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        DELAWARE                                  TaxYear                                                         Page 1
        DE 400,
        SCHEDULE K-1                              2016

                               BENEFICIARY’S INFORMATION

                     Fiscal year beginning                                      andending

Name of Estate or Trust                                                                              PercentageofDistributiveShare %

Beneficiary’s ID Number                           EmployerIDNumber

Beneficiary’s Name
Beneficiary’s Address                                                                                             AmendedK-1
City                                        State                               ZIP  Code           -
                                                                                                                  FinalK-1
Fiduciary’s Name
Fiduciary’s Address                                                                                               Non-resident
City                                        State                               ZIP  Code           -

                      (a)Allocableshareitem                                               (b)Amount  (c)Entertheamountsincolumn(b)on

     1. Beneficiary’sFederalDistributableNetIncome....................
     2. Beneficiary’sshareofadditions..........................................                      Form200-01,Line31or200-02Line19

     3. Beneficiary’sshareofsubtractions.....................................                        Form200-01,Line36or200-2Line25

                                            NON-RESIDENT BENEFICIARY INFORMATION

     4. NetbusinessincomeallocabletoDelaware..........................                                            Form200-02,Line6

     5. Capitalgain(loss)allocabletoDelaware.............................                                         Form200-02,Line7a

     6. Othergain(loss)allocabletoDelaware...............................                                         Form200-02,Line7b

     7. NetpartnershipincomeallocabletoDelaware......................                                             Form200-02,Line10

     8. Netestateandtrustincomeallocableto Delaware...............                                                Form200-02,Line10

     9. NetrentandroyaltyincomeallocabletoDelaware...............                                                 Form200-02,Line10

     10.NetS-CorporationincomeallocabletoDelaware..................                                               Form200-02,Line10

     11.NetfarmincomeallocabletoDelaware................................                                          Form200-02,Line11

        (Revised  1 /020 6/1 )                                                            *DF20716019999*
                                                                                                     DF20716019999






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