Form 706-Gs(T) - Generation Skipping Transfer Tax Return For Terminations

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706-GS(T)

Generation-Skipping Transfer Tax Return For Terminations

Form

Use for terminations made after December 31, 2012.

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OMB No. 1545-1145

(Rev. November 2013)

For calendar year

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Department of the Treasury

Information about Form 706-GS(T) and its separate instructions is at

Internal Revenue Service

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General Information

Part I

1a Name of trust

1b Trust’s employer identification number (see instructions)

2a Name of trustee

2b Trustee’s address (number and street or P.O. box; apt. or suite no.; city, town or post office; state and ZIP code) If you have a foreign address, also complete the spaces

below (see instructions).

Foreign country name

Foreign province/county

Foreign postal code

Trust Information (see the instructions)

Part II

Sch. A

Yes No

number(s)

Has any exemption been allocated to this trust by reason of the deemed allocation rules of

section 2632? If “Yes,” describe the allocation on the line 7, Schedule A, attachment showing

how the inclusion ratio was calculated

Has property been contributed to this trust since the last Form 706-GS(T) or 706-GS(D-1) was

filed? If “Yes,” attach a schedule showing how the inclusion ratio was calculated .

Have any terminations occurred that are not reported on this return because of the exceptions

in section 2611(b)(1) or (2) relating to medical and educational exclusions and prior payment of

Generation-Skipping Transfer (GST) tax? If “Yes,” attach a statement describing the termination .

Have any contributions been made to this trust that were not included in calculating the trust’s

inclusion ratio? If “Yes,” attach a statement explaining why the contribution was not included .

Has the special QTIP election in section 2652(a)(3) been made for this trust?

If this is not an explicit trust (see the instructions under Who Must File), check here and attach a statement describing the

trust arrangement that makes its effect substantially similar to an explicit trust

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Tax Computation

Part III

9a Summary of attached Schedules A (see instructions for line 9b)

GST tax

Schedule A No.

(from Sch. A, line 10)

9a1

9a2

9a3

9a4

9a5

9a6

9b Total from all additional Schedules A, in excess of six, attached to this form .

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Total GST tax (add lines 9a1 through 9b)

Payment, if any, made with Form 7004 .

Tax due. If line 10 is larger than line 11, enter the amount owed .

Overpayment. If line 11 is larger than line 10, enter amount to be refunded .

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

Sign

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

knowledge.

Here

Signature of fiduciary or officer representing fiduciary

Date

Print/Type preparer’s name

Preparer's signature

Date

PTIN

Paid

Check

self-employed

Preparer