Form D-76 Ez - Dc Estate Tax Return - 2009

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DC ESTATE TAX RETURN
Government of the
District of Columbia
FORM D-76 EZ
FOR ESTATES OF INDIVIDUALS WHO DIED ON JANUARY 1, 2003 OR LATER
You may only use this form if:
(1) The Estate will pass to the surviving spouse;
(2
The Estate is donated to a charitable, public or tax-exempt organization under Section 501(c) of the
IRC; or
(3) Some combination of (1) and (2) resulting in “0” Taxable Estate
If you use this form, attach the following:
(1) Pages 1, 2 and 3 of the current IRS Form 706; and
(2)
Schedule M of the current IRS Form 706 where part or all of the estate will pass to the surviving spouse;
(3) Schedule O of the current IRS Form 706 where part or all of the estate is donated to a charitable, public or
tax-exempt organization under Section 501(c) of the IRC.
Date of death
ESTATE OF: (Last Name, First Name, Middle Initial)
SSN of personal representative
Location of Probate Court
Name of personal representative
SSN of decedent
Was the estate probated?
Telephone number of personal representative
OFFICIAL USE
o
o
YES
NO
Address of personal representative
CASE NUMBER
o
o
Attach a copy of the last will and testament
Did decedent die testate? YES
NO
Attach a copy of the death certificate
Please Check ONE Box:
o
o
o
Resident Return
Nonresident Return
Alien Return
ESTATE
Total Gross Estate (Approximate) $
I swear under penalty of perjury, that I (we) have examined all assets and documents of this estate including accompanying schedules and statements, and to
the best of my (our) knowledge, information and belief, all statements made herein are true, correct, and complete.
ATTORNEY’S NAME ______________________________________________
__________________________________________________
SIGNATURE OF PERSONAL REPRESENTATIVE
ATTORNEY’S ADDRESS
_________________________________________________________________
_________________________________________________________________
ATTORNEY’S TELEPHONE NO. ______________________________________
DATE______________________________________________
Revised 06/09

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