United States Additional Estate Tax Return

United States Additional Estate Tax Return
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c Halance Sdblrdsk l ~ n o2b trr,rn trwe ?:I
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3 Decedent's sstatc tar.
a Recurrlputed w~!tio::t secllon 203M efwfL.I~~r~
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b Iiepoeed a n Fnrrri 106 wllh 5Pr:lrOn Y I I I I I A cIeCt10n .

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c Ba;;rnre Sublfact l ~ r w3h Irt~r-Ilrric 3a
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Enlt?rlhe total of

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Addrlional estatetax. St,t)l13-t --I ,.r Ill trr,ri~ Ilr,? 15 ILil, ncl! r:ntcr leeq I t r r d l l rero)
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For Privacy A c t and P a o n w o r k Reducl~orrAct Notice, ses the separate imtruc*~or~s.

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Totals: Cnter :,,Ti ( 1 1 r 3 ' u . - n C) 0 1 1 p,ige I. Part 41, Tax Con-?~i!:lt~on,.:rre 17
acd total of crl.:-.r~ E . I r l o;lqc 1. Port It. Tax Computat!~r~,
Ilr71. !3

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Schedute
R. Involuntary Conversions
or Exchanges
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Tolal cost p ~ FMV).
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q r i Ihr~e16 of Part II. I,.lr < ? i n I:.lnlr.n,page 1

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706-A

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- ---- -Schedule C.Dispositions to Family Members of the Qual
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Each tr;~r~slcra;
r:.l~.;t crltur lrlto an agrwment !o b- persorall;, liabt* for all, add
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the aryeemeri: illus! be att2cb~ed
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Transferee #2:

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tr;l~5fewed

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Descr~pt~on
ol apnciaild
prnperty and schd?duleand item
r,un!bsr where r-r~rb?ecl tn rhp decedent's Form 706

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