Displayed is a current revision Schedule K-1 (Form 1041), page 1. The form consists of 2 columns (left and right). All fields are blank.• Under Part I Information About the Estate or Trust: A. Estate's or trust's employer identification numberB. Estate's or trust's nameC. Fiduciary's name, address, city, state, and ZIP codeD. (check box) Check if Form 1041-T was filed and enter the date it was filed (fill-in)E (check box) Check if this is the final Form 1041 for the estate or trustPart II Information About the Beneficiary F. Beneficiary's identifying numberG. Beneficiary's name, address, city, state, and ZIP codeH. (check box) Domestic beneficiary; (check box) Foreign beneficiaryRight column consists of the following:• Header section (check box) Final K-1; (check box) Amended K-1• Part III Beneficiary's Share of Current Year Income, Deductions, Credits, and Other Items: 1. Interest income11. Final year deductions2a. Ordinary dividends2b. Qualified dividends3. Net short-term capital gain4a. Net long-term capital gain4b. 28 percent rate gain12. Alternative minimum tax adjustment4c. Unrecaptured section 1250 gain5. Other portfolio and non-business income6. Ordinary business income7. Net rental real estate income13. Credits and credit recapture8. Other rental income9. directly apportioned deductions14. Other information10. Estate tax deductionSee attached statement for additional information. Note: A statement must be attached showing the beneficiary's share of income and directly apportioned deductions from each business, rental real estate, and other rental activity.