Free Tt 141A Form in PDF

Free Tt 141A Form in PDF

The TT-141A form, developed by the New York State Department of Taxation and Finance, serves as an Estate Tax Domicile Affidavit for individuals who passed away between January 1, 1983, and May 25, 1990, and is specific to cases disputing the decedent's status as a New York State resident at the time of death. It is a crucial document required for estates where the decedent is claimed not to have been a resident of New York State, involving close relatives or legal representatives who can fully provide the requested information. To properly handle an estate’s obligations and possibly dispute residency status, completing this affidavit accurately and attaching it with the necessary estate tax returns is a necessary step.

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The TT-141A form, titled Estate Tax Domicile Affidavit, is an essential document for estates of individuals who passed away between December 31, 1982, and May 26, 1990, particularly when the deceased is claimed not to have been a resident of New York State at their time of death. This affidavit, facilitated by the New York State Department of Taxation and Finance, necessitates comprehensive completion by the fiduciary, whether that be an executor or administrator, the surviving spouse, or an immediate family member capable of providing the requested details. Its primary purpose is to establish the domicile of the decedent to properly assess estate tax obligations. The form becomes pertinent when accompanied by specific estate tax returns, excluding certain scenarios detailed within its instructions, such as when associated with Form TT-86.5. Moreover, if a federal estate tax return has been filed, it necessitates the attachment of Form 706 or 706-NA. Detailed within its sections are inquiries regarding the decedent's residency, property ownership within New York State, voting habits, and any financial activities that could influence the domicile determination. It’s designed to meticulously collect evidence to support claims of non-residency in New York, therefore impacting the estate's tax responsibilities. Notably, this form's completion and submission are critical steps in the estate management process, underscoring the importance of accuracy and thoroughness to ensure compliance with state tax laws.

Preview - Tt 141A Form

New York State Department of Taxation and Finance

TT-141A

Estate Tax Domicile Affidavit

(1/03)

For the estate of an individual who died after December 31, 1982, and before May 26, 1990

If it is claimed that the decedent was not a New York State resident at the time of death, the fiduciary (executor or administrator), the surviving spouse, or a member of the decedent’s immediate family, who can provide all the information requested below, should complete this affidavit.

Note – If this affidavit is filed with New York State Form TT-86.5, omit questions 28 through 33.

If the estate is filing Form TT-385, New York State Estate Tax Return, or the date of death is on or after May 26, 1990, use Form ET-141, New York State Estate Tax Domicile Affidavit, instead.

If the estate filed a federal estate tax return, Form 706 or 706-NA, attach a copy. Answer all questions completely.

This affidavit must be notarized on page 4.

Decedent’s last name

 

 

 

 

First name

 

 

 

 

 

 

Initial

 

 

Age at

Date of death (attach

Decedent’s social security number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

death

death certificate)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Decedent’s domicile

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

County

 

 

 

 

 

 

 

 

State

 

Country

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attorney for estate (if any)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

Applicant’s name

 

 

 

 

 

 

 

 

 

 

 

 

2 Applicant’s address and telephone number

 

 

 

3

 

Applicant’s relationship to decedent

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

or connection with estate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

Decedent’s date of birth

5

Decedent’s place of birth

 

 

 

 

 

 

 

5a If born outside the U.S., was decedent a naturalized citizen of the United States?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5b

 

If 5a is Yes, give court and location where naturalized

 

6

 

 

If decedent was a U.S. Citizen, did he or she ever apply for a passport? If Yes, give dates of application and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

renewals and decedent’s address as it appears on the passport.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7 Decedent’s occupation (if retired, so state and give former

 

 

8 Name and address of employer (if retired, former employer)

 

 

 

 

 

 

 

 

 

 

occupation)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9

Was decedent ever married?

9a If Yes, give date and place of marriage

 

 

10

Name and address of spouse

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If Yes, give name, address, and other details. (attach separate sheet if necessary)

11 Was decedent a member of any church, club, or organization?

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12

 

Did decedent leave a will?

13 Name and address of executor or administrator of decedent’s estate (attach copy of certificate of appointment).

 

 

 

 

 

 

Yes

 

 

No

 

If no fiduciary appointed, write none.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(if Yes, attach copy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14 Name and address of court where will was or is to be probated, or estate administered

15 Did decedent execute any other wills during

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

the last five years preceding death?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

No

(if Yes, attach copy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16

 

Did decedent ever live in New York State?

16a

If Yes, for what periods?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17 Provide the following information regarding the residence(s) of the decedent during the last five years preceding death:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In New York State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Outside New York State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Residence

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Residence

Period of time

 

 

 

 

 

 

 

 

 

 

 

 

 

owned - rented

 

Period of time

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

owned - rented

 

from – to

 

 

 

 

Address

 

 

 

 

 

 

other (explain)

 

 

from - to

 

 

 

 

 

 

 

Address

 

 

 

 

 

other (explain)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 2 of 4 TT-141A (1/03)

18

Did decedent ever own real estate located in

 

 

18a Period of time

18b Address of property

 

 

 

 

 

New York State?

 

 

 

 

 

 

 

 

 

from - to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(If Yes, complete items 18(a) and (b))

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19

In what state(s) did decedent vote or register to vote during the five years preceding death? (show latest year first)

 

 

 

 

 

Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20

If decedent did not vote in those five years, where did he last vote?

 

 

 

 

 

 

 

 

20a When did decedent last vote?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21

Did decedent execute any trust indentures, deeds, mortgages, leases, or any other documents describing his residence during the last five years preceding death?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If so, attach copy

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22

Did decedent own a safe deposit box

22a

If Yes, has it been inventoried?

 

22b Name and address of bank where box is located.

 

located in New York State?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

No

 

 

 

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If Yes, attach a copy

 

 

 

 

 

 

 

 

 

 

 

 

 

23

Was decedent a party to any legal proceedings in the state of New York during the last five years of his or her life?

 

If Yes, list the court or tribunal, or other forum, and the date, and type of action.

 

 

 

 

 

Yes

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24

Did decedent have licenses to operate a business, practice a profession, or operate a motor vehicle, airplane, or boat?

 

If Yes, give information requested below.

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License number

 

 

 

 

 

Type of license

 

 

Date of issuance

 

Name and location of issuing office

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25

List the Internal Revenue Service Center, and the state, county, and municipality where decedent filed income tax returns and paid tax on income or

 

intangible personal property for the last five years preceding death. (Income tax returns (federal and state) may be required.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year

 

 

 

 

 

Internal Revenue Service Center

 

 

 

 

 

State, county, or municipality

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

26

Give detailed information about business activities (if any) engaged in by the decedent during the five years preceding date of death

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In New York State

 

 

 

 

 

 

 

 

 

Outside New York State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dates

 

 

 

Nature of business activities

 

 

 

Dates

 

 

Nature of business activities

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TT-141A (1/03) Page 3 of 4

27What other information do you wish to submit in support of the contention that the decedent was not domiciled in the state of New York at the time of death?

28List below, at total value, any real property, tangible personal property, or intangible personal property wherever located in which the decedent had an interest at death, and taxable transfers made by the decedent within three years of decedent’s death (included in federal gross estate).

(amounts should be taken from federal Form 706)

Real property

$

Tangible personal property

$

Intangible personal property

$

Transfers within three years of death

$

Gift tax paid on gifts made after

$

6/30/78 and within three years of death

 

Total $

29 Did the decedent at time of death own, individually or jointly, any interest in real property in New York State?

Yes

No

If Yes, and Release of Lien is desired, please supply the following information:

 

(complete question 30 also)

Book of Deeds or Liber No.

 

 

 

at page no.

 

 

map no.

 

 

section no.

 

block no.

 

lot no.

 

 

 

 

 

 

Property address

 

 

 

 

 

 

 

 

 

 

 

 

 

Street or road

 

 

 

 

 

City, town, or village

 

30Show assessed and market value (and balance owed on mortgage, if any), of real property described in question 29. (real estate appraisal may be required)

(a) Assessed value - $

 

(b) Market value - $

 

(c) Balance owed on mortgage, if any - $

 

 

 

 

(submit proof of indebtedness)

31Did decedent own any tangible personal property, such as household furnishings, jewelry, coin collections, paintings, boats, automobiles, etc., having an actual situs in New York State?

Yes

No

If Yes, describe in detail.

Item

Address where item is located

Market value

$

$

$

32List below the securities, bank accounts, or other intangible property for which tax waivers are requested.

Name of bank; name of corporation or association issuing stocks and bonds; name of government issuing government bonds; name of insurance company

Amount of account; number of shares of stock; face value of bonds; amount of policy or annuity

Description of stocks or bonds; series of government bonds; kind of policy or annuity

Name(s) on bank account; name(s) on stocks or bonds; name and address of beneficiary or annuitant

(attach additional sheets, if necessary)

Page 4 of 4 TT-141A (1/03)

Complete items 33, 34, and 35 only if decedent owned real or tangible personal property having an actual situs in New York State. (Affirmation section must be completed.)

33 Computation of New York gross estate and taxable estate

 

 

 

 

35 Computation of nonresident tax

 

 

 

 

(a) Federal gross estate*

 

 

 

 

 

 

 

 

Items 30(b) + 31

× Item 34(f) = New York State

 

 

 

 

 

 

 

 

 

 

Item 33(c)

 

 

 

 

 

 

 

 

 

 

 

 

nonresident tax

(b) Less real + tangible personal

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

property located outside NYS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(complete Schedule I below)

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(c) New York State gross estate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Schedule I — Real and/or tangible personal property located outside

 

 

 

 

 

 

 

(d) Less:

Funeral expense

 

 

 

 

 

 

 

New York State. (Do not include bank accounts, stocks, bonds, etc.) (Complete this

 

 

 

 

 

 

 

schedule if item 33, line (b), is used.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mortgage (amount entered

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

in item 30(c)**)

 

 

 

 

 

 

 

 

 

 

 

Total

 

 

 

 

 

 

 

 

 

 

(e) New York adjusted gross estate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(f) Less:

New York marital deduction**

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

New York charitable bequests**

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(g) New York taxable estate (enter in item 34(a))

 

 

 

 

 

 

 

 

 

 

 

* A copy of federal Form 706 may be required.

 

 

 

 

 

 

 

 

 

 

 

** if applicable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note: If additional adjustments to federal gross estate are necessary, e.g.,

34 Tax computation as if a resident

 

 

 

 

 

 

 

 

 

 

 

 

 

 

gifts made prior to 1983 or qualified terminable interest property included in

 

 

 

 

 

 

 

 

 

(a) New York taxable estate (from item 33(g))

 

 

 

 

 

 

 

line 33(a), attach separate sheet showing such adjustments.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Schedule II — Bequests, etc. to surviving spouse (complete this schedule if a

(b) Plus adjusted New York taxable gifts

 

 

 

 

 

 

 

+

 

 

 

 

 

 

marital deduction is claimed in item 33 line (f)) If entire estate passes to surviving

made after 1982

 

 

 

 

 

 

spouse, write entire estate.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(c) New York tentative estate tax base

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(d) New York tentative estate tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(compute on amount shown on line (c); see Table A)

 

 

 

 

 

 

 

 

 

 

 

(e) Less: Unified credit (see Table B)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

New York gift tax payable on

+

 

 

 

 

 

 

 

 

 

 

 

 

 

 

amount shown on line (b)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

 

 

 

 

 

 

 

 

 

(f) New York net estate tax, as if a resident

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The undersigned states that the foregoing sets forth all of the assets constituting the decedent’s gross estate, and the answers to the foregoing questions are each and everyone true in every particular, and that this affidavit is made to induce the Commissioner of Taxation and Finance to determine domicile, to give a waiver notice and/or release of lien required by the Tax Law of the State of New York.

Fiduciary or applicant — sign here

Sworn before me this

 

day of

 

, 20

 

,

in the County of

 

 

 

 

 

 

 

 

,

in the State/Commonwealth/Province of

 

 

 

 

 

 

 

.

Qualified in the County of

 

 

. Commission expires on

, 20

 

.

 

 

 

 

 

 

 

 

 

 

 

 

(Notary Public, Commissioner of Deeds or Authorized New York State Department of Taxation and Finance employee)

• Attach authentication certificate if this affidavit is sworn to in a foreign country.

Note: Disclosure of social security number is required. Such numbers are used for tax administration purposes and as necessary pursuant to Education Law, sec. 663; Social Services Law, sec. 111b and 136a; and Executive Law, sec. 49; and Tax Law, sec 171b, and when the taxpayer gives written authorization to this department for another department, person, agency, or entity to have access, limited or otherwise, to information contained in his or her return.

Notice — Section 1811(b) of the Tax Law provides that any person who, with intent to evade taxation, files a false or fraudulent return, supplies false or fraudulent information, or withholds material information with intent to deceive, shall be guilty of a misdemeanor.

Table A – Tax table — If the amount with respect to which the tax is to be computed is:

Over

 

But not over

The tax is:

 

 

 

 

 

 

 

 

 

 

 

 

$

0

$

50,000

 

 

 

2% of such amount

 

 

50,000

 

150,000

$

1,000

+

3% of excess over $

50,000

 

150,000

 

300,000

 

4,000

+

4% of excess over

150,000

 

300,000

 

500,000

 

10,000

+

5% of excess over

300,000

 

500,000

 

700,000

 

20,000

+

6% of excess over

500,000

For amounts over $700,000 refer to instructions TT-86.5-I (3/90) page 10, Table A, or TT-102-I (1/94) page 4, Table A.

 

 

 

Table B – Unified credit — If the tentative tax is:

 

 

 

 

 

 

 

 

 

 

 

Over

 

But not over

 

 

The credit is:

 

 

 

 

 

 

 

 

 

 

$

0

$

2,750

 

 

the full amount of tax

 

 

2,750

 

5,000

 

 

the amount by which $5,500 exceeds the tax

 

5,000

 

 

 

 

$500

 

 

Document Specs

Fact Number Fact Description
1 The TT-141A form is used by the New York State Department of Taxation and Finance specifically for estate tax domicile affidavits.
2 This form applies to the estates of individuals who died after December 31, 1982, and before May 26, 1990.
3 The affidavit is necessary if it's claimed that the decedent was not a New York State resident at the time of death.
4 The form can be completed by the fiduciary (executor or administrator), the surviving spouse, or a member of the decedent’s immediate family.
5 If filing with New York State Form TT-86.5, questions 28 through 33 should be omitted.
6 For deaths occurring on or after May 26, 1990, Form ET-141 must be used instead.
7 If a federal estate tax return (Form 706 or 706-NA) was filed, a copy must be attached.
8 The affidavit requires notarization and the disclosure of the decedent's social security number is mandated for tax administration purposes.

Instructions on Writing Tt 141A

Filling out the TT-141A Estate Tax Domicile Affidavit is a critical step for the estates of individuals who passed away between December 31, 1982, and May 26, 1990, and who were not considered New York State residents at the time of death. This document is necessary for accurately determining the estate tax obligations based on the decedent's domicile status. Here is a detailed guide on how to complete the form.

  1. Start by entering the Decedent's Name (Last, First, Middle Initial), Age at Death, and Date of Death at the top of the form. Attach the decedent's death certificate as required.
  2. Fill in the Decedent’s Social Security Number followed by the Decedent’s Domicile Address including County, State, and Country.
  3. If applicable, provide the Name, Address, and Telephone Number of the attorney for the estate.
  4. Enter the Applicant’s Name, Address, and Telephone Number.
  5. Specify the Applicant’s Relationship to the decedent or connection with the estate.
  6. Fill in the Decedent’s Date and Place of Birth. If the decedent was born outside the U.S., indicate whether they were a Naturalized Citizen and provide the court and location of naturalization.
  7. Answer whether the decedent ever applied for a U.S. Passport and provide details if applicable.
  8. Detail the Decedent's Occupation and Employer information, including if retired.
  9. Indicate the decedent's Marital Status, and if applicable, provide details of the marriage including the Name and Address of Spouse.
  10. Answer questions regarding the decedent’s membership in any Church, Club, or Organization, and whether the decedent left a Will.
  11. Provide the Name and Address of the Executor or Administrator of the decedent’s estate, including a Copy of the Certificate of Appointment, and the Probate Court information.
  12. If the decedent ever lived in New York State, specify the periods and complete the residency and real estate sections with detailed addresses and periods of ownership or tenancy.
  13. Answer all questions regarding the decedent's Voting in New York State, creation of any Trust Indentures or other legal documents, ownership of a Safe Deposit Box in New York, involvement in legal proceedings, and any Licenses held by the decedent.
  14. Detail the decedent's Income Tax Filing information for the last five years preceding death, including the Internal Revenue Service Center, and the state, county, and municipality.
  15. Give detailed information about any Business Activities engaged in by the decedent within and outside New York State during the last five years preceding death.
  16. Use the final sections to submit information on real property, tangible and intangible personal property, securities, bank accounts, or other assets for which tax waivers are requested, and provide detailed descriptions and values.
  17. Complete the computation sections for the New York Gross Estate and Taxable Estate as instructed, only if applicable.
  18. Have the form Notarized on the final page, including the date, location, and the notary’s or commissioner's information.
  19. Attach any required Documentation including a copy of federal Form 706 if a federal estate tax return was filed.

Upon completion and submission of the TT-141A form along with any required attachments, the New York State Department of Taxation and Finance will review the documents to make a determination on the domicile of the decedent at the time of their death. This will consequently affect the estate's tax obligations to the state. It's crucial to provide complete and accurate information to ensure the correct processing of the affidavit.

Understanding Tt 141A

What is the purpose of Form TT-141A?

Form TT-141A, the Estate Tax Domicile Affidavit, is a document used by the New York State Department of Taxation and Finance. It's for estates of individuals who passed away after December 31, 1982, and before May 26, 1990. This form is specifically for cases where it's claimed that the decedent was not a resident of New York State at the time of death. It allows a fiduciary, surviving spouse, or immediate family member to provide comprehensive information to support this claim.

Who should complete Form TT-141A?

The form should be completed by the fiduciary (executor or administrator of the estate), the surviving spouse, or a member of the decedent's immediate family. The person completing the form should be able to provide detailed information required on the affidavit to support the claim of non-residency.

Are there any specific instructions for filing Form TT-141A with other estate tax forms?

Yes. If this affidavit is filed alongside New York State Form TT-86.5, questions 28 through 33 should be omitted. Additionally, if the estate is filing Form TT-385, New York State Estate Tax Return, or if the date of death is on or after May 26, 1990, a different form, ET-141, should be used instead of TT-141A.

Is it necessary to attach a copy of the federal estate tax return to Form TT-141A?

If the estate filed a federal estate tax return (Form 706 or 706-NA), a copy of that return should be attached to Form TT-141A. This helps provide a comprehensive view of the decedent's assets and aids in the determination of domicile.

What information is required on Form TT-141A?

The form requests detailed information regarding the decedent's residency, occupation, marital status, memberships, voting practices, property ownership, and business activities, among other aspects. It also asks for specifics on any real, tangible, or intangible property the decedent had at the time of death.

Does Form TT-141A need to be notarized?

Yes, the completion of Form TT-141A must be notarized. This is to affirm that the information provided on the form is true and accurate to the best of the affiant's knowledge. The notarization must occur on page 4 of the form.

What happens if false information is provided on Form TT-141A?

Providing false or fraudulent information, or omitting material information with the intent to deceive or evade taxation, is a serious offense. It can result in being charged with a misdemeanor under Section 1811(b) of the Tax Law. This emphasizes the importance of ensuring all information provided on the form is accurate and complete.

Common mistakes

Filling out the New York State Department of Taxation and Finance TT-141A Estate Tax Domicile Affidavit can be a complex process, and it's not uncommon for applicants to make errors that could impact the filing. One of the first mistakes often made is overlooking the importance of attaching crucial documents. The form explicitly requires the attachment of the decedent’s death certificate, a copy of their will (if applicable), and if a federal estate tax return was filed, a copy of Form 706 or 706-NA. Neglecting to include these documents can result in delays or the refusal of the affidavit.

Another common error involves incorrectly answering questions about the decedent’s domicile and residency. The form is intended for individuals who claim that the decedent was not a resident of New York State at the time of death. Therefore, thoroughly documenting evidence of the decedent's residency outside New York, through questions 16 and 17, which ask about periods lived in and out of New York State during the last five years of life, is critical. Inaccurate or incomplete responses weaken the case for non-residency and can lead to an incorrect domicile determination.

A third mistake is disregarding questions 28 through 33 when not necessary. The instructions note that these questions should be omitted if the affidavit is filed with New York State Form TT-86.5, but they are essential for other filings. Completing these sections without need or leaving them blank when required can result in processing errors or incomplete filings, highlighting the importance of reading instructions carefully.

Misinterpretation of the affidavit's section on real and tangible personal property, particularly questions 29 to 33, represents a fourth error. Applicants must accurately list any real property, tangible personal property, or intangible personal property in which the decedent had an interest at death, including property outside New York State. Incorrectly valuing these assets, or failing to declare them, could drastically affect the estate's tax responsibilities and lead to penalties or audits.

The fifth common mistake lies in the failure to properly notarize the affidavit on page 4. Due diligence is required to ensure that all information provided in the affidavit is truthful and accurate, affirmed under oath before a notary public. Forgetting to obtain this notarization, or doing so in a manner not compliant with state requirements, could invalidate the entire affidavit, rendering the effort to complete it futile.

Overall, when completing the TT-141A form, attention to detail, adherence to instructions, and the accuracy of information are paramount. Taking the time to review each question carefully, and ensuring that all documentary evidence is attached, can prevent these mistakes and help to secure a positive outcome for the estate involved.

Documents used along the form

When handling the estate of an individual, particularly for someone who was not considered a resident of New York State at the time of their death, a variety of documents and forms may be necessary to ensure thorough and compliant processing. The TT-141A Estate Tax Domicile Affidavit is one such critical document, pivotal for affirming the decedent's non-resident status for New York State estate tax purposes. However, this form is often just a piece in the larger puzzle of estate administration. In many cases, several other forms and documents need to be completed and filed in conjunction, as outlined below:

  • Form TT-86.5: This is a complementary form to the TT-141A for estates of individuals who passed away within specific dates. It helps clarify details omitted in the TT-141A under certain conditions.
  • Form ET-141: For estates of individuals who died on or after May 26, 1990, this form serves a similar purpose to the TT-141A but is updated for use in conjunction with different estate tax laws and requirements.
  • Form 706 (Federal Estate Tax Return): For estates that exceed certain thresholds, this federal form becomes necessary to report the gross estate and calculate the estate tax due at the federal level.
  • Form 706-NA (United States Estate (and Generation-Skipping Transfer) Tax Return for Nonresident not a Citizen of the United States): Specifically designed for nonresident aliens, this document is critical for estates where the decedent was not a U.S. citizen.
  • Certificate of Appointment of Executor or Administrator: This legal document, obtained from the court, officially appoints an individual to manage and settle the decedent's estate, giving them the authority needed to complete forms like the TT-141A.
  • Copy of the Death Certificate: Essential for all estate processing, the death certificate officially records the death and is required for many of the forms and legal proceedings following a person’s passing.
  • Real Estate Appraisal: If the estate includes real property in New York State, appraisals may be required to determine market values for estate tax purposes, especially relevant for assessing any estate's real estate holdings.

Clearly, the administration of an estate, particularly with implications of residency and the associated tax responsibilities, can be complex and requitese the careful coordination and submission of multiple forms and documents. Professionals handling such matters must be diligent in gathering, completing, and filing each document accurately to adhere to both state and federal regulations. The estate's executor or administrator, often with the assistance of legal counsel, must navigate these requirements to ensure the estate is processed smoothly and in compliance with the law.

Similar forms

One document similar to the TT-141A form is the ET-141, New York State Estate Tax Domicile Affidavit, which is used for individuals who died on or after May 26, 1990. Both forms serve a similar purpose: they help determine the domicile of the decedent for estate tax purposes in New York State. The main difference lies in the applicable dates of death for the decedent. These affidavits collect detailed information about the decedent's residence, social ties, and personal and real property, allowing the state to assess whether the estate owes taxes to New York.

The federal estate tax return, Forms 706 and 706-NA, also share similarities with the TT-141A form. These federal forms are necessary for reporting the decedent's entire estate to the Internal Revenue Service. While the TT-141A focuses on establishing the decedent's domicile for state tax purposes, Forms 706 and 706-NA provide a comprehensive overview of the decedent's assets and liabilities at a federal level. Both sets of documents require detailed listings of the decedent's property, but the federal forms have a broader scope, including tax computations and credits.

The Affidavit for Transfer of Personal Property Without Administration, commonly used in small estate proceedings, bears resemblance to the TT-141A affidavit. This affidavit allows for the transfer of personal property of the deceased without formal administration in probate court. Similar to the TT-141A, it simplifies the legal process for certain estates. Both affidavits require information about the decedent's assets, but the former is directed more towards facilitating the distribution of personal property to heirs or legatees without a full probate process.

Another related document is the Real Property Transfer Report, used in New York State for reporting the transfer of real property. While its primary focus is on the details of real property transactions, including the seller's and buyer's information, it intersects with the TT-141A form in contexts where real estate ownership affects estate settlements and tax liabilities. Both forms collect detailed property information that impacts the legal and tax obligations of the involved parties.

Last, the Domicile Declaration form, used by individuals to declare a new legal domicile, parallels the TT-141A form in its objective to establish residency for tax purposes. Domicile impacts tax obligations, voting rights, and legal jurisdiction for wills and estates. While the Domicile Declaration is proactive, allowing individuals to declare their residency, the TT-141A serves a reactive purpose, determining the decedent's domicile posthumously for estate tax calculations.

Dos and Don'ts

When it comes to filling out the TT-141A form for the New York State Department of Taxation and Finance, it's crucial to approach this task with accuracy and attention to detail. Below are guidelines that outline what you should and shouldn't do during this process.

  • Do ensure that all information provided is complete and accurate. Answering every question fully is essential.
  • Do not leave any sections blank. If a question does not apply, indicate this clearly with a response such as "N/A" (not applicable).
  • Do attach a copy of the decedent's death certificate, as this is a mandatory requirement.
  • Do not forget to include a copy of the federal estate tax return (Form 706 or 706-NA), if one was filed. This is crucial for providing a comprehensive understanding of the estate.
  • Do verify the decedent's domicile accurately. This information impacts the estate's tax obligations significantly.
  • Do not rush through filling out the form. Taking the time to review and verify information can prevent errors and potential legal complications.
  • Do have the affidavit notarized. A notary public's seal and signature are necessary to validate the affidavit.
  • Do not underestimate the importance of detailing the decedent's assets and taxable transfers. Complete these sections with utmost attention to detail.
  • Do consider consulting with a legal advisor if you're unsure about any aspects of the TT-141A form. Professional guidance can help ensure the form is completed correctly.

Misconceptions

When considering the New York State Department of Taxation and Finance TT-141A Estate Tax Domicile Affidavit, several misconceptions frequently arise regarding its purpose, requirements, and the process of submission. Addressing these misconceptions is crucial for a clear understanding of the form's role in estate planning and tax reporting for non-residents of New York State. Here are seven common misconceptions and explanations to clarify them:

  • The TT-141A form is only for New York State residents. In reality, this form is specifically designed for the estates of individuals who were not New York State residents at the time of their death but might have had tax obligations due to their ties or assets within the state. It's aimed at establishing domicile outside of New York State for estate tax purposes.
  • Any beneficiary can complete and submit the form. The form is to be completed by the fiduciary (executor or administrator), the surviving spouse, or a member of the decedent’s immediate family who can provide all the requested information. This ensures that the information provided is accurate and reliable.
  • The form is applicable for any date of death. The TT-141A form is specifically applicable for estates of individuals who died after December 31, 1982, and before May 26, 1990. For dates of death on or after May 26, 1990, a different form, the ET-141, New York State Estate Tax Domicile Affidavit, is used.
  • Completing the TT-141A form is optional. While not every estate will need to complete the TT-141A form, for those that are required to demonstrate that the decedent was not a New York State resident at the time of death for estate tax purposes, submitting a completed affidavit is a mandatory step in the process.
  • Attaching a federal estate tax return is always necessary. An attachment of a copy of the federal estate tax return, Form 706 or 706-NA, is required only if the estate filed such a return. This serves as additional documentation to support the information provided in the affidavit.
  • All sections of the TT-141A form must be completed. If the affidavit is filed with New York State Form TT-86.5, questions 28 through 33 should be omitted. This highlights the importance of understanding the specific requirements based on the forms being filed for the estate to avoid unnecessary or incorrect submissions.
  • The form does not require notarization. Contrary to this misconception, the affidavit must be notarized on page 4 to be considered valid and complete. Notarization serves as a verification of the identity of the signatory and the truthfulness of the affidavit's claims.

Understanding these key points about the TT-141A Estate Tax Domicile Affidavit ensures proper compliance with New York State's taxation and finance requirements. It also helps in the efficient administration of the decedent's estate, particularly in clarifying domicile status for estate tax purposes.

Key takeaways

Understanding the requirements and purpose of Form TT-141A can aid in completing it accurately for those estates needing to assert the domicile status of a decedent. Form TT-141A is specifically designed for estates where the deceased passed away between December 31, 1982, and May 26, 1990, and it is claimed that they were not a New York State resident at the time of their death. Here are several key takeaways that individuals involved with the completion of this form should be aware of:

  • It is pivotal to attach a copy of the federal estate tax return, Form 706 or 706-NA if one was filed for the estate. This attachment is crucial for providing a comprehensive overview of the estate's federal tax obligations and contextualizes the estate's financial details relevant to the affidavit.
  • The affidavit encompasses detailed personal information about the decedent, including their last residence, voting status, assets owned, and familial relations, underscoring the importance of thorough record-keeping and meticulous preparation before completing the form.
  • If the estate is also filing Form TT-385, New York State Estate Tax Return, or if the date of death is on or after May 26, 1990, a different form, ET-141, must be used instead. This distinction emphasizes the need to carefully select the appropriate form based on the decedent's date of death to ensure compliance with New York State Taxation and Finance Department requirements.
  • Answering all questions completely is mandatory, and the form must be notarized on page 4. This formalizes the document, making it a legally binding affidavit, and highlights the necessity for accuracy and honesty in the representation of the decedent's domicile status and estate details.
  • Specific sections of the form should be omitted if another related form, TT-86.5, is filed alongside it. This instruction indicates the interconnected nature of estate documentation and the importance of understanding how different forms complement or overlap with each other in the context of estate taxation.

Careful consideration of these takeaways can facilitate the accurate and compliant completion of Form TT-141A, streamlining the process of contesting the New York State domicile status of a decedent and managing their estate accordingly.

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