Free 2009 Form 101A Wisconsin Inheritance Tax Return - Wisconsin

FORM 101A
DETACH AND MAIL TO: Wisconsin Department of Revenue PO Box 8906 Madison, WI 53708 Estate of

Wisconsin Inheritance Tax Return
Resident Return
Date of Death City

DEPT USE ONLY

AUD # 1 6 2 7 3 8 4 9 5 0

(For Gross Estates $200,000 or Less)
Date of Birth State

Decedent's Social Security Number County

Address of Decedent at Date of Death (number and street)

Did decedent have a will?

Yes

No

If yes, attach a copy of the will and any codicils.

Occupation While Employed

Did decedent file a Wisconsin income tax return or homestead claim for last year?

Yes Did decedent make any gifts to any individual in excess No of $10,000 in the two years immediately prior to death?

Yes No

If yes, see instructions for Part 1, line 7.

PART 1 ­ SUMMARY OF ASSETS AND DEDUCTIONS
1. Property Solely Owned by Decedent (net amount from Part 3) 2. Allowable Deductions (Part 5, line 5) 3. Subtotal (line 1 less line 2) Jointly Owned Property--Fractional Basis 4. (net amount from Part 4, Section 1) Jointly Owned Property--Contribution Basis 5. (net amount from Part 4, Section 2) Insurance Payable to Named Beneficiaries 6. (attach schedule if more than one policy) 7. Other Property (itemize on separate page and attach) 8. WISCONSIN TAXABLE ESTATE (add lines 3 through 7) 1 TO VAL HOLD FOR $ Department Use Only 10P-X 20P-F 30P-XF 40P-XR 50P-XFR 60P-NoXF 7AU-NoCO 1CL-X 2CL-F 3CL-XF 4CL-XR 5CL-XFR 6CL-NoXF 8AU-CO

}

$

CNST #

ROITL #

FEE $

PART 2 ­ COMPUTATION OF TAX
9. 1. Names of Distributees 2. Social Security Number 3. Distributive Shares 4. Relationship 5. Tax

ATTACH REMITTANCE HERE



10. 11. 12. 13. 14.

Total Distributive Shares (must equal Part 1, line 8) Total of Column 5. (Enter here and on line 1, Schedule TC of Instructions.) Inheritance Tax Payable (From line 3, Schedule TC of instructions.) Inheritance Tax Previously Paid INHERITANCE TAX DUE (plus interest, if any) OR REFUND OF EXCESSIVE PAYMENT (line 12 less line 13)

2

}
$ 3 4
DEPT USE ONLY

DECLARATION: I declare that I have made a diligent and careful search for property of every kind left by the decedent, and that this return, including accompanying schedules, has been examined by me, and is to the best of my knowledge and belief, true, correct and complete. If 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.
Name Designation Address Date

} }
Zip Code

PERSONAL REPRESENTATIVE, special administrator, trustee, distributee or other person interested. (Section 72.30(1), Wis. Stats.)

SIGN HERE
Name

}
Designation

Telephone Number ( ) Zip Code

PERSON PREPARING THE RETURN (individual and firm) if other than the preceding signer
Address Date



SIGN HERE

}

Telephone Number ( )

HT-004 (R. 6-09)

Page 2

PART 3 ­ SOLELY OWNED PROPERTY If there is real estate, attach a copy of the property tax bill or appraisal for each parcel.

Total ...................................................................................................................................................... Less: Household goods and tangible personal property exemption (see instructions) .......................... Net Amount (enter on line 1, Part 1) ..................................................................................................... PART 4 ­ JOINTLY OWNED PROPERTY

$ $

SECTION 1 ­ FRACTIONAL SHARE BASIS (real estate and other complete transfers ­ see instructions)

Total ...................................................................................................................................................... Less: Mortgages and liens .................................................................................................................... Net Amount (enter on line 4, Part 1) ..................................................................................................... SECTION 2 ­ CONTRIBUTION BASIS (incomplete transfers ­ see instructions)

$ $

Total ...................................................................................................................................................... Less: Survivor's contribution (must be supported by affidavit ­ see instructions) .................................. Net Amount (enter on line 5, Part 1) ..................................................................................................... PART 5 ­ ALLOWABLE DEDUCTIONS 1. Debts outstanding at death (attach list if debts exceed $1,500) $

$ $

REQUIRED INFORMATION Will the Closing Certificate for Fiduciaries (also called the "income closing certificate") be needed to close this estate with the Circuit Court? Yes No If "yes", it is suggested that the request for this certificate along with any required fiduciary returns accompany the inheritance tax return when it is filed.

2. Expenses of last illness 3. Funeral and burial expenses 4. Expenses of administration 5. TOTAL DEDUCTIONS (Enter on line 2, Part 1) $

DETACH ON THIS LINE

INSTRUCTIONS FOR FORM 101A
WHEN THIS FORM CAN BE USED Form 101A, Wisconsin Inheritance Tax Return (Resident Return), may be used to report the estate of a decedent only when all of the following conditions are met: 1. Date of death is on or after January 1, 1978 2. Nofederalestatetaxreturnisrequiredtobefiled 3. The decedent's gross taxable estate (total of lines 2 and 8, Part1) is $200,000 or less 4. The decedent was a Wisconsin resident at the time of death 5. The decedent did not own real estate or tangible property located outside Wisconsin at the time of death EXCEPTIONS -- Do NOT use this form in the following two instances: 1. Oneormoreofthefiveconditionsmentionedaboveisnotmet.Form101shouldbe used. 2. ThedecedentdiedonorafterJanuary1,1986,andissurvivedbyaspouse.Form 101SorForm101mustbeusedinstead.Form101Smaybeusedwheneverthe survivingspouseistheonlypersonreceivingpropertyasaresultofthedecedent's death and death occurred on or after July 1, 1982. Otherwise, Form 101 must be used. TIME FOR FILING A RETURN The inheritance tax is due and payable within one year of a decedent's death. If the tax is not paid within one year of death, there is interest owing. Interest is calculated from date of death to the date the tax is paid at the rate of 12% per year. Enter the total of the tax and interest due on line 13, Part 2. WHERE TO GET FORMS AND INFORMATION You may obtain information, additional forms and assistance in preparing this return bycontactingourofficeat: 2135 Rimrock Rd Madison, WI Phone: (608) 266-2772 mailing address: PO Box 8906 Mail Stop 5-144 Madison, WI 53708 ItemizeallpropertylistedinPart3givingthenatureoftheproperty,thenameofthe banks, savings and loan associations and credit unions in which accounts are held, includingaccountnumbers,thenamesofcorporations,certificatenumbers,numbers of shares of stock held in these corporations and the names of all plans from which employebenefitsarepaidtotheestate.Ifspaceisinsufficient,anadditionalschedule may be attached. Enter the total of Part 3 on line 1 of Part 1, page 1. Part 4 - Page 2 (Jointly Owned Property--General Instructions) All joint property must be reported in either Section 1 or Section 2 of this schedule. ItemizeallamountslistedinPart4givingthenatureofthepropertyalongwiththenameof thesurvivingjointtenant.Ifcash,givethenamesandaccountnumbersofthebanks, savingsandloanassociationsandcreditunionsinwhichaccountsareheld.Ifsecurities, givethenamesofthecorporations,thecertificatenumbersandthenumberofshares ofstockheldinthesecorporations.Thevaluesshownmustincludeinterestaccruedon cash accounts and securities from date of the last interest payment to the date of death, anddividendsdeclaredonstockstoownersofrecordondateofdeathbutnotpaiduntil afterdeath.Attachacopyoftherealestatetaxbillorappraisalindicatinghowthevalue ofanyrealestatewasestablished.Ifspaceisinsufficient,attachadditionalschedules. Jointly owned tangible personal property may qualify for the $10,000 exemption mentioned in the instructions for Part 3. The exemption allowable in Part 4 is that portion of the exemption not claimed in Part 3. Part 4 - Section 1 (Jointly Owned Property-Fractional Share Basis) Use Section 1 to report the decedent's interest in joint property such as real estate, securities, and any other property which requires the signature of all joint tenants to terminate the joint tenancy or to transfer the property. Indicate the full market value of the decedent's interest in the joint property on this schedule. For purposes of this schedule, the decedent's interest is the full market valueofthepropertydividedbythenumberofjointtenantsincludingthedecedent.The amountofmortgagesandliensenteredinPart4mayonlyreflectthemortgagesand liens against the decedent's interest in the joint property. Enter the net amount of the decedent's interest in the joint property on line 4, Part 1, page 1. Part 4 - Section 2 (Jointly Owned Property-Contribution Basis) Use Section 2 to report the decedent's interest in joint property such as checking and savings accounts, certificates of deposit, government bonds and any other property which does not require the signature of all joint tenants to terminate the joint tenancy or to transfer the property. Reportthefullmarketvalueofthejointpropertyonthisschedule.Ifasurvivingjoint tenantcontendsthatlessthanthefullvalueofthepropertyisincludibleforinheritance taxpurposes,theburdenisuponsuchtenanttoshowarighttodeductanyvalue.In suchcase,anaffidavitmustbesubmittedshowingtheextent,origin,andnatureofthe survivor'sinterest.Noneofthesurvivor'sinterestmayhavebeencontributedbynor receivedfromthedecedent. Part 5 - Line 1, Page 2 (Debts) Report all debts owed by the decedent at date of death, including the amounts of mortgages and liens on solely owned property. If the total of the debts exceeds $1,500, a schedule must be attached itemizing the debts. Real estate taxes accrued to date of death on solely owned real estate are an allowable debt deduction. If the real estate taxes are accrued on jointly owned property, a lien deductionistobeclaimedinPart4.Ifthetaxlevyisnotknown,thedeductibleamount is one-twelfth of the taxes assessed against the property for the preceding calendar year multiplied by the number of months in the calendar year which lapsed before death, including the month of death, if death occurred after the 15th day. Part 5 - Line 2, Page 2 (Expenses of Last Illness) Report all expenses of last illness UNPAID AT DATE OF DEATH AND WHICH WILL NOT BE REIMBURSED BY INSURANCE OR DEDUCTED ON THE DECEDENT'S INDIVIDUAL INCOME TAX RETURN. Part 5 - Line 3, Page 2 (Funeral and Burial Expenses) Report the funeral and burial expenses which may include payments for undertaker's services, casket, religious services, burial plot, interment, tombstone, and perpetual careforthedecedent'sburiallot.Ifthesocialsecuritydeathbenefitwaspaidtothe

PREPARATION OF THE RETURN Part 3 - Page 2 (Solely Owned Property) Reportthefairmarketvalueofallrealpropertyownedsolelybythedecedentatdeath without deductions for mortgages or liens. Attach a copy of the property tax bill or appraisalusedtodeterminethefairmarketvalueoftherealestate. Report the total amount of all cash (regardless of physical location), including cash on hand,cashinsavingsandcheckingaccounts,savingsandloanaccountsandcredit unionaccountsinthedecedent'snameatthetimeofdeath.Thevaluesofallsecurities (forexample,stocks,bondsandsavingscertificates-regardlessofphysicallocation) owned by the decedent at death must be reported at the fair market value at date ofdeath.Interestmustbeaccruedonallsavingsaccountsfromthedateofthelast interestpaymenttothedateofdeath.Anydividendsdeclaredtoownersofrecordon date of death, but not paid until after death must also be reported. Information as to the amountsofaccruedinterestordividendsdeclaredbutnotpaidtothedecedentcanbe obtained from the payor. Reportthevaluesofmotorvehicles,businessequipment,householdgoods,sporting equipment, boats, stamp and coin collections, life insurance proceeds on the decedent's lifeoremployebenefitspaidtotheestateandnottoanamedbeneficiary,andanyother personal property owned by the decedent. For deaths on or after January 1, 1978 but beforeJuly1,1979,thefirst$2,500ofhouseholdfurniture,furnishingsandappliances isexemptfrominheritancetax.FordeathsonorafterJuly1,1979,thefirst$10,000of all tangible personal property (except money including coins or currency) is exempt from the inheritance tax. Examples of tangible personal property qualifying for the $10,000 exemptionare:householdfurniture,furnishingsandappliances;motorvehicles;sporting, recreational and hobby equipment; jewelry and furs; stamp collections; personal clothing;foodandbeverageitems;farmmachineryandequipment,livestockandharvested crops;andbusinesssupplies,inventoriesandequipment.Entertheexemptionavailable on behalf of this decedent on the appropriate line in Part 3. Reportthesocialsecuritylump-sumdeathbenefitunlesssuchbenefitispayableto thedecedent'ssurvivingspouseorwasmadetoafuneraldirectorasapaymenton the funeral bill.

undertaker,theremainingportionofthebillpaidisdeductible,unlessthesurvivoristhe spouse.Ifthespousesurvives,thetotalamountcanbedeductedandthedeathbenefit payment need not be reported as an asset. Part 5 - Line 4, Page 2 (Administration Expenses) Report the expenses of administration which include expenses incurred in the terminationofajointtenancysuchasattorneyfees,personalrepresentativefees,appraisal fees and publication fees to the extent such expenses HAVE NOT BEEN DEDUCTED OR WILL NOT BE DEDUCTED FOR WISCONSIN INCOME TAX PURPOSES. CAUTION: For deaths prior to August 1, 1987, no deduction ispermittediftheadministrationexpenseshavebeenorwillbedeductedonthefederal income tax return. Part 5 - Line 5, Page 2 (Total Deductions) Ifline5exceedsline1,Part1,theexcessmaybeappliedagainstthedistributiveshare of the distributee who actually paid the expense or is obligated to make payment. Part 1 - Line 6, Page 1 (Insurance Proceeds) Enterthetotaloflifeinsuranceproceedspaidtoallnamedbeneficiariesonthedeath of the decedent. For deaths prior to July 1, 1979, deduct a $10,000 exclusion and enter theremainingamount.(NoexclusionisavailablefordeathsonorafterJuly1,1979.) The $10,000 exclusion is the maximum exclusion allowed regardless of the total insuranceproceedspaidbeneficiariesorthenumberofinsurancepoliciesorbeneficiaries. Insurance proceeds payable to the estate are not eligible for this exclusion and should be entered in Part 3. If there is more than one insurance policy on the decedent's life, a scheduleshouldbeattachedlistingeachpolicy,thenamesofthebeneficiariesandthe amountofbenefitspaybletoeachbeneficiary. Part 1 - Line 7, Page 1 (Other Property) Enterthevalueofanditemizeallotherpropertythatdecedentheldaninterestinatdate ofdeath.Reportbenefitspaidtoabeneficiaryunderanemployebenefitplan,including retirement payments not indicated below as exempt. Any amount accumulated as a resultoftheemployer'scontributionstoafederallyqualifiedplanisexempt.Theperson administering the program can furnish information on this. For deaths occurring on or afterJanuary1,1978butbeforeJanuary1,1979,benefitspayableinalump-sumare fully includible in the decedent's estate regardless of who contributed to the plan. For deaths occurring on or after January 1, 1979, a lump-sum payment will again qualify

forexemptiontotheextenttheemployebenefitplanwasemployerfundedprovidedthe payment must be included as ordinary income for federal income tax purposes and the recipientirrevocablywaivesforfederalincometaxpurposescapitalgainstreatmentor 10yearincomeaveraging. BenefitsfromanyemployeretirementplanoftheUnitedStates,StateofWisconsinor Wisconsin municipality are completely exempt and need not be reported. Also exempt are group life insurance proceeds paid from the retirement plan of the State of Wisconsin (effectivefordeathsonorafterJanuary1,1982). If the decedent made gifts within two years prior to death, the gifts are generally consideredtohavebeenmadeincontemplationofdeatheventhoughthedecedentmayhave appeared healthy immediately prior to death. Such gifts are subject to the Wisconsin inheritance tax. If gifts were made within two years prior to death, attach a copy of the deathcertificatetoForm101A.

COMPUTATION OF TAX Part 2 - Page 1 Enter the name of the distributee in column 1 and the distributee's social security number in column 2. (Failure to include the social security number of all distributees may delay the processing of this return.) In column 3, report the amount of the decedent's Wisconsin taxableestate(Part1,line8)eachdistributeewillreceive. In column 4, enter the distributee's relationship to the decedent. Compute the tax for column 5 using the tax rates from the table below. In computing the taxdueoneachdistributee'ssharefirstdeducttheexemptionsfromthelowestbracket(s). Computethetaxonthebalanceremainingineachbracketaftertheavailableexemptions havebeendeducted.Enterthetaxcomputedincolumn5. BEGINNING WITH DATES OF DEATH IN 1988, THE INHERITANCE TAX IS BEING PHASED OUT OVER A FIVE-YEAR PERIOD. USE SCHEDULE TC BELOW TO COMPUTE THE AMOUNT DUE.

Wisconsin Inheritance Tax Exemptions and Rates For Form 101A
Relationship to Decedent A1 Spouse (deaths on or after January 1, 1978 but before July 1, 1979) Spouse (deaths on or after July 1, 1979 but before July 1, 1982) A2 Spouse (deaths on or after July 1, 1982) All property received is exempt Lineal issue (children, grandchildren), lineal ancestor (parents, grandparents), wife or widow of a son, husband or widower of a daughter, adopted or mutually acknowledged child, or mutually acknowledged parent Deaths on or after January 1, 1978 but before July 1, 1979 Deaths on or after July 1, 1979 but before April 13, 1984 Deaths on or after April 13, 1984 but before July 1, 1985 Deaths on or after July 1, 1985 B C D Brother, sister, or descendant of brother or sister (niece, grandnephew, etc.) Brother or sister of a father or mother, or a descendant of a brother or sister All others regardless of relationship to the decedent Personal Exemptions $ 50,000 250,000 Balance of $25,000 $25,000 to $50,000 $50,000 to $100,000 3.75% $100,000 to $200,000 5.0%

4,000 10,000 25,000 50,000 1,000 1,000 500

2.5%

5.0%

7.5%

10.0%

5.0% 7.5% 10.0%

10.0% 15.0% 20.0%

15.0%

* 22.5% * 30.0%

* *

20.0% 30.0% 30.0%

The personal exemption is applied against the lowest bracket. The tax cannot exceed 20% of the value of the property transferred to any distributee. *For deaths on or after January 1, 1986, these tax rates are 20% instead of the rates shown.

Schedule TC -- Tax Computation For Deaths in 1. Tax from line 11, Page 1 .................................................................................. 2. Percentage of Tax Payable .............................................................................. 3. Multiply amount on line 1 by rate on line 2. (Enter here and on line 12, of Page 1 of Form 101A...................................................................................
1987 and Prior 1988 1989 1990 1991

100%

80%

60%

40%

20%