1.Name of Partnership Date Business Commenced Address Business Reporting Year City State ZIP Code 2.Federal Employer ID002Number 3.Type of Business Product/Service 4.Decedent was a 002General 002Limited partner. If decedent was a limited partner, provide initial investment $5. 6.Value of the decedent220s interest $ 7.Was the partnership indebted to the decedent? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .002Yes 002No If yes, provide amount of indebtedness $8.Was there life insurance payable to the partnership upon the death of the decedent? . . . . . .If yes, Cash Surrender Value $Net proceeds payable $ Owner of the policy9.Did the decedent sell or transfer an interest in this partnership within one year prior to death or within two years if the date of death was prior to 12-31-82? 002Yes 002NoIf yes, 002Transfer 002SalePercentage transferred/sold Transferee or Purchaser Consideration $ DateAttach a separate sheet for additional transfers and/or sales.10.Was there a written partnership agreement in effect at the time of the decedent220s death? . . . . . .002Yes 002NoIf yes, provide a copy of the agreement.11.Was the decedent220s partnership interest sold? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .002Yes If yes, explain14.Did the partnership have an interest in other corporations or partnerships? . . . . . . . . . . . . . . .002Yes 002NoIf yes, report the necessary information on a separate sheet, including a Schedule C-1 or C-2 for each interest.PARTNER NAMEA.B.C.D.SCHEDULE C-2PARTNERSHIPINFORMATION REPORTESTATE OFFILE NUMBER THE FOLLOWING INFORMATION MUST BE SUBMITTED WITH THIS SCHEDULE A.Detailed calculations used in the valuation of the decedent220s partnership interest.B.Complete copies of financial statements or federal partnership income tax returns (Form 1065) for the year of death and four preceding years.C.If the partnership owned real estate, submit a list showing the complete address/es and estimated fair market value/s. If real estate appraisals havebeen secured, attach copies.D.Any other information relating to the valuation of the decedent220s partnership interest.REV-1506 EX+ (3-15) INHERITANCE TAX RETURNRESIDENT DECEDENT American LegalNet, Inc. www.FormsWorkFlow.com