Fillable Form 706me - Maine Estate Tax Return

Form 706me - Maine Estate Tax Return - 2013 Page 3

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2013

Form 706ME, Page 3

*1310002*

Decedent SSN:

Filing Order

1. Form 706ME

5. Death Certiﬁ cate

2. Discharge of Estate Tax Lien

6. Decedent’s 2012 federal income tax return, including all forms and schedules.

3. Federal Form 706 (actual or pro forma)

7. Other supporting documents (see instructions)

4. Schedules for federal Form 706

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Married with surviving spouse

Marital Status of Decedent:

Widow / Widower

Spouse’s SSN:

Single / Divorced

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, including the pro forma federal return if required, and to

the best of my knowledge and belief they are true, correct and complete. Declaration of preparer is based on all information of which preparer has any knowledge.

Signature of personal representative

Date

Signature of preparer other than personal representative

Preparer’s SSN or PTIN

Date

Preparer’s phone number

Firm’s name (or yours if self-employed)

Preparer’s address

If enclosing a check, make check payable to:

If not enclosing a check,

Treasurer, State of Maine

MAIL RETURN TO: