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TAXABLE YEAR
2021
California Allocation of Estimated Tax
Payments to Beneciaries
FORM
541-T
For calendar year 2021 or fiscal year beginning (mm/dd/yyyy) and ending (mm/dd/yyyy)
Name of estate or trust FEIN
Name and title of fiduciary
Additional information (see instructions)
Street address of fiduciary (number and street) or PO box Apt. no./ste. no. PMB/private mailbox
City State ZIP code
Foreign country name Foreign province/state/county Foreign postal code
Calendar year trusts: File this form no later than March 7, 2022.
If you are filing this form for the final year of the estate or trust, check this box ...................................................................
1 Total amount of estimated taxes to be allocated to beneficiaries $
2 Allocation to beneficiaries:
(a)
No.
(b)
Beneciary’s name and address
(c)
Beneciary’s
SSN/ITIN or FEIN
(d)
Amount of estimated
tax payment allocated to
beneciary
(e)
Proration
percentage
1
%
2
%
3
%
4
%
5
%
6
%
7
%
8
%
9
%
10
%
3 Total from additional sheets ...........................................................
3
4 Total amounts allocated. (Must equal line 1, above)
4
Sign Here
Our privacy notice can be found in annual tax booklets or online. Go to ftb.ca.gov/privacy to learn about our privacy policy statement, or go to
ftb.ca.gov/forms and search for 1131 to locate FTB 1131 EN-SP, Franchise Tax Board Privacy Notice on Collection. To request this notice by mail, call
800.338.0505 and enter form code 948 when instructed.
Under penalties of perjury, I declare that I have examined this allocation, including accompanying schedules and statements, and to the best of my
knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has
any knowledge.
Signature of fiduciary or officer representing fiduciary
X
Date
Telephone
7031213
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