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$1041 _G3vincome fax Return for Estates and Trusts 2010 (Fe ane ta ay we Fe tone BL) ——__ so se Eoecicpouty ppg tans D spar he ——$Bresmame— ESSFI = “an, Paid [ores B. reaeLee Preparer | issn b iTCoeNTERISEROIORS Tar Use Only essa 125. ELGt SCE 7004 | *plecation for automatic Extension of Tie To File Certain ten “Business income Tay, Inermation, and Other Returns THE AMS, ROMMEY BLIND TRUST — RB MALT, ROPES & Ghay, LP; PRUDENTIAL TOWER, €00 BOYLSTON STREET F SS Fase 120 an aT a Te 2s comton a gn conan at soe wa pce nanan heck, sch 9 sched, ltr th are, das, ad Epler Wes Nur) ech moa (Da iracs a cmc par “Charen” Eames Ep ocptance see otto tne 17 Tet payment tte 8 son) i conf 0 1 le i. bitin om ne. ry ym ph i art gh et SGSuaLIS Sapte Poa Dro Cnn or crn F ‘ be Gin oe Cee Anse ae panos cris pape geese) Great prs be [:.. —— se ol ene oe ae 3) mirnton Sau ia ate ee) * Leinermpeengnmnetoaewoenae” + Sotomeaecureeemnacsary . Tented nase taht | t SSnictee dave Tomes Clima 222! H ents Aina age Ea aan a él TESST THE AR DRONE BLIND FROST R. BRADFORD MALT, TRUSTEE ROBES ¢ GRAY; PRUDENTIAL TOWER, 800 BOYLSTON ST BOSTON, MA'02199 ‘GRANTOR TAX INFORMATION LETTER ve yarn scarowo 02/0172010 ‘one 12/31/2010 0.8. GOVERNMENT INTEREST... exten om FoR 1040, Lid BA) (ENTER OW FORM 1040, “Lise BA) FOREIGN INTEREST INCOME «sess orrs , (ENTER OW FORK 1040, iiNé GA’ PORW iia) U.S. COVERIMENT INTEREST REPORTED AS DIVIDENDS. ‘QuRLIFIE oneal Torat for YEAR : : (ENTER ON Pom’ 1040; "LENE" 3A) (ORDINARY DIVIDENDS ‘QUALIFIED... (SEE FoR i040" ihdrabctiONS TOTAL FOR YEAR (ENTER ON FoR 1040, "LENE" SA SHORT TERM GAINS OR LOSSE: PARTNERSHIP, TRUST/ESTATE, AND 9 CORP GAIN OR LOSS . (ENTER ON SCHEDULE , LINE 5, COLUMN F) ‘OmweR CAPITAL GAIN OR LOSS’. (EXTER ON SCHEDULE, "PAR SECTION 1256 GAIN OR LOSS eres (SEE SCHEDULE, Lind’ 4 ikSTAICTONS) "CAPITAL GAIN DISTRIBUTIONS TOTAL FOR YEAR 0... : — (ENTER ON ScHBDDLE by “Line 13," cout #) PARTNERSHIP, TRUST/ESTATE, AND 8'CORP GAIN’ OR LOSS TOTAL FOR YEAR peacencsers (ENTER ON’ SciiBbULE D, “Linwe’ 12, “Cobia @) 208 RATE seese cee cesses 425,575. oe 674,785. esussereessesecs ‘Biv50. ceeeteeseeses 2,078,229. 3,008,710. 7295, 633 10,303. Shine i 52,006. + My2n. 7,657,342, apart aroun ated ovo os 2010) te taen. Tae may fo parents ctu rca Yo. Th ‘tens rye ates yt wren sen near ur agend pn cng aca Sedo ve Seten ure oath ee you ne test ens appa soraae toe "AR D-ROMNEY [aan Ta TFA LETTER, CONTRURTION (ENTER ON LINE 4 OF WORKSHEET FOR SCHED D, LINE 18) BUSINESS PROPERTY GAIN OR LOSS TOTAL FOR YEAR oes cee eevee cee ceoeeaseeeseeseneeeee -172, 420. (ENTER ON Foal’ 4739; BARE” 1) “GOLdiAN'S) | UMRECAPTURED SECTION 1350 GAIN’ (PARTNERSHIPS/S CORP) 2,845. | (ENTER ON LINE 11 OF WORKSHEET FOR SCHED D, LINE 19) OTHER CAPITAL GAIN OR LOSS | "TOTAL Fos YEAR receseenrs = 149,585, (ENTER ON SCHEDULE’ D, “Line” 8; ‘Obie F) SECTION 1256 GAIN OR LOSS t.ssse0.. : 78,010, (SEE SCHEDULE b, LINE 11 iStROCTIONS} ROYALTY INCOME. 2- ese sne : a 403. (ENTER ON SCHEDULE E, “PART” 3) OTHER TARMBLE INCOME wes sone ees oes sees 388,851. (ENTER OW FORK 1060, “ise 31) RENT/ROYAUTY INCOME FROM ACTIVE/PASSIVE ACTIVITIES ........2.. -203,150. (enTeR OW SCHEDULE Ey PART T) PARTNERSHIP INCOME FROM’ ACTIVE/2ASSIVE ACTIVITIES .........4.. ~403/368. (ENTER OW SCHEDULE £, PART 12) ‘3 CORPORATION INCOME PRON ACTIVE/PASSIVE ACTIVITIES tee Lyazae. (ENTER OW SCHEDULE E, PAR? 11) DEpucTiIoNs | INVESTMENT INTEREST EXPENSE fevteeeeetesceesssesceeesrs 29/741 | (ENTER THE ABOVE ON SCHEDULE a, IF APPLICABLE) | 6. (CHARITABLE DSDUCTION Sehninion (ENTER THE ABOVE OW ScibDULE' by” Te APPLICHB! | OTHER DEDUCTIONS SUBJECT 7024 AGL sesesee cee 336,372. | (ENTER THE ABOVE ON SCHEDULE A, TP APPLICABLE) | MISCELLANEOUS INFORMATION ‘TAX-EXEMPT INTEREST... settee 358. (ENTER OW FORK 1040, it (Wo ALLOCATION AGAMIIST FEES OR ComISSTONS WAS BEEN MADE WITH YOUR TAX-EXEMPT INCOME) | TAX PREFERENCE ITEMS age aro ned above ca yer 2020) twat The ray sto parma city ready yu. The ere in be cued yh che irate, ood pan rem ty a te {hrvew ut anys edt th cout Yuh rss nor as spb an aloe TARY -D_ ROMiEY [RNR TANF ORIATION LETTER, CONTHMIATION ‘TAX PREFERENCE ACCELERATED DEPRECIATION ADJUSTED GRIN OR LOSS «+s sence e a TAX CREDigS FOREIGN TAX CREDIT INFORMATION: — (ENTER THE FOLLOWING O€ FORM 1116 OR SCH. A TF APPLICABLE feoutay _____FORETGN INCOME EXPENSES _TAKES __pATE gar sBRIOUS 4,266,473. 490, 641. 43,648, 12/31/2010 IRRIOUS 11/615 10,241. : 32/31/2010, OTHER MATION. FOREIGN INFORMATION LINE 168: $18,234,890 EINE 16c: $23,677, 401 LINE 16G: $439, 604 LENE Len: $7, 361,520 QUALIFIED FOREIGN DIvroenns: $2,246,472 SECTION 1250 GAIN/ (LOSS): $2,845 SECTION 1231 GAIN/(L03S): $(172, 420) MEDICAL EXPENSES: $14,176 DOMESTIC PRODUCTION ACTIVITIES INFORMATION: COGS ALLOCABLE 70 NOw-DeGR: $389 (COGS FROW ALE SOURCES: $3 LINE 158: $300 Liwe 15P: $75 aur PENS: epee amount aad toe on our 2010) tt. Tae ay rE parents cece ye Th arc ay be Sunde enc tie enc or aes pan eg, Fay Seen, nee ‘erento or ara batt ir cue san Fes cre pba sess a Se "ARN 0, ROMNEY LINE 17a: $1,014 LINE 178: § (2,012) time 170: $872 VANE 178: $822 LINE 17F! $306 apa hs td bon you FORWATION LETTER, CONTRA {scrote Tha aye tom pays sty recast yo, Th ees yb aad ene tan meaner aod pan tga Gaon ees owen trate ur and bate ct yuhave Fass mer sn spa sed al oo SiN D. ROMNEY ‘SCHEDULE E ‘Supplemental Income and Loss ‘sateen {orm 1040) Trot eal ett roan Scomporator, tts, Pots Rese) 2010 SETS] > en nrom on meneatem io” Sse et tem =n ee bon sas ro Tithe ean aes of ach at le, 2 Fee atl al ri pope ral. istonineayoucryor ty ‘Seome Aa ponte aus town ina 22 Dow bei ys |u| __ oa. 2 omnes As royay nes torn 2 and sat ent cae ame 23k aos ei [at ‘et vl rl estate and oly eon oOo Cantn nea tn 2 rhe ua re. asf Vad in 9 gape mot 6h You abe et Si ron Fm 11, te 7 Farm SOU, tn 1 Otten, mca he toh ton age 403, ‘eres Fem 00818