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IN 5T RUCTlON S
ASSETS.
TYPE OF ASSET ~ Indlcal' whath,r tho ..~otl. r~ul o.tal., p.r.onal prop.rty, tr~n"or or lolntly.own.d,
DESCRI TION ~ Lilt all o...h ownod .ololy by th. doc.dont or awnod lalntly with unathar purty or purtlo. u. tollanh In
co," on or a. olnl I.nanh with rlvhtol .urvlvor.hlp at th. tlI'10 0' doath. Includo tho docodont . porconlovo of own'hhlp,
Iho nom. (.) and rolallan.hlp to tho duod.nt a' Iho .urvlvlnv lalntawno" und th. o.tlmatod inarkot valuo of tho docodont'.
Int.ro'I a. a' Ih. date of d.alh, Include Intanvlblo por.onal proporty tltlo.lln the namo of t"O doc.dont but payabl. at death
to anothor'party a'larll" Includlnv but not IImltod to P,O,D, U,S, Savlnv. Band. and tontatlvo tru.t accounh. LI.t uny
property Iron.lorre by tho docod.nt within two yocrs of doath for which ho/.ho did not rooolvo valuublo and adoquat.
con.lderatlon. ' ,
DOIcrlb. all r.al ..tata locolod In Ponn.ylvanla by. lot and bluck numbor, .troot oddre..,numbor 01 ocr.. and Inalud. a
veno,al d...rlptlon 0' tho land and bulldlnv., AI.o, Includ. tho book und I'avo numbor In which tho dood I. rocarded and th.
.~acl Iltlo a. In.dlcated on tho d,ood.
~l!~TS & 0!PcUC110NS ~ Un.atl.fI.d Ilabllltlo" Incurred by the dncodont prior to hl./ho, dnath ora doductlbloovaln.t
I. hor ta~a . ..tal.. In addition 10 dobh Incurrod by tho docodont, othor Itom. aro clalmabl. Inaludlng Ih. co.I 01
admlnlltratlon, attorney f..., fiduciary 10." fun.ral and burial o~pon'n. Includlnv tho co.t of a burial lot, tombllon. or
vrov. marker; LI.t tho dol. on'whlch oaoh d.bt was Incurrod andlor paid nnd tho nomOI 0' oach pay.o, Pravld.abrl.1
.~planatlon 01 tho naturo 01 .aclid.bt clalmod and tho nmount bolnv clalmad
&vld.nceto lupport the doa.dcnl'. or the ..toto'. liability lor the dub" being clalm.d .hould bo attaohed to thll r.turn
A 10mIIY'~"mptlan may b. clalm.d by a .pou.o 01 0 d.udont wha dlod domlolled In Pann.ylvanla. If thero'lI no .pou..,
or If tho .pau./! hal larfo.ltod hl./hor rlvh", thon ony child of tbo doaodont who I. a mombor of tho .amehou..hold .can alalm
Ih. o~.mptl.n. In tho avant thoro I. na .uch 'pcu.o or child, tho oKomptlon clIn bo cllllmod by a paront or paront. 'wha are
nlOmbau'af tho lama houlOhald a. tho d.cod.nt,
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INFORMA]ION
PLAC'~ FOR PILINQ ~ Th. raturn II 10 bo iliad In, dupllcuto with tho Rogl.lor 01 Will. 01 tho county whorolnth. docodont
.. r..ldod., ' , ' ..
TIMEI'OR FILING - Th. roturn I. duo nino month. uftor tho doc.dont'. dO.lh, unlo.. ,nn '~~Ion'lon lor flllnv'ha. bo,~'applled
~y tho Socr.tnry of,Rovonuo within the nlno.month porlad, ' , ,
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PAl LU ~ E TO ,FI L a R ETU BI'! - Section 79101 tho 1961 Stotuto provld.. thot '~,' . .on~ pOllan who wlll/ully loll. io IlIe 0
return or otno, r.port r.qulred al him Iha I ba poroonally Ilabl, . . .100 ponolty 01,25% of Ih. tu ultlmatoly lound to ,be
, duo or $1,000 whlch.vor I. tho 10.. tobo recoverod by,tho Ooportmant of Rov.nue 01 dobh of Ilko amount 0'0 roc.verabl.
by, ,law." ' ' , " , '
tlQl5.l. Fe.. paid to an eslate reprolentatlvel nmnely, an e~ocuta' or admlnlltrator, lor lervlcel pe,'orml'd In ad.
mln,lllerlnll on e.tate II reportable for Pennlylvanla Income To~ purpolel, Thl. to~able I,ncome Item Ihoud be reporled CII1
lorm PA.40.lndlvlduallncome Ta~ Relu,n, ' , '