Form L-4 - Individual Tax Audit Branch Transfer Inheritance And Estate Tax - 2008 Page 3

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5. The following funds were on deposit in State and National Banks in New Jersey to credit of decedent as an individual, co-depositor

or otherwise:

DATE OF

CURRENT

NAME OF BANK

DEATH

TO CREDIT OF:

BALANCE

NOTE: Banks have permission to release fifty percent of all funds on deposit, upon application. (N.J.A.C. 18:26-11.16)

6. Relationship to decedent of those who survived decedent and are entitled to share in the estate.

NAMES AND ADDRESSES

RELATIONSHIP

AGES OF LIFE TENANTS

7. Tax waivers are requested at this time for the following items:

(If release of assets in a custodial account is desired, state the name and location of the bank or trust company and attach a list (in duplicate) of the

assets held as agent for the decedent.)

Form L-4

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