Estate of: ___________________________________________________
92A200 (3-12)
TAX COMPUTATION
List Names of Heirs and Beneficiaries Including
Relationship
Exempt Transfers. Itemize Shares of Property
Age
Distributive Share
Tax
(If Any)
Received. (See general information.)
$
$
$
Total distributive shares (must equal Net Estate, page 1) .......................................
$
Inheritance tax .........................................................................................................................................................
–
Discount of 5% from tax if paid within 9 months from death ..............................................................................
–
Less deferred payments (See general information) .............................................................................................
$
Total Tax Due (enter on page 1) .............................................................................................................................
IF A FEDERAL ESTATE AND GIFT TAX RETURN wAS REQUIRED TO BE FILED,
ATTACH A COPY TO THIS RETURN