Form 706-NA

(Rev. July 2011)

Department of the Treasury 

Internal Revenue Service 

United States Estate (and GenerationSkipping Transfer) Tax Return 

Estate of nonresident not a citizen of the United States

To be filed for decedents dying after December 31, 2009.

▶ See instructions.

OMB No. 1545-0531

Attach supplemental documents and translations. Show amounts in U.S. dollars.

Part I Decedent, Executor, and Attorney

1a Decedent’s first (given) name and middle initial b Decedent’s last (family) name 2 U.S. taxpayer ID number (if any)

3 Place of death 4 Domicile at time of death 5 Citizenship (nationality) 6 Date of death

7a Date of birth b Place of birth 8 Business or occupation

In 

United 

States

9a Name of executor

b Address

10a Name of attorney for estate

b Address

Outside 

United 

States

11a Name of executor

b Address

12a Name of attorney for estate

b Address

Part II Tax Computation

1 Taxable estate from Schedule B, line 9 . . . . . . . . . . . . . . . . . . . . . 1 

2 Total taxable gifts of tangible or intangible property located in the U.S., transferred (directly or indirectly) 

by the decedent after December 31, 1976, and not included in the gross estate (see section 2511) . . 2 

3 Total. Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . 3 

4 Tentative tax on the amount on line 3 (see instructions) . . . . . . . . . . . . . . . . 4 

5 Tentative tax on the amount on line 2 (see instructions) . . . . . . . . . . . . . . . . 5 

6 Gross estate tax. Subtract line 5 from line 4 . . . . . . . . . . . . . . . . . . . 6 

7 Unified credit. Enter smaller of line 6 amount or maximum allowed (see instructions) . . . . . . 7 

8 Balance. Subtract line 7 from line 6 . . . . . . . . . . . . . . . . . . . . . . 8 

9 Other credits (see instructions) . . . . . . . . . . . . . . . . 9 

10 Credit for tax on prior transfers. Attach Schedule Q, Form 706 . . . . . 10 

11 Total. Add lines 9 and 10 . . . . . . . . . . . . . . . . . . . . . . . . . . 11 

12 Net estate tax. Subtract line 11 from line 8 . . . . . . . . . . . . . . . . . . . . 12 

13 Total generation-skipping transfer tax. Attach Schedule R, Form 706 . . . . . . . . . . . 13 

14 Total transfer taxes. Add lines 12 and 13 . . . . . . . . . . . . . . . . . . . . 14 

15 Earlier payments. See instructions and attach explanation . . . . . . . . . . . . . . . 15 

16 Balance due. Subtract line 15 from line 14 (see instructions) . . . . . . . . . . . . . . 16 

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 understand that a complete return requires listing all property constituting the part of the decedent’s gross estate (as defined by the statute) 

situated in the United States. 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 other 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 ▲

Date

▲

Signature of executor ▲

Date

Paid 

Preparer 

Use Only

Print/Type preparer’s name Preparer’s signature Date Check if 

self-employed 

PTIN

Firm’s name ▶

Firm’s address ▶

Firm's EIN ▶

Phone no. 

For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 10145K Form 706-NA (Rev. 7-2011)
Form 706-NA (Rev. 7-2011) Page 2

Part III General Information

Yes No

1a Did the decedent die testate? . . . . .

b Were letters testamentary or of administration 

granted for the estate? . . . . . . .

If granted to persons other than those filing the 

return, include names and addresses on page 1.

2 Did the decedent, at the time of death, own any:

a Real property located in the United States? .

b U.S. corporate stock? . . . . . . . .

c Debt obligations of (1) a U.S. person, or (2) the 

United States, a state or any political 

subdivision, or the District of Columbia? .

d Other property located in the United States? . 

3 Was the decedent engaged in business in the 

United States at the date of death? . . .

4 At the date of death, did the decedent have 

access, personally or through an agent, to a 

safe deposit box located in the United States?

5 At the date of death, did the decedent own 

any property located in the United States as a 

joint tenant with right of survivorship; as a 

tenant by the entirety; or, with surviving 

spouse, as community property? . . . .

If “Yes,” attach Schedule E, Form 706.

6 a Had the decedent ever been a citizen or resident 

of the United States (see instructions)? . . .

b If “Yes,” did the decedent lose U.S. citizenship or 

residency within 10 years of death? (see instructions)

7 Did the decedent make any transfer (of 

property that was located in the United States 

at either the time of the transfer or the time of 

death) described in sections 2035, 2036, 

2037, or 2038 (see the instructions for Form 

706, Schedule G)? . . . . . . . . .

Yes No

If “Yes,” attach Schedule G, Form 706.

8 At the date of death, were there any trusts in 

existence that were created by the decedent 

and that included property located in the 

United States either when the trust was 

created or when the decedent died? . . .

If “Yes,” attach Schedule G, Form 706.

9 At the date of death, did the decedent:

a Have a general power of appointment over 

any property located in the United States? .

b Or, at any time, exercise or release the power?

If “Yes” to either a or b, attach Schedule H, Form 706.

10a Have federal gift tax returns ever been filed? .

b Periods covered ▶

c IRS offices where filed ▶

11 Does the gross estate in the United States 

include any interests in property transferred to 

a “skip person” as defined in the instructions 

to Schedule R of Form 706? . . . . . .

If “Yes,” attach Schedules R and/or R-1, Form 

706.

Schedule A. Gross Estate in the United States (see instructions) Yes No

Do you elect to value the decedent’s gross estate at a date or dates after the decedent’s death (as authorized by section 2032)? ▶

To make the election, you must check this box ‘‘Yes.’’ If you check ‘‘Yes,’’ complete all columns. If you check ‘‘No,’’ complete 

columns (a), (b), and (e); you may leave columns (c) and (d) blank or you may use them to expand your column (b) description.

(a) 

Item

no.

(b) 

Description of property and securities 

For securities, give CUSIP number

(c) 

Alternate 

valuation date

(d) 

Alternate value in 

U.S. dollars

(e) 

Value at date of 

death in U.S. dollars

(If you need more space, attach additional sheets of same size.)

Total . . . . . . . . . . . . . . . . . . . . . . . . . . .

Schedule B. Taxable Estate

Caution. You must document lines 2 and 4 for the deduction on line 5 to be allowed.

1 Gross estate in the United States (Schedule A total) . . . . . . . . . . . . . . . . 1

2 Gross estate outside the United States (see instructions) . . . . . . . . . . . . . . 2

3 Entire gross estate wherever located. Add amounts on lines 1 and 2 . . . . . . . . . . 3

4 Amount of funeral expenses, administration expenses, decedent’s debts, mortgages and liens, 

and losses during administration. Attach itemized schedule. (see instructions) . . . . . . . 4

5 Deduction for expenses, claims, etc. Divide line 1 by line 3 and multiply the result by line 4 . . . 5

6 Charitable deduction (attach Schedule O, Form 706) and marital deduction (attach Schedule M, 

Form 706, and computation) . . . . . . . . . . . . . . . . . . . . . . . 6

7 State death tax deduction (see instructions) . . . . . . . . . . . . . . . . . . 7

8 Total deductions. Add lines 5, 6, and 7 . . . . . . . . . . . . . . . . . . . . 8

9 Taxable estate. Subtract line 8 from line 1. Enter here and on line 1 of Part II . . . . . . . . 9

Form 706-NA (Rev. 7-2011)