Exhibit 3.12.263-12 - Form 709-NA, United States Gift (and Generation-Skipping Transfer) Tax Return of Nonresident Not a Citizen of the United StatesSummary: This is an example of a Form 709-NA with field designators.In the Header above part one of the FormFields 01CCC and 01TXPUnder Part 1 - General Information:Left of box 1; TPNC1. Donors first name and middle initial; field contains 04PNL2. Donors last name; field contains 01NC3. Donors SSN; field contains 01SSN4. Legal Resident (domicile) 04LRE5. Citizenship 04CFC8a. Donors address (number and street including apartment; field contains 04CON, 04ADD, 04FAD9. City, Field contains 04CTY10. State, Field contains 04ST11. ZIP Code, Field contains 04ZIP18. If the donor did during the year, enter Date of death, Field contains 01DTH and 01DOD.20. Enter total number of Donees listed on Schedule A, Field contains 01TND22a. Prior Filing Code 01PFC(Located on dotted Line at the end of the sentence)Page 1 Part 2 - Tax Computation (transcription lines)1. Enter the amount from Schedule A, Part 4, line 11; field contains 03012. Enter the amount from Schedule B, line 3; field contains 0302 3. Total taxable gifts (add lines 1 and 2); field contains (01PIC) 03034. Tax computed on amount on line 3; field contains 03045. Tax computed on amount on line 2; field contains 03056. Balance. Subtract line 5 from line 4; field contains 03067. Other Credits; field contains 03128. Credit for foreign gift taxes; field contains 03139. Total credits. Add lines 7 and 8; field contains 031410. Balance. Subtract line 9 from line 6; field contains 031511. Generation-skipping transfer taxes; field 031612. Total tax. Add lines 10 and 11); field contains 031713. Gift taxes prepaid with extension of time to file; field contains 031814. Balance due; field contains (03MCT) 03B/R, (RMIT)>15. Overpayment (amount to be refunded); field contains 03B/RThere is a text box that states: All fields $ only except RMIT, 0317, 0318, 03 B/R, 03MCTPaid preparer PTIN; field 01PTINFirms EIN; filed contains 01PENPaid preparer phone number; field contains 01PTN