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HomeMy WebLinkAbout94-00400 " , ." ',', .:' ," , " ;' ,," .' .';'", :::~,/:t~':;:: i ";'.tK, "\'/,":' , ,,',1',1 ',' 1,1", I' ,r, to' ,. , . "., ,t, '."! . f, ~' \, "., '" Ii,', 'Ii , """ l,e \' I',! \,1' " ~\- \" " ,\. " .', " " ,'I, 1\ ',,1 III .'," ;',1,:- '" " , ",ll','.,.., '. I" , (" "', ,,' '" ',\J" .." ,~ ,:', ~' " )., ,t' ,', ),I'j .,:',: I.::. .'1" .\'"rl.' . " }i~ ) r \1.. ,. ".,'" '\, , '. i 'I " . ,If", , , ., I'" 'JI; ,,' '," " \ h,' ',. 'I: ,I 1'1: ,'. I" I"~ ',,\1 .i" ,\ . ;~ iIL.....a- .' /', ...... '0 '\' -I"~ 't,\., .. , i' 'i)"II.1 , .\ I ,ft, '~(.'" ,\<" " ',J:.J1.'n.',":r:.:'\" :(k!'}"!" ':1-' . :~:~W'~\\':;,:.i . L... '11'C,"' '/"( ;~j;r{~};r::'j:, . I, ~ ':~'I~~'~f'IJ,)11':> :,,';.Ii .'it(,' J,l(~'.~\' .j I LLI , , ., " " , , ".' ,e .; . , , ,I,. ," ,," ''i,', ,,),' I. , , , '\ :.1, "i' 'L, 't""" " I. " ~ ,I." ", '" ,. 'f" ; , ',I.', .:'i .;:,\i " iI, " ',' ',' " /.)"'(1) .:..' .. ,. ','." ''1'' , '" ",,' I'" (". 'i "',' ',"', '11 ", ", .\. \' 1', ., , ' '!' ',11 ,'i' ,',' /, ," " , ", ,'41'1' , 'I' '" , ,. It:'.' 1'1""" "~I I", .\ . , '. " \ , , ., ,,1/. ",' I' .:!, " , , ,I ~ "" 'II', " , ' ,'<' "\1' -'.. " , " , , I .. " -"j " " ", ',1,'" , ," I' , j'if ,Il , , , ',. 'I, , , ',' " i' )~ , I~' :1.. " . , , .:', I, , " " .t I, ,\' '0' \ ,. ',~., " '. '0' ", '" 'i,'" ',,' 1\: ',. , '" ,"' '. "0" :1,:/\ '\ 10 'i' ,,., \1 , " " , ~ . .,'. ~ . ~! '/" ;,;, : ',",1' ill.,' , ~ " ,I .,1,\.:. ,I" i'I;- . I ~ " ,:.", "~I ).', '\ '." "1 ,'j', ;-,11'", ....'. . ~ " \,' ; Itj' '., I,,",' ", 'll ~ !'"" "1",', " , "~I' ";'I:J., 'W'l'.}, ('/(.",' " 'I, I, , I ' I' " 1,1, , " ':' . , ",,) "t'. t'::'",J.I' " .,' ";\',,,1: , .. -'" :,':',\' ,~, \. '\' !!" . '" i "I,,', '/,' , '." ". /: ., ,I: " ':,1; ',1 ,I' "'1 -'j' ,ii. ':' ,>/,1, ,'. ,1 \ "I- f,", I , /, , " 1',.,' 0,'1' " '.\ .',' \ , ~ i , ( "0' ,",t /, '<I",. .. .. ". ",J. '.. ,'" '.'1 , 'I' , , : ", " I,'.' I',' " " \, .;'1. I, I ",', J;',';' ,/1 I',' "'11 , , "', .,':.' 'Ii,"'" '" , ,,', ,,',11 " ". I', ',\ ',' "', , ,. I'i. ,',ii_' 'II, ,i , ., 't'" ,\,' . '\.'1 ,:',/ :,:1:, , ,I ,:,f., " I, ".' \ ~j :, , /{ R!VollOO!i+ 111,"1 (j ~t....l ) {- ,~l(1 . 'IL( /L!",VS..? INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) I!! ~f~ :z:~... V ",Ill ~ ~~ lila oz vie z o 3 ::l t: ~ '" z o I: S ~ ~, g .1..1.4.1. ColLrnllus AVe., Apt. H.1. LtJroyne, PA .1.7043 tUlBERLAND o 3, Remainder Relurn (lor dale. 01 dealh prior to 12.13.8; 05, Federal E.lale Tax Relurn Required _ 0, Tolal Number 01 Sale Depa.1I BoX! '. ., ~iI'J'~ ~'.~ ~;tt/j;.!' COMMONWEALTH 0' PENN~nV"'NI'" O!PARfM!NT Of REVENUE Of" 280601 HA.RRIUURO, PA 11120.0601 , NAME ILhiT, fiRST, "NO MIODL~ INITIAq I 'O~ OATIS 0' DIATH AnlA 12/3119' CHICK HIa IP A SPOUSAL POYIAn CUDIT IS CLAIMID 0 ,iLi"NUMBU rX I rtf COUNTY CODE V,AR NUMBE N . COMPn H ...ODRHS o 4, lImlled E,'ole 040, Fulure Inlere.1 Campromhe liar dale. 01 dealh oller 12.12.821 o 6, Decedenl Died Te'lale 0 7, Decedenl Malnlalned a living Tru,' IAHoch copy 01 Willi (AUoch copy 01 Trulll ALL CORReSPONDENCE AND CONfiDENTIAL tAX INFORMATION SHOULD BE DIRECTED TOI NAM EdIUfJd G. Myers, Esq. MPlElf MAIlINO ADDRESS Johnson, Duffie, stewart & Weidner 301 Market st. L H N NUM8~R P. O. Box 109 IknVyne, PA 17043-0109 1. Real Ellale (Schedule A) ( 11 2, Slack. and Bond. (Schedule BI ( 21 3, Cla..ly Hold Slack/Parlnershlp Inlere.' ISchedule C) (31 4, Mortgage. and Nole' Receivable ISchedule D) ( 41 5, Ca.h, Bank Depadll & Mlscellaneau. Personal Property( 51 ISchedul. EI 6, Joln"y Owned ProFerty (Schedule FI 7, Tran,le" ISchedule Gj (5chedulol) 8, TOlal Gran Anel. 110101 line, 1,71 9, Funeral Expon.e., Admlnluratlve Co.II, Mhcellaneou. ( 9) ~xpenle' (Schedule HI 10, Deb", Mortgage llobllltl.., ll.n. (Schedulo I) 11. T clal Deduction. (10101 line, 9 & 10) 12, N., Volu. 01 Eltalelllne 8 mlnu, line 11) 13, Charllobl. and Gavernm.nlal Beque". (Schedule J) 14. N.t Value Subl'ct '0 Tax (line 12 mlnu.llne 131 15, Amounl of line 14 laxable 01 6% role 1'",lude value. from Sch.dul. K or Sch.dule M,I 16, Amounl 01 line 14 la,abl. 01 15% rate I'nclud. value. from Sch.dul. K or Schedule M,I 17, Principal tax due (Add lax Irom line 15 and Iram line 16,) 18, Credll. Spou.al Poverty Credit Prior Paymenl' Discount 43.61 ----- + + 19, II line lB I. grealer Ihon IIn. 17, enler the difference on line 19, Thl, h Ih. OVERPAYMENT, aD 20, IIl1n. 17 h grealer Ihan IIn. lB, enler Ihe difference on line 20, Thl. h Ihe TAX DUE. A Enler the Intere'l on lb. bolance due an line 20A B, Enler the tolal 01 line 20 and 20A an line 20B, Thl. h Ihe BALANCE DUE. Mak. Chock Pavabl. to, R.gl.t.. 01 WillI, Ag.nt F.sq. I 8) 23,202.69 ~ ~ a IDIBEOOER, CAOOI.YN !olX>RE o IAl ncuu,y NUMBER . ~~D"'1f Of BIRTH 192-14-6047 I 2/5/94 I 6/12/23 !ill. Original Relurn 0 2, Supplemenlal Relurn ICuunlr (111 (12) (131 (141 _ 8,667.00 14 ,535.69 -0- 14,535.69 872..1.4 717 761-4540 . ,06.. . ,15.. -0- 23.202.69 16) I 7). 8,066.00 (101 601.00 (17) 872.14 (15) 14,535.69 Intertul (1R) (19j 43.6.1. 116) Chock 11(',,1' If you nu' ff>tlUI'<,tI09 (I ,cofund of your O'l,lC'p(IVOtt'nt (20) 12M) (20B) _ 828.53 -0- 828.53 ..81 SURE TO ANSWER AU QUUTlONS ON REVERSE SIDE AND TO RECHECK MATH". '. ',:1 Under pinellI.. 01 pttlury, I declar. that I havI examined Ihll relur"j Including ac(ompanylng Ichedules and .!alemenl', und 10 tho bell of my knowledge and b"II,' ) It h tru., (orr,ct and cample'l. I dedor. Ihol all real 1.101. nos bee,. repor1.d allru~ markt' value, Declaration of pr'parer olh,r than lh. penanal r'pr"tntatlYI I, bOlld~n lllnlormalion of which pr oref has any knowledge. ! l',~ f1lil1ii'r Pill' .', ILINO R[fURN AOORISS] 141 Co1l1ltJus Av Ap-t"'-1 -- l ' /"VI,," I '0-""" I~yne. PA .1.704~'" '.J:.,/i'/ AOOmS A 301 Market St., P. a.Box .1.09 I I.aroyne, PA .1.7043-0.1.09 ~L\ ill ~f\;II" ,.. r1.l'1 ESTATI Of A. B, 4. C. 1. 2, 3. 4, 5, 6, 7, 8. ITEM NUMBER 2. 2. 3, -!.jk COMMONWU~1H 0' 'INN!YlVANIA INHUI1ANCI1AX !ITUIN IUIDIN1DICIDW! SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES ROMBERGER, CAROLYN MOORE DESCRIPTION 1. funeral bpenlll' Musselman Funeral Home, Inc. Brachendorf Memorials - Marker 1. Admlnlltratlve COlli I Perlonal Representative Commlnlonl Social Security Number of Pellanal Reprelentatlve: Vear Cammlnlonl paid Attorney Feel - Johnson, Duffil:l, Stewar.t & Weidner Family Exemption Claimant Wilmer L. Ranberger, I~elatlonlhlp Husband Addr... of Clolmant at docedent'l death Street Addr... 1141 Collunbus Ave., Apt. 1 City Lemoyne Stale p~, Zip Code 17043 Probate Feel Mlleellaneaue Ilcpenleli Register of Wills - file Inheritance Tax Return TOTAL (Allo enter on line 9, Recopltulatlonl (If mort epate Ie n..ded, Inlert addltlanallh..te of lame Ilze,) AMOUNT 4,696.00 855.00 500.00 2,000.00 15.00 5 8,066.00 "; , :1 'I I '1 " , i I , 1 ' , I, I I " '!' , '. " ", ". " , I.t " " .'" ,I I' ,," ,II I " , , " " , ,. q' , ,'., ,,' ,~ , .\ I ( , , \ I ,. ,\ ''.l ',j it' " , \ I I I I ,to , , I,', , . L "'II " ',/:,' "I' , , , ,j" ", ",',J " I: ,I' I . i , 'I' '1 , ' ""',' .,' i: I, \,; " " I: I'.. !", I q Iii ,I, ' .\,p. I, I", \/1 ',\ "..,'1 I, i, j, ' " " " ". ," ,I I \ ", \ I I In ,.'1 , , III i 1Il P 0 '. ~iS H~ 1'-' 'I ,II<P CO " 11<0 M " "OU ~7 1Il >< M H~ PM HZ 010 , H 1:1 1Il I'- , ~O H ! " ,UIIl '[ ~~gJ~. I ~ 1 0 , ~ er " I ~, ElIl. , I ~~ 5~ (.? U , ~U HC \ ! , \, ,! II' I ,\ ' ,. ", I " , ,I' " 00 , ,." , ( I ~ 'I . ';" \'''' ., ,. I' , '. l '( ,...", . ' , ' \ I",., . ,'^ << "'; 1\'1' , .,i '"" l ,~ " " t,~',1 I) \', ."~ , ~.. . ), I. ,'I ,.,~' . '~': i' ,~, .:', I 'oi' ,\ 'II '.' ... I'" . I , , I , tl( ..' \, I " " ", 'I ", ,'" ,r~ 'i I / , , I- f' " j,' ,,', 'f ,.. . - " , '~,. ..........- ~ ~,..,......._._._.,~.........-.-.-4n T" ..il;4........... " ,,,,,!,,,, ' , ' ' " , .':''tr'-.",. RIV-1547 EX AFP (10-93* COHHllffWUl TH Of PENNSYLVANIA ACN OEPARTNfNT Of REVENUE NonCE OF INHERITANCE TAM BURUU Of INDIVIDUAL TAKES APPRAISEHENT, ALLOWANCE OR OISALLOWANCE ~mjS:~~~lpA 171!8-0601 OF OEDUCTIONS, AND ASSESSHENT OF TAM DATE 09-13-94 ISTATE OF A"aRD~RGer~==rn'-. FILE NO. = 21 94-0400 DATI! OF DEATH 02-05-94 COUNTY CUMBERLAND NOTE, TO IN3URE PROPER CREDIT TO YOUR ACCOUNT, SUDHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAM PAyHENT TO THE REOISTER OF WILLS, HAKE CHECK PAYABLE TO "REGISTER OF WILLS. AOENT" REMIT PAYMENT TOI / ")V " ~, () EDMUND G MYERS ESQ 301 MARKET ST PD BOX 109 LEMOYNE PA 170430106 co 101 - REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 F l A.ount R..lttld CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ R"aV; i;4i -Eit'AFP- i i 0-; 93Y - Heir-ia r -e F - INti Eii i TAiic E - YAir AP iiiiii is EM EHT"; -A trewANc E -o-li. - -..... - - - - -. - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF ROMBERGER CAROLYN FILE NO. 21 94-0400 ACN 101 DATE 09-13-94 TAM RETURN WAS, (X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1, R.Il Eltltl (Schldul. Al 2, stookl Ind Dondl (Sehldulo Dl 5, Clol.ly HIld Stock/P.rtnlrlhlp Intlrllt (Sehldull Cl 4, Hortg.gll/Netll Rle.IYlbl. (Sehldull D) 5, Cllh/Dlnk Dlpolltl/Hlle, P.rlonll Proplrty (Schldul. E) 6, JointlY Ownld Preplrty (Schldul. Fl 7, Trlnlf.rl (Seh.dull 01 e, Tobl Au.to APPROVED DEDUCTIONS AND EXEMPTIONSI 9. Fun.rel E~p.n.o'/Ad~inilir.tiY, COital Hllcllllnloul E,plnl.1 (Seh.dull HI 10, Dlbtl/Hortglg. Lllbllltl.I/Lllnl (Schldul. I) 11, Tot 11 Dlduetlonl 12, N.t Vllul of TI. Rlturn 15, Ch.rltlbl./OoYlrn.lnt.l D.qulltl (Seh_dull Jl 14. H.t Vllu. of elt.tl Subjlet to TI. If an all'Slment wal ilsued previaUlly, linel refleat figurel that inalude the tatal of ~ ASSESSMENT OF TAXI 15, A.ount of Llnl 14 t..lbl1 .t 6% r.tl 16, A.ount of Linl 14 t..lbl1 at 15% r.t. 17. Prinolp.l TI. Du. TAX CREDITS I PAyHENT DATE NOTE I RECEIPT NUHDER DISCOUNT (+ I INTEREST (-I 0',-25-94 B86016 43,61 ) CHANOED III (21 (51 (41 (51_. (61 171 ,00 ,00 ,00 ,00 23,202,69 ,00 ,00 (el 23,202,69 (9) nOI 8,066,00 601,00 nIl _ (12) (151_ 1141 8,667,00 14.535,69 ,00 14,535.69 14, 15 and/or 16 and 17 will returnl allelsed ta date. (15) (161 14.535,69 M,06' ,00 K,lS = (17) 872.14 .00 872,14 AHOUNT PAID 828,53 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 872,14 .00 ,00 ,00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN 'I. NO PAyHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI. YOU HAY DE DUE A REFUND, SEE REVERSE SIDE ~F THIS FORH FOR INSTRUCTIONS,) RESERVATION, Elt.tl. of d'Cldent, dvlng on or be fori D'ce~er 12, 1982 .. If tnv futurl Jnt.rl.t In the I.t.t. II tran.f.rr.d' In pa.....lan or .nJov.,nt to Clu.. . (cal1.t.r.l) b.n.flel.rll' of the d.cldent Ift.r the Ixplr.tlen of Inv e.t.t. fcr 11fl cr for v..r., the Cu"onwellth hlr.bv Ixprl..ly r..,rv.. th, right to IPpr.I.. .nd ...... trlnlf,r Inh.rltlnc. TIXIW .t the llwful Cl... . (colllt.rll) r.t. on any .uch future Int.r..t, PURPOSE OF HOTlCE. PAYHENT, REFUNO (CR), OIJECTllHlS. ADHIN ISTRATlVE CORRECIIOHS' DISCOUNT. INTER1!ST. To fulfill the r.qulr.,.nt. of S.ctlon 21~O of th. Inherltanc. and E.tat. Tax Aot, Act 22 of 1991. 12 P,'. SI:ltlon Zl~O, D,tleh the top portion of thl. Hotlcl and .ub,lt with your ply..nt to the Rlul.ter of Will. prJnt.o on thl r,vlr.. .Idl, uH.k. ohlck or lonly ordlr PRytbl. tal REGISTER OF MILLS, AGENT All PlY.lnt. r.c.lvld .h,ll flr.t be appll.d ta any In\.r,.\ which ,.y b. due with any r...lnd.r .ppll,d to the tiN. A r.fund af I tlX or.dlt, which wt. not r.qu"\ld on th. T.x R,turn, ,.y b. r,que.t.d by co.pl.tlng an "Applloltlon for R.fund of p.nn.ylv.nla Inherltano. and E.t,tl TaK" (REY.1313), Appllcltlon. art av,II'bl, It the Offlc. of the Rtgl.ttr of wtll., any of th, Z3 Alv.nu. DI.trlct Offlc,., nr by calling the .paolal Z.-hour an,wlrlng ..rvlr. nu.blr. for for'l ordlrlngl In Plnn.ylv.nla 1-800-36Z-2050, out.lde Plnn.ylvanl. tnd within 10011 Harrl.burg ar'l (717) 787-8094, TOO' (717) 772.Z252 (HI.rlng lapalrld Only), Any p.rty In Int.r..t not .atl.fl.d with the app,.l....nt, allowanc. or dl.lllowftRCI of dlduotlonl, or ........nt' of t'K (Including dltoount or intarllU II .hown on thlt Notle. .u.t obJlot within .AxlY (60) dly. of recllpt of thlt Notlcl bYI "wrltt.n protllt to thl PA D.part..:..t of RIVlnul, Bo.rd of ApPIII., DEPT, Z8\021, Herrhburg, PA 17128-1021, OR ~~.l.otlon to h.v. the .att.r d.ttrlln.d at audit of the aoeount of the par.onel rep'..lntttlv., OR --lfIpIII to thl Orphan,. Court, F.ctu.l .rror. dl.oov.rad on thl. ........nt .hould bl .ddr....d In writing tal PA Dlpart..nt of A'v,nu., Burlau of Indivtdual Tax.., ATTNI Po.t A.......nt R,vI'w Unit, DEPT, Z80601, H.rrl.burg, PA 17128-0601 Phon. (717) 7a1.6~05, S.. pag. 3 0' the bookl.t "tn.truotlon. 10r Inh.rltancl Tax R.\urn for a AI.ld,nt D.c.d.nt" (REV-IsOI) 'or an .xpl.natlon of ad,lnl.tr.tlvlly oorrlctlbl1 Irror., If any tlX due I, paid within thr.. ()) c.l.ndar lonth. af'.r the d.c.d.nt'. d'lth, a flvl p.rclnt (s~) dl.eount of thl t.x plld 1. alluw.d. Int.r..t I. ch.rg.d b.glnnlng with flr.t day of d.llnqu.noy, or nln. (9) .onth. and ORt (1) d.y fro, thl d,tt of dl.th, to the d,t. of p.y.~nt, Tex.. whloh b.e,l, dlllnqulnt b.for. Janulry I, 198Z bl~r Int.rl.t .t thl rlt. of .Ix (6~) p.rOlnt Plr ennui calcul.t.d at . dailY rltl of ,000I6~. All t.x.. which b.c..e d.linqu.nt on .nd .ft.r JlnUlry 1, 198Z will b..r Int.r..t It 0 r.t. whiCh will vary fro. CIl.ndtr y.tr to ctl.ndar y.,r with th.t rat. Innoune.d by the PA DIP.rtl.nt of A.v.nuI, Thl appllcabl. Int.r..t rat.. for 198Z through 1994 .rll '!.!!! Jnterllt R.t. Dally Int.rl.t Faotor :!!!r Int""t Rlt. DailY Int,,", Ftotor 1912 20~ .000548 1986 10~ .000274 \911 16~ ,00045& 1987 9~ ,000247 im II~ .ooom l'U-\'91 m ,00010\ 1911 IS~ ,000156 1"2 .~ ,0002~7 I99H994 IX .000191 .-Int,,"t I. olloul.tld .. followtl INTEREST . BALANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notlf.1 t..u.d .ft.r th. tax b.coI" dlllnqu.nt will r.'l.ot .n lnt.r..t calculltlon to flftlln (15) dly. b.yond thl dati of tho a""'I.nt. If pay..nt I. .ad. .ftlr thl lnt.r..t oOIPutetlcn d.t. .hown on thl Hotte., eddltlonll Intlr,.t IU.t b. celculltod, \ RIV"1547 EX AFP (01"94* CllMOHWEAllH Of PEHHSVlVAllU Dt:PARIHt:NI Of REYEHUE BUREAU Of INDIVIDUAL IAXEI Dt:PI. 210601 HARRISBURG. PA 17121-n601 RmE OF WRIGHT FILE NO. DATE OF DEATH 05-06-92 COUNTY CUMBERLAND NOTE I TO INSU~E p~OpE~ C~EDIT TO YOU~ ACCOUNT, SUB"IT THE UppE~ pO~TIDN OF THIS FOR" WITH YOUR TAX pAY"ENT TO TIll REGISTER OF HILLS. ,1AKE CHECK pAYABLE TO "~EGISTER OF WILLS, AGENT" , REMIT PAYMENT TO: 6' .;~ ,) h' .. I ACN 101 I I NOTICE OF INHERITANCE TAX AppRAISE"ENT, ALLOWANCE DR DISALLOWANCE OF DEDUCTIONS AND ASSESS"ENT OF TAX DATI 12- 05- 94 R C KRAMER PNC BANK PO BOX 308 CAMP HIL L PA 17001 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 AMount RaMlttad --==i CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~ iI IV: is;., "EX"" Ai: p" m": 94 i" "Nlifi or"OF" i"NHEiiif ANci!" YA'x"liPPRA"i S Ei1!NT~" "AL l"oiiAiici E" '(ili-"""".""".".".."" DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF WRIGHT LLOYD FILE NO. 21 92-0400 ACN 101 DATE 12"05-94 11' an a.....m.nt was illu.d pr.violl.ly, lin.. 14. 15 and/or 16, 17 and 11 re1'lect 1'igur.. that include thm total 01' ~ r.turn. a......d to dat.. ASSESSMENT OF TAXI IS, AMount of L1na 14 at Spou.al rata (lSl 16, AMount of Llna 14 taxabla at Llnaal/Claa. A rata 1161 11, Aoount of Llna 14 tax.bla at Collataral/Cla.. B rata 1111 la. prlnolpal TaN Dua TAX CREDITS I PAYHENT DATE 07-07-92 02- 08-93 07-14-93 07-01-94 TAX RETURN HAS I (X I ACCEpTED AS FILED RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE APPRAISED VALUE OF RETURN BASED O~l SUPPLEMENTAL 01 1. Roll E.tata ISohadula Al III 2. Stook. and Bond. (Sohadule B I 121 5, Clou1y H.ld Stook/partnarohlp Intar..t (Sohadul. CI Ul 4, "ortgag../Not.. R.oalv.bl. (Sohadul. 01 (41 5. Ca.h/Bank D.po.lta/"l.o, P.r.onal Prop.rty ISoh.dul. EI 151 6, JoIntlY Dwnad Prop.rty (Soh.dul. Fl 161 7, Tran.f.ro ISoh.dul. GI (1) a, Tot.l A..ata APPROVED DEDUCTIONS AND EXEMPTIONS I 9, Fun.ral ENpan.../AdM, Co.t.I"I.o, ENp.n... (Sohadul. HI 191 ),0, D.bh/Hortgag. L1abIUU../Llan. ISoh.dule Il liD) II. Total D.duotlon. 12. Net Valu. of TaN R.turn 15, Ch.rlt.bl./Gov.rNOantal B.qu..t. (Soh.dula Jl 14, Not Valu. of Eatat. Subj.ot to T.N NOTEI RECEIPT NU"BER XA712742 XA783432 XA823663 MM886256 DISCOUNT ('1 INTEREST (-I 375,00 2,09- 71,77- 232,51- L INTEREST IS CHARGED FROM 07-02-94 TO 12-13-94 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM ( I CHANGED ,00 ,00 ,00 ,00 114.200,116 -.-..QQ. _...!9.. (al 114,20~ 7,802,00 ,00 III I lI21 liS) lI41 '1.802,00 106,398,46 90,438,69 86,309,71 will ,00 K ,00, ,00 X .06. 86,309,71 X,15. lIal .00 ,~ 12.946,46 12,946,46 A"DUNT PAID r;rrs-, 0 0 3,052,49 1. 20 2.627,92 TOTAL (AX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE · IF PAID ArTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, 12.945.81 ,65 .02 ,67 IF TOTAL DUE IS LESS THAN II. NO PAY"ENT IS REqUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU "AY BE DUE A REFUHD, SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS, I Ii REIERVIT ION , E.I.I., .f doc.donl. dvlna on ., b.f.,. D....bo' II, 1911 .. If anV fulu,' Inl.,..1 In Ih. ..1.1. 1. I,on.f."od In p......I.n ., .nj.v..nl I. CI... I Ic.II.loroll b_lI.lorl.. .f Ih. d...donl .ft" Ih. ",pl"l1.n .f .nv..I.I. f.' Ilf. ., f.' V"," Ih. C....n...llh h.,.b, .,p,...lv ,...,... Ih. ,Ighl I. .pp,.l.. ond ...... I,.n.f., Inh.,ll.no. T.,.' at the lawful Cia.' a (collattral) ratt on any .uch futurt int.rt.t. PUllPOSE OF NOTICE. T. fulfill Ih. "oul,...nl' .f S..II.n 2140 .f Ih. Inh.rll.n.. .nd E'I.I. T., A.I, Acl 22 .f 1991, 11 P.S, SloUon 2140, PAYIENT, D.Ioch lho I.P p.rl1.n .f Ihl. N.I1.. .nd ,ub.11 .lth ,.u, poy..nl I. Ih. RUI.lor of Will. p,lnl.d .n Ih. .....,. .ld., -'HIl<' chock .r ..nOY .rdor PIY..1. 1.' REDISTER DF MILLS, ADENT All PIY..nl. ,oc.I..d .h.ll 11.,1 b. .ppll.d I. .nY Inlor..I .hlch .IY b. duo .llh onv ....Indor .ppll.d I. Ih. I"" REfUHD (CAI' A "fund .f . low ...dll, .hlch ,.. n.1 "o.....d .n Ih. Tax R.lurn. '.V b. .......Iod bV c..pl.l1na on "Appll..l1on for Rlfund of p,nnlVlYanla tnl'l,r1tanca and Eltatt Tax" (REY.1515). AppUoaUon. art avaUablt at tt\t OffiCI of tht Rtghter of WiUI, any of tt\a 23 Rlvlnul Olltrlct Offlcn, or by caUlng thl Iptalal 24.hour InIWlrlng IIrvlce nuBer. for for.. ordlrlnGI In Plnnlvlvania 1~800.362.Z0S0, out.ldt PenntVlvanla lOCI within 10,.1 Hlrrltburg are. (717) 781-8G94, TOOl (717) 17Z.Z252 (Ht.rlna t.palrld Only). DlJECTIDNS' Anv p.rlv In Inl.,..I n.I ..II.fl.d .llh Ih. .npr.I....n.. .Il..ane. .r dl..II...nc. ., dodu.ll.n., ., .......onl of tlM (Including ditcount or lntarut) II .hown on thit HoUca Wit objtot wlthln .htty (60) day. of rlcalpt of thh HoUct bYI .."III.n p,.I"I I. Ih. PA D.porl..nl .f R..onu', loard .f App..I., DEPT, 211021. uorrl.bu'a, PA \7l21-1021, OR ..lllcUon to hlYI the uttlr dttlr.lnld at audlt nf the account of thl plrlonal rlpr..tntaUvl, OR ..IPPIIl to the orphanl' Court. AIlfIIN IITRATlYE CORRECTIONS' INTEREST I F~tutl .rrorl dl.oov.r.d on thlt ........nt .hould b. addrl..td In wrltlna tal PA Olpart.lnt of Rlv.nut, IUrllU of tndlvldull Ta)lll, A1THl Po.t ........nt MIyl.w Unit, DEP1. Z80601, Harrl.bura, PA 17128.0601 Phont (711) ,.7.6S05. S'I Pili' S of thl book lit "In.tructlon. fur IM.rlt~. 11)1 Rlturn far I Rllldlnt Dlcldlnt" (REY.1S01) for an IMpltn.tlon of ad.lnl.trltlvIIY carrtctabl. Irrorl. If onv I.' duo I. p.ld .llhln th". (I) c.l.nd., ..nlh. .fl.r Ih. d.c.d.nl" d..th. . fl.. p.rc.nl (SXl dl,c.unl .f tht tlM plld l. allowld. Inl.r..I I. .h.,a.d b'Glnnlna .IIh fl,.t d.. .f d.llnqu.n.v. ., nln. (9) .onlh' ond .no (II d.v f,.. Ih. d.l. .f dI.th, I. lho d.l. .f p.,..nl, T.'" ,hlch b.c..' d.llnq..nl bOf.'. J.nu.'v I. 1912 b..r Inl.,..1 .1 Ih. ,.t. .f .he (6:<) p.rclnt p.r annuactlculatld at. dallY rite of .000164. All ta)Cot which b.oa.. dallnquent on and aftlr Jenulry 1, 1982 will b.ar lntlr..t at . rotl which will vlry fro. callndar yl.r to clltndar ya.r wlth thlt rat. annauncld bV tht PA o.parta.nt of Rlvlnu', lha IPpllcabll tntart.t rite' for 1982 through 1994 aral Vllr tntlrnt Rat. DillY tnt.rl.t Factor !!!r In,.'lIt Rtta DillY tnttr'lt Factor - 1912 !OX .000548 1986 lOX ,000274 \911 16X ,000411 1987 9X ,000247 1914 1lX ,000101 1981-1991 llX ,000101 191\ IIX .000156 1992 9X ,000247 1991-1994 7X ,00019l Hlnttrllt I. c.loulatld '1 fnllowII INTEREST' BALANCE OF TAX UNPAID X NUHSER OF DAYS DELINQUEIIT X DAILY INTEREST FACTOR ..Anv Hotlcl 1..uld aftlr thl t')I b.ec.I. dlllnqufnt will r.fllct In 1ntlr..t cllcul.tlon to flft.an (IS) dtY' blvond \ha data of thl ...I....nt. If pay..nt l. ladl If tar thl Intlre.t co.putatlon dati ,hOWh on thl HoUCI, IdcUt\onll Int.rnt au.t bl calculated, ' DISCDlMT'