Form Ri-100a - Rhode Island Estate Tax Return Page 13
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22Rhode Island Schedule I - Annuities
Decedent's name
Decedent's social security number
Note: Generally, no exclusion is allowed for the estates of decedents dying after December 31, 1984.
Yes
No
A Are you excluding from the decedent's gross estate the value of a lump-sum distribution described in IRC section 2039(f)(2)?……………
If yes, you must attach the information required by the instructions.
Item
Description
Alternate
Includable
Includable Value at
number
show the entire value of the annuity before any exclusions
valuation date
Alternate Value
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 9…………………………………………………………………………………
If more space is required, please attach additional sheets.
Page 13
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