form 1040NR, line 18. Otherwise, include this amountin the total on line 41 on page 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

BAA For Paperwork Reduction Act Notice, see instructions. Schedule E (Form 1040) 2009FDIZ2301 06/24/09

SCHEDULE E Supplemental Income and Loss OMB No. 1545-0074

(Form 1040) (From rental real estate, royalties, partnerships,S corporations, estates, trusts, REMICs, etc) 2009

Department of the TreasuryInternal Revenue Service (99)

G Attach to Form 1040, 1040NR, or Form 1041.G See Instructions for Schedule E (Form 1040).

AttachmentSequence No. 13

Name(s) shown on return Your social security number

Part I Income or Loss From Rental Real Estate and Royalties Note. If you are in the business of renting personal property, use

Schedule C or C-EZ (see instructions). If you are an individual, report farm rental income or loss from Form 4835 on page 2, line 40.

1 List the type and address of each rental real estate property: 2 Yes No

A

A

B

For each rental real estateproperty listed on line 1, did youor your family use it during thetax year for personal purposesfor more than the greater of:

? B

C?

14 days, or10% of the total daysrented at fair rental value?

(See instructions.) C

18

19 Add lines 5 through 18 . . . . . . . . . . . . . . . . 19 19


25,000.

8,000.

5,000. 5,000.

12,000.

12,000.

Residential rentalX

3,000.

5,000.

8,000.

13,000.

12,000.

25,000.

2009Schedule K-1(Form 1041)

For calendar year 2009,

or tax year beginning , 2009


and ending ,

Beneficiary's Share of Income, Deductions,Credits, etc. G See separate instructions.

Part I Information About the Estate or Trust

A Estate's or trust's employer identification number

B Estate's or trust's name

C Fiduciary's name, address, city, state, and ZIP code

Check if Form 1041-T was filed andDenter the date it was filed . . . . . . . . . . . . .

E Check if this is the final Form 1041 for the estate or trust

FOR

IRS

USE

ONLY

BAA For Paperwork Reduction Act Notice, see the Instructions for Form 1041. Schedule K-1 (Form 1041) 2009

4b 28% rate gain

4c Unrecaptured section 1250 gain

5 Other portfolio andnonbusiness income

6 Ordinary business income

7 Net rental real estate income

8 Other rental income

9 Directly apportioned deductions

Part II Information About the Beneficiary

F Beneficiary's identifying number

G Beneficiary's name, address, city, state, and ZIP code

H Domestic beneficiary Foreign beneficiary

Final K-1 Amended K-1 OMB No. 1545-0092

Part III Beneficiary's Share of Current Year Income,Deductions, Credits, and Other Items

1 Interest income 11 Final year deductions

2a Ordinary dividends

2b Qualified dividends

3 Net short-term capital gain

4a Net long-term capital gain

FIFA0401 12/01/09

10 Estate tax deduction

*See attached statement for additional information.

Note. A statement must be attached showing the beneficiary's share ofincome and directly apportioned deductions from each business, rentalreal estate, and other rental activity.

661109

12 Alternative minimum tax adjustment

13 Credits and credit recapture

14 Other information

22-8078071


National Bank of Indiana1234 MeridianIndianapolis IN 46202

111-22-3333

Sophia Toebasher (wife)

2006 World Cup Champs Way

Indianapolis IN 46202

X

5,614.

5,789.

5,789.

2,456.

A 0.

A * 1,000.

A

E

6,140.

11,403.

This list identifies the codes used on Schedule K-1 forbeneficiaries and provides summarized reporting information forbeneficiaries who file Form 1040. For detailed reporting and filinginformation, see the Instructions for Beneficiary Filing Form 1040and the instructions for your income tax return.

Report on

1 Interest income Form 1040, line 8a

2 a Ordinary dividends Form 1040, line 9a

2 b Qualified dividends Form 1040, line 9b

3 Net short-term capital gain Schedule D, line 5

4 a Net long-term capital gain Schedule D, line 12

4 b 28% rate gain Line 4 of the worksheet for ScheduleD, line 18

Schedule K-1 (Form 1041) 2009 Page 2

4 c Unrecaptured section 1250 gain Line 11 of the worksheet forSchedule D, line 19

5 Other portfolio and nonbusiness income Schedule E, line 33, column (f)

6 Ordinary business income Schedule E, line 33, column (d) or (f)

7 Net rental real estate income Schedule E, line 33, column (d) or (f)

8 Other rental income Schedule E, line 33, column (d) or (f)


Code

A Depreciation Form 8582 or Schedule E, line 33,column (c) or (e)

B Depletion Form 8582 or Schedule E, line 33,column (c) or (e)

C Amortization Form 8582 or Schedule E, line 33,column (c) or (e)

10 Estate tax deduction Schedule A, line 28

11 Final year deductions

A Excess deductions Schedule A, line 23

B Short-term capital loss carryover Schedule D, line 5

C Long-term capital loss carryover Schedule D, line 12; line 5 of theworksheet for Schedule D, line 18;and line 16 of the worksheet forSchedule D, line 19

D Net operating loss carryover 'regular tax Form 1040, line 21

E Net operating loss carryover 'minimum tax Form 6251, line 12


A Credit for estimated taxes Form 1040, line 62

B Credit for backup withholding Form 1040, line 61

C Low-income housing credit Form 8586 (also see thebeneficiary's instructions

D Rehabilitation credit and energy credit See the beneficiary's instructions

E Other qualifying investment credit See the beneficiary's instructions

F Work opportunity credit Form 5884, line 3

G Welfare-to-work credit Form 3800, line 1b

H Alcohol and cellulosic biofuel fuels credit Form 6478, line 7 (also see thebeneficiary's instructions)

I Credit for increasing research activities Form 3800, line 1c

12 Alternative minimum tax (AMT) items

Code Report on

A Adjustment for minimum tax purposes Form 6251, line 16

B AMT adjustment attributable toqualified dividends

C AMT adjustment attributable to netshort-term capital gain

D AMT adjustment attributable to netlong-term capital gain

E AMT adjustment attributable tounrecaptured section 1250 gain

See the beneficiary'sinstructions and theInstructions for Form 6251

F AMT adjustment attributable to 28%rate gain

G Accelerated depreciation

H Depletion

I Amortization

J Exclusion items 2010 Form 8801

J Renewable electricity, refined coal, andIndian coal production credit See the beneficiary's instructions

K Empowerment zone and renewalcommunity employment credit Form 8844, line 3

L Indian employment credit Form 3800, line 1g

M Orphan drug credit Form 3800, line 1h

N Credit for employer provided child careand facilities Form 3800, line 1k

O Biodiesel and renewable dieselfuels credit

Form 8864, line 9 (also see thebeneficiary's instructions)

P Nonconventional source fuel credit Form 3800, line 1o

Q Credit to holders of tax credit bonds Form 8912, line 8

R Agricultural chemicals security credit Form 3800, line 1v

S Energy efficient appliance credit Form 3800, line 1q

T Credit for employer differentialwage payments Form 3800, line 1w

U Recapture of credits See the beneficiary's instructions


A Tax-exempt interest Form 1040, line 8b

B Foreign taxes Form 1040, line 47 or Schedule A,line 8

C Qualified production activities income Form 8903, line 7

D Form W-2 wages Form 8903, line 15

E Net investment income Form 4952, line 4a

F Gross farm and fishing income Schedule E, line 42

G Foreign trading gross receipts(IRC 942(a))

See the instructions forForm 8873

H Other information See the beneficiary's instructions

Note. If you are a beneficiary who does not file a Form 1040, seeinstructions for the type of income tax return you are filing.

FIFA0401 12/01/09 Schedule K-1 (Form 1041) 2009


Sch K-1, (Sophia Toebasher (wife)) Attachment

Sch K-1, Supplemental Information

Box 9, Code A - Depreciation:Apportioned to Box 7

Total1,000.1,000.

Tony Toebasher Trust 22-8078071 1

2009Schedule K-1(Form 1041)

For calendar year 2009,

or tax year beginning , 2009


and ending ,

Beneficiary's Share of Income, Deductions,Credits, etc. G See separate instructions.

Part I Information About the Estate or Trust

A Estate's or trust's employer identification number

B Estate's or trust's name

C Fiduciary's name, address, city, state, and ZIP code

Check if Form 1041-T was filed andDenter the date it was filed . . . . . . . . . . . . .

E Check if this is the final Form 1041 for the estate or trust

FOR

IRS

USE

ONLY

BAA For Paperwork Reduction Act Notice, see the Instructions for Form 1041. Schedule K-1 (Form 1041) 2009

4b 28% rate gain

4c Unrecaptured section 1250 gain

5 Other portfolio andnonbusiness income

6 Ordinary business income

7 Net rental real estate income

8 Other rental income


Part II Information About the Beneficiary

F Beneficiary's identifying number

G Beneficiary's name, address, city, state, and ZIP code

H Domestic beneficiary Foreign beneficiary

Final K-1 Amended K-1 OMB No. 1545-0092

Part III Beneficiary's Share of Current Year Income,Deductions, Credits, and Other Items

1 Interest income 11 Final year deductions

2a Ordinary dividends

2b Qualified dividends

3 Net short-term capital gain

4a Net long-term capital gain

FIFA0401 12/01/09

10 Estate tax deduction

*See attached statement for additional information.

Note. A statement must be attached showing the beneficiary's share ofincome and directly apportioned deductions from each business, rentalreal estate, and other rental activity.

661109

12 Alternative minimum tax adjustment



22-8078071


National Bank of Indiana1234 MeridianIndianapolis IN 46202

111-11-1234

Joseph Toebasher (son)

11 Alexi Lalas Ave

San Jose CA 45823

X

5,614.

5,790.

5,790.

2,456.

A 0.

A * 1,000.

A

E

6,141.

11,404.

This list identifies the codes used on Schedule K-1 forbeneficiaries and provides summarized reporting information forbeneficiaries who file Form 1040. For detailed reporting and filinginformation, see the Instructions for Beneficiary Filing Form 1040and the instructions for your income tax return.

Report on

1 Interest income Form 1040, line 8a

2 a Ordinary dividends Form 1040, line 9a

2 b Qualified dividends Form 1040, line 9b

3 Net short-term capital gain Schedule D, line 5

4 a Net long-term capital gain Schedule D, line 12

4 b 28% rate gain Line 4 of the worksheet for ScheduleD, line 18

Schedule K-1 (Form 1041) 2009 Page 2

4 c Unrecaptured section 1250 gain Line 11 of the worksheet forSchedule D, line 19

5 Other portfolio and nonbusiness income Schedule E, line 33, column (f)

6 Ordinary business income Schedule E, line 33, column (d) or (f)

7 Net rental real estate income Schedule E, line 33, column (d) or (f)

8 Other rental income Schedule E, line 33, column (d) or (f)


Code

A Depreciation Form 8582 or Schedule E, line 33,column (c) or (e)

B Depletion Form 8582 or Schedule E, line 33,column (c) or (e)

C Amortization Form 8582 or Schedule E, line 33,column (c) or (e)

10 Estate tax deduction Schedule A, line 28

11 Final year deductions

A Excess deductions Schedule A, line 23

B Short-term capital loss carryover Schedule D, line 5

C Long-term capital loss carryover Schedule D, line 12; line 5 of theworksheet for Schedule D, line 18;and line 16 of the worksheet forSchedule D, line 19

D Net operating loss carryover 'regular tax Form 1040, line 21

E Net operating loss carryover 'minimum tax Form 6251, line 12


A Credit for estimated taxes Form 1040, line 62

B Credit for backup withholding Form 1040, line 61

C Low-income housing credit Form 8586 (also see thebeneficiary's instructions

D Rehabilitation credit and energy credit See the beneficiary's instructions

E Other qualifying investment credit See the beneficiary's instructions

F Work opportunity credit Form 5884, line 3

G Welfare-to-work credit Form 3800, line 1b

H Alcohol and cellulosic biofuel fuels credit Form 6478, line 7 (also see thebeneficiary's instructions)

I Credit for increasing research activities Form 3800, line 1c

12 Alternative minimum tax (AMT) items

Code Report on

A Adjustment for minimum tax purposes Form 6251, line 16

B AMT adjustment attributable toqualified dividends

C AMT adjustment attributable to netshort-term capital gain

D AMT adjustment attributable to netlong-term capital gain

E AMT adjustment attributable tounrecaptured section 1250 gain

See the beneficiary'sinstructions and theInstructions for Form 6251

F AMT adjustment attributable to 28%rate gain

G Accelerated depreciation

H Depletion

I Amortization

J Exclusion items 2010 Form 8801

J Renewable electricity, refined coal, andIndian coal production credit See the beneficiary's instructions

K Empowerment zone and renewalcommunity employment credit Form 8844, line 3

L Indian employment credit Form 3800, line 1g

M Orphan drug credit Form 3800, line 1h

N Credit for employer provided child careand facilities Form 3800, line 1k

O Biodiesel and renewable dieselfuels credit

Form 8864, line 9 (also see thebeneficiary's instructions)

P Nonconventional source fuel credit Form 3800, line 1o

Q Credit to holders of tax credit bonds Form 8912, line 8

R Agricultural chemicals security credit Form 3800, line 1v

S Energy efficient appliance credit Form 3800, line 1q

T Credit for employer differentialwage payments Form 3800, line 1w

U Recapture of credits See the beneficiary's instructions


A Tax-exempt interest Form 1040, line 8b

B Foreign taxes Form 1040, line 47 or Schedule A,line 8

C Qualified production activities income Form 8903, line 7

D Form W-2 wages Form 8903, line 15

E Net investment income Form 4952, line 4a

F Gross farm and fishing income Schedule E, line 42

G Foreign trading gross receipts(IRC 942(a))

See the instructions forForm 8873

H Other information See the beneficiary's instructions

Note. If you are a beneficiary who does not file a Form 1040, seeinstructions for the type of income tax return you are filing.

FIFA0401 12/01/09 Schedule K-1 (Form 1041) 2009


Sch K-1, (Joseph Toebasher (son)) Attachment

Sch K-1, Supplemental Information

Box 9, Code A - Depreciation:Apportioned to Box 7

Total1,000.1,000.

Tony Toebasher Trust 22-8078071 1

Allocation of Deductions for Tax-Exempt Income 2009

Name Employer Identification Number

1041 Type of Income (a) (b) (c)

Line Total Tax-exempt Taxable

# Income Income

1 Interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2 Dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3 Gross income from Schedule C . . . . . . . . . . . . . . . . . . . .

4 Total net gain from Schedule D, line 15, col. (1) . . .

5 a Gross rents/royalties from Schedule E . . . . . . . . . . . . .

5 b Income/loss Sch E, pg 2, lines 32, 37 and 39 . . . .

6 Gross income from Schedule F

7 Ordinary gain or loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Direct Entry From K-1s

8 Other income

Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

% % %

1041 Type of Deduction (a) (b) (c) (d) (e)

Line Amounts Amounts Amts to be Amounts Deductible

# totally totally allocated allocable amounts

allocable allocable between to taxable (a + d)

to taxable to tax exempt and income

income exempt taxable col (c) x

income income

10 Interest . . . . . . . . . . . . . . . . . . . . . . . .

10 a Investment interest Form 4952

11 Taxes . . . . . . . . . . . . . . . . . . . . . . . . . .

12 Fiduciary fees . . . . . . . . . . . . . . . . .

14 Attorney, accountant,

return preparation fees . . . . . . . .

15 a Other deductions not

subject to the 2% floor . . . . . . . .

15 b Allowable miscellaneous

itemized deductions

subject to the 2% floor . . . . . . . .

Totals . . . . . . . . . . . . . . . . . . . . . . . . . .

Total allocated amounts from column (c) not deductible . . . . . . . . . . . . . . . . . . . . . .

FIFW0501.SCR 10/13/09


45,000. 25,000. 20,000.30,000. 30,000.

25,000. 25,000.

100,000. 25,000. 75,000.

100.0000 25.0000 75.0000

0.7500

10,000. 7,500. 7,500.

0. 0.

0. 10,000. 7,500. 7,500.

2,500.

Form 1041 Other Deductions Statement 2009Page 1, Line 15a (Not Subject to the 2% Floor)

Name Employer Identification Number


Other Deductions Not Subject to the 2% Floor(Form 1041, page 1, line 15a)

Depreciation, Amortization, and Domestic Production Activities Deduction Only

Description (a) (b) (c) (d)

Amounts Amounts Amounts to be Total

totally totally allocated

allocable allocable to between

to taxable tax-exempt tax-exempt

income income and taxable

income

1

2

3

Other Deductions Excluding Depreciation, Amortization, and Domestic Production Activities

Description (a) (b) (c) (d)

Amounts Amounts Amounts to be Total

totally totally allocated

allocable allocable to between

to taxable tax-exempt tax-exempt

income income and taxable

income

1

2

3

4

5

6

7

8

9

10

Total

Grand totals *

*Grand totals includes depreciation, amortization, domestic production activities, and other deductions.

FIFW0101.SCR 10/29/09

AmortizationDepreciationDomestic Prod Act deduction

0. 0. 0. 0.

0. 0.

NOL deduction 0. 0. 0. 0.

· 2010 AICPA-UI NATIONAL TAX EDUCATION PROGRAM WEEK III, JULY 12-16 ADVANCE PREPARATION MATERIAL...

Documents

Transcript of · 2010 AICPA-UI NATIONAL TAX EDUCATION PROGRAM WEEK III, JULY 12-16 ADVANCE PREPARATION MATERIAL...