Fr 147 2014 form-2025

1. Click ‘Get Form’ to open the fr 147 2014 form in our editor.
2. Begin by filling in the personal information section. Enter the deceased’s first name, middle initial, last name, and social security number. Ensure all entries are in CAPITAL letters using black ink.
3. Next, provide the date of death in MMDDYY format. Then, fill in your first name and home address including city, state, and zip code +4.
4. In the Statement of Claimant section, indicate your relationship to the deceased by selecting one option: spouse/domestic partner, administrator, executor, or specify if other.
5. Answer whether the deceased left a will and if an executor or administrator has been appointed for the estate. If applicable, indicate if you will pay out the refund according to state laws.
6. Complete the signature section by signing and dating your claim. Remember to attach this form to the deceased’s D-40 along with a copy of the death certificate or proof of death.

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