Form Pt-1 - Commonwealth Of Virginia Probate Tax Return

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COMMONWEALTH OF VIRGINIA
PROBATE TAX RETURN
This return must be filed at the time a will is offered for probate or the grant of administration is sought
when the estate shall exceed $15,000 in value at the time of death of the decedent. See Section 58.1-
1714 of the Code of Virginia of 1950 as amended.
IN THE CIRCUIT COURT OF THE CITY/COUNTY OF: _____________________________
Name of Decedent: _____________________________________________________________
His/Her Last Place of Residence: __________________________________________________
Date of Decedent’s Death: _______________________________________________________
Decedent’s Social Security No.: ___________________________________________________
STATE THE VALUE OF DECEDENT? S ESTATE AS OF DATE OF DEATH:
a.
Personal Property (Estimated Value) ........................................$________________
b.
Real Property Located in Virginia (Appraised Value) .................$________________
TOTAL VALUE OF DECEDENT’S ESTATE .........................$________________
I (We) the undersigned, declare under penalty of law that I (we) have examined this return and
to the best of my (our) belief it is a true, correct, and complete return.
Given under my (our) hand this ________________ day of _______________________.
______________________________________
______________________________
Signature of Person(s) offering will for Probate
Street Address
or seeking grant of Administration
______________________________
City, State and ZIP code
State Tax
$______________
Local Tax
$______________
Transfer
$______________
Clerk’s fees
$______________
TOTAL
$______________
Form PT-1
VA DEPT OF TAXATION 8101003
REV 6/03

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