Form Met 1 - Maryland Estate Tax Return - Maryland Dept.of Revenue
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4Form MET 1
Comptroller of Maryland
DO NOT WRITE IN THIS AREA
Rev. 7/02
Revenue Administration Division
Reference numbers:
P.O. Box 828
Use this area for date stamps.
Annapolis, Maryland 21404-0828
Comptroller __________________
Register ______________________
M
E
T
R
ARYLAND
STATE
AX
ETURN
To be used for decedents dying after December 31, 2001
and before January 1, 2004
Please print or type
Original return
Amended return
Attach page 1 of the Federal Estate Tax Return Form 706
Decedent information:
First name
Middle name
Last name
Social security number
Address at date of death (no. and street)
City
County
State
Zip code
Date of death
Due date of return (9 months after date of death)
Extended due date of return (Attach copy of extension)
Personal representative(s):
Attach continuing schedule in same format, including signatures, if there are more than three personal representatives.
Name
Complete mailing address
Social security number
Name
Complete mailing address
Social security number
Name
Complete mailing address
Social security number
Attorney or contact person where correspondence should be sent:
Name
Phone number
Address 1
Address 2
City
County
State
Zip code
Affidavit of personal representative(s):
Under the penalties of perjury, I (we) certify that the information submitted in this return is true, correct and complete to the
best of my (our) knowledge, information and belief and the amounts entered on lines 1 through 7 are in conformity with the
information given or to be given in the Federal estate tax return or in conformity with final determination made by the IRS.
Signature
Date
Signature
Date
Signature
Date
Certification of register of wills:
I, ________________________________________ Register of Wills for ______________________________________
hereby certify that Maryland inheritance taxes totaling _____________________________________ have been paid as of
Amount
Signed
Register of Wills
Date
COM/RAD-101
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