Non Resident Tax Release {14-A}

ET 14A Rev. 5/12 Estate Tax Unit P.O. Box 183050 Columbus, OH 43218-3050 1-(800) 977-7711 tax.ohio.gov Nonresident Tax Release Date To (Name of company whose stocks or bonds are to be transferred or institution where deposit or other property is located.) The tax commissioner of Ohio consents to the immediate transfer of the following property now in your possession, control or custody: (Accounts) Bank (Stocks) No. of Shares Denomination of Bonds Type of Account and Number or Company and Type of Stock Value as of Date of Death (Including Interest) belonging to or standing in the name or joint name of date of death Month Day , deceased; , resided in , state of County , Year . Tax commissioner agent By Instructions This form must accompany estate tax form 12A. The attorney for the estate or the applicant should complete this form. To obtain a release, forward completed estate tax forms 12A and 14A to the Estate Tax Unit at the address above. The following is required for completion: Bank Accounts ­ Copy and describe each account exactly as it is described on the application (estate tax form 12A). Stocks ­ Copy and describe each company stock as it is described on the application (estate tax form 12A), except do not carry the value over to this form as the value will vary from date of death to date of actual transfer. Please direct this release to the company or institution where the property is located and not to the individual receiving the property. American LegalNet, Inc. www.FormsWorkFlow.com