Form Ct 706/709 Ext - Application For Estate And Gift Tax Return Filing Extension And For Estate Tax Payment Extension - 2005

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CT-706/709 EXT

Department of Revenue Services

Form CT-706/709 EXT

State of Connecticut

Calendar Year

PO Box 2978

Application for Estate and Gift Tax Return Filing

Hartford CT 06104-2978

2005

Extension and for Estate Tax Payment Extension

(New 09/05)

Donor or Decedent’s First Name and Middle Initial

Last Name

Social Security Number

• •

__ __ __

__ __

__ __ __ __

Address

Number and Street

PO Box

FEIN (if applicable)

City, Town, or Post Office

State

ZIP Code

For Department Use Only

–

– 20

Mailing Address (Firm name if applicable)

Number and Street

PO Box

City, Town, or Post Office

State

ZIP Code

Attention, Care of, or Estate Represenative (if applicable)

Fiduciary’s Name and Address

If the donor died during calendar year 2005, skip Section 1 and complete Section 2. Otherwise, complete Section 1 for gift tax purposes only.

Section 1 – Gift Tax Extension Request

By completing Section 1 of this form and filing it with the Connecticut Department of Revenue Services (DRS), you are requesting

a six-month extension of time to report your 2005 Connecticut taxable gifts.

I have requested a federal extension using federal Form 8892, Payment of Gift/GST Tax and/or Application for Extension of Time

to File Form 709, for calendar year 2005.

Yes

If No, the reason for the Connecticut extension is: _______________________________________________________________

________________________________________________________________________________________

1. 2005 Connecticut gift tax liability

You must enter a whole dollar amount. If you do not expect to have a gift tax liability,

enter zero (“0”). .................................................................................................................

Section 2 – Estate Tax Extension Request

Decedent’s date of death:

___________________

Connecticut Probate court: ______________________________________

By completing Section 2 of this form and filing it with DRS, you are requesting a six-month extension of time to file and/or pay the

Connecticut estate tax.

Extension of Time to File - I request a six-month extension of time to file the decedent’s Form CT-706/709.

Extension of Time to Pay - I request a six-month extension of time to pay the decedent’s Connecticut estate tax.

I have requested a federal extension using federal Form 4768, Application for Extension of Time to File a Return and/or Pay U.S.

Estate (and Generation-Skipping Transfer) Taxes.

Yes

If No, the reason for the Connecticut extension is: _______________________________________________________________

________________________________________________________________________________________

2. 2005 Connecticut estate tax liability

You must enter a whole dollar amount. ..........................................................................

You will be notified only if your extension request is denied.

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 to DRS is a fine of not more than $5,000, or imprisonment

for not more than five years, or both. The declaration of a paid preparer other than the taxpayer is based on all information of which the preparer has any knowledge.

Donor or Fiduciary’s Signature

Title

Date

Telephone Number

Sign Here

(

)

Keep a

Paid Preparer’s/Authorized Estate Representative’s Signature

Date

Preparer’s PTIN or SSN Telephone Number

copy of