United States Estate (and Generation-Skipping Transfer) Tax Return 
Form   706-NA
                                       Estate of nonresident not a citizen of the United States
                                            To be filed for decedents dying after December 31, 2011.                                                 OMB No. 1545-0531
(Rev. June 2019)                 Go to www.irs.gov/Form706NA for instructions and the latest information.
Department of the Treasury                             ▶ File Form 706-NA at the following address: 
Internal Revenue Service         Department of the Treasury, Internal Revenue Service Center, Kansas City, MO 64999.
                            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

9a  Name of executor

  b  Address (city or town, state or province, country, and ZIP or foreign postal code)

c  Telephone number                           d  Fax number                              e  Email address

10a  Name of attorney for estate

b  Address (city or town, state or province, country, and ZIP or foreign postal code)

c  Telephone number                           d  Fax number                              e  Email address

11    If there are multiple executors or attorneys, check here      and attach a list of the names, addresses, telephone numbers, fax 
     numbers, and email addresses of the additional executors or attorneys.
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. Declaration of preparer (other than the executor) is based on all information of which preparer has any knowledge. 

        ▲                                                                                ▲                            May the IRS discuss this return 
                                                                                                                      with the preparer shown below? 
Sign             Signature of executor                                                      Date                      See instructions. 
        ▲                                                                                ▲
Here                                                                                                                                                 Yes     No
                 Signature of executor                                                      Date
                 Print/Type preparer’s name                Preparer’s signature                       Date
Paid                                                                                                                    Check          if                PTIN
                                                                                                                        self-employed 
Preparer                         ▶                                                                                      Firm’s EIN ▶
                 Firm’s name     
Use Only         Firm’s address ▶                                                                                       Phone no. 
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.                Cat. No. 10145K          Form 706-NA (Rev. 6-2019)

Form 706-NA (Rev. 6-2019)                                                                                                                Page 2
Part III  General Information
Authorization to receive confidential tax information under Regulations section 601.504(b)(2), to act as the estate’s representative before 
the IRS, and/or to make written or oral presentations on behalf of the estate:
Name of representative (print or type)                      License state   Address (city or town, state or province, country, and ZIP or foreign postal code)

I declare that I am the     attorney/        certified public accountant/       enrolled agent/      other representative  (check the applicable
box) for the executor. If licensed to practice in the United States, I am not under suspension or disbarment from practice before the Internal 
Revenue Service and am qualified to practice in the state shown above.            If not licensed to practice in the United States, check here.
Signature                                                                   CAF number       Date                     Telephone number

                                                              Yes No                                                                 Yes No
1a    Did the decedent die testate?  .       . .      .   .                   7 Did  the  decedent  make  any  transfer  (of 
b     Were letters testamentary or of administration                            property that was located in the United States 
      granted for the estate?   .      .  .  . .      .   .                     at either the time of the transfer or the time of 
                                                                                death) described in section 2035, 2036, 2037, 
      If granted to persons other than those filing the                         or 2038? See the instructions for Form 706, 
      return, include names and addresses on page 1.                            Schedule G  .     .  .  . . . .     .     .  . .
2     Did the decedent, at the time of death, own any:                          If “Yes,” attach Schedule G, Form 706.
a     Real property located in the United States? .                           8 At the date of death, were there any trusts in 
b     U.S. corporate stock? .   .      .  .  . .      .   .                     existence that were created by the decedent 
c     Debt obligations of (1) a U.S. person; or (2) the                         and  that  included  property  located  in  the 
      United  States,  a  state  or  any  political                             United  States  either  when  the  trust  was 
      subdivision, or the District of Columbia?           .                     created or when the decedent died?  .        . .
d     Other property located in the United States? .                            If “Yes,” attach Schedule G, Form 706.
3     Was the decedent engaged in business in the                             9 At the date of death, did the decedent:
      United States at the date of death?  .          .   .                   a Have a general power of appointment over 
4     At the date of death, did the decedent have                               any property located in the United States?  .
      access, personally or through an agent, to a                            b Or, at any time, exercise or release the power?
      safe deposit box located in the United States?                            If “Yes” to either a or b, attach Schedule H, 
5     At the date of death, did the decedent own                                Form 706.
      any property located in the United States as a                        10a Have federal gift tax returns ever been filed? .
      joint  tenant  with  right  of  survivorship;  as  a                                        ▶
      tenant  by  the  entirety;  or,  with  surviving                        b Periods covered 
      spouse, as community property?  .        .      .   .                   c IRS offices where filed ▶
      If “Yes,” attach Schedule E, Form 706.                                11  Does the gross estate in the United States 
6 a   Had the decedent ever been a citizen or resident                          include any interests in property transferred to 
      of the United States? See instructions  .       .   .                     a “skip person” as defined in the instructions 
b     If “Yes,” did the decedent lose U.S. citizenship or                       for Schedule R of Form 706?   .     .     .  . .
      residency within 10 years of death? See instructions                      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)                                          (b)                                             (c)              (d)                    (e) 
Item                          Description of property and securities                       Alternate      Alternate value in   Value at date of 
no.                           For securities, give CUSIP number                          valuation date     U.S. dollars     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. 6-2019)