PART IV |
Balance Sheet. If line 9 is $25,000 or less, complete only line 38, line 42, and line 45. If books of account do not agree, please reconcile all differences. |
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ASSETS |
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(a) Beginning-of-Year Book Value |
(b) End-of-Year Book Value |
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Cash — non-interest bearing |
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25 |
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25 |
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26 |
. . . . . . . . . . . . . . . . . . . .Savings and temporary cash investments |
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26 |
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27 |
a |
. . . . . . . . . . .Accounts receivable |
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27a |
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. . . . . . . . . . . . . . . . . .b Less: allowance for doubtful accounts |
27b |
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28 |
. . . . . . . . . . . . . . . . . . . . . . . . . . .a Notes and loans receivable |
28a |
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. . . . . . . . . . . . . . . . . .b Less: allowance for doubtful accounts |
28b |
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29 |
Inventories for sale or use |
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29 |
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30 |
. . . . . . . . . . . . . . . . . . . . .Prepaid expenses and deferred charges |
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30 |
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31 |
. . . . . . . . . . . . . . . . .Investments — U.S. and state government obligations. Attach schedule |
31 |
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Investments — corporate stock. Attach schedule |
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32 |
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32 |
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33 |
. . . . . . . . . . . . .Investments — corporate bonds. Attach schedule |
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33 |
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34 |
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Investments — land, buildings, and equipment: basis |
34a |
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b |
. . . . . . . . . . . . . . . . . . . . . . .Less: accumulated depreciation |
34b |
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Investments — other. Attach schedule |
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35 |
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35 |
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36 |
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Land, buildings, and equipment (trade or business): basis . . |
36a |
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b |
. . . . . . . . . . . . . . . . . . . . . . .Less: accumulated depreciation |
36b |
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37 |
Other assets. Describe. |
_____________________________________________________ |
37 |
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38 |
. . . . . . . . . . . . . . . . . . .Total assets. Add line 25 through line 37 |
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38 |
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LIABILITIES |
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39 |
Accounts payable and accrued expenses |
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39 |
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40 |
. . . . . . . . . . .Mortgages and other notes payable. Attach schedule |
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40 |
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41 |
Other liabilities. Describe. |
___________________________________________________ |
41 |
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42 |
. . . . . . . . . . . . . . . . .Total liabilities. Add line 39 through line 41 |
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42 |
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NET ASSETS |
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43 Trust principal or corpus |
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43 |
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. . . . . . . . . . . . . . . . . . . . . . . . . .44 Undistributed income and profits |
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44 |
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. . . . . . . . . . . . . . . . . . . .45 Total net assets. Add line 43 and line 44 |
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. . . . . . . .46 Total liabilities and net assets. Add line 42 and line 45 |
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46 |
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Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is |
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true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. |
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Sign |
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Date |
Trustee’s SSN/FEIN |
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Here |
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___________________________________________________________ |
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Signature of trustee or officer representing trustee |
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Date |
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Paid preparer’s SSN/PTIN |
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Paid |
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Preparer’s |
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Check if self- |
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employed |
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Preparer’s |
signature |
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FEIN |
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Use Only |
Firm’s name (or yours, if |
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- |
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self-employed) and address |
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