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INSTRUCTIONS
ASSETS - Describe 011 Real Estote locoted in Pennsylvania ond held .ololy by decedent or held jointly with another party
or partios as tenants in comno" or as joint tenants with right of survivorship. Include the decedent's percentage of ownership
and the estimated market value. List all tangible and intangible personal property owned individually by the decedent or
jointly with another party or parties as joint tenants with right of survivorship at the time of death. Include intangible
personal property titled in the name of the decedont, but payable at death to another party or parties including but not limited
to PIO.D. U.S. Savings Bonds and tentativo trust accounts. List any property transferred by the decedent, within two yoars
of doath for which he/she did not receive valuable and adequate consideration.
DEBTS & DEDUCTIONS - Unsatisfied Iiobilities incurred by the decedent prior to his/her deoth ore deductible ogoinst
his/her taxable estate. In addition to debts incurred by the decedent, other items arc claimable including the cast of
administration, attorney fces, fiduciary fccs, funeral and burial expenses including the cost of n burin I lot, tombstone or
grave marker.
Evidence to support the decedent's or the Estote'. liability for the debt. being cloimed .hould be ottoched to this return.
A family e.emption of $2,000.00 may be c10imed by 0 spouse of 0 decedent who died domiciled in Pennsylvonio. If there
is no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is member of the same household
can claim the exemption. In the event, there is no such spouse or child, the exemption can be claimed by a parent or parents
who are members of the same household as the decedent.
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INFORMATION
PLACE FOR FILING - The return is to bellied in duplicote with the Register of Wills of the county wherein the decedent
resi ded.
TIME FOR FILING - The return is due nine months alter the decedent's death, unless on e.tension for filing ho. been
applied for and granted by the Secretory of Revenue within the nine"month period.
FAILURE TO FILE RETURI'!_ Section 791 of the 1961 Stotute provides thot ..,. .ony pe"on whe willfully foils to file
a return or other report required of him shall be personally liable. . .to a penalty of 25% of the tax ultimately found
to be due or $1,000 whichever is the less to be recovered by the Department of Revenue as debts of like amount are
recoverable by law."
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