Form 74 - Report Of Personal Representative Of Decedent
ADVERTISEMENT
1
2Report of Personal Representative of Decedent
ARIZONA FORM
74
This report must be completed and returned to:
Estate Tax Unit, Arizona Department of Revenue,1600 W Monroe, Room 610, Phoenix AZ 85007-2650
For assistance call: (602) 542-4643 or (800) 352-4090 (nationwide toll free)
You may also visit our web site at:
CHECK ONE
Walk-in service is also available. See the instructions on Where to File for details.
Original
Amended
Estate's federal identification number
Please Print or Type
Decedent's social security number
Name of decedent (last, first, middle initial)
Date of death
Residence of decedent (city or town, state, and ZIP code)
Probate number (if any)
County of Probate Court
Personal representative
Address
City
State
ZIP code
Attorney
Address
City
State
ZIP code
Attach a copy of the death certificate if this is an original report.
Section I
Summary of Estate
Complete Section III first. Enter values below. (See instructions)
Arizona
Other Than Arizona
A. Real estate
$
$
B. Bank deposits
$
$
C. Securities
$
$
D. Other assets (household furnishings,
$
$
automobiles, other personal property)
$
$
E. Insurance
Total value of the estate
$
$
(Add A through E)
Is a federal estate tax return (Form 706 or 706NA) being filed?
NO
YES
Section II
Documents Requested
Indicate the type of waiver(s) you are requesting
Estate tax waiver (Real Estate)
Estate tax waiver (Probate)
Section III
Estate Assets
Use a continuation sheet if more space is needed
A. Real Estate - Market value at date of death of all real estate in Arizona. $ _______________________.
List legal description(s) of real estate in Arizona. Indicate county and if held as separate or joint tenancy.
This can be found on the deed to the property or on the notice of valuation from the county assessor's
office. Note, be sure to include the lot number and subdivision name.
ADOR 06-0034 (00)
Complete page 2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Arizona Form 74 - Report Of Personal Representative Of Decedent - Arizona Department Of Revenue
Financial
Form 4180 - Report Of Interview With Individual Relative To Trust Fund Recovery Penalty Or Personal Liability For Excise Taxes
Financial
Form 4180 - Report Of Interview With Individual Relative To Trust Fund Recovery Penalty Or Personal Liability For Excise Taxes
Financial
Form 4180 - Report Of Interview With Individual Relative To Trust Fund Recovery Penalty Or Personal Liability For Excise Tax
Legal
Form 30 - Report Of Transfer Of Ownership Of A Motor Vehicle Part For The Use Of The Transferor
Legal
Related Categories
Parent category: Legal