Schedule K-1
(Form 1041)
2019
Beneficiary’s Share of Income, Deductions,
Credits, etc.
Department of the Treasury
Internal Revenue Service
See back of form and instructions.
OMB No. 1545-0092
661117
Final K-1 Amended K-1
beginning
/
/ 2019
ending
/ /
Information About the Estate or Trust Part I
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
D Check if Form 1041-T was filed and enter the date it was filed
E Check if this is the final Form 1041 for the estate or trust
Information About the BeneficiaryPart II
F Beneficiary's identifying number
G Beneficiary's name, address, city, state, and ZIP code
H
Domestic beneficiary Foreign beneficiary
For calendar year 2019, or tax year
Beneficiary’s Share of Current Year Income,
Deductions, Credits, and Other Items
Part III
1
Interest income
2a
Ordinary dividends
2b
Qualified dividends
3
Net short-term capital gain
4a
Net long-term capital gain
4b
28% rate gain
4c
Unrecaptured section 1250 gain
5
Other portfolio and
nonbusiness income
6
Ordinary business income
7
Net rental real estate income
8
Other rental income
9
Directly apportioned deductions
10
Estate tax deduction
11 Final year deductions
12
Alternative minimum tax adjustment
13 Credits and credit recapture
14 Other information
*See attached statement for additional information.
Note: A statement must be attached showing the
beneficiary’s share of income and directly apportioned
deductions from each business, rental real estate, and
other rental activity.
For IRS Use Only
For Paperwork Reduction Act Notice, see the Instructions for Form 1041.
www.irs.gov/Form1041 Cat. No. 11380D Schedule K-1 (Form 1041) 2019
Schedule K-1 (Form 1041) 2019
Page 2
This list identifies the codes used on Schedule K-1 for beneficiaries and provides summarized reporting information for
beneficiaries who file Form 1040 or 1040-SR. For detailed reporting and filing information, see the Instructions for Schedule
K-1 (Form 1041) for a Beneficiary Filing Form 1040 or 1040-SR and the instructions for your income tax return.
Report on
1. Interest income Form 1040 or 1040-SR, line 2b
2a. Ordinary dividends Form 1040 or 1040-SR, line 3b
2b. Qualified dividends Form 1040 or 1040-SR, line 3a
3. Net short-term capital gain Schedule D, line 5
4a. Net long-term capital gain Schedule D, line 12
4b. 28% rate gain 28% Rate Gain Worksheet, line 4
(Schedule D Instructions)
4c. Unrecaptured section 1250 gain Unrecaptured Section 1250 Gain
Worksheet, line 11 (Schedule D
Instructions)
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)
9. Directly apportioned deductions
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 16
11. Final year deductions
A Excess deductions See the beneficiary's instructions
B Short-term capital loss carryover Schedule D, line 5
C Long-term capital loss carryover
Schedule D, line 12; line 5 of the
wksht. for Sch. D, line 18; and
line 16 of the wksht. for Sch. D,
line 19
D Net operating loss carryover —
regular tax
Form 1040 or 1040-SR, Schedule
1, line 8
E Net operating loss carryover —
minimum tax
Form 6251, line 2f
12. Alternative minimum tax (AMT) items
A Adjustment for minimum tax purposes Form 6251, line 2j
B AMT adjustment attributable to
qualified dividends
}
C AMT adjustment attributable to
net short-term capital gain
D AMT adjustment attributable to
net long-term capital gain
E AMT adjustment attributable to
unrecaptured section 1250 gain
F AMT adjustment attributable to
28% rate gain
G Accelerated depreciation
H Depletion
I Amortization
See the beneficiary’s
instructions and the
Instructions for Form 6251
J Exclusion items 2020 Form 8801
13. Credits and credit recapture
Code
Report on
A Credit for estimated taxes Form 1040 or 1040-SR, Schedule
3, line 8
B Credit for backup withholding Form 1040 or 1040-SR, line 17
C Low-income housing credit
}
D Rehabilitation credit and energy credit
E
Other qualifying investment credit
F Work opportunity credit
G Credit for small employer health
insurance premiums
H Biofuel producer credit
I
Credit for increasing research activities
J Renewable electricity, refined coal,
and Indian coal production credit
K Empowerment zone employment credit
L Indian employment credit
M Orphan drug credit
N Credit for employer-provided child
care and facilities
O Biodiesel and renewable diesel fuels
credit
P Credit to holders of tax credit bonds
Q Credit for employer differential wage
payments
R Recapture of credits
Z Other credits
See the beneficiary’s instructions
14. Other information
A Tax-exempt interest Form 1040 or 1040-SR, line 2a
B Foreign taxes Form 1040 or 1040-SR, Schedule
3, line 1 or Sch. A, line 6
C Reserved
D Reserved
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 for
Form 8873
H Adjustment for section 1411 net
investment income or deductions
Form 8960, line 7 (also see the
beneficiary's instructions)
I Section 199A information
See the beneficiary’s instructions
Z Other information See the beneficiary’s instructions
Note: If you are a beneficiary who does not file a Form 1040 or 1040-
SR, see instructions for the type of income tax return you are filing.