FUNERAL EXPENSES:ADMINISTRATIVE COSTS:Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address CityStateZIP Year(s) Commission Paid:Attorney Fees:Family Exemption: (If decedent220s address is not the same as claimant220s, attach explanation.) Claimant Street Address CityStateZIP Relationship of Claimant to DecedentProbate Fees:Accountant Fees:Tax Return Preparer Fees:B.1.2.3.4.5.6.7.Decedent's debts must be reported on Schedule I. ITEM NUMBERDESCRIPTIONAMOUNT TOTAL(Also enter on Line 9, Recapitulation)$ If more space is needed, use additional sheets of paper of the same size.A.1.REV-1511 EX+ (10-15) INHERITANCE TAX RETURNRESIDENT DECEDENT American LegalNet, Inc. www.FormsWorkFlow.com