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Get 104198.qxd. Form NJ-1041 (1998) Fiduciary Return - State Nj

, 19 5-F Check this block Federal Employer Identification Number if application for Federal extension is attached. Name of Estate or Trust Name and Title of Fiduciary For Privacy Act Notification, see instructions Address of Fiduciary (Number and Street or Rural Route) City, Town or Post Office State RESIDENCY STATUS: (check only ONE box) 1. Resident Estate - Date of decedent s death 2. Resident Trust - Date trust created.

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