Form Ct-706/709 Ext - Application For Estate And Gift Tax Return Filing Extension And For Estate Tax Payment Extension - 2013

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CT-706/709 EXT
Department of Revenue Services
Form CT-706/709 EXT
PO Box 2978
Calendar Year
Application for Estate and Gift Tax Return Filing
Hartford CT 06104-2978
(Rev. 06/13)
Extension and for Estate Tax Payment Extension
2013
Complete this application in blue or black ink only.
Donor or decedent’s fi rst name and middle initial
Last name
Social Security Number (SSN)
• •
• •

__ __ __
• •
• •
__ __
__ __ __ __
Address
Number and street, apartment number, suite number
PO Box
Federal Employer ID Number (FEIN), if applicable

City, town, or post offi ce
State
ZIP code
DRS use only
– 20

Mailing address (fi rm name if applicable)
Number and street, suite number
PO box
City, town, or post offi ce
State
ZIP code
Attention, care of, or estate representative (if applicable)
Fiduciary’s name and address
Section 1 – Gift Tax Extension Request
If the donor died during calendar year 2013, skip Section 1 and complete Section 2. Otherwise, complete Section 1 for gift tax purposes only.
By completing Section 1 of this form and fi ling it with the Connecticut Department of Revenue Services (DRS), you are requesting
a six-month extension of time to report your Connecticut taxable gifts for calendar year 2013.
I have requested a federal extension using federal Form 8892, Application for Extension of Time to File Form 709 and/or Payment of
 Yes
 No
Gift/Generation-Skipping Transfer Tax, for calendar year 2013.
_________________________________________________
If No, the reason for the Connecticut extension request is:
1. 2013 Connecticut gift tax liability
You must enter a whole dollar amount. If you do not expect to have a gift tax liability,
enter “0.” ...........................................................................................................................
1.
00
Section 2 – Estate Tax Extension Request
 __________________ Connecticut Probate Court: ____________________________________
Decedent’s date of death:
By completing Section 2 of this application and fi ling it with DRS, you are requesting an extension of time to fi le Form CT 706/709,
Connecticut Estate and Gift Tax Return, pay Connecticut estate tax, or both.


Extension of Time to File - I request a nine-month extension of time to fi le the decedent’s Form CT-706/709.


Extension of Time to Pay - I request a six-month extension of time to pay the decedent’s Connecticut estate tax. Attach a
statement of reasonable cause.
I have requested a federal extension using federal Form 4768, Application for Extension of Time to File a Return and/or Pay U.S.
 Yes
 No
Estate (and Generation-Skipping Transfer) Taxes.
If No, the reason for the Connecticut extension request is: _________________________________________________________
________________________________________________________________________________________________________
2. 2013 Connecticut estate tax liability
You must enter a whole dollar amount. . .......................................................................... 
2.
00
Declaration: I declare under penalty of law that I have examined this return (Including any accompanying schedules and statements) and, to the best of my knowledge and
belief, it is true, complete, and correct. I understand the penalty for willfully delivering a false return or document to DRS is a fi ne of not more than $5,000, imprisonment for
not more than fi ve years, or both. The declaration of a paid preparer other than the taxpayer is based on all information of which the preparer has any knowledge.
Donor or fi duciary’s signature
Title
Date
Telephone number
Sign Here
(
)
Keep a
Paid preparer’s or authorized estate representative’s signature
Date
Preparer’s PTIN or SSN Telephone number
copy of
(
)
this return
for your
Firm name and address
FEIN
records.

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