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21 . 94 . 521
RENUNCIATION
"
In ReBstate of. . Ie.. {' (' 7 L L IW,.J J r
To the Resister of Wills of (I, -.J Y'" b r r ) Q,N rA
deceased.
County, Pennsylvania.
The underslaned /:::'r.,..y L 1 IN,.) S~, of
the above decedent, hereby renounce(s) the rlSht to administer the estate and respectfully ask(s) that Lellers
be Issued to c.G. V' (] I 1<~7
WITNBSS Yf'l-/
/
)! v. vJ J<.
_ hand this L(
day of
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k[~'''O<l,EX~(lI,vlI /1-/ - ..'.!,/ &>../ / 'OR IlAmO.DIATHAm. 12/31/91 CHICK HI.'
I- :l V INHERITANCE TAX RETURN plfoAvll.PTOyUCI.A~DIT II C"'MID [_-I
~'i.,~.I.",','!' RESIDENT DECEDENT ~
. . .iii NUMiii------.--------
COMMONWEAlTtl OF PENNSYlVANIA (TO BE FILED IN DUPLICATE " , (J ,/ ()(') r "/
OEPARTMENT 0' REVENUE , , ( "","",
tlARRlSfJ:li, ~~onll1060' WITH REGISTER OF WILLS) COUNTY CODE _. YEAR NUMBER
s6cMi~:IT~~U~~E'~~r6,.Timr--..1i,-Ajf6f~,.i'U I..-cE~:;f;;AO~:~e 17011
179-58-5905 _ .1 4/16/94 '_'''' .6j3..~/?2__ _ (,,~t!. .c,,'\.!I!1OOrknd _. .....__.___... ________
Ii(! 1. Original Relurn U 2, Supplem.nlal Relurn [-I 3, Romalnder Rolurn
Ifar dolo. 01 doalh prior to 12.13.82)
IJ 4, Llmltod Ellalo [] 40, Fuluro Inlore.1 Campramhe [0'1 5, Fodora' E,'a'e To,
lIar dolo. 01 doalh altor 12,12,821 Rolurn Roqulred
[J 6, Oocedenl Died TOltalo [J 7, Oocodonl Malnlalned allying Tru.t JL 8, Tolal Numbor of Sale Oepo"l BoxOl
IAllach copy of Willi IAllach copy of Tru'll
ALL COR...'ONDINCI AND CONPlDINTlAL TAX IN'ORMATION sHouioS-llifRlcriD Tal"
f M . jtOMPilfl/,WIlNOATili'RtII
nr.=~L~J~\o!L.....-..-.---_. ------ 18 Citadel Drive
"P"ON,Nu",I,R Camp Hill, PA9D7011
.----. ( 717 ) - 763:8027 . --... --. '-~-'---~---'~~"'~~=f~t
1. Rool E'lalolSchodula AI I I) - . " ~ :::: C'I.
~, Slack. and Bond, (Schodul. B) I 2) . '; ;t
.... '
3, Clololy Hold Slock/Parlno"hlp Inloro.t (Schodulo C) I 3)" 0 ' :,' )
; " . ~ :.i
4, Morlgago. and NolO. Rocolvablo (Schodulo D) ( 41 . - " ,':: ~ ~:l ;;
5, Calhl 8ank Oopo.lt. & Mhcollanoou. Po"anol Proporly( 51 ...JJ,Q29..33..__..hm..__:-O [~: :-: Vi C.1
(Scnodulo E) J.;, ~ -
0;
6, Jolnlly Own.d Praporty ISchodul. F) I 61 ,__"._,..."',,"........___._...
7, Tran.lo"ISchodulo G) (Schodulol) ( 71 ,.., .__=-__..".__m"_h'_
8, Tolal Grall AlloII Ilolallino. 1.71
9, Funoral Expon,ol, Admlnl.lratlvo Ca.II, Mhcollanooul I 91__JJ"Q~~!JL__.._..._,
Expon.o. (Schodulo H)
10, Dobll, Mortgogo Llobllltlo., lion, (Schedulo II (10) __.....__=-____......__,
11. T alai Ooductlon. Ilolalllno. 9 & 10)
12, Not Valuo a' E.lalolllno 9 mlnu.llno 11)
13, Charltablo and Govornmonlal Boqu..II (Sch.dulo J)
14, Not Valuo Subj~ to Tax (IIno 12 mlnu.lll1o 13)
15, Amounl of IIno 14 taxablo 01 6% ralo
(Includo value. from Schedulo K or Sch.dulo M,)
16, Amoullt of line 14 laxablo 01 '5% role
Ilnclude value. from Schodule K or Sthodulo M,)
17, Prine/pal lox duo (Add lax !ram IIno 15 and from IIno 16,)
18, Crodll. Spou.al Pavorty Crodit Prior Paymonll
_____m... + ._.....'m...,_ +
19, IIlIno 181. groalor Ihan line 17, onler Iho dlfferonco on IIno 19, Thi,l.lh. OVERPAYMENT,
gO
20, If IIno 171. groalor Ihan line 18, onlor Ihe dlHoronco on line 20, Thll h Ih. TAX DUE. 120) ,
A. Enl.r Ihe Intoro'l on Iho balanco duo an IIno 20A, 120A)
B, Entor Ihe tolal of line 20 and 20A an IIno 20B, Thh h Iho BALANCE DUE, (208)
Mah Check Payable la. Reglll~r a! Wille, .~g~nl __m__._________. "__'nm_. __
. .11 SURI TO ANSWIR ALL QUllnONS ON li'IYlRSliiDi'AND TO'RICHICifMATH...
iTri(i;i" pinal II.. of perjury. I declar. thaI I hay, lKomln.d ,hI, ,elurn, Including accompanying IChidulu and .tollmenll, and 10 the b.., of my knowledge and belief,
II h Iru" corr.el and comple'l. I declar. thaI all lIal 1.1011 hat bun repurled allrue markot volue. Oeclarallon of proparor olh.r Ihon the pananal '.pr..tntallv" h
baled on all Inform allan of which prepare' hal any knowledge.
:~~,Z~;Z::t::~~~:;,~--~:'~~-~~(=-td~{~..(:....d~,:.~,.~"~):;;(((;?iJ ::-~/.2 Viti
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( 8)_.l1,1l12.lL___
(11) _.11,029.75 .__
(12) _.__{..A.~L____
(131_.___-"--_____
(141, __...J~42L__
(15) ,...(..42)____.._____._K ,06 a _.___0_______
(16). ........,.._....._..._m.__K ,15 a
-
~------_._-----
(17) .m._mQ.__._.___......__.
Dhcounl
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CliNk Ill'''' If you ml' 11'(1111'\11110 (l wful1cl of your OVNrJUYlIll'nl
(18)
(19) .
o
o
-
........u._...._..
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,
".Vllllln ~,I'1
IITATI O~
ITEM
NUMBIR
~~
COMMONWIALTH O. P1NNSVLVANIA
INHIRITANCI TAX IIlU'N
RISIDINT DIC!DINT
Terry L. Linn, Jr.
A. Funeral Ixp.n"I'
1.
2.
3.
4.
Funeral
cernetary Lot
Grave Digging
Canetary stone
1.
B. Admlnl.tratlv. COlt..
2.
3.
4.
C,
1.
2.
3.
4.
5,
6.
'7.
e,
SCHEDULI H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Pleall Print or !u!...
DISCRIPTION
Perlonal Replllllntatlve Commlulonl .
Social Security Number of Perianal Reprllentatlvel _176
Year Commlulon. paid 1994
A"orney fee.
family Exemption
Claimant Carol K. Hawk
44
0562
Relatlon.hlp Mother
Addreu of Claimant at decedent'. death
Street Addre.. 18 Citadel Drive
City Camp Hill State PA Zip Code ,17011
Probate fee.
MI.e.llan.ou. Exp.n....
Memorial Obituaries
Car Repair
Phone Bill
TOTAL (AI.o enter on line 9. Recapltulatlonl
(If mall .pae. I. n..d.d, Inll" additional .h.... of .am. .11..1
AMOUNT
$5,104.00
150.00
275.00
3,067.00
. $ 76.22
N/A
$1,973.23
"
N/A
$ 23.00
350.00
.11.30
$
11,029.75
I~ -,llL, -/1
,
/
1/ RIlV-1547 EX AFP (12094*L
Y COHHOHWEAlTtI Of PENNSVLVANIA
DEPAR'NEN! Of REYENUE NOTICE OF INHERITANCE TAM
aURE'U .f INDIYIDUAl TAm APPRAISEHENT, ALLOWANCE OR OISALLOWANCE
~~~~is:~::~lpA 17121'0601 _ OF OEDUCTlDNS AND ASSESSHENT OF TAM DATI! 03-20-95
IsTAffOF- LINN-- -- ---- - -=-=rEllll't" -T~----- . FILE NO. 21 94=0521
DATI! OF DEATH 04-16-94 COUNTY CUMBERLAND
HOTE. TD INSURE PROPER CREDIT TO YDUR ACCOUNT, SUBHIT THE UPPER PDRTIDN OF TNIS FORH WITH YOUR TAM
PAYHENT TO THE REGISTER OF WILLS, HAKE CHECK PAYABLE TO "REOISTER OF WILLS, AOENT"
REMIT PAVMENT TO:
ACN
101
CAROL K HAWK
18 CITADEL DR
CAMP HI LL
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PA 17011
L
A.ount RI.lttod
:\
ju'l--
,
\
-=
J
CUT ALONG THIS LINE ~ RETAIN l.OWER PORTION FOR YOUR RECORDS ~
iiiV': Utii " EX"";" Fp. 0 ii'2"= 94 Y" iliifi or" 0 ii"YNH Eiii TAifcE" 'fAx "AIi PRA is EM KilT"; 0;" i. l"OWi,N"CE" iilio.. 0..00...00" 0.0
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF LINN TERRY L FILE NO. 21 94-0521 ACN 101 DATI! 03-20-95
v.' , j
11-,-029.33
TAX RETURN WAS I I X) ACCEPTED AS FILED
) CHANOED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL
1. R..l E I tot. I Son. dull A) 11 )
2, Stooko ond Bondo (Sohodul. B) (2)
3, Clo..ly H.ld Stoek/Portnoronlp Intlr.ot (Sohodul. C) (3)
4, Hortg.g"/Not.o Rou.lyobl. ISohodull DJ (4)
S. C..n/O.nk Dopo.lto/HI.o. Poroon.1 Prop.rty ISonodul. E) IS)
6, Jointly O.nod Prop.rty ISohodull F) (6)
7, Tronof.r. ISen.dul. 0) (r)
8, Tot.1 A...to
no
~ F'-"o 0 ~,..~
.. Ul
.00
.00 "j
,00 ~
11 ,029 , 33 -..J
. .00
,,00 \L.)
l,ll . .
'1> "I (a) \,)
." '(I
:1)
~lJ (!)
,
, .
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funor.l E.pon..o/Ad.. Co.to/Hile, E.p.n... ISon.dull H) (9)
10, DObto/Hortgog. LI.bllltlu/Uon. (Son.dull I) 110)
II, Tot.1 Dlduotlon.
12, N.t V.luo of T.. R.turn
13. Cn.rltoblo/00y.rn.ont.1 Boquo.t. (Sonodul. J)
14, N.t VIlu. of E.toto Subjoot to 7..
11,029.75
.00
111)
112)
113)
114)
II.O?Q 75
.42-
.00
.42-
If an a.....m.nt was issu.d pr.viously, lino. 14, 15 and/or 16, 17 and 18 will
refl.ct figur.. that includ. the total of 6kh r.turns ass.ss.d to dat..
ASSESSMENT OF TAXI
15. A.ount of Lln. 14 It Spou.ol roto (IS)
16, A.ount of Lln. 14 to.obl. .t LlnoII/Cl... A r.t. (16)
17. A.ount of Lln. 14 tl.obl. .t Colllt.r.l/Clo.o B r.t. (17)
18. Prlnolpol To. Du.
NOT!I
,00
.00
.00
x .00.
X ,06.
X .15.
(18)
TAX CREDITS:
PAYHENT
DATE
DISCOUNT 1+)
INTEREST 1-)
RECEIPT
NUHBER
AHOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTI!REST
TOTAL DUE
,00
,00
.00
,00
.00
.00
,00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIDNAL INTEREST.
IF TOTAL DUE IS LESS THAN .1, NO PAYHENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE DF TNIS FORH FOR INSTRUCTIONS,)
"
,..,
,,'
ReSERYATIONI Elt.tl' of dle'dent, dvlng 6n or ba'ar. Dlc..blr 12, 1912 .. If any fUlur. Int.r..t In the ..tlt. I, 'ran'flrr,d
In po.....lon or enJovont to CI... I '(ooll.~.r.l~ btnefJol.rl.. of the cMoldtnt .'tlr the l)(plr.Uon of MV utlt. for
11'. or for YI.r., thl Co..onw..lth h't.bY l)Cpr...ly rl..rVI' thl right to Ippr,I.. end ...... trln,'.r I"hlrltanol Tlx"
It thl llwful CI,.. I (colhttnD r.t. on any luch future Intlrflt.
PURPOSE Of'
IIDTlCEI
PAVHf:NTI
REFUND (CRII
OIJECTlDHSI
AottlH
ISTRATlVE
COIlRECTlDHSI
DISCOUNT'
IHTERESI,
To fulfill the rlqulrl..nt. of Sletlon 21~O of thl Inhtrlt.ncl Ind E.t.t. 'IX Aot, Act ZZ 0' 1991. 72 P.I,
Stotlon iUD.
Dehch "'I top portion of thh NotlCll .nd tubtit wlth your ply..nt to thl R,ght.r of Willi printed on the revar.. .Ide.
~."':k. chick or lonlY ord.r payable tOI REOlSTER OF HILLS, AGENT
All p.y..nts r.ceiv.d .h.ll flr.t ba appllld to any Intlr..t which ..y b. du. ~lth Iny r"'lnd.r appllad to thl tiM,
A r.fund of . ta~ oredlt, ~hlch wu. not rlqu.lt.d on thl T.~ R.tvrn, .ay b. r.qu..t.d by coaplttlng an "ApplicatIon
for R.fund of Plnn.ylv.nln Inherltanot and E.tatl T.M" (REY-l!IS), Applloltlonl Ir. avall.bl. .t the Of,lc.
of the R,gllt.r of Willi, anv of th. 21 Rlvlnul DJltrlct Offlc.., or by c.lllng the ,plol.l Z4-hour
.n.~.rlng .arvlc. nu.btrt for for.. ordlrlngl In Pann'Ylv.nla 1.800-162-2050, out.ld. P.nn.vlvanl. and
~Hhln Icoll Harrltburg .rn (711) 781.8094, TOO' (117) 172-2252 IHurlng htp.lrld OnlY),
Any plrty In lnt.r..t not .,tl.'lad with the .ppr.I....nt, allowlnc. or dl"llo~.nc' of d.duotlon., or ........nt
of t.~ (Inoludlng dl.count or Intlra.t) a. .hown on thl. Hotlc. IU.t obj.ct ~Ithln .IMty (60) d.y. of rlo.lpt of
thlt HoUce bYI
--wrltt.n prott.t to the PA Dlp.rt"nt of Rav.nuI, lo.rd of Appeal., D.pt. 281021, H.rrl.burg, PA 17128.1021, OR
-..I.ctlon to h.v. thl ..tt,r d.t.reln.d .t audit of thl account c, the p.r.cnal r.prt..nt.tlvl, OR
--'PPlal to thl Orph.n.' Court,
Flctu.1 .rrore dl.cov.rld on thl. ........nt .hould bt .ddr....d In ~rltlng tal PA D.p.rt..nt 0' R.vtnut,
8urllu of Indlvldu.l T'MII, ATTNl Po.t h......nt R.vllw Unit, Olpt, 280601, HlrrltbUrg, PA 1112..0f.Ol
Phone (111) 187-6~OS. S.. p.al 3 of thl bookl.t "In.tructlon. for Inhtrltanc. T.~ R.turn for. na.idant
D.e.dlnt" (REY-ISOll for In IMplanatlon ~f ad.lnl.tr.tlv.ly oorr.otlbl. .rror..
If .ny tlM dUI I. p.ld within thra. (5) c.llnd.r lonth. aft.r thl dacldlntl. d..th, . flvl p.roent (SX) dilcount of
the tlX p.ld II _110Wld,
Int.r..t I. charged blglnnlng with 'Ir.t day of dtllnqulncy, or nlr. (9l .onth. .nd ont (1) d.y frol the det. of
dI,th, to the d.t. 0' ply.tnt. TaM" which b.ca.t dellnqu.nt btfar. J.nuari 1, 1982 btlr Inttr..t .t the rlt. 0'
.i~ (6Xl plrc.nt p.r annUl c.lcul,t.d at a d.lly r.ta of .000164. All t,M., ~hloh b.ol.. dtllnquent on .nd ,fttr
Jtnuary I, 1982 will bt.r Intarl.t et . rate Nhlch will vary frol eallnd.r YI.r to ctllnder YI.r with thet rlt.
announo.d by tn. PA Dlp.rtllnt of Rlvtnll., Th. .pplletbll Inttrut ratll far 1982 thraugh 1995 '''11
'!!!!: Intarttt Ret, DailY Inttr..t Factor :!.!!!' Inttrut Rlt. D.llv Intlr.at Fletor
1982 !OX ,000541 1917 9X ,000247
19l5 16X ,ooom 1911-1991 IlX ,000501
1914 111: ,000101 1992 9X .000247
I9n IlX ,000156 1991'1994 7% ,000192
1916 lOX ,000274 1m 9% ,000247
--tnttrttt I. aalcul.tld D' followlI
INTEREST. BALANCE OF TtX UNPAID X HUKBER DF DAYS DELINQUENT X DAILV INTEREST FACTOR
--Any Hotlol I..u.d .fttr the taM b.ea.e. d.llnqutnt ~lll r.flaet In Int.r..t c.loul.tlon to flft..n CIS) d.y,
beyond the d.t. ,f tht ........nt. If p'VI.nt I. lade .'t.r thl Int.r.,t eOlput.tlon dlt. shown on thl
Hotlet, tddltlon.1 Int.re.t IV.t bt caloul.ttd,
STATUS REPORT UNDER RULE 6.12,
Name of Decedentl 7e rr 1/ I, I../nn, (11:
I ,
of Deathl !l- /':>r I / II /7Icjt.j
Date /(" ,
I ,
Will No. Admin. No. ..:] / - )C1Q</ -, '5,~ I (C":,fc,!e If")
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 estate I
1. State whether administration of the estate is complete I
Yes ~- No__
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete 1____
3. If the answer to No.1 is Yes, state the followingl
a. Did the personal representative file a final
account with the Court? Yes______ No~ .
b. The separate Orphans' Court No. (i f any) for
the personal representative's account iSI
c. Did the personal representative state an
account informally to the parties in interest? Yes No V
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Datel 5-/.'5- 9tf:.
\Q
- Po 5~
oc/)
m-::: N ()
11: ,- .
(,':' , ci
1-' ..~
() ., r-- U
u
.,. , -9
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" 'I> >- . ~Ii
n ~;'i ~ ,
........ w
0 U)
lilllJ ~ ~~
a; 0: ..!!!
(.)
ec~~ ;{'Cl<L- #a~,-,~I:.,
Signature /
Co 1'(1 I /( CUI /-1 at u ):...
Name (Please typ~ or print)
IcY t2.:ilej" / I.A , , ( (2 Mo ./J d:.ifJ 1'/1 /7" / I
Address ' ~
Jl!1 ) 7{',,) - ,);c),.,) 7
Tel. No,
CapacitYI ~ersonal Representative
(MAHarmf/AM3)
Counsel for personal
representati ve