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LAST WILL AND TESTAMENT
I, ETHEL G. LONG. of Middlesex Township. Cumborland County.
Pennsylvania. being of sound mind. memory and understanding. do
make. publish and declare this as and for my last will and testament.
hereby revoking and making void all former wills by me at any time
heretofore made.
FIRST. I direct all my just debts and funeral expenses.
including all inheritance taxes that may be asses~ed against my
estate. be fully paid and satisfied out of my estate hy my persDnal
representative(s) hereinafter named as soon as conveniently may be
done after my decease.
SECOND. I authorize and direct my persDnal representative(s)
hereinafter named to convert all my estate. real and personal,
whs~ver and wherever situate, into cash at either public or
private sale or sales at the bost price or prices. obtainable in
their discretion.
THmD. I give and bequeath the SlDD of five thousand ($5.000.00)
dollars to my daughter-in-law. Ruth A. Lons. if ~he survives me
otherwise this bequest to lapse.
FOURTH. I give. devise and bequeath all the rost. residue and
remainder of my estate. whatsoever and whe~r sittwte. in eight
equal shares to my eight grandchildren. share and share alike. or
to their issue if any of them should predecease me.
LASTLY. I nominate. constitute and appoint two of my grand-
daughters. Louise Otto IInd Faye Stewart. Eltccutr ices of this my
last will and testament. In the event either the said Louise Otto
and Faye Stewart: should predece8e me, resign, renounce, refuse or be
. unable to s.rve for any reason or .hould die be(ore .., estat:e 11 fully'
[. ,
REY.ISOO EX. (1I.91}
. ,
19. If line 18 is greater than line 17, enter the difference on line 19, This iSlhe OVERPAYMENT.
aD
20. If line 17 bgreoler than line 18, enfer the difference on line 20, This is Ihl TAX DUE.
A. Enter tho interest on the balance due on line 20A.
B. Enler Ihe tOlal of line 20 and 20A on lin, 20B. Thi. i. Ihe BUANCE DUE.
Mah Check Payable to. Regl.ter 01 Will., Agent
.. BE SURE TO ANSWER AU QUES110Ns ON REVERSE SlDE AND TO RECHECK MATH....
Under penalties of perjury. I dedare fhot I have examined ,his refurn, induding accompanying Khidul.s and slel.ments, and to the belt of my knowledge and belief,
it is true, correct and compl.fe, I dedare that all real "lale hes b.en reported at Iru. mark" IlIolu.. Dedaration of pr.portr other than the per~nal r.pr...ntatiYl b
baled on 011 Information of which preporer has any knowledge.
I U ON N IlL R UN . TURN ADDIl: mr--
, 10 Circle Drive, Carlisle. PA 17013 4-23-~
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COMMONWEALTH OF PENNSYlVANIA
DEPARTMENT Of REVENUE
DEPT,280601
HARRISBURG, PA 17128.0601
14-J'ls-1
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
YEAR 91
111
NUMBER
fOR DATU O' DEATH AmR 12/31191 CHICK HIRI
IP A SPOUSAL. .
POVIRTY CRIDIT 15 CLAIMID 0
fill NUMBER
Ii
..
Iil
bl
..
M
COUNTY CODE at
M
3/t61 SPRING ROAD
CARLISlE. PA 17013
LONG
ETHEL
G.
I~OFO AI"
1-23-94
Count
~URI'Y NUMBER
174-0.5-2624
A E Of SIR H
2-17-04
CUMlll::RLAND
o 3. Remainder Relurn
(far dale. of dealh prior 10 12.13.B2)
05. Federol E.lale Tax
Return Required
....98. Tolal Number of Safe Depa.lt Boxe.
Ii 1. Original Relurn
o 2. Supplemenlal Relurn
o 4. limiled E.lale
o 40, Future Interest Compromise
(for dale. of dealh oher 12.12.821
[i 6, Decedent Died Testate 0 7. Decedent Mointainod a Living Trust
(Allach copy of Willi (Alloch copy 01 T rU'I)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMAnON SHOULD BE DIRECTED TO:"
NAM C MPl E MAILING ADDRESS
..,>\,..'~
: ~,i,:;(:~'~j~,;:;\~;Yi;;f!:t~
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FAYE L. HAIN
10 Circle Drive
Carlisle. PA 17013
LEP NENUMB R
2498'3906
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1. Reol E.lale (Schedule A) ( I) __~OOO. _
2. Slack. and Bond. (Schedule B) ( 2) 0
3. Clo.ely Held Slo~k/Partne..hip Inlere.1 (Schedule C) (3) 0
4. Mortgages and Nole. Receivoble (Schedule D) ( 4) 0
5. Ca.h, Bank Depo.i1. & Miscellaneou. Pe..onal Property( 5)
(Scnedule E)
6. Joinlly Owned Property (Schedule F)
7. Tron.le.. (Schedule G) (Schedule l)
8. Tolol Gro" A"el. (10101 line. 1.7)
9. Funeral Expenses, Administrative COlh, Miscellaneous ( 9)
Expen.e. (Schedule H)
10. Debl., Mortgage liabililie., lien. (Schedule I)
11. Tolol Deduction. (10101 line. 9 & 10)
12. Net Value of Eslate (line a minus line 11)
13. Charitable and Governmental Bequests (Schedule J)
14. Nel Value Subject 10 Tax (line 12 mlnu.line 13)
15, Amount of line 14 taxable at 6% rate
(Include value. from Schedule K or ScheduleM.)
16. Amount of line 14 taxable at 15% rate
(Include value. from Schedule K or Schedule M.I
17. Principal tax due (Add tax from line 15 and from line 16,)
18. Cr,dill Spousal Poverty Credit Prior Payments
. 0 + 0
(IB)
(19)
241.
( 6)
(71
.5.274.
0
0
( 81
7.388.
0
(11)
(121
(13)
(14)
67.886 ~)( ,06 =
5.000 x .15 =
(171
7,388e
72,886.
o
72.886.
4.073.
7.50.
4.823.
80,274.
(10)
(15)
(16)
+
Discount
.0.5
Interest
o
Check hcrC' jf you ore rcquc$ting 0 refund of your overpayment.
(201
(20A)
(20BI
4.582.
o
4.582.
AIV
00
DATE
REV.ISII EX+ (7.UI
t~
COMMONWEALTH Of PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
E TATE OF
ETHEL G. LONG
ITEM
NUMBER
A.
B.
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
2.
3.
DESCRIPTION
1.
Funeral Expen...,
Hoffman-Roth Funeral Home, Inc.
219 N. Hanover Street
Carlisle, PA, 17013
2.
Cumberland Valley Memorial CemetarYI Open Grave
Admlnl.tratlve COlt..
1.
Personal Representative Commissions
Social Security Number of Personal Representoli.e:
Year Commissions paid
Plea.. Print or Type
FILE NUMBER
PA. NO. 2194-0111
All'4QlI~fA1K COST OF MAnITAINING PROPERTY ADMINISTERED.
1/,31/94 Schuchart,Inc. 011 $161.05 i/''/,i Insurance $1~~.00
1/31 PP&L 21.75 Pl'&L .5~
Fomily Exemplion '/,'/ 011 2.3
PP&L . .5
Claimonl Relolior.S'l.~!PB Oosurance 2llfl.OQ
Addre" of Claimont 01 decedenl's deoth ff/n ~lTaxee 316:~~
Slreel Addre"
Cfly
Slole
Zip Code
ProbaleFees
MI.cellaneou. Expen.e..
AMOUNT
5.447.
500.
1,315.
126.
TOTAL (Also enter on line 9, Recopitulotian)
III more .pace I. needed, In.ert additional Iheet. 01 lame llze.)
S 7.388.
LAST WILL AND TESTAMENT
. . ;',
I. ETHEL G. LONG, of Middlesex TownshiP. Cumberland County.
Pennsylvania. being of sound mind, memory and understanding. do
make, puhlish and declare this as and for my last will and..testament.
hereby revokins and DIIlking void all former wills by mea.t any t:ime .. .
heretofore made.
FIRST. I direct all my just debts and funer~ expenses.
including all inheritance taxes that may be asses~d against my
estate. be fully paid and satisfied out of my esta~e by my. personal
representative(s) hereinafter named as soon as conveniently may be
done after my decease.
SECOND. I authorize and direct my persondrepresentative(s)
hereinafter named to convert all my estate. real and personal,
wha~ver and wherever situate. into cash at either public or
private sale or sales at the best price or prices; obtainable in
their discretion.
THIRD. I give and bequeath the sum of five ~housand ($5.000.00)
dollars to my daughter-in-law. Ruth A. Long. if ~he survives me
otherwise this hequest to lapse.
FOURTH. I give, devise snd bequeath all the rest. residue and
remainder of my elltate. whatsoever and whell!Ver situate. in eight:
equal shares to my eight grandchildren, share and share alike. or
to their issue if any of them should predecease ne.
LASTl.Y, I nominate. constitute snd appoint two of my srand-
daughters, Louise Otto and Faye Stewart, Executrices of this my
last will snd testament. In the event either the said Louise Ott:o
and Faye Stewart should predeceae me. resign, renounce. refuse or be
unable to serve for any reason or should die before my estate is fully
.'
t....
," ..
COMMONWEALTH OFPENNSYLVANIA
COUNTY OF CUMBERLAND
}
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being duly eccording 10 lew, deposes end seys Ihot he
- of Ihe Eslete of
lote of -.~-----._-. .--- -_... .-. .--'-.------_ , Cumberlend Counly, Pe., deceesed end thet the
within Is en inventory mede by ., the seld
of Ihe entire estete of soid decedent, consisting of ell the persone' prop.rty end reol estete, except reel ostele oulslde
Ihe Commonweellh of Pennsylyenle, end thet the figures opposite eech item of the Inyentory represent iI's feir yelue
es of the dete of decedent's deelh.
end subscribed before me,
19
E..cutor . Adminhtrlfor
Addr.u
Dote of Oeeth
DIY
Month
v..,
INSTRUCTIONS
I. An Inyenlory must be filed within three monlhs after eppolnlment of personel reprosentotive.
2. A supplement inyentory must be filed within thirty deys of discovery of edditional e..eh.
. 3. Additionel sheeh may be etteched as to personelty or reelly
4, See Article IV. Fiduciaries Act of 1949.
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REV-1543 EX AFP (1-91).
CO""r-iwEAI. TIi OF PENNSYLVANIA
DEPARTMENt Ot' -REVENUE
AUREAU OF INDIVIDUAL TAKES
DEPT. Z806Dl
HARRISBURO, Pl 1712S-0601
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO. 21 94-0111
ACN 94117558
DATE 05-04-94
ESTATE OF LONG
5.5. NO. 174-05-2624
DATE OF DEATH 01-23-94
COUNTY CUMBERLAND
TYPE OF ACCOUNT
G ~ SAVINCS
CNECKINO
TRUST
CERTIFICATE
RENIT PAYNENT AND FORNS TO,
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
ETHEL
OTTO LOUISE C
7779 WERTZVILLE RD
CARLISLE PA 17013
HARRIS SAVINGS BANK ha. provided the Dlpart..nt with the InforeetJon lilted balo., which ha. b.." UIN In calculating thl
pot.ntlel taK du., TheIr recordl Indicats that .t the d..th of the above dleldlnt, yoU wtr. a joint owner/beneficiary of thl. account.
If ~ou fHI this Inforlation is Incorrect, pi.... obtain wrlttllf1 corrlctlon fro. thl financial In.ttltutlon, attach. copy to thAI for.
fond r.tlJrn It tn thl Ilbo\'o addr.... l'h account h t1ucabll j" acC'orrlant.. with thl Intnrltan:. i:.( La... of thl CO.'C)mIra1th 0' Plm.vlvanl.,
Q;.:c;t1:n; 1::=::," t::=: O:'l:::::':'.:! t:t C=l.!.!~i: ~:':.].! 7B"~!!:!::'.
COMPLETE PART 1 BELOW MM. SEE REVERSE SIDE FOR
Account No. 19-04-000238 Doh 03-06-90
Eahblhhod
FILING AND PAYMENT INSTRUCTIONS
PART
IT]
798.19
50.000
399.10
.15
59.87
TAXPAYER RESPONSE
ii;;'"Al:(;t!..a:iij't~;I!ESP(J"I1::!(n~:'REtlVLm;I~"A"'Oll!~CI~~'i'T~lC.~S'~S"EfI"; BASI!D,'O"'TIIIS. NOTICI!'
,~,~':'.. ,.. -.'.'. ',-." ~"""',' ."'.':'.'., ': :'."""','.' ',':'. . ,..' . "....',.. '.'.' ":',','.' ...... ,',' -.' '!",.' , '.'. - .'.' '.':' ..','.',......'...,. '. ,'.'.'.' '.
" ',' ,. ., .'. , . ,. ".,.'.",.','. ' ........ '........,'.',...", -',' -'. . .'. .'."," -,....,' ',. . ,.
Account aalanea
P.rcent Taxabla
Aoount Subjoct to Tox
Tax Rata
Potantial Tax Du.
x
To In,u~1 p~oplr c~ldlt to your account, two
(Zl coplu. 0' thl. notlCI .u.t acco~anv your
pay.ant to thl R.glltl~ 0' Willi. "akl chIck
payebl. to: "Rlglltlr 0' Willi, Aglnt",
x
NOTE: If talC pay.antl I~' .Ida within thrl'
(5) .anth. of the dlcadent'. dlt. of daath,
YOlJ ..y d.duct I SiC d1lcount of thl talC du..
Any Inh.rltancl talC dUI wUl bKOH daUnqwnt
nlnl (9) IIOnth. .ftar the datI of da.th.
[CHECK]
ONE
BLOCK
ONLY
A, 0 The abova Infor.atlon and tllC due 11 corract,
I, You I.y chao.. to ra.1t pIY'.entto tha R.ghter of Willi, with two copl.. of thh notlc. to obtain
" dllcount or avoid Intarut, or you .ay check bOlC "A" and t.turn thh notlca to tha Rlglltet of
Will. and an official ........nt will ba I..uad by tha PA D.pattaant of Ravenue.
8. ~ Tha above ...at h.1 blan or will bl reportad and talC paid with thl Ptnn,ylvanla Inherltanca TalC raturn
to bl fll.d bV tha dlcld...,t'. rlpnllntatlvl,
C. 0 Tha abova Infot..Uan 11 lncctrect Mdlor dabtl and deductions "'1" Pllld by you.
You au.t cOIpl.ta PART (!J anelloI' PART [!] balow.
If you indicata . diffaran
ralation.hip to decedent.
PART
!!l
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. o.to Eatoblhhod 1
2, Account aalance 2
S. P....cant Taxabl. S X
4. Aoount Subjoct to Tox 4
5. Dobta ond DodUct1ona 5
6. A80unt Toxoblo 6
7, Tax Rat. 7 X
a. Tox Due a
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~BTS AND DEDUCTIONS CLAIMED
:,::qtj~~IAL;U~E<ONLY)OMf'
4) 1!fi[~~I~~~~r:i~~U~<
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PAlT
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DATE PAID
PAYEE
DESCRIPTION
AMOUNT PAID
l
TOTAL (Enter on Line S of TaN C~t.tion)
1
,
Under P8n81ti.. of parj~ry, I declare that the fact. t have reported above ar. true, correct and
c_l to tho boat of.y knowlodllll ond bollof. <i/7 ).:J'-I1~<)'f~,>-1 .5'-/;).-91-
) ( l
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GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT wIth applicable Inhr..t b'.ed on Infor.aUon
.utIIIltt.d b~ the flnMKlI.l In.UtutJon.
2; Inherltenc. taM beco.'1 dlUnqu,nt nine lonth. efter thl dlcldlnt'. date of dlath.
J. A joint account I. " taKlbl. IVIn thOUgh the dlcldlnt', n... was addld a. a .attlr of convenlenc..
~. Account. (Inoludlng tho.. hlld b.tw.ln hu.band and wlfl) which the dlcldlnt put In joint n&... within on. Ylar prior to
dl.th Ir. 'ull~ tlkabl. I' tran,'.r..
5. Accounts l.tabU.hld Joint I>> b.t".." hu.bend Gnd NU. .Otl than on. ~Iar prior to dlath are not takabl..
6; Accounts hlld b~ II doc.dlnt "In tru.t (or" anothlr or other. arl tanbll full~.
....
REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE
1. 'LOCK A " If thll Inforlatlon and COlput.tlon In the notlc. are correct and dlducUon. are not bllng elal.'d. placl an "1("
In block "A" of Pert 1 of thl "TaMpayer Rupon.." ..ctlon. Sign two cop I.. and .ublit th.. wlth ~our ch.ck for the alount of
tax to tho Rlgl.t.r of Will. of the county Indlcatld. Thl Dlpartllnt of Rlvonu. will I..u. ~n' offlcJal a.......nt
(For. REV"IS" EX) upon r,cIJpt of t". R.turn fra ttM Rlgiltlr of UUI..
2. DlOCK. - If the allllt ,plcIflld on thb notlco hat bill" or will bl rlportld and tax paid wUh thl Plnn.ylvanla InherltanCI
Tax Rlturn fUld by the decldent'. rlpre..ntatlvl, plac. an "X" In block ..... of Part 1 of thl "TaxpaYlr RI.pon.." '8ctJon. Sign one
copy and rlturn to the Pol D.partl."t of Ravlnul, Burlau of IndlvJdual TaXI" Dlpt 280601, Harrl.burg, Pol 17128-0601 In thl
Invllopl prOVided.
J. 'lOCK C - If the ;'IOUCI Inforlatlon Js Incorrlct and/or deduction. are b.lng ':llal..d, chick block "C" end cOlIPht. Part. 2 and 3
t:~~:':-:!!~: ~, .~': ~.......-....t....~ ....,...... ""Ti +l1n I"!":>'.. I"!''' .1.",.If: +h... ...1+1. ~"".. ct-..,l( ",?,'thi- 'l1lli-1'l'!t of te:e oll"a"l. to thl Alqht.r
of NUll of the county Indicated. The Pol DIPart"lnt of R,v.nulI will h.uQ an offlcJal a"I.."ont (For" REV.lS48 EX) UPon r,clipt
of the r.turn frol the Regllt.r of NUb.
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
1." Ent.r the dltl thl account orlgJnaUy wal ..tabIJsll.d or tJ tlod In the .aMer IxlttJng et datI of d.ath.
NOTE: For a decldent d~lng aft.r 121121821 Account, whIch the dlcodaot put In joint na... "UllIn on. U) year of dlath are
t,xabll fUlly a. tran.fer.. How.v.r, there II an '~clu.lon not to lI~cold '3,000 pllr tran.f.ral rlgardla.. of the value of
the account or the nutlblr of account. hald.
If a daubl. a.tarhk (1111) eppeers bafor. your fJr't n... In thl addr... portJon of thh noUca, tha n,ooo Ixclullon
.1"'1Id~ he. ba." doductld froll thl account balanc. a. reportad by the finaneial In.tJ tutton.
2. Ent.r the total bllancl of the account IneludJng Jnt.ra.t accruld to the date of daath.
S. Th. perc."t of thl account that h taxable for aach .urvivor It detor.ln.d llII follow.:
A. The parcent taxable for joint as..t. I.tabll.hld lor. thin ani yaar prior to the decldlnt'. dlath:
1 DIVIDED'Y TOTAL NUH'ER OF
JOINT OWNERS
EXIIPI., A Jolnt....t ragl.tarld
DIVIDED .... TOTAL NUMBER OF X 100 .. PERCENT TAX....LE
SURVIVING JOINT OWNERS
In the nau of the dec.d....t and two other Plr.on..
1 DIVIDED.... S (JOINT OWNERS) DIVIDED .... 2 (SURVIVORS) .. .167 X 100 .. 16.7X (T&XABLE FOR EACH SURVIVOR)
I. Th. percent illXllbll for a...t. crllatld wHhln on. YIII,. of thl decadlnt'. death or account. oNn.d b~ the daCldlnt but h.ld
In tru.t for MOth.r JndJvlduIU,) (tru.t bllnlficlarlllh
1 DIVIDED.... TOTAL NUKBER OF SURVIVING JOIHT
OWNERS OR. TRUST IEHEFICIAAIES
X 100 .. PERCENT TAXA'LE
Exapl.: Joint ecCOlM"lt r..htarld In the n... of the decldant and two othlr Plr.on. and IItabUshed wlthJn ana Yler of d..th by
tha decedent.
1 DIVIDfD.Y 2 (SURVIVORS) .. .50 X 100 .. 50;( (TAXABLE rOR EACH SURVIVOR)
4. Thl aaount I\IbJ.ct tD tax (Unl 4) .. d.t.r.lned by .,ltlp1ylng tha ICCount b.lenel (l1n. 2) by thl plrc."t taxabl. (1Jnl 3).
5. Ent.r the tot'l of thai dMts enc:I deductJon. lilted In Part 3.
,. .hI UIOW1l lallla" CUn. u; h oU.r..i.nad Oy .ublr.c~:rtli1 i.he otlllh and aeducUons ,.1;".. Eii ir~ l.n.. IlroUlm1: .w.;.,,1. to ta~ 'H.-.. ..i.
7. Ent.r the epproprl.t. tex ret. (1Inl,7) I' det.rainld below.
A. Tran.flr. to llneel d,.clMGent. Including fether, ~thet, husband, wlfl, .on, daught.r, grandchlldrln. .on-In-Iaw,
daught.r.Jn~l..., .t-..chl1d enc:I t.,.lr Jnue Ir. taxetlle at .Ix pllrc:."t (6X).
.. Tr...f.,.. to .11 other. incl~lng brother, .Jihr, unci., aunt, n.phaw and nlec. are taxable at flftlln p.rcent (J5~).
C. If ~DU ch.,.,. the tax r.t., pi.... specify your rel.tionship to thl deelldent In the ar.. provld.d.
"I. TM ~t of hx .tu. (lIn. I) 11 dete,..inad by ....ltlph'lng the MOUnt h~abhl UJM 6) by thll tex rats UII'II '7).
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
AU._l. debt. end ct.ductJon. are det.r.IMCI II follC*1l
A. You 1...lb .rl rllPO"lllbla for p.y.....t, or the IItatl Subject to adlinht,..Uon by a p.r.onl. r~r..ent"tlV8 It In,ufflclent
to p.)' the daductlbl. U....
I. You ectualb Hid tM debh after death of ttla dKldant Md c*' furnhh proof of p.pent.
C. Debts bll,.. ellilllCf MU.t be U..JzId fully In P.rt 3. If IIddltlonel .poe. II MitHd, Uti pJlln p..r I I/Z" x 11". Proof of
p.,.."t ..~ be rlQUlltld b~ the Pi o.p.rtllflnt of A.vMUl.
'i'i.','.<: : ......:..:.'./</ '." ,':'."JAXPAVERASSISTANCE .., "".<..' ....::... .... ..
ii IFVOU . NEED. FURTHER' INFORMATION OR,: ASSISTANCE" CONTACT ANY
.....i' REGISTER OFWILLSi.. fA DEPARTMENT OF. REVEHUE<DISTRICT OFFICE
'OR CALL THE IUREAUOF INDIVIDUAL TAXES. TAXPAYER INQUIRVUNIT IN
i ': IlAllRISBURGAT. (717) 787-8327, ..
it~~:t~;'~1~_':':'; (' (",;.,~:<,: :'~,'<.
:~~ 3 (;; 7;;..,1'':'1"'-0.
, . ...~,
) REY.I500 EX. 111.911
19. If line 18 is greater than line 17, enter the difference on line 19. This is the OVERPAYMENT.
aD
20. If line 17 is greater than line 18, enter the difference on 'line 20, This is the TAX DUE.
A. Enler the interest on the balance due on lin. 20A,
B. Enlor Ihe lotol of line 20 ond 20A online 20B. Thi. i. Ihe SALANCE DUE.
Moke Check Payable to: Regl.t" .f Will., Agent
. . BE SURe TO ANSWR ALL QUunONS ON .RMRSE SID! AND TO RECHECK MATH".
Und.r p.nalties of perjvry, I dedar. thot I hav. .xamined thi. return, including accompanying Khe'dules and .tat.m.nll, and to the b... of my bowt~8' ond betl.,.
it II true, oorr.,,1 and complete. I declare that 011 real..tote hal been reported ot true mork.t value. O.c1aration of preparer other thon th. p.noflal repre..ntafltt. b
based on all Information of which preporer hen any knowledge,
reND R PIllE ILlNG RETURN AOOIUS DAU
10 G\fLC,.I..c:. pt1., ~1...uLE fA. Cf-2.-CJI.(
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COMMONWEAlTH OF PENNSYlVANIA
DEPARTMENT OF REVENUE
DEPr, 280601
HARRISBURG, PA 1712B,0601
N'AMlA,I,A
1</-/~'6-7
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
NUMBER
C
'OR DATU O' DIATH AmR 12/3 I "I CHECK HERI
.. A SPOUSAL ..
POVERTY CRIDIT IS CLAIMID 0
FIll NUMBER PA '2-\ '\ 'i -0 I \ \
COUNTY CODE
'::. M A
YEAR
MI
IAL
LONG- E-rHf.l.. G. 31.\61 Sf'RING- RoAD
OCIAlSECURIT' NUMBER ~OATEOFOEATH ATEOfBlRTH c... A 1'\ \...I~ L. E" fA
1111-oS-2621../ 11-23-"\Lj 2-1?-OL.fc"" c..VW\ - \...^"J
o 1, Original Return ~ 2, Supplemental Return 0 3, Remainder Return
Ifor dote. of death prior to 12.13.B21
040. Future Interest Compromise 05, Federal Estate Tax
Ifor dote. of dealh oker 12.12.82) Relurn Required
~ 6. Dacedent Died r6srareP~f - 0 7. Decedent Maintained a living Trust 0 8. Tolol Number of Safe Deposit Boxes
(Atloch copy of Will)V\OVlL; l.. (Atloch copy of TrUll)
ALL CORRESPONDENCE AND CONPIDENnAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAM COMPlETE MAILING ADDRESS
l'l CJ 13
o 4, Limited Estate
~,(:~:"o:
:,;,,;'~i:;,1S<;),<:':~~~;:N{lM
FAYE
\....,
\-\AIN
3906'
\0 C.\RC.\...E.
c..A r:\LA S L.E /'
D~
PA
TElEPH NE UMBER
I?CJl3
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1. Reol Ellole (Schedule A) ( 1)
2. Stock. alld Bond. ISchedule B) ( 21
3. Clo.ely Held Slock/Portne"hip Inlero.' (Schodule C) (3)
4. MortgoS.' and Nolo. Recei,able (Sch,dulo 0) ( 4)
5, Cash, Bonk Deposits & Miscellaneous Personal Property( 51
(Schedule E)
6. Joinlly Ownod Property (Sch.dule FI
7. Tron.fe" ISchedule GI (Schedul. L)
8. Total Gross Asseh ltolollines 1.71
9. Funeral Expenses, Administrative COSh, Miscellaneous ( 9)
Expenses (Schedule H)
10. Oebh, Mortgage liabilities, liens (Schedule I)
11. Tolol Deduction. (Iotalline. 9 & 10)
12. Net Value of Elfote (line 8 minus/ine 111
13. Charitable and Governmental Bequests (Schedule J)
14. Net Volu. Subject 10 Tox (line 12 minUllln. 13)
15. Amount of line 14 taxable at 6% role
(Indude values from Schedule K or Sdjodule M.J
16. Amount or line 14 taxable at 15% role
(Include ,oluo. from Schedule K or Sch.dulo M.)
17. Principal fax due (Add tax from line 15 and from line 16.)
18. Credih Spousal Poverty Credit Prior Payr.18nls
+
(18) .
(19)
IS 000.00
..)l
-,
; ~...
( 6)
17)
( 8)
IS' 000.00
(10)
9 ? e ,.!:{.!L
(111 'L1 g ._"18
(12) ~. 02./ .5a
1131
(14) _
- 0-
1,"\ 02J.5?
.
x .06 =
\'"\ 02.1.52.
R Lf /~CJ--
(15)
116}
x .15 =
(17)
8 " L...~~_.
Discount
Inter85t
+
Chcc~ here if you o're rcqucsling a refund of your ovo'paymcnf.
8~
(20)
(20A) .
(20B)
fll.\ 1.29
,.,..,. T 11
'Iftll .
. nIT MORrGAGE
. ."",
1698193
\
Uniform Settlement
Statement
A. S,II/,m,nl Sr,',m,nl
B. 1l'P' oll.o,n
I. o FHA 2.0 Fml/A
6. FII. numb.,
3. OCofMJnllonol Un/n.urod 4. 0 VA
7. Loen numbor
1698193
5. [}l Convonflo..' /1I,"lod
B. MortgaQs Insurance ClISO numbor
51A0013915
C. Nol': 7h/s (orm " fumlshad 10 give you . slatement o( Rctuol sotlfomont costs. Amounts paid to And by tllO 801ll0",otrt 8Qonl IlfO showl!. Items marked "(p,o.c.r:
W018 petd outsld. "'8 c/O""g,' IIloy 8m ",own here (or Informal/on purpose! and IlfO not Includod III illS tOlols,
w
D. Nlm. ,nd .ddr... 0' borrower E. Nam. end add".. o( 1,lIer Po Nam. and .ddrt.. of lender
Faye L. IIdn
ILLIAM L. PAVER Louise C. otto, Executrices 0 NORWEST MORTGAGE, INC.
DENISE G. JONES the Estate of Ethel G. Long 5005 CARLISLE PIKE
QT 23, ROLLO CT 10 Circle Drive
Carlisle, PII 17013
ECHANICSBURG, PA 17055 , MECHANICSBURG PA 17055
-: .
O. Prop,t1y lac. lion . ;!.'f,('), H. S,II/om.nl.gonl I. S.II/,m.nl d.I,
46$ SPRING ROAD t.~~ EXPRESS FINANCIAL SeRVICES INC 08/24/94
ARLISlE , PA 17013 ~ 5070 RITTER RD '. MECHANICSBURG PA DISBUF SEMENT
'UMBERlAND COUNTY, PA;tPJ DATEI 08/24/94
Place o( settlemont
5070 RITTI::R RD. , SUITE 115
MECHANICSBURG PA 17055
.
J. Summ,ry 01 Borrow..~ lhtn..ellon K. Summary 01 S.II,,~ Itan..ellon .
10.0.. Oroll Amounl Du. From Borrow.. 40.0.. Groll Amounl Du. Ib S,II.,
/D,. Co/!/reel..I.. prle9 35000.00 40.'. Conll.cl ,o'e. pric. 35000.00
10.2. Purson.1 propet1y UI 'l> 40.2. Pursonol properly
10.3. S'"ltm.nl eh.fIIes '0 borrcwtlr (I/n. 140.0.) L~'. 1,/b<!.lU 40.3.
10.4. -m.11 40.4..
10.6. ~ 4DIi
AdJualm.nla lur /I,ma p.ld by ..II.r In ,dr.ne. AdJu,'manl. lor lI.m. p.ld by .,II,,'n .dr,ne.
106. CllII10wn '....8-24-94 ro 12-31-94 59.34 40.6. C"yAown I.x.. 6-24-94 1012-31-94 "Ti!.1" 59.34 .
IDT. Counly I.... 10 A.. 4DT. Counly I.... 10 lag
IDB. A.....m.nr. 8-24-94106-30-95 '~ qulJ.lu 408. Assossmonts 8-24-9410 6-30-95 :n:~ qU".~o-
10.9. 40.9. 'A-'
liD. ~J.... 4'0.
11/. 411. ....
112. ., 4'2. ~'p. .
120. Ora.. .moun' due tram borrower , Cb ,- 420. Gron amount due 10 1.11., '~~J 35,465.44
..l 37,227.54
20.0. Amoun" Ptld l3y Or In B,h," 01 Borrower v 500.. R.duel/on. In Amounl Duo Ib S.IIer ,
2Of. Dopo." or ..m,,' money 1,000.00 5111. Exco.. d.DO," (.e.lnS/ruellon. ./""n 1,1100.00
20.2. Prlne/p.I .mounl 01 new Io.n(.! "'''''''OcJ. CAI 502. S.,l/.men' ch.rg.. '0 ,."el ('In. 1400) ~978.4B) _
203. E.,.tlng Io.~') f."'n .~o tJuJ. I 'Xlsttng fosn(sJ taken au
2D4.A,...,...LU'; I !UN .. .1 50.4. PoyoI/ oIl1rsl mortg.gelo.n 7-1
2DIi 50.5. Puyol/ oI..cond morto.g. loen "
206. 506.
2DT. SDT.
208. 5DB. -
201/. 1m.
AdJu"m'nl' (or /I.m. unp.ld bY ..II.. AdJu.fm'n" lor /I.m. u/lp"d by..""
210. CI/IIloWn r.... '0 5'0. CllYAown ,.... 10
2/1. counly"...' ro 511. County ,.... 10 .
212. Auo,,,,,,,n,, 10 5'2. A.....m.n'. 10
213. , 5f3.
214. . 5f4. .
215- 516.
2111 5111
21T. SIT. -
2111 SIB. )3) i'f
IlIP. 510..
220.. !bltl ptld byllor borrow.. 4;/?1 34,250.00 520. 1'0,., reducUon .moun' due ..n., ~. l,97B.48
30.0. Ct.h Al S.ll/.m'/l1 FromlTo Sarro...r ~p. 800.. ClSh AI S.IlI.m,n' TaIFrom s~n.. ~ ~ ~
301, aroll/lmounl due /tom _flint 1201 . '37,227,5.r 6Of.a"'lIemounldu'IoIl/ltrIllnt.20) .in ,465.44 ;:.
302. fA.. .mounI. DlId lMIa _ (1M 220) . VO'~~'I 250.001 6OZ.,..../lllIvCIIOII"UmI,C1UO._(lint52OJ ~ 1,978.48
303. Cllh [3 From O!b 8 t. , 603. Ctsh (!g !b 0 From S_ jJ.,' 6
'1',:;; 2,977.54 33,486.9
1)..
L
_-HIlI 1/1I..-_ ClIM7--" "*"'-50...'
IM\ IIllDll Qt
Hlll-Ip.!
,..""d:
&- 3<<3 - /0 Dv
I REY.I500 EX+ (11.911
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COMMONWEALTH OF PENNSYlVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG. PA 17128.0601
M LA . I
LO~G-
G-.
DATE OF DEATH DATE OF BIRTH
f -2. 3-"l '1 2.- /7-0'1
~ 2. Supplemental Return
COUNTY CODE
M A
'3 ~ 6' \ 6f'~ \ N Co R D
c.. A RL.\ S\... E. "PA \'70\3
N
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
FOR DATES 0' DEATH AITIR 12/31191 CHICK HIRI
I' A SPOUSAL . .
POVIRTY CRlDITlS CLAIMID 0 .
FIll NUMBIRPA 219 L.{- 0 / //
. AN MI I
t: T \-\1:. \-
SO IAl ECURnY NUMBER
I ?~-05-2b2Lf
Counl c.\J
YEAR
NUMBER
l!!
0(..
~-~
bl:v
:cOO
V"',,
..Ill
..
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o 1. Original Return
o .40, Future Interest Compromise
(for dOle. 01 death oker 12.12.821
~ 6, Decedent Died Testate PRE - 0 7. Decedent Maintained a living Trust
(Attach copy 01 Will)V\ ails Fl~ (Attach copy of Tru'l)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMAnON SHOULD BE DIRECTED TO,.'
NAM COMPLETE MAILING ADDRESS
o 3. Remainder Relurn
(far date. of death prior 10 12.13.82)
o 5. Federal E.tole Tox
Return Required
~ 8. Total Number of Safe Deposit Boxes
o 4. limited E.tate
FAYE \..., \-\.A\\'.\
TELEPH NE NUMBER
2lf9-3<jCJ6
/0 CIRc.LE.
cAR I..\SLE,I
, . , "'i)',\;.,i:'i':'f'j"::>;1::;;:,';'i.(1:t:;f1jm::~~':.:'$
DR
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1. Real E.lole (Schedule AI ( I)
2. Stack. and 80nd. (Schedule 8) ( 2)
3. Clo.ely Held stack/Partne,.hip Intere'l (Schedule C) (3)
4. Mortgage. and Note. Receivable (Schedule D) ( 4)
5. Cash, Bonk Deposits & Miscellaneous Personal Property( 5)
(Schedule EI
6. loinliy Owned Property (Schedule F)
7. Tron.le,. (Schedule G) (Schedule l)
8, Total Gran Aneh (Iotallines 1-7)
9. Funeral Expenses, Administrative Cosh, Miscellaneous ( 9)
Expen.e. (Schedule H)
10. Debts, Mortg!!!!e liObilitiem. lien. (Schedule II
SET,t...e;. ~ cosr.s
11. Total Ceiluclion. (Iotalline. 9 10)
12. Net Value of Estate (line 8 minulline 1 'I
13. Charitable and Governmental Bequests (Schedule J)
14, Net Value Subject to Tax (line 12 minus line 13)
15. Amounl of line 14 taxable at 6% rale
(Include value. from Schedule K or Schedule M.)
16, Amount of line 14 taxable at 15% rate
(Include values from Schedule K or Schedule M.)
17. Principal tax due (Add fax from line 15 and from line 16.)
18. Credits Spousal Poverty Credit Prior Payments Disr:.unt
+ +-.- -
19. If line 18 is greater than line 17, enter the difference an line J~.'. Thisil the OVERPAYMENT.
aO.t(:r.n"iT.:Jl"~-'~'.,u"ILI'lIr~i'I"'K!II~lTI':"r:n_'''I'I.'I.'.L1..I.....I:..II.I.1111
(18)
(19)
I,d
Ul
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rlm
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2. 2.00 0 . 0 0 ';, "'.
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-
( 6)
( 7)
-
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(10)
a ,5'0"1. J..l.
~OS"2.0S'
V',
( 8) .
22000.00
J
(11)
(12)
(13)
(14)
(151 I A.J '-\ 3 9 . 7 ~
x .06 =
3,66/.2.7
jg.Lf38.?3
,
/ 8. '138. ? 3
/~/06.3e..
.
I. 106
.
32.
(16)
x .15 =
-
20. If line 17 is greater than line 18, enter the difference on line 20. This is ,he TAX DUE.
A, Enter the interest on the balonce due on line 20A.
8. Enler the totol of line 20 and 20A an line 208. Thi. i. the BALANCE DUE.
Mako Chock Payablo to: Rogl.tor of Willi, Agont
.. BE SURE TO ANSWER AU QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH....
Under p.nalli.s or perjury, I d.dare t,hat I have examined Ihi. return, including accompanying lichedul.s and slatements, and to the b..t or my knowl.dge and belief,
il h true, corrtd and complete. I declare thaI oil real e.lale hos been reported at true market value. Oec/orotion or preporer other thon rhe perlonal repr.ltntotiv.ll
bastd on 011 information or which preporer hat any knowledge.
URN NSI f R fiLING R URN ADDRtiS ~DAIE
~r.i ~~ ~ At~.,~, .-t4fk.;fe../!iL . ()"ir~ /99S
H H Nli NTATlVf 10 IfSS / / . ~ .
r. ~.U~~(')' rf..:J$- Z22f.aJ..M1i;/fl?//"e;,fJv,g"J.,.%,/J(JI:?-'Jt?~1 U(Jyfr,IY..2L
. I , [/ :;
(17)
Interest
(20)-'-1 0 b . 32
(20A)
(208) ! / 0 t
32
REV.1502 EX+ 112.851
~;!- . SCHEDULE A
COMMONWEAlIH OFPENNSYlVANIA I REAL ESTATE
EfiAffOF:l~J~1~~f1RL~:No~..u Iceo.c. _.. ........0 .... 1."._...._...
E T 1-\ c L- G l . "jiILE NuMiij;jj.'--~====c====~~
----....''-.... 0 N G- . ... ..PA NO. 2. / Cf'l- 0/ 1/
~h~:".::~~~i:~'J:,~~:~;;:~:~~~:ct :~:;~~:;:~u~ub~ ~:~~~~.,~d b.~ Sch.dul. ~II Allb.al,,'at"h~~ld i,;.;;p;r~d-;;tl;;i;';'~;k;t~~I~;
~o bUY~!__~k~~!,~~~_YlnSl..!!~~.o,nable ~now.I.~,~g. of 'he rellv::' fa:,:o.n a w ng uy~rand a willing 1I11.r, n.lther being cornpeU.d
ITEM -....-.....-............ ... m ".'_.._._..... ......__.....__....__
NUMBER
1.
\lVA~
~
DESCRIPTION
VALUE AT DATE
OF DEATH
__'."_4___ ..__."_~~'_._..._~.___,___,...~_"_"~...,._.
3Lf61 Sf'R,\N(;. ~OAD c:.ARL..ISt..E:.... fit
I'
R c. SID E..NTIAL pp..o PE..RT >"
VA[...vE. INA;S BASE-I? UPON R.E.ltI..-Tor,.'S REulE.
DA.-TE..,9 \ \ - '- 3 -q '2... A-N 0 ItO:::ruJ'rgp Fo ~
RE.~UlRt:.l? f<..~E'AlRS IN O~Oe..R. \0 Seu....
"'_n...__.,_._ ~'-_u_...,_____._4
" II
PR.\!)PE..~T)I SOL...D \N A-S \..5 C-O/JOlTION
Fo~ ~?0 coO. 00/ f'R,E.vLc>uJ S.C\-\.E.DUt...f,
T'i( IS
II' A 'I t.tc.1TeP v' f P. ~ fU<.T)" liA:LIJE ItT
5 S 000 c", (AllYS; .
.
I' .
~ ..0
If' /3A;-(.. t 2.. EJ;> v.4L. v6 ?/,OCJO.
4 SS,O()", ..0
1..,!;..5..J '(AX PA-It? aN
..,
Jlccrul\(.. G-^ t rJ -It 22 000.
,
r4,k {)CJf; ON
?U..J SI317'-&H/t3"..r CHG-,/
t..6u E;x.,oewre.s 7?> Mo4<'..m\-(,..i
~/tofi;./L7 t 1f6,oMAJ
Nt'Ce.f..1~ "'-0 .r~7IU
f7/toIEI?7.
L.INe: 10
p
t.11V e "f
- .
-
TorAL. (Also ent.r on line. 1, Recapitulation)
(if mort 'pace ;s "lIded, ;n1"" adcJi';onol dtH" of sam. lilt.}
I
I
,
I
I
I
1 5 2. 2, 000. CJO
-- ',.
IEY-ISII Ele+ 17"'1
~~
COMMONWEAlTH OF PENNSYLVANIA
"INHERITANCE TAX RETURN
RESIDENT DECEDENT
F
e7'/(cl.. Q..
ITEM
NUMBER
A, Funoral Exponlo..
1.
B.
4.
C,
1.
2.
3.
4.
S.
6.
7.
8.
Admlnlltratlvo COlli:
1.
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
t. oN G-
Ploa.o Print or Typo
FILE NUMBER
1'1/ a/91f- 0 / 1/
DESCRIPTION
Personal Representative Commissions
Sociol Security Number of Personol Repre.entotive:
Year Commissions paid
AII.II.., Fel. CO ST 0 F MAIN -rAl^, ING- f'R.ClP6ltr,Y APUA,"vU-r~I3D'
C SEe. A-Trl\Ct1.eo l) €.T""\I..).
Fomily Exemption
Claimant
2.
3.
Relotion.hip
Addre.. of Claimont at decedent'. deoth
Street Addre..
City
State
Zip Code
Probate Fee. o,w :;(Jppl..6kA..~c.. 1\e.-rufVi P-'tTf!.P: "f -2. -"i'f
'7711 J ~r..r-IIAri
MI.collanlaul Exponlll:
TOTAL (AI.a enter on line 9, Rlcopitulotionl
llf moro .pacI II n..dod. Inlort additional ,ho,tl of lamo 11.0.1
AMOUNT
~ '3.(9 . ......
I
100.0'0
S"0.00
S 2.J5"09.1.'-
~
~lOrir-~OIlXlri l'-~r-IO~IO OOI'lOri IOrilllOOOOO 1'1
~OrilOOIrilOlO rilOOOOlI'l OONOlXl riOlXlOOOOOl 1'1
. . . . " . . . . . . . . . . . . . . . . . . . . . . . I
.jJ 1'I1000lriO~1O 01 01 "'10 III 10 ri 0 Mill 01 101'101101'1"'1001 m:!
s ri N riri 1'1 ~ 1'1 IOlXl 01 1'1 riri~~ r-l'-I'I
.. ri 1'1 IIlriri ri ri ~ 1'1
i 0 <I> ~~
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t") I:: :- -I::'tl to ell
Gl - - a Gl Gl . ~ s::
foI -!l; >. s:: l': Z U -I-tGlIll
III S Gl.... Gl l': 1Il lIltJ
8 ......r-4.aJftS to ri I-t Ill'tl GI
s:: GI~.Q~~ OGl ~~riO.jJ
0 ~ ij~~ ~l':-Ori""""
.... Gl.....jJ .O.....jJ'tl
1'1 .jJ l><l.jJI-lMGl>ll<Gl
ll< . 1Il'tl s:: III !l; co Gl I-l
.... ~t") ~c 1Il Gl.c; C >.lIltJ
. I-l 'lIl.... .jJIIlO....riGl
III 0 M..:lMMMMMM MMMMM .a~!l;1i'i1 Gl ::rri~ri':':tJ
lz:l flI oa<ll..oaoaoa<lloa oaoaoaoaoa GlGl.c;~ kO~
Cl 2l 1lop..p..p..p..Ilop..p.. p..p..1lo1lo1lo o ."'f'4 Cd ~~~~~~8:
1lop..p..p..Ilop..p..p.. p..p..p..ll.ollo t")MZ!l;lI1
~ ! rilOlO 1'1
B ! GI~OIriltlriIOON'" 1000I'INIIl ... ria ririri 1Il0l0IllN"'~01ll
.jJ0I01'I000'" 011'11'1000 010"''''0' 0I0NriOOOriN
SOl""'........'" 01"'" 01""", 01"'"",
.... III I-t ....1Il1lll'-CllOl........ri riril'l~1Il1O ....CllClllDOI.... ,","''''1'11010101010
A. Settlement Statement
... '.,
D. 'l'ypo'of Loan
1. [ 1 PHA 2. [ ) FmBA 3. r J Conv. Unia. 6. File Number 7. Loan Number 8. Hortgage Ina ea.. Number
Co ( ) VA 5. (X] Conv. Ina. VERNET 313i506
C. Hote.Thi. form i. furni.hed to give you a atatement of actual .ettlement CORta. Amount. paid to and by the Bettlement agant ar.
shown. Items marked -[POC)- were paid outside the c10ling, they are .hawn bare for informational ~urpo... and are not
included in the totals. 3.0 01..92 (4/VERNE'r)
D. Hama and Addre.. of Borrower E. Name and Addre.. of Seller F. Nama and Addre.. of Lender
U.S. Department of BOlldng
and Urban Development
OHB No. 2502-0265
DONALD B. VERNE'rJ' .7&.
BRENDA t. CONRAD
ESTA'l'E OP ETHEL G. LONG
HORWEST HORTGAGS, INC.
Q. Property Location
3461 SPRING ROAD
CARLISLE, PA 17013
H. Settlement Agent
PURI'l'Y ABSTRACT COMPANY
Place of sattlement
3315 Market Stroet
Camp Hill PA 17011
I. Settlement Date
.:rune 9, 1995
.:r, Bummary of ~orrower'a TranaactioR
100. Gro.. Amount Due Prom Borrower
~. Summary of Beller" Tranl.ction
400. G::OII Amount Due To Seller
o
o .
40
e .0 a
o e t
04
o
o
06-09-95 to 07-01_95
.04
Adjuatment. for item. paid by .eller in advance
. ,. 0 tow ta 111I8 to
,- -
35 . 408. Bchool 06.09..95 to 07-0 -.
,_ Adju.tmenta for itema paid by.., ler in advance
6 C ee to
110.
111.
. 0
120. Gro.. Amount Due Prom Borrower
200. Amount. Paid By Or In Behalf Of Borrower
.
61,716.83 420. Gro.. Amount Due To Seller
500. Reduction. In Amount Due SeUn
, 400.00 50 Sett e t 0" e. o . 10 1 00
04. Pa 0 f I)f first mortaaae .
"
'00
Adjuatmlnta for item. lo.lpaid by uller
510 it t tu:e. to
77,l1C.76
201-
o
or .arneat mnnev
..0
o
" o.
:1.000.00
~
o
Adjcetmentl for it.m. unpaid by .eller
Ct. .. 0
to
.
Schoo
o
2U.
. ..
,
220. ~t.l 'aid By/pol' BorrOWer
300. Caab At Sattlement From/To
101. Groe. aaount due from bo
102. Le.. amounta pdd by/f r b
.10.1. Cuh II] PrOlll
Tho undndgned hereby
Borrower
er lline 1:0)
rrowu(l!ne 220)
6B,400.00 520. Total Reduction Amount Due Seller
600. Caeh At Settlement To/Prgm,Seller
601. Gra.. amount due to ..ller (line "~O)
2. Le.. r.ductiona in amt. due ..llereline
603. C.ah I ] Prom Seller
of pag.. U2
.,052.05
77,114."
5201 ( ..,052.1)1) ,
73,On.ll
referred to h,retD
s.l1u
Buyer/Borr
Seller
e.
H~~-l C3.") RIIPA, II .'01.2
, .. > ~., . ' i
~~~~-------~------~-~----------~---------_._------~._~-~.~
,... . ,
. , ' ." ,
0:':'" 'AA' '.0' 47'98'8" COMMONWEALTH OF PENNSYLVANIA
.NO, " ..' .' . . . DEPARTMENT OF REVENUE
. .' OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
'I!EV.1162 ElClU4j .
'*"'~".':.
'; ....
"
.. .
RECEIVED FROM:
f.3
ACN
ASSESSMENT P:I
CONTROL ~
NUMBER
AMOUNT
FAVE L HAIN
10 CIRCLE DR
101
'1.lol:;7~l:!
CARLISLE PA 17013
ESTATE INFORMATION:
f:I FILE NUMBER
.~ 21-1994-0111
. m NAME OF DECEDENT (LAST)
II. .DATE OF. PAYMENT
EJ POSTMAR
COUNTY
SSN 174-05-f.?624
(FIRST) {Mil
DATEOFD AH
REGISTER OF WILLS
m TOTAL AMOUNT PAID.__..._'1,.10o.3e
DO
""'''' " i141"~
MARY C. LEW
REGISTER OF WILLS
REMARKS
FAYE L HAIN
SEAL
CHECK" 43
____ __..,_.*_ ___ _"-'____ ._.., __. _"__ _________,__, _, _,,__ ,..u
REV-1547 EX AFP (12-94*
ClHtOHWEAL TH_ OF PENNSYLVANIA
DEPAATtlEHT CIf REVEtlJE
IlRAU OF INDIVIDUAL TAXES
DEPT. 210601
HARRISIt.RQ, PI 17128-0601
;L/-/ff- 7
HaTICE OF INNERITANCE TAX
APPRAISEMENT, ALLOWANCE DR OISALLOMANCE
OF DEDUCTIONS AND ASSESSNENT OF TAX
ACN 101
DATE 09-04-95
C/
FILE NO.
01-23-94 COUNTY CUMBERLAND
HOTEl TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORll MITH YOUR TAX
PAYMENT TO THE REGISTER OF MILLS. MAKE CHECK PAYABLE TO "REGISTER OF MILLS, AGENT"
REMIT PAYMENT TO:
FAYE L HAIN
10 CIRCLE DR
CARLISLE
PA 17013
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
I
AIIount R..I ttod
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS .....
iiiY-:i54nX-AFP-nZ:94rNOficE--OF-i:"NHEiiii'iiicE-TAnrp-pRjiisEHENT~--ALi:oiiiiicE-iiR---"'-----------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF LDNG ETHEL G FILE NO. 21 94-0111 ACN 101 DATE 09-04-95
NOTEI If.n ........nt WI. i..uld previou.Iy, line. 14, 15 .nd/ar 16, 17 Ind 18 will
reflect figure. thlt include the tat.l of ALL returns ..Ie.led ta dlte.
ASSESSMENT OF TAX:
1&, AIIount of LIne 14 .t Spouoal r.t. 1151
16. AIIount of LIne 14 t,""obl. .t LlneollCl... A ..to (16)
17. AIIount of Line 14 t,""oblo .t CoU.t...l/Cl... I ..t. 1171
11. Prlnclp.l Tax lIua
TAX CREDITS:
PAYI1ENT
DATE
04-23-94
09-06-94
07-12-95
TAX RETURN MAS: I X I ACCEPTED AS FILED
I I CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN
1. R..l Eat.t. ISchodulo AI III
2. stock. and Bond. ,ISchaclul. BI 121
5. Clo..ll1 Hald StocklP.rtnerahlp Inh...t ISchodul. CI 131
4. ttort_.lNot.. Rac.IVllbl. ISchadul. 01 141
5. C.lhIIlank IIapodhlHlcc. P.r.anal Proparb ISchodul. EI 151
6. Jolntlll _ Propartll IScMdulo FI 161
7. Tran.f... (ScMdulo 01 171
I. Total A...h
NO. 02
22.000.00
.00
.00
.00
.00
.00
.00
III
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. F.-..l bpan.../Adoo, Co.blHllc. E_oa. (Schodul. HI 191
10. DabtalMortgaga LI.,11Itl.IILlan. IScMdul. II 1101
11, Tot.l Doduction.
12, Hat V.lue of Tax R.turn
n. Charltabl./Gov........hl ~.h (ScMdulo JI
14, Hat V.lue of EIt.to Subject to T,""
2,509.22
1.052.05
(Ill
1121
(131
1141
.00 X .00.
100.346.25 X .06.
5.000.00 X .15.
1111
RECEIPT
NUPlBER
XA8B6003
MM912912
AA047988
DISCOUNT 1+1
INTEREST I-I
241.16
.00
67.40-
AItIlUIT PAID
4,582.00
841.29
1,106.32
IMTEREST IS CHARGED FROM 07-13-95 TO 09-12-95
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
. IF PUD AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATIDH OF ADDITIDHAL INTtRtST.
22,000.00
~.C;~1 "
18,438.73
.00
105,346.25
.00
6.020.77
750.00
6.770.77
6.703.37
67.40
1.03
68.43
I Ir TOTAL DUE IS LESS THAN 11, NO PAYMENT IS RElIUIRED.
IF TOTAL DUE IS REFLECTED AS A "CIEOI!'" ICRI. YOU HAY IE DUE
A RErtlNlI, SEE REVERSE SIDE OF TlfIS FORll rOR INSTIUCTIDHS ,I
',"1;.",..
'0 d
'.'i " ~1~
(,"I C)
~
I
r;1..
, ,
V)
,'"
(', , ,,' ,-.
W ~.:; 0 ,J 5
0: G u
RESERVATIDlh E.tat.. of decedlnt. dylna on or afore o.c.ber Il, 1911 w. If .,v future Intlr..t In thI e.tIIt. I. t,....flrrM
In' po.....lon or anJoPMt to CI... B Ccolbt...-U beMflolerl.. of the dlc8dent eft.r 1M -.I..-Uon of MV ..tlte for
life or for yur., the CaIonltMltt1 hlr.bv expr...b r...rv.. the rlr,tlt to ..nbe _ ...... t...,.ftIr InhlI"1tWlCl TUII
.t the l...ful Cia.. B Cool18\1r.1) ...t. on .w such future Int.....t.
_IF
NOTICE I To fulfIll the requlrlMntl of s.ctlon 2140 of ttMl Inhll'ltwIcI end E.hlt. flUe Act, Act lZ of 1991. 7Z P.S.
SectIon 2140. .
PAnEXTl Det8ch t:M top pol'tlon of thh Notice -.:t __It wUh yOUr ~t to thII Regbt.1' of WUb prlntM on the ,..ver.. .Ide.
..wtllk. check or .....y ol'Cllr PlYlbI. tOI REGISTER OF MILLS" AGENT
All PllPlnts r~lvld shill flnt be .,l1ed to IftV Int'I'..t whIch ..y be dull with WI1 .....1...1' .,111d t.o the tax.
REF\ICD CCRh , r.f1.nd of . tax oredlt, which .... not rMIUI.tw:l on thrIi Tax Retum, lI8Y be r......tM bJ ~letll'll III "Appllcatlon
fol' n,f\nd of Penn1Y1","11 I....rltlncl -.:t E.tlt. Tu. CRfYwlSlSl. AppllClltlon. al" 1VIIIl.&lle .t the Office
of the RltIIIlIt.r of Will., InV of the 25 RII\WlUI Dlltrlot Dffl~., or by calling the IPfICll.l U"hour
M....l'lncI ..rvlce ....1'. for fo,... OI"dIl'ln'lI In .....1)'1"'"1. 1"100"562wZ050, outside PemIYI","I. ...
within 10CIi1 Harl'lIbul'lJ '1''' (711) 717-aOM, fDDI (717) nZ"l2S2 CHeering 1...11'Id Only).
OIJECTIDMSI Any PIIrb In Intlrllt not Athfllld ..lttI tt. IlPPrtll--.t, ,UOMII'ICI or dl_ll__ of dlductlon., or .......,t
of tax Clncludlng dllCCUlt or Inter..t) I' IhcMl on thll Notice ..,.t object ..Ithln .he" (60) dIY. of ,...I,t ,of
thll Notice 'wI ' .
.......rltt'" Pl'Ot..t to the PA Dlparbwlt of Rev......, brei of AwMh, Dept. 211021, Hlrrllbul'l, Pi' Inta.lOll, 01
....Iactlon to hen the ..tt.r dat.rtllned at audit of the IlCCOI.I1t of the PIIrlOMl repr.....hltlVl, 01
........1 to the 0"...,.' Court.
AIlIIIN
ISl1lATIVl!
COAflECTIDNSI racu.1 01'1'01" dllcovered on thl. .....-.t should be eddl'Cl'MCI In ..rltlng to: Pi Dapart.ant of ~,
au...., of IncUvldull Tu.., ATTN: Po.t A....~t Revl... ~lt, Dept. 210601, Hal'rtaburg, PA 17121"0601
Phone (717) 7'7-65.05. SIt,... 3 of the booklat -In.tl''UCtlM' 101' IrNrltwncl Ta Return fo.. . Re.ldlnt
Dac8dlnt- CRfY-150l) for ... explMltlon of _Inl.tr.th,.b corrllGtalbl. .I'ran.
IIITDEST.
If MY tu .. Is paid ..lthln thr.. (3) cal__1' __th. ,'t.,. thI daclldlnt'. dNth, . five percent CSX) dlllClOUnt of
the tu ,.Id I, allowed.
Inter..t III cMrgad bIlIIMltII with flr.t dIY of dell~, or nil'll C,) ..,.th. ...... (1) dIY fI'oI the .ta of
....th, to the dlt. of PQeMt. Tall Wllch bee-. dlU,.,.....t bafortl .....I'y 1, If11bMr Int....t It the nD .f
.be C6X) percent per, ..... celoulatld at a .lb !'ate of .IDOl64. All taxaa ",Ich __ deU,....,t an ... aftar
......,. 1, IH! ..111 bear Intsrllt at e nta "'leIt ..Ill wrv frail _1__1' year to CtII..... """ witt! that ntl
amouncad by thI Pi OIf*rta.lt of Rownue. ThI ,.,,11_1. Inter..t nt.. fol' . 1HZ throustl 1995 .,..:
DISCOUNTI
!!!t Int.,...t Rat. Dllh tnt''''lt FlICtor !!!r Int.ralt Rate Deihl' Int.-.lt Fector
INZ !IX .000541 IN1 n ."0247
1m 161< .oousa IMI.I"1 111 .lInll
1... llX .011311 I"Z n .lnlU
INS ISZ .IIDS" I..N'" n .1111'2
1'" lIX .Oill" 1'" ox .I"ZO
....1ntwa.t 11 calcul.ted .. fclllOM'1
IllTEIIEIt . IIAUHCE OF tAX UllPlID X IllIlIIE1l OF DAD DELIlleUEIIt X DAILY IIIY!IElI1' F_
...."" Notice 11..... aftar the tu ~. dlU,..,.,.t ..Ul ..eflact 1M Interest _1..l.U... to flft.... US) ..,.
beyond the .t. of the .........t. If...,...t 11 .... .ft.. the Int....t ~tetl_ dlt. .... on tht
NoUce, addltlOl'llI lnt.tad ....t be celwl.taiI.
'/
REV-160? EX AFP (12-941*
: CDHHOMAL TH OF PEHNSVLYANU
DE'PARTHENT OF REVENUE
BUREAU OF INDIVIDUAL UXES
DE:Pf. 2110601
HARRISBURG, PA 17128-0601"
/ lj---/cfcf-'7
(/
ACN 101
INHERITANCE TAX
STATEMENT OF ACCOUNT
DATE 10-02-95
o LONG ETHEL G FILE NO 21 94-0111
DATE OF DEATH 01-23-94 COUNTY . CUMBERLAND
HOTEl TO INSURE PROPER CREOIT TO YOUR ACCOUNT, SUBMIT TME UPPER PORTION OF TNIS FORM NITN YOUR TAX
PAVMENT TO THE ADDRESS SHONN. MAKE CHECK PAVABLE AND REMIT PAVMENT TOI l'
FAVE L HAIN
10 CIRCLE DR
CARLISLE
PA 17013
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
AltOunt R...itted
CUT ALONG THIS UNE ~ RETAIN LOWER PORTION FOR YOUR FILES ~
R'EV:i6iij-EinFp.-fi'2':m-.-----...--fNHEiiiTAiic'E--i'AX"Srii"fEH'iftWOF'"Ac.couiif--.-..--------------- ------
ESTATE OF LONG ETHEL G FILE NO.21 94-0111 ACN 101
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NANEO
ESTATE. SHOWN BELOW IS A SUHHARV OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAVMENTS,
THE CURRENT BALANCE. AND. IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE 10-02-95
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 08-28-95
PRINCIPAL TAX DUE ',.........,..............,..
6.770.77
PAYMENTS (TAX CREDITSI:
PAVMENT RECEIPT DISCOUNT (+1 AMOUNT PAID
DATE NUM8ER INTEREST (-I
04-23-94 XA886003 241.16 4,582.00
09-06-94 MM912912 .00 841. 29
07-12-95 AA047988 67.40- 1,106.32
09-08-95 AA082119 .97- 68.43
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
· If PAID AFTER TNIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
I If TOTAL DUE IS LESS THAN '1.
HO PAVltENT IS IlfQUIIlfO.
If TOTAL DUE IS REfLECTED AS A "CREOIT" ICRI.
YOU HAV If DUE A REfUND. SEE REVERSE SIDE OF THIS FOIlll FOR INSTRUCTIONS.
TOTAL DUE
6,770.83
.06CR
.00
.06CR
. PAYHENTI
O.tech the top portion of thil Notlc. and lub.lt with >>our pay.ant .ad. pa>>lbl. tooth. n... and addra..
prlntld on tha rlV~rSI llde.
If RESIDENT DECEDENT .Ik. chick Dr .onay ordar plyebll tOI REGISTER OF WILLS, AGENT.
If NOH.RESIDENT DECEDENT elka chick Dr lonay ordar payabl. to: C0Hf10NWEALTH OF PENNSYLVANIA.
All p'Ylantl raCllvad.hall ba applJad flrlt to any Inter..t which lay ba dua with any ra..lndlr appllld to thl tlX.
REfUND (CA): A rafund of I tax cradlt, which wa. not requa.tld on thl lex R.turn, .ay b. rlqLMI.t.d b>> cOIIpI.Un, WI
"Application for R.fund of PlnnlylvllInla Inheritanc. and E.tllta taM" (REV.lSU). AppHcIUon. Irl IVIUlbl. It
tha OffiCI of thl Regl.tor of Will., any of tha Z3 R.venuI District OfficI' or frol the Daplrt_ant'. 24.hour
an.warlng lar,vlcl nuabl,.. for fa,... ordering: In PIM.ylvanlll 1.8'00-362.2050, out. Ide PlMlylvlnla
end .,Ithln locIl Herr!lbura Ir.1 (717) 787.8094, TDO. (717) 772.2252 (tf..rlnll Ilpllred on1>>).
REPLV TO: DUIIUon. rqlrdlng Irror. contllned on this notica Ihould bel Itddrl..ed to: PA O",I,.thnt of Rlv...., Burlau
of IncUvldullTa)l", ATTN: Post A......."t Rnl... UnIt, Dlpt. 280601, HI,.rllburg, PA 111Z'.06Dl, phone
(717) 167.6505.
PISCDUKT: If en>> tilt dull 11 Plld within thrl. (3) callnda,. Bnth.- .ftl,. the da,.d."t'l dllth, I flvl p.rcent (SX) dhcount
of the tlX plld Is aUowed.
INTEREST: Intar..t b-chlrOed bllllnning with flr.t day of dlUtMlUlnCy, Dr nine (9) .....th. Mcl 01" (1) d.y fra tho dltl of
d.lth, to tM dlto of P'Ylllftt. TaXI' which bec... dtIUnClUMt blforl JInUIry 1, 1912 bel,. Intare.t at tha rlta of
ab (U) plrclnt par W\nVIl ,alculd.d .t . dally rate of .00Dl6~. All tl)ll, which bec... d4lUnquent on Mcl aftlr
JMUlry I, 1912 will bur Int.rllt .t I rete whIch w111 VI,.y fro. cllendlr y..r to cllandlr Yllr .,lth that rata
IIl"II'lOl.ftCId by tha PA O.partlent of Rlvlnul. Th. eppllcabl. Intlr.st rat.. fo,. 1912 through 1995 .rl:
Vaar Intarl.t Ratl D.il>> [nt.r..t Flctor
v...
Int.,...t Rlt.
Deily tnt.rut F.ctor
1912 20X .OOOS.' 1917 9X .IIQ247
1913 lOX .DOO~H 19M.I991 llX .000:501
1914 I1X . ODOS01 1992 9X .ODD247
1915 UX .00OS56 199).1994 7X .000192
1'16. lOX .000274 199. 9X .0DOt47
n[nt.r.st ,. cllcuhtld a& fol1Ol1u
INTEREST' IAWCE OF TAll UNPAIO X NUKlER OF OAYI OELINQUENT X GAILY INTEREST FACTOR
nAn, Notlu hlUld .ftar the tl)l bacoN. deU"...,.. .,ill renKt en Interllt ealcul.UDf'l t. flft.... US) deyS
blyond the dUI of the .....Mlftt. If p.)'Hnt 11 lied. efter the intlrllt COlIPUt.Uean dlt. Ihown on ttIa
Notice, IIddltlDnllI Int.re.t .,.t be cllculltld.
(;;. '
_...._.~.....,..._.-
I
, .
,,,,,.,;,,-
...~"",,' ... "":""':'.:"~",':":","~''''i,,,,,,,"'''''''''f')Y,,,-,,
p,f.ye.. l.. HAu-l
lO.Gl~l..e.;:. ,,~
~U.stJi.- ~;f-")d I")
/
"'.
.)
.. /
"~, ", J ~"..
..'-' , --"Ii:'
,..-. - ,.."n~....."', "
.-,.., . "
., ~_.~..
~':.~,'::..~'~ '.-,~. .-~:~..--' . '. ':
...,..."...... ". ,"'. '-.' ',:
.... _____0
.~~--~
," . ~',) '-,~: .,
! .
\. .
1(7~e/ IV~
C._f' __I......~~ ,..I ~. G~st-It'~
~~~ /4- 11"13
/
REV"1547 EX AFP (08"941*
aIItOHWEAL nt OF' PDlGYLVANIA
DEPAAT~ OF REVDIJE
IIJRUU OF INDIVIOOAL TAXES
!)tilT. 210601
tIARAISIl.RO, PA 171Z1"06Dl
gATE OFODEATH 01-23-94 ~~b~~O. CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TD YOUR ACCOUHT. SUIlItIT THE UPPER PORTION OF THIS FORK WITH YOUR TAX
PAYMENT TD THE REGISTER OF WILLS. HAKE CHECK PAYABLE TO "REGISTER OF WILLS. AGEHT"
REMIT PAYMENT TO:
e / =< e - ,"'J
....;~:::::...~"
1$1
NOTICE OF INHERITANcE TAX
APPRAISEHENT. ALLOWANCE OR DISALLOWANCE
OF DEIlUCTIllHS AND ASSESSHENT OF TAX
ACN
DATE 11-14-94
FAYE L HAIN
10 CIRCLE DR
CARLISLE
........-......
v
101
PA 17013
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
A-.nt R..1ttod
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ....
iiEY:i54i-EX"AFP-fiiii:94riioricE--ciF-i-NHEifii'Aiicil-;:AX-APpiiAisEiiEiiT~-.Ai.roiiAiicil-ORn_----_----------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ETHEL G FILE NO. 21 94-0111 ACN 101
TAX RETURN WAS. I I ACCEPTED AS FILED I XI CHAHClED SEE ATTACHED
If .n ..s.....nt w.. i..u.d previou.ly, lin.. 14, 15 .nd'or 16, 17 .nd 18 will
refl.ct figur.. th.t includ. th. tot.l of ~ rsturn. s.....ed to dete.
ASSESSMENT OF TAX:
U, A-.nt .f Line l~ .t Spou..1 r.t. IUI
16. A-.nt of Line I~ t..obI. .t LlnoaI/CI... A r.t. 1161
17, Aaount of Line I~ t..obI. .t CoII.t...I/CI... . r.t. 1171
Ie. Prlnolp.I Tax Duo
TAX CREDITS:
PAYMENT
DATE
04-23-94
09-06-94
ESTATE OF LONG
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL
1. R..I E.t.t. ISchoduI. Al III
2, Stock. and Bond. ISchoduI. BI 121
S. Clo..I~ Hold Stock/P.rtnershlp Int....t ISchoduI. CI 151
4. Mort_.lHota. R_I.obl. ISchoduI. DI 141
S. CoolVllank n-,UUIlho. P.r.....I Pr_,.ty ISchoduI. EI 151
6. JolntI~ Oonod Proport~ ISchoduI. FI 161
7. Tron.f.r. ISchoduI. 01 171
e, Tot.l A...t.
90,000.00
.00
.00
.00
5,274,00
.00
.00
leI
APPROVED DEDUCTIONS AND EXEMPTIONS:
9, F......I E.....,...'AdII. Co.toINbo. E_... ISchoduI. HI 191
10. DobtolHortgogo Llabllltl../Llon. ISchoduI. II 1101
11. Totol Doduotlon.
12, Not V.luo of Tax Raturn
IS. Chorltobla.fIlo........toI ~ot. ISchodula JI
14. Not V.luo of Eat.t. SUbJ..t to T..
8.366.48
.00
1111
1121
IISI
1141
NOTE:
.00 x .00.
81.907.52 X .06.
5,000.00 X.1S.
IIII
DISCOUNT 1.1
INTEREST I-I
241.16
.00
AItOUNT PAID
4.582.00
841.29
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALtln ATION OF &llDITI_L INTEREST.
DATE
11-14-94
NOTICE
95.274.00
A.~Ii(i "A
86,907.52
.00
86.907.52
.00
4.914.45
750.00
5.664.45
5.664.45
.00
.00
.00
I IF TOTAL DUE IS LESS THAN 61, NO PA~NT IS REOUIRED.
IF TOTAl DUE IS REFLECTED AS A "CREDIT" ICRI. YOU /tAY BE OUE
A ItifllNO. SEt. REVERSE SIDI OF TIllS FOIlll fOR IIISTRUCTrllHS.I
R,!VOlS47 EX AFP (01094*
_LlllOf P<HNSYLYAHIA
IlEPRlITIlEJIT Of AMIIJE
IURF.AU OF IHDIIJIOOAL TAXES
D!PT. ZIO'OI
HARRIlIURO, PA 17121.0601
/J>f'
~
NOTICE OF INHERITANCE TAX
APPRAISEltENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
ACN 10 1
DATE 11-14-94
FILE NO.
01-23-94 COUNTY CUMBERLAND
NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBIIIT THE UPPER PORTION OF THIS FORlt WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS. HAlE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
FAYE l HAIN
10 CIRCLE DR
CARLISLE
PA 17013
REGISTER OF WIllS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
_t R..tttlld
CUT ALONG THIS UNE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
iiEY:is4;-EX"Aj:P-iiis":94riioi'"icE"-OF"i:"riHEifiTANCE-i'"AX-APPR'A-isEiiiiir-,--,m:oliAiicE-OR--"-------m----
, DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF lONG ETHEL G FILE NO. 21 94-0111 ACN 101 DATE 11-14"94
TAX REllJRH WAS, ( I ACCEPTED AS FILED ( XI CHANGED SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE 'INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL 01
1. R..l E.t.t. (Sehodul. AI (11
2. Stoeb IIIKI Bond. (Schodul. BI (21
5, Clo..l>> Hold stock/p.rt""rohlp Int.rut (Schedulo CI 151
4. Mort_./Not.. RocelYoblo ISchedul. DI 141
S, Cuh/llonk ~o1ta""lao. P.r.....l P"-rb ISchedul. EI ISI
6. Joint!>> Ownod Propert>> ISchedul. FI 161
7, Tr..,.f.r. IScheclul. 01 (7)
8. Total A...ta
..!!!..
.00
.00
.00
.00
.00
.00
lei
.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. F....ro1 E.....,.../A.... eo.talltho. E_... ISchedul. HI 191
10. Dobt.lItortGIVO Llobllltl../LI..,. ($chodul. II 1101
11. Total o.ducUon.
12. Not V.l... of Tox R.turn
IS, Charltobl./Go..rnoont.l Boquo.t. l$chodul. JI
14. Not V.l... of Eat.t. SUbject to Tox
.00
.00
1111
/121
1151
(141
nn
.00
.00
86,907.52
NOTE I
If an a.B8....nt was i.SU8d praviou.ly, lin88 14, 15 and/or 16, 17 and 11 will
refl.ct figur.s th.t includ. the total of ALL r.turn. .......d to data.
ASSESSMENT OF TAXI
IS. _t of Llno 14 .t Spou..l r.t. USI
16. _t of Uno 14 toxobl. .t Ll_lICl... A rot. (161
17. _t of Llno 14 toxobl. .t Coll.t.rol/Cl... B r.t. 1171
18. Prlnclp.l Tox Duo
TAX CREDITS:
PAYllENT
DATE
04-23-94
09-06-94
.00 x .00.
81.907.52 x .06.
5,000.00 x .1S.
1181
.00
4,,914.45
750.00
5,664.45
RECEIPT
NUItIIER
XA886003
MM912912
DISCIQIT I +I
i"'T~iE$T (..)
AIlOUNT PAID
241.16
.00
4,582.00
841.29
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DU!
5,664.45
.00
.00
.00
· IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADIIITIlIIlAL INTEREST.
I IF TOTAL DUE IS LESS TlWl n, NO PAYItENT IS REWIRED.
IF TOTAL OUE IS REFLECTED AS A "CREDIT'" CCII, vau ltAy If. lIUE
A REFUND. SEE REVERSE SIDE OF TIllS FDIIl FOI IIIITlUCTIlINI.1