Probate Return Joint Assets Only Non-probate Assets Only Litigation Purposes (no other assets)
Decedent’s Social Security Number
County Code Year
FOR REGISTER’S OFFICE USE ONLY
Date of Death Date of Birth
Second Line of Address
First Line of Address
First Name
MI
Second Line of Address
First Line of Address
Telephone Number
Supreme Court I.D. #
First Name
MI
Telephone Number
First Name
MI
File Number
Last Name Suffix
Last Name Suffix
Executor/Administrator Last Name Suffix
StateCity or Post Office
Attorney/ Correspondent’s e-mail address:
ZIP Code
StateCity or Post Office
ZIP Code
OFFICIAL USE ONLY
TRANSACTION COUNT
REV-346
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
HARRISBURG PA 17128-0601
ESTATE INFORMATION
SHEET
DECEDENT INFORMATION
SECTION I
Enter data as it will appear on all documents submitted to the Department.
TYPE FILING
SECTION II
Fill in oval to indicate the nature of the return to be filed with the Department.
Testamentary Administration No Letters Other (Please Explain.)
LETTERS GRANTED
SECTION III
Fill in oval to indicate the nature of the proceedings at the Register of Wills Office. (Attach additional sheets if explanation is necessary.)
ATTORNEY/CORRESPONDENT INFORMATION
SECTION IV
Enter all information for the attorney or individual to receive tax information and correspondence.
PERSONAL REPRESENTATIVE INFORMATION
SECTION V
Enter all information for the personal representative(s) of the estate authorized by the Register of Wills.
SIDE 1
Indicate additional personal representatives on reverse side.
(EX) MOD 08-19 (FI)
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Decedent’s Name:
Decedent’s Social Security Number
Second Line of Address
First Line of Address
Telephone Number
First Name
MI
Co-Executor/Administrator Last Name (if necessary) Suffix
StateCity or Post Office
ZIP Code
Second Line of Address
First Line of Address
Telephone Number
First Name
MI
Second Co-Executor/Administrator Last Name (if necessary) Suffix
StateCity or Post Office
ZIP Code
SIDE 2
PERSONAL REPRESENTATIVE INFORMATION cont.
SECTION V
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1REV-346www.revenue.pa.gov
This form should be filed with the Register of Wills of the
county of which the decedent was a resident at death.
Please be aware the correspondent identified will receive
all correspondence from the department. It is the responsi-
bility of the personal representative to notify the department
if the correspondent contact information changes.
The department is authorized by law, 42 U.S.C. §405
(c)(2)(C)(i), to require disclosure of Social Security num-
bers in connection with administering state tax laws. The
department uses the Social Security number to identify the
decedent and personal representatives of the estate. The
Commonwealth may also use the information in exchange-
of-tax-information agreements with federal and local taxing
authorities. State law prohibits Commonwealth personnel
from disclosing confidential tax information except for offi-
cial purposes.
GENERAL INSTRUCTIONS
Pennsylvania Department of Revenue
Instructions for REV-346
Estate Information Sheet
REV-346 IN (EX) MOD 08-19