Schedule E - Beneficiaries Resident Decedent - New Jersey Department Of Treasury

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SCHEDULE “E” BENEFICIARIES
RESIDENT DECEDENT
ATTACH COPY OF WILL AND CODICILS HERE
_______________________________________________________
____________/____________/____________
Decedent’s Name
Decedent’s Social Security Number
In case of Intestacy, the parentage of all collateral heirs (such as nieces, nephews, cousins, etc.) must be set forth. The relationship of step-parent,
step-child, step-brother or step-sister must be so stated.
Survived
Age At
BENEFICIARIES AND ADDRESSES
Interest of
Decedent
Relationship
Class
Death of
Beneficiary
(State full names and addresses of all who have an
State
Decedent
In Estate
interest, vested, contingent or otherwise, in estate)
Yes or No
Deponent further says the following schedule contains the names of all beneficiaries who died before or after decedent’s death:
NAME
DATE OF DEATH
DOMICILE AT DEATH
Under authority of Federal law, the Division of Taxation of the Department of the Treasury of the State of New Jersey and the Internal Revenue
Service have entered into a Federal/State Agreement for the mutual exchange of tax information for purpose of tax administration.

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