Life Insurance Statement

OMB 1545-0022

OMB 1545-0022

Form 712 is used to establish the value of life insurance policies for estate and gift tax purposes. The tax is based on the value of these policies. The form is completed by life insurance companies.

The latest form for Life Insurance Statement expires 2022-02-28 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form and Instruction
Supporting Statement A
All Historical Document Collections
Approved with change
 Extension without change of a currently approved collection 2022-02-28
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 Extension without change of a currently approved collection 2018-12-21
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 Extension without change of a currently approved collection 2015-10-30
Approved without change
 Extension without change of a currently approved collection 2012-08-27
Approved without change
 Extension without change of a currently approved collection 2009-07-15
Approved without change
 Extension without change of a currently approved collection 2006-05-19
Approved without change
 Revision of a currently approved collection 2003-05-14
Approved without change
 Revision of a currently approved collection 2000-05-16
Approved without change
 Extension without change of a currently approved collection 1997-06-20
Approved without change
 Revision of a currently approved collection 1994-06-30
Approved without change
 Revision of a currently approved collection 1991-09-25
Approved without change
 Revision of a currently approved collection 1988-12-27
Approved without change
 Extension without change of a currently approved collection 1986-03-21
Approved without change
 Revision of a currently approved collection 1983-09-28
Approved without change
 Revision of a currently approved collection 1981-08-10
Approved without change
 Revision of a currently approved collection 1981-04-01
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