Form 706-A United States Additional Estate Tax Return

706-A

United States Additional Estate Tax Return

Form
(Rev. December 2008)

Part I

OMB No. 1545-0016

To report dispositions or cessations of qualified use under
section 2032A of the Internal Revenue Code.

Department of the Treasury
Internal Revenue Service

General Information

1a Name of qualified heir

2

Heir’s social security number

1b Address of qualified heir (number and street, including apt. no., or P.O. box)

3

Commencement date (see instructions)

6

Date of death

1c City, town or post office, state, and ZIP code

4

Decedent’s name reported on Form 706

7

Check here if you are making an election under section 1016(c) to increase the basis of specially valued property. Attach the statement described
on page 2 of the instructions
©

Part II
1
a
b
c
2

5

Decedent’s social security number

Tax Computation (First complete Schedules A and B. See instructions.)

Value at date of death (or alternate valuation date) of all specially valued property that passed from
decedent to qualified heir:
1a
Without section 2032A election
1b
With section 2032A election
Balance. Subtract line 1b from line 1a
Value at date of death (or alternate valuation date) of all specially valued property in decedent’s estate:
2a
Without section 2032A election
2b
With section 2032A election

a
b
c Balance. Subtract line 2b from line 2a
3 Decedent’s estate tax:
a Recomputed without section 2032A election (attach computation)
b Reported on Form 706 with section 2032A election
c Balance. Subtract line 3b from line 3a
4 Divide line 1c by line 2c and enter the result as a percentage
5 Total estate tax saved. Multiply line 3c by percentage on line 4
6

7
8
9
10
11
12
13
14

1c

2c
3a
3b
3c
4
5

Value, without section 2032A election, at date of death (or alternate
valuation date) of specially valued property shown on Schedule A of this
6
Form 706-A
Divide line 6 by line 1a and enter the result as a percentage
Multiply line 5 by percentage on line 7
Total estate tax recaptured on previous Form(s) 706-A (attach copies of 706-A)
Remaining estate tax savings. Subtract line 9 from line 5. (do not enter less than zero)
Enter the lesser of line 8 or line 10
12
Enter the total of column D, Schedule A, page 2
13
Enter the total of column E, Schedule A, page 2

%

%

7
8
9
10
11

Balance. Subtract line 13 from line 12 (But enter the line 12 amount in the case of a disposition of
14
standing timber on qualified woodland)
15 Enter the lesser of line 11 or line 14
15
If you completed Schedule B, complete lines 16–19. If you did not complete Schedule B, skip lines 16–18 and enter the amount from line 15 on line 19.
16
17
18
19
20

16
17
18
19
20

Enter the total cost (or fair market value (FMV)) from Schedule B
Divide line 16 by line 12 and enter the result as a percentage. (do not enter more than 100%)
Multiply line 15 by percentage on line 17
Additional estate tax. Subtract line 18 from line 15. (do not enter less than zero)
Enter section 1016(c) interest (where applicable)

%

Under penalties of perjury, I declare that I have examined this return, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer
(other than taxpayer) is based on all information of which preparer has any knowledge.

Sign
Here
Paid
Preparer’s
Use Only

©

Signature of taxpayer or person filing on behalf of taxpayer
Preparer’s
signature

©

Firm’s name (or
yours if self-employed),
address, and ZIP code

Date
Date

©

For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.

Check if
self-employed

Preparer’s SSN or PTIN

EIN
Phone no.
Cat. No. 10141S

(

)
Form

706-A

(Rev. 12-2008)

Form 706-A (Rev. 12-2008)

Page

2

Schedule A. Disposition of Specially Valued Property or Cessation of Qualified Use
Note. List property in chronological order of disposition or cessation.
A
Item
number

1

B
Description of specially valued property and schedule and item
number where reported on the decedent’s Form 706

Form 706, Schedule
Description—

C
Date of disposition
(or date qualified
use ceased)

D
Amount received (or fair
market value if applicable)
(see instructions)

E
Special use value
(see instructions)

, Item

Totals: Enter total of column D on page 1, Part II, Tax Computation, line 12, and
total of column E on page 1, Part II, Tax Computation, line 13.
Form

706-A

(Rev. 12-2008)

Form 706-A (Rev. 12-2008)

Schedule B. Involuntary Conversions or Exchanges

Page

Check if for:

Involuntary Conversion

Qualified replacement (or exchange) property
A
B
Item
Description of qualified replacement (or exchange) property

3

Exchange

C
Cost (or FMV)

1

Total cost (or FMV). Enter here and on line 16 of Part II, Tax Computation, page 1
Form

706-A

(Rev. 12-2008)

Form 706-A (Rev. 12-2008)

Page

4

Schedule C. Dispositions to Family Members of the Qualified Heir
Each transferee must enter into an agreement to be personally liable for any additional taxes imposed by section 2032A(c) and
the agreement must be attached to this Form 706-A. (see instructions)

Transferee #1:

Last name

First name

Social security number

Relationship to the qualified heir

Middle initial

Description of property transferred
A
B
Item
Description of specially valued property and schedule and item
number
number where reported on the decedent’s Form 706
1

Form 706, Schedule
Description:

Transferee #2:

C
Date of
disposition

, Item

Last name

First name

Social security number

Relationship to the qualified heir

Middle initial

Description of property transferred
A
B
Item
Description of specially valued property and schedule and item
number
number where reported on the decedent’s Form 706
1

Form 706, Schedule
Description:

C
Date of
disposition

, Item

If there are more than two transferees, attach additional sheets using the same format.

Form

706-A

(Rev. 12-2008)