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" ',II , , " " ",' I, " 21 - 94 - 462 ANDES, VAUOHN 8.: HANOH ATTORN~:nl AT I,AW nun NoUTU TWf.l.YTII HtrRY.Y.1' 1\ 0, lIuX 1<U1 I . ~,"'IUr.t. L, AHUHH nr.o1l0r; A. \',,110111'1, III MlCll1AftL I.. IIANUH .J, BART n.roNI 1,IlMOYNt:, I'IlNNSYI,vANIA 170":! 17 May 19'94;,'I( Iii "'111 TIUttUOHIl 171Pl ,01-SfUII PAX 171" 70ltl4nn Mary c. Lewis, Register of wills Cumberland County Court House Carlisle, PA 17013 RE: Estate of Bruce Harris, Jr. Date of Death: 19 April 1994 C' I'. GUll "d 1'/\ Dear Mrs. Lewis: We have been contacted by Mr. Brian L. Harris who has asked us to assist him in the administration of his father's estate. His father's name is Bruce Harris, Jr. We understand that our client has already initiated the administration process by completing a petition for the grant of letters of administration. Letters have not been issued, however, because death certificates were not available, the death having occurred in the state of North Carolina. Death certificates have recently become available, and you will find one enclosed. Please note that the official date of death as recorded on the death certificate is 19 April 1994. Since I have not seen the petition for grant. of letters, I am not certain of the date which was used. However, because the death occurred in North Carolina, there may have been some confusion regarding the exact date of death since it occurred late in the day. We are also delivering to you an original renunciation signed by the decedent's only other child, Kevin B. Harris, together with a check to pay the filing fees in the amount of $78.00. Please complete the processing of the petition filed by our client and forward the final documents directly to me. If you have any questions or find you need anything further in order to be able to do so, please contact me right away. Very truly yours, ANDES, VAUGHN & BANGS .lr:(/~ ~ge ~~'VaUghn, III wks Enclosures ee: Mr. Brian L. Harris ". .~ VICTOR AND VICTOR, LTD. Attorneys at Law Sloven M, VIctor Gayle (.. VIctor MarVin M, Vlclor or CoUNeI Carol '5, Mlonowlcz lr.s.IA>lI...nl 200 North l.aSalle Slreel, Sulle 2500 Clllcago, illinois 60601-10;7 Telephone (312)641-;330 Pa~ (312) 6'11-2231 AFFIDAVIT or ACCOUNT Brucef Jr. Harris is indebted to this Claimant in the amount of $ 1423.24, which includes all prinoipal and interest now justly due and owing to Claimant from the Debtor pursuant to Account No. 5432354302564578. This is to certify that the above account iSf upon information and belief of said affiant, true and accurate, and that the same is due and unpaid, and that all lawful and juat offsets, payments, and credits have been allowed, and that a systematio record of such account has been kept by THE BANK OF NEW YORKf (DELAWARE) and that said affiant is authorized to make this affidavit. 0('\ , .. :0 I '. , : '" , , .,~\ .., BYI " , v,' r '. ,." . ('>", Subscribed and sworn to before me, June 29, 1994 state of Illinois County of Cook \j NO ~. Vl\ : ".,.............. . 1 OFfICII\/. SI:AL" .. CAROL S, ANIOI:JIIICZ : MyNC~a,:r,nrs~~~I,;' llale 01 Hil/Jois 1 :.... xPlles 81 lti/9/ ..............,.... PURPOU OF NOTICE' To fulfiU thl rtqulr'Hnh of Station 2140 of the Inheritance and Ethtl TIM Aot, Aot 22 of 1991. (72 P,S. Slotlon 2140), PAYllEHT, Detach tM top portion of this NoUel and tub.1t with your plyant to thl 1<<1,,1I\.r of 111111 prJntld on the river.. lido, u H*". chick or .on.y ord.r payable tOI REGISTER OF WILLS, ACENT. All P'YHntl rec.lv.d shill fir.t b, applied to any lntlr..t whiCh .IY bt 00., with any ,...IOOlr apPUld to thl tlM. REFUND ICR), A rlfund of . talC tlf.dAt, which Wit not r.qutlt.d on th.tUK r.turn, .ay bt r.qutltld by oo..,l.t1ng an "Appllol,Uon for R.fund of PIMlvlvanh Inh.ritano. and Elt.t. TIM" (REY-UU)' Applloatlon. Ir. IlIeUabl. at thl Offlo. of thl R.ght.r of N11h, Iny of thl 2] R'II'nut Oll\rlot Offtotl or by oll1Jng thl ,plchl 24"hour anlw.rlng IIrllle. nultbtr. for for" ord.rlngl In P,nnulvanh 1.aOO.362~20S0, ouhlcM P.nnlylv.nla and within 10cll Harrhburg arll (111) 1a1~1094, TOO' (17) 172'2ZSZ (H.arlng IIp.lr.d Only), OeJECTIONSl Anv p.rtv In Int.r..t Mot I.tllfl.d with the appr.'....nt, allowanc. or dl.allowanc. of n.duotlon. or a.......nt of tax (inoludlng dhoount or Int.rllt) '" .hown on thll HoUe. .ay obj.ct within IIxty (60) dav, of r.c.lpt of thll HotlcI bYI ..wrltttn prot..t to the PA Olp.rt..ot of R'V.nul, Board of Appuh, DIPt. 211021, Harrhburg, PA 17128-1021, OR ..'leoUng to hev, the lattlr d.tlr.IMd at the audit of the account of the p.r.onal rtprellntaUYI, OR ...pp..1 to the 'Orph.n.' Court AO't1H- IITRATlVE COflRECTlOHS, F.ctu.1 .rrort dllcoYlred on thlt ......""t .hould bl .ddre..,d In writing tOI PA DIPart"nt of AIV'nu., Bur.au of IndlYlduellflllu, UTHI POlt A.......nt R...,I.w Unit, DEPT, 210601, H.rrl.burg, PA 1112a~0601 PhoM (717) 787.6ljOS. S.. p.p ! of tM bookl.t "Inttruotlonl for Inherltlnol Tax R.turn for a RI.ldlnt D'Oldlnt" (REV-ISOl) for an 'lIplanatlon of adllnl_tratIY.1v corrlotablt .rrorl, DISCOUNT' If .ny tax duI It paid within thr'l (1) cal.ndar lonthl afhr the dlc.d.nt'. dllth, a flv. p.rc.nt (SX) dhClount of tha tax paid it a11o~d. IHTERESTI Int.,lIt II eharg.d b.glnnlng with flr.t day of d.Unqu.ncy, or nln. (9) lonth_ and onl (II day frol thl d.tl of dlath, to thl dati of pay..nt. Tax.. which b.c... dellnqulnt blfore JaoulrY 1, 1982 bllr Jntlrllt It tM rate of .he (6iO Plrclnt p.r annve calculat.d at a dally ratl of .000164, All tallll whloh beo... dlllnqulnt on or aftlr Janu.ry 1, 1912 will btar Inter..t lit a rllt. which wll1 vary fro. callndar vlar to cal.ndar y.ar with that rat. announcld by thl PA O,plrtaant of Rlvlnul. Th. appllCabl. Int.r..t rat'l for 1912 through 1994 arll 'tUr Inter..t Rib Dilly Interut Faator 'tUr Intlr..t Rlltl OaJlv Inter..t F.oto~ , 1982 m ,000548 1986 10% .000274 I9n 16% ,000~38 1987 9:1, ,000241 1984 11% ,00030.1 1983-1991 11;( .000301 1985 13% ,000356 1992 9% ,U002~7 1993'199~ n .000192 --Intarllt I. Cllculttld a. fol1owlI INTEREST u BALANCr. OF TAX UNPAID X NU"BER OF DUB DELINQUENT X DAILY INTEREST FAOTDR "Anv HoUcl IUued ftfter the talC blco,,, dtllnqulnt will rlUlct an Int.rnt calculation to flftlln <IS) dly. b.vond the dati of the .......ent. If Ply..nt h lIlada after thl Intertlt c:olIPutatlon data .hown Of, the HoUo., addltJon.1 Intn'lt IIUIt b, caleultt.d. PAVHEHT. REFUND leRl, REPLV TO. DISCOUHT, IHTEREST, . I' D'tlenth, top portIon of thl, ~otlQ' Qnd tub.lt with your pav..~t .,d, payable to tho na.. and'lddr... printtd on the rlv.r.. ,Idt, All Ply..nt. reollvld Iha11 flr.t bt applied to any Int.r..t which lay b, dut wtth Iny r...lnder applied to the tax. A r.fund of . tlX cr,dlt, which WII not r.quI.tld on the Tax Rtturn, ..y b, r.quI.ttn by cOlplttlng an "Application for R,fund of Plnn.vlva"l" Inh.rltancl and Elt.tt Tax" (REY.ISIS), Application. ar. Ivallabl' at the o,flce of the Rtgl,t,r of Will" Iny of the 24 RIVtnUI Dt.trlct Offlc,., or by c.lllng the 'Plclal 24-hour tnlw.rlng IIrvlel mlllbtr. for foru nrdlrlngl HEW IN PENNSVLYANIA 1-800-362-2050, out.tdt Plnn,ylva"la and within the local Harrl.burQ ar.a (717) 181-8094. Qu..tion. rlgarding Irror. contained on thl. notice .hould bl addr....d tal PA DIPart".nt of Rlv.nul, Burlau of Individual TaxII, ATTNI Po.t A.......nt Rlv.llw Unit, DEPT, 280601, Harrloburg, PA 11128-0601, phonl (111) 1&1'6505. If any tQX dUI h paid within thru (1) clIltndar lIonth, after thl dlc.dlnt', death, a ,IvI p.rclnt (SiD discount of thl tax Ptlld II allowld, Intlr..t II chargtd blglnnlng with 'Ir.t day of d.llnqutnoy, or ~In. (9) tonthl and on. (I) day frol thl date of d..th, to thl datt 0' pav..nt. TaM" which blcatt dlllnqu.nt blfor. January 1, 1982 blar Intlr..t at thl rD~'o' .Ix (6Xl p.rclnt plr annul calculat.d at . dally rate of .000164. All taMI' which blca,. dlllnqulnt on and aft.r Janu.ry 1, 1982 will hlar Int.rl.t at H rat. which will vary frcI c.llndar VI.r to cal.nder year with that rat. announcld by the PA Dlpart'ln~ of Rlvenul. Th. applicable Int.r..t rat'l for 1982 through 1995 ar.. !m Int.r..t Rate Dally Intlr..t Faotor :!!!r Intlrllt Rat. Dally Internt Factor 19&2 20~ .000S4,s 19&1 9~ .000241 19U 16~ .00043& 19&&-1991 1I~ ,000301 19&4 m .ooom 1992 9~ ,000241 1915 m ,00035. 1991-19~ n ,000192 1916 10~ .00OZi''' 1995 9~ .000241 --Interllt I. calculatld .. foUowlI INTEREST . BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any NoUc. luuecl IIftlr t"- tll( blcHl. dtl1n~nt will rlUlct en Intlrllt cllcullUon to flft,.n UI. dlY. blYond the d.te of thl .......ent. If ply..nt Is .ad. aftlr the Intlrut co,",utatlon dltl .hown 01'1 thl Hotlct, addltlonel Intlr..t .u.t bl calculatld, PAYHENT I ReFUND (CRI, REPLY TO' DISCOUNT, INTEREST' Ottach the top portion of thl, Notlol and IUbllt with your pay.,nt _ad, p.y.b~. to thl n... and addr... printed , on the r.v.r.. tld.. All Plv..nte ~.c.IV'd thall flr.t bt applied to any Inttr..t whlr.h .ay b, due with any r...lndtr applied to the taM. A r.fund of a taM crldlt, which wa. not r.quI.tld on the Tax Return, .ay b, requltt.d by coapl,tlng an "Application for R,fund of Plnn,Vlvanla Inheritance and E'tat, raM" (REV-131]), Applicatlonl ar. avallablt at th, Office of the Rlal,ter of WillI, any of the 24 Rlvlnul District Offlc,., or by cftl11ng the splolal Z4-hour anlw.rlng ..rvlel nuabar. for for.. orderlngl HEW IN PENNSVLYANIA 1-800-362-2050, outtlde Pann,ylvanla and within the local HarrIsburg aria (117) 7&7~&094, OUI.tlon. rlgardlng orrors contained on thl. notice .hould bl addre"ld tOI PA nlpart'lnt of Revlnut, BUrlau of Indl...ldual TrucI', ATTNI POlt A.......nt R....llw Unit, DEPT, Z8060l, Harrisburg, PA 1712&~0601, phon. (1111 181"'505, If any tax due I. paid within thr.. (3) cal.ndar Month. aft.r the dacldlnt's death, a flvl plreont (5%) dl.oount of thl tax paid J. allowld. Int.r..t II ohargld baglnnlng with flr.t dav of d.llnqulnoy, or nine (9) lunth. and onl (1) day frol thl dati of dlath, to thl data of pav..nt, TaXI' which blca.. dlllnqu.nt b.fore January I, 198Z b.ar Inter..t at tha ratl of 11M (6X) Plrc.nt plr annu. calculated at a dally ratl of .000164. All tax.. whiuh baca.a d.llnqulnt on and aftlr Janu.ry 1, 198Z will ba.r Jntlra.t at I rata which will vary frol ealandar yaar to eal.nd,r VI.r with that ratl IOnouneld by tha PA Dap,rt..nt of Ravenua. Tha appllcabll Intar..t rat.. for 19&Z through 1995 arll '!!!! Intlrllt Rata DaUy Intorllt Fletor :!.!!! Interllt Rata DaJJy Intara.t Flctur 1962 20~ ,000,'8 1981 9~ ,0002'1 1985 16~ ,000'38 1988'l991 11~ .000301 1984 l1X ,000301 1992 9~ .000241 19U m ,000356 1993-199. IX .000192 1986 10~ ,000214 1995 9~ .000241 ~~Intlrllt I. ellcul.ttd a. followlI INTEREST . SA LANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR ~~Any Notiel i.lued aft.r the tlM baeo... dallnqulnt will rlfiact an Int.r..t calculation to fifteen (11) dlYI blyond tha dati of the ........nt. If pay.ant II ..dl aft'r thl int.r'lt co.putltlon d.ta .hown on thl Notioe. .ddltional Interllt ault be calculated, " PURPOSE Of' NOTICE I To fulfill thl r.qulr...ntl of Slot Ion 2140 of thl Inhtrltanc. Bnd E'tat, rlK Aot, Aot 22 of 1991. (12 P.S. SteUoM 2140), PAVltENT, OltlClh the top portion of 'hll HoUel end tubttt with your pIy'.nt to the Rlgltt.r 0' Will. printed on the r.v.r.. dde. .. Hakt chick or lonlY ord.r Ply,blt tOI REGISTER OF WILLS, ADEHT. All pay"n,. r.celvld Ihall flr.t b, aprlJld to any tnt.r..t which .ay bt dUI, with any rt..lnd.r applied to the tlK. RfFUIID (CR II A r.fund of . tlX orldlt, which WI' not r.quI.tld on thl taM r.turn, .ay b, rlqutlt,d by co~pl.tlng an "Applloatlon for R'fund of Ptnn.vlvanla Inh'rltanol and Eltat, Tax" (REV"131!), Appllcatlonl .r. aVIJlabl, It the OffiCI of the RIAI,t'r of Willi, any of thl 23 RevenuI Pi.trlct OffiCI' or by calling tht 'Ptolal 24.hour an'Ntrlng 'trvlt. nu.b'r. 'or 'br., ordtrln;} In P,nn'vlvanla IM800M36Z.Z0S0, out,ld. P.nn'vlvanla and within looal H.rr!lburg tr.. (117) 787M8094, TOOl (711) 112.2252 (Htlring hlp.lrtd Only), OIJECTJONSI Anv plrty in lnt.r..t not .,tl.ft.d with the .pprll....nt, allowanc. or dl.allowanc. of d.ductlon. Dr I.......nt 0' tlX (Inoludlng dl.count Dr Intlr..t) a. .hown on thll Hotlcl '.y objlct within Ilxtv (60) dlYI of r,ollpt of this Notlc. bYI MMwrltt.n protllt to thl PA n.partllnt of A.v.nuI, Board of ApP..II, O,pt, 281021, Harrltburg, PA 17128-1021, OR ...1.0tlng to hlv, the ..tt.r d.tert1n.d at the audit of thl aooount of the p.non.1 r.PI....ntaUv., OR --apP'al to th. Orphanyl Court ADIUN. !STRITIVE CDRRfCTlDHS I Faotullt orror. dhcov.r.d on thit fllle....nt .hould bl flddr....d In wrlUng tOI PA O.part..nt of Rlvenue, Bur,..., of Indlvlduel Tax.., ATTNl POlt ........nt Review Unit, DEPT. 2U601~ Hllrrllburg, PA 11128.0601 Phon. (111) 781M6S0S. S.. p'p 3 of thl booklet "Inltructlonl for Inhlritlne. TalC R.turn for. R..ldtnt Otoedent" (REVM1SOII for an tX~lanltlon of .dllnlltratlv.lY oorrlctable .rror., DISCOUNT I If any \tx due it paid within thr.. (3) calendar lonth. aft.r thl dleldtnt', dllth, a fh', perc.nt (SiO dl,oount of the tax paid I. allow.d. INTEREST I Int.r.,t I. charged b.glnnlng with flr't day of dvllnqutnoy, or n1na (9) .onth. and on. (Il day fr~. thl date of d..th, to the dati of pa~~.nt. TaXI' which b.ea.. d.llnqu.nt b.ferl Januar~ I, 1982 bllr Intlrllt at tht rtt. of .he (6in Plrc.nt per annul elllcuhtld at a dally rat. of ,000164. All tax.. which blea.. d.llnquent on or aft.r January I, 19&Z will baar Int.r..t at a ratl which will vary frol c.l.ndar ~'Ir to c.l.ndar ~.ar with that ratl announced b~ thl PA D.part..nt of R.v.nu., Th, applle.bl' Int.r..t r.t.. for 1982 through 1994 ar'l ~ Inttrllt Rat, Vall." Inhrut Factor :wr Interllt Rat. Dallv Inter'lt Facto, 1911 lOX ,000548 1986 lOX .000214 1985 16X .000438 1987 9;: ,000241 1986 IIX ,000501 1988.1901 IIX ,000301 1985 UX ,000356 191J2 9X ,000247 1993-1996 7X ,000192 -~Inttrllt 11 cllcullt.d '" fOllow'l INTEREST . SA LANCE OF TAX UNPAID X NUnSER OF DAYS DELINqUENT X DAILY INTEREST FACTOR '-~Anv NoUce IUUld after thl tll( bllco", d.llnqu.nt will refllot an interllt calculaUon to f Ifte.n (is) d.n b'~ond thl date of thl a.......nt. If p.~~.nt II .ad. attar the Intlr..t eo.putltlon datI .hown on thl Hotlc., .ddltlon.l Interllt lU.t b. c'lcul.tld, ,," PUIlPOSE Of' NOTICE. To fulf!ll the requlr..."t, of S.otlon 2140 of thl Inh,rltancl and Eltat. TaM Act, Aot 22 of 1991. (72 P,S. S"Uon 2140), PAVHEN1. REFUND ICRI. Dlttoh thl top portlcn of thil Notice and tub_It with your paY'ent to tho RIghttr of Willi prlnt.d on thl rlver.elidl, _R Hak. oheck or 'oney order payable tOl REOISTER OF WILLS, AGENT. All pay-.nt, recelvld .hal1 fJr.t be appllld to anv lnt.r..t whIch lay bl dUI, wJth any rl..lndlr applied tn the taM. 08JECTlONSI An, ..rl> In In tarn, no. ...hll.d with the ...r.h...nl, .Ilowano. or dl'.llow.nc. 0' d.duoUon. or ........n' of till Clncludlng dhcount or lnterllt! II .hown on thil Notlcl lay obJlct WUhln .bty (60), day. of rlcelpt of thil HoUcl bYI --written protllt to thl PA Olpart,ent of RIVlt\l'" Board of APPtah, Olpt, 281021, Harrhburg, PA 17128-1021, OR --Illotlng to havI thl 'attlr dltlr.tnld at the audIt of thl account of the Plr,onal rtprl.lntatlv" OR --apPtal to thl Orphan.' Court A refUnd 0' a taM or'dlt, which wa. not r.qu..tld on thl taM return, lay be rlqul.ted by co.pl~ttng an "APPlicatton for Refund of P.nn'Ylvanla Inh,rttanc. and E.tate TaM" (REVo1313J. Application. bra available at the Off tel of the R.ghter of WUlt, IIny of th" 23 Rev.nuI Dbtrlot Off tell or bv calling the ,peelal 24-hour an,wlrlng ..rvicI nuwrl fer for.. ordering, In P.nn'Vlvante 1-800-362-2050, outtJdl Plnn'Ylvanltl ~nd within local Harrhburg Ir.. (717) 187-8094, TOO' (717) 712-2252 Olllrlng lapalred Only}. AO"I"- 1S1RAIIVE CORIlfCTIDHS. FaetuII lI'rorl dhcov.rtd en thlt .,.......nt .hould b~ addr....d in wrlUng tal PA Olparta.nt of RlvlnUt, Bureau of Indtvtdull TIll", ATTHI POlt A.......nt Rlvitw Unit, DEPT. 280601, tllrrhburg, PA 17128.0601 Phone (717) 787-65115. SII pegl :5 of thl bookllt "In.truetlonl for Inhtrltlnc. TrIM Rlturn for a R..ldlnt Dtetdent" (REV-1501) fer an eMPlanttlo" of aOllnlltrttlvtly corr.otnble .rrorl. 011(011I11 If any tax due I, peld wtthln thrl. (3) cII,ndar "onth. aftlr tht dlced.nt', dl.th, a flvt perclnt (SX) discount of the taM paid I. allowtd. IH1EIlfST. Int.r..t I. chargld b.glnnlng with flr.t day Df dellnqu.ncy, ~r nine (9) lont". and one (1) day frel th. date of dllth, to tht dati of PIY'.nt, Taxel whIch btca~t dtllnqu.nt blfor. Januarv 1, 1982 bear lnt.r.lt tt thl ratl of IlK 16%) ptrc.nt per annue caiculatld at a dally rntl of ,00016~, All tlMII which blee.. dtUnqulnt on or aftsr January 1, 1982 will blar Int.r..t a' a rate which wt1t vtry fro. elltndar Yllr to collndar vllr with that ratl announcld by 'he PA D"pert.tnt of HlvlnUt, The appUcablt Int.r.,t rate, fOf 1982 through 1994 art I UIt Intlrtlt Rite Oallv Inler..t Ffleto~ ~ tntlrllt Rat. DIJlv lntur..t Fnoto~ 1982 20X ,000548 1916 10% ,000214 19U I6X ,000438 1987 9% ,000241 1984 m ,000301 191a-1991 lIX ,000301 1'8S m ,000356 1992 9% ,000241 1995-1994 1% ,000192 --Jnt.rt,t II ealculat.d a. follow'l INTEREST. BALANCE OF TAX UIIPAID X NUNSER OF DAYS DELINqUENT X DAILY INTEREST FACTOR uAny HotlCt Jtlued Ifter the ttll b.eo... dlUnqutnt will rtfltct an Inter..t calr.uhUon to fJft"n USI din blYOnd tht dlt. of the a......ent. If P!lYllnt It IIdt nfter the Int.r..t cOlpu'aUon dat. 'hown on tht HoUce, addltlontl Intlr..t IU.t bl Qllcula'ld. PORI'Os( Of HOIlCEI To fulfill thl r.qulrnentl 0' SICtion 2140 of thl Inhtrltano. and Elt.t. 111( Aot, Aot 2Z 0' 1991. (12 P.S. Slotton 2140), PIVI4ENTI DetlCh ttMI top portion of this HoUe. end suo-it Nith your Ply.."t to the Aeglltu of Wilt. printed on the r,v,r.. lid., -. "-<<I check or .on.v order payable tOI REOISTER OF WILLS, ADEHT. All ply.."t, r.c.lved ,h,l1 flr.t b, applied to any Intu'lt which IIV bl dut, with any r....lndu ,ppll,d to th. t,x. REFloljD (tRlI A r.fund of . tax cr.dlt, which wi' not r.quI.t.d on thl tex r.turn, .,y b. r.que.tld by co.pl.tlng an "Application for Alfund of Pennlylvania Inh.rltenc. and Eltat. Yalt" (AEY-1313J. Aflpllc:1t1onl ar. avaUablt at thl Offlc. of the R,ght.r of Willi, any of thl 25 Rlv'nu. Dlttrlc_ Offlo.. or by clllln" thl ,p.olal 24-hour anlw.ring nrvle.. nulbtr. for for.. orderlngl In Pennlylyanla 1-300-362.Z050, out. Ida Ptnn.ylvanla and within local Harrisburg ar.. (17) 787-8094, TODl (7171 77Z-ZZSZ (Hurlng I~.lr.d Onh). OIJECTIOHSI Any putv In Intara.t not utl.flld with tha apprall..lnt, allowlneo or dhallowenca of dtductlonl or u......nt of tlK (Including dlleount or Int.ra.t) I' .hown on thi. Hotle. .av obJ.ct within .IKtV (60) day. of rac.lpt of thll Hotlc. bYI uwrltttn prot..t to the PA OIPartlllnt of Rtvlnul, do.rd of App..ll, Dapt. 2IUOZ1, Harr!tburg, PA 17ua-lOZl, OR -..llctlna to havI the ..ttar datlr.lnld at the audH of the account of tht parlonal rtprtllnhtlYI, OR --apptll to the Orphan.. Court IIl!tIN- ISTRITlVE C ORRE C TI ONS I Factual .rror. dllcavlrld on thl. ftl.I.I..nt .hould be ftddr....d In writing tOI PA DIPlrt..nt of Rlvlnu., Iura..., of Individual Texa., ATTNI POlt A.......nt RlvJlw Unit, O€PT. Z80601, Uarrltburg, PA 171Z8'0601 Phon. (717) 787-6505, Sa. pag. 3 of thl booklat "Inltru~tlon. for Inherltanc. Tax Rlturn for a R'lldant Daead,nt" (REY-ISO!) for an IxplanatJon of aa.lnl.tratlvIJy corractabll errorl. DIStDUNT I If .nv tl)( dut Jt paid within thr.. (3) callndar .onth. aftar tha dtctdant'. dllth, I flye perctnt (5:0 dl.count of the tax paid I. allowtd. INTEREST I Interllt 11 chargtd btglnnln; with flrtt d.y of daUnqulnoy, or nln, (9) lIonthl and ona (1) day frol the data of dlath, to tha data of paYlltnt. TaKa. which bae..a dallnqulnt bafora January I, 198' balr Intarut at tha reta of tIK (6XI parcant par lMUII calculatad at a dillY rata 0' .000164. All tlKa' which bee... dtUnqutnt on or aft.r Januflry 1, 1982 will bllr Intartlt at a rlt. which will varv fro. CIland.r vaar to Cl1lnd.r Yllr wi th th.t ratl announcld by tht PA O.part..nt of RaYlnuo. Th. appllcablt Int.ra.t rata. for 1982 throu;h 199. If II 'We Int.r..t A.ta ~ XIII Intertlt A.t. Dallv Intar..t Fllotor 1911 ZOX ,000548 1986 10~ ,0'0114 1981 16X ,000458 1987 'X ,000147 198~ \IX ,000301 1981H9'H m ,000301 1981 13X ,000356 1992 ,~ ,000147 1993-1994 n ,000192 ~-Intarllt 11 cllcu1atad .. follow"l INTEREST . BALANCE OF TAM UNPAID M NU"BER DF DAYB DELINQUENT X DAILY INTEREBT FACTOR .-Any Notle. Ittu.d flft.r thl tax b.eo.,. d.llnqutnt will rafl.ct In Int.r..t c.l~ul.tlon to flft,an liS) dav. b.vond tha dlt. of tha ........nt. I' pay..nt II .ad. .ftar the Int.rtlt co~utatlon dtt. IhoNn on tha NOtlCII, 'ddltlonal Inter..t IIIJlt bl calculatad. I' , ' PiJIIPOSE OF HOlICE I To fu1fll1 thl requlrll.ntl of Slot Ion 2UO of thl tnhultanol and Elht, hM Aot, Aot t2 of 1991; (12 P,S. Slallon 21401. PAYIENT, D.tloh the top port ton 0' thl, Hotlel and tUbllt with your Plv..nt to thl R,gltt,r of Wtll, prlnttd on the r.v.r.. aid,. -. Hike check or lonlV ord.r pavablt tal REGISTER OF WILLS, AGENT. All Plv..nt. r'Ollved shill fir.' b, applied to any Int.r..t whloh ..v b. dUI, with any r...lndtr appli,d to the tiN, REFUND (CR), A r.fund of . taK or'dlt, which WI' not r.quI.tld on thl taM r.turn, .av b, r.~.t.d by coapl,tlng an "Application for R.fund pf P,nn.vlvlnJI Inherltancl and Eltat. TIM" (REV-Ill!), ApplJcatlonl ar. aVIllabl, at thl O'flc. 0' thl Atgl,t.r of Will., any of thl 23 R,v'nu. DI.trlct 0"10" or by oal11nl thl IPlolal Z4-hour anlwerlng .ervlce I1U11be" for forlllorderlngl In PennlY!vMil 1-800-362-2050, outside Penn.Ylv.,,11 Ind wUhin 10CII Harrllburg .rll el11) 181.8094, TOOl (711) n2-U52 <litlnng IlIpelred Onh), OBJECTIONS I Any party In lnterllt not ..thifled wUh the appr.hl.ent, aUoir:anct or dllllloNlnct of dlducUon. or ........nt 0' tax (Including dl.count or Intlrl.t) ~. ,hown on thl, Hotic. lay obJlct wJthln ,Ixty (60) day I of rlc.lpt 0' thh NoUcl bYl ~"wrltttn protut to thl PA Olpart.lnt of Rlvtnut, Board of ApPllll, O.pt, Z81021, Harr!lburg, PA 11124-1021, OR --ol.ctlng to havI the lIatttr dtltlrlJn'd It the audit of the account of the p.r.on.1 r.pr...ntat!v., OR --app.al to the Orphen.l Court AIlItIN- ISTRATlVE CORRECTIONS I Factual Irror. dl.cov,red on thl. ........nt .hould b. addr"'ld In writing tal PA a.part.tnt of R.v.nuI, 8urltu 0' Indlvlckt.1 TaxII, ATTHI Po.t A........nt Rllllaw UnJt, OEPT, 280601, Harrhburg, PA 17128-0601 Phon. (111) 181-6505. S.. pag. 3 of the bookl.t "In.truotlon. fcr Inheritance Tax R,turn for I Rllldent o.c.dlnt" (REY-IS01) for an expl.natJon of ad.tnJ.tratlvely corr.ctabl. .rrcrl. DISCOUNT I If any tlx nut I. paid within three (3) callndar Ilonth. .fter the dlc.dlnt', death, . five percent (SX) dltcount of the tax paid II allcw.d, INTEREST' Int.rl.t I. chlrged big Inning wtth fir.t day of delJnquenoy, cr nine (9) lonth. Ind one (1) dlY frQl the date of d.ath, to the date of paYIl,nt. Taxe. whIch beca.. delJnqulnt before January 1, 1982 bill' Int.rllt at the rlt. of .Ix (6iO perc.nt per aMUI calculated at I dally rate of ,100164, All taICII which btCIIIt dellnqu.nt on or aft.r J.nuary 1, 1982 will bur Interllt tit a rate which will varv frol c.l.nd.r v.ar to calendar Yl,r wJth that rat. .nnounced by the PA D.part.lnt of R'II.nu.. The applloabll Jnt.rl.t rat'l fcr 1982 through 1994 ar'l \:w: Int."..t Aat. Dal1v Intart.t Factor !.Ill Intl,...t Rat, DIllY Int.,...t Factor 1982 m ,000541 1916 lOX ,000274 1981 16X .000431 1917 9% ,000247 1984 m ,000301 1911-1991 11% ,000301 1985 m ,000356 1992 9% ,000247 1993-1994 7% ,000192 ulnterllt 11 ctlcullt'd us follow" INTEREST . BALANCE OF TAK UNPAID K NUKBER OF DAYS DELINQUENT K DAILY %NTEREST FACTOR --Anv NotJo. 1.lutd afttr the '1M bleo.l, d'llnqu.nt will r.fl,ot an Interl.t galculatlon to flft.ln (15) dive beyOnd the dati cf thl ........nt. If pay.'nt II .ad, after the Int.rl.t co.putatlon date .h~wn on thl Notice, addltlonal Int.r..t ltU.t bl calcul.tld, PAYHEHTI Oltach the top portion of tht, Notiel anu tub.lt with your paYM.nt lade payftblt to the na.. and addr... printed on the rey.r.. ,Idl, All Plv..nt. r.cllvld thall flr.t bt applied to any Int.r..t Which "Y bt dUI with any r.l.lnd.r applied to the t~M. REFUND (CRll A r.fund of a taM cr'dlt, which wa. not r,quI.tld on the TaM Rtturn, lay bt r.que.tld by aoaplttlng an "Application for Refund of Plnnlylvanla lnh,rltanc. and E'tat, Tax" (REY.lSiS), Appllnatlonl ar. available at the OffiC:I of the RIlIltt'r of Wl1h, any 0' the 24 Rlvlnul Dhtrlct OffiCII, or by calling the 'Plclal 24-l1our antwarlng urvlet nUlbtr. for foro orderlngl NEW IN PENNSVLVANIA 1-1100-362-2050, ouhldl Plnnlvlvanla and within the local tlerrllburg aru (11n 7e7~8094. REPLY TO, DISCOUNT, QUI,tion, rlgardlng error. contained on thll not Ie. .hould be addr....d tal PA D.part..nt of R.v.nu., Bur.au of Indlvldull Ta~.', ATTNI po.t A.I.....nt R.vlew Unit, DEPT. 280601, Harrl.burg, PA 171Z8~0601, phon, 11111 181'6S0S, If any taM due It paid within throe (5) calendar tonth. after the deced,nt', death, a ,lvI plrcent (S%) di.count 0' the ta~ paid 1. allow.d. INTEREST I Intur..t 1. charged beginning with 'Ir.t day 0' dellnquenoy, or nJne (9) tonth. and one (1) day frol thl date of death, to the date 0' plly".nt. TOlC.. which beea"e dlllnqu.nt b,'ore January 1, 1982 blar Int,rllt "t thl rat. of IlK (6%) Plrc.nt per annul caloulat.d at a dailY rat. 0' .000164. All taxe. which bloa.. delinquent on and aft.r January ~, 1982 will bear Inter..t at a rate which will vary 'rol cal.ndar v.ar to calennar veer with that rat_ announcld by thl PA Depart'lnt of R.venUI. The appllcnbl_ Intere.t rat.. 'or 1982 through 1995 arll '!!!r Intlrut Rate Q!!!v Inter..t Faotor :!!!! Intlrllt Ratll Dallv IMIr..t Factor 1982 m ,OOOS4! 1981 9% ,000241 1913 16% ,000438 1988-1991 Il% ,000501 1914 11% ,DOOm 1m 9% ,000241 1985 11% .GOOlS6 1991~1994 1% ,000192 1916 10% .ooom 1m 9% .000241 ulnterllt Ie calcullttd al fol104il'1 INTEREST ~ BA1,ANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR ~'Anv Hotlcl l..uld aft.r thl tlM b.c0111 dlllnquent will r.fllct an Intlrllt calculation to flftlen (15) daVI bevond thl dltl of thl a.......nt. If pay..nt I. ..dl aft.r the lnt.rllt co.put_tlon dlt. Ihown on thl NOtlCI, additional Interllt llUet bl cllcul_t.d. PAYHENT I " " Dltach thl top portion 0' thl, Nottel and.ubllt with your pav..nt ..d, plY_bIt to thl n... and addr... prlntld on thl r.v.r.. tldl. All Plv..nt. rtc.lvld .hall flr.t bt applied to any Int.r..t which lay bl due with any r...Jndtr applied to thl t.x. REFUND (eR)1 A r.fund of I taM cradlt, which wa. not requltttd on thl Tax R,turn, .ay bt r.qultttd by oOlplttlna an "Application for R,fund of Plnn'vlvant. lnherltanol and E.tat. TaK" (REY.!31!), Application. ar. avallabl, .t the Of'IoI of thl Rtgl,t,r of Will., anv of thl 24 A.v.nuI Dlltrlct O'flcll, or bV oalllng thl 'Plclal 24.hour anlwlrlna l.rvlcl m.lb,r. for 'orlll orderlnGI HEW IN PENNSVLYANIA l-aOO.S62-20!iO, outside Plnn.ylvanla and within thl local Harr!lburg aria (717) 787.8094. REPLY TOI DISCOUNT, INTEREST, Qutstlon. rlgardlng .rror. contaln.d on thl. notlc. shculd bt addr....d tal PA Dlpart..nt of Ravanut, Bur.au of Individual TaKal, ATTNI Po.t A.......nt R.vl.w Unit, DEPT, 280601, Harrllburg, PA 11128.0601, phon. (711) 787-6.\OS, If any taK due I. paid within thr.a (3) calendar ~onth. aft.r thl d.c.dlnt'. daath, a flv. parc.nt (SX) dllcount of the taK paid It allowad. Int.rl,t I. charg,d b.glnnlng with flr.t day of dIIJnqu.ncy, or nln. (9) Aonth. and ani (1) dav frol thl date of dt.th, to thl date of pay..nt, TaKe. which blca.. dellnqu.nt baforl January I, 1912 bear Intere.t at thl rate of .IN (6X) plrclnt plr annul r.alculated at a dally rate of .000164. All tftKI. which beca'l delinquent on ,nd aftlr January I, 1912 will blar lnt.re.t at a ratl which will v~ry frol cal.ndar yaar to cal.ndar YOlr with that ratl arlnounc.d bv the PA Dlpartllnt of Revenue, Tha appllcabla Inter..t rat" far 1982 through 1995 ara, 't!s! Interllt Rate !!!!.!Ll2.!!!.tI' Faotor ~ Intarut A.te Oftlly Int.rllt Facter 1982 20X .000S48 1987 9% ,0002~7 1913 16% ,000~S8 198H991 m ,000501 198~ m ,000501 1992 9% .0002~7 UBi m ,OOOSS6 1995-1994 7X ,000192 1986 lOX .00021\ 1995 9% .000247 w~Interllt I. caloul,tld a. followlI INTEREST . BALANCE OF TAX UNPAID X NUHBER OF DAYS DELINqUENT X DAILY INTEREST FACTOR uAny Notle. IlIued ,ftlr thl tiN beCHt. dellnqu.nt will rlntot an Int.rllt calculltlon to flftHn US) dU' b.vend thl d.tl of th~ ........nt. If p.y~.nt I. lid. aftlr thl Int.rl.t COlput.tlon d.te .hown on the Hotlol, additional tnt~r..t lU.t be calcul.t,d. " PAVItEHT, D'taoh ,thl top porUon of this Hotlol lInd tub_It with your paYlttnt Ilad, paYftbl, to thl nftlll IInd IIddr... prtntld on the nv.,.. ,Idl, All pay.,ntl r,ollvld 'hall flr.t b, apPUld to lIny Int.rllt whIch illY b. dut with lIny r...lndtr apPUtd to the tllC. REFUND teA), A r.f~d of . tl~ cr'dlt, which WI' not requ..tld on the TalC R,turn, .ay bt requ..tea by cOllplttlng ftn "Appllgatlon for R,fund of Pennsylvania Inh.rltanol and E,tat, T2U(" (REV-I3I3I. App11oltlonl art avallablt at the OffiCi of the Rlght,r of WHit, any of thl Z4 RevenuD Ohtrlct Offlc.., or by calling the IPlolal 24.hour anlwlrlng '.rvlcl nu_ber. for forns orderlngl HEW IN PENHSVlVANl^ 1-500-362-Z0S0, out,ldt Plnnsylvanla IInd within the local tlarrhburA "rill (717) 7&7.8094, REPLV TO, Qu.,tlons r.gardlng error. Qontalnld on thl, notlQ, .hould be addr....d tal PA Olpnrt.lnt of Revlnu., Burlau of Individual reMII, ATTNI Po.t AI......nt Uevllw Unit, DEPT, 2110601, Harrl.burg, PA I1IZII.0601, phonl (7171 787-6505, If any taK due I. paid lifHhln thru (3) cahndftr lonth. nfter the dlQedentl. duth, a flvl plrQlnt (5%) dhQotmt of thl tall pair! h allolifld, OISCOUHT, IHTEREST. Inter..t II Qhargll1 big Inning with first day of deUnquI"QY, or nine (9) lIonthl and ani (1) day frail thl dati of dtlth, to thl dati of pay..nt. Tell.. whlQh blQft.. d.llnqulnt before Jflnuary I, 19112 bear Inhrut at tht ratt o~ ,lie (6%) p.runt ptr annUli QalQullted at a dally rate of ,000164. AU tllKte which btcu. dlllnqutnt on and after Janunry 1, 19&1 will bear Intlrl.t at a rate whIch will Vftry froll calendar y.ar to caltndar ytar with that rat. "nnouncld by thl PA Depart"nt 0' Rlvenul, The appJ!cabh Jnttrut rate' for J9aZ through 1995 orll '!.!!! tnt.rllt...!!.!.! DailY Int.rut Fector :t!!r Inter..t Rllte Dally Inhrut Factor 1982 !O~ .000548 1'87 .~ ,000247 1.05 16~ ,0004311 1988-1991 11~ ,000501 1984 11~ ,ooom 1992 9% ,000247 1985 m .000156 1991'1994 IX .000192 1986 1Ql .000174 1995 9X .000247 --Inttrut II calculated II follow.. INTEREST- BALANCE OF TAX UNPAID X NU"BER DF DAYS DELINqUENT X DAILY INTEREST FACTOR .-Any Hotlco ll1ued aUtr thl tl)( h'Qot" dtllnqu.nt will rllfltct an lntarut calculation to flU..n US) diY' blyond the deta of thl a.......nt. If pay..nt h IIde after the Intlr..t cOlputatle)n dati .hown on thl Jtotlc., addItional Inttrlt,t lU.t bt calculattd, R!V"1!i43 EX AFI' (1-91) '* ' ..u:'!}iCH 'AlTH Of PENNSYlVANIA Of.plRTHiHT OF REVENUE BUIlEAU OF INDIVIOUAl TAXES DEPT. ~'ao<,Dl HARRfSIURO, PA 171za'0601 ! II '( 7_ ~ I ::, INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 94-0462 ACN 94129783 DATE 07-13-94 ESTATE OF HARRIS S,S. NO. 186-28-6979 DATE OF DEATH 04-20-94 COUNTY CUMBERLAND TVPE OF ACCOUNT ~ SAYINGS CHECKING TRUST CEIITIFICATE REHIT PAYHEHT AND FORMS TO, REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 BRUCE HARRIS 118 N 2ND ST MCCONNELLSBURG FREDA M PA 17233 FIRST NATIO~Al BANk hili provided th, Depart..nt with thl Inforutlon lilted b.lnw which hu blln und In clllluhtlng thl potlntlal tllK dUI, Th.lr r.cordl ln~lollt. that lit thl d.ath of thl abovI dlcld.nt, you wlr. II joint owner/bln.flclary of thl_ acoount. II YOU ,..1 thh Inforllatlon I. Inoorr.o\, phase obtain wrJtten corrlctlon Iro. thl fInancial Inltltutlon, llttllCh II copy to thh lor. ."rt -~tlll'" It t" ....... .,A - l,.l-"o::" T~l~ ~~ ~'.'.~ !: "';':~'. 17 ,it,;,::",,,,.. .;1'.~. t~" :,'~,,;, ;........ ':".... ...... ,.: .,.. (.........,......:.i, vi ;:Illllll..,1 "'crrliu. QU.ltionl ..y b. enlw.,.d by calling (117) 767-83~7. COHPLETE PART 1 BELOW M M K SEE REVERSE SIDE FOR Acccunt No, 01810550 Date 02-27-78 E.hblhhad ~ILING AND PAYHENT INSTRUCTIONS Acccunt Bal.lnCII 1 , 016 , 07 Porclnt TI'Xlblt, K 50,000 AMount Sulojlct tu Tax 508 , 04 Tax Rate K ,06 Potential Tax Cua 30,48 --.-- ~~ TAXPAYER RESPONSE m [FAILURIITO RI!SPOND \fILL RI!SUL T IN AN OFFICIAL TAX ASSBSSMI!NT BASI!I1 OM THIS NOTICI \, To Inlure proplr cr"dlt to your account, two (ll copl.1 of thll nntlcl IU.t accolpany your pay.lnt to the A.g!Itlr of Willi. Hftke chick payabh tOI "Reglttor of WUII, Agent". HOTEl If taM payNlntl arl lad. within three (S) tonth. of the dlcldlntl, detl of death, YOU lay deduct a ~% discount of the taM du.. Any lnhtrltancl taM dUI will blcote d.llnqulnt nine (9) tonth. after thl data of duth. I CHECK ] ONE BLOCK ONLY B h, abo.... Infnrutlon and tt1x dIll II corr.ct. 1. You uy chon.. to rult pay.ent to thl Righter of W11hl with two copt.. of thh "ottCI to obtain ft dheount or a...oid Intlrnt, Dr YOU uy chick bOM "A" and raturn thlt notlc. to thl Regltur of Will. and an offlolal a.......nt will be I..uld by thl PA Olpartllnt of RIVlnu.. 8, [] Thl ftb~"'1 n,.lt has blln Dr will bl reported and taM paid with thl P.nn.ylvanla Jnhlrltftne. TaM return to b. flhd by the dleed.nt'. r.~r"'ntatl...., C, 0 Th. ftbo.... Inforntlon I. Incorr.et and/or dlbts and d.ductlons wlr. paid by you. You IU.t co.pltt. PART ~ and/or PART ~ uelow, PART ~ TAX LINE If you JndJo.t. . difflrlnt tlX r.t., pl.... ,tit. your ralatlcn.hlp tc dacad.nt, k~ jUrel1 - I.il.l.ll.i.;-I~T~ui. 1, Dlta E.tlbll.had 2. Account alllnC. 3. Peroent Tlxlble 4. AMcunt SubJ.ct tc Tlx S, Dabt. Ind ODductlcn. 6, AMount Tlxlbl. 7, Tax Rita e, Tax Dua QFjilCIAL USE ONLY 0 AAF PA DEPARTMENT OF REVENUE ~i 'jAX ~~ JOl,i'r,~'HUjl A~~~Uriri PART ~ DATE nEBTS AND DEDUCTIONS 1'/\11 1 2 3 4 5 6 7 8 CLAIHED 1 2 3 X 4 5 6 7 K B PAID PAVEE DE SCR I PTI ON AMOUNT PAID ~ I TOTAL IEntlr on Llna 5 01 Tax COllpuhtlcnl I 8 Undar Plnlltla. cl plrjury, I dlcllra thlt tho ~c.Plata to thl ba.t cl MY kno_ladgl Inp blllll. ')/' . '; - I / . ~Axph;R-"S;llRrnT(l- I v. ,I { ( Ul, flct. I hive rlPort.d IboYI Ire tru., oorr.ot and HOME (1/;!) '/ 7, I; . :: Ii / <.L-h WORK (--.)_____.--_ ~ TELEPHONE NUMBER DATE GENERAL INFORMATION L FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSHENT wllh ,ppllca.l. Int.rOlt .010. on In'orOltlon tub_ltt.d by thl fln.n~hl Inltltutlon, 2. Inherltanl:1 tu blea'" dlllnqulnt nln. tonthl aft" thl dlc.dlnt', duh 0' duth, 3. A Joint account I. lu.bl. .....n though thl rI,e,d.ntf, na.. Will addlld 51 II uttflr of corw.nl,ne.. 4. Account. (Including thoU h,ld betw.." husband find wlh) which thl dlc.d'nt put In Jol~t na'.. within 01111I vur prior to duth art fully hMeblc II' tran.farr, 5. Account. .Itlblt.hld jointly bltw..n hUlband and wi'. lor. than ona y..r prior to d..th nr. not taxlblt, 6. Acoounts h,ld by . dlc.d.nt "In tnut for" another or other. art taMabl. fullv, REPORTING INSTRUCTIONS - PART 1 - TAXPAVER RESPONSE 1. BlOCK A - If the lnfer.ttlan arid cOlputatlon In thl notlcl ar. cor"let nnd d.duotlon, IIr. not b,lng clatud, phlc, In "M" In block "A" of Pllrt I of the "TupeYllr Rupon.." section, 51;n two copl.. find subllllt thll with your ch.ck for the alount of 'IX to thl Rlghstlr of Willi of thl county Indlolltlld, Th. D.pert..nt of R.v,nu. will luu. IIn offlollll alu....nt (For. REV~IS"a EMJ upon r,cllpt 0# the Rlturn fro. thl R.gls',r of Willi, 2. BLOCM B . If thl e.llt IP.clflld on this notlCI he. blln or will bl rllport.d end hlC peld with thl P.nnlylvllnlll Inherltenc. TalC R.turn flhd hy th. d.c.dent'. rtPrtllntetlv., PlaCI IIn ">C" In block "8" of Pert I of the "lalCPIIY., Rupon.." nctlon. Sign onl cop V und return to thl PI. Dlpartunt of R.....nu.. 8urlllu of Indl...ldual TlllCII, D.pt 280601. Itllrrltburg, PA I11Z8~0601 In th, .n....lop. pro...ld.d, J, 8:'OC.., C If \;,. 'I~,tl...; ;,,:1,,0, .,.\tl.;:, I; Ir.~..r..;,..\ ~...,::/:.. ::::~.;:~b,: :.:) ::::J~:: ..~,I"..rl, ....<;..~ ...,,,,.,, "r" 1Il'1ft ..,..,,1.... Ollrh? Inn J IIcoordlng to th. Instruction. b.low, Sign two coplel llnd lub,it the, with your ch.ck for the a'ount of talC PIIYllbl. to th,Rlghter of Willi of thll county Indlcatld, Thl PA D'Pllrt..nt of R.....null will IIIUI en official lIu.....nt (For. REV'IS45 EM) upon rtllllpt of the t'gturn frolll thl R.ghter of Willi, TAX RETURN - PART 2 - TAX COMPUTATION LINE 1. Enter th. dati th::. account origlnalh wa. utllblhhld or tltl.d In th. lanngr IlChtlng at date of death. NOTEI For a d.ctdent dYing IIfhr IUIU8" Account. which the dlc.d.nt put In joint nel.. within on. (ll Ylar uf duth IIr. hlCabh fullv III tran.fer.. lIow....tr, therg I. IIn 'lCclu.lon not to elCclld 13,000 ptr trlln,'trlO rtgllrdh.. of thl ...alu. of lh. Dce(Iunt or 'hi nUMb., of I'Iccountt h.ld. 11 a double IIttrllk pUl) apPllrt blfor. your flrtt nail In the nddre.. portion of thit noUct, th. 13,(00 'lCclullon alrladv ha. blln d.duot.d froll thll account balencR as r.ported by the financial Inltltutlon, 2. Enter the total balanc. of the flccount Including Interut accrutd to the dati of dtllth, 3, The ptrclnt of the accounl that II talCllbh for IIIlch .ur...l...or II d.terlllnad n. followll A, Th. per"nt tlllCabll for joint lIut. IItabll.h.cl 10rt than on. vur pr'lor toJ tht dlc.dlnt'. dutlll 1 DIVIDED BV TOTAL NUMBER OF JOINT OWNERS Exuplll A joint alut reglltu.d DIVIDED BV TOTAL NUHBER OF M 100 . PERCl-:NT TAKABLE" SURVIVING JOINT OWNERS In the nalle of the d.cld.nt IInd t~o other plr.onl, I DIVIDED 3V 3 (JOINT OWtIERS) DIVIDED BV 2 (SURVIVORS) . ,167 K 100 . 16,]% (TAKABLE FOR HCIl SURVIVOR) 8. Thl puc.nt ta.-abl. for a..." cruttd within one Yllr of the doc.d.nt'. duth or IIccount. ownld bV the dicld.nt bUt h.ld In tru.t for IInoth.r IndlvldulIl(l) <tru.t bt".flclllrlUJI 1 DIVIDED BY TOTAL NUHBER OF SURVIVINO JOINT OWNERS OR TRUST BENEfICIARIES K 100 . PERCENT TAIlAftLE ElCUphl Joint account regllt.rtd thl d.c.d.nt. 1 OIVIDED 8Y ,(SURVIVORS). ,SO In th. nfl.. of the dee.d.nt find two othor per30nl and utabllthld within ana Yllr of d..th bv Il 100 50% (TAXABLE fOR EACtl SURVIVOR) 4. Thl n.ount ,ubJ.ot to tDlC (line 4) II d.ler.ln.d by Ilultlplylng the account balance (llnl ,) by thl p.rclnt ta~abl. (llnl 3). :I. ~n\tr tn. tota! ot the (J.bt. and dlduotlon. lut.d tn Part ,), 6. Th. DIlour,t talCabh C1ln. 61 It d.ttr.ln.d by lubtrnctln; thl d.btll and deduction. <1lnl S) fro. the nount ,ubJlct to talC (l1nl 41, 7. Ent.r thl IIpproprlat. talC rat. (lln. 1) a. dlt.rllned bilow, A. Tran.f.r. to I1nlal d..cendantl Including father, Mothlr, hu.band, wlfl, .on, daught.r, grandchlldr.n, .0n-In~law, daughtlr.Jn~1aw, tttpchlld and th.lr ll1u, art talClIble at six puclnt (6%1, B. Tranlf". to all other. Including brother. IIIter, uncll, aunt, n.ph... IInd nleco 1Ir. talCablfl at flft..n p.rc.nt (15X), C, 11 vou chang. the talC rate, phil'" sp.clh lIour relatlonlhlp to tha dICl.d.nt In 'h. llrea pro...ld.d, S. Th. alount of talC due Cline 8) II deterlln.d by lultlplylng the II10unt tftxabl. (lIn. 6) by the tlllC raU lIlnl 1), CLAIMED DEDUCTIONS - PART 3 DEBTS AND DEDUCTIONS CLAIMED Allowablt d.bt. and dlductlon. ar. d.t.rlln.d a. fol1ow'l A. You hgllllV IIrt rlIPon.lbl. for paYI.nt, or the utlltt .ubjeot lo adlinl.tratlon by II p.r.onnl rlprellntatlYI 11 I",uffhdlnt to PlY thll d.ductlbll I"... B. You Ilctuallv pllld th.. lJ.bU aU., duth of thl d.('ld.nt and clln furnith proof of ply..nt. C. Dlbt. being clallld lIlu.t b. It..lud fully In Pl'lrt), If l'lddltJonnl 'PIIC. It nlld.d, UII plain peper a In" x 11", Proof lIf pny~.nt lay b. r.qu..tld by tht PA n'Pllrtllnt of R.v.nu., TAXPAYER ASSISTANCE IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANV REGISTER OF WILLS, PA DEPARTMENT OF REVENUE DISTRICT OFFICE OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAYER INQUIRV UNIT IN HARRI~BURO AT (717) 787-8327. \ 1\ '<\' '" ,. ~ , ,- "\ , , " . , .. , " I, 'f! ., ,'_I 'II, , \.,', , " " . .,". ,......... ....,... 0, I, : " <>, .,.' ( a 118H.'ltlJu!1 l'AJ1IJ,i-1U:' "~CoftlW ,,,f'J, "f'~', _.1 ;,,_:1 ,',," "1\&'" "'-':'" " " "~\'UI""'~ " ':11 ""'rl fl;-' "r; 1/: "PM <> _ HBJ".j /@./. S#J " \,,/ 'Ii'. ' 1.'..-............ ... ..-....~- .....~ .,........._,. '.I.f'" _.,~.";1..:..... O{",'::j.j,"!;;Ji.I,.';;' .' ~. ...." , '.., -,- /'j) ~diJv ' V!-:-:l/:dVI .~ '(! ~~- p)..,vU.,_ .~ft1 ;;613 \11111\11111I,1111111111111111111 1'1<'" -\",,-',-, ,_...""J,~ ,,,'.i' "n, " , ;' I;.' , , " '\'" " ", l' I: " !"' "I'; " . - . ~- . , ,I' , 'I ,! j..... 1._'I"'~""'J.._" ' .","".. . !; 'l! 1 " " , " , ' " , , , " , , I, '. I .1,\ , " ~, \ " I II Irf '4 . I j .. ~,', r ' " , I 1,1 , " ,"j , ,. .. , " ~i:;' :"\ , , " , , .---...... -..........."'..'"""'" I '..-............- .,.. J~ ~~lT ....\... , - - " : I \ " . " " I I I 11 I .'". -1... I I / ' " . R~~-1543 EX AFP (1-91) '* COMMONWCAltH OF PENHSYLVAN1A DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAkES DEIlT, 280601 HARRISBURO, PA 17121-0601 /t(. 2 7.. L - /)." INFORMATION NOTICE AND TAXPAYER RESPONSE FI~E NO. 21 94-0462 ACN 9417.9781 DATE 07-13-94 -- ESTATE OF HARRIS S,S, NO, 186-28-6979 DATE OF DEATH 04-20-94 COUNTY CUMBERLAND TYPE OF ACCOUNT ~ SAVINGS CHECKING TRUST CERTIFICATE REHIT PAVHENT AND FORHS TO' REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 BRUCE HARRIS 118 N 2ND ST MCCONNEL L SBURG FREDA M PA 17233 FIRST NATIONAL BANt< hll providld the OtlPllrtlllnt with thl lnforutlon lltted below which hu bRln u..d In calculatlng ~h. potlntlal tlM dUI. Their r.cords lndlcat. that at th~ death of the above dlCldlnt, you wlr. II Joint ownlr/boneflclary of thi. dooount. If you f..1 thh Infer..Uon I, InClorrlot, phau obtain wrlttln corrllctlon froll thl finllnoh.l Institution, nUlloh n copy to 'hll for. "nti rfltll'" It tn t..~ IIht'!UlI "tlti~u" "'11, """tI\'n+ h ~~y~~',~ I~ :,::~"'1~""': !'!1h th'l 'ntu.r!~::;',.... T..;, L..,j~ (~ H,;, C.. .""",lll~;:l..t PtlIlululva..:.., QIl..tlonl lay bl an.ll.rld by celllng (117) 1a7~nZ7. COHP~ETE PART 1 BE~OW . . . SEE REVERSE SIDE FOR FI~ING AND PAYMENT INSTRUCTIONS Account No, 03010526 Doto OS- 03-85 Esbbllshod Aacount e.1anOl Porcont To.oblo A.ount Subjoct to To. To. Rob Potontlol To. Duo 2,040,60 50,000 1.020,30 ,06 61,22 TAXPAYER RESPONSE PAILURI TO RISPOND WILL RESULT IN AN OFFICIAL TAX ASSESSNENT BASSD ON THIS NOTICI To Inlur. prop.r or.dlt to your 1l0count, two (Zl copl.. of thll notlol IlUlt Ilcco.pnny your Jllly..nt to the R.ght.r of willi, Hllkl chick paYllbhl tal "R.glltlr 0' W'11., Aglnt", K HOTEl If tllK paYllntl nrl ledft within thrll (3) lonthl of th. dlc.dlnt'. dati of dlath, you laY dlduot a 5% discount of thl tax dUI, Any Inhlrltanc. taK dUI will bleO.1 d.llnqulnt 1'011'01 (9) lonth. aftlr th~ ~at. of dlath, "i("" PART [I] [CHECK ] ONE BLOCK ONLY .., [9 Thl abo..." Inforlatlon and tllK dUI II correct. L You eai choo.. to realt pay...nt to thl Righter of Willi, with two cop I.. of tld. notlc. tt' obtain II dhtount or uv"ld Inhrnt, or you .ay c:hlck bOI( ...." and rlturn this notlel to thl Righter of WU1. end an offlc:lal llIu.lIllnt will bl ll1u.d by the P" VIPartllnt of RI....nwl, 8, 0 Thl abo.... aUlt hot bun or will bl rlPortlld and t"1( paid with thl P.nnlyl...lln!a Ir.hlrltantt Tax rlturn to b. flhd by thl dlCldlntl, rIPr.untlltl...., c, 0 The above Inforutlon I~ncorr.c:t and/or debtl and dlductlon. wlrt pllld by you. Vou "u.t coepl,to P"RT ~ lind/or P"RT [!] bilow, .):' If you indicat. a differant ta~ rata, pl.... st.t. your rolotlonshlo to docodont, OFFICIA~ USE ONLY 0 AAF PA DEPARTMENT OF REVENUE PART ~ iA:\ LINE ili:TUiii. - (;OHFUTAUON uF I, Doto E.tobll.hod I 2, Acoount eol.noo 2 5, Poroont To..blo 3 X ~, A.cunt SUbjoct tc To. ~ 5, Dobts ond Doduotlons 5 6, A.cunt To.oblo 6 7, To. Rots e, To. Ouo TAii ON Juli'lilTRUiil ACCuiJIHi> ~AU 1 2 3 4 5 6 7 8- DEBTS AND DEDUCTIONS C~AIHED - l",) , K 8 PART [!] DATE fAID PAVEE DESCRIPTI ON AMOUNT PAID --1 TOTAL IEntor on Llno 5 cf To. Co.outotlonl J . -- Undor oonoltlo. cf coroloto to tho bost of , II L '~ . '., 'c' ,. ) ) . TAXPA~~R SIG~ATU E oorjur~, I doclor. thot tho .~ ~o~l.dgo ~nd bollof, )j",,<t}/I ~ hob I have raport.d abov. Ire tru., correat HOME (71!1) )/'i l;-,\,',J '7 WORK I ,-.-.-}- " TELEPHONE NUMBER ond '1, I I }, DATE 1 Lj- GENERAL INFORMATION 1, FAILURE TO RESPONlI WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with .ppllcabl' Int"..t b,"d on Inforo,tlon lub.Utld bv thl fln'MIIl lottltutlon, Z. Inh,rlt.nclI hI( bleo.., d,Unqulnt nln. lIon\h. tlfhr the dle.d.nt', dati of dlllth, 1, A joint account II \1lC':I1. IVln though the doc,dlnt', nUll WI' added 81 II aatter of conv,nl.nce. 4. Account. (Includlna tho.. held b.tw..n husband and wlf,) which thl dlCldlnt put In joint na... within ont Yla, prior to death ar. fully t.~abl. a. tran,'.r" S. Account. ..t,bIJ.hld JoIntlY b.lw..n hu.band and wtf. lor. than on. YI.r prior to dtath art not tUl(abll, 6, Acoount. htld bi .. dlc.dlnt "In tru.t for" lInothlr or alh," IIr. ttllcabl, fully, REPORTING INSTRUCTIONS. PART 1 - TAXPAVER RESPONSE 1, BLOCK A . If the Inf~r.ll.tlon and co.putatlon In the notlcl ar. corrlot and deduction, art not bllng cl"lwld, plac. an "K~ ln block "A" of Part 1 01 thl "TIlIcpay.r Rupon.." notion. Sign two eoplu and lubllt th.. with your chick for the a.ount of tllC to the R.ght.r of Willi of thl tounty Indicated, Thl Dlpart.lnt of Rlvlnue will IUlle an official 1lI......nt (Fori REV-1548 EK) upon r,cllpt of the Rlturn fro. the Rlglltlr of Willi, Z. BLOCK B - II the aUlt IPlclflld on thh notlcl hat bun or will bl r.ported and talC paid with the Plnnsvlvanla Inhlrltanc. TalC Jl.turn fllld by thl dlcldent'l "pr...ntatlv., plact an ")(" In biocl "B" of Part I of the "TalCpaYIr Ruponu" notion. Sign one copy and return to thl PA Vlpartunt cf Rlvlnue, 8ureau of Individual TalCII. Dllpt 2&0601, Harrisburg, PA 1712&-C601 In thl .nvllopl provldld. :LCC~ r. - 1~ tha ,~",' \.~ !r/~"='1~1:r' if. !~"'''''r'1a~ ",..,II",. n""",.,I"n. IIlrfl "nino tll..i....d, ehftck block "C" and cOlpl,t, Partl Z and 3 according to thl IrlHrut1tlonl bllow. Sign two coplu Ilnd lub.1t th.. w\th your chick lor the nount of tal( payable to the Righter of Wille 01 the county Indlcahd. lhe PA Departaant of U.....nu. will ll1ue an offlchl 'u......nt (FOri REV-l~48 EX) upon rlcllpt of the return fro. thl R.glltlr of Willi, TAX RETURN - PART 2 - TAX COMPUTATION LINE I, Enter thl dati thl a.::count originallY was eltablllhld or tltlad In thl .anner 81(Isll110 at date of daath. HOTEl For a dlcld.nt dying aftor IUIl/&ZI Accountl Mhlch thl dlc.dunt lIut In Joint nea.. within ani II> ynr of duth ar. talCllul. fully as tranlltrl, Ilow....", there 11 IIn IlCclullon flOt to exceed H,OOO ptr tranlfern rtgardhll of the YlIlul of the account 01" the nu.b.r of account I h.ld, If a doubl. artlrllk (11M) IIppearl b.fore your Hrtt na.. In the addre.. portion of thlt notice, the U,OOO 1II(0lullon alr.adY hae b~.n dlductlld fro. thl IIccount balancl lit reported by th, flnllnclal Inltitutlon, Z, Enter the total bahnce of the IIccount lr'lCludlng Intlr..t lIecru.d to the dah of duth, 3. Th. percent of the Dccount that II taxabll 'or 1,1ch lur...l...or II deterllllnQd al folloWll A. Th. plrclnt tllxabl_ for Joint al..ta Altllbllshod lor. than one year prior to the d.cedlnt', d,lIthl I DIVIDF.D BY TOTAL NUMBER OF DIVIDED BY JOINT OWHERS EICI.plI1 A JoInt a,l.t regllt.red In the nll.e of TOUL HUHBER OF )( 100 . PERCEHT TAXABLE SURYIYINO JOINT OWNERS th. d.cedlnt IInd two othir perlonl. 1 DIVIDED BY 3 IJOINT OWHERS) DIVIDED bY Z (SURYIVORS) . .161 X 100 . 16.1% ITAXASLE FOR EACH SURViVOR) B. Thl Plreent talCable for 1I111tl cr.atld within one y.llr of the dlcld.nt., dlllth or occount, own.d by the dlc.dlnt but hlld In trUlt for another Indl...ldual(l) (trult blnlflelarl..): I DIYIDED &Y TOTAL NUHBER OF SURYIYINO JOINT OWHERS OR TRUST HEHEFICIARIES X 100 '" PERCENT TAXABLE ElCaapl.1 Joint account regllt.red In the na'l of the dleldAnt IInd two oth.r plrlonl and e,tllbll,hld within one yl.r of d.ath bV thl dlc.dent, I DIVIDED BY 2 (SURVIVORS) '" .50 )( 100 . 50% (TAXABLE FOR EACH SURVIVORl 4. Th. a.ount lubj.ct to tax (11nl 4) I. d.t.r.lnld by lllultlplYlng the IIccount balanc. (line 2) by the Plrc.nt taxabl. (lln. 3). !i. l::ntor tn. t01al at \ne Olbtl IIno OIO\.lctlonl Ult.d In ..art j, 6. Th. alount talCabll II In. 6) 11 d.ter.lnld by IUbtraetlng thl dlbt, an.1 d.ductlonl (11l1e Sl fro. the aeount subj.ct to tax (line 4), 1. Ent.r thl appropriate talC rate Illnll 1) al deter.lned below. A. Tranl'lrl to Iln.al d'lcendllnt, Inoludlng fath.r, Moth.r, hUlband, wife, ,on, daughter, grandchildren, 'nn-tn-law, daughtlr-In-law, It'PChlld and th.lr 1111,1' are talCebll at .Ix p.rc.nt 16%). a, Trln.f"l to all othert Includlrlg brother, IlIhr, unci., aunt, n.ph.w and nl.c. art tIlxabh at flftun percent lIS:'O. C. If you change thQ tax rat., pleal. IPlcl'y your r.latlonlhlp to th~ dlc.dtnt In the ar.a provld'd. &, Tht &lount of tlllC due (lln. &) II dlter_ln.d by .ultlplylng the &lount \tllCable Ulne 6) by the hlC rate (lint 1), CLAIMED DEDUCTIONS . PART 3 DEBTS AND DEDUCTIONS CLAIMED Al10~.bll d.btl and d.ductlonl lire dltlralnld III folloWl1 A. You llgallY art relPonllbl. for pllya.nt, or thl .Itat. lubj.ct to ad.lnl.trlltlon by a p.rlonal rlpr,..nt.tlve I. Intufflollnt to pay the d.duotlbl. Itlll. I. You .ctual1v Pllld the dlbt' aft.r death of the dleedlnt and clln furnl.h pr~of of pay..nt. C. D.bte bllng clllhlld 'Ult b. !t1l.llId fullY In Pflrt], If lIddltlonal epace 11 n"d.d, UII plain paper A 1/2" x 11", Proof of p.y..nt IllIlY b, r.qulltld by the PA Depart..nt of RI\IIf'lUI, TAXPAVER ASSISTANCE IF YOU NEED FURTHER INFORMATION 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 (111) 781-8327, I. 'I i ','." " I . .~ ..'. ",. ... # ~.' .,. '. , ,. ,. 'I', " " I' " ~l:.I"'t~,c U " arrs "C~""'lItlrg, JlA /lIJJ.IlCI ~ " . ~'''""'' ,. -. "I PM ," - <\ ' ..... ~- ~. 'J - . . '-, 14IJ','L' "', , __,~9~ -. -' -' ..._.:.r_,. '- '0","-" , --':1' -- ..... . '~--.-4r. . ~: .......... ' fJi1- ~ ~ '.--.. ' '- ':-G . '(A?r-?~.'. '. '-...,.jJ ,dY ~j2irL- )'1/'/1 j tJ /l I" / . , ': Q~~~,~CL~ Cf.,. ~'rLLr~~ CLvJZ~~Q" " ,/ , , '.. , ~'l , l , " ,. '" , I", ~ " " !", , , " , ,," , " '''; , " " , I' , I' 'r / " " / If c> 1..3 1,( ~ . \ /,"11111,111, '1111" II. .' 11111 II '" ,"1/"0101111,11111,1 I :.' .)0 .." '. '0..,,' ,.1.,' '".,., ,,!! h, "1.'" \ 'j,,' " ,. ",. ,. , " " " I'd "~I, " " , " " , il ." " "', 'I," "II 'I " , , , " , ' ., .;.,.... -','-'-' '. , , '-' " ~ 'I .. -.; \_' '. ;.". , " I' I'" ,. " ...... ......"'- ,....''''''~..... 410'''1'1'.".-.:.., I I I I I I , I, I [, I .. ," REV .543 EX AFP (10911. . COH, :,WEAl TH OF PENNSVLVANIA DEPAITHEHT OF REVEHUE IUREAU OF INDIVIDUAL TAXES DEPT, 210601 "ARRISIURO, PA 17121-0601 I(f~ .9..1~ -J)- INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 94-0462 ACN 94129782 DATE 07-13-94 TYPE OF ACCOUNT ~ SAVINGS . CHECKING TRUST CERTIFICATE REMIT PAYMENT AND FORMS TD. REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 BRUCE ESTATE OF HARR IS S,S. NO, 186-28-6979 DATE OF DEATH 04-20-94 COUNTY CUMBERLAND HARRIS FREDA M lle N 2ND ST MCCONNELLSBURG PA 17233 FIRST NATIONAL BANK hll provided the D,part..", with thl Infor.attan Ihhd below which hili betn ulId In calculating tht pot,nti,1 taw dut, Th,lr r.cord. Jnuleat. that at the d.~th of thl above dtcln,nt, YOU w.r. II Joint owner/beneflolarv of thl, account, tf yoU '..1 thll 1"'nrI1.,lon h lncorr.ot, plt.u obtain written corr.oUon frol tilt financial InstitutIon, attach II copy to thll fOI" ...'Iff ..,.tll"" 1\ t" .~.. . '~.:l1r~~~' Th!t :':::l'';,,~ !: L..:::':.. :,; ...;...;.10,',... I :~;, tll.. :..:....; i.",... Tu... La.,. ~,' L11. "UlllfUlt"llotlUI lit' ~1I11"llYIYllml., Quntlon. ..y b. anlWUJa by tl8llJng (717) 7a7~a327, COHPLEYB PAI1T 1 BELOW · . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS -- Aooaunt No, 03009542 Dote 10-01-84 E.teblhhod K To In.url propur Qrtdlt to your account, two (21 copl.. of thh noUcl IIUSt !I0COIlPflFlY \lO\lr paYllnt to thl Rlghtlr of Willi. Hakl Chick payabll tOI "Rlghtlr of WUh, Aglnt", Aooaunt Bolono. Poroont To.obl" Aftount Subj.ot to T.. To" R.te PotenU.l To. lIu. 1,002.91 50,000 501,46 ,06 30.09 TAXPAYER RESPONSE I MILL R!SULT IN AN OFFICIAL TAX ASS!SSH!HT BAS!I ON THIS NOTICI K NOTEI If ta>! paY..llh arl odl withIn thr.. (31 Ilonths of thl dlcldlnt's datI of duth, YOU lay deduct a 5% dllcount of thl tax due. Any Inheritance ta>! due will blcoee dellnqu,nt nlnl (91 lonths aft'r the dati of dlath. PART II] I FAILURI TO AiISP A, - [CHECK ] ONE BLOCK ONLY The abovl Inforeatlon and ta>! due II corrlot, 1, You May rhoole to r'lllt paYI.nt to the Rlgllt,r of Willi, with two cop I.. of this not lei to obtain a dllcount or avoid Intlr..t, or YOU lIay chick bo>! "A" and r'turn thll notloe to thl R.gI't,r of WIlli and an official al'I"I,nt will bl Illu.d by thl PA O'Pflrt.lnt of nlvlnue. PART [!J IIIX LINE If you Indllot. . dlff.r.nt to. r.t., pl.... .toto your roloUon.hll' to d.a.dont 1 _ '11iTUiiti . (;\lti;.,.TAHuN 1, D.t. E.t.b11.h.d 2, Acccunt Olllnol 3, P.roont To..bl. 4, Aftount Subj.ct tc T.. 5, Dobt. .nd D.duotlon. 6, A.ount T...bl. 7. To. R.t. 8. ToH Du. ~, ~ The abovl ISlet hal b'ln or wIll bl reportld and td>! Plld with thl P,nn'Ylvlnla tnhlrltonct Tlx return to be filed by the dlcld.nt's r,prestntatlve. ,.~ I:, 0 The Ibove InforllaUon I~ncorr.ct and/o~lbts anri dlductlcns WIr, paid by You. Vou IIUSt co.plItt PART L:J and/or PAAT L!J bllo",. llF .,.,,^ Uti .iiJ~ti !,,',IlU:o I Alil.iluf. III 1 2 3 K 4 5 6 7 K 8 f'Au 1 2 3 4 5 6 7 8 DEBTS AND DEDUCTIONS CLAIMED OFFICIAL USE ONLY [J AAF PA DEPARTMENT OF REVENUE PART ~ DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under p.nol U.. 0/ por jury, I d,olor. th.t tho foah aOftpl.t. to tho b..t of fty kn .l.dgo ond b.llof, , .J I, / " . /L~_ " ,tr. ' h " TDTAL IEn er an L1no 5 cf T.. COftput. Ion) . X hlYI rlpartld aboYI Irl truIJ HOME ('?4) /1 )/, I; WORK .t. -,-",,+_.. _... TELEPHONE NUMBER correat and . '''/ 'j -j :J , ( '0;j) . 0'1- DATE Gf.NERAL INFORMATION 1, FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESS"ENT with eppllcable Internt bend on Inloreetlon tube1tttd by tht flnanoh! In.t1tutlon. 2, Ihhirltlncl t.. b'~o"1 delinquent nine lonthl .ft.r th, dICldtnt'. dot, of dl.th, 3, A Joint account 11 t.Mable IV'" though the dlctd.nt', na.. we. addld a. I ~.tt.r 0' ccnv.nl.n~., 4, Aooount, (IncludIng tho.. held bltw..n hu.band and wi',) which the dlctdtnt put In Joint na... within on. Ylar prior to d..th Ir. 4ullv t.M.bl, al trnol'.r., 5, Acoountl IIhbll1htd Jolntlv bltw.." nu.blnd and wlfl lor. thIn ,In. Yllr prior to duth ar. not taxable. 6, Aooountl "lid by . dUldlnt "In trut' for" anoth.r or other. Ire tillable fully, REPORTING INSTRUCTIONS . PART 1 . TAXPAVER RESPONSE 1. aLOCK Ai - If the Inferntlon Ind COlput,tlc" In the ootlc.t art corrlet llnd dlductton, art not hll"g el.I.,d, plan, an "M" In block "A" of Part I of th, "TaMPlv.r R"ponn" IIctlon, Sian two copl11 and .ubalt the. with your chick for the alount of tlM to the Rlahtlr of Wllh of tht county Indlcottn, Tht Dlputltnt of Rlvlnul will I..ut an offlolal U......nt lFor. REV~154a EMI Upon rlcllpt of thl Rlturn fro. thl RRollt.r of Will.. Z, BLOCK', If thl unt 'Plclflld on thl. notlcll hu bltn or will b, reportld nnd talC paid with thl Plnn,ylo"anh (nhlrltanol TaM R,turn flhd bV thl 'Iold.nt'. rtpr..,nht1vI, placl ftn "M" In block "11" of Part I of the "TaMpaYIr RIIponll" tlotlon, Sign onl copy Ind return to thl PA DIPart.lnt of R.vlnul, Burllu of lndlvldual 111M", Ollpt ZI0601, tl!lrrltburll, PA 171Za~0601 In the InvIlopl provld.d, ... nLoC~:: Jr th: I..JU,;" I,."c~ ':.~lQ:'l 1: \:':"~~ra,:,': ~~1',:,~ tlt'/.....,.,... '''''' 1."I"r ..'_1",.,1 t:""ril hlnr.k "e" find cOIL'h_t. Part, 'I and 3 aooordlng to thl InttrucUont bilow, Sign two copl.. ftMd ,ubllt th.. with vour check for thll nount Ilf taM Pflvltba to the Reghter of Will, of tht county Indlcatld. Th. PA D.~art'lnt of Rlvlnu. will 1"uI an official 1I1..s..lnt (Fori REV~154a EM) upon rlcllpt of thl rlturn frol the Rlgl.tlr of Willi. TAX RETURN - PART 2 . TAX COMPUTATION LlHE 1. Enter the dati thl locount originally wu utablhhld or titled In thl .annlr IlII.tlng at datil of duth. NOTEI For a dlc.Ulnt dvlng after IUIZ/all Acoounts which tho d.cld.nt put In Joint n.... within on. (I> Ylar of d.ath art taM.blt fu)1y II tr.nlferl, tloWIYIr, thl" Is en 'lIclullon not to IIIc..d B,OOO l1er tran.'"" regardl... of thll v.lulI of the ICCOunt or th. nu.b.r of account. held, If I doubl. IIttrhk (Illl) app"r. b.fo,. your first na.. In thl add".. portJon of this notlcl, the 13,0')0 Ixolu.lon 81rudv h.. blln dlducted frol thl aMount balancl II r.port.d by the flnlnolal In.tltuUon, Z. fnt.r tht totll bllane. of thl aocount Inoludlng 10tlr'lt aocruld to the dltl of dlath, S, Th. plretnt of the aocount that 11 tllCable for IIch lurvlYor 11 dlter,Jnld III followll A. Thl ptrolnt tlll.blt for joint ....ts uhbllthld lorf! than on. ynr prior to the d'c.dent'. duthl I DIVIDED ~V TOTAL NUMIER OF DIVIDED IIV TOTAL NUNIIER DF M 100 . PERCENT TAXAlllE JOINT OWNERS SURYIVIfIO JDINT OWNERS Eltlllpll1 A joint ....t rlghtll'ld In thl nlll of thl dloldlnt and two other per.ons, 1 DIVIDED IIV 3 (JOINT OWHERS) DIVIDED IV Z (SURVIVORS) . .167 X lDO . 16,7% (TAKAIILE FDR EACH SURVIVOR) II. Thl plrolnt taAabl1 for al,lt. crl.t.d within ~n. v.ar of the d'cldlnt'l dlath or acoount. cwn.d by thG dlcldlnt but held In trUlt for Inothlr Indlvldual(.) (trult blnlflolarl..)l I DIVIDED DV TOTAL NUNBER OF SURVIVIHO JOINT OWNERS OR TRUST BENEFICIARIES M 100 . PI::RCEHT TAMAlltE Elllaplll Joint aooount rlgl.tlrld In th, nal' of thl docld'nt and two othlr plr.on. and I.tlbll.hld wIthin on. Vllr of dllth by thl dlold.nt, I DIVIDED IV l (SURVIVORS) . .50 K 100 . SOX (lAKAIII E FDR EACH SURVIVDR) 4. Thl nount .ubjlct to t.1C (IInl 4) 11 dlhralnld by lultlplYlng thl account balanc. (1ln. l) by thl plrclnt taMobl1t 11.lnl 3). ~, tnt'" tne tOll1 Of U,. ulau anCl OClClUQlIon. IlttlO In I'en ~. 6, Thl .Iount tlllabll lUnl 6) It det.,llnld by 'ubtrlctlng thl dlut, and d.duatl"nl (1lnl 5) fro. the lIount eUbj.ot to tllC (11n. 4). 7, Entlr thl approprlat, taM rat. lllnl 7) u detlr.lnld balow. A, Tr.nlhrl to IInu1 dtlClndantl lnoludlrlg f.ther, lother, hU'blnd, wtflt, lon, daughter, grandchlldrln, lon.ln.llw, d.ughttr~ln.hw, ,tlpc:hlld Ind th,lr IlIu. .lire hlClblll at .1M plro.nt ~6%)' I. Tr.n"lr, to all othlrl Including brothlr, .I.tlr, unol., aunt, nlphlw end nllcl .r. taxabll at ,Ift.,n plrcGnt (15%), C. If YOU c:hanlll thl tlM ratt, pi.... Iplclfy your r.lltlonlhlp to the Ulc.d.nt In thl Irl' provldld. a. Thl alount of tlM dUI Cllnl 8) I. d.t.r'lnld by ,ultlplYlng thl alount taMabl. 111nl 6) by thl talC rltl (lint 7), CLAIMED DEDUCTIONS . PART 3 DEBTS AND DEDUCTIONS CLAIMED AlloWlbl1 dlbt. .nd dlduotlonl ar, det.r.tnld I' followl' A. Vau 1lgal1y Ire rtlPon.Jblt for plv..nt, or thl ut.te .ubjlot to adllnl.tration by a p.rsonll rtprellntati"l h In.uHlollnt to PlY thl dlduetibll It..., II. Vou aotu.lIy Plld tht dlbh afttr d~lth of thl dlud.nt and c:an furnhh proof of paY..nt. C, D..btt b.Jng olli"d IU.t b. Itlllud fully In Part l, If 'ddltlonal .p.c. I. n..d.d, Uti phln pllptr 8 112" II 11", Proo, of PIy'.nt lav b. requI.tld by thl PA O.plrt.lnt of R.y.nuI. TAXPAVER ASSISTANCE IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONT~CT ANV REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAVER INqUIRV UNIT IN HARRIS8URG ATC7l7> 787-8327. REV-1543 EX AFP (1-911. ' tOHlh,,:.'JEAL HI OF PENNSYlVANIA DEPARTHENT OF REVENUE . BUREAU OF INDIVIDUAL TAKES OtiPT, Za0601 IlARRISBURO, PA 17128-0601 / t.; - , ;; /,~ - /.) INFORMATION NOTICE AND TAX PAVER RESPONSE I I FILE NO. 21 94-0462 ACN 94129780 DATE 07-13-94 ESTATE OF HARRIS 5,5, NO, 186-28-6979 DATE OF DEATH 04-20-94 COUNTY CUMBERLAND TYPE OF ACCOUNT ~ SAVINGS I CHECKING TRUST' CERTIFfCATE REMIT PAVMENT AHD FGRMS TG. REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 BRUCE HARRIS 118 N 2ND 51' MCCQNNELI.SBURG FREDA M PA 17233 FIRST NAT10NAL RANK hili provided thl OIPlut..nt with the Inforutlon II_tad below which hili blln und In cllhul"tlng the potlntlBI till( dUI. Thllr rlcordl Indicate that at thl dlllth of thl IIbOYI uICldlnt, you wlr. II Joint ownllr/bln.flclnrv of thlt "cecunt, If yOU f..l thh In'orutlon I, Incorrect, pin.. obtain wrltton correction frail the flnltnelnt lottltutlon, llttn<'h II COPY to thl, for. ....oj ~..tur" 1\ ~Il .fJ~ !'.t'.".~ ~"'ofr'.I::, ,~!: :_..~;~!_ t::",l~I..) ".......:..".... ..:U, lj,. :,,:,., .l..I".... j"" Lw.. VI \11'" 10' .,,,"'lIH.ttl,., ui ",m,I_.,i\lllulo. QUI.tlon. .ay bo an,wlrtd by calling (1171 187-B1Z7, COMPLETE PART 1 BELOW M M M SEE REVERSE SIDe FOR FILING AND PAYMENT INSTRUCTIONS Acccunt No, 52-09591 Dolo 02-27-78 F.ohblhhld Account 81l1ne. P.rc.nt rlxlbl. A.cunt SUbjlct to To. Roto Potontlll To. DUI x 2.537,23 50,000 1,268,62 ,06 /0,12 To In.ure proptr credit to YOllr account, two (21 capilli of thl. notlCI ..Ult occotpftny your plly..nt to the Righter of 1041111. "like chick Pllyable tOI "Rlgl1lhr of 1041111, Aglnt", x NOTfl If tllle pnyunU lire ud. within thrn (3) 1I0nUII of thl decldtrtt', dati of dlath, you uy deduct tl ~% dhcllunt of thl talC dUI, Any Inherlhnce talC dUI ~111 blco.. dellnqutnt nhle 19) "onth. "fhr UlI ""te of doath, Tax PART TA'XPAYER RESPONSE COI FAILURE TO RISPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT BASED ~~HIS NOTICI A. Ill/The IIboye lnfor'atlon and tall dug I, r.orrlct, t" I. VOU llIav choose to rnlt paYlllnt to the Reglshr of Wills, with two copl.. of Ihl. notlcl to obtnln " dltcount or 6\1old Intlrut. or YOll IIftY chick bOll "A" <1nd rlturn thl. notlcl to :hl Hlght.r of Wills IInd IIn offlcllll o.....lIInt will bl IlIllld t!y thl PA OIPllrtunt of Rlyenut. [CHECK ] ONE BLOCK ONLY 8. 0 Thl nboYI nut hnl bun or will bo reporhd IInd talC paid with thl Plnn.ylYtmlll Inhlrltnncl TnlC return to bl fllod by the decldent'. repr"lntlltIYI, C. 0 Thl IIboY8 Inforutlon I. Incorrect and/or dlbh Itnd doductlont Wltl pllld by You. Vou ~u.t co~pllt~ PART ~ and/or PART [!] below, If you 1nd1olt. I d1ffMrant t.x r.ta, pl.... ,t.t. your rolotlonohlp to docodont., PART ~ TAX Ht:; I UHN - (;UI1~U I II' UJN U~ LINE 1, Doto Eotobllohld 1 2. Account a.llno. 2 3, Porolnt To.obll 3 X 4, A.ount Subjlot to To. 4 5, Dlbt. .nd Dlduotlon. 5 6. A.ount TO,"bll 6 7. To. Roto 7 X 8. To. Duo 8 9Fl'ICIAL USE ONL V 0 AAF PA DEPARTMENT OF REVENUE IliA U~ JU4~1/'ku~1 A(;~UUNI3 ~AI.I 1 2 3 4 5 6 7 8 DEBTS AND DEDUCTIONS CLAIMED PART ~ DATE PAID PAYEE DE SCR I PTI ON AMOUNT J- . PAIU I TOTAL IEntor on Llno 5 of To. Co.putotlon) Undlr ponoltlo. of porjury, I do.lorl thot tho focto I C,.Ploto to. tho bO.ot ,of .y k~o.lodgl Ind blllof, /, I ~. 1./ . I.. , . < . I). ,.\v,.. '{ 'I {..t., TAXPAYER S~~ATUR h.v. raport.d Ibov. Ir. tru., corr.ct .nd ,'1/ tJOMLU..L+-L:!lL!L~'-l":;_~l.f' WORK ( '--.) ( /,<1 TELEPHONE NUMB~~ DATE /" GENERAL INFORMATION 1, FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT .lth ."Ilcabl. Int....t b.... on Infor..t1on ,Ub.ltt.d by thl Ilnanol.! In.tltutlon, 2. Inh.rlteno. tdX b.~o... 1.1lnqulnt nln. .onthl after th, d,c.dlnt', dut. of dllth. !. A Joint Docount I, t~M.bl. .v." though 'h. dacedent', na.. was added Q. . .att.r of conv.nltncl, 4. ACloountl <lnoludlr.n thol. h.ld bttwtln hu.band llnd will) which thl dllc:ldtnt put In joint nalltl within on. Ylar prior to dl.th ar. fullY tlx~bl. al tran,f.rl, 5, Account. utlbll.hld jointly b.twun h\l.bllnd tlnd wlh lora than one year prior to duth tlrl not hllabh, ll. Account. hlld by a lItcedlnt "In tru.t lor" n"oth., or othln art taMabl, fully, REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE 1. 8l0CK A ~ If th, Inforutlon IInd COlputatlon In thl notlcll ar. corraot llod "eduction. art not being clal..d, pilla. tin "X" In block "A" of PI".t 1 Clf lh. "TalCPIl~lIr R..p')n.... nctlon, SIgn two copl.. llnd tublllt thlll wlttl :iour chick for till uount of talC' to thl Rlghtlr of Willi of thl county Indicated, Th, DIPllrt"lnt of n.....nll. will luu. ftn offlcllll llIuu..nt (Fori REY-1S41 EXI upon r'Clllpt of th. R'turn frail the R.gl,t.r of WIlIt, Z, BLOCK B - If thl 1l1'lt IP.clflld on lhl. ~otlc. hll. b.un or will UI reported llnd talC paid with th. Pennlyl...anla Inh.rltonel hI( R.turn fllld by thll dec.d'nt'" rlpreuntatlve. phCI 0'1 ilK" In block "S" of PMt I of thl tlTalCPft:ier R,lponu" IIctlon, Sign on. copy lInd return to the PA D,partunt of R.....nu., Bur.au of Indlvldulll TnlCII. nopt 250601. tlarrllburg, PA 171Z8-0601 In 'h. .nv.lop. provld.d, 3. u..\",,,... . .". "'" ... ~,ih,.,.~:';.:,!~ 1.-,.:.;-,-.:~~ ';,.,:!.':l:- :!':"~"::~!:~r :lr~ "-:O!":) ~1~1...t, ,."--~ 1-1""" "r" ,,"rf r_"lpl"te IIllrtl ? "'nrl 3 Ilecordlng to the lnstructIons below, Sign two copl.. and lub.1t th.. with your chock for the 1l10vnt of hI( payabh to thl R,gllhr of Wllh of thl county Indlcatld. Thll PA D.port..nt at Rell.nul will luue an officIal a"lItll.nt {For. REV'1548 EIO upon rla.lpt of the r.turn frail the R.gI.t.r of Will., TAX RETURN - PART 2 - TAX COMPUTATION LINE 1. Ent., th. dati th. account orlgl~ally wa. I.tablllhtd or tltllld In thl .annlr olCl~tlng at date of dlath, NOTEI For a dlc.d.nt dying a'ter IUtZ/521 ACCollntll which thl d.cedont Put In Joint n.,... within onl (Il ynr 0' duth are taJUlblt fully III tranlflrt, 1I0wellllr I ther. II IIn IIKciullon not to ,KClld H.IJIJO per tranlferlll regard I... of th. lIalUI of th. acco~lnt or tho nu.ber of Ilceauntl hlld. If a doubll llItlrllk (1111) npPlllrt bl'ar. your fl"t Malll In the addr"l portion of thll notlcl, thQ B,OOO IlCaludan already hlll bll.. dlductld frol thl account balancI al reported hy thl flnanollll InlUtutlon. 2. Enter thl total ba',anCII of thl occount Including Intlrut IIccrUld to th. datI of death, 3, Th. plrclnt n' thl aco~unt thltt II talCable for lach surlllllor II dlhr.lnld III folloWll A. Th. plrl1.nt taubl'. for joint al..t. Iltnblllhld ..ore then on. Ylar prior to thl decldllntll death I 1 DIYIOED BY T'lTAl NUH8ER OF JOINT OWNERS El(allplel A jotnt aUllt rllghtlred OIYIOEO BY TOTAL NUHBER OF X SURYIVIHO JOINT OWNERS In the nail. of thl dlcedant arid two other 100 ~ PERCENT TAXASLE plrtanl, 1 OIYIOEO BY 3 (JOINT OWNERS) DIVIDED S't' 2 (SURYIVORSl . ,167 l( 100 . 16,7% (UK^BlE fOR EActl SURVIVOR) B. Th. Plrc.nt ttlCatio for aun" creatld within on. Yllar of th, dlcldlnt'l dlnth or accountl own.d by thl dlcldlnt but h.ld In trult far nnother indlvldual(') (tru.t bln.fltlarlull 1 DIYIDED BY rOTAl HUHBER OF SURVIVING JOINT OWNERS OR TRUST BENEfiCIARIES K 100 . PERCENT TAKASlE ElCftllpl.1 Joint account rlglltlrld In thl nalll of thl dlc.dlnt and two othlr plrlonl and 'Itabllshld wIthin ani Ylar of dlath by th.. IJ'cldlnt, 1 DIYIOEO!V Z :SURVIYORS) . ,SO l( 100 . SO% (TAKABlE fOR fACti SURVIVOR) 4. Thl Blount .ubj.,.t to talC (11nl (.) II dut.rlllnld bv lIuitlplYlnll the llCCaUr'lt blllllnc. lillll Z) by the perclnt taxabll (lln. 3), ), tnUr \n. tOUl oJ, tnl albU ana ceouotlonl I1lt.o 11\ Plln $, 6. Th. nount tftlCabh <llnl 6) II d.hrlllned by IUhtrl'lC:tlng thl dobtl and d.ductlon" (11nl ~) frol thll allount ,ubj.ot to talC <l1n. 4), 7. Entlr thl npproprl~tl talC rat. (lln. 11 al det.rlllnld bllow. A, Tranlfe" to llnlll dllclndantl Inoiudlng father, lothllr. hU'band. will. Ion. dltughter. Qrandchlldren, lon-In-hw. daughter.lnolaw, Itepehlld and th.lr IlIue llre tllKllbl1 Ilt SIK perclnt 16%l. B, Tran.flr. to all othtrl Including brothlr, .I.tlr. uncII, aunt, n.phlw and nllcl ftr. talCabll at flftltn percent (15%). C. If you chftng. thl tal( rntl, pIllISI IPlclfy your rllatlanlhlp to th. dlClldlnt In th~ lIrl" prollld.d. a. The aIIount of tal( dut l11nl 8) It d.ttrlllntd by lIultlplYlng thl tllount talCabh (llnl 6) by thl taK ratt (llnl 7). CLAIMEP DEDUCTIONS - PART 3 DEBTS AND DEDUCTIONS CLAIMED Allowablt dtbtl and dlductlonl "rl nlt.r.lned al folloWl1 A, Vou legally ar. r.IPonllbl, for paY.lnt. or the 'Itnt, lubJICt to Ildlllnlltrntlon by II plr,onaI r,pr'l.ntatlVI I, In,ufficl,nt to plV the d.ductlbll Itllll, B. You aatually Pllld thl d,btl /l,ftlr dutll of the dle.dtnt and can furnhh proof of ~aYlllnt. C. Otbtl b.lng chlllld RU.t bfl Itl.lud 'ully In PlIrt 3. If addltlon"1 spae. III n.,dld. Uti plain papllr 8 1/2" K 11". Proof of pIY.lnt .ay bt r.qutlt.d by thl PA Dtpart..nt of RovlnUI, TAXPAYER ASSISTANCE IF YOU NEED FURTHER INFORMATION ~R ASSISTANCE, CONTACT ANY REGISTER OF WILLS. PA DEPAR7MENT OF REVENUE DISTRICT OFF:CE OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAYER INQUIRY UNIT IN HARRISBURG AT (717) 787-8327, . 'I 1-:~lh;'i'.lt" "'f ,.0 .~ _ .~, ,.~ ' '. , " "I "' , I, 'I, " ! ',', " . , , ,. ! ~...",,'I,' '\, J:I.;!t" , .':'..- , ..,. , ' '..... Ift(:,'t..,.__~ ' ,:c;,.u Ii,:; 'J' ' -' :"-...-'''-:: . .".. ""--" " ,;"'. fir\'1 ,,'.' -.. '...___., ... HBG.A ,}ri'J7Jd,S'.i:Ji( O/j4,"'5'.}:t~~:~ . ".J"')l, ,/ . "'-- ,.':~, -",.-'" ...... V.I . '.J 111)') .. q-") ) . ' / ' . 11 /l~ ' -- '\.... '(J(:. , :, - .rJJ ."....:.1Q,;.lL"'1./ r...'~ ~ L. . (~~~~~l {L {I~~. .(rA~OCf.." \::. / 'j I )7CJ/3 111111l"dll!";I1I1II1,"IIIlIlId,I,ld,11II11I " .' , ~ "",'",,'t'~'lj ~ :,~'I' -,I': I j, ....""'1'.'......,'.'. " ., ~ I ~'-..-_';' "" " '... ,l, ',f ~. 'i--"', ".-,'''..'"11-' ,..,." " "" :,i " \, , or " II " 1'1 II Ill' " I' ,. " , , I. ,., .1: d' .' ,I. " ", (, ,,' " d' " I, I ,I" " , 'j' " ", 1\,' I ,. , I I , 'd .,. , ,. , , " I I' , 't . '.- ..,. ...........- ''',.,. '-"-T'-':-~"',,",.d:Je. _'ll.......,. I \ " ." " I I i I I , I , I , i I I I I I 'I , \' , '". /, i .\ ~) ,. ,( 1I."'1.1,~~3 EX AFP (1.91,. COHHONWEALTH or PENNSVLVANIA DEPARTHENT OF REVf.HUE BUREAU Of tHDIVIDU~L TAXES DEPT. Z&0601 HARlusaURO, PA 17128'0(,01 /1.1 ') I I INFORMATION NOTICE ANO TAXPAYER RESPONSE i/ ESTATE OF HARRIS S,5, NO, 186-28-6979 DATE OF DEATH 04-20-94 COUNTY CUMBERLAND FILE NO. 21 94-0462 ACN 94129779 DATE 07-13-94 TVPE OF ACCOUNT ~ SAVINGS . CHECKING TRUST CERTIFICATE REMIT PAYMENT AND FORMS TO, REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 BRUCE HARRIS 118 N 2ND ST MCCONNELLSBURG FREDA M PA 17233 FIRST NATIONAL BANK hat providld thl Departlllnt with tho Inforllltlon lilted ualow which hili bun us.d In calculating thl potlntl"l taw due. Th,lr record. Indlcat. th"t at the dlath of thl above dlcldent, yOU wert a Joint owner/benefloiary of this aocount. If you f.,l thi, Infor.atlon I_ Incqrr.ot, plla.. obtain wrlttl" correotlon frol thl financial In.tltutlon, attach a copy to thl, for. ..." r,tt,,...lt \1' t..-: "1;11""" ::d~~r,cr, ThJ:: :1C~:l.',"\~ l~ ~:l::OU:; \,4, ;I;;;,J...,.... ..It:, ~:,.. J":,.,..",,.... r.... ;..,.......r lltv ~u..v'I"vali.l, vI P",,,,"YIVdllld, QUI.tlons lay bl answlrld b~ calling (111) 181~a321, COMPLETE PART 1 BELOW. . . SEE REVERSE SlOE FOR FILING AND PAYMENT INSTRUCTIONS Account Nc. 4153 o.te 02-27-78 EltebU.h.d 33,968,66 50,000 16,984,33 ,06 1,019,06 ~DcDunt aalanc. P.rc.nt r...bla Ancunt Subj.ct Ie T.. T.. R.te Pct.ntl.l T.. Du. XO To Inlurl proplr cr.dlt to ~our accountl two (2) cop I.. of this notlc. IUlt accolpany ~our paYllnt to the Rlglst.r 01 WUls. Hllk. chick paYllbl1 tOI "Rlght.r of Willi, Aglnt", M NOTE I If ta~ paYllnt. are ladl within thrll (!) 1II0nthl of thl dlcldlnt'l date of d."th, yOU lay dlduot a 5% dJscount of thl ta~ dUI. Any lnhlrltllnc' ta~ due will bICOI, dlllnqulnt nlnl (9) 1II0nthl aftar thl date of dlath, PART TAXPAYER RESPONSE COr FAILURe TO RE$POND WILL RESULT IN AN ~FICIAL TAX ASSESSMENT BASED ON THIS NOTICE A. f~Thl abovI InforNatlon ftnd h~ due II correot. 1. 'au .oy chooll to roolt poy.ont to tho ...hter of Willi, ,lth "0 copl.. of .hl. no.l.. to obtain a dlloount or avoid Internt, or YOU 1II1'1Y chick bo~ "A" and rlturn thJs notice to thl Reghter of Willi and an official 1'1....., ,t will bl Iuuld by the PA Olflftrtllnt of Revenu.. [CHECK ] ONE BLOCK ONLY B. ~ Thl IIboVI al.lt hal been or will be rlportld and ta~ paid with the PennSylvania Inhlrltance Ta~ ruturn to b, fllld by the dlcedent'. reprelentatlve, C. [J rh, IIbove Inforlllatlon I~~ncorrlct and/O~lbtl and deduction. wire paid by YOU, Vou IUlt co.plltt PART L:J and/or PART ~ bilow, If ycU Indle.t. . dlff.r.nl t.. r.I., pl.... sl.l. your r.l.tlonlhlp to d.c.d.nl, PART ~ TAX R~TUKN . CUMF~T",~uN lINE 1, D.t. EII.blllh.d 2, Account aalanoe S, P.rc.nl T...bl. 4, Anount Subj.el Ie T.. 5, D.bll .nd O.duollenl 6, Anounl T...bl. 7. r.. R.I. 8. T.. Ou. uF l~X uN ~u4~r/TkU~T ACCuUNTS OFl:~"IAL USE ON LV 0 AAF PA DEPARTMENT OF REVENUE PART [!) DATE PAID DEBTS AND DEDUCTIONS t'AU 1 2 3 4 5 6 7 8 CLAIMED I 2_ S-L 4 5 6 7 M 8 PAVEf DESCRIPTION AMOUNT PAID 1- I TOTAL IEnl.r on lln. 5 ef T.. Cenpul.llon) . Und.r p.n.1 till ef p.r jury, I d.ellr. Ih.1 Ih. flels eonpl.l. Ie Ih. b..t ef ny knowl.dg. .nd b.ll.f, ') / . /; , 11J~'i S~' '~t ~/,v'f'~(,d, TAXPA GNA U E I have reported aboy. are true, HOME ('1m ;/? .~' WORK ('--.-)-...... TELEPHONE NUMBER co.rr.ct and III ,'ji, j '1 /Ii J I I~ o;m- '11/. " GENERAL INFORMATION I. FAILURE TO RESPONO WILL RESULT IN AN OFFICIAL TAM ASSESSHENT wl'h ...l1e'.I. Int"... ....d en IlIler..tl,n luhlttld by thl flnftnol.l In.Ututlon. 2. Inh.rit.net till blea... d.lInquont nln. tonth. after thll dlc.d.nt'. tlat. of duth, $, A joint acoount 1. tllllbl, Iv.n though thl dlc.dtnt's n... we. ndd.d al a tntt.r of convent.ncl. 4. Acoounh (lnoludlng tho.. hlld blhll.n hUlbnnd IInd wlft' which thl dlcld.nt put In Joint nUll within on. YIlIr prior to d..th art fullv tlMabl, I' tran",r.. 5. Account. ..t.blj.h~d JointlY betwe.n hUlband and wlf. lorw than ont Ylar prior to dlath ar. not taMablt, 6, Account. hlld by II d.cldtnt "In trult for" anoth" 01' nth"l art taxable fully, REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE L StOCK A - If thl lnforllltlon and cOlputat1on In thl notlcl art corrlet Ilnel d,dulJtlonl are llot bltng ahlllld, place an '1)(" In blnck "A" (If Part I af tho "TaxpaYlr Rlrponll" s.ctlon, Slg" two copl.. end lubllit th.. with your chick fnr the allount of tel< to the R.ghter of 141111 of thl county Indlcatld, Th. Olpartunt of Rlvlnul will ll1UI an offlchl a""..ent (Forll REV-1541 E)() ~pon receipt of thl Rtturn frail the Register of Willi, 2, BLOCK B ~ If the as..t sPlolftld on thh notlcl hu bun or will be rlportld and hx paid with tht PlnnsYlvflnla Inhlrltancl 18)1 Rttuln fll.d by the dlCldlnt'l rtprulntatlvl, PlaCI lln ")In In lJlock "8" of Part 1 Qf the "TallpaYlr R..ponll" IIctlon. Sign ani copy and rlt~rn to thl PA O.partunt of Rlvln~I, Buruu of Individual fa>l", Olpt 280601, HarriSburg, PA 17128-0601 In tht Inv,lop. provld.d, ,). bI,U~" C. - It lilll lIud\;w ifl1'Ulllndll" 1. lll""j, ...i. ..,.J,'.., c:....;....tJc..\~ :lr,; b..!~;; cl;l1:r;:d, .:h'J,I'. blocl., "C''' IIn:! Z":-,",'.I"tl P'lrt!l ? _'vt ... according to the Inltructlons blloN, SJvn two copl" and s~b..It the.. wIth your chick for thl allount of tax payable to the hght.r of Wills of the county Indicated. Thl PA Depart..lnt of R,vlnue wll1 luul an official ll....IIl.nC (ForI! REV-1548 EIO upcn rlclipt of the rlturn fro. thl R.glltl~ of Wills, TAX RETURN - PART 2 - TAX COMPUTATION LIHE I, Ent~r the dat~ the acco~nt originallY was I.tablilh.d or titled In thl ~ann.~ o)ll.tlng at date of dlath. NOTe, For a d.cldlnt dYing aftar 12/121821 Accounh whJch thl d,cldont Jlut In joint nalllll wIthin ani (1) yoar of dlllth art \ellabh fulh at transflrs, tlowlv.r, ther8 II an 8Xclullon no~ to e>lc..d $3,000 par Iran,"r.. regardl..s of th. valul of th. account or thl nu.ber of accounts hlld, If a double nsterlSk (MM) opp.ars b.forl your first na.. In thl address portion of this not lei, thl 13,000 I~ciuslon alr.adY has bl.n dlduct.d froe tho nccount balanca a. reporttd by thl fInancial Institution. 2. Ent.r thl tohl bahnce of thl account Including Interllt accrutd to the dati of duth, 3. Th. perclnt of tht account that 11 hxabl. for uch .urvlvor 11 d.t.r.lned III follows I A. Tho plrcent tallable for joint a..ats .stabll,had lara than ani Ylnr prior to the dlcedlnt's daathl 1 DIVIDED 8'1' TOTAL NUHIIER OF JOINT OWNERS ExaMplel A joJnt all.t rlglst.rld DIVIDED BY TOTAL NUHBER OF X 100 . PERCENT TAXABLE SURVIVINO JOINT OWNERS In th. na.. of th. d.ced.nt and two othor perlons. 1 DIIJIDED BY :\ (JOINT OWNERS) DIVIDED 8'1' 2 (SURVIVORS 1 . ,167 X too . 16,]% (TAXABLE FOR EACH SURVIVOR) B. Th. plrclnt ta)labll for ass.ts crlatod within one Ylar of thl dlced.nt's dlath or accounts ownld by the dlced.nt but h.ld In trust for anothlr Indlvldual(l) (trust blnlflolar'.,): 1 DIVIDED BY TOTAL NUMBER OF SURVIVINO JOINT OWNERS OR TRUST BENEFICIARIES X 100 . PERCENT TAXABLE E~I.pl'l Joint acccunt rlgtst.rld In thl nale of thl dlcldlnt and two other p.rsons and .stablJlhld withIn one ylar of dlath bv thl d.c.d.nt, 1 DIVIDED BV 2 (sURVIVORS) . ,50 )( 100 . 50% (TA)(ABlE FDA EACIl SURVIVORI 4. Th, allount .ubjlct to hll (lIne 4) 11 dlter.lnld by Iultlplylng thl account batllnr.1 (lIna 2) by th. percont talCable (IIn. 3), 5. Enter the tatll of thl d.bh and d.ductlons lilted In 'Jart oS, 6. The aaount taxable (IInl 61 h d.t"IJnod by subtracting thl dlbh and d'ductlon. (llnl 5) fro" the alOL'lt subject to talC (Un. 4), 7. Ent.r the Ipproprlate ta~ rat. (11nl 7) as uet.r.ln.d bilow, A, Tranlf.rll to Unut dllclndanh inClUding father, .other, hUlband, wife, lon, daughhr, grandchlld"n, .0n~ln-1aw, d,ulInt,r-In-Iaw, stepChild and thllr l"uI arl taxable at _Ix porcant (fi%), a. Transflrs to all oth.rs Including broth.r, 11ltlr, unol., aunt, nlPh.w nnd nllca ar. taxabl. at flft.en p.ra.nt 115%), C. If yoU change the tall rllta, pha.. sp.aJfy your relatlo"shJp to tho d.cld.nt In the arta provldld, I. Th, aaaunt of tlx dUI OJ". I) h dtter.lnld by MultiplYing th. alount taxable (IIn. 6) by the tall rat. (1lne 7), CLAIMED DEDUCTIONS - PART 3 DEBTS AND DEDUCTIONS CLAIMED All0wlbl. dlbts and dlductlons arl det.r.ln.d al follows, A. You l.g~IIY ar. r..ponllbl. for p!y..nt, or the .statl .ubjlot to ad.lnlstratlon by a p.rlonnl r.pre..ntatlve Is Inlufflcll"t to pay the d.ductlbJ, It.IIS, a. You aotull1y ~a'd thl d.bt, nfter d.ath of the d.c.dlnt and oan furnish proof of pay.,nt. C. Dlbts bllng clfll..d nUlt tJI Itlllud fUlly In Part 3, If nddltlonfll spnc. Is "..did, u.. pl.ln paper 8 l/~" II 11". Proof of pav..nt .IY bl requlltld by thl PA Olpartftlnt of R.v.nu.. TAXPAYER ASSISTANCE IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANY REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAYER INQUIRY UNIT IN HARRISBURG AT (717) 787-8327. \ '7 - lf~ -~' AEV,I,llJo 'I' + ;I:~'I" \'. ".~.':l\t.? 'v.J.fItt /I( 'I) I,) INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) YEAR 462 9 4 ___~U~JER FOR DATlSOF DIATH AfTlR 12/31/91 CHICKHUI IF A SPOUSAL -. POVIRTY CAlDIT IS CLAIMID [I FiLl NUMBlR --- --_________u__,_._u lfi Ii! lrl '" COMMONWEALTH Of PfNWIILVANIA DEPARTMENT 01 RfVHW! OEPT 200601 HARR!SB~Rq: PA_.! '.~?~.~_60',. _ _. _ _ ,._ OECfOENT'S NAMf iiASI, fl~SI.ANOMiO'[11[ 1~llllo\q !1,'rr~Bruc~.!_Jr.. ... u_.. . ,S~i~_~~_~'~;U~~~~__.m /"~'~ ~' ;~~'4 Ilf "'''IICAIII) SU_VINW HOlJU'S tj4\(IIIA~r IIHl Aflll ~"I'()I' "/ll'~1I Df([[lf'jT7(.JM ITrf'AooRE5S 21 (, .lIflT\ CODE 10J Hawk Court I ]uir~!~~'~;7 C'J:~1~:hani_csbur~_:_~l\__u._~~~55_u___ ~O(lo\L SfC~IRI(( tlUM8(~ AMOUNT RECElvHJ (SH l~j5'RUC110NSI . ,.._._..._-----_..__..~._._~---_._-~ -~.-._~---------_._- ell 1. O,lglnol Rolurn 1'1 1, SUi'plomnnlol Rolurn [] 3. Romolndo, Rolurn I/or dOlo. 0/ doolh prlo, 10 12.13.821 [J 4, lImll,d Ellolo I I 411. fuluro In'o,o.' Comp,omllo LJ 5, fodorol Ello'o To. Rolu,n Roquired I'or clUlo. 01 doolh oltor 12,12,821 [J 6, Oocodonl Olod To,'ol. I I 7. Docodonl Moin'olnod 0 Li,lng TrUll .Q. B. To'ol Numbo, 0/ Solo Oopo.1I 80... (Alloch copy 0' Willi IAllodl copy 01 Tru,'1 ALL CORReSPONDENCE ANDCoiiipIDENTiACT'AXINPORMATI'CIN SHOULDBE DIRECTED TO, HAMf --...-. C;OMPIE!l M^IU~W AOORfSS --- -.--...-----.- ---'-------. I!! ..~.. lrll!:!:l :r:"'9 u~.. i:\ffi gj'" "'z ult Willi<lm_RL!1un t, TEHpltONf NUMIHR I 7_~LJ,SJl..!t-:;,~L~5 ~~<lquiro 109 South Carlisle New DloomfiBl~, VA Street 17068 '" '" 3 ! tr: 1. Rool E,'olo ISchodulo AI ( 1 I 1, Slock. ond Bond'ISchouulo BI 12 I 3, Clololy flold SlocklPotlnOllhlp InlorOlI ISch.uul, CJ I 3 1 4, Morlgogo. ond Nolo. Rocol,oblo (Sch.dvlo DI ( 4 ) 5, Cash, Bank Doposi's & MlltollonoOul Pbflonol Proporly l.~ I ISchodulo EI 6, Jolnlly Ownod Propor'y ISchodulo fl 7, Tro,,/... ISchodulo GllSchodulo LJ a, Tolol GroH Anol, ltotallino, 1.7l 9, Funeral Expenses, AdmJnlstrallvo COlli, MhcollclMOUI hpo"o. ISchodulo HI 10, Oob", Morlgogo lIobllillo., ll'''ISchouulo II 11. Tolol Ooducllo" 110101 lIno. 9 & 101 12, No' Voluo 0/ Ellolo IlIno 8 mlnu. llno 111 13, Chorlloblo ond Go,o,nmonlol 8.qu.". ISchodulo JI 14. No' Voluo_~bioClIO To. Illn~..1.1...IT1i~J'-".!J.~L___ 15, Spou.ol T ,0"lorl I'or dolol 01 dOll'h oltor 6,30,941 See In,',vellons for Appllcablo Percontage on Reverso, 1151... _~____.._ Sldo. (lncludo ,olu.. hom Schodul. K 0' Seh,dulo M.I 16, Amount of LInD 14 taxablo at 6% roto Ilncludo ,oluo./,om Seh,dulo K 0' Sch,dulo M.I 17, Amounl of line 14 loxablo at 15% rolo jlnclude 'In lues from Schedule K or Schedulo M,J 18. Prlnclpollo, duolAdd '0' from UnOl 15, 16 o"d 17.1 19, Crodils Spousal Poverty Crooit Prior Payments Dltcounl 'n..~___ " 3,00_0,Q.o + __._....~__~_~ __ -..--.--.--...-,..-,--.-.- _.. -- .---"--~,-_._---- 68,500.00 1 7,654..57._ 16 I ( 71 (9 1 .-_J9.d)Jl.4."J2~n__. (101 . -__,_1.5.,_6_6!t.J_5.___ 18) 86,154.57 1111 ~~1.4../..2.2l.....~..._ 1121 51 , 201.14 1131 -, 1141 ~_L201.14 ....._.._u____._x, .___.m 1161 _.!ilL2.Q_l,-~~__....~_~ ,06. --_1,_Q22..JJL..._....,_ z '" ~ ~ . 8 S 1171 . 'n _________.__ ~ ,15 . Inlorell 11RI.__3_J_Q.7_2.....Q..L.__ 1191 _l,_Q.PO. 00 1201 _~ 1111 ~_~___._... 72.07 111A} '_..______~_.___ 11181 __'___________...__ 20, II llno 19 II gloolor Ihon lino 19, onlor Iho dllloronco on lIno 20, Thll I. tho OVERPAYMENT, II o"mn"IIIU~I.'.I'l'..I"~If~I~>Jllllh~I'li'Ilttm..'l~TI'I-l!..J.J~Jl~", 21. IIll"o 181. groolor 'hon lIno 19, onlor Iho uilloroneo on lIno 21. Thll II Iho TAX DUE, A. Enlor the lnterell on Iho balnnco duo on lIno 21A. B. Enlor Iho 10101 0/ Lino 21 ond 11 A on line 11 B, Thi. ;. Iho BALANCE DUE, ~~k.!_Ch..k Poyoblt lo.~.R~glll.,_of _WIIII,_ A.~tnl__ ....____. _ _~__ - ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH <( <( I i Under penal lies of perlury, I dtlclare Ihat I have oxamined this rOlurn, Including .:lccompanying schedulos and "alements, and to Ihe bOil of my knowledgl and beli.f, 11~:~du~. cgll'rn)~~~~lr~;~io;8~~~~i~~:~;I~;;lk~~~II~~~~b~'n'opo,'od ollruo",~'k~I'O~vo_ Ooc~orollon :_P,.po~o~..~ho, ,hon Ih~.a'2~~'~1!LlJ ~ SlONAlUA' 00, ON "g?7'''u", '''''''" R. D. 2 Box 211 OAl' SlON:' /'PA'PA"~~"!R-'"'~fNTAI~vi'" -,,,,,,ii,SlhOegrnSlilntSh,,,o.C<llO'l,;PA1- S~t709.0't..-.n--..-.--..------ o.t! I ' t~-- au flr .18 e ree I. {,I,. ,__. · t "~n----"--.Newa1oomfield,PJ\ 17068,.._______. _L..!:: fl/ f \ of the appraisal performed by Palmer Realty, 4, The deposit money of Three Thousand and No/100 ($3,000,00) Dollars shall be paid to William R. Bunt, Attorney for Seller, who agrees to hold and disburse the same as herein provided, At settlement, the deposit money shall be paid to the Seller as part of the purchase price, If the Seller Is unable to convey good and marketable title as hereinafter provided, and such condition has not been waived by the Buyer, then, at the option of the Buyer, the deposit money shall be returned to the Buyer and this contract shall terminate, If the purchase and sale Is not consummated because of a default on the part of the Buyer, then the deposit money shall be paid to the Seller as liquillated damages for the breach of this agreement. The Seller's sole remedy for a breach by the Buyer shall be the retention of the deposit as aforesaid, Buyer agrees that Seller shall have the right to pay the sum of $3,000,00 of the down money to the Pennsylvania Department of Revenue as payment on account of the Inheritanc~J taxes on the estate of the said Bruce Harris, Jr, 5, Settlement shall be held on or before January 31, 1996 or within ten (10) days of preparation and filing of an Inheritance tax return on the estate of Bruce Harris, ,II'" by Seller, whichever first occurs, Settlement shall be held at such time and place as the parties shall mutually agree, 6, Possession shall be given at settlement subject to the parol lease of Kevin Harris. 7, All real estate transfer taxes shall be divided equally between the Seller and the ILLIA'" R. BUNT 'TTOIINI'( "T LAW 'I .. CAltLlnl IT w II.OO"'I'IILO, PA, '7:JI. 11", 118a.lIl111 (7t11 lIIa'1ftal Buyer, Page 2 U\I.IS09Utll'U'] Bruce Harris, Jr. SCHEDULE Fl. JOINTLY.OWNED PROPERTY ~ .ILI NUMBER 21-94-462 W COMMONW!AllH O. PlNNlYlVAN'A INH!II1ANC! TAX mUIN III'D!NT DIC!D!NT ESTATE O' Jolnll.nonll.), NAME A. Freda'M. Harris ADDRESS 118 North 2nd Street McConnel1sburg, PA 17233 __ __ .._. __'.0- .. _._._._ 0 RELATIONSHIP TO DECEDENT Mother B, C, Jolntly.own.d prop.rty, ITEM LmER DATE NUMB.' 'OR MADE DESCRIPTION O' PROPERTY TOTAL VALUE DECO'S DOLLAR VALUE OF JOINT JOINT OP ASSET % INT. DECEDENT'S INTEREST TENANT 1, NOTE: T IE ADMINISTRATOR HAS NO PE RSONAL KNOW] EDGE OF ANY J INT ACCOUNTS. ATTACHED H ERETO ARE C( PIES OF RECORDS F OM THE REGISTER OF WILLS OFFICE OF C' MBER AND COUNTY I PICATING THAT FIVE (5) JO INT ACCOUNT, EXI TED AT THE T ME OF THE DECEDENT'S DEAT ~ WITH THE , OIN'I' TENANT LISTED A OVE AND THAT THE TAX DUE AND OWING 0' THE SAME WAS PAID I FULL BY THE SURVIVING JC INT TENANT, FRED M. HARRIS. , , TOTAL (Alia .n'" on IIno 6, Rocopllulollonl S (1/ mo,o .pact /. notd.d '''0'' additlanalrho." a/ram. .izo) REV"1543 EX AFP (1-911,* ~MtlHtr/'L HI Of PENHSYlVAHIA DEPAA,"'lHI OF REVENUE IUREAU OF IHOIVIVUAl fAllES DEPT. ~aOf,Ol IIARAISlURO, PA I1UI'OIlOI I Y- C. z. Z I 2- INFORMATION NOTICE AND TAXPAVER RESPONSE FILE NO. 21 94-0462 ACN 94129783 DATE 07-13-94 - ESTATE OF HARRIS S.S, NO, 106-28-6979 DATE OF DEATH 04-20-94 COUNTY CUMBERLAND TYPE OF ACCOUNT ~ SAYINGS _ CHECKING TRUST X CERTIFICATE REHIT PAYHENT AND FORMS TO. REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 BRUCE HARRIS 118 N 2ND ST MCCONNELLSBURG FREDA M PA 17233 fiRST NATIONAL BANK hu prov.ld,d th, OfPut..nt with 'hi In-lorutlon Iht.d b,low which hu bltn u..d In c"I...I,"ng 'hi potlnll,1 t..: dUI. 'hl'r r.cord. Indlc.'. that It thl death of 'ht .boy. dlOlld,nt, yoU wlr. , Joint owntr/btntflollr'l of thl_ IccounL If yOU ,..1 thh Info,utlon Is IMorrle', pi.... obhln wrltt." corr.otlon 'rol thl financial Inltl1utJon, _theh . cl)py 10 thh for. .,,14 -,hI'" It t... ......' '." ~.lrfroc', 1,,1r. :l\.~-:':'1 !: "I,:t:l~ t: ,H1..,d;::-,~.. ..IH, tht. J,,~,., ;.....".1.." "..u..l ,I.. '~""vlI.....~,h vi PIlrlI...,l11.td., OUlltionl ..v bl Inl"lr.d bV tilling (7111 181-lUZ7, COMPLETE PART 1 BELOW. . . SEE REVERSE SIDE FOR FILINO AND PAYMENT INSTRUCTIONS Aooount No. 01810550 Data 02-27-78 E.tablhhod Aooount 80l.onon 1,016.07 Poroont h"hll, H 50 , 000 haunt Su"joot to To. 508,04 Ta. Rata H ,06 Pot.ntlol Tax Cuo 30,48 -.-.- ~~ TAXPAYER RESPONSE m @Xl.U'''l'1'O~D~POND IIULIlESUL T IN AN. OFFICIAL TAX ASSESSNllNT BASDD ON THIS HOTICIl _, hi abovI Inforlltlon and talC dUI II corrlct, 1. You IIV choo.. to r..1t plv..nt to thl Rlgl'tar of ~Hll.. with two copl.. of thl, notlcl to obtlln . dl,count Ilr avoid Jntlrl't, or y.JU uv chick bolC "A" and r.turn thh notlcl to thl R.ght.r of Willi and an official a.......nt will bl I..uld by thl flA OIPllrtllnt of RIVlnUl, To In.url proplr crldlt to your locount, two (l) copl.. of thll notln IU.t Icoo.pln." ."our pI."..nt to the Rlghtlr of Willi, Hlkl chick PIYlbll tOI "Rlgllt,r of Will., Aglnt", H01EI I' tllC paY.lnt. arl I.dl within thr'l IJ) lonthl 0' thl dlc.dlnt'. dlta of duth, you lilY dlduct I 5;: dhcount uf thl till dUI, Any InhlrltlnCl till dUI will blco.. dlllnqulnt nlnl 191 lonth. ,ftar thl dltl 0' d'lth, [CHECK ] ONE BLOCK ON LV II, 0 Thl abovl ....t hili bun or 11111 b. rlportlld and talC paid with thl P.nn,ylvlnl, Inh.rltlncl TalC rlturn to bl fll,d b~ thl dlcldlnt', roprl'lntatlvl, (, 0 Thl tbOVI lnforutlon I~ Incorrect and/or d,bt. and dlductlon. Wltl Plld bv you, You lu't cOlpht. PART L.!J and/or PARI 0 b.low, PART ~ TAX kl:.fUiil, - Cu;",Ui ilTi:uil LINE I. D.t. E.t.bll.h.d 2, Account a.l.no. !, P.ro.nt Tox.bl. 4. Aftou"t Subjoot to To. S, D.bt. and Ooduotlon. 6. AMount T.x.ble 7. r.x Rata 8, Tlx Du. " Ai( ON JOii;'j /'fRU~ I ".; (;1) Ui'i r~ Q.FJ(W~~l USEONL)'DAAF PII, Dip'ARTHe/j'1' (IF ,ftEV~NUe ' . ,,";' ]":",::;,/:",:,:~",,,~' '," ((: :'" ",: _:. :: :::( :: '.', """ ",,', ~ ~ : i ~. . ,', , , :' Jf you indio.t. I diff.r.nt tlX r.t., pl.... st.t. ycur rellticnship to dlCldlnt, c.r I 2 ! H 4 S 6 7-lL 8 PART [!] DATE DEBTS AND DEDUCTIONS PAIl:. 1/" ",' 2 , 3: II' S 6 7 .. 8, CLAIMED , ~': : '.". ,":',."" I'" . .., c." I' "~ . ",;. " "',', ",,:" ..#0 ,.., , ':1 PAID PAYEE DESCRIPTION AMOUNT P A I 0 R I TOTAL IEntor on Lln. 5 01 To. Cooput.tlon) =J I --. Undlr plnlltte. of ,oopl.t. to tho b..t 01 , il J ..' .'~<_ j.<, ....>:'1, 'rl;II'"'I('O ... "'I/"'ldll' Plrjury, I nlcl.re th.t the oy k~o.lodgo on9 bollol, 1/ . , 'C- . I f l~..!.L:.-,_ flcts I hive rlPorted .bov. ere true, Qorrect .nd !!(J!'I..L J.JJ_1l...':;L2,!J~";~~U~I--~/l7? WORK (---.l_.------ "., ,'""nltr' ltlllHH'r. n^Tr , , ~.1543 EX AFP (1.91)_ . COHHOHWEAl1l1 OF PENNSYlVANIA OEPARIHENI or REVENUE JUREAU of INDIVIDUAl TAMES DEPI, 110601 !lARAISlIJRQ, II. 17121'0601 I tf. 2. 1- z. - 1/--0 INFORMATION NOTICE AND TAXPAVER RESPONSE FILE NO. 21 94-0462 ACN 94129781 DATE 07-13-94 ESTATE OF HARRIS S,S, NO, 186-28-6979 DATE OF DEATH 04-20-94 COUNTY CUMBERLAND TYPE OF ACCOUNT ~ SAVINOS CHECKING TRUST CERTIFICATE REIIIT PAVHENT AND rORHS TO, REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 BRUCE ItARRIS 118 N 2ND ST MCCONNELLSBURG FREDA M PA 17233 FIRST NATIONAL BANK hit provided thl Dlpart.,nt with thl In'or..tlon lhtla billow which h.. bltn USlcI in Cllllulatlng thl patlntl,1 tiN dUI, Thllr recordl lndlcatl that at thl ~..th 0' 'hi aboy' dlCtdlnt, you Wlr. a Joint own,r/bln,flct,ry of this Iccount. If you 'It 1 thh tnforuUon 11 tncorreal, plenl obt,ln wrltt.n (lorrle'lon frol thl flnanolal In.tltut1on, attaQh I copy to thlt for. MlC1 r~tllrn Ittn tk. Ilkl\'''' "'Rtfr.... "kl. ""~fI\'n\ it \"...,hlt1 .I~ :111':....1T'...":': nlth th:l tnh&rlt~n<ll ft... lo... ,.,' no.. C:.....;"IMI.::t.., PIlIMI.,lvlllll.., OUI.tlon. ..v bl In.wlrld by cIlllng (117) 7e7.ai~7. CO"PLETE PART 1 BELOW M M M SEE REVERSE SIDE FOR FILING AND PAY"ENT INSTRUCTIONS Aooounl No, 03010526 Oil. 05.'03-85 E.tabll.hld Account 8111nOl P.ro.nt rl)(lIbl. Anounl Subjlol 10 T.. Rita Potlnllll TI' DUI 2,040.60 50.000 1,020,30 .06 61. 22 TAXPAYER RESPONSE "~IWRUTORaSPOHD WILL RESULT IH AHOFFlCXAL TAX ASSBSSH!NT BASED(lHTIUSlfOTXCla, To In.ur. proptr credit to yellr lIoeount, two (2) cople. of thl. notlct IU.t "ccclpany your paylent to thl Regllttr of Willi. Hak' ch.ck payable tOI "Roglltor of W/lll, Ag.nt~, K K HOTEl If tax pay.entl ar. lad, ~lthln thr.. (3) 1I0nths of thl dlcldlnt's dlt. of d.,th, you lav deduct a S% dlttount 01 thl t,~ du., Any lnh.rlt.nc. tax duo will blco" d.linqutnt ninl (9) lonths aftlr the datu of dl,th, la. PART [jJ [CHECK ] ONE BLOCK ONLY A, @' I abo.... Inforllatlon and tlK dut II corrlct. 1. Vou lIay choOIl \0 r..1t pay..nt to tht Righter of Wilt., with two copt.s of thh notlc. to obtain a dllcount or a...old Interut, or Vall IIlV chick bo~ "A" nnd "turn thh notlcl to thl Righter 01 Willi and all official a.IIUllInt will bl llluld by the ~A Dtpartunt of RIYlnul. a. c:J Ihl aboYI ....t ha. blln or will bl rlportld and tax paid with thl Ptnnlylvanla Inhlrltancl llx rlturn to b, fllld by thl dlclulnt's "!lrlltnt,tIYI. c. 0 Thl .bo.... tnlorll\1on IMncorrtot and/or dlbt, and dldudlon. wlr. paid by you. Vou 1II\llt cOlllpl,t, PART l!J andlor PART [D below. ('I If you indiclt. I dtfh,..nt hx r.t., ph... .t.te YOl.lr rlllllon.hlp 10 dloldlnt, K ,''!IFF. ~ct~~t~sE ..qNW'[)!I,Af'1 .P A pEP~RTH~c~r/~ri;~~V~~R~,ii:i ",. ":. -" ',:,: C', ,"" ,~" '. "".. ". '- . '. " -'.'. '. ,.... ,..:,:.',,:......1' , ; '::::::,::: ~::::: ' , " ',".. :', ',: ;, , ": ...: :..,': :,: :., ~:.: :,. .,,' :,'.'.1,::.: '.." ',: :,1, :':n;<:';' .. , , '" ,,',' . '-, ' ":'::::::~:'::(: " ";,,.:.,.'.',:, ,::.:~,;~}:::,., "'''::'t::,:~' ~:,~~i::~ ;::'::!::'; . ",' . '. '!.,;{" ~,,,.,,.. . , ,: ' '.' . t'l,'. .'" '. .. "':/:;::.'\.' !.. !::I'; J ','I:' PART ~ iAX RETU;;i, . (;OHPUiATiON LINE 1. Dlt. E.tlbll,h.d 2, Aooount alllno. S. P.rolnl TI.lbl. 4, Anounl Subjlot to TI' S, Dlbtl Ind D.duotlon. 6. Anount TI.lbll 7, la. Rltl 8, rl)( DUI TAX ON JOINT/TRUST ACC~UNTa OF I 2 S 4 S 6 7 8 K PART ~ DATE I TOTAL IEnllr on Llnl 5 of TIX Conpullllonl AMOUNT ~ . .-...- .--- PAID PAID PAYEE DESCRI PTI ON .- REV-1S43 EX AFP 11-911 '* C.IWUL 111 Of PEWNSVLYANIA DEPARTIll!NI Of REYEHlJE aUREAU of INDIYIDUAL 'AXES DEPI, 110101 HARA1SBUMO, PA 17U800601 /1./- c9-la -/")- INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 91,-0462 ACN 94129782 DATI! 07-13-94 ESTATE OP HARRIS 5,5, NO. 186-28-6979 DATE OP DEATH 04-20-94 COUNTY CUMDERLAND TVPE OF ACCOUNT ~ SAVINOS . CHECKINO TRUST CERTIFICATE REHIT PAVHENT ANa FORHS Tal REGISTER OF Wlll3 CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 BRUCE HARRIS liE N 2ND ST MCCONNELLSBURG FREDA M PA 17233 FIRST NATIONAL BANK h.. pro,ld.d tho D.,,,t..nt .lIh .h. Inf.r..II.n II.t.d b.lo. .hlch h.. b..n u..d In c.lcul.tln. tho p.t.nll.1 ,.. dU', Ih.lr ",.rd' Indlc." th.. .t tho doa.h .f tho .boY' ri".ri.nl. you .". . J.lnl ..n"/b.n.II.I.,, .f thl. .".unt. II V.u f..1 Ihl. Infnro.\lon I. Inc.rroct, ,I.... ob.,ln willlln c.rr..tI.n fr.' th. fln.n.I.1 In.tltutlon, .tI.." . .... t. thl. foro ,"n ,.,..r_ 1\ ",", . '. .j""" 1h!c ",.'"t !: C.."'" !, ,.:..c'c,",.. . ~\;, tll. :,,;,., ",,,,,. 'w' l.", ,: \,'" ;.,"."...1." wi I""",,,.nl. QUI.Uons .IY be Iln,w~",d by c.\llng (717) 161-IU27. COHPLETE PAfiT 1 BELOW M M M Sr.E REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS - Aooount No, 05009542 Oato 10-01-84 Eohbllshad K \'002,91 50,000 501.46 ,06 30,09 To In,ur. prop" cr.dlt to your account, two (21 copill of thll noticI lUll Ilccolpany your pay..nt to till Rlght.r of ~HI1., Hilke chick payabll tOI "Pegl.te, of Wlllt. 19lnt". Aooount Bellne. paro.nt Taxabl. A.ount Subj.ot to To. T.. R.ta pot.nU.1 To, Iluo K HOTEl If UlI ply..n', er. .,d, within thru (\) lanth' 0' thl d.~.d.ntf. d.t. of d.,th, yOU "'1 deduct. SX discount of thl '1M dUI. Any Inherlt.not t.~ dUI will bleD" dlllnquent nln. (91 lanths aft.r thl dlt. of duth. PART ill rf'~J~"I!IT~'iiU$P TAXPAYER RESPONSE D \(lLLRllSUL T 111 Atl OllFIOlflL TAl( ASSllSSHlllIT lAseD 011 'fHIS HaTIOI [CHECK J ONE BLOCK ONLY A, Thl abo.... Illfor.atlon lInd taK dUI \1 corrlct, I. v.u.., .ha." t. rult p.,..nt t. th. .a.l.lor .f Will" .lth two c.,I.. of .hl. no.loo I. .bt.ln . bllODUn\ .r .,.Id InW"" .r ,.w .., .h..k b.' "A" .nd raturn .hl. notl.. to 'h. R..lato' of willi "nd an oHiclel ,..."un\ 101111 bl '"ued by thl PA nlP.rtunt of R.....nu.. a, 0 Th. .b." ..... h.. boon nr .111 b. r".rl.d .nd t., p.ld .lth Ih. p.nn"l,onl. Inh"lt.noo I.. raturn to bl fll,d by thl dlcldent'. r.pr...ntatl...., (, 0 Ih. .b." Inf.ru.lon II.J,n..rrlO' .nd/.r ri,bll .nd d.d"tlon. .or. ,.';';l~; ,cu, You lult eOlpllU PART l~llnd/or PART [!) billow, .OFP tCI Al(,USEO~LVDA~f. PADEPARTHEIlTOF REVENUE',>: ., ,'" "",,""',' "i~' \ . }l,"~ ;;' ",'; ,"":.':;:':,;,:;i:':;;-' Ii you indicate 8 di1fer1nt tax rat., pl"'1 stat. your rlllUonlhlJ' tu dloldlntl------- PART [!l lAX RiiTUilh . liilh;'uTA-rtuh LINE 1, O.t. Eotabllohad 2. Aooount elllnol 5, P.roont To.abl. ~, A.ount subjact to T.. 5, Oabto and O.ductlcn. 6, A.ount Ta.abl. 7. To. R.to e. To. oua TAX Uk Jui~f/)~U~r AguUu~l~ ",,' '::'::'l':":' UF I 2 ~ ~ 5 I 7 K 8 :...' ".1,' ." ,~' ~~':: ,:~' '~': :';<':::,:<:1r'" K ',,::;. '~: ' ,"':':':<,:',: ':i , DEBTS AND DEDUCTIONS PART ~ DATE PAID PAVEE DESCR I PTI ON AMOUNT PAID TOIAL IEnlar on I.lno 5 of T.. co.pulallon) . Undlr plnlltilD of r.n~pl.t. to thl bllt of p.rj~rYI I dlcler. that thl ~Y kniwlldOI .nd blll.f. loch I hova raport~d oboV' ora truo., oorr.ct a!,d 7! i HQI:1LJ._JJ:4J..-di f'j-:...::i,:X.J .Y___:LLi WORK("~" - .. . - ' O^H , R~V"lS43 EX AFP (1.911. ' 1U11I't'Ul'llEAlTtI Of PENNSVlVANIA DEPART HE NT OF RE~rHUE BUREAU Of INDIVIDUAL TAMES DEPT. /10601 tlARRIS'~O, PA 171Za~0601 / t.; - ,2./ J. - Iv<. INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 94-0462 ACN 94129780 DATE 07-13-94 ESTATE OF HARRI S S,S, NO, 186-28-6979 DATE OF DEATH 04-20-94 COUNTY CUMBERLAND TYPE OF ACCOUNT ~ SAYIN05 CHECKINO TRUST I [- CERTlf~CATE REHIT PAYHENT AND FDRHS TO, REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 BRUCE HARRIS 118 N 2ND ST MCCONNELLSBURG FREDA M PA 17233 , FIRST NATIONAL BANK hu prollldld the Dlpart..nt with the tnforaatlon Iilt.d below which hat bun ulld In cahul.Ung the potlnthl till dUI, Th,lr r.cardl Indlcat, th,t It th_ duth of thl ahoYI dlc,dlnt, you Wlrt I joint ownlr/blnlUlll.fV of thlt lecount. If vou f..l 'hit In'or..tlcn I_ Incorr.ot, ph... obtain wrlttln correction frol thl flnanclll Inltltutlon, .Harh I COpy to thll for.. r"'!! rrtur'1 It to t~n Ilt-~\'t' ~!11r~': !~!: w ;.'~nt J.:. \.3".1:'1;,0 I" ....:;...,.0:........ ..Itt, \l,. I,,;,.., j(,II,':'. To... LaM. ...1 Ii.. ~\"''''.,fl....1II1\1, uf tollfIlIU.lv..1I1 QUlltlonl ..V bl anlwlrld by cllllng (7171 781-UZ7. COMPLETE PART 1 BELOW M M M SEE A...unt N" 52-09591 Oltl E.toblhhld REVERSE SIDE FOR 02-27-7B FILING AND PAVMENT INSTRUCTIONS Aooount Saline. P.ro.nt '..x,bl. A..unt Subjl.t t. To. nlto P.tlntlll TI. DUI 2,537,23 50.000 1,268.62 ,06 76.12 TAXPAYER RESPONSE 1FflXLURFfO .ABSPOHn \ULLA~9ULT IN AIVOFflXCXAL TAX ASBES9HBHT IASBl/of'1ftX9IlOfX(lIl'1 A, to Inlurl proplr crldlt to your lecount, two III copl.. of thll notlcl IU.t aCCOlpllny ,/our pllYllInt to thl Rlgllter of Willi, Hllkl chick pavabll tal "Rlglltlt of Will., Ag.nt", K K HOTEl 11 taM paY'lnU Irl ..d. within thrtll (1) lonth. of the dICldlnt" dltl of d,.th, you uy dlduct a S% dhcount of thl tlIC dUI, Any Inntrit4ncI talC dUI will bIOOI. dlltnqulnt nlnl (9) tonth' aftlr th, dot. of dllth, Tox PART m [CHECK ] ONE BLOCK ONLY rTl,-t'hl aboVI Inforlat Ion Ilnd talC dUI it corrlct, \.-1 L Vou laY choon to rult paY.lnt to thl RliIglsttr of Will., with two coplu of thlt notlol to obtlln II discount or avoid Inttrut, or you nV chick bo'tC "A" and rlturn thl. notlc. to .hl Righter of willi and an official a.......nt will bl IUllld bv thlil P4 DIPart..nt of RllllnUl, B, [J thl abolll ....t hili bun or will b. reportld and talC paid with thl PIMlylvanla Intl.r1tanol Till rlturn ... to bl fllid lJy \111 dlcadent'. r.pr..entatlvI, C, 0 Thl abOll1 Infor.aUon IMOl:orflct a"d/ok~ebt' and deduction. ..Irl paid by you, 'tau .u.t co,plth PART L:J andlor PART L:J bilow, PART l!l 1''''lI RlnUttH . CUI'WUIAI1UH U~ LINE I, Dltl E.t.blllhld I 2, Account e81.nol 2 5, Plr.lnt TI.lbll 5 K 4, Ao.unt Subjl.t I. TI. 4 &, Dlbt. Ind Dldu.tlon. & 6f Anount Taxlblt 6 7, TI. Rltl 7 K e, TI. DUI e 'I All UN JO'tHI/'1 k\hfi AC';OUi'fI'::. ~'All t 2 3 q !i. 6 7 8, nEBTS AND DEDUCTIONS CLAIMED .', ...ll.f~Qm;:~#.~ONL",>~~~f! .f'A,.. ~,E,;~~TM~~l,q~,;~~y~~...~::H,',i ",;: ,: ,~',,.,,o.:';,,. :< ::' ,:,:,.~,;:,;,.:::,,:::.:;:<:::; ',;-,.!\: ~<::::; i:,:i~:~r;:>:::i If you indio.t. I difflr.~ r.t., pl.... .t.t. your r.l.tionlhip to dle.dlntl '..,,:,:j:;:(;';~,: :':' , " .~' ',',' ',: ,'. ',., '. ";:,,!;.;:i,' ':"";"':::,' , '.11":' .,' " ~ :: ' '.,",,::..,.,' ,~::::~:::;:::, ~I~' ;,', : ':.-'::-:: ',', , <:> ; ~. :-~: ::'.:::.,:';; \~ ". ' t;o~: ::,:,~': , PART [!] DATE PAID PAVEE OESCR I PTl ON AMOUNT PAID L ~ TOTAL --f IEntlr on Llnl & of Ta. Cooputltl.n) . .,.-~._.,._-- - -- Undlr plnlllll. of plrjury, I dl.llrl Ihlt thl f..t. I .JOPlltl I. thl ~I.I of oy knowJ"dgl Ind bllllf. , I~'I "j Lj _ ,t, )/". ,If. V~/ --nvr~VFR ~'nll~TIIRr -- hlY. rlPor~ed ,llbOV. .re tr~., oo~~.c~ and ~ H.Q!1~__()LI_!jLg.'/~!J_L'l- .;.) WORK ( .'-.....) (' TFI EPIlONE Ni-JM8r~ DATE ~d ~, ." R.fU-l~~3 EX AFP 0-91) '* COMMONWEAL Ttl of PENNSYlVANIA DEPARTHEN' Of REVENUE aURfAU OF INOIVIOU'L 'AKES OEPT, 210601 HARRISaURO, PA 1712a-O~Ol IL{. '")..1:L.. 11- INFORMATION NOTICE JFILE NO. 21 94-0462 TAXPAYE~N~ESPONSE ACN 94129119 DATE 07-13-94 -- - ESTATE OF HARRIS S,S, NO, 186-20-6979 DATE OF DEATH 04-20-94 COUNTY CUMBERLAND TYPE OF ACCOUNT ~ SAVINDS , [ CHECKIND TRUST CERTIFICATE RENIT PAYHENT AND FORNS TO, REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 BRUCE HARRIS 118 N 2ND ST MCCONNELI.S8URG FREDA M PA 17233 fIRST NATIONAL BANI< hu provldtd thl Oluartunt with thl l"foruHo" llshd bllow which hn bun uud In calculotlng thl potlnthl till dUI, 'heir rlcord. Indlcl'l that at thl death of thl abovl dlClldlnt, yOU ...lIro a Joint own.r/blnlflclarv of thh Iccount. If you f..1 thlt Inforutlon II Incnrrlct, pl.... outalll ...r1Ulln correction fro. thl financial In.tltutlon, attach a copv to thl. for. ,,,,<1 ..,t,'rn It tn ,to, .br"~ c:ld:'fH:r, Thla :lC~:u..t 1:0 \.;0;(.::111:01 I:, .::1:::,;:'-;"... ..It:, ;:,,, J4,1,.,1~<f"". T..... l...... u{ lhlf Cu..ull.u".lll. uf ?''''I.~yl'''dflld, OUI.tlon. .IV bl tn,wlr.d by oalllng (117) 187-8327, COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Aocount No, 4153 Doh 02-21'78 eshilll'hod Aocount Bahnoo 33.968.66 Poroont To.abh X 50,000 Anount SubJoot to To. 16,984,33 To. Roto X .06 Pohntial To. Duo 1, 0 19,06 PART TAXPAYER RESPONSE IT] IF~XLU~! TO A!SPOIUrIULLAESUL T IN AN OFFICIAL TAX ASSESSMENT BAseD ON THIS NOTIce To Insurt proper crlildlt to YOllr aCCollnt, r~o IZI copl.. 0' thl. not lei .ust acco.pftny y!lur payunt to tht Register of HtllI, Hakl chick p&Yllbh tOI "Righter of W11h, A9l1nt", HOTEl If tB~ Plv..nt. art lad, ...Ithln thr'l (5) 1I0nth. of thl dlc.d.nt'. datil of dllth, YOU lilY deduct a 5% dhcount of thl talC dVII. Arw Inherlhnel tlllC dUI wUI bleD.' delinquent nlnl (9) 1I0nth. after thl dah of death, [CHECK ] ONE BLOCK ON LV A, 'h. above Infor.atlon lInd hI( dut 11 correct. 1. Vou uv choo.. to rult paynnt to thl R.ghtllr of Wills, with t...o copt.. of ltd. notlcll to obtain a dilcount or IIvold Interlllt, or YOU u'>>' chllck box "A" and return thl, no tiel to tht Reghter of Wl1h lInd an official a.lluunt ...111 b. Issuod by tht PA Oepllrhllnt 0' Rev.nuI. a, 0 Th. abovl a...t hu blllln or will bll reportcld and till paid ...Ith the ponn.ylvanla Inhllrltancll Tal( rlturn to bl flllo by thl dlcod,nt', representative, c, 0 The above lnforutlon it Incorrllct lInlJ/or debt. lInd dllcJuctlon. ....r. paid by you, You .u.t cOllple'e PART ~ and/or PART ~ be 10"', PART [3J TAii LINE If you indiolte I difflrlnt tax rat., pl..s. st.t. your rolatlonshlp to doeodont, RETURN. CQHPUTAiIQN 1, Data Eot.bll,hod 2. Account a.llnCI 5. Plrcent Taxlbll 4, Anount SubJ..t to To. S. Dlbts Ind Olductions 6. A~ount Taxlble 7, To. R.to a, Tax Due OF TAX ON ~u!Ni/TRUST ACCOUNTS I 2 3 X 4 5 6 7 X 8 r!:'l: PART ~ DATE DEBTS AND t'AU 1 2 3 4 5 6 7 8 DEDUCTIONS CLAIMED OF,.IH~lALUSE(lNLV OAAF PA IJ~MTH~~~ OFR,E~~NUE , ,.l~,l,,:~,-':'.-~~/.. ':.',,;,'~: ',::,:: :.:1 . " ~,. ~, I' , ..\~ :.';' 1,"-' PAID PAYEE DESCRIPTION AMOUNT PAID l 1 To'rAL (Enter on Un. 5 of Tax COl1puhtion) ~ $ Undlr plnalttl' of p.rjury, I dlolar. th.t the fects I cOl1pl.te to the bl.t of I1Y knowlldge and belief, , have reported Ibove HOME ('}/(l ar. truI, correct and / "l " I j <'l - >~J7 ?/ Il) J .j,n'""fll/.tl . SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Plio" Print or TYPI . -_~::_::~~~__~__~_JILI NUMBER 21- 9 4- 4 6 2 (,OMMfltlWUlltlor P'fHl\llVAtllA IW'UIIMltl !AI( MlflIlUl !fI11"" 111<:111 '" nQ'r-ar"'-'._""""-"~'''''~''~''--' . BrUcHl lIards, Jr.. ITlM NUMIIR A. 1. DESCRiPTION AMOUNT funlla\ hplnllll Ku lllo-Corno 11 us Funeral lIomes, Ino. 4,821.00 1, I. Admlnlltratlvl COlli I 2, Perianal Repre.enlallve Commllllon. Brian L. Har;:.is Social Security Number of Per.onnl RoprllMlallvll _._..11..7 52 Yenr Commlulon. paid.. ..129.6...___.____.__ 1532 _ 4f298.00 Allorney Fell - Georgfl Vaughn, Esquire William R. Bunt, Esquire 4fOOO.00 4,298.00 3, Family Exempllon Claimant .._..._ u......_m......__.__. Rolatlon.hlp Add"u of Claimant at deced.nl'. d.ath .4. C. 1. 2, 3, 4, 5, ,6, 7, 8, 5lr.el Add,.u . City _ H_ __.....__0000._________._5101. ___ Zip Cod. Probal. Fe.1 Register of Wills - probato fees Raqister of Wills - short oertifioates MllCIlIanlaUI Ixplnlll' Lfle County - emergenoy medioal services 78.00 6.00 95.00 Kathryn W. Fetrow-1994 real estate taxes Bruoe Harris-reimbursement of expenses 368.08 415.00 685.00 20.00 Reoordflr of Deeds-transfer taxes (1%) Nevin Fahnestook-appraisal of trailer TOTAL (Allo .nt.r on IIn. 9. Recapitulatlonl $ 19, 084. 08 (II 111011 Ipan II nlldld, Inll" additional .hllll of .aml 1111, I ,,. ;'1"\-: ::'l,,;_(,::~,i!.':'itl\\J.~~ -'" ",-,'~'.'~.l:l'tlwlh I.'.,:' " " ~ '-.,," ;;)','r},';) . ) ,,"!' iJ __ . :_'1 _I\"~' ,", .'- :,.l,...~;,~/: ':'1 :I~:i!;~"'.:~.'t{~;{ ,. , 'I ":<~ I _ I' ".;_:\~li 'II [~\ ' '_'10","'-'" _..' -I,}, ,. ,,-:.' 'f.! ,.. ,. .. 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PA 1709B ,.', ,(I:: '. , , , Cumberland County Register of Wills South Hanover Street Carlisle, Pennsylvania 17013 (:j n (.jl/ " Ii,) .... , , , "j I' ,r' 1711l1~-a322 ,2:.1, 1llllIIll,IIIll'lllll"IIllllllltllllllllllllllllllllllllll.11 'I~ '. ~.;-l u: '.' l:l :i() '''--~-~-----'r-c'''-, -,-.-r, 1 " j' ,,~,-,,--......--'..-..........--.........__.~-_....... , , ~ . '-, " , 'A"; :I l ",' , " j,' . '~, . .,' .. " . {,'" .;~ '1, .. j, ,,\, , " I, I' , ,. ,. ,,' " " , '. ,I "1' I,~ ," ..". ~""'I~" ,~ ~ " , , .. ;' '\", I to" , I. ~. jo, I ~,'\ ,l "'" ,,' ',: , , ' /" "'" ','\' ','_ I' .. ,'" ,.i, 'j . I .. 'it .1" ", '4\"", , , " , , ' i .' 'I' " " I " I, " 'I ,.' ',"i ,! ," ,'.;. ,.", , " I,' I'; I"~ ,"'I ,. , , , ,J ~ .,.' ,If I' r . , . ',' I' ".1 ,'< ..,..,'" ., .,.,.... ..--.' ...~.. '~I(-' :. ....... .,.~. ..,..... -..- .,,__'.... -.----- --.-.. ,. - , ",'." ", i I '..t~,f1'l,/:"d":I~"~I'i.,))I'''',,' '\ I'..})' ,. ,l'", . ,,' "1:+ . 1 f', rr.I' I' ,1 -'- ".,....: .,..' . . ~:.,. ...,.':' ! >; I \ . I I, " I " ).,: " '" I' tl \,...... ;:" , .l\, I: ". ..1:. ,...., .' ~... STATUS REPORT UNDER RULE 6,12 Name of Decedent I Bl'lIen 1I00'l'in. Jr. Date of Death: Anl'il 19. 1994 Will No. nln Admin. No. 21-94-462 Pursuant to Rule 6,12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estatel 1, State whether administration of the estate is complete I Yes-L_ No__ 2, If the answer is No, state when the personal representative reasonably believes that the administration will be completel 3, If the answer to No. 1 is Yes, state the followingl a. Did the personal representative file a final account ~Iith the Court 7 Yes No 'f... ' b, The separate Orphans' Court No. (if any) for the personal representative's account iSI c. Did the personal representative state an account informally to the parties in interest7 Yes.-L- No__ d, Copies of receipts, releases, joinders and approvals of formal or informal accountt;may be filed with the Cerk of the Orphans' Court and may be~attac ed to this report. Nt.:;; \ rliw I Mij 15, If\!96 [,L=; l? ' Signat.ure , , , '~ ':, \D ..- TI " , >- 'I .", ~~ .1:" :C (' , 8 i,;/ :~ U> 'rJ '," f~ ~o: p' .;!/::l UU Willinm H, Uunt, Enquire Name (Please type or print) 109 S. CArlisle Stroot, P.O. Box 336 _Now Bloomfield, PA 17068 Address (717 I 582-8195 Tel, No, Capac it Y I Personal Representative ~__Counsel for personal representative (MAHlrmf/AM3)