Form 1040 U.S. Individual Income Tax Return 2011

Summary: This is an example of Form 1040 (2011) as pertains to the estate described in the text. Across the top of the form states: Attachment to Form 1041--Do not detach!. The completed line items are:

UnderLabel (See instructions on page 14.) Use the IRS label. Otherwise, please print or type.:
- Your first name and initial field contains Thomas
- Last name field contains Smith Bankruptcy Estate
- Your social security number field contains 00-00-00000
- If a joint return, spouse's first name and initial field contains Joan
- Last name field contains Black, Trustee
- Home address (number and street). If you have a P.O. box, see page 14. field contains 111 State Street
- City, town or post office, state, and ZIP code. If you have a foreign address, see page 14. field contains Anywhere, Anystate, 00000
UnderFiling Status, Check only one box:
- 3. Married filing separate return. Enter spouse's social security number above and full name here. checkbox checked
UnderExemptions :
- 6a. Yourself. If someone can claim you as a dependent, do not check box 6a. checkbox checked
- Boxes checked on 6a and 6b field contains 1
- 6d. Total number of exemptions claimed. field contains 1
UnderIncome:
- 8a. Taxable interest. Attach Schedule B if required field contains 5,500
- 13. Capital gain or (loss). Attach Schedule D if required. field contains negative 1,500
- 17. Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E field contains 40,000
- 22. Add the amounts in the far right column for lines 7 through 21. This is your total income field contains 44,000
UnderAdjusted Gross Income:
- 31. Subtract line 36 from line 22. This is your adjusted gross income. field contains 44,000

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