Oklahoma Tax Commission
Simplified Nontaxable Affidavit
State of )
County of )
Attached hereto is a certified copy of the death certificate of
SSN deceased.
Based upon investigation, Affiant states that, to the best of Affiant’s knowledge, the decedent’s net estate of
$ , as calculated on the reverse, is less than the applicable exemption.
This affidavit is being filed instead of an Oklahoma Estate Tax return for the purpose of obtaining a release from the
Oklahoma Tax Commission, exempting as nontaxable, all property included in the decedent’s estate. Affiant further states
and agrees to be liable for any tax due on the decedents estate subsequently determined by the Oklahoma Tax Commis-
sion after a Release Order is issued.
Under penalty of perjury, I declare that I, the undersigned personal representative, (or other) ,
have examined this affidavit and supporting schedules and to the best of my knowledge and belief it is true.
Subscribed and sworn to before me this day of 20 .
Notary Public
My Commission Expires:
Attorney (or Preparer):
affidavit will not be accepted without a death certificateaffidavit will not be accepted without a death certificate
affidavit will not be accepted without a death certificateaffidavit will not be accepted without a death certificate
affidavit will not be accepted without a death certificate
Form 454-N
Revised 5-2008
Address
City State Zip
()
Telephone
Affiant (Signature) SSN
Address
City State Zip
Name (Printed)
Please Mail To:
Oklahoma Tax Commission
Estate Tax Section
2501 North Lincoln Boulevard
Oklahoma City, Oklahoma 73194
Signature
Affiant (Printed)
Commission Number:
Date of Death:
()
Telephone
/
Oklahoma Tax Commission
Estate Summary
Estate of: aka:
Probate Number: Probate County:
gross estate:gross estate:
gross estate:gross estate:
gross estate:
1. Real Estate, oil and gas leases, etc. ............................................................................. $
2. Stocks, bond, etc. .......................................................................................................... $
3. Personal Property .......................................................................................................... $
4. Life Insurance ................................................................................................................ $
5. Transfers during lifetime ................................................................................................ $
6. Total gross estate in Oklahoma (Total lines 1 thru 5) ..................................................... $
7. Property out-of-state ................................................................ $
8. Total gross estate (Total of lines 6 & 7) .................................... $
9. Oklahoma’s % (Line 6 divided by line 8).................................. %
10. Less property reportable in Oklahoma passing to surviving spouse ............................. $
11. Adjusted gross estate (Line 6 minus line 10) ................................................................. $
12. Burial Plot, Crypt, Mausoleum and Monument Expenses ............................................. $
13. Funeral Expenses .......................................................................................................... $
14. Executor and Attorney Fees (court approved and paid) ................................................ $
15. Other deductions (description) ...................................................................................... $
16. Total Deductions (Total of lines 12 thru 15 x % on line 9) .............................................. $
net estate:net estate:
net estate:net estate:
net estate:
17. Net Estate in Oklahoma (Line 11 minus line 16)............................................................ $
18. Less exemption allowed (see chart) multiplied by % on line 9 ...................................... $
List Heirs, Devisees and Legatees below:
name and social security number
relationship value of distribution
Form 454-N
Revised 5-2008
deductions:deductions:
deductions:deductions:
deductions:
Instructions for Simplified Nontaxable Affidavit
Who can use this affidavit:
Only estates with a net estate value of less than the applicable exemption. If any property from the decedent’s estate
passes to a collateral heir and the date of death is prior to January 1, 2007, this affidavit cannot be used. If there is an
additional tax imposed to absorb the Federal credit, Form 454 must be used.
Examples of heirs:
Lineal: Decedent’s parents, children, step-children, grandchildren and great grandchildren.
Collateral: Decedent’
s step-parents, brother, sister, aunt, uncle, step-grandchildren, nephew, niece, and others.
Timely Filing Required:
A completed affidavit and supporting schedules is due within 9 months of the date of the decedent’s death. An extension
of time to file, if requested in writing, may be granted for a period not to exceed 6 months. The request for the extension
must be made before the expiration of the normal 9 month filing period. Interest begins to accrue on any tax unpaid after
the 9 month due date. An extension does not affect the date that tax is due or the date that interest begins to accrue.
For deaths prior to January 1, 1999, the lineal exemption amount is $175,000.
Lineal Exemptions only:
For Deaths On or After & Before Exemption Amount
January 1, 1999 ..................................... January 1, 2000..................... $ 275,000
January 1, 2000 ..................................... January 1, 2001..................... $ 475,000
January 1, 2001 ..................................... January 1, 2002..................... $ 675,000
January 1, 2002 ..................................... January 1, 2004..................... $ 700,000
January 1, 2004 ..................................... January 1, 2005..................... $ 850,000
January 1, 2005 ..................................... January 1, 2006..................... $ 950,000
January 1, 2006 ..................................... January 1, 2007..................... $1,000,000
Collateral and Lineal Exemptions:
For Deaths On or After & Before Exemption Amount
January 1, 2007 ..................................... January 1, 2008..................... $1,000,000
January 1, 2008 ..................................... January 1, 2009..................... $2,000,000
January 1, 2009 ..................................... January 1, 2010..................... $3,000,000
There is no filing requirement for deaths occuring on or after January 1, 2010.
Cost Basis Adjustment:
In order for this affidavit to establish a stepped-up cost basis for certain property of the estate, a separate schedule
itemizing each asset type is required.
Alternate Valuation:
If the Alternate Valuation Election is made, all real estate, gas, oil, minerals, stocks and bonds, and all tangible personal
property must be valued as of 6 months after the date of death. This election does not affect the value of any accrued
rents or the value of growing crops.
The estate tax release will be mailed to the attorney (or preparer) as listed on the affidavit. If none is listed, it will be
mailed to the affiant.
If you have Estate Tax questions, please call (405) 521-3237 and ask for the Auditor of the Day.
Form 454-N
Revised 5-2008
Instructions for Simplified Nontaxable Affidavit, continued
Line 1: Real Estate, Oil, Gas or Minerals:
Real Estate is to be stated at fair market value as of the date of death (or the alternate valuation date if so elected).
Include the value of the decedent’s interest if jointly owned. Mortgages against the real estate should be listed on line 15.
Growing crops are to be included at the date of death value regardless of the alternate valuation date election. If the
decedent was the recipient of a life interest from someone else, include that property at -0- value.
Oil, gas or mineral leases, rentals, royalties and leasehold interest in the State of Oklahoma is also listed here. In the
absence of an appraisal by a geologist or petroleum engineer, the minimum value to be reported is:
a. Producing minerals: except as noted, oil income should be valued at 48 times the average monthly income for the
six months before to six months after the date of death. Gas income should be valued at 84 times the average
monthly income for the six months prior to and six months after death. The Oklahoma Tax Commission shall not
be bound by the submitted evaluation.
b. Non-producing leased: the value should be 1
1
/2 times the lease bonus if the lease was made within 1 year of the
date of death.
c. Non-producing non-leased: these values can be obtained by calling the Estate Tax Section of the Oklahoma Tax
Commission.
Line 2: Stocks and Bonds:
Include all stocks and bonds at full market value as of the date of death or alternate valuation date. Also include the value
of any sole proprietorship on this line. Joint tenancy property must be listed at full value unless the surviving joint tenant’s
interest is by documentation of contributions made with funds separate from the decedent’
s. The documentation must be
accompanied by a sworn affidavit from the surviving joint tenant which sets forth the facts and supports the claim [Title 68
O.S. Sec 807(A)(4).]
Examples of exempt bonds may be found on the Estate Tax Return Form 454 which is available on our website. Other
bonds may be exempt. Refer to statutes cited on the face of the bonds issued.
Line 3: Personal Property - tangible and intangible:
Intangible personal property follows the domicile of the decedent, except for any intangibles used in connection with an
established business with a situs in this state. See [Title 68 O.S., Sec 807(7)] for more information. Intangible personal
property includes: cash on hand or on deposit, notes, mortgages, accounts receivable, contracts of sale and decedent’s
interest in partnerships located both within and without the State of Oklahoma. See 710:35-5-1 for rules concerning the
reporting of wrongful death claims.
Line 4: Life Insurance:
Include the amount actually paid by the insurance company. Also include all life insurance policies upon which the dece-
dent owned any interest on the life of someone else.
Line 5: Transfers During Life Time:
Include the value of all transfer of property, real, personal, or mixed, or any interest therein, made by the decedent which
were intended to take effect in possession or enjoyment at or after death, regardless of the date of transfer. Also include
the value of all transfer of property, real, personal, or mixed, or any interest therein, either in trust or by deed, bargain, sale
or gift, where such transfers were made without any equivalent in monetary consideration, within 3 years of the date of
death.
Line 7: Property out-of-state:
Include the gross value of all real estate, or any interest therein, and all personal property having a taxable situs outside of
the State of Oklahoma. Personal property is taxable in the state of domicile. Debts and mortgages should be listed on line
15. The value of the property is required only for the purpose of arriving at the percentage deduction and exemption
allowed by statute.
Line 12: Burial Plot, Crypt Mausoleum and Monument Expenses:
Monuments are limited to $500, burial plots, crypts or mausoleums are limited to $1,000.
Form 454-N
Revised 5-2008