Form 709-NA, Page 1Summary: This is an example of Page 1 Part 1 and Page 1, Part 2 of a Form 709-NA. The following items are transcribed:Field CCC and Tax PeriodUnder Part 1 - General Information:1. Donors first name and middle initial; field2. Donors last name; field contains Name Control3. Donors SSN; field4. Legal Residence Domicile field (Should contain a Foreign Country Code)5. Citizenship Field8a. Donors address (number and street)9. City, Field10. State, Field11. ZIP Code, Field18. If the donor died during the year check here and, enter Date of death, Fields.20. Enter total number of Donees listed on Schedule A, Count each Person once22a. 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 112. Enter the amount from Schedule B, line 3Penalty and interest code between lines 1 and 2 dotted portion3. Total taxable gifts (add lines 1 and 24. Tax computed on amount on line 35. Tax computed on amount on line 2Received date, center of Page 1, Part 26. Balance. Subtract line 5 from line 47. Other Credits8. Credit for foreign gift taxes9. Total credits. Add lines 7 and 810. Balance. Subtract line 9 from line 611. Generation-skipping transfer taxes12. Total tax. Add lines 10 and 11)13. Gift taxes prepaid with extension of time to file14. Balance due; field containsRemittance to the right of line 1415. Overpayment (amount to be refunded)PTIN Bottom right corner of page 1PEN Bottom right corner of page 1PTN Bottom right corner of page 1