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E of fiduciary Address of fiduciary (number and street) City or town State Zip code Federal Employer Identification No. (9 digits) $ CHECK BOX IF: NAME OR ADDRESS HAS CHANGED 1. 2. 3. 4. 5. 6. 7. TYPE OF ENTITY M Decedent s estate M Simple trust M Complex trust M Grantor type trust M Bankruptcy estate M Family estate trust M Pooled income fund M THIS IS AN AMENDED RETURN (ATTACH EXPLANATION) DECEDENT S ESTATE INFORMATION If Decedent s Estate: M RESIDENT STATUS Check.

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