Form D-76p - Payment Voucher For Dc Estate Tax
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This is a FILL-IN format. Please do not handwrite
any data on this form other than your signature.
Important: Print in CAPITAL letters using black ink. Make check or money order payable to: DC Treasurer
OFFICIAL USE ONLY
Vendor ID#0002
Taxpayer Identification Number
Fill in
if FEIN
Date of Death (MMDDYYYY)
Due Date (MMDDYYYY)
if SSN
Estate of (First name)
M.I.
(Last name)
Name of Personal Representative
Address of Personal Representative (number, street and suite/apartment number if applicable)
City
State
Zip Code +4
Revised 12/15
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Parent category: Financial