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Form 709 (2015)
Page
Part 2—GST Exemption Reconciliation (Section 2631) and Section 2652(a)(3) Election
Check here
if you are making a section 2652(a)(3) (special QTIP) election (see instructions)
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Enter the item numbers from Schedule A of the gifts for which you are making this election
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1
Maximum allowable exemption (see instructions)
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1
2
Total exemption used for periods before filing this return
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2
3
3
Exemption available for this return. Subtract line 2 from line 1 .
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4
Exemption claimed on this return from Part 3, column C total, below .
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4
Automatic allocation of exemption to transfers reported on Schedule A, Part 3. To opt out of the automatic
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allocation rules, you must attach an “Election Out” statement. (see instructions)
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5
6
Exemption allocated to transfers not shown on line 4 or 5, above. You must attach a “Notice of Allocation.”
(see instructions) .
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6
7
7
Add lines 4, 5, and 6 .
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8
Exemption available for future transfers. Subtract line 7 from line 3
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8
Part 3—Tax Computation
A
B
E
G
H
C
D
F
Item No.
Net Transfer
Inclusion Ratio
Applicable Rate
Generation-Skipping
GST Exemption
Divide col. C
Maximum Estate
(from Schedule
(from Schedule D,
(Subtract col. D
(multiply col. E
Transfer Tax
Allocated
by col. B
Tax Rate
D, Part 1)
Part 1, col. D)
from 1.000)
by col. F)
(multiply col. B by col. G)
1
40% (.40)
40% (.40)
40% (.40)
40% (.40)
40% (.40)
40% (.40)
Gifts made by spouse (for gift splitting only)
40% (.40)
40% (.40)
40% (.40)
40% (.40)
40% (.40)
40% (.40)
Total exemption claimed. Enter
here and on Part 2, line 4, above.
Total generation-skipping transfer tax. Enter here; on page 3,
May not exceed Part 2, line 3,
Schedule A, Part 4, line 10; and on page 1, Part 2—Tax
above
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Computation, line 16 .
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709
(If more space is needed, attach additional statements.)
Form
(2015)