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Estate Tax Certification For Decedents Dying On Or After 1 1 99 E-212 - North Carolina

Estate Tax Certification For Decedents Dying On Or After 1 1 99 Form. This is a North Carolina form and can be used in Estate Statewide .
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(TYPE OR PRINT IN BLACK INK) File No. STATE OF NORTH CAROLINA County IN THE MATTER OF THE ESTATE OF: In The General Court Of Justice Before the Clerk Name Of Decedent Date Of Death ESTATE TAX CERTIFICATION (FOR DECEDENTS DYING ON OR AFTER 1/1/99) G.S. 28A-21-2; -25-3;105-32.2 Decedent's Social Security Number (Last Four Digits) NOTE: Use this form for decedents dying on or after 1/1/99. For decedent's dying before 1/1/99, use AOC-E-207. I, the personal representative/fiduciary/spouse in the above estate, certify that: 1. a. The gross value of the estate prior to the date of the decedent's death is less than: $650,000 (If decedent died on or after 1/1/1999). $1,500,000 (If decedent died on or after 1/1/2004). $675,000 (If decedent died on or after 1/1/2000). $2,000,000 (If decedent died on or after 1/1/2006). $1,000,000 (If decedent died on or after 1/1/2002). $3,500,000 (If decedent died on or after 1/1/2009). b. The decedent died on or after 1/1/2010, and there is no federal estate tax due or payable. 2. The decedent died on or after 1/1/2013, and therefore, no North Carolina estate tax is due or payable. 3. I am the surviving spouse and sole heir of the decedent. Date Signature Date Signature Title Of Personal Representative/Fiduciary/Spouse Address Of Personal Representative/Fiduciary/Spouse Title Of Personal Representative/Fiduciary/Spouse Address Of Personal Representative/Fiduciary/Spouse SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Date Signature Of Person Authorized To Administer Oaths SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Date Signature Of Person Authorized To Administer Oaths Deputy CSC Notary Assistant CSC Clerk Of Superior Court Deputy CSC Date My Commission Expires County Where Notarized Assistant CSC Clerk Of Superior Court Notary Date My Commission Expires County Where Notarized SEAL SEAL No final accounting of an estate may be approved unless the personal representative files with the Clerk of Superior Court an Estate Tax Certification, AOC-E-212, or a certificate issued by the Secretary of Revenue stating the estate tax liability has been satisfied. G.S. 105-32.3(c). NOTE TO PERSONAL REPRESENTATIVE/FIDUCIARY/SPOUSE AND CLERK: Original-File Copy-Taxpayer American LegalNet, Inc. www.FormsWorkFlow.com AOC-E-212, Rev. 8/13 © 2013 Administrative Office of the Courts
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