Enlarge image | Department of Taxation and Finance For office use only Application for Extension of Time ET-133(6/23) To File and/or Pay Estate Tax For an estate of an individual who died on or after January 1, 2019 Decedent’s last name First name Middle initial Social Security number Address of decedent at time of death (number and street) Date of death Mark an Xif copy of death certificate is attached (see inst.) City State ZIP code County of residence If the decedent was a nonresident of New York State on the date of death, mark an Xin the box and attach completed Form ET‑141, New York State Estate Tax Domicile Affidavit ..................................................................................................... Power of Attorney – Mark an Xin the box if Form ET‑14, Estate Tax Power of Attorney, isattached (see instructions) If Form ET‑14 was previously provided, indicate which form it was attached to and the date it was submitted: Form Date Executor: If you are submitting Letters Testamentary or Letters of Administration with this form, indicate in this box the type of letters. Enter Lif regular, LL if limited letters. If you are not submitting letters with this form, enter N. ............ Attorney’s or authorized representative’s last name First name MI Executor’s (for definition, see instr.) last name First name Middle initial In care of (firm’s name) If more than one executor, mark an Xin the box (see instructions) ................ Address of attorney or authorized representative Address of executor City State ZIP code City State ZIP code SSN or PTIN of attorney or authorized rep. Telephone number Social Security number of executor Telephone number Email address of attorney or authorized representative Email address of executor Automatic extension of time to file (Tax Law, § 976(a)(1)) Extension date requested Mark an Xin this box (see instructions). month day year Extension of time to pay (Tax Law, § 976(a)) Extension date requested Mark an Xin this box and, in the space provided below, explain in detail why payment of the estate tax by the due date (that is, within nine months of the date of death) will cause undue hardship to the estate. Include documentation of any effort the estate has made to convert assets to pay the tax. If the tax cannot be determined because the size of the estate is month day year unascertainable, mark an Xhere and attach an explanation (see instructions). State in detail why you need an extension of time to pay. (Attach additional sheets if necessary.) Computation 1 Estimated value of federal gross estate (see instructions) ............................................................................... 1. 2 Estimated value of property with a location outside of New York State .......................................................... 2. Attach 3 Subtotal (subtract line 2 from line 1) .................................................................................................................... 3. check 4 Taxable gifts (see instructions) ....................................................................... 4. or money 5 Includible QTIP Property (see instructions) .................................................... 5. order here. 6 Estimated litigation awards (see instructions) ................................................ 6. 7 Amount determined under § 957 relating to Powers of Appointment prior to 1930 (see instructions) ............................................... 7. 8 Add lines 4 through 7 ...................................................................................................................................... 8. 9 New York estimated gross estate (add lines 3 and 8) ........................................................................................ 9. 10 Allowable federal deductions for New York State purposes (see instructions) ................................................. 10. 11 Estimated New York taxable estate (subtract line 10 from line 9) ....................................................................... 11. 12 Tax on taxable estimate, net of any applicable credit (see instructions) ........................................................... 12. 13 Amount previously remitted, if any .................................................................................................................. 13. 14 Amount remitted with this form (make check or money order payable in U.S. funds to Commissioner of Taxation and Finance) ...................................................................................................... 14. 00900106230094 Executor or applicant, be sure to sign this return on page 2. |
Enlarge image | Page 2 of 2 ET-133 (6/23) Certification: Under penalties of perjury, I declare that I am either the duly appointed executor or administrator for the above‑named estate or, if no executor or administrator has been appointed, a person in actual or constructive possession of any property of the decedent with sufficient knowledge to file an accurate return, the attorney or accountant representing such individual, or a person with a power of attorney to act on behalf of the executor, and that, to the best of my knowledge and belief, the information contained on this application is true and correct. Signature Date Mark an Xin the applicable box: Attorney Court appointed Executor Power of attorney Other (specify role) 00900206230094 |