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Pennsylvania Free Printable Nonresident Decedent Affidavit of Domicile (REV-1731-1) for 2024 Pennsylvania Nonresident Decedent Affidavit of Domicile

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Nonresident Decedent Affidavit of Domicile
Nonresident Decedent Affidavit of Domicile (REV-1731-1)

(ex) 09-18 REV-1737-1 OFFICIAL USE ONLY Bureau of IndIvIdual Taxes Po Box 280601 HarrIsBurg, Pa 17128-0601 NONRESIDENT DECEDENT AFFIDAVIT OF DOMICILE File Number This affidavit must be completed and sworn to by a person having personal knowledge of these facts, preferably by a surviving spouse or member of the decedent’s family. ENTER DECEDENT INFORMATION BELOW START Decedent’s Name (Last, First and Middle Initial) Social Security Number ➜ Date of Death (MMDDYYYY) Date of Birth (MMDDYYYY) First Line of Address Second Line of Address City State ZIP Code The following information is submitted in support of the statement that the above individual was not domiciled in the Commonwealth of Pennsylvania at the date of death. 1. Names and addresses of the decedent’s surviving spouse and members of his/her immediate family: Name and Relationship to Decedent Street Address City/Borough State ZIP Code City/Borough State ZIP Code City/Borough State ZIP Code Name and Relationship to Decedent Street Address Name and Relationship to Decedent Street Address 2. Did the decedent ever live in Pennsylvania? If yes, during what periods? o Yes o No 3. Did the decedent spend time in Pennsylvania during the five years preceding death ? If yes, during what periods and at what address(es)? o Yes o No 4. What was the nature of decedent’s place(s) of residence during the five years immediately preceding death? Indicate whether decedent resided in a house or apartment and whether it was rented or owned by the decedent, and/or whether decedent resided in a hotel or the home of relatives or friends. Reset Entire Form PAGE 1 NEXT PAGE PRINT FORM rev-1737-1 (ex) Social Security Number Decedent’s Name: o Yes o 5. Was the decedent employed during the five years preceding death? If yes, list the name(s) and address(es) of employer(s). No 6. Did the decedent leave a will? o Yes o No If yes, state the court that admitted the will to probate and the date admitted, and attach a copy (including all codicils) and a certificate of issuance of letters testamentary. 7. If the decedent did not leave a will, has an administrator of the estate been appointed? o Yes o No If yes, state the court that appointed the administrator and the date of appointment, and attach a certificate of the issuance of letters of administration. 8. At any time during the last five years did the decedent execute a will, codicil, trust indenture, deed, mortgage, lease or any other document in which the decedent was described as a resident of Pennsylvania? o Yes o No If yes, describe such document. 9. Did the decedent pay a tax on income or on intangible property to any state, county or municipality during the last five years? o Yes o If yes, where and when was it paid? No 10. To what regional office of the Internal Revenue Service did the decedent forward his federal income tax returns during the last five years preceding death? 11. At the time of death, did the decedent own, individually or jointly, any interest in real property, including lease-holds, or tangible personal property located in Pennsylvania? o Yes o No If yes, describe the property in detail. 12. In what business activities was the decedent engaged during the last five years preceding death? Indicate whether decedent was employed or otherwise engaged in the business, and state the names and the addresses of the persons, firms or corporations with which the decedent had such business affiliations (Except for employer listed in #5). 13. What is the estimated gross value of the decedent’s estate, exclusive of real property and tangible property located outside of Pennsylvania? Reset Entire Form PREVIOUS PAGE PAGE 2 NEXT PAGE PRINT FORM rev-1737-1 (ex) Social Security Number Decedent’s Name: 14. At the time of death, did the decedent own or operate an automobile? If yes, in which state was it registered? o Yes o No 15. At the time of death, was the decedent a member of a church or any other organization ? If yes, provide the name and address of the church or any other organization. o Yes o No 16. State the purpose or reason the decedent owned real property in Pennsylvania. 17. Include any other information you wish to submit in support of the contention that the individual was not domiciled in Pennsylvania at the time of death. If more space is needed, use additional sheets of paper of same size. Name of Person Completing Affidavit (Last, First and Middle Initial) Relationship to Decedent Address City State ZIP Code Under penalties of perjury, I declare that based on my personal knowledge of the decedent, the information provided on this form is true, correct and complete. Signature of Person Completing Affidavit Date MM/DD/YYYY Signature of person completing affidavit. Please sign after printing. Reset Entire Form PREVIOUS PAGE PAGE 3 RETURN TO FORM PRINT FORM
Extracted from PDF file 2023-pennsylvania-form-rev-1737-1.pdf, last modified September 2008

More about the Pennsylvania Form REV-1737-1 Estate Tax Nonresident TY 2023

We last updated the Nonresident Decedent Affidavit of Domicile in February 2024, so this is the latest version of Form REV-1737-1, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form REV-1737-1 directly from TaxFormFinder. You can print other Pennsylvania tax forms here.


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Related Pennsylvania Estate Tax Forms:

TaxFormFinder has an additional 174 Pennsylvania income tax forms that you may need, plus all federal income tax forms. These related forms may also be needed with the Pennsylvania Form REV-1737-1.

Form Code Form Name
Form REV-1737-5 Schedule F
Form REV-1737-2 Schedule A
Form REV-1737-3 Schedule B/Schedule D
Form REV-1737-4 Schedule E
Form REV-1737-6 Schedule G/Schedule H
Form REV-1737-7 Schedule I/Schedule J
Form REV-1737-A Inheritance Tax Return - Nonresident Decedent
REV-1737-3 Schedule B - Stocks and Bonds

Download all PA tax forms View all 175 Pennsylvania Income Tax Forms


Form Sources:

Pennsylvania usually releases forms for the current tax year between January and April. We last updated Pennsylvania Form REV-1737-1 from the Department of Revenue in February 2024.

Show Sources >

Form REV-1737-1 is a Pennsylvania Estate Tax form. Many states have separate versions of their tax returns for nonresidents or part-year residents - that is, people who earn taxable income in that state live in a different state, or who live in the state for only a portion of the year. These nonresident returns allow taxpayers to specify which which income is subject to the state's taxes, and which is not.

About the Estate Tax

The IRS, and many states, impose an estate tax on the transfer of cash and property between a decedent and their beneficiaries. These taxes generally only apply to estates over a certain size threshold, generally several million dollars, and therefore only affects the largest few percent of estates in the United States.

Historical Past-Year Versions of Pennsylvania Form REV-1737-1

We have a total of twelve past-year versions of Form REV-1737-1 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2023 Form REV-1737-1

Nonresident Decedent Affidavit of Domicile (REV-1731-1)

2022 Form REV-1737-1

Nonresident Decedent Affidavit of Domicile (REV-1731-1)

2021 Form REV-1737-1

Nonresident Decedent Affidavit of Domicile (REV-1731-1)

2020 Form REV-1737-1

Nonresident Decedent Affidavit of Domicile (REV-1731-1)

2019 Form REV-1737-1

Nonresident Decedent Affidavit of Domicile (REV-1731-1)

2018 Form REV-1737-1

Nonresident Decedent Affidavit of Domicile (REV-1731-1)

2017 Form REV-1737-1

Nonresident Decedent Affidavit of Domicile (REV-1737-1)

2016 Form REV-1737-1

Nonresident Decedent Affidavit of Domicile (REV-1737-1)

Forms/Publications 2015 Form REV-1737-1

Nonresident Decedent Affidavit of Domicile (REV-1737-1)

Forms/Publications 2014 Form REV-1737-1

Nonresident Decedent Affidavit of Domicile (REV-1737-1)

Forms/Publications 2012 Form REV-1737-1

Nonresident Decedent Affidavit of Domicile (REV-1737-1)

Forms/Publications 2011 Form REV-1737-1

Nonresident Decedent Affidavit of Domicile (REV-1737-1)


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