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A Estate's or trust's'employer identification number <br />20- 6791767 <br />B Estate's or trust's name <br />ESTATE OF WILLIAM C MITCHELL <br />C Fiduciary's name, address, city, state, and ZIP code <br />VARNER JAY JOHNS <br />PERSONAL REPRESENTATIVE <br />PO BOX 10747 <br />EUGENE OR 97440 <br />D []Check if Form 1041 -T was filed and enter the date it was filed <br />E X❑ Check if this is the final Form 1041 for the estate or trust <br />3 1 Net short-term capital gain <br />4a Net long -term capital gain <br />4b 28% rate gain 12 Alternative minimum tax adjustment <br />4c Unrecaptured section 1250 gain <br />5 Other portfolio and <br />nonbusiness income <br />6 Ordinary business income <br />7 Net rental real estate income <br />13 Credits anderedit recapture <br />8 Other rental income <br />9 Directly apportionedAeductions <br />14 Other in formation <br />10 Estate tax deduction, <br />F Beneficiary's identifying number <br />93- 6002160 <br />G Beneficiary's name, address, city, state, and ZIP code <br />CITY OF EUGENE <br />CITY OF EUGENE PARKS DEPARTMENT <br />1820 ROOSEVELT BLVD <br />EUGENE OR 97402 <br />H FRI Domestic beneficiary ❑ Foreign beneficiary <br />For Paperwork Reduction Act Notice, see the Instructions °fog Form 1041. <br />DAA <br />"See attache'd''statemeht for additional information. <br />Note. A statement must be attached showing the <br />beneficiary's share of income.and directly apportioned <br />deductions from each business, rental real estate, and <br />other rental activity. <br />• <br />BENEFICIARY 1 <br />Schedule-K -1 <br />2 008 <br />IjForm 1041:) <br />Npartment,of the Treasury <br />For calendar year 2008, <br />Internal Revenue Service <br />or tax year beginning <br />and ending <br />Beneficiary's Share of Income, Deductions, <br />Credits, etc. <br />® See back of form and instructions. <br />A Estate's or trust's'employer identification number <br />20- 6791767 <br />B Estate's or trust's name <br />ESTATE OF WILLIAM C MITCHELL <br />C Fiduciary's name, address, city, state, and ZIP code <br />VARNER JAY JOHNS <br />PERSONAL REPRESENTATIVE <br />PO BOX 10747 <br />EUGENE OR 97440 <br />D []Check if Form 1041 -T was filed and enter the date it was filed <br />E X❑ Check if this is the final Form 1041 for the estate or trust <br />3 1 Net short-term capital gain <br />4a Net long -term capital gain <br />4b 28% rate gain 12 Alternative minimum tax adjustment <br />4c Unrecaptured section 1250 gain <br />5 Other portfolio and <br />nonbusiness income <br />6 Ordinary business income <br />7 Net rental real estate income <br />13 Credits anderedit recapture <br />8 Other rental income <br />9 Directly apportionedAeductions <br />14 Other in formation <br />10 Estate tax deduction, <br />F Beneficiary's identifying number <br />93- 6002160 <br />G Beneficiary's name, address, city, state, and ZIP code <br />CITY OF EUGENE <br />CITY OF EUGENE PARKS DEPARTMENT <br />1820 ROOSEVELT BLVD <br />EUGENE OR 97402 <br />H FRI Domestic beneficiary ❑ Foreign beneficiary <br />For Paperwork Reduction Act Notice, see the Instructions °fog Form 1041. <br />DAA <br />"See attache'd''statemeht for additional information. <br />Note. A statement must be attached showing the <br />beneficiary's share of income.and directly apportioned <br />deductions from each business, rental real estate, and <br />other rental activity. <br />