Cash $37,364.88 I am providing this notice to you at least 10 days prior to the distribution. Mary Smith Form completed by: (Name) Personal Representative Mary Smith Mary Smith Address Name Printed or Typed 555 Blank Street December 15, 2011 Someplace, WI 51111 Date Bar Number (If any) Telephone Number (715) 999-9999 N/A , 10/10 (Informal Administration and Formal Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Schedule CC Request for a Closing Certificate for Fiduciaries – Form No.: Wisconsin Department of Revenue Schedule CC (Rev. September 2012) Purpose of the Form: To request a Closing Certificate from the Wisconsin Department of Revenue. Directions: Downloadable forms with instructions (printable and fillable) are available on the web at: http://www.dor.state.wi.us/forms/2012/ScheduleCC.pdf As personal representative, you may prepare and file a Schedule CC with a Form 2 Wisconsin – Fiduciary Return or a Schedule CC may be filed separately to request a Closing Certificate. If you file a Schedule CC with a Form 2, do not attach the Schedule CC to Form 2. SAMPLE Request for Discharge From Liability Under Internal Revenue Code Section 2204 or 6905
Cash $37,364.88 I am providing this notice to you at least 10 days prior to the distribution. Mary Smith Form completed by: (Name) Mary Smith Personal Representative Mary Smith Address 555 Blank Street Someplace, WI 51111 Name Printed or Typed December 15, 2011 Date Telephone Number (715) 999-9999 Bar Number (If any) N/A , 10/10 (Informal Administration and Formal Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Schedule CC – Request for a Closing Certificate for Fiduciaries Form No.: Wisconsin Department of Revenue Schedule CC (Rev. September 2012) Purpose of the Form: To request a Closing Certificate from the Wisconsin Department of Revenue. Directions: Downloadable forms with instructions (printable and fillable) are available on the web at: http://www.dor.state.wi.us/forms/2012/ScheduleCC.pdf As personal representative, you may prepare and file a Schedule CC with a Form 2 – Wisconsin Fiduciary Return or a Schedule CC may be filed separately to request a Closing Certificate. If you file a Schedule CC with a Form 2, do not attach the Schedule CC to Form 2. SAMPLE Request for Discharge From Liability Under Internal Revenue Code Section 2204 or 6905