Form Sch F Sch F Other Miscellaneous Property Not Reportable Under Any Ot

Form 706 (Rev. 8-2013)

Decedent’s social security number

Estate of:

SCHEDULE F—Other Miscellaneous Property Not Reportable Under Any Other Schedule
(For jointly owned property that must be disclosed on Schedule E, see instructions.)
(If you elect section 2032A valuation, you must complete Schedule F and Schedule A-1.)
Note. If the value of the gross estate, together with the amount of adjusted taxable gifts, is less than the basic exclusion amount and the
Form 706 is being filed solely to elect portability of the DSUE amount, consideration should be given as to whether you are required to
report the value of assets eligible for the marital or charitable deduction on this schedule. See the instructions and Reg. section 20.2010-2T
(a)(7)(ii) for more information. If you are not required to report the value of an asset, identify the property but make no entries in the last three
columns.

Yes No

1 Did the decedent own any works of art, items, or any collections whose artistic or collectible value at date of death
exceeded $3,000? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If “Yes,” submit full details on this schedule and attach appraisals.
2 Has the decedent’s estate, spouse, or any other person received (or will receive) any bonus or award as a result of
the decedent’s employment or death? . . . . . . . . . . . . . . . . . . . . . . . . . .
If “Yes,” submit full details on this schedule.
3 Did the decedent at the time of death have, or have access to, a safe deposit box? . . . . . . . . . . .
If ‘‘Yes,’’ state location, and if held jointly by decedent and another, state name and relationship of joint depositor.

If any of the contents of the safe deposit box are omitted from the schedules in this return, explain fully why omitted.

Item
number

Description. For securities, give CUSIP number. If trust, partnership, or closely held entity,
give EIN

Alternate valuation
date

Alternate value

Value at
date of death

CUSIP number or
EIN, where
applicable

1

Total from continuation schedules (or additional statements) attached to this schedule . .
TOTAL. (Also enter on Part 5—Recapitulation, page 3, at item 6.) . . . . . . . . .
(If more space is needed, attach the continuation schedule from the end of this package or additional statements of the same size.)

Schedule F—Page 14