Form Rev 85 0048 - Application For Extension Of Time To File A Washington State Estate And Transfer Tax Return - 2016

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State of Washington
Application for Extension of Time to File a
Department of Revenue
Washington State Estate and Transfer Tax Return
Special Programs Division
PO Box 47488
File this form before the return due date
Olympia, WA 98504-7488
PART 1 – Decedent and Executor
1. Decedent’s first name and middle initial
2. Decedent’s last name
3. Social Security Number
4. Legal residence (domicile) at time of death (county, state, and zip
5. Year domicile established
6. Date of birth
7. Date of death
code, or foreign country)
8. Name, Address, and Phone Number of Person Required to File
9. Name, Address, and Phone Number of Preparer (if applicable)
Telephone No:
Telephone No:
Ext:
Email Address:
Email Address:
11. Cause Number
10. Name and location of court where Will was probated or estate administered
 Estimated Gross Value of Estate $
.
Do not file this form if the amount is above the federal filing threshold; instead submit a copy of Federal Form 4768 with your
estimated payment (if any).
PART 2 – Extension of Time to File
Automatic Extension. If you are applying for a six-month extension of time to file, check here ............................. 
Additional extension. If you are applying for an extension of time to file in excess of six months, check here ..... 
Original Return Due Date
For an additional extension, you must attach a statement explaining in detail why it is impossible or impractical to file
Extension Date Requested
by the due date. Enter the original due date and extension date requested.
PART 3 – Payment to Accompany Extension Request
Amount of payment accompanying extension request .....................................................................................................
$
Make check payable to the Washington State Department of Revenue. Please write the decedent’s name, social
security number, and date of death on the check to assist us in posting it to the proper account.
Payment of the Washington State Estate and Transfer Tax is due nine months after the date of death. If payment is not received, interest
accrues at the rate established by the Revised Code of Washington (RCW) 83.100.070 on any unpaid tax. Note: An extension of time does
not grant relief from the accrual of interest. Current interest rates can be found on the Department’s web site at:
Due Dates
The due date for the Washington State Estate and Transfer Tax Return is due nine months after the date of the decedent’s death. If there is
not a matching date in the ninth month, the due date is the last day of the ninth month. If the due date falls on a Saturday, Sunday, or a legal
holiday, the return is due on the next business day.
Who May File
The person required to file or an authorized attorney, certified public accountant, enrolled agent, or agent holding power of attorney may use
this form to apply for an extension of time to file. The form must be signed by the person filing the application. If filed by an attorney, certified
public accountant, enrolled agent, or agent holding a power of attorney, fill out the appropriate title next to the signature line.
Where to file
Mail Address:
Department of Revenue
Private Carrier:
Department of Revenue Estate Tax
Special Programs Division
Attn: Treasury Management
PO Box 47488
6500 Linderson Way SW Ste 227
Olympia, WA 98504-7488
Tumwater, WA 98501-6561
Signature and Verification
Under penalty of perjury, I declare that to the best of my knowledge and belief, the statements made herein and attached are true and correct
and I am authorized to file this application.
Filer’s Signature
Title
Date
For estate tax assistance call (360) 534-1503, option 2. To inquire about the availability of this document in an alternate format call 1-800-647-7706. Teletype
(TTY) users may use the Washington Relay Service by calling 711.
REV 85 0048 (10/25/16)
Print This Form (all copies)

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