Form 101 - Wisconsin Inheritance Tax Return

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FORM 101
DEPT USE ONLY
WISCONSIN INHERITANCE TAX RETURN
Mail To:
AUD #
Wisconsin Department of Revenue
Resident or Nonresident
PO Box 8906
1
2
3
4
5
Madison, WI 53708
6
7
8
9
0
Phone: (608) 266-2772
Estate of
Date of death
Date of birth
Social Security Number
Address of decedent at date of death (number and street or rural route)
City
State
Zip Code
First name of surviving spouse
County court which has jurisdiction
Probate court case number
Type of proceeding (if none, write “none”)
DEPT USE ONLY
SUMMARY OF TAX INFORMATION
1OP-X
1CL-X
TO VAL
2OP-F
2CL-F
Wisconsin taxable estate
}
$
1
3OP-XF
3CL-XF
(from page 2, line 23) ........
4OP-XR
4CL-XR
Total inheritance tax
}
$
2
5OP-XFR
5CL-XFR
HOLD FOR
(from line B, below) ...........
6OP-ANoXF
6CL-NoXF
Less advance payment(s) ..............
$
7AU-NoCO
8AU-CO
BALANCE DUE
$
(pay this amount with return).........
}
}
3
4
# ROITL
FEE $
# CNST
DISTRIBUTION OF TAXABLE ESTATE — ATTACH ADDITIONAL SCHEDULES BEHIND THIS SCHEDULE
1. Name of Distributee
2. Social Security No.
3. Distributive Share
4. Relationship
5. Tax
$
$
Total distributive shares (this total must equal line 23, page 2) ...............
$
Total of column 5 ........... Line A
$
$
BEGINNING WITH DATES OF DEATH IN 1988, THE
Prior to 1988 – 100%
Line B
INHERITANCE TAX IS BEING PHASED OUT OVER A
1988 – 180%
FIVE YEAR PERIOD. ENTER ON LINE B THE FOLLOWING
1989 – 160%
PERCENT OF LINE A FOR THE YEAR OF DEATH INDICATED:
1990 – 140%
1991 – 120%
THE CERTIFICATE DETERMINING INHERITANCE TAX WILL BE MAILED TO THE ADDRESS BELOW:
Name of firm or individual
Attention or c/o
Address
City
State
Zip Code
HT-001 (R. 6-09)

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