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81-00762
, ,. , ., , " ., ", " I~ " , ,d \_ I',. , ;. -,I: 'I 'f " . t&l .. p i' , ,. "" J '. " " I' .. , " , " ,:' ,'1 " " .. " " (.- ., , '" ltimf3.MA11QIi. To Insuro propor crodlt 10 YOllr ,~CCUUIII, Iho IIlInlO (,I Iho 0.11110 and file numbar ,hculd bo oloarly ptlnt. od'bn Iho obquk or monoy ord.,. ThlB uaao,omonl 19 m"do In ."oordaneo, with Soolloll 70S of II'" Inharltonco and E910le To. Aot of .1961 (72 P,S, 92480.70(tl, To ,Iho oxtonl 111at I"hatitanco tUK 19 pllld wlthlll thrnu (31 month, alter tho doath of tho'docodonl, a dlacoun! cl flyo (61 po,coPt 19 ollowod (72 P,6, 9 7.406. '/161, Il1horltAnoo Tox, othor Ihan 10K on a lutu'" Intor.al, 19 duo .1 tho doto of thc dboedont'9 deolh and beocmoe dellnquont,iit Iha uKplrat,on, 01 nino (0) mcnlllo alter tho deo~dal1t'o ,joolh (72 P,!), 9 2480.7111, Inherllonaa Tax on u, lutura Intornt Is poynblo,wlthln Ihroo (31 manlh9 oft~' tho tron91cr takas allocl In p098088lon and onloymorll and ,18 dollnquont Ihsronlt.r (72 p,S, ij 2466.7121, C.'oul'IO Inlo,ost Irom Iho d.llnqu.nt dal8 ahcwn on the fBca of this Ic,m 10 thu data 01 aCltlBI paymont unlng Ill. followlnij Inlo'oSI lablc: , ......__""!'__.._.. ..______....._.'... __~..........___ __"'" __.,.-0- _..._ ___ ___... '. ......--... -..... --,..----- -- --..... - --..- 1 monlh ,006 4 munlha ,020 7 monlhs .036 10 mcnthe ,000 2 months ,010 6 monlh~ ,026 8 months ,,040 11 mcnthe ,066 3 months ,016 6 monthB ,030 9 '1101111\9 ,046 12 mcnlha ,,060 , ,1 daY8 ,00017 Inloys ,00100 21 doyo ,00362 2 doye ,00034 12 ucys ,00203 22 days ,00369 3 doya ,00061 13 dnys ,oonn 23 daY9 ,003S6 4 days ,00088 14 dllY~ .00237 24 doya ,00403 6 doyq ,00086 1 [> day. .00260 26 day8 ,00420 8 daye .00101 1.8 days .00267 26 dsye ,00437 7daye ;0011 B 17 daya' ,00294 27 doye .00464 8 doye ,00136 19 daya ,00301 2S dOY9 ,00471 9 day. ,00102 19 doya ,00316 2,9 dOY9 .00488 1 0 d~ya .00169 20 doy. ,003~ij 30 doya ,00600 __ _______..._...._,..____............,__.......... _..._ ...._-' .:.._;.;..... _ ___.~_ ..._.._.____ _ _.... _ ........_.....:...1-__... _.........~ Any pliny In Inlorq$t, Inoludlng Ibo Colnrnonw.of\h and, 111. poreonsl tUpt0genl.llye" ~o\ 8sllafled wllh the 09,eaamOn\ t\1sy,chluct tho toto wllllln olKty (801 dOY9 oflor ,.oclpt 0\ tl110 Nollce 08 provided by Section' 100101 tholnt1Orltal1oo nnd E8to'. Tn" Act cl1961 (12 p,s, 9 2466-10011- Muke Chock or morley otder payable to: "Register of Wills, Agent" Moll to the IIddross listed balow: INS1 RUCTIONS ASSETSI illa,OF ASSET ~ Indlcatow~ath" t:10 auot I. roal oltato, pmanal propolty, tran."far orlolntly.cwnod. DESCRIP110l'l ~ L.lat ~II cuota ownod ,cloly by tho doccdont or ownod lalntly with anathor pal'Y .r partlca 01 10nanta In ccmmon or c1lclnl tcnant" wllh right of l~rvlYor8hlp at t~e 11100 of doath. Incl~clo tho docedon. a porcontago cf ownonhlp, thonamo (I) and rolallotl.hlp to tho dooodonl of tho I~rvlvlng Iclnt OWl!cr, and,tho oltlmatod marko. vol~. of tl" doc,odont', Inlero.r 01 of Ihe date of dooth. Incl~do Intanglblo parianal praparty tltlod In thollumo of the docodanl b~t payublo at doath to another party cr!artI0lIncl~dln9 b~t nct IImltod 10 P.O,D, U,S, Saving. Ba,ndl cnd tontctlvc trult uC,ca~,nt'. L.lat any prcporlY)tanllarro by tho docodont within two yoorl of doath for which ho/,hc did nct rocclvo valu.blo and odoll~oto conll doratlcn. ,,' DOlcrlbo 011 roal ...cto localod In Ponnaylvonlo by lot ond block n~mbor,. .troot .ddro.., n~mbor of 00101 and Incl:~do 0 gonor.1 do..rlptlon cl thelond.ond b~lldlngl., Allo, Incl~do tho hook and pogo numbor In which tho dood II ,tocordod and tho ..cct tltlo 01 Indlcoted cn'tho d..d. DEBTS & DEDUCTI\>NS ~ Unaotllflod Ilobllltlo, Incurrod'bytho docodont prlct tc hll/hor doath are doductlble agolnlt hl17her taloble ..toto. In addition to d.bh Incutrod by Iho dotedont, other Itoma ora clolmoblo Incl~dlng tho COlt of admlnlltratlcn, attornoy le.a, fiduciary fo..,lunorol.and butlal CKrnUI Ir\cl~dlng tho ca.t cf a b~rlallot, tombltcn,o or grave markor. L.llttho date on which' oach dobt WOI Inc~"od ond, or paid ond tho nomoI 01 ooch poyce. P.ovlde 0 btlel ,"plonotlcn cf the not~re cl ooch debt claimed ond tho omo~nt,bolng claimed, Evidence to aupr,drt the decedent'l o. thoutcto', liability fcr tno dob" bolng c1o,lmo,d,.ho~ld bo ottoohod 10 thll roMr. A, lomlly ..empt on moy bo clo!mod by 0 'po~'o 01 c docodont who dloddomlollod III Ponnlylvonlo, II tho" II no ,po~.e, o. If Iho "PCU" hoa fotlolted hll/her rlghh" thon ony child cl tho docodcnt who 110 momber cf tho, 1.100 h,.~lOhold can clolm tho oKomptlcn. In tho ovont thotoll no I~ch,.po~.o Ot child, tho olomptlon con bo clalmod byo poront a. potorih who 0'0 mombo," of tho lamo hc~ ..hold 01 tho docodcnt. ... f!! ~ 0, z m :z o . '0 -, ~ l; :z ~ - c - ~ m g m ~ a .!l r;' .a Ii; (, ~ ~ . '" 'IQ '" i/. :.J 0 0 ~ ,it 5' r ,.. ." 8 8 ~ ~ i !Ii i ,. m " ~ C 1:1 1= m :z ~ ~ ~ - ~ z !ll ~ m :z 0 ~' m . - . :z 0 0 !q 0 "II " ~, . 0 :z ~ ~ . ~ J!J -< ~' 0( ~ N .] INFORMATION ",LACE FOR FIL.INJi ~ The rotumla to bellied In dupllcato with tho Roglltot 01 Willi 01 tho county whorelntho.decudont tOil dad. TIME FOR FILING - The rot~rn Ildue nino I1Ionthl ofter tho docodont', doath, ~nlo.. on ..tenalon far IlIlng h.1 boen appllod ~y the Socretary 01 Revonu. within the nlno.month porlad. PAILURE TO FIL.E RETUR~ _ S.cHon791 of tho 1961 Stot!,lo p.avldcl lhat " I . .any pellon who, wlllf~lIy fclll to file a r.t~rn or ather lapottr.q~ .od of him Iholl bo pmon.lly lIablo.. .to a panalty of 25~.,of tho ta~ ~Itlmafely leund 10 be due o. $1,000 whlchev.. Ie thel.uto bo ..covotod by tho Dcpartment al.Reuon~o aadobtl of Ilko amount aro t.covatcblo by law." NOTEl Fee8 pold to an e81ate repteeentatlve: namely, an ..eeutot ot admlnlattator, 10, aetuleee perfotmed In ad. mlnlatetlng on eetate 18 tepo.table lor Pennsylvania Income Tax p~rpaa.., Thla ta.able Inco",o Item ehoud be reported Oil fotm PA.40.'ndlulduallncol1'1e Ta. Rotutn,