Form Ct-706 Nt - Connecticut Estate Tax Return (For Nontaxable Estates)
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State of Connecticut
File Only With
Form CT-706 NT
Probate Court
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Connecticut Estate Tax Return (for Nontaxable Estates)
For estates of decedents dying during calendar year 2014 (Read instructions before completing this form.)
(Rev. 05/14)
Decedent’s last name
First name and middle initial
Social Security Number (SSN)
• •
• •
• •
• •
__ __ __
__ __
__ __ __ __
Address
Number and street
PO box
Federal Employer ID Number (FEIN) if applicable
City, town, or post offi ce
State
ZIP code
Date of death
Legal residence (domicile) (county and state)
Connecticut Probate Court
Check if amended return.
Residency:
Connecticut resident
Nonresident - Attach Form C-3 UGE, State of Connecticut Domicile Declaration.
Section 1
General Questions Check the appropriate box for each question below.
1. At the time of death, did the decedent own or have an interest in
5. Did the decedent have an interest in life insurance on the life of another?
any of the following sole ownership property? If Yes, report the
If Yes, report the cash surrender value in Section 3, Part 1.
Yes
No
property in Section 3, Part 1.
Yes
No
a. Real estate
6. Did the decedent have an interest in life insurance on his or her
Yes
No
life? If Yes, report the entire proceeds in Section 3, Part 3.
b. Securities
Yes
No
Yes
No
c. Bank accounts
7. During his or her life, did the decedent make any transfers of
Yes
No
d. Other personal property
real property to another retaining a life use for himself or herself
2. At the time of death, did the decedent own or have an interest in
or continued to have any use in the property? If Yes, complete
any of the following property owned jointly with right of survivorship?
Yes
No
Section 3, Part 2.
If Yes, report the property in Section 3, Part 2.
8. Did the decedent make any taxable gifts (within the meaning of IRC
Yes
No
a. Real estate
§2503) on or after January 1, 2005, but before January 1, 2014?
Yes
No
Yes
No
b. Securities
If Yes, complete Schedule B (NT).
Yes
No
c. Bank accounts
9. Did the decedent make any taxable gifts (within the meaning
Yes
No
of IRC §2503) during calendar year 2014? If Yes, complete
d. Other personal property
Yes
No
Schedule A (NT) and attach.
3. Are any amounts due to a benefi ciary or this decedent’s estate
10. Was a disclaimer fi led in this estate? If Yes, submit a copy of each
from a pension, stock-bonus or profi t-sharing plan, or an annuity?
Yes
No
disclaimer.
Yes
No
If Yes, report that amount in Section 3, Part 2.
11. Is the estate required to fi le a federal Form 706, United States
4. Did the decedent create any trusts, including trustee bank accounts,
Estate (and Generation-Skipping Transfer) Tax Return? See
during his or her life? If Yes, attach a copy of the trust(s) and report
Yes
No
instructions.
Yes
No
the value of the trust(s) in Section 3, Part 2.
12. Was the decedent a benefi ciary of a trust for which a QTIP election
Yes
No
was made? See instructions.
Section 2
Section 2
Connecticut Taxable Estate Computation
1. Total gross estate for Connecticut estate tax purposes: Enter total from Section 4, Line 4. ........................ 1.
00
2. Allowable estate tax deductions for federal estate tax purposes other than deduction
allowable for state death taxes under IRC §2058: See Instructions. ........................................................ 2.
00
3. Subtract Line 2 from Line 1. ...................................................................................................................... 3.
00
4. Current year Connecticut taxable gifts from Schedule A (NT), Line 9: Attach copy of federal Form 709. .... 4.
00
5. Prior year Connecticut taxable gifts made on or after January 1, 2005, but before January 1, 2014:
Attach a copy of federal Form 709 for each year listed in Schedule B (NT). ............................................ 5.
00
6. Connecticut taxable estate: Add Lines 3, 4, and 5. See Instructions. ....................................................... 6.
00
Declaration: I declare under penalty of law that I have examined this return (including any accompanying schedules and statements) and, to the best of my knowledge
and belief, it is true, complete, and correct. I understand that the representations contained herein are made under the penalties of false statement as provided
in Conn. Gen. Stat. §§53a-157b. The declaration of a paid preparer other than the taxpayer is based on all information of which the preparer has any knowledge.
Fiduciary’s name
Attorney or authorized representative’s name
Signature of fi duciary
Date
Signature of attorney or authorized representative
Date
Address
Firm name and address
City
State
ZIP code
City
State
ZIP code
Telephone number
Telephone number
Signature of Probate Judge Required. Sign and date one of the following, as applicable:
Certifi cate of Opinion of No Tax
I have examined this return and have concluded that no Connecticut estate tax is due from the decedent’s estate because
the Connecticut taxable estate, as shown above, does not exceed the Connecticut estate tax exemption amount. See
General Information on Page 1 of Form CT-706 NT Instructions.
Date
Signature of judge
Form CT-706/709 Required to Be Filed
I have examined this return and hereby instruct the estate to fi le a Form CT-706/709 with the Commissioner of
Revenue Services.
Date
Signature of judge
Confi dential — Not Subject to Disclosure or Inspection
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