Form 92a300 - Affidavit Of Exemption

ADVERTISEMENT

AFFIDAVIT OF EXEMPTION
Affiant ____________________________ , being first duly sworn, states that he/she is fiduciary or beneficiary
of the estate of _______________________________ , who died on the _______ day of _______________ , _______ , a
resident of _________________________ County, Kentucky.
Affiant states that all assets of the estate pass to exempt beneficiaries pursuant to Kentucky Revised Statute
140.080* or exempt organizations pursuant to Kentucky Revised Statute 140.060** either by virtue of the
decedent’s will, the intestate laws of this state, or by contract (survivorship, payable on death, trust, etc.).
Affiant further states that a Kentucky Inheritance Tax Return will not be filed since no death tax is due the
state and a Federal Estate and Gift Tax Return (Form 706) will not be filed because the gross estate is less than
the required amount set out in Section 2010(c) of the Internal Revenue Code. This affidavit is being submitted
to satisfy the requirements of Kentucky Revised Statute 395.605.
__________________________________________________________
Signature
Witness my hand this ________ day of __________________________ , __________ .
Sworn and subscribed to before me by _____________________________________
this _______ day of ____________________________________________ , __________ .
______________________________________________________ Notary Public
My commission expires______________________________________
*Exempt beneficiaries under KRS 140.080 include spouse, children, stepchildren, grandchildren, parent, brother,
and sister.
**Exempt organizations include educational, religious or other institutions, societies, or associations, whose
sole purpose is to carry on charitable, educational, or religious work. Also, cities, towns or public institutions
in this state qualify as exempt organizations provided that any transfer to such an organization is for public
purposes.
92A300 (3-12)

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go
Page of 2