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CERTIFICATE OF DEATH
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1994
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COMMONWEALTH OF PIlNNSYLVANIA
COUNTY OF CUMBERLAND
}
UI
Charles T. Parker
being duly sworn according to law, deposu and says that he is the
Administrator 01 the Estate 01 _ I,yle B. Parker
lale 01 __..,.E~~'p'_l.!-~l.:.~.,~?~oug.!:___. , Cumberllnd County, PI" deceased and that tho
within Is an Inventory made by him " the Slid administrator
01 the Intlro utale 01 said dlcldent, conslltln9 01111 the personll prop'arty end ,..1 estate, eKcept ,..1 estlte outside
tho Commonwealth 01 Pennsylvania, and that the Ilguru opposite uoh Item 01 the Inventory repruent It's lair value
as 01 the date 01 decodont's death, '
Sworn tOand subscrlbod bolore mo,
~""t~. (TIP4'chJL
-r-fl Septembe;: .(-f 19 'N
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h.cutor . Admlnht..to,
63 N. 31st Street
NOTARIAL SEAL
THElMA S McCAUSLIN, Nolary Public
Camp Hili, Cumberland Counly
MyCommlSSlonE p esJuly3, 1996
Camp Hill, PA 17011
Add.."
D.y
July
Month
1994
Oato 01 01
Vu,
INSTRUCTIONS
I, An Invontory must be lIIod within threo months alter appointment 01 personal reprosontatlve.
2. A supploment Invontory must be lIIed within thirty days 01 discovery 01 additional alleh,
3, Addltlonalshoets may be attached as to personalty or really
4, See Article IV, Fiduciaries Act 011949,
.
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/'1 ,231' 1:>-
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS COUNTVCODE
DECEDENT'S NAME ILAST, FIRST, AND MIDDLE INITIAL) DECEOEurS COMPLETE ADDRE5~
PARKER, LYLE B, 63 N, 31st Str~et
Camp Hl11, PA 17011
Fl[V ~ 1500 EX . (l ~ -\III
POA D~TESOP DE~TH ~PTEA 111111I1 CHECK HEAE
IF~OPilUS~L 0
POVEnTY cnEo,r IS CL~IMEO
FIll! NUMBER
C P ALL CORRESPONDENCE AND CONFID!NTIAl TAX INFORMATION BHOULD BE DIR!CT!D TO:
o 0 NAME
R N
R 0 John E, Sl1ke Es ulra
E E
S N TELEflHmlE NUMBER
T 717/737-3/,05
1. Ro,l Est'lo (Schodulo A)
2, Slock. 'nd Bond. (Schodulo B)
3, Clo.oly Hold Slock/Partnor.hlp Inlorosl (Sohodulo C)
4. Mongago. ,nd Nolo. Rocolvablo (Schodulo 0)
5, Cash, Bank DoprJslI. & MI,colI,noou. Poroonnl Proporty
(Schodulo E)
5. Jointly Ownod Proparty (Schodulo F)
7. r"n.foro (Schodulo G) (Schodulo L)
8, Tol" Gro99 As.ol. (lol,llIno. 1-7)
9, Funornl E'pon.os, Admlnl'lrallvo Cosl., MI,colI,noou.
E,ponsos (Schodulo H)
10, Dabts, Mong'go LI'blllllo" Uon. (Schodulo I)
11, TOI,I Doducllons (lol,llIno. 9 & 10)
12, NOI V"uo 01 Estalo (IIno a mlnusllno 11)
13, Chorll,blo ,nd Govornmenl,l Boquost. (Schedule J)
14. Not Value Sub ocllo To' line 12 minus line 13)
15, Amounl olllno 14 taJ(able at 6% rale
(Includo valuos from Sohoclulo K or Schodulo M.)
16, Amounl olllno 141aJ(oblo al15% rale
(IncludA values Irom Schodulo K or Schodulo M,)
17, Prlnclp,l ta, duo (Add In, 110m IIno 15 and 110m IIno la,)
1 a, C/Odlls/Sp Povorty Prior Payments Discount
. . 0,00
19, If line 161. groalor Ih,n line 17, onler Iho dlNoronco on IIno 19. This I. Iho OVERPAYMENT.
~ 0 ICheck here <<you are requea1lng a relund 01 your oVDfPllvrnent.1
20, IIl1no 17 Is groalor Ihan line la, onlor Iho dlNoronco on IIno 20, This I. tho TAX DUE,
A, Enlor Iho Inlorost on Iho bal'nce due on IIno 2M.
B, Enlor Ihe total olllno 20 And 2M on line 206. Thl.I.lho BALANCE DUE,
M,ke Chtck Po abta to: Re I.t.r 01 Wills A .ot
~ ~ BI! SURE TO ANSWI!R ALL QUI!STIONS ON PAGE 2AND TO RECHI!CK MATH .. oil
Under pllnalll'lI or PlrJllfV, I dlellft lhlt I hlv' Ulmlnld thlll.turn, Includl'\II.cromp'"Yll~ eell.dulu .rld Itll.m'rlll, "lid 10 III. bUl 01 my ~nowl.dg' ,"d h.II.I, III' I'u"
eo",elllld eomp!III, I dlelulthltlll tulullll hll bUll tlPortld Itl'UI m.rk.1 v.lu., D.el,.rallofl 01 pl'PI'" othu then Ihe pu,onl' t.pru.n!lllv, II b....d on ,lIllllolm.llorl 01
wl1lel1prePII.,hu.nyknowl.dg.,
I
C ~ 8
Hr
6 t g
K K
S
COMMP~,l'f,~ful'~oWl1;WlJlAN1A
'M "msR 5~t, \~~\~ \ 'HSD 1
SOCIAL SECURIT'f NUMBER
171-28,3859
XI, Original RUlurn
Cumbe rl nnd
"03,
05,
[]] 4,
o e,
040.
07,
o B,
L1mllod E.I,lo
Futuro Inlorost Comproml90
(lor dste. of dOAlh aNor 12-12-(2)
Docodonl Molntolnod a Living T,UOI
(Anach e copy 01 Tru")
Docodonl Dlod To.lalo
(Anach copy 01 Will)
21,94-0'/36
YEAR
NUMOER
Remalndor Relurn
(for dalo. of doalh p,lor 10 12-13-a2)
Fodoral Eplale TaJ(
Rolurn Roqulrod
Total Number 01 Snlo Depo.1t Bo,os
COMPLE TE MAILlNQ AOOAE 55
Saldls, Guido, Shuff &
2109 Market Street
Cam Hill PA 17011
(1) Non~
(2) None
(3) ___ None
~) None
(5) 5,165,69
R
E
C
A
P
I
T
U
L
A
T
6
N
(B) _
(7)
None
None
(9)
8,701.00
(10)
None
Ma~laTld
(B)
5,165,69
(11)
(12)
(13)
(14)
(3,535,31) x.oa-,
8 , 701. 00
(3 , 535,31)
None
(3,535,31)
0,00
(15)
T
A
X
C
o
M
p
U
r
A
T
I
o
N
(lB)
0,00 X.15'
0.00
Intorest
~IONATURE OF PER90N F;E9PON5IElLE FOR FILING RETURN ADDAESS (' ../ ,,\ Ii II"
II,;}.... .-l -,'
63' 'N:' 'jiB t' .si:i:.ect.'............. - ".".,....,.....
Cnmp' fiiii": 'Pt.: "j 7aYi'......'."'.....-.....'.."
AODR[S~
Saldls, Guldo, Shuff & Mas land
2i."69" M~rk(;t' S.t'rcet.'.......'..'..."'.'..... -....
cn'nip' fjii i': 'p;':' 'i 7iiii.'........ -..".."".,. ....
)IONATUAf. OF PREPARE" OTH En THAN REPRESENTATIVE
,..(J ~iu"
(17)
0,00
(18)
(19)
0.00
0,00
(20)
(20A)
(208)
0,00
0,00
0,00
DATE
(( I,i
'I'
,.
DATE
;' 1./ l (
FlOlm 1600 fA...., I !MBI)
REV- 1511 CK + (Hel
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
COM\'I.\l\lilm~WrW~A~IA
ESTATE OF
LYLE B, PARKER SS# ~71-28-3859 07/18/94
ITEM DESCRIPTION
NUMBER
A, Funt,.1 Exptnl..1
1 Myers-Harner Funeral Home
2 Grave marker (estimatod)
B.
AdrnlnlllrlUvt COI\lI
PenlOnal Representallve Commlsalone
Soolal Seour11y Number 01 Personal Repreeentellve: 160-16- 6655
Vear Commlsalone paid _
1,
2.
Attorney Fees
3,
Family Exempllon
Clelmant Chat'les T, Parker Relatlonehlp Husband
Addresa 01 Claimant at decedent's death
Street Address 63 N, 31st Street
city Camp H111 St.te~ Zip Code 17011
4,
Probate Fees
C, Mlsct"aneoua Exptn..al
1
Reserved for future taxes and expenses
TOTAL (Also enter on line G, Reoapltulallon)
(If more Ipace Is needed, Insell addHlon.1 eheels 01 same elze,)
Copytlgnt{o) 1111 form IOftWlrI onl'l Clnt., Pile. Soflwart! In~
.
Please Print or T
PIU! NUMBER
21-94-0736
AMOUNT
II, 500 , 00
1,300,00
Waived
500,00
2,000,00
51. 00
350.00
. 8 701. 00
Form 1500 Soh'd," H (R,v, HI)
It!. 'j, I ').
I 1')"
RIV-lS47 EX AFP (08-94* L 1
COHHOHWEAl Ttl OF PE",ISVlvANI A ACN 101
DEPARTHEN' Dr REVENUE NOTICE OF INHERITANCE TAX
BUREAU Of INDIVIDUAL TAm APPRAISEHENT, ALLOW^NCE OR DISALLOWANCE
~mi5:~~~~t,A 171ZH6Dl OF DEDUCTIONS AND ASSESSHENT OF TAX DATE 12 - 26 - 94
iSfAfEOF PA'RI(Er-=-~==t'VI:r--. >>--====0 FILE NO. - 21 94-0736
DATE OF DEATH 07-08-94 COUNTY CUMBERLAND
('~/. I
(J'....
-,--
NOTE, TO INSURE PRDPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PDRTION OF THIS FORH WITH YOUR TAX
PAYHENT TO THE REOISTER OF WILLS, HAKE CHECK PAYABLE TO "REOISTF.R OF WILLS. ADENT"
REMIT PAYMENT TOI
JOHN E SLIKE ESQ
SAlOIS ETAL
2109 MARKET ST
CAMP HILL PA 17011-9746
REGIS fER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 1701~
l=-- . A.ount ~..}tt~~J
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ...
R 'EV: i 547 - E if -Ai: p - -f liF 94 Y - NoYi c r -OF - YN"t'1 ER- i;: Aiie E - 'fAx - A"PPRA" is E iIENT"; -A L rOWAN-e E - "(ill - - - - -- - - - - - - - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF PARKER LVLE B FlLE NO.21 94-0736 ACN 101 DATE 12-26-94
If an assessment was issued previously, lines 14. 15 and/or 16. 17 and 18 will
reflect figures that include the total of Ah1 returns asselsed to date.
ASSESSMENT OF TAXI
15, A.ount of lIn. 14 .t Spou..l rlt. 1151
16, A.ount of Llnl 14 tl.lbl. .t Llnlll/CII.1 A r.t. 1161
17, A.ount of Llnl 14 tl.lbl. It Collltlrll/C1III Brit. 1171
18. Prlnolpll TI. DUI
TAX RETURN WAS, I X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL
1, R.II E.tltl ISoh.dull AI
2, Stookl Ind Bond. ISchldul. BI
3. Clo.lly HIld Stock/Plrtnlr.hlp Int.r..t ISch.dull CI
4. 110rt'"'II/Notll Rlo.lvlbll ISch.dull D I
5, C..h/Blnk DIPolltl/HI.o. P.r.onll Prop.rty ISohldul. EI
6, Jointly Ownld Prop.rty ISchldull FI
7, ll'.nlflra iSchldul. 0)
8, Tot.l A..lt.
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Fun.re1 EXPln.I./Adn, CO.il/Hilc. Expln,.. (Schedull H)
10, Olbt./Hortg... Lllbllltll./LI.n. ISchldul. II
11, Totll D.ductlon.
12, N.t VIlul of TI' R.turn
13, Chlrlt.bll/Dov.rn.lnt.l Blqu..t. ISch.dull JI
14, Nit VIlul of E.tltl SubJlot to TI.
NOTEI
TAX CREDITS I
PAYHENT
DATE
RECEIPT
NUHBER
DISCOUNT III
INTEREST I-I
. IF PAlO AFTER DATE INDICATED. SEF. REVERSE
FOR CALCULATIDN OF ADDITIONAL INTEREST,
I CHAND~D
III
121
131
141
151
161
171_
,00
,00
,00
,00
5,165,69
.00
,00
leI
5.165.69
191
110 I
8,701.00
,DO
1111
1121
1151
1141
A.7nl nn
3.535,31-
,00
3.535,3.!:
.00
.00
,00
K ,03.
--
X ,06.
K ,15.
l1el
,00
,00
,00
,00
AHOUNT PAID
'~_. ~
TOTAL TAX CREDIT ,00
--------~-,- -..
BALANCE OF TAX DUE ,00
INTEREST ,00
-----~---------- ~.'--. ..."._.-
TOTAL DUE .00
_.,___..____._,____L,___________.
IF TOTAL DUE IS LESS THAN .1. NO PAYHENT IS REqUIR~D,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ItRI, YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FDR INSTRUCTIONS,)
lP
r.~1\
",o'~.'V
'o~ \ ~(A ~
'/~'
1~
\
RESERVAT10HI Eltet.. of dle.d.nt. dvlnll on or bllo" D.c..b.r 12, 1982 .. If any future ''''Milt In thl ..tate 110 tranl,.rrld
In potulllon or ."JOVIII'"' to Clall B (coll.,.rall bln,'lclerl.. of 'hi dle.d.nt aft., lh. uplrlltlon of "flV ..tatl for
Ilf, or for year., thl Co..onw.alth hereby Illpr..,lv r.urvII thl right to nppralu and 81.... tran,'.r Int.,rltanee fa)lll
at thl hwlul Cia.. a (collat.raU rat, on 1111'1 luch lutur. Int.rut.
PURPOSE OF
HOTlCEI To fulfill thl rlltUlru.ntt of Stctlon 2140 of thl Inhtrlhncl and E,tatl TIIlC Act, Act 22 of 1991. 72 P,S.
S.ctl('ln 1140.
PAVMENTs D,tach 'hi top portion of thlt Notle. and tub.lt with your pay"nt to thl R.gI"s, of Will, printed on thl r.v.r.. tld..
'-Hake chick or 10nlY order PIYllbl, tal REOISTER OF HILLS, AGENT
All PftYM.nt. r.~.lv.d .hall flr.t b. applitd to any Inttr..t whl~h .ay b, due with any r.."lnd.r appll,d to 'h. ,.-.
REFUHO Il.:A)1 A refund of c talC ertdlt, whtch wat not rll1uI.Ud on th. TalC R.turn, Uy b. requltt.d by co.pl.tlng an "Application
for R.fund of Plnn.ylvanla Inh.r1t"ne. and E.tatl TalC" {REV-U13l. Application. tIr. avaJlllbl. at the Offlc.
of the R.gI.t,r of Will., any of thl ,5 R.vlnul Ol.trtct Offlc.., or by calling thR 'Plelal ~4-hour
an.w.rlng ..rvlcl nu.blr. for 'or.. ord.rlngl In Plnn,Ylyanla l-aOO-561-l0S0, out.ldl P.nn.ytvanla and
wlthtn 100al1larrltburg arn (7111 787-3094, roOI 1717l 71l~US2 Olnrlng Illlpalnd Onlyl.
OBJECTIONSI Any narty In Int,rl.t not latt.flld with tho ar~ralle..nt, nltowanc. or dllaltowanc. of d.ductlon., or a......'nt
of talC (tncludtng dllcount or Int.r..~1 a. .hown on thl. Hotlc. nUlt Object wtthln .ilCty (601 day. of r,cllpt of
thl. Hotlcl bYl
.-wrltten prot..t to the PA Olpart..nt of R'''lnuI, Board of ,Ippul., OEPT, ,810l1, t1l1rrilburg, PA 17118-1021, OR
--.llotlon to ha". the eattur dltlr.lnld at audit of the account of the Plrlonal rIPr...ntatlv., OR
--IPp..l to the Orphan. I Court.
AIllIIN
ISlRATlVE
CORRECTIONS,
flctull .rror. dllcov.r.d on thl. a'I"I~.nt Ihould bl addr....d In writing tal PA O,part..nt of R.v.nu.,
Buroau of Individual TalC", UTHI Po.t hl.....nt R.vllw Unit, OEPT, ,80601, Harrl.burg, PA 171211-0601
Phon. 11171 181-6S0S. S.. pag. 5 of the bookl.t "In.tructlon. for Inhlrltanc. laIC R.turn for a R..ld.nt
Olc.d.nt" (REV' ISO!) for an ._planatlon of adltnl.trnttv.1y corr.ctable .rrorl.
DISCOUHI I
1f nny taM 00. I. patd within thr.. (5) cal.ndar 1I0nth. nit" the d.c.d.ntl. dllth, a flye p"c.nt (S%I dlecount of
th. talC paid II allowed,
INTEREST.
Interelt I. charged b.glnnlng with flrlt day of d.llnqu.noy, or nine (91 _onth. nnd on. (1) day fro. th. date of
d..'h, to the dlt. of pnY'lnt. TalCII whlcn bllcan dellnqu.nt b,'orl January I, 198Z bur Int".., ot 'h. rat. of
.h: 16%) p"c.nt p" annu. calculated at a dally rat. of .0001M, All talC" which b.cn.. delinquent on and after
January I, 1911l will bur Int""t at III rat. which will vary frol cahndar yur to ctl.nddr Yllr with that r.t.
announcld by thl PA O.partllnt of ~.Ylnu', Th. appllcnbl. tnt.r.tt rntl' for 198~ through 1995 arel
'!!!!: In,,,"t RIltl DillY Jnt"l.t Factor !!!r Int"..t Rall OntlY In,,,..t factor
1007 ZOiC ,000548 1981 0% ,000,47
IOU 16% .000458 198&-1991 m .000301
196.. m .00UOl 199Z 0% ,000741
100~ 15:< ,000556 1995-1994 1'1. .000197
1906 10% .ooom 1995 9% .000747
--In,,,"t I. cllculatld al follow'l
INTEREST' SA LANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Hotle. I.Iu.d af'er the talC bleo.., d.llnqu.nt will r.fl.ct an lntere.t cllculatlon '0 flft.,n lt5) day.
b.vond the date of 'h. ....I...nt. If paye.nt I. lad. aft.r the Int.r.lt coaputntlon date Ihown on the
Hotlce, additional Inter'lt lU.t b. calculat.d.