O'CONNOR, WELLS & VANDER WERFF, LLC

2016 TRUST TAX WORKSHEET

General Information

Name of TrustFed ID #

Name of TrusteePhone Number

Street Address of TrusteeApt #

CityState Zip

Interest Income

Please enclose copies of all Forms 1099-INT or other documents relating to interest received

Name of Payer / Savings & Loans, Bank and Other / U.S. Bonds and Obligations / Tax-Exempt Interest
Total

Dividend Income

Please enclose copies of all Forms 1099-DIV or other documents relating to dividends received

Name of Payer / Box 1a
Total Ordinary
Dividends / Box 1b
Qualified Dividends / Box 2a
Total Capital Gain Distribution / U.S. Bond Interest Amount or % in Box 1a
Total

Capital Gains or Losses

Attach 1099 statements. Include sale or exchange of Non-Business Assets and Personal Residence.

A) Cost Basis Reported to IRS on 1099-B ______B) Cost Basis not reported to IRS on 1099-B ______C) Neither A nor B ______

Description of Property / Date Acquired / Date Sold / Sales Price / Cost Basis / Gain/(Loss)
Totals

Installment Sales

Description / Principal Received in 2016 / Times GP% / Total

2016 TRUST TAX WORKSHEET (CONTINUED)

Rental Property

Property Types: 1-Single Family, 2-Mulit-Family, 3-Vacation/Short-Term, 4-Commercial, 5-Land, 6-Royalties, 7-Self-Rental, 8-Other (describe)

Tax Elections:The De Minimis Safe Harbor applies for certain costs under $2500

The Small Taxpayer applies for certain costs that don’t exceed the lesser of $10,000 or 2% of the unadjusted basis of the building

Filing of 1099 Forms: Please request a worksheet to meet filing requirements if needed by the January 31, 2017 deadline.

Were payments made that would require you to file 1099 Forms? Yes ___ No ___ If yes, will all required 1099 Forms be filed? Yes ___ No ___

Property Type (see codes above)
Address of Property
Fair Rental Days vs. Personal Days / vs. / vs. / vs.
De Minimis Safe Harbor
Tax Elections:Small Taxpayer / Yes_____ No_____
Yes_____ No_____ / Yes_____ No_____
Yes_____ No_____ / Yes_____ No_____
Yes_____ No_____
Rental Income
Other Income
Rental Expenses: Advertising
Auto
Cleaning and Maintenance
Insurance
Legal & Accounting
Interest – Banks
Interest – Other
Repairs
Supplies
Taxes-Real Estate
Utilities
(office use only)Depreciation
(office use only)Net Income / (Loss)
Capital Expenditures: Date New or
Description Purchased Used

Wisconsin Only: Subtraction for 20% Depreciation Basis Adj. $______

Miscellaneous Income

Name of Payer / Nature of Income / Amount

Trust Expenses

Description / Payee & Date / Amount
State Income Tax Paid This Year
Real Estate Taxes on Non-Rental Property
Trustee Fees
Attorney Fees
Accountant Fees
Other Expenses

Trust Estimated Tax Payments

Federal / State
Credit from last year
1st
2nd
3rd
4th
Totals

Word/Tax Season Worksheets/trust tax worksheet