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For the year ended 5 April 2016 (2015 16) TRUST AND ESTATE CAPITAL GAINS Name of trust or estate Tax reference If you want help, look up the box numbers in the notes on Trust and Estate Capital Gains. To get notes and helpsheets that will help you fill in this form, go to www.gov.uk/self-assessment-forms-and-helpsheets A Brief description of assets Enter full description of assets on page TC 5 and onwards AA B Type of Tick disposal box if Enter estimate Q, U, L or or O, see* on valuation Page TC 2 used C Enter the later of date of acquisition and 31 March 1982 D Enter the date of disposal E Disposal proceeds G Enter details of any elections made, reliefs claimed or due and state amounts () H Enter chargeable gains after reliefs, but before losses in lines 1 to 6. Enter losses arising in lines 7 to 8. Gains 1 / / / / 2 / / / / 3 / / / / 4 / / / / 5 / / / / 6 / / / / Total Total gains Copy to box 5.1 Losses 7 / / / / 8 / / / / Total Total losses Copy to box 5.2 SA905 2016 Page TC 1 HMRC 12/15

Your 2015 16 Capital Gains Tax liability Total gains in year before losses 5.1 Total losses of the year copy to box 5.12 Income losses set against gains 5.2 5.5 Losses brought forward and used in year Total taxable gains Claim to special Capital Gains Tax treatment where a vulnerable beneficiary election has effect amount of relief claimed 5.6 5.6A 5.6E Only trustees need consider boxes 5.8 and 5.9 If the trust was made after 6 June 1978 how many trusts that were made after 6 June 1978 by the settlor of this trust still existed during the year to 5 April 2016? Is this trust for a disabled person? If yes, tick box 5.9 5.8 5.9 Annual exempt amount (read the notes before filling in this section) 5.10 Taxable gains 5.11 Taxable gains qualifying for Entrepreneurs Relief (but excluding gains deferred from before 23 June 2010) (read the notes before filling in this section) 5.11A Tick box if estimate or valuation used on page TC 1 Tick box if you have given any details in column G on page TC 1 of any capital gains reliefs claimed or due Tick box if you are claiming or using any 'clogged losses' (read the notes before filling in this section) Yes Yes Yes Enter the number of transactions from column AA on page TC 1, as follows: transactions in listed shares or other securities (the definition is in the notes) transactions in other shares or securities, enter details on page TC 5 transactions in land and property, enter details on page TC 6 transactions in other assets, enter details on page TC 7 * For transactions in: listed shares or other securities (the definition is in the notes), enter Q other shares or securities, enter U land and property, enter L other assets (for example, goodwill or valuable antiques), enter O box Q box U box L box O SA905 2016 Page TC 2

Capital losses If your loss arose on a transaction with a connected person, you can only set that loss against gains you make on disposals to that same connected person (a clogged loss). Read the notes on connected persons and on clogged losses. This year s losses total from page TC 2 from box 5.2 from box 5.2 5.12 used against gains 2015 16 losses transferred to beneficiaries during the year and 2015 16 losses carried back (read the notes before filling in this section) carried forward losses of 2015 16 Summary of earlier years losses unused losses of 1996 97 and later years used this year (losses from box 5.16 are used in priority to losses from box 5.17A) remaining unused losses of 1996 97 and later years unused losses of 1995 96 and earlier years used this year (losses from box 5.16 are used in priority to losses from box 5.17A) Total of unused losses to carry forward Carried forward losses of 1996 97 and later years Carried forward losses of 1995 96 and earlier years 5.13 5.14 box 5.12 minus (boxes (5.13 + 5.14) 5.15 5.16 5.16A box 5.16 minus box 5.16A 5.17 5.17A box 5.6 minus box 5.16A 5.17B box 5.15 + box 5.17 5.18 box 5.17A minus box 5.17B 5.18A SA905 2016 Page TC 3

Other events in the year If you are a personal representative go straight to box 5.24. Please tick the boxes which apply and provide the information asked for. Has any person holding an interest in possession in settled property died during the year? If yes, tick the box and give details below 5.19 Name and address of life tenant or liferenter, etc. Date of death / / Has any person become absolutely entitled to any part of the property during the year? If yes, tick the box and give details below 5.20 Name and address of beneficiary Date beneficiary became absolutely entitled / / Amount of loss transferred Nature of asset Value of asset vesting to beneficiary 5.20A Have the trustees ceased being resident in the UK, or did they become dual resident? If yes, tick the box and give details below 5.21 Description of assets held Date of change Amount of chargeable gains / / Tick the box if you have submitted a Non-resident Capital Gains Tax return for the disposal of a UK residential property or properties during 2015-16 5.22 Are you claiming Entrepreneurs' Relief for this year? If yes, tick this box and give details below 5.23 Amounts on which Entrepreneurs' Relief is claimed (read the notes) Qualifying gains deferred before 23 June 2010 Do not enter this amount in box 5.11A. Instead enter the relief claimed on this amount in column G on page TC 1 on the line(s) relating to the disposal(s) read the notes 5.23A Other qualifying gains 5.23B If you have enclosed a capital gains computation with your return, tick this box Now fill in any other supplementary pages that apply to you. Otherwise, go back to page 4 of the Trust and Estate Tax Return and finish filling it in. 5.24 SA905 2016 Page TC 4

Other shares or securities (U) further information If you have more than two transactions of this type of asset to return, please photocopy this page before filling it in and send all completed pages with your tax return. (Read the notes before filling in this section.) 1st transaction Description of shares or securities including name of company, company registration number (if known), number, class and nominal value of shares. Also, if possible, give a history of the shares disposed of, for instance, if there has been a reorganisation or takeover (give details of the original company and shares held in that company). enter the date to which the valuation relates, the amount () and the reason for the estimate or valuation. Please also attach 2nd transaction Description of shares or securities including name of company, company registration number (if known), number, class and nominal value of shares. Also, if possible, give a history of the shares disposed of, for instance, if there has been a reorganisation or takeover (give details of the original company and shares held in that company). enter the date to which the valuation relates, the amount () and the reason for the estimate or valuation. Please also attach SA905 2016 Page TC 5

Land and property (L) further information If you have more than two transactions of this type of asset to return, please photocopy this page before filling it in and send all completed pages with your tax return. (Read the notes before filling in this section.) 1st transaction Full address of land/property affected (attach a copy of any plan if this helps identification). Description of land/property disposed of, including details of your ownership, for example freehold/leasehold and any tenancies affecting your ownership at the date of disposal and any other date for which a valuation has been made, and except in the case of an outright disposal of all of your interests, the interest which you have disposed of, or granted. enter the date to which the valuation relates, the amount () and the reason for the estimate or valuation. Please also attach 2nd transaction Full address of land/property affected (attach a copy of any plan if this helps identification). Description of land/property disposed of, including details of your ownership, for example freehold/leasehold and any tenancies affecting your ownership at the date of disposal and any other date for which a valuation has been made, and except in the case of an outright disposal of all of your interests, the interest which you have disposed of, or granted. enter the date to which the valuation relates, the amount () and the reason for the estimate or valuation. Please also attach SA905 2016 Page TC 6

Other assets (O) further information If you have more than two transactions involving any other type of asset to return, please photocopy this page before filling it in and send all completed pages with your tax return. (Read the notes before filling in this section.) 1st transaction Full description of the asset (other than shares or land/property) affected and any other information which helps identify the asset. enter the date to which the valuation relates, the amount () and the reason for the estimate or valuation. Please also attach 2nd transaction Full description of the asset (other than shares or land/property) affected and any other information which helps identify the asset. enter the date to which the valuation relates, the amount () and the reason for the estimate or valuation. Please also attach SA905 2016 Page TC 7

5.25 Additional information SA905 2016 Page TC 8