Table of Contents
- Identification Area
- Part I. Income and Deductions
- Part II. Schedule of Distributable Income (Section 664 trust only)
- Part III-A. Distributions of Principal for Charitable Purposes
- Part III-B. Accumulated Income Set Aside and Income Distributions for Charitable Purposes
- Part IV. Balance Sheet
- Parts V-A and V-B. Charitable Remainder Trust Information
- Parts VI-A and VI-B. Statements Regarding Activities
- Part VII. Questionnaire for Charitable Lead Trusts, Pooled Income Funds, and Charitable Remainder Trusts
- Signature
- Schedule A—Distributions, Assets, and Donor Information
- Part I. Accumulation Schedule (Section 664 trust only)
- Part II-A. Current Distributions Schedule (Section 664 trust only)
- Part II-B. Current Distributions (charitable lead trusts or pooled income funds only)
- Part III. Assets and Donor Information
Complete the information called for at the top of the form as it appears on Form SS-4, Application for Employer Identification Number.
Include the suite, room, or other unit number after the street address. If the post office does not deliver mail to the street address and the trustee has a P.O. box, show the box number instead.
If you receive mail for the trust in care of a third party (such as an accountant or an attorney), enter on the street address line “C/O” followed by the third party's name and street address or P.O. box.
Every trust that completes this return must have an employer identification number (EIN). You can use one of the following methods to apply for an EIN.
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Online – Click on the EIN link at www.irs.gov/Businesses/Small-Businesses-&-Self-Employed. The EIN is issued immediately once the application information is validated.
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By telephone at 1-800-829-4933 from 7:00 a.m. to 10:00 p.m. in the trustee's local time zone. Assistance provided to callers from Alaska and Hawaii will be based on the hours of operation in the Pacific time zone.
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By mailing or faxing Form SS-4.
Note.
The online application process is not yet available for trusts with addresses in foreign countries.
Enter the trust's gross income for the tax year. Gross income is all income from whatever source derived, including:
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Interest,
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Dividends,
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Rents (such as the amount on line 3a of Schedule E (Form 1040)),
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Royalties (such as the amount on line 3b of Schedule E (Form 1040)),
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Gross income derived from business (such as the amount on line 7 of Schedule C (Form 1040)), and
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Gains (not losses) derived from dealings in property (figured on each transaction).
If the amended return results in a change to income, or a change in distribution of any income or other information provided to a beneficiary, an amended Schedule K-1 (Form 1041) must be filed with the amended Form 5227 and a copy given to each recipient. Check the “Amended K-1” box at the top of the Schedule K-1 (Form 1041).
If a charitable remainder trust has any unrelated business taxable income (within the meaning of section 512 and related regulations) for 2012, the trust is liable for a tax under section 664(c)(2) which is treated as a Chapter 42 excise tax. The amount of the excise tax is equal to the amount of the trust's unrelated business taxable income. If the trust has any unrelated business taxable income, answer “Yes” to item G and file Form 4720, in addition to Form 5227, to report the trust's unrelated business taxable income and the tax due.
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Accounts (including certificates of deposit and money market accounts) with banks, credit unions, and thrifts;
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Notes, loans, and mortgages;
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U.S. Treasury bills, notes, and bonds;
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U.S. savings bonds;
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Original issue discount; and
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Income received as a regular interest holder of a Real Estate Mortgage Investment Conduit (REMIC).
Note.
If the trust has farm rental income and expenses based on crops or livestock produced by a tenant, report the income and expenses on Schedule E (Form 1040) and include it on line 4. Do not use Form 4835, Farm Rental Income and Expenses, or Schedule F (Form 1040) to report such income and expenses and do not include the net profit or (loss) from such income and expenses on line 5.
Use Schedule D (Form 1041), Capital Gains and Losses, as directed below. You may use Schedule D-1 (Form 1041), Continuation Sheet for Schedule D (Form 1041), to report additional gains and losses. Lines 11 and 12 only apply to a charitable remainder trust (section 664 trust).
Line 10 is the total of all classes (described below) of long-term capital gain. The following is a summary of the classes:
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28% long-term capital gain class. This class consists of collectibles gains and losses and the taxable gain (but not more than the section 1202 exclusion) on the sale or exchange of qualified small business stock. Enter these gains or losses on line 12.
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Section 1250 long-term capital gain class. This class consists of unrecaptured section 1250 gain (generally the part of real estate capital gain attributable to depreciation) on sales, exchanges, etc. of assets held more than 1 year. Undistributed, unrecaptured section 1250 gain on sales, exchanges, etc. after May 6, 1997, is included in this class. Enter this gain on line 11.
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All other long-term capital gain class. This class consists of all other gains or losses from sales, exchanges, and conversions (including installment payments received) of assets held more than 12 months.
In this section, include other income that is not included in Section A or B. This section includes income excluded under Subtitle A, Chapter 1, Subchapter B, Part III of the Internal Revenue Code, such as interest on state and municipal bonds.
Include all allowable deductions and any expense that would be allowable but for the fact that it must be allocated to tax-exempt income. No deduction is ever allowed for:
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The personal exemption under section 642(b),
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Charitable contributions under section 642(c),
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Net operating losses under section 642(d),
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Income distribution deductions under section 661,
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Capital loss carryforwards under section 1212,
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Federal income taxes, or
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Federal excise taxes under Chapter 42.
Any expense that is not deductible in determining taxable income (or not otherwise deductible but for the fact that it must be allocated to nontaxable income) must be allocated to corpus.
Include all expenses attributable to gross income that are deductible for the tax year.
Deductions are allocated as follows.
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Allowable deductions directly attributable to one or more classes of income items (that is, interest, dividends, or rents) or corpus are allocated to such income classes or corpus.
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Allowable deductions not allocated under (1) above are allocated on the basis of gross income after directly attributable deductions, to the extent of such income.
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Deductions not allocated under either (1) or (2) above may be allocated in any manner.
Add the deductions that were allocated to all the classes of income items within each category and enter the amount on the appropriate line. (Note: Any deduction allocated to corpus is not shown on any line in Section E.)
For a discussion on the allocation of deductions to tax-exempt income, see Allocation of Deductions for Tax-Exempt Income in the Instructions for Form 1041.
Report the income (both current and cumulative undistributed income) of the trust for purposes of determining the character of distributions in three categories:
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Ordinary income,
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Capital gains and losses, and
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Nontaxable income.
A loss in any one of the three categories may not be used to reduce a gain in any other category. For example, a capital loss may not be used to reduce ordinary income. However, a loss in any one category may be used to reduce undistributed gain for earlier years within that same category, and any excess may be carried forward to reduce gain in future years within that same category.
For information on recordkeeping for long-term capital gains or ordinary income, see the Capital Gains Distribution Worksheet or the Ordinary Income Distribution Worksheet later.
Examples.
“Cash payments to buy library material” or “Grant, paid in cash, to equip the chemistry lab at Magnolia University.”
Complete Part III-B if any of the following apply.
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The trust claimed a deduction in a prior year under section 642(c) for an amount permanently set aside and at the beginning of the year the set aside amount was not fully distributed.
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The trust claimed a deduction during the year under section 642(c) whether the amount was set aside or paid.
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The trust made payment for charitable purposes during the year but claimed the section 642(c) deduction in the prior year.
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The trust is treated as a grantor trust and made a payment for charitable purposes during the year, and the grantor (during the year or a prior year) claimed a charitable deduction as described in Regulations section 1.170A-6(c) upon contribution to the trust.
Note.
The grantor trust completes only lines 35 and 36 for this part.
Complete the balance sheet using the accounting method the trust uses in keeping its books and records. All filers must complete columns (a) and (b). Also, all charitable remainder unitrusts must complete column (c).
Enter the end-of-year book value where space is provided to the left of column (a) to report receivables and the related allowance for doubtful accounts or depreciable assets and accumulated depreciation. Enter the net amounts in column (b).
In computing the net FMV of the unitrust's assets, take into account all assets and liabilities without regard to whether particular items are taken into account in determining the income of the trust. The net FMV of the trust's assets may be determined on any one date during the tax year of the trust, or by taking the average of valuations made on more than one date during the tax year of the trust, as long as the same valuation date or dates and valuation methods are used each year. See Regulations section 1.664-3.
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In the required schedule, report each loan separately, even if more than one loan was made to the same person, or the same terms apply to all loans made.
Salary advances and other advances for personal use and benefit, and receivables subject to special terms or arising from transactions not functionally related to the trust's charitable purposes must be reported as separate loans for each officer, director, etc.
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Receivables that are subject to the same terms and conditions (including credit limits and rate of interest) as receivables due from the general public and that arose in connection with an activity functionally related to the trust's charitable purposes may be reported as a single total for all the officers, directors, etc. Travel advances made in connection with official business of the trust may also be reported as a single total.
For each outstanding loan or other receivable that must be reported separately, the attached schedule should use a columnar format and show the following information:
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Borrower's name and title,
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Original amount,
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Balance due,
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Date of note,
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Maturity date,
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Repayment terms,
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Interest rate,
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Security provided by the borrower,
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Purpose of the loan, and
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Description and FMV of the consideration furnished by the lender.
The above detail is not required for receivables or travel advances that may be reported as a single total (see instruction (2) above). However, report and identify those totals separately in the attachment.
Enter the amount of all notes receivable not listed on line 41 and not acquired as investments. Attach a schedule similar to that called for in the line 41 instructions. The schedule should also identify the relationship of the borrower to any officer, director, trustee, or other disqualified person.
For a note receivable from any section 501(c)(3) organization, list only the name of the borrower and the balance due on the required schedule.
Enter the gross amount of loans receivable, less the allowance for doubtful accounts, arising from the normal activities of the trust. An itemized list of these loans is not required, but attach a schedule indicating the total amount of each type of loan outstanding. Report loans to officers, directors, trustees, or other disqualified persons on line 41, and loans to other employees on line 49.
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Aggregate the unitrust's net asset FMV for each previous year.
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Multiply (1) above by the unitrust's fixed percentage.
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From the result in (2), subtract the aggregate trust income that was distributed for previous years.
Answer every question in these sections. If a line does not apply enter “N/A.”
Complete Part VI-B to determine whether the trust has complied with the applicable Chapter 42 rules relating to private foundations and whether the trust, trustee, disqualified persons, or some combination of these may be liable for certain foundation excise taxes. These excise taxes include:
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The section 4941 tax on self-dealing between the trust and “disqualified persons,”
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The section 4943 tax on excess business holdings,
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The section 4944 tax on investments that jeopardize the trust's charitable purposes, and
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The section 4945 tax on taxable expenditures.
The split-interest trust pays these taxes on Form 4720. For a detailed explanation of each of these taxes, see the Instructions for Form 4720.
The excise taxes on private foundations do not apply to any amounts:
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Payable under the terms of the trust to income beneficiaries, unless a deduction was allowed under section 170(f)(2)(B), 642(c), 2055(e)(2)(B), or 2522(c)(2)(B);
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In trust for which a charitable contribution deduction was not allowed under any provision of the Code, if the amounts are segregated (as defined in section 4947(a)(3)) from amounts for which a deduction was allowable; or
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Transferred in trust before May 27, 1969.
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A functionally related business, defined in section 4942(j)(4), or
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A trade or business if at least 95% of its gross income is derived from passive sources.
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The payment is made within a reasonable time after the close of the tax year, and
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To the extent the payment is characterized as corpus from a property distribution (other than cash), the trustee treats any income generated by the distribution as occurring on the last day of the tax year for which the annuity or unitrust amount is due, then the annuity trust or certain unitrusts will not be deemed to have:
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Engaged in self-dealing (section 4941),
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Unrelated debt-financed income (section 514),
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Received an additional contribution (Regulations section 1.664-2(b) and 1.664-3(b)), or
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Failed to function exclusively as a charitable remainder trust (Regulations section 1.664-1(a)(4)).
Note.
You must report income (gain) generated by the property distribution (discussed above) on Part I of Form 5227 for the current tax year.
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The trust owns more than 50% of the stock in any corporation that owns one or more foreign bank accounts.
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At any time during the year, the trust had an interest in or signature or other authority over a bank, securities, or other financial account in a foreign country.
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The combined value of the accounts was $10,000 or less during the whole year, or
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The accounts were with a U.S. military banking facility operated by a U.S. financial institution.

Form 5227 must be signed by the trustee or by an authorized representative.
If you, as trustee (or an employee or officer of the trust), fill in Form 5227, the Paid Preparer's space should remain blank. If someone prepares this return without charge, that person should not sign the return.
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Complete the required preparer information,
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Sign it in the space provided for the preparer's signature (a facsimile signature is acceptable), and
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Give the trustee a copy of the return in addition to the copy to be filed with the IRS.

Note.
Schedule A is not open to public inspection.

You must give each recipient listed in Part II-A a Schedule K-1 (Form 1041) that reflects that recipient's current distribution. The following rules and worksheets will help you figure the type of income a private beneficiary receives from the trust's distributions. Also, attach a copy of each Schedule K-1 to Form 5227. See the Specific Instructions for Schedule K-1 (Form 1041) for more information.
As a payer of income, the trust is required under section 6109 to request and provide a proper identifying number for each recipient of income. Enter the recipient's number on the respective Schedule K-1. Individuals and business recipients are responsible for giving you their taxpayer identification numbers upon request. You may use Form W-9, Request for Taxpayer Identification Number and Certification, to request the beneficiary's identifying number.
You do not need prior IRS approval for a substitute Schedule K-1 if it is an exact copy of the IRS schedule. The boxes must use the same numbers and titles and must be in the same order and format as on the comparable IRS Schedule K-1. The substitute schedule must include the OMB number. You must request IRS approval to use other substitute Schedules K-1. To request approval, write to:
Internal Revenue Service
Attention: Substitute Forms Program Coordinator
SE:W:CAR:MP:T:M:S, IR-6526
1111 Constitution Avenue, NW
Washington, DC 20224

If there are two or more recipients, each will be treated as receiving his or her pro rata share of the various classes of income or corpus.
Amounts distributed by a charitable remainder annuity trust or a charitable remainder unitrust have the following characteristics in the hands of the recipients:
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First, as ordinary income to the extent of ordinary income for the current year and undistributed ordinary income for prior years of the trust. Ordinary income is computed without regard to any net operating loss deductions under section 172. See the Ordering Rules for Ordinary Income next.
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Second, as capital gains to the extent of the trust's undistributed capital gains. Undistributed capital gains of the trust are determined on a cumulative net basis without regard to any capital loss carrybacks and carryovers. See the Netting Rules, Ordering Rules for Capital Gains and Losses and Carryover Rules later for capital gains.
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Third, as nontaxable income to the extent of the trust's nontaxable income for the current year and undistributed nontaxable income for prior years.
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Fourth, as a distribution of trust corpus. For this purpose, trust corpus means the net FMV of the trust assets less the total undistributed income (but not loss) in each of the above categories.
Ordinary income is composed of two classes for purposes of characterizing and ordering distributions: (a) qualified dividends, and (b) all other ordinary income. If the trust has both classes of ordinary income, distributions are treated as made first from the all other ordinary income class, and second from the qualified dividends class.
If there is more than one type of income in a class, treat an amount distributed from that class as consisting of the same proportion of each type of income that makes up all current and undistributed income for that class.
Example.
For 2012, if trust A has interest income and rental income, both are types of income that belong to the all other ordinary income class. If the amount on line 5 of the Ordinary Income Distribution Worksheet is $150 for the All other ordinary income class which consists of $60 of interest and $90 of rent and $100 is distributed to private beneficiaries for 2012, then $40 of the distribution is interest and $60 of the distribution is rent.
Gains and losses are netted within each class to arrive at a net gain or loss for that class. After you net within a class, the following additional netting rules apply to the capital gains category.
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Among the long-term capital gain and loss classes:
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A net loss from the 28% long-term capital gain class reduces net gains in the following order:
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First, gain from the section 1250 long-term capital gain class, then
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Net gain from the all other long-term capital gain class, and finally
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Gain from the qualified 5-year long-term capital gain class.
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A net loss from the all other long-term capital gain class reduces net gains in the following order:
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First, net gain from the 28% long-term capital gain class, then
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Gain from the section 1250 long-term capital gain class, and finally
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Gain from the qualified 5-year long-term capital gain class.
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A net short-term capital loss is applied to reduce the net long-term capital gain classes as follows:
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First, net gain from the 28% long-term capital gain class, then
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Gain from the section 1250 long-term capital gain class, then
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Net gain from the all other long-term capital gain class, and finally
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Gain from the qualified 5-year long-term capital gain class.
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An overall net long-term capital loss reduces any net short-term capital gain.


The following rules apply to undistributed long-term capital gains on assets held more than 1 year.
If, in any tax year of the trust, the trust has both undistributed short-term capital gain and undistributed long-term capital gain, the short-term capital gain is deemed distributed before any long-term capital gain.
For 2012, any long-term capital gains are deemed to be distributed in the following order:
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The 28% long-term capital gain class is deemed distributed prior to any other class.
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The section 1250 long-term capital gain class is deemed distributed prior to the all other long-term capital gain class and the qualified 5-year long-term capital gain class.
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The all other long-term capital gain class is deemed distributed prior to the qualified 5-year long-term capital gain class.
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The qualified 5-year long-term capital gain class is deemed distributed last of any class.
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If the trust has capital losses in excess of capital gains for any tax year:
a. The excess of the net short-term capital loss over the net long-term capital gain for that year is a short-term capital loss carryover to the next tax year.
b. The excess of the net long-term capital loss over the net short-term capital gain for that year is a long-term capital loss carryover to the next tax year.
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If the trust has capital gains in excess of capital losses for any tax year:
a. The excess of the net short-term capital gain over the net long-term capital loss for that year is, to the extent not deemed distributed, a short-term capital gain carryover to the next tax year.
b.The excess of the net long-term capital gain over the net short-term capital loss for that year is, to the extent not deemed distributed, a long-term capital gain carryover to the next tax year.
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