PDF document
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                                                                 Rev. 10/7/16

Scan Specifi cations for the 

2016 Ohio IT 1041

Important Note

The following document (2016 Ohio IT 1041) contains grids for place-
ment of information on this specifi c tax form. To accurately print, do not 
reduce the size, rotate or center this document. Doing so will jeopar-
dize the integrity of the grid. When printing from Adobe Reader, please 
select “None” for “Page Scaling,” which is under “Page Handling.”

       Ohio Department of Taxation

                        4485 Northland Ridge Blvd.

                        Columbus, OH 43229

                        tax.ohio.gov



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Grid layout 

with notations



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4                                                                       Do not use staples. Use only black ink and UPPERCASE letters. 
5                   New! The date the return was gen-
6                   erated by the taxpayer (MM DD YY).
                                                                                    2016 Ohio IT 1041 
7                                   Rev. 8/16
8  88 88 88                                                                 Fiduciary Income Tax Return                                                                                                  16180110
9
10                                      X Check here if amended return                        X Check here if fi nal return                                                                               For taxable year beginning in
11                                                                                        Placement of the tax year and 1D barcode is critical.                                                          88/2016
12 FEIN                                                                 SSN of decedent (estates only)Make sure to follow the grid positions for layout. Do 
                                                                                          not forget to get your barcode(s) assignments for 
13 88 8888888                                                           888 88  8888every form, version and page.
14
15 Name of trust or estate
16 JOHNXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
17
18 Name of trust or estate (second line)
19 JANEXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
20
21 Fiduciary name and title
22 8888  CHERRY LANEXXXXXXXXXXXXXXXXXXX
23
24 Address (if address change, check box)                               X
25 8888  BERRY AVEXXXXXXXXXXXXXXXXXXXXX
26
27 City                                                                                               State           ZIP code
28 CITYXXXXXXXXXXXXXXXX                                                                               OH              88888
29
30 Check Applicable Box(es)                                                                                                          New! Do not place spaces be-
31    X  Simple trust                      OR                           X   Complex trust             X    Irrevocable trust         tween whole dollarX                                                 numbers.TestamentaryTheretrust
32                                                                                                                                   is only a space between dollar 
                                                                                                                                     amounts and cents fi elds.
33    X  Resident trust                    OR                           X   Nonresident trust         X    Bankruptcy estate                                                                           X Decedent’s estate
34
35
36   1. Federal taxable income (from line 22 of the federal 1041). Include page 1 of the federal 1041 ........ 1.                                                                                      888888888 00
37   2. Net adjustments from Schedule A, line 42. ............................................................................................For static text use Arial font (black ink) and try to 2. 888888888 00
38
                                                                            match size. For data entry fi elds (shown in red 
39   3. Ohio taxable income (line 1 plus or minus line 2). Estatesfor identifishouldcationskippurposeslines 4-7.only.................................), also use Arial 3.                               888888888 00
40                                                                          font (black ink). All the data entry fi elds must fol-
                                                                            low grid layout. When a fi eld refl ects a negative 
41   4. Allocated qualifying trust amount from Schedule F, lineamount,61 (trustsmake sureonly).there..............................................is one space between 4.                              888888888 00
42                                                                          the amount and the negative sign. Never hard 
43   5. Apportioned trust income from Schedule G, line 64 (trustscode aonly).negative.........................................................sign.                   5.                               888888888 00
44  
45   6. Allocated trust income from Schedule H, line 67 (trusts only) ............................................................... 6.                                                               888888888 00
46  
    7. Modifi ed Ohio taxable income (trusts add lines 4, 5 and 6; if less than zero, enter -0-) ........................ 7.                                                                            888888888 00
47
48   8. Tax on Ohio taxable income (estates, line 3) or tax on modifi ed Ohio taxable income (trusts, line 7). 
       See tax table in the instructions ............................................................................................................... 8.                                            888888888 00
49   9. Credits from Schedule B, line 50 (estates only) .................................................................................... 9.                                                        888888888 00
50  
51   10. Resident credit from Schedule C (estates); nonresident credit from Schedule D (estates); business 
       credit for estates and trusts from Schedule E (include Schedule E); and Schedule I credit (resident trusts) .. 10.                                                                              888888888 00
52   11. Tax after nonrefundable credits (line 8 minus the amount on lines 9 and 10) ......................................11.                                                                         888888888 00
53
54   
     12. Interest penalty on underpayment of estimated tax (include Ohio IT/SD 2210) ....................................... 12.                                                                       888888888 00
55
56  
     13. TotalTargetOhiomarkstax (sumor registrationof lines 11marksand 12) ............................................................................................... 13.                        888888888 00
57       must measure 6 mm X 6 mm.  The 
         three target marks or registration 
58       marks on every page must follow                                                                              New! 2D barcode required. Delete 
59       grid layout.                                                                                                 this box and replace it with the 2D 
60                                                                                                                    barcode.
61                      Do not write in this area; for department use only.
62
63
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                                                                     2016 Ohio IT 1041 
6
7                              Rev. 8/16             Fiduciary Income Tax Return                                                                                       16180210
8  FEIN
9  88 8888888
10
11  
     14. Net payments from line 80 on page 5 ......................14.                  888888888 00
12  
     15. Refundable business credits (include documen-
13   tation) .......................................................................15. 888888888 00
14
15   16. Total (sum of lines 14 and 15) ..................................16.           888888888 00
16                                                                                                                                                                   888888888 00
       17. If line 16 is more than line 13, subtract line 13 from line 16. This is your overpayment  .................... 17.
17
     18. Amount of line 17 to be credited to 2017 estimated tax 
18   liability ..................................... CREDIT TO 2017  18.                888888888 00
19                                                                                                                                                                   888888888 00
       19. Amount of line 17 to be refunded (subtract line 18 from line 17) ...................... YOUR REFUND     19.
20  
     20. Net amount due, if any (if line 13 is more than line 16, subtract line 16 from line 13, but not less than 
21   -0-) ...................................................................................................................................................... 20. 888888888 00
22
23   21. Interest and penalty on late-paid and/or late-fi led return, if any .............................................................. 21.                       888888888 00
24
     22.  Total amount due, if any (sum of lines 20 and 21). Make check payable to Ohio Treasurer of State,
25       include Ohio IT 1041P and place FEIN on check .....................................TOTAL AMOUNT DUE       22.                                               888888888 00
26
27                          If your refund is $1.00 or less, no refund will be issued. If you owe $1.00 or less, no payment is necessary.
28
29 Sign Here (required):I declare under penalties of perjury that this report, including any ac-                                                                     Do not staple or otherwise attach. 
   companying schedules and statements, has been examined by me and to the best of my knowledge 
30 and belief is a true, correct and complete return and report.                                                   Place any supporting documents, including 
31                                                                                                                 K-1’s, after the last page of this return.
                                                                                                                                                                        
32 Signature of fi duciary or trust offi cer                Preparer’s name (print name)
33                                                                                                                                                                     Mail to: 
34 Title                       Date                       Preparer’s address (including ZIP code)                  Ohio Department of Taxation 
35                                                                                                                                                                   P.O. Box 2619 
36 Fiduciary’s or trust offi cer’s phone number            Preparer’s phone number
                                                                                                                   Columbus, OH 43216-2619
37
   Preparer’s e-mail address                              PTIN
38                                                                                                                                                   Instructions for this form are on our 
                                                                                                                                                                     Web site at tax.ohio.gov. 
39 Do you authorize your preparer to contact us regarding this return?  Yes             X   No     X  
40
   Schedule A – Adjustments to Federal Taxable Income Net of Related Expenses
41 Additions
42     23. Federal and/or non-Ohio state or local government interest and dividends not distributed ............... 23.                                              888888888 00
43
44     24. Pass-through entity and fi nancial institutions taxes paid and related member add-back ................... 24.                                             888888888 00
45
46   25. Income from an ESBT not shown in federal taxable income.............................................................. 25.                                   888888888 00
47
48   26. Losses from sale or other disposition of Ohio public obligations ....................................................... 26.                                888888888 00
49
50   27. Recovery of amount previously deducted or excluded....................................................................... 27.                               888888888 00
51
52   28. Adjustment for Internal Revenue Code section 168(k) depreciation expense.
       X    2/3,  X 5/6 or    X6/6 (check applicable box)           .............................................................................28.                 888888888 00
53
    
54     29. Federal personal exemption (estates only) and miscellaneous federal tax adjustments ................... 29.                                               888888888 00
55   30. Expenses claimed on Ohio estate return (estates only)..................................................................... 30.                              888888888 00
56   31. Total additions (add lines 23 through 30)                                                                                                                   888888888 00
                                                     ........................................................................................... 31.
57
58                                                                                                  New! 2D barcode required. Delete 
                                                                                                                                                                     For Department Use Only
59                                                                                                  this box and replace it with the 2D 
                                                                                                    barcode.
60                          Do not write in this area; for department use only.                                                                                      / /
61
                                                                                                                                                                     Postmark date Code
62
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                                                                                                                2016 Ohio IT 1041 
6
7                      Rev. 8/16                                                                Fiduciary Income Tax Return
                                                                                                                                                                                                     16180310
8  FEIN
9  88 8888888
10
11 Deductions – Note: Deduct income items described below only to the extent that those amounts 
12 are not already deducted or excluded from federal taxable income after distributions.
13    32. Federal interest and dividends exempt from state taxation net of related expenses ......................... 32.                                                                            888888888 00
14
15  
     33. Certain state and municipal income tax overpayments...................................................................... 33.                                                               888888888 00
16   34.  Losses from an ESBT not shown in federal taxable income                                                                                                                                    888888888 00
                                                                                                                       .............................................................. 34.
17
     35.  Wage and salary expense not previously deducted due to the federal targeted jobs credit or 
18      the work opportunity credit                                                                                                                                                                  888888888 00
                                ................................................................................................................. 35.
19
     36.  Interest income from Ohio public obligations and Ohio purchase obligations and gains from the 
20      sale or other disposition of Ohio public obligations                                               ............................................................................ 36.          888888888 00
21
     37. Refunds or reimbursements of prior year federal itemized deductions and miscellaneous federal 
22      tax adjustments.................................................................................................................................. 37.                                        888888888 00
23   38.  Farm income from a farm of at least 10 acres (trusts only)                                                                                                                                 888888888 00
                                                                                                                    ................................................................ 38.
24
25   39.  Adjustment for Internal Revenue Code section 168(k) depreciation expense. Include a separate 
     ..........................................................schedule showing calculations designating39.1/2, 1/5 or 1/6                                                                           888888888 00
26
27                                                                                                                                                                                                   888888888 00
      40. Repayment of income reported in a prior year and not otherwise deducted ...................................... 40.
28
29   41. Total deductions (sum of lines 32 through 40)                                                                                                                                               888888888 00
                                                                                                .................................................................................... 41.
30
    
31    42. Net adjustments (subtract line 41 from line 31). Enter here and on line 2 .......................................... 42.                                                                   888888888 00
32
   Schedule B – Estate Credits
33    43. Retirement income credit (see instructions for credit table) (limit – $200).......................................... 43.                                                                  888 00
34   44. Lump sum retirement credit (see instructions to calculate the credit)                                                                                                                       888888888 00
     .................................................. 44.
35                                                                                                                                                                                                   88 00
   45. Senior citizen’s credit (limit – $50 per return)....................................................................................45.
36
     46.  Lump sum distribution credit (must be 65 or older to claim this credit; see instructions to 
37      calculate this credit) ............................................................................................................................. 46.                                     888888888 00
38
39                                                                                                                                                                                                   888888888 00
     47. Child and dependent care credit (see instructions and worksheet in Ohio IT 1040 booklet) ................... 47.
40
    
41 48.  Ohio political contributions credit.........................................................................................................48.                                              888888888 00
42
     
43   49. Ohio adoption credit (limit $10,000)                                                                                                                                                        888888888 00
                                                                                             .................................................................................................... 49.
44
45                                                                                                                                                                                                   888888888 00
     50. Total Schedule B credits (sum of lines 43 through 49) – enter here and on line 9 ............................. 50.
46
47 Schedule C – Estate Ohio Resident Credit
    51.  Enter the portion of Ohio taxable income (line 3) subjected to tax by other states or the 
48     District of Columbia while an Ohio resident ....................................................................................... 51.                                                       888888888 00
49 52. Enter Ohio taxable income (line 3)                                                                                                                                                            888888888 00
                                           ..................................................................................................... 52.
50
     53.  Divide line 51 by line 52 and enter percentage here                                                              %. Multiply this percentage 
51      by the amount shown on line 8 reduced by any amount shown on line 9 .......................................... 53.                                                                           888888888 00
52
     54.  Enter the 2016 income tax, less all related credits other than withholding and estimated tax payments 
53      and carryforwards from previous years, paid to other states or the District of Columbia................................ 54.                                                                  888888888 00
54
   55.  Enter the smaller of line 53 or line 54. This is your Ohio resident tax credit. Enter here and on 
55      line 10                                                                                                                                                                                      888888888 00
             ................................................................................................................................................. 55.
56
57
58
                                                                                                                           New! 2D barcode required. Delete 
59                                                                                                                         this box and replace it with the 2D 
60                                                                                                                         barcode.
61                     Do not write in this area; for department use only.
62
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                                                            2016 Ohio IT 1041 
6
7                              Rev. 8/16         Fiduciary Income Tax Return
                                                                                                                                                                           16180410
8  FEIN
9  88 8888888
10
11
   Schedule D – Estate Nonresident Credit
12
     56.  Enter the portion of Ohio taxable income (line 3) not earned or received in Ohio (include 
13     Ohio IT 2023)                                                                                                                                                       888888888 00
                       ...................................................................................................................................... 56.
14
15   57.  Enter Ohio taxable income (line 3)..................................................................................................... 57.                      888888888 00
16  
17 58.  Divide line 56 by line 57 and enter percentage here                %. Multiply this percentage 
       by the amount shown on line 8 reduced by the amount shown on line 9. Enter here and on 
18     line 10................................................................................................................................................. 58.        888888888 00
19  
20 Schedule F – Allocated Qualifying Trust Amounts
21   59. Enter the trust’s portion of capital gains/losses recognized to the extent included in Ohio 
       taxable income (line 3) if the location of the physical assets of the closely held investee is 
22     available ............................................................................................................................................. 59.         888888888 00
23
24    60. Enter the percentage of the closely held investee’s physical assets located within Ohio            .................. 60.                                        8. 8888
25
26     61. Multiply the amount on line 59 by the percentage on line 60. Enter here and on line 4..................... 61.                                                  888888888 00
27
28  Schedule G – Apportioned Income for Trusts
29   62. Enter (i) the trust’s business income not included in line 59 and (ii) the trust’s qualifying 
       investment income not otherwise a part of business income and not included in line 59       .................. 62.                                                  888888888 00
30
31    63. Enter the Ohio apportionment ratio from line 78 of the apportionment worksheet on page 5 ............ 63.                                                        8. 888888
32
     64. Multiply the amount on line 62 by the apportionment ratio on line 63. Enter here and on               
33     line 5 ................................................................................................................................................... 64.      888888888 00
34
35 Schedule H – Allocated Nonbusiness Income for Trusts
36 If distributive share is business income from a pass-through entity, use Schedule G.
     65. Resident trusts: Enter the trust’s portion of Ohio taxable income (line 3) not reported on lines 
37     59 or 62...............................................................................................................................................          65.888888888 00
38
39   66. Nonresident trusts: Enter the trust’s portion of Ohio taxable income (line 3) not reported on 
       lines 59 or 62 to the extent such income (i) was derived from real or tangible property located 
40     in or based in Ohio or (ii) was sitused to Ohio (see instructions for line 66)                                                                                      888888888 00
                                                                                     ...................................... 66.
41
42   67. Add lines 65 and 66 and enter here and on line 6 ............................................................................. 67.                                888888888 00
43
44 Schedule I – Tax Credit for Resident Trusts
     68. Enter the amount of allocated resident trust nonbusiness income (line 65, above) subject to 
45     tax in one or more states or in the District of Columbia......................................................................          68.                         888888888 00
46
47   69. Enter the amount from line 8 .............................................................................................................. 69.                   888888888 00
48
49   70. Enter the amount of modifi ed Ohio taxable income from line 7                                                                                                      888888888 00
     .......................................................... 70.
50  
51   71. Divide line 69 by line 70 and enter the percentage here. This is the average effective tax 
       rate..................................................................................................................................................... 71.       8. 8888
52   72. Multiply the amount on line 68 by the percentage reported on line 71 ............................................... 72.                                          888888888 00
53  
     73. Enter the amount of tax actually paid by the resident trust to another state or the District of 
54     Columbia on the trust’s allocated nonbusiness income ..................................................................... 73.                                      888888888 00
55  
56   74. Enter the smaller of the amount on lines 72 and 73. This is the resident trust’s Ohio tax credit. 
       Enter here and on line 10  ................................................................................................................... 74.                  888888888 00
57
58                                                                                          New! 2D barcode required. Delete 
59                                                                                          this box and replace it with the 2D 
60                                                                                          barcode.
61                      Do not write in this area; for department use only.
62
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6                                                         2016 Ohio IT 1041 
7                        Rev. 8/16                    Fiduciary Income Tax Return
                                                                                                                                    16180510
8  FEIN
9  88 8888888
10
11 Apportionment Worksheet
12
   Use this worksheet to calculate the apportionment ratio for the trust’s modifi ed business income and qualifying investment income included in Ohio taxable 
13 income. Note: All ratios are to be carried to six decimal places.
14   75. Property                                         Within Ohio                                                     Total Everywhere
15     a) Owned (average cost)                        88888888888 00                                                   88888888888 00
16
17                                                        Within Ohio                                                     Total Everywhere
                                                                                                                     New! Weight is now a variable data 
18     b) Rented (annual rental X 8)                  88888888888 00                                                 eld88888888888and must include a leading00
19                                                    This fi eld requires a leading zero,                            zero. See schema for accepted 
                                                      e.g. .000026 should be displayed                               characters.
20                                                    as 0.000026.Within Ohio                                             Total Everywhere
21     c) Total (lines 75a and 75b)                   88888888888 00                                    ÷              88888888888 00
22                                                                            Ratio                       Weight                    Weighted Ratio
23                                                        =         8. 888888                           x 8.88            =         8. 888888
24
25                                                        Within Ohio                                     This fi eld requires a leading zero, Total Everywhere
                                                                                                          e.g. .000026 should be displayed 
26   76.  Payroll                                     88888888888 00                                    ÷ as 0.000026.88888888888 00
27
28                                                                            Ratio                       Weight                    Weighted Ratio
29                                                        =         8. 888888                           x 8.88            =         8. 888888
30
31                                                        Within Ohio                                                     Total Everywhere
32   77.  Sales                                       88888888888 00                                    ÷              88888888888 00
33
34                                                                            Ratio                       Weight                    Weighted Ratio
35                                                        =         8. 888888                           x 8.88.           =         8. 888888
36
37
     78.  Total weighted apportionment ratio (add weighted ratio from lines 75c, 76 and 77). Enter ratio here and on 
38     Schedule G, line 63 (carry to six decimal places).                                                                           8. 888888
39
40 Note: If the denominator of any factor is zero, the weight given to the other factors must be proportionately increased so that the total weight given to the 
41 combined number of factors used is 100%, i.e., if no property/payroll, use 25% and 75%; if no sales, use 50% property/payroll; if only one factor, use 100%.
42 Net Payment Worksheet – Include 1099(s) and W-2(s)
43 79a. Estimated payments                                     79b. Prior year credit carryover           79c. 1099 withholdings
44        88888888 00                                     88888888 00                                     88888888 00
45
46 79d. W-2 withholdings                              79e. Refunds previously claimed
47                                                      
          88888888 00                                     88888888 00
48
49 80.  Net payments (sum of lines 79a-d minus line 79e). Enter here and on page 2, line 14.
50        888888888 00
51
52
53
54
55
56
57
58
                                                                                                New! 2D barcode required. Delete 
59                                                                                              this box and replace it with the 2D 
60                                                                                              barcode.
61                       Do not write in this area; for department use only.
62
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Grid layout



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123456789 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85
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4                                         Do not use staples. Use only black ink and UPPERCASE letters. 
5
6
                                            2016 Ohio IT 1041 
7                          Rev. 8/16
8  88 88 88                                Fiduciary Income Tax Return                                                                                         16180110
9
10                         X Check here if amended return          X Check here if fi nal return                                                                For taxable year beginning in
11                                                                                                                                                             88/2016
12 FEIN                                   SSN of decedent (estates only)
13 88 8888888                             888 88  8888
14
15 Name of trust or estate
16 JOHNXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
17
18 Name of trust or estate (second line)
19 JANEXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
20
21 Fiduciary name and title
22 8888  CHERRY LANEXXXXXXXXXXXXXXXXXXX
23
24 Address (if address change, check box) X
25 8888  BERRY AVEXXXXXXXXXXXXXXXXXXXXX
26
27 City                                                                 State ZIP code
28 CITYXXXXXXXXXXXXXXXX                                                 OH    88888
29
30 Check Applicable Box(es)
31    X Simple trust       OR             X Complex trust               X Irrevocable trust                                                                  X Testamentary trust
32
33    X Resident trust     OR             X Nonresident trust           X Bankruptcy estate                                                                  X Decedent’s estate
34
35
36   1. Federal taxable income (from line 22 of the federal 1041). Include page 1 of the federal 1041 ........ 1.                                            888888888 00
37   2. Net adjustments from Schedule A, line 42. ............................................................................................ 2.            888888888 00
38
      
39   3. Ohio taxable income (line 1 plus or minus line 2). Estates should skip lines 4-7. ................................. 3.                               888888888 00
40  
    
41   4. Allocated qualifying trust amount from Schedule F, line 61 (trusts only). .............................................. 4.                          888888888 00
42   
43   5. Apportioned trust income from Schedule G, line 64 (trusts only). ......................................................... 5.                        888888888 00
44  
45   6. Allocated trust income from Schedule H, line 67 (trusts only) ............................................................... 6.                     888888888 00
46  
    7. Modifi ed Ohio taxable income (trusts add lines 4, 5 and 6; if less than zero, enter -0-) ........................ 7.                                  888888888 00
47
48   8. Tax on Ohio taxable income (estates, line 3) or tax on modifi ed Ohio taxable income (trusts, line 7). 
       See tax table in the instructions ............................................................................................................... 8.  888888888 00
49   9. Credits from Schedule B, line 50 (estates only) .................................................................................... 9.              888888888 00
50  
51   10. Resident credit from Schedule C (estates); nonresident credit from Schedule D (estates); business 
       credit for estates and trusts from Schedule E (include Schedule E); and Schedule I credit (resident trusts) .. 10.                                    888888888 00
52   11. Tax after nonrefundable credits (line 8 minus the amount on lines 9 and 10) ......................................11.                               888888888 00
53
54   
     12. Interest penalty on underpayment of estimated tax (include Ohio IT/SD 2210) ....................................... 12.                             888888888 00
55
56  
     13. Total Ohio tax (sum of lines 11 and 12) ............................................................................................... 13.         888888888 00
57
58
59
60
61                   Do not write in this area; for department use only.
62
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                                                                     2016 Ohio IT 1041 
6
7                              Rev. 8/16             Fiduciary Income Tax Return                                                                                       16180210
8  FEIN
9  88 8888888
10
11  
     14. Net payments from line 80 on page 5 ......................14.                  888888888 00
12  
     15. Refundable business credits (include documen-
13   tation) .......................................................................15. 888888888 00
14
15   16. Total (sum of lines 14 and 15) ..................................16.           888888888 00
16                                                                                                                                                                   888888888 00
       17. If line 16 is more than line 13, subtract line 13 from line 16. This is your overpayment  .................... 17.
17
     18. Amount of line 17 to be credited to 2017 estimated tax 
18   liability ..................................... CREDIT TO 2017  18.                888888888 00
19                                                                                                                                                                   888888888 00
       19. Amount of line 17 to be refunded (subtract line 18 from line 17) ...................... YOUR REFUND     19.
20  
     20. Net amount due, if any (if line 13 is more than line 16, subtract line 16 from line 13, but not less than 
21   -0-) ...................................................................................................................................................... 20. 888888888 00
22
23   21. Interest and penalty on late-paid and/or late-fi led return, if any .............................................................. 21.                       888888888 00
24
     22.  Total amount due, if any (sum of lines 20 and 21). Make check payable to Ohio Treasurer of State,
25       include Ohio IT 1041P and place FEIN on check .....................................TOTAL AMOUNT DUE       22.                                               888888888 00
26
27                          If your refund is $1.00 or less, no refund will be issued. If you owe $1.00 or less, no payment is necessary.
28
29 Sign Here (required):I declare under penalties of perjury that this report, including any ac-                                                                     Do not staple or otherwise attach. 
   companying schedules and statements, has been examined by me and to the best of my knowledge 
30 and belief is a true, correct and complete return and report.                                                   Place any supporting documents, including 
31                                                                                                                 K-1’s, after the last page of this return.
                                                                                                                                                                        
32 Signature of fi duciary or trust offi cer                Preparer’s name (print name)
33                                                                                                                                                                     Mail to: 
34 Title                       Date                       Preparer’s address (including ZIP code)                  Ohio Department of Taxation 
35                                                                                                                                                                   P.O. Box 2619 
36 Fiduciary’s or trust offi cer’s phone number            Preparer’s phone number
                                                                                                                   Columbus, OH 43216-2619
37
   Preparer’s e-mail address                              PTIN
38                                                                                                                                                   Instructions for this form are on our 
                                                                                                                                                                     Web site at tax.ohio.gov. 
39 Do you authorize your preparer to contact us regarding this return?  Yes             X   No     X  
40
   Schedule A – Adjustments to Federal Taxable Income Net of Related Expenses
41 Additions
42     23. Federal and/or non-Ohio state or local government interest and dividends not distributed ............... 23.                                              888888888 00
43
44     24. Pass-through entity and fi nancial institutions taxes paid and related member add-back ................... 24.                                             888888888 00
45
46   25. Income from an ESBT not shown in federal taxable income.............................................................. 25.                                   888888888 00
47
48   26. Losses from sale or other disposition of Ohio public obligations ....................................................... 26.                                888888888 00
49
50   27. Recovery of amount previously deducted or excluded....................................................................... 27.                               888888888 00
51
52   28. Adjustment for Internal Revenue Code section 168(k) depreciation expense.
       X    2/3,  X 5/6 or    X6/6 (check applicable box)           .............................................................................28.                 888888888 00
53
    
54     29. Federal personal exemption (estates only) and miscellaneous federal tax adjustments ................... 29.                                               888888888 00
55   30. Expenses claimed on Ohio estate return (estates only)..................................................................... 30.                              888888888 00
56   31. Total additions (add lines 23 through 30)                                                                                                                   888888888 00
                                                     ........................................................................................... 31.
57
58
                                                                                                                                                                     For Department Use Only
59

60                          Do not write in this area; for department use only.                                                                                      / /
61
                                                                                                                                                                     Postmark date Code
62
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                                                                                                               2016 IT 1041 – pg. 2 of 5
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123456789 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85
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5
                                                                                                                2016 Ohio IT 1041 
6
7                      Rev. 8/16                                                                Fiduciary Income Tax Return
                                                                                                                                                                                                     16180310
8  FEIN
9  88 8888888
10
11 Deductions – Note: Deduct income items described below only to the extent that those amounts 
12 are not already deducted or excluded from federal taxable income after distributions.
13    32. Federal interest and dividends exempt from state taxation net of related expenses ......................... 32.                                                                            888888888 00
14
15  
     33. Certain state and municipal income tax overpayments...................................................................... 33.                                                               888888888 00
16   34.  Losses from an ESBT not shown in federal taxable income                                                                                                                                    888888888 00
                                                                                                                       .............................................................. 34.
17
     35.  Wage and salary expense not previously deducted due to the federal targeted jobs credit or 
18      the work opportunity credit                                                                                                                                                                  888888888 00
                                ................................................................................................................. 35.
19
     36.  Interest income from Ohio public obligations and Ohio purchase obligations and gains from the 
20      sale or other disposition of Ohio public obligations                                               ............................................................................ 36.          888888888 00
21
     37. Refunds or reimbursements of prior year federal itemized deductions and miscellaneous federal 
22      tax adjustments.................................................................................................................................. 37.                                        888888888 00
23   38.  Farm income from a farm of at least 10 acres (trusts only)                                                                                                                                 888888888 00
                                                                                                                    ................................................................ 38.
24
25   39.  Adjustment for Internal Revenue Code section 168(k) depreciation expense. Include a separate 
     ..........................................................schedule showing calculations designating39.1/2, 1/5 or 1/6                                                                           888888888 00
26
27                                                                                                                                                                                                   888888888 00
      40. Repayment of income reported in a prior year and not otherwise deducted ...................................... 40.
28
29   41. Total deductions (sum of lines 32 through 40)                                                                                                                                               888888888 00
                                                                                                .................................................................................... 41.
30
    
31    42. Net adjustments (subtract line 41 from line 31). Enter here and on line 2 .......................................... 42.                                                                   888888888 00
32
   Schedule B – Estate Credits
33    43. Retirement income credit (see instructions for credit table) (limit – $200).......................................... 43.                                                                  888 00
34   44. Lump sum retirement credit (see instructions to calculate the credit)                                                                                                                       888888888 00
     .................................................. 44.
35                                                                                                                                                                                                   88 00
   45. Senior citizen’s credit (limit – $50 per return)....................................................................................45.
36
     46.  Lump sum distribution credit (must be 65 or older to claim this credit; see instructions to 
37      calculate this credit) ............................................................................................................................. 46.                                     888888888 00
38
39                                                                                                                                                                                                   888888888 00
     47. Child and dependent care credit (see instructions and worksheet in Ohio IT 1040 booklet) ................... 47.
40
    
41 48.  Ohio political contributions credit.........................................................................................................48.                                              888888888 00
42
     
43   49. Ohio adoption credit (limit $10,000)                                                                                                                                                        888888888 00
                                                                                             .................................................................................................... 49.
44
45                                                                                                                                                                                                   888888888 00
     50. Total Schedule B credits (sum of lines 43 through 49) – enter here and on line 9 ............................. 50.
46
47 Schedule C – Estate Ohio Resident Credit
    51.  Enter the portion of Ohio taxable income (line 3) subjected to tax by other states or the 
48     District of Columbia while an Ohio resident ....................................................................................... 51.                                                       888888888 00
49 52. Enter Ohio taxable income (line 3)                                                                                                                                                            888888888 00
                                           ..................................................................................................... 52.
50
     53.  Divide line 51 by line 52 and enter percentage here                                                              %. Multiply this percentage 
51      by the amount shown on line 8 reduced by any amount shown on line 9 .......................................... 53.                                                                           888888888 00
52
     54.  Enter the 2016 income tax, less all related credits other than withholding and estimated tax payments 
53      and carryforwards from previous years, paid to other states or the District of Columbia................................ 54.                                                                  888888888 00
54
   55.  Enter the smaller of line 53 or line 54. This is your Ohio resident tax credit. Enter here and on 
55      line 10                                                                                                                                                                                      888888888 00
             ................................................................................................................................................. 55.
56
57
58
59
60
61                     Do not write in this area; for department use only.
62
63                                                                                                                                                     2016 IT 1041 – pg. 3 of 5
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123456789 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85
2
3
4
5
                                                            2016 Ohio IT 1041 
6
7                              Rev. 8/16         Fiduciary Income Tax Return
                                                                                                                                                                           16180410
8  FEIN
9  88 8888888
10
11
   Schedule D – Estate Nonresident Credit
12
     56.  Enter the portion of Ohio taxable income (line 3) not earned or received in Ohio (include 
13     Ohio IT 2023)                                                                                                                                                       888888888 00
                       ...................................................................................................................................... 56.
14
15   57.  Enter Ohio taxable income (line 3)..................................................................................................... 57.                      888888888 00
16  
17 58.  Divide line 56 by line 57 and enter percentage here                %. Multiply this percentage 
       by the amount shown on line 8 reduced by the amount shown on line 9. Enter here and on 
18     line 10................................................................................................................................................. 58.        888888888 00
19  
20 Schedule F – Allocated Qualifying Trust Amounts
21   59. Enter the trust’s portion of capital gains/losses recognized to the extent included in Ohio 
       taxable income (line 3) if the location of the physical assets of the closely held investee is 
22     available ............................................................................................................................................. 59.         888888888 00
23
24    60. Enter the percentage of the closely held investee’s physical assets located within Ohio            .................. 60.                                        8. 8888
25
26     61. Multiply the amount on line 59 by the percentage on line 60. Enter here and on line 4..................... 61.                                                  888888888 00
27
28  Schedule G – Apportioned Income for Trusts
29   62. Enter (i) the trust’s business income not included in line 59 and (ii) the trust’s qualifying 
       investment income not otherwise a part of business income and not included in line 59       .................. 62.                                                  888888888 00
30
31    63. Enter the Ohio apportionment ratio from line 78 of the apportionment worksheet on page 5 ............ 63.                                                        8. 888888
32
     64. Multiply the amount on line 62 by the apportionment ratio on line 63. Enter here and on               
33     line 5 ................................................................................................................................................... 64.      888888888 00
34
35 Schedule H – Allocated Nonbusiness Income for Trusts
36 If distributive share is business income from a pass-through entity, use Schedule G.
     65. Resident trusts: Enter the trust’s portion of Ohio taxable income (line 3) not reported on lines 
37     59 or 62...............................................................................................................................................          65.888888888 00
38
39   66. Nonresident trusts: Enter the trust’s portion of Ohio taxable income (line 3) not reported on 
       lines 59 or 62 to the extent such income (i) was derived from real or tangible property located 
40     in or based in Ohio or (ii) was sitused to Ohio (see instructions for line 66)                                                                                      888888888 00
                                                                                     ...................................... 66.
41
42   67. Add lines 65 and 66 and enter here and on line 6 ............................................................................. 67.                                888888888 00
43
44 Schedule I – Tax Credit for Resident Trusts
     68. Enter the amount of allocated resident trust nonbusiness income (line 65, above) subject to 
45     tax in one or more states or in the District of Columbia......................................................................          68.                         888888888 00
46
47   69. Enter the amount from line 8 .............................................................................................................. 69.                   888888888 00
48
49   70. Enter the amount of modifi ed Ohio taxable income from line 7                                                                                                      888888888 00
     .......................................................... 70.
50  
51   71. Divide line 69 by line 70 and enter the percentage here. This is the average effective tax 
       rate..................................................................................................................................................... 71.       8. 8888
52   72. Multiply the amount on line 68 by the percentage reported on line 71 ............................................... 72.                                          888888888 00
53  
     73. Enter the amount of tax actually paid by the resident trust to another state or the District of 
54     Columbia on the trust’s allocated nonbusiness income ..................................................................... 73.                                      888888888 00
55  
56   74. Enter the smaller of the amount on lines 72 and 73. This is the resident trust’s Ohio tax credit. 
       Enter here and on line 10  ................................................................................................................... 74.                  888888888 00
57
58
59
60
61                      Do not write in this area; for department use only.
62
63
                                                                                                               2016 IT 1041 – pg. 4 of 5
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123456789 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85
2
3
4
5
6                                                         2016 Ohio IT 1041 
7                        Rev. 8/16                    Fiduciary Income Tax Return
                                                                                                                        16180510
8  FEIN
9  88 8888888
10
11 Apportionment Worksheet
12
   Use this worksheet to calculate the apportionment ratio for the trust’s modifi ed business income and qualifying investment income included in Ohio taxable 
13 income. Note: All ratios are to be carried to six decimal places.
14   75. Property                                         Within Ohio                                                Total Everywhere
15     a) Owned (average cost)                        88888888888 00                                                 88888888888 00
16
17                                                        Within Ohio                                                Total Everywhere
18     b) Rented (annual rental X 8)                  88888888888 00                                                 88888888888 00
19
20                                                        Within Ohio                                                Total Everywhere
21     c) Total (lines 75a and 75b)                   88888888888 00                            ÷                    88888888888 00
22                                                                     Ratio                      Weight                Weighted Ratio
23                                                        =         8. 888888                   x 8.88               =  8. 888888
24
25                                                        Within Ohio                                                Total Everywhere
26   76.  Payroll                                     88888888888 00                            ÷                    88888888888 00
27
28                                                                     Ratio                      Weight                Weighted Ratio
29                                                        =         8. 888888                   x 8.88               =  8. 888888
30
31                                                        Within Ohio                                                Total Everywhere
32   77.  Sales                                       88888888888 00                            ÷                    88888888888 00
33
34                                                                     Ratio                      Weight                Weighted Ratio
35                                                        =         8. 888888                   x 8.88.              =  8. 888888
36
37
     78.  Total weighted apportionment ratio (add weighted ratio from lines 75c, 76 and 77). Enter ratio here and on 
38     Schedule G, line 63 (carry to six decimal places).                                                               8. 888888
39
40 Note: If the denominator of any factor is zero, the weight given to the other factors must be proportionately increased so that the total weight given to the 
41 combined number of factors used is 100%, i.e., if no property/payroll, use 25% and 75%; if no sales, use 50% property/payroll; if only one factor, use 100%.
42 Net Payment Worksheet – Include 1099(s) and W-2(s)
43 79a. Estimated payments                                     79b. Prior year credit carryover   79c. 1099 withholdings
44     88888888 00                                        88888888 00                             88888888 00
45
46 79d. W-2 withholdings                              79e. Refunds previously claimed
47                                                      
       88888888 00                                        88888888 00
48
49 80.  Net payments (sum of lines 79a-d minus line 79e). Enter here and on page 2, line 14.
50     888888888 00
51
52
53
54
55
56
57
58
59
60
61                Do not write in this area; for department use only.
62
63
                                                                                                  2016 IT 1041 – pg. 5 of 5
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Layout 

without grid



- 15 -
                                       Do not use staples. Use only black ink and UPPERCASE letters. 

                                         2016 Ohio IT 1041 
                        Rev. 8/16
88 88 88                                Fiduciary Income Tax Return                                                                                         16180110

                        X Check here if amended return          X Check here if fi nal return                                                                For taxable year beginning in
                                                                                                                                                            88/2016
FEIN                                   SSN of decedent (estates only)
88 8888888                             888 88  8888

Name of trust or estate
JOHNXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Name of trust or estate (second line)
JANEXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

Fiduciary name and title
8888  CHERRY LANEXXXXXXXXXXXXXXXXXXX

Address (if address change, check box) X
8888  BERRY AVEXXXXXXXXXXXXXXXXXXXXX

City                                                                 State ZIP code
CITYXXXXXXXXXXXXXXXX                                                 OH    88888

Check Applicable Box(es)
   X Simple trust       OR             X Complex trust               X Irrevocable trust                                                                  X Testamentary trust

   X Resident trust     OR             X Nonresident trust           X Bankruptcy estate                                                                  X Decedent’s estate

  1. Federal taxable income (from line 22 of the federal 1041). Include page 1 of the federal 1041 ........ 1.                                            888888888 00
  2. Net adjustments from Schedule A, line 42. ............................................................................................ 2.            888888888 00
   
  3. Ohio taxable income (line 1 plus or minus line 2). Estates should skip lines 4-7. ................................. 3.                               888888888 00
 
  4. Allocated qualifying trust amount from Schedule F, line 61 (trusts only). .............................................. 4.                          888888888 00
  
  5. Apportioned trust income from Schedule G, line 64 (trusts only). ......................................................... 5.                        888888888 00
 
  6. Allocated trust income from Schedule H, line 67 (trusts only) ............................................................... 6.                     888888888 00
 
 7. Modifi ed Ohio taxable income (trusts add lines 4, 5 and 6; if less than zero, enter -0-) ........................ 7.                                  888888888 00
  8. Tax on Ohio taxable income (estates, line 3) or tax on modifi ed Ohio taxable income (trusts, line 7). 
    See tax table in the instructions ............................................................................................................... 8.  888888888 00
  9. Credits from Schedule B, line 50 (estates only) .................................................................................... 9.              888888888 00
 
  10. Resident credit from Schedule C (estates); nonresident credit from Schedule D (estates); business 
    credit for estates and trusts from Schedule E (include Schedule E); and Schedule I credit (resident trusts) .. 10.                                    888888888 00
  11. Tax after nonrefundable credits (line 8 minus the amount on lines 9 and 10) ......................................11.                               888888888 00
  
  12. Interest penalty on underpayment of estimated tax (include Ohio IT/SD 2210) ....................................... 12.                             888888888 00
 
  13. Total Ohio tax (sum of lines 11 and 12) ............................................................................................... 13.         888888888 00

                                                                                                        2016 IT 1041 – pg. 1 of 5



- 16 -
                                                                     2016 Ohio IT 1041 

                               Rev. 8/16             Fiduciary Income Tax Return                                                                                       16180210
FEIN
88 8888888
 
  14. Net payments from line 80 on page 5 ......................14.                     888888888 00
 
  15. Refundable business credits (include documen-
     tation) .......................................................................15. 888888888 00

  16. Total (sum of lines 14 and 15) ..................................16.              888888888 00
    17. If line 16 is more than line 13, subtract line 13 from line 16. This is your overpayment  .................... 17.                                           888888888 00
  18. Amount of line 17 to be credited to 2017 estimated tax 
     liability ..................................... CREDIT TO 2017  18.                888888888 00
     19. Amount of line 17 to be refunded (subtract line 18 from line 17) ......................YOUR REFUND     19.                                                  888888888 00
  20. Net amount due, if any (if line 13 is more than line 16, subtract line 16 from line 13, but not less than 
     -0-) ...................................................................................................................................................... 20. 888888888 00

  21. Interest and penalty on late-paid and/or late-fi led return, if any .............................................................. 21.                          888888888 00
  22.  Total amount due, if any (sum of lines 20 and 21). Make check payable to Ohio Treasurer of State,
      include Ohio IT 1041P and place FEIN on check .....................................TOTAL AMOUNT DUE       22.                                                  888888888 00
                            If your refund is $1.00 or less, no refund will be issued. If you owe $1.00 or less, no payment is necessary.

Sign Here (required):I declare under penalties of perjury that this report, including any ac-                                                                        Do not staple or otherwise attach. 
companying schedules and statements, has been examined by me and to the best of my knowledge                    Place any supporting documents, including 
and belief is a true, correct and complete return and report.
                                                                                                                K-1’s, after the last page of this return.
                                                                                                                                                                        
Signature of fi duciary or trust offi cer                   Preparer’s name (print name)
                                                                                                                                                                       Mail to: 
Title                          Date                       Preparer’s address (including ZIP code)               Ohio Department of Taxation 
                                                                                                                                                                     P.O. Box 2619 
Fiduciary’s or trust offi cer’s phone number               Preparer’s phone number
                                                                                                                Columbus, OH 43216-2619
Preparer’s e-mail address                                 PTIN                                                                                       Instructions for this form are on our 
                                                                                                                                                                     Web site at tax.ohio.gov. 
Do you authorize your preparer to contact us regarding this return?  Yes                X No X  
Schedule A – Adjustments to Federal Taxable Income Net of Related Expenses
Additions
    23. Federal and/or non-Ohio state or local government interest and dividends not distributed ............... 23.                                                 888888888 00

    24. Pass-through entity and fi nancial institutions taxes paid and related member add-back ................... 24.                                                888888888 00

  25. Income from an ESBT not shown in federal taxable income.............................................................. 25.                                      888888888 00

  26. Losses from sale or other disposition of Ohio public obligations ....................................................... 26.                                   888888888 00

  27. Recovery of amount previously deducted or excluded....................................................................... 27.                                  888888888 00
  28. Adjustment for Internal Revenue Code section 168(k) depreciation expense.
       X    2/3,  X 5/6 or    X6/6 (check applicable box)           .............................................................................28.                 888888888 00
 
    29. Federal personal exemption (estates only) and miscellaneous federal tax adjustments ................... 29.                                                  888888888 00
  30. Expenses claimed on Ohio estate return (estates only)..................................................................... 30.                                 888888888 00
  31. Total additions (add lines 23 through 30) ........................................................................................... 31.                      888888888 00

                                                                                                                                                                     For Department Use Only

                                                                                                                                                                     / /
                                                                                                                                                                     Postmark date Code

                                                                                                           2016 IT 1041 – pg. 2 of 5



- 17 -
                                                                                                              2016 Ohio IT 1041 
                    Rev. 8/16                                                                Fiduciary Income Tax Return
                                                                                                                                                                                             16180310
FEIN
88 8888888

Deductions – Note: Deduct income items described below only to the extent that those amounts 
are not already deducted or excluded from federal taxable income after distributions.
   32. Federal interest and dividends exempt from state taxation net of related expenses ......................... 32.                                                                       888888888 00
 
  33. Certain state and municipal income tax overpayments...................................................................... 33.                                                          888888888 00
  34.  Losses from an ESBT not shown in federal taxable income                                                        .............................................................. 34.     888888888 00
  35.  Wage and salary expense not previously deducted due to the federal targeted jobs credit or 
     the work opportunity credit................................................................................................................. 35.                                        888888888 00
  36.  Interest income from Ohio public obligations and Ohio purchase obligations and gains from the 
     sale or other disposition of Ohio public obligations                                                   ............................................................................ 36. 888888888 00
  37. Refunds or reimbursements of prior year federal itemized deductions and miscellaneous federal 
     tax adjustments.................................................................................................................................. 37.                                   888888888 00
  38.  Farm income from a farm of at least 10 acres (trusts only)................................................................ 38.                                                        888888888 00
  39.  Adjustment for Internal Revenue Code section 168(k) depreciation expense. Include a separate 
  ..........................................................schedule showing calculations designating39. 1/2, 1/5 or 1/6                                                                     888888888 00

   40. Repayment of income reported in a prior year and not otherwise deducted ...................................... 40.                                                                    888888888 00

  41. Total deductions (sum of lines 32 through 40)                                          .................................................................................... 41.        888888888 00
 
   42. Net adjustments (subtract line 41 from line 31). Enter here and on line 2 .......................................... 42.                                                              888888888 00
Schedule B – Estate Credits
   43. Retirement income credit (see instructions for credit table) (limit – $200).......................................... 43.                                                             888 00
    ..................................................44. Lump sum retirement credit (see44.instructions to calculate the credit)                                                            888888888 00
45. Senior citizen’s credit (limit – $50 per return)....................................................................................45.                                                  88 00
  46.  Lump sum distribution credit (must be 65 or older to claim this credit; see instructions to 
     calculate this credit) ............................................................................................................................. 46.                                888888888 00

  47. Child and dependent care credit (see instructions and worksheet in Ohio IT 1040 booklet) ................... 47.                                                                       888888888 00
 
48.  Ohio political contributions credit.........................................................................................................48.                                         888888888 00
  
  49. Ohio adoption credit (limit $10,000).................................................................................................... 49.                                           888888888 00

  50. Total Schedule B credits (sum of lines 43 through 49) – enter here and on line 9 ............................. 50.                                                                     888888888 00
Schedule C – Estate Ohio Resident Credit
 51.  Enter the portion of Ohio taxable income (line 3) subjected to tax by other states or the 
    District of Columbia while an Ohio resident ....................................................................................... 51.                                                  888888888 00
52. Enter Ohio taxable income (line 3) ..................................................................................................... 52.                                             888888888 00
  53.  Divide line 51 by line 52 and enter percentage here                                                                %. Multiply this percentage 
     by the amount shown on line 8 reduced by any amount shown on line 9 .......................................... 53.                                                                      888888888 00
  54.  Enter the 2016 income tax, less all related credits other than withholding and estimated tax payments 
     and carryforwards from previous years, paid to other states or the District of Columbia................................ 54.                                                             888888888 00
55.  Enter the smaller of line 53 or line 54. This is your Ohio resident tax credit. Enter here and on 
     line 10................................................................................................................................................. 55.                            888888888 00

                                                                                                                                                      2016 IT 1041 – pg. 3 of 5



- 18 -
                                                                                                                     2016 Ohio IT 1041 
                              Rev. 8/16                                                               Fiduciary Income Tax Return
                                                                                                                                                                        16180410
FEIN
88 8888888

Schedule D – Estate Nonresident Credit
  56.  Enter the portion of Ohio taxable income (line 3) not earned or received in Ohio (include 
    Ohio IT 2023) ...................................................................................................................................... 56.            888888888 00

  57.  Enter Ohio taxable income (line 3)..................................................................................................... 57.                      888888888 00
 
58.  Divide line 56 by line 57 and enter percentage here                                                                         %. Multiply this percentage 
    by the amount shown on line 8 reduced by the amount shown on line 9. Enter here and on 
    line 10................................................................................................................................................. 58.        888888888 00
 
Schedule F – Allocated Qualifying Trust Amounts
  59. Enter the trust’s portion of capital gains/losses recognized to the extent included in Ohio 
    taxable income (line 3) if the location of the physical assets of the closely held investee is 
    available ............................................................................................................................................. 59.         888888888 00

   60. Enter the percentage of the closely held investee’s physical assets located within Ohio            .................. 60.                                        8. 8888

    61. Multiply the amount on line 59 by the percentage on line 60. Enter here and on line 4..................... 61.                                                  888888888 00
 Schedule G – Apportioned Income for Trusts
  62.   Enter (i) the trust’s business income not included in line 59 and (ii) the trust’s qualifying 
    investment income not otherwise a part of business income and not included in line 59       .................. 62.                                                  888888888 00

   63. Enter the Ohio apportionment ratio from line 78 of the apportionment worksheet on page 5 ............ 63.                                                        8. 888888
  64. Multiply the amount on line 62 by the apportionment ratio on line 63. Enter here and on               
    line 5 ................................................................................................................................................... 64.      888888888 00
Schedule H – Allocated Nonbusiness Income for Trusts
If distributive share is business income from a pass-through entity, use Schedule G.
  65. Resident trusts: Enter the trust’s portion of Ohio taxable income (line 3) not reported on lines 
    59 or 62...............................................................................................................................................          65.888888888 00
  66. Nonresident trusts: Enter the trust’s portion of Ohio taxable income (line 3) not reported on 
    lines 59 or 62 to the extent such income (i) was derived from real or tangible property located 
    in or based in Ohio or (ii) was sitused to Ohio (see instructions for line 66)  ...................................... 66.                                          888888888 00

  67. Add lines 65 and 66 and enter here and on line 6 ............................................................................. 67.                                888888888 00
Schedule I – Tax Credit for Resident Trusts
  68. Enter the amount of allocated resident trust nonbusiness income (line 65, above) subject to 
    tax in one or more states or in the District of Columbia......................................................................                           68.        888888888 00

  69. Enter the amount from line 8 .............................................................................................................. 69.                   888888888 00

    ..........................................................70. Enter the amount of modifi ed Ohio70.taxable income from line 7                                        888888888 00
 
  71. Divide line 69 by line 70 and enter the percentage here. This is the average effective tax 
    rate..................................................................................................................................................... 71.       8. 8888
  72. Multiply the amount on line 68 by the percentage reported on line 71 ...............................................                                   72.        888888888 00
 
  73. Enter the amount of tax actually paid by the resident trust to another state or the District of 
    Columbia on the trust’s allocated nonbusiness income ..................................................................... 73.                                      888888888 00
 
  74. Enter the smaller of the amount on lines 72 and 73. This is the resident trust’s Ohio tax credit. 
    Enter here and on line 10  ................................................................................................................... 74.                  888888888 00

                                                                                                                                                             2016 IT 1041 – pg. 4 of 5



- 19 -
                                                       2016 Ohio IT 1041 
                      Rev. 8/16                    Fiduciary Income Tax Return
                                                                                                                     16180510
FEIN
88 8888888

Apportionment Worksheet
Use this worksheet to calculate the apportionment ratio for the trust’s modifi ed business income and qualifying investment income included in Ohio taxable 
income. Note: All ratios are to be carried to six decimal places.
  75. Property                                         Within Ohio                                                Total Everywhere
    a) Owned (average cost)                        88888888888 00                                                 88888888888 00
                                                       Within Ohio                                                Total Everywhere
    b) Rented (annual rental X 8)                  88888888888 00                                                 88888888888 00

                                                       Within Ohio                                                Total Everywhere
    c) Total (lines 75a and 75b)                   88888888888 00                            ÷                    88888888888 00
                                                                    Ratio                      Weight                Weighted Ratio
                                                       =         8. 888888                   x 8.88               =  8. 888888
                                                       Within Ohio                                                Total Everywhere
  76.  Payroll                                     88888888888 00                            ÷                    88888888888 00

                                                                    Ratio                      Weight                Weighted Ratio
                                                       =         8. 888888                   x 8.88               =  8. 888888
                                                       Within Ohio                                                Total Everywhere
  77.  Sales                                       88888888888 00                            ÷                    88888888888 00
                                                                    Ratio                      Weight                Weighted Ratio
                                                       =         8. 888888                   x 8.88.              =  8. 888888

  78.  Total weighted apportionment ratio (add weighted ratio from lines 75c, 76 and 77). Enter ratio here and on 
    Schedule G, line 63 (carry to six decimal places).                                                               8. 888888
Note: If the denominator of any factor is zero, the weight given to the other factors must be proportionately increased so that the total weight given to the 
combined number of factors used is 100%, i.e., if no property/payroll, use 25% and 75%; if no sales, use 50% property/payroll; if only one factor, use 100%.
Net Payment Worksheet – Include 1099(s) and W-2(s)
79a. Estimated payments                                     79b. Prior year credit carryover   79c. 1099 withholdings
    88888888 00                                        88888888 00                             88888888 00
79d. W-2 withholdings                              79e. Refunds previously claimed
                                                     
    88888888 00                                        88888888 00
80.  Net payments (sum of lines 79a-d minus line 79e). Enter here and on page 2, line 14.
    888888888 00

                                                                                               2016 IT 1041 – pg. 5 of 5



- 20 -
General information 

regarding this form



- 21 -
            General Information (2016 IT 1041):
1) Dimensions: 
  
  Target or registration marks - 6 mm X  6 mm. Follow grid layout for positioning.

  1D barcode (2 of 5 interleaved) - .375”H x 1.5”W. Follow grid layout for positioning. Center the barcode number 
  directly under the barcode.

  2D barcode (PDF 417) - See 2D instructions and schema. Follow grid layout for positioning. There is one 2D 
  barcode on each page of the IT 1041.

2) 1D barcode - The last two numbers of the 1D barcode represent the vendor number. Use the same vendor 
number as you did for last year’s return. If you have a question about your barcode assignment, e-mail the Forms 
Unit at Forms@tax.state.oh.us. The fi rst six numbers are constant for this form (161801XX - 161805XX). 

  16 = tax year
  18 = IT 1041 
  01-05 = page number 
  XX = vendor number (assigned to you by the Ohio Dept. of Taxation, Forms Unit).

  NOTE: The vendor number also serves as the fi rst two digits of the SSN and FEIN fi elds in the test 
  scenarios.

3) Use Arial font for the static text on the form.

4) Use monospaced Arial or similar monospaced san serif font for the variable data fi elds on the form.

5) Follow the grid layout for the variable data fi elds shown in red. Ensure that the tax year, target or reg-
istration marks, “For Department Use Only” area and the 1D and 2D barcodes follow grid layout.

6) Do not use commas, hyphens or decimals in the variable data fi elds except where shown in specs.

7)  All monetary fi elds must always show “00” in the cents fi eld even though there may not be a value for that line.

8) You must include a leading zero on ratio fi elds. For example, if the ratio is .000026, it should display as 0.000026.

9) When a variable data fi eld refl ects a negative amount, make sure there is no space between the negative sign 
and the amount (for example: -888888888 00). The possible negative fi elds for this return are lines 1, 2, 3, 4, 5 
and 6; Schedule A, line 42; Schedule C, lines 51 and 52; Schedule D, lines 56 and 57; Schedule F, lines 59, 61, 
62, and 64; Schedule H, lines 65, 66 and 67 and Schedule I, lines 68 and 72. Do not hard-code negative signs.

10) Provide guidance to customers regarding duplex printing that instructs them to print pages 1 and 2 together 
and pages 3 and 4 together. Taxpayers have fi led returns with pages 2 and 3 duplexed or a worksheet or software 
receipt on the back of a page of the return. This slows the processing of the tax return.

11) Generate the following message for customers: “Do not enclose other documentation unless it is specifi ed 
on the tax return or instructions.” Taxpayers often submit worksheets and receipts from the vendor product, 
which slows the processing of tax returns.

12) IMPORTANT NOTE: Add this statement to your software programs. It should print out with the taxpayer’s 
return. “Do not hand write in any corrections on the printed paper return. Hand writing in corrections will 
result in capturing incorrect data and delaying the processing of this income tax return. Make any cor-
rections to this income tax return within [the software program name], then print and mail.”

13) See the 2D barcode instructions for submission details.



- 22 -
2016 Ohio IT 1041

Recent Updates

10/3/16- There was a typographical error on the 2016 Ohio IT 1041, page 
5 of 5, Line 75c. It stated “Total (lines 72a and 72b)”. It now has been 
updated to read “Total (lines 75a and 75b)”. 

10/7/16- Updated the fi le to include an “X” for the placement for checking 
if there is an address change on the return. This is on page 1 of 5 and 
the text reads: “Address (if address change, check box).”

       Ohio Department of Taxation

       4485 Northland Ridge Blvd.

       Columbus, OH 43229

       tax.ohio.gov






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