Form
W706
(Last)
WisconsinEstateTaxReturn
ForEstatesofResidentandNonresidentDecedents
AMENDED
Estateof (First) (MI) Dateofdeath (MMDDYYYY) Dateofbirth Socialsecuritynumber EstatefederalIDnumber(EIN)
Addressofdecedentatdateofdeath
(MMDDYYYY)
City
State
Zipcode
County
Firstnameofsurvivingspouse
Will a closing certificate for fiduciaries be needed to close the estate withtheCircuitCourt? Yes No
Typeofproceeding
Probatecasenumber
AttachcompletecopyofFederalEstateTaxReturnÂForm706.
1 Seeinstructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 COMPUTATION 2 GrossvalueofpropertyinWisconsin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 OF WISCONSIN 3 Grossvalueoftotalestate(line1ofPart2,FederalForm706) . . . . . . . . . . . . . . 3 ESTATETAX 4 PercentofpropertyinWisconsin(line2dividedbyline3) . . . . . . . . . . . . . . . . . . 4 5 Wisconsinestatetax,seeinstructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 INTEREST AND PENALTY TAXDUE OR REFUND 6 Interest@12%(from to )(seeinstructions) . . . . . . . . . . . 6 . 00 . 00 . 00 % . 00 . 00 . 00 . 00 . 00 . 00 . 00
7 Penalty(seeinstructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 . 8 TOTALTAX,INTERESTANDPENALTY(addlines5,6and7) . . . . . . . . . . . . . . . . 8 9 Previouspayment(enterdate ) . . . . . . . . . . . . . . . . . . . . . . . 9
10 Ifline9islessthanline8,subtractline9fromline8 . . . . . . . . . . . BalanceDue 10 11 Ifline9isgreaterthanline8,subtractline8fromline9 . . . . . . . . . . . . . Refund 11
DECLARATION of personal representative, special administrator, trustee, distributee or other person signing Form W706 . I declare that I have made a diligent and careful search for property of every kind owned by the decedent, and that this return has been examined by me and is to the best of my knowledge true, correct and complete. If this return is prepared by anyone other than the person filing this return, the preparer's separate declaration is based on all information of which he or she has any knowledge. Idulyauthorizeapowerofattorneyto forthisestate .
Name Address(street, city, state, zip code)
SIGN HERE
Name
Designation
Date
Telephonenumber
(
)
Person preparing the return (individual and firm) if other than the preceding signer.
Address(street, city, state, zip code)
SIGN HERE
Name of individual or firm
Date
Telephonenumber
(
)
The certificate determining Wisconsin estate tax will be mailed to the individual / firm at the address shown below:
Attn or c/o
Address
City
State
Zipcode
Makecheckspayabletoandmailto:
WisconsinDepartmentofRevenue MailStop5-144 POBox8906 MadisonWI53708-8906
HT-005i(R .6-09)
*E1TR09991*
Auditor Number
7AU 8AU
For Department Use Only TOVAL
11OP 11CL 12OP 12CL