Form 8939 - Allocation Of Increase In Basis For Property Acquired From A Decedent (2010) - Department Of The Treasur Page 2

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8939

Allocation of Increase in Basis for Property

OMB No. 1545-XXXX

Form

Acquired From a Decedent

2010

File separately. Do NOT file with Form 1040. See below for filing address.

Department of the Treasury

To be filed for decedents dying after December 31, 2009, and before January 1, 2011.

Internal Revenue Service

Decedent’s first (given) name and middle initial (and maiden name, if any)

Decedent’s last (family) name

Decedent’s Social Security No.

County, state, and ZIP code, or foreign country, of legal

Date of death

Check if decedent was a nonresident

residence (domicile) at time of death

and was not a citizen of the U.S. See

instructions. If checked, enter nationality

(citizenship)

Executor’s address (number and street including apartment or suite number; city,

town, or post office; state; and ZIP code) and phone number

Name of executor (see instructions)

Executor’s social security number (see instructions)

Phone no. (

)

Marital status of the decedent at time of death:

Married

Widow or widower—Name, SSN, and date of death of deceased spouse

Single

Legally separated

Divorced—Date divorce decree became final

Surviving spouse’s name

Social security number

8c Value of property acquired (see instructions)

Individuals (other than the surviving spouse), trusts, estates, or other entities who acquired property from the estate (see instructions).

Name of individual, trust, estate, or other entity

Taxpayer identification number

Value of property acquired

(see instructions)

Built-in loss (see instructions). For non-resident alien decedents, enter zero

Capital loss carryforward (see instructions). For non-resident alien decedents, enter zero

Net operating loss carryforward (see instructions). For non-resident alien decedents, enter zero

Aggregate Basis Increase limit. For non-resident alien decedents, enter $60,000. All others, enter

$1,300,000

General Basis Increase limit. Add lines 10 through 13

Enter the total of the amounts from each Schedule B, line 9

Subtract line 15 from line 14

Spousal Property Basis Increase limit (see instructions)

Add lines 16 and 17

Enter the total of the amounts from each Schedule A, line 5

Subtract line 19 from line 18

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my

knowledge and belief, it is true, correct, and complete. Declaration of preparer other than the executor is based on all information of which preparer

has any knowledge.

Sign

Signature of executor

Date

Here

Signature of executor

Date

Print/Type preparer’s name

Preparer’s signature

Date

PTIN

Check