Form 92a201 - Kentucky Inheritance Tax Return - Kentucky Department Of Revenue Page 2

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92A201 (3-12)
PART I—PROPERTY (Optional Listing)
Description and Location
Fair Cash Value
of Real or Personal Property
at Date of Death
$
Total Value of Property ................................................................................. ➤
PART II—BENEFICIARIES (Must be completed)
Name of Beneficiary
Relation to Decedent (Required)
If all taxable assets pass to exempt beneficiaries and a Federal Estate and Gift Tax Return is not required, it is not
necessary to file an Inheritance Tax Return with the Kentucky Department of Revenue. An affidavit of exemption will
be accepted by the courts for the final settlement and closing of the administration of an estate. If inheritance tax is
due the Commonwealth of Kentucky, Form 92A200 or 92A205 should be used.

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