REV-1512 EX+ (02-15)
                                           SCHEDULE I
                                           DEBTS OF DECEDENT,
          INHERITANCE TAX RETURN
          RESIDENT DECEDENT       MORTGAGE LIABILITIES & LIENS
     ESTATE OF                                                                        FILE NUMBER
START
Ü
     Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed.medical expenses
     ITEM                                                                                     VALUE AT DATE
     NUMBER                                DESCRIPTION                                               OF DEATH
     1.

                                                    TOTAL(Also enter on Line 10, Recapitulation)$              0.00
                                  If more space is needed, insert additional sheets of the same size.
     Reset Entire Form                                                                        PRINT FORM
                                           Return to top of page.