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H , ,~ " ". !, ~ " " " I' '1, " " I;: , . !' ." " " r " . , 'iI " " . , " "-, ", " " I' , . J ~ ", j< , " " 'I. ". IHSTRUCTIOtolS AsseTS _ Puarlh. QII Roul B,tQt. luaat.flln' 1'0n''')llvunlo Qlld holel .01.ly hyeloorelollt or hold lalhtly with QriothorpQrty or PQrtlu Q. tonQnU In aamnOIl or 01 Iblllt tOIlQntfwlth right of ,urvlvorlhlp. IlIolullo th. daaodont'l poroontao. of oytn."hlp.. and tho ..tlmatoei mQrkot valuo. Lilt all tonvlbla ondlntllnglblo pur"'''11 proporty aWllud'lnellvlduully by Iho doG,donl or lolnlly with QlIoth"'rartyor PQrtl.. o'lohit tOllollh'wlth right Qf lurvlvo"hlp nt tho t'~" 0' donth. I~cludo InlQnglblo p,"onol prap"ty tit odin th. nO,m. of tho doc.dollt, but fluynblo at doutb to ollothor purty or portlollllaludlllg but 1I0t Ilmltod to P.O.P. U.S, SaVlllgl Bond. and tontatlvo IIUl,t oooounh. LI., QIlY proporty trQn.lorlod by tho ,Iocodollt, wlthlh tWQ y..,. of d..lh for which ho/.ho did not rocolvo valuablo and odoquato con.ldoratloll. DBBTS & PI!PUCTIONS _ Un,olllflod Il0bllltl.. I"curlod by tho dcccdollt prior to hl./hor dbothro doductlblo ogoln'l hl./h.r lo~abl. ..toto. III cddltlan to dobfl Inourrod by tho docodont, othor Itom. ora ololmoblo Including tho co.t of admlnl.tratlon, ottorn.y fa.., IIduclnry f..., fUll ara I and hurln,l oxpon,ol IlIcludlllg tho OOlt bill burlallot,.!cmh.ton. cir grav.ma~.h . !!vI d.nc. to .upport, tho d., cod.nt'. or tho Ihtal,'. liability far th." d.b", b.I ng c,lallntdtho~1 d b. a,ttaoh.d 1,0 thll "10, rll. A family .umptlon of $2,000.00 may b. clalm.d by a 'POUIO of a docodont who dlael, domlcllod III Ponn'vlvallla, If th.r. I. no 'POUIO, or If Ih. ,poulO,h.. forfolt.d hl./har rlohh, th.n. allY child o,f Ih. docodollt who I. momb.r 01 tho 10m. houlOhold call claim tho u.mptloll. III,th. ov.llt1Ih,.ro I. 110 .uch. ",IOU.. o,chllel,tho oxomptloll COli bo clulmod by a par.1I1 or par.1I11 who or. m.mb". of Ih. 10m. houlOho d 01 th. docodollt. " . I "tl :3 8 > ~ ~ !i - ~ 1:1 F :z; ~ i lil :z; ~ p m ~ p - m :z; 5 :z; t!l ::1 rn - ~ . 0 VI ~ .,u . :z; 0 "'. P "'11 ~ \~II; 0 "::, !~ 'I "T1 '. a ~'"' ;': .: ~ :!l I;, ;~~r~J 0 1/," ~ r. ji ~ , :r,;~r roll It. . WI'i Q; Il.:h,~ C t::li ~! CJ(t: ~~~~ I L.lJ III 8'" ":~ -< -< 1ft" /..I:' .. ~ ~ 0 C<: jC W~J d Z ;0 ;0 ~ - INFORMATION. PLAce ~ILING -Tho rolurll I. to b. fllodlll duplicato 'with tho Rogl.lor o,f Will. 0/ tho coullty wh.r.11I I~. d.c.dolll r..ld.d. " , TJM.~._FOR PJ1..lli,.g - Th. IOtuIII,I. duelllnomonlh.oltor Iho docodollt'. dooth, ulllo.. 011 ..h",.lolI for IIlIlIg ho, b..n applied fO~,and grQIII.d by tho hcrotory of RUV.llue wlthlll Ihb 1I1110~mollth p"lcd. ~ILI!Rl. TO FILe IU.:tJ.lJitl-,S.Ctl9,1I 791 of tho 1961 Stotuto provld.. thot " , . .0111' pOll911 who willfully f911. 10 /11. o r.lul11 0; olher report r.qulrod of him .hall bo por,ollally lIablo.. ,to,o ponalty 0125% of tho lox ultlmal.ly lound lo'bo du.or $1,000 whlch.v.r I. Iho 10.. to bo recovorod by tho Dopqrlmollt of R.v.lluo ol,deb" of IlkoamoUnl art recoverabl. by low." lNr~Ql\M8JJnN" To Ineuru profwf orodlt It' Vllur nllocHHllr tho nunlU 01 HlII tl~l/Il" 11I\d WI; 1H1lnlll1r nlwuld hlJ ol'lInrlV prlll1' od on Iho Ollook 01 monllY Oldor, This OUf1SSnlOnl lu mado Inllm;ordufHlII Wllll [ilHHiul! "lOll 01 t11t1 Inllurilftr10u und Un'oW TlU( Allt 01 1961172 V,S, B 2400.7001, To \1'0 lixlonl Ihol inhorltnnno lOX I. plIl!1 wlll,ln lIuo" I:n ,n",\1l1o ullur Iho <I1I"lh 01 Ihu <IooO<lonl, 0 dlsoOUill of flvo 16) pOloonllo ollowod 172 f',S, fi 2400.7101, Inhorlloneo Tox,olhor Illon 10~ on 0 fUlUro Inllllonl, I. rl!lll ot thll <IUIO o(lh" duvodunl's doUlh IItlll booomos dollnquonl .1 1110 oxplrnllon of nlnu 191 montho ollor 11111 dOOllrlllnl'n <Ioolh 172 r,8, fi 2406. '/11}, Inholllohoo Tox on 0 fUlUro Inloro.1 i. puyublo wllhln IIIroo 131 rnonlll. ollor Iho IrOnO'or IOkun offoot In po..o..lon Bnd onlovmonl .nd I. dollnqoonl Illoronllor (72 r,8, fi 2400.7121, Cnluulol,l Itllolool Ir(lm Iho, tlullllquonldolo shown on Ihe 1000 of 111 Ie' fOlm 1(11110 dolu of oolltol,.nYlnonl unlng Iho lollowlng In10108I10hltl: ...__.....__......"__ ___ ......_..__... ..........___....... __... ..N.'............. .ri_.'..... _....... ,.. _ ~ _ ~.... d........... ,-~........-.......... -.......... -- -- 1 momh ,000 4 monlh. ,020 7 monlhs ,030 10 month. ,000 2 monlhs ,010 o monlh. ,020 UrncJntllfi 040 11 tn(ltllho ,060 3 monll,s , ,016 o monlh. ,030 U rrlOnll\u .046 12 momh. ',060 ._._..~.. 1.dovs ,00017 '11 doyu .00180 21 ,lays ,00362 2 days ,00034 12 tllIYB .00203 22 day. ,00380 3 \loy. ,00061 13 <lHY. ,00220 23 <lHya ,00388 4 dava ,00088 1411nYII ,00237 24 daYS ,00403 6 doya ,00080 1& <InYII ,00280 26 rlavo ,00420 a'dova ,00101 \OIlIlY' ,0028'1 20 d.y'. ,00437 7 dove .00118 17 <IHya .00284 27 doya ,00464 . 8 dovl ,00136 18 rllIYO ,00301 28 days ,00471 ',9 daV' ,00102 19 IIHY' .00318 29 doya ,0049S 10 days ,00100 20 <lllyli .00330 ' 30 dovo ,00000 __ _ __ _____.... _... ____.._...... ................. _.. _........ _..._...... ....,., _.~__ _ ~_ -H _.._,...."........ _.... __ _ _.........._,........ -.......... Anv pollV In InlorOs!. InolullloO Iho COlOtllonwoolll1 nod Ih" po,.onol 10p,oBontntlvo, nol 'Htlollo<l with tho oSBoaamenl moy ohjoel lhorolo willi In HI~IV(OOI 'IHY. 01101 louolpl of Ihi. Nolleo n. Ilrnvldod bV 500110" 1,001 of tho Inhotllonoo nnrl eotolo TII~ Aul of 1001 ('12 [,,8. ti 2dOO,1001). ' , ' Mdkn chank ur monov ordar povob1a to: "Roglslol of Wills, A(lenl" Moll to ti,e nddrea9 IlslOd below: