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'!l'oIlt"" ''''''1 lOR DATlJ 0' OIATH AmR 12/31191 CHICK HIRI
'I~r~~ INH::dI~E~1EJlt~DREE~~RN ~yi~!~i:!DIT!!CL~!MID 0 _.__._
COMMONWEAlTH or P!NNSYlVANIA ITO BE FILED IN DUPLICATE 17
OEPA,IMENI or '\VENUE
HA'nlsfJ~ld~n12e.o601 WITH REGISTER OF WILLS) COUNTY CODE .J"l YEAR fit.( N~BER
"==""=y,mhrm'5'm1.1rI'A!I, "m,7Jl~llilifrifijjjjl( . .. ... uiuii!rwIT'5ilmifAr;'ri1lTn'
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Q ..'.. ."JOJ::.,I,.~.:::!.'!!LL,..._..,
~ P<.1 \. Odginol Rolurn
~o.~ [ I ~. lImllod E.lalo
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07-
U 2
1. Rool [11010 ISchedulo AI ( I) ......_.__..__...~h_.....u__.._._.__~__.. (') (
2, Slocll ood Boodl (Sch.dul. B) ( 2) .._m.' m.".......... _.''''.._''''''._
3, Clololy H.ld Slacl/rarlnorshlp Inloroli (Schodulo C) (3) ".".."....."""...__"..___,,,.,,
~, Morlgog.. ood Nolol Rocolvoblo ISch.dulo D) I 4) ._"_...___._.~____
5, COIh, Oonk 0'1'0"11 & Mlscollaooou. Porsonal Proporlyl 5) .._..""._J.7_..03_1._.______
(Schodul. EI
6, Jolnlly Ownod Properly (Schodulo FI I 6) ,,_.,,_.___._._._____.._
7. T ronsfors (Schodulo GI (Schodulo l) I 71 ".._.. ._..__._..
O. Tolol Grall AllolI (Iololllnol 1.7)
9. Funoral E'ponlol, Admlnl,'rollvo COllI, Mlscollanooul I 91 ."..__3....(1.6..(2.....___
Exp.nlO' (Sch.dul. H)
10. Dobll, Morlgogo lIablllllol, lIunI (Schodul. II i1 01 _____.____..__.._____
I\. T 0101 Doducllon. (Iololllno. 9 & 10)
12, Nol Value of E.lalo (1In. 0 mlnUl IIno III
13, Charllobl. and Gavornmonlal Ooqu"ll (5chodulo J)
14. Nol Vall" Subl"I 10 To, IlIn. 12 mlnulllno 13)
IS, Amount of IIn. 14 laxoblo at 6% ralo
I'ncludo 1'011'01 from Sch.dulo K or 5chodul. M.)
16. Amounl of IIn. 14 la,oblo 01 15% ral.
(Includo valuOl from S,h.dul. K or 5chodul. M,I
17. Prlnd"ollo, duo (Add 10' from Ilno 15 ond Irom line 16,1
10. Crodlll 51'01'101 Povorly Crodll Prior Paymonll Dlscounl Inloroli
"n._._"_...._..".... + _n'___'_"_ +._....__,,_.."" .. ___,,__.
19. If IIno 10 Is gr,ol.r Ihon line 17, ontor Iho dlfforonc. on line 19. Thll II Ih. OVERPAYMENT,
Iill[]
20, If 11,,0 17 Is grealor Ihen lino 10, onlor Iho dlfforonco on line 20. Thll Is Ih. TAX DUE, (201 .__..._..?,(21~1".__._._._u...",
A, Enlor Ih. Inloro.1 on Iho balanco duo on IIno 20A, (20AI .__..__~.U,,-_.__ __._un_..."._.
B, Enlor lI1e 10101 of 1100 20 and 20A 00 IIno 20B, Thl. IT Iho BALANCE DUE, (200) _".".._.1. OJ'J....QCL. ."...,.. ,.
_""_._. Mal. Check Poyoblo lO"t Rogl,Ior of Will., Ag.nl . .___.__ . _____0_
----- .. BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MAlH.. .~._-~-_._.~.
U;J;r" pl'lnalii~I-;;r-p;.;iu;y,-,JQCfO;;ji;7,lj hove o~,((;mlnf1d ,Ill. rOI~~:lncludlng C1cc;mpClnylllg 'ChD'dvl~; Clod Ilalomon'" ol1d 10 the hell of my knowIDdg;'a;;(f1,-;fi~l:
It h Iruo, ccuoel nod complnlo, I doclaro that 011 rani 011010 hat boon roporled Clllruo mcukot valun. Doclornllon of prOpClrtlf othor thon Ihe perlonal rer,rDunlallvo I,
bOlad on 011 Inlorll1C1tlClrl of which preparer has any knowledgo,
1!.:U*:r !~!I'~~~\:lf~i~omURN"-"-"AnDm!---"-'---_."-""'-"-- ..,..-.....------- DAff"p0s' ;f~~
le'ui;t[~,,"'~lfif1i1/.JJrPkn4m.\1i'i~..... -.'"Dills........-......--."....---.---.-"".' -,,--,,- om-L!...i:;.:-_..LL
u""',: :h\."..L) ~,~ltU;'..w.d!~.. "._."l'~()5..N...,.Fr..'ULDLr~l'.L._.l1n [[J~ b.UL'~,._l'A"HLlll. ---'l/!r/2.."y-',,-
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f'-l':J~q~ /2..
HilI (II' I Ilnrhnril,
locl,ll!l CU,ih'HUMR! If _.n ",
6(>') 1.OCtlHt Pol tll HOlld
fll,,'lIilnlcflhllrg, 1'/\ 110',',
~o~Il'r _..~:_.l~'ll_l~.(~.r _1_{.!n~L..m ,_ ..___._u, .__._~______._, ...___
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."-'.'Ilj^:;l~'/~~f::l.' "lljAl~ ~~::;;~I"
II 2. SUl'"IOIOOnlol RolUrn
I :I 3, R.molnd" R.lurn
(for dalel of doolh prior 10 12.13.021
[J 5, Fed"al E.lole Ta,
R.luro R.qulred
__.0, Tolal Number of 50fo 0'1'0.11 Bo,OI
1'.1 ~a, Fuluro InlorOlI CompromlTu
Ifar dalOl af d.olh of lor 12.12.021
I .I 6. Docodonl Dlod T oliolo U 7, Docod.nl Malnloined a living T rUlt
.. __' IAnoeh copy of Willi IA~lach~L2f Tml)
ALL CORRESPONDENCE AND C:ONPIDINTIAL TAX INFORMATIoN SHOULD BE DIRECTID TO. .
N'\i.1f-' ..--------------IllmTrMJilffi1OAbORllr
.,. _. .}\I~I!lIUl _!1l1:.~!l..':!~.1 (~t.l~,,,.. __....__ .___ __ __..__.._ J90'i Non II Fronl S l rec l
Ir.1Eflltot f t M R
IIl1rrIHbllrg,l'/\ 17110
._1~..7,~?d _ 231',-:-a'i8~. ..".,'_=~~_~~-,~~~~_,=.,"'_..... . '''.___....
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( 01 _....ll.&l2...___..
3,060
(11)
(121 33.97'i
(13) __.________,,_._
(141 13.9_l.'i
115) ___.__ll...97 'i
x ,06.. ..
? ,014
1161 .____._-:Q..:..__._x ,15 a
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(171_-2...03.2.....__.__",,,_
(1 B) _..."_:9-=-,,_.___.___.,,._
1191 ____::.Q:-_".".___,,_ ...._h...
Chc(k l1Ofo If you ure rOClucslhlU u rufuml of your OVCtfJUVlllonl.
,
,
QIV.1l011~. 111.8l1
~
COMMONWIAlIH 0' PINNlnvANIA
IN~WMi~I)IO~~~ClmA~______ .".__. _ _ ...._"
mATI OP ....-- " nu"n_'" -. " ,-"."
Barbara S. MIllor
IP;p~~vl;j;;;i;:;;~;d-;;'lIh "lilghl ofs~;;i~~'.~hi;; ;';~';t b. dl,;iOl;d on S;h.dui; pi All ,;ai utal; ,h;~lib;-;;;o;;.d ;ii;;;;;'ark;i vaTu;
which I. d.fln.d ,,'h. p.lco at which property would b. ...hang.d b.tw..n a willing bUYII and a willing nllll, n.llhll b.lng comp.lI.d
!! buy .!!.~.II,. bol!!.~!~!"-~.!!!'_'~.~b.I!.~~~:!,!.I.d'~.~Llh~-"J,~~~".f!,ct.~! . .....n._, ,.. ...__" .-..---.-
ITEM
NUMBER
SCHEDULE A
REAL ESTATE
-'..' .,.. -'--F1LfNUMBIR~"'7~.7.",,,,,~-.=-=~~===
DESCRIPTION
VALUE AT DATE
OF DEATH
... __.__.____. _ ~U____ __.__..___~____...'.~.._.... ~
1.
None
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___..____._....__.."".__._._". "T~!~ll^''" on,'e, on IIno 1, Rocnpllulallun)
(1/ more .poco 1r n..dod, 11110,1 oddllionol tI"o/. 0' .00no till,)
$ ..,9...___"...
A,Vo/IOll.. 14,861
, ,
II~'J~:~~
'~l~WW-
COMMOJ<W[MlI~ 0' rHlNIIlVANIA
INIIEAIIMI ! lAX AI'lUAII
isfi\fj'op". Af.~'.!1,f~ OICf~~~=~,=",~_====.""".,,-.. '~=-.=.~'~--='=~'="'"' "" ""='FI(ilrUM~Blf--=-=--
SCHEDULE B
STOCKS AND BONDS
.~
lIarhoro S. Mlllur
.__..-----_.__._~.._.---_...- ---_.__._~.-.----_._----._--
(All proptlly lolnlly.own.d wllh Right 0' 5urvlvollhlp ",ull b. dllclolld on Scltodul. P,), , '
'--'-' _.__.._--_.---._--_.,--_..._-~_._--_._---........-_._------,.-...-.....-------.... ----_..-----
ITEM
NUMBER
DESCRIPTION
VALUe AT DATE
OF DEATH
-:...'....-
--------. --..,.--,-.---.-.----....---..------------.-----
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_________.___________.!.21~.l:J~I~~_"~~~.~n.!i.'!.olc.R.~c~pJl~I~!1.o~! _,_..__~...__. _~__._Q.____,___
III /110'0 'PflCO i, lion clod, ifllOll (reldiliollol sI,oo/l o( ,omo '/'0,)
IUV,UIlI'U I'.U'
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
~Iir
COMMO~WIA\1I1 Of PI~~mVA~IA
1~IIIRIlA~CI TAX RI1UR~
RUIDIHT DICIOI~l
Pllall Pllnt 01 T I
!STATI 6
Barbara s. Miller
-
---
AMOUNT
itEM
NUMBER
DESCRiPtiON
---.:..--
A. Funllol bplnllsl
1,060
1.
cremation expenses
B, Admlnlltlatlvl COltll
,1. Pellonal Reprelentollve Commlulons ' -
Social Secur\ly Number of Personal Represenlatlvel ---
Year Commlulons paid
2, A,,~rney Fees / ^ccoun t i ng Fees Il,OOO,
,I'
3, Family Exempllon
Claimant - Relatlonsblp
Addreu 01 Claimant at decedent's deatb
Slreet Addreu -
C\ly State Zip Code
4, Probale Fees
" Co Mllcellantoul bpI nil"
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8,
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TOTAL lAlso enler on Uno 9, Recap\lulallon)
(II more Ipace II needed, In..rl additional Iheell 01 lame IlIe.)
$ 3,060
I, 1l/l1H!/lR/I S. MII,l,lm, of tho counl:y of ClIl1Ibol'lllnd,
Commonwealth of Pennsylvllnill, do 11I11110, publil.1h IInd declllro thiB to bo
my (,/1st Will and '1'osl:lIl1Ionl:, hllL'llby L'llvnltllHJ 1111 wills IInd codir:illl lit
IIny time hOl'otofol'o I1Il1do by 1110,
I:IRS'!', I ~Jvo /lncl bOqUIHIt:h /Ill l:ul.'n,j tu\'o, fu\'niuhinqR, l'UlJA,
picl:uros, bonlts, si IVOI,', pl/lto, 11noll, dllu/I, IIIIIRflWlIl'O, objoct!\ of
al't, woaring IIpparel, Jll~101I'Y, lIutolnob,tlllA IInd tho.ll' ar:colIsorieA, IInd
all otheL' tanqiblo persona I pl'lIpEll'ty nwnod by 1110 lit the time of I1IY
death to my husband, (.,"STI"l H, MI(,I,lm, J f ho f1uL'vlvOR 11113, Ol', if he
does not sUL'vive me, to I1IY bl.'otbElI', 'J'IMO'I'IIY r, S'1'Ol1lfE'Im, If he
SUL'vivos 100, or, if he doeR not flUL'vlve 1110, to hill dellcendant;s who
sllrvive me .in equlll Shlll'OS I~~: ~!J.!'P!!.~'
SECONDI I give IInd dovi so all. 1'0111 pL'operty owned by l1Ie at
the Lime of my dellth, including aU bulIclllllJIl thereon /lnd /Ill rights
and easements appllL'tenllnt theL'eto IInd all polides of Insur/lnce
L'elaLing thoL'oto, to my hl1Abllnd, (,ESTlm S, MII,Llm, if he Ilul'vive!! me,
or, if he does not slll'vive Ine, to my brothel:, TIMOTHY F, S'l'OUE'FF.:R, if
he slll'vives me, or, if he does not survive 100, to his descendants who
sllL'vive lIIe in equlll shlll'efl p~.!: !'~J~:p~I~,
TIII RD I I flit the tJ 1110 of I1IY don t'h I 11Ilvo IIny powel' of
appointment under IIny instrulI1ol1t, I hOL'eby c1ecIlIl'e thllt I intend not
to exercise such power IInd thllt nothi 1l~1 he1'Elin c:ontlllnod ahall.
constitute IIn exel'ciae thel'oof in whole 01' in plll't,
FOUR'I'Il1 /Ill the I'os\:, rosidue iHld 1'E1Innincler of my property
and estllte, both real And pel'flOlllIl, of \~hiltB()eVel' Idnd and wheresoever
nitUllted, of which 1. shill! die nnizElC! 01.' pOIlBosflecl Ol' of which I shnll
bn entitled to dispose at the time of my dnllt:h (my "residuary
'l'rustee,
, ,I
, '\'" ~" ":.., . " , I
t ,~ '~, "~ l ,,'., I I ,c, 'I t" '. ' ., ' \'
I,.,',: ,'l.iV,~,\,\il'~'I'!I,H,~r,!I\'. 1"',"/
I ~PP~~ll~.o: :~~~~
If~~~ ~.1t" fails to qunl1fy
I appoil;t~~~,~~tee jn
B, I Illlthodze,l~bllt do not: dl I'(~ct,
. ". ."". ".....-"........
\":~I,lt",,;,'~.\'i' ':~al
, .,,' I I','j"",u 1', I
'"" I '\' ",~ ~
',", ' ,.,t 1
, 'I, I' . ~
, ". It, , "I ,II; I~ i" I
" . , 1"'1 I
Tt'ustee of the trUsts 'hereby , , ,
,1,',',
,;,,:)1'1,
"t 1\ '_~,I
or ceasos to act ss
.,.' c'
i"l
. .. 'I' ,.t.
"1
hia plneD.
my E;xecutor nnd/or the
'l'rustee, in his absolute dIsGl'E\Uon, to nppojnt I\S n Co-Executor and n
Co-'l'l'ustee, such indIvidunl Ol' SUGh bnnl: OL' trust compl\llY as he, in
his absolute discretion, shall select, ^ny such appojntment alllll1 bs
made by an jnstrument in wL'.lt.lng nlecl with the clerlt of the
appropriate court.
C. If at any tjme and fOL' any l'enaon there is only one
Executor ot' only one 'fl'ustee ncUng hereunder, I authol'ize, but do not
direct, such Executor Ol' such 'j'rustee to appoint such individual or
such banlt or tl'ust company as he, in Ilia nbsolut:e discL'eUon, shall
select liS successor r~xecutol' or succeSSOl: 'l'rllotee to Act in hjs place
if he should cense to act, ^ny such nppointnlent shall be mAde by an
instL'ument in wl'iting filed with the clerlt of the appropl'ia\:e court
and may be revolted by such Executor 01' such TL'ustee dul'ing his
,lifetime and succeeded by 11 ll1tar IIppointmont/ the last such
appointment to control,
D. ^ny indjvidul\l Executor OL' indi',idul\l Trustee may resign
from of fi ce wi thout leave of COlll.t n t nny tl me and for any rel\son by
filing a written jnotl'lunent e,f resIgnation with the clerlt of the
appropriate court.
E, ~Ihenever the tel'lIIS "El:ecutor" nnd "'l'ruatee" al'e used jn
this Will, they shnll be deemed to refer to the I~XElcutOl' or Executors
and the 'h'llotee OL' 'l'l.'unteea actin9 hormllldel.' from time to time.
!i', I dIrect: that my !';Xeclltol.' shall not be required to fila
any inventory of my estate Ol' ony periodJc account and that no
5
I' ..
Executor or Trustee shEll1. be required to give allY bond, If,
notwithstanding the fOl'SgoilllJ dil'Elctioll, ElIlY bond is l'ol]ull'ecl by RIlY
law,' statute or rule of COUI't, no FJlIl'etIes ehall be required thereon,
NINTH: 111 addl tioll Ln, <\lid not by wlIY of llmi tal:ion of, the
POWCl'S cOllfel'l'cd by 11\w upon f.ldllc.!al'.ll1rl, hOl'oby flXpl'osfi! y grllnt to
my Executor wi th I.'ospecl'. to I11Y Ol>tl1[:O mId the Trustee wi th rospoct to
eRch of the trust oBl'.nU'fJ h(!):(JIn Gronted, includ.!nej nny llcc:untulated
il1col11e thol'oof, the powel'l1 IHll'cll1nftol.' ollllmol'ntod, 1\1.1 of BliGh pOWfll'S
so conferred ai' <jI'Rnted t.o bo olwrclfwd by them 1111 they mny deel11
advisable in their ilbnolute dl sCl'o!:ion:
(1) '1'0 pUl'chnse Ol' ot.hen/Iso nc:qnil.'e, nnd to retaIn, whether
originally a part of my est.nto or I3l1lJRoquontly ncqulrod, nny Rlld nll
stoc)(S, bonds, notes or othol' secIIl'.ltlos, 01' any vadety of l'eRl or
personal propel'ty, inc:llldlnej seeul'.! ties of Rny corporate fidllciary, or
any sllcces80r 01' nffiliated cOl'pol'nLlon, interests in common tl'lIst
funds and secllrities of 01' other intol:ests .in investment compRnies Rnd
investment truElts, whethor aI' not sllch Invof,tmen['.s be of the ehnl'Retel:
permissible for investments by f.lduc.i ndes; nnd to I11R)(e or l'etRin nny
such investment wi tho\lt reejnl'd to degree of divcI'oiflcatlon,
(2) '1'0 soU, lonse, p)ed"o, 1I\0l'tqa\lO, transfer, exchange,
convert 01.' otherwise dispose uf, Dr "I.'nn\: options wi th l'espect Lo, nny
Rnd all property at 111lY time [01:l1l1nl) n part of my estate or Rny trllst
estate, in any mnnner, at any \:.Ime or tll1\es, for nny purpose, fol' Rny
price and upon Clny tonlls, cI'edi ts nnd condi 1:10ns; and to enter into
leases which extend beyond Uw period f.\xed by r.tatute for lenses made
by fid\lclnl'los And beyond the duration of any trust,
6
~
(7) 'ro mallo distr.lbutions ill ltJnc\ (includln\l in satisfRction
of pecuniary bequosts) I\nd to COUfW IlIlY dlstl:.lbuUon to be composod of
eRsh, propol'ty at' IIIHl.\vided f rl\ctiolllll 111\l1l.'OH ill propol'Ly diffftront in
Idnd from I\ny othol.' ell stl'iblltloll \~.i UWllt l'O<JIII'cl to tho income tax
basIs of tho Pl'Opol'ty clistl'11Jllteel to III1Y bonoflc.lol:y of nny trust.
(0) Whollovol.' 110 cOl'pol'1ll:o flelllc.inl'l' Is nctillCj hel.'e\\I1der, to
plnce nl! 01' nny porl: of tho GOc\I\.'\ ti (w whi eh nt nllY time nr(' hold by
my estato 01' I1IlY trunt ostllte III the CI\I.'O nnd custody of nny hanlt 01'
t1'\lOt company with no obl.iql\tion \~hi 10 Rllch seGul'l UeH nre so
deposited to illHpect aI' veri fy the same nlld with no I'osponslbllity for
any loss 01' misnppl.lcotion by tho bnnk 01.' tt:llsl: compnnYi to hnve aU
stocltB nnd I'e<;flstel'sd seclld Uoa pll1ced .In tho nl1mo of such banlt 01'
trust company or in the nnOlo of .i ts nom.i noo; to nppoint such bnnlc 01'
trust company ngent nncl nttoJ'l\OY to co)loct, rocoIve, receipt for find
disburse any income, and l;Jonel'l\lly to pOl'fol'ln tho dllt.ios and flerv.lcos
incident to a sO-Gnlled "clIstoclinll" I1ccollnt; and to allocnte the
charges and expel1ses of such bnnlc 01' tl'llflt company to income 01' to
principal 01' pnl'tinlly to 111(:ome nnd pal't.i nl ] y to pdncipnl,
(9) To appoint, employ nnd remove, nt nny time find from tIme
to tIme, any nCcollntnllts, flttornoys, invenl::\lellt cOllnselors, expert
ndvlnol:s, nqontn, clel.'lw lllld employoofli nnd to f.\x alld pny their
compenflat,loll fl'OIll Income 01' pl'.incipnl 01' pnl'Llal..ly fl'om income nnd
pnr\:inlly from pr.lncipal ,
(10) 'I'o oxecllte IInel cleUvol.' nllY nncl IIIl .lnst1'\t1nonts to cIII:rytout OilY of tho fOl'e<j()\I\~' p()\~el'fl, 1\0 pnrty to nllY f.l\wh I.nstl:Ul11ellL bo.lllCj
l'ogllll.'Eld to ill'111il'elllto its voltdi\:y or to AOO to the Rppl.lciltloll of
o
/ , I) I I;;
~EV.1547 EX AFP (08094)*,1 I .... /
COHt10HW[AlTtl Of rrNHSVlVAHIA ACN 101
DEPARmNI Of .FvrN", NOTICE OF INHERITANCE TAM
BUREAU OF INDIVIDUAL TAKES 'd=APPRAISEHENT' AI.OHANCE OR OISALIOHANCE
m:isi:~:~lpA IIIZH601" OF DEDUCTIONS AND ASSESSHENT OF TAM DATE 12-12-94
ESTATE OF lillTtR ~f\RliliR u--s=.==c=~==- FILE~NO:= 7.1 94-0717
DATE OF DEATH 11-18-93 COUNTY CUMBERLAND
NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORnON OF THIS FORH HITH YOUR TAM
PAYHENT TO THE REGISTER OF WillS, HAKE CHECK PAYABLE TO "REGISTER OF WillS, AGENT"
REMIT PAYMENT TO:
JOHN D SHERIDAN
3905 N FRONT ST
HBG PA 17110
'I
C
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
[_ . Anount Ronl'tt,od _I
CUT ALONG THIS LINE .... RETAIN LOWER PORTION FOR YOUR RECORDS ....
R"EV: i547. E;C. iiFii. [[iF 94 Y. NOY i Ii r.o F. "fN'HEiii f ANC E" 'fAx "Iii pilI is EME Ni'";";. L l"owAN"C E. (IR.."""""... -" - - - -"
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF MILLER BARBARA S FILE NO. 21 94-071'1 ACN 101 DATE 12-12-94
If an assessment was issusd previously, lines 14. 15 and/or 1&, 17 and 18 will
reflect figures that include the total of ahh returns assessed to date.
ASSESSMENT OF TAX:
15. A.ount of Ilno 14 at Spousal rata IISI
16, Anount of Ilno 14 taxBblo at Ilnaal/Cla.. A rota 1161
17, AMount of Ilno 14 taxablo at Col1ataral/Cla.s B rata 1171
18, Prlnolpal Tax Dua
f~;:T~~i~:~I~-2':~lI~
( IF TOTAL DUE IS lESS THAN $1, NO PAYHENT IS REQUIRED,
IF TOTAL DUE IS REFlECTED AS A "CREDIT" ICRI, YOU HAY eE DUE
A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I
TAM RETURN HAS I I X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL
1. Roal Estata (Sohadulo Al
2. Stocks Ind Bondi (Schedull 81
3, Closaly Hold Stock/Partnorshlp Intorost ISohadulo CI
4, Hortgagos/Notos Rocolvoblo (Sohodulo DI
5. CIsh/Blnk Deposits/Hilc, Personsl Property (Schedule E)
6, Jointly Ownod Propody (Sohodulo FI
7. Transfers ISchedule 0)
8. Tolal Assots
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Funerll Expenses/Ad", COlts/Hisc. Expen... (Schedule Hl
10, Dobts/Hortgogo Ilabllltlos/llons ISchodulo II
11. Toto! Doduotlon.
12. Net V.lUB of Tax R.turn
13. Ch.rHable/Govern/!l.nt.1 a.quuts (Sch.d~ll. J)
14, Not Voluo of Estato Subjoot to Ta.
NOTE I
TAX CREDITSI
PAYHFNT---'---RECEIPT ---~--
DATE NUI1BER
08-16-94 MM912828
DISCOUNT ('1
lNTEREST (-I
,00
~
1
w IF PAID AFTER DATE INDICATED, SEE RtVERSE
FOR CAICUIATIDN OF ADDITIDNAI INTEREST,
1 CHANGED
(11
121
13 I
(41
151
161
171_
,00
,00
,00
,00
37,035,00
,00
,00
(81
37,035,00
191
110 I
3,060,00
,00
1111
1121
1131
1141
~,n6n nn
33,975,00
,00
3~,975,OO
,OOM'OO=
33,975,00 K ,06=
,00 K ,15=
1181
,00
2,039,00
,00
2,039,00
AHOUNT PAID
2,039,00
RESERVATION I E.bt.. of dlo.d.nh dying on or tllfort Ollclllb.r 12, 1962 -- If "ny future Inter..t In ~hl ..t,t. Is tr'".f.rred
in pO"la,lon or .nJoy..nt to Cia.. B lcoI1e'.rall b.neflcl.rll' of thl dlcldlnt aft.r thl IMPlratton of anv ..ttt. for
llf. or for Viars, thl Co..onwe.lth herAby ewpre..lv re.erve' 'h. right to appral.e and a..... tran,flr I~hlrlt~nc' TaMil
at thl lawful Cia.. a lcollateral) ratl on any .uch future Intlrut.
PURPOSE Of
NOTICE I To fulfill thl requlrllllnu of Slctlon 2140 of thl InhlrltllnCI and E.tatl TalC Act, Aot 22 of 1991. 72 P.S.
Slction 2140.
PAVHENTI Detach thl top portion of thlt Notice and ,ub,1t with your p/lY/llllnt to thl Rlgls"r of Willi printed on thl revlr.. .Ide.
--Hakl chick or lIonlY ordtr pavablt tOI AEDISTER OF' HILLS, ADENT
A\l paY~lntl reCIIVld Ihall flr.t bl ap~llod to any Inter..t whJch ~ay hi dUll with any r..alndlr app11.d to thl talC.
REFUHD (CRII A refund of a taJoe credit, which Wit not rllquutld en thl 'all Rllturn, illY be rtHluuted by co.pl.tlng an "Application
for R.fund of PlnnlYlvanla Inherltancl and [,ta" Tall" IREV-1313>. Application. art ,",vaUabtl at tll" OffiCI
of the Righter of Willi, any of the ZS RIVlnul Olttrlct Offlc8l, or by calling thl uplr.lal 24-hour
an.w,rlng s,rvlcl nUlb,r. for forn. ordlrlngl In Plnn.ylvanla 1-800-362-20S0, out.ldl Plnn.Ylvanla and
within local ttarrhburg arll 1711l 187-8094, TOOl (717) 172-2ZSZ Oturlng l.palred Onh!.
OBJECTIONS I Any party In Int.r..t not satlsflld with the appralsl..nt, nllowancl or dl.allow~ncl of dlductJonl, or al......nt
of taJoe (Including dl.oount or Intlrl.tl a. ~hown on thl, Notice ~ust obJlct within .I~ty 160) dlY, of rlcllpt of
thit NoticI bYI
.-wrlttln protllt to thl PA OIPartnlnt of Rlvlnul, Board of Appeals, DEPT. 281021, Harrltburo, PA 1712S-1021, OR
--.!tctlcn to havI thl lIaUer dltlrlllnld at audit of thl llccaunt of tll, pnrtonal rtpreuntatlv., OR
~-app..1 to thl Orphans' COllrt.
ADHlH
ISTRATlYE
CORRECTIONSI
Fach1al urrors dhcovlrld on this as......ent shuuhJ bl ftddrlllSld In writing tOI PA OIPartunt of R,vlnu.,
Buruu of IndJvldual TallIS, ATTNI POlt A.....,,,nt Rlvllw Unit, OEPT, 280601, HarriSburg, PA 1712&-0601
Phon. (117) 187-6S0S. S.. page 3 of tho bookllt "In.truotlon. for Inhlrltanc. TaJoe Rlturn for a Ruldlnt
Oltldlnt" IREY-ISOI) for an 8lCphnatlon of adlllnitttatlvllv correctabll errort.
DISCOUNT I
If "ny tall dUI I. paid within thrill (3) callndar lIonth. after the dIUdl"t'. dlllth, a live ptrc.nt (S%I ditcount of
thl tall paid it allowed.
INTEREST.
Interllt I. chargld bill InnIng with IIrtt day of dlllnqulnoy, or nl"l (9) lonthl and one (11 day frail thl dati (If
duth, to thl dati of pal/unt. Tc1~" whloh blOtl"'l dlllnquent b.fo" Januarv 1, 1982 bur Intlr..t ftt thl rat. of
.Ix (6%) perc.nt p.r annu. calculatld at a dally rate of .000164. All tallu which blc", d.llnqulnt on and after
January 1, 1982 will bur Inhlr..t at a rat. whloh will vary fro., call1ndnr ye"r to cl'lllndar yur with that ratl
"nnouncld by thl PA Olpartunt of Rlv,nu.. Thl lIJ1pllcable Int.relt rat.. for PHI? through 1994 arll
'!!!! Interllt Ratl! Dally Int.rllt fnotor ~ Interost Rtlt. Dally Int"ut Fnotot
1'82 20% .000S48 1.86 10% .000274
1.81 16% .000438 19111 IJ% .000247
1984 11% .000301 19118-1991 11% .000301
1.8S 13% .0003S6 1.92 1)% ,000247
1993-1994 7% .000192
1.9S 9% .000247
--Inter..t I. calculat.d a. follow'l
INTEREST . BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
-~Any Hotlol I..u.d aftlr thl tall b,co'la d.llnqulnt will r.fllct an Inter..t oalculatlon to flftl.n (IS) day,
b.yond thn dati of till aUI"lllnt. If pltYllllnt It JIladl ofter thl Inltrllt oOllputatlon lilt" thown on thl
Notlc., addltlonftl Int.r..t IU.t b. oftlculfttld.
"
PlHlPOSE Of
NOTICE I
To fulfill ~h. rlqulrl..nt. of SlctJon 2145 (bJ o~ thl Jnhtrltanca and Eltat, YaK Act, Aat 22 of 19911
m p,S, S.oUon msl.
PAVNENT,
Detlch tha top portion of thlt Hotlcl and ',ublit with vour paV"I"t to thl R.g~'tlr of Willi printed on the
rlv.r.. lid,.
.. Hek, chIck or lonlY order payable tal RED'ISTER OF HILLS I AGENT.
All pay..nt, rlclJvad .hall b, ftpplhd fir.' to any lnt.r..t which ...v b, due with any r...lIlndlr applhd to tht talC,
AEFl:IND (eRh Ai r.fund of a talC or.d1\ laY b, "quitted by cOlllphtJnll an "AppUcatton for R,fund of Ptnn.vlvanla
lnh,rltanc. and Eltate Tax" (REIJ-I31.SI. Application. ar, av_lIable at tht Offlol of the Right" of IIUII,
any of tht 2] Rlvlnul Olltrlet OIUe.. or fro,. tht Olparhent1t Z4-hour anll4lrtng IIrvlel !lullb,r. for for.. orderlngl
In Plnnlvlvanla 1~800'36Z-Z050, outlin. Ponnlylvanla and within 10CJI Harrllburg ar.a (717) 787'3094,
TOOl (717) 772'Z252 (Hlarlng IMpalrld Only).
OBJECTIONS I Anv party in Interut not lathfl.d wJth the as......nt of tal( a. .ho..m on this notlcl .ay obj.ct within
,1l(ty 160} day. of rec.lpt of thl. Hotle. bVI
uwrUhn prot..t to thl PA D.pertll.nt of Rlvlnue. Board of Appul., D.p\, 281021. Harrhburg, PA 17128.1021, OR
-'llIotln~ to haYI the "athr dltlrllln.d at audit of thl p.rlonal rtpr..entotIYI, OR
.'app.al to the Orphan,' Court.
AONIN-
10TRATlYE
CORRECTIONS,
Faotual errors dl.eovu,d on thlt a.......nt .hould bl addrllstd In writing tOI PA Dlpart..nt of Rlvlnu.,
8uruu of Individual hl(lI. ATTHI Po.t A......"nt Aevlew Unit, o.p\, ,80601. tiarrhburg. PA 17128.0601,
Phone (117) 787.6505, S.. page 1 of thl bookllt ''In.truoUon. for Inhtrltance Tal( A.turn for a Ruld.nt
nee.d.nt" (REV-ISOI) for an 'I(planatlan of adlllnl.trntlY.IV correctable .rror..
INTEREST,
For dat.. of d.ath on/ur aft.r 10-3'91 P.nn,YIyanla F..tatl Tal( bas.d on the Fedlral Eltote Ta~
return b.co... dlllnqulnt at the ,~piratlon of nln. 1091 .onthl fro. thl nate of duth.
For dat.. of death prior to 10~3~91 P.nn,Ylvanla E.tat. Tal( baled on thl F.deral Eltat. Tal( return
b.colI.. dlllnqulnt at thl uplratlon of .Ight..n (l8) 1I0nthl frol thl dati of death.
1al(" which blca.1 d.llnqulnt blforl January I. 1982 bier Int.re.t at thl rate of .11< 16Xl p.rclnt p.r annuli
calculatld at a dallv rate of .000164. All tal(lI which blCll1Ie dlllnqu.nt on or after January J, 1982 wUI blllr
Intlr'lt at a rat. which wJl1 var~ fro. cal.ndar vear to callndar Vier with thdt rat. announo.d bv thl PA
DIP,rt.lnt of RlvlnUI. The applicable In'lr..t r~tel for 198Z through 1994 ar'l
~ Intlr..t Rat. Dally Int"ut factor Yur Int"..t Rat. Dally Intlr..t factor
1987 20% ,000548 1986 10% .000274
1983 16% ,OOO~58 1987 9% ,DOOm
198~ 11% ,000301 1988'1991 11% .000301
1985 13% .OOUS6 199/ q% .000Z47
1993'1994 7% ,Doom
'''lntl''lt I, calculated a. folloWl1
INTEREST . BALANCE Of TAK UNPAID K NUKBER Of DAYS DELINQUENT K DAILY INTEREST FACTOR
'~Anv Hot1cll I..uld afhr the tal< btcoll" dlUnqulnt will r.ftect an Interltt calculation to ,ift..n (15) day.
blvond thl det. of thl as...nlnt, If p'y..nt Is .ade afhr th. Intlr..t eo.putatlon dati .hown on the
Hotlel, addUJonal Intlr..t IIUlt bl cllculattd.
PUIlPOIE Of
NOTICE.
PAVIlENTI
REFUNO (CRl,
OIJECTlONS.
AONIN-
IITRATlV1!
CORRECTIONS'
INTEREST.
To fulfill thl ,..,I'I..,tl 0' StaUon 2145 (b) of t~ Inherltlncl and E,tlt' TI.. Aot, Act 22 of .1991. (72 P.I.
".Ilon 2141),
Dttlch thl top portion 0' thl. Hotlel end _Ubllt with your ply.."t to thl Rltllt.r 0' Willi prlnt.d on thl
rlVlr,1 llde.
__ H'k' .h..k .r IOn.. ardor PIY.bl. t., REGItTER OF MILLS, AOEHT,
All ply.."t. reoelved .hlll bt 'PPUld flr.t to any Int.r..t which ..y bt dUl with Iny r...lndtr .pplled to thl 'IX,
A r.fund of . tlM crldlt ..y b. r.qu..tld by c~l.tJng an "Appllcltlon for R,fund 0' P,nn,vlv,"!,
Inhtrit.ncI and Eltatt TIM" (REV-IllS), Applloatlon. ar. Ivtllablt at thl Offlol of thl Rlglltl' of Willi,
any 0' thl 25 RIVlnue DI.trlct Offlc,. or fro. thl D,p.rt..nt', Z4-hour an'Mlrlng ..rvlel ou.btr. for for.. ordering,
In p,""sYlvanl. l-IOOMS6Z-Z0S0, outlldo Penn.ylvlnll and within 10cll Hlrrl.b~rg ar.. (111) 111-1194,
TOOl (111) 11Z-22S~ (H.lrlng r'Pllrld Only).
Any p.rty In Int.rl.t not ..tl.flld with thl ......lInt of tlX .. .hGwn on thl. notlcl I'y Object within
.Ixty (60) d.y. of r,cllpt of thl. Hotlcl bYI
-"written protut to the PA DIP.rt,.nt of RIVlnUI, loud of Appuh, Dlpt. 2&1021, tllrrhburg, PA 11121"1021, OR
"llleUng to hlvl the .Itt.r dltlr.lnld at &Udlt of the per,onal rlpr.unt.Utll, OR
"epP.II to thl Orphan.' Court
F.~tual Irror. dllcoY.red on thl. a.....tent Ihould b. .ddr....d In writing tOI PA Dlplrt.ent of RIYenue,
IUrllU of Indlyllklll TIICII, AfTH! po.t A......."t R.vl.w Unit, Dtpt. 280601, Harrllburg, PA 17121-0601,
Phone (711) 7.7"6505. S.. pig' ] of thl bookl.t "tn.tructlon. for InhlrltIRca 'IX Rlturn for I RI,ldlnt
Otoldent" (REY-\SOU for an IICplMltlon of IdlIlnlttrltlY.IY corrloteblt errort.
Addltlonl. Penn.vlYI"la E.t,te T.x .......d .1 I rl.ult of I cheng. on the Fld.ral E.t,t. rlx eloll"1
1.tter b.eo... dlllnqu.nt .t thl Ixplratlon of 0"1 (1) IIOf'lth frol thl dati the final notlcl of thl lnerl."
in Flderal E.tltl Tax II reCIIYld.
T.MI' whloh blc", delinquent b.fore Janulry 1, 1912 bllr Intlr..t It thl ratl of .Ix (6~) plrcent par InnUI
cslcultted It a dillY retl of ,00016~. All tlXII which ble... dlll~nt on or .ftlr Januery 1, 1912 Nlll bllr
Inttrllt It I ratl which will Ylry frol cIJender vllr to olllOO.r YI" NUh that retl amounetd by the PA
Olpsrta."t of RIVlnul. Thl .ppllclbll lntlrl.t r.t.. for 1912 through 1996 arll
Y.m I"tara.t A.ta n.llv Intara.t r.fltnp'
XIIr Inhr..t Aat. n.llv Inhr." F.Dtllr
1917 9X ,0002<7
1918-1991 !IX ,000101
1991 9X ,000247
1991-1994 IX ,000192
1995 9X .000147
1912
1911
1984
19U
1916
"'lnterllt
20X
16X
!IX
m
lOX
I. otlculltld ..
,OOOS48
,000438
,000101
.00nS6
,000274
follow",
INTEREST . IALAHCE OF TAX UHPAID X HUNIER OF DAYS OELIHQUEHT X OAILY IHTEREST FACTOR
--Any Hotlel IlIu.d Iftlr thl t'M bleOtll dtUnqwnt N111 rdlttOt ." Inttrllt cllcultUon to flit"" <1S) d.u
b.yond th. dttl of thl ........nt. If PIYleRt I. .Id. Ift,r thl Int.rl.t eOlputetlon dltl shown on the
Hotla., Iddltlonll Interllt IU.t bt cllcullted.