DECEDENT’S NAME
SOCIAL SECURITY NUMBER
SCHEDULE E-1
Assets not included as part of Line 3(a) of the IT-Estate Return including real and tangible personal property located
outside New Jersey, proceeds of any contract of insurance on the life of the decedent either owned by the decedent at
death or transferred by the decedent within three years of death, and transfers made within three years of the decedent’s
death. The full value of QTIP property for which a marital deduction was elected for New Jersey or Federal purposes in
the estate of a predeceased spouse/civil union partner, and any other property includable in the federal gross estate
under the provision of the Internal Revenue Code in effect on 12/31/01.
Value of Decedent’s
PART A
Full Assessed Value For
Full Market Value For
This Column For Division
Interest and How
NON-NJ REAL PROPERTY
Year of Death
Year of Death
Use Only
Determined
1. Street and Number
Municipality:
Lot:Block:
County:
Title/Owner of Record:
2. Street and Number
Municipality:
Lot:Block:
County:
Title/Owner of Record:
3. Street and Number
Municipality:
Lot:Block:
County:
Title/Owner of Record:
4. If additional realty, attach separate sheet and insert total here . . . . . . . . . . . . . . . . . . . . . . . . .
5. Total equity in non-New Jersey real property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .