HomeMy WebLinkAbout94-00782
HENRYF. COYNE
LISA MARIE COYNE
Allamey. at Law
3901 Markel Slreel
Camp 1-1111, PA 17011.4227
(717) 737.0464
September 13, 1994
Mrs. Mary C. Lewis
Register of Wills
Cumberland County Courthouse
Carlisle, PA 17013
Re; Estate of Melvin D. Hollier
(Deoeased)
Dear Mrs. Lewis:
Enolosed is the original (and three oopies) of the
Inheritanoe Tax Return for the Late Melvin D. Hollier. Also
enolosed are two oheoks: one in the amount of $15.00 for
the filing fee and the other oheok in the amount of $217.23
representing the tax due during the disoount period.
Kindly prooess same in the ordinary oourse of business
and return to me my two file oopies after they have been
"olooked in". Thank you for your assistanoe in this matter.
Very truly yours,
HENRY F. COYNE
f"}. ~.ff
/:r:: Mar:e~
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LMC/ors
Enolosures (6)
00: Mrs. Joyoe A. Hollier
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---------------------------------
RECEIVED FROM:
i
ACN
ASSESSMENT P:'
CONTROL Ii:,I
NUMBER
AMOUNT
COYNE LISA MARIE
3901 MARKET ST
101
.~17,e:3
CAMP HILL PA 17011
'0(0 HII' 1010 HUI
ESTATE INFORMATION.
~FL NM
~ 21-1994-0'/B2
EI NAME 0 0 'CEO
m AE
mOM
SSN 194-14-8073
I M
ME LV N
A
CO NT
CUMBERLAND
AT
REMARKS
JOYCE A, HOLLIER
m TOTAL AMOUNT PAID
SEAL
CHECK" 413b
RECEIVED BY
WILLS
REGISTER OFWfLLS
------------------------ ..,,~
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\
_UmOfDlAnlAma 12/JI'" CHlacH..1
.. A lPOUIAL 0
POv..n CUD" '1 CLAIMID
flU HUMI.I
..
.llOOlh I".'"
JL/- ,V y- 'J
INHEIcITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
COUNTY COOl vl. / VIal 9 '/
~'@'2
'" ,~
-, -
COMMOHW\AUH O. PlNN"'VANIA
DI'AI MIN' O. IIYINUI
DI". JlO6O
HAII'UUIO. PA 11111.0101
i
Sl
a
c
-; J' .~
HUM"I
194-14-8073
0< I. Origl..1 lotvm
o A. UonIlod E.t...
7-10-94 11-18-24
o 2. S.pp'-nt.1 I...",
o Au. futur. Int.....t CCNftpt1Nftl..
110. d.... of _h oft.. 12.12.121
o 7. Docodont M.lnt.lnod. U.I"1l Trull
(An.", co of Tru..
TAX IH__TION IltOlIUlII DlIICTID TO! .. .'
123 Llmontonu Drlvo
C..mp 11111, P^ 1'1011
Cumborl..nd
o 3. ._Iodo, ....",
1,",_oI_priofIo12.U..21
05, '......1 E..... T..
....", .oq..,..!
.I. I. T...I NlIOlbor of.... Dopetlt .....
Melvin D.
HOLLIER
M
.
=
,i!~
'''1$
.0..
,,~.
:c
o 6. o.c.d... DIod ra.....
IAn.", of Will
c:ouaPOHIIEHQ AND CIOHPI
. ,
. . '. ..." ..",".,
ai
. !i!
32
Marie Coyne, Esquire
,3901 M..rket Streot
C..mp Hill, P^ 17011-4227
1. 1001 Ell... ISchod.", Al I II
2. Slocb Dftd Iond. (ScI.odulo II ( 21
3. CloooIy Hold 5lock1r.nMnhlp I....... (Schodulo q I 31
A. Mortgoll" a.... N.... I......b'" ISdood.'" 01 I AI
5. eo~1~&Ml...II'_'Pon...IP_151 21,066.70
I EI
6. JolntIy 0wMd P_ (Schodulo f) I 61
7. T_ 15chodulo 01 (Sdood.'" II ( 7)
I. T..al ar... -l~ 1Ino. 1.7)
9. '.......1 e-.... AdonIftlotrotiYe eo.... Mloall._. I 91
Ear-- l!sd.odulo HI
ID. Ooblo. Mortgag. UobIIItlo.. u..'15chod.", II 1101
11. Tot.1 DoclllCliao'I'otal n... 9 & 101
12. N.. Voluo of E..... pI.. I ..1...11.. III
13. Cllarltoblo Dftd O......__....laoq.....15chod... JI
IA. N.. Value Sub to TIU I". 12 """",.Ii... 13
15. AMounI of 11M I. la.obM at 6"- rat.
(Inducla ..1... IT... Schodulo K 0' Schod.l. M,I
16. _ of n.. 14 .....b'" al 15'140 rat.
(Indue:&. .01...1 from SeMeI",l. K ar Schedul. M.I
17. Prlndpal....d..IAddl.._II..l5a...._1I..16,)'
II. Cr.dth Spouaal PcwMfy Credh Pnot PSl)'J!*rt1 DJ~n' Ilnllf...
+217.<:J + 11.1,3_
19. If Ii... II h ureot.t than Ii... 17. ent.t the diff,r.nu on Ii... 19. Thl, h the OV..'AYMINT.
mo
20. If t1M 17 It gtMt.r tha"ltne 18. ......r th. diff.renu on Ii'" 20. Thl,I.,he TAX DUI.
A. Enltf' the Int...... on the balanm due on JiM 20....
S. Em.. .... t...1 of Ii.. 20 a.... 2DA ..II.. 20.. Thlo 10 .... IALANel DUE.
Mob ChocIt, ..... h, 1..1.... .f Will.. A.....
...11 IUD TO AHSWU AU. QUunOHS ON IIVDIIIIDI AND TO IKNICK MATIt......
tar P"Ghle, of pwt"ry. I dado,. thot I hon ..0iNMd flU, Nh/f". ~udl::r OtcDftlPo",tlna M.hed..... ."d It.'.,..n',. ."d I. rile ""1 at "', ....wledg. a"d tMh,'.
.-=.~....~:~"'::~~..;:.:.':"'....~I:il.:::I~,..... ....... "'IVO'" ., ..I... Dod.'.'Ion.' pr.p.... otho, tho. tho po.....1 ..p,....'....I.
: ,;UD:a~&~Zr'(' AD::~13 LIllWJlton" D"IVI'. C..mn IItll.l~~ 17011
.116.
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o
s
!
..
III 21.066.70'
12.91,9.60
1,295.00
1151 7 ,622.10
(III
1121
(131
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. .0;1
1/,,21,/,.60
7,622,10
7.622. 10
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o
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116)
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1171
220.66
1111
119)
22/J.66
Chllell hefe II you a,r flHIU..,,,"" a ,..fu"d "I you, "".."my"'."'
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SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
_.__ .Ploal.!'_Prl~! or.!yl'!!_.u
filE NUMBER
COMMONWUl1H Of PENNSYLVANIA
INHERitANCE fA. UJUltN
RUIDENt DICEDENT
ESTATE Of
Melvin Hollier
(All prop"" lolnlly.o.....n.d wllh ,h. Righi of SUlvjvollhip ~-;;tb;";t;;j;~~d ~~-~hadu'. ..,---
ITEM
NUMBER
DESCRIPTION
VALUE AT
DATE OF DEATH
1.
York Federal Savings and Loan Association I.R.A.
Acct. No. 110-029261
$21,866.70
TOTAL (Allo onlor on IIno 5, Rota
S 21 866.70
(Alluch additional Oy, If )( II"" ,h,," if 'nDf' 1pOC. It n,ed.d,)
,...""......_~...
".:_,,~.~~~":-]I.'C':ro.o.,,;.-. ,," /;;:~y::!.__;r..'.' Ti." 0 .,''cc<,'''ii'', -,-.-q c-, "-,, \~'J'-'''i'''''-
-J:1IP,........ ....__.,;,.,~.rtr:--
,-
-
_r~""-"r",.'t
-llly';lIlltl'UI
~(~'~I\
-~71;.,;.
COMMOHWl"Lt04 or 'lNU\VlI/AHIA
IHHUI1AHCl ''''II U1URH
1U!tIOlHl0lt(OlHl
\ SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
. MISCELLANEOUS EXPENSES
~--
Plealo p.lnt or Ty~o
BER
ESTATE OF
Me lv in Hollier
ITEM
NUMBER
A.
1.
2.
3.
4.
5.
6.
-...-
DESCRIPTION
Funo.al Exponu"
Myers Funeral Home
Headstone, Engraving, Ereotion of Headstone
Grave Opening
Funeral Reoeption
Plot
Flowers
7. Su i t
Adml"lll.atlvo Call..
1. Pononal Rop,olonlallvo Cammi..lans N / A
Social Socurlly Numbor 01 pOllanal Rop.olonlallvo,
Volar Camml..lonl paid
B.
2.
3.
Altarnoy FOOl
Lisa Marie Coyne, Esquire
Family E.ompllan
Clalmanl Jovoe Holl ier
Addro.. 01 Clalmanl al docodonl'l doath
Rolallonlhlp --YJi fp
Slrool Addro..
123 Limeatnnp n~;vp
Slalo PA Zip Codo 17n11
City Cllmo Hi 11
4. Probalo FOOl N/A
C. MIscollanooul Exponlo"
1. Fi ling Fee
2. Reserves
3. postage
4.
5.
6.
7.
B.
TOTAL (AI.o onlor an IIno 9, Rocapllulallan)
III mo.o Ipaco II noodod, Inlo.1 additional .hoo" of lama .Izo.)
AMOUNT
$ 5,281.60
3,150.00
375.00
200.00
375.00
130.00
100.00
1,094.00
2,000.00
15.00
200,00
29.00
S 12,949.60
, '
11'1 ISUII. liD'.'
W'
, Q
,
SCHEDULE I
DEBTS OF DECEDENT.
MORTGAGE L1ABLITIES AND LIENS
tOMMOHW.",IH C", 'INH"'''''"'''
IHHUIl.....'. IAI II1UIIl
InlOINIlItlOINI
ESTATE OF
Me 1 v in Hollier
I FILE NUMBER
ITEM
NUMBER
DESCRIPTION
AMOUNT
1.
$
46.00
Bosccv's
2.
43.00
Bon Ton
3.
Homeowner's Insurance
206.00
4.
Real Estate Taxes
1,000.00
, '
TOTAL (Aho onror on Iino 10, Rocopllulorlon)
(II moro .pace is n..d.d imo,' oc/e/jUanal .he.1I allome sin)
$ 1,295.00
. .
11'II5UII.U'"
,t~
(OMMOflW,AlItIQI P1t1tnYlVAIl'"
INHUUAHCI tAl IIIUIH
"'IOINIOIUOIHI
SCHEDULE J
BENEFICIARIES
ESTATE OF
Melvin Hollier
FILE NUMBER
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
A. TOkoblo BOqUD'h:
I.
Joyoe A. Hollier
123 Limestone Drive
Camp Hill, PA 17011
Wife
100%
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
B. Charitable Dnd Governmental Boquo,":
1.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Allo ontor on lino 13. Rocopltulotlon) 5
.__..__.~_._.._.. ------
IIf mo,. .pace I, n..d.d, In,.,t additional .h.... of lome slu)
!REV-1547 EX AFP (08-94w
J COHHONWEA.lllt OF PENNSYlVANIA
DEPARIHEHI OF REVENUE
BUREAU OF INDIVIDUAL fAXES
OEPr. 280601
IlARRUIURO, PA 17118-0601
EST TE OF FILE NO.
DATE OF DEATH 07-10-94 COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUDHIT THE UPPER PORTION OF THIS FDRH WITH YOUR TAX
PAYHENT TO THE REGISTER OF WILLS. HAKE CHECK PAYADLE TO "REGISTER OF WILLS. AGENT"
REMIT PAYMENT TO:
/l/-.B'-f - :.(
;'\) ,
V 0)'
ACN
101
NOTICE OF INHERITANCE TAX
APPRAISEHENT. ALLOWANCE DR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHEHT OF TAX
LISA MARIE COVNE ESQ
3901 MARKET ST
CAMP HILL PA 17011-9746
DATE
12-26-94
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
Allount He.Ht.d
I
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR VDUR RECORDS ~
iiEV=isr'-i-E;[-AFP-roii:94Y-NfificEuciFuiNHEiiiTANci-YAiC-iippRiiisEHENT-,u.U.l-ciwAiici-o-Ji-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HOLLIER MELVIN 0 FILE NO, 21 94-0782 ACN 101 DATE 12-26-94
TAX RETURN WAS. I X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL
1. Ra.l eat.i. (Schedule A) 11)
2. stocks and Bonda (Schedule OJ (2)
3. Clos.ly Held stock/Partnarship Inta.....t (Schedule CJ (3)
4. Harig.gal/Not.. Receivable (Schedul. DJ (4)
5. C..h/Oank OapoIUa'Hhc. Peraonal Property (Schedule EJ (5)
6. jointly Owned Property (Schedule FJ (6)
7. Trenl1e.... (Schedule GJ (7)
8. Total A...h
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funa...al Expans../Adn. Costs/Hi.c. Expen.es (Schedul. H) (9)
10. Dabts/Hortgag. Liabiliti../Li.n. (Schadula I) (10)
11. Total D.duction.
12. N.t Valu. of Ta. R.turn
13. Charitabl./Gov.rnnantal B.qua.t. (Schedule J)
1~. N.t Value of Estat. Subjact to ra.
If an asssssment wss issusd prsviouslY, linss
reflsct figurss thst includs ths total of ~
ASSESSMENT OF TAX:
15. Anount of Lina 14
16. AMount of Lin. 14
17. Anount of Lina 14
18. Principal T.. Due
NOTE:
I CHANGED
.00
.00
.00
.00
21.866.70
.00
.00
181
21,866.70
12.949.60
1.295.00
1111
ll21
ll31
ll41
14.n4 6n
7.622.10
.00
7.622.10
14, IS and/or 16, 17 and 18 will
rsturns sssssssd to dats.
at Spou.al
ta)(abl. at
ta)(abl. at
rat.
Lin.al/Cla.. A rat.
Coll.t.ral/CI.ss Brat.
1151
ll61
1171
TAX CREDITS:
PAYHENT
DATE
09-13-94
RECEIPT
NUHDER
MM912944
DISCOUNT 1'1
INTEREST (-I
11.43
PAYMENT MUST BE MADE BY 04-11-95_.
.00 X .03.
7.622.10 x' 06.
.00 X .15.
ll81
.00
457.33
.00
457.33
AHDUHT PAID
217.23
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
· IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL IHTEREST.
228.66
228.67
.00
228.67
IF TOTAL DUE IS LESS THAN fl. HD PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE
A REFUHO. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS. I
RESERYATIONI E.tat.. of d.cad~t. dv.na on or b.fora D.c.ab.r 12, 1'82 -- ., any future .nt.r..t .n the ..tat. .. tran,'.rrad
In po.....lon or .nJov..nt to C.... I Icollatlral) b.n.flcI.r... of thl d.ced.nt aft.r the .llplratlon of any ..t.t. for
I.'. or for vaar" the Co..onw.alth h.r.by .1lPr...lv r..arv.. thl right to appr.I.. and ...... tr.n,'ar Inher.tanca Tall.'
st the lawful Cia.. . (coll.t.rall rat. on anv .uch future lnt.ra.t.
PURPOSE OF
HOTlCEI To fulfill tha requlre..nt. 0' S.ctlon 1I40 of tha InharltBnC. and E.tat. TI. Act, Act ZZ of 1991. 72 P.S.
Sactlon 2140.
PAYHENTI D.tach tha top portion of thlt Hotlce and .ubalt with your pav..nt to tha R.ght.r of "1111 printed on tha rav.na .Id..
"Hak. ch.ck or nn.v ordlt p.yabl. tOI REGISTER OF MILLS, AGENT
All pav..nt. r.c.lv.d .hall flr.t b. appll.d to any Int.r..t which .av b. du. with anv r...lnd.r appllad to the t...
REfUND (CRII A r.fund of a ta. cradlt, which w.. not r.qu..t.d on the Tax R.turn, .av b. r.qu..t.d bv coaplat.ng an "Appllcat.on
for A.fund 01 pann.vlvanla Inharltanc. and E.t.t. Tall" CREY-IS1SI. Application. .r. avallebla at the Ofllca
01 the R.gl.t.r of "III., any 01 th. 25 R'v,nu. DI.trlct Offlc.., or bv calling the .p.clal 2it-hour
an.w.rlna ..rvlc. nuabar. for for.. ord.rlngl In P.nn.ylvanla 1-800-362'2050, out.ld. Pann.vlvanl. and
within local Harrl.burg ar.a (7171 787-a094, TOOl (7171 77'-"52 (H.arlng lapslred Onlyl.
OBJECTIONS I Any p.rty In Int.r..t not .atl.flad with th. .ppr.I....nt, allowanc. or dl"llowanc. of daductlon., or ........nt
of t.. (Including dl.count or Int.r..t) a. .hown on thl. Hotlca au.t obJ.ct within .I.tv (60) day. of r.calpt of
this Notice bYI
--wrltt.n prot..t to tha PA D.part..nt of Rav.nu., loard of App.al., DEPT. 211021, Harrl.bura, PA 171,a-la'l, OR
"'I.ctlon to have tha a.ttlt d.tar.ln.d .t audit of the account of the par.on.l r.pr...ntatlv., OR
--app..1 to the Orphans- Court.
ADHIH
ISTRAIIVE
CORRECTIONS I
INTEREST I
ractu.l .rror. dl.covared on thl. ........nt .hould b. .ddr....d In writing tOI PA Depart..nt of R.v.nu.,
aur.n~ of Indlvldu.1 T.ll", ATTHI po.t A.......nt R.vlav Unit, DEPT. 2a06al, Harrl.burg, PA 171za-06al
Phon. (717) 717'6505. S.. p.u. 5 of th. bookl.t "In.tructlon. for Inherltanc. ,.. R.turn for a Re.ld.nt
D.c.dent" (REY-ISOI) for .n 'llplen.tlon of .d.lnl.tratlv.lv corr.ct8ble .rror..
If .ny tall due I. p.ld within thre. IS) cal.ndar eonth' aft.r th. d.c.dent'. d.ath, . flv. p.rc.nt (5~) dIscount of
th. taM paid I. allowed.
Int.r..t I. ch.rg.d b.alnnlng with flr.t day of d.llnquancv, or nln. 191 .onth. and on. (I) day fro. th. data of
d.ath, to th. dati of pay.ant. T.... ~hleh b.ca.. dallnqu.nt b.for. January I, 1982 b..r Int.r..t at th. rat. of
.1. C6~) p.rc.nt par annua calculat.d .t . dally rat. of .000164. All talla. whIch boca.. d.llnqu.nt on and .ft.r
January 1, 19az will b..r lnt.r..t at a r.t. which will v.ry fro. cal.ndar y..r to cal.ndar y.ar with that rat.
announc.d by th. PA D.p.rl..nt of R.v.nua. 'h. applicable Intar..t r.t.. for 198Z Ihrough 1995 .r'l
DISCOUNT I
'!!!! Intlr..t Rlt. 0.11'1 Inter..t Factar ~ Int.r..t A.t. Dally Intera.t f.cta,.
1982 2n .000541 1987 .. .00DZ47
1985 16~ . D00458 19aa..I991 11~ .000501
1984 II~ .000301 1992 .. .000247
1985 U. .DDU56 1991-1994 7X .ODOI9'
1916 ... .000274 1995 .. .000247
uInter..t II Cllculatad .. follo"lI
INTEREST . BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
.-Any Hatlc. I..ued .ft.r the t.. b.eo.e. dallnquant will r.fl.ct In Int.r..t c.lculatlon to fl".en (IS) day.
b.yond the d.tI of the ........nt. If p.y..nt h .ade .fhr th. Intar..t coapulaUon date .ho,," on the
HotlCl, adcUtlonal Intarllt lIU.t D. c.lcullt.d.
REV-1593 EX AFP (9.9*)
COHHONWEAL TIt OF S~UHSYlVAHIA
DEPARTI"'.: "1 OF kF;n:HUE
BUREAU l!. IHDIVIDUAL TAIlES
rEPT. Zltt611.
HlRRISal~~. PA 1112..0601
/</_ ,1J'I--5'
'.
ASSESSMENT
CONTROL NO.
101 l./
INHERITANCE TAX
RECORD ADJUSTMENT
DATE 01-09-95
ESTATE OF HOLLIER MELVIN 0 FILE NO, 21 94-0782
DATE OF DEATH 07-10-94 COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PDRTIDH OF THIS FDRH WITH VDUR TAR
PAYHEHT TO THE ADDRESS SHDWH. HAKE CHECK PAYABLE AHO REHIT PAVHEHT TO. ,
LISA MARIE COYNE ESQ
3901 MARKET ST
CAMP HILL PA 17011
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
Allount R..Ht.d
CUT ALONG THIS LINE ~ RETAIN LOWER PORTIDN FOR YOUR RECORDS ~
R-Ev:i5iij.EiC-AFii-r9~-94j-------.-.-iiiHERi-fANb-E-TA-i-RifcDRP--ADj-usTifENT--..-----------------------------
ACN 101
DATE 01-09-95
ESTATE OF HOLLIER
MELVIN
D FILE NO, 21 94-0782
AOJUSTHEHT BASED DH.
VALUE OF ESTATEI
AnMTNT~T~ATTVF r.nRRFrTTnN
1. R..l Eat.t. (Schedul. A)
2. stock. and Bond. (Schedule 8)
3. Clo..ly Hald stock/Partnarship Int.r..t (Schedule C)
4. H~~tgogo./H~. ROE!~blo ISchodulo D)
S. C~~.nk D.~o.lt.'"cac. Parsonal Property (Schedul. E)
- ..- II
6. Jo~n~y Own~ Prap~r~ (Schedule f)
7. Trartafara (Schedule Gt
B. . 'rotOl Auj;)!. 'D
DEDUCTIONS"~ND ~MPTIO~I
9. F~~.l EMP~.../AdlllDl.tr.tlY. Coatal
Hli~lonoo~ Expon.~ ISchodulo H)
10. ~Hr/Ho.t~o Ll.M!fitlo./Llon. ISchodulo I)
11. Totol DoduoUorf.' (J
12. N.t Value of TaM R.turn
15. Charitable/GovarnM.ntal a.qu..t. (Schadul. J)
l4. N.t Valua of E.t.t. Subjaot to Tax
TAXI
IS. AMount of Lina 14 at Spou.al rat. CIS)
16. A.ount of Lin. 14 taxabla at Linaal/Cla.. A rat. (16)
17. AMount of Lina 14 taxabla at Coll.t.ral/Cla.. a rat. (17)
18. Principal Tax Dua
TAX CREDITS I
PAVHEHT RECEIPT DISCDUHT It)
DATE HUHBER IHTEREST 1-)
09-13-94
11. 43
MM912944
PAYMENT MUST BE MADE BY 04-11-95..
INTEREST IS CHARGED FROM 04-11-95 TO 01-24-95
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
ll)
(2)
(5)
(4)
IS)
16)
(7)
00
.00
00
.00
:>1.86670
.00
00
la)
21. 866.70
(9)
1l0)
12.949.60
1.295.00
Ill)
112)
115)
114)
14.:>44.60
7.6'1'1 10
.00
7.6'1'1 10
7.6'1'1 IOR.03"
00R.06"
00M.1S"
lla)
'1'1R 66
on
nn
'1'1R 67
AHDUHT PAID
217.23
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
.01
. IF PAID AFTER DATE IHDICATED, SEE REVERSE I IF TOTAL DUE IS LESS THAH fl, HO PAVHEHT IS REQUIRED.
FOR CALCULATIDH OF ADDITIDHAL IHTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAY BE DUE
A REFUHD. SEE REVERSE SIDE OF THIS FORK FOR IHSTRUCTIDHS.)
.
,
.
PAY'-':HTI
Uttech thl top portion of thl. Notlel and lub.lt with your Plv..nt .ade PIYlb.. to thl n... end addr..'
prlntad on thl r.v.r.. .Ida,
__ ".... chick Dr .onlV order peyeblt tal REGISTER OF WILLS, AGENT.
All p.v.~t. ,.'IIVld ,hall bl .ppll.d flr.t to any Int.r..' which ..y be due with any ,...Ind., ,pplled to thl tax.
REFUND (CR)I A ,.fund of . tax cradlt, which w.. not r.qu..ted on thl 'ax R,turn, ,.y ba r.que.tad by cOIP.ltlng an
"Application far A.fund of P'nnlvlvanla Jnh.rltancl and E,tate 'IX" (REV-ISIS). Appllcltlonl .r. avallabl. at
thl OffiCI of thl AIghtlr of Wlll1, any 0' the 25 AIVlnUI District Offle.. or frol thl OIP.,t..n", Zi\-hour
anlwl,I". ..rvlcl nuab.r. for for. orderlngl In P.nn.yyant_ 1-800-56Z-2050, out. Ide P.nnlvvanl.
end within lac.l H.rrl.bUrg .r.. (717) 717-1094, TOOl (717) 772-2252 CH..rlng IIp, Ired only).
REPLV
lD.
aue.tlan. r.a.rdlng error. cant.ln.d an thl. natlc. .hauld b. .ddr....d tal PA Olpart..nt of R.v.nue, aur.au
a' Indlvlduel 'eM", ATTHI pa.t A.......nt R.vl.w Unit, D.pt. 210601, H.rrl.burg, PA 17121-0601, Phone
(717) 717"6505.
DISCOUHTI
If eny t.M due I. p.ld within thr.. (]) c.l.nd.r .anth. eft.r thl dlcedant'. d.eth, e 'Iv. perc.nt (5~) dl.count
of the t'M p.ld I. ellaw.d,
IHTERESTI
Int.r..t I, charg.d b.glonl"; with flr.t d.y of d.llnqulncy or nln. (,) lanth' .nd an. el) day fro. th. d.t. of
d.ath to the data 0' plv..nt, 'eM" which ble... dellnqu.nt bafora Jnnulry 1, 1982 b..r Int.rl.t et thl ret. a'
.IM (6~) p.rc.nt p.r .nnul c.lcul.tad .t . dally r.t. a' ,OOOI6~, All t.M.' which b.cn.. d.llnqu.nt an end e,t.r
Januery 1, 19.2 will b.er Int.r..t et . rat. which will v.ry 'ro. cal.nd.r y.ar to celanda' y..r with that r.t.
announcld by the PA D.part..nt 0' Rav.nu.. Thl appllc.bl. Int.r..t r.t.. for 19.2 through 1995 er'l
'!!!! Int.r.st Rlt. 0.11'1 Int.r..t Factor !!!! Int.rllt Ret. Dally Intlrllt Factor
1982 2U ,ODDS'" 1987 9X ,OOOZ47
191] lOX ,DODO' 19....1991 lli( .0aaSDl
1914 Uie .000SOI 1992 9X .DOOZ47
1915 l>X ,OOOSS6 1995"I99~ lX ,OOOl9Z
1916 lOX .DODZ7,. 1995 9X .OOOZ,.?
"-Int.r..t h ulculat.d .. ,ollaw'l
INTEREST . BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
....Any Hotlc. h.ued .,tar thl t'M b.co.., d.lInqu.nt ",111 rafl.ct en Inter..t calculation to flft.", US) d.V'
b.vond thl d.t. a' the .......ent. If p.y.ant I. ..d. .ft.r the Int.r..t coaput.tlon data .hown an the
Hotlc., .ddltlonal Int.r..t IU.t b. calculatad.
REV, 1470 E.X 16181,
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWl"llI "I OF P[NNSVLVANIA
JJLPARIM[Nl OF R[V[NU[
I RIAU OF INDIVIDUAL TAXIS
D[PT,280601
HARRISBURG.!'A 17128.()O()l
DECED[Nl~ NAM[ I /
/f-.p' / ,) nl/.-
{J /lu00.L" I-' /Z-
fIl[ NUMO['h ~
-LI../ '/ - IJ 7 Ii..2.
ACN
/J/
SCHEDULE
ITEM
NO.
-r;;;- It.., /T::"
/
//1~51:,:V C"
EXPIANAnON OF CHANGES
/[/i..</V l.!.-/;tl L.~\J J;?:
/15
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:: t..f'/'::;/./ J./.1/V('- yu t/":-/---
'_"'C
TAX EXAMINER:
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