Form 706-Na 2009 - United States Estate (And Generationskipping Transfer) Tax Return
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1
2706-NA
United States Estate (and Generation-
Form
Skipping Transfer) Tax Return
OMB No. 1545-0531
Estate of nonresident not a citizen of the United States
(Rev. September 2009)
To be filed for decedents dying after December 31, 2008.
Department of the Treasury
See separate instructions.
Internal Revenue Service
Attach supplemental documents and translations. Show amounts in U.S. dollars.
Decedent, Executor, and Attorney
Part I
1a
Decedent’s first (given) name and middle initial
b
Decedent’s last (family) name
2
U.S. taxpayer ID number (if any)
5
Citizenship (nationality)
6
Date of death
3
Place of death
4
Domicile at time of death
7a
Date of birth
b
Place of birth
8
Business or occupation
9a
Name of executor
10a
Name of attorney for estate
In
United
b
Address
b
Address
States
11a
Name of executor
12a
Name of attorney for estate
Outside
United
b
Address
b
Address
States
Tax Computation
Part II
1
1
Taxable estate from Schedule B, line 9
2
Total taxable gifts of tangible or intangible property located in the U.S., transferred (directly or indirectly)
2
by the decedent after December 31, 1976, and not included in the gross estate (see section 2511)
3
3
Total. Add lines 1 and 2
4
4
Tentative tax on the amount on line 3 (see instructions)
5
5
Tentative tax on the amount on line 2 (see instructions)
6
6
Gross estate tax. Subtract line 5 from line 4
7
7
Unified credit. Enter smaller of line 6 amount or maximum allowed (see instructions)
8
8
Balance. Subtract line 7 from line 6
9
9
Other credits (see instructions)
10
10
Credit for tax on prior transfers. Attach Schedule Q, Form 706
11
11
Total. Add lines 9 and 10
12
12
Net estate tax. Subtract line 11 from line 8
13
13
Total generation-skipping transfer tax. Attach Schedule R, Form 706
14
14
Total transfer taxes. Add lines 12 and 13
15
15
Earlier payments. See instructions and attach explanation
16
Balance due. Subtract line 15 from line 14 (see instructions)
16
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct, and complete. I understand that a complete return requires listing all property constituting the part of the decedent’s gross estate (as defined by
the statute) situated in the United States. Declaration of preparer (other than executor) is based on all information of which preparer has any knowledge.
Sign
Signature of executor
Date
Here
Signature of executor
Date
Check
Date
Preparer’s SSN or PTIN
Paid
Preparer’s
if self-
signature
employed
Preparer’s
Firm’s name (or
EIN
Use Only
yours, if self-employed),
address, and ZIP code
Phone no. (
)
706-NA
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Form
(Rev. 9-2009)
Cat. No. 10145K
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