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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
REV,1l00 LX. 111,911
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/0. OATIS 0/ DIATH Am. 12/31/Vl CHICK HIU
II A SPOUSAL
POYlllY CUDIT IS CLAIMID 0
IIL1 HUM".
ffi
~
Q
'(
~'(i".),'"
1~'~~iw~
COMMONWEALTH 0/ PENNSYLVANIA
DfPARIMENT Of RfVENUE
om, 110601
HARRISBURG. PA 11121.0601
NAME IlAST, 'IRST, ANDMIDDlf INlll~
21-94-0354
COUNTY CODE YEAR
DECEDENT'S COMPlETf ADDRESS
NUMBER
RICE LYDIA FRY
OCIAl E RllY NUMUR
267-38-0178
3033 Chestnut Street
Camp Hill, PA 17011
Cumberland
o 3, Remainder Relurn
(for dolo' of deolh prior 10 12.13.82)
o 5. Federal E'Ialo Tax
Relurn Roqulred
_ 8, Tolal Numbor of Sofo Dopo,lI 80xOl
o do, Fuluro Inl"o,I Compromile
(far dalOl 0' deolh akor 12.12.821
UI 6, Docodonl Dlod Tellole 0 7, Docodonl Malnlolnod 0 living Trull
(A!lach copy of Will) (A!lach copy 01 T ru,l)
ALL CORRESPONDmNCE AND CONfiDENTIAL TAX IN'ORMATlON SHOULD DE DIRECTE!) TO.
AM M l MA Ai5'5RESS
Esquire La~1 Offices - Marlin R. McCaleb
219 East Msin Street, P. O. BOK 230
MechanicsburU, PA 17055
DI 1. Original Rolu,n
o 4, lImlled E,lalo
HICKEY
-rAflOflifAT A 0 II."
101/17/94 12/17/1910
o 2, Supplomenlol Rolurn
C"UMy
1. Real Ellale (Schodulo AI ( 1)
2, Slack, and 8and, (Schedulo BI ( 2)
3, Clololy Hold SlocklPonnollhlp InlorOlI (Schedulo C) (3)
4, Mongago, und Nolo' Rocolvoblo (Schodulo D) ( 41 '
5, Calh, Bank DopollI, & Milcollanoou, Po"onal Prapony( 51
(Schodulo E)
6, Jalnlly Ownod Propony (Schodulo FI
7, Tron,f... (Schodulo GI (Schodulo l)
8, Tolal Grall ,0."01' IIolalllno' 1.7)
9, Funorol Expen,ol, Admlnhl,otlvo COlli, MI"ollanoou, ( 91
Expon,OI (Schodulo HI
10, Dobl', Mongogo lIabllltlol, lion. (Gchodule I)
11. T 0101 Doductlon, (Iololllno' 9 & 10)
12, Nol Yaluo of E'lalolllno 8 mlnu,lIno 11)
13, Charitable and Gavornmonlal Boquo." (Sch.dulo J)
14, Nol Yalu. Subjoct 10 Tax IlIn. 12 mlnu.lln. 131
15, Amaunl of IIno 14 loxablo 01 6% rale
(Includo value. from Schedulo K or Schodulo M,)
16, Amaunl of IIno 14 loxobl, 01 15% rolo
(Includo voluo, franl Schodul. K or Schodule M,)
17, Principal lox duo (Add lax from IIno 15 and from IIno 16,1
18, Crodlll Spaulol Pavony Crodll Prior Paymonll DI"aunl Inloro,I
0.00 + ~.!:1.000.0~ + 578.95 0.00
19, If lino 18 I. groalor Ihan IIno 17. onlor Iho dlfforonco on IIno 19, Thl,l'lho OVERPAYMENT.
aiD ,fJJ.Iia'.w.l'lUI
20, If IIn. 171. groalor Ihon IIno 18, onl.r Iho dlfforont, an IIno 20, Thl," Iho TAX DUE.
A, Enlor Iho Inloroll on Iho balonco duo on IIno 2,'A
8, Enlor Iho 10101 of 11110 20 and 20,0. an IIn. 20B, Thil I, Ihe BALANCE DUE.
Ma~e ChlC~ Payable tOI Reglator of Will., Agent
.. liE SURE TO ANSWER ALL QUESTIONS ON REVUSE SIDE AND TO RECll~CK MATH".
Under penelllel of perjury, I declare that I nove examlnnd Ihll relUrn, Including accompanying sch.dule. and lIol,menl', and 10 lh, bell of my knowledge and bell.f,
II II true, correct and complete. I daclar. Ihal all real 1,lale hOI bun reporled at Iru. market valu.. Oee/arallon of prepare' olh'r than th, perlonal ,epres.ntatlve Is
balld on alllnformallon of which p'l~arer hOI a y knowledge.
~"'''"''''_'.ORftllNG 'A~l ADDRE$S DAlE
. , ~ ~ '),' j, ~ .,., C
U ..~' ,< ^ I j...., ,/. "1-,I, I 3033 Chestnll.t St " Camp nUl. FA 17011 O'~"",;<{
I 'R!P~!I ~AN. PRESENIAIIVE I AOaiESS . DATE
~~ JIc;.~L 219 E. ~ St., Hechanicsbur9, PA 17055 'J':-.z':.9Y
717 I 691-7770
None
None
Non.e_
None
104.00
( 6)
(7)
147,501.29
None
10,193.21
(101
17.81
(15)
0.00
(16)
137.394.27
'--r
I 81
147,605.29__
(11)
(121
(13)
(141
10,211. 02
137,394.27
None
137,J94.27
)( ,06.
0.00_
)( ,15.
20,609.14
(17)
20,609.14
(1BI
(191
11,578.95
o.OQ_
(20)
(20,0.1
(20BI
9,030.19
0.00
9,030.~,
be determined by the Administrator and the Board of Trustees of Asbury Acres, in
the exercise of their sole and absolute discretion. If the principal of said Trust shall
,. b, or boo"" tOO ,moll to p.."'d, ,uffid"t In""" for th, u" ,p,dfl,d in th,
, ~
,
'",../
:\
"-',
. \
.
'::0 '.
'\:'
}!'
"
,
'. ,
.
......
,
'j
, v
'""
'~
p""dlng "t",n,". th,n I ,uthorl" ,nd d."t th' Trurl" to u" ,rod prindpm to
purchase furnishings for a room or rooms, or for the purchase of equipment, or
.
"
both, or for the building of a room or rooms, in whole or in part, as the
Administrator and the Board of Trustees of Asbury Acres shall determine in the
exercise of their sole and absolute discretion. Such furnishings, equipment or
','
rooms are to be identified as memorial gifts as specified in the first sentence of this
sub-paragraph D.
SEVENTH. I further direct that in no event shall any public sale be made of
any of my property, either real or personal, instead a proper private sale shall be
camed out by my Executors named in this my Will and my Attorney, Marlin R.
McCaleb, Esquire, of Mechanicsburg, Pennsylvania. It is my express wish and
direction that for purposes of the distributions provided in Items FIFTH and SIXTH
of thls, my Will, the assets of my estate shall be liquidated or sold by my said
Executors so that the entire residue shall be given to the beneficiaries named in
said Items in the fonn of cash bequests.
EIGHTH. I direct that all estate, inheritance and succession taxes, and interest
and penalties thereon, which may be due and payable by reason of my death with .
respect to any property included in my grosS estate for taX purposes, whether or
-4-
.._..~
.IV,UO'U+IH11
~
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSON~L ~Ro.!~~T_X. _.._,. fil:fN(j/';;Bt~oll Print_or Type
SS' 267-38-0178 01/17/94 21-94-0354
COMMONweAllH OF P!NNSYLVANIA
INHIRIlANCI lAX RlTURN
RlllDINI DICIDINI
ESTATE OF
LYDIA FRY HICKEY RICE
-----_._.__...~----_.__. ~-~~,~-...._..
(All propltly lolntly.owned with the Righi of Su,vlvotlhlp mull u. dllcl~lId on ~chodul. fl
-----.------...... ... _..~.._.._...~.-,-..~~_.-.
ITEM DE9CRIPTION VALUE AT
NUMBER DATE OF DEATH
_...._._.___~...M ...._____.. _,,_.~.__T____."__
1. Internal Revenue Servico, rofund cf 1993 incomo tax. 76.00
2'. PA Department cf Revenue, rofund of 1993 Lnoomo tax. 28.00
"I
"
, ,
" ,
",
I"
. ,
,"
I,.
,"'
'1.:
, .
,
, "
,
I.';
"
"
"
,..
,
"
,I,
"
"
"~,
"
--"------...-
$
104.00
IAU.,h "dellllo..1 IV," . II" ,hull II mo.. .po" I, ,,,d,d,)
UIJ.IJ09UtI12"q
~;i~
COMMONWEAlTH Of PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F I
JOINTL Y .OWNED PROPE~_
FILE NUMBER
SSi 267-3B-0178 01/17/94 21-94-0354
ESTATE OF
LYDIA FRY HICKEY RICE
Joln"lnan'I')1
n 4_._______...~ ..___,.____~._.___.._.
NAME
A. Franoes Chand1ee Hiokey
ADDRESS
3033 Cheotnut Street
Camp Hill, PA 17011
RELATIONSHIP TO DECEDENT
Sister
B.
C.
Jolntly.ownod proportYI
ITEM LEnER DATE
FOR TOTAL VALUE DECD'S DOLLAR VALUE OF
NUMBER JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST
TENANT JOINT
I. A 8/92 $10,000.00 Certificates of B,900.00 50% 4,450.00
Accrual on Treasury Securities
Series R, 0%, due 8/15/96,
issued to decedent and France
Chand1ee Hickey as Jt. Tenant
2. A 1/13/93 $10,000.00 Limites States 7,800.00 50% 3,900.00
Treasury Strips,O%, due 11/15,
98, issued .to decedent and
Frances Chand1ee Hickey as Jt.
Tenants.
3. A 3/56 Checking Acct. No. 00427B6967 62,582.11 50% 31,291. 06
Dauphin Oeposit Bank & Trust
Co. , in names of decedent and
Frances C. Hickey.
4. A 2/69 Checking Acct. No. 00716B9B18 21,243.B5 50% 10,621. 93
Dauphin Deposit Bank & Trust
Co., in names of decedent and
Frances C. Hickey.
5. A 6/B6 Money Market Acct. No. 009437- 7,216.05 50% 3,610.B7
1458 Dauphin Deposit Bank &
Trust Co., in names of decedent
and Frances C. Hickey (includEs
int&~est to 0.0.0.)
Total from attached Continuat on Schedu1esl 93,627.43
TOTAL IAho enler on IIn,e 6, Recopllulallan) S 147,501.29
IIf more .poce i. needed in..rl addilional .heets 0' .ame siz.)
Estate of: . Lydia Fry Hickey Rice SSIiI 267.38-0178 01/17/1994
CONTINUATION SCHEDULE
Continuation of Schedule F
21-94-0354
ITEM
iii
LETTER
FOR
JOINT
TENANT
DATE
HADE
JOINT
DESCRIPTION OF PPTY
TOTAL VAL
OF ASSET
DECO'S VALUE AT DATE
, INT OF DEATH
6 A 6/68 Passbook Savings Account No. 8,648.24 50% 4,338,04
4913705075, Dauphin Deposit
Bank and Trust Company, in
names of decedent and
Frances C. Hickey (includes
interest accrued to 0.0.0.).
7 A 9/92 Certificate of Deposit No. 10,014.55 50% 5,007.28
04-56-223916, Harris Savings
Bank, issued 9/23/92 to
decedent and Frances C.
Hickey (includes interest
accrued to 0.0.0.).
8 A. 2/92 Certificate of Deposit No. 10,014.03 50% 5,007.02
04.54.217761, Harris Savings
Bank, issued 2/20/92 to
decedent and Frances C.
Hickey (includes interest
accrued to 0.0.0.),
9 A 5/90 Certificate of Deposit No. 10,014.90 50% 5,007.45
04-56.175553, Harris Savings
Bank, issued 5/25/90 to
decedent and Frances C,
Hickey (includes interest
accrued to 0.0.0.),
10. A 4/91 Certificate of Deposit No. 10,017.53 50% 5 , 008 . 77
04.58-195113, Harris Savings
Bank, issueo 4/5/91 to
decedent and Frances C, 0
Hickey (includes interest
accrued to 0.0.0,),
11 A 7/69 346 ahs., Affiliated Fund, 3,750.64 50% 1,875.32
Inc., mutual fund, issued to
decedent and Frances
Estste of: Lydia Fry Hickey Rice SS# 267.38.0178 01/17/1994
CONTINUATION SCHEDULE
Continuation of Schedule F
21-94-0354
ITEM
#
LETTER
FOR
JOINT
TENANT
DATE
MADE
JOINT
DESCRIPTION OF PPTY
TOTAL VAL
OF ASSET
DECO'S VALUE AT DATE
, INT OF DEATH
Chand1ee Hickey as joint
tenants, @ $10.84.
12 A 11/10/93 650 shs., Bond Fund of 9,425.00 50% 4,712.50
America mutual fund, issued
to decedent and Frances
Chandlee Hickey as joint
tenants, @ $14.50. See
attached affidavit.
13 A 7/91 2,000 shs., Comstock 20,040.00 50% 10,020.00
Partners Strategy Fund
mutual fund, issued to
decedent and Fr.ances
Chand1ee Hickey as joint
tenants, @ $10.02.
14 A 5/86 3,635 shs., Franklin 25,772.15 50% 12,886.08
Custodian Funds, Inc. , U.S.
Government Securities
Series, mutual fund, issued
to decedent and Frances
Chand10e Hickey as joint
tenants, @ $7.09.
15 A 12/86 1,359 shs" Putnam High 12,176.64 50% 6,088.32
Income Government Trust
mutual fund, issued to
decedent and Frances
Chand1ee Hickey as joint
tenants. @ $8.96.
16 A 5/83 1,426 shs. Corestates 38,056.38 50l 19,028.19
Financial Corp commo~, CUSIP
218695 10 4, issued to
decedent and Frances
Chand1ee Hickey as joint
tenants, @ $26.6875.
17 A 1/92 4 shs. Doskocil Companies, 44.75 50% 22.38
Inc., common, CUSIP 258486
30 7, issued to decedent and
Frances Ch~nd1ee Hickey as
Estate of: Lydia Fry Hickey Rice SS# 267-38-0178 01/17/1994
CONTINUATION SCHEDULE
Continuation of Schedule F
21-94-0354
ITEM
#
LETTER
FOR
JOINT
TENANT
DATE
MADE
JOINT
DESCRIPTION OF PPTY
TOTAL VAL
OF ASSET
DECD'S VALUE AT DATE
% INT OF DEATH
JTWROS, @ $11.1875.
18 A 8/87 1,500 shs. The Global 10,781.25 50% 5,390.63
Government Plus Fund, Inc.,
common, CUSIP 378907 10 9,
issued to decedent and
Frances Chand1ee Hickey as
joint tenants, @ $1,1875.
'19 A 12/87 500 shs. MFS Government 3,531.25 .50% , 1,765.63
Markets Income Trust, CUSIP .,
552939 10 0, issued to
decedent and Frances
Chand1ee Hickey as JTWROS, @
$7,0625.
20 A 6/69 13 shs. PA Power & Light Co. 836.88 50% 418.44
pfd, 4-1/2% series B, no
CUSIP, issued to decedent "
and Frances Chand1ee Hickey
as JTWROS, @ $64.375.
21 'A 2/85 15 units, The Corporate 5,141.85 50% 2,570.93
Income Fund, 60th Monthly
Payment Series, CUSIP 219896
87 5, issued to decedent and
Frances Chand1ee Hickey as
joint tenants, @ $342,79.
22 A 1/63-4/73 85 U. S. Savings Bonds, 8,960.89 50% 4,480.45
Series E, $25.00
dellomination, issued to
Lydia Hickey Rice or Frances
C. Hickey, 1963-1973.
See attached list. '...oo.................. ..
93,627,43
February 8, 1994
Marlin R. McCaleb
Frankenberger Place
P.O. Box 230
219 East Main street
Mechanicsburg, PA 17055
The inforMation
Rice Deceased
Account !lumber(/;)
Class of Account
Dllte Opimoc!
Principlll Dalanco
ACC%"Jed !nterellt
Dalance at
Dote of Death
Ac~ount
Ownerllhip
lIame of Joint
Owner, if an:!
Dnte Ownnrship
Wns Estnblir.hod
Additional Infor-
mation 1l~()\Inntcrl
IDHARRIS"'
Iil SAVINGS BANK
Hartis Savings Operations Celller
635 North 12th Street
LemoYl1e, Pennsylvania 17043
7171731.1440
717/731.0859 Fax
whi ch 'fOU
.
(!;odnl
requontod on the nccount(o) of
~.n~urity Humb~r 1.67-38-017~)
Lydia Hickey
is os follovlO.
04-56-223916
04-54-217761 04-56-175553
6 Mths. Cert. 1 'ir. Cert.
2-20-92 5-25-90
$10,000.00 $10,000.00
14.03 14.90
10,014.03 10,014.90
Joint Joint
1 'ir. Cert.
9-23-92
$10,000.00
14.55
10,014.55
Joint
Frances Chand lee
HIckey
same
same
9-23-92
2-20-92
5-25-90
Please have the survivor of these accounts sign the enclosed
W-9 form and return it to us. Thank you.
AFFIDAVIT
I, FRANCES CHANDLEE HICKEY, hereby certify and state:
That I am the sister and next-of-kin of the decedent
herein, Lydia F. Hickey Rice, who died on January 17, 19941
That the decedent resided witl. me in my home at 3033
Chestnut street, Camp Hill, Pennsylvania, since the 1950s1
That the decedent and I shared several joint bank
aocounts, investment accounts and other investments, into which
we each contributed our funds and which we held as joint
tenants with rights of survivorship;
That one of our joint investment accounts was Prudential
Seourities Account No. ONH-152943-02, which we held as JTWROS
for several years;
That on January 27, 1991, while the said Prudential
Securities Account No. ONH-152943-02 was held and owned by us
as JTWROS, funds from that acoount, in the amount of
$10,649.42, were used to pUI'chase a certificate of deposit from
the East River Savings Bank, New York, that was due to mature
on November 2, 1993, which certifioate of deposit was held by
us in that account as JTWROS;
That on November 2, 1993, when the said certificate of
deposit matured, it was redeemed in the total amount of
$10,438.58, from which proceeds the sum of $10,306.00 was then
temporarily invested in the Prudential Moneymart Asset Fund,
which was held by us in said account as JTWROS;
That on November 10, 1993, the proceeds of said Prudential
Moneymart Asset Fund were used to purchase 650 shares of Bond
Fund of America, Inc., in the amount of $10,159.50, which
shares were held by us in said account as JTWROS;
That the said shares of Bond Fund of America, Inc.,
although acquired within one (1) year prior to decedent's
death, were acquired with assets or funds that were previously
held jointly by the decedent and myself for more than one (1)
prior to decedent's death and are therefore exempt from
inheritance tax pursuant to Protest Board Decision, 78-2, 28
Fiduc. Rep. 352;
That the foregoing statements are true and correct to the
best of my knowledge, information and belief;
That I understand that false statements herein are made
subject to the penalties of 18 Pa. C.S. Section 4904, relating
"
U. S. SAVINGS BONDS, SERIES E, $25.00 DENOMINATION, ISSUED TO LYDIA
HICKEY RICE OR FRANCES C. HICKEY:
~ aerial N2.t. lUYe Date DaD Value
1. Q5089431486E 4/73 79.56
2. Q5083157779E 3/73 81. 95
3. Q5069608588E 1/73 81.74
4. Q5048542622E 12/72 80.96
5. Q5042994458E 10/72 80.79
6. Q50362991B6E 9/72 83.21
7. Q5029116969E 8/72 83.21
8. Q5014137509E 6/72 82.57
9. Q5005260889E 5/72 82.34
10. Q2630152187E 4/72 82.34
11. Q2617369967E 2/72 84.45
12. Q2610503105E 1/72 84.26
13. Q2599153197E 11/71 84.61
14. Q2593233217E 10/71 84.61
15. Q2591691262E 9/71 85.73
16. Q2595781582E 7/71 85.58
17. Q2571393821E 6/71 87.17
18. Q2564627225E 5/71 86.92
19. Q255930!!138E 3/71 87.93
20. Q2547167516E 2/71 87.93
21. Q2539141705E 12/70 95.18
22. Q2526919913E 11/70 94.97
23. Q2520774300E 10/70 94.97
24. Q2501728172E 8/70 98.52
25. Q2501711778E 7/70 98.30
26. Q2494474005E 5/70 96.88
27. Q2488520337E 4/70 96.88
28. Q2475261859E 3/70 100.51
29. Q2473736644E 1/70 100.26
30.' Q2459746300E 12/69 99.32
31. Q2458305873E 11/69 98.80
32. . Q2445563606E 9/69 102.51
33. Q2432300733E 8/69 102.50
34. Q2421891921E 6/69 101.29
35. Q2416508022E 5/69 102.38
36. Q2407669688E 4/69 101.40
37. Q2400787396E 2/69 101.40
38. Q2382259923E 1/69 105.20
39. Q2382230855E 11/68 103.80
40. Q2368883337E 10/68 102.80
4~. Q2367472982E !l/68 102.80
,42. Q2347852697E 7/68 106.66
43. Q2341546171E 6/68 106.67
44. Q2334479125E 5/68 105.41
.45. Q2326859842E , 3/68 104.38
46. Q2322235144E 2/68 104.38
47. Q2306361315E 12/67 108.30
48. Q2297556448E 11/67 107.00
49. Q2283868395E 9/67 105.97
, ,50'. Q2279570318E 8/67 105.97
151. Q2261500566E 7/67 109.94
52. Q2260369949E .5/67 108.75
, ' 53. Q2254623914E 4/67 107.72
" ,
,
54. Q2242930341E 2/67 107.72
55. Q2231474716E 1/67 111.76
56. Q2229154446E .12/66 111.75
'57. Q2195664676E 7/66 111.65
58. Q2183484125E 5/66 110..52
, .59. 'Q2173038983E 3/66 109.46
60. Q2169383795E 2/66 110.53
-2-
6'1. Q2149574433E 10/65 113.74
62. Q2138547889E 8/95 113.18
63. Q2132430791E 7/65 112.09
64. Q2124225584E 6/65 112.09
65. Q2115343197E 4/65 115.94
66. Q2112144722E 3/65 115.95
67. Q2103381279E 1/65 125.79
68. Q2096323062E 12/64 125.79
69. Q2091669876E 11/64 124.98
70. Q2081460221E 9/64 128.73
71. Q2069666598E 8/64 128.13
72. Q2060715862E 7/64 126.90
73. Q2052557528E 5/64 126.06
74. Q2051764173E 4/64 129.84
75. Q2047251127E 2/64 129.23
76. Q20:ll264385E 1/64 128.00
77. Q2026825013E 12/63 128.00
78. Q2017912026E 10/63 In.03
79. Q2015048343E 9/63 131.03
80. Q2009999179E 8/63 130.41
81. Q2003589350E 6/63 129.14
82. Q1996556875E 5/63 128.17
83. Q1992005788E 3/63 132.03
84. Q1985964791E 2/63 131.42
85. Q1974759314E 1/63 130.15
TOTAL $8,960.89
. -3-
uv.un IX. 17.11'
,,~:JIit, 9~
..sri;,.;
COMMONWIAIlH Of "NNmVANIA
INHllllANCllAX mUlN
mlOINT OICIOINT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCEllANEOUS EXPENSES
F
LYDIA FRY HICKEY RICE SS. 267-38-0178 01/17/94
ITEM
NUMBER
21-94-0354
DESCRIPTION
1.
A. funeral Exp.nsll'
2.
3.
4.
B.
1.
2.
3.
4,
C.
1.
2,
3.
4,
5.
6.
7,
8,
Myers-Harner Funeral Home, funeral.
White Rose Cemetery Memorials, engraving gravemarker
Pealers Florists, flowers for funeral.
parltside Cafe, funeral dinner.
Admlnllllatlv. COI"I
Perianal Reprelentatlve Cammlulonl
Social Security Number of Pellonal RepresentatlvlI
Year Commlulonl paid
Attorney Feel
Marlin R. MoCa1eb, Esquire
Family Exemption
Claimant Franoes C. Hiokev
Relatlonlhlp Sister
Addrell of Claimant at decedent'l death
Street Addreu 3033 Chestnut Street
City Camp Hill Stale PA Zip Code 17011
Probate Feel
Mllc.llan,oul Exp.n"ll
Register of Wills, filing Inheritanoe Tax Return
MoKonly & Asbury, preparing deoedent's 1993 inoome tax returns
TOTAL (Alia enter on line 9, Recapitulation)
(1/ mar. Ipac. II n..d.d, Inl.rt addltlonallh.... of lam. IIz..)
AMOUNT
6,706.00
90.00
161.39
176.82
2,500.00
104.00
15.00
440.00
S 10,193.21
. ,
/RBV-l547 F.X AFP (08094*
COH"OHWEAl'"U Of PEHHSVllJAHU
Df."UTH'HT Of REYERUE NOTICE or INHERITANCE TAK
BUREAU Of IHDIYICUAl lAKES . APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
om, /BD6~1 or DEDUCTIONS AHD ASSESSHENT OF TAX DATE 12 19 94
HARRISBURD, PO 111/H601 - -
ESTATE OF - RICE =,--_. -- FrL't"No. ' r 9-Fots4="~=
DATE OF DEATH 01-17-94 COUNTY CUMBERLAtm
NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPP~R PORTION OF THIS FORH IIITH YOUR TAK
PAYHENT TO THE REGISTER OF WILLS, HAKE CHECK PAYABLE TO "R~GISTER OF WILLS, AOENT"
REMIT PAYMENT TOI
5~/'/'i-S-
'II 'I,') '). Co)
l'i ".I ,
MARLIN R MCCALEB
219 E MAIN ST
PO BOX 230
MECHANICSBURG PA 17055
ACN
101
G
(II-
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
F---~~"!'t R~lttod - "l
CUT ALONO THIS LINE ~ RETAIN LOWER POR~'ION FOR YOUR RECORDS ~
R i!V: iS47. Elf -A F ii -(0 S-: 94 T' NOT i oE" -OF o "iN HE if if AtiC' E. TAX. 'A.PPRii i ii EH"ENi'", - -A L row A tiC' E. '(ill............. - -..
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
LYOIA F FILE NO. 21 94-0354 ACN 101
If en ellellment wel illued previDully, linel 14, 15 end/Dr 16, 17 end 18 will
reflect figurel thet include the tDtel of ahh returnl allelled tD data.
ASSESSMENT OF TAXI
IS, AMount of Lln. 14 .t Spou..1 r.t.
16, AMount of Lln. 14 t.xlbl. .t Lln..l/Cl... A rlt.
17, AMount of Lln. 14 t.xobl. .t Coll.t.,.I/Cl... B r.t.
IB, Prlnolp.1 T.x Du.
TAX CREDITS I
PAY HE NT RECEIPT DISCOUNT (')
DATE NUHBER INTEREST (.)
04-15-94 XA885965 I 578,95
08-25-94 MM91?864 ~ ,00
INTEREST IS CHARGED FROM 10-18-94 TO 12-27-94
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
ESTATE OF RICE
TAX RETURN WAS I ( ) ACCEPTED AS FILED
RESERVATION CONCERNINO FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL
1, R..I E.t.t. ISch.dul. A)
2, Stook, .nd Bond, ,Schldul. Bl
5, Cln,"ly HIld Stook/Plrtn.r.hlp Int.,..t ISoh.dul. CI
4, Hortglgl./Not.. R.c.lvlbl. ISohldul. 01
5, CI.h/B.nk DIPo,lt,/HI.c, Plr.onll Prop.rty ISohldul. EI
6, Jolntl~ O.nld Prop.rty (Sohldull F)
7, Trln.f.r. (Sch.dul. 01
B, Tobl AII.ts
APPROVED DEDUCTIONS AND EXEMPTIONS I
9, Funlr.l EXPln..,/AdM, Co,t,/HI.o, Exp.n,", ISchldul. HI
10. Dlbt'/Hortglg. Lllbllltl."LI.n. (Soh.dul. XI
11. Totll Dlductlon.
12. H.t VIlul of T.x nlturn
15. Ch.rltlbl./Gov.rnM,nt.l B,quI,t, (Schldull JI
14. N.t VolUI of E,bt. SUbj,ot to T..
NOTE I
. IF PAIR AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION DF ADDITIONAL INTEREST,
I X I CHANGED
DATE 12-19-94
ATTACHED NOTICE
SEE
III -.J!JL
12) ,00
151 ,00
141 ,00
151_____ 104,00
1&1 147,501.29
171 ,00
(BI
147,605,29
191
110 I
10.089,21
17,81
111)
1121_
1151
1141
10.107 O~
137.498,27
,00
137.498,27
115)
1161
117)_
,00
.00
137.498,27
,00
,00
20,624.74
20,624.74
K .00,
K .06,
K ,15,
I1BI
AHOUNT PAID
11,000.00
9,030.19
TOTAL TAX CREDIT
----
BALANCE OF TAX DUE
----
INTEREST
TOTAL DUE
20.609,14
15.60
,21
15.81
( IF TOTAL DUE IS LESS THAN U, ND PAYHENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI. YOU HAY BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIDNS,)
,. "
,
RESERVATION, Estat.. of dlold.nt! dvlng on or b.fore DlQub.r 12, 1912 4_ If IMW future Int.rut In th, ut.t. it tr.nll'rrtd
In pO..I..lon or ,nJoVI."t to Cl... B (coll.t.rall btn.flcJarlt. of thl d.c.d.nt .ft,r the ,.plratlon of anv I.t.tl for
llfl or for v.,r., the Co..onw.tlth h,r'bV ..pr..'I~ rt.,rVI. tht right to IPpr.I.. tnd ...... trln.f.r Inntrit.no. Ta.l.
It the lawful Chll a (oolllt.ral) rat. on lln~ luch future lntlrllt.
PURPOSE OF
NOTlCEI To fulfill th.. r.qulr"lntl of Slotlon 2140 of the Tnh.rltllno. and E.tat. t.,. Act, Act 22 of 1991. 12 P.S,
S.ctlon lUG,
PAVIENT,
D.taoh the top port In" of thl. Hat Ie. and lub.lt with your paY.lnt to th. Algl.t.r of Will. prlnt.d on the r.v.r.. ,Id..
"-Hak. chick or .on.y ~rdtr p,yabl. tOI REOISTER OF HILLS, AOf.HT
All Ply..nU r,ollvld .htU flr.t b. IPpll,d to any InUrllt which lIlay b. dUI with tny r,"alnd.r llpp1ltd to the tile.
AEFUHll (CA), A r.fund cf I tax crldit, which WII not rlllquutld 01\ the Te. Alturn, .ay bt rtquutld by cOlplttlng an "Appllcttlon
for Rlfund of Plnnlylvtnh Inhlritanel and Eltate 111." (Rf.V-UI3I. A~'p11cltlonl arl avallabl. at th. OfficI
of the Atgl.tlr of Will., 3ny of the Z] R,vlnu, DI.trlet Offlc.., or by calling the 'Plcltl Z44hour
tn.w.rln~ 'Irvlc. nUlblr. 'cr for" ordlrlngl In Plnn.ylvanla 1-800-56Z-Z050. cut.lde Plnn.vlvanla .nd
within 10cII Harrisburg ar.. (111) 187-8094, TOO' 0171 17Z-2251 CIlurlng I'Pllrld Only),
OBJECTIONSI Any p.rty In Int.rl.t not .Itl.flld with thl ~ppral"'lnt, allawlne. or dl.ellawlnrl of dlductlon., or a.......nt
of "'. (Including dlscoutlt or lnt.rllt) II .hown an thll Notlc. .u.t objtct within .iletv (60) day. 0' r.c.ipt of
thll Hotlcl by'
uwrltten prat..t to the PA Dlpart.,nt of A.v.nu.. loerd of ApPIII., OEPT. ZaIOZI, tlllrrllburg, PA 17128-IOZI, DR
".llctlcn to hlv' the utter It.ttrlln.d at audit of the account of the plrlonal r.pr...ntltlv., OR:
4~app.al to the Orphln.' Court.
AINtIN
ISTRAIlYE
CORRECTIONS,
Flctull .rror. dl,coVlrld on thl. ...y....nt .hculd b. .ddr....d In writing tOI PA O.partlent of A.vlnu.,
lur.eu a' IndlvlduMI Tax.., ATTNI Po.t A..o....nt A.vlew Unit. DEPT. Z10601, tlarrl.burg. PA 171za-0601
Phon. (717) 187-6505, S.e pig. 3 0' thl book lit "Inltructlons for Inh.rltanc. TaM R.turn for I R..ldlnt
Ole.d.ntft (REV-1501) 'or an Ixplanatlon of ad.lnlstratlv.ly corr.ctable .rror.,
DISCOUNT'
If any tlx dUI 18 Plld within thr.. (5) cal.ndar lonth. aft.r the dlcldlnt'. dlath! n flvl perc.nt (5X) dl.count 0'
the t.. Plld I. IJlcWld.
INTEREII,
Int.r..t I. cherOld b.olnnlng with flr.t day of d.llnqulncv, or nln. (9) tonth. and on. (1) day 'rol the d.t. of
duth, to tho dati 0' plyltnt, TIXII which b.c... d.Unqu.nt b.,ore Jloulry l, nlz bltr Inter..t It the rltl of
.Ix (6Xl ptrc.n~ plr annUll calculatld at t dally ratl of ,00016<,. AU "... which b.ee.. d.l1nqu.nt on Ind aft.r
JI~Jary I, 191Z will b'lr Inter..t It I ratl which will Vlry frol ctl.ndar Ylar to cll.ndar Yllr with that ratl
Innouncld by the PA Olpart..nt a' Rlv.nu.. Th. appllclbl. In tIre It rlt.. for 198Z through 199~ nrl'
'!!!! Intlr..t Rtt! ~Inttrut Factor !!!! Int.,lIt Rlltl Ollly Interllt Factor
1911 20X ,000541 1986 lOX ,000274
1981 16X ,000438 1987 9X ,000201
1984 IIX ,000301 1988-1991 IIX ,000301
198i UX .ODOi56 1992 9;: ,000241
1995-1994 7;: ,000192
199i 9% ,000241
--Int.r..t I. ctleul.t.d " fallowsl
IHfERE8T . BALAHCE Of TAX UHPAIO X HUHBER Of DAYS DELIHQUENf X DAILY IHTEREBT fACTOR
--Ant Notlol I..u.d .ft.r thl t,M b.cc... dellnqulnt will rlfllct an Int.r..t c.leul.tlon to fl't.ln <IS) dlY.
blyond th. d.t. of the ........nt. If Pftv..nt I. .Idl nft,r thl Intlr..t C019utttlon date shown on th_
Notlc., addltlonll Int,,,", IU.t bl c,leulat,d.
.. .., ,....... ........
.
" ...:.I _..:... __..._ __. _;.....- ._. .__ .,. o~.. __ _ ~ _...._ __. _. .._ ._.. .... _.. ,'_,". __ __._ u
,
. ... _... _~ _0.'_- ____ .__ __ _";'._..._'__ ____.......
5'17,/'6'
c.
D' .. AA 022624 . COMMONWEALTH OF PENNSYLVANIA
,Nc). , , . DEPARTMENT O' RIVINUI
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATI TAX
UV.11621X1U4J
M
; 1
)1
',:', ~
RECEIVED FROM:
f3
ACN
ASSESSMENT ITI
CONTROL ~
NUMBER
AMOUNT
,
,
,
MC OALEB MARLIN R
e19 E MAIN STREET
Ivl
.1lr.8l
MECHANICSBURG PA 17055
ESTATE INFORMAlIO~
t:I FILE NUM8ER
'I 21-1994-0Se4 SSN
E1 NAME OF DECEDENT ILASTI IFIRST)
. RICE LYDIA F HICKEY
II DATE OF PAYMENT
le/~p/QI.I
EJ POSTMARK DATE
COUNfY 00/00
CUMBERLAND
DATE OF DEATH
01/17/94
REMARKS MARL I N R. MCCALEB, ESGl.
2b7-:38-0178
IMII
m . TOTAL AMOUNT PAID
. SEAl, CHECK" 7815
,/
,
/ ../
t.....
RECEIVED BY ,
tH5.BI
~!
) \ . ,I
&, ",,' . 4),
AIURf- I
REGISTER OF WILLS
. ' !
-.--------"--.-~~-..-~._~,_______._t_._..o_.o..__._____.________.__~-.-..----~_.~
".... ........,"'..--
\1.
.. _ ,-"-'-': ..........-4., .."'"rr'" 1" I
\.
PAYtlENT,
, REFUllO ICRI,
REPLY
TO,
DISCOUNT,
INTEREST'
OI'IQh the top portion of thl, Notlcl end IUbllt with your pay.,nt ..d, pavabl, to the ne.. and Iddrtll prlnttd
on the rev.r.. ,ld,.
All ply..nt. recelvld .~.11 flr.t b, applied to any Int.r..t which lay b, dUI with any r...lndtt applied to the tlK.
A r.fund of a tlK crtdlt, which we. not t,quI,tGd on the T.~ Rlturn, ..y be r.quI.tld by cOlplltlng an
"AppUcatlon for R,fund of PIMlylvanl1'i Inhnltanct and Estatl TalC" (REY.U13). Applicatlon. >It. avallabl, .t
the OfficI of the Rlgl.t,r of Wll1~, any of the 24 Rlv.nul Ol.trlct O'fle'l, or by calling th. ,0101al 24~hour
.n,wlring "tV lei nUllb,r, for flltU ord.rlngl HEW IN PENNSYlVANIA 1.80(1-162-2050, out.ld, Plnnlvlvant,
and within t:... local Ilarrhburg arn (717) 187.8094.
au..tlon. rtg.rdlng .rror. contained on thl. notlc. .hould b. addr....d to' PA D.part..nt of R.v.nu., Bur..u
of Individual Texu, ATH41 Po.t A.......nt R.vi.w U"it, DEPT. 280601, Hllrrllburg, PA 1712a~060I, phon.
17l7l 787-6505,
If an!i tax dUI II paid within threl (3) callndar lonth. aft.r thl d.e.dant'J dllth, a flv. Plrelnt U:O dltaourU
of thl tax paid 1. allowld.
Int.r..t II charg.a bllllnnlnll with first day ot dl 11 nqu.ne!i , or nlna (9) lonth. IInd on. (1) dlY fro. tha dati of
dlath, to thl d.t. of plIYllnt. TllCU which b.ca.1 dlllnqulnt b.fore January I, 1982 bur Intarut .t thl rate of
.Ix (6X) plrclnt par annul calculated at a dlllly rata of .000164. All tax.. which bloa.. dtllnquent on and .fttr
January 1, 1982 will baar Intara~t at a rllt. whiCh will varV frol cal.ndar !itllr to olll.ndar y..r with that rat.
announc.d bv thl PA Dlpart.,nt of Rav.nuI. Thl applloable Int.ra.t rllt.. for \982 through 1995 ar.l
'L2!; Inttrl.t Rah Dallv lnt.rut Facter Y.!!! Intuu t Rat" Dally Int.rut FflOtor
198Z 20i( .000548 1987 9i( ,0002'7
19&1 1(,i( .000.10 1908-1991 11% ,000101
198. m ,000101 1992 9Yo ,0002.7
1985 11% .000356 1991-199. n .000192
1986 10% .000214 1995 9i( ,0002.7
..Inhrut II o.l<:ulahd .. fnlloN'1
INTEREST . 8ALA~CE OF TAX UNPAID X NUH8ER OF DAVS DELINQUENT X DAILY INTEREST FACTDR
..Any Hotlnl I..uld aftar thl tax u.eo... dtl1nqu.nt will r.fltct In Int.r..t oalculatlon to flft,'n (15) daVI
blyond the data of the a.....".nt. If pay..nt II .adl .ft,r th. lntlrt.t cOlputatlon data .hown on thl
Hqtloa, additional Jnt.r..t IU.t bl calculatld.