Form 1041-A (Rev. 9-2018)
Page 4
Line 28. Notes and loans receivable.
Enter the combined total of notes
receivable and net loans receivable
(including receivables due from officers,
directors, trustees, and other disqualified
persons). In an attached schedule, show
the following information (preferably in
columnar format).
• Borrower’s name and title.
• Original amount.
• Balance due.
• Date of note.
• Maturity date.
• Repayment terms.
• Interest rate.
• Security provided by the borrower.
• Purpose of the loan.
• Description and fair market value of
the consideration furnished by the
lender.
Line 29. Inventories for sale or use.
Enter the amount of materials, goods,
and supplies purchased or manufactured
by the trust and held for sale or use in
some future period.
Line 30. Prepaid expenses and
deferred charges. Enter the amount of
short-term and long-term prepayments
of future expenses attributable to one or
more future accounting periods.
Examples include prepayments of rent,
insurance, and pension costs.
Lines 31, 32, and 33. Investments—
government obligations, corporate
stocks, and corporate bonds. Enter the
book value (which may be market value)
of these investments. Attach a schedule
that lists each security held at the end of
the year and shows whether the security
is listed at cost (including the value
recorded at the time of receipt in the
case of donated securities) or
end-of-year market value. Do not include
amounts on line 26. Government
obligations reported on line 31 are those
that mature in 1 year or more. Debt
securities of the U.S. government may
be reported as a single total rather than
itemized. Obligations of state and
municipal governments may also be
reported as a lump-sum total. Do not
combine U.S. government obligations
with state and municipal obligations on
the attached schedule.
Line 34. Investments—land, buildings,
and equipment. Attach a schedule of all
land, buildings, and equipment that are
held for investment purposes, such as
rental properties. List the cost or other
basis of these assets, accumulated
depreciation, and end-of-year book
value.
Line 35. Investments—other. Enter the
amount of all other investment holdings
not reported on lines 31 through 34.
Attach a schedule describing each of
these investments held at the end of the
year. List the cost, or other basis, and
the end-of-year book value.
Line 36. Land, buildings, and
equipment. Attach a schedule of all
land, buildings, and equipment that
aren’t held for investment purposes,
such as the trust’s offices. List the cost
or other basis of these assets,
accumulated depreciation, and end-of-
year book value.
Line 37. Other assets. Enter the book
value of any trust assets that haven’t
been reported on lines 25 through 36. If
more space is needed, attach a separate
schedule with a description of the asset,
date acquired, and end-of-year book
value.
Liabilities
Line 39. Accounts payable and
accrued expenses. Enter the total
accounts payable to suppliers and
others, and accrued expenses such as
salaries payable, accrued payroll taxes,
and interest payable.
Line 40. Mortgages and other notes
payable. Attach a schedule showing, as
of the end of the year, the total amount
of all mortgages payable, and for each
nonmortgage note payable, the lender’s
name and the other information specified
in the line 28 instructions.
Line 41. Other liabilities. Enter the book
value of any trust liabilities that haven’t
been reported on line 39 or 40. If more
space is needed, attach a separate
schedule with a description of the
liability and amount.
Signature
Form 1041-A must be signed by the
trustee or by an authorized
representative.
If you, as trustee (or an employee or
officer of the trust), fill in Form 1041-A,
the Paid Preparer space should be left
blank. If someone prepares this return
without charge, that person shouldn’t
sign the return.
Generally, anyone who is paid to
prepare a tax return must sign the return
and fill in the other blanks in the Paid
Preparer Use Only area of the return.
If you have questions about whether a
preparer is required to sign the return,
please contact an IRS office.
The person signing the return as the
preparer should complete the requested
preparer information and do the
following.
• Sign it in the space provided for the
preparer’s signature. (A facsimile
signature is acceptable.)
• Give the trustee a copy of the return in
addition to the copy to be filed with the
IRS.
Paperwork Reduction Act Notice. We
ask for the information on this form to
carry out the Internal Revenue laws of
the United States. You are required to
give us the information. We need it to
ensure that you are complying with
these laws and to allow us to figure and
collect the right amount of tax.
You aren’t required to provide the
information requested on a form that is
subject to the Paperwork Reduction Act
unless the form displays a valid OMB
control number. Books or records
relating to a form or its instructions must
be retained as long as their contents
may become material in the
administration of any Internal Revenue
law. Generally, tax returns and return
information are confidential, as required
by Code section 6103.
The time needed to complete and file
this form will vary depending on
individual circumstances. The estimated
average time is:
Recordkeeping . . . 24 hr., 52 min.
Learning about the
law or the form . . . . 2 hr., 37 min.
Preparing the form . . 7 hr., 48 min.
Copying, assembling,
and sending the
form to the IRS . . . . 1 hr., 20 min.
If you have comments concerning the
accuracy of these time estimates or
suggestions for making this form
simpler, we would be happy to hear from
you. You can send us comments
through www.irs.gov/FormComments.
Or you can write to: Internal Revenue
Service, Tax Forms and Publications,
1111 Constitution Ave. NW, IR-6526,
Washington, DC 20224. Do not send the
tax form to this address. Instead, see
Where To File, earlier.
