Form 44-B · adjudication pending on submission

Application to be considered alive for tax purposes

Also the tip line. If you have paperwork you cannot account for, describe it in Part III and leave the original where you found it.

Copy 1 of 1
retained

Part I — Identity as remembered

Name as remembered

Name as filed

Body of origin

Dimensions occupied

Part II — Declarations

I declare that I am alive at the time of filing.

I declare the number of previous deaths I intend to disclose:

I understand that a declaration of life is not evidence of life and will be weighed accordingly.

I consent to have already consented.

Part III — Material you cannot explain

Do not attach originals. Do not describe where the room is. If the document has a seal, describe the seal and nothing else.

Submit for adjudication

Submission is final and precedes review

K.U.R.T. — vault terminal 1Reproduction is retroactive