Schedule "C" Deductions Claimed Non-Resident Decedent Form - Department Of Treasury

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SCHEDULE “C” DEDUCTIONS CLAIMED
NON-RESIDENT DECEDENT
(See Instructions on reverse side)
_______________________________________________________
____________/____________/____________
Decedent’s Name
Decedent’s Social Security Number
Debt or Claim of
Nature of Same
Amount
This Column for
Division Use
Estimated Expenses for:
Administration . . . . . . . . . . . . . . . . . . .
(Attach an itemized list)
Name(s): ______________________________________
Counsel Fees:
Agreed Upon . . . . . . . . . . . . . . . . . . . .
______________________________________
Estimated . . . . . . . . . . . . . . . . . . . . . . .
If more than 2 attach a rider
Name(s): ______________________________________
Executor’s or Administrator’s Commissions
(Must not be claimed unless reported for
______________________________________
Income Tax purposes.)
SS# _______________/____________/______________
SS# _______________/____________/______________
SUBTOTAL . . . . . . . . . . .
(Insert on Worksheet 2 Line 4)
Funeral . . . . . . . . . . . . . . . . . . . . . . . . . . .
Transfer taxes paid to other states . . . . . .
(itemize by state)
Other Deductions (list individually)
Total of entire column. Insert this total on page 1, line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(If additional space is required, attach riders of the same size)
IT-NR - Page 9

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