Probate Information Form (Page 6 of 6) in pdf

Probate Information Form Page 6

7.Gifts of $10,000 or more to any recipient within 3 years of Decedent's Death:

Date

Amount of Gift

Recipient (name & address)

*Please attach copies of Gift Tax Returns.

EXPENSE INFORMATION (Estimates)

1.Funeral expenses: ________________________________________________________

2.Hospital expenses: _______________________________________________________

3.Other medical expenses: ___________________________________________________

4.Unpaid income tax: _______________________________________________________

5.Unpaid real estate tax: ____________________________________________________

6.Household, etc.: _________________________________________________________

7.Other debts: _______________________________________________________

Medical Insurance: _______________________________________________________

Other Comments:

Please return to:

Joyce Leary Clark

Prescott Jamieson Murphy Law Group

37 Beach Street

P.O. Box 1190

Saco, Maine 04072

(207) 282-5966 phone

(207) 282-5968 fax

Probate Information Form Page 6