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OMB No.

1545-1593
Form 1041-QFT U.S. Income Tax Return for Qualified Funeral Trusts
Department of the Treasury
Internal Revenue Service 䊳 See instructions on pages 2 through 4.
2001
For calendar year 2001 or short year beginning , 2001, and ending , 2001.

Part I General Information


1 Name of trust or other entity filing return 2 Employer identification number

3a Name and title of trustee

3b Number, street, and room or suite no. (If a P.O. box, see the instructions.)

3c City or town, state, and ZIP code 4 Number of QFTs included on this return

5 Check applicable boxes:


Initial return Amended return Final return Change in fiduciary’s name Change in fiduciary’s address

Part II Tax Computation

1a Interest income 1a
b Tax-exempt interest. Do not include on line 1a 1b
Income

2 Ordinary dividends 2
3 Capital gain or (loss) (attach Schedule D (Form 1041)) 3
4 Other income. List type and amount 4

5 Total income. Combine lines 1a and 2 through 4 䊳 5


6 Taxes 6
Deductions

7 Trustee fees 7
8 Attorney, accountant, and return preparer fees 8
9 Other deductions not subject to the 2% floor 9
10 Allowable miscellaneous itemized deductions subject to the 2% floor 10

11 Total deductions. Add lines 6 through 10 䊳 11

12 Taxable income. Subtract line 11 from line 5 䊳 12


Tax and Payments

13 Tax from: Tax Rate Schedule Schedule D (Form 1041) Composite return 䊳 13
14 Credits (see instructions). Specify the credits claimed 14

15 Net tax. Subtract line 14 from line 13 (see instructions) 15


16 Payments (see instructions) 䊳 16
17 Tax due. If line 16 is smaller than line 15, enter amount owed 17
18 Overpayment. If line 16 is larger than line 15, enter amount overpaid 18

19 Amount of line 18 to be: a Credited to 2002 estimated tax 䊳 b Refunded 䊳 19


Under penalties of perjury, I declare that I have examined this return, 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 trustee) is based on all information of which preparer has any knowledge.
Sign
䊳 䊳
May the IRS discuss this return
Here with the preparer shown below
Signature of trustee or officer representing trustee Date (see page 3)? Yes No

Paid
Preparer’s
Preparer’s
signature 䊳 Date
Check if self-
employed 䊳
Preparer’s SSN or PTIN


Firm’s name (or EIN
Use Only yours if self-employed),
address, and ZIP code Phone no. ( )
For Paperwork Reduction Act Notice, see page 4. Cat. No. 25368F Form 1041-QFT (2001)
Form 1041-QFT (2001) Page 2

General Instructions does not change over the life of the trust. You must attach a schedule to a
Use the table below to determine the composite Form 1041-QFT that includes the
Section references are to the Internal contribution limit for each QFT. following information for each QFT (or
Revenue Code. separate interest treated as a separate QFT):
For contracts your contribution limit ● The name of the owner or the beneficiary.
Purpose of Form entered into in . . . is . . .
If you list the name of the owner and that
The trustee of a trust that has elected to be 1998 and before $7,000 trust has more than one beneficiary, you must
taxed as a qualified funeral trust (QFT) files separate the trust into shares held by the
1999 7,100
Form 1041-QFT to report the income, separate beneficiaries;
2000 7,200
deductions, gains, losses, etc., and income
2001 7,500 ● The type and gross amount of each type of
tax liability of the QFT. The trustee can use
income earned by the QFT for the tax year.
the form to file for a single QFT or for multiple
How to determine if a trust meets the For capital gains, identify separately the
QFTs having the same trustee, following the
contribution limit. A trust meets the amount of net short-term capital gain, net
rules discussed under Composite Return on
contribution limit if: long-term capital gain, 28% rate gain,
this page.
● Existing contributions do not exceed the qualified 5-year gain, and unrecaptured
Pre-need funeral trusts that do not qualify section 1250 gain;
as QFTs should see the instructions for Form contribution limit and
● The trust, over its life, does not expect to ● The type and amount of each deduction
1041, U.S. Income Tax Return for Estates and
receive future contributions that exceed the and credit allocable to the QFT;
Trusts, for their filing requirements.
contribution limit. ● The tax and payments made for each QFT;
Qualified Funeral Trust Projections for future contributions are and
A QFT is a domestic trust that meets all of based on: ● The termination date for each QFT that was
the following requirements: ● Existing contributions, terminated during the year.
● It arose as a result of a contract with a ● Applicable state law trust contribution To avoid unnecessary
person engaged in the trade or business of requirements, and correspondence, if this is the first
providing funeral or burial services or property year the trustee is filing a Form
● Any expected contributions in excess of 1041-QFT for any trust(s), and a Form 1041
to provide such services.
state law requirements. was filed for that trust(s) for the 2000 tax year,
● The sole purpose of the trust is to hold,
When to determine if the trust meets the provide a separate schedule with the trust’s
invest, and reinvest funds in the trust and to
contribution limit. Make the determination at employer identification number and a brief
use those funds solely to pay for funeral or
the inception of the trust and again if the explanation that the trust(s) is being switched
burial services or property to provide such
projected amount for future contributions from Form 1041 to Form 1041-QFT.
services for the benefit of the beneficiaries of
changes.
the trust. When To File
Losing QFT status. A trust loses its QFT
● The only beneficiaries are individuals for
status at the time it exceeds or is projected For calendar year QFTs, file Form 1041-QFT
whom such services or property are to be
to exceed its contribution limit. on or before April 15, 2002. The due date for
provided at their death under the contracts
Multiple beneficiaries. If a QFT has multiple a composite return is also April 15, 2002,
described above.
beneficiaries, the contribution limit applies even if the return includes QFTs that
● The aggregate contributions to the trust on terminated during the year. If you are filing for
separately to each beneficiary. Each
behalf of any single beneficiary do not exceed a short year, file Form 1041-QFT by the 15th
beneficiary’s share of the total contributions
the Contribution Limit and are made by or day of the 4th month following the close of
to a trust is determined by the beneficiary’s
for the beneficiaries’ benefit. the short year. If the due date falls on a
interest in the trust. A beneficiary’s interest in
● The trustee makes or previously had made a trust may be determined under any Saturday, Sunday, or a legal holiday, file by
the election to treat the trust as a QFT. reasonable method. the next business day.
● The trust would have been treated as Related trustees and the contribution limit. Private Delivery Services
owned by the purchasers of the contracts A beneficiary’s share of contributions made to
under the grantor trust provisions of the Code You can use certain private delivery services
all trusts that have trustees that are related
if the QFT election had not been made. designated by the IRS to meet the “timely
persons will be aggregated for purposes of
mailing as timely filing/paying” rules for tax
Note: A trust that is not treated as owned by testing the contribution limit. Trustees will be
returns and payments. The most recent list of
the purchaser solely because of the death of considered related if:
designated private delivery services was
an individual will be treated as meeting this ● The relationship is described in section 267 published by the IRS in October 2001. The
requirement during the 60-day period or 707(b), list includes only the following:
beginning on the date of that individual’s
● The persons are treated as a single ● Airborne Express (Airborne): Overnight Air
death.
employer under subsection (a) or (b) of Express Service, Next Afternoon Service,
If a QFT has multiple beneficiaries, each section 52, or Second Day Service.
beneficiary’s separate interest under a
● The Secretary determines that treating the ● DHL Worldwide Express (DHL): DHL "Same
contract is treated as a separate QFT for the
persons as related is necessary to prevent Day" Service, DHL USA Overnight.
purpose of figuring the tax and filing this
avoidance of this section.
return. Each beneficiary’s share of the trust’s ● Federal Express (FedEx): FedEx Priority
income is determined in accordance with the Making the Election Overnight, FedEx Standard Overnight, FedEx
beneficiary’s interest in the trust. A 2Day.
beneficiary’s interest in a trust may be The trustee makes the election to treat a trust
as a QFT by filing Form 1041-QFT by the due ● United Parcel Service (UPS): UPS Next Day
determined under any reasonable method. Air, UPS Next Day Air Saver, UPS 2nd Day
date (including extensions).
Whenever these instructions refer to a trust Air, UPS 2nd Day Air A.M., UPS Worldwide
or QFT, it includes such separate interests You may elect QFT status for a trust’s first Express Plus, UPS Worldwide Express.
that are treated as separate QFTs. eligible year or for any subsequent year. Once
made, the election may not be revoked The private delivery service can tell you
how to get written proof of the mailing date.
Contribution Limit without the consent of the IRS.
How to determine your contribution limit. Extension of Time To File
Composite Return
The contribution limit is determined by the Use Form 8736, Application for Automatic
year the purchaser entered into the contract A trustee may file a single, composite Form
Extension of Time To File U.S. Return for a
for funeral or burial goods and services and 1041-QFT for some or all QFTs of which he
Partnership, REMIC, or for Certain Trusts, to
or she is the trustee, including QFTs that had
request an automatic 3-month extension of
a short tax year.
time to file.
Form 1041-QFT (2001) Page 3

If more time is needed, file Form 8800, Accounting Methods Note: If you include interest or either of these
Application for Additional Extension of Time penalties with your payment, identify and
To File U.S. Return for a Partnership, REMIC, Figure taxable income using the method of enter these amounts in the bottom margin of
or for Certain Trusts, for an additional accounting regularly used in keeping the Form 1041-QFT. Do not include the interest
extension of up to 3 months. To obtain this QFT’s books and records. Generally, or penalty amount in the balance of tax due
additional extension of time to file, you must permissible methods include the cash on line 17.
show reasonable cause for the additional time method, the accrual method, or any other
you are requesting. You must file Form 8800 method authorized by the Internal Revenue Underpaid Estimated Tax
by the extended due date for Form Code. In all cases, the method used must If the trustee underpaid estimated tax, use
1041-QFT. clearly reflect income. Form 2210, Underpayment of Estimated Tax
An extension of time to file a return does Generally, the QFT may change its by Individuals, Estates, and Trusts, to figure
not extend the time to pay the tax. accounting method (for income as a whole or any penalty. Enter the amount of any penalty
for any material item) only by getting consent in the bottom margin of Form 1041-QFT. Do
Where To File on Form 3115, Application for Change in not include it in the balance of tax due on
Accounting Method. For more information, line 17.
File all Forms 1041-QFT with the Internal
see Pub. 538, Accounting Periods and
Revenue Service Center, Cincinnati, OH Other Penalties
Methods.
45999.
Other penalties can be imposed for
Who Must Sign Accounting Period negligence, substantial understatement of tax,
All QFTs must adopt a calendar year, even if and fraud. See Pub. 17, Your Federal Income
Trustee Tax, for details on these penalties.
the trust was on a fiscal year when it was a
The trustee, or an authorized representative, grantor trust.
must sign Form 1041-QFT. Final Form 1041
To change the accounting period, get
Form 1128, Application To Adopt, Change, or If you have an existing EIN(s) that you
Paid Preparer previously used for filing Form 1041 and that
Retain a Tax Year.
Generally, anyone who is paid to prepare a you will not use again (i.e., for QFTs included
tax return must sign the return and fill in the Rounding Off to Whole Dollars in a composite return), you should file Form
other blanks in the Paid Preparer’s Use Only 1041 and check the final return box.
You may show the money items on the return
area of the return. The person required to
and accompanying schedules as whole-dollar Specific Instructions
sign the return must complete the required
amounts. To do so, drop amounts less than
preparer information and:
● Sign it in the space provided for the
50 cents and increase any amounts from 50 Part I—General Information
to 99 cents to the next dollar.
preparer’s signature and Line 1—Name of Trust
● Give you a copy of the return in addition Estimated Tax Copy the exact name from the Form SS-4
to the copy to be filed with the IRS. Generally, a QFT must pay estimated income used to apply for the employer identification
tax for 2002 if it expects to owe, after number you are using to file Form 1041-QFT.
Paid Preparer Authorization
subtracting withholding and credits, at least
If the trustee wants to allow the IRS to $1,000 in tax. Estimated tax liability is figured Line 2—Employer Identification
discuss the QFT’s 2001 tax return with the for the individual QFT, and not for a Number (EIN)
paid preparer who signed it, check the “Yes” composite return taken as a whole. For If the QFT is not filing as part of a composite
box in the signature area of the return. This details and exceptions, see Form 1041-ES, return, use the EIN of the QFT. If the QFT
authorization applies only to the individual Estimated Income Tax for Estates and Trusts. does not have an EIN, it must apply for one.
whose signature appears in the “Paid Every trustee that elects to file a composite
Preparer’s Use Only” section of the QFT’s Interest and Penalties return must apply for an EIN to be used only
return. It does not apply to the firm, if any, for filing Form 1041-QFT. A trustee must use
shown in that section.
Interest
a separate EIN for every Form 1041-QFT it
If the “Yes” box is checked, the trustee is Interest is charged on taxes not paid by the files.
authorizing the IRS to call the paid preparer due date, even if an extension of time to file
is granted. Interest is also charged on the Use Form SS-4, Application for Employer
to answer any questions that may arise Identification Number, to apply for an EIN. If
during the processing of the QFT’s return. failure-to-file penalty, the accuracy-related
penalty, and the fraud penalty. The interest the QFT has not received its EIN by the time
The trustee is also authorizing the paid the return is due, write “Applied for” in the
preparer to: charge is figured at a rate determined under
section 6621. space for the EIN.
● Give the IRS any information that is missing
from the QFT’s return, Late Filing of Return Line 3—Address
● Call the IRS for information about the The law provides a penalty of 5% of the tax Include the suite, room, or other unit number
processing of the QFT’s return or the status due for each month, or part of a month, up to after the street address. If the Post Office
of its refund or payment(s), and a maximum of 25% of the tax due, for each does not deliver mail to the street address
● Respond to certain IRS notices that the month the return is not filed. If the return is and you have a P.O. box, show the box
trustee has shared with the preparer about more than 60 days late, the minimum penalty number instead of the street address.
math errors, offsets, and return preparation. is the smaller of $100 or the tax due. The If you change your address after filing Form
The notices will not be sent to the preparer. penalty will not be imposed if you can show 1041-QFT, use Form 8822, Change of
The trustee is not authorizing the paid that the failure to file on time was due to Address, to notify the IRS.
preparer to receive any refund check, bind reasonable cause. If the failure was due to
reasonable cause, attach an explanation to Line 4—Number of QFTs
the QFT to anything (including any additional
tax liability), or otherwise represent the QFT the return. If this is a composite return, enter the total
before the IRS. If the trustee wants to expand number of QFTs (including separate interests
Late Payment of Tax treated as separate QFTs) included on the
the paid preparer’s authorization, see Pub.
947, Practice Before the IRS and Power of Generally, the penalty for not paying the tax return.
Attorney. when due is 1⁄2 of 1% of the unpaid amount
for each month or part of a month that it Part II—Tax Computation
The authorization cannot be revoked.
remains unpaid. The maximum penalty is Composite Return
However, the authorization will automatically
25% of the unpaid amount. The penalty
end no later than the due date (without Important: If this is a composite return, enter
applies to any unpaid tax on the return. Any
regard to extensions) for filing the QFT’s 2002 in Part II the totals for all the QFTs included
penalty is in addition to interest charges on
tax return. on the return.
late payments.
Form 1041-QFT (2001) Page 4

Income AGI is figured by subtracting from total Line 16—Payments


income on line 5 the total of the
Line 2—Ordinary Dividends Include on line 16 any:
administrative costs on lines 7 through 9 to
Report all ordinary dividends received during the extent they are costs incurred in the ● Estimated tax payments made for 2001.
the tax year. administration of the QFTs that would not ● Tax paid with a request for an extension of
Note: Report capital gain distributions on have been incurred if the property were not time to file.
Schedule D (Form 1041), line 9. held by the QFTs. ● Federal income tax withheld (e.g., backup
If this is a composite return, you must withholding).
Line 4—Other Income figure the AGI separately for each QFT using ● Credit for tax paid on undistributed capital
Enter all other types of income not included each QFT’s share of the amounts on the lines gains. Also attach Copy B of Form 2439,
on lines 1a, 2, and 3. List the type and referred to above. Notice to Shareholder of Undistributed
amount on an attached schedule if the QFT(s) Long-Term Capital Gains.
has more than one item. Line 13—Tax
Tax rate schedule. Unless the instructions Line 17—Tax Due
Deductions below for Schedule D or Composite Return You must pay the tax in full when the return
Allocation of Deductions for Tax-Exempt apply, figure the tax using the Tax Rate is filed. Make the check or money order
Income Schedule below. Enter the tax on line 13 and payable to “United States Treasury.” Write
check the “Tax rate schedule” box. the EIN from line 2 of the form and “2001
Generally, no deduction that would otherwise
be allowable is allowed for any expense that Form 1041-QFT” on the payment. Enclose,
2001 Tax Rate Schedule but do not attach, the payment with Form
is allocable to tax-exempt income, such as
interest on state or local bonds. If 1041-QFT.
taxable
Exception. State income taxes and business income
expenses that are allocable to tax-exempt is: But Of the Paperwork Reduction Act Notice. We ask
interest are deductible. not amount for the information on this form to carry out
Expenses that are directly allocable to Over— over— Its tax is: over— the Internal Revenue laws of the United
tax-exempt income are allocable only to $0 $1,800 15% $0 States. You are required to give us this
tax-exempt income. A reasonable proportion 1,800 4,250 $270.00 + 27.5% 1,800 information. We need it to ensure that you are
of expenses indirectly allocable to both 4,250 6,500 943.75 + 30.5% 4,250 complying with these laws and to allow us to
tax-exempt income and other income must 6,500 8,900 1,630.00 + 35.5% 6,500 figure and collect the right amount of tax.
be allocated to each class of income. 8,900 --- 2,482.00 + 39.1% 8,900
You are not required to provide the
Limitations on Deductions information requested on a form that is
Schedule D. If the QFT had both a net
subject to the Paperwork Reduction Act
Generally, the amount a QFT has “at risk” capital gain and any taxable income,
unless the form displays a valid OMB control
limits the loss it can deduct in any tax year. complete Part V of Schedule D (Form 1041),
number. Books or records relating to a form
Also, section 469 and its regulations generally enter the tax from line 38 of Schedule D, and
or its instructions must be retained as long as
limit losses from passive activities to the check the “Schedule D” box.
their contents may become material in the
amount of income derived from all passive Composite return. If this is a composite administration of any Internal Revenue law.
activities. Similarly, credits from passive return, check only this box and enter on line Generally, tax returns and return information
activities are generally limited to the tax 13 the total of the tax computed separately are confidential, as required by section 6103.
attributable to such activities. for each QFT using either the 2001 Tax Rate
The time needed to complete and file this
For details on these and other limitations Schedule or Schedule D (Form 1041).
form will vary depending on individual
on deductions, see Deductions in the circumstances. The estimated average time
Instructions for
Line 14—Credits
is:
Form 1041. Specify the type of credit being claimed and
attach any required credit forms. If you are Recordkeeping 9 hr., 19 min.
Line 9—Other Deductions Not Subject to claiming more than one type of credit, attach Learning about the law
the 2% Floor a schedule listing the type and amount of or the form 1 hr., 54 min.
Attach your own schedule, listing by type and each credit claimed. See the Instructions for Preparing the form 4 hr., 55 min.
amount, all allowable deductions that are not Form 1041 for details on the credits that may
Copying, assembling,
deductible elsewhere on the form. be claimed.
and sending the form
Note: QFTs are not allowed a deduction for a Line 15—Net Tax to the IRS 48 min.
personal exemption. If you have comments concerning the
If the QFT owes any additional taxes (e.g.,
Line 10—Allowable Miscellaneous Itemized alternative minimum tax, recapture taxes, accuracy of these time estimates or
Deductions Subject to the 2% Floor etc.), include these taxes on line 15. To the suggestions for making this form simpler, we
left of the entry space, write the type and would be happy to hear from you. You can
These deductions are deductible only to the write to the Tax Forms Committee, Western
extent that the aggregate amount of such amount of the tax. Also attach to Form
1041-QFT any forms required to figure these Area Distribution Center, Rancho Cordova,
deductions exceeds 2% of adjusted gross CA 95743-0001. Do not send the tax form to
income (AGI). taxes (e.g., Schedule I of Form 1041). See the
Instructions for Form 1041 for more details on this address. Instead, see Where To File on
Among the miscellaneous itemized page 3.
additional taxes that may apply.
deductions that must be included on line 10
are expenses for the production or collection
of income, such as investment advisory fees.

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