Form Nh 706 - New Hampshire Estate Tax Return
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1FORM
THE STATE OF NEW HAMPSHIRE
NH 706
DEPARTMENT OF REVENUE ADMINISTRATION
161
NEW HAMPSHIRE ESTATE TAX RETURN
Estate of:
LAST NAME
FIRST NAME
MIDDLE INITIAL
Decedent's Social Security No.
Date of Death
STEP 1
Domicle at date of death:
STREET
CITY/TOWN
STATE
COUNTY
Probate No.
Name of Executor/Administrator:
LAST NAME
FIRST NAME
MIDDLE INITIAL
Executor's/Administrator's Social Security or FEI No.
Executor/Administrator Address:
STREET
CITY/TOWN
STATE
ZIP CODE
Authorization is granted to the representative listed below to receive confidential tax information under RSA 21-J:14 and to
STEP 2
act as the estate's representative before the NH Department of Revenue Administration.
Name of Representative:
Address: Street, City/Town, State and Zip Code
(Area Code) Telephone No.
Signature of Executor/Administrator (This line must be signed to qualify as a power of attorney):
STEP 3
Has an extension to file the Federal Estate Tax Return been granted? Yes ____ No ____ If yes, attach a copy of
the approved Federal Extension request.
Is this an
Initial Return or
Amended Return?
COMPUTATION OF THE LIABILITY
STEP 4
1
Gross credit for state death taxes allowed on Federal Estate Tax Return...
1
Gross value of property located in New Hampshire........................................
2
2
Value of total gross estate for Federal Estate Tax purposes..........................
3
3
.
4
Percent of property located in New Hampshire (
).........
4
Line 2 divided by Line 3, expressed as a decimal to three places
New Hampshire Estate Tax (
).............................................................................
5
5
Line 4 multiplied by line 1
6
Estimated tax.........................................................
Credits:
(a)
6(a)
(b)
Credits allowed under RSA 86.....................................
6(b)
(c)
6(c)
Paid with original return (amended returns only).....
Other credits or payments (
).....................
(d)
Attach explanation
6(d)
6
6
TOTAL CREDITS..........................................................................................................................
7
Balance of tax due (
)....................................................................................................
7
Line 5 less line 6
8
Additions to tax:
(a)
Interest..................................................................
8(a)
(b)
Failure to pay.........................................................
8(b)
(c)
Failure to file..........................................................
8(c)
9
TOTAL ADDITIONS TO TAX........................................................................................................
9
Balance Due (
)...........................................................................................................
10
10
Line 7 plus line 9
11
Refund Due (
).........................................................................................
11
Line 6 less line 5, adjusted by line 9
STEP 5
THIS RETURN MUST BE ACCOMPANIED BY A COMPLETE COPY OF THE FEDERAL ESTATE TAX RETURN FORM 706
Under penalties of perjury, I declare that I have examined this return and to the best of my belief it is true, correct and complete. If
prepared by a person other than the taxpayer, this declaration is based on all information of which the preparer has knowledge.
Signature of Executor/Administrator
Date
Signature of preparer if other than Executor/Administrator
Date
Preparer's Identification Number
FOR OFFICE USE ONLY
Preparer's Address
City/Town, State and Zip Code
NH DEPT REVENUE ADMINISTRATION
DOCUMENT PROCESSING DIVISION
MAIL
PO BOX 637
TO:
CONCORD NH
03302-0637
Rev 2/99
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