Form 709 Department of the Treasury Internal Revenue Service United States Gift (and Generation-Skipping Transfer) Tax Return Go to www.irs.gov/Form709 for instructions and the latest information.(For gifts made during calendar year 2018) See instructions. OMB No. 1545-0020 2018 Part 1227General Information 1 Donor222s first name and middle initial 2 Donor222s last name 3 Donor222s social security number 4 Address (number, street, and apartment number) 5 Legal residence (domicile) 6 City or town, state or province, country, and ZIP or foreign postal code 7 Citizenship (see instructions) 8 If the donor died during the year, check here and enter date of death , . Yes No 9 If you extended the time to file this Form 709, check here 10 Enter the total number of donees listed on Schedule A. Count each person only once 11 aHave you (the donor) previously filed a Form 709 (or 709-A) for any other year? If 223No,224 skip line 11b ....... b Has your address changed since you last filed Form 709 (or 709-A)? ................ 12 Gifts by husband or wife to third parties. Do you consent to have the gifts (including generation-skipping transfers) made by you and by your spouse to third parties during the calendar year considered as made one-half by each of you? (See instructions.) (If the answer is 223Yes,224 the following information must be furnished and your spouse must sign the consent shown below. If the answer is 223No,224 skip lines 1322618.) .................... 13 Name of consenting spouse 14 SSN 15 Were you married to one another during the entire calendar year? See instructions ............ 16 If line 15 is 223No,224 check whether married divorced or widowed/deceased, and give date. See instructions 17 Will a gift tax return for this year be filed by your spouse? If 223Yes,224 mail both returns in the same envelope ..... 18 Consent of Spouse. I consent to have the gifts (and generation-skipping transfers) made by me and by my spouse to third parties during the calendar year considered as made one-half by each of us. We are both aware of the joint and several liability for tax created by the execution of this consent. Consenting spouse222s signature Date 19 Have you applied a DSUE amount received from a predeceased spouse to a gift or gifts reported on this or a previous Form 709? If 223Yes,224 complete Schedule C .......................... Part 2227Tax Computation 1 Enter the amount from Schedule A, Part 4, line 11 ............... 1 2 Enter the amount from Schedule B, line 3 ................. 2 3 Total taxable gifts. Add lines 1 and 2 ................... 3 4 Tax computed on amount on line 3 (see Table for Computing Gift Tax in instructions) .... 4 5 Tax computed on amount on line 2 (see Table for Computing Gift Tax in instructions) .... 5 6 Balance. Subtract line 5 from line 4 ................... 6 7 Applicable credit amount. If donor has DSUE amount from predeceased spouse(s) or Restored Exclusion Amount, enter amount from Schedule C, line 5; otherwise, see instructions .... 7 8 Enter the applicable credit against tax allowable for all prior periods (from Sch. B, line 1, col. C) . 8 9 Balance. Subtract line 8 from line 7. Do not enter less than zero ........... 9 10 Enter 20% (0.20) of the amount allowed as a specific exemption for gifts made after September 8, 1976, and before January 1, 1977. See instructions .............. 10 11 Balance. Subtract line 10 from line 9. Do not enter less than zero .......... 11 12 Applicable credit. Enter the smaller of line 6 or line 11 .............. 12 13 Credit for foreign gift taxes (see instructions) ................ 13 14 Total credits. Add lines 12 and 13 .................... 14 15 Balance. Subtract line 14 from line 6. Do not enter less than zero .......... 15 16 Generation-skipping transfer taxes (from Schedule D, Part 3, col. H, total) ........ 16 17 Total tax. Add lines 15 and 16 ..................... 17 18 Gift and generation-skipping transfer taxes prepaid with extension of time to file ...... 18 19 If line 18 is less than line 17, enter balance due. See instructions .......... 19 20 If line 18 is greater than line 17, enter amount to be refunded ........... 20 Attach check or money order here. Sign Here Under penalties of perjury, I declare that I have examined this return, including any accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than donor) is based on all information of which preparer has any knowledge. May the IRS discuss this return with the preparer shown below? See instructions. Yes No Signature of donor Date Paid Preparer Use Only Print/Type preparer222s name Preparer222s signature Date Check if self-employed PTIN Firm222s name Firm222s address Firm222s EIN Phone no. For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see the instructions for this form. Cat. No. 16783M Form 709 (2018) American LegalNet, Inc. www.FormsWorkFlow.com Form 709 (2018) Page 2 SCHEDULE A Computation of Taxable Gifts (Including transfers in trust) (see instructions) A Does the value of any item listed on Schedule A reflect any valuation discount? If 223Yes,224 attach explanation ...... Yes No B Check here if you elect under section 529(c)(2)(B) to treat any transfers made this year to a qualified tuition program as made ratably over a 5-year period beginning this year. See instructions. Attach explanation. Part 1227Gifts Subject Only to Gift Tax. Gifts less political organization, medical, and educational exclusions. See instructions. A Item number B 225 Donee222s name and address 225 Relationship to donor (if any) 225 Description of gift 225 If the gift was of securities, give CUSIP no. 225 If closely held entity, give EIN C D Donor222s adjusted basis of gift E Date of gift F Value at date of gift G For split gifts, enter 1/2 of column F H Net transfer (subtract col. G from col. F) Gifts made by spouse227complete only if you are splitting gifts with your spouse and he/she also made gifts. Total of Part 1. Add amounts from Part 1, column H ..................... Part 2227Direct Skips. Gifts that are direct skips and are subject to both gift tax and generation-skipping transfer tax. You must list the gifts in chronological order. A Item number B 225 Donee222s name and address 225 Relationship to donor (if any) 225 Description of gift 225 If the gift was of securities, give CUSIP no. 225 If closely held entity, give EIN C 2632(b) election out D Donor222s adjusted basis of gift E Date of gift F Value at date of gift G For split gifts, enter 1/2 of column F H Net transfer (subtract col. G from col. F) Gifts made by spouse227complete only if you are splitting gifts with your spouse and he/she also made gifts. Total of Part 2. Add amounts from Part 2, column H ...................... Part 3227Indirect Skips. Gifts to trusts that are currently subject to gift tax and may later be subject to generation-skipping transfer tax. You must list these gifts in chronological order. A Item number B 225 Donee222s name and address 225 Relationship to donor (if any) 225 Description of gift 225 If the gift was of securities, give CUSIP no. 225 If closely held entity, give EIN C 2632(c) election D Donor222s adjusted basis of gift E Date of gift F Value at date of gift G For split gifts, enter 1/2 of column F H Net transfer (subtract col. G from col. F) Gifts made by spouse227complete only if you are splitting gifts with your spouse and he/she also made gifts. Total of Part 3. Add amounts from Part 3, column H ...................... (If more space is needed, attach additional statements.) Form 709 (2018) American LegalNet, Inc. www.FormsWorkFlow.com Form 709 (2018) Page 3 Part 4227Taxable Gift Reconciliation 1 Total value of gifts of donor. Add totals from column H of Parts 1, 2, and 3 .......... 1 2 Total annual exclusions for gifts listed on line 1 (see instructions) ............. 2 3 Total included amount of gifts. Subtract line 2 from line 1 ............... 3 Deductions (see instructions) 4 Gifts of interests to spouse for which a marital deduction will be claimed, based on item numbers of Schedule A .. 4 5 Exclus