ETD Form Field References FORM Field No Description

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ETD Form Field References FORM 56 Field No. ----0008 0010 0020 0030 0040 0050 0060 0070 0080 0090 0100 0110 0120 0130 0140 0150 0160 0170 0180 0190 0200 0210 0220 0225 Description -------------Declaration Control Number Decedent’s Name Decedent’s Name Identifying Number Decedent’s SSN Decedent’s Street Decedent’s City Decedent’s State Abbreviation Decedent’s Zip Code Foreign Street Address Foreign City, State or Province, Postal Code Foreign Country Address Indicator Fiduciary’s Name Fiduciary Name Control Fiduciary’s Street Address Fiduciary’s City Fiduciary’s State Abbreviation Fiduciary Zip Code Foreign Street Address Foreign City, State or Province, Postal Code Foreign Country Address Indicator Fiduciary USA Phone No Form Line Ref. ------ Field No. ----0230 0240 0250 0260 0270 0280 0290 0300 0310 0320 0330 0332 0334 0340 0342 0344 0350 0351 0352 0353 0354 0355 0356 0357 Description -------------Fiduciary Foreign Phone No. Will and Codicils or Order Checkbox Date of Death Court Order Checkbox Date of Order Valid Trust Instrument or Amendments Checkbox Other Checkbox Explanation of Other Type of Tax Tax Form Number Year One Year Two Year Three Period One ending Period Two ending Period Three ending Estate Tax DOD Fiduciary Responsible for All Notices Checkbox Fiduciary Responsible for Partial Notices Checkbox Partial Tax Form Number Partial Notice Year 1 Partial Notice Year 2 Partial Notice Year 3 Partial Notice Period 1 Form Line Ref. ------ 1a(1) 1a(2) 1b(1) 1b(2) 1c 1d 1d 2 3 4 4 4 4 4 4 4 5 6 6 6 6 6 6 Field No. ----0358 0359 0360 0370 0380 0390 0400 0410 0420 0425 0430 0440 0450 0460 0462 0464 0466 0468 0470 0480 0482 0485 0487 0490 Description -------------Partial Notice Period 2 Partial Notice Period 3 Total Revocation or Termination Checkbox Court Order Revoking Cert. of Dissolution or Terminate Checkbox Other Checkbox Explanation of Other Partial Revocation of Earlier Notices Checkbox Grantee Name Partial Revocation Grantee Date Grantee Street Address Grantee City Grantee State Abbreviation Grantee Zip Code Grantee Foreign Street Address Foreign City State, Province, Postal Code Foreign Country Address Indicator New or Substitute Fiduciary for Revoking or Termn. Checkbox Name New/Sub Revoking. 1 Address New/Sub. Revoking 1 Name New/Sub. Revoking 2 Address New/Sub. Revoking 2 Name New/Sub. Revoking 3 Form Line Ref. -----6 6 7 7a 7b 7c 7c 8a 8b 8b 8b 8b 8b 8b 8b 9 9 9 9 9 9 Field No. ----0492 0500 0503 0508 0510 0520 0530 0540 0550 0560 0570 0580 0590 0610 0620 0630 Description -------------Address New/Sub. Revoking 3 Name of Court Type of Proceeding Name of Agency Date Proceedings Initiated Court Street Address Docket Number City State Abbreviation Zip Code Date Time AM or PM Place of Other Fiduciary PIN Title of Fiduciary Fiduciary Signed Date Form Line Ref. -----9 9 9 9

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