Form 8939 Allocation of Increase in Basis for Property Received fr

Form

8939

Allocation of Increase in Basis for Property
Acquired From a Decedent

2010

File separately. Do NOT file with Form 1040. See below for filing address.
To be filed for decedents dying after December 31, 2009, and before January 1, 2011.

Department of the Treasury
Internal Revenue Service

If this is an amended Form 8939, check here ▶
Part 1—Decedent and Executor

OMB No. 1545-2203

If filing this Form 8939 revokes a timely and otherwise valid section 1022 election, check here ▶

1a Decedent’s first (given) name and middle initial (and maiden name, if any)

1b Decedent’s last (family) name

2 Decedent’s Social Security No.

3

4

5 Date of death

County, state, and ZIP code, or foreign country, of legal residence
(domicile) at time of death

Check if decedent was a nonresident
and was not a citizen of the U.S. See
instructions. If checked, enter nationality
(citizenship)

6b Executor’s address (number and street including apartment or suite number; city,
town, or post office; state; and ZIP code) and phone number
6a Name of executor (see instructions)
6c Executor’s social security number (see instructions)
Phone no. (

)

7 Marital status of the decedent at time of death:
Married
Widow or widower— Name, SSN, and date of death of deceased spouse ▶
Single

Part 2—Basis Allocation Computation

Legally separated
Divorced— Date divorce decree became final ▶
8a Surviving spouse’s name

8b Spouse's social security number

9 Individuals (other than the surviving spouse), trusts, estates, or other entities who acquired property from the estate (see instructions).
Name of individual, trust, estate, or other entity

10 Built-in loss (see instructions) .

Taxpayer identification number

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11 Capital loss carryforward (see instructions) . . .
12 Net operating loss carryforward (see instructions) .
12a Add lines 10, 11, and 12 (see instructions) . . .

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11
12
12a

12b Enter $1,300,000 or $60,000 (see instructions) . . . . . . . . . . . . . . . . . .
12c General Basis Increase. Add the amounts on line 12a and line 12b (see instructions) . . . . . . .
13 Enter the total amount of General Basis Increase allocated on all Schedules A line 4B, column (e)(i) (see
instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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12b
12c

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14 Enter the total amount of Spousal Property Basis Increase allocated on all Schedules A line 4B, column (e)(ii)
(see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . .

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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. I (executor) understand that if any other person files a Form 8939 or Form 706 (or Form 706-NA) with respect to this decedent or estate, that my
name and address will be shared with such person, and I (executor) also hereby request the IRS share with me the name and address of any person who files a Form 8939
or Form 706 (or Form 706-NA) with respect to this decedent or estate. Declaration of preparer other than the executor is based on all information of which preparer has any
knowledge.
▲ ▲

▲ ▲

Sign
Here

Signature of executor
Signature of executor

Print/Type preparer’s name

Paid
Preparer
Use Only Firm’s name

Firm’s address

Preparer’s signature

Date

Date
Date
Check
if PTIN
self-employed

▶

Firm’s EIN

▶

Phone no.

▶

Send Form 8939 (including accompanying schedules and statements) to: Internal Revenue Service, Estate & Gift Stop 824G, 201 W. Rivercenter Blvd.,
Covington, KY 41011
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions for this form.

Cat. No. 37755W

Form 8939 (2010)

Disclosure of Property Acquired From
the Decedent (and Recipient Statement)

SCHEDULE A
(Form 8939)
Department of the Treasury
Internal Revenue Service

Recipients of Schedule A: For more information and details on the information shown on
this schedule, see the instructions for Form 8939 and www.irs.gov/form8939.

Decedent’s Social Security Number

Estate of:

Number

of

Complete a separate Schedule A for each recipient of property, including the decedent’s estate. See instructions.

Part I

General Information

1a Name of executor

1b Executor’s address (number and street including apartment or suite
number; city, town, or post office; state; and ZIP code) and phone number.

1c Estate's taxpayer identification number (TIN)
Phone no. (
)
2b Recipient’s taxpayer identification number (TIN)

2a Name and address of recipient

Part II

Property Information

3 For all property acquired from the decedent by the recipient named in line 2a the basis of which at the date of death is greater than or equal to its
fair market value at the date of death, provide the following information. See instructions.
Item No.

(a)
Description
of property

(b)
Date decedent
acquired property

(c)
Adjusted basis at
death

(d)
FMV
at death

(e)
Amount of gain
that would be
ordinary income

3A Totals from continuation schedules (or additional sheets) attached to this schedule
(If more space is needed, attach the continuation schedule at the end of this Form).
4 For all property acquired from the decedent by the recipient named in line 2a the basis of which at the date of death is less than fair market value
at the date of death, provide the following information. By checking the box in column (e)(ii) on line 4 for each item of property that was sold prior
to distribution and to which I am allocating Spousal Property Basis Increase, I hereby certify in accordance with section 4.02(3) of Revenue
Procedure 2011-41 that all of the net proceeds from the sale of such property or property interest to which Spousal Property Basis Increase has
been allocated will be distributed to or for the benefit of the surviving spouse in a manner that would qualify property as qualified spousal
property, as defined in section 1022(c)(3). See instructions.

Item
No.

(a)
Description
of property

(b)
(c)
(d)
Date decedent Adjusted basis FMV at death
acquired
at death
property

(e)*
Allocation of basis increase
(i)
General basis
increase

(ii)
Spousal property
basis increase

(f)
Amount of gain
that would be
ordinary income

4A Totals from continuation schedules (or additional sheets) attached to this schedule
4B Total for columns (e)(i) and (e)(ii)
* The sum of the amounts in columns (e)(i) and (e)(ii) on each line cannot exceed the difference between the amounts in columns (c) and (d) on
that line.

Schedule A—Page 2

Form 8939 (2010)

(Make copies of this schedule before completing if you will need more than one schedule).

Decedent’s Social Security Number

Estate of:

Number

of

SCHEDULE A, LINE 3
CONTINUATION SHEET
Item No.

(a)
Description
of the property

(b)
Date decedent
acquired property

Totals for columns (c) and (d) Enter here and include on line 3A of Schedule A .

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(c)
Adjusted basis at
death

(d)
FMV
at death

(e)
Amount of gain
that would be
ordinary income

(Make copies of this schedule before completing if you will need more than one schedule).

Form 8939 (2010)

Decedent’s Social Security Number

Estate of:

Number

of

SCHEDULE A, LINE 4
CONTINUATION SHEET
By checking the box in column (e)(ii) on line 4 for each item of property that was sold prior to distribution and to which I am allocating Spousal Property
Basis Increase, I hereby certify in accordance with section 4.02(3) of Revenue Procedure 2011-41 that all of the net proceeds from the sale of such
property or property interest to which Spousal Property Basis Increase has been allocated will be distributed to or for the benefit of the surviving
spouse in a manner that would qualify property as qualified spousal property, as defined in section 1022(c)(3).

Item
No.

(a)
Description
of property

(b)
(c)
(d)
Date decedent Adjusted basis FMV at death
acquired
at death
property

Totals for columns (e)(i) and (e)(ii) Enter here and include on line 4A of Schedule A

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(e)
Allocation of basis increase
(i)
General basis
increase

(ii)
Spousal property
basis increase

(f)
Amount of gain
that would
be ordinary
income

Form 8939 (2010)

Decedent’s Social Security Number

Estate of:

Number

of

SCHEDULE R—GENERATION-SKIPPING TAX EXEMPTION
Part 1. GST Exemption
1 Maximum allowable GST exemption

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2 Total GST exemption allocated by the decedent to decedent’s lifetime transfers .

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3 Total GST exemption allocated by the executor, using Form 709, to decedent’s lifetime transfers

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4 GST exemption allocated on line 4 of Schedule R, Part 2 .

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4

5 Total GST exemption allocated on line 4 of Schedule(s) R-1 .

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6 Total GST exemption allocated to inter vivos transfers and direct skips (add lines 2–5) .

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7 GST exemption available to allocate to trusts (subtract line 6 from line 1)

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8 Allocation of GST exemption to trusts (as defined for GST tax purposes):
A

B

Name of trust

Trust’s EIN (if any)

8D Total. May not exceed line 7, above

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C

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GST exemption
allocated on lines 2–5,
above (see instructions)

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8D

D

E

Additional GST exemption
allocated (see instructions)

Trust’s inclusion
ratio (optional—see
instructions)

Schedule R—Page 3

Form 8939 (2010)

Decedent’s Social Security Number

Estate of:

Part 2. Direct Skips
Name of skip person

1
2
3
4

Value

Description of property interest transferred

Total value of all property interests listed above . . . . . . . . . . . .
State death taxes and other charges borne by the property interests listed above
Total tentative maximum direct skips (subtract line 2 from line 1) . . . . . .
GST exemption allocated . . . . . . . . . . . . . . . . . . .

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Schedule R—Page 4

SCHEDULE R-1
(Form 8939)

Direct Skips From a Trust

Department of the Treasury
Internal Revenue Service

Executor: File one copy with Form 8939 and send two copies to the fiduciary. Do not pay any tax. See instructions for details.
Fiduciary: See instructions for details.
Trust’s EIN

Name of trust
Name and title of fiduciary

Name of decedent

Address of fiduciary (number and street)

Decedent’s SSN

City, state, and ZIP code

Name of executor

Address of executor (number and street)

City, state, and ZIP code

Date of decedent’s death

Value

Description of property interests subject to the direct skip

1
2
3
4
5

Total value of all property interests listed above . . . . . . . . . . . .
State death taxes and other charges borne by the property interests listed above
Tentative maximum direct skip from trust (subtract line 2 from line 1) . . . . .
GST exemption allocated . . . . . . . . . . . . . . . . . . .
Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . .

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Schedule R-1—Page 5