New York Tentative Payment of Estate Tax (on or after April 1, 2014)

Tentative Payment of Estate Tax (on or after April 1, 2014)
Form ET-130 Tentative Payment of Estate Tax for an estate of an individual who died on or after January 1, 2019 Revised 6/23
Department of Taxation and Finance

Tentative Payment of Estate Tax

For office use only

For an estate of an individual who died on or after January 1, 2019

ET-130

(6/23)

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 X if 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 X in this box and attach a completed
Form ET-141, New York State Estate Tax Domicile Affidavit.
Power of Attorney – Mark an X in the box if Form ET-14, Estate Tax Power of Attorney, is attached (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 L if 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)
Address of attorney or authorized representative				

If more than one executor, mark an X in the box (see instructions) .................
Address of executor

City	

City	

			

State	

ZIP code	

SSN or PTIN of attorney or authorized rep.	 Telephone number	
Social Security number of executor	
	
			
Email address of attorney or authorized representative		

State 	

ZIP code

Telephone number

Email address of executor

Computation of tentative payment

	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
or
	4	 Taxable gifts (see instructions) ..................................................................	 4.
money
order 	5	 Includible QTIP Property (see instructions) ..............................................	 5.
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 NYS purposes (see instructions) .......................................................... 	10.
	11	 Estimated New York taxable estate (subtract line 10 from line 9) ...............................................................	 11.
12	 Tax on taxable estimate (see tax tables on Form ET-706, page 6) ...............................................................	 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.
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 X in the applicable box:
Attorney	

Court appointed Executor

Power of attorney	

Other (specify role)

00800106230094