Federal Free Printable Form 1041-N (Rev. December 2016) for 2017 Federal U.S. Income Tax Return for Electing Alaska Native Settlement Trusts

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U.S. Income Tax Return for Electing Alaska Native Settlement Trusts
Form 1041-N (Rev. December 2016)

1041-N U.S. Income Tax Return for Electing Alaska Native Settlement Trusts Form (Rev. December 2016) Department of the Treasury Internal Revenue Service For calendar year Part I OMB No. 1545-1776 Information about Form 1041-N and its separate instructions is at www.irs.gov/form1041n. ▶ or short year beginning , and ending , 20 General Information , 20 . 1 Name of trust 2 3a Name and title of trustee 4 Name of sponsoring Alaska Native Corporation 3b Number, street, and room or suite no. (If a P.O. box, see the instructions.) 3c City or town, state, and ZIP code 5 Employer identification number Was Form 1041 filed in the prior year? Yes 6 Check applicable boxes: Tax and Payments Deductions Income Part II 1a b 2a b 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Amended return Final return Change in fiduciary’s name No Change in fiduciary’s address Tax Computation Interest income . . . . . . . . . . . . . . . . . . . . . . . . . . Tax-exempt interest. Don’t include on line 1a . . . . . . 1b Total ordinary dividends . . . . . . . . . . . . . . . . . . . . . . . Qualified dividends (see instructions) . . . . . . . . 2b Capital gain or (loss) (Schedule D) . . . . . . . . . . . . . . . . . . . Other income. List type and amount ▶ Total income. Combine lines 1a, 2a, 3, and 4 . . . . . . . . . . . . . . . ▶ Taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Trustee fees . . . . . . . . . . . . . . . . . . . . . . . . . . . Attorney, accountant, and return preparer fees . . . . . . . . . . . . . . . Other deductions not subject to the 2% floor (attach schedule) . . . . . . . . . . Allowable miscellaneous itemized deductions subject to the 2% floor . . . . . . . . Exemption (see instructions) . . . . . . . . . . . . . . . . . . . . . Total deductions. Add lines 6 through 11 . . . . . . . . . . . . . . . . ▶ Taxable income. Subtract line 12 from line 5 . . . . . . . . . . . . . . . ▶ Tax. If line 13 is a (loss), enter -0-. Otherwise, see the instructions and check the Multiply line 13 by 10% (0.10) or Schedule D . . . . . . . ▶ applicable box: ▶ Credits (see instructions). Specify Subtract line 15 from line 14 . . . . . . . . . . . . . . . . . . . . . Reserved . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total tax. Add line 16 and line 17. See instructions . . . . . . . . . . . . . . Payments. See instructions . . . . . . . . . . . . . . . . . . . . . ▶ Tax due. If line 19 is smaller than line 18, enter amount owed . . . . . . . . . . Overpayment. If line 19 is larger than line 18, enter amount overpaid . . . . . . . . Amount of line 21 to be: a Credited to next year’s estimated tax ▶ b Refunded ▶ Part III 1a 2a 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Other Information 1 During the tax year, did the trust receive assets from a sponsoring Alaska Native Corporation? If “Yes,” see the instructions for the required attachment . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 During the year, did the trust receive a distribution from, or was it the grantor of, or the transferor to, a foreign trust? At any time during the calendar year, did the trust have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)? See the instructions for exceptions and filing requirements for FinCEN Form 114. If “Yes,” enter the name of the foreign country ▶ Was the trust a specified domestic entity required to file Form 8938 for the tax year (see the Instructions for Form 8938)? To make a section 643(e)(3) election, complete Schedule D and check here. See instructions . . . . . ▶ 4 5 Signature of trustee or officer representing trustee Print/Type preparer’s name Preparer’s signature ▲ Paid Preparer Use Only 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, it is true, correct, and complete. Declaration of preparer (other than trustee) is based on all information of which preparer has any knowledge. Also, under section 646(c)(2) of the Internal Revenue Code, if this is the initial Form 1041-N filed for the above-named Alaska Native Settlement Trust, signing and filing this return will serve as the statement by the trustee electing to treat such trust as an Electing Alaska Native Settlement Trust. ▲ Sign Here Yes No May the IRS discuss this return with the preparer shown below (see instr.)? Yes No Date Date Check if self-employed Firm’s name ▶ Firm’s EIN Firm’s address ▶ Phone no. For Paperwork Reduction Act Notice, see the Instructions for Form 1041-N. Cat. No. 32234Q PTIN ▶ Form 1041-N (Rev. 12-2016) Form 1041-N (Rev. 12-2016) Schedule D Page 2 Capital Gains and Losses Part I—Short-Term Capital Gains and Losses—Assets Held One Year or Less (a) Description of property (Example, 100 shares 7% preferred of “Z” Co.) (b) Date acquired (mo., day, yr.) (c) Date sold (mo., day, yr.) (f) Gain or (loss) for the entire year (col. (d) less col. (e)) (e) Cost or other basis (d) Sales price (see instructions) 1 2 Short-term capital gain or (loss) from other forms or schedules . . . . . . . . . . . . 2 3 Short-term capital loss carryover . . . . . . . . . . . . 3 4 Net short-term capital gain or (loss). Combine lines 1 through 3 in column (f) . . . . . . . 4 . . . . . . . . . . ( ) Part II—Long-Term Capital Gains and Losses—Assets Held More Than One Year (a) Description of property (Example, 100 shares 7% preferred of “Z” Co.) (b) Date acquired (mo., day, yr.) (c) Date sold (mo., day, yr.) (f) Gain or (loss) for the entire year (col. (d) less col. (e)) (e) Cost or other basis (d) Sales price (see instructions) 5 6 Long-term capital gain or (loss) from other forms or schedules . . . . . . . . . . . . 6 7 Capital gain distributions . . . . . . . . . . . . . . . . . . . . . 7 8 Enter gain, if applicable, from Form 4797 . . . . . . . . . . . . . . . . . . . 8 9 Long-term capital loss carryover . . . . . . . . . . . . . . . . . . . 9 Net long-term capital gain or (loss). Combine lines 5 through 9 in column (f) . . . . . . . 10 . . . . . . . ( ) 10 Form 1041-N (Rev. 12-2016) Form 1041-N (Rev. 12-2016) Page 3 Part III—Summary of Parts I and II 11 Combine lines 4 and 10 and enter the result. If a loss, go to line 12. If a gain, also enter the gain on page 1, line 3, and complete page 1 through line 13 . . . . . . . . . . . . . . . Next: Skip line 12 (below) and complete Part IV (below) if line 13 on page 1 is greater than zero and: a) line 2b on page 1 is greater than zero; or b) Schedule D, lines 10 and 11, are both greater than zero. 12 If line 11 is a loss, enter here and on page 1, line 3, the smaller of the loss on line 11 or ($3,000). Then complete page 1 through line 13 . . . . . . . . . . . . . . . . . . . . 11 12 ( ) Next: If the loss on line 11 is more than ($3,000), or if page 1, line 13, is less than zero, skip Part IV below and complete the Capital Loss Carryover Worksheet in the instructions before completing the rest of Form 1041-N. Otherwise, skip Part IV below and complete the rest of Form 1041-N. Part IV—Tax Computation Using Maximum Capital Gains Rates 13 Enter the taxable income from page 1, line 13 . 14 Enter the qualified dividends from page 1, line 2b 15 Enter the amount from Form 4952, line 4g . . 15 16 Enter the amount from Form 4952, line 4e . . 16 17 Subtract line 16 from line 15. If zero or less, enter -0- 18 Subtract line 17 from line 14. If zero or less, enter -0- 19 Enter the smaller of line 10 or 11 (above) . . 19 20 Enter the smaller of line 15 or line 16 . . 20 21 Subtract line 20 from line 19. If zero or less, enter -0- 22 Add lines 18 and 21 23 Add line 18 from the Unrecaptured Section 1250 Gain Worksheet and line 7 from the 28% Rate Gain Worksheet and enter the amount here . 24 Enter the smaller of line 21 or line 23 25 Subtract line 24 from line 22 . . 26 Enter the smaller of line 13 or 25 27 Subtract line 26 from line 13 28 Multiply line 27 by 10% (0.10). Enter here and on page 1, line 14. Also check the Schedule D box on that line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 . . . . . . . 17 . . . . . . . 18 . . . . . . . 21 . . . . . . . . 22 . . . . . . 13 . . . . . 23 . . . . . . . 24 . . . . . . . . . . . . . 25 . . . . . . . . . . . . . . . . . . . . . . 26 . . . . . . . . . . . . . . . . . . . . . . 27 28 Form 1041-N (Rev. 12-2016) Form 1041-N (Rev. 12-2016) Schedule K Page Distributions to Beneficiaries Page (a) Beneficiary’s name, street address, city, state, and ZIP code (c) Tier I distributions (d) Tier II distributions (e) Tier III distributions (a) Beneficiary’s name, street address, city, state, and ZIP code (c) Tier I distributions (d) Tier II distributions (d) Tier II distributions (a) Beneficiary’s name, street address, city, state, and ZIP code (c) Tier I distributions (d) Tier II distributions (a) Beneficiary’s name, street address, city, state, and ZIP code (c) Tier I distributions (d) Tier II distributions (a) Beneficiary’s name, street address, city, state, and ZIP code (c) Tier I distributions (d) Tier II distributions (g) Total distributions (Add amounts in (c) through (f)) (f) Tier IV distributions (b) Beneficiary’s SSN (e) Tier III distributions (g) Total distributions (Add amounts in (c) through (f)) (f) Tier IV distributions (b) Beneficiary’s SSN (e) Tier III distributions (g) Total distributions (Add amounts in (c) through (f)) (f) Tier IV distributions (b) Beneficiary’s SSN (e) Tier III distributions (g) Total distributions (Add amounts in (c) through (f)) (f) Tier IV distributions (b) Beneficiary’s SSN (e) Tier III distributions (g) Total distributions (Add amounts in (c) through (f)) (f) Tier IV distributions (b) Beneficiary’s SSN (e) Tier III distributions (a) Beneficiary’s name, street address, city, state, and ZIP code (c) Tier I distributions (b) Beneficiary’s SSN 4 of (g) Total distributions (Add amounts in (c) through (f)) (f) Tier IV distributions Form 1041-N (Rev. 12-2016)
Extracted from PDF file 2016-federal-form-1041-n.pdf, last modified December 2016

More about the Federal Form 1041-N Other Tax Return TY 2016

We last updated the U.S. Income Tax Return for Electing Alaska Native Settlement Trusts in May 2017, so this is the latest version of Form 1041-N, fully updated for tax year 2016. You can download or print current or past-year PDFs of Form 1041-N directly from TaxFormFinder. You can print other Federal tax forms here.

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Form Sources:

The Internal Revenue Service usually releases income tax forms for the current tax year between October and January, although changes to some forms can come even later. We last updated Federal Form 1041-N from the Internal Revenue Service in May 2017.

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Form 1041-N is a Federal Other form. Like the Federal Form 1040, states each provide a core tax return form on which most high-level income and tax calculations are performed. While some taxpayers with simple returns can complete their entire tax return on this single form, in most cases various other additional schedules and forms must be completed, depending on the taxpayer's individual situation, to create a complete income tax return package.

Historical Past-Year Versions of Federal Form 1041-N

We have a total of six past-year versions of Form 1041-N in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2016 Form 1041-N

Form 1041-N (Rev. December 2016)

U.S. Income Tax Return for Electing Alaska Native Settlement Trusts 2015 Form 1041-N

Form 1041-N (Rev. December 2015)

U.S. Income Tax Return for Electing Alaska Native Settlement Trusts 2014 Form 1041-N

Form 1041-N (Rev. December 2014)

U.S. Income Tax Return for Electing Alaska Native Settlement Trusts 2013 Form 1041-N

Form 1041-N (Rev. December 2013)

U.S. Income Tax Return for Electing Alaska Native Settlement Trusts 2012 Form 1041-N

Form 1041-N (Rev. December 2011)

U.S. Income Tax Return for Electing Alaska Native Settlement Trusts 2011 Form 1041-N

Form 1041-N (Rev. December 2011)


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