Form T-79 - Application For Estate Tax Waiver
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1State of Rhode Island and Providence Plantations
Form T-79
Application for Estate Tax Waiver
Suffix
Decedent's first name
MI
Last name
Decedent's social security number
Decedent’s address - legal residence (domicile) at time of death ("late of")
Date of Death:
Address 2
City, town or post office
State
ZIP code
Has Form 100 or Form 100A been filed? ..................................................
1
1
Yes
No
2
Number of shares or face amount of bond ................................................
2
3
Name of Company
...........................................
3
Held in the name of ...........................................
4
4
A SEPARATE APPLICATION MUST BE COMPLETED FOR EACH COMPANY
THIS FORM SHOULD BE TYPED
FOR OFFICIAL USE ONLY
ACCOUNT ID:
This is to certify that authority is hereby given to transfer the above
described property belonging to the estate of the above named decedent.
Tax Administrator
VALID ONLY WHEN SEAL AFFIXED
Revised 03/2016
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Parent category: Legal