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Get and Sign Form 1041 N Rev December IRS Gov Irs 2015
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...
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