HomeMy WebLinkAbout94-00532
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m.I~." III,YII ~'(~n) INHE~I/A'tfc:~~~~' RETURN ~U:W!r:~:~::.~IOItI CltlrMltlll
't!lii'..:!' RESIDENT DECEDENT fill HUM'"
'U,",M"NWlAlIII '10 """,,,,,,,,,. In:) BE FILED IN DUPLICATE ,.;.> /
ut.....NIMtfil ill ~t't'lrIUI ,. "-
II"".ftl:~ ~~'i'i:"'U'.UI WITH REGISTER OF WILLS) CDUNIV COOt
o(ctiiiiiii i;'-MllrAloTMil,-A:No'MiO'oTfiiil"A', " .-~ !irc'loiiwi-coMiiiriiWlm
~/olqemuth, Nark B. 618 Hemlock, P.O. Box 2015
!oCiAT"lkliMiIY-r'iUMIli" o.I,'O(OIAlii-- --r.I. Of "MlII'." Mechanicsburq, P^ 17055
284-20-1877 3-19-94 2-23-15 c,,,, Cumherland
- .-----
14
Yt.k
. _ . _!!UMdER
I
l!! f] l. O,ioinal Rolurn 0 2, Suppl.munlul R.I"n
~~i2 0 4: limil.d fila'. 04u. FuI". 1"1.,..1 COfllpIO""'.
i529 (10' dulo' of d.alh ah., 12.12.021
t- 0 b, D.,.d.nl Di.d T..lal. kJ 7, D.'.".nl Mulnloln.d a li,lnD T,ull
~_ -'A.~,:~'_on~I~.!!~ _ ,_~~~. ~~~!~~.
ALL CORRESPONPINtl AND CONfiDENTIAL TA I FQ MATlQ $HOULA .,llllllC:TI!! TOI
I AMI , ItiIl1NQ ADDUU
l:l s: Kennet.h 1'1. Wolgemuth 9910 S. 66th East Ave., Tulsa, OK 74133
:ll!: -, "Lucille-!. Wnlqemu.th.......L.9_~.L." 618 Hernlock,p.O.BOX 2015,Mechsbg,PA 17055
8 ~ Iml"""'1 ~VM'" ' , 1
299-9592 ( 7_17) 766-77?~
z
~
!i
~
g
o~, R.malndor R.lu,n
If or dol.. of d.olh Pllor 10 12.1~'02)
05. hd.ral Eliot. To.
R.I~rn R.qul,.d
-<2::. A, Talal Numb., of So" D'POIIIBo,"
z
o
i
l. R.al EIIOI./Sch.dul. AI/I) ,
2, SIQ(~I and Band'ISch.d.l. BI /21 10811.44
3, Clo,aly H.ld SlockIPa"n."hlp..I~I.'.1I (Sch.dul. q I~)-
4. Ma"uoo., and NOIII Roctlvabl. (Sch.dull D) ( 4) ~~8
,J J.:1'.0. ...J
5, Calh, Bonk O.poliu & Mil,"lIan.ou, P."onol Prop.,ly( 5)___,.______
(!,ch.dul. EI .
6, Jalnlly Own.d P,op."y (Schldulo f) I bl 5902.00
7, Tron.,.,,/Schudulo GIISch.dul. L) I 7) --1.t4S3.. 0'
8, TOlal G'OIl AIIIII/lolullln.. 1.7)
9, fun.,al E'plnl", Admlnlllrallv. COlli, MI".lIan.au' I 9)
h,..n.., ISch.dul. HI
10. ll.bl., MOllooaoliol>lIilill. LI'nlISch,dullII (10)_'::' 604_7',~1
II. Talal D.duellan, Ilalollinl. 9 & 10)
trust
12, N.l Value afflTalrllln. B mlnullln. II)
13. Cha,hobl. ond Gavornm.nlol luqUlll1 (Sch.d.l. JI
14, N.I Valu. Sub .<110 To. IIn. 12 mlnu,lIn. 13
15, Amaunl a' IIn. 14 lo.abl. 01 6'1' rol.
Ilndud. valu.. '10m ScilOdul. .. or Sch.d.l. M.l
16. Amount of IInl 14 lo.abl. 01 15'11 ral.
Ilndud. valv.. I,am Sch.dul. K ar Sch.dul. M.I
17, Prlndpalla. d.. (Add la.ltom IIn. 15 and Irom IIn. 10,1
18. Crodill Spo.,al Po""y Cr.dil Prior Paym.nil DI"o."I Inl.'llI
+ ... --
19, If IIn. 10 II ar.al., Ihan IIn. 17, .nl., Ih. dlll.,.nc. on IIn. 19. Thi. i. Ih. OVIIRPAVMENT,
1I0.~mn~IIIII,6t1.'I.I~.IJI.J~,ul'~~~1'~(~f~mm~I_.llr'r..~qJ~
20 IIl1n. 17 h O,uol., Ihan Ii". la, .nlul lh. dlll.,.nc. on 11".20, Thh i.lh. TAX DUE.
A. Enlur Ih. inl.hul on Ih. balon,,, duu on hn. 20A
(201 ."_____.'h _ _h.__.___
j20A)
(208)
1332.42
( 8)
91583.77
(151 ~734.76
(111
(121
(I~I
(14)
Ie ,06.
7379.93
84203.84
53469.08
~~~~:.~:
IIbl
Ie ,1$ .
(171
(181
1l9J
8. Enl.r Ih. 10101 01 IIn. 20 and 20A an IIn, 20B, Thi. " II,u liALAI~CE IJUE,
V ___._~o~.,~ Pavabll tOI algl.l., 01 Will., Ag.nl
-----.. .'iiSUitE TO ANSWlRALL QUUTIONfoN' iiiVINU $IP'-ANP TQ _,c:"ic:~ M4TH..... :
UndO( p.nalrl.. 01 p.'iuly. I d.do" Ihall hayo ..amln.d Ihl. Itlurn. IndudinD a<componylno "h.'d.11I and Ilal.m..". and 10 Ih. bill a' my knowl.dD' ond b.II.I,
il h "UI, (or'IICI and compllll. I d.duI. fhal all I.ul ..I('\IU hc.u b.,~n rlllpt)rlfiJ iJllru. murL"1 'lulu.. Dlclololion Q' p"pal.t oth.r than ,hi p."onal tlp"t.nlallv. h
ballild On alllnlurnlalian of wlll~j Ph,pa"." hu \In ,nowl.dO., ,
.IIONAtuiIO'-;i~I'ON!IIJ.Ii!iM-fiiiNO ADOilis.'--'" ---- - 7 'J('''' 6.1;
.--:k;A..~I'(!!!./~~~I,d_L-.'t'Jl~..:_~f_!~_I:4v! .I~\f'i\ 0 _' .f/i' J~ .J:j'tf
~'!IW~iI!.MU vl"_IM II1AN MIll,NI IVI " ADDRIl!, . . ,'.". "~ .' I PI'"'
.-1,-' -' . / / r ~ ~ ,-' ",1.1 ,I,., ,1/11~,;':;;lOi(.f.4''''''~/t..~._,:~....,., '/ ~"':.';j
"..',((C(,~VCI '..... ..., ~.I')Q.,:.((.I:, ./':'f "J'}CII~.r;. t. . ,'- ;/'..~l: t:- 'r
' . '. I '/~!I', ~-- --'--------.. , "
Ilv,ltotU. U....
COMlllOHwfAI'" O' 'INldUVAWIA
IHHIII'AHCf 'A' UlUIN
IIIIDIN' DICIO'N'
SCHEDULE F
JOINTLY-OWNED PROPERTY
~f
Mark D. Wolgemuth
I.,LI HUM..II
Joln'lonon'('I'
HAMI
ADDalll
IlILATIOHIHIP TO DICIDIHT
A.
..
C.
, Jolntly.ownod proporty,
lTlM LlnIR DATI
.011 TOTAL VALUE DICD'S DOLLAII VALUI O'
HUM III JOINT MAD I DISCIIIPTI.OH O' '1I0mTY O' ASSn ~INT. DICIDINT'S INTIUn
TINANT JOINT
1. 1963 Share of Adelpho! Sprinqs
Club
Decedent's share value was
$7,377.50 with club by-laws
providing for 80% sale pric ~ . 5902.00
(This is a mountain propert
used for hunting, etc.
located in Franklin Twp.,
York County)
,
,
,
TOTAL (AI,o Intor on IIno 6. Rocopltulatlonl S 5902.00
(/I maIO 'paco I. n..dod in.I" oddillona/sh.." 0' ,amo II,,)
.
\
---.........__._..-....~ L T~ _ -,' ..4~...\
, ,. I I
,11\1."11'''1'"'
, J SCHIDULE H
,i'll,i, FUNERAL EXPENSES,
1:_ ADMINISTRATIVE COSTS AND
cO'4~~'~I\~~~I~.:'r.~J:~'NI' MISCELLANEOUS EXPENSIlS
."IDIN! DICIDINI
IItM Ol"
'l'rult of
Ploa.. Print 01 T .
Mark B. Wolgemuth
ITIM
NUMIIR
DESCRIPTION
AMOUNT
'2.
3.
4.
5.
'1Il141rol "'OnIOII
John E. Newmyer Funeral Home Inc.
James R. Gingrich Memorial.
Rev. phil Thorne and Jamel Clark, organilt
Bulletins, stationery and printing
Buffet for family and relativel
336.00
60.00
110.00
96.19
279.84
A.
I. Allmlnl.tr.tlv. COIIII
,. Perianal R.pr.l.nlallvl Commlnlonl
Social Socurlty Number 01 Penonal R.pr.llnlallvOI
Vlar Commlulon. 'p~ld
2. AIIDrnlY F... 275.00
3. Family exompllon
Claimant Rllotlonshlp
Addro.. 01 Clolmanl at dlc.dlnl'. d.olh
Slrol' Addrou
Clly 51011 Zip Cod.
~, Probal' F.o.
C. MIK.II.noolll bpOI.I..1
1. Charge for lelling Nuveen Muni Market opp rD 160.39
2. Filing r" 15.00
3.
~.
5.
6.
7.
8.
TOTAL IAllo .nl.r on IIn. 9, R.capllulallon)
Ilf mar. Ipaco II n..dod, Insort addltlonol Ih.otl of lam. 11.0.1
s
1332.42
@
, ,"" (:)r)
'REV-1547 EX AFP (08"94*
CONNONWEAL T" OF PENNSVlVANIA ACN 101
OEPARTNENT OF REVENUE NOTICE OF INHERITANCE TAK
BUREAU OF INOIVIOUAL mES APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
m:is:e:~~IPA 17128-0601 OF D~DUCTIONS AND ASSESSHENr OF TAK DATE 11-07-94
'!SUTE OF WOLGEMUTH 1fA1f FILE NO.= 21-'94-0532
DATE OF DEATH 03-19-94 COUNTY CUMBERLAND
NOTE, TO INSURE PRDPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAK
PAYHENT TO THE REDISTER OF WILLS, HAKE CHECK PAYABLE TO "REDISTER OF WILLS, ADENT"
REMIT PAYMENT TOl
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
il IV: 154"' "iie -AFP -ioii:94"i -iiii'r"i cir "oF - Y NH iii if AiicE" T"AX" iiP' PRA"i ii EHiiii'"; - AtrowANCE" OR" - --- - -"""" - - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
MARK FILE NO. 21 94- 0532 ACN 101
If .n ......m.nt w.. i..uod prlviou.ly, lin.. 14/ 15 .nd/or 1&, 17 .nd 18 will
r.floct figur.. th.t includ. the totll of ~ r.turn. ....R..d to d.t..
ASSESSMENT OF TAXI
IS, AMount of Llnl 14 It Spou..l r.t. (IS)
16, AMount of Lln. 14 t.x.bl. .t Lln..l/C11" A r.tl (16)
17, AMount of Un. 14 t..lbl. .t Coll.tor.I/C1... 8 rltl 117 I
lB. Prlnolp.1 T.x Du.
TAX CREDITS I
PAYHENT
OATE
06-15-94
06-15-94
KENNETH M WOLGEMUTH
9910 S 66TH EAST AVE
TULSA OK 74133
ESTATE OF WOLGEMUTH
TAK RETURN WAS, ( I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL
1, Rill e.toto ISohldull Al (1)
2. Stook. .nd Bond. (Sohldull B) (2)
S. Clo,"ly HIld Stook/P.rtnlr.hlp Int.rl.t (Soh.dul. C) IS)
4. Hort..g.I/Not.1 Rlo.lv.bl. (Soh.dul. D) (4)
5, C,"h/B.nk DlPOllt./HI.o, Plr.on.l Proplrty eSohldull E) (5)
6, Jointly D.n.d Proplrty eSoh.dull F) (6)
7, Tr.n.flr. (Sohldull 0) (7)
B. Tot.l A..lt.
APPROVED DEDUCTIONS AND EXEMPTIONS I
9, Fun.r.l EXPln.I./AdM. Co.t./HI.o, EXPln.l. eSoh.dul. H)
10, D.bh/Hort.... Ll.blll UII/Llon. (SOhld,,11 1 I
II. Tot.1 Dlduotlon.
12. Nit V.lul of T.x R.turn
IS. Chlrlt.bl./DovlrnM.nt.l Blou..t. eSch.dul. J)
14, N.t V.lul of E.t.t. Subj.ot to T.x
NOTEI
191
(10)
RECEIPT
NUHBER
MMS86183
MM886184
DISCDUNT
INTEREST
I')
e-)
80.20
12.00
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
AMount R..ltt.d
l
I X) CHANDED
(
DATE
ATTACHED
11-07-94
NOTICE
SEE
,00
10.811.44
,00
31.439.18
31,948,13
5.902.00
11,483.02
(8)
91,583,77
1,332,42
6.047.51
111)
(12)
115)
(14)
7.37Q Q3
84,203.84
44,345,88
39,857,96
,OOK'OO.
39,857,96 K ,06.
-:..Q1 X ' 15.
(18)
,00
2,391.48
.00
2,391.48
AHDUNT PAID
1,523.87
228.02
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
PAYMENT MUST BE MADE BY 12-20-94M.
1,844,09
547,39
.00
547,39
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FDR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN .1, NO P~YHENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" eCR), YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE DF THIS FORH FOR INSTRUCTIONS,)
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1lI111lVATlOHl I,t'tll 01 cIIo_t. dvlnt on .r h"'" O'......r II, 1911 .. IIl1lv lutu.. Int'lIIt In III' IIt.t, II trlll,'orrod
In ~ol....lon or ",JoVllnt to Cl... . (ooll.t,r,l) btneflo',rl,. of the aloldent .ft,r the IMplr.tlon of bnv ..tlt. for
l1f. or for VI.r., thl COIIonw..lth hlr.bv .Hpr.l.lv rl.lrVI. the rltht to .ppr,I'1 Ind ...... tranl'.r Inh,rltenol 'IMI'
It thl I.w,u! Cl... . (coUlt.r.U 'It. on Inv luch future lnt.rut,
PURllOII Of'
HOTlCEI To fulflU thl requlr...nt. 0' S.oUon 2140 of the Inh,rltlncl Ind E.tlt. TIIC Act, Act Z2 of 1991. 12 P.t,
leoUon 2140.
PAYMlNTI Dltlon the top partlo~ 0' thl. Notlel end lubllt with your ply..nt to thl AI,llt.r 0' Will, printed on the rIVlr.. tide.
..".k. .hock .r ...\ov ardor p.voblo tal REOJSTER OF MILLS, AOENT
All PIYH"h rlellvld ,hill Hr.t bt IPpUtd to .ny Int.r..t which ..v bl dUI with Iny r..,lnd,r applied to the tllC.
REFUND (CA)I A- r.fund of . tlJIC or.dlt, whloh WII not r.qu.lt.d on the TeJIC A.turn, I.y b. f'.qullt'd by cOlpltUng In "AppUotUon
for R.fund of P.nnlylvanll Inh.rltano' and Eltlt. TIIC" (REY-lSlS). Applloatlonl Irl .valllbl. It the Offlo.
of the RI,llt.r of Willi, any of the 2S Rlv.nu. DI.trlot Offlo.., or by c.lllng thl 'Plcl.l 2~~hour
,"uNlrln, ..rvlo. nuIb.r. for for.. ord.rlnOI In P,nnlvlvanll l-aOO.362~2050, outlld. P.nn'vlv.nl. .nd
wtthln 100.1 H.rrl.bUrg .r'l (717) 717'1094, TOO' (711) 772-2252 (H..rlnl IIp.lr.d Only).
OIJECTlONSI Any ptrh In Interllt not ..thU.d with the Ippral..l.nt, .110waMOO or dl..Uowanc, of d.duotlon., or ........nt
0' tlX (Including dl'oount or Int.r..t) .1 .hown on this Notlol IUlt obJlot within IllCty (60) d.v, of r,cllpt 0'
thit NoUot bVI
--wrlHen pro tilt to thl PA Dlp"t"nt of R.vtnu., Board o~ Appllh, DEPT, Z11021, Hlrrllburg, PA 17121~10Zl, OR
--.llOtlon to h.v. the ..ttlr d.tlr.ln.d .t ludlt of thl looount of the Plr.onlt r,pr...ntltlvl, OR
--lpp.II to the Orphln,' Court.
ADltIN
IITRATlI/E
CORtllCTIllHll
Flotu.l .rror. dIIGov.r.d on thll 111.....nt,lhould b. .ddr....d In writing tOI PA D,plrt'tnt of R.v.nu.,
lur.1U of Indlvldutl TIIC", ATTMI POlt AIII.II.nt R,vl.w Unit, UEPT, 210601, Hlrrl.bur~, PA 1712'~0601
Phone (117) 717"6501. S.. Pili S of the bookllt "InltruaUon. for Inhlrltlno. Tile R.turn for I Rllldtnt
OIc.dlnt" (REY-ISOl) for In ..plan,tlon of lo.lnlltrltlv.lv oorr.ct.blt .rrar.,
I' .nv t.x due II p.ld wIthin thr._ (3) e.l.nder lenth. afttr the d.c.dlnt'. d.ath, . flvl p.rc.nt (SX) dllcount 0'
the tllC p.ld II .Iloytd.
OIlCOUHT I
INTlRIIT.
tntl'"t II eherged b.,IMlng with flrttdlv of d.lInquenov, or nln. (9) IMth. Ind one (ll dav frol the d.tl 0'
d..th, to the d.tl of plv..nt. TlIC" ~hleh blo." d.lInqulnt b.forl Jlnulrv 1, 1912 bllr lntlrllt .t tht,r.tl of
,IJIC (6~) Plroent pfr Innue olleul.tld It I dlllv rltl of .000164. All tllC" whleh b,o"1 dlllnqulnt on .nd .ftlr
Jenulry 1. 19.2 will b..r Intlr..t .t . rlt. which will v.rv fro. oll.ndtr v..r to oll.ndlr Vllr with th.t rltl
ennotMlO.d by thl PA D.p~rt.."t of RIVlnul, Tht Ipplle.bll Interllt ,.tll for 1912 through 1994 Irtl
'!!!r Inter..t R.tt Dlllv Int.rl.t Flotor ~ Inter..t Rltt D.lly Intlrut Fletor
1911 lOX .OOOM' 194' lOX ,00011~
19.1 laX .000u. 1987 9X .000141
I'" IIX .000101 I94H 991 m .000101
19.1 IlX .000116 1991 9X ,0002,.7
1991.1"~ IX ,000191
ulnt"..t II ollcul.t.d I' fol1owlI
INTEREST . BALANCE OF TAX UNPAID X NU"IER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
-~AnY NoUel IlIued Ifter the tlJlC b.eo... d.Un"","t will refllat In Interllt a.leul.tlo" to flft.en (5) d.y.
bevond thl d.t. of the u......"t. If PIV.."t II '1. Iftlr thl Interllt cOlPUtltlon dl'l lhown on thl '
HottOI. ~ddltlon.1 Int.r..t lU,t bl c.1oul.t.d,
PA\'lt!NI'
RmINO (CAI'
Rl!PlY
la,
OllCOIRfl,
INTEREIT I
DetlOh,the top portion of thle Notle.and tubtlJt wU~vour P'VHnt I.d. Plylill. to the nMI Ind Iddr... printed
on thl rlv.r.. llde.
All P'VHntl rea.tved Ihlll fir.t b. 'PPllM to .ny Intlr..' whloh "V b. due with any re..lnd.r epplltd to the t.M.
A r.fl.l1d of I tlX or.dAt, which wat not rlque'lld on tht TIM A.turn, "V b. r.qutlted bv ooltPl.t1nll In
"Appl1c.tlon for R.fund 0' P,nn.vlvl"l. Inherltlnc. Ind E.t.t. TIM" IREY.1SISJ. .ppllo.tlon, Ir. .v~Jllbl. .t
the Of' 10. of thl Rlglat,r 0' Will., tnv of the Z~ A.v.nuI Ol.\rlot Offlc'l, or by c.lllnl the 1"01.1 24-hour
en.wtrlne IIrvlo. nuB.r. for 'or.. ordtrlntl NEW IN PENNSYLVANIA 1-100.'62-2050, out,ld. P'M'Ylvan).
end "Ithln thl 100.1 H.rr.lbura .r.. (717) 717-10.4,
Gulttlon. r'llrdlng .rrarD cont'lned on thl. notlo. .hould bl addr....d tOI PA D'Plrt..nt a. R.Vlnue, Bur.au
o. Indlvtdu.1 TIM", .TTH, Po.t A.....llnt A.vl.w unit, DEPT. 2'0601, Harrl.burg, PA 1712'-0601, phone
(1111 111'6501,
If any tlM due II Plld within thr.. (5) elllndlr lonthl Iftur thl dleld.nt'l d'lth, I ftv. p.rc.nt (S~) dl.count
of thl tlM plld I. IlloWld.
Int.rnt 11 ch.rged bltlMlnt with flr.t do of dellnqUlncy, or nine (9) lonth. Ind on. (I) dlY frol thl dlt. of
d..tll, to the dlte of P'~Hnt, TaMil which blel" dlllnquent blfar. Janulry 1, 1982 bltr tnterllt It the rat. of
.IM (6:0 Plrc.nt plr eMUII calcullted at . dillY rite of ,00016~, All tellll which blo.... delinquent on end Iftlr
J8nUlry 1, 19.2 wtll be.r tnt.r..t It . rltl which wtll vary 'rol c.l.nd.r y..r to c.l.ndlr Yllr with thlt rite
~Id by thl PA D.plrt..nt o' R.vlnu.. The applicable Inter..t r.t.. for 19'2 through 1995 .r'l
'Wt Interllt Rete Oallv Int.r,.t Flcter X!1r Inter..t RIte DllhI Intlrnt Flotor
191/ lOX .OOGSU 1'17 'X .000147
1911 I6X ,000451 1'11-1991 IlX ,000101
19.. IU .000101 1991 '1 ,00m7
1911 IlX ,000116 1991'1"~ IX ,0001'1
.916 lOX .OOOI7~ 1991 'X ,0001~7
ulnttr..t II clloul.tld ,. followl!
JNTERElT a BALANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notto. Illued Ifter the talC btoOlt. dlllnqulnt will rlfllct en lnt.r..t c.lcul.tlon to flftttn (11) dlYI
btyond the d.t. of thl ........nt. If p'Yllnt II .,d. .ft,r the lnt.rl.t COlput.tton dlte .hown on thl
Notlc., Iddltlonll Int.rut IUlt b. cllcul.t.d,
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~'V.ll~7 IX APP (0..941*
ClllltOfM!AL TH Of' Pl!NNlVL YAHIA
IIl!PlRTIEHT Of' Rt!Yl!1IU!
IUREAU llf' IHlIIYJIlUAL TAXEI
DfPT, 210611
HARRJIIURG. PA 17111-0'01 '
~.,~'
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NOTI~ OF INHERITANCE TAM ACN 101
ApPRAISENENT, ALLOWANCE OR OISALLOWANCE
OF DEDUCTIONS AND ASSESSNENT OF TAM DATI 11- 07.94,
PILI NO.
DATI OF DIATH 03-19-94 COUNTY CUMBERLAND
NOTE I TO INSURE PROpER CREDIT TO YOUR ACCOUNT, SUBNIT THE UppER PORTION OF THIS FDRN WITH YOUR TAM
pAYNENT TO THE REGISTER OF WILLS. HAKE CHECK pAYABLE TO "REGISTER OF WILLS, AGENT"
REMXT PAYMENT Tal
KENNETH M WOLGEMUTH
9910 S 66TH EAST AVE
TULSA OK 74133 . . _~ .
. ot!..d& 'ti.) ~1i. ('cj A _'
,. ~/~ ~J po f.i<>-ylv('/>!,
,.-..,,- . / f't4/?'os's
r,.v-e.ef..~&~ I
CUT ALONG THIS LINe ~ ~RITAIN LoweR PORTION FOR YOUR RICORDS
. ~,'~-,':':_-:,":,r,:-'" h.,_:' -;,' ,: ',_, ,;-,; :_j,' ,1._ _, :-;~::~i.i;l ,:..,.._;_:',\"...........':'!.., -:_ '"~"
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
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~E'LTH OF P~HHSVlYAHIA
DEPARTMENT OF REYE~UE
IUREAU OF INDIVIDUAL T UES
OEPT. za0601
HARRISBURQ, PA 17128~0601
1/ ') 7- I
it; ,,"( I . - P
INHERITANCE TAX
RECORD ADJUSTHENT
ASSESSHENT
CONTROL NO. 101
DATE 02-28-95
ESTATE OF WOLGEMUTH MARK FILE NO. 21 94-0532
DATE OF DEATH 03-19-94 COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CReDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX
PAVHENT TO THE ADDRESS SHOWN, HAKE CHECK PAVABLE AND REHIT PAVHENT TO I ,
LUCILLE WOLGEMUTH
618 HEMLO('K
PO BOX 20).5
MECHANICSBURG PA 17055
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
A~ount Ro~ltiod
j
CUT ALONG THIS LINE .. Rf.TAIN LOWER PORTION FOR YOUR RECORDS ....
iik-Ij: iS93" P,'l("AF P - r 1'2"=94 TOO - _OJ;. - 'i ifH' ERYf AHe.E -r Xx" R ifcoilii - Ailjusi'i1Etir-.. - - - --- - -."... -. --.... -.. - -" -.-
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ACN 101 DATE 02-28-95
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11.483.02 ~,j
IB) 91. 583.77
ESTATE OF WOLGEMUTH
MARK
FILE NO. 21 94-0532
ADJUSTMENT BASED ON.
VALUE OF ESTATEI
1, Rool E.toio ISohodulo A)
2, stook. ond Bond. ISohodul. B)
3, Clo.oly Hold Stook/Portnor.hlp Intoro.i ISchodul. CI
4, Hortgo~o./Noio. Rooolvoblo ISohodulo 0)
5, Cosh/Bonk Dopo.1 h/Hlso, Porsono! Proporiy ISohodull E 1
6, Jolnily Dwnod Proporty ISchodulo FI
7. Tron.1or. ISohodulo GI
S. Toto1 Auoh
DEDUCTIONS AND EXEMPTIONS I
~, Funlral E~p.n.../AdMinlstr.tlY' Ca.tll
"1IoI11.n.oul Expln... (Schedule H.'
OObh/llorig.go LloblllUu/Uon. (Sohodull IJ
Toto! DoduoHon.
Hit V.lua of T.x Rlturn
Chorltablo/Govorn..ntol Bo~uo.t. ISohodulo J)
Not Voluo 01 E.ioto Subjooi to Tox
PROTF~T HOARn nFr.T~Tn~
10.
U,
12,
13,
14,
TAXI
15, A.ouni 01 Llno 14 .t Spou.ol rob
16, Anouni 01 Llno 14 toxoblo oi Lln.ol/Clo.. A roto
17. A.uuni 01 Llno 14 tox.blo oi tollotoraI/Cl.o. B raio
IS, Prlnolpol Tox DUO
TAX CREDITS I
PAVHENT
DATE
m_ 1,332,42
UO) 6,047,51
Ill)
U2)
1131
1141
7.379,93
84.203.84
44.S4!i.Ba
39.1i!;? Qt'i
USl
(16)
1171
nnx,OO'
39 .~~7 9~ X. 06'
nOX,15'
USI
nn
?37Q 48
DO
?37Q 48
RECEIPT
~UHBER
DISCOUNT (')
INTEREST I' I
AHDUNT PAID
06-15-94
06-15-94
12-02-94
MM886183
MM886184
MM913241
80.20
12,00
.00
1,523,87
228.02
535.39
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
.00
,00
. IF PAID AFTER DATE INDICATED, SEE REVERSE (IF TOTAL DUE IS LESS THAN .1, NO PAVMENT IS REQUIRED,
FOR CALCULATION OF ADDITIONAL INTEREST, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAV BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS.)
PAVltI!HT'
REFUHD (elll'
MPLY
TD,
DlSellUHT,
INUlInT,
"
DttlOh thl top portion 0' this HoUal Ind tublllt with YOUr ply""t .Ide Plv.bit to the nItM end addr...
printed on thl rlv.r.. IJdl,
-- Hole, ''''''k or oon" order .a.able to, REGISTER OF WILI.S, ADENT,
AU Ptwaentt rlCllvld shill bl tppUtd fir., to Iny Intlr..' which "v b, du4I with any ro,'nder lIppUtd to the tlH,
A r.fund 0' . 'IX or.dlt, whloh w.. not r.qu..hd on thl Tlx R,"turn, ..y b, r.quI.tlel by cOlpl,Ung In
"'APPUoIUOI1 'fir R,fund 0' Ptnnlyh,nJ. IntltirJhMI Ind Ett't' Tu" (REY-UU), ApPUcIUon. art 'VIJlIbl, It
the O,flcl of the Regilt,r of Willi, ,nv 0' thl 23 R,vlnu. Ol.trlot O'flcl. or frol t~ Olp'rttent', 24-hour
.",...rl"" IIrylel no.btrt 'or for.. arauln,. tn Pemlvlyenl, 1-800-362"2050, outsld, PtnnlY!YII111
and within local H,rrhburg Ir.. (717) 117-&094, TOOl (717l 77Z-ZZ5Z (Hudnll lap'irld onb),
QUIIUon. rlglrdtnt Irrort contltntd on thit Mottet .hou\d bl addr....d tOI PA OIPlrtlent of Rlvlnue, lurellU
of IndlvhkJal Ta)(I., ATTNI POlt A.......nt Rav!... Unit, Dept. Za0601, Harrhbllrll, PA 17121.0601, Pnon.
(7171 m-650S,
If any tl)( dUI it "Itd withIn thr.. (3) calendar IOntht after the Mcadent'l dllth, . five plrelnt U;c) diteount
of the tl)( p.ld It aUowH,
Tnterllt It cnlrgld btglMlna with flr.t day of dl1Jnqulnoy or nlM (9) ItOnth, and onl (1) day frol the dlt, of
dl.th to the dlt. af PIYltnt. ra)(.. which blo." d,1Jnqulnt blfer, Jlnulrv 1, 1912 bllr Intllrut It tM rlt. of
,1M (6~) p.ro~t Plr annul ealoullt,d .t I dltlY rat. of .000164. All tIMI. which bla... dlllnqulnt on and If tar
Jenutrv 1, 1912 wtll bear Intlre.t ftt ft r,t. which will vary frol Q,l.ndlr ve.r to allendar y.ar ~Ith th.t r.t.
tnnounolCf bv the PA OIPartant of Rev.nut. Tht 'PfIUcablt Intlrut r.t.. for 1912 through 1995 Irl.
'!!!J: Intlrut Rltl O.lly Tnt.re.t FlOtor !!!r !.!l!.erut RUI 0111'1 Intere.t Factor
1912 20~ ,000S46 1911 9l ,000247
1965 1'~ .000456 1911-1991 III ,000501
19" Il~ ,000501 1992 9l ,000247
I9n 15~ ,00nS6 1195-1994 II ,000192
196' 10~ ,000274 1995 9l ,00014'/
....rnt.r..t I, alloulltad ,. foUowlI
INTEREST . BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINqUENT X DAILY INTEREST FACTOR
."Anv Hot lei 11.U.d .ft.r thl tlM beao.., 6tllnquent will rlfllct In Intlrl't calculatJon to flftaen (11) dlya
beyond the dati of th. .......tnt, tf ply.."t I, IIdt aU,er thl Intultt ClotlPUt,Uon dltt thewn on th.
Nutht, .dcUUontl Intertlt lU,t bt CIIClulltld.