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Get Maryland Fiduciary Modified Schedule Beneficiary Form 504

Estate or trust Federal employer identification numberr Name and title of fiduciary Fiduciary s address INFORMATION ABOUT THE BENEFICIARY A. Name of beneficiary B. Beneficiary s identification number C. Address, city, state and ZIP code . D. Beneficiary s percentage of distribution at the estate s or trust s year end E. What type of entity is this beneficiary? Check box if: Check box if: Resident Fiduciary (trust or estate) (4) Other.

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