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Get MA DoR M-1310 2019-2024

Massachusetts Department of Revenue Form M-1310 Statement of Claimant to Refund Due a Deceased Taxpayer Please print or type. Signature of claimant Date Rev. 5/16 FORM M-1310 PAGE 2 Schedule A cont d. 4 Name of widow er 5a Name of surviving child 6 Name of person supporting the child ren 9a Name of living child of the decedent s deceased child. For calendar year Name of decedent Social Security number Date of death Street address of decedent City/Town State Zip Name of claimant I am filing this statement as fill in one only a Surviving wife or husband claiming a refund based on a joint return b Personal representative. Attach a court certificate showing your appointment. c Claimant for the etstate of the decedent other than above. Complete Schedule A and attach a copy of the death certificate or proof of death. May be the original or authentic topy of a telegram or letter from the Department of Defense notifying the next of kin of his/her death while in active service or a death certificate issued by an appropriate officer of the Department of Defense. Attach the requested information complete Schedule A if applicable and sign below. Schedule A. Complete only if line c above is filled in* 1 Fill in if the deceased left a will*. DRAFT as of September 13 2016 2a Fill in if a personal representative has been appointed for the estate of the decedent. 2b Fill in if one will be appointed*. If line 2a or 2b is filled in do not file this form* The personal representative should file for the refund. 3 Fill in if you as the claimant for the estate of the decedent will disburse the refund according to the law of the state in which the decedent was domiciled or maintained a permanent residence. If line 3 is not filled in payment of this claim will be withheld pending submission of proof of your appointment as personal representative or other evidence showing that you are authorized under state law to receive payment. Declaration I hereby make request for refund of taxes overpaid by or in behalf of the decedent and declare under penalties of perjury that I have examined this claim and to the best of my knowledge and belief it is true correct and complete. For calendar year Name of decedent Social Security number Date of death Street address of decedent City/Town State Zip Name of claimant I am filing this statement as fill in one only a Surviving wife or husband claiming a refund based on a joint return b Personal representative. Attach a court certificate showing your appointment. c Claimant for the etstate of the decedent other than above. Attach a court certificate showing your appointment. c Claimant for the etstate of the decedent other than above. Complete Schedule A and attach a copy of the death certificate or proof of death. May be the original or authentic topy of a telegram or letter from the Department of Defense notifying the next of kin of his/her death while in active service or a death certificate issued by an appropriate officer of the Department of Defense.

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