Estate And Transfer Tax Return Form - 2005

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WARNING:
FOR DEATHS OCCURRING ON OR BEFORE MAY 16, 2005
To protect against the possibility of
others accessing your confidential
State of Washington
Washington State
Reset this form
information, do not complete these
Department of Revenue
forms on a public workstation.
Special Programs Division
Estate and Transfer Tax Return
PO Box 47488
Olympia, WA 98504-7488
PART 1 - Decedent and Executor (type or complete in ink)
Dept Use Only
1. Decedent's first name and middle initial
2. Decedent's last name
3. Social Security No.
EST
4. Legal residence (domicile) at time of death (county, state,
5. Year domicile
6. Date of birth
7. Date of death
and zip code, or foreign country)
established
REG / AR
8. Name, Address, and Phone Number of Person
9. Name, Address, and Phone Number of Preparer
Index Number
Required to File
(if applicable)
Telephone No.:
Telephone No.:
Posting Period
Email Address:
Email Address:
M
M
Y
Y
10. Name and location of court where Will was probated or estate administered
11. Case Number
12. Check if applicable:
Decedent died testate
Federal Extension form attached
GSTT
Installment payment or filing election
Amended Return
Nonresident return
Please provide a copy of the filed Federal Estate Tax Return, Form 706 or 706-NA and all
attachments/supporting documentation, as required under RCW 83.100.050.
Filing:
The Washington Estate and Transfer Tax Return is required to be filed at the time the Federal Estate Tax Return (IRS
Form 706 or 706-NA) is filed. An approved copy of the IRS Application for Extension of Time to File (IRS Form 4768)
extends the filing date for the Washington Estate Tax Return. Penalties for late filing will apply in accordance with
RCW 83.100.070. For deaths on 10/1/99 and after, no penalty is assessed on voluntary payments per RCW
83.100.070 (Chapter 105, Laws of 2000).
Payment:
Payment of the Washington Estate and Transfer Tax is due nine months from date of death. If payment is not
received, interest accrues at the rate established by RCW 83.100.070 on the unpaid tax. An extension of time for
payment does not grant relief from the accrual of interest.
Mail to:
Make check or money order payable to the Washington State Department of Revenue. Mail payment, the return, and a
copy of the filed Federal Estate Tax Return (IRS Form 706 or 706-NA) and all attachments to:
Department of Revenue
Estate Tax Section
PO Box 47488
Olympia, WA 98504-7488
Summary of Tax Due
1. Washington Estate and Transfer Tax (line 13, pg. one, IRS Form 706 or pg. two of
this form if applicable); or for dates of death 1/1/2005 - 5/16/2005 enter 0
0
2. Tax previously paid (explain in attached statement)
3. Tax due with return or amount to be refunded (subtract Line 2 from Line 1)
0
4. Interest
5. Total tax, and interest due (total of Lines 3 and 4)
0
Under penalty of law, I declare that I have examined this return and, to the best of my knowledge and belief, it is true,
correct, and complete.
Signature of Person Required to File
Date
Next Page
REV 85 0037e (a) (05/12/06)

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