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Get IRS 1041-A 2017

Year 20 Employer identification number Name of trustee Number, street, and room or suite no. (or P.O. box) City or town, state, and ZIP code Deductions Income Part I 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Part II Income and Deductions (See the instructions for Form 1041 or Form 5227.) If total income is $25,000 or less, skip lines 1 8 and enter total income on line 9. Interest income . . . . . . . . . . . . . . . . . . . . . . . . . Dividends . . . . . . . . . . . . . . . . . . . . . . . .

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