Schedule "D" Deductions Claimed Resident Decedent Form

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SCHEDULE “D” DEDUCTIONS CLAIMED
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
Name:
Estimated Expenses for:
¨ Funeral . . . . . . . . . . . . . . . . . . . . . . . .
______________________________________________
¨ Administration . . . . . . . . . . . . . . . . . .
Name:
Counsel Fees:
¨ Agreed Upon . . . . . . . . . . . . . . . . . . . .
______________________________________________
¨ Estimated . . . . . . . . . . . . . . . . . . . . . .
Names:
Executor’s or Administrator’s Commissions
_______________________________________________ (Must not be claimed unless reported for
Income Tax purposes.)
_______________________________________________
SS# ___________________________________________
SS# ____________________________ ______________
Other Deductions (list individually)
Insert this total on page 1, line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(If additional space is required, attach riders of the same size)

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