Form M706 - Estate Tax Return - 2015 (Page 2 of 3) in pdf

M706 2015, page 2

number

Decedent’s first name, middle initial

Decedent’s last name

Decedent’s Social Security

AMOUNT DUE. Add lines 15, 16 and 17. If less than zero, enter zero . . . . . . . . . . . . . . . . . . . . . . . . . . 18

check

, or

electronic

(attach payment voucher)

Check payment method:

REFUND. If your total payments are more than the sum of Minnesota estate tax, penalty

and interest, subtract the amounts on lines 13, 16 and 17 from line 14 . . . . . . . . . . . . . . . . . . . . . . 19

To have your refund direct deposited, enter the following. Otherwise, you will receive a check.

Account type:

Routing number

Account number

(must be an account not associated with any foreign bank)

Checking

Savings

I declare that this return is correct and complete to the best of my knowledge and belief.

Signature of executor

Date

Executor’s phone

I have appointed a power of attorney

below.

Signature of executor

Date

Signature of executor

Date

Signature of preparer, other than executor

PTIN

Date

Daytime phone

You must attach a copy of the federal Form 706, required schedules, death certificate and all supporting documentation.

Mail to: Minnesota Estate Tax, Mail Station 1315, St. Paul, MN 55146-1315

Power of Attorney

You may authorize another person to act on your behalf or perform any act you can perform with respect to the Minnesota taxes of the decedent’s estate when

dealing with the department. To designate power of attorney, provide the information below and check the box after your signature on the front of this form.

To appoint multiple POAs, attach a separate piece of paper with the information below. The additional appointees must have the same authority as the primary

appointee. Only the primary appointee can receive all correspondence.

Note: The department does not send tax refunds to the designated appointee unless you make an election in writing. It is your responsibility to keep your appoin-

tee informed of your tax matters. If you want the department to send any and all notices, including tax refunds, directly to your appointee rather than you, attach

Form REV184, Power of Attorney, to this form.

I, the executor (personal representative) of the decedent’s estate, appoint the person named below as Attorney-in-Fact to represent the estate before the Minne-

sota Department of Revenue. The appointee is authorized to provide and receive private and nonpublic information regarding the Minnesota taxes of the estate,

and to perform any and all acts that I can perform with regard to the state taxes of the estate, unless noted below.

Name of person (appointee) given power of attorney

Daytime phone

Fax number

Address (street, apartment, route)

Expiration date (If a date is not provided, this power

of attorney is valid until revoked in writing):

City

State

Zip code

Check this box to revoke all powers of attorney previously filed by

you in connection with the Minnesota taxes of the decedent’s estate: