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Get PA REV-1500 2011

X 280601 RESIDENT DECEDENT Harrisburg, PA 17128-0601 ENTER DECEDENT INFORMATION BELOW MMDDYYYY Date of Death Date of Birth START Social Security Number County Code Year File Number MMDDYYYY Decedent s Last Name Suffix Decedent s First Name MI (If Applicable) Enter Surviving Spouse s Information Below Spouse s Last Name Suffix Spouse s First Name MI Spouse s Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE O.

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