Form M-6a - Request For Release To Be Filed For Decedents Dying After June 30, 1983
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FORM
THIS SPACE FOR DATE RECEIVED STAMP
STATE OF HAWAII — DEPARTMENT OF TAXATION
M-6A
REQUEST FOR RELEASE
TO BE FILED FOR DECEDENTS
(REV. 2015)
DYING AFTER JUNE 30, 1983
(NOTE: References to “married”, “unmarried”, and “spouse”
also means “in a civil union”, “not in a civil union”, and
“civil union partner”, respectively.)
DQF151
Estate of
Probate No.
Actual Place of Death
Date of Death
Resident of
Decedent’s Social Security Number
If you were required to file federal estate tax return, Form 706, attach a copy of the first page of Form 706 or
similar statement.
I, as
of the above named estate, swear that I have examined all assets
(Personal Representative, surviving spouse, etc.)
and documents of this estate; that to the best of my knowledge, information and belief, I have determined that this estate
and I, as
, are free from any claims by the State for taxes owed under
(Personal Representative, surviving spouse, etc.)
the Estate and Transfer Tax Chapter.
Signature of Personal Representative, surviving spouse, etc.
Print Name
Address:
Social Security Number
or
Identification Number
FORM M-6A
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