Form Et-90 - New York State Estate Tax Return (Page 3 of 5) in pdf

ET-90 (1/00) Page 3

Estate of

Social security number

Check the Yes or No box for each question.

Yes

53 Do you elect a marital deduction for qualified terminable interest property under section 955(c) (QTIP)? ...............................

54 Are you making any of the following elections?

................................................

(If Yes , also check applicable box or boxes below)

a Special use valuation under section 954-a of the Tax Law. ................................................................................. a

b Exclusion for land subject to a qualified conservation easement under section 954-b of the Tax Law

...... b

(see instructions)

c Exclusion for a family-owned business under section 954-c of the Tax Law

.......... c

(complete and attach Form ET-417 )

d Deduction for family-owned business interests under section 955(g) of the Tax Law

............... d

(see instructions)

55 Do you elect to pay the tax in installments as described in IRC section 6166 (NY 997)? If Yes , attach Form ET-415

in duplicate ...............................................................................................................................................................................

56 Did the decedent, at the time of death, own any interest in a partnership or unincorporated business; own stock in an

inactive or closely held business; or have in interest in any commercial property or incorporated business? ........................

57 Does the gross estate contain any IRC section 2044 property? ................................................................................................

58 Was there any insurance on the decedent’s life, or were there any annuities or lump sum distributions that are not

included on the return as part of the gross estate? ..................................................................................................................

59 Was the decedent a plaintiff in any litigation at the time of death, or is there any litigation pending or contemplated

on behalf of the decedent?

............................................................................................................................

(see instructions)

60 At the time of the decedent’s death, did there exist any trusts created by the decedent, or did the decedent possess

a power over, a beneficial interest in, or a trusteeship of, any trust created by another? ........................................................

61 Are there any assets wholly or partially excluded from the gross estate other than jointly-held assets with the

surviving spouse? .....................................................................................................................................................................

62 Did the decedent at the time of death own any artwork, stamp collections, coin collections or other collections? ...................

Schedule 1 — Adjustments to federal gross estate

Additions

Subtractions

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63 Property subject to a limited power of appointment created before

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September 1, 1930, includable in the New York estate under section 957 of

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1

the Tax Law .......................................................................................................... 63

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1

64 Federal gift tax, if any, included on Schedule G of federal Form 706 ....................

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65 New York State gift tax, if any, paid by decedent or decedent’s estate for gifts

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made by decedent or spouse within three years of decedent’s death ................. 65

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66 Enter the full value of property included in the federal gross estate under the

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provisions of section 2044 of the IRC (QTIP) .......................................................

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67 Enter the full value of property includable in the New York gross estate under

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1

the provisions of section 954(a)(4) and (5) of the Tax Law .................................. 67

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68 Totals

(add lines 63, 65, and 67 in Additions column and add lines 64 and 66 in

............................................................................................... 68

Subtractions column)

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69 Net difference - plus or minus

........................... 69

(enter here and on page 2, line 33e)

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Schedule 2 — Adjustments to determine the New York gross estate of a resident or nonresident decedent

For a resident decedent: List each item of real and tangible personal property located outside New York State, including the item number

and the schedule on which it is listed (do not include bank accounts or other intangible assets located outside New York State) . Attach

additional sheets if necessary.

70 Total value of property located outside New York State (listed above) for a resident decedent

......................................................................................................................... 70

(enter here an on page 2, line 35)

For a nonresident decedent: List each item of real property and tangible personal property located in New York State, that is required to be

included in the New York gross estate. Indicate the item number and the schedule on which it is listed. Do not include bank accounts or

other intangible assets located in or outside New York State. Property in a QTIP Trust that is not required to be included in the New York

gross estate under the provisions of section 954(a)(4) and (5) of the Tax Law, should also be excluded.

71a Total value of property located in New York State listed above for a nonresident decedent ............................. 71a

71b Real property and tangible personal property within New York State, that is included in the amount

on lines 33a, 33b, or 33c ................................................................................................................................. 71b

71c Total value of property includable in the New York gross estate of a nonresident

(subtract line 71b from

.......................................................................................................... 71c

line 71a; enter here and on page 2, line 36b)