Form Ct-706/709 - Connecticut Estate And Gift Tax Return - 2012
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Form CT-706/709
CT-706/709
Department of Revenue Services
PO Box 2978
Calendar Year
Connecticut Estate and Gift Tax Return
Hartford CT 06104-2978
2012
(Rev. 06/12)
Complete in blue or black ink only.
Donor or decedent’s fi rst name and middle initial
Last name
Social Security Number (SSN)
• •
• •
__ __ __
__ __
__ __ __ __
• •
• •
Address
Number and street, apartment number, suite number
PO Box
Federal Employer ID Number (FEIN), if applicable
City, town, or post offi ce
State
ZIP code
DRS use only
–
– 20
Mailing address (fi rm name if applicable)
Number and street, suite number
PO box
City, town, or post offi ce
State
ZIP code
Attention, care of, or estate representative (if applicable)
Fiduciary’s name and address
Connecticut resident
Residency
Nonresident - nonresident decedent estate only, attach Form
C-3 UGE,
State of Connecticut Domicile Declaration.
Check if using this form as an amended return
Amended Return
Attach an explanation.
.
Section 1 – Gift Tax Computation - to report taxable gifts made during calendar year 2012
If the donor died during calendar year 2012, skip Section 1 and complete Section 2.
1. Current year Connecticut taxable gifts from Schedule A, Line 9 ..........................................
1.
00
2. Enter total from Schedule B, Column B. ...............................................................................
2.
00
3. Add Line 1 and Line 2. ..........................................................................................................
3.
00
4. Gift tax due: See instructions. Enter here and on Section 3, Line 13. ..................................
4.
00
Section 2 – Estate Tax Computation: Attach copies of federal Forms 706 and 709 and all supplemental documents.
________________________________
_____________________________ Connecticut Probate Court:
Decedent’s date of death:
5. Total gross estate for federal estate tax purposes from federal Form 706, Part 2, Line 1 ....
5.
00
6. Estate tax deductions from Schedule C, Line 4 ....................................................................
6.
00
7. Subtract Line 6 from Line 5. .................................................................................................
7.
00
8. Current year Connecticut taxable gifts from Schedule A, Line 9: See instructions. .............
8.
00
9. Enter total from Schedule B, Column B. ...............................................................................
9.
00
10. Connecticut taxable estate: Add Lines 7, 8, and 9. If $2,000,000 or less, see instructions.
10.
00
11. Tax due: See instructions. ....................................................................................................
11.
00
12. Nonresident decedent estate only: Tax due from Schedule E, Line 5 .................................
12.
00
Section 3 – Calculation of Total Tax, Penalty, and Interest
13. Enter tax due: See instructions. ............................................................................................
13.
00
14. Enter total from Schedule B, Column C. ...............................................................................
14.
00
15. Resident decedent estate only: Enter amount from Schedule D, Line 14. ...........................
15.
00
16. Total credits: Add Line 14 and Line 15. ................................................................................
16.
00
17. Balance of tax payable: Subtract Line 16 from Line 13. If less than zero, enter “0.” ............
17.
00
18. Prior payments and payments made with extension request (Form CT-706/709 EXT) .......
18.
00
19. Refund: If Line 18 is greater than Line 17, enter amount overpaid. .....................................
19.
00
20. Tax due: If Line 17 is greater than Line 18, enter balance due. ..........................................
20.
00
21. If paid late, enter penalty. See instructions. ..........................................................................
21.
00
22. If paid late, enter interest. See instructions. ..........................................................................
22.
00
23. Total amount due: Add Lines 20, 21, and 22. .....................................................................
23.
00
D
eclaration:
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 or document to the Department of
Revenue Services (DRS) is a fi ne of not more than $5,000, imprisonment for not more than fi ve 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.
Signature of donor or fi duciary
Title
Date
Telephone number
Sign Here
(
)
Keep a
Signature of paid preparer or authorized estate representative
Date
Preparer’s PTIN or SSN Telephone number
(
)
copy
for your
Firm name and address
FEIN
records.
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