Schedule A Real Property Non-Resident Decedent Form - New Jersey Department Of Treasury
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1SCHEDULE “A” REAL PROPERTY
NON-RESIDENT DECEDENT
(See Instructions on reverse side)
_______________________________________________________
____________/____________/____________
Decedent’s Name
Decedent’s Social Security Number
Description of Real Estate
Full Assessed Value
Full Market Value
Value of Decedent’s
This Column
(List all real estate both
for
at
Equity
for
outside and within New Jersey)
Year of Death
Date of Death
(and how determined)
Division Use
1. Street and Number
Municipality:
Lot:
Block:
County:
State:
Owner of Record:
Mortgage Balance: $
Mortgage Insurance: $
Insert this total on page 1, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(If additional space is required, attach riders of the same size)
IT-NR Page 3
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