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Department of Revenue Services
CT-706/709 EXT
Form CT-706/709 EXT
PO Box 2978
Calendar Year
Hartford CT 06104-2978
Application for Estate and Gift Tax Return Filing
(Rev. 03/10)
Extension and for Estate Tax Payment Extension
2010
Complete in blue or black ink only.
Donor or decedent’s first name and middle initial
Last name
Social Security Number (SSN)
• •
• •
• •
• •
__ __ __
__ __
__ __ __ __
Address
Number and street
PO box
Federal Employer ID Number (FEIN) if applicable
City, town, or post office
State
ZIP code
DRS use only
–
– 20
Mailing address (firm name if applicable)
Number and street
PO box
City, town, or post office
State
ZIP code
Attention, care of, or estate represenative (if applicable)
Fiduciary’s name and address
Section 1 – Gift Tax Extension Request
If the donor died during calendar year
2010,
skip Section 1 and complete Section 2. Otherwise, complete Section 1 for gift tax purposes only.
By completing Section 1 of this form and filing 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 2010.
I have requested a federal extension using federal Form 8892, Payment of Gift/GST Tax and/or Application for Extension of Time
to File Form 709, for calendar year 2010.
Yes
No
If No, the reason for the Connecticut extension is:
______________________________________________________
1. 2010 Connecticut gift tax liability
You must enter a whole dollar amount. If you do not expect to have a gift tax liability,
00
enter “0.” ...........................................................................................................................
1.
Section 2 – Estate Tax Extension Request
Decedent’s date of death:
Connecticut Probate Court: _____________________________________
________________
By completing Section 2 of this form and filing it with DRS, you are requesting an extension of time to file Form CT 706/709 or to pay
Connecticut estate tax, or both.
Extension of Time to File - I request a nine-month extension of time to file the decedent’s Form CT-706/709, Connecticut Estate
and Gift Tax Return.
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.
Estate (and Generation-Skipping Transfer) Taxes.
Yes
No
If No, the reason for the Connecticut extension is: ________________________________________________________________
2. 2010 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 fine of not more than $5,000, or imprisonment
for not more than five 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 fiduciary’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.