Authorization Number : 11100645
Agency Series No. : IT-4970
Status : Active
Agency Web Link :
Agency : TAX
Confidential Description :
Division : TAX3202
Vital Description :
Section : TAX3202
Record Title : Trust Information Return
Revision : 1
Record Description : This form is attached to the IT1040 and indicates the amount of Accumulated
Distribution Income to be included in Ohio Adjusted Gross Income. That amount is
placed on line 20 of the IT1040. This form is filed as required and is a one
part form.