Schedule Ct-706 Draft Template - Farmland

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Department of Revenue Services
For DRS
PO Box 2978
Schedule CT-706 Farmland
Use Only
Hartford CT 06104-2978
M M - D D - Y Y Y Y
(New 05/17)
Complete this schedule in blue or black ink only.
Purpose: Use Schedule CT-706 Farmland to report the fair market value of farmland based on its highest and best use as of
the date of death. If you are claiming special-use valuation for farmland, this schedule must be attached to Form CT-706/709,
Connecticut Estate and Gift Tax Return. You must also furnish a copy of this schedule and instructions to each qualifi ed heir.
Decedent’s fi rst name and middle initial
Last name
Social Security Number (SSN)
__ __ __
__ __
__ __ __ __
Address (number and street)
PO box
Date of death
– 20
City, town, or post offi ce
State
ZIP code
Section 1 - Schedule of Farmland
A
B
C
D
Description of Property
Fair Market Value
Value as Farmland
Additional Estate Tax
of Farmland at Date
at Date of Death
Due if Qualifi ed Use of
Include Schedule and item number from Form 706.
of Death
Farmland Ceases
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 the penalty for willfully delivering a false return or document to the Department of
Revenue Services is a fi ne of not more than $5,000, imprisonment for not more than fi ve years, or both.
Signature of Executor or Administrator
Date

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