Sd Eform-0878 V1 - South Dakota Inheritance/estate Tax
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9SD EForm - 0878
V1
Complete and use the button at the end to print for mailing.
HELP
STATE OF SOUTH DAKOTA
)
IN CIRCUIT COURT
)
COUNTY OF ______________________
)
_________________ JUDICIAL CIRCUIT
IN RE ESTATE OF ________________________________ )
South Dakota Inheritance Tax Report
)
and
________________________________________, Deceased. )
Information for Judicial Determination of Inheritance Tax
1. Decedent’s Name: ____________________________________ Date of Birth (DOB): __________ Date of Death (DOD): ________
Last Residence: ______________________________________ Spouse’s name (and DOD, if deceased): ______________________
2. Estate Representative or Applicant: _______________________________________________________________________________
3. Attorney of Record’s Name: __________________________________
Address: ______________________________________
City: ________________________ State: ______ Zip: __________________ Phone Number: __________________________
YES
NO
4. Is this an Amended Report? If yes, insert DOR # from previous Receipt of IT Report: __________________________ ____ ____
5. Does any property pass by Will or Trust? If yes, please attach copy.
____ ____
6. Are any life estates involved? If yes, name and DOB of life tenant(s): ________________________________________ ____ ____
7. Is a disclaimer or power of appointment involved? If yes, please attach copy of appropriate document.
____ ____
8. Did South Dakota decedent own any out-of-state property? If yes, please attach schedule with values.
____ ____
9. Did decedent file a United States Gift Tax Return or Returns? If yes and DOD was before July 1, 1989, attach copies
____ ____
of all returns. If yes and DOD was after June 30, 1989, attach returns for the last two years of life. File the copy or
copies of the 709 with the Department of Revenue only.
10. Did decedent’s estate file a United States Estate (and Generation Skipping Transfer) Tax Return?
____ ____
If yes, file a copy of the 706 with the Department of Revenue only.
(a) Amount of gross estate
$_______________________
(b) Amount of state death tax credit allowable
$_______________________
(c) Amount of death taxes imposed by other states
$_______________________
We recommend that you fill out pages 2-6 before completing line 11. RECAPITULATION.
11. RECAPITULATION
0.00
(a) Schedule A
$_______________________
(b) Schedule B – ½ of subtotal (1)
$_______________________
0.00
(c) Schedule B – subtotal (2)
$_______________________
0.00
(d) Schedule C
$_______________________
(e) Schedule C – 1 subtotal (1)
$_______________________
0.00
(f) Total of items 11(a), 11(b), 11(c), 11(d) and 11(e)
$_______________________
0.00
(g) Less Schedule D
$_______________________
0.00
(h) Net value of decedent’s taxable estate
$_______________________
Under penalty of Perjury, I swear that this Report is, to the best
Name of Preparer:
of my knowledge and belief, true, correct and complete.
Estate Representative or Applicant:_________________________
Date: _______________
Preparer Signature
Date
Subscribed and sworn to before me this ______ day of _________,
For Department of Revenue Use
________.
Notary Public Signature and Seal
My Commission Expires:
1
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