Form It-R - Schedule A - Real Property Resident Decedent

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SCHEDULE “A” REAL PROPERTY
RESIDENT DECEDENT
(See Instructions on reverse side)
_______________________________________________________
____________/____________/____________
Decedent’s Name
Decedent’s Social Security Number
Description of New Jersey
Full Assessed Value
Full Market Value
Value of Decedent’s
This Column
Real Estate
for
at
Equity and
for
Year of Death
Date of Death
(How Determined)
Division Use
1. Street and Number
Municipality:
Lot:
Block:
County:
Title/Owner of Record:
Mortgage Balance: $
2. Street and Number
Municipality:
Lot:
Block:
County:
Title/Owner of Record:
Mortgage Balance: $
3. Street and Number
Municipality:
Lot:
Block:
County:
Title/Owner of Record:
Mortgage Balance: $
4. Street and Number
Municipality:
Lot:
Block:
County:
Title/Owner of Record:
Mortgage Balance: $
Insert this total on page 1, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(If additional space is required, attach riders of the same size)

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