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" ,,,ii' I, " \J PETITION FOR IJIUHlATE llnd GRANT OF LETTERS .~/-.9'f ~.?~L___ EIIIII(' of ...Lulu Eo Stevens III,\'() kllOll'1I 0.1, No, To: s~;,i(~iS(;;'lIri(Y No. . 159-24~ 762i /)('I'f'tI.\w/. Rcghtcr of II'III~ for Ihc ('ouuIY of .. Cumlxu:lnud__ In thc ('ol1ll1lonwcillih 01' I'cnnsylvlInla Thc pctlilon of Ihl' undcrslgncd rl'spccll'ully rcplcscuts Ihul: YOIIf PClllloncr(s), who 1~/lIIc 1M YClllS of 1I~1' 01 oldcr unlhc c~ccul.ors_.._......____nal1lcd Inthc IIISI will of thc II!>OI'C dcC\'dcnl, dill cd NOVCl-mbct: 9, .... _.. .._.......__._____..., 19.1_L IInd codlcil(s) dUlcd . none ...... ..u~u,_._.__. ('lillI.' ICll'\illll dll'tll1hIUIl..\,'1, l'.ll. IC1llllKillliun, tkHlh I,r 1.'\Cl'llltH, Clc.) Dccclulcnt Wll~ dOllllciled III dClllh In. ClUIlbod,md..... ...... ....... - '---b- Coun'pA I'cn9~lvanlll, wilh Il.er_..._.....IIISI 1'lll1lllyor prlnciplIl rcsldcncc lit .I!.O. !lox)45... Ne.\'!Y..l.lrg,___1._,40 __ tll~l '1l1l'l'l, IHlI1lhl'l 1I11l1llltllldpulilY) Dcecndcnl,lhcn ....84. YCllrs of u~c, died.. SeptclllbyhM,.......--...._...._, 19,911 .., al__Ch;lI[J~r.!1bl!rgJlosR~ tal,ChamJerslJurg,J',,_. . ._. __..._..__ ___' E~ccplllS follow~, dcccdcUI did notnlllny, WlIS nOI dlvorccd IInd did nOllhlvC II child born or adoplcd aflcr c~ecnllonof lhl' will offcrcd for prohillc; WllS not Ihl' vielll1l of 1I killing lIml ,,'liS ncvcr IIdJudlcillCd Incon1l1clcnl: __.__. ......_._u._u....__~_.__.__ Dcccndcl1llll dCillh owncd propcrty wllh cllil1llllcd valucs liS follows: (If dOllllcilcd In I'll,) All pcr~onlll propcrty (If not dOl1llcllcd Inl'il.) I'crsonlll property in I'cnn~yl\'lInlll (If not dOl1llcllcd In I'il.) I'crsonill propl'r1Y in County VlIluc of rClll cSllllc In I'cllll~ylvilnlll sliualcd liS follows: __..._.......... ..__...... .__.._.. ",,_,_,,__,_,__ .._.._______..__. $. $ $ $ ..__35, 000.00 WHEREFORE, pClliloncr(s) rcspcclfnlly prcscnlcd hcrcwith IInd thc grnnl of leltcrs._.. thcron, rcqucsl(s) the problllc of Ihc IIISI will IInd codlcll(s) .1'estamenillry__...... (ll'~llIIIlCl\lur)'; Udlllllli,lralltlll C.t,ll.; Utll1lllll~ITlIlIOIl d,b.n.c.I.II.) -;; 1l 6 '0.. iifi "0 "0,2 ~ii ~'o.. U~ 30 ~ .. Iii 0r:? L,O ~ 'CYl-6_M_,. . ...tt!a-, ... -"7~ "'.~tlf~' .u(.) .'f. -..A.J.CJ.3~ -.wA."'C.....-u.c.A..~~ __=-(ilj)p;,;.,;~u .IO~;'- . ._~~7L":uu ~1;1~~j"7. c) t_~~ _~~-;;J?l--'~'{~d.:"~ /j 14.-... :.~'.~~u.j=,!!..=.-i-2~ .-_._--_._~, .------_. ----._-~~._-._.. OATH OF PERSONAL REPRESENTATIVE COMMONWEAI.T11 OF l'ENNSnVANIA } HH COUNTY 010' G.wnberliJncl .... .__... .___ The pClltloncr(s) aho\'e'llallll'd SWCIII(s) or allinlll.S) Ihnl thc slntclllenls inlhc forcgolng pClitlonllrc IfIlc nnd eonCCI to the hcst of the knowledgc and helicf of pelitloncr(s) llnd Ihlltlls pcr.lonlll rCflrcscn- Illlivc(s) of Ihc IIh(l\,e decedeln pelllloner(s) will wcll and Iruly IIdllllnislel' Ihe cSllilc llccmdlng 10 Ill\\" ('Cy" L,. ,'" ..-l- SII'Ofl.l. tll <':1' nl'flfll.ll'd 2,l.!!Hl suhscrihed ~I "f'.-&.t?'z1... .rvC .'-' -v;...}~/.?).'.""..-. ....._. "'._ ~ befl)f'C 1111' thiS .. ~ 1 t dill' 1I1 '\ ,'/ " 7.tliL-; ,@2:~~,~Bt~~ ~ () //7.tw . ~/6u,ttu~~ cf..~(<i!;=):~u ~ MA~tC. LEfIIS IIl'ltill"1 () .. . ..... .._u_ .__ 3: I/..(- I") ~~ -l- I ,~ This is III n:rll1r dlill till' illlnrll1.11illll hell' ~:iw'l1 i~ (1IIII'llly tOI'II,.1111111I ,Ill (j/i.ll,ill.d ({'rtilirall' ot' d".ldl dul)' filt'd with me as I.ot:a! Hq~i'ilfill. 'I'll(' lIdgill,tI U'l'liIiLIl(' '.dll hl' Ifll'w.lnlt'd !u t1H' .'-il.llt. Vilullt,'(md, (Hfin' lor pl'l'IIlalll'lll f!lillg. WARNING: It 18 Illegal 10 dupllcale this copy by PhUI08IB;''',,;h/0,.I.:''''lh./) J,:/'/" ,./ IIee (or Ihi, ".,'Iili,..,,,. $1.00 " , v. ;/' ;/ It tall J. .'Ct.'(,'C:" 1.0(J i~(I.L:i!llrill" ./ 2587268 No, . P/~.lfJ?f.._,_ D.III' -....,.., CQMMONWIALTHOF PIHHIVL.YANIA. oe'AA'M'NT 01' HULTH. VITAL R!CO"OI CSRTIFICATE OF DEATH 1.~ ....It..! , 'W',.'.........II lA.VCI'''''1'''''lhfll Of Ii" ~(:IiJI, t" ."". _. _.. flIol 1"\1(1(1':' ~ -..".,.'''' ...... ".... ~"'I , (" I' . (........' n~''*'''''~ N ",. ,,., (,~. UI~lll._: O'.J( _ '". ...,.."'..._.t' _ l1vu~<"1b_...__ ----- --. -.. .-. nj_ ~l"~C~;~~~ tt.t. KTt~(g"~' __.___n_____. .--..- -. . -~. .-- :<ii\i1j; 'li.~~~fi~~~~ 'N'('~IJ~~9~("P^ , 7 2 40 ~~_. 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" 'I ,. i, ,I " " , '.'" " "I r ~ , ,.. .,' \, :..' ',. / I' ~... 'i 1 . I>l ~ ~ ~ e re). ~ "" ",' i J', d' " ,\, " " " ., " f-:;;, ., ,J', i'" 1',' " " " ,. ,,'I '" .I ,. I, .I 'I' " " " ,,1',: ,. '" o. ,-,' " ..' ,1"_,,,:' ,I,i'" \'1 ',I ,," '" ',,' HI!' ',I 1 ~ ' '-.' ,[",' "~,I " " , ,f_ ,: '! ,. ',,';1 , , H' ,', , , ~ ' ," , \ ~ " , ' 'tI, , !'I\-j'}; " '0 ,', I', if,t. " ',,' .' " ,.. " /, 'j,' ,,1)_ ... of\' " !""Il ,I " ..' ", ,. \' ..' , '" ,': " '., " I" (l " ". ",' -,,' , I',c ",'1' ( ,: " !', .,. r,<< ).' "'I,'" ,\ ,f" 'I' " " ' "~; ,1 l'! . II! 0( I ~ ,n " , I, " I' "' ,. " , -, ' , ~ ~ . , ' " " , " " .., ,'!" " '\ ',,! .' " , "" " I, ,i', 'I , " " , , '\' iiI , " i,-' " "-.. I'; '" ,,' ,\' :-,.'11 ',I' ., , " ;,1'1 ',1'1 ,',: , , -;,\1 'I.' j, ,'\ , I" " , " " , ," ,,". , '" " " " " 1,1' ,I' ", ,!; ',!l H/ .' I , , .1 "I'" ,(-, .,( i' 'f' ;1' \;. " I..'. J' '.1':-,,11') " ,I 'i\ ';., i( I!!-i ','_ 'I _', ,. 11:1;.- liJ","'.'I~} ::,.)f}:" f! \1;" I',' ',I. 11' " " I 1'" " 0' } , ! ~ ( " , "iI': " j" ._,f'-,' 1-" " ,,: ", 'ii' " '" ~ ':, I"~ t(~ / , ) if' .2 3 '7- 1 ,)... ~.? ~ INHERITANCE TAX RETURN '!:\~!:;!' RESIDENT DECEDENT COMMONWIWIlOIPUm,,,v^,,,^ 'TO BE FILED IN DUPLICATE OlPAR1MEtH or R(VHllJf , .d IlARmrJ:b,~~'WI18o,ol '. WITH REGISTER OF\VIL~.S) _ _ CO~Nly'.C()~E_.~1 . YEAR q.,. ==-----fifuurm'!-milr[[J.'fT:";iifir.~fni';,jitjjTrihrfi',(iF~~==~-~.,-.- lifffiiENI" COMPi!1rmmrr- ~ ~1'ey.eJ1S llllll Ii 1',0, Box 145 ~ ruc\1hecuR,,'rlIUMm- .~'.l----.".---ltiAlf (HIi. !),fli.. ...._n.lf'''3' _01'.(:'-"1"0 . u_ Newburg. P^ 172/10 _c___ __15_9.:...2.A::Zf\2L_._.._..__._ 9~J5-9_4. . _ _ ". ..._ c,",!,-_~~!1!11!.e.~~1~1!l(L._.______ ~ !XII. Origlnol Rolurn I] 2. Supplomonlol Rolurn fJ 3. R.molnder R.lurn <Ill Ifor dolOl of d.olh prior 10 12.13,821 ~~ti [14, lImllod Ellalo [J 40, Fulure InlurOlI CornpromllO [J 5, Foderal E.lolo Tax o~9 Ilor dolol of doolh "It or 12.12,821 Rolorn R.qulred it III IKI 6, Olleodonl Ol.d T Ollnl. 1.1 7. O"odonl M"lnlainod " lI',lng Trull _ 8, Tolol Numb.r of Sofa O,pollt BoxOl < IAllach copy of Willi (Attach copy 01 TruI11 ---_. ALL CORRESPOND~NCE AND CONFIDENTIALTA"XiNFORMATION SHOULD 8E DIRECTED TOI ~ ffi NAME .------]ccmmn MAIIINO ADDRm '" c j'll!I:,.,.,.!lIIIl!J;hQl1V_--^da!J1.~JJ~'ill\LLrg.__ _~ ___ ___ .. 128 F. King Street 8 ~ ! ,IIU tlUM.Eii - Shlppollsburg, P^ 17257 -_~~i.~ 71]~1=o~~fo~o??oZQ___,~__~.. ----m-c -,:----. "',.,"-"'o~-~===~--f1D- I 38 629./,0 . " - :~: 1. R.o E""I'ISchodulo AI I II ... I .. d'..._.... _____.. 2, Slack. "lid 80ndl ISchodulo 0) ( 2) . _._,_~_____. 3, CIOlOly 1I.ld Slock/Parlllo"hlp laloroll ISchodulo C) I 3) __. ...._... ._______ 4, MorlgogOl "nd No'.. Ro,,'voblo ISch,dulo D) ( 41._ on., ...._ _.._._____ 5, C".h, Balik Oopo.ll. & Mlseoll"nooUl Pmonol Proper'yl 51 __..fJ.866!_.76 (Scb.dul. EI 6. Jolnlly Ownod Prop.r.y ISchodulo FI 7, Tran.'o" 15chodul. G) ISchodul. 1I 8, Tolol GrOll All.11 IlololllnOl 1,71 9, Funerol hp.n..., Adrnlnlstrollv. Calli. MIs"II,,",oUl I 91 _.nX.JlfJ.1.82 Exp.n"l (Schodul. HI 10, O.bls, Morlgogo lIablllll... lI.ns ISch.dul. II 11. T 0101 O.d"lIon. (lololllnOl 9 & 10) 12, N.. V"lu. 01 E.I"I. IlIne 8 rnlnUl lino III 13, Chorl'obl. and Goyornrnoll,,,1 B.guOlll ISchodulo JI 14, N., Value Subl"llo Tax.l"no 12 mlnul IIn. 131 15. Amount of llno 14 Im<ahlo 01 6% rolo (Includ. valuOl from Schodulo K or Sd"dulo M,) 16. Amount of line 14 1000lOblo 01 15% roto Ilndud. volu.. from Sch.dul. K or Sch.dul. M,) 17, Principal 10' due IAdd 10' Irom Ilno 15 and from "no 16,1 18. Creditl SpaUl'" Povorly Credll Prior P"ymonll DIICoulI1 In'oro" ..--- + __....__.__ + __n.___ - .___ 19, II "no 18 II groalor Ihon "no 17, onlor,h. dlfforon" on ""0 19, Thil Is Ih. OVERPAYMENT. mo 20. II llao 17 II gr.oler Ihan Ilno 18, onlor Ih. dllf.r.n" on line 20, Thlllllho TAX DUE. A. Enler Iho Inlorel' on Iho balance duo on line 20A. ,lV,ll'O I" 111.'11 z o ~ E ll. 5 ::I z o !:: g ~ 8 S .- ....' fO~ DATU Of DIATH AnlR 12/31/91 CHICK HI" If A SPOUSAL f.o.Y~TY .f!!!!?l!J~ CIAIMID 0 fill NUMBIR '131 NUMBER . >I":~: . ' :r 1:t1J ., 161._._......_____ ( 7) .._.._~____. I'-j l~ J ..-1 hJ " ( , , :, " " I en 18) 41,496.16 1101.__... ._._________ 1111...1IR?1.R? (12) 33,674.34 (13) ____ 11.11 ..3..l.u74. 34 1151.)..1I.~X4..!}'L____~ ,06" ...1.&20.46 1161 _._..__n.._. __.~.15" 117) ..1....Q;1 0 . 46 1181 -- (19) __ C le(~ here If volJ afo tNluosfff1g (I tofUUl DJ YOUI bvorpuymohL 1201 _2..D2D.....4.L 120A) ._______ (20B) ___2..D20...i~ B, En'.. Iho lulol of llno 20 ond 20A on IIno 20B, This Is ,h. BAI.ANCE DUE. MOke Ch.~k Poyo~!!.!!, R.g~~'~~~Y.>'"llr Ag.nt ... BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH.. --------------- - ---~ . Under penohhu 01 perlury, I declare that I have e)(Clmlned Ihh relurn, Inclvdino ottompanylng Ithodulel and Itolemenll, Clnd l{llho bllll vf my knowledg. and blllef, It II lrue, couecl and Complele. I declare ,hal all reul olloto ha, been roported ollrue markol volve. Declaration of prllpCHor olhor Ihon the perlonal repreurnlallvfI II baled on allln'ormal/on ('If whlth proparer hC1l (lOY knowledg'l, liOt R! 01 PIRSO~ RIS'ONS~"-1ORfiqN-R!iURB-'--^5i1R!S5---/-:;;.-------uh--:;-----i-'-,--::-- lM1I . /, ~.. ". '. ~ J' ~-I l /, t I ' (I c; '7./ ~, ~; i(^iit~hJ!R\ I,{f<~!', ~1}Mk~...:.L^fiiiR!~f-nl:':-tI((.t:.d;..;.'{U..1';,-l:~f~7;Li.I(,;~ff4;. bAll C/ '~," -c f..' \.:.1-2", ...t.J-'..JL: ~h J 'J' 1. I iJ.. /1" )I~ _ \1'_~' iL J'l!J:i'l a-.... 7 _ 7 ~. ~, ,~+tt- ~..~_.u..__.I-,-dL..2.:.1- ~..'--I.lI-4'~ .0""'-1.__ .. ._+ J.(_ _ ... , . '",\., " SCHEOULE "H" CONTINUED 9. Express Analytical 115.00 10. Express Analytical .35.00 11. Everett Cash Mutual Ins. Co. '170.00 12. Penelec 34.92 .13. 'Marsha Kuhn (1996 cty Tax) 99,.99 14. Jeffrey Ramsey 40.00 ," ,. '\' " . , " " , , . "1, .1.1 , " , , " " " , ,.. I '" ,,' .' " " " ,,. " " " ,. 'il , .' ." ,. " " '", " ,. ',.1 ",, " " " " ,I II 'I" ,'I " " ."1 I, '. "'",,, ," ". " ". ,.' " , ,. ,,,I ",' '. ,. 'I, " , , " COMMOHWEA~TH OF PEHN5Y~VANIA DEPARTMENT OF REVENUE . ,Wi' lVIDU~L T~~ES OI~ISIOH .1IU-0601 NOTICE Of INHERlT~IlCE T~~ ~PPR~ISEIIEIlT' ~LLO~~NCE DR DIS~LLO~~IlCE Df DEDUCT lOllS ~ND ~SSESSIIENT Of T~~ H't.II" U III III'''' DATE ' ESTATE OF DATE OF DEATH Pl~E NUMBER COUNTY ACN 11-19-96 STEVEtlS 09-1fi-9(, 21 94-0831 CUMIIERLAHD 101 ~;r-Reollled .- - - LUL" E MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMIIERLAtlD CO COURT HOUSE C"RLlSLE, PA 17013 'K' ,"" "NO .... "TA" ,,'OR poRT'" ,OR yo," ",OR" .... ,;-;,-,'-;' ';';;''-'''';''';;-'"'''''''''' ",;''-;';;:;;'''''';';'' roo,.' "."................. DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT of TAX " sT"'" LU" "''' ,0." "."" '" lOl "" n'lO'" ~OVED DEDUCTIONS AND EXEMPTI0NSl I 7,821.82 9. Funoral EHPon..e/~do. Co, ./11110, EHPon'" Iso"edulo H) 191__ 10. ,," ,,"""'" u~" "'"".... , ..~'"" " "" ' ". " . ,,101 "........ ,,,. . J.''' " u. ... .'0' .. '" ,,'0," "" - ", ".,,, " . '"" ",." ,...,_,.10' ",0,,10 ".,'0" " "" . . " .. . .,. .'o"n ,b" ,. ,..... ... "" " , ". , " 'IE' i'" ........,' ... ,..,.. "."".,,' ",.. ,., " ."", ,., " .,. ,. "" ,."." ".',.. 'h" "",.. 'h' ",., " ," """. ........ " d.,., ..'''''"' " TA" n" ". ".... .. u.. " .. ....... "" ""..'" ,. ,\<, .., ...~. .. u.. .. ...~.. .. U.." ".". . ,," · .. · - " , " 4 ." .. ...:..... ". ._.. .. u.. .. ...~.. .. "....""".". · ",. ",,- . ,~ , . "'- .., "....... 'u '0' ,.... TAX CRElltTSI ;...---- p^YIIENT o~TE 08-09-96 AtlTHONV "DAMS ESQ 8 EKING ST IIPPENSIIURG PA 17257 T~~ RETURH ~~S, (X) ~CCEPTEo .\5 FILED IAltON CONCERNINO FUTURE llliEREST . SEE REVERSE IS ED VALUE OF RETURN BASED ONI ORIGINAL RETURN " Rul E.hlo (So"odulO ~I !, 510010.. ond Bond. ISo"odulo 81 ~, Clo.olY Hold Slook/portno.."IP Xnhrotl ISar-odul' CI 4, 1I0rtgogo./Noto. Reoolvobio (Sahodule DI &, Cuh/Bonk oepo.i \1/111.0. porsanol praporlY I So"odulO E) 6. JointlY Dwnod propetty Iso"edulo f) 7. Tronlfers ISo"odulO 01 e. Tohl ~.uh RECEIPT HUIIBER 1lA146617 - DISCOUIlT I') lNTEREST (-I 210,10- INTEREST IS CHARGED FROM 08-10-96 TO 11-27-96 AT THE RATES APPLICABLE AS OUTLItlEO ON THE REVERSE SlOE OF THIS FORM - I cH~NOEo (11- 121_ I'L (4)- ISl_ (6L 171. NOTEI To In.uro prop.r or.dit ~o your account, lubolt t"e uppor portion of thl. foro w1\" your talC paYlllnt. 38.629,40- ,00 , OIL __ ' 0 IL 2 . 866....li. . OIL . OIL 181 _ 41,496 .1~ .00 2,020.46 .00 2;020.46 \ ~1I0UHT p~lo 2,020,46 \.' TOTA~ TAX CREDIT - - BALANCE OF TAX DUE - ~- INTEREST AND PEN. TOT A~ DUE I lf ToT~L DUE XS L~SS TH~N '1, HO p~YIIEHT 1 If TOT~L DUE IS REfLECTED ~S ~ "CREOn" ICRl, VDU II~V BE DUE ~ REfUHD, SEE REVERSE SIDE Of THIS fORH fOR INSTRUCTIoNS.I " Xf p~ID ~fTER o~TE XNolC~TED, SEE REVERSE FOR C~LCUL~TIOI; Of ~oolTIOH~L INTEREST, It. / .11,,,,,, f' . 7' '" .1, -' / "" BUREAU OF INDIVIDUAL TAKES INIIERI lANCE UK IHVlSION OEP!, 280601 IlARAISaURO. PA 11128-0601 COMMONWEAL,TH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAK APPRAISEHENT, ALLOWANCE OR OISALLOHANCE OF DEDUCTIONS AND A5SESSHENT OF TAK DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 11-19-96 STEVENS 09-15-94 21 94-0831 CUMBERLAND 101 H ANTHONV ADAMS ESQ 128 EKING ST SHIPPENSBURG PA 17257 ~ '* 111.1141 III" 1".111 LULA E ~"__ _ A~~~~UO~~_t~d _ j MAKE CHECK PAVABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iIEV: isiii -EX - -Ai: ii - (0"'-:96 Y" NO;'- i c r"ci f:" i"N'H Eiiii' AN"C E" "fAx -jfp P R -,." is EHEN r; - AL row AN"C E - oR" -"""""""" - - -"""" DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF STEVENS LULA E FILE NO. 21 94-0831 ACN 101 DATE 11-19-96 TAK RETURN WAS' I X) ACCEPTED AS FILED RESERVATION CONCERNING FL'TURE INTEREST " SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1, Rlol E.toto ISchldulo A) 2, Stcck. ond Bcnd. ISchodulo B) S, Clc.oly Hold Stock/Portnor.hlp Intoro.t ISchldulo C) 4. Hcrtglgol/Notol Rlcolvoblo ISchodulo D) S, CI.h/Blnk Dopo.lt./HI.c. Plr.cnol Proporty IS.hodull E) 6. JointlY O.nld Prcplrty ISchodulo FI 7, Tronlfor. ISchldulo G) B. Totol AliOto APPROVED DEDUCTIONS AND EXEMPTIONS I 9, Funlrll Exponlll/Ado, COltl/Hllc, EXPln.l. ISchodull HI 10, Dobtl/Hcrtgoe- Lllbllltlll/Llonl ISchldulo I) 11. Tctll Doductlonl 12, Not Voluo of To. Roturn IS. Chlrltlblo/Govornoontol Doquolt. ISchldulo Jl 14, Not Voluo of Eltltl SUbjoot to Tox If In I.....m.nt WI. i..u.d pr.viou.ly, lin.. r.fl.ct figur.. that includ. the total of Abh ASSESSMENT OF TAXI 15. Aoount of L1no 14 ot Spou.ol rlto US) 16, Aoount of Lln. 14 toxobll It Llnoll/Clo.. A rot I (16) 17, Aoount of Uno 14 tox.blo ot Ccllotorll/Clou B roto U7l lB, PrincipII Tox Duo NOTEI TAX CREDITS I PAYHENT DATE 08-09-96' RECEIPT NUHDER AA146617 DISCOUNT l+) INTEREST 1-) 210,10- .. INTEREST IS CHARGED FROM 08-10-96 TO 11-27-96 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM I ) CHANGED II) (2) IS) (4) IS)_ (6) (7) 38,629,40 ,00 ,00 .00 2,866.76 .00 .00 IB) NOTEI To in lure proper crldit to your lecount, .ubolt thl uppor pcrtlcn of thl. foro with ycur tl)( pIY..lnt. 41,496,16 7,8'1 82 33,674,34 ,00 33,674,34 14. 15 and/or 16. 17 and 18 will r.turn. a......d to dat.. ,00 2,020,46 ,00 2,020,46 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE L__._. 1,810,36 210.10 5,71 215,81 (9) UO) 7,821.82 .00 Ill) UZI nSI U4) . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .00 K ,03, 33,674.34 K ,06, .00 K' 1 S, UB) AHOUNT PAID 2,020,46 I IF TOTAL DUE IS LESS THAN .1, NO PAYHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE A REfUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,) , , ,... ll( RESERYATlONI Eltet.. of dlcldlnh dying on or bllorl Vlcllber \2, 198Z .. If any future Intlr..t In thl ..tlte it tren.flrr.d In po.....ton or .njoyunt to eh.. a (coll.tual) b.n.f1clerl.. of thl d.ced.nt .ft.r th. IIllpJrutlon of .ny ..t.te lor III. or fcr y..r., th. COllOnN.llth h.r.by .kpr...ly r...r~I' th. rlaht to appr.I.. and .0.... tran.f,r Inh.rltancl T.~.. It thl lawful Cl... a (coll.,.r.l1 rat. on any .uch future lnt.r..t, P\JRllOSE Of HOTlCEI To fulfill thl r.qulr...nt. of Station 2140 of the Inh.rltlnCI and E.t,tt TIM Act, Act Z2 of 1991. 7Z P,S. S.otlon Z140, PAY"ENTI D.t.oh the top portion 01 thla Hotlc. and .ub.lt with your plYI.nt to the R.al.t.r of Will. prlnt.d o~ th. r.v.r.. .Idl. .-HIk. chick or .nnlV ord.r plyabl. tal REOISTER Of' NILLS, ADENT All Ply..nt. recllv.d .hlll flr.t bl aopll.d to any lnt.r..t which ~ay b. du. with any r.I.lndlr .pplled to thl taM. REFUND (CA)1 A r.fund of , t.M cr.dlt, which w.. not r.qu..t.d on thl TaM R.turn, .,y b. rtqua.tld by cOIPI.tlna an "ApPllc.tlon for R.fund of Ptnn.ylvanl. Inheritane. and E.tat. Tu" (REY.13UJ. ApplIcttlon..rt IvaUlbl. .t th. OfUe. of thl Rqhter of WUI', any of thl Z5 R'v,nu. OhtrJot Offlc.., or by c.Ulng the .p.ol.1 Z4-hour an.w.rlnt ..r~ID' MUlbtr. lor fori' ~rderlngl In Ptnn.ylv,nl. l.aOO-S62~Z050, out~ldt Penn.ylv,nJt and within 10<1.1 H.rrllburll "" (717) 187-8094, TOOl (7171 712-2252 (H"rlng IIP.lred Onlyl. OBJECTIONSI Any p.rty In Int.r..t not ..tl.fl.d with tht .ppr.i....nt, allowlnc' or dl..llowtnO. of d.duotlon., or ........nt of tlM (Including dlteount or Interll" u .hown on thl. HoUc. .u.t obJ.ct within .hcty (60) d.y. of rec.lpt of thh Hotlcl bVI --wrltttn pro tilt to the PA a.p"tl,"t of A.v.nu., Bcud of Appuh, D.pt. 281021, HarrJtburll, PA 17128-1021, 0" --'I.ctlon to hlVI thl ..tt.r dlt.raln.d ~t .udlt of the fteceunt ef the p.r.en.l rtpr...ntttlv., OR -.apPlal to the Orphan.' Court, AIlHIN ISlRATlYt: ClMlRECTlIlHS. OISCOUNT. Factu.1 .rrer. dl.cav.rld on thl. I.......nt .hould b. addr...td In writing tal PA O'Plrt..nt of AIVlnue, !UrllU of Indlvldu.1 lakll, AnHI po.t A.......nt A.vllw Unit, a.pt. 280601, Hurl.bura, P. 11128-061)1 Phone (711) 7a1-6505. Sit pa" 5 of thl bockllt "In.tructlon. for Inherltanc. 111( R.turn lor a Allldent DlGldlnt" (AEY-ISOI) for an 'kplanatlon of adllnJ.tratlvlly cerr.ctlbl. .rrcr.. If ..,... tlM duI It paid within tnr.. (3) c.lendu .onth. .fttr 'h. dlc.dent', duth, . f1v. perolnt (5l0 dlteoW1t 01 thl tlM p.ld 11 allowed. PEHAL TVI Th. 15~ t.M ~.ty non-partJeJpltion v.nllty I. co.putld on the tot.l of th. tlM and Int.r..t ......Id, and not ptld b.for. JanulrY la, 1996, the flr.t d.y aftI' th. .nd of th. tu a.nllty periOd, Thh non-pIrUclp.tlon Pln.lty I. .pp.'I.bl' In th. .... lann.r and In thl th. .... tl.. plrlod I' vou would appa.1 thl t,M and Int.r..t that hi' blln .......d I' I~taat.d on thl, not let, INlEREST . Int.n.t h chlroed b.glnnlng with flr.t day of dlllnqulncy, or nln. (91 lonth. and ani (1) day frol thl dati of dlath, to the dat. of p......nt, TIM" which b.e... d.llnqulnt blfor. J.nuary I, 1982 b.ar Intlr..t at th. rat. of .11< U;C) parc.nt per annul calculat.d at . dally ra" of ,OOOI6~. All Ukll which b.ee.. d.Unqulnt on rind .fter January 1, 198Z will b..r lnt.r..t .t . ratl which will vary frol c,l.nd.r YI.r to caltnd.r va.r with thlt rat. .MOUncld by the PA O'Plrt..nt of A.vlnul, Thl appl1cablt Int.rut ret.. for 1911 through 1996 Irll '!!!! Intlr..t Rat. VallY Intarut Factnr ~ Int.rllt R.t. Oal, y Inttrut F.ctor 1911 lOX ,000546 JI'17 9X .OOm1 1911 lax .000438 196H991 IIX ,000101 196~ IIX ,ooom 1991 9;: ,000241 198\ IlX .000356 1995-1994 1% ,000192 196a lOX ,OOO17~ 19'~'1996 9X ,OOm1 hlnt.rllt I. c.lcul.t.d I' follcNI1 INTEREST ~ SA LANCE OF TAK UNPAID K NU"BER OF DAYB DELINQUENT K DAILY INTEREST FACTOR --Any Hotlc. I..~d IIftU 'h. tlM blco,,, dollnqulnt will rlll.ot an In,.,..t e.lcuhtlon to flft..n (5) dlY' bncnd the d.t. of th. .......tnt, If Plyunt It ud. IfUr the 'nt.rut cClputatlcn d.t. .hewn on thl Hotlcl, ad~ltlon.l Int.r..t IU.t b. calcul.'ad. .~ (I (I} 'j.,'::j '<t ',f) c, '3, c.: ,'( .-,;U. r'; 0, I ;,€ '''") " " il'I PAVIENI, I', , I i) l~; .< ~ IlJU' 1:-- "' L: CIf.'Hh thl Q portl~ !! thll Notlcl and Iubllt with your ply.ent prlnlod on tho ....!JCJde. ..a. p'YiOl, to the n... and addr... If RElIDl!NI DECEDENI "'" .hlok or lone. ordlr pI.lIbl. tDl REGISTER OF WILLS, AGENT, If NOH"REllllEHI DECEllENT IIkl oh..k or ...... ordor PIYobl1 tOI COl1ltflHWEALTH OF PENNSYLVANIA, All plyHnh r~.I~~ IhltU ~ ."Ued flnt to noy Int.rltt \IIhlch MY be due with any ,...Ind.r IPPlltd to the tlX, REF:UHD leR) I . r.fl.nd 0' . tlX credit, which wa. not r.quu'ad on tn. rllC R,tu,n, I..Y be r.quuted by cottPi.Una In "Appl1cltlon for R,fund of Ptnn'vlvW111 Inherltancl and E,tllt. Tilt"' (REY.UUl. AppllCltlonl Ir. IVlll,bl, .t thl OffiCI of tht Rttllt.r 0' Wllh, any 0' tn. l] RIVWIUt Dhtrlot Offlc" or 'rOIl thl D6/P"t.."t'l Z4-hour .,....rlng IIrvlel n\.-bfJr. for for.. orderlnOI In P.,."IVlv."t, l-fI00-36Z-Z0S0, outllde PlOOtV1Vlnl, Ind within 10011 Hlrrhburg .r.. (717) 181-eOM, TOOt 0111 71Z.ZZSZ (Hlarlng IlPllred only), REPlV TOI Ouutlon. rlflrdlng Irror. cont,l,. on thls notlu should be addr,..ed tOI PA O.,.,rtMnt of RIl,lIl'lUt, lur.." of Indllildual TllC", ArTNI POlt h.lI....,t Rlvl... Unit, DIPt. 280601, HlrrlsbYrll, PA 17128.0601, phone Ol7l 717-65OS, DISCOUllI If 1I,y tal( dut 1D plid within thr.. ()) caltndlr aonthl 1ft" the dacldent'. dlath, a flva perolnt IU) dlsoount of the tal( paid II IlIowed. PENAL TYI The 15:< tax .....tv non.partlelpatlon penalty It cOllPUtld on tM tohl of the tax end Intlrllt .....Md, and not paid befor. JWlUlrY 11, 199V, tt. flr.t day .fhr tt. WId of the tax ..,..ty period. INTflll!1I1 Int"..t II chlr~ beginning Nlth first day of dtUnquItlCy, or nine (9) eonthl Ind OM (1) day frOll the data of dtath, to the data o~ pay.-nt. TalCI. which btc... delinquent befora J~ry 1, 198Z blar Int.ra.t at thl rlt. of .he (6X) parclnt fir fMUI calcul.ted It . dilly rat. uf .000IM. All taKl' which hie... delinquent on and 'Har Jenu.ry I, 1982 will bltr Int.r..t .t I rlt. which NIII vlry fro. e.land.r yltr to aalendar ya.r with tnat rlt. ~ed by the PA Dt9trtMnt of Alli.nu4. The appllcabll Intar..t r.tl' for 198Z through 1997 .r'l V..r Intlrllt ht. Dally Int.r..t Factor Vlar Intara.t R.tl DillY Int.r..t Feotor 1.12 m .0005.1 1.17 .~ ,OD02~7 1.15 16~ . DDO~31 1.18-1991 llX .0005DI I'" III .DDD501 1992 .~ .OD02~7 1915 m .DD05S6 1995-1994 n .000192 1.16 m ,D0027~ 1995.1997 9~ ,0002~7 ..Int,,"t ls ellcullttd II fol1~1l INTEREST' BALANCE OF TAX UNPAID X NUIIlIER OF DAYS DELINQUENT X OAILY INTEREST FACTOR ..Anv Notlet I..ued tfhr the tile bKou. deUnquant will reflaet an Int""t ealeulltlon to flHHf'I UI) dlV' beyond the dati of thl fl......."t. If ply.."t II aedt aft.r thl Int.r..t eOllpU'IUon dlt. lhowl on thl NoUe., Iddltlonll Interllt INlt be ellcuhtld.