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Form 1041 U.S. Income Tax Return for Estates and Trusts 2005. Summary: This is an example of Form 1041 (2005) with items included as described in the text. Additionally, these line items are completed:

A. Type of entity: (see instructions)--Decedent's estate” checkbox checked
B. Number of Schedules K-1 attached (see instructions)” field contains 1
Name of estate or trust (if a grantor type trust, see page 10 of the instructions)” field contains Estate of John R. Smith
Name and title of fiduciary” field contains Charles R. Smith, Executor
Number, street, and room or suite number (if a P.O. box, see page 11 of the instructions)” field contains 6406 Mayflower Street
City or town, state, and ZIP code” field contains Juneville, Maine 00000
C. Employer identification number” field contains 10-0123456
D. Date entity created” field contains 4-9-05
F. Check applicable boxes: Initial return” checkbox checked
Under “Deductions”:
16. Total. Add line 10 through 15b” field contains 2,575
17. Adjusted total income or (loss). Subtract line 16 from line 9. Enter here and on Schedule B, line 1” field contains 12,625
21. Total deductions. Add lines 18 through 20” field contains 2,600
22. Taxable income. Subtract line 21 from line 17. If a loss, see page 20 of the instructions” field contains 10,025
23. Total tax (from Schedule G, line 7)” field contains 2,486
27. Tax due. If line 25 is smaller than the total of lines 23 and 26, enter amount owed” field contains 2,486
Under “Sign Here”:
Signature of fiduciary or officer representing fiduciary” field contains Charles R. Smith, Executor
Date” field contains 3-24-06