ESTATE TAX ESTIMATE SUMMARY

CAPITAL PROPERTY

Fair Market Value

Adjusted Cost Base

Net Gain or Loss

Qualified Small Business Corporation Shares $ $ $
Qualified Farm Property      
Other Securities, Mutual Funds, Properties, or Shares      
Real Estate and Depreciable Property      
Bonds, Debentures, Promissory Notes and Other Properties      
Personal Use Properties      
Listed Personal Property      
Total Net Gain on Deemed Dispositions      
Taxable Portion (75%)      
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