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Get NY ET-130 2019

First name Middle initial Social Security number Address of decedent at time of death (number and street) Date of death Mark an X if copy of death certificate is attached (see inst.) City State ZIP code County of residence If the decedent was a nonresident of New York State on the date of death, mark an X in this box and attach a completed Form ET-141, New York State Estate Tax Domicile Affidavit. Power of Attorney Mark an X if Form ET-14, Estate Tax Power of Attorney, is at.

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