Schedule G (Form 101) - Transfers During Decedent'S Life

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SCHEDULE
G
TRANSFERS DURING DECEDENT’S LIFE
FORM 101
Page ______ of ______
Estate of:
of Schedule
G
1.
Did the decedent in any year, transfer any property or interest in property worth more than $10,000 to any person without adequate and
full consideration?
Yes
No
If “Yes”, for each such transfer made within two years prior to death, indicate the date,
donee, description of the transfer and value at date of death. For transfers made more than two years before death attach a rider
indicating the date, donee, description of each transfer and value at date of transfer.
If yes, state years
2.
Have Wisconsin gift tax returns ever been filed?
Yes
No
3.
If it is contended that the transfers detailed below are not includable for inheritance tax purposes, please furnish the following informa-
tion and see reverse side for additional requirements.
Cause of death
Length of last illness
Name and address of decedent’s physician
4.
Did the decedent transfer any property or interest in property, in trust or otherwise (including payable on death accounts) and retain any
use, income, benefit or control?
Yes
No
If “yes”, indicate below the description, nature of transfer, and value at date of
death.
Description - See instructions
Value at Date of Death
Item No.
Marital Property
Other Property
1.
$
$
SUBTOTALS
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$
$
$
TOTAL - Add both columns and enter on line 19 of page 2, Form 101
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Wisconsin Department of Revenue
HT-021 (R. 5-90)

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