Form It-Nr - Inheritance Tax Return Non-Resident Decedent - New Jersey Division Of Taxation Page 21
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41SCHEDULE “A” REAL PROPERTY
NON-RESIDENT DECEDENT
(See Instructions on reverse side)
_______________________________________________________
____________/____________/____________
Decedent’s Name
Decedent’s Social Security Number
Description of Real Estate
Full Assessed Value
Full Market Value
Value of Decedent’s
This Column
(List all real estate both
for
at
Equity
for
outside and within New Jersey)
Year of Death
Date of Death
(and how determined)
Division Use
1. Street and Number
Municipality:
Lot:
Block:
County:
State:
Owner of Record:
Mortgage Balance: $
Mortgage Insurance: $
Has any of the real estate reported in
this schedule been sold?
Yes
No
If Yes is checked, submit a copy of the
closing statement or HUD 1 Form
Method 1 or 4, insert this total on page 1, lines 1, 5 and 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Method 2, insert this total on page 1, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Method 3, do not insert on page 1
(If additional space is required, attach riders of the same size)
IT-NR - Page 3
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