SCHEDULE “C” DEDUCTIONS CLAIMED
NON-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
Estimated Expenses for:
¨ Administration . . . . . . . . . . . . . . . . . .
(Attach an itemized list)
Name:
______________________________________________
Counsel Fees:
¨ Agreed Upon . . . . . . . . . . . . . . . . . . .
¨ Estimated . . . . . . . . . . . . . . . . . . . . . .
Name:
______________________________________________
Executor’s or Administrator’s Commissions
(If more than two, attach a rider of the same size)
(Must not be claimed unless reported for
Income Tax purposes.)
Name(s):
______________________________________________
______________________________________________
SS# __________________________________________
SS# ___________________________ ______________
SUBTOTAL . . . . . . . . . . . . . . . . . . . . . .
Name:_________________________________________
Funeral . . . . . . . . . . . . . . . . . . . . . . . . . .
Transfer taxes paid to other states . . . . . .
(itemize by state)
Other Deductions (list individually)
Insert this total on page 1, line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(If additional space is required, attach riders of the same size)