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Get OR DoR OR-243 2022

T original form do not submit photocopy For calendar year(s) Decedent first name Date of death / Decedent Decedent last name Claimant first name Decedent Social Security number (SSN) / - - Claimant SSN - Street address City City ZIP code Phone ) ( - Street address (permanent residence or domicile on date of death) State Claimant Claimant last name State 1. Has a personal representative for the estate been appointed by the court?.

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