Application For Discharge Of Personal Liability For Personal Representative Of A Maine Estate - Maine Revenue Services

ADVERTISEMENT

APPLICATION FOR DISCHARGE OF PERSONAL LIABILITY FOR
PERSONAL REPRESENTATIVE OF A MAINE ESTATE
Decedent information:
Name:
First ____________________ MI _____ Last_________________________
Social security number: ______ - _____ - _______
Date of death:
_____ / _____ / _____
Address:
Street _________________________________________________
City _________________________ State _______ ZIP code ______________
Maine resident: ____
Nonresident: ____
Personal representative information:
Name:
First ____________________ MI _____ Last_________________________
Social security number: ______ - _____ - _______
Telephone:( ____) _____ - ________
Address:
Street _________________________________________________
City _________________________ State _______ ZIP code ______________
E-mail ____________________________________
Date Form 706ME - Maine Estate Tax Return was fi led: ____ / ____ / ____
Federal return fi led? Yes _____
No _____
If not, please state why no federal return has been fi led:
1. Gross estate federal fi ling threshold not met _____
2. Other _________________________________________________________
Required supporting documentation attached to this application? Yes___ No___
I certify all Maine estate tax in respect of the above-named decedent has been paid in full, together with any applicable inter-
est and penalty accrued to the date of my signature below, and further, I request a discharge from personal liability for any
defi ciency in Maine estate tax subsequently found to be due. Under penalties of perjury, I declare that I have examined this
application, and to the best of my knowledge and belief the information contained herein is true, correct and complete.
Signature: ____________________________________
Date: ____ / ____ / _____
I, the State Tax Assessor, hereby certify:
1. That the Maine estate tax liability, including any applicable interest and penalty, in respect of the above-named decedent
determined to be due has been paid; and
2. That the personal representative listed above in the capacity as personal representative, but not the estate or others in
possession of estate assets, is hereby discharged from personal liability for any defi ciency in Maine estate tax, with any
interest and penalty thereon, subsequently found to be due in respect of the above named decedent.
Signature: ____________________________________
Date: ____ / ____ / _____
Return to:
Mail this application to:
_____________________________
Maine Revenue Services
_____________________________
Income/Estate Tax Division
_____________________________
P.O. Box 1064
_____________________________
Augusta, Maine 04332-1064
Rev. 10/15

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go
Page of 2