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L result in the assessment of a penalty. NAME AND MAILING ADDRESS (Make necessary corrections to the printed name and mailing address) Section 480(b) of the Revenue and Taxation Code requires that the personal representative file this statement with the Assessor in each county where the decedent owned property at the time of death. File a separate statement for each parcel of real property owned by the decedent. NAME OF DECEDENT YES NO DATE OF DEATH Did the decedent have an interest in rea.

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