Revised 09/2018
5 East Pine Street
P.O. Box 743
Georgetown, DE 19947
Phone: (302) 855-7875
Fax: (302) 853-5871
sussexcountyde.gov
FORM 650
Division of Revenue
Register of Wills
IN THE OFFICE OF THE REGISTER OF WILLS
IN AND FOR SUSSEX COUNTY, STATE OF DELAWARE
OATH OR AFFIRMATION OF PERSONAL REPRESENTATIVE
IN LIEU OF FILING INVENTORY AND RENDERING FINAL ACCOUNT
Date of Death:
Date Letters Granted:
STATE OF
)
COUNTY OF
) SS.
)
has diligently inquired and makes solemn oath (or affirmation) that
determined that all real estate or goods and chattels belonging to:
, deceased,
late of
or to the said deceased jointly with another individual, as well as all debts or credits due or belonging to the
said deceased, or to the said deceased jointly with another individual; were reported to the Division of Revenue
of the State of Delaware on an Inheritance Tax Return filed on or about . An Inheritance
Tax Clearance Certificate was issued by said Division of Revenue on .
PURPOSE FOR WHICH LETTERS WERE GRANTED (State Fully)
___________________________________________ ___________________________________________
(Personal Representative) (Personal Representative)
_________________________________________ ____________________________________
(Address) (Address)
SWORN TO AND SUBSCRIBED (OR AFFIRMED) before me this day of , 20 .
__________________________________________________
Notary Public, or other qualified p
erson (state title)
APPROVED BY COURT OF
CHANCERY THIS ______ DAY
OF _______________, 20____.
____________________________
(Master)
APPROVED IN OFFICE OF
REGISTER OF WILLS
______________________
COUNTY THIS ______ DAY OF
__________________, 20____.
________________________
(Register of Wills)
APPROVED BY DIVISION OF
REVENUE OF THE STATE OF
DELAWARE THIS ______ DAY
OF _______________, 20____.
ESTATE CAN NOW BE CLOSED
BY THE REGISTER OF WILLS
____________________________
(Director of Revenue)
