Form 3520 - Page 5Summary: The following is an example of page 5 of Form 3520 with field designators, which are represented in braces. The line items with field designators are listed.Under: Part III. Distributions to a U.S. Person From a Foreign Trust During the Current Tax Year (Continued): Line 29Did you receive a Foreign Grantor Trust Beneficiary Statement from the foreign trust with respect to a distribution? checkbox Yes checkbox No checkbox Not Applicable {Field 15-L}If Yes, attach the statement and do not complete the remainder of Part III with respect to that distribution.If No, complete Schedule A with respect to that distribution. Also complete Schedule C if you enter an amount greater than zero on Line 37. Line 30Line 30, Did you receive a Foreign Nongrantor Trust Beneficiary Statement from the foreign trust with respect to a distribution? checkbox Yes checkbox No checkbox Not Applicable {Field 15-M}If Yes, attach the statement and complete either Schedule A or Schedule B below (see instructions). Also complete Schedule C if you enter an amount greater than zero on Line 37 or Line 41a.If No, complete Schedule A with respect to that distribution. Also complete Schedule C if you enter an amount greater than zero on Line 37.Under: Schedule A - Default Calculation of Trust Distributions (see instructions): Line 31, Enter amount from Line 27: {Field 16-A}Line 32, Number of years the trust has been a foreign trust: {Field 16-B}Line 33, Enter total distributions received from the foreign trust during the 3 preceding tax years (or during the number of years the trust has been a foreign trust, if fewer than 3 years): {Field 16-C}Line 34, Multiply Line 33 by 1.25: {Field 16-D}Line 35, Average distribution. Divide Line 34 by 3.0 (or the number of years the trust has been a foreign trust, if fewer than 3 years) and enter the result: {Field 16-E}Line 36, Amount treated as ordinary income earned in the current year. Enter the smaller of Line 31 or Line 35: {Field 16-F}Line 37, Amount treated as accumulation distribution. Subtract Line 36 from Line 31. If zero, do not complete the rest of Part III: {Field 16-G}Line 38, Applicable number of years of trust. Divide Line 32 by 2.0 and enter the result here: {Field 16-H}Under Schedule B - Actual Calculation of Trust Distributions (see instructions):Line 39. Enter amount from Line 27: {Field 17-A}Line 40a. Amount treated as ordinary income in the current tax year: {Field 17-B}Line 40b. Qualified dividends: {Field 17-C}Line 41a. Amount treated as accumulation distribution. If zero, do not complete Schedule C, Part III: {Field 17-D}Line 41b. Amount of line 41a that is tax-exempt: {Field 17-E}Line 42a. Amount treated as net short-term capital gain in the current tax year: {Field 17-F}Line 42b. Amount treated as net long-term capital gain in the current tax year: {Field 17-G}Line 42c. 28 percent rate gain: {Field 17-H}Line 42d. Unrecaptured section 1250 gain: {Field 17-I}Line 43. Amount treated as distribution from trust corpus: {Field 17-J}Line 44. Enter any other distributed amount received from the foreign trust not included on Lines 40a, 41a, 42a, 42b and 43. (Attach explanation): {Field 17-K}Line 45. Amount of foreign trust’s aggregate undistributed net income: {Field 17-L}Line 46. Amount of foreign trust’s weighted undistributed net income: {Field 17-M}Line 47. Applicable number of years of trust. Divide Line 46 by Line 45 and enter the result here: {Field 17-N}Under: Part III Schedule C - Calculation of Interest Charge (see instructions):Line 48. Enter accumulation distribution from Line 37 or 41a, as applicable: {Field 18-A}Line 49. Enter tax on total accumulation distribution from Line 28 of Form 4970 (attach Form 4970--see instructions): {Field 18-B}Line 50. Enter applicable number of years of foreign trust from line 38 or line 47, as applicable (round to nearest half-year): {Field 18-C}Line 51. Combined interest rate imposed on the total accumulation distribution (see instructions): {Field 18-D}Line 52. Interest change. Multiply the amount on line 49 by the combined interest rate on Line 51: {Field 18-E}Line 53. Tax attributable to accumulation distributions. Add Lines 49 and 52. Enter here and as additional tax on your income tax return: {Field 18-F}