Form 706 - United States Estate (And Generation-Skipping Transfer) Tax Return Page 9
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31Form 706 (Rev. 8-2017)
Part 3. Agreement to Special Valuation Under Section 2032A (continued)
Decedent’s social security number
Estate of:
• Other acts (specify)
▶
By signing this agreement, the agent agrees to provide the Internal Revenue Service with any requested information concerning this property
and to notify the Internal Revenue Service of any disposition or cessation of the qualified use of any part of this property.
Name of Agent
Signature
Address
The property to which this agreement relates is listed in Form 706, United States Estate (and Generation-Skipping Transfer) Tax Return, and in
the Notice of Election, along with its fair market value according to section 2031 of the Code and its special-use value according to section
2032A. The name, address, social security number, and interest (including the value) of each of the undersigned in this property are as set
forth in the attached Notice of Election.
IN WITNESS WHEREOF, the undersigned have hereunto set their hands at
,
this
day of
.
SIGNATURES OF EACH OF THE QUALIFIED HEIRS:
Signature of qualified heir
Signature of qualified heir
Signature of qualified heir
Signature of qualified heir
Signature of qualified heir
Signature of qualified heir
Signature of qualified heir
Signature of qualified heir
Signature of qualified heir
Signature of qualified heir
Signature of qualified heir
Signature of qualified heir
Signatures of other interested parties
Signatures of other interested parties
Schedule A-1—Page 9
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