Form Ri-100a - Rhode Island Estate Tax Return Page 12

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Rhode Island Schedule G - Transfers During Decedent's Life
(If you elect section 2032A valuation, you must complete Schedule G and Schedule A-1.)
Decedent's name
Decedent's social security number
Item
Description
Alternate
Value at
Alternate Value
number
For securities, give CUSIP number.
valuation date
date of death
A.
Gift tax paid by the decedent or the estate for all gifts made by the decedent or his
or her spouse within 3 years before the decedent's death (IRC section 2035(b))………
B.
Transfers includable under IRC section 2035(a), 2036, 2037 or 2038…………………
1.
Total from continuation schedules or additional sheets attached to this schedule……………………………………………
Total. Enter here and on page 3, part 7, line 7…………………………………………………………………………………
Rhode Island Schedule H - Powers of Appointment
(Include "5 and 5 lapsing" powers (IRC section 2041(b)(2)) held by the decedent.)
(If you elect IRC section 2032A valuation, you must complete Schedule H and Schedule A-1.)
Decedent's name
Decedent's social security number
Item
Description
Alternate
Value at
Alternate Value
number
For securities, give CUSIP number.
valuation date
date of death
1.
Total from continuation schedules or additional sheets attached to this schedule……………………………………………
Total. Enter here and on page 3, part 7, line 8…………………………………………………………………………………
If more space is required, please attach additional sheets.
Page 12

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