REV-1313 - Application for Refund of Pennsylvania Inheritance/Estate Tax
TO: PA Department of Revenue
Bureau of Individual Taxes
PO BOX 280601
Harrisburg, PA 17128-0601
FROM: Official Representative Decedent Information
Name Name of Decedent
Address File Number
Date of Death
Social Security Number
Phone Number
Email Address
The undersigned requests a refund in the amount of $ for the above-referenced
decedent’s estate.
REFUND REQUESTED ON:
�
Original or Supplemental
�
Joint/Trust Assets
�
Remainder Return
�
Estate Tax
Probate Return
EXPLANATION OF OVERPAYMENT
Signature Date
Please allow six to eight weeks for the processing of your refund request.
REV-1313 EX (7-14)
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
HARRISBURG, PA 17128-0601
APPLICATION FOR
REFUND OF
PENNSYLVANIA
INHERITANCE/ESTATE
TAX
See Instructions on Reverse
Official Use Only
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