Form M-706 - Massachusetts Estate Tax Return - 2016

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Massachusetts Department of Revenue
Form M-706
Massachusetts Estate Tax Return
Name of decedent
Date of death (mm/dd/yyyy)
Social Security number
3
3
3
Street address at time of death
City/Town
State
Zip
County of probate court
Case/docket number
Name of executor/personal representative
Designation
Phone
Street address
City/Town
State
Zip
Name of attorney(s), if any, representing estate
Street address
City/Town
State
Zip
Fill in if filed:
Form M-4768
Form M-4422
Fill in if:
Penalty waiver requested (attached)
Amended return (see “Amended Return” in instructions)
Amended return due to federal change
Note.
The Massachusetts estate tax is computed using the Internal Revenue Code (IRC) in effect on December 31, 2000. Changes to the IRC en-
acted after December 31, 2000 do not affect the computation of the Massachusetts estate tax. All references to the U.S. Form 706 are to the form with
a revision date of July 1999. This form and instructions are available at mass.gov/dor. All estates are required to submit a completed U.S. Form 706 with
a revision date of July 1999 in addition to the Massachusetts Form M-706. If the estate is required to file a current U.S. Form 706, attach a copy of that
return, with all attachments, in addition to the U.S. Form 706 with a revision date of July 1999 and the Massachusetts Form M-706. For Privacy Act
Notice, see instructions.
Declaration
The personal representative of the estate is personally liable for transfers of estate assets before all taxes are paid. The undersigned certifies
under the penalties of perjury that all items and statements contained herein are true and accurate in every particular.
Signature
Title
Date
File this return, with payment in full: Massachusetts Department of Revenue, PO Box 7023, Boston, MA 02204. Make check or money order payable
to: Commonwealth of Massachusetts.
Rev. 4/16

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