Washington State
State of Washington
Department of Revenue
Estate and Transfer Tax Return
Special Programs Division
PO Box 47488
For deaths occurring January 1, 2002 and after
Olympia, WA 98504-7488
PART 1 – Decedent and Executor
Dept Use Only
1. Decedent’s first name and middle initial
2. Decedent’s last name
3. Social Security
Number
EST
4. Legal residence (domicile) at time of death (county, state, and
5. Year domicile
6. Date of birth
7. Date of death
zip code, or foreign country)
established
REG / AR
8. Name, Address, and Phone Number of
9. Name, Address, and Phone Number of Preparer (if
Index Number
Person Required to File
applicable)
Telephone No: (
)
Telephone No: (
)
Email Address:
Posting Period
10. Name and location of court where Will was probated or estate administered
11. Cause Number
12. Check if applicable:
! Decedent died testate
! Extension form attached.
! Installment payment or filing election
! Amended Return.
PART 2 – Tax Computation
1.
Total gross estate less exclusion (from Part 5, Recapitulation, page 3, item 12) ............................................
1.
2.
Total allowable deductions (from Part 5, Recapitulation, page 3, item 23) .....................................................
2.
3.
Taxable estate (subtract line 2 from line 1) ....................................................................................................
3.
Adjusted taxable gifts (total taxable gifts (within the meaning of section 2503) made by the decedent after
4.
4.
December 31, 1976, other than gifts that are includible in decedent’s gross estate (section 2001(b))) ..........
5.
Add lines 3 and 4 ............................................................................................................................................
5.
6.
Tentative tax on the amount on line 5 from Table A on page 6 of the instructions..........................................
6.
7a. If line 5 exceeds $10,000,000, enter the lesser of line 5 or $17,184,000. If line 5
is $10,000,000 or less, skip lines 7a and 7b and enter -0- on line 7c...................
7a.
b. Subtract $10,000,000 from line 7a. ......................................................................
7b.
c. Enter 5% (.05) of line 7b .................................................................................................................................
7c.
8. Total tentative tax (add lines 6 and 7c) ...........................................................................................................
8.
9. Total gift tax payable with respect to gifts made by the decedent after December 31, 1976. Include gift
taxes by the decedent’s spouse for such spouse’s share of split gifts (section 2513) only if the decedent
was the donor of these gifts and they are includible in the decedent’s gross estate (see instructions)...........
9.
10. Gross estate tax (subtract line 9 from line 8) ..................................................................................................
10.
11. Maximum unified credit (applicable credit amount) against estate tax (see
instructions, page 6)..........................................................................................
11.
12. Adjustment to unified credit (applicable credit amount). (This adjustment may
not exceed $6,000. See page 6 of the instructions.) ............................................
12.
13. Allowable unified credit (applicable credit amount) (subtract line 12 from line 11) ..........................................
13.
14. Subtract line 13 from line 10 (but do not enter less than zero)........................................................................
14.
15. Gross state death tax due (Table B, page 6 of the instructions.) Do not enter more than line 14. Figure the
15.
tax by using the amount on line 3 less $60,000. .............................................................................................
16. State death taxes allocable to other states (see Part 6, line 6, or Part 7, line 5)....................................................
16.
17. Tax due Washington State – Same as line 15 unless apportioning tax with other states. (subtract line 16
from line 15) ....................................................................................................................................................
17.
18. Tax previously paid to Washington State........................................................................................................
18.
19. Balance due Washington State (subtract line 18 from line 17) .......................................................................
19.
20. Interest (per RCW 82.32)................................................................................................................................
20.
21. Total tax and interest due (add lines 19 and 20) .............................................................................................
21.
22. Washington State GST Tax (Page 3, part 8, line 7) ........................................................................................
22.
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
Date
Signature of Person Required to File
REV 85 0046 (6-03-03)
Page 1