Form La 709 - Gift Tax Return Of Donor Page 2

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Schedule B – Total Gifts During Calendar Year
Date of
Donee’s name and address,
Item
Indicate community or
Value
gift
number
description of gift
separate proper ty
of gift
Total gifts for calendar year
(Enter on Line 1, Schedule A.)
Schedule C – Prior Year Gifts
1. Have you been the donor of any gifts in prior years?
Yes
No
If so, provide the following information:
A. Total amount of taxable gifts in prior years. (See instructions.)
(Enter this amount on Line 5 of Schedule A.)
B. Total specific lifetime exemption claimed in prior years
Schedule D – Consent for Gift Splitting of Separate Property
1. Name of consenting spouse
2. Social Security Number of consenting spouse
3. Were you married during the entire calendar year?
Yes
No
4. If no, please check one of the following:
A.
Married
Date
B.
Divorced
Date
C.
Widowed
Date
Declaration by Signature
(
)
Signature of donor/executor
Telephone
Date
Signature of consenting spouse
Date
(
)
Signature of preparer, if different from donor
Telephone
Date

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