Name (as it appears on headstone)

Permanent address (Plot location. If cremated, give urn location. If strewn on land give approximate location. If strewn at sea, forget it)

Epitaph, if any (maximum eight words)

1 2

3

4

5

6

7a

a

9

10

11

Under penalties of perjury, autopsy, posthumous audit, heavy rains, and reincarnation, I declare that I have examined this return, and to the best of my knowledge and belief, it is true, correct, and complete. Cross my heart and hope to die.

Please Sign Here Signature of Deceased: ________________

Date: _______________

©2012 Landmark Tax Group™ www.LandmarkTaxGroup.com Solutions To Your IRS Problems™ * This is not a real IRS form.

Form Deceased Department of the Treasury – Internal Revenue Service

1040 - R.I.P.* Taxpayer U.S. Individual Income Tax Return

FOR FILING A RETURN FROM THE GRAVE Note: Eventually every taxpayer must face that time when his assets become fully depreciated, and must be liquidated …that time for filing a final return and disposing of the remains of his assets. If it’s already too late, you may file a return from the grave. Warning: If you think your case is closed, and that you can rest in peace, you might be dead wrong. The IRS may conduct a posthumous audit at any time to exhume and examine a return from the grave.

Use IRS label Presidential Do you want $1 to go to this fund? Note: Checking “Yes” will not increase Election Yes No the chances of better presidents, or Campaign Fund reduce your tax. Revenue Note: You can’t take it with you, so you better resign yourself to sharing your revenue Sharing among loved ones and the IRS. Information Filing Check if legally deceased Check if yourself Status Check if fading fast Check if not yourself Exemptions No one is exempt from death or taxes. These are natural and irrevocable events. Sorry, no exceptions. Income 1 Windfall profits from fast turnover in your grave ……………………………..…….. 2 Employee death benefits ………………………………………………………………………… 3 Life insurance proceeds to surviving spouse, or loved one ……………………… 4 Interest income with respect to the deceased ………………………………………… 5 Disinterest income with respect to the deceased ……………………………………. Credits 6 Grave expenses ……………………………………………………………………………………….. and 7 Credit for choosing cremation: Deductions a Standard credit for urn storage ……………………………………………………………. b Extra credit for creative strewing instructions ……………………………………… 7b 8 Mortician’s rigor mortis surcharge for a late return (stiff penalty) …………. 8 9 Credit for donation of body to medical science (if other than entire body, See instructions for separate organs) …………………………………………………... 10 Credit for posthumous prepayments from Hell (infernal revenue) ….…… 11 Deduction for use of mausoleum as office ……………………………………………. 12 Meals and lodging for mourners …………………………………………………………… 12 13 Water damage from faulty casket gasket ……………………………………………… 13 Final Total dues paid by you on final return from the grave …………………..…… Balance (Enclose check or mummy order)

2012