Massachusetts Department of RevenueForm M-706 Massachusetts Estate Tax ReturnRev. 10/18Name of decedentDate of death (mm/dd/yyyy)Social Security number333 Street address at time of death City/TownStateZipCountry County of probate courtCase/docket number Name of executor/personal representativeDesignationPhone Street address City/TownStateZipCountry Name of attorney(s), if any, representing estatePhone Street address City/TownStateZipCountry Fill in if filed:Form M-4768Form M-4422 Fill in if:Amended return (see 223Amended Return224 in instructions)Amended return due to federal change Note: The Massachusetts estate tax is computed using the Internal Revenue Code (IRC) in effect on December 31, 2000. Changes to the IRC enactedafter December 31, 2000 do not affect the computation of the Massachusetts estate tax. All references to the U.S. Form 706 are to the form with arevi-sion date of July 1999. This form and instructions are available at mass.gov/dor. All estates are required to submit a completed U.S. Form 706 with a revision date of July 1999 in addition to the Massachusetts Form M-706. If the estate is required to file a current U.S. Form 706, attach a copy of that return, with all attachments, in addition to the U.S. Form 706 with a revision date of July 1999 and the Massachusetts Form M-706. For Privacy Act Notice, see instructions. DeclarationThe personal representative of the estate is personally liable for transfers of estate assets before all taxes are paid. The undersigned certifiesunder the penalties of perjury that all items and statements contained herein are true and accurate in every particular. SignatureTitleDateFile and pay online at mass.gov/masstaxconnect.It's fast and easy to use. Or, mail this return with payment in full to Massachusetts Department ofRevenue, PO002Box 7023, Boston, MA 02204. Make check or money order payable to Commonwealth of Massachusetts. American LegalNet, Inc. www.FormsWorkFlow.com Name of decedentDate of death (mm/dd/yyyy)Social Security number33301Marital status at time of death: Single Married Widow or widower 01a Name of deceased spouse1b Social Security number of spouse1c Date of death of spouse (mm/dd/yyyy)12Fill in if there was any insurance on the decedent222s life that is not included in the gross estate (attach Form(s) 712 for life insurance). . . . . . . . . . . 13Fill in if at time of death the decedent owned any property as a joint tenant with rights of survivorship in which: one or more of the other joint tenants was someone other than the decedent222s spouse and less than the full value of the property is included on the return as part of gross estate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14Fill in if at time of death the decedent owned any interest in a partnership or unincorporated business or any stock in an inactive or closely held corporation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Fill in if the decedent made any transfer under Internal Revenue Code sections 2035, 2036, 2037 or 2038 in which an asset has been excludedfromthe gross estate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16Fill in if during the decedent222s lifetime any gifts were made in excess of the annual exclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16aFill in if U.S. Form 709 was filed with the IRS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16bFill in if line 9 of U.S. Form 706 (with a revision date of July 1999) is more than 0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17Fill in if the estate elects to make a Qualified Terminable Interest Property (QTIP) deduction under Internal Revenue Code Section 2056(a). . . . . . 18Fill in if the decedent was ever the beneficiary of a QTIP trust for which a deduction was claimed by the estate of a pre-deceased spouse under Internal Revenue Code section 2056(b)(7) and which is not reported on this return. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19Fill in if the estate elects alternate valuation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Fill in if the estate elects special use valuation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Part 1. Tentative Massachusetts estate tax01Total gross estate (from page 1, line 1 of U.S. Form 706 with a revision date of July 1999 or from Part 5, line 12 of this return). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102Total allowable deductions (from page 1, line 2 of U.S. Form 706 with a revision date of July 1999 or from Part 6, line 11 of this return). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203Subtract line 2 from line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 304Adjusted taxable gifts (from page 1, line 4 of U.S. Form 706 with a revision date of July 1999). . . . . . . . . . . . . . . . . . . . . 405Add lines 3 and 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 506Total gift tax payable (from page 1, line 9 of U.S. Form 706 with a revision date of July 1999). . . . . . . . . . . . . . . . . . . . . . 607Credit for state death taxes (from page 1, line 15 of U.S. Form 706 with a revision date of July 1999). . . . . . . . . . . . . . . . 7Part 2. Computation of tax for estate of Massachusetts resident decedent with propertyin another state01Total gross estate, wherever situated. Enter the amount from Part 1, line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102Credit for state death taxes. Enter amount from Part 1, line 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203Estate or inheritance taxes actually paid to other states. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 304Gross value of real estate and tangible personal property in other states. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 405Percentage of estate in other states. Divide line 4 by line 1. Note:Complete computation to six decimal places. . . . . . . 506Prorated credit. Multiply line 2 by line 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 607Deduction allowable for taxes paid to other states. Enter the smaller of line 3 or line 6. . . . . . . . . . . . . . . . . . . . . . . . . . . . 708Massachusetts estate tax. Subtract line 7 from line 2. Enter here and in Part 4, line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 FORM M-706, PAGE 2 American LegalNet, Inc. www.FormsWorkFlow.com Name of decedentDate of death (mm/dd/yyyy)Social Security number333Part 3. Computation of tax for estate of nonresident decedent with Massachusetts property01Total gross estate, wherever situated. Enter the amount from Part 1, line 1. . . . . . . . . . . . . . . . . . .