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IJETITION FOR PROnATE and GRANT OF LETTERS
, I I \\(' 'l I N "/ 'I, 1./.. (J3 'I;f
'J"l., .1\l:..11 1':::,_1, f'..,. .f''';J7~-~~c)7-3
Kcglstcr 01' Wills 1'1lI tlic
., . ... /1"(,(,I/.\('d, ('OIlIlIY III' " ......_.,.__. III thc
sOl'I;;I:~;~;";~il."N(;:i:6J .',).: .)'1'1(' Commollwcllllh 01' I'ClIlIsyll'lIl1ll1
Thc pClillol\ 01' Ihc IImlcrslgllcd rcspcclflllly rcprcscllts thlll:
Yoml,cliliol\cr(s). who is/lIrc IH YI'IIl'S (If lIgc or oldcr IIl1thc CXCC\lUJ)(.....__._'____.III1~l~IL
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IlIlhl..III~I)\.11I 01' 11~"lIho\'C dm'dclIl, dill cd ..., ,...'. y_,..l.2J,.I-llH......_,_......_____, 19_ "
IIl1d wdllll(s) dllll,d ,...,.....,... u.____"._,_,...__,.,L__._..,_._...~_.._.______.__
......._..____+.___~._n_.._ ,.._,......__.._.___._____._...._.___..___.___________-_..~------.-_._--
_....__...__._______.__.______.___. ..__..___ _n_ ~__...___ _____"..____..____ +___._ _._~__.___._______
__.______..____.____.__~.__... __.___. _nu____...____+~__u____________.____.___.___._.__
btall' fekvalll l'i1l'1I11hllllll,'~'~1 l',~. n'lllllldlllltlll, t1l'ulh {If ~'\l'l'lllur, l'll',}
~.C~I1(IClIls\I'IIS d~ll~lk,'i1c,'d II 1,.',lcIIIh. ill _;.--;~ \,!\ I 1Yrl ~;i,~l.C~~~<"'\. -'r,-,COl~~I~y, I'cn~ISYII'III1II1, wllh
h._.....__.. 111,1, lanlll>, I r I rl~"1 .11 r(,ldpl'"e 11\ ...\___.A\\l__\..\\,\l.\LL.c:I.I.._.J....ll":)'"-,--L_
..l~.ICl.L~;,L\,\.'L'.>;.m. \j~I'''.\--..t.-l'.il, .l:. ,,-" c..-r.\~I.L..- ___.._...____
, (l1~1 :-.lrcc:l, Illll1lhl'r und 111111ll'iPillll~')
IWcnd~lt. II~II.J:I--ll\curl 01 IIgc, dlcd -.-.Tj''\.\'-,C~\.\....ec-_-,,-:;--, \9.<]~,
al..\.._\l_m:)('L ~\.\~(\.. ,\~\'j..;.ln.(~~u---,_.L.b.u\\'_\".L\J.'LL\.L'u..7.\'-I.\.!LI:..u:JL.
Exccpt as I'ollows, del'cdclIl did nOlmal'fy,'~'as 1101 dil'orccdlind did 1101 hal'c a child horn or adoptcd
aftcr cxecllllolI 01' thc will oflcrcd I'or prohalc; WIIS lIotlhc I'icllm 01' II killing ami wns nevcr IIdjudlclltcd
incompct,'nl: ,,__ . __,. .......__m.._____...._......__________'
Dccelldcnl at dcalh oWllcd pfllpCrlY willi cslhl1lllCd l'alucl liS follows: ;r
(If domicilcd In I'll,) All pcrsonal propcrlY $ ..J 1['('('1
(If 1101 domicilcd In I'll,) I'crsollal propcrlY Inl'cnllsyil'anill $--
(11'1\(\1 domicllcd III I'll,) I'crl.lIIal propcrlY In Coualy $
Valuc 01 rcal csllllC ill I'clIlIsl'll'lIl1in $.
sllulltcd liS follows: ,__.\t~)l\e....,..'.-m-,-,----...__.--..
WHEKEFOKE, pCllllollcr(s) rClpccl 1'II11y rfqu~st(s) thV prohlllc 01 Ihc lasl will and codlcll(s)
prcsclltcd hcrcwith IInd Ihc grullt of ICllcrs..._-'..\l:2lu,I\L.:lt;.lulJ,/_
, (ll',lllIllClllur)'; adfnlllhlrUllol1l',I,lI., udmlnhlTllllun d.h.Il,C.I.ll.)
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_._____.._._.__u_..______.___.._._.___~_. _~
__.__.._._____ ...__..____.____u~___ __ _
OATH (W I)ERSONAL REi>>IU;SENTATIVE
COMMONWEALTII 0... I'ENNS\'LV ANIA I HH
COUNTY OF _'-0" "'.....mm.____._ r c c
Tlte pClitiollcr(s) ahol'c.uamcd swelll'(s) or al'finn(s) Iltallhc IlalCIllCIIIs IlIthc foregoing pCliliollllrc
Iruc lIud COITlCltolllllwsl of II", ~1I11\\'il'dg" alld h,'lIcf 01' pClltiollcr(s) IInd thlltlls pcrsoual reprcscu.
IlIlil'c(s) 01' Ihe IIhol'(' Ikccdl'UI pl'lilillucr(s) will well alld Inily IIdllllulltcr Ihc cstlllC IIccordlng 10 IIIII'.
/1. II "il/, l
SW(lJ'1l III (lJ' affirmld a 11I1 lubscrlhcd 1.~.a'L/..1 ~1.,-1./!.,,/::...!6'-~_..__ tIl
hl,'fllre,IllI'lhil, ,"" I, da\' 01' 1 "--.-....---. ,Xi'
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No. 71_q4.n17R
Estate of frances w. honch
, Deceased .
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW I'\pril 25. 19...2.1-, In consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECRFED that the Instrument(s) dated ,1ulv 21. 1965
described therein be admitted to probate and filed ot' record as the last will of
Frances W. Hench
and Letters TeJltamentarv
are hereby granted to Carolyn H. Benko
~~;I}D';4~.i/~f1-:t;.
R'slll"o . III. r, V d ,
FEES.
Probate, Letters, Etc, ...... , .. $.5.Q. 00
Short Certlflcates( 6j , . . . , . . , ., $~ 00
~lll\tlIl\411"'..X~P.......... $ 3.00
JCP $ 5.00
TOTAL _._ $ 7r:. nn
Flied.., M,J;~,l" .2.~".. ;1,~9A...."....,
A TIORNEY (Sup. Ct. I,D, No.)
ADDRESS
PHONE
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and doolal'od by tho Tosta-
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tament, in the \'lrORonct> of
us who have hereunto at her
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REV.1607 EX AFP (1.911_
COKKOKWEALTtI OF PENNSVLVANIA
OEPARTKENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2B0601
HARRISBURD, PA 1712B-0601
ACN 101
INHERITANCE TAX
STATEMENT OF ACCOUNT
DATI 01-09-95
HENCH
04-08-94
FRANCES
W
FILE NO. 21 94-0378
COUNTY CUM8ERLAND
NOTE. 10 INSURE PROPER CREOIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FORH WITN YOUR TAK
PAYHENT TO THE ADDRESS SHOWN. HAWE CHECK PAYABLE AND REHIT PAYHENT TO. ,
CAROLVN H BENKO
909 WOODLAND DR
LEMDVNE PA 17043
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
A.aunt R..lt t.d
---.1 c S-
CUT ALONG THIS LINE
.. RETAIN LOWER PORTION FOR YOUR FILES ~
._---.~._---.-..... ~ ._----._.-----~----~----~-.-_._--...~--....._""
;.._~':'-:.,-;-.:'.._--_._..~. '
"
, " .
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a.: 0
PAMNT,
: -t,J
Detech thl top portion of thll Notlct 3I'Id .ubIIlt with your pavant ..a paVable to thl n... and addr.....
printed on the r.Vlr.1 .Ide.
.. 1/ RESIDENT DECEDENT .... ch.ck or .oney order p.yobl. to, REOISTER OF WILLS, AOENT.
.. 1/ NON-RESIDENT DECEDEN1' .... ohock or 'OMY order poY..I. to' COIlllONWEAL TH OF PENNSYLVANIA.
All PIVMt\tl recelvld .hall b, IPPUad fir.' to any Intarllt lthlch ..y ba due with any ,.Ialndn appUtd to thl talC,
REFUND leR)1 A r.fund of . tlM oredlt, which WI' not r.qu..~.d nn thl Tax R,turn, WIY bt rIque. tad by co.pl.tln~ In
""PflUc.tlcn for R,fund of Pann,vlvanll Inheritanc. .nd EltltI TalC" (REV-IUS), ,lPPUcltlon. ar. IVlllIblt at
thl OffiCI of thl RI,ht,r of NUll, Ilny of thl 23 hv,nUII Olttrtct Offlcu or froll tht Dlp.rt.,nt" Zit-hour
an,wlrlng ,.rvle. nueblr. for for.. ord.rlngl In Penn.Ylvanla 1-800.562-2050, out.ld. P.nn.vlv.nle
and within locll Harrisburg er.e (711) 787~a094, TOOl (117) 172.2252 (Hlulng I~I'r.d only).
REPLV Tal autltlon, reglrdlng .rror, contllnld on thl, notlc. .hould bl .ddr....d tal PA OIPurt.lnt of Rlvlnul, BurllU
of Individual T'M", AIIHI POlt A"~"lent Rlvl.w Unit, nlPt. 280601, Harrl.burg, PA 17128-0601, Phonl
mil 717-6505,
DlSCOUHTl If toV tlM due J, plld wlthln thrlw (3) cllend.r lonth. aftlr the dlcld.nt', dlath, a flvl plroent (SX) dllcount
of the taM paid 11 IlloWld,
INTEREST I Intlrllt 11 chlrpd blglnnlng with flr.t dlY of dlllnqulnclY, or nine (91 ~th, and one (1) dlv frOll thl dati of
dllth, to tha riat. of ply.."t. 111M.. which blce.. dellnqulnt hafora Januery I, 1932 bill' Intultt It thl nt. of
.he (6~) perunt per 8MUII cllcullttd It II dalh rate of .000164. All tu.. which ble..1 delinquent en Ind Ifter
Januarv 1, 19.1 will belr Intare.t at . rete which will very fro. callnd.r ye.r to celandar ylar with thftt rlt.
lMOuneld bv'the PA Otptrt..nt of Rlv.nue. Ih. eppUctbl1 1nter..t ratlt fer 1982 through 1995 artl
Vnr Intara.t Rlt. Oll1y Intlr..t F.ctor Vltr Inter..t R.tl o.llv Intara,t Fector
1'12 lOX ,000501 1917 'X ,ODOI47
I'IS 16X .000'11 1'"-1"1 lIX ,OD0301
I'" l1X .D00301 1991 'X .00D247
1915 UX ,000356 1993-1'94 7X .000192
I'" lOX .ooom 1991 'X .000147
..Int.r..t I. calculltad I' follCMlII
INTERE8T . IALANCE OF TAX UHPAID X HUHIER OF DAYS DELINQUENT X DAILY INTEREST FACTDR
uMY Notlc. IlIued Ifter the t'M blClOH. deUMqI,MMt will raU.ct ., Inter..t caloulatlon \0 flft"" US) dlY'
beyond thl d.tl of th4 ....!..'"t, If pIy..nt I. .Idt .ft.r thl Int.r..t Co.,utltlon dat. 'Mown on thl
Hotlc., IddltlDnlI Inter..t tU.t bl Clh:ul.ttd,
'~. r;: No' fA...
\RI~:"181t7 IX AFP (O~"91t*
COHHQHW(AIIH It PfHHIVIYAHIA
Dt:PARIIl[HI It I!VEHU!:
IUIlUU It IHDIYIDUAI !AXU
Dt:PI. 111101
HAIlllIIIUllfl. PA I7lII-QAOI
/1/ j(J 1.. -'I
V
tlK
I.,
NOTICE OF INNERITANCE TAM
AppRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AHD ASSESSHENT OF TAM
ACN 101
DATI! 12-05-94
FILE NO.
DATI! OF DIATH 04-08-94 COUNTY CUMBERLAND
NOTE. TO INSURE PRO~ER CREDIT TO YOUR ACCOUNT, SUIHIT THE UppER PDRTION OF THIS FORK WITH YOUR TAM
PAYHENT TO THE REGISTER OF WILLS. HAME CHECK PAYAILE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT Tal
CARDLYN H BENKO
909 WOODLAND DR
LEHOVNE PA 17043
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
I A.~..!.h.1tte::=l
CUT ALONO THIS LINIl .. RIlTAIN LOWIR PORTION FOR YOUR RIlCORDS ....
RiW 1547" ix -AFP"i 0'8-:94)- "iloT i c r -OF .i"NHiiifi'ANci .TAx .'liP-PAAf iiiW iilr; -Ai:. UjwANCi - iiri.. - - -.- .... - - - -".
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATI! OF HENCH FRANCES W FILE NO. 21 94-0378 ACN 101 DATIl 12-05-94
TAN RETURN WAS, ( ) ACCEPTED AS FILED (X) CIIANGEO SEE ATTACHED NOTICE
RESERVATION CONCERNINO FUTURE INTEREST . SEll REVERSE
APPRAISED VALUE OF RITURN BASED aNI ORIGINAL
1. Rool Eotete (Schodule A)
2. Stcck. end Icnd. (Schodule DI
5. Clo.oly Held Stock/Portnor.hlp Intere.t ISchodulo CI
4. Har~gogeo/Hato. Rocclvoble (Schedule D)
S. Co.h/lonk Dopo.lt./HI.o. Per.onel Property ISohedule EI
6. Jointly Owned Proporty ISohedule FI
7. Tronoforo (Schedule Q)
I. Totel AlIOto
11l .00
121_12.210,42
1'1_ ,00
141 .00
ISI 359.51
(6) 18.367.36
17l ,00
II)
30,937.li
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Funorel E.pen.el/AdIl. Co.to/HI.c, E.pen.o. (Sohedule HI (91
10. Dobt./Hartgege Llobllltle./Llen. (Schedulo II (101 ~
11. Tohl Deduction. Ill)
12. Het Uelue of To. Roturn 1121
15, Cherltllble/Govor""entel loquuto ISohodule J) 1lS!
14. Net Uel... of Eohh Subjeot to Te. 114) -
NOTEI If.n .......nnt w.. i..u.d pr.uiou.1y, 1in.. lit, 15 .nd/ar 16, 17 .nd 18 will
r.f1.ct figure. th.t include the tot.l of ~ r.turn. .......d to d.t..
ASSESSMENT OF TAXI
IS. Aeaunt of Line 14 et Spauoel rote
16. Aeaunt of Line 14 t..obl. .t Llne.l/Cle.. A reto
17. Aeaunt of Line 14 te.e~le et Colleterel/Cle.. I r.te
11. Prlnolpel Te. Due
TAX CREDITS:
pAYHEHT
DATE
07-06-94
11,300.65
1I.1DO,65
19,636.64
,00
19,636.64
(151
(16)
(17)-
.00K'00.
19,636.64 K .06.
.00 M ,15._
1111
.00
1,178.20
.00
1,178,20
RECEIPT
HUIIIER
MM886258
DISCOUNT
INTEREST
1+)
(-)
45,41
AHOUHT pAID
862.79
PAYMENT MUST BE MADE BV 01-09-95M.
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTER!ST J
TOTAL DUE
908.20
270.00
.00
270 . 00
H IF PAID AFTER DATE INDICATED, SEE REUERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE II LESS THAN U, NO PAVHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU HAY IF. DUE
A REFUND. SEE REUERSE SIDE OF THIS FORH FOR INSTRUCTIONS.l
-
I' l "
"
RfSfRYATlONI Eltlt.. of deoiCMntl dylnl on or blfort DMHblr 12, UU ... If any futurl Inttr'lt In tM .It.t. II tranlf.rrad
In ~1....lon or enJov.."t to Cl,.. . (oolhttr.U btneflohrl.. of 1h1 dlcldlnt ,ftlr the IKplr,tJon of any IItlt. for
llf. or for YIU', the COMOnWIIUh herlby IlCprl..av rll.rVII thl rlUht to IPPrll" end ...... trln,flr Inheritanc. TGif"
It thl I...ful Cl,.. It (coU.t.rIU rltl on any lucn future Int.r..t.
P\JRPOU rw
NOTlCEI To fulfill thl rlqul,...nh of SlOtlon 2140 of the Inhlrltlnc. end Eltlt. TIIC Aot, Aot 22 of 1991. 72 P.S.
ItoUon Z1'D.
PAYMENT I Detlen the top portion of thlt Notlel 'M lubMlt wltn your p.y..nt to thl AIghtlr of Willi prlnttd on the r.v.r.. IIH.
'-"lko ohook or tono. ardor po.oblo to, REGISTER or HILLa I AGENT
All Plvantl rlClllvld Ih.ll flrlt be applild to tny lntlrllt which HV bti due with MY r...lndlr IPPlJld to the till.
RE'LICD (tA) I A rlfund of . t.IC oredlt, which .... not r.que.tad on thl talC R.turn, .IY bit rlqu..t.d by oO"PI.tI", In "Applio.Uon
'or AIf~ of Plmlylvlnl, ImerltlnC' Ind E,t.tl TIM" (REY.UU). App!Jc.tlon. Ir. 1".Uabl. .t thl OffSo.
of thl RIght.r 0' Willi, InV of the Z3 R.v.nue Dhtrlot O'flclI, or by c.llIna thl .p.ol.1 24.hour
InIWlrl", IIrvle. nUlblr. 'or 'or.lorderlngl In P.nnlvlvanl. 1.100-56Z"2050, outside PlMlYlvlnl. end
within locII Hurhburg .r.. (111) 117-1094, TOO. (711) 172-2252 (H..rlnll I",u.lrtd Only),
DIJECTlOHSI Anv p.rty In Intlrllt not leUdled IIlth the IPprll.....,t, ,UOWIf'IU or dl..lloweno. of dtducltlon., or .........,t
of t'M (Including dhcount or Intln.t) U lhown on thlt NoUc. MIlt Obj.ot within 11Mty (60) din 0' rlClllpt of
thll HoUo. bYI
...wrltten protut to thl PA Dlplrt...,t of A,venut, Baird of ApPlt11, DEPT. 281021, Hlrrhburl, PA 17121.\021, DR
"lllClUon to hlVI thl .attlr d.tlrllnld It audit of thl aceotM'lt of thl Plrlonll rIPr...ntIUvI, OR
.~1PP..1 to thl Orphanl' Court.
ADIIIN
IITRATlI'!
ClIIIRl!CTIllHS.
FlOtUll .rrorl dllcov.rld on thlt ........nt .hould be Iddr...~ In NrlU", tOI PI. Oep.rtHnt of AIVenut,
lurltu of Indlvldull TIICI', ATTNI Po.t A.....-.ot R.vl.w Unit, DEPT. 280601, Hlrrllburl, PA 17118-0601
Phone (717) 111~6S0S. $M p", 5 0' 1h1 ~l.t "In.truotlon. for Jnhlrlttnel TIX Alturn for. Rllldtnt
OtcItdent" (REY"1501) for In 'MPlIn,tlon of IKMlnlltr.tlv.1Y corrllGtlbl. Irror..
INT!REIT I
If InV tlIC due It p.ld Nlthln thrH (5) o.lInd.r aonthl .'tJr the dlCltdent'l dtlth, I flvI percent UX) dltoount of
thl tlM plld It IlIow~.
Jnt.rllt It ch.rg,d b'llnnlne with flrlt d.y of d,UnqutrwlY, or nine (,) ItOnth. end one (1) dlY frH thl dltl 0'
dI.th, to thl dltl 0' PDYHnt. TIll.. which blo... dlllnqulnt blfar. Jlnulry 1, 1982 bur Intlr..t It thl nt. 0'
.IM (,;() percent par "'"'-- caleuhttd .t . d.lly r.tl of .00016lt. All tlICII .....Ich MOl" dlllnquent on and _".r
Jonu.rw 1, 1982 11111 b..r Intlrut at ft ntl whIch NI11 vary frOll callndlr Yllr to c'lendar vllr Nlth thlt rate
announc:ed by thtl PI. Dep.rtHnt of "IVII'lUCI. The applloabll Int.rllt "tll far 1962 through 1994 Irll
DIIClIUNT'
!!!! Int.rllt A.t. DIllv Int.r..t F.c~ ~ Int.rut Rat, D.llv Interllt ~
1912 ZU ,CDml 1916 lOX ,00011'
I'll 16X .DDDm 1911 'X ,0001'1
19" llX .DDOIDl 1911.1991 IlX ,000101
I'll IIX .DDDIl6 1m 'X ,0001'1
199H'" IX ,DDDI'Z
..Jnt.re.t I, c.leul.tld .1 '0110NII
INTEREST " BALANCE or TAX UNPAID X NUHBER or DAYS DELINqUENT X DAILY INTEREST rACTOA
.~Any MoUa. I..utd Iftlr thl tlIC becOMI d.llnquent 11111 rlfl.ct an Intlr..t ollculltlon to flftl," (15) dlY'
blvond thl d.tl 0' thl .......nt. If PlY'tnt II IIdl Ift.r thl Intlrllt oo-.putlUon dlt. ,hewn an the
Notloe, Idc:Iltlonll Intlrllt MIlt be ellculated.
f..
fOR DATIS 0' DIAlH AnlR 12/31191 CHICK HIli
I' A SPOUSAL .
~,O.V!~TY C!I.!'I!IH~~I~'.D_LJ_.._
'Ill HUMBIR ---
'( IN~~~ii~~dE'~~~ RETURN
"~IM~~ RESIDENT DECEDENT
WMMONWEA"H Of "NN\nVANIA (TO BE FILED IN DUPLICATE
OEPARTMENT 01 REVENUE 2\
tl.RRllfJn, ~~On\l80601 WITH REGISTER OF WILLS) COUNTY CODE
~ - N T, fIRST, AND MTDGrr INITl;ll ---lorcroINf5Cc5MPLfTe ADDWE$S
IS Hench, Frances W. 1 Longsdorf Way
~I,..b.-,C_r,A,.~S,,3_E.:...U_.,f.I,T.;_~._~.':_;~o,.-.-__-'_-__-'...-..1_04..'i_-/_-_0_8'-'''/_.O'~".,q,ft,i,-,'_',' r.irbf B;'TH- , '" . Cumberland Crossings SNF
.,_ 10/16/06 " c""'lcarlisleIP~_I_~~~]eumbet'-land.
I!! 1XI1. Original Relurn 1'.'.1 2. Supplomonlal Rolurn [,13. Romalndor Relurn
~~ (Inr dolo. of d.alh prior 1012,13.821
~... [_I ~, lImllod Ellalo [) 40. fulurolnloroll Camprami.o [.15. Foderal Ellalo Tax
iSla... (far dolo. of doolh oftor 12,12,821 Rolurn Roqulrod
g;1O [J<j 6, Oecodonl Died Tn.lalo [.I 7. Oocedonl Moinlainnd " lIvlno Tru'l Q,.8. Talal Numb" of Sol. Oepollt Boxe.
<C (Atlach copy of Will) (Allach copy of T rUIl1
.m___ 'ALL CORRISPONDINCe AND CONFIDENTIAL TAX INPOriMATION'SHOULDliiiDIIUCTED TO;-"-'_.
~ ~ .~~~~~Ol n H.' B,en~~_==-------1COM~I~1~-'\~~:::O;:.~d. Drive
o z 1!lfPHONE NU~ER Lemoyne, PA 17043
va
__,~__=U17 I 737-1364 .. _-_~~"O~~ QU_.
REV,I\OO Ell, 11191)
1. Roal Ellalo IS,~odul. A) I 1) $,
2. Slack. and Bondi ISchedulo BI I 21 '
3, Clo.ely Held SlockfParlne"hlp Inlor..1 ISchodulo q (31
4. Mortgages and Note. Recolvablo ISchedulo 01 I 4)
5. Ca.h. Bank Oopo.i" & Mlscoll,noou. Pe"onal Prapo'lyl 5)
ISchedulo EI
6. Joinlly Owned Properly (Sch.dulo FI
7. T ranlle" ISchedule G) (Sch.dulo l)
8, Tolol Grall AllO" 110101 line. 1,71
11300.65
9. Funeral EKpenses, Administrative COSI~I Miscellaneous I Q).. ... .q"_h_n. u____.,__.u_._..~._.___
Expen,ol ISchedule H)
10. Oebl., Morlgage lIabllitiol. lionllSchedule II
11. Tolal Oeductlonl 110101 line, 9 & 101
12. Nel Value of E.lale (line 8 mlnul line 11)
13, Charilable and Govornmenlol Boque.t. (Schodulo J)
14, ~lel Value SublocllO Tax (lin. 12 minus line 131
15. Amounl of line 14 laxabl. 016% role
(Include value. from Schedul. K or Schedulo M,I
16. Amounl of line 14 laxable 0115% role
(Includo value. from Schedul. K or Schedulo M.I
17. Principal lox duelAdd lax Irom line 15 nnd /tom lino 16.1
18, Credit. Spou.al Poverly Crodll Prior Paynlonll Olscounl
45.41
,---.---.....---.-- + ...------- -,- +,
19. If line 18 I. grealer Ihan Iln. 17. enler Iho dillorenco on Ilno 19. This l'lho OVERPAYMENT,
IIll
20. If lino 17 II greoler Ihan lin. 18, .nlor the dlllo,ence on lino 20. This litho TAX DUE,
A, Enlor Ihe Inlere.1 an Ih. bolo nee due on lino 20A.
B. Enler Ihe 10101 of line 20 ond 20A on lin. 20B. Thi. il Ihe BALANCE DUE.
Mak. Ch.ck Payabl!.to, R'III,!!,.~f.y.'III.._ "genl .., _,... _... , _ ...... ._.... .,
z
a
3
E
~
..
z
o
g
~
o
v
S
94 0378
,.VE_~~, _,. . _... .tolUMBE~
o
l2210,~2
o
'0 .'.._
,359.51____
161
I 7)
13B6'7...~(jm_.. ._..,
o
I 8) ,_L~6_d~~,~~___
o
110) ...._ .......,______.,
111) ._ll._1O.0.._6.5____,
112) .m_L5,136. 64
113) __........___.Q.____...
11 ~I_ _1.,~_!l.6.'...6 4_.,______
115) nI_~)?~}Ir;::_~.'!_.____..x .06 = ._,.____~OB~_O"._..._.._...
116) m__.___..Q____________x .15 =
o
1171 --
908. 20
Inleroll
45.41
(181,
1191 -..
Cht.(k liNe if you cue ro'luc~linn (I rcfune! of your ovorp(lymonl
862.79
(201
120A)
(20BI _
.". _862.7.9
. .11 sua. TO ANIWIR ALL QUISTlONfOt.i"REVERSj".StbE""AND'TO-iictiicifMATH...
Under penollles of perlury, I declare Ihall have examined this return,-Including Clccomponying !Cho'dulol and slolomon", and 10 tho belt of my knowledge and belief,
It h true, correct and complelo. I declare thaI all real ollale hOl bJen reportod ollruo mCHkn! valuo. Doclorolian of prepmor othor than tho perianal reprolontallvo h
baled on alllnlormollon of which pre parer hOI any knowledge.
slO-UfRE'OFPERSON RE-S-PO-NSiilfT"fFllINO-llWRN'--'-AODRfSS .-..... ....- --- --- - - .-... ...-- -...-........ .,-------.. DAfrn-------
..JJ. 909 \1oodland Dri ve, Lemoyne, PA 17043 7/6/94
AREi'--OlHfRfi A1HlPmmfAfIW....-----.-Aon'm.. 01&........-.-.-
....'109".1''''11 W J SCHEDULE F
COMMONWIAllH Of PENNSYlVANIA JOINTLY .OWNED PROPERTY
INHIRITANCI TAX RnU'N
RIIIO!N! OECEO!N!
ISTATI 0'--'-'---'--"- - ------.-.-...,--.---.--.---,-. FILE NUMBER
Frances W. Hench 1994-00378
Join! tonontl'll
NAME
A. Carolyn 1~. Benko
ADDAlSS
-.- .- -----
909 Woodland Drive
,Lemoyne, PA 17043
.. .-..-..-.--....--.-----.
RELATIONSHI!~O DECEDENT_
Daughter
I.
C.
Jolntly.ownod proporty,
ITEM Lmn DATE
FOR TOTAL VALUE DECD'S DOLLAR VALUE OF
NUMIII JOINT MADE DESCRIPTION OF PROPERTY OP ASSET % INT. DECEDENT'S INTEREST
TENANT JOINT
1. 11 8/25/c2 Checking Acct.
1000006451
Harris Savings Bank
Harrisburg 3950.30 50% $ 1975.15
2. 11 8/25/ 2 Savers Advantage 1Icct.
1060000866
Harris Savings Bank 23784.41 50% 11892.21
These two accounts wen opened
using funds from a Cer ificate
of Deposit issued in jl int
names in November 1989.
,
TOTAL (AlIa onler on IIno 6, Rocopltulallon) 513,867.36
(II more .paco il nood,d i..or' oddiliona"h.." 0' lomo .Ize)
SCHIDULE H J
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
t IIY.'JIItlr. (l.nl
~~
COMMONWfA\lH Of PINNlVlVANIA
INHERITANCE TAX RI!URN
RESIOIN10lCEOINl
PI.a.. Print or Typ.
mATI 0'
Frances W. Hench
1994-00378
ITlM
NUMBER
A.
1.
2.
3.
4.
5.
8.
1.
DESCRIPTION
AMOUNT
Funeral Exp.nllll
Parthemore Funeral Home, lnc. - services
casket, vault,flowers,stationery, trans-
portation, clergy honorarium,death certif.
Robert G. Benko - luncheon following funeral
Bell Atlantic - long distance calls to
family members
Lincoln Cemetery - opening grave
Shull-Koontz - cemetery memorial marker
Admlnlltratlv. Cootll
POrlonal Reprelentatlve Commbllonl
Social Security Number of Personal Reprolentatlvel _
Year CommluloOl paid
6802.86
57.87
24.37
300.00
436.00
$7621.10.
2. Attorney Feel
Family ERemptlon
Claimant
Addrell of Claimant at docedent'l death
Street Addreu
3,
Relatlonlhlp
City
State.
Zip Code
Probate Feel
Letters of Testament, short cert.,etc.
Patriot News - legal notice
MllcellanllOUI Exp.nl'll
Vital Records - additional Death Cert.
4.
'C.
1.
2.
3.
4.
5.
6.
7.
8.
76.00
38.63
114.63
6.00
Cumberland Crossings SNF Carlisle
nursing care
Care Apothecary
3142,12
412.80
3564.92
$ 11,300.65
TOTAL (Alia enler on Iino 9, Recapltulatlonl
(If morll Ipac. II nttd.d, Inl.rt addltlonallhttll of lam. II... I
" ,
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I.AST WILl, ANI> 'l'gSTAMlmT
" "
11,'I'} I' ,I, .',
I, FR/lNCES W, IIENCII, of thll Ilorollr,h of New CUmberland, County of
Cumberland and State of l'ennHyIvanin. hoinll of Hound and disposing mind and
~ti P,Pf' : I ,'.' 1 .; ,I . '
!1'~1I'o,~r'!1~!',I\It\~!t,Ip'~b~~~~"and deolare thin to be my Lust Will and Testament,
t r I~' 1I,IH'\" ",,,,.,' ,
~~~e~.y,.rr~!?king, any and all wills herotofore made by me at any Ume.
tHlllinl, '1
ITEM 11 1 diroot my Executor, hereinafter named, to pay my jUHt
. ""J ",", ,,'
~;~b~.,,, ar~,.:f,U~l!r'nl expenses as noon after my death ns may be deemed praoUc-
(I' t, '!~' I. t; "'.'
able.
{,.t./.,.'
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'i, '.',' 1.(,1 I"
. ..... i,' 'ITEM 21 I give, devise and heqlleath all of my property real,
,.,..,. It
, "
'.per,son.al/and/or, mixed, of whatsoevllr nature and whereeoever situate, to my
.11"....,...".....1. ;., , ,
,
" "
husband', Maynurd II. lIenoh, his hei rs and assigns.
. I',' "
ITEM 31 In the event that my husbnnd, the aforesllid Maynard fl.
Hench, should predeoellee me, 1 then give, devise and bequen th all of my
property real, pereonal nncl/or mixed, of whatsoever nature nnd wheresoever
"
situate, to my daughter, Carolyn 11. llenko, her heirs and aseigns.
ITEM 41 All inherltanoll and Huooossion taxes shall be paid by
my ostate.
,
ITEM 61 This Will oonsiets of two (2) pages,
lTIili.!J.. 1 nominate and appoint Mllynard II, lIenoh to be tho Exeoutor
"'I;;' ,II,'
, .
of this my Last Will and Testament, and if ho be deooea8od or inoompetent to
serve I 1 then aominnte llnd Ilppoint Cnrolyn If. Renlto to be the Exeoutrix of
this my Last Will IInd Testament.
, .
" ..
. . .
'.
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,__._..........'......._..'.n
".t
"
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"
,.
"
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,IN WI'I'NESS WIlEREOF, I hllve hereuhto sot my hllnd and. Ie III this
day of July" 1965.
Signed, sealed, published'
and daolared by the Tellta-
trix above named, as and
for her Lant Will and Tes-
tament, in the preseno!' of
'I!s who have hereunto ather
request, subsoribed our
names in her preSOlloe and
In tho preBenoe of each
other ae witnesses hereto.
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PAVItENT,
Dehch the top portJon of thh Notlel and luaU with Your ply""t .Ide PI'ubl, to th. n"l end Iddrell print"
on thl r.v.r.. .leM.
All plv.,nt. r.ollVld chill fir.t b, Dppll.d to Iny Int.r..t which "V b, dUI with any r'..lndtr IPPllld to thl tllC,
AEFUNO ICAl,
A r.fund of . tlM oredit, wMch w.. not r.qutlted on thl hlC Rtturn, lay b, r.quuttd bv cOlpl,Uog In
"ApPUcltlon Inr Refund of Plnntvlvanla Inhlrltencl and Estat. Te.l\" (REY.1313L AppllcltJon, ar. aVIllIbl' _t
thl OffiCi 0' thl RIght.r of NUh, any of thl 24 Alvlnul Dlltrlct Offlc,., or bV caUJng thl .plolt. 24'hour
tn'Wlrlng ..rvlel nu.ber. for for.. orderlngl NEW IN PENNSYLVANIA 1.'DO~362~2050, out,ld, Pennlvlvanl,
Ind within the locIJ H,rri.burg arYl (717) 7a7.a09~.
AEP(V
TO,
QUIIUon. rlgarding Irror. cantlinld on thh noUcl .hould bl acklru..d tOI PA Olpert'.nt 0' RIlIlnul, lurltu
of Indlllldull TlllClI, ATTHI POlt A.......nt A.vll" Unit, Df'PT. Z80601, Herrhburg, PA 11121.0601, phone
17171 787-'50S.
If 'ny tl~ due It PIld within thr'e. ()) cIUndlr 'enth. Iftlr the dlcldlntl. duth, . filiI perClnt (S:O dhcount
of tilt hll P.Jd It 1110Wtd.
OISCOOHT,
INTEREST'
Internt II ch,r"d beginning with flrlt dlY of dlUnqUIlloy, or nlnl (9) ,onthl I"d ono (1) dlY 'ro. thl dlt' of
dI,th, to thl d,t, of plv"nt. T,~,. which b.e... d.llnqulnt b"or. Jenu.rv 1, 191Z b..r Intet..t It the rftt, of
'IH U)O Plrclnt plr Innu, calculated at e dllh lit. of .01l016~. All tll<lI which bICII" dlUnqulnt on and I,ter
Janulrv I, 191Z will b.lr lnt.rllt It II rllt. which ,,111 VDr'v 'rol cal.nder vur ~o oehnder vur with tMt rlt,
announcld bv tht PA nlPtrtt,nt 0' AIYlnul. Thl applloabl, Int.r..t ratl' for 1912 through 1995 orll
'L!!.t ~\m.t Am O,llv Intl"lt Factor :!!!r Intlr.1t Ra" Dally Intlr"t Fector
1982 ZOX .000548 1967 9% .000247
19n 16X ,000438 1981.1991 m .000301
1984 m ,000101 1992 9X ,000247
1985 m ,000556 191J3"199tt n .000192
1986 lOX .000274 1995 9% .000247
..lnttrllt iii nlculltld II 'ol1owlI
INTEREST . SALANCE OF TAX UNPAID X NU"BER OF DAYS OELINQUENT X DAILY INTEREST FACTOR
"'Anv NoUCI IlIutd "'t.r thl t'l< bloo... dtllnqutnt will r.'ltot an Inhlrnt allaulttlon to flft..n (111 dlY.
blyond thl d.t. 0' the ........nt. If paV.lnt 11 IIdl liter thl Inter..t cl)lPuhtlan date .ho,," on th.
H1tlCI, tddltlontl Int"..t .Ult bl ctloulttllt.
RIV-1543 IX AFP 0-911 '*
C~ALTH OF PENNSVLVANIA
, DEDAATHENT OF REVENUE
IUREAU OF INDIVIDUAL lANES
DEPT. 110601
H.\RRISIUIID, PA 11121-'601
C---
INFORMATION NOTICE
AND
TAXPAVER RESPONSE
FILE NO. 21 94-0378
ACN 94128888
DATE 07-07-94
ESTATE OF HENCH
5.5. NO. 183"12-2770
DATE OF DEATH 04-08-94
COUNTY CUMBERLAND
TYPE OF ACCOUNT
W ~ SAVINGS
CHECKING
TRUST
CERTIFICATF.
RENIT PAVNEN1' AND FORNS TO I
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
FRANCES
BENKO
909 WOODLAND DR
LEMOYNE
CAROL VN H
PA 17043
HARRIS SAVINGS BANK hit provld,d thl nlPartl.nt with thl InfQr...tlon Ihhd b.low whlth hu btln us.d In calculatlng the
potlnU,t tile due. Th,lr r.cord. Indloah that at the dllth of th. above dle.d.nt, you wur. a Joint own,r/b,nlflclary of thl. acoount.
If you ftll 'hll Jnfor.lIt1on II Incorrect, pin.. obtain wrlttln (Jorr.otlon fro. the flnenclal Institution, attllch I copy to thll for.
linn return It tn t~. .~U.. I'ltinru" 'hi. 'U'lt)OI."t I. t"'(l~llt In .el"nrrtflnCIIj IotJUl tnll Inhorlhrn"_ T"... 11"'101" nf thi! Cn~nllll'llth of Ponr1.~'h'lnle,
QUtltlonl laY bt anlwned by calling (717) 7&7.U21.
COMPLETE PART 1 BELOW M . M SEE REVERSE SIDE FOR FILINO AND PAVMENT INSTRUCTIONS
Aooount No, 10-0Q006451 D.t. 08-25-92 Ta In.u," prop" arodlt ta yaur "",unt, t.a
eet.blt.hld (2) copl.. of thll notlcl .Ult acco.pany your
paY.lnt to thl RIgl.ttr of Will.. Hakl chIck
payable tOI "R'III.tlr of WUIt, AlIlnt".
Aooount Bahno. 952.62
Plro.nt ro,"bh X 50.000
Anount Subjlot to ro. 476 . 31
ro. R.ta X . 15
PotanU.I T.. Duo 71 . 45
PAMT TAXPAVER RESPONSE
CUI FAILURI TORISPOND WXLL RISULT IN AN OFFICIAL TAX ASSBSSHINT BASID ON THIS NOT!CI I
A.
HOTEl If talC paYllnh art Illdu wlthJn threl
CU .oothl of th. deCldlnt', datI of death,
you ..y d.duct a 5% dhcount of th, talC due.
Any Inherltane. talC du. will blee., delinquent
nlnl ~9) tonth. nfhr the dfth of uutll.
[CHECK ]
ONE
BLOCK
ONLY
o lhl abov. lnfortotlo" nnd talC du. II corrlot.
1. You lay chao.. to r,"lt pay..nt to thl Righter of Willi, with two copl.. of this notlcl to obtain
a dhcount or avoid lntlrut, or YOU .ay ch.ck b(lIC "A" nnd return thh notlc. to the Rlghhr of
Will. and an official a.......nt will b~ 1.luld by thl PA napart"nt of Rev.nuI.
a. d1 lh. ahov. a...t hili bun rr .4" , r.por\8d tlnd talC paid with thl P.nnlylvanla Inheritance TIIIC rlturn
~ to be fthd by the dec.dlnt'. rlpr...ntatlv..
PART If you Indlolt. I dlfforlntjl' r.to, RI~u. stoto your
!3J r.loUonshlp to ~.o.d.nt I -Q.~H '~h:tt:r
TAli RETURN . CliHPUiATXON OF TAX ON JOINTI'iRUST ACCOUNTS I'AlJ
LINE 1. D.ta Estoblhhld I 51 .:J. So. '1 il. 1
2. Aooount B.l.no. 2 Jl4 .:>!J . !U> 2
3. P.ro.nt T...bh 3 X ~ P,k. 3
4. A.ount Subj.ot to TI. 4 J:i.. '1.5:,. IS- 4
5. D.bh Ind D.duoUons 5 II 3> Dill. " S'" :,.:C 5
6. A.ount TI..bl. 6 (J 6
7, T.. Rlt. 7 X C PIrJ 7
B. T.. DUI 8 0 8
DEBTS AND DEDUCTIONS CLAIMED
-<....e" CL'tt D.C~~&~PTION
-
1
. - .~
-
',-"
PART
[!]
DATE PAID
PAVEE
AMOUNT PAID
l-
~
TOTAL IEnt.r on Lln. 5 af TI. Cooput.tion)
J
.
-
Und.r pln.Ulu of p.rjury, I d.olarl th.t thl hoto
oo.pl.to to tho bui of ~y kno.lIdg. .nd boll.f.
~~.~
10 URE
I hlY. rlport.d .bOYI Ir. tru., ~~~ot .nd
HOME ( rl~l1) r/;J 7-'/:') (
WORK ( __ ) t-l -.J?~qt/
TELEPHON NUMB R -- ~
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with ",.llcoblo Int"..t b...d on Infor..Uon
lubIlltttd b~ the 'InWlol,l Inltltutlon,
2. Inn.rUlnu '1M b,cOM. d.1Jnquant nine aont." ftfhr thl dlc,d.nt', rlllt, of dulh.
S. A joint ICCOunt I, tIMIDI. .vtn t~ the dlc.dent', 0'" WI' ,Od,d II II ..tt~r of conv.nl.no..
., Accountl Clncludlhg tho.. hlld b.tween hulbtnd end wife) which the d.ud.nt put In Joint n.... within on. Vllr pr lor to
d..th Ir. fully t'Mabl. II tr",,'.f.,
5. AccOWIh utltblhhed Jolnth' bit,"'" hu,bln'd end will ~r. thin one yltlr prior to dlllh Ir. not tu.tJlt.
6. Accountl held by . rt.cIOtint "tn truI' for" another or athuI Ir. tlllabl. 'vi \y,
REPORTING INSTRUCTIONS - PART
1
- TAXPAVER RESPONSE
1. BLOCK A ~ If thl .Inforutlon end co~t.tJon In the notlcl ar. corrlot Ilnd dttluctlon. Ir. nut b.lng CJlI.lHd, pile. an "MOO
In block "Aft of Put 1 of the "TIIICpIYlr Rupon.... tlotlon. Sign two cop I.. and .ubllt th.. with yaur ch.ck 'or the 'lIOU'1t 0'
tl)( tD tNl R.gllter 0' willi 0' the counh Indlclt.d, The! D.p.rt.."t of R....'''u. will IlIu.. ." offlcl.l ........"t
(For. RfV~1SU EX) upon rec.lpt of the R.turn 'raa the R.allt.r 0' NUll.
z. alOCK a ~ If the ....t .p.clfJed 0'1 thh notlc. lIu b...n or will b. report.d ftnd talC p.ld with the P.nn.yl....n.l. Inh.rltanc.
Tax R.turn ,Il.d by the dlc.dent', rtpn..ntatlv., plac. en "X" In block ..!" of Part I 0' the "TalCp.ver R.IPon.," ..etlon. Sign onl
CQFIY and I..turn to thl PA Olplart..nt 0' A.....IOU., !urnu of Indl...ldual TalC", nept Z80601, Harrhburg, PA 11lZa-0601 In the
.n....lop. provldld,
3. !I!.t'':'1( r - H th_ nnHe.. Infor..tlon 11 Incorrect and/or dttJuotlonl art b.lng olalud, chick block "C" and Clu,plltl P,rtl lend)
according to thl Inltructlon. bllow. Sign two copl.. and lub,it th.. with vour ch.ck for the a-.ount 0' till payablt to thl U'illter
of WIIIt 0' thl oounty Indlcat.d. Th. PA D.partMent 0' RevenuI will IIIUI an o"lohl fIIu...ent (For. REV~154t\ flO upon rec.lpt
0' tM return fro, thl Reghter 0' Willi.
TAX RETURN - PART 2
- TAX COMPUTATION
LINE
1. Entlr thl datt the account originallY"" utablhhtd or tltltd In th.. .anner IIlI.Ung ftt date of duth,
HOTEl For I dlCldint dvlng "fttr IUIZ/all Accounh which thl d.c.d.nt put In joint n.... within on. (1) ylllr of dtDth .ra
taMabl. fullv II trenlf.r.. HOWIYIr, th.re 11 en 'lI'olullon not to .lCcnd n,ooo per tran.f"n rlglrdlu. 0' the ...alue of
thl .coount or the nuMl.r of account! h.ld.
If a double uttrlak (1Ul) eppII" b.fnrt your flrtt na'l In the addrell portion of thlt notlc., th. U,OOO uclu.lon
11r..dy hit b.." d.ducttd 'rot tht account balane. at "port.d by thl flnanolal In.tltutlon
Z. C::nter the totel bahncI of thl account Inoludlng Int"..t accruld tn th. dati 0' dnth.
3. Tht ptrc.nt of the account that It tllClbl. for .ach surylvor It d.ter.ln.d al followlI
A. Th~ p.rclnt tllCabl. for joint alllt. I.tablllhld lor. thin on. Ylar prior to the dICtdlnt'. d.athl
I DIVIDED BY TOTAL NUMBER OF DIVIDED BY
JOINT OWNERS
(lIMP1t1 A joint III.t rtghtered In t~ nu. of
TOTAL NUH!ER OF X 100 . PERCEHT TAXABLE
SURVIVING JOINT OWNERS
thl dlcldln t and two other plrton..
I DIVIDED BY 3 (JOINT OWNER$) nllJlOED BV Z (SURVIVORS) . .167 )( 100 . 16.1X CTA)(AlLE FOR EACH SURVIVOR)
!. The ~rc.nt t.lCabll for 1"ltl crlatld within on. Ylar of thl dlcedlnt" dlath or account. ownld by thl dlc.d.nt but htld
In tru,t for .nother InlJlvlduaUI) (tru.t b.neflclarlll)l
I DIVIDED!Y TOTAL NUHBER OF SURIJIVINO JOINT
OWH(RS OR T~UST BENEFICIARIES
X 100 . PERCF.NT TA)(ULE
Ex.eplel Joint account rlghtl"d In tha nail of thl dlcedlnt rmd two oth" p'rlonl and utabllthld within on. Yllr 0' dllth by
thl dlc.dlnt.
1 DIVIDED ay Z (SURVIIJORS) . .50 X 100 . 50% (TAXABLE FOR EACH SURVIVOR)
I). Tht aaount .ubJltCt to talC (1)nl 4) II deter.lnld by IIUltlplYlng thl account bahncI (lln. l) by the Plre.nt tlxablt (I1n. ]).
~. t.l1lwr In. toCtll Ul' e". \lllU~. "'lei otlwtitlt.ua 111\lIu I,. Pert 3.
6. Thl NOunt taxabh (IIn. 6) h d.ttrllntd by lubtrlotlng thl dlbtt end dtductlonl Cllnl 5) fro. thl alount ,ubJlot to teM (lJn. 4),
1. Enter thl Ipproprlat. talC rata (!Jnl 11 at dlttraln.d bllow.
A. Tran.ftr. to !Jnlll dllclndent. JnoludJng fath.r, lIothnr, hu,tJand, wlft, Ion, daughter, grandchildren, 10n-In-lIw,
deught,,-In-I..., ItlPchUd 3nd th.lr h,uI Ir. taMftbl. et sllC percent (6%).
B. Tran.ftrt to ell otherl Inoludlng brother, .lIt", unoll, eunt, n.ph.w end nl,cI art tuabl. ftt flfteln p.rolnt (151;).
C. If YOU ohnngl thl tlM rat., pili" IP.olh your r.latJonlhlp to thl dleldlnt In the area proYldtd.
a, Th. a.ovot of tu dUll (line 6) 11 dtttrlJn.d by .ul~lplylng thl Pllnunt talCftblt (lln. 6) by thl taM rftt. Cllnl 7),
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
Allowable d.btl and dlductlon. ert deter.lnld at followll
A. You I.galh are rllpon.lbll for Plly..nt, or the ..tate lubj.ct to adllllnlltratlon by a ptrlonal reprll.ntaUYI I. In.ufflcl.nt
to ray thl dlductible Itl",
B. You actulllv paid H" debh a'Ur dtath of thQ dlcld.nt and clln furnlth proof of pay.lnt.
C. Olbtl b.lng cl...lttd IIUlt b. Itttlnd fullv In Pel"t 3. If ftddltional Ipec. II nlldld, Uti phln pOptr a 112" IC II". Proof of
paY.lnt lay bl r.qu..t.d by thl PA Olpert.ent of RIYtnu..
TAXPAVER ASSISTANCE
IF YOU NEED FURTHER INFORHATION OR ASSISTANCE, CONTACT ANV
REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES. TAXPAVER INQUIRV UNIT IN
HARRISBURG AT (717) 787-8327.
R!V-1543 I!X AFP (1-91) '*
. COHHOHWE-AL TH OF PEHNSVLV,lHU
OEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
OEPI. /!DADI
HARRISBURG, PA \7118-0601
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
IFILl!
ACN
DATI!
NO.21 94- 0378
94128889
07-07-94
BENKO
909 WOODLAND DR
LEMOYNE
CAROLYN
PA 17043
H
TYPE OF ACCOUNT
W ~ SAVINQ~
CHECKIN6
TRUST
CERTIFICATE
REHIT PAYHEHT AND FDRHS TO,
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
FRANCES
ESTATE OF ttENCH
5.S. NO. 183-12-2770
DATE OF DEATH 04-08-94
COUNTY CUMBERLAND
HARRIS SAVINOS BANK hu provldld thl DIPartltnt with thl lnforutlon titt,d bllow which hu b..n uud In clIlcuhtlng the
potential talC due. Their r.cordl Indlcat. thlllt at thl duth of thl above dlcedent, you were a joint owner/blneUclary of thlt nccDunt..
If you ,..1 thl, InforMation II Inoorreot, rluse obtain wrlthn corrlotlon frOM thl 'Inanclnl illItltutJon, /lttoch a copy to this forI!
rind r.turn It to thc .,bo'.'~ Ild~ro:IC. Thlf ~ccQ~n~ II tJ~llbb if, nolo:l~r!:ln"" Io'lth th= Inti., Iton:.a TD:t lnl." of thl C".lIlo,'iilolth of I'ar,il:,l",anh.
Quntionl uy be an.world by call1nll (7l1J 767-8321. .
COMPLI!TI! PART 1 BELOW N N . SEE REVERSE SIDE FOR FILING AND PAYHENT INSTRUCTIONS
Aooount Ho. 10-60-000866 o.to 08-25-92
Estobll.hsd
Aooount Bdono. 32 , 71 9 . 43
Psro.nt r..sbh X 50 . 000
Aoount Subjsot to To. 16,359.72
To. R.t. X .15
Pot.nU.l To. Du. 2,453.96
PART TAXPAYER RE:SPONSE
CD I FAILUR! TO R!SPOND WILL RESULT IN AN OFFICIAL TAX ASSESSHENT BAseD ON THIS NOTIC! 1
I,
To In.url proplr crldlt to your ftccount, twCl
(2) copl.. o( thll notice IUlt aCCOlpany your
pay..nt to thl Rogllter of Wills, Makl chick
pavabh tOI "Rlghhr of Willi, Aglnt".
ImTF.1 If talC paY.lntl are .adl within thru
(lJ lonth. of thl docldlnt'l dati of dlath,
YOU IUlY dlduot a S% dhcount of thl talC dUI.
Any inherltancl tax dUI will blco.. dlllnqulnt
nlnl (91 lIonthl aftGr the dotl of duth.
[CHECK ]
ONE
BLOCK
ONLY
o ThlJ aboul Infor.atlon and talC duo h corrlct.
1. You IllY choon to rnlt pay..nt to thl RIghtlr of Willi, with two copl.. of thlt notice to obtain
ft dllcount or "'laid Interllt, or you uy chick bOlC """ and return thlt notice to thl Rlghtlr of
willi and lIn official llI......nt will bl Inuod by the 1''' DIPllrtlOnt of Rovlnull.
8, ~ The ftbollo I1I18t hal bun or win b::l rl~ort.d Ilnd tnlC paid with thl rlnnlylvanlll Inhnrltance TalC return
to be flied by tho dllCldllnt', rllprll,ntatIYI.
C, 0 Thl aboy. Inforeatlon II Incorrect and/o!' dabt. and dllductlon. wire paid by you,
Vou IUlt cOlpllte PART 0 lind/or PART 0 bllow.
PART If you Indlo.ts . dlff.rs'tcf~,r~'crl..s. st.ts your
~ rd.tlonshlp to deoodonlt :'l '" ('" ,
lAX R~rURH . OOH~U1ATlON UF lAX ON JOINT/TRUST ~CCOUNTS PAD
LINE 1. D.t. Eshblhhsd I f? -~~~ Cj' ;J. 1
2, Aooount Bohnoo 2~. ~ '11 q . <J :;\ 2 _
3, Poro.nt To..blo 3--il ~~ ~~. 3
4. A.ount SUbjODt to r.. 4 : In ~q. 7 y'J 4
5. Oobh ond Doduotlons 5. _ \ 1'=3..6.1; . ~~ 5
6. A.ount To.oblo 6. t; D~"4 . 01 6
7. r.. Roto 7 --K- rr.o/r. 7
8, r.. Dus 8 1f);, ;~- 8
DEBTS AND DEDUCTIONS CLAIHEp
~e. CL ~o. e. \Wc\
DnCRIPTION
I
llfifnCIAL USE ONLY1 0 AAF
PA DEPARTMENT OF REVENUE
PART
~
DATE
PAID
-j-
PAYEE
AMOUNT PAlO
~
,
TOTAL
(Enter on Line 5 of llx Conput.tion)
~I
.
-
Under plnllti.. of Plrjury, I dlcllr. that the
*Plot,o to tho but of J1'Y knowlodgo and bollof.
(l.!.>t.~~dN0JJ. ~Q'R.k-c
TAXPAYER SI ATURE
flot. I hlVI rlported
HOME ( , J
o.o/~~, truo" oorr~ot
)__~') ~ / 34>y
WORK ( )
TELEPHONE NUMBER
ond
GENERAL INFORMATION
1. fA1LU~E TO ~ESI'OHD WILL ~ESUL T IN AN OffICIAL TAM ASSESSHENT with ...lIolblo IntorOlt bOlad on In/orOlllon
'Ubtllttld bv tho ftMnOl11 Inltitutlon.
Z. IMirltlnol tlX beclOMI del1nquent nl". lIOnthl Ift,r thl d'Cldlntt, d,'. of duth,
S, A joint aoCQunt I, t.~lbl. ,yen though the dee,d,nt', n... WI' ~ II . ..tt.r of oonvenllnC~.
4. ACCOW1tl Clnoluc1lnt tho.. twtld b.t...." hu,b!tOd Ind wlf,) liIhlch thl dlcld,nt put In jalnt ".... withJn one vllr prior to
d..th .r. fully hubll II tranlflrl.
5. Aocounts utlblhhed jolntlv hhttn hu.b~ .nd wlfl JrOre than one Vllr prior to dfllth IrI not tllelbll.
6. AccOI.rItt held bv . o.o-.dent "In trult for" IlhOthlr or other. Ir. tllCDbl, fully,
REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE
1. 'LOCK A . If the Infor..Uon WId caput,tien In thl nolle. If. correct oM dltlootlonl ert not bel~ elIINd, pltcl In ")Coo
In block "A" of Pert 1 of thl "Tuplylr R.'POO.... naUon. Sign two copl.. end .uhllt th.. with your chick for thl ...our11: of
'IIC to thl F(lthtlr of will. of the county Indic,t,d. 1h1 Dep.rtHnt of R.v.nut will h.u. In offlol,l 'u...""t
(For. REV~1541 1;)0 upon rlnlpt of th. R.turn frOll the RlIlstlr of WHit.
2. ILOCK. ~ If the ....t IPlclfl.d on thh notlc. 1'1-., bun or will b. rlportf'd end tile Plld with thl P.nn,Ylvenl. Intterltenc.
T,IC Peturn fll~ by the d~.dent'. rllpre..ntatlv., pl'c, IN'l ")(" In block "a" of Pflrt 1 of the "TlICPIYIr R..pon.... .loUon. SIgn ont
copy Ihd return to thl PA Depart""t of Rlv.nul, Sur.au of Indlvldu,l TIIlU, O,pt la0601, Barrltburg, PA 171Za~a601 In the
envelope proYlded.
S. neCK C ~ If th= notlo:l Infor..t1on It lncorrl~t .nrllnr rI-n.."tlnru I'"~ haln('l cl.lud, chick block "COO .nd c~l.t. Plrt.. 2 Ind S
according to thl tnltrlKltlon. bllow. Sign two cOJ1lu Ind lub.1t th.. with your c~.ck for thl ..oont of h1C p,ylbl. to thl A.altttr
of WUh of tM CO!A'Itv Indlcetld. Thl PA Ileplrt..nt of A.venue will IIItu. In offlctll ........,t (For. Rf.V-l!i4' EIO upon rlc,lpt
of thl return frOll thl R.ghtar of WUh.
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
1. Entar thl d.te thl .eeount orlgln,llv Will ..tablllhld or tlthd In the lI~r .dltlng It date of d..th.
HOTEl For I decedent dYlna afUr lUIl/a21 Account. which the dlcldent put In joint n.... within OM (I) yur of d..th ar.
t'lClbl. fully .. tran,IIrI. HowtIyar, thlr. It an IKclu.lon not to 'Kcud n,oao p.r trtn.llr.. r.glrdhu of the value 0'
thl acCOU'1t or thl nu.btr of acc:ountt h.ld,
If , doublt ..hrl.k (lUll IPP"" blfor. your flr.t na.. In the Itddre.. portion of thlt notlca, the n,ooo 'lColu.lon
already hu bien dlduct~ fro' the account bahnr.. .. r~rt.d by the flnlnclll In.tltutlon,
2, Enter thl total b.lenc:e 0' thl .ccount lI'oludlng Int.rut aCClru~ to thl data of d..th.
S, The perc.llt of thl .ccount that II tlKlble for ullh lurvlvor I. c1.ttrain.d u followlI
A. ThI perc,"t hxebl1 for joint all.ta utablhh.d lort thlN"l ont yur prior to thl dlcedent.. dlathl
I DIVIDED BV TDTAL _IER Of
JOINT OwtlERS
EKMpl1I A Joint a...t rlgl.tlred
DIVIDED BY TOTAL NUI<BER OF X 100 . PERCENT TAXAlLE
SURVIYIHO JOINT OWNERS
In thl neo of th. dt<ledtnt aM two othlr plraonl.
I DIYll>>:n bY S (JOINT OWNERS) DIYIDED ay Z (SURVIVORS) . .167 X lOa . 16.7iC (TAXABLE FOR EACH SURYIVOR)
a. The pare.nt hxmbll fo,- au.t. or..hd within on. year of the dlc.d.nt'l d..th or aooount. own.d by the dee.d.nt but held
In tru.t for .-,othtr Indlvlduate.) (tru.t blnaflchrl..)1
1 DIVIDED IV TOTAL HUHBER OF SURVIVlHO JOINT
OWNERS on TRUST BEH(;FIC!AAIES
x IDa . PERCE).lT TAXABLE
E.llMPhu joint account rlahttred In th. nl.e of th. dlcldent .nd two other ptrlonl end tlhblhhed within Ont "..r of duth by
thl dRldent.
1 DIVIDED IV ! (SUlNIVORSl . .50 X 100 . SOl (JAXAlLE FOR EACH SlJR'IlVORl
4, Thl 8IIOOOt lliJj.ot to tlX (lIn. li) It detartlned by lultlplylng the ecc';)unt ballnc, (111" 2) by thl perclnt hubl, Clint 3),
!t, I!ncar thl taUI at the 04bU 100 neduoUon. Un.a 1n Pert j,
6, ThI aaount tlubl. Uln. 6) It d.ttrtlntd by .ubtraoUna thl d.btl and deduotlon. Uln. 5) frol th, atount .ubj.ot to tllC (line 4),
7. Entar thl approprla" tax nt. (lInt 7) u d.ttrtlntd bllow.
A. Tran,fer. to lIn..l ~.ctndlnh Including lither, .other, huvbund, wife, lon, daughter, grandchildren, 'on4In~I...,
deughter~ln~I..., .tapehlld and thllr ItIU. are UKltllt at IlK pare.nt (6:(),
I, Trln.ftra to all othere lnolodlng brother, .ltter, unol., nunt, n.phlw and nl.c. are taKlbh at flft..n parc.nt (1SX),
C. If you ehlnQl thl tax rat.,. pi.... Ipeclh your rltltlonlhlp to th. d.c.d.nt In thl ar.. proYld.d.
a, Th. MOUnt of till dlM (line I) It dlter.ln.d by lultlplylng the aeount taKabl. (lIn. 6) by th. tnx rat. (lIn. 71.
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
UI(lwabl. lJebt. .nd deduotlon. Ira dlttrlljned .. foUew'l
A. You 1I;llly .rt rllPonltbl. for pay..nt, or th. ..tat. .ubj.ct to adlllnlttratlon by a p.rlonll rtprtunt.tly. h tnlufflclent
to P,V thl deduotlbl. It,".
a. You aotullh plld thl d.bts ,fter d.ath of the d.e.dent and can furnish proof of pay..nt.
C. D.bt. b.lng elal.'d .u.t b. "..I.lId fully In Part S. If nddltlonal .p.c. It nuded, Uti plain pllptr e Ill" K 11". Proof of
pav.ent uy be requuted b~ thl PA nlpartunt of R.v.nu..
TAXPAYER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANY
RESISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES; TAXPAYER INQUIRY UNIT IN
HARRISBURG AT (717) 787-8327,
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