Form Iett-100 - Inheritance And Estate Transfer Tax Return - 2004
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1
2Louisiana Department of Revenue
Mark one.
R-3318 (2/04)
Taxpayer Services Division
Original return
Form IETT-100
P. O. Box 201
Amended return
Baton Rouge, LA 70821-0201
/
/
(225) 219-0067
Date of
originalaaa
Partial return
Inheritance and Estate Transfer Tax Return
Estate/Succession of
Decedent died
For office use only.
Testate
Auditor # ______________
Intestate
Keyed ________________
Address of decedent at time of death (Number and street, city, state, ZIP)
Resident
Receipt number
Nonresident
Date of death
Decedent’s Social Security Number
Parish of decedent’s domicile or nonresident’s property
Mail Date
Date Acknowledged _______________________
/
/
Date Accepted __________________________
Attorney’s name
Attorney's mailing address (Box, number and street, city, state, ZIP)
Telephone
Please read the attached instructions carefully before completing this return.
Schedule I – Recapitulation of Detailed Descriptive List or Inventory
Column 1–Value of decedent’s
Column 2–Value of decedent’s
Line
1/2 community property
separate property
1
$
Real estate (Louisiana property only)
2
Stocks and bonds
3
Mortgages, notes, and cash
4
Insurance
5
Other miscellaneous property
6
Transfers during last year of decedent’s life (Attach schedule.)
7
Annuities
8
$
Total separate and community assets
$
(Add Lines 1-7 in Columns 1 and 2.)
9
Funeral expenses
10
Administrative expenses and attorney fees
11
Debts of decedent (Attach itemized list.)
12
Mortgages and liens
13
Total deductions (Add Lines 9-12 in Columns 1 and 2.)
$
$
14
Net estate (Subtract Line 13 from Line 8.)
$
$
Schedule II – Preliminary Distribution and Calculation of Usufruct
15
Special bequest by testament
$
$
16
Portion inherited by spouse
17
Portion, if any, subject to usufruct
18
Value of usufruct
Usufructuary age ___________
(Use Table 1, Column 4.)
19
Net estate less legal usufruct (Subtract Line 18 from Line 14.)
$
$
20
Net estate to be distributed under Schedule III
(Add Columns 1 and 2 on Line 19.)
$
Schedule III – Determination of Louisiana Inheritance Tax
Name, address, and Social Security
Relationship
Value of
Less
Taxable
Tax
Amount
Number of heirs or legatees
(if any)
inheritance
exemption
value
rate %
of tax
$
$
$
$
Total net estate for inheritance tax purposes
$
Total inheritance tax
$
(Same as Line 20, Schedule II)
(Forward to Line 4, Schedule IV.)
Total due or refund due
$
(From Line 6, Schedule V)
1401
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