Form 706me-Ez - Estate Tax Information Return For Lien Discharge - 2010

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MAINE REVENUE SERVICES
FORM 706ME-EZ
ESTATE TAX INFORMATION RETURN
00
2010
FOR LIEN DISCHARGE
*1011000*
FOR ESTATES OF DECEDENTS DYING DURING CALENDAR YEAR 2010
WITH GROSS ESTATES PLUS PRIOR TAXABLE GIFTS OF NOT MORE THAN $1,000,000.
FOR MORE INFORMATION, GO TO
STEP 1
If federal Form 706 is required to be fi led for the estate, DO NOT COMPLETE THIS FORM. Use Form 706ME.
Estate of:
First Name
M.I.
Last Name
-
-
-
-
-
Date of Death:
Social Security Number (SSN)
MM
DD
YY
Estate EIN
Domicile at Date of Death:
Street Address
City/Town
State
ZIP Code
County
Personal Representative or Person in Possession of Decedent’s Property:
First Name
M.I.
Last Name
-
-
-
-
-
-
Personal Representative’s SSN
Telephone Number
Fax Number
Personal Representative’s Mailing Address
_______________________________
City/Town
State
ZIP Code
E-mail Address
Authorization is granted to the representative listed below to receive copies of confi dential tax information related to this return under 36
STEP 2
MRSA § 191 and to act as the estate’s representative before Maine Revenue Services.
Firm Name
Contact Person: First Name
M.I.
Last Name
Contact Person Mailing Address
-
-
City/Town
State
ZIP Code
Telephone Number
___________________________________________________
-
-
E-mail Address
Fax Number
STEP 3
Decedent’s Maine Residency Status (check one) ......................
Resident ................................
Nonresident
STEP 4
1. Did the decedent make any gifts in excess of the applicable annual exclusion from gift tax
after December 31, 1976? .................................................................................................................................1.
Yes
No
1a. If Yes, enter amount: $______________________ 1b. Was a federal gift tax return fi led?.........................1b.
Yes
No
2. Marital Status of Decedent...............
Married with surviving spouse
Widow/Widower
Single/Divorced
-
-
2a. If surviving spouse/widow/widower, enter spouse’s name: __________________________________ and SSN
,
,
.00
3. Enter the amount from Worksheet, coloumn B, line 12 (see instructions) .............................................3.
THE PERSONAL REPRESENTATIVE IS PERSONALLY LIABLE FOR ANY TAX DUE IF IT IS LATER DETERMINED THAT MAINE ESTATE TAX LIABILITY EXISTS.
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements and to the best of my knowledge
and belief they are true, correct and complete. Declaration of preparer is based on all information of which preparer has any knowledge.
______________________________________________________________________
____________
Signature of Personal Representative -
REQUIRED
Date
______________________________________________
____________
Signature of Preparer other than Personal Representative
Preparer’s SSN or PTIN
Date
____________________________ ___________________________________ ___________________
(
)
Firm’s Name (or preparer’s if self-employed)
Preparer’s Address
Preparer’s Telephone Number

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