COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Estate Tax Division Estate Tax Form 3G Revised 7/03 Index No. : Calendar No. : 1 (800) 977-7711 www.ohio.gov/tax JUDICIAL SUBPOENA Plaintiff(s) Ohio Resident Generation-Skipping Transfer Tax Return (Section 5731.181) -against: This form need not be filed if no generation-skipping transfer tax is due. Estate of: Deemed transferor’s last name Deemed transferor’s first name and initial Address of deemed transferor at time of death (number and street, city, state and ZIP code) Date of death : Deemed transferor’s social security number : County in Ohio in which probate court located, will probated or estate administered Case number Defendant(s) : ...................................................... Date Ohio estate tax return filed, if any Date Ohio estate tax paid, if any Name of trustee filing return Date of determination of final federal estate tax liability in deemed transferor’s estate, if applicable Employer identification number of trust THE PEOPLE OF THE STATE OF NEW YORK Name of distributee or person filing return if different from trustee listed above TO Identifying number Address of person filing return City, town or post office, state and ZIP code Name of grantor If you checked “termination,” is this return for (check the applicable box): the first termination(s) GREETINGS: Is this return filed for (check appropriate box): a termination a distribution the second termination(s) the only termination(s) WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court Computation located at County of 1. Allowable federal credit, for state generation-skipping death , 20 (from at 706-B, Tax Computation, Line 13) noon, and at any recessed taxes in room on the day of , Form o'clock in the (A) If no generation-skipping tax and give evidence as a witnessis due Ohio ................................... (A) $ or adjourned date, to testify is due another state, this amount in this action on the part of the 2. If a generation-skipping tax is due another state, compute per Section 5731.181(C) as follows: (B) Value of property in generation-skipping transfer(s) having a situs in Ohio per Section 5731.181(B) ................................................................................... (B) $ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to $50 and all damages sustained as a B over C x A generation-skipping tax due Ohio ............................................................... (D) $ result of your failure=to comply. (C) Value of on whose behalf this subpoena was issued for alocated ............. (C) $of the party property in generation-skipping transfer(s) wherever maximum penalty A less D = generation-skipping tax due states outside Ohio .................................................. (E) $ Witness, Honorable Court in County, , one of the Justices of the day of , 20 Declaration 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 decedent’s personal representative or person in possession of property is based on all information of which preparer has must knowledge. type name below) (Attorney any sign above and Name of attorney representing the estate Address (number and street, city, state and ZIP code) Telephone number Name of trustee, distributee or other person filing return Address (number and street, Attorney(s) ZIP code) city, state and for Telephone number Signature of trustee, distributee or other person filing return Date Filed with Probate Court Title Date Office and P.O. Distribution of Subdivision’s Share of Tax Address (Section 5731.48 and 5731.50) Percentage Date Received by Ohio Department of Taxation City, Village or Township Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Instructions : Index No. Estate Tax Form 3G Revised 7/03 Page 2 Calendar No. : This form shall be filed on or before the 90th day after the last of $10,000 is provided. If the generation-skipping transfer tax Plaintiff(s) is not paid when JUDICIAL SUBPOENA day prescribed by law, including extensions, for filing the estate due, a distributee of a taxable distribution is -againsttax return under Chapter 11 of subtitle B of the Internal personally liable to the extent of the value of his distribution, : Revenue Code with respect to the estate of the deemed and the trustee is personally liable in the case of a taxable transferor or, if later, the day that is nine months after the day termination. : on which the generation-skipping transfer occurred. Section 5731.22, as amended, provides a maximum penalty of 25% If not previously forwarded, a copy of the Generation-Skipping : of the amount of the tax for failure to timely file. The penalty is Transfer Tax Return (Form 706-B) should be directed to the computed at the rate of 5% for the first month plus an Estate Tax Division, Ohio Department of Taxation, 800 Defendant(s) : . . . . . . . . . . . . . . . . . . . . . . or . . . . . . . . . . . ...... . additional .5% .per. month .for. each .month . . .fraction. thereof . . .Freeway. Drive North, Columbus, OH 43229-5404. Do not during which the failure to file continues. If failure to file or file any federal forms with the Probate Court. any underpayment of tax is due to fraud, a maximum penalty THE PEOPLE OF THE STATE OF NEW YORK TO GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: File in duplicate with the ProbateTel. 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