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State of Oklahoma
    Statement of Person Claiming an
                                                                                                                                          507




                                                                                                                                      FORM
    Income Tax Refund Due a Deceased Taxpayer                                                                                                Revised 2008



     Tax year decedent was due an income tax refund:		___________________ .



                  Name of Decedent                                                                 Date of Death         Decedent’s Social Security Number

     Please
                  Name of Person Claiming Refund (your name will be added to the refund check)
      type
                  Home Address                                                                                                            Apartment Number
         or

      print       City, State, and Zip                                                                                    Telephone Number




     Part 1:Check the box that applies to you. Check only one box.
                  Be sure to complete Part 3 below.

     A	       Court-appointed or certified personal representative. Attach a court order showing your appointment.
	
              See instructions.
	
	    B	       Person, other than A, claiming income tax refund for the decedent’s estate. Also, complete Part 2.
              Attach a copy of the proof of death. See instructions.
	


     Part 2: Complete this part only if you checked the box on line B above.                                                                       No
                                                                                                                                          Yes
     1        Did the decedent leave a will? ..........................................................................................
	
     2a       Has the court appointed a personal representative for the estate of the decedent? ........
     2b       If you answered “No” to 2a, will one be appointed? ........................................................
              (If you answered “Yes” to 2a or 2b, the personal representative must file for the refund.)
	    	
     3        As the person claiming the refund for the decedent’s estate, will you pay out the
              refund according to the laws of the state where the decedent was a legal resident?.......
              (If you answered “No” to 3, a refund cannot be made until you submit a court order
              showing your appointment as personal representative or other evidence that you are
              entitled under state law to receive the refund.)



     Part 3: Signature and verification. All filers must complete this part.
     I request a refund of taxes overpaid by or on behalf of the decedent. Under penalties of perjury, I declare that I have examined this
     claim, and to the best of my knowledge and belief, it is true, correct, and complete.



     Signature of person claiming refund:                                                                                   Date:
General Instructions
    Purpose of Form...
    Use Form 507 to claim an income tax refund on behalf of a deceased taxpayer. Your name will be added to
    the refund check.

    Who Must File...
    If you are claiming an income tax refund on behalf of a deceased taxpayer, you must file Form 507 unless
    either of the following applies:
         •	 You are a surviving spouse filing an original or amended joint return with the decedent, OR
         •	 You are a personal representative filing an Oklahoma income tax return for the decedent. If the refund
            is issued in the name of the decedent it may be cashed with the endorsement of the personal repre-
            sentative.

    Personal Representative...
    For purposes of this form, a personal representative is the executor or administrator of the decedent’s estate,
    as certified or appointed by the court. A copy of the decedent’s will cannot be accepted as evidence that you
    are the personal representative.

                                          Specific Instructions
File this form after the decedent’s income tax return has     of death. If you have already sent proof of death to the
been submitted; do not file this form with the decedent’s     Oklahoma Tax Commission, complete Form 507 and
income tax return. If you have the original refund check,     write “Proof of Death Previously Filed” at the bottom of
return it with this form. A new check will be issued in       the form.
your name along with the decedent’s. Mail this form,
                                                              The proof of death must be an original or certified copy
along with any required documentation, to:
                                                              of either of the following:
           Oklahoma Tax Commission
	    	                                                            •	 The death certificate, or
           P.O. Box 269057                                        •	 The telegram or letter from the Department of
           Oklahoma City, OK 73126-9057                               Defense notifying the next of kin of the dece-
                                                                      dent’s death while in active service.
                         Part 1
                                                              Example. Your father died on August 25. You are his
Line A                                                        sole survivor. Your father did not have a will and the
Check the box on line A only if you are the decedent’s        court did not appoint a personal representative for his
court-appointed personal representative claiming a            estate. Your father is entitled to a $300 refund. To claim
refund for the decedent on an Oklahoma income                 the refund, you must complete Form 507. You should
tax return. You must attach a copy of the court order         check the box in Part 1, on line B, of Form 507, answer
showing your appointment. If you have already sent the        all the questions in Part 2, and sign your name in Part
court order to the Oklahoma Tax Commission, complete          3. You must also attach a copy of the death certificate
Form 507 and write “Order Previously Filed” at the bot-       or other proof of death. Your name will be added to the
tom of the form.                                              refund check.

Line B
                                                                                     Part 2
Check the box on line B if you are not a surviving
spouse claiming a refund based on a joint return              Lines 1-3
and there is no court-appointed personal                      If you checked the box on Part 1, line B, you must com-
representative. You must also complete Part 2.                plete Part 2, lines 1 through 3.
If you check the box on line B, you must attach proof

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Statement of Person Claiming Refund Due a Deceased Taxpayer

  • 1. State of Oklahoma Statement of Person Claiming an 507 FORM Income Tax Refund Due a Deceased Taxpayer Revised 2008 Tax year decedent was due an income tax refund: ___________________ . Name of Decedent Date of Death Decedent’s Social Security Number Please Name of Person Claiming Refund (your name will be added to the refund check) type Home Address Apartment Number or print City, State, and Zip Telephone Number Part 1:Check the box that applies to you. Check only one box. Be sure to complete Part 3 below. A Court-appointed or certified personal representative. Attach a court order showing your appointment. See instructions. B Person, other than A, claiming income tax refund for the decedent’s estate. Also, complete Part 2. Attach a copy of the proof of death. See instructions. Part 2: Complete this part only if you checked the box on line B above. No Yes 1 Did the decedent leave a will? .......................................................................................... 2a Has the court appointed a personal representative for the estate of the decedent? ........ 2b If you answered “No” to 2a, will one be appointed? ........................................................ (If you answered “Yes” to 2a or 2b, the personal representative must file for the refund.) 3 As the person claiming the refund for the decedent’s estate, will you pay out the refund according to the laws of the state where the decedent was a legal resident?....... (If you answered “No” to 3, a refund cannot be made until you submit a court order showing your appointment as personal representative or other evidence that you are entitled under state law to receive the refund.) Part 3: Signature and verification. All filers must complete this part. I request a refund of taxes overpaid by or on behalf of the decedent. Under penalties of perjury, I declare that I have examined this claim, and to the best of my knowledge and belief, it is true, correct, and complete. Signature of person claiming refund: Date:
  • 2. General Instructions Purpose of Form... Use Form 507 to claim an income tax refund on behalf of a deceased taxpayer. Your name will be added to the refund check. Who Must File... If you are claiming an income tax refund on behalf of a deceased taxpayer, you must file Form 507 unless either of the following applies: • You are a surviving spouse filing an original or amended joint return with the decedent, OR • You are a personal representative filing an Oklahoma income tax return for the decedent. If the refund is issued in the name of the decedent it may be cashed with the endorsement of the personal repre- sentative. Personal Representative... For purposes of this form, a personal representative is the executor or administrator of the decedent’s estate, as certified or appointed by the court. A copy of the decedent’s will cannot be accepted as evidence that you are the personal representative. Specific Instructions File this form after the decedent’s income tax return has of death. If you have already sent proof of death to the been submitted; do not file this form with the decedent’s Oklahoma Tax Commission, complete Form 507 and income tax return. If you have the original refund check, write “Proof of Death Previously Filed” at the bottom of return it with this form. A new check will be issued in the form. your name along with the decedent’s. Mail this form, The proof of death must be an original or certified copy along with any required documentation, to: of either of the following: Oklahoma Tax Commission • The death certificate, or P.O. Box 269057 • The telegram or letter from the Department of Oklahoma City, OK 73126-9057 Defense notifying the next of kin of the dece- dent’s death while in active service. Part 1 Example. Your father died on August 25. You are his Line A sole survivor. Your father did not have a will and the Check the box on line A only if you are the decedent’s court did not appoint a personal representative for his court-appointed personal representative claiming a estate. Your father is entitled to a $300 refund. To claim refund for the decedent on an Oklahoma income the refund, you must complete Form 507. You should tax return. You must attach a copy of the court order check the box in Part 1, on line B, of Form 507, answer showing your appointment. If you have already sent the all the questions in Part 2, and sign your name in Part court order to the Oklahoma Tax Commission, complete 3. You must also attach a copy of the death certificate Form 507 and write “Order Previously Filed” at the bot- or other proof of death. Your name will be added to the tom of the form. refund check. Line B Part 2 Check the box on line B if you are not a surviving spouse claiming a refund based on a joint return Lines 1-3 and there is no court-appointed personal If you checked the box on Part 1, line B, you must com- representative. You must also complete Part 2. plete Part 2, lines 1 through 3. If you check the box on line B, you must attach proof