Ohio Estate Tax Return And Instructions Date Of Death Jan-Dec 01

Estate Tax Division 800 Freeway Drive North Columbus, OH 43229-5404 1 (800) 977-7711 OHIO ESTATE TAX RETURN AND INSTRUCTIONS For dates of death January 1, 2001­December 31, 2001. 2002 © American LegalNet, Inc. Revised 1/01 For completing the Ohio Estate Tax Return for estates with dates of death January 1, 2001­December 31, 2001 please review the following: First: Read the General Information Section located on pages 18 and 19 for instructions. Complete only the applicable schedules of the return which are on pages 4 through 17. Then: When you are finished: First: Then: Check your computation. Follow the instructions in the General Information Section, page 18, for where to file and pay. Note: Estates with dates of death PRIOR to January 1, 2001 must file an Ohio Estate Tax Form 2, Revised 3/2000. For further information, please contact the Estate Tax Division's Toll-Free Information and Assistance Line at 1 (800) 977-7711 ( Ohio Relay Service 1 (800) 750-0750 ) 2002 © American LegalNet, Inc. Estate Tax Form 2 (Rev. 1/01) Ohio Estate Tax Return for all Resident Filings for Dates of Death January 1, 2001­December 31, 2001 File in Duplicate with the Probate Court Check one: c Taxable c Nontaxable Estate of: Decedent's last name Decedent's first name and initial Date of death Date of birth Cause of death Occupation Decedent retired yes c no c Address of decedent at time of death (number and street, city, state and zip code) Decedent's social security number County in Ohio in which Probate Court located, where will probated or estate administered Case number Tax Computation 1. Total Gross Estate 2. Total Deductions 3. Net Taxable Estate (line 1 minus line 2) 4. Tentative Tax based on line 3 (use table on page 2) 5. Less: Estate Tax Credit 6. Tax (line 4 minus line 5) 7. Less: Previous Payments 8. Balance due (if amount on line 7 is less than tax amount on line 6, enter difference as balance due) 9. Overpayment (if amount on line 7 is greater than tax amount on line 6, enter difference as a refund) $( ) $( ) $ $( (from page 2) (from page 2) $( ) $ $ $ 6,600.00 ) $ Executor/Administrator Waiver to Receive Correspondence I/we do not wish to receive further correspondence from the Ohio Department of Taxation regarding this estate, and hereby authorize all such communication to be directed only to the estate's legal representative named below. Signature of Executor/Administrator 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 the deceased's personal representative or person in possession of property is based on all information of which preparer has any knowledge. Name of Attorney representing the estate Address (number and street, city, state and zip code) Telephone number Name of Executor/Administrator(s) Address (number and street, city, state and zip code) Telephone number Signature of Executor/Administrator(s) Date Signature of Preparer Date Date Filed with Probate Court Distribution of Subdivision's Share of Tax (Section 5731.48 and 5731.50 O.R.C.) Percentage City, Village or Township Date Received by Ohio Department of Taxation -12002 © American LegalNet, Inc. Recapitulation of Assets Schedule Alternate Value Value at Date of Death A B C D E F G H I Real Property ............................................. Stocks and Bonds ...................................... Mortgages, Notes and Cash ....................... Insurance ................................................... See Schedule E, Part I .............................. Joint and Survivorship Property, Part II ..... Other Miscellaneous Property .................... Transfers During Lifetime .......................... Powers of Appointment .............................. Annuities, Pensions, Retirement Plans ...... $ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ $ ______________________ $ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ $ _____________________ Total Gross Estate (enter on Line 1, Page 1) ............ Recapitulation of Deductions Schedule Amount J K L T Debts and Administration Expenses ................................................................ Charitable Bequests ......................................................................................... Marital Deduction .............................................................................................. Qualified Family-Owned Business Interest Deduction ....................................... $ _____________________ ____________________ ____________________ ____________________ $ _____________________ Total Deductions (enter on Line 2, Page 1) ........................................................ Elections by the Executor Please check the yes or no box for each question. (See explanation of elections on pages 20 and 21.) 1. Do you elect alternate valuation? Section 5731.01(A) and (D) O.R.C. ................................................ 2. Do you elect qualified farm property valuation? Section 5731.011 O.R.C. ..................................... 3. Do you elect to claim a marital deduction for qualified terminable interest property (QTIP)? Section 5731.15(B)(2) O.R.C. ............................................................................................................ 4. Do you elect to claim a deduction for a qualified family-owned business interest? Section 5731.20 O.R.C. .................................................................................................................... Yes No Tax Table Net Taxable Estate (from Line 3, Page 1) Tax Rate Not over $ 40,000 Over $ 40,000 but not over $100,000 Over $100,000 but not over $200,000 Over $200,000 but not over $300,000 Over $300,000 but not over $500,000 Over $500,000 -2- 2% of taxable estate $ 800 + 3% of excess over $ 40,000 $ 2,600 + 4% of excess over $100,000 $ 6,600 + 5% of excess over $200,000 $11,600 + 6% of excess over $300,000 $23,600 + 7% of excess over $500,000 2002 © American LegalNet, Inc. Information Yes 1. Did t