Nd street City, town, or post office State PO Box Social Security Number (SSN) Federal Employer ID Number (FEIN) if applicable ZIP code Date of death Legal residence (domicile) (county and state) Check if amended return. Section 1 Connecticut resident Connecticut Probate Court Nonresident - Attach Form C 3 UGE, State of Connecticut Domicile Declaration. General Questions Check the appropriate box for each quest.

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