WARNING:
To protect against the possibility
FOR DEATHS OCCURRING ON OR AFTER MAY 17, 2005
of others accessing your
confidential information, do not
State of Washington
complete these forms on a public
Reset this form
Washington State
Department of Revenue
workstation.
Special Programs Division
Estate and Transfer Tax Return
PO Box 47488
Olympia, WA 98504-7488
PART 1 - Decedent and Executor (type or complete in ink)
Dept Use Only
1. Decedent's first name and middle initial
2. Decedent's last name
3. Social Security No.
EST
4. Legal residence (domicile) at time of death (county, state,
5. Year domicile
6. Date of birth
7. Date of death
and zip code, or foreign country)
established
REG / AR
8. Name, Address, and Phone Number of Person
9. Name, Address, and Phone Number of Preparer
Index Number
Required to File
(if applicable)
Telephone No.:
Telephone No.:
Posting Period
Email Address:
Email Address:
M
M
Y
Y
10. Name and location of court where Will was probated or estate administered
11. Cause Number
Decedent died testate
12. Check if applicable:
Nonresident return
Amended Return
Installment payment or filing election
Federal Extension Form attached
I,
, as the person required to file the estate tax return for the estate
(Please Print)
of
, authorize the Department of Revenue to release confidential
(
Name of Decedent)
estate tax information to
. Preparer is authorized to discuss,
(Preparer)
and/or receive confidential estate tax information from the Department of Revenue.
PART 2 - Tax Computation
1.
Tentative Taxable Estate (from Federal Form 706 line 3a)
0.00
2.
Adjustments to Tentative Taxable Estate (total of lines 2a through 2c)
QTIP under § 2056
2a
§ 2044 Property
2b (
)
83.100.047 Property
2c
0.00
3.
Adjusted Federal Taxable Estate (total of lines 1 and 2)
0.00
4.
Washington State Deductions (total of lines 4a through 4c)
Statutory Deduction
4a
Farm Deduction
4b
WA QTIP Deduction
4c
0.00
5.
Washington Taxable Estate (line 3 less line 4)
6.
Gross Washington Estate Tax (Table W on page 2) Compute tax using the amount on line 5.
7.
Identify out of state property; attach additional sheet if necessary (If no property, go to line 9)
Schedule/Item
Amount
Schedule/Item
Amount
Schedule/Item
Amount
8.
Computation of Apportionment for Out of State Property:
0.00
8a
Total Value of Out of State Property Listed in 7 above
8b
Gross Estate (from Federal Form 706)
8c
Adjusted Gross Estate (8b less 4b, less 2b, plus 2c)
0.00
8d
Adjusted Gross estate less Out of State Property (line 8c less 8a)
0.00
8e
Washington Tax Due (Line 8d divided by line 8c multiplied by line 6)
9.
Washington Estate Tax Due (equals line 6, or if apportioning for Out-of-State property, line 8e)
10.
Tax previously paid to Washington State
0.00
11.
Balance
12.
Interest due on any tax not paid within 9 months after date of death
0.00
13.
Total Tax and Interest Due (add lines 11 and 12)
14.
TOTAL AMOUNT ENCLOSED
Under penalty of law, I declare that I have examined this return and, to the best of my knowledge and belief, it is true, correct, and complete.
Signature of Person Required to File
Date
Print This Form
REV 85 0049e (a) (12/14/06)