Form Rev-346 - Pennsylvania Estate Information Sheet
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1
2346
151 5
FOR REGISTER’S OFFICE USE ONLY
County Code Year
File Number
REV-346 EX (11-15)
ESTATE INFORMATION
SHEET
DECEDENT INFORMATION:
Enter data as it will appear on all
documents submitted to the Department.
Decedent’s Social Security Number
Date of Death
Date of Birth
START
First Name
MI
Last Name
Suffix
2
TYPE FILING:
Fill in oval to indicate the nature of the return to be filed with the department.
Probate Return
Joint Assets Only
Non-probate Assets Only
Litigation Purposes (no other assets)
3
LETTERS GRANTED:
Fill in oval to indicate the nature of the proceedings at the Register of Wills Office.
(Attach additional sheets if explanation is necessary.)
Testamentary
Administration
No Letters
Other (Please Explain.)
4
ATTORNEY/CORRESPONDENT INFORMATION:
Enter all information for the attorney or individual to receive tax
information and correspondence.
Last Name
Suffix
First Name
MI
Supreme Court I.D. #
Telephone Number
Attorney/ Correspondent’s e-mail address:
First Line of Address
Second Line of Address
City or Post Office
State
ZIP Code
5
PERSONAL REPRESENTATIVE INFORMATION:
Enter all information for the personal representative(s) of the estate
authorized by the Register of Wills.
Executor/Administrator
Last Name
Suffix
First Name
MI
First Line of Address
OFFICIAL USE ONLY
Second Line of Address
TRANSACTION COUNT
City or Post Office
State
ZIP Code
Telephone Number
Complete general estate information questions and indicate additional personal representatives on reverse side.
PLEASE USE ORIGINAL FORM ONLY
Side 1
346
151 5
3460015105
Reset Entire Form
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Parent category: Financial