Form O-14-F - Inheritance And Estate Tax Non-Resident Decedent - State Of New Jersey Department Of The Treasury

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STATE OF NEW JERSEY
Form O-14-F
DEPARTMENT OF THE TREASURY - DIVISION OF TAXATION
(Rev. 12-11)
INHERITANCE AND ESTATE TAX
NON-RESIDENT DECEDENT
TO THE DIRECTOR, DIVISION OF TAXATION
Pursuant to R.S. 54:35-13, I hereby report the following:
Estate of _____________________________________________________________________
A/K/A ________________________________________
Resident of ___________________________________________________________________
S.S.# ________________________________________
Died ________________________________________________________________________
Age at death __________________________________
DATE OF:
1. Filing of exemplified copy of nonresident’s
will
or
administration proceedings. (Select one)
_____________________________________________________________________________________________________________
2. TYPE OF ASSETS LOCATED IN NEW JERSEY:
A.
TANGIBLE: (Auto, Furniture, Fixtures, Jewelry, etc.): _______________________________________________________________
__________________________________________________________________________________________________________
B.
REAL: (List street, lot, block and municipality for each parcel of realty)
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
C. If no assets listed in A or B state reason for filing:__________________________________________________________________
__________________________________________________________________________________________________________
Executor:_____________________________________________________________
Telephone Number: (__________) _________________________
Administrator: _________________________________________________________
Telephone Number: (__________) _________________________
Address: ____________________________________________________________________________________________________________________
Entire estate passes to surviving spouse, civil union partner after 2/19/07, or domestic partner after 7/10/04,
parent, grandparent, child, stepchild, legally adopted child, or the issue of any child or legally adopted child
(includes a grandchild and a great-grandchild but not a stepgrandchild or a great-stepgrandchild) . . . . . . . . . . . .
Yes
No (MUST BE ANSWERED)
Name of Proctor: ______________________________________________________________________________________________________________
Address of Proctor: ____________________________________________________________________________________________________________
Dated: __________________________________________________
_____________________________________________ Surrogate
(PLEASE TYPEWRITE)
_____________________________________________ County

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