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OATil at' 1'lmSONAI, RIWRICS.:NTATIVE
COMMONW12AI"TH OF PUNNSYI"VANIA SBI
COUNTY OF CUMllURLANI)
Boforo mo, tho Roglstor for tho probnto of Wills nnd llrl\lHlnll of Lettqrs of Admllllslrnllon In nlldfo,r tho COlllllyof
ClIlI1berlnndl'porsollnlly cnll10 Jennie B, Brugnoni
Who, belllg dilly sv.urn , do
of the Inst Wlllnnd Tcslmnollt uf
es dOpOBO nnd sny thnt ns
Andrew R, Brugnoni
F..xecutrix
deoonsed
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she ',wll1wollnnd lrllly ndmlnlslor tho llqods and chnttels, rlllhlsnnd credits of s,ald deconsod acoordlpll to law, And
nlsowlll dlllgelltly cOll1ply wllh ,lhe provisions of tho law rolnllngto rrnnsfer Inhorllnncos, Sworn and s\lbscrlbod before mo..,..
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March , 12, 1\,0" 19 81 ,.:j......-...~~.
Resister
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Be It remcmbered thllt on the,
rocorded tho Insl Will nnd restnme!ll of
New Cumberland
I>ECREE
12th dny of March
Andrew R. Brugnoni
1,
81
,A,O,,19 , thero :.vas prOl,lllted and
late of
Deceased, ,Letlors_ Testamentary wore grllnted to
Wllness illY hand and offlclnl senl tho dny nnd yenr nforesnld,
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, r.lImborlnnd CQlInty, Ronllsylvl\nln,
,Jennie R. erugnon'i
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INSTRUCTIONS
,
Mimi
TYPE OP Mill .Indlooto who'lhor tho lIuot I. tool 0.11110, Ilo,.onol proporty, trlln.lor at lolnlly'ownod,
DESCRIPTION ~ I.la, 011 o..oh,ownod aololy by Iho docodont or ownod lolntly with onothor pllrry or pntllo. o. tonllnlB In
common or oa lolnttononh wltlnlght of .utvlvo"hlp 01 tho limo 01 doulh, In"ludo tho docodont'. 'porcontogo uf ownorohlp,
tho nomo (a) Lnd rolotlonahlp to tho docodont 01 Iho .urvlvlng lolntownor. ond,tho o.tlmolod morkot voluo 01 tho dooodonl'.
Intor..t o. ollho dolO 01 dOllth. Includo Intunglblo po"onol proporty tltlod In tho nOllloOl tho, docodont but poyoblo 01 dooth
to onothor pnrty or/orlloa Including bul not Ilmltod 10 1',0,0, U,S, Saving. Bond. und tontollvo tru.t occounta, I..I.t llny
proporty tron.forro, by Iho docodont wlthtn 11'10 yoor.of dooth for which ho/.ho did not rOllolvo voluoblo und odoquolo
con.ldorollon,
Doacrlpo all rool ..to,to locotod In Ponn.ylvonlo by 101 and block nUlllbor, .trool oddro", numbor 01 ocro. (Ind Includo 0
gondrol do.orlpllon 01 tho lond and building'" AI .0, Includo tho book ond pogo nu~60r Inwhlchlho do.d I. rocordod nnd tho
o.nct tltlo n. Indlootod On tho deod,
5 . Un.otl.llod 1I0bllltlo. Incur,.d by tho docod.nt prl~r'lo hl./hor dooth or. doductlblo oguln.t
la hor tOKoblo oatoto, In addition to doblB Incurrod by tho docodont, othor Iton" ora ctolmoblo Including tho co.t of
odmlnlatrollon,ottqrnoy Iou, fiduciary /00" 'uriorolnnd burlnl o'f"~"o Including tho co.t of n burlollol, tomb.tono or
grovo morkor, I..lal tho dnlo on wbloh oooh dobl wn. Inoutrod ondtor pnld ond tho nnlllo' of oooh poyoo, Provldo 0 brlol
o.plonotlon o,!,tho noluro of ooch dobl ololmod and Ibo olllount bolng'ololmod,
IIvldonco 10 oupporltho docodont'a or tho ootolo'.lloblllty 'at tho d,obh baing clolmod .hould bn ottoch,.d to thl. roturn
A family o.omptlon may bo clolmod by ,0 'p.u,o 0' 11 docodont who dlod domlc,llod In Ponn.ylvonlo, If thoto 10 nO 'pouU,
or If tho 'pou.o hoo forfoltod hl./hot tlghlB,t,hon ony child 0/ Iho docodonl who I. n mombor of tho 'OlnO hou.ohold cnn claim
tho o.omptlon.' In tho ovonl thoro 10 no .uoh .pou,o or ohlld, tho o,on,pllon 0011 bo clolmod by 0 poronl or poront. who oro
momborlof tho .omo h.uoohold o. tho docodont. ' ,
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IHPORMAtlOI<\
PL.ACII FClR FII.ING _Tlio,rotutn 10 16 bo /llod In dupllcolo with tho Rogl.tar of'Wllli of tho county whoroln tho docodonl
roo\dod,
TI,ME E FO OR FIII.I., I '@G_Tho,oturnd.duonln. ",on, th~ oftor tho docodo~t'o dooth, unlo" .on o~lo".IQn for flllnghoa been oppllod
~y tho Socrototy 0/ Rovonuo wllllln tho nlno,",onth porlod, '
E{lII..UREtO PIl.1I RETUR~. Soctlon 1910' Iho 1961 Stoluto\Hovldo, thot",. .ony poroo" who willfully 1011',10 fila 0
rolurn .totho' roporl roqu red o',hlm .hall bo p.tAonolly Iloblo., do a ponolty of 25% 0' tho to~ ultlmotoly found to b.
duo or $1,000 whlchovor 1,0 tho 10" to bo ,rocovorod by lho D.portmonl of Rovonuo o' dob" of IIko amounl oro rocovoroblo
by low,"
NOTE: Foe. pClld to Cln ealClte repre.ontClllvol nCllnoly, Cln o~ocutQr or admlnl.trator, for .ervlce."pClrformedln ad.
mlnliterlng an e.tate Is reportClble fat PenniylvanlCllncome Ta~ purpo.ei, Thl8la~able Income Itom,.houd be ropo,rted on
form PA.40.lndlvlduClllnconto TCI)( Return,
lIiE.Q.llMlilllll:/.
To h1SurO propor modll III your OOOelllnl, Iho nOlIlO 01 Iho 0111010 onll 1110 numllor IhOllld,lIo oloorly prlnl.
od on Iho Ilhook or Inonov orllor, '
This OIS088ll1onl Is mnllo III n"llollIOIIIIII wllh Sooilnn 708 01 \1'0 Inholllonoo ond 8elolo Tax Aot 01
1001 (72 P,S, 92486.'/001.
to Iho oXlol\l 11'01 Inl,orllOlloo lOX Is, pnld wllhln IIHon ta) Illomh. oltor Iho dOOlh 01 Iho dooodom, 0
dlaoounl.olllvo t61 poroonlls ollowod (72 I/,S,' G 2480,7181,
Inholllonoo Tox, olhor Ihol1 lOX on 0 luIuro Inlerllol, Ie ,Iuo ollho dolo of Ihe daoodonl'l doolh ond bosomu
dellnquenl 0\ Iho oxplrollon of I1lno 18) monlhl ollor tho dooodonl's qeolh 172 P,8, D 2486.711!. Inhorltanob
Tux on 0 IUluro Inloro.1 Is, pOYllblu Wllhln Ihruo 13) monlh. nflor Ihotronolor Inkoo ollool In p088088lon and
on)oYlllonl ond 10 dallnquonl th%ollur 172 1/,0, 92486.7121, Coloulola Inloro81 from tho dollnquanl dolO Shown
on Iho 1000 ollhl. lorm 10 Ihe dolo 01 MIUolllQymenluslng Iho follOWing Inlorosllohlol
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__~____.._..__ __.............._.... ........._......... _OH,!'''' _...._ _..,............._..._... - --- ,". ..-- ........---.--...- -- - - - -- --
1 monlh ,006 4 Illonlh. ,020 7 monlh. ,036 10 monlh. ,060
2 month. ,010 6 monlh. ,026 8 monlh. ,040 11 monlh. ,066
3 montho ,016 o monlha , ,030 o monlhs ,046 1 2 monlhe ,060
1 dOYI ,00017 11 days ,00100 2\ doy. ,00362
2 doys ,00034 12 ddys ,00203 22 doy. ,003811
3 doya ,00061 13 days ,00220' 23 doys ,00388
4 doys ,00088 14 dnys ,00237 24 doys ,00403
"8 doye ,00086 16 dlIY. ,00260 26 doys , ,00420
8, doyo ,00101 ' 18 doys ,00207 26 dSYa ,00437
7 deys ,00118 17 dovo ,00284 27 doyo ,00464
8 doyo ,00136 18 doyo ,00301 28 doys ,00471
9 doy" ,00162 1 adoys ,00318 20 doyo .00489
10 doyo .00160 20 dayo ,00336 30 doys ,00600
..- - -_....~---- --...--....---.. --- -- ~_... - .....- ......-... - ..._- --.. --... ---- ~--_... -..........-...-.. -~- .....
Any parlY 111 Inlorool. Including Iho CO,"n1(!I,woollh'nnd Iho poroonnl rbprosnnlollve, no\ s,ollsllod with
Ihe oooooa(11on\ moy obloOI Ihololo wllhln olKly IBOI daya 0110t 1,0001pI of Ihls NOllno 00 prOVided by Sootlnn
1001 01 Iho Inhorllnnoe and Eo\ol" T"x Ant til 16Gl In 1',8, 9 2406.1001).
Make cMok or monoy ardor payablo to:
"'~ogletor of Willa, Agent"
Mall to 1110 ndcfrese lIatod below: