Form Ct-706 Nt - Connecticut Estate Tax Return (For Nontaxable Estates)

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Form CT-706 NT
State of Connecticut
File Only With
Probate Court
Connecticut Estate Tax Return (for Nontaxable Estates)
(Rev. 06/17)
For estates of decedents dying during calendar year 2017 (Read instructions before completing this form.)
Decedent’s last name
First name and middle initial
Social Security Number (SSN)
• •
• •
__ __ __
• •
__ __
• •
__ __ __ __
Address
Number and street
PO box
Federal Employer ID Number (FEIN) if applicable
City, town, or post offi ce
State
ZIP code
Date of death
Legal residence (domicile) (county and state)
Connecticut Probate Court
Check if amended return.
Residency:
Connecticut resident
Nonresident - Attach Form C-3 UGE, State of Connecticut Domicile Declaration.
Section 1
General Questions Check the appropriate box for each question below.
1. At the time of death, did the decedent own or have an interest in
6. Did the decedent have an interest in life insurance on the life of another?
any of the following sole ownership property? If Yes, report the
If Yes, report the cash surrender value in Section 3, Part 1.
property in Section 3, Part 1.
Yes
No
a. Real estate
Yes
No
7. Did the decedent have an interest in life insurance on his or her
b. Securities
Yes
No
life? If Yes, report the entire proceeds in Section 3, Part 3.
 
Yes
No
c. Bank accounts
Yes
No
d. Other personal property
Yes
No
8. During his or her life, did the decedent make any transfers of
real property to another retaining a life use for himself or herself
2. At the time of death, did the decedent own or have an interest in
or continued to have any use in the property? If Yes, complete
any of the following property owned jointly with right of survivorship?
Section 3, Part 2.
Yes
No
If Yes, report the property in Section 3, Part 2.
9. Did the decedent make any taxable gifts (within the meaning of IRC
a. Real estate
Yes
No
§2503) on or after January 1, 2005, but before January 1, 2017?
b. Securities
Yes
No
If Yes, complete Schedule B (NT).
Yes
No
c. Bank accounts
Yes
No
10. Did the decedent make any taxable gifts (within the meaning
d. Other personal property
Yes
No
of IRC §2503) during calendar year 2017? If Yes, complete
3. Are any amounts due to a benefi ciary or this decedent’s estate
Schedule A (NT) and attach.
Yes
No
from a pension, stock-bonus or profi t-sharing plan, or an annuity?
11. Was a disclaimer fi led in this estate? If Yes, submit a copy of each
If Yes, report that amount in Section 3, Part 2.
Yes
No
disclaimer.
Yes
No
4. Did the decedent create any trusts, including trustee bank accounts,
12. Is the estate required to fi le a federal Form 706, United States
during his or her life? If Yes, attach a copy of the trust(s) and report
Estate (and Generation-Skipping Transfer) Tax Return? See
the value of the trust(s) in Section 3, Part 2.
Yes
No
instructions.
Yes
No
5. Does the estate elect special-use valuation? See instructions.
13. Was the decedent a benefi ciary of a trust for which a QTIP election
Yes
No
was made? See instructions.
Yes
No
Section 2
Connecticut Taxable Estate Computation
1. Total gross estate for Connecticut estate tax purposes: Enter total from Section 4, Line 4. ........................ 1.
00
2. Allowable estate tax deductions for federal estate tax purposes other than deduction
allowable for state death taxes under IRC §2058: See Instructions. ........................................................ 2.
00
3. Subtract Line 2 from Line 1. ...................................................................................................................... 3.
00
4. Current year Connecticut taxable gifts from Schedule A (NT), Line 9: Attach copy of federal Form 709. .... 4.
00
5. Prior year Connecticut taxable gifts made on or after January 1, 2005, but before January 1, 2017:
Attach a copy of federal Form 709 for each year listed in Schedule B (NT). ............................................ 5.
00
6. Connecticut taxable estate: Add Lines 3, 4, and 5. See Instructions. ....................................................... 6.
00
Declaration: I declare under penalty of law that I have examined this return (including any accompanying schedules and statements) and, to the best of my knowledge
and belief, it is true, complete, and correct. I understand that the representations contained herein are made under the penalties of false statement as provided
in Conn. Gen. Stat. §§53a-157b. The declaration of a paid preparer other than the taxpayer is based on all information of which the preparer has any knowledge.
Fiduciary’s name
Attorney or authorized representative’s name
Signature of fi duciary
Date
Signature of attorney or authorized representative
Date
Address
Firm name and address
City
State
ZIP code
City
State
ZIP code
Telephone number
Telephone number
Confi dential — Not Subject to Disclosure or Inspection
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