AR321
2003
STATE OF ARKANSAS
Estate Tax Return
FOR OFFICE USE ONLY
To be filed for decedents dying after December 31, 2002,
Due Date _______________
and before January 1, 2004.
Date Rec’d ______________
Original Return
Amended Return
A copy of the Federal return will be acceptable in lieu of this return and should be filed with the State of Arkansas, Department of Finance and Administra-
tion, nine (9) months after the date of the decedent’s death, unless an extension of time for filing has been granted. If such an extension has been granted,
please attach a copy of the Form AR321E to the return.
Decedent’s Last Name
Decedent’s First Name and Middle Initial
Date of Death
Residence (Domicile) at Time of Death
Decedent’s Social Security Number
Name of Executor
Executor’s Address (Number, Street, City and Zip)
Executor’s Social Security Number or EIN (If Financial Institution, see instructions)
COMPUTATION OF TAX
1. Total gross estate (From Part 5 Recapitulation, page 3, Item 12, Federal Return, Form 706) ....................................... 1 ___________________
2. Total allowable deductions (From Part 5, Recapitulation, page 3, Item 23, Federal Return, Form 706) ........................ 2 ___________________
3. Taxable estate (Subtract the amount on Line 2 from the amount on Line 1) .................................................................. 3 ___________________
4. Taxable estate less $60,000 deduction. .......................................................................................................................... 4 ___________________
5. Credit for State death taxes not to exceed the amount on Line 13, Federal Return.
(Figure the credit by using the amount on Line 4;
See the tax table on reverse side of return.) ................................................. 5a _________________ X .50 ............. 5b ___________________
Was a Federal Return required?
Yes
No
Was a Federal Return filed?
Yes
No
Lines 6 through 10 to be completed for decedent’s estate only when property is owned in multiple states.
(Attach Federal Schedules pertinent to Arkansas property)
6. Total value of real estate in Arkansas as valued on Federal Return. .............................................................................. 6 ___________________
7. Total value of real estate in other states. ........................................................................................................................ 7 ___________________
a. Enter name of state and value in each state.
(Enter same values as on Federal Return. Use additional page if necessary.)
____________________________________________________________________________________
____________________________________________________________________________________
8. Total value of personal property in Arkansas as valued on Federal Return. ................................................................... 8 ___________________
9. Total value of personal property in other states. ............................................................................................................. 9 ___________________
a. Enter name of state and value in each state:
(Enter same values as on Federal Return. Use additional page if necessary.)
____________________________________________________________________________________
____________________________________________________________________________________
10. Arkansas Pro-Rata portion of Credit for State Death Taxes: .......................................................................................... 10 __________________
Gross Arkansas Property = Percentage x Credit for State Death Taxes = Arkansas Pro-Rata portion
Total Gross Estate
(From Line 5 above)
PLEASE SIGN HERE:
Under penalties of perjury, I declare that I have examined this
return and accompanying schedules and statements, and to the best of my knowledge and
MAIL TO: Estate Tax Section
belief, they are true, correct and complete.
P. O. Box 3628
Little Rock, AR 72203-3628
Phone: (501) 682-7230
Signature of
Administrator
Executor
Legal Representative
Date
AR321 (R 07/03)