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llifT RUCTIOti!
bSSETSI
TYPE OP ASSET _Indloqtowholhonho auol I. ronl'a.lalO,I'a!lonol p,o,'orly, Irolufor or lolntly.ownod,
DE'SCRIP1IO _ I.I.toll dUolo oWllod.ololy hy Iho dooo.lonl or ownod lolnlly wllh .nothor port I' or Pllttlo. "' I,ononla In
common or a. olnl tOllanl. wllh r!'ght of .urvlvonhlp ullho limo Ilf douth, Includn Ihn dqnodnnl · porcnnlngo of ownonhlp,
tho Ilqmo (0) ond rolatlon,hlp lalho dooodont 01 Ihn .urvlvlng lolnl ownM' IInd Ihn o'llmlltod mllrkot vllluo of Iho docodont'.
Inlaro.t ", of tho dllto of doath, Includo Inlanglhlo por,onol pro"orly tltlod In tho n."no 01 Iho doeodonl bul poyqbl. ot doath
to'onothol parly or partl.. Including hut ,nolllmllod 10 P,O,D, U"S, Savlnu. Bond. ar,d to, "tollvo tru.lllccou,,". LI.I allY
proporty tran.forrod hy tho docodont within IWo yoor. of dOlllh for which ho/.ho did nol, rocolvo valullhlo u!,d adoquato
con,ldoratlon.
DOlcrlLo all rnal o.tato louotod In Ponn.ylvanla'by lot and block nu",hor, .Irool nddlo", numLor of ocro, IInd Includo a
gOlloral dOlcrlplloll af tho land and bulldlng"Allo, Includo Iho haak und pngo numhor,ln whloh Ihe dood I. roeotdod olld Iho
o,act tltlo o. Indlcalod on Iho dood.
~a~TS & DEDUCTIONS _ Un.otl.flod IInLlllllo, Inourrod hy Iho docodont prlot 10 hl./hor dealh aro doduollblo agnln,t
I, hor la.abln,Oltato. III addition to doblo Incurrod hy tho dooodont, olhM 110m. aro clalmoblo Including ,ho,co.1 01
admlnl,tratlon, ntlotnny fOOl, fiduciary 100', funotal and burial o'~on'o, Includlllg Iho co.1 01 a hurlllllol, tomlulono or
grnVo mnrkol, I.I,t tho doto onwhloh ooch dobtwa. Incurrod andtor pold nnd tho namn, of oaah payoo. Provldu a brlof
o.planatlon oJ Iho naturo 01 oaoh dobl olalmod and Iho omou"1 holng ololmod,
Eyldonco to .upport' tho docodont'. or Ih. 0,1010" Ilo~III'y for tha dob.. baing cl~lmcd .h.ould bo altochod to thl, rolurn
Alnmlly q~onlptlon may bo clalmod by a .pou.o of a docodnnt'who dl.d domlcllod In Ponnlylvonl.. ,II thoto \. no .pou.c,
or If ,tho .pou.o h.I fotl.ltod hl./hor,tlght" thon any child of Iho dccodonl wh. I. a m.mbor of tho .amo hou,.hold oon olalm
tho o,ompllo". In,tho ovont thoro I' no .uch 'POUlO or child, Iho o~omptlon can bo clidmod by a p~ront or pore"" who aro
momb'or. of tha.omo houlohold a. tho daoo~.ont, .' ,
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INPORMATIOt-l
FLACE POR PILIHO ~ Tho roturn I. to halllod In duplloatb with tho Raglllorol Will. of tho county wharoln tho docodont
ro.1 dad. , ' .
TIMEPOR PII.ING _ Tho rolurn I. duo nino month. oftor the docodont'. dooth, unl.,. an o.le".lorlfor,f1llng ha., boon appllod
-rOr'Ciii'ir grantod by tho SocrotolY of Rovonuo within tho nlno'Il1,onthporl.d,
FAII.URE TO PII.ERE'rURH _ Soctlon 791 01lho,1961 Stal~lo provldo. that"" .any porton who willfully foil. 10 fllo a
rotur," or othor report roqu1rad 01 him ,hall ho ~.,.onolly lI.blo . ..to a ponolty 01 25j, of tho ta' ulll",atcly laund lobo
duo C,r $1,000 whlchovor I, Iho I... to bo r.covorud hy Iho Dopurtmcnl of Ravon"o o. doh" 01 Ilko amounl'aro roco'v.r~blo
by low," '
,
~ Feol paid to an eltate roprOlonlatlve: namoly, an eXllcutor or admlnlllrator, lor lervlte, porla'rmodln,ad.
mlnllterlng an eltate II reportable for Ponnlylvol1la'lncomo Tax purpo.el, rhll taxablo Incol11o ItOI11 ,houd be roported on
lorm PA.40.tndlvlduallncomo Tax Return,
Jt:I,f:Q.fiMAJWN.
To Inlurn propor crfldlt 10 vour nncoLJIlI. lt10 IIIHnll uf IIHI unllltn /11111 1110 fllllllhor should liD CJlllnrJv print.
od on Iho cllOok a, 1110110\1 o,d""
Thll IIS~OOSlllonl I. UlOtlO In IIflllo,tlllnllo wllh 9110111111 700 uf Ihll 1"'lU,lllInoll untl r:llalo To, Acl of
laOlI72P,S, 92488,7081,
To tho o.lonl Ihal Inhorllaneo 10. Is paltl wllhln Ihroll I:i) monll's II110r 1110 tloalll 01 Ihll dooetlunl, 0
dl.oounl of IIvo 181 poroanll! ollowod m P,S, 9 2406.710),
Il1horl1anoo To., alho, Ihon Ie, on a lUluro Inlo,o.l, In dUll /II Iho <lnlll of 1110 dlloadonl's tllolh n"tI baoolllos
dellnquenl 01 Iho a.plrollon of nlna 181 monlhs allor Iho tlcaetllln!'. tloalh ('/2 P,S, 9 2406.71'), IIlhorl1onoo
Tox on a luluro Inlaroll I. poyahlo wl1hln lhroo 131 monlh. ollor Ih. Iron.for lakoo IIHoCI In PI,s801l10n and
onloymonl and Is dolll1quonllhoroallor 172 P,S, 9 2486.7121, ColoulolO Inlorool I,om Iho dolln'luon' dala .hown
on Iho laco of Ihl. fo,m 10 Ihu dlllo of aOluol fl/lymonluslnu Iho 'ollowlnlllnl.rotil I/lhlo:
_ ______.....___ ___ ........_.. ______ ...J..._ __... ....._ _... _ .~. ~~...- _.~..- -.. ....,... - .....- -- ... --.--....... -- - - - -... --
1 monlh, ,008 4 monlho ,020 7 monll.. ,036 10lllonlhs ,080
2 monlhs ,010 6 monlh. ,026 o mOlllh. ,040 11 monllll ,068
3 1II0nlh. ,016 61110nlh. ,030 9 mOl1\119 ,046 12 monlhs ,000
---'-~---"-"--
1 days ,000 17 11 tlay. ,DOlnO 21 dnys ,00382
2 dsys ,00034 12 duy. ,00203 22 duys .00309
3 days ,00061 13 cloy. ,00220 23 <lnys ,00388
4 days ,00068 14 dayu ,00237 24 days ,00403
i I; days ,00086 18 tloyo 00260 26 doys ,00420
o days ,00101 10 <loy. 002117 20 dOYs ,00437
7 dOYI ,00'110 1"1 doyu ,00204 27 doys ,00464
8 days ,00136 16 <loys ,00301 28 doys ,00471
9 doys ,00182 19 dOY/l .00318 29 doys ,00480
10 days ,00109 20 doy. ,00330 30 dey. ,00600
.. - --- -------...- ..----..... --- --- -...... ......- ~..__... - -...... -.-.. - .............. -. -... -- -....---...-.. --- --.
Any porly In Inlo,o.l, Ineludlnu Iho Com,"olwolllll1 1,,"1 1110 po,uolI'" roproslInlallvo, ,1101 sllllellod wllh
Iho OBBOBBmonl may obluel Ihorolo wilhln .IMly (001 dllY. ollur rooolpl 01 Ihl8 Nolloo an p,nvldad by Snellon
1001 of Iha Inl10rl1anoo fInd r.S\rlIU To' AOI 01 1961 172 P,9, r, 2400, 1001).
Maka chook or monny ordor [luyoblo 10:
"Huglslllr of Wills, Agon\"
Mull to thl! address IInlorl bolow: