Fillable 454 A 454 A 454 A (Oklahoma)

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454 A 454 A 454 A (Oklahoma)

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Oklahoma Tax Commission
Affidavit of Surviving Spouse
State of )
)
County of )
ss
The undersigned , SSN Number
surviving spouse of the below named decedent, of lawful age, being duly sworn, states as follows:
Attached hereto is a certified copy of the death certificate of ,
SSN Number deceased, issued by the Department of Health for the State of Oklahoma
(or ) showing that said decedent died on the day of , 20 , a
resident of the County of , State of at the time of death.
Affiant states that is the surviving spouse of the above said
decedent. Based upon investigation, Affiant states that, to the best of Affiant’s knowledge, all of said decedent’s property,
both real and personal, passes to Affiant as surviving spouse and therefore, this Affidavit is being filed instead of an
Oklahoma Estate Tax Return for the purpose of the Oklahoma Tax Commission issuing a release exempting as
nontaxable all property included in the decedent’s estate. Affiant further states and agrees to be liable for any Oklahoma
Estate Tax due on decedent’s estate determined by the Oklahoma Tax Commission after a Release Order is issued by the
Oklahoma Tax Commission.
Affiant as Surviving Spouse SSN Number
Address
City and State
Subscribed and sworn to before me this day of , 20
Notary Public
My Commission Expires:
Form 454-A
Revised 11-2004
Affidavit of Surviving Spouse Instruction Sheet
Before completing the 454-A Affidavit of Surviving Spouse, read the following instructions carefully.
Certain requirements must be met before the Affidavit will be accepted.
1. The affidavit will not be accepted unless all assets pass to the surviving spouse.
2. Only the surviving spouse can sign the affidavit.
3. Provide a certified copy of the death certificate.
4. If the decedent died a testator, please provide a copy of the will and or trust.
5. Provide social security numbers for decedent and surviving spouse.
If you need assistance, please call (405) 521-3237.
Please mail completed, signed and notarized 454-A along with required documentation to
Oklahoma Tax Commission
Attn: Estate Tax Division
2501 Lincoln Boulevard
Oklahoma City, OK 73194
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454 A 454 A 454 A (Oklahoma)

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Completed 15 July 2020

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