State of Connecticut
Department of Revenue Services
Inheritance Tax Section
PO Box 2972, Hartford CT 06104-2972
Rev. 06/04
Form CT-706EXT
Application for Extension of Time to
File and/or Pay Estate Tax
For decedents dying on or after July 1, 2004,
and before January 1, 2005
For DRS Use Only
Connecticut Succession
Tax File Number
Decedent’s name (last, first, middle initial)
Decedent’s social security number
Date of death
Decedent’s residence at date of death (street address)
Probate court
City State ZIP Code
On the date of death, the decedent was a:
Resident of Connecticut Nonresident of Connecticut
Application is made to the Commissioner of Revenue Services for the following:
Extension of Time to File
I request a nine-month extension of time (from the due date) to file the decedent’s Form CT-706.
Extension of Time to Pay
I request a nine-month extension of time (from the due date) to pay the decedent’s Connecticut estate tax.
Timely-filed extension requests are automatically approved. Applications postmarked more than six months from the date
of death will not be approved.
Payment to Accompany Extension Request
1. Estimated amount of Connecticut estate tax due.....................................................
1.
00
2. Prior payments made..................................................................................................
2.
00
3. Payment with this application......................................................................................
3.
00
4. If requesting an extension of time to pay, estimated remaining balance to be paid...
4.
00
Make checks payable to: Commissioner of Revenue Services
Declaration: I declare under penalty of law that I have examined this application (including any accompanying schedules and statements)
and, to the best of my knowledge and belief, it is true, complete, and correc