Form Rev 85 0037-1 - Washington Estate And Transfer Tax Return - 1999

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State of Washington
WASHINGTON ESTATE
Department of Revenue
Special Programs Division
AND TRANSFER TAX RETURN
PO Box 448
Olympia, WA 98507-0448
(FOR DEATHS OCCURRING ON OR AFTER 1/1/82)
Decedent’s Name (Last, First, Middle)
Date of Death
Residence (Domicile) at Death
Social Security Number
Name and Location of Court Where Will Was Probated or Estate Administered
Cause Number
Name, Address, and Phone Number of Person Required to File
GENERAL INSTRUCTIONS
Filing:
The Washington Estate and Transfer Tax Return is required to be filed at
the time the Federal Estate Tax Return (IRS Form 706 or 706-A) is filed.
An approved copy of the IRS Application for Extension of Time to File
(IRS Form 4768) extends the filing date for the Washington Estate Tax
Return. Penalties for late filing will apply in accordance with
Telephone No. (
)
83.100.070(2).
Name, Address, and Phone Number of Preparer (If Applicable)
Payment:
Payment of the Washington Estate and Transfer Tax is due nine months
from date of death. If payment is not received, interest accrues at the rate
established by RCW 83.100.070(1) on the unpaid tax. An extension of
time for payment does not grant relief from the accrual of interest.
Mail To:
Telephone No. (
)
Make check or money order payable to the Washington State Treasurer.
Type of Return
Mail payment, this return, and a copy of the Federal Estate Tax Return
Please Check Appropriate Box(es)
(IRS Form 706) to:
Washington Resident Return
Department of Revenue
Nonresident Return
Estate Tax Section
PO Box 448
Amended Return
Olympia WA 98507-0448
Federal Extension Granted
For estate tax assistance, call (360) 753-5547.
Please provide a copy of the Federal Estate Tax
Return, Form 706 or 706-A, as required under
PLEASE COMPLETE PAGE TWO
RCW 83.100.050.
Summary of Tax Due
1. Washington Estate and Transfer Tax (total of Block I or II and Block III, page two)
2. Tax previously paid (explain in attached statement)
3. Tax due with return or amount to be refunded (subtract Line 2 from Line 1)
4. Penalties
5. Interest
6. Total tax, penalties, and interest due (total of Lines 3, 4 and 5)
Under penalty of law, I declare that I have examined this return and, to the best of my knowledge and belief, it is true, correct,
and complete.
Signature of Person Required to File
Date
REV 85 0037-1 (11/12/99)

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