Form 8939
Department of the Treasury
Internal Revenue Service
Allocation of Increase in Basis for Property
Acquired From a Decedent
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.
OMB No. 1545-2203
2010
If this is an amended Form 8939, check here
If filing this Form 8939 revokes a timely and otherwise valid section 1022 election, check here
Part 1—Decedent and Executor
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 County, state, and ZIP code, or foreign country, of legal residence
(domicile) at time of death
4 Check if decedent was a nonresident
and was not a citizen of the U.S. See
instructions. If checked, enter nationality
(citizenship)
5 Date of death
6a Name of executor (see instructions)
6b Executor’s address (number and street including apartment or suite number; city,
town, or post office; state; and ZIP code) and phone number
Phone no. (
)
6 c Executor’s social security number (see instructions)
Part 2—Basis Allocation Computation
7 Marital status of the decedent at time of death:
Married
Widow or widower—
Name, SSN, and date of death of deceased spouse
Single
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 Taxpayer identification number
10 Built-in loss (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Capital loss carryforward (see instructions) . . . . . . . . . . . . . . . . . . . . 11
12 Net operating loss carryforward (see instructions) . . . . . . . . . . . . . . . . . . 12
12 a Add lines 10, 11, and 12 (see instructions) . . . . . . . . . . . . . . . . . . . . 12a
12 b Enter $1,300,000 or $60,000 (see instructions) . . . . . . . . . . . . . . . . . . . 12b
12 c General Basis Increase. Add the amounts on line 12a and line 12b (see instructions) . . . . . . . . 12c
13
Enter the total amount of General Basis Increase allocated on all Schedules A line 4B, column (e)(i) (see
instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
14
Enter the total amount of Spousal Property Basis Increase allocated on all Schedules A line 4B, column (e)(ii)
(see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
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
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 EIN
Firm’s address
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)
SCHEDULE A
(Form 8939)
Department of the Treasury
Internal Revenue Service
Disclosure of Property Acquired From
the Decedent (and Recipient Statement)
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.
Estate of:
Decedent’s Social Security Number
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.
Phone no. ( )
1c Estate's taxpayer identification number (TIN)
2a Name and address of recipient 2b Recipient’s taxpayer identification number (TIN)
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
3
A
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)
Date decedent
acquired
property
(c)
Adjusted basis
at death
(d)
FMV at death
(e)*
Allocation of basis increase
(i)
General basis
increase
(ii)
Spousal property
basis increase
(f)
Amount of gain
that would be
ordinary income
4
A
Totals from continuation schedules (or additional sheets) attached to this schedule
4
B
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).
Estate of:
Decedent’s Social Security Number
Number of
SCHEDULE A, LINE 3
CONTINUATION SHEET
Item No.
(a)
Description
of the property
(b)
Date decedent
acquired property
(c)
Adjusted basis at
death
(d)
FMV
at death
(e)
Amount of gain
that would be
ordinary income
Totals for columns (c) and (d) Enter here and include on line 3A of Schedule A . . . .
Form 8939 (2010) (Make copies of this schedule before completing if you will need more than one schedule).
Estate of:
Decedent’s Social Security Number
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)
Date decedent
acquired
property
(c)
Adjusted basis
at death
(d)
FMV at death
(e)
Allocation of basis increase
(i)
General basis
increase
(ii)
Spousal property
basis increase
(f)
Amount of gain
that would
be ordinary
income
Totals for columns (e)(i) and (e)(ii) Enter here and include on line 4A of Schedule A . . . . .
Form 8939 (2010)
Estate of:
Decedent’s Social Security Number
Number of
SCHEDULE R—GENERATION-SKIPPING TAX EXEMPTION
Part 1. GST Exemption
1 Maximum allowable GST exemption . . . . . . . . . . . . . . . . . . . . . 1
2 Total GST exemption allocated by the decedent to decedent’s lifetime transfers . . . . . . . 2
3 Total GST exemption allocated by the executor, using Form 709, to decedent’s lifetime transfers . 3
4 GST exemption allocated on line 4 of Schedule R, Part 2 . . . . . . . . . . . . . . . 4
5 Total GST exemption allocated on line 4 of Schedule(s) R-1 . . . . . . . . . . . . . . 5
6 Total GST exemption allocated to inter vivos transfers and direct skips (add lines 2–5) . . . . . 6
7 GST exemption available to allocate to trusts (subtract line 6 from line 1) . . . . . . . . . 7
8 Allocation of GST exemption to trusts (as defined for GST tax purposes):
A
Name of trust
B
Trust’s
EIN (if any)
C
GST exemption
allocated on lines 2–5,
above (see instructions)
D
Additional GST exemption
allocated (see instructions)
E
Trust’s inclusion
ratio (optional—see
instructions)
8D Total. May not exceed line 7, above . . . . . . . . . . . . . . 8D
Schedule R—Page 3
Form 8939 (2010)
Estate of:
Decedent’s Social Security Number
Part 2. Direct Skips
Name of skip person Description of property interest transferred
Value
1 Total value of all property interests listed above . . . . . . . . . . . . . . . . . . 1
2 State death taxes and other charges borne by the property interests listed above . . . . . . 2
3 Total tentative maximum direct skips (subtract line 2 from line 1) . . . . . . . . . . . . 3
4 GST exemption allocated . . . . . . . . . . . . . . . . . . . . . . . . . 4
Schedule R—Page 4
SCHEDULE R-1
(Form 8939)
Department of the Treasury
Internal Revenue Service
Direct Skips From a Trust
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.
Name of trust Trust’s EIN
Name and title of fiduciary
Address of fiduciary (number and street)
City, state, and ZIP code
Name of decedent
Decedent’s SSN
Name of executor
Address of executor (number and street) City, state, and ZIP code
Date of decedent’s death
Description of property interests subject to the direct skip
Value
1 Total value of all property interests listed above . . . . . . . . . . . . . . . . . . 1
2 State death taxes and other charges borne by the property interests listed above . . . . . . 2
3 Tentative maximum direct skip from trust (subtract line 2 from line 1) . . . . . . . . . . . 3
4 GST exemption allocated . . . . . . . . . . . . . . . . . . . . . . . . . 4
5 Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . . . . . . . . 5
Schedule R-1—Page 5