I
I
OF SOUTH
STATE
CAROLINA
SC1310
DEPARTMENT OF REVENUE
STATEMENT OF PERSON
(Rev. 7/95)
CLAIMING REFUND
3258
DUE A DECEASED TAXPAYER
Tax year decedent was due a refund:
,
19
,
and
ending
, 19
,
or other tax year beginning
Calendar year
Name of claimant
Name of decedent
Number and street
Social Security number
Please
Date of death
type
or
No. & street (Permanent residence or domicile on the date of death)
print
applies
Check the box that
to you. (Check only one box.) Be sure to sign and date in part Ill below.
A.
Surviving spouse, requesting reissuance of a refund check.
B.
Personal representative appointed or certified by a court. Attach a court certificate showing your appointment.
C.
Person, other than A or B, claiming refund for the decedent’s estate. Complete Part II and attach a copy of the death certificate or proof of
death.
Complete this part only II you checked Box C above.
NO
YES
1. Did the decedent leave a will’? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. (a) Has a personal representative been appointed by a court for the estate of the decedent? . . . . . . . . . . . . . . . . .
(b) lf ’’No,’’ will one reappointed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
/f 2 (a) or (b) is answered “Yes”, the personal representative must f//e for the refund.
3. As the person claiming the refund for the decedent’s estate, will you pay out the refund according to the laws of
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
the state where the decedent was a legal resident’?
If “No”, a refund cannot be made until you submit a court certificate showing your appointment as personal
I request a refund of taxes overpaid by or on behalf of the decedent. Under penalties of perjury, I declare that I have examined this claim and to the
best of my knowledge and belief, it is true, correct and complete.
Mail to: SC Department of Revenue, Income Tax, Columbia, SC 29214-0012