HomeMy WebLinkAbout94-00317
.., ........ ""...
~Jt,~
,-.~
(I( .. ,)!,) . I;'
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
YEAR.
, ,
REV.flCO E!. 110871 "
+
19. If IIn. 18 I. greolor Ihon IIn. 17, .nlor Ih. dlll",n" on IIn. 19. This 1.lh. OVERPAYMENT.
110
20. If IIn. 17 I. greolor Ihon lin. 18. .nlor Ih. dillor.n" on lin. 20. Thl. Is Ih. TAX DUE,
A. Enlor Ih. 1nl.rtil on Ih. bolon" duo on lin. 20A.
B, Enlor Ih. 10101 of Iln. 20 ond 2M on IIn. 20B, This 1.lh. BALANCE DUE,
Mak. Ch.ck Poyabl. 101 R.gl.t" al Will., Ag.nt
.. "IISUSI TO ANSWIS ALL QUUTlONS ON SIVIUE SIDI AND TO IICHICK MATH....
Und.r Plnallil' of p.rlury, I d.clar. that I have uamlnfld thl, return, Including f'ccompanylng Ich.dulll and ,Ial.m.nll, and 10 th. bUI of my knowledg. and beli.~
II II tru., corrlcl and compl'I', I d.dar. Ihal all r.al ,,101. has btln r.porllld allrul mark'l valu.. oeclarollon 01 pr.par.r other thon the p'rlonal r.presentative II
balld on alllnformotlon of which preparer nOI any knowl.dg..
!! ON . Or. I , fa ""NO liMN AOOms . bAlE If
rU/c\ tu / ) !. / . I ,-ill
H HAN N A ,V DATE I
g
~
Q
I!!
~~g
5~a
--
~i
~2
mE NUMIIR
q4
o?l
0/7
NlIMBE~
COMMONWE4LlH Of PENNSYlVANIA
OEPARTMWT 01 RfvENUf
POSlOfflCE eox 8J'l1
HAUISIURO, PA. 17'05,8321
CEDfNT'.~ NAME IlASl. f'R~T. AND MIDDLE INITIAl!
COUNTY CODE
ON' OML A
Hessiah Vi llage
100 Ht. All en Drive
HechanicHburg I Pa. 17055
Co~nty Cumberland
o 3, R.molnder R.turn
Ifor dOl" of d.ath priorto 12-13.821
05. F.dorol E"ol. To,
R.lurn R.qulred
_ 8. Tolol Numbor 0' Sol. O.po.1t Bo",
ClAI U I NuM\f.e~fN~OATf Of 11I111
206-10-8901 17/7/93 I 4/22/10
fi 1. Original R.lurn 0 2. Suppl.m.nlol R.lurn
o 4. Llmllld E.lol. 0 40. Fulure Inl"." Comprom".
Ifor do'.. of d.olh oh.r 12.12.B2)
o 6, O.c.d.nt Ol.d T"lol. 0 7, OIC.d.nl Molnlolnld 0 L1'lng Trult
(Alloch copy of Will) {Alloch copy of TMI}
AL~ CORRESPONDENCE AND CONFIDENTIAL TAX INFORMAnON SHOULD IE DIRECTED TO.
NAM C M l MAlLIN A DR
Donnie G. Hurley
l II N! NUMIER
P.O. Box 186
Landisburg, Pa.
no
17040
717 1 789-4638
.Il
-0-
o
-0-
~
~
1. R.ol Euol. 15ch.dul. A} ( 1)
2. Slock. and Bond. (Sch.dul. B) I 2)
3. Clollly H.ld Slock/Pa'Inlllhlp Inlor"IISch.dul. C) 1 3}
4. Morlgog.. ond Nol.. RICII,obl. ISd,.dul. D) ( 4)
5. Calh, Bonk O.po.lh & Mhc.llon.oUl Ponanol Property I 5)_
(Sch.dul. e)
6. Jolnlly Own.d Properly {Sch.dul. F} (6) 1 ~ 9 ~ 7 . 11
7. Tronder'ISch.dul. G} (Sch.dul. L) (7) 6553. 9S
8. Tolol Gro.. A...h (Ialollln.. 1.7)
9. Funeral exp.n.... Admlnh"otl" Co.h. Mhc.llon.ou. ( 9) _?211_.48_
exp..... (Sch.dul. H)
10. D.bt.. Mortgog. Lloblllli.., L1...ISch.du1. I)
11. Tolol O.ductlon. {IOIOllln.. 9 & 10}
12. N.I Volu. af E.loII IlIn. 8 mlnUllln. 11)
13. Chorltobl. ond Go,ernm.nlol Bequ"I' (Sch.dul. J)
14. N.I Volu. Subl'ct 10 To, IlIn. 12 mlnu.lIn. 13}
15. AlJounl 0' IIn. 14 loxobl. at 6% '01.
(Includ. volu.. Irom Sch.dul. K or Sch.dul. 101.)
16. Amount 0' IIn. 14laxobl. olIS% rol.
(Includ. volu.. from Sch.dul. K or Sch.dul. M.)
17. Principal lox du.IAdd lox from IIn. IS and 'ron,lIn. 16.}
1 B. Credit. Prior Poy",.nh Ol.counl
hC)~ 9'
I
I
0-
0-
'1]
(',
( 8)--2.2511.26
110)
1711 1.7
10944.95
'11%fi.111
(11)
(12)
(13) -
(14)
) 1566 31
(15)
11 'i/ifl. 11
M.06_ _.i>.91 Q7
116)
M ,15-
z
o
I
g
(17)
Inler..1
(1 B)
119)
Che(~ here if you flfC 'OllUC\ting (I rrfunfl o' your ovcrpuynlf"nf
69'1.97
120)
120A}
(20B)
693.97
. .',
.-,.... ~- '" ~"......-._..- .-....
ltV,I6Ottltl'.Mt
COMMOHwtAlTH Of UNNmVANIA
INHIIITAN(1 TAlI"UIN
1.'lotNIOIC.DtNt
SCHEDULE F
JOINTLY.OWNED PROPERTY
iSTATI 0'
IRENE Z. BOOK
Join' '.non'(')1
-I PILI NUMalR
A.
----
NAMe
Bonnie G. Hurley
ADDIIIS
P.O. Box 186
Landisburg, Pa. 17040
.__.w..___..__.._....____w_
RELATIONSHIP TO DeCIDENT
Granddaughter
..
c.
Jelntly"wMcl proptrfYI
ITlM LmlR DATI DOLLAR VALUE OF
POR TOTAL VALUI DICD'S
NUM'.. JOINT MADI DISCRIPTlON OF 'ROPlRTY O'Asm 'If> INT. DECIDINT'S INTlRm
TlNANT JOINT
1. A 6/1/9 Dauphin Deposit Bank 15952.01 100 15952.01
and Trust Company
Checking Account #OO1652C 114
Accrue~ Interest 5.30 100 5.30
.
,
,
, ,
"
.
,
. .
, ,
,
,
"1 1
,
"
.
-
TOTAL (Also .nlor an IIn. 6, Recapilulollon) $'1;01;7 31
I" mort IpOCO I. n"dld In..'' odd/flonol.hoo,. ./ .om. till)
I.
.... h, ....... ,........., __ .
.~ ,
"~, ,-
IRENE Z. BOOK
. SCHEDULE H ~
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES . PI.al. "prln' or Tvp.
llU NUMIER
..Y.ltll Il. I"'"
I\~J\t:9n
._~~
COMMONWIAllH O. PINNIYlVANIA
INHIRIlANCllAi mURN
RUIOINl OIC!DINl
mATI O'
ITEM
NUMBER
. DESCRIPTION
AMOUNT
A. Funeral bp.n"I'
1.
2 .
3 ,
4.
Neill Funeral Home, Inc.
Royers Flo~lers
R. J. Romberger & Sons
Wake - Stevens Memorial United Methodist Church
Hershey Schell Sunday School Class
$7420.00
128.48
98.00
50.00
B. Admlnll'ratlv. COIIII '-0-
1. Perlonal Reprelentotlve Commllllonl
Social Security Number of PorIonal Repr..entatlvlI
V.ar Commlsslonl paid
2, Attorn.y Feel -0-
3, Family EKemptlon -0-
Clalmanl Relatlonlhlp
Add".. of Claimant at decodenl'l death
Slreet Addre..
City Slat. Zip Code
4, Probale Feel -0-
C. Mlle.llan.oue Sxp.n..11
1. Filing Fee - Cumberlanq County Courthouse 15.00
2,
3,
4.
S,
6,
7.
8,
TOTAL IAho enter on line 9, Recapltulallon) S.
(If more Ipae. II nlld.df In..rt additional Ihee'l of lam. 111'.1
."t1..'~ *'
no< fWI.... Of ........,....14
--...-
"__HI
ICHIDULII
DilTS 0' DICIDINT,
MORTGAGI LlAILITIIS AND LIENS
IRENE Z. BOOK
... DIIC.11'nON
L Messiah Village - ambulance membership
2. Bell of Pennsylvania - June & July bills
3. Cowley Associates - medical bill
4. Pr. Raymond Grandon - medical bill
5. Holy Spitit Hospital
6. Community General Osteopathic Hospital
7. West Shore Anesthesia Associates - medical bill
B. susquehanna surgeons - m5die.1~~111
9. Inners-Davis Assoc~ates - medical bill
10. Harrisburg Oncology Associates - medical bill
11. AT&T - charge card
., ..
'"''''
12. Hess's - Charge Card
13. John Wanamakers - Charge Card
14. Bon Ton - Charge Card
TOTAL tAl.. Inter on Uno 10, RKapltulatlon)
(11_ .,.oc. h -.ltd, In..rt oddIIionollhMlt 01 10m. .ill,'
AMOUNT
$ 35.00
74.3B
52.87
56.80
339.00
16.80
37.05
38.57
44.49
450.23
1670.27
217.21
100.00
100.00
. 3233.47
c
RaY.l11t7 IX AFP (10.93*
C~AlTH 01" I'fNHIYlVAHU
IIfPMlllEHT 01" Rt:VEIU
IURt:AU 01' INDIVIDUAL TAKEI
DlPT, 210601
_11__, PA 17111-0601
t?o~
NOTICE OF INHE"ITANCE TAM
AFF"AISEHENT, ALLOWANCE a" DISALLOWANCE
OF DEDUCTIONS, AND ASSES8HENT OF TAM
ACN 101
DATI 08-08-94
FILl NO.
DATI OF DIATH 07-07-n COUNTY CUMBERLAN!l
HOTEl TO INSU"E F"OFE" C"EDIT TO YQU" ACCOUNT, SUSHIT THE UFFE" FO"TIOH OF THIS FO"H WITH YOU" TAM
PAYHENT TO THE "EOIITU OF WILLS. HAME CHECM PAYASLE TO ""EOISTE" OF WILLS, AOENT"
REMIT PAYMENT Tal
-
BONNIE G HURLEV
PO BOX 186
LANDISBURG PA 17040
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
AlIOUIlt Re.uted
-
l
CUT ALONG THI8 LINE .... RETAIN LOlfER PORTION FOR YOUR RECORDS ~
iiiil: ii4'7"iic"AFP" (lij:m- -NOT ici" 'ciF"i"N'iiiiiii' ANci-i'A~-A-PPAA-i iiHiNi'~" AtrciwANci -(jli...... -- -"""..""-
DISALLOWANCE OF DIDUCTIONS AND ASSESSMENT OF TAX
ISTATE OF BOOK IRENE Z FILE NO. 21 94-0317 ACN 101 DATI. 08-08-94
TAM RETURN HAS I 1 X) ACCEPTEO AS FILED
I I CHANGeD
RESERYATION CONCERNING FUTUR~TEREST " GEE REVERSE
APPRAISED YALUE OF RETURN BASED 0"1 ORIGINAL RETURN
1. "eel eotote ISohedule A) (1)
2. Stooke ond knd. I Sohedul. II (2)
5. Cla..ly Held Stook/Pertn.rlhlp lnt.r..t ISchedul. C) (5)
~. Nortglge./Note. Rea.lvebl. ISoh.dul. DI (~I.
S. Ce.h/Sank Depo.lt./HI.c. P.rlonel Prcp.rty (Schedul. E) eS)
I. Jointly Owned Prop.rty (Schedul. FI II)
7. Tren.fer. ISohedule 0) (7)
e. Totel A..eto
.00
.00
,00
,00
,00
15.957.31
6.553.95
(e)
22,511.26
APPROYED DIDUCTIONS AND EXEMPTIONS I
9. Funeral E.p.n.e./Adelnl.tretlve Ca.t.1
HI.celloneou. E.p.nle. ISchedule HI
10. D.bt./Hartgege Llabllltl../Llon. (Sah.dule I)
II. Tot.1 Ooduatlan.
12. Net Value af TIM Return
Cherltable/Oov.rneontel B..u.lt. ISch.dule J)
Net Velue of E.t.te Subject to T..
191
(10)
7.711.48
3.233.47
Ill)
(12)
(15)
1l~1
10,944.95
11 . 56 6:3i"
,00
11,566,31
U.
I~,
NOTE I
If .n ........nt w.. i..u.d pr.viou.1Y, lin.. lit, 15 and/or 16 .nd 17 will
r.fllct figure. th.t includ. the total of ALL rnur'n. .......d to d.te.
A881SSMENT OF TAXI -
15. Aeount af Line I~ te..bl..t IX r.t. 1151 11.566.31 M.OI' 693.98
16. Aeount of Line I~ to.ebl. et 15X rete Illl ,00 M,15 . .00
17, Prlnclpel Te. Due Cl71 693,97
TAX CREDITS I
PAYHENT
OATE
RECEIPT
NUHBE"
DISCOUNT (.1
INTUEIT (-I
AHOUNT PAID
INTEREST IS CHARGED FROM 04-08-94 TO 08-23-94
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM."
TOTAL TAX CREDIT
BALANCE OP TAX DUE
INTEREST
TOTAL DUE
.00
693,97
18.39
712.36
. IF PAID AFTE" DATE INDICATED. SEE REVERSE
Fa" CALCULATION OF ADDITIONAL INTEREST,
( IF TOTAL DUE IS LESS THAN ai, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "C"EDIT" ICR), YOU HAY IE QUE
A REFUND. SEe REVERSE SlOP. OF THIS FORH FOR INSTRUCTIONS,)
RESERVATION I E.t.t" of dec.dlnt. (lvlng on or before DecHblr 12, 1912 .. If any future Jnt.rllt tn thl "tit. it tran".rred
In po.....Jon or InJoVllnt to Cl... a (coll.ter.l) b.n.flol.rl,. of the decldent ,ft.r the 'MPlr,tlon of any ..t.t. 'or
life or for v..r., thl Co-.onwe.lth h,rebv 'Mpre..ly r',.ry,. the right to tppr,l.e end ...... tron,f.r Inherltanc. T.x..
at thl lawful Clu. a (colllt,r.1) r.te on any ,uClh futl"e Int,rut.
_Of
NOTICE I To fulfill thl requlreHr1h of Section 2140 of thl JnMrltano, end Elt.t. TIM Act, Act 2Z of 1991. 72 P,I.
So.Uon /UO,
PAYlCNTI DltlCh thl top porUon of thlt Notice end ,ubalt '11th 'lour p'YHnt to thl hghter of WU1. printed on thl r.yer.. .leII.
..H.... ohook or ....., ordor .""'1. to, REOISTER OF HILLS, AOENT
All PIVtent. rec.lyed .h.ll flr.t be applied to .ny Intlr..t whloh ..v b. due with any re..lndlr appll.d to the t.x,
REFUND (eR)1 A refUl1d of . tlM oredlt, which Wlf not requuted on the TalC Rlturn, IIY bl requutld by ClollPlttlng an "Appllc.Uon
for R,flAWi of PIM'vlv,"l. InhtrltWI end Eltete llX" (REY-UU)' .ppllc.Uon. Ire Iv.l1ebl. at the Offlc.
of the Regi,t,r of Will., anv of the 2] R,y,nu. DI.trlot Offlc.., or bv cllllng the Ip.ol,l 24-hour
M.werlng ItrYlc. nUllb.re for forll orderlngl In Ptnn.vhanll 1-800-162-2050, outtld. PIM.vlYlN1le tnd
within 100.1 Htrrl.burg Ir'l (111) 787-8094, lDOI (717) 112-2252 (H..rlng IIP.lr.d Only).
OIJECTJONSI Any p.rtv In Intyr..t not ..tl.fl.d '11th thl .pPr.I....nt, .llowanc. or dl..llowanc. of d.ductlon., or ......tent
of t'M (inoludlng dl.count Qr Jnt.rl.t) ,. .hown on thl, Hotlcl .u,t obJ.ct within .1Mty (60) dlv, of r.o.lpt of
thlt HoUo. bVI
"wrlttln prot..t to the PA O.pert.ent of Rlv.nu., Bntrd 0' Appul., DEPT. 211021, .terrltburg, PA 171211-1021, 0"
--lltot10n to hlVI the .ttt.r nltlr.ln.d .t ludlt of thl 1000unt of th4 Plr.onal r.prl..nt.tlv., OR
-.app"l to the Orphan,' Court.
ADHIH
IIlRAlII/E
COIiReCTlOHS.
DISCOUNT.
FtotuIl .rror. dl.coy.rld on thl. ..o.....nt .hoyld bl .ddr....d In writing tOI PA D.p.rt.ent of RIYIOUl,
aUrtlU of Ind1yldull Tu.., AnHI Po.t A""lOInt Reylew Unit, DEPT. 280601, tlarrltburg, PA 17128-0601
Phone (717) 787-6505, S.. PI" 3 of the boGkllt "In.truotlon. for Inh.ritancI TIX Rlturn for. RI.ldont
Decedlnt" (REY-UOll for au 'lCplanlt!on of ad,lInlttratly.lV corrtctlble errore,
If '"'I t'M due It p.ld w1thln thrtl (]) cII,ndar .onth. after the decldent'. duth, . flYI perolnt (5~) dltoount of
thl tlx pltd It 11Iow.d.
IHTERfST.
Inter..t It cherDld beglmlng wlth flret dlv of d.lInqu.ncv, or nine (9) IOnth. ~ ant U) d.y frol thl; date of
de.th, to thl d.t. of Plv..nt, TIMI. which bee... d.llnqu.nt b~fore J~.rv I, 1982 be.r Intlr..t at the r.t. of
.he (6X) plrcent per ~ Cllcul.tld at I d.Uy rite of .000164. All lIMII which bee"l dlllnquent on and Ifter
Janu,rv 1, 1982 will be.r Intere.t .t I r~tl which will y,rv frol ctl.nd,r ye.r to o.l.ndtr VI.r '11th th.t rltl
tnnouncld bv the PA O.p.rt..nt 0' RIYlnu., The npplloabl. Int.rl.t t.tl. for 19a2 through 1994 .rel
'!!!r Intlrut R,'e 0,11'1 Interllt factor !!!! Intlr..t Ratl DillY Int.r..t Footor
191/ /o~ .000541 1986 10~ .000/74
19U 16~ .ooom 1981 IX .000/47
19" IIX .000501 1918-1991 IIX .000301
1915 m .ooom 199/ 9X .000247
1993-1994 IX .00019/
--tnter..t I, cllcullted .. followlI
INTEREST . BALANCE OF TAX UHPAIO X NUNSER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
.-Anv Notlol I..u.d .fter tho tlM b.co... dlllnquent will rlflect en Int.r..' oftlculttlon to 'Ift.en (151 dlY'
bevond thl det. of the ......lIflt, If PlvHnt It .Id. .fter thl Int.rllt COlPyt,Uon dlt. ahown on thl
Notice, Iddltlonll Inter..t IUlt be c.loullted.
.
"..x~
A DePARTMeNT OP ReVeNue
UIIAU 0' INDIVIDUAL TAXES
ePT. 280603 .
ARRISRURG, PA 17128.0603
nno(.> ';'j,'.'i,'I!.NT
\:'~'" ,'.' ;/1; ~~E..8
1\/"'",;,,,,
'\'~!\:'..: ,,:,~!:'H~, Ph
l~:..."..:-.:."-...;~: _,' J', ...'~";,.i,,":'...',.~:~'.'/
....:~,\' I~;D.., ~t;;..... 'l.'r~",~:';:I('~~::-":':"''''1
e~ /,,' .' "". . ,'.' U..,P..oIAf,[
...... ..,' , ~" ",,1 ...'! '
"..',.1 . 'II" II'" , ',' I
r II .'It. r ,f::, I 'l' 0 ,... i' :;
, ~.;t~ ,,t~_:'Jrl~',:', I .t, ..) .,
IT /':1,110 'I"
'j'" ~ I;\~" ._......".......
'0
^'~
Ii ...,
\",-'
0'\
'.'0
N
n.
c;(l
"."
~~
,,0.;
,',
,
MS MAR\' CLEWIS
REGISTER OF WILLS
CUMBERLAND COUNT\' COURTHOUSE
CARLISLE PA 17013
;... ~
ic
~t ~
eO,
1',.(lj
(jel;
.'..9
~:: F
Ql:l
Ow
"
111I1I1lI,llluuullllll,llll,1 .
, ,
) ._,
., ,.....,.......-.--..., .-,
I 1
I
71/1,
MELL
RETURIII
WEALTH
TR
PAGE 1 OF 1 04-1e-94
ACCOUNT 11e-e0467&3
,.WICE.
, ,
,
WE CHARbc.1J YOUR
5'
~~~~E~~~ERITANCE
B IPTS & CONTROL
BANK RECONCILIATION UNIT
HARRISBURG PA 171&a-0001
ACCOUNT WITH THE FOLLOWING RETURN
ITEMS.
TA){ f~ ~ J)1Y1;,t 11-!l1fr ko-
) q) -4-&,-;;"?/?
.1
.,
1
I
, RETURN REASON
NSF
,0'\
- "1
, "
0$ N
0>::;: 0..
, ~ ~;,..
.- co
, ~;, .-
, . ,l ..
'iu o~ ~
"0 1;1 :>:;
, j~'
'I P\
"
I
DEPOSIT DATE
040794
At'lOUNT
693.97
ITEM SEQ NBR
0000ea736e14
t::~
,SO; ~ J,{-f, p
O(J~ C;L/-o3/7
. ..A
. Iii g
Uu
h
7~~
1O'7~/313
')),
-no/iaN. I
0.:, "
(.
,.
(,
~t.,., "
" \'
",t
, ,
,
OOI:,~3E:j'j',II,
I' ",
I I . ) / / "I I'N'I
t(e,!l<f'lIed ;II.:J, !/t./I/c,'r.:.; :.1/d(:'I'../(/.;. ('II~'('II C'II ~ t./ i ... .
PAVHENT,
DettCh the top portion of this HotJo. and ,tUbllt with your Ply.ent ..de p.yablt to thl n'te end addr...
printed on the r.v.r.. ,Ide.
If RESIDENT DECEDENT IIko chock or .on., ordor .."blo tOI REGISTER OF WILLS, AGENT,
If Nllfl'RESIDENT DECEDENT uko ,hock Dr 'Dn" ordor p".blo tD' COMMONWEALTH OF PENNSYLVANIA.
All ply..nt. received thall b, ~plJ.d flr.t to any Int.r..t which .ay b, dUI with any r...lndtr applJed to thl taw.
REFUND (CRJI A r.fund of . taM or.dlt, which wa. not requ.tted on the TIM R.turn, "V b. r.quI.ted by coaplltlng an
"Application for R,fund of P.nnlvlvanla Inh.rltancl and E.tat. laK" (REV-Ill!), ApplleatJons ar. available ot
thl Offl01 of thl R.glst.r of Wills, any of the 23 R.vlnu. Dls'rlct Offlc.. or fro. th. Dapart.,nt', 24-hour
anlNlrln; ..rvlol nu.b.r. (or for.. ord.rln~l In Plnn'Vlvanta l-aOO-36Z-Z0S0, out,ld, P,nnlYlvanla
and within local Harrlsburll .re. (7171 767~8094, lOOI (11) 772~22S2 Olllrlng I.palrld only),
DISCOUNT.
Queltion. rlgardlng error. contaln.d pn thl$ not Ie. Ihould b. addrl...d tOI PA OIPart.ont of R.v.nuI, Bur leu
of IndividUal 1a>e.., AllNI POlt A.......nt R.vilw Unit, D.pt. 280601, tlarrhburg, PA 17128'0601, phone
(717) 781'6105.
If .nv ta>e dUI I. paid wJthln thr.. (l) cftl.ndar tonths aft.r the doc.dQn". d.ath, a ftv. porc.nt (5X) di.count
of the ta>e paid t. allcwld.
REPLV TO,
INTEREST I
tntlrut It chargld b.glnnJng with flr.t day of dlllnqulncv, cr nlnl (9) tenth. and cne (1) d.y fro. thl date of
d.ath, to thl date of pav'lnt, TaMe. which b.ea., dellnqu.nt blfore January 1, 1982 bear Jnt.re.t at the rat. of
Ilx (bX) p.rc,nt per annul calculat.d at a dally rat~ of ,000164, All taM" which b.aa.. dlllnqv,nt on and aftlr
January I. 1982 will b.ar Int.r.st at a ratl which will vary frol aallndar VI.r to aalender y.ar with that rfttl
announcld bv the PA D.part..nt of A'Vlnue, Th. appllaabl. Int.r.st rat'l for 1982 through 1995 ar'l
Vear Inter..t Rat. Oallv Int.r..t Fftotor Vur Int.r..t Ret. OaJ Iy Inte,.ut Faotor
1912 lOX ,000148 1987 'IX .0007H
1983 161- ,000"58 19S5-I99l lI1. .000301
19.4 111- .000301 1997 91- .000747
1985 131- .000316 1993-1994 71. .000197
1986 101- .m714 1995 91- .000741
~.Intlr..t It aalcuhhd II folloWl1
INTEREST . BALANCE OF TAX UNPAID X NUMDER OF OAYS DELINQUENT X OAILY INTEREST FACTOR
~.Any Hotla. 1..u.d aft.r the ta>e bleo... d.linqu.nt will r.fl.ot an tnt.r..t aaleulatlon to flftl.n (151 day.
blYond the d.t. of the ..I....ent, If pav,.nt I. ."de aft.r the Int.r..t eo~utatlon date .hoNn on the
HoUel, ~dJtlonal lnt.rllt IU.t b. calcul.tld,
I
oJ ..'. ,.. ."",. """~ .
...----- - - ... -- --_-,.- - -. ---"0'. '_'_'_ .____..... _ '...... ,...".. __ _ n~... ... ...,.. ,_ _, n_ '". ._._.., __n.... _..J
. " b -...3 RI-j"
, ,. 1t . '.
11 N~.AA0228~4 , ' COMMO~~::~~T~: R~~:~:YLVANIA '~.~...j;~ ' ~t.
IIV.lltllI ~"I OPPICIAL RECIIPT . PENNSYL~ANIA INHERITANCE AND ISTATI TAX ~~g
RECEIVED FROM:
a
ACN
ASSESSMENT Il'
CONTROL IiliI
NUMbER
AMOUNT
DAVID A. HURLEY
POBOX 196
BELLS HILL ROAD
LANDISBURG PA 17040
101
.'/;:1;:1-;'00
.
,,'OIOHW
ESTATE INFORMATION:
m FILE NUMBER
Y el-1994-0317
m NAME OF DECEDENT ILAST'
SI DOl< IRENE Z
II DATE OF PAYMENT
II POSTMAdIe14.'95
COUNTY
aSN e06-10-8901
IFIRSTj IMI
CUMBERLAND
DATE OF DEATH
REMARKS
07/93
DAVID A. HURLEY
J
B TOTAL AMOUNT PAID ___~33. ~
RECEIVED f;i."
SEAL
CHECK" 1031
REGISTER OF WILLS
MARY C. LEW
REGISTE~ OF WILLS
......- - - - ~._- - - -<--- ....-...--...-- - -- - - ,- --.- - -.- -~ _. -- - _. -.- - -. -. -. - - - '-- .-. - .-.__.
'., , ,
, .
I
. .
..-
. ..... ...............--
~,,-'--._. ~ .'-'''P' ':4 i
,
\
\.
/1. .;?d)'-/3
RI 1607 IX AFP (12"94*
IlItllONWEILTH 01' PfNHIYlVAHIA
OEPARTItl!HT Of REVENUE
IUREAU Of INDIVIDUAL TAXEI
OEPT. !I0601
HARRIIIURG. PA 11121-0601
ACN
101
INHERITANCE TAX
STATEMENT OF ACCOUNT
DATI
04-17-95
DATI OF DIATH R9~~1-93 IRENE Z ~~h~T~O. ~bHXMn~
HOTEl TO INSU~E P~OPE~ C~EDIT TO YOUR ACCOUNT. SUINIT THE UPPE~ PORTION Of THIS fO~N WITH YOU~ TAM
PAVNENT TO THE ADDRESS SHOWN. NAKE CHECK PAYAILE AND ~ENn PAYNE NT TO, ,
BONNIE G HURLEY
PO BOX 186
LANDISBURG PA 17040
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
AMount R..I U.d
()v~/
CUT ALONG THIS LINE ~ RIlAIN LOlllR PORTION FOR YOUR FILES ...
ii,{y:Uiiif"ixUAFii"i1F94ym"'.iii;"iHHERi:TANCi"fAX""iii'ATili1Ilif-ii,;-;.ccou'Nf."iii."....U"'''"''''''."
DATI 04-17-95
ESTATI OF BOOK IRENE Z FILE NO.21 94-0317 ACN 101
THIS STATENENT IS P~OVIDED TO ADVISE Of THE CURRENT STATUS Of THE STATED ACN IN THE NANED
ESTATE. SHOWN IELOW IS A SUNMARY OF THE PRINCIPAL TAK DUE, APPLICATION OF ALL PAYNENTS,
THE CU~~ENT IALANCE. AND. IF APPLICAILE, A PROJECTED INTEREST FIOURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 01-10-95
PRINCIPAL TAX DUE,
PAVMENTS (TAX CREDITS),
PAYMENT RECEIPT
DATE NUMBER
02-13-95 AA022824
03-27-95 r.f.) AA022976
~ ~'q \~ .1:
d .:J ~l fl.
U ,
.....;: r~ i,
i)
. , oq
N ,.,
~ i
, ~~ ,I
i..
(-" II ~l
U (,I) l5i ~a
(I) (I::
0::
DISCOUNT (+)
INTEREST (-)
43,25-
.04-
AMOUNT PAID
733.00
4.26
TOTAL TAX CREDIT
BALANCI OF TAX DUE
INTlREST
TOTAL DUE
. If PAID AfTE~ THIS DATE, SEE REVERSE
SIDE fD~ CALCUlATION OF ADDITIONAL INTEREST.
I If TDTAL DUE IS LESS THAN 81,
NO PAYNENT IS REQUIRED,
If TOTAL DUE IS REFLECTED AS A "CREOn" IC~I,
YOU NAY IE DUE A REfUND. SEE REVERSE SIDE Of THIS fORN fOR INST~UCTIONS.
693.97
693.97
.00
.00
,00
PAYIlEHT,
a.tech tn. top portion of thi. Hotlel .nd ~~It with your plv..nt .ed. Plyeblt to thl nt" .nd .ddr...
printed on thl r.~erl' ,Id,.
If R!SIDEHT DECEDEHT uk. ,hook or .on.. ordor PI..bl. \01 REGISTER OF WILLS, AGENT.
If HDH-RESIDEHT DECEDEHT uk. ,h.ck or IOn.. ordor p...bl. tOl COMMONWF.ALTN OF PENNSYlVANIA,
All ply"ntl rectlved .hlll bt .ppll.d ,lr.t to ,ny Int.r..t which .av be due with any re..ind.r Ippll.d to the t.w.
REFUND (CAll A r.fund of . taM cr.dlt, which wa. not requested on thl llM Return, lav be r.que.ted by co.pletlng In
"Application for A,fund of Penn.vlvlnll Inherlt.nce nod E,t,t, laM" (REY~1!15), Application. ere IVllllble at
thl OffiCI of thl Rtgl,t" of Will., any of thl 25 Rlvlnu. Ol.\rlot Office. or frol the O.p.rt..nt'. Z4-hour
anlwtrlng ..,ylel nUlb.r. for fori' ordering, In PlnnlvlvlnJ. l-aOO-S62.Z0S0, out,ld. Penn.vlvanl.
."d within 10cII Harrisburg ar.. (7171 717-1094, 'DOl (17) 172-22S2 (Hurlng IIPllr.d onlvJ.
REPLV TOI OU..tlont r.gerdlng Irrorl contllntd on thlt notice Ihould bl eddr...ed tOI PA Dlperhltnt of Rlvlnu., Bur'lu
of JntllvJdu.l laIC", ATTNI Po,t h......nt A.vilw Unit, D.p\, 280601, t1arrhburg, PA 1712ft-060I, phon,
1111) 117-6S0S.
DISCOUNT I
Jf .ny talC dUI i. paid within thr.. (]) cal.nd.r IOOthl aft,r the dlc.d.nt'. dl.th, . five p.rclnt (S~) dllcount
of the talC paid I, allow.d,
IHIEREST.
Jnterut II charg.d beginning with flr.t day of d.lInqulncy, or nln. (9) lonth. and on. (1) dllyo frol the dlte of'
d.lth, to the data 0' pay..n" TalCII which bu... d.lInqu.nt h,'or. January 1, 19112 bear Interllt at the ratl of
.he 16~) perc.nt per annul calculated It a dallv rlta 0' .000164. All tan. which b.c..e d.lInquent on Ind after
J.nulrv 1, 1'182 will blAr Inttrllt It a rate which will verv 'rol cahnd~r Yllr to cel.ndar VI.r with that r.t.
announc.d bv thl PA D'Plrt.lnt 0' R.v.nuI, The applicable Int.r..t rat.. 'or 1982 through 1995 ar.1
Vllr Jnterllt Aate DaUv Interllt Factor VII" Interllt Aet. Dally Inter..t Fllctor
1m 20% .000141 19.7 9% .OD0247
1911 16% .000431 lm-1991 11% ,000301
1964 11% .000301 19'/1 9% .000247
1915 13% .000U6 1993-1994 1% .00019l
1916 ID% .000214 1991 9% .00D247
"Int.rut hi c.lcullted .1 followlI
IIITEREST . BALANCE OF TAX UNPAID X NUMIER OF DAYS DELINQUENT X OAILY INTEREST FACTOR
'-Any Hotlce I,.u.d aft.r the talC b,col" dellnqu.nt will refllct an Int.r.,t c.lculatJo" to flfte.n CIS) day.
b.yond the date of the a,.,.,..nt. If pa~..nt J. ..dl .ft.r the Inter'lt co~put.tlon date .hown on the
Notice, addltlon.1 lnterllt IU.t be calculated.
\
"
- .-..-,-. "__U - - ~, 'r-r
! I
1-'-
.
. '.
.. - . ..
"
i
'I'
".
.,
,I,
I
I
,I
'f.
,,I'
,T
,'1(
"I."..".,
. . .
.- . - -\i -
, .
- - -
, ,
~. o..t 'Ir"'" ,"".....~. ._~...,
.
1,\
,"\'
~ 'i, (,..I'
.. .. .. ..
,_.~-
.
.'
- - -
- - ., ,-
".,
'~..." ,..
"
"
"
"
- - - -
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT TO,
THE REGISTER OF WILLS LISTED BELOW
ESTATE OF
BOOK IRENE' Z
FILE NO/SSN 21 94-0317
COUNTY CUMBERLAND
DATE OF ASSESSMENT 08-01-94
ACN 101
,/
"
"
"
,
.'
,'I-
d
1\'
"
,I\)~~;
,1-'
"
"
It
"
, '
I'"~
,
i1'"
,I
"
\,'
.'
.
! ~ ';, "
"
.
.
. .
,"
''!l
REGISTER~F WILLS
CUMBER LA ~O l;,~URT !house
CARLISLE~ ~A I~013,~ rl
lr ~.J U
I~I: ;:;J ~ ,i' ;.~
\l' ctJ ii:' :1
') " ';1.
CI, __
.t:>.
, ,
", '
'i
-l/t~,'\ . ','~ . llliI~i~~IIiil.~~;w."""~-~'-""'''''.'''''~''''''_:'__I''i'~''''''~:'
, ., -.. -, . 'j 1 . 'I ~ _. .. '
" l' "",' 1 "'" " I
' ," , , . , ", ,"'I , ~ " ,
,'1 ! I '",' ..~. , "1
/." ,'~
. 'I'
, :, I
'.t\,
" ,I
".i
.II.'
,
, '
';\"\
"
,
"
','"
'I" ,". .-.. . ,.0
"")--"
,('),
p,
';:
:;Q !,;.
....~,
:.t:"1
.~
(:;)
iil
,0
,
\
"
.
,
, ,
"
,
1'1'
I','
,:
,-'-
.......,...---':""';"'..............--...-.JJ
(": " ,
"I ~\.:r-<
';1'"
() (' \
., '
...\'
=,_'1.
..'IlL>
Wo
'....,
,,~ ,',i
, "lI
:', .,0, ,I, .
,:'~",,~
, , +o{
I. .' .. ~', ,
. J, ' I), I '., r ' ' ~
, ',I'
t' j <\'
"1'"-,,
", ~ ,
" "
, .' ,
..;' :f.i;:
j
, ,
.'
1','
"~I j'
..-....1
_11'-'
~ -- -l.~' '\..,1"
}' I
'I. '....'
. ,
.
I
.(
\,
,I
(
j
"i
I'
. '
,
I.
I
','
"
I
'I
,:
I,
"
"
<,
,"
"
"
.1,.... ,
,..~\'!.1;1. !'-')L' .'. ,.'
".\{ l-.;\', rf~'I-\lJ~ '\-'1""" ~ '. ,
I . ~, ". ,'-, ., .t-.", __ ."""""
1,ll, ~"; ..." I, "I~ 1\'1"\\"" "1/" .. 'I ,t/,'"
,', ".", ,- I.. ..;- " ", '., ",,~!,.-.. k. ' . I
.11, 8vfJl;? 'I)'
, uu.vl ~~l)t.Uj f~ 170 '10
<r
.~
o (/)
,)) :7.~
'-'-"
II' ~.
':"''''
..~j
....
vF
.
<'.1 ,
'{) 'II
:'"')'('"
Cl't!)
Q> 0:
ce,
illl.
"'"""'"
N"
., '
~
"0_
f-:J
m~
~~~
;:,~:
~
,,,,'.lIIIW.tlC.\I. '. , ' ,
",~\'-{j ..'." ;~,~ hff'l,. .....I'i~hl_\iI ''''1/\ (.,/ "It.".".
"
"
I,
j;'
,I' "
,,'
I' ,I'
.
~
,.
"
'"
, '
,"
, ,
\
..,. .... ".. .... ~,' ..., II" .. ' '...
,
I,',
"
, '
".
"
'.'
i:
"
"
)
""
".
.'
.'
.
\',,"
~.:" ~-~~ 'I.
,;
, ...."
'~ -, ., ~,
',j.
.r,'
~-
--_.~
'-'-'---"-'-.
---...-.-
~_...~-~.._-.,
__"M'~',,___ ..._
---.-...-...- .
,'.'
~<C
"'CJ.i
(: "--;)
; /,;t,'J'U/ ""d/ ll/C lJ..
/"\(
uu.",61A1i ,.d G.' C.t"'....\f./....a;,.~,."..,
'" /. IJ, LfJ /(~'>1.3
.~,!c. ?~l-i'1 ~ L, "
.. L:;
.~ :1 ",
<1,~IIIIIII1II'IIIIIlIIIIIIlIlIIIIlIII"IIII"'III"
0</- ct.l1-311
I
"
"I,
I'i
"
"
"
,',',.
'.
,"
"
.'
.,
.'
'I'
"
"
'j,
"
"
1'\.
"1
1
"
,I
"
,
"
,~. ,
'.
"
'"
'1-,
iJ'
,
,
,
,
, "
,
I'
,
J
,
I
I
I
i'"
I'
I
.~.L..'.~'r;.......,..,i,..
i
,f,
",'",,'
, :,...
, "
,
I
..\
II,.
"
f\
..
1f
,
,
,
.
,
, ,
, "."
~ ,I" 'I
',~
,....!
.. I;
I n "
'.)
I " ,-
',ft
,~ .
.'
.,;, ,''.l
,
, I
(.'
,.
.
'.'
,',
..'.... .......,.....--
..:.._.._.._._-:,.,...~M."~ _"'.C ....~. ~
,,"
,
,
,
I
1
I
I
,
,I"
"
,,'
, "
,
I.
'"
.
,. I "
'.
,.
I
,
" " /
..' .~
,- I
h'
, " ','-"; .' " I'
\
"
"
','
I;
"
,
"
,
p~~, i' III \ "...
;/I("-'!
\\";;<
1'.-'
"
I.."
,.',
,J.j.,tf'1t (
;?~ 11-''' I'l<-
l...",,; ~J,"7 /$, 17~ >It)
, ~' ,. 14,(" C!
C;v,..A,(' /.",../ C'..
[?r1A' ,/, ., It /3.
'f
,,-'"''
,.........'-....,........
,.' I"
, '"..
,.,.
I 'I
"
"~, "
" , ,
"i " "
',1
.
M/A
c;, t-Il" l' .4t) be..
~ '"
/")OIJ6 ,.
~ ~)
p~ ' '
'..\ '
Lt I
....(.'
~ ,.~
,"'...
"
,',
I'
I.
-..--....--....--
--.---"-...-.,,-.
_..----..~-....__.
-~--.-
~_..._-.. ._,
----.--..,
-----~.,-
ts1
:0
~m
"I (I
'" ,','
-~'. ,"
, ,
.
, ,
,,'
o
,,-. "
....'n ," .."..""~.,~;r;....:.,. ...'" .J I
" . 1
'~
.. .1
I ,~
" 'I
" , " ' >.4
" ,~ ' /. . ,
" ,~ i
.
'.,NI~i'J...MM;....WI-.......~ --,
,....,-,,,.~"..r...' "u"....'~U~IUIL -.. '
!' f' '; ~.......w'''I''tt..r;,......._..:l'..'~...."....
I I, " ,. ',':'
"
"
'I'
"
I,
,i'
'J
,"
,
;'1'
","
','
~
...
:..
-,
.."
, b,
~lil
50
.."
"
iEI
..,
(~
eJ
"'-'~-1
'( ~:"""-:--"--";","'.-""J; 1
" I~
1'1'
~ ; 'r
.'
'. .i
,~
.\
.'
,
,
:'~
I
,.
.
,
','
~Jr---
~ _ -~. .-l'"\ ,
, '