HomeMy WebLinkAbout94-00138
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AIY.IS00IX+ 1'1.911 1 /1- / '10- Z rORDAU$OrUIAIIIAnlR 121311P1 CIIICKII;U
"'l~'\'~ INliERITANCE TAX nEruRN ~o~:&:n:~DIr ISCLAIMID 0 .
'!;di~'s:r RESIDENT DECEDENT ;iiiNUi.iiiiR
COMMOllw,^,,,,orrWll"'VA'lIA (TO BE FinD IN DUPLICATE 21 _ 94 _ '" 1.38
DlrA"lAlIlI or '\VlNUI WITI' "EGISTER OF WILLS) '""
1,^,,,,rJg: ~~~~II'D"" 1 \ cou,nv CODE VEM 'IUMnlR
UICIU!Rl'rIlAMr~AIr.lllll;AilIfMIUUl[lllmAII UICIUIIlI'!l:OMflIlnUUill, _
..
i5 Bloser, Wilmer S. RD 2, Box 103B
~ IOCIArmiJlll7llUMUI /u,\lrOrUWII-/UI.I[Urllilll- Newville, PA
,,207-01-8259 10/18/93 11/5/13 c,,,, Cumberland
r. rn I. O,lglllol R.lurn 0 2. SUl'pl.III.lIlol Rolurn \ 0 3. non..lnd., R.lu,n
~<('" ('or dol., 0' d.ollo p,lor 10 12.13.D21
'0;...:< 0 0 0
U A. Umlled Ellale - 40. rUIUfft InloulIl Compromite S. Federal Ellol. TaiC .
,,00 (ror dol.. 0' d.o'lo 011 or 12.12.02/ R.furn R.qulr.d
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<( I^"oelo topy 0' Willi I^"oelr eopI 01 lruII'
-- ALL CORRESpONOENCE ANP.CotlFilirniiiiL TiiJfJRFO
I W.M
~ ffi Robert R. Black
~ ~ flllf1l611nlUMitA
IU.f
17241
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( .717 I 243-3727
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I. R.ol E.'or. (Seh.duIGAl ( I)
2. Sloek. ond Dond. (ScllOdul. Dl I 2)
3. C/olOly H.ld Sloek/Porlnonhlp ,nl....1 (Seh.dul. C) I 31
A. Mo"gog.. ond Nol.. Rocol.obl. (Sellodulo 01 ( AI
5. Cu,l., Dank l>(lpolill & MlIcalloflooUI Paflollol Pfoporlrl 5)
ISeI,.dul. EJ
6. Jollllly Ownod P,op.rly ISeh.dulo rl
7. "ondon (SeI,odulo GI (ScllOdul. lJ
O. 10101 Gro.. A...,. I'orollln.. 1.71
9. FunO/ol E.p.n.... Admlnlllrallvo COI", MiocollonooUI ( 9)
E.p.nl.. (S....dul. HI .
10. Dobll, Mo'lgog. Uobillll.., U.n, (SeI,.dul. II .llDl
II. 10101 Oodudlon'l'ololllnOl 9 & 10)
12. N.I Volu. 0' E,'ul. (IIn. 8 IIIlnUlllno I II
13. Charllablll and GO"'llIIll'Ilnlol Bequelll (Sd'lduf. J)
I". Nol Value SubJod 10 Talt IlInl 12 ndllutell"e 13)
15. Amount oJ Iln. IA lo,nbl. 016~ to'.
. (Indud. .,olu.. I,om Sch.dul. K or SeI,.dul. M.I
16. Amounl of line IA loltobl. at 15% ,ole
I'ndud. 'o/u.. ',om Selrodul. K ar Sth.dul. M./
17. P,.indpollox dUlIAdd lo.r,olll IIn. 15 ond "0111 lin. 16.)
18. C,.dir. SpoUlol Po.OI'y C,.di' P,lor Poymon'.
...
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0.00 ::;;(fl
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5,480.00 I -r,
P"-!
0.00 OJ
0.00 U1
3,630.62
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( 8) 9,110.62
6,992.00
40.00
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171
7,032.00
(111
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(131
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0.00
2,078.62
124.72
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aDliilrrn~rr.rr.JtIl'j;lllml'.'lnllnlr!r.l!l1'lmmn.'r.IIJ.illl,u~'MI,m.
20. II lin. 171. groolor Iha. Iln. 18, onlor 11,. dill...n.. on II.. 20. TI,III. 110. TAX DUE.
A. [oJer 1111 'nlet,ll on II.. Lalan(. due on Iln, 20A.
D. Enl.. Ih. '01.1 0'11". 20 and 20A on II". 208. 1M. II II.. DALANCE DUE.
Mo~. C""~ Parabl. 101 R.sh'.. o' Wllh, AS..I
f1.'11 ;.....,",';,.)';11"....'f....,..11 Sl"l~ TO:lfljWER All'OiJESlIom:6fl]!\I R I; Di,'ANIJ lO.RECl/ C; If , M 1~ll ;\\/!/' 1.. :~ir:.
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II II I,u.. en".d and [o"",llle. I d.dor. ,hot al ..01 "Ial.lldt b..n ..potled a'bu. Morbl.ol".. O,da,ol'on of p"pe,., olh., .hall .h. p.flatlol t'P""nfo"... II
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llilIUrull~,111l6lnr~~lln'?H.KII'a.IIWI - .I!lI BXlI
1J1?{("~1t.a:-1)/ PKa"'t~tr."810ser, RD2,1lox 1038, Newville, PA 17241 Feb./~ 1994
1 lI~' 'R1!lIltl'~'ck, 36A~~llflanover St., Carlisle,PA 17013 f~IJ'/~, 1994
124.72
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. milYE OF
Bloser, Wilmer S.
ITEM
NUMBER
IIV.ISIIU. V.III
'.
A.
1.
B. I
A.
C.
1.
2.
3.
A.
5.
6.
7.
8.
'.
.~
I~~~;~
COMMOUWrA\1I1 D' 'UItlS\'IVAHIA
INIlUIIANCf tAlt "UURH
U\lorUt OE(rDENI
1 SCUEI>UI.E II J .
FUNERAL EXPENSES, ..
AOM..~ISTnAIIVE COSTS AND
MISCELLANEOUS EXI'ENSES _ ...._.___!.!!a.o Prln' or TYI'o
FIln~UMIiEft
21 - 94
OESCRIPnON
AMOUNT
Funoral Expon,oll
\
~ger Funeral Home - funeral bill $3,873.00
wesbninster Cemetery - open grave 650.00
4,523.00
Adnalnl.lrallvo co.ts,
1.
Porsonal Ropresontativo Commis$.lons
Social Soeu,ity Numbor 0' Porsonol Rop,oson'olivo: __'
Yoar Commiuions paid
2.
Allorney Foos - Landis, Black & Schorpp
350.00
3.
Family E.ompllon
Clolmanl Martha N. Bloser
Itolalianshlp
Wife
2,000.00
ArJdross of Cloimonl 01 docodonl's doulh
Slrool Addrou RD2, Box 103B
Clly Newville Slalo PA Zip Codo 17241
Probalo roos
MI.coUanoou. Expon....
Register of Wills - file Pennsylvania Inheritance Tax
15.00
AM - transfer vehicle
4.00
100.00
Reserve for closing.
tOtAL (Also Inler on IIn. 9, R.topitulallon)
II' f11l1re 'I'OCO I. nODdDd, In.,,' oddIlIDnalll..... 0' lam. .ltl.1
S 6,992.00
JlI - jqo
to
REV-1547 !X AFP 110-931*,
COMHONWEALTH OFPENHSVLVANIA .
DfPARfHEHT OF REVENUE
IUREAU OF INDIVIDUAL TAXES
DEPT. 210601
HARAISBURG, PA 1712.~O'Dl
NOTICE OF INHERITANCE TAX
APPRAISENENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSNENT OF TAX
ACN 101
DATE 05-31-94
DATE OF DEATH 10-18-93 ~~h~T~O. CUM8ERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBNIT THE UPPER PORTION OF THIS FORN WITH YOUR TAX
PAYNENT TO THE REaISTER OF WILLS. HAkE CHECk PAYABLE TO "REaISTER OF WILLS, AaENT"
REMIT PAYMENT TO:
ROBERT R BLACK
36 S HANOVER ST
CARLISLE PA 17013
REGISTER OF WILLS
CUMDERLAND CO COURT HOUSE
CARLISLE, PA 17013
AMount H..JU.d
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiEV:is4j"Ex-AFii-fiii:9i1--NDTICE--OF-i-N"iiEifii'AiicE-TAx-A-piiRAISEif€NT~"-Ai.t"OWANCE-iiR----------- ------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BLOSER WILMER S FILE NO. 21 94-0138 ACN 101 DATE 05-31-94
TAX RETURN WAS: (X I ACCEPTED AS FILED
( ) CHANaED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Roal Eotata (Schadula Al III
2. Stocka and Bond. (Schadula BI (2)
S. CI...I~ Hold Stock/Partnarohlp Intar..t (Sch.dula Cl (51
4. HortgagaI/Not.. Racelvabl. (Schedule D) (4)
S. CaahlBank Depolita/Hiac. Perlonal Property (Schedule E) (5)
6. Jolntl~ Ownad Propart~ (Sch.dula FI (61
7. Tran.tar. (Schedula 01 (71
I. TotaIA..at.
.00
5.480.00
.00
.00
3.630.62
.00
.00
(I)
9,110.62
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expen.../Ad.1nlatratlva COlt.1
Nhca11an_. Ex...".a. (Soh.dula H) (9) 6.992.00
10. Dabta/llortllllU' Llabllltla'/Llan. (Sch.dula II 1101 40. DO
11. Total D.ductlon. 1111
12. Not Value ot Tax Raturn (121
15. Charitabl./Oovarnoantal B.qua.t. (Schadula JI (IS)
14. Not Value ot E.tata Subj.ct to Tax (141
NOTE: If an aa......nt was 1..u.d pr.v1aU.ly, l1n.. 14, 15 and/or 16 and 17 will
refl.ct f1gur.. that 1nclud. the tatal af ~ r.turn. a......d ta dat..
ASSESSMENT OF TAX:
15. Aaount of Line 14 taxabla at 6r. r.ta
16. Aaount of Line 14 taxabla at 15r. rata
17. Principal T.x Duo
TAX CREDITS:
PAYNENT
DATE
7.032.00
2,078.62
.00
2,078.62
(15)
116)
2.078.62 X.06=
.00 X.15 .
1l7J
124.72
.00
124.72
RECEIPT
NUIlBER
DISCOUNT (+ I .
INTEREST (-)
ANOUNT PAID
02-15-94
855909
.00
124.72
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
124.72
.00
.00
.00
· If PAID AfTER DATE INDICATED, SEE REVERSE
fOR CALCULATION Of ADDITIONAL INTEREST.
( IF TOTAL OUE 15 LESS T1Wl n. NO PAVIlENT IS REQUIWED.
IF TOTAL OUE IS REfLECTED AS A "CREDIfW (CRI, YOU nAY IE DUE
A REfUND. SEE REVERSE SIDE Of TNIS fORN FOR INSTRUCTIONS.I
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RESERVATIONr E,tet.. of dle.dent. dying on or blfar. Dec..b.r 12, 19az .. If eny future Interl.t In the ..tet. I, transf.rred
In pa....elon or enjoy..nt to Cl... B (collet,r.!) bln'fleterl,. of thl dlCldlnt .ft,,. the Ixplr.tlon of eny ..t.t. for
11f. or for y..,.., the Co.-onw..lth hereby Ixpr..,ly r...rv.. thl right to .ppr.t.. end ...,.. trenlf.r Inh,rltlnCl rlXI,
It the l.wful CI... B (collet,r.l) r.t. on any such future Inter..t.
PUllPOSE. 1If
NOTICEt To fulfill the ,.Iqulr..."ho' s.ctlon 2140 of tM InherltancI and Eltlt, rll( Act, Act 22 of 1991. 72P.5.
SICUon ZUG.
PAYftENTr Dlt,ch thtl top portlonof thla HoUe. end sub.1t '11th Your P'yaMt to the RIght,r 0' W11l1 printed on the rever.. ,Ids,
--M8k. _ell; or Rnly ord.r p.yetl1, to: REGISTER OF MILLS, AGENT
All pIYlenh recel...-, shill first bl appU8d to 1Ir'l~ Interest which ..~ bl due with Iny r...Inder IPPUed to the tlX.
REFUND (eR): A rlfund of . tlX credit, which WI' not r.quest.d on the Tax R.turn, ..y b. rlqutst.d by cOMPleting In "Appl1cIUon
for Rlfund of Pennsyhenl. Inh.rltanc. and Estlt, Tlx" {REV-IU5J. AppUcIUons Irl 1...IUG1. It the Offlu
of thl Rlght.r of Will., eny of thl 23 Rev.nue Dhtrlct Offices, or by ClUing thl 'PKIII Zft-hour
In.""rlng slrvice nuMber. for for.. ord.rlng: In Penn'vI"',"I. 1-100-562-2050, out,ld. Penn'Ylv,"l. end
..Ithl" loul H8rrhburg er.. (717) 717-1094, TDD. (17) n2-ZZ5Z CHllrlng f.,llred Only).
OBJECTIONS' Any plrty In Interlst not slthfled tilth the IIPPtehe'lnt, ,UOWInU or dl..Uowane. of deduction., or .........,t
of t.x (including dhcount 0,. Intlrut) II ahown on thh Notlc. lU.t obJICt within sixty (60) dey. of receipt of
thll Notlc. bYI
ADMIN
ISlllAfll/E
CORRECTIONS,
--written prot..t to the PA Dlplrt-.nt of R8...enue, laIrd of App..l., DEPt. ZIIOZI, Hlrrlsburg, PA 17121-1021, OR
"II.ctlon to h....e the ..tt.r det.r.ln~ It aUdit of the tc<:ount of the p'''.on.1 rapr..."tlUve, OR
--SlPPII1 to the Orph.".' Court.
DISCOUNT I
flctUIII .rrors dbco"'lred on thh .......ant should bl IIddrused In writing tal PA D.psrt...,t of Re...W'I!.M,
lur..... of Individual T.IC", ATTN; POlt A.....nnt RI...I... Unit, DEPT. ZI06DI, Hlrrllburg, PA 17121-0601
Phone (717) 717-6505. S.. p.". 5 of tt. bookllt "Inltructlons for Inhlrltenc. TIIC Return for I Ruldent
DecldMt.. (REV-ISDl) for en ,.plln.tlon of edIIlnhtntl"'liy correctlbl. .rror..
If Iny tax due 11 PIld within three (5) ellendlr .onth. Ifter the dlCedlnt~. d..th, I five pe,.cent tSle) discount of
the tlx p.ld is IUowd.
INTDtEIT I
Intetllt 11 ch.rged b"SMlng with firlt dl3t of deUnquenc~, or nlM (,) lIOrIth. and OM (1) d.y frOll the dltl of
de.th, to the d.tl of p.YHrlt. le.1t which bee... dlUrMNent beforl Jenulr~ 1, nlZ b.ar Int.r..t It the nt. of
.1_ (6X)'pereent Plr annuM clleullt.d It. dll1~ ,..t. of .000164. All t.~.s which bee"l delinquent on and Ift.r
Janu.rv 1, 1'12 will bI.r Int.r..tlt . r.t8 Ntllch will "'Irv froe calendar ~"r to c.IMdllr v..r with that nt.
~ b~ the PA D.,lrt.ent of fll...,"",. TM .,.Ucllbl. Int.relt: ret.. for l'"Z through 1tM .rlS
~ Intar.1t Rete D.Ilv Int.r'it F.ctor Y.lr [ntere.t bt. DlIh Int.r..t Fector
1'" 20X .DDOSitl "16 'OX .ODDZ74
1915 l6X .OOOUI 1.17 OX .DDDZO
I'" lit .DODSel 1'11.1991 .IX .00DSDl
I... IS" .DDDS56 1"2 OX .0002'47
1.91.1," .. .0001"
"-[ntlnst II cllculated I' follo....
llITEUST . IAUllCE OF TAX UNPAID X IIUIlIIER 1IF DAYI DELINQUENT X DAlLY INTEIEIlT FACTO.
-.Anw NoUcI Issued ,ftll" the tex beeOlllS delinquent will r.Uect In lntlrllt CIlcuhtJon to flftMl'l CIS) d....
IMl'Ol'ICI the dIIt. of the ......Mnt. If p.~t AI hell IU.r the lnte'.st ~tltlon detl Ihown on the
Notlc., Iddltlonel Int.r.st ~.t be cllcul.tld.