Form Et 6.01 - Appraisement Of The Estate For Decedents Dying On Or After July 13, 2001 Page 5

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Decedent’s Name: ____________________________________________________________________________________________
inVentory of nonprobAte reAl estAte
If you answered “YES” to any question under PART 2: QUESTIONNAIRE OF NONPROBATE REAL ESTATE, show the following on
this page:
a. the type of transfer(s) with reference to the question number in PART 2;
b. name(s) of the person(s) with an interest in the real estate as joint tenant or transferee;
c. relationship to the decedent of ALL above named persons;
d. market value at the date of death; and
e. description of the real estate including assessed value.
Form ET 6.01
West Virginia State Tax Department
Page 5

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