Form 60-083 - Iowa Inheritance/estate Tax Schedule I

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I O WA
d e p a r t m e n t o f R e ve n u e a n d F i n a n c e
I
owa Inheritance/Estate Tax Schedule I
Annuities
Estate of:
Item
Qualifying Annuity
Alternate
Alternate
Value at
No.
Description of Annuity
Yes / No
Valuation Date
Value
Date of Death
Beneficiary’s name and relationship to the decedent. ________________________________________________________________
Item
Qualifying Annuity
Alternate
Alternate
Value at
No.
Description of Annuity
Yes / No
Valuation Date
Value
Date of Death
Beneficiary’s name and relationship to the decedent. ________________________________________________________________
Item
Qualifying Annuity
Alternate
Alternate
Value at
No.
Description of Annuity
Yes / No
Valuation Date
Value
Date of Death
Beneficiary’s name and relationship to the decedent. ________________________________________________________________
Item
Qualifying Annuity
Alternate
Alternate
Value at
No.
Description of Annuity
Yes / No
Valuation Date
Value
Date of Death
Beneficiary’s name and relationship to the decedent. ________________________________________________________________
Item
Qualifying Annuity
Alternate
Alternate
Value at
No.
Description of Annuity
Yes / No
Valuation Date
Value
Date of Death
Beneficiary’s name and relationship to the decedent. ________________________________________________________________
TOTAL. Also enter in the Summary of Gross Estate, page 2, line 35. .....................................................................
If more space is needed, attach additional sheets of the same size.
60-083 (10/16/02)

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