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Form DTF 281420Survivor's Affidavitdtf281 2020-2023
Appropriate box):
surviving spouse (Complete Part 1 if you are submitting this affidavit pursuant to SCPA 1310(2). Complete Part 2 if you
(A)
are submitting this affidavit pursuant to SCPA 1310(3).)
(B)
child; 18 years or older (complete Part 2)
(C)
father or mother (complete Part 2)
(D)
brother or sister (complete Part 2)
(E)
niece or nephew (complete Part 2)
of the decedent
who died on the
(print name of deceased taxpayer)
day...
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