HomeMy WebLinkAbout94-00626
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RECEIVED FROMI
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AMOUNT
IRWIN RO~ERa ESQ
60 W POMFRET Ell
I ('i I .3. 1 77 ./to
----
CARLISLE PA17013
SSN eoa"36~153ee
1M I) -
WARNER CLARA K
E OF PAYMENT
AR~ rupm 194
---
~:~:ND
REMARKS IRWIN, IRWIN &
r--
. m TOTAL AMOUNT PAID
. "'/1
RECEIVED ~';--I'--J
'3. 1 77 . eo
SG :J
MCKNIGHT,~TrYS
SEAL
CHECK II 8508
REGISTE~ OF WILLS
MARY C. LEWI
I'lEGISTER OF ILl.S
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REV-1547 EX AFP I08-94~ j
CDHItONIIEAUIl Of PENNSYlVANIA ACN 101
DEPARTItENT Of REVENUE NOTICE OF INHERITANCE TAK
BUREAU Of INDIVIDUAl lAKES APPRAISE"ENT, ALLOWANCE OR DISALLOWANCE
~~:~~~~;PA ~~~;;1 '._ IDl- ="=,;:"~~~:~:~~S~'~~~_'~~~::F~~~A~O ~~~~r~~~: 5,_~
DATE OF DEATH 07-05-94 COUNTY' CUMBERLAND _
NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUB"IT THE UPPER PORTION OF TtlIS FOR" WITH YOUR TAK
PAY"ENT TO TtlE REDISTER OF WILLS, "AKE CHECK PAYABLE TO "REGISTER OF WILLS, ADENT"
REMIT PAYMENT TO:
ROGER B IRWIN
IRWIN ETAL
60 W POMFRET ST
CARLISLE PA 17013
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
~nt ROftlttO:c:::j
~-~=~ ~
CUT ALONG THIS 'LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
R iV: iS47 - E iC" F ii- i 08:94 r - NOi'" icr.O' F - ytiH Eif if Ailcir i'"Ax - 'A-P'PRA"f SEiliNT ~ - -" [rciwAN-ci E - DR - - - - -- - - - - - - - - - --
DISAl.LOWANCE OF DEDUCTIONS ANIJ ASSESSMENT OF TAX
ESTATE OF WARNER CLARA K FILE NO. 21 94-0626 ACN 101 DATE 01-16-95
TAK RETURN WAS, (X J ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL
1. Rul Eltoto (Schodulo A I III
2. Stooka and Bondi (Schodulo BI 121
3. Clololy Hold Stook/Portnorlhlp Intorolt (Schodulo CI III
4, "ortgogoo/Notoa Rocolvoblo (Schodulo OJ (41
5, Coah/Bank Dopoaltl/"llo, Porlcnal Proporty (Schadulo EJ (51
6. Jointly Ownod Prcporty ISohadulo F) (6)
7. Tronlfora (Schodulo OJ (7)
8. Tctol Alaota
I CHANDED
.00
.00
.00
,00
68,031,48
.00
.00
(81
68,031,48
APPROVED DEDUCTIONS AND EXEMPTIONS:
12,291.08
9, Funoral E.ponlol/Adft, Coatl/"llc, E.ponaoa (Scharlulo H) (9)
10. Dobh/"ortgogo Lhbilltlu/Lhna (Schodulo II 1101 .00
11. Totol Doduotlcna Ill)
12. Not Voluo of Ta. Roturn (12)
13. Chorltablo/Dovarnftontol Boqualta (Sohodulo J) (131 _
14. Not Voluo of Elt.to Subjoct to TN' 114 I
NOTEI If an aosessment was issued previoully, lines 14, 15 and/or 16, 17 and 18 will
reflect figures that include the total of ~ returns as'essed to dati.
ASSESSMENT OF TAX:
IS. AMount of Llno 14 ot Spoul.l r.t. (151
16, AMount of Lln. 14 t..oblo .t Llnool/Cl.oa A rata (161
17, Aftount of Llno 14 t..oblo .t Coll.toraI/Cl.al B roto (171
18. Prlnclp.l To. Duo
TAX CREDITS I
PAY"ENT
DATE
10-0~-94
l?,Ql nR
55,740.40
.00
55,740,40
.00 K,03.
55,740,4~ K ,06.
.00K.15.
1181
.00
3,344.42
.00
3,344.42
RECEIPT
NUHBER
MM913042
DISCOUNT (' I
INTEREST (-I
167.22
A"OUNT PAID
3,177.20
J
TOTAL TAX CREDIT
.-- ------
BALANCE OF TAX DUE
------------"
INTEREST
TOTAL DUE
3,344.42
.00
,00
,00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN .1, NO PAY"ENT IS REqUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU "AY BE Due
A REFUND. SEE REVERSE SIDE OF TIllS FOR" FOR INSTRUCTIONS. I
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REIERYATJOth eat.t.. of deoeHnt' dVlng on or blfor. 010'''' 12, 1'It .. If anv future lnhrllt In thl utet. 11 trln.flrred
In po.....lon or .nJov.."t to el... a (ooll1ttraU bln,flahrl.. of thl dlCldtflt .ft,r thl IMP!r,Uan,of anv utlt, far
11'. or for v..rl, thl COIIOnw..lth htr.bv 'Mpr"llv ra..rv.. thl right to appr,I.. and ...... tran.t.r Inherltanc. TIM"
It thl Ilwful el,.. . (colllt,ral) rata on any .uch futur. lnt.r..t.
PURpose Of
HOTJCEI To fulflll thl "qulr..,ntl of hctlon 2140 of thl tnh.rltlnca and Eltat. TaM Act, Aot 22 of 1991. 12 P.S.
Sooll.. 2l~O,
PAVHEHTI DltKh thl top portion 0' thh N(.lUcI and sub.1t with your' PIY,.nt to thl Rlght,r of WUII prlntaa on thl river.. ,Ida.
"Hol,,'chlck or Ion" ordor .".bll lot REOISTER OF MILLS, AOENT
All PI,.."t, rlc.avld shill flrtt b, Ippl1td to any Int.r..t which .IY bt dye with any ru..lndtr applltd to thl t'M,
REFUND (CA)I A r.fund of . tlM or.dlt, which WI' not r,quelted on thl TIM Rtturn, "v bl r.quI.tld by oo.,II'ln; In "Appllcitlon
for R.fund of Plon,vlvlnl, Inhtrltanc, and E,t,t, TIM" (REV-13IS), Applloltlonl Ir. Ivalllbl. It thlOfflcl
of thl Rlal,ter of Wills, tny of thl 23 RIVlnUI Ol.trlot OffiCI., or by ollllng thl sPlcllt Z4"hour
Inl...rl"" IIrvlel nuIltltr. for for.. ord,rlngl In PIMlylvanlt 1-800-362-2050, outtldl Penn,vllIlI'dt and
within ID~.l H,rrhburg .r.. (717) 7&7'8094, TOOl (711) 17Z"U52 (lturlnA Jlpl.rld Onh),
blJECTlONSl Any p.rtv in lntlr.,t not ..thfl,d with thl IPprals..,nt, allowancl or dhlllow.ncl of d"duotlonl, or a......tnt
of t.. (Jnolu~lng dllcount or lnter..t) al Ihown on thl1 Notlc. IUlt obJ.ct within .IMty (601 day, of r,cllpt of
this Notlcl bVI
..wrltt.n prot,.t to the PA O,p.rt~.nt of Rev.nu., Board of ApPIII., DEPT, 281021, H.rrllburg, PA 11126-10ll, OR
.-.I.otlon to hlv, the .att.r det_r.ln.d at ludlt of the aocount 0' the p.rlon.1 r,pr..,ntatlv., OR
..app.al to the Orphan.. Court.
ADlIIN
ItT~ATlW
COlItlfCTlOHS.
Feotutl .rror, dllcoverld on thl, a......ent .hould b. Iddr....d In writing tOI PA O'Plrt-.nt of R'v,nu.,
lurllu n, Indlvldull Ta.lI, ATTNI POtt A.......nt R.vl.w Unlt, OEPT, 2110601, ttarrhburg, PA 17128-0601
Phon. (711) 7'7-6505. S.. pi" 3 of the bookl.t "Inttructlon. for Inhtrltanc. 11M R.turn for. Rllld.nt
Olc.dlnt" (REY-lS01) 'or an 'Mpl.natlon 0' .d.lnl.tratlvely corr.etlbln .rror..
DISCOUHT.
If any t,l dui i, plld within thr.. (5) cal.nd.r lonth. Ift.r thl dlcld.nt', dl.th, . 'Iv. p.rr.nt (SXJ dl.count of
the tlM plld II allowed.
IHIEREST'
Interllt II ohlrg.d blglnnln, wlth flr.t day of dlllnqulncy, or nlnl (9) 1I0nth. and Oil' (1) day 'rim thl dlt' 0'
d'lth, to the dltl 0' Ply..nt. TIM" whl~h b.o... dlllnqulnt blforl January 1, 1982 blar Intlr,.t at the rat. of
11M ('~1 parolnt p.r annul oalcul.tld .t n dally rete of .00016\. All taM" which b~O'11 d.llnqulnt on .nd Iftlr
Janulry 1, 19a2 will b..r Int.r..t at I ratl which wttl vary frnl c.l.ndlr v..r to cal'ndar yllr with that rat.
Innounold bv the PA OI~lrt'lnt of RIVlnul, Thl applioabl, Int.r..t rltl' for 1982 through 1995 arll
!i
'!'
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'!!!!: Interllt Altl Dilly Intlr.,t Flctor ~ Inter..t Rlt' Dilly Inter..t Factor
1912 20X .ooml 1911 9X .0002~1
I9n I6X .OO04!1 1911-1991 11% ,OOUOI
19I~ lIX ,OOO3Dl 1992 91. .0002~1
1915 llX ,000lS6 1993-1 99~ 11. .00019/
1916 lOX .0002/' 1995 91- ,OO02~1
--Intlrllt 1. ollcuAet,d a. followlI
INTEREBT . BALANCE OF TAX UNPAID X NU"BER OF DAYS OELINQUENT X DAILY INTEREST FACTOR
--Anv Notlel I..u.d I,t.r thl tlM b,ool" dlllnqu.nt will rlfllot en Int.rl.t elloulltlon to flft.'n (IS) dlV'
b.vond the dltl of th. ........nt. 11 pay..nt I. Ilde Iftlr the Interllt oOlputeUon dati .hcwn on the
Notlel, addltlonll tntlr..t au.t bl olloul.tld.
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PETITION J<'()J~ PIU>IIATE /lnd GRANT OJ<' LETTERS
21-94- ~~/.p
No,
To:
/;',11111" (!/, CLI\H/\. K. \'IJ\RNER
a/I/I kilo II'" al'
Ilc~islcr of Wllis for Ihc
, /).,,'('(/.1(''', ('011111)' of ClMBERI.J\ND III Ihc
Sorlal S"l'lIrlty No,.?03-36.,5382 ('OIllIllOllwcillth of I'clIlI,)'11'1I11111
Thl' I'clltloll of Ihc IIl1dl'I\lgIICd rC'ltrrlflllly IcprcwllI' Ihlll:
YOIII' pCllllollcr(\). who is/II fl' 1M )'l',II' of IIgl' 0' oldl'l IIl1lhc CXl'l'1I10r
IlIlhc 111\1 will of Ihl' ahOl'c dcr,'dclIl, dalcd Novonmr ~5
~0CKk
,p II1l111ed
, ,19,92_
('\llll' rl'1l'\'lIUI drl'Ullhlll1H\''I, ql, 1l'lHlI1dalluu. 1k'i1lh lIl' l'\l'l'lIhlf, CIl'.1
llerl'lIdclIl 1\'11' dOlllkikd III dClllh ill a.MIJERLlIND.. ' __ _ ('Ollllly, l'ellll'yll'lIl1ll1, wllh
her.., 11111 flllllllyor prllll'iplIl rClldl'IIl'c III BOIN. JIlIOOVERST.""ClI/lLTPT .r.,.J.>A ..,nnn,n_,
UQ1;\.I,JPRl'H MlDPLJ:.'rON'lOONSHIP, .. _" .. ,_ _00_,__ "n___..._..n___.'_____
(Ihl ,lrl'l'l, 111l11tlll'r lIlHlllllllldpalil,\')
IkcClldclIl, Ihell . ,85 _ _ _ ycar, of IIge, dkd July.05 __, n_ ,,19,9,4_._,
III,. .801N. Hl\l'K)VER 5'1'", ClIRLISLE, PA. NJRrlLMlDDImDN 'l'a'INSIJIP. ~--'
becpllll follow" drrcdclIl did 1I011ll1lrry, wal 1101 dll'orccd IIl1d did 110' hal'e II child horll or IIdopled
IIfler exerllllolllli' Ihc will ol'frrcd for proltillC; wa. 1I01Ih,' I'klllll of a killlll~ alld Will lIel'er IIdjlldlelllcd
IIIl'OIIlPl'ICIII: .'" '_'m'_'Hm",_n"_'~'"
IkrelldclIl al dl'lIlh oWlled propcrl)' wilh c"llllIaled l'ahlC\ ,II follow,:
(II' dOlllidled III l'iI.) All pCl.'ollal proprrlY
(If 1101 dOllllcikd IIII'll.) I'crlolllll propcrty III Pelllllyll'alllll
(11'1101 dOlllieikd ill I'a.) I'er,olllll Plopcrtyill ('OIlIlIY
""ll1e of Icall'Ilatc III I'CIIII'yll'lIl1ll1
slllUlICd ii' follow,: n ____, " ,,,___._
$ _~J.,9Qj),9JL ___
$_..__.,._____.___,
$ _nO_'n'_ :..___..n
$ _ _ ___..m.."......___.._.__
--.--.- -,._-.._.,-,-.---..._----~---_._. - .---<.---._. ..__._..__._~._---_._--"*..._----_.,---~.---,
WIIERIWORE, pClitloller(s) respcetflllly rcqllesl(s) thc probllle of Ihe IlIsl will IIl1d codiell(s)
prelclllcd hcrewllh IIl1d Ihe ~n1111 or ICIICl\,.,~st~,I)J;,a,ry_.___... .u'_.__.__.
lll',IUIJ1~'IlIlIl~'; lIdl1llnhlrillllll\ C,[,lI,: llllmlnl\IIOllitl/l d,b,Il.C.I,ll,)
IherOIl.
II ~,~m_
3 . 60, .WestPanfret . Street
fr~ .carlisle'nPA17013_
~ 0
11
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--.. --. ,-----,_._--_...._...-----.~----.__..._--~
OATH OF IJEJ{SONAL REPRESENTATIVE
COMMONWEALTlI OI' I'ENNSYLV ANI:\ I. ml
COUNTY OJo',ClMIlE!llJ.l!'lD.._ J .
Thc pl'lltiolll"(s) all(1\""lIall1ed lIIeal(',1 01 afllrll1(') Ihilllhe '1lIlCll1enll in thc rore~oill~ pelllloll nre
I rill' II lid ronccltolhe ltc, I or Ihl' kllowkdge al'd I",lid or pClilioller(s) lInd Ihalas pel'solllll represell'
IUlil'c(s) or Ihe allOI'C derc'delll pelilion"r!s) will W~ld Irnly lIdll1ll1islcr Ihe cSllllc necording loinII'.
S\\'(I('1I1O 01 nfllr.lllcd a."'1 Slllt'CrihCd~ (. If-,%,. '.-. '.(~)i -~-"-----"--. ,..,- ....
bl'i'ore 11ll' Ihi'(j] 15TH .. dll} or Rogcy;,,,J;r\'{..n.__,..._. _....___,."._ '~'
41u:~l~ilUd~k~,i~. O';'7rltJ )~.,~_.::..~:::=~:.:~:~.~==::-=~ ~
( MfjV C. LEWIS III'gil/'" '(/'0--- .."hn._ U. 2
/ If - ;.),) l( - ,;J.
"
No. 21 - 94 - 626
Estate of
C[IIRI\ K. WlIRNER
I Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW JU.!- Y 21. 19_~, In consideration of the petlllon on
the reverse side hereof, satisfactory proof hnving been presented before me,
IT IS DECREED that the InstrulIlent(s) dnled N:Jvcmber 5, 1992
described lhereln be admllll:d to probnte nud flied of record as lhe Insl will of Cl.lIRA K.. WARNER
and Lelters Testarrentary
nre hereby urnnled to Roger B. Irwin
7lfr; {) i2 ' (3 Lh- 9
( '<" Uut-o pu. .. m L.UO
. Roslll" of Will. tft
MARY C, LEWIS (j
FEES
Probnte, Leltcrs, Etc. ... . . . , ., $
Short Certiflcatcs(3 ) . . . . . . . . .. $
RCl\Ullclntlon .".,...,....." $
x-pages. $
JCP
TOTAL '-..:. $
Flied .." ~,~~ Y. ~.1. t. , ) .9.~4 , , , . . . . , , , . . . , .
115,00
9,00
RcQer B. Irwin 06282
ATTORNEY (Sup. CI. 1.0. No.)
60 W. PomfretSt., carlisle, P~170l3
ADDRESS
b.UU
5.eO
135.00
1717) 249-2353
PHONIJ
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Called attorney on 7-21-94.
WARNItW: II Ifj ILI.I:GAI. TO AI.Tl'1l HIIH ('Ill'\' Oil
TO [IlJl'IICATL II\' PIHHOSTAI (lit l'IIOJ()(irlAI'11.
COMMONWI'A,:rll Of f1fNNSVl.VANIA
OF.MIITMI'NT OF III:AI.1t1 VIrAl. III:COII09
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
CERT. NO, 2231985
..~~_(;f ~l.._/1 tj,q~1'-,
~ ~~.. ,u~ "I ~.,r..Il' Ill\llllll
Name of Decedent u__:_., --- ~ . {L~ ,{ IUeLtl1.L.__._ '----7f--m-.-'--~--
Sex +n,~__.~,soclal s~'~'urlty No, .465. .3L, .0j'k:~ ~uto of Doath':5._~'rf.<1..~q.!1.!i-~_
DateoIBlrth..J~jq}I-NPft", ~ Blrthplm:o IUntt.~'1 U(L,~ --.--,_-.----------.-~.-
Place of Death ___,_,(!...1"",A",~""", ~~!- ~/Jd j/fJr/.L"", ,~_~, II" . ~' /I '. __,~~l'.l)OD~lv~nL(!,
<, 0": ~~,
Race .~~ ,,~_ ,Ocouputlon -J./A (.UUu.~ Arll10d Forcos? (Yes or No) .Iu..--..--~-----.-
, Docodont's ." j. ,11 'J /J
Marital Status ~af'-d Mailing Addross ~'l;L,1J.!J){ ':Pu...rv:;)!(.U.'ilL1. d{t{~r:jtL-!J(}'J~,
Inlormant __~~u!Jld~4fi'i<J..). ..~... . Funoral [)lrochH. (!.eyJi..I4.-td4-'~~~~_.d"~".~'_.'----
~~~e~a~n:S~~11~~~~~t .. f!.. j~ iL/<J 't:t.4f- ~u.llw.l1J'n~/~J1l'- 'ijl.d"'.J,>4I'I)L.u."._,___._~.
--l[ : I nlerval Between
Part I: Immediate Couse : Onset and Death
i!.JLu' 1 't.' .... :
(a) ___ ku..Jl~-'-d (LLU11~_ _ ..m____'_~d~d~,," --~--,~-----------
,
(h) _._._____~._~__~_,_,_.._~"'_,~_._.~_~_ "~_.-.-_,, '. ,..,.-__._______~__~____: ,-~-~,--.
1
I
I
__.___._._.,.____..__ .__..___....__. ....._ ... ,.--..-.-----.-......----.-1----
,
,
1
.___._..,~_______..___._..______._..____~_____._1_
(c)__
(d)
Part.ll: Other Slgnlfloant Conditions
..,__.__.__.____u_.... ..._._.,..,_____.._..__.___._____._____
Manner of Death:
Natural 0
Aocldent 0
Suicide 0
Doscrlbo how Injury ooourred:
Homicide
Pending Investigation
Could not be Dotorrnlnod
[]
[]
[]
/1" ,
Name and Title of Certlflor,Ii.LJ14'y~I~ fK..1J,',_...-~,,,_..~~_,____._..,,~___..___,__,_~__"__.-
Address _~______,~__. ___'Vi./!;LW~.i: ,/ld.t., .(J,L IJt.}1C?~___~ ,~..~___~___~~~_~~~~~:r~"er , ~~~~
This Is to cortlfy that tho Informotlon 11Oro [Jlvon IS corroctly oopled lrom an original cortlflcato 01
death duly flied wllh 010 as Locol HO[Jlslrnr. Tho orl[/Inol cortlfloate Villi bo forwarded to the State
Vital Records Office for pormanont IlIln[/,
_2 / ~ (q~t-~u-- .., .
1l~1..~eht~hfL"'''!f1'I'I'III'U
.)
,,,,< Vi." tl 1!€ 6
-1-"'" a.l.-L . lU.k,,__(L!:J'I.f.__._~___.
,//II;'fjj;;=''':i':''''''"/~n(&fl.J, ""'P?i~ a
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if ' 11<.,-\; ~
ACKNOWLEDGEMENT ~ AFFIDAVI1
WE, CLARA K. WARNER, BETZI A. MORRISON and KATHLEEN
M. KENNEY, the testatrix and witnesses respectively, whose
names are signed to the foregoing instrument, being first duly
sworn, do hereby declare to the undersigned authority that the
testatrix signed and executed the instrument as her Last Will and
that she had signed willingly, and that she executed it as her
free and voluntary act for the purpose herein expressed, and that
each of the witnesses, In the presence and hearing of the
testatrix, signed the Will as a witness and that to the best of
their knowledge the testatrix was, at that time, eighteen years
of age or older, of sound mind and under no constraint or undue
influence.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
5S:
Subscribed, sworn to and acknowledged before me by
CLARA K. WARNER, testatrix, and subscribed and sworn to before
me by BETZl A. MORRISON and KATHLEEN M. KENNEY, witnesses,
this
, ~
~
day of November, 1992.
('7/Lo _ '1, ~t,-
tJ..~.1
F\oalIr B, Irwin, Notll1Y NlIc
Ca~~ lloto. Currl1ef\QrO Counly
My COn1lnla9lon E.piros Dr.\. 3, 19!16
rlw, ptnNytvii.. 0 t;l
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Estate of:
Date of Death:
County:
INVENTORY
CLARA K I/ARNER
July 5, 1994
ClJMBERI.AND
,,"
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Cash:
..~................................._..................................
, , .
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'':':':'::-., ..... :..... .-. ~....:t!- -1:., -" - '.. r-....:......_-,,.. ~...... 1-"'..."\r~I,~..,lt-"
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'. ,- H_"_~'"" _. '" ') . ",
',.'1 ':')',I!t")"-~i "it'" -H';;, C',', '
1 CORESTATES HAMILTON BANK . ACCT 31358256 OPENED IN
THE DECEDENT' S NAME ALONE DATE OF DEATH BALANCE
2 CORESTATE HAMILTON BANK ACCT 6239072 OPENED IN THE
DECEDENT'S NAME ALONE, DATE OF DEATH BALANCE
3 ' CORESTATES HAMILTON BANK . ACar 1523645 OPENED IN
THE DECEDENT' S NAME ALONE, DATE OF DEATH BALANCE
4. CASH ON HAND AS OF DATE OF DEATH
5 CHIlRCH OF GOD HOME PATI~ REFUND
6 FORETHOUGHT LIFE INSURANCE CO CONTRACT # 0001888990
PREPAID FUNERAL POLICY
Subtotal
",
Total Inventory
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~o,629.82
22,000.00
19,796.74
75,68
294.74
5,234.50
..................
68,031.48
68,031.48
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REV. 1100 EX o(l1-Vl)
. CO~.~m:tMNWIf %!%ll,\~ANIA
HARRlSR5~t,V~~ha ,0601
I
SOCIAL SECURITYNUMBEA
203.36 - 5382
~ X 1. o'lIglool Aelum
~ I ~ 0 4. LIrrJ1,d E.,ale
~ l ~ []:I 6, Deoed,nl Died To Sial'
~ (Atlach copy of Will)
~OR OATESO' OEATHA'TER I!lll/IICHECK HERF.
FASPOUSAl 0
OVERTYCREOIT IS CLAIMED '
FILE NUMBER
21-94-626
YEAR
DATE OF BIRTH
1.2/27/1906 Coun
Supplemental Aelum
801 NORTH HANOVER STREr~
CARI.ISI.E, I'A 17013
CUMIlERLAND
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS COUNTY CODE
DECEDENT'S NAME (lAST, FlnST ,AtlO MtDOlE INITIAll DECEDCNT'S COI.4PI.F.TE ADDRESS
IIARNER CLARA K
NU~BER
05.
3, AelT\lilnda, Aelu,n
(to, dales 01 de.th prior 10 12-13-821
F.d.,,1 E.I4I. TIX
A.lu", A.qull8d
6, Tot.1 Numbor 01 S,le D.posh Bo,es
D 4.. FulUla Inler.sl Compromisu
(tor d,tes of dealh .her 12,12-82)
o 7. Docedenl Malnl.ln.d. Living Tru'l
IAttach. copy of Tru,11
~
C
~
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CO~PLETE ~AJLINO ADDRESS
(1)
(2)
(3)
(4)
(5)
IRIIIN, MCKNIGHT & HUGHES
60 IIEST POMFRET STREET
CARLISLE PA 17013
None
None
None
None
68 ,031. 48
C P ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO,
NA~E
ROGER B. IRIIIN
, ~ TELEPHONE NU~BER
~ 717-2/,9.2353
1. Roal E.lale(Sch.dule A)
2. Slock. and Sand. (Schedule S)
3. Closely Held Slock/Partnershlp Inlero.t (Schedule C)
4, Mortgages .nd Noto, AacelvablelSchedula D)
5. Ca,h, Sank D.posh' & Mi"ell"18ou, Personal Property
(Scltodul6 E)
6. Jointly Owned Property (Schedule F)
7, T,en,fe" (Sch.dulo G) (Schedule L)
8. Total Gro" A"el' (tolalline, 1.7)
B. Funeral E'penses. Adminl.lraU,e COSl', Miscellaneous
E'pen,e, (Schodulo H)
10. Dobts. Mortgago Liabilllio" Lien, (Sch.dul. II
11, TOlal Deducl;on, (Iolalllno, 9 & 10)
12, Nel Valu. 01 E,lalo Oino 8 minu, IIno 11)
13. Cha,ilablo and GovammenlalSoque.t, ISchedulo J)
14. Nol V.lue Subjoct 10 Ta, (line 12 minu, lino 13)
15, Amounl 01 line 14 la,ablo a16'1o rale
IInclud. valuo, from Schodulo K 0' Schedul. M,)
Ie. Amounl ollin. 14 'a,ablo a115'1o 'ale
IInclude valuas f'~m Sch.dulo K 0' Sch.dulo M)
17, P'lncipalla' duo (Add la' from lin. 15 and from line 16.)
18, C,odilS/Sp Povony P,lor Paym.nlS Dlscounl Inlo,o,t
0.00. 0.00 + 167.22 0.00
19, II line 18 i, groatorlh.n lino 17. enlorlho dlherence on line 19, Thl, Is tho OVERPAYMENT.
[IJ 0 ICh.ck h." II you "" "quilting. "fund of your ov.rPlym.nl.1
20. II line 171, groalor Ih.n line 18, enle, Iho d,horenco on lino 20 Thi' I' 1he TAX DUE,
A. Enlo} Ihe inlore'l on Ih. balanco dUB on line 20A,
B. Enler Ihelolal of Iino 20 and 20A on lin. 20S Thl, I' Ih. BALANCE DUE.
M.ko Ch.ck PI able I., R.glsl.r 01 Will.. Agonl
~ .. BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH <Ii <lI
Undlf ptrv.JUu of po/IUry, I dect",o lhlll ha~e examIned lhtl 'lIIUln, Including Iccomplnylng lChtdulo, and Illltlmenls,.nd 10 the bell of my knowltdge .nd blU.I, II II llue,
coulcllnd complete d"cll,elhllll1,uleslllt has beentlporl.d 111'uo IN/kilt value. OI<:II.I.Uoo 01 plfp.llt' other thin lho pel!lOnal ,.present.lIvelll biNd on .U Infofmll!onof
which prlp'r., hlllll)' knowledgo,
SlaNATURE OF PERSON RE'PONSIBLE FOR FILINa RE1UR~ ADDRESS
(e)
(7)
None
None
(e)
(B)
12 ,291. 08
(10)
None
(15)
(11)
(12)
(13)
(14)-
x ,05 =
55 ,740,40
(Ie)
0.00 X,15=
(17)
(18)
(IB)
(20)
( 20A)
( 20B)
L it....
.ROGER. R.. IRWIN.............. __ __..._.. __.. ___ ___.
60 liESI' POMFRET STREET
CiiRLiiiLE: .'pi>:. .ijoY:i.'....... -.. ...,.. - _..-......
:)
ER DWER TH~N REPRESENT AliVE ADDRESS
IRIIIN, MCKNIGHT & HUGHES
(,ci .WEST' PCiMFRE'I;' STREET" -......,..... -. -.......
CARli S'I:E ','"Pil"'i joY:i......., ........... -,..,..,..
, le<:eSoflw"',lnc
68 , 031. 48
12 ,291. 08
55,740.40
NonB
55,740.40
3,344.42
0.00
3,3/14.42
167,22
0,00
3,177.20
0.00
3 ,177 . 20
DATE
10-05-94
DATE
10-05-94
FOfm 1500 (ROY, 11,111
REV, 1101 EX + (HII
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
PIe.se Print or T .
fiLE NUMBER
21.94.626
COMmm~o/~MhYANIA
ISTATII Of
CLARA K WARNER SS# 203-36-5382 07/05/1994
Inll -own.d with RI hI 01 Survlvoflhl mu.l be die cloud on Sch.dul. F)
DESCRIPTION
VALUE AT DATE
OF DEATH
20,629,82
CORESTATES HAMILTON BANK .
ACCT 31358256 OPENED IN THE
DECEDENT'S NAME ALONE DATE
OF DEATH BALANCE
2
CORESTATE HAMILTON BANK ACCT
6239072 OPENF~ IN THE
DECEDENT'S NAME ALONE. DATE
OF DEATH BALANCE
22,000.00
3
CORESTATES HAMILTON BANK -
ACCT 1523645 OPENED IN THE
DECEDENT'S NAME ALONE, DATE
OF DEATH BALANCE
19,796.74
4
CASH ON HAND AS OF DATE OF
DEATH
75.68
5
CHURCH OF GOD HOME PATIENT
REFUND
294.74
6
FORETHOUGHT LIFE INSURANCE
CO CONTRACT # 0001888990
PREPAID FUNERAL POLICY
5,234,50
,
"
TOTAL (Also .nlll on line 5. R.c. hulallonl
(At1ach .ddhlonal8 1/2' x 11'ehe.1I W mortlp.ca II nlldad.)
Copyl19hl (e) ,n, 101m 1011",,," only Coni" PIoco SOn",,", I""
. 68 031. 48
p"",, 1100 ..hId..I(...., 1017)
.'1",'11
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