Virginia Probate Tax Return

Probate Tax Return
Pt16_03.doc
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 58.11714 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
or seeking grant of Administration

______________________________
Street Address
______________________________
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