Form 1041 U.S. Income Tax Return for Estates and Trusts, 2021, page 1 Form 1041 U.S. Income Tax Return for Estates and Trusts, 2021, page 1 Summary: This is an example of Form 1041 (2021) as pertains to the text. The completed line items are: "Name of estate or trust (if a grantor type trust, see the instructions.)" field contains Thomas Smith Bankruptcy Estate "Name and title of fiduciary" field contains Joan Black, Trustee "Number, street, and room or suite number. (If a P.O. box, see the instructions.)" field contains 111 State Street "City or town, state or province, country, and ZIP code or foreign postal code" field contains Anywhere, Anystate, 00000 "A. Type of entity: Bankruptcy estate--chapter 7" checkbox checked "C. Employer identification number" field contains 22-0000000 "D. Date entity created" field contains 12-15-2020 "F. Check applicable boxes: Final return" checkbox checkedUnder" Tax and Payments": "24. Total tax (from Schedule G, Part I, line 9)" field contains 2,264 "26. Total payments (from Schedule G, Part II, line 19)" field contains 2,400 "29. Overpayment. If line 26 is larger than the total of lines 24, 25 and 27, enter amount overpaid" field contains 136 "30. Amount of line 29 to be: b Refunded" field contains 136 Under" Sign Here": "Signature of fiduciary or officer representing fiduciary" field contains Joan Black, Trustee "Date" field contains 2/15/22
