Form Et 12a & 14a - Application For Consent To Transfer Property Or Other Interest Of A Nonresident Decedent Page 3

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ET 14A
Rev. 9/07
Reset Form
Estate Tax Division
P.O. Box 183050
Columbus, OH 43218-3050
1-(800) 977-7711
tax.ohio.gov
Nonresident Tax Release
Date
T o
(Name of company whose stocks or bonds are to be transferred or institution where deposit or other property is located.)
The tax commissioner of Ohio consents to the immediate transfer of the following property now in your possession, control or
custody:
(Accounts) Bank
Type of Account and Number
(Stocks) No. of Shares
Value as of Date of Death
or
Denomination of Bonds
Company and Type of Stock
(Including Interest)
belonging to or standing in the name or joint name of
, deceased;
date of death
,
, resided in
, state of
.
Month
Day
Year
County
Tax commissioner agent
By
Instructions
This form must accompany estate tax form 12A. The attor-
Stocks – Copy and describe each company stock as it is
ney for the estate or the applicant should complete this
described on the application (estate tax form 12A), except
form.
do not carry the value over to this form as the value will vary
from date of death to date of actual transfer. Please direct
To obtain a release, forward completed estate tax forms
this release to the company or institution where the prop-
12A and 14A to the Estate Tax Division at the address above.
erty is located and not to the individual receiving the prop-
erty.
The following is required for completion:
Bank Accounts – Copy and describe each account ex-
actly as it is described on the application (estate tax form
12A).

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