Form D-76 - Dc Estate Tax Return printable pdf download

DC ESTATE TAX RETURN

Government of the

FORM D-76

District of Columbia

FOR ESTATES OF INDIVIDUALS WHO DIED ON JANUARY 1, 2013 OR AFTER

Estate of (Last Name, First Name, Middle Initial)

Date of death

SSN of personal representative

Location of Probate Court

Name of personal representative

SSN of decedent

Address of personal representative

Case number

OFFICIAL USE

Was the estate probated?

Telephone number of personal representative

YES

Did decedent die testate?

Attach a copy of the last will and testament. Attach a copy of the Letters of Administration.

YES

Attach a copy of the death certiﬁ cate

Please Check One Box:

Resident Return

Nonresident Return

Alien Return

ESTATE

1. Total Gross Estate

2. Total Allowable Deductions (From federal schedules)

3. Tentative Taxable Estate (Line 1 minus Line 2) (see estate tax computation worksheet) *

4. DC Estate Tax Due (From computation worksheet, either Line 9, or Line 13, as applicable)

5. Payment with Extension (Enter date paid (MMDDYYYY) (

)

6. Overpayment (if Line 5 is greater than line 4).

7. Balance Due (If line 4 is greater than line 5).

8. Penalty: 5% per month or fraction thereof (Maximum 25%)

9. Interest: (From ___________________ To ______________________ )

10. Total Tax, Penalty and Interest (Add Lines 7, 8 and 9)

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 number__________________________________________

Date_________________________________________

SEE COMPUTATION WORKSHEET

Revised 09/13

Re ised 09/13

Form D-76 - Dc Estate Tax Return

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