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Get RI DoR T-79 2007

Date of Death : Decedent's Address : City : State : Zip Code : Assessment Number : Has Form 100 been filed? NO YES Number of shares or face amount of bond : Name of Company : Held in the name of : A SEPARATE APPLICATION MUST BE COMPLETED FOR EACH COMPANY THIS FORM SHOULD BE TYPED AND SUBMITTED IN DUPLICATE FOR OFFICIAL USE ONLY This is to certify that authority is hereby given to transfer the above described property belonging to the estate of the above named decedent. Tax Administr.

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