Form Ct-706ext - Application For Extension Of Time To File And/or Pay Estate Tax - 2004

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State of Connecticut
Form CT-706EXT
For DRS Use Only
Department of Revenue Services
Connecticut Succession
Application for Extension of Time to
Inheritance Tax Section
Tax File Number
PO Box 2972, Hartford CT 06104-2972
File and/or Pay Estate Tax
For decedents dying on or after July 1, 2004,
Rev. 06/04
and before January 1, 2005
Decedent’s name (last, first, middle initial)
Decedent’s social security number
Date of death
Decedent’s residence at date of death (street address)
Probate court
City
State
ZIP Code
On the date of death, the decedent was a:
Resident of Connecticut
Nonresident of Connecticut
Application is made to the Commissioner of Revenue Services for the following:
Extension of Time to File
I request a nine-month extension of time (from the due date) to file the decedent’s Form CT-706.
Extension of Time to Pay
I request a nine-month extension of time (from the due date) to pay the decedent’s Connecticut estate tax.
Timely-filed extension requests are automatically approved. Applications postmarked more than six months from the date
of death will not be approved.
Payment to Accompany Extension Request
1. Estimated amount of Connecticut estate tax due.....................................................
1.
00
2. Prior payments made..................................................................................................
2.
00
3. Payment with this application......................................................................................
3.
00
4. If requesting an extension of time to pay, estimated remaining balance to be paid...
4.
00
Make checks payable to: Commissioner of Revenue Services
Declaration: I declare under penalty of law that I have examined this application (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
application 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.
Fiduciary’s name
Attorney or authorized representative’s name
Signature of fiduciary
Date
Signature of attorney or authorized representative
Date
Address
Firm name and address
City
State
ZIP Code
City
State
ZIP Code
Telephone number
Telephone number

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