Fillable Printable Form 706

What is a Form 706 ?

Form 706, known as United States estate (and generation-skipping transfer) tax return, is a tax form distributed by the internal revenue service (IRS) used by the executor of an estate to determine if any taxes are owed. Form 706 is to be completed by the executor if the decedent is a U.S. resident or citizen, and the decedent's gross estate is valued at over a certain value. Besides, form 706 is also used to calculate the generation-skipping transfer (GST) tax. Edit, sign, print fillable Form 706 at Handypdf.com.

Fillable Printable Form 706

What is a Form 706 ?

Form 706

(Rev. August 2017)

Department of the Treasury

Internal Revenue Service

United States Estate (and Generation-Skipping Transfer)

Tax Return

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Estate of a citizen or resident of the United States (see instructions). To be filed for

decedents dying after December 31, 2016.

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Go to www.irs.gov/Form706 for instructions and the latest information.

OMB No. 1545-0015

Part 1—Decedent and Executor

1a Decedent’s first name and middle initial (and maiden name, if any) 1b Decedent’s last name 2 Decedent’s social security no.

3a City, town, or post office; county; state or province; country; and ZIP

or foreign postal code.

Year domicile established

4 Date of birth 5 Date of death

6a Name of executor (see instructions)

6b Executor’s address (number and street including apartment or suite no.; city, town,

or post office; state or province; country; and ZIP or foreign postal code) and

phone no.

Phone no.

6c Executor’s social security number (see instructions)

6d If there are multiple executors, check here and attach a list showing the names, addresses, telephone numbers, and SSNs of the additional executors.

Name and location of court where will was probated or estate administered 7b Case number

If decedent died testate, check here

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and attach a certified copy of the will.

If you extended the time to file this Form 706, check here

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If Schedule R-1 is attached, check here

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If you are estimating the value of assets included in the gross estate on line 1 pursuant to the special rule of Reg. section 20.2010-2(a) (7)(ii), check here

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Part 2—Tax Computation

1 Total gross estate less exclusion (from Part 5—Recapitulation, item 13) . . . . . . . . . . 1

2 Tentative total allowable deductions (from Part 5—Recapitulation, item 24) . . . . . . . . . 2

3a Tentative taxable estate (subtract line 2 from line 1) . . . . . . . . . . . . . . . . 3a

b State death tax deduction . . . . . . . . . . . . . . . . . . . . . . . 3b

c Taxable estate (subtract line 3b from line 3a) . . . . . . . . . . . . . . . . . . 3c

4 Adjusted taxable gifts (see instructions) . . . . . . . . . . . . . . . . . . .

5 Add lines 3c and 4 . . . . . . . . . . . . . . . . . . . . . . . . . 5

6 Tentative tax on the amount on line 5 from Table A in the instructions . . . . . . . . . . 6

7 Total gift tax paid or payable (see instructions) . . . . . . . . . . . . . . . . . 7

8 Gross estate tax (subtract line 7 from line 6) . . . . . . . . . . . . . . . . . . 8

Basic exclusion amount . . . . . . . . . . . . . . .

Deceased spousal unused exclusion (DSUE) amount from predeceased spouse(s), if

any (from Section D, Part 6—Portability of Deceased Spousal Unused Exclusion). .

c Restored exclusion amount (see instructions) . . . . . . . . 9c

Applicable exclusion amount (add lines 9a, 9b, and 9c) . . . . .

Applicable credit amount (tentative tax on the amount in 9d from table A

in the instructions) . . . . . . . . . . . . . . . .

10 Adjustment to applicable credit amount (May not exceed $6,000. See

instructions.) . . . . . . . . . . . . . . . . . . 10

11 Allowable applicable credit amount (subtract line 10 from line 9e) . . . . . . . . . . . 11

12 Subtract line 11 from line 8 (but do not enter less than zero) . . . . . . . . . . . . . 12

Credit for foreign death taxes (from Schedule P). (Attach Form(s) 706-CE.)

14 Credit for tax on prior transfers (from Schedule Q) . . . . . . . 14

15 Total credits (add lines 13 and 14) . . . . . . . . . . . . . . . . . . . . . 15

16 Net estate tax (subtract line 15 from line 12) . . . . . . . . . . . . . . . . . . 16

17 Generation-skipping transfer (GST) taxes payable (from Schedule R, Part 2, line 10) . . . . . . 17

18 Total transfer taxes (add lines 16 and 17) . . . . . . . . . . . . . . . . . . . 18

19 Prior payments (explain in an attached statement) . . . . . . . . . . . . . . . . 19

20 Balance due (or overpayment) (subtract line 19 from line 18) . . . . . . . . . . . . . 20

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and

belief, it is true, correct, and complete. Declaration of preparer other than the executor is based on all information of which preparer has any knowledge.

Sign

Here

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Signature of executor

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Date

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Signature of executor

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Date

Paid

Preparer

Use Only

Print/Type preparer’s name

Preparer’s signature Date

Check if

self-employed

PTIN

Firm’s name

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Firm’s address

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Firm’s EIN

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Phone no.

For Privacy Act and Paperwork Reduction Act Notice, see instructions. Cat. No. 20548R

Form 706 (Rev. 8-2017)

Estate of:

Decedent’s social security number

Part 3—Elections by the Executor

Note: For information on electing portability of the decedent's DSUE amount, including how to opt out of the election, see Part 6—

Portability of Deceased Spousal Unused Exclusion.

Note: Some of the following elections may require the posting of bonds or liens.

Yes No

Please check “Yes” or “No” box for each question (see instructions).

1 Do you elect alternate valuation? . . . . . . . . . . . . . . . . . . . . . . . . . . .

2 Do you elect special-use valuation? If “Yes,” you must complete and attach Schedule A-1 . . . . . . . . . .

Do you elect to pay the taxes in installments as described in section 6166? . . . . . . . . . . . . . . .

If “Yes,” you must attach the additional information described in the instructions.

Note: By electing section 6166 installment payments, you may be required to provide security for estate tax deferred

under section 6166 and interest in the form of a surety bond or a section 6324A lien.

4 Do you elect to postpone the part of the taxes due to a reversionary or remainder interest as described in section 6163? .

Part 4—General Information

Note: Please attach the necessary supplemental documents. You must attach the death certificate. (See instructions)

Authorization to receive confidential tax information under Reg. section 601.504(b)(2)(i); to act as the estate’s representative before the IRS; and to make written

or oral presentations on behalf of the estate:

Name of representative (print or type) State Address (number, street, and room or suite no., city, state, and ZIP code)

I declare that I am the attorney/

certified public accountant/

enrolled agent (check the applicable box) for the executor. I am not under suspension or

disbarment from practice before the Internal Revenue Service and am qualified to practice in the state shown above.

Signature

CAF number Date Telephone number

Death certificate number and issuing authority (attach a copy of the death certificate to this return).

2 Decedent’s business or occupation. If retired, check here

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and state decedent’s former business or occupation.

3a Marital status of the decedent at time of death:

Married

Widow/widower

Single Legally separated Divorced

For all prior marriages, list the name and SSN of the former spouse, the date the marriage ended, and whether the marriage ended by

annulment, divorce, or death. Attach additional statements of the same size if necessary.

Surviving spouse’s name 4b Social security number 4c

Amount received (see instructions)

Individuals (other than the surviving spouse), trusts, or other estates who receive benefits from the estate (do not include charitable beneficiaries

shown in Schedule O) (see instructions).

Name of individual, trust, or estate receiving $5,000 or more Identifying number Relationship to decedent Amount (see instructions)

All unascertainable beneficiaries and those who receive less than $5,000 . . . . . . . . . . . . . . .

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Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If you answer “Yes” to any of the following questions, you must attach additional information as described.

Yes No

6 Is the estate filing a protective claim for refund? . . . . . . . . . . . . . . . . . . . . . . . .

If “Yes,” complete and attach two copies of Schedule PC for each claim.

7 Does the gross estate contain any section 2044 property (qualified terminable interest property (QTIP) from a prior gift or estate)?

(see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8 a Have federal gift tax returns ever been filed? . . . . . . . . . . . . . . . . . . . . . . . . .

If “Yes,” attach copies of the returns, if available, and furnish the following information.

Period(s) covered c Internal Revenue office(s) where filed

Was there any insurance on the decedent’s life that is not included on the return as part of the gross estate? . . . . . .

b Did the decedent own any insurance on the life of another that is not included in the gross estate? . . . . . . . . .

Page 2

Form 706 (Rev. 8-2017)

Estate of:

Decedent’s social security number

Part 4—General Information (continued)

If you answer “Yes” to any of the following questions, you must attach additional information as described.

Yes No

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? If “Yes,” you must complete and attach Schedule E . . . . . . . . . . .

11 a Did the decedent, at the time of death, own any interest in a partnership (for example, a family limited partnership), an

unincorporated business, or a limited liability company; or own any stock in an inactive or closely held corporation? . . . .

b If “Yes,” was the value of any interest owned (from above) discounted on this estate tax return? If “Yes,” see the instructions on

reporting the total accumulated or effective discounts taken on Schedule F or G . . . . . . . . . . . . . .

12 Did the decedent make any transfer described in sections 2035, 2036, 2037, or 2038? (see instructions) If “Yes,” you must

complete and attach Schedule G . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13a Were there in existence at the time of the decedent’s death any trusts created by the decedent during his or her lifetime? . .

b Were there in existence at the time of the decedent’s death any trusts not created by the decedent under which the decedent

possessed any power, beneficial interest, or trusteeship? . . . . . . . . . . . . . . . . . . . . .

Was the decedent receiving income from a trust created after October 22, 1986, by a parent or grandparent? . . . . . .

If “Yes,” was there a GST taxable termination (under section 2612) on the death of the decedent? . . . . . . . . .

d If there was a GST taxable termination (under section 2612), attach a statement to explain. Provide a copy of the trust or will

creating the trust, and give the name, address, and phone number of the current trustee(s).

Did the decedent at any time during his or her lifetime transfer or sell an interest in a partnership, limited liability company, or

closely held corporation to a trust described in lines 13a or 13b? . . . . . . . . . . . . . . . . . . .

If “Yes,” provide the EIN for this transferred/sold item.

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Did the decedent ever possess, exercise, or release any general power of appointment? If “Yes,” you must complete and attach Schedule H . . . .

15 Did the decedent have an interest in or a signature or other authority over a financial account in a foreign country, such as a bank

account, securities account, or other financial account? . . . . . . . . . . . . . . . . . . . . .

16 Was the decedent, immediately before death, receiving an annuity described in the “General” paragraph of the instructions for

Schedule I or a private annuity? If “Yes,” you must complete and attach Schedule I . . . . . . . . . . . . .

17 Was the decedent ever the beneficiary of a trust for which a deduction was claimed by the estate of a predeceased spouse

under section 2056(b)(7) and which is not reported on this return? If “Yes,” attach an explanation . . . . . . . . .

Part 5—Recapitulation. Note:

If estimating the value of one or more assets pursuant to the special rule of Reg. section 20.2010-2(a)(7)(ii), enter on both lines

10 and 23 the amount noted in the instructions for the corresponding range of values. (See instructions for details.)

Item no. Gross estate Alternate value Value at date of death

Schedule A—Real Estate . . . . . . . . . . . . . . . .

2 Schedule B—Stocks and Bonds . . . . . . . . . . . . . .

3 Schedule C—Mortgages, Notes, and Cash . . . . . . . . . . .

4 Schedule D—Insurance on the Decedent’s Life (attach Form(s) 712) . . . .

5 Schedule E—Jointly Owned Property (attach Form(s) 712 for life insurance) .

6 Schedule F—Other Miscellaneous Property (attach Form(s) 712 for life insurance)

7 Schedule G—Transfers During Decedent’s Life (att. Form(s) 712 for life insurance)

8 Schedule H—Powers of Appointment . . . . . . . . . . . .

9 Schedule I—Annuities . . . . . . . . . . . . . . . . .

Estimated value of assets subject to the special rule of Reg. section 20.2010-2(a)(7)(ii)

11 Total gross estate (add items 1 through 10) . . . . . . . . . . .

12 Schedule U—Qualified Conservation Easement Exclusion . . . . . .

Total gross estate less exclusion (subtract item 12 from item 11). Enter here and

on line 1 of Part 2—Tax Computation . . . . . . . . . . . . .

Item no. Deductions Amount

Schedule J—Funeral Expenses and Expenses Incurred in Administering Property Subject to Claims . . . . .

15 Schedule K—Debts of the Decedent . . . . . . . . . . . . . . . . . . . . .

16 Schedule K—Mortgages and Liens . . . . . . . . . . . . . . . . . . . . .

17 Total of items 14 through 16 . . . . . . . . . . . . . . . . . . . . . . .

Allowable amount of deductions from item 17 (see the instructions for item 18 of the Recapitulation) . . . . .

19 Schedule L—Net Losses During Administration . . . . . . . . . . . . . . . . . .

20 Schedule L—Expenses Incurred in Administering Property Not Subject to Claims . . . . . . . .

21 Schedule M—Bequests, etc., to Surviving Spouse . . . . . . . . . . . . . . . . .

22 Schedule O—Charitable, Public, and Similar Gifts and Bequests . . . . . . . . . . . . .

23 Estimated value of deductible assets subject to the special rule of Reg. section 20.2010-2(a)(7)(ii) . . .

Tentative total allowable deductions (add items 18 through 23). Enter here and on line 2 of the Tax Computation

Page 3

Form 706 (Rev. 8-2017)

Estate of:

Decedent’s social security number

Part 6—Portability of Deceased Spousal Unused Exclusion (DSUE)

Portability Election

A decedent with a surviving spouse elects portability of the deceased spousal unused exclusion (DSUE) amount, if any, by completing and timely-filing

this return. No further action is required to elect portability of the DSUE amount to allow the surviving spouse to use the decedent's DSUE amount.

Section A. Opting Out of Portability

The estate of a decedent with a surviving spouse may opt out of electing portability of the DSUE amount. Check here and do not complete Sections B

and C of Part 6 only if the estate opts NOT to elect portability of the DSUE amount.

Section B. QDOT

Are any assets of the estate being transferred to a qualified domestic trust (QDOT)? . . . . . . . . . . . . . . . . .

Yes No

If “Yes,” the DSUE amount portable to a surviving spouse (calculated in Section C, below) is preliminary and shall be redetermined at the time of the

final distribution or other taxable event imposing estate tax under section 2056A. See instructions for more details.

Section C. DSUE Amount Portable to the Surviving Spouse (To be completed by the estate of a decedent making a portability

election.)

Complete the following calculation to determine the DSUE amount that can be transferred to the surviving spouse.

1 Enter the amount from line 9d, Part 2—Tax Computation . . . . . . . . . . . . . . .

2 Reserved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Enter the value of the cumulative lifetime gifts on which tax was paid or payable (see instructions) . . . 3

4 Add lines 1 and 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

5 Enter amount from line 10, Part 2—Tax Computation . . . . . . . . . . . . . . . . 5

Divide amount on line 5 by 40% (0.40) (do not enter less than zero) . . . . . . . . . . . .

7 Subtract line 6 from line 4 . . . . . . . . . . . . . . . . . . . . . . . . 7

8 Enter the amount from line 5, Part 2—Tax Computation . . . . . . . . . . . . . . . . 8

9 Subtract line 8 from line 7 (do not enter less than zero) . . . . . . . . . . . . . . . . 9

10 DSUE amount portable to surviving spouse (Enter lesser of line 9 or line 9a, Part 2—Tax Computation) . . 10

Section D. DSUE Amount Received from Predeceased Spouse(s) (To be completed by the estate of a deceased surviving

spouse with DSUE amount from predeceased spouse(s))

Provide the following information to determine the DSUE amount received from deceased spouses.

Name of Deceased Spouse

(dates of death after

December 31, 2010, only)

Date of Death

(enter as mm/dd/yy)

Portability

Election

Made?

If “Yes,” DSUE

Amount Received

from Spouse

DSUE Amount

Applied by

Decedent to

Lifetime Gifts

Year of Form 709

Reporting Use of DSUE

Amount Listed in col E

Remaining DSUE

Amount, if any

(subtract col. E

from col. D)

Yes

Part 1 — DSUE RECEIVED FROM LAST DECEASED SPOUSE

Part 2 — DSUE RECEIVED FROM OTHER PREDECEASED SPOUSE(S) AND USED BY DECEDENT

Total (for all DSUE amounts from predeceased spouse(s) applied) . . .

Add the amount from Part 1, column D and the total from Part 2, column E. Enter the result on line 9b, Part 2—Tax

Computation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Page 4

Form 706 (Rev. 8-2017)

Estate of:

Decedent’s social security number

SCHEDULE A—Real Estate

• For jointly owned property that must be disclosed on Schedule E, see instructions.

•

Real estate that is part of a sole proprietorship should be shown on Schedule F.

• Real estate that is included in the gross estate under sections 2035, 2036, 2037, or 2038 should be shown on Schedule G.

• Real estate that is included in the gross estate under section 2041 should be shown on Schedule H.

• If you elect section 2032A valuation, you must complete Schedule A 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 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.

Item

number

Description

Alternate

valuation date

Alternate value

Value at date of death

Total from continuation schedules or additional statements attached to this schedule . . .

TOTAL. (Also enter on Part 5—Recapitulation, page 3, at item 1.) . . . . . . . . .

(If more space is needed, attach the continuation schedule from the end of this package or additional statements of the same size.)

Schedule A—Page 5

Form 706 (Rev. 8-2017)

Estate of:

Decedent’s social security number

SCHEDULE A-1—Section 2032A Valuation

Part 1. Type of election (Before making an election, see the checklist in the instructions):

Protective election (Regulations section 20.2032A-8(b)). Complete Part 2, line 1, and column A of lines 3 and 4. (see instructions)

Regular election. Complete all of Part 2 (including line 11, if applicable) and Part 3. (see instructions)

Before completing Schedule A-1, see the instructions for the information and documents that must be included to make a valid

election.

The election is not valid unless the agreement (that is, Part 3. Agreement to Special Valuation Under Section 2032A):

• Is signed by each qualified heir with an interest in the specially valued property, and

• Is attached to this return when it is filed.

Part 2. Notice of election (Regulations section 20.2032A-8(a)(3))

Note: All real property entered on lines 2 and 3 must also be entered on Schedules A, E, F, G, or H, as applicable.

1 Qualified use—check one

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Farm used for farming, or

Trade or business other than farming

2 Real property used in a qualified use, passing to qualified heirs, and to be specially valued on this Form 706.

Schedule and item number

from Form 706

Full value

(without section 2032A(b)(3)(B)

adjustment)

Adjusted value (with section 2032A

(b)(3)(B) adjustment)

Value based on qualified use

(without section 2032A(b)(3)(B)

adjustment)

Totals . . . . . . . . . .

Attach a legal description of all property listed on line 2.

Attach copies of appraisals showing the column B values for all property listed on line 2.

3 Real property used in a qualified use, passing to qualified heirs, but not specially valued on this Form 706.

Schedule and item number

from Form 706

Full value

(without section 2032A(b)(3)(B)

adjustment)

Adjusted value (with section 2032A

(b)(3)(B) adjustment)

Value based on qualified use

(without section 2032A(b)(3)(B)

adjustment)

Totals . . . . . . . . . .

If you checked “Regular election,” you must attach copies of appraisals showing the column B values for all property listed on line 3.

(continued on next page)

Schedule A-1—Page 6

Form 706 (Rev. 8-2017)

4 Personal property used in a qualified use and passing to qualified heirs.

Schedule and item

number from Form 706

Adjusted value (with section 2032A

(b)(3)(B) adjustment)

Subtotal . . . . . . . .

A (continued)

Schedule and item

number from Form 706

B (continued)

Adjusted value (with section 2032A

(b)(3)(B) adjustment)

“Subtotal” from Col. B, below left

Total adjusted value . . .

5 Enter the value of the total gross estate as adjusted under section 2032A(b)(3)(A).

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6 Attach a description of the method used to determine the special value based on qualified use.

7 Did the decedent and/or a member of his or her family own all property listed on line 2 for at least 5 of the 8

years immediately preceding the date of the decedent’s death? . . . . . . . . . . . . . . .

Yes No

8 Were there any periods during the 8-year period preceding the date of the decedent’s death during which the

decedent or a member of his or her family:

Yes No

a Did not own the property listed on line 2? . . . . . . . . . . . . . . . . . . . . . . . .

b Did not use the property listed on line 2 in a qualified use? . . . . . . . . . . . . . . . . . .

c Did not materially participate in the operation of the farm or other business within the meaning of section

2032A(e)(6)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If you answered “Yes” to any of the above, attach a statement listing the periods. If applicable, describe whether the

exceptions of sections 2032A(b)(4) or (5) are met.

9 Attach affidavits describing the activities constituting material participation and the identity and relationship to the

decedent of the material participants.

Persons holding interests. Enter the requested information for each party who received any interest in the specially valued

property. (Each of the qualified heirs receiving an interest in the property must sign the agreement, to be found on Part

3 of this Schedule A-1, and the agreement must be filed with this return.)

Name Address

Identifying number Relationship to decedent Fair market value Special-use value

You must attach a computation of the GST tax savings attributable to direct skips for each person listed above who is a skip person. (see instructions)

11 Woodlands election. Check here

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if you wish to make a Woodlands election as described in section 2032A(e)(13). Enter

the schedule and item numbers from Form 706 of the property for which you are making this election

▶

Attach a statement explaining why you are entitled to make this election. The IRS may issue regulations that require more

information to substantiate this election. You will be notified by the IRS if you must supply further information.

Schedule A-1—Page 7

Form 706 (Rev. 8-2017)

Part 3. Agreement to Special Valuation Under Section 2032A

Estate of:

Decedent’s social security number

There cannot be a valid election unless:

• The agreement is executed by each one of the qualified heirs, and

• The agreement is included with the estate tax return when the estate tax return is filed.

We (list all qualified heirs)

being all the qualified heirs and (list all other persons having an interest in the property required to sign this agreement)

being all other parties having interests in the property which is qualified real property and which is valued under section 2032A of the

Internal Revenue Code, do hereby approve of the election made by

Executor/Administrator of the estate of

pursuant to section 2032A to value said property on the basis of the qualified use to which the property is devoted and do hereby

enter into this agreement pursuant to section 2032A(d).

The undersigned agree and consent to the application of subsection (c) of section 2032A with respect to all the property described on

Form 706, Schedule A-1, Part 2, line 2, attached to this agreement. More specifically, the undersigned heirs expressly agree and

consent to personal liability under subsection (c) of 2032A for the additional estate and GST taxes imposed by that subsection with

respect to their respective interests in the above-described property in the event of certain early dispositions of the property or early

cessation of the qualified use of the property. It is understood that if a qualified heir disposes of any interest in qualified real property

to any member of his or her family, such member may thereafter be treated as the qualified heir with respect to such interest upon

filing a Form 706-A, United States Additional Estate Tax Return, and a new agreement.

The undersigned interested parties who are not qualified heirs consent to the collection of any additional estate and GST taxes

imposed under section 2032A(c) from the specially valued property.

If there is a disposition of any interest which passes, or has passed to him or her, or if there is a cessation of the qualified use of any

specially valued property which passes or passed to him or her, each of the undersigned heirs agrees to file a Form 706-A, and pay

any additional estate and GST taxes due within 6 months of the disposition or cessation.

It is understood by all interested parties that this agreement is a condition precedent to the election of special-use valuation under

section 2032A and must be executed by every interested party even though that person may not have received the estate (or GST) tax

benefits or be in possession of such property.

Each of the undersigned understands that by making this election, a lien will be created and recorded pursuant to section 6324B of

the Code on the property referred to in this agreement for the adjusted tax differences with respect to the estate as defined in section

2032A(c)(2)(C).

As the interested parties, the undersigned designate the following individual as their agent for all dealings with the Internal Revenue

Service concerning the continued qualification of the specially valued property under section 2032A and on all issues regarding the

special lien under section 6324B. The agent is authorized to act for the parties with respect to all dealings with the Internal Revenue

Service on matters affecting the qualified real property described earlier. This includes the authorization:

• To receive confidential information on all matters relating to continued qualification under section 2032A of the specially valued real

property and on all matters relating to the special lien arising under section 6324B;

• To furnish the Internal Revenue Service with any requested information concerning the property;

• To notify the Internal Revenue Service of any disposition or cessation of qualified use of any part of the property;

• To receive, but not to endorse and collect, checks in payment of any refund of Internal Revenue taxes, penalties, or interest;

• To execute waivers (including offers of waivers) of restrictions on assessment or collection of deficiencies in tax and waivers of

notice of disallowance of a claim for credit or refund; and

• To execute closing agreements under section 7121.

(continued on next page)

Schedule A-1— Page 8

Form 706 (Rev. 8-2017)

Part 3. Agreement to Special Valuation Under Section 2032A (continued)

Estate of:

Decedent’s social security number

• Other acts (specify)

▶

By signing this agreement, the agent agrees to provide the Internal Revenue Service with any requested information concerning this property

and to notify the Internal Revenue Service of any disposition or cessation of the qualified use of any part of this property.

Name of Agent

Signature

Address

The property to which this agreement relates is listed in Form 706, United States Estate (and Generation-Skipping Transfer) Tax Return, and in

the Notice of Election, along with its fair market value according to section 2031 of the Code and its special-use value according to section

2032A. The name, address, social security number, and interest (including the value) of each of the undersigned in this property are as set

forth in the attached Notice of Election.

IN WITNESS WHEREOF, the undersigned have hereunto set their hands at

this day of

SIGNATURES OF EACH OF THE QUALIFIED HEIRS:

Signature of qualified heir Signature of qualified heir

Signatures of other interested parties

Schedule A-1—Page 9

Form 706 (Rev. 8-2017)

Estate of:

Decedent’s social security number

SCHEDULE B—Stocks and Bonds

(For jointly owned property that must be disclosed on Schedule E, see instructions.)

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 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 four columns.

Item

number

Description, including face amount of bonds or number of shares

and par value for identification. Give CUSIP number.

If trust, partnership, or closely held entity, give EIN.

Unit value

Alternate

valuation date

Alternate value

Value at

date of death

CUSIP number or EIN,

where applicable

Total from continuation schedules (or additional statements) attached to this schedule . . .

TOTAL. (Also enter on Part 5—Recapitulation, page 3, at item 2.) . . . . . . . . . .

(If more space is needed, attach the continuation schedule from the end of this package or additional statements of the same size.)

Schedule B—Page 10

Form 706 (Rev. 8-2017)

Estate of:

Decedent’s social security number

SCHEDULE C—Mortgages, Notes, and Cash

(For jointly owned property that must be disclosed on Schedule E, see instructions.)

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 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.

Item

number

Description

Alternate

valuation date

Alternate value

Value at

date of death

Total from continuation schedules (or additional statements) attached to this schedule . .

TOTAL. (Also enter on Part 5—Recapitulation, page 3, at item 3.) . . . . . . . . .

(If more space is needed, attach the continuation schedule from the end of this package or additional statements of the same size.)

Schedule C—Page 11