REV-1500 - Inheritance Tax Return - Resident Decedent
FILL IN APPROPRIATE OVALS BELOW
1. Original Return 2. Supplemental Return 3. Remainder Return (date of death
prior to 12-13-82)
4. Agriculture Exemption (date of 5. Future Interest Compromise (date of 6. Federal Estate Tax Return Required
death on or after 7-1-2012) death after 12-12-82)
7. Decedent Died Testate 8. Decedent Maintained a Living Trust 9. Total Number of Safe Deposit Boxes
(Attach copy of will.) (Attach copy of trust.)
10. Litigation Proceeds Received 11. Non-Probate Transferee Return 12. Deferral/Election of Spousal Trusts
(Schedule F and G Assets Only)
13. Business Assets 14. Spouse is Sole Beneficiary
(No trust involved)
CORRESPONDENT – THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
1505614105
1505614105
Side 1
REV-1500
Bureau of Individual Taxes
PO BOX 280601
Harrisburg, PA 17128-0601
EX (03-14) (FI)
Social Security Number
Date of Death Date of Birth
Decedent’s Last Name Suffix
Spouse’s Last Name Suffix
Decedent’s First Name
MI
Spouse’s First Name
MI
OFFICIAL USE ONLY
County Code Year File Number
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
(If Applicable) Enter Surviving Spouse’s Information Below
StateCity or Post Office
Correspondent’s email address:
Second Line of Address
First Line of Address
ZIP Code
Daytime Telephone Number
Name
REGISTER OF WILLS USE ONLY
DATE FILED STAMP
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
MMDDYYYY
MMDDYYYY
DATE FILED MMDDYYYY
REGISTER OF WILLS USE ONLY
PLEASE USE ORIGINAL FORM ONLY
1505614105
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