Form 706n-Gst - Nebraska Generation-Skipping Transfer Tax Return
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1
2Nebraska Generation-Skipping
FORM
Transfer Tax Return
706N-GST
for Taxable Transfers Made on or After Jan. 1, 2003, and before Jan. 1, 2007
• Read instructions on reverse side
PLEASE DO NOT WRITE IN THIS SPACE
RESET FORM
Type of Federal Return
706GS(D)
706GS(T)
Name
Social Security Number
Federal Employer I.D. Number
Address
Calendar Year of Transfer
PERSON TO RECEIVE CERTIFICATE OF PAYMENT
Name
Address
City
State
Zip Code
COMPUTATION OF TAX
$
1 Federal taxable generation skipping transfer .................................................................................. 1
2 Subtract $1,000,000 (one million dollars) ....................................................................................... 2
3 Nebraska taxable transfer (line 1 minus line 2)............................................................................... 3
4 Tentative Nebraska transfer tax (line 3 amount multiplied by 16% (sixteen percent)...................... 4
5 Gross value of transferred property located outside Nebraska (if zero,
$
5
skip to line 8)...........................................................................................
6 Gross value of all transferred property....................................................
6
7 Divide line 5 by line 6 (compute to five decimal places and round to
7
four).........................................................................................................
8 Multiply line 4 by line 7. If line 5 is zero, enter -0- ...................................
8
9 Total of all transfer taxes paid on the transfer amount on line 1
(certificates or receipts of payment must be attached – see instructions) ........... 9
$
10 Enter the lesser of line 8 or line 9 ................................................................................................... 10
11 Net Nebraska transfer tax due (line 4 minus line 10) (if zero or less than zero, enter -0-).............. 11
12 Tax previously paid to Nebraska ..................................................................................................... 12
13 TAX DUE (line 11 minus line 12)..................................................................................................... 13
14 Interest (see instructions) ............................................................................................................... 14
15 BALANCE DUE (line 13 plus line 14). Pay in full with return .......................................................... 15
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, to
the best of my knowledge and belief, it is correct and complete.
sign
sign
FOR NDR USE ONLY
here
here
Date
Signature of Personal Representative, Fiduciary, Executor, Taxpayer, Trustee, Attorney or Designated Filer
(
)
Signature of Preparer
Date
Telephone Number
ATTACH A COPY OF THE FEDERAL FORM FILED WITH THE IRS: FORM 706GS(D) OR 706GS(T).
Mail this return and payment to: NEBRASKA DEPARTMENT OF REVENUE, P.O. BOX 94818, LINCOLN, NE 68509-4818
5-225-2003 Rev. 6-2007
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