ET 14A 
                                                      Reset Form                                                                       Rev. 5/12 
              Estate Tax Unit 
              P.O. Box 183050
              Columbus, OH 43218-3050
              1-(800) 977-7711
              tax.ohio.gov

                                           Nonresident Tax Release 

                                                                             Date 

To  
              (Name of company whose stocks or bonds are to be transferred or institution where deposit or other property is located.) 

The tax commissioner of Ohio consents to the immediate transfer of the following property now in your possession, control 
or custody: 

    (Accounts) Bank                        Type of Account and Number 
 (Stocks) No. of Shares                               or                                 Value as of Date of Death 
 Denomination of Bonds                     Company and Type of Stock                       (Including Interest) 

belonging to or standing in the name or joint name of                                               , deceased; 

date of death                            ,            , resided in                       , state of                                                . 
                Month                Day   Year                       County 

                                                                   Tax commissioner agent
 
 By 

                                                Instructions 
 This form must accompany estate tax form 12A. The         Stocks – Copy and describe each company stock as it is 
 attorney for the estate or the applicant should complete  described on the application (estate tax form 12A), except  
 this form.                                                do not carry the value over to this form as the value will 
                                                           vary from date of death to date of actual transfer. Please 
 To obtain a release, forward completed estate tax forms   direct this release to the company or institution where 
 12A and 14A to the Estate Tax Unit at the address above.  the property is located and not to the individual receiv-
                                                           ing the property. 
 The following is required for completion: 

 Bank Accounts   – Copy and describe each account      
 exactly as it is described on the application (estate tax 
 form 12A).