Form Ri T-79 - Application For Estate Tax Waiver

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STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS
DEPARTMENT OF REVENUE
DIVISION OF TAXATION
ONE CAPITOL HILL
PROVIDENCE, RI 02908-5800
RI T-79
APPLICATION FOR ESTATE TAX WAIVER
Name of Decedent :
Date of Death :
Decedent's Address :
City :
State :
Zip Code :
Assessment Number :
Has Form 100 been filed?
NO
YES
Number of shares or face
Name of Company :
Held in the name of :
amount of bond :
A SEPARATE APPLICATION MUST BE COMPLETED FOR EACH COMPANY
THIS FORM SHOULD BE TYPED AND SUBMITTED IN DUPLICATE
FOR OFFICIAL USE ONLY
This is to certify that authority is hereby given to transfer the above described property
belonging to the estate of the above named decedent.
Tax Administrator
VALID ONLY WHEN SEAL AFFIXED
rev 03/07

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