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" " " "",!:, '" I,' , , ,I,'",: 1'/' JJ)~ '( INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS COUNTY CODE DECEDENT'S NAMEILAST, FIRST,AND MIDDLE INITIALI DECEDENT'S COMPLETE ADDRESS WAGNER J. W 210 BIG SPRING ROAD NEWVILLE, PA 17241 REV. IWl.EK . (11.ill cOM~e~mW\\'lIlFl\!Wl)'&~ANIA HARRISH6~t,~\28'0601 I SOCIAL SECURlry NUMBER 171..20.6634 ! X 1. Original Return ~ i ~ 0 4, Lll'J'ited ESlale ~ 1 ~ []] 8. Decodent Died Testale l (Anach copy of Willi ~ ~, ~'~ (. . . . . ."... "" ~ "> .' ~QnD~SOPDEATHAl'TE~l~ . i. lO~EQ.~.HEfia. ;;.; I PASf IUS IL " . -' ,'..', ,-C" ~ ave C~I!DIT hlCL~l.4eD.." . ~"'I:;,:I~:,,;l;;'! J .,,~,~,:;~ ~'l FILE NUMBER 21-94-653 CUMBERLAND 03, o 8. YEAR NUMBER Romalndor Return (for dates 01 dealh prior to 12-13-82) Federal Eslale Tax Raturn Required 8. Total Number of Safe Deposit Boxe. o 41. Fulure Inlerest Compromise Ifor dale. 01 dealh aher 12-12.82) o 7. Decedenl Malnlalned a Living Trust (Allach 8 copy 01 Trust) DAVID P WAGNER iiii' cifEEff 'HiLi: 'Roi;ti. - - - - - - - - - -.............,. - -- NElivii:LE~' -Pi.' - -i-;2i;i.............. - - -, - - - - -....... ADDRESS ROGER B IRWIN IRWIN, McKNIGHT, & HUGHES 6(j 'WEST - POMFRET - STREET - -.. - - - - - -., -.......,..-- c;"':Ri.is'LE',' 'Pi.' , .i-;iJi":i'.,..._..... -. - - - - -.. - -- -.... ~ i p I T U ! N ~ C o ~ f N SIGNATURE OF PERSON RESPONSIBLE FOR FiLl NO RETURN ADDRESS ,.. D.,"",^~/ ,L lJc,-~. Lj SIGNATURE OF PREPARER OTHER ltlAN REP SENT AliVE (7{~ -3 1 C:e~......... C P AU;CORRBSPONDBNCBAND CONFICBNTIAL TAX INFORMATION SHOULD BE DIRECTED TOl o 0 NAM. ~ ~ ROGER B. IRWIN ~ N TELEPHONE NUMBER T 717-249-2353 1. Real Eslate (Schedulo AI 2. Slocks and Bonds (Schedule B) 3. CIoS8~ Hold SlocklPMnershlp Inl"esl (Schedule C) 4, Mortgage. and Notes Receivable (Schedule 01 8. Cesh, Bank Doposil. & Miscella"eous Persunal Property (Schedula E) 8. Jolnl~ Owned Property (Schedule F) 7. Translers (Schedulo GI (Schodule L) a, Total Gross Asset. (tolallino. 1-7) 9. Funeral Expens.., Admlni'lrative Cost.. Mi.cellanoous Expen.es (Schedulo HI 10. Debl.. Mortgage Liabilities, liens (Schedule!) 11. TOlal Deduction. (tolalline. 9 & 10) 12. Net Value of E.laloOino 8 mlnu. line 11) 13. Charllable and Governmental Boque." (Schedule J) 14, Net Velue Sub ectlo Tax (line 12 mlnu. line 131 16. Al1'Qunl 01 line 14 taxable at 6% rale (tnclude value. trum Schedule K or Schedulo M.) 16. Al1'Qunt of line 14 taxable at 15% ralo Onclude valuo. trom Schedulo K or Schodule M.) 17. Principal tax due (Add lax from line 15 and trom line 16.1 18. Credll./Sp Poverty Prior Payment. DI.count o . 00 . 0 . 00 . 0 . 00 19. II line 181. grealer lhan line 17, enler Ihe dlUerence on line 19. Thl. I. the OVERPAYMENT, ~ 0 IChlCk IMrllT you III IIquuI!M.a rlfund 01 your OVIIPIYlMnl.1 20. II line 171. grealer than IIno 18, enter the diUero"ce on line 20. Thl.ls Ihe TAX DUe, A. Enler lhe Inle,e.t on Ihe balenc. due on line 20A. B, Enlor the tOlal of line 20 and 20A on Iln. 20B. Thl. I. Ihe BALANCE DUE, Mlkl Check PI Ible tOI R Iller of Willi, Agent ':... <' ,,\., , 1>;1> BESURETOANSWER ALL QUESTIClNS ON PAOUAND TO RECHECK MATH '<4 <4.... , ;", ,'.. ;,..1',:: Unci" pef'll,llIlI 01 pe'IUry" decl.,elh.t I hive t1ll1mlned this lolu,n, Including accompanying schKlules and sl.lomenl., Ind 10 the best of rrrt knowledgllloo bellet. II I. u~ correct.nd :omplijll. docl.r'lh,t .11 1111 esllle has been repolled 111100 "",tkol v"uo, Doclar.Uonol pr'p'f" olh., thin the petlonal rep,n,nIlU\lol. b.Hd on.lllnforlTllllonot which pr'plrer hll'ny knowledge. COP'lrI9ht(c) 1 for IOliw.re only Conltr Piece Soltw"t.lnc:, COMPLETE MAILING ADDRESS (I) (2) (3) (4) (5) IRWIN, McKNIG~r, & HUGHES 60 WEST POMFRET STREET CARLISLE, PA 17013 None 73 ,351. 6-i None None 27,639.64 (8) (7) None None (a) (9) 17,083.00 (10) None (16) (11) (12) (13) (14) x .08: 83,908.25 (18) 0.00 X.15: (17)_ Inlere.1 0.00 (16) (19) (20) ( 20A) ( 20B) 'i'" I' :1: ! 100 ,991. 25 17,083.00 83,908.25 None 83,908.25 5,034.50 0.00 5,034.50 0.00 0.00 5,034.50 0.00 5,034.50 DATE /~'ol) - "I~ DATE 0, 07. c; Y Fo,mlm'iRov.ll-.'1 t/ / .;." .::(J,:) '-7 ~~:~;~~~\'~~~E~~~~Yl~I:~:94W NOTICE OF INHERITANCE TAM 1ACN 101 IUREAU OF IHDIYIOUAl TAXES . APPRAISEHENT, ALLOHA.HCE OR DISALLOWANCE ~~:~iS:~::~lpA !mHOOI . OF DEOUCTIONS AND ASSESSHENT OF TAM DATE 02-21-95 ESTATE OF-WAGNER' =~= - -'~~~FXLE NO: - 2t 94-GtIS';- DAT! OF DEATH 04-28-94 COUNTY CUMBERLAND NOTE. TO INSURE PROPER CREDIT TO YOUN ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAM PAYHENT TO THE REGISTER OF WILLS, HAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT" REMIT PAYMENT TOI ROGER B IRW~N 60 W POMFRET ST CARLISLE PA 17013 - REGISTER OF WILLS CUM8ERLAND CO COURT HOUSE CARLISLE, PA 17013 [ A.ount RI"~ CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ... iii V: iS47 - iif" Ai: ii' m-: 94 Y - NOi'" f c i" -6 F - "iNHiiif f ANC E - i'" AX' AP PRAf siif EN'f, - -A LrOWAifcE - 'OR" - - - - - - -- - -.. - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF WAGNER J W FILE NO. 21 94-0653 ACN 101 DATE 02-21-95 If an asseesment was issued previously, lines 14. 15 and/Dr 1&, 17 and lS will reflect figures that inolude the total of ~ returns aSlelled to date. ASSESSMENT OF TAXI 15, A.ount of Llnl 14 It Spoulll r.t. 115) 16. A.ount of Llnl 14 t...bl. .t Llnl.l/Cl.sl A r.t. (16) 17, A.ount of Llno 14 t...bll .t Coll.tlr.l/Cl.11 e rill (171 Ie. Prlnolp.l TI. OUI TAM RETURN WAS, (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL 1. Rill Eltoh ISoh.duh A) (1) 2, Stookl .nd Bondi (Sohldull B) 12) 3, ClololY Hold Stook/p.dnlrlhlp Inhrut ISoh.dul. C) (3) 4, Hortg,.,"/Notll Rlo.lv.bll (Sohldull D) 14) 5. C.sh/B.nk DlPOlltl/Hllo. Plrlonll Proplrty ISoh.dull E) (5) 6, Jointly Dwnld Property (Sohlduh Fl 16) 7. Tr.nlflrs ISonldul. G) (7) 8, Tohl Alllts APPROVED DEDUCTIONS AND EXEMPTIONS I 9, Funlr.l E,pln.u/A~... COlts/Hho. E.p.nlll ISoh.dull H) 19) 10. Olbts/Hod.lgl LlIblllUu/Lhnl ISohldul. I) (10) 11, Tot.l Dldu.tlonl 12. Nit VIlul of T.. Rlturn 13, Cherlhbh/Govlrn.lnhl Blquuts (SOhldull J) 14. Nit VIlul of Elt.t. Subjlot to TI' NOTEI TAX CREDITS I PAYHENT DATE 12-07-94 RECEIPT NUHBER MM913,61 DISCOUNT (+) INTEREST (-) ,00 l I I CHANGED . ,00 73,351& ,00 .00 27. 639.64 .00 .00 (8) 100,991,25 17,083,00 ,00 Ill) (12) (13) (14) 17.083.0D.. 8~,908.25 ,UO 83,908.25 ,00 X .00. 83,908.25 X ,06. ,00 X .15. (18) .00 5,0~4,50 .00 5,034.50 AHDUNT PAID 5,034,50 TOTAL TAX CREDIT" BALANCE OF TAX DUE INTEREST TOTAL DUE 5,034.50 .00 .OOJ .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF rOTAL DUE IS LESS THAN 11, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,) ~? t9. :n :JJ (U (I) n (; (:--1 ,.~ \1> - i-' ,," S.r~ ,0 " iI I , , .. , W I , " . ': ,- or:1 b: C' ')' l:-> (Il ~J.. "1'J L. .. - ):> ;:> - RESERVATION I Eltat.. of decldlnts dYing on or blfor. Ouub., 12, 1962 ~- If MV future lntlrll' In thll lltet. Is transflrr.d In flo.....lon or enJoy..nt to Cia.. 8 (oollat.ral) bln.flclarl.. of tht dlc,dlnt after the QlCplratlon of any ..tat. for 11'_ or for Ylar., the Co~.onw.alth hereby Ixpr..,IY r...rvI' thl right to apprals. and a..... tranl'.r InherJtano' TalC" at the 10wful cta.. ft (0011ahr81> ,at_ on liMY luch future lnttrut. PURPOSE OF NOTICE I To fulfill tht r.qulr...nU of Soot Ion 2140 of thl InhtrltanQI and [ltah TIIC Aot, Aell lZ of 1991. 7Z P.S. Slotlon 2140. PAVHEHT, O.taeh thl top portion of thl. Hotlcl and ~ub.lt with your payftlnt to tht Rlgl,',r of Will, printed on thl r.v.r'l .tdl, ..Hakl chick or 1lI0nlV ord., pavabll tOI REOISTER OF HILLS, AGENT All PlvllI.nt. r,cllvld .hall flr.t bl appllld to anv Interest which ~av ~. dUI with anv r..alndlr applied to the taM, REFUND (CR)I A r.fund of It talC oredlt, which WII not rlqulltld on thl TII( Return, .hlY bl r.qullted bv co_pl.tlng an "Application for Rlfund of Plnn.vlvanl. Inh.rltancl llnd [.tat. T81<" (REV-1313). Application. or. avallabll at the OffiCI of thl Rlut.t.r of Will', anv of thl 23 RIVlnuo ol.trlct OffiCI., or bv calling the ,plolal Z4-hour an,wlrlng ..rvlcl nueb.r. for fore, ordlrlngl In P.nn.vlvanla 1-800-36Z-Z0S0, out.ld~ p.nn'vlvanle and wlthJn local Harrhburg artl <717\ 787-80941 TOO' 17171 112-ZZS2 Olearlng I.palred OnlY). OBJECTIONSI Anv partv In lntlr..t not .atl,fl.d with thl appral'.llIlnt, allowancl or dl.allowanol of dlductlon., or ........nt of talC (Inoludlng dhcount or IntullItl at Ihown on thit Notlcl IlIUlt obj.ct within ,lxtv (60) daVI of rec.lpt of thit Notlc. bVI -.wrIU.n prohlt to the PI DflPllrt.lnt of R.v.r~u., BOl'lrd of APPIlllll DIPt. 2810Z1, flnrrllburOI PA 17128.1021, OR ....l.ctlon to hay. th, Ilatt.r d.tullln.d at audit of thl Mcount of thl p.rsontll r4lprlllntatlv., OR ..applal to th. Orphan.. Court. ADHIH ISTRATlVE CORRECTIONS, Factual Irror. dl.cov.r.d on thl. a.......nt .hculd bl addr....d In writing tOI PA n.part.lnt of A.v.nu., Burtlu of Individual TalCII, ATTNI po.t A....u.nt R.vIQW Unit, nlpt. 280601, IlarrhburOI PI. 17128"0601 Phon. (717) 787.6505. S.. page 3 of th. bookllt "In.tructlon. for Inhlrltanc. hI< Rlturn for a Ruld.nt OIOldent" (REY.ISO\) for an Il<planatlon of adllllnl.tratlvllv corr.ctabl. .rror.. DISCOUNT I If anv hI< dUI 11 pald wlthln thrll (3) calondar 1lI0nth. f1ftor thl dlclldlnt" duth, It fl'JIt Plrll.nt (SiD d1tcount Qf thl lal< paid 1. allowld. INTEREST, Inter..t 11 charg.d blglnnlng with flr.t dav of d.llnqulncy, or nino (9) ..onth. nnd ani (11 day frolll thl dati of dlath, to the dati of pavlllnt. Tal<l. which b.ealll' dlllnqulnt t..fore Januarv I, 1982 bur Intu...t at th. rnt. of .11( (6%) perclnt per annulll oalculatld lit a dallv rat. uf .000164. All tal<" whlc:h bloau d.llnqu.nt on and "ft" January 1, 19U will bllar Int"lIt at a rat. which 101111 varv frolll cahndnr ynr to calendar y8ftr with that rat. announced by thl PI. OIPart...nt of R.vlnul. {h. applloabh lnt"..t ratu for 1982 through 1995 arll '!!!! Intlrut Ratl Dallv Intorut faclor ~ Inter..t Rftt. Dally Intlr..t Factor 1982 20Y. ,00054& 1987 9Y. .000241 1983 16Y. .000438 19&8"1991 llY. .000301 1984 11% .000301 1992 9% ,000241 1983 13% .000336 1993-1994 1% .000192 1986 10Y. ,000274 199!i 9% .000247 .-Int.r..t I. calculatld n. followtl INTEREST . BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR -.Anv Hotlcl I..uld aft.r thl tal< b.cae.. d.llnquent will rafllct nn Intlr..t caloulatlon to flftl,n (15) day. blvond th. dato of the lu....lIlllnt. If paVlllnl I. ""dt' aHar th. Inter..t cOrlputetlon date .hown on the Notle., additional Int.rl.t ..u,t bl calculat.d. PETITION fo'OI( I)IWIIATE "lid GRANT OF LETTEI(S ~$3 No. To: 21-94 IMal1' (~f', J. WILBUR Wl\GNER also kllllll'll as. . , 1)('('('(/\'('(1. Sodal S....III;I.I' No, 171-28-6634 Regisll'r or Will, for lhl' ('oUIII>, 01 CLMBERIJIND ".. III Ihe ('ommollll'ellhh (of 1'I'III1'>,ll'alllll The pelllll\1I0r Ihe IIIHII'r,lglled 1I"l'eCllulll' 11'111'1"1'1111 Ihlll: Your pl'lllloller(s), II'ho islHll' IX yeHl' or uge or oldcl IIl1lhl'C.\I'I'1I1 ,II11111Cd IlIlhe 111'111'11101' Ihe ahol'c del'l'dl'lIl, duled , 19, ~,Mary E. .Wagoorranouncos,in favor of O,;wid P. Wagner, a.... l1al1'OO executor in tho Last Will and 'l'ostam:mt of .1. WILBUR WAGNER .,. (\tall' rd\'\i1HIl'iII'I!llhlilll\":", l"f', Il'lllll1dllillll. Ill'illh lIt 1'\I'l'IIIOI, l'll',) l>el'I'IHlelllll'lI' domidil'd III dl'ulh III ClJ.11lElU.J\ND ('011111>,,1'1'1111'>,11'1111111, II'llh h,1s, , lu,1 IUlllily or I'rillcipul Il'IIdl'IICC ul SWAIN lIEAI1111 Cl\RE CENl'ER, ..210 Big.Sprirl:l ~ad,tt)\'IVil1l;l, Pennsy1vimiA 17241, W:lst PolU1soorough . ,.,.. ., _u..' 111,1 ,U('('I, Illllll11t'l dlld 1tIIIIll'ip"litq llecelldelll,lllI'lI. 86 )''l'Ul1 01 Ulil', di,'d lIpril 28 ,19.94.__..,' ill,...SWAINIlEALTlI CARE CENl'ER, Newville, Pennsylvania 17241 u.. ....-.,' beepl u' 1'011011'1, decl'delll did 1I01lllUrI y, WUI 1101 dll'olced ulld did 1101 hlll'e II child horn or IIdoplCd uftCI e\ecUliollor Ihe IIllIollell'd 1'01 prohule; WUI tHlllhe I'klilllOr U kllllllg IIl1d 11'11' 111'1'1'1' udJlldlcllted illcompelelll: u_ ,.,----. Ilecelldelll ul deulh O\l'lIed propellY lI'ilh e,lllIIul,'d I'uhll" UI 1011011': (If domiciled ill I'll.) ,\11 pl'rlolllll properlY (II' nol dnlllldlcd In I'a.) l'erlOllal propellY III l'ellll'yll'lIl1ln (If 1101 domiciled ill I'll.) l'erlOllul propellY III ('Ollllly Ylllue 01 reul 1"11111' III I'elllllyll'ulllu shuuled II' 1011011'1: ... _ .' _._...__._.... ._..., . m . ..,_._..., .muu.mm._.__...._......u__..__.'. $ ._21l.,OOO.OO._._u. $ _..'__m "'_.."...._._._.. $ __._....",,__. m.._'____,.. $.. ..........m.._.'_._.._, WIIERI:.HlIW, pellliouer(,) re'peelfully requcst(s) lilt' ,'rnhn'n or Ihe III,t lI'ill IIl1d eodlcll(s) presellled hercwllh IIllcllhe gl'lllll or leller'...nn;STAM~:NTARY.. _.,......_.__...___ (tC'illll1l~'lllury; 1It11llInl'ilraliolll.'.I,Il,; Udllllul'ilflllltJll d,h.lI.l',I.n,) I hel'lln , '7 n 5 u- ~~ ~~l~~. ~,' H~4~~,re~nWiJll'Road .. "';l. Ti~ ,~wvil1e,.PA.1724L ~ 0 7' I ;; . ....,7""... 3'1-7... . " ", in , , , ___. _...._..._ __ nn'____._+_, _,.______._____. . _.-...... ......-------.. ---+--.--.--.--,.------- - ,.'____ _. __ "._______.___0.... _ ._._,.. ..,.__._...._.. ___._.._,_ OATH 01,' PEHSONAL I(lWlmSENTATIVE (;OMMONWEALTlI OF "ENNS\'LVANIA I. Hfl COUNTY OF __W1BERIl\ND.n I TIll' pelillolll'r(,1) Illltll'e'Ill11111'd ,wear(') 01 Hffill1l(s) Ihullhe '11111'1111'111' III the foregoing pelltloll ilre 11111' ulld eon.....1 10 Ihl' hI's! ollhe ,"owlrclgl' IIl1d hellelll!' PI'lllioller!>) IIlld Ihul il,l persollul rcpre~ell' lulll'e(,) or Ihe IIhol'l' del'e,klll pellliollel(,1 will wi'll Hud IIIII\, IIdl1linlsler Ihe eslille uecllrding loluw. SWlItll .Ill lit ..illllltlled illld. ".uh"'lihed +-' 1.):O~~;.p.... P.LAL:V.<>--.'n. tI> hefore 1111' Ih\l. fu 25TH c1ilY Ill'. Pcwict 1'. W~CJno; .1' '. .~. J!f{l'l)1' (t~JLt~"ll.vO?J1.{ 'b~f\?Ju . .. . Hn n ~ hW)I C. LEWIS /leg/I/"! C)' , ." 2 I ~I - ()J 5 ~ '7 ' " 1'1 ,I' , ,COMMONWEALTH OF PENNSYLVANIA I I I SS COUNTY 'OF CUMBERLAND On this, the :1C} h day of \\ V-W h , 1992. before me, the undersigned officer, personally eppeared Mery Eo Wagner, known to ma (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged thst he executed the same for the purposes therein contained. IN WITNESS WHEI\EOF, I hereunto set my hand end official seal, NoIatlaJ Seal S1~~.No!atYPtbiic . t.1Y~M1IisIori~~ 1'\ ' (....- I ", ,'. ~' ,.\ 1",,\(\ \ '~ ( ,) '( ( \ l'No' ary Public " ,. "j, I. ,,' 1;1 ,. :' " Ii j. " ,I . (,," , ,. '()t"'\ 11(" ),~ -1.(1' .', i' .. , . ", \P '/ " , I,t " , " ;", . , If'..r L:.cl r~ D1 " .. ,1 " ,;,; I' " , '. ? I..; "I l;.' l~ -I "', 1'1' " " , , " " , .' "tl\.. ).)1 ;\- 'j' , II' ,. I.', " ,. ,', " ., ,I>' I' :'11 '. ,I ,,; , j, '!, " 1 " ,', " '., .r ,. ,..., I~" ", ,....' ...."...."')'.'''.. 'p ",' "t'f'--""'" M"~~'; ...~_.:..:.. !', ',,:,', ,': I':'~ \~r~,.tit;':'''' u "". ',";,'.""; ..,'" ' .: ", " 'Ii :0(1, /i) l,'" , , " ',i) \- (;1' " "',' -', -i"l"