Form Or-706 - Oregon Estate Transfer Tax Return - 2016 Page 2
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32016 Form OR-706
17511601020000
Page 2 of 3, 150-104-001 (Rev. 07-16)
Oregon Department of Revenue
, Estate
Part 3—Elections by the executor
Check the “Yes” box for each question, if applicable. See instructions.
•
1. Do you elect alternate valuation? ............................................................................................................................................................
1.
Yes
•
2. Do you elect special use valuation? Include Schedule A-1 ....................................................................................................................
2.
Yes
3. Do you elect and qualify to pay the taxes in installments? If you requested an extension of time to pay you will be required
•
to provide collateral for the unpaid estate transfer tax under Oregon Revised Statute 118.225. ..........................................................
3.
Yes
4. Do you elect to postpone the part of the taxes attributable to a reversionary or remainder interest as described
•
in Section 6163? .....................................................................................................................................................................................
4.
Yes
Part 4—General information
You must include a copy of the death certificate, and all supporting documents. See instructions.
•
1. Marital status of the decedent at time of death:
/
/
•
Married
Single
Legally separated
Divorced—Date divorce decree became final:
•
Widow or widower—
Name of deceased spouse:
–
–
/
/
•
•
SSN of deceased:
Date of death:
•
2. a. Surviving spouse’s name:
–
–
•
b. Survivor’s Social Security number:
.00
•
c. Amount received (see instructions):
3. a. Individuals (other than the surviving spouse), trusts, or other estates who receive benefits from the estate (don’t include charitable beneficiaries
shown in Schedule O) (see instructions). For Privacy Act Notice (applicable to individual beneficiaries only), see instructions for Form 1040.
•
•
•
•
Name of individual, trust, or estate receiving $5,000 or more
Identifying number
Relationship to decedent
Amount (see instructions)
.00
.00
.00
.00
.00
•
3. b. All unascertainable beneficiaries and those who receive less than $5,000 ...................................................
.00
•
Total ......................................................................................................................................................................
3
Check the “Yes” box for each question, if applicable.
4. Does the gross estate contain any Section 2044 property [qualified terminable interest property (QTIP) from a prior gift or
•
estate]? (Schedule F) .........................................................................................................................................................................
4.
Yes
If you answer “Yes” to any of questions 5–12, you must include additional information as described in the instructions.
•
5. a. Was any insurance on the decedent’s life not included on the return as part of the gross estate? (Schedule D, Form 712) ........
5a.
Yes
b. Did the decedent own any insurance on the life of another that is not included
•
in the gross estate? (Schedule D, Form 712) .....................................................................................................................................
5b.
Yes
6. Did the decedent at the time of death own any property as a joint tenant with right of survivorship in which (a) one or more
of the other joint tenants was someone other than the decedent’s spouse, and (b) less than the full value of the property is
•
included on the return as part of the gross estate? (Schedule E) ......................................................................................................
6.
Yes
7. a. Did the decedent, at the time of death, own any interest in a partnership or unincorporated business, limited liability
•
company, or any stock in an inactive or closely held corporation? ................................................................................................
7a.
Yes
b. If yes, was the value of any interest owned (from 7a), discounted on this estate tax return? If yes, see the federal
•
instructions on reporting the total accumulated or effective discounts taken on Schedule F or G ...............................................
7b.
Yes
8. Did the decedent make any transfer described in
•
Section 2035, 2036, 2037, or 2038? (Schedule G) .............................................................................................................................
8.
Yes
9. Were there in existence at the time of the decedent’s death:
•
a. Any trusts created by the decedent during his or her lifetime? (Schedule G and trust document) ................................................
9a.
Yes
b. Any trusts not created by the decedent under which the decedent possessed any power, beneficial interest,
•
or trusteeship? (Schedule F and trust document)...........................................................................................................................
9b.
Yes
10. Did the decedent ever possess, exercise, or release any
•
general power of appointment? (Schedule H) ....................................................................................................................................
10.
Yes
11. Was the decedent, immediately before death, receiving an annuity described in the “General” paragraph of the instructions
•
for Schedule I? (Schedule I) ................................................................................................................................................................
11.
Yes
12. Was the decedent ever the beneficiary of a trust for which a deduction was claimed by the estate of a pre-deceased spouse
•
under Section 2056(b)(7) which isn’t reported on this return? If “Yes,” include an explanation .........................................................
12.
Yes
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