Form It-Estate - Estate Tax Return - 2017 Page 5
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11STATE OF NEW JERSEY
For Division Use Only
ET-PMT (3-17)
DIVISION OF TAXATION
Transfer Inheritance Tax
INHERITANCE AND ESTATE TAX
PO Box 249
Estate Tax Payment
Trenton, NJ 08695-0249
FOR USE ONLY WHEN FILING IT-ESTATE RETURN. FOR OTHER PAYMENTS, USE FORM IT-EP.
Decedent’s Name____________________________________________________________________________________
(Last)
(First)
(Middle)
Decedent’s S.S. No. _____________/________/_____________
Date of Death (mm/dd/yy) _________/_______/_________ County of Residence __________________ _______________
Name_____________________________________ Daytime Phone (
)______________________
Mailing Address
to send all
Street_____________________________________________________________________________
correspondence
City_______________________________________
State____________
Zip Code________
AMOUNT PAID WITH RETURN (From IT-ESTATE Line 12)
(Code 68) 1. Estate Tax (total of checks remitted with this form) . . . . . . . . . . . . . . . . . $____________________________
Payments on account may be made at any time to avoid further accrual of interest on the amount so paid. All applications
for the refund of an overpayment must be made in writing within the three year statutory period in accordance with and in
the manner set forth in R.S 54:38-3 (Estate Tax) and R.S. 54:35-10 (Inheritance Tax).
Make checks payable to “NJ Inheritance and Estate Tax”, PO Box 249, Trenton, NJ 08695-0249
(include decedent’s name and social security number on check)
If remitting more than one check, list each check individually below:
$
$
$
$
$
$
$
$
$
$
TOTAL of all checks (Enter on Line 1 above)
$
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