Exhibit 3.12.263-4 - Form 706-NA, United States Estate (and Generation-Skipping Transfer) Tax Return Estate of nonresident not a citizen of the United StatesSummary: This is an example of a Form 706-NA (2006 revision) with field designators. The line items with field designators are listed.Upper left margin, Form 706-NA, field contains 01CCCUpper right margin, Form 706-NA; field contains 01PICUnder Part 1 - Decedent, Executor, and Attorney1a. Decedent's first name and middle initial; field contains 04PNL 1b. Decedent's last name; field contains 01NC2. U.S. taxpayer ID number (if any); field contains 01SSN6. Date of Death; field contains 01DOD7a. Date of Birth; field contains DOBUnder In United States9a. Name of executor; field contains 04EXE9b. Address (executor); field contains 04ADD, 04CON, 04CTY, 04ST, 04ZIPUnder Outside United States11a. Name of executor, field contains 04EXE11b. Address (executor); field contains 04FAD, 04ADD, 04CON, 04CTY, 04ST, 04ZIPUnder Part 2 - Tax Computation1. Taxable estate; field contains 02012. Total taxable gifts; field contains 02023. Total (add lines 1 and 2); field contains 02034. Tentative tax on the amount on line 3; field contains 02045. Tentative tax on the amount on line 2; field contains 02056. Gross estate (subtract line 5 from line 4); field contains 0206 7. Unified credit; field contains 02078. Balance (subtract line 7 from line 6); field contains 02089. Other Credits; field contains 020910. Credit for tax on prior transfers (01RCD); field contains 0210 11. Total (add lines 9 and 10); field contains 021112. Net estate tax (subtract line 11 from line 8); field contains 031213. Total generation-skipping transfer tax; field contains 031314. Total transfer taxes; field contains 03MCT 031415. Earlier payments; field contains 031516. Balance due (subtract line 15 from line 14) (01PI) (RMIT); field contains 03B/R