Form 706-Ce - Certification Of Payment Of Foreign Death Tax Page 2

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Form 706-CE (Rev. 10-2013)
Page
6
Has any refund of part or all of the death tax on line 2 been claimed or allowed?
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Yes
No
If “Yes,” check the statement below that applies:
Refund was allowed (show amount in foreign currency).
Claim was rejected in full.
Consideration is pending.
7
Explain below if (a) any credit against or reduction of the death tax shown on line 2 is pending or was allowed, (b) property was taxed at more
than one rate, or (c) more than one inheritance was taxed. If you need more space, attach additional sheets.
8
Yes
No
Will you claim a refund or credit (except as shown on line 6) for any of the amount shown on line 2?
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Under penalties of perjury, I declare that I have examined this statement, including any attached sheets, and to the best of my knowledge and
belief, it is true, correct, and complete.
(Signature of executor, administrator, etc.)
(Date)
(Signature of executor, administrator, etc.)
(Date)
Certification
(For use of authorized tax official of the foreign government imposing the death tax)
The information contained on lines 1 through 7 above, including any attached statements,
without exception (or)
except as indicated
is certified to be correct in my attached statement.
(Signature)
(Title)
(Government)
(Date)
Forward a certified copy to the Internal Revenue Service as shown on the next page.
706-CE
Form
(Rev. 10-2013)

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