Donation of Property to a Family Member: Gift Tax, Basis, and Medicaid

Gifting property to a family member is legally a gift under federal tax rules, and while the paperwork is usually straightforward and no gift tax is owed, the transfer can create much larger problems down the line: the recipient inherits your original purchase price as their tax basis, the mortgage lender may be able to demand repayment, and a gift made within five years of a Medicaid application can disqualify the donor from nursing-home coverage. Understanding those consequences before you sign a deed matters more than the gift tax return itself.

The Gift Tax Filing

Gift tax is the donor’s responsibility, not the recipient’s.1Office of the Law Revision Counsel. 26 USC 2502 – Rate of Tax For 2025 and 2026, you can give up to $19,000 per recipient each year without any paperwork.2Internal Revenue Service. What’s New – Estate and Gift Tax A married couple can elect to split gifts and effectively double that to $38,000 per recipient, but both spouses must file Form 709 to make the election.

Real estate almost always exceeds $19,000, so you’ll almost certainly need to file Form 709. That doesn’t mean you owe tax. The value above the annual exclusion counts against your lifetime gift and estate tax exemption, which is $15 million per individual in 2026, up from $13.99 million in 2025 after the One, Big, Beautiful Bill Act was signed on July 4, 2025.2Internal Revenue Service. What’s New – Estate and Gift Tax

Say you gift a $200,000 property to your daughter. Subtract the $19,000 exclusion, and $181,000 counts against your lifetime exemption, leaving you with $14,819,000. You file Form 709 and owe nothing. Actual gift tax only kicks in if your cumulative lifetime gifts above the annual exclusion burn through the full $15 million, which almost never happens.

Form 709 is due by April 15 of the year after the gift. An extension on your income tax return automatically extends Form 709 as well.3Internal Revenue Service. Instructions for Form 709 (2025)

The Bigger Tax Problem: Carryover Basis

The gift tax filing is the easy part. What actually costs families money is the recipient’s tax basis. When you receive property as a gift, your basis for calculating capital gains is whatever the donor originally paid, plus the cost of major improvements. The tax code calls this a carryover basis.4Office of the Law Revision Counsel. 26 USC 1015 – Basis of Property Acquired by Gifts and Transfers in Trust

The consequences can be severe. If your parent bought a house for $120,000 and gifts it to you when it’s worth $450,000, your basis is still $120,000. Sell it for $475,000 and you have a taxable capital gain of $355,000.

Why Inheriting Is Usually Cheaper

Property inherited at the owner’s death gets a stepped-up basis equal to its fair market value on the date of death.5Office of the Law Revision Counsel. 26 U.S. Code 1014 – Basis of Property Acquired From a Decedent Using the same numbers, if you had inherited that house at a $450,000 value and sold for $475,000, your taxable gain would be $25,000 instead of $355,000.

For most families whose main goal is passing along a home, waiting to transfer through inheritance rather than making a lifetime gift can save tens or hundreds of thousands in capital gains tax. The math shifts if the donor has personal, financial, or Medicaid-planning reasons to transfer sooner, but the capital gains cost belongs in the decision.

The Home Sale Exclusion Doesn’t Carry Over

If the property was the donor’s primary residence, the donor could have sold it and excluded up to $250,000 in gain ($500,000 for a married couple filing jointly). That exclusion does not transfer with the gift. For the recipient to claim it, they must own the property and use it as their own principal residence for at least two of the five years before selling.6Office of the Law Revision Counsel. 26 U.S. Code 121 – Exclusion of Gain From Sale of Principal Residence Rent it out or use it as a vacation home and the exclusion is gone.

The Mortgage Complication

If the property still has a mortgage, gifting it gets messier. Most mortgages include a due-on-sale clause that lets the lender demand full repayment when ownership changes. A gift counts as a transfer, so it can trigger the clause.

Federal law limits when lenders can actually enforce it. The Garn-St. Germain Act prohibits a lender from accelerating a residential mortgage (on property with fewer than five units) when the borrower transfers ownership to a spouse or children.7Office of the Law Revision Counsel. 12 U.S. Code 1701j-3 – Preemption of Due-on-Sale Prohibitions Gift the house to your son or daughter and the lender can’t call the loan solely because of the transfer.

The protection is narrow. It doesn’t cover transfers to siblings, nieces, nephews, or cousins, and it doesn’t apply to residential property with five or more units. For those transfers, the due-on-sale clause is fully enforceable.

Even where Garn-St. Germain applies, the mortgage itself doesn’t go away. The original borrower stays personally liable for payments unless the lender formally releases them. If the recipient can’t pay and the donor stops paying, the lender will foreclose. The clean options are for the donor to pay off the loan before the gift, for the recipient to refinance into their own loan, or for the recipient to formally assume the mortgage with lender approval. Refinancing and assumption both require the recipient to qualify on their own credit and income.

The Medicaid Five-Year Look-Back

For older donors, Medicaid can be far more expensive than any tax consequence. Medicaid’s long-term care programs review all asset transfers made in the 60 months before an application. Gifting a house to a family member inside that window is treated as an improper transfer, even though the gift was legal for tax purposes. The IRS gift rules have no bearing on Medicaid.

When Medicaid finds a transfer within the look-back period, it imposes a penalty period of ineligibility for nursing-home coverage. The length is calculated by dividing the value of the transferred asset by the average monthly cost of nursing care in the applicant’s state. A $300,000 property in a state where nursing care averages $10,000 per month produces a 30-month penalty. There is no cap.

The result can be devastating: the donor has given away their most valuable asset, can’t pay for care out of pocket, and can’t get Medicaid to cover it. Families sometimes have to unwind the transfer entirely so the Medicaid agency will recalculate eligibility. Anyone over 60 or in declining health should talk to an elder law attorney before gifting real estate. The planning window is five years, and starting that clock early can be the most consequential decision the family makes.

Property Tax Reassessment

Many jurisdictions reassess a property when it changes hands, including between family members. If a parent has owned the house for decades, the assessed value may sit well below market thanks to caps on annual increases. A transfer to a child can reset the assessment to current fair market value and dramatically raise the annual tax bill.

Some states offer partial or full exemptions from reassessment for parent-to-child transfers, especially when the child uses the property as a primary residence. The rules vary widely, and the impact can be large enough to change whether the gift makes sense at all. Call the county assessor’s office before you sign anything.

Making the Transfer

The transfer itself requires a new deed naming the recipient as owner. For family gifts, donors typically use a quitclaim deed, which transfers whatever interest the donor holds without warranting that the title is clean. That’s usually fine when both sides trust each other and know the property’s history. Some states also recognize a dedicated gift deed that states no money changed hands.

The deed needs the full legal names of donor and recipient and the property’s legal description, which you can copy from the existing deed. Most jurisdictions require the donor to sign in front of a notary before recording.

After notarization, file the deed with the county recorder or register of deeds where the property is located. Expect a modest recording fee. Some jurisdictions charge a transfer tax when a deed is filed, though many exempt transfers between close family members or transfers where no money changed hands. Ask the county recorder before filing.

Records to Keep

Both sides should hold onto copies of the recorded deed, the donor’s original purchase records (price paid and cost of any improvements), and Form 709 if one was filed. The recipient will need the donor’s basis whenever they eventually sell, which could be decades later. Reconstructing old cost-basis records after the donor has died is one of the most common headaches in family property transfers, and a single folder kept at the time of the gift avoids it entirely.