SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
ESTATE OF FILE NUMBER
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
TOTAL (Also enter on Line 10, Recapitulation) $
If more space is needed, insert additional sheets of the same size.
1.
REV-1512 EX+ (02-15)
INHERITANCE TAX RETURN
RESIDENT DECEDENT
START
0.00
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