HomeMy WebLinkAbout94-00912
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1. Real Ellale (Sch.dule A) ( 1) _ 108, SOO. Cl 0
2, Stock. and BondI (Schedule B) ( 21 I &> c. J ~ t -' . SO
3, Cloltly H.ld Stock/PMn."hlp InlertlllSchedule C) (31 - Q -
4, Mortgagtl and Nottl Rocolvable (Sch.dule 01 ( 41 .- 0 -
5. Ca.h, Bank D'pollt. & Mhc.llaneoUl Pe"onal Property I 51 " fJ/3, SO
(Scnedule E)
6, Jointly Own.d Property (Schedule FI
7. Transfe" (Schedule GllSchedule LI
B. Total Gro" A"." (totalllntl 1,7)
9. Funeral Exp.n.tI, Admlnhlratlve COlli, MlscellaneoUl I 9)
Expen.tI (Schedule HI
10. Debt.. Mortgag. lIabllltl.., lien. (Sch.dule I) (10)
11. Total D.ductlonl (totollln.. 9 & 10)
12. Net Value of Ellate (line B mlnu.llne 111
13. Charitable and Governm.ntal Bequtll' (Schedule J)
IA. Net Value_Subl'ct to Tax IlIne 12 mlnu, line 13)
15. Amount of line 14 taxabl. 01 6% role
(Include valu.. from Sch.dul. K or Sl'h.dule M.)
16. Amount of IIn. 14 tax obi. at 15% rate
I'nclude valu.. from Sch.dule K or Sch.dule 1.1.)
17. Principal tax due (Add tax from line 15 and from line 16.)
lB. Credlll Spuulal Poverty Credll Prior Payment. Discount Int"..t
--__ + + ___ 11 B) -
19. If IIn. lB I. greater than IIn. 17, enler the dIHer.~ on lI"e 19. Thl,l. the OVIRPAYMINT. 1191 ________._
110
20, If IIn. 1711 greater than IIn. lB, .nler Ih. dlHer.nce on IIn. 20. Thl.l. tho TAX DUI.
A. Ent" th. Intere.t on Ih. balonce duo on IIn. 20A.
B, Ent" tho total of IIn. 20 and 20A on IIn. ~08. Thl.l. tho .ALANCI DUI.
Make Check Payahle 101 Regl.,,, of Will., Awenl
...... IU ANI."IU&.&. ,. :';
Under p.noltl.. of perlury, I declaro thai I ha,. examln.d thlt roturn, Including accompanying sc .dul.. and ,'al.m.nh, all to the b.., of my knawl.dg. an .1. ,
II is Irue, corrlct and compl.t.. I clore thai all real 11101. hat bet" ,.port.d at true mark.t valult. D.elaratlon of prepar., other than thl plnonal r.pr...nlatlv. I.
balld on all Informal Ion of c r. orlt hOI any knowl.d t.
!iCiNA N A {lss ~
A~r;:c;/I"'7 Ci-!'I/e M. 17~IJ (l..J(f_!!L
..
REV-ISOO !x+ 111.911
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COMMONWEALTH 01 PErNmVANIA
DEPARTMENT 01 R VENUE
Dm.2!06O
HARAISlURO,!A 17121.0601
NT'~ NAME IlA~T, P1UT,
S',.., I 'l" H, E'J.nlll
INHERITANCE TAX RETUIN
RESIDENT DECEDENT
(TO BE PILED IN DUPLlCATI
WITH REGISTER OP WILLS)
r:': =0. DIATHAPTII 12/a1191 CHICK Hili
IoVII" ~:~D" I' CLAIMID 0
PILI HUMIII
2.1
COUNTY CODE
pun ADDRU~
/3$'" ''''''.Y- P,.;"c
c...,./i'$(e I ,14. /70/3
vu",.4,.lq~J
o 3. R.malnd" R,'urn
Ifar dale' of death prior 10 12,13.B21
05. Fed"al Ellale Tax
R.turn R.qulred
LB. Total Numb" of Safe Depallt Baxtl
H
oCf 14-
YEAR
NUMBER
::r
~'m~m
0<>'1 a / I ''NI' ;r...." 'p.. J /fo7
COlin'
o 2. Suppl.m.ntal Return
o 40. Future Int"tlt Compromllt
(lor dat.. of deoth ah" 12.12.121
81 6. DlCed.nt DI.d Ttllalt 0 7. D.ced.nt Malntaln.d a Living TrUlt
(Attach co of Will) Attach co of TrUlt
AND WtllllDlNTl .
IATSlClJRilY NUM.EA
1+5" 2.{, ~ 3S~
1)lI1. Original R.turn
o 4. lImU.d Estal.
".~.':'~,;(I "
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"......:..w.;,;
w. C. 5,., I rl-l
rNumER
;2.40.9 '3781
z so C". "//'7
C... ,..I;sle I fA
S't,..
/70/3
(6)
(7)
- C> -
-" -
:l.90, ~6~. Of)
I~J 7'fZ.1.(
3 'f S' "3
I BI
(15)~5"9 ~70.6'
(111
(121
(131
(141
M .06.
;.q' 98 .'JI(
:t"6,/.'/O ."
1,(:Jf)O.-
~ ~70.~,
/ r S'"S',. ~'L_
(16)
-
....
M .15.
(17) _----1-S".f"S",. %4 __.,
(I" lk h. II d you (II' II qUI \tvlq II ,. III"d "I Y'"" (lV, I"OyII1I"
I$'; .).J"~. z.t___
1201
(20AI
12081 --.L~s:fJ.Ll,.'t..___
....'
,
oi' '--1 ,.. ..... ,,' .... ..~ w. I .....
,
I
,
r...*".7"7"'- --- -.- ~.- .-.... ..- .-. ....- ...- ...........-. --....- -- -..- u_. -- .... --.- -, __...I... --..- ...... -. - - - - ---~-~---,
I 8,'0 ~'/~~- P/~6'-, ' ,," .., ,,', "I";';\i1~A'\\'l!"\r':",~",'
a"", A. :a,' '02fi11lj50" " C.O,MMONW. .~LTH Ofl',INNSY,LVANIA .',: " "<\~q;:;iYi";\1 .' ',J
1 .~:~~ ~~ .', '," :. DI~Rl'MINtO..IVINUI. . .' "',";:::'".' ~
:.I~lI61'X~ ' . O'P1CI~LII.CIl" "INt"YLY~NIA INHIIIITANClUND ISTATITA)( ':, ',I.'{;:" '"i,\
=
. RECElveo FROM,
&
ACN
ASSESSMENT P:I
CONTROL I.liI
NUMBER
AMOUNT
ROBERT B STAMBAUGH
1.7 HOBFEI.D RD
101
....~e'.'15
"
CARLISLE PA 17103
. mAte INfORMATION,
1ft II UM
II e1-1~'4-0'le ,SSN a07-ee-leoe
1ft NAMe Of DECEDENT ILASTI IflRST) Mil'
~ ST 8 BH MARSHALL I.
II A E Of fA MENT .
II POSTMAR E 911
COUNTY
..;
DAte Of DEATH
REMARKS
,m . 'TOTAL AMOUNT PAID .
.4 ,4D.7...1JS
811
ROBERT 8. STAMBAUGH
seAL
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: -.~---~'- .-'--t_ -.-yor- ~,~~,1jj"'.,~ ~~- :r".7':""+~- - -- -;- ..--- .--- _.-:. ...-..- _-i..i - ..'....:.....- '\"-:-- - - .,...J
REGISTER OF WILLS
RECEIVED BYUJ...' A I /. . I , , ,
. I itdNA1UI! " (\
R~9lB9tRI.~le~~L.~ b', "\"'~\
CHECK. 6
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R!Y.Il00 IX + 1'.9'1
/ 'l- .:<)3 - 7
'Oil DATIl 0' DIAIH Anu 12/31/91 CHICK HUI
IN HF.RIT ANCE TAX RETURN ~o~:=fyU~:~DII" CLAIMID 0
RESIDENT DECEDENT fill HUMIIII .-------
(TO BE FILED IN DUPLICATE ,;I, / '74
WITH REGISTER OF WILLS) COUNTY CODE YEAR
OlClolNI'iCoilmll ADoi'm '" LO_
1.1 S. #AN"Y€',( S"'~bd
(J19'€ '- IS l. e I ""Al. I'N,(J
e,,", ~'m.8 ~,(. 1..1411I1) .._.___
AMOUNT _"liVID (!iU IHS1IIUCIIONSl
I-('.~- 1.3 ;,1:;
r /.5-
oell.:L
NUM8ER
COMMONWlAl1H O. PINNIYIVANIA
0!PAR1M!NI0f R!'IINUI
om. 1.0601
HARRIIIURO. PA 17 18.0601
N' ..('MllrAM, !IU1, ANtiMIOOlllNIlIAlI
..sT"~m IUUN ,m"p,fSI>'IPU, .!..
I:;; ~:";;U~II~S ~~ 0;; O~;/~fI_Jf;; ;/~ p
I" AmlCAlUllURVIVINO VOUII'\ IWolI IIAU. III" AND MIDOlllIlllI.l.ll SOCIAl SICURI1V HUM'U
'*" .
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,
I
1. Original R.lurn
o 2, Suppl.m'nlol Rel"n
o 3, Remainder Return
liar dol.. of d.olh prior 10 '2,13,82)
o ;, F.d"al E,lal. To, R,'urn Required
[1 Ao. fulur. Inl.rll.1 Compromho
I'ar dalll 0' daalh all" 12.12.821
o 6. Oocod.nl Ol.d 1o.lale 0 7, Oecod.nl Malnlalned 0 l'ylng ItUlI
IAllach copy of Willi IAlluch copy 01 Tru.11
PRRISPONPENCI AND CONrIDINTIA~ TAX; fORMATION SHOU~DIBlIIRB~ID ~Ol
COMPllH MAJm 0 ADDU
Ib~u!'" &. S"191'1'18~"r;H, s,e, I? /-tM,:-,KG:LJ ,e"I9.tJ
IlI'HON'NUMIIR . I (!AIIlV~'-L/ ""A, /7DI.3
( 7/ ') I 17' ~ ~.'17.3 L. ,~. (-. ..=.
~ \(~
111 -. "
p ) ._---1l!.
131_J___
14} ____J
151 _..U;..~!Ll?_Ll,Z.__
161 _ t1
171- (1
II
~
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I. R.al E,lal. ISch.dul. A)
2. Slockl and 8and. ISch.dul. 81
3. Clollly fl.ld SlocklPorlne"hlp Inl",,1 (Sch.dul. C)
4, Morlgag" and No,,, Rocelvobl. ISch.dule DI
5. Ca.h. Bonk Uepo.lI. & MllCollon.oUl P."anol Prop"ly
ISch.dul. E)
6, Jolnlly Ownad Prop"ly (Schedul. FI
7. TranI Ie" (Schedul. GIISchtdul. l)
B. Tolal Grall AIIII. (Io,allln" 1.71
9. Funeral EKpenlcu, Admlnlltratl""l COlli, MhcellonfloUI
E.p.n." ISch.dul. HI
10. O.bll. Morlgag. lIoblllll.., lI.n. ISch.dul. II
11. Tolol O.ducllon. 110101 Llnel 9 & 101
12. N., Value of E.'al.llIne 8 mlnUlllne II)
13. Chorllabl. and Goy"nmenlol BsquOlh (Schedul. JI
14. Nil Value Subl"llo To, (lIn. 12 mlnUllln. 13)
15. SpoUlal Irool'."I'or dalll 01 d.alh oft" 6.30.94)
St. In",..II:lIon. for Aprllcabl. Percenlage on Rsy,,.,
Sid.. (Include volu", from ~ch.dul. K or Sch.dul. 1.1,1
16. Amoun' of lIn. 14 la,oble 016% role
I'nclud. valu.. 'rom Schedul. K or Sch.dule 1.1.)
17. Amounl of lln. 14 lo,abl. 01 15% ,all
Ilnclud. valulI from Sch.dul. K or Sch.dul. M,}
lB. Principal 10' duelAdd 'ox 'rom lIn" 15, 16 and 17.)
19. C"dll. SpoUlol Poverly C"dll Prior Paym.nl.
+ +
20. If lIn. 1911 glial" Ihan line 19, tnl.. Ihe dlff.renet on lint 20. Thl.l, Ih. OVIRPAYMINI,
110
21. If lIn. 18 Is glial" Ihan lln. 19, .nl.. ,h. dlff..enet on lint 21. Ihls Is Ih. lAX OUI.
A, Enl" Ih. In'''''' on Ih. b.la", duo on lln. 21 A.
8. Enl.. Ihelolal of lln. 21 and 21A on line 218. lhh Is Ih. BALAHCI DUI,
Mok. ChICk .Payabl. ,,, R'II.,,, ., Will., Alenl
~. IIIURI TO ANIW.Il'ALL QUISTlOI:iI.!ONU~.RIIIIDI ANDiC!IRlttlIC~ MATH os( .o(~
n or p.na II.. 0 p"jUlY, I d.c1a" 'hall hove "amln.d Ihl. relurn, Including accompanying och.dul" and .Ial.m.nl., and 10 Ih. bOil of my k~~~
It I, ,'u./ (orr.ct and compl.tt. I d,dor. thai all r.al ..loll hat bun reporled ollruI morbi yoluft. Oeclaratlon of preparer oth,r than ,hi penanal rlpr."nlallvl ,.
bolt on alllnlarmallan 01 which E"pall' hat any knowl.dg..
IU I 0 . 'oN I' ffOf;lliNO nruRH Aooiilr-~. -- . ,.-. vAl!
17 tld,$r~t. /) ~OA0_~U~(,.e.TLJI.LL1!2..('.J._ ._LJ/It---~_
I mAWi! AtJOIUSS OAIf
I
a
__ 8. 10101 Numb.. 01 Sol. O,pollI 8,...
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191 _
1101
S;~() If. .5:l
%
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i 8) as; () RIl, ~'l
(II) __~ 30 << 5:1
(121 _ili"...2.If..35
(131 ~
(141 ~ 1/8..55
1151
IIN
1171
1Zl
t1f
M.__-
M .O~. _.
..7~ 118. J5
.M .15. ----to ~.s? ?$
(10) _~ 1/.5? 7$
/If
Dhcount
Inltr.,1
(191 .-
(201
( ll'(~ ht'l(' If you (lI1' II'Cluc...11fI'I u It.fund 01 YOUI ovpqHlyn1l'1l1
(211 __ilt-'LS 1. ?5
\~ ~~: ~~~~~s-" ?,J"
COMMONWIAITH 0' '!NHSYIVAHIA
IHHIRIIAHCI lAM mURN
USID!HIDIC!D!NI
mAllo.
/11A,fSNlfU. ,t. ST,.,m~/U'~N
ITEM
NUMBER
"V-UI1".I"'I,
A.
1.
.
~ SCHEDULE H
fUNERAL EXPENSES,
. ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
PI.all Pllnl 01 Typ'
JI[I NUMIIR
IP''1'' ()() 9/.'1
AMOUNT
DESCRIPTION
Funllal bp.nll"
HQ'I"It1AN. Ift)',-I "'"NI.A.,If t ""~ITIIJ;
~,' #, NANDI/I.'" ~"It~e.1"
tzqA." 1,$ U ~A. I ~()/..j
,
(.1"1Un.%.'!!. UJ ~/'-t. I9rrA~N-E.())
~ ?V(). ~()
1,
a. Admlnlstlatly. Co.hl
P.llonal Repr'l8ntotlve Cammllllan.
Social Secullty Numbll of P.llonal R'p"l8ntatlvel IIJ - 'oJ. - ,g/~O_
, Year Commlulan. paid 19'1'
I, S, ~ 1..'/ '
2, AlIorn.y F...
3, Family Exemption
Claim anI _ Relationship
. Add".. 01 Clalma,,' 01 d.cedenl'. death
Slreel Add,,"
City
A. P,obale Fe..
C. MI.c.llan.au. Ixp.nll"
1,
2,
3,
A.
5.
6.
7.
8,
Slale ' Zip Cod';7""
I,
,.
TOTAL IAllo .nl" on IIn. 9, R.capltulatlonl $ S~t> ~ S/l
III molt .pac. I. nttd.d, Inllll addlllonal .httl. of .am. .11..1
'~."'~f.! ..'~", ,"'rR'M"""~"..'I",I, .....\~Ir.r~..'r( ~l~~'1""";"'l'.,'...r.!t.ior "'~:'T'T'l".-.-;"t:":o:-.~"(-" " ...... .
~I ~l ' ~I; r - - I iH n
~ f .~ ~1 1 ~ j!} ~ ~
I ~VI .. ".. ~ ~ ~ .. ~ij! H
~ I ~ ~J ~ ~ HI ~ ~
~ '0 ~ ~ 5 - Jli ~
I Ii ~ hl~~ i Q i ' ~~] H
"P>\h fi'tf Ii g ~ -.1,01" ':
II .', d ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~.. .. VI ,. ~ i' it P!l
k , ' "-."......... I 0 . i '0 <; a' H
I., } r::::::::::::' U f 1" 19 ~ ~p
~ L.JI~'~ :::::'::::::: ~ 2I~II'1 H U2ti
~I l .... . i . . ~ , E ~ -!"
- :::::':: 15 r"'~~ HI
M . 'C .:J'I :::: j. : i '~ll! ! B U ~ ~ lit
~ . C'ti' . , ., ., ~ iii'.... & 9 i t
~hu ~ : J : : : ~ : : ~ 5 \' Uh ~ i ~ hii
v~~' .~ allll~ ~ ~ : ~ : : : ~ : : I _ ; nil i H! {lit
~~g ~:8: :8:: ,~i ~ l~ <{Hi.
hll) ~:h ~ ~ : : .. ~ ~ ~ 5. ]~l H ~ iH
~ ~~i > ~ Z 011 'Ii <'J : ~ ~ ~ ~ 5 ~ ~1 ~ {J g ,U!
u~ ~ ~ 8. & 81 ~ i .. .. ~ 1 !., ~ H p~
.J I P Ill_~ll ~Ju__~- Jdli Hilll
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1
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i i.. J :
~ hr
1 iil."
, l. if:,
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-I{!l ~I ,~;t~ ~ (t~ ~ ~b.~~ : : : ': f'
1;!Hfl ~ ~~l ~ 4"111 ~r11 : : U.,:i
, l I' ... en ... ............ .,................. ., ., ...... .,., 4A I/) 4A , . , .
, I tJt h : :It{lli{ :! i i i ::!:!:: ~::! : ~ ~ E E j : i': .,,,
Ii, ii ~ :tj'l~ : i: :: :::::!: :::: ::: ~ ~ ~ : :. ':.
Iljlli ~ ~hl III III jJ j h;::: i!' Ii"!
. ~hd I i :!fll111 L n J ..!! i: Ii \ d j ill : : : ~ ~ I i ~ : :;
~dIJlli! I 'jolt tI m I i III j, ;!,J;! ~i! it j r : W'
'2 ii ,i2:.H:t:-'~ ijlo:d fil(~-~ ~ Ud~~~: :gg ~ E i~!~.
. ~ J. H ~ j ]! . I ~ i ~ 0 ~] ~. ~ ] ~ ~ _@! : ~ hi j~q 8. I' , f ! i ~
i,11,~ lVlo"w~~~g~:~\~;:~'~~' 51]'! ,:'t[ii"" mi. '\11111 I III ' ~,',',
"41' ''{ iO '0 'J 'J' WNIDIIlO !tJ
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; , ~~ a: lD '11:1
lD OQ ...' a,
0' I ~l r:::l '1 f'l '<11:1 Ip C"l....~ :z:
~~ III lD OQ III -.j 0 c
I:J' '10 '1 0' :c <l
C"l C'f....C'l t-q:J:llD Ill. III
0 ~ ...' ....'1 i-J' 0 t1 '1 'il
~ HllDlll III HI C'f III 0'
<l \ }i' ...' '1 <l ....lD 0' III
lD .... 10 Illl-'tll III '1
>- c:>ol:l . C:>O' ....
r'l (:;;:.J OQ .... '-I
'1',1 f'l "d~Vl .
i~ 1...~.1 0 >c:>oC'f r<
'd . III ,....
'.::;1 ...' .... El 10
(!~ Ii::" lD -.j 0' Vl 10
III 0 III C'f 'Il-
f li::.3-1 ~ .... l:l III
c:>o Ul OQ II
U.rj lD t:r 0'
oj III ~ III
C'f l:l
t:r OQ
t:r
4Jt ..,.., (/I (/I .(/I (/I
Il- Il- Il- .... '"
g;.....~Cll Il- W Ul -.jUl I-'
Ul 0 t;; "'O-....VlO 10 0'-1 '"
wwooo 0 00 0
. , . . . . . . , . , .,
o-oS;" 0-0-000 0 00 0
00 0 00000 0 00 0
COMMONWIALTH OF PIINNSYLVANIA
COUNTY OF CUMIIRLAND
:S,~3q-J
l
J
C
(il'-
UI
. '---c~---------' 1'~.G:~~,~.J_-1i._oS'J ,!,tl,>-,~!\",~..h._.__ __._ ..- -- .....______n.
being duly SL' h !:L._ _______..... according to law, depole\ and leY' that he _~L2...-!!_!...L0~.!::.-,.... -----
___...n....___............______.__.'..__. of the E.tate of I\';\"~h" II L. .~ ~ f\~, /'I\"I:~
lete of ....____.0.t'\,.:.h '. .. ....__ ___....__..., Cumberland County, Pa" d.ce~..d and thet the
within Is an Inventory made by ...!EJ...J:~,_,...l:.J3_. '3,;4 ,,,-~..:I?~::..., 'l,-L.,...--.....-, the uld... @ I · c v. -I, ,- ,.
of the .ntlre ell.te of uld de~edent, con.l.llng of all the perlonal proporty end real ellate, except rul ell.te ouhld.
the Comrnonwealth of Pennlylvanla, and that the figure. oppo.lte each Item of the Inventory represent It' I f.lr value
u of the d.te of deced~nt'l death,
~~~L1kR~.Jk.L\L_-
Em.tor ' Admlnht"totl-~ .
~tI--,t)..--..
__ end .ub.crlbed befaro mo,
/Y,f'I. (t,
:J.
19 '1';--
,.:/}ie:... t< );(,,(....l""- .
i..J.-- '. r:"G~1:'I
1'1 'i ""1 ~:' "'PIII'", Of 'l~'Pf
:.:.!>::... '.), '.., 'It, I., 'i .- . ...
\,""I~'~.""'" ",,: ' 'd~~
_. !:..::":: :.,,,,~':;.,b!}:'~.~
r--,
1-) I-Ic d'c /J /-' ,.; J
----------~--------
(l,J 1- I. \ I <- /I 0 I -) OJ 'I
...--.......----- --t.../.... . =-.t....._____
Add.." .
Oete of Outh _.._~::l __....___,...__f t (/1,., v~...
DIY Month
I''] ~. 't
VII'
INSTRUCTIONS
I, An Inv.ntory mull b. flied within three months olier appointment of personal r.presentatlve.
2. A supplement Inventory mUlt be flied within thirty day. of dllcovery of addltlonel aneh.
3. Additional .heeh may be ettached u to perlonalty or rulty
4, S.. Artlcl.IV, Flduclarlu Act of 1949,
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.$10.00
Inventory 01 thB rBal and personal ostate of
MARSHALL L. STAMBAUGH
dBoeased
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~VM1147 IX APP 112"94*
C_AUH Dl' PfNNIVLVANU
....A1111lEl1T 01' AEVfIllE
IIIIlUlJ 01' INDIVIIlIl\L T~'
1lD'1', mill
HAIIlUll\llG, PA HIII.OIU
/1-;<'13' .-' ?
NOTICE OF INHERITANCE TAX
AFFRAISEHENT, ALLOWANCE OR OISALLOWANCE
OF VEDUCTIONS AND ASSESSHENT OF TAK
ACN 101
DATI! 06-06-95
CIO~/
DATI OP DIATH IH2-94 ~~b=JD. CUMIERLAND
NOTII TO INSURI FROFER CREDIT TO YOUR ACCOUNT, ~IT THE UFFER FORTION OF THIS FORH WITH YOUR TAK
FAYHENT TO THE REgISTER OF WILLS. MAKE CHECK FAVAlLE TO "REgISTER OF WILLS, AgENT"
REMIT PAYMENT TOI
ROBERT I STAMBAUGH SR
17 HOSFELD RD
CARLISLE PA 17013
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
L
A_t R..Utlld
.-
CUT ALONG THII LINI .. RITAIN LOIIIR PORTION FOR YOUR RECORDS .....
REy:liW"ix"APji-(l'F9iir-iiiir"icr"op"i"tiiiiiiifANCi-YA'x"A"PPRAmMr:iiT~uAr.rowAiici-iili"-----"-".u-----
DISALLOWANCE OF DEDUCTIONS AND ASSISSMENT OF TAX
ISTATE OF STAMBAUGH MARSHALL L FILl NO. 21 94-0912 ACN 101 DATI 06-06-95
--
TAK RITVIIH WAS I I X I ACCEFTED AS FILED I I CHANOED
iiiiRVATIDN CONCERNING FUTURI INTERIST " SIE REVERSE
APPRAISED VALUI OF RETURN BASED ONI ORIGINAL RETURN
1, R..l E.tet. ISchedul. AI III
Z, Stock. ond Bonde eSchedul. II lZI
S, Cla..ly Held Stock/F.rtnorthl, Int.r..t ISchodul. Cl III
~, Hort_olltotoe R...lvobl. lSchedul. 01 I~I
B. ClohIlonk Dope.lt.IHI... F.r.onol Property (Schedul. EI IBI
6. Jointly OWned Froperty (Schedul. FI 161
7.. Tron.f.re (Schedul. gl 171
I. Tat.l A...to
,00
,DO
.00
.00
35,022.87
.00
,DO
ell
35,022.87
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Funor.l Expone../AdM, Co.t./HI.c, Expon... ISohodul. HI 191
10. Dobto/Hortgego Llobllltl../Llon. (Schodul. II elDI
11. Tot.l Iloduotlon.
12. Not Vel... of To>e R.turn
11. ctlerUoblt/llov.rnoont.l Ioquoeto ISchodult JI
14. Not V.l... of eotot. _.loot to To>e
5,304.52
.00
1111
nZI
1111
n41
1i.3nG Ii?
29,718,35
,00
29,718.35
NOTI) If.n ........nt w.. i..u.d pr.viou.ly, lin.. 14, 15 .nd/or 16, 17 .nd 18 will
refl.ot figur.. th.t inolud. the totll of ~ r.turn. .......d to dlt..
ASSESSMINT OF TAXI
lB. Aoount af Line 14 at Spoue.l r.t. llBI.
16. Aoount of Line 14 to>eobl. .t Llne.l/Ch.. A r.t. 1161
17, Aoount af Line 14 to>eobl. .t Call.t.r.l/Cl... I r.te 1171
11. Frlnolp.l TI)( Duo
TAX CREDnS,
FAYHENT
DATE
-2 " 5
.00 K .03.
,00 K .06.
29,718,3! K .15.
nil
,00
,00
4,457,75
4,45'1.75
RECEIFT
tlUH8!R
AA022950
DISCOUllT (+1
INTEREST (-I
AIlOUHT FAID
o
4,457,7
TOTAL TAX CREDIT
BALANCI OF TAX DUE
INTI!RIST
TOTAL DUll
4,457.75
.00
,00
.00
. IF FAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF AODITIONAL INTEREST.
e IF TOTAL DUE IS L~SS THAN II, NO FAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY II DUI
A REFUND. SEE REVERSE SIDE OF THIB FORM FOR INSTRUCTIONS,I
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A!ID'IATlOlh 11'.,.. of _I. ""1", on a' befa" _, IZ, 1'12 .. If OIly luWrt lntor.., In ,he ..t.,. It ',en.lor,ed
In PO'Hlllon or enJoYlllftt to el... I (ootht.r.U Hneflol,r... of the ~t Iftl" the ftxplrlUon of If\~ ~.t.t., for
11f. or far VII", the C~lth hlrlbv IWPr,..lv r...rv.. thl rllht to ...r.1H end '1"11 tren,'.r JMirlt.we 'llC..
It the lewful CII" . (ooll~t'r.l) r,t. on env ruoh future Int.r..t.
_01'
NOTICE, Ta fulfill ,he roqul,_" of l"Uon 2141 01 lhe Inht'Il.... oncl EI'"" Tex Aal, Aat Z2 011991, 7Z P,I,
ItoUon 2140,
PAvtENTl DetlCh t.... top partlon 0' thlt NoUee Ind ..tt with your PIVItIl"It to thll R....'" of WU11 printed on thl rlYlr.. ,'de.
..IttIl. _ 0' ....y a,do, PlvolIl. '0' REGIGTn OF MILLI, AOEHT
All PI~" ,...Ived ohtll II", be "",lied to any I"'"r..' ""Ion tOy be duo with OIly ,_Indo, _lied '0 It1t ,..,
RUUCD (aUI A refund of . tax .rMlIt, Nhlch WlI not r.....tld on the Tn A,turn, MV tM r..~..ted bv COIIPl,Unt In "'"UMUon
for Refund of PIMIyl\fM111 InheritInG' Ind Elta" Tlx" (REV~Ul~;. AppUOIUonl Irl tVllIt_il It the Offl01
of thI Rill.." of W1111, Iny of the 21 R.vlnUl Dlltrlot Of'lc.I, or by ollllnt the IPIOIII Z4-hour
.,....rt". 'IrvIN ~r. for for., ardlrlngl In Penn,ylvenl. 1-100-"Z-2010, outside Pem'vIYMI. ....
within 100t1 Hor,lobo', "'" (717) 717-1094, TPO' (7171 77Z-ZZSZ (Hee,lng Topllrod onlY).
OUCTlOHS. Any p.rtv In Intlrllt no'l nU,f11d '11th tMeppt.IHMOt, .u~ or dlnll0wn01 of dIduoUon., or ........"t
of tax ClnolucUnI dllCOl.l'!t or Int""U II Ihown on thil HoUe. allt objeot Nlthln .lMty (6OJ diY' of recMlpt of
Inlt Noll.. bY'
--wrIUen protllt to the PA OIpIrtHnt of A'venue, lard 0' AppuIl, IMPt. 211021, Herr"bur" PA 17UI-U21, OR
.-.lecUon to MYtI tt. ntttr dltlr.lned It audit 0' the lOo~t of the Plr~1 reprnentlUvn, OR
.......1 to thI Orphens' Court.
AlllnM
IIWTlY!
c:oRMCTJDHI. 'IOMl 'rrorl dllOOYlrld on this IIH'"""t should be IIddrllsad In NrIU". tal PA OItJ.rtNnt of AIYWIUI,
IurllU 0' Individual T...., ATTHI Pout A......-nt A.vl... unit, Dept. 210601. HarriSbUrg, PA 11121-0'01
Phone (71n 117-6101. SII Pili I of thl boot<.l.It "JnltruoUon, for InhtrU~. TIK Rln:rn far. Allldent
DIoIdtn,,, (REV-ISOI) for In IXPltn1tlcn of IaIlnl,tratlvllY correatlbl. Irror..
11 ..,y taM duliI p.ld within tt'ttll (I) OII"'r eontt't. .ftar the dIe..,t', dMth, . flvl Plrcent (U) d"o~t of
lht ,.. peld I. .11_.
01_'
INTIRlDT I
Int"l.t .. chIrpd betllml", Nltn 'Irst dray of dt)Jnquenoy, or nip- <" Mnth' Ind OM <l) city 'r. tht dltl 0'
Ntth, to thl dlt. 0' P'YHnt. ,.... Ntlloh ..... delinquent t-o' . \Ira .-nu.ry I, 1912 "er Int,,"t It thl rltl of
IIx (6~1 pe,...' pe, .... allwll'ed "' I dolly '"" of ,1m", All I.... ""Ion _ doll_I on oncl .Ilor
Jtnutry 1, 1"" will belr tntlr.'t .t . rltl which will v.ry froe OIl""'r vtlr to Cllend1r year with thlt rltl
ef'nOl.ftOed by thl PA DrlplttMnt of Aev..,.. The .,l1otbll (ntarllt rat.. for 1'" thrQUlh 1"1 .rl,
'!!!r Int,,"t A.t. Dtllw Int.r..t Fec~ !!!r Ih\,,"t Alt. Olllv Int.nlt FlGtor
I9IZ ZOX ,ml4l 1'17 9X .IOIZ47
1911 lOX ,m411 1'''-1991 II~ ,101111
1.14 11X ,IUIII I99Z ,~ ,010247
1911 IIX ,OnlJl 1991-1994 n ,OOlI'Z
1916 m ,OnZ74 1991 ,~ ,010247
--lnterllt It calcullted I' follow..
IMTElEIT . BALANCE OF TAX UNPAID X KUKlBI OF DAYS DBLINQUENT X DAILY IMTElEIT FACTOI
.-w Noll.. luued ""er lht ,.. _. doll_' will ,,11..1 en lnltrt ,t allaullllon 'a Ilfl_ (Ill dIV.
"yond thl dtt, of the "H'lMnt. If p.yeent .. .... Iftlf tho Interllt C"'"'tlUon dttl thONn on the
NoUN, IdcUtlontl Int"..t allt be calculltld.
~~EV.1!47 EX AFP (12"94*
c_mH OF PENHtVlVANIA
MPUT""1 lIl' Rl!Vt:NUI!
IUR!AU lIl' INDIVIDUAL IAKEI
MPT, Zllm
HARRIIIURI, PA 17121'1611
EITATI OF SKIVI FILE NO.
DATI OF DIATH 10-18-94 COUNTY CUMBERLAND
HOTEl TO INSURE PROPER CREDIT TO VGUR ACCOUNT, SUIHIT THE UPPER PORTION DF ThIS FO~ WITH YOUR TAM
PAYHENT TO THE REgISTER OF WILLS, HAKE CHECK PAVABLE TO "RE~ISTER OF WILLS, AgENT"
REMIT PAYMENT TO.
NOTICE OF INHERITANCE TAM
APPRAISEHENT, ALLOWANCE OR DISALLDWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAM
ACN
101
(r Y
/1/
l... .
(/
/'/
')'1' \:.-
1"\. I ... ,,>1
,~
DATI 06-12-95
I AlIOUllt R..IH.d ~
CUT ALDNG THIS LINE .. RIlAIN LOIIER PORTION FOR YOUR RECORDS ~
iliV: isii'f" ix "A Fif "nZ:94Y "Niificr"ciji-YNHiiiifiiifci" 'fA' in-ppiiA"is!H!Ni'~--AL.rciiiAN"ci-OR---_mm_.....-
DISALLDIIANCE OP DEDUCTIONS AND ASSESSMENT OF TAX
ISTATI OF SKIVINGTON HELEN M FILE NO. 21 94-0913 ACN 101 DATI 06-12-95
JOHN E SLIKE ESQ
SAlOIS ETAL
PO BOX 737
CAMP HILL PA 17001
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TAM RETURN WAS I (X I ACCEPTED AS FILED
I ) CHANOED
RESERVATION CONCERNING FUTURP. INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. ROIl Eet.te (Schedul. Al (1)
2, Slocke ond lond. (Schedule II 12)
S, Clal.ly Hold Stock/Pertner.hlp Intere.t (Sohedule CI (51
4, Hcrt_o/Note. Roc.lvobl. lSoh.dule D) (~I
&, Cothllonk Depa.lte/HI.a. Por.cnol Property (Schedule E) 151
6, JointlY Owned Prap.rty (Sch.dul. F) (6)
7, Tronof.re (Sahedul. 0) (71
., Tot.l A...h
,00
,00
..!2.,
.00
399.387,60
,00
.OQ..
(.1
399,387,60
APPROVED DEDUCTIDNS AND EXEMPTIONS I
19,872,95
9, F.....r.l BKpenxu/Adto. Ca.h/Hlla, ENpen... (Schedule H) (91
10, Dobh/Hortg'lII LlobUIUu/Llen. lSahedul. II 1101 3.198.94
11 . Tot.l Deductlono 111)
12, Hot V.l... of lex R.turn (12)
15, Chorltoble/Dov.rrwenhl Bequ.oh lSchedul. J) (151
14, Hot V.l... of Eot.te Subject to TIN (141
NGTEI If.n ........nt w.. 1..u.d prev1ou.ly, line. 14, 15 .nd/or 16, 17 end 18 will
refleot figure. th.t 1nolude the tot.l of abh return. .......d to dat..
ASSESSMENT OF TAXI
15, AlIOUllt cf Line 14 ~t Spcu..l r.te (15)
16, Aoount cf Llno 14 hxobl. .t Llnoel/Clelt A r.te (H)
17, Aoount of Line 14 tONobl. .t Calleter.I/Cl.oo I r.t. (171
1., Prlnclp.l TIN Duo
TAX CREDITS I
PAVHENT
DATE
'~.n71 aQ
376,315.71
376,315,71
.00
,00 M ,03.
,00 K ,06.
.00 M ,15.
U.I
,00
,00
,00
,00
RECEIPT
NUHlER
DISCOUNT (+)
INTEREST (-)
AHOUNT PUD
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
,00
,00
,00
,00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION DF ADDITIONAL INTEREST,
( IF TOTAL DUE IS LESS THAN aI, HO PAVHENT IS REQUIREU,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). VDU HAY IE DUE
A REFUND, SEE REVERSE SIDE OF THIS FO~ FDR INSTRUCTIONS,I
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,~ATIONI E.I.I.. 01 Ototdtnl. dying on or bofare Ototobtr 12, 19.2 .. II tnY fulure Inl.r..1 In lhe'o'lole I. Irtn.l.rred
In pa.....lon or enJow.ent,ta c..~. . (0011It,rQl) bInIfJoltrS.. 0' thl decedent .'t,r the Ixplr.tlon af InY ..t.t. far
llf.or for ~..r., the C~.lth herebv Ixpr...ly rlttrv., the right to .,pr,l.. Ind ...... trenl'.r Inhtrltenol Taxi'
It thl lewful CII.. . (colll'.rl.) rat. on InV IUOh future Int.r..t,
_Of'
NOTICE' To MI111 lho roqulr...,lo of 'ooUon 2140 of lhe Inherlt...e .... E.I.te fox 101, 101 22 of 1991. 72 p,'.
Stellon 2140,
PAYHEHTI OItlMlh thll top portion of thl, NoUet Bnd .alt with your PIYNnt to thl ReglUtr of W11l1 print" on ttMI r.ver.. 11M.
--Ilok. 0_ or IlOntY order p'Ytlllo to. RBOUTER OF MILLS, AOM
AU PIYMntl rlOllvld wll f 1I-,t be .,pUId to InY lnt.r..t which NY ~ due with InY r...lnder appllld to the '1)(1
R!FIHI cau, " r.,met of . tt)C oredlt, which "" not requtlltld on thl TIJI Return, _y be r.qurlltld by oOllPl,Unt If'I "Appllcltldn
for Rlfloftd 0' PIM.vlll...1, JnhlrJt1OCl1 IOd Eltlt' Tax" (~"V"1!n). Appllo.t1onl Ir. IYltUMlll It the Offtol
of the RteJ,t.r of Nl1ll, InV of the II AIVInUI OJltrlot Offl~l, or bY clll1ng thl IPI011l 24-hour
IRlNlrl"l ..rvlcl nu-blrl for for.. orderlngl In Penn.ylVlnl. 1-800-362-2050, out.lde Ptnn'Vlvtnl. Ind
olthln lootl Herrl.burg or.. (717) 787-8094, TDD' (717) 712-2lS2 (He.rlng lopelrtd Only).
OBJECTIONS I Any party In Int.r..t not ,.tl.flld with thl IPPr.ltelent. IllowlnO. or dl..llowlnC. of dtduotlonl, or .....-..nt
of tax (Inoludlng dl.count or Int.r.,t) .1 'hown on thl. Notice lU.t object within IIMtV (60) de>>1 of rlOllpt of
Ihl. Notice by,
AIlI4IM
IITllATlIII
COMECTlOHI, 'toUI .rrort dltcoverlMf on thlt ~'''.I...,..t should be MkIr"led In wrlUnt tOI PA DIp.,tMnt of R.vtnUl,
IuretU of Individual Tax.l, ATTN, POlt A'"llIent A.vlew Unit, Dlpt. 210601, H.rrllburg, PA 17121-0601
~ (711) 7'7-'101. S.. P'" S of the bookl.t "Inltructlon. for InheritInG' T'M A.turn for. R.lldent
OIotdtnt" (REV-IS01) for en 'KPlinttlon of tdllnl,tr.tlv.1Y corrlOtlbl. .rror..
If any tlM due It p,ld within three (S) l'llltndar IMHlthl .ft.r thl deotdtnt', dtlth, . five percent (D) dllOOW1t of
lhe lax pold Ii IllONod,
--.,rltten protut to thl PA DIp.,t.."t of R.VIlf1Ue, IoIrd of Appqlt, Dlpt. 281021, H.,.rltbur" PA 17121-1021, OR
....lIGUOO to hlv. the ..,tter dst.relned It ,ucUt of thl IClCOWlt of tht person.! rlprtltnt-aUVt. OR
.-tppI.l to the Orphln" Court.
DI&cOUNT I
IMmlEnl
Inter.tt 11 chtrted betlmlng with first cSty of delinquency, or nlnt (9) ItOl"Ithl and OM (1) day 'rOIl the dltl of
dtlth, to the dltl of Ply...,t. T'M" which bee-. delinquent tM.forl ~rv 1, 1912 bltr lnternt It the rat. of
11M (6:<) percent Plr ern.. Olloul'tld It . dlllv rate of .000164. AU t.MII. whtcll bee... dtlllMlUtnt on and Ifter
JInuIr>> 1, I,.Z will bI.r Int.r~lt It I rltl whtoh wtll vlry frot cIltndlr Yllr to cIlendar YI'r wJth that rltl
lM.AI1Oed by thl PA Deplrt...,t of R.v~. 1he .,pllclbl. Interllt ratll for 191Z through 1991 "II
~ Inttrllt Rct. Dlllv Int.rs.t FlGtor !!!r !2!!.r'lt Rat, Oaltv tnt.r..t Flator
--
1911 101 .00054. 1987 91 ,000247
.1985 16.1 ,Ooa4:11 1988-1991 III ,OoaUI
19M III ,oaom 1"2 91 ,000247
1985 151 ,OOU56 1"'-1994 71 ,000191
1916 101 ,000274 1"5 .1 ,OoaZ47
"Int.rllt I. c'lculltld II followll
INTBUIT · UWCI OF TAll UNPAID X H\J1lJIER OF OAYI DBLI~UEN1' X DAILY IImUIT FACTOR
'.In~ Metloe 1.1UId oll.r the lox boo.... delinquent 0111 rollool en Int.re'l o.I,ulellon 10 fill... (15l dly.
beyond lht dol. 01 lhe .........1. If poYltftI II _ .flor lho Inl"..1 O_I.Uon dole .- on lhe
MoUoe, oddlU....1 Inlerell ""I bo oolcullltd,
"
.,
J...... '......4'-.."....
. I
l~lj~_~. __ __'_ .;_ __ ___. _ _........ ~_'. _.:.:__ .._ ,._.'.... ._.'_. .__. ... _ _.. _.._.. ._. _.: ... .... _ .':".:.'_ __ '--_. _. __ __ _.' __.' _ __._ __~..!.. ~
,', 'j:""
II'~;'A' . A":O'479S3 ,. COMMONWEALTH 0". . PENNSYLVANIA,', ,'.
."0., . ' . ...,.... .DlI'A~I"TO'RIVINUI' '.
. ';~'~l" ~'''I '. OPPICIAL IIICIII'T "I"NSYLVANIAINHIIIITANCI AND I$TAT. TAX. '.
j "',
:.'itS.'.....:....
. '"
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. .
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WILLIAM C SMITH JR
el50 CONWAY STREET
i ACN m
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 'J::I.O,6.f!,+ I
'I
----
RECEIVED FROMI
CARLISLE PA 17013
,
/OIbHIII 1
ESTATE INfORMATION,
r:I m NUMBER
II . el-1994-0914
E1 NAMe Of DECEDENT (LAST)
NA J
II DATE Of PAYMENT
m OSTMAR~iO/9'
COUNTY 0/00/00
CUMBEBb.AND
DATE Of EATH t JOb.
REMARKS
WILLIAM C SMITH
SSN 14l5-e6-63l5e
IfIRST} IMII
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.s-
m ' TOTAL AMOUNT PAID
'1l5. 5!56. e4
SK
\
. SEAL
CHr.;CI<* 3!5 RECEIVED BY r
, I
. . .', . " ,'. REGISTER~FWILLS, ~~~rEl~ERL5~IWILLS , /.
~..~,7i.1~"'-.~',---,~,"'- .-....-. T"-._~,'~'_ --:.-""7,'-'- -;,-'r-;':'l~ ,;--'-- --- ....._. -.- .----..'"-;-, -- ,.- - -,-- '~;, ('....,,-~
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RIV.l!l47 EX A~P (12.94*
COHHOHOEAllH OF PEHXSYlYANIA ACN 101
DEPARI"EN! OF REVEHut: NOTICE OF INHERITAHCE TAX
8U1lllU Of INDIVIDUll TAMES APPRAISEHENT, ALLO~ANCE OR OISALLOWANCE
::mi.:~~~~l PA 171lH601 OF DEDUCTIONS AND ASSESSHENT DF TAR DAn 10- 09 - 95
fSTAn OP SMITH - EDNA = FILE NO. - 21 94- 0914
DATE OP DEATH 10-01-94 COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FDRH WITH YOUR TAX
PAYHENT TO THE REOISTER DF WILLS, HA~E CHECK PAYABLE TO "REOISTER OF WILLS, ADENT"
REMIT PAVMENT TOI
-
W C SMITH
250 CONWAY ST
CARLISLE
PA 17013
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
I
Anount ReMitted
J
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~
R-liv:isiii-EX..AFp.-iiz":94i--NOr-icE"-OF-i-NHER-iTAN.CE"r-Ax-iipPRiiisEH-ENT~--Ail-owAifcE-o"R-"--_."_._--"""""
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF SMITH EDNA J FILE NO. 21 94-0914 ACN 101 DATE 10-09-95
TAR RETURN WAS. I X I ACCEPTED AS FILED
I CHANGED
RESBRVATION CONC!RNING FUTURE INTEREST " SEB REVERSE
APPRAISED VALUE OF RETURN DASED ONI ORIGINAL RETURN
1, Reol E.tete eSahedult Al III
2, Stooke ond Bond. ISohodult BI 121
5, Clo.ely Hold Staak/Portner.hlp Int.re.t eSah.dule C) eS)
4, Hartgege./Note. R.aelvehlo 'Sahedule Dl (4)
&, Ce.h/B.nk Depa.lt./HI.e, Por.anol Praporty eSchodulo E) (&)
6. JointlY Owned Praporty (Schodulo Fl (6)
7, Tron.f.r. eSohedule 0) 171
8, Tatol huh
108,500.00
166 ,649.50
.00
,00
5,B19,50
,00
.00
e81
280,969,00
APPROVED DEDUCTIONS AND EXEMPTIONS I
16,742.21
9, Funerol Expen.e./Adn, Co.t./HI.e, Exp.n.e. ISohedulo HI 191
10, Debh/Hartgoge Llebllltlu/Llen. ISchodulo II 1l0I 3,956.13
11, Tetel Deduotlan. I III
12, Net Voluo of lex Return 1121
IS, Ch.rlteble/Davernnentol Beque.t. eSehedule J) liS)
14, Net VeI... of E.tete SUbJ.ot to Tox 1141
NOTEI If an ......m.nt wa. issu.d pr.viou.ly, lin.. 14, 15 and/or 16, 17 .nd 18 will
r.fl.ct figur.. that includ. the total of 6h1 r.turns a......d to d.t..
ASSESSMENT OF TAXI
1&, t~aunt of Line 14 ot Spau.ol roto (1&1
16, Aoaunt of Llno 14 toxoble et Llneel/Cle.. A rote 1161
17, AMount cf Line 14 toxebl. et Callet.rel/Cle.. B reto 1171
18, Prlnelpol Tox Due
TAX CREDITS I
PAYHENT
DATE
06- 0-95
?n.~QR 34
260,270,66
1,000,00
259,270,66
.00 X ,03.
259,270.66 X ,06.
.00X,15.
1181
,00
15,556,24
,00
15,556,2L
RECEIPT
NUHBER
AA047953
DISCOUNT
INTEREST
et)
e-I
,00
AHOUNT PAID
15,556,2(,
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
15,556.24
.00
.00
.00
. If PAID AfTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
IF TUTAL DUE IS LESS THAN 'I, NO PAYHENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRl, YOU HAY 'E DUE
A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I
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RlIERVAUONI Ett.h. of cMCltdentl dvlnt or. or bafor. 0.0"" 12, 1912 .... If env future Inter... In thl ..tet. II trlnlflrred
In po~,...lon or .njov~nt to Cl,.. . (colllt,r,l) benlflol.rl.. of thl decldlnt .ft.r thl ,.plra'lon 0' Iny I..a.a far
11ft or 'or v..r., thl COIIOnW..lth herebv I.prl.llv rll.rv.. thl right to .,pr,.,. and ...... trln.,.r Inhlr.tlnCl ,,.,.
It thl lew'". ell" I (colllt1rl1) rat. on .ny luch 'utur. Intlr..t.
PURPOIE Dl'
NOTICE I To 'ulflll thl requlr...nh 0' Slatlon 2140 0' thl InhtrU,ncI end E,t.t, TIM Aot, Act U of 1991. 7Z Pt'.
ltollon ZUO,
PAYH!HTI DltlCh the tOP portion 0' thh Notice and tubtllt with vour Plyant to the R'lhtlr of Nll11 prlntld on thl r.vlr.. .IH.
--Hok. ohtc>k or oone. ordor ,'.obl, to. REGISTER OF MILLB, AGENT
All PIVHl1tt rlcllvld .hall fir.. b, applied to MY '"t.ru. wh'oh 'IV b. due '11th Iny r"llndlr IPPllld to thl tlM.
RfFUHDlCA)1 A r.fund of I tlM orld't, whloh WI' not r.quelt'd on the T.x A.turn, 'IY be rlque.t.d by co.pl.tlnl en "Application
for A.fund 0' Pennlylytnh Inhtrlttne. and Est.tI TIIC" (AEY-1111). Appllcltlon, ara .vlllabl1 It the OffiCI
of thl R'II.tlr of Will., any of thl ZS A,v.nUl Ol.trlct OffiCI., Dr by c.lI1", the Ip.ol.1 2~-hour
tnlNlrln, 'IrYlcl ~rl for f~r.. ord.rlnt' In Plhnlylvtnl. 1-100-162-2050, outlldl Pennlylytnll end
Nlthln loc.1 Hlrrllbur. .r.. (111) 111-1094, TDO' (117) 172-2252 (HllrJnt tIPalred Onlv'.
OI..cCTJOHtI Any,,,ty In Intlr..' not "Ulfled '11th the .r,IIIHnt, 11IoNeno. cr dlsallowlnc.. of dtductlon., or ........"t
of t.M (Including dlloount or Int.r..t) II lhown on thl, Notlc. au.t obJeot within .IMty ('0) dlYI of r.c.lpt of
thlt NotlOI bYI
-.wrlt~.n prot..t to the PA D.p.rt..nt of R.ylf'llHl, 10lrd of ApP..It, Dlpt. 211021, Htrrlsburll, PA 11UI.1011, OR
....I.ctlon to hay. the I.tt.r dtt.rllned .t audit of the ICICOunt of thl p.rson.1 rlpr...nt.tln, OR
"''''''11 to thl Orphln" Court.
AIIIUH
IITRAlIVE
C_ClIIIHI,
FlCltual .rror. dl.coy.r.d on thl. ........nt .hould b, addr....d In Nrltlnt tOI PA D.p.rtl.nt of A.yenut,
lur.fU of Individual T.M.I, ATTNI po.t A.....-.ot Aoyl.w Unit, Dept. 210'01, H.rrl.bur" PI. 1712'''0601
Phone (711) 711"'501. R.. Pili S 0' thl bookl.t "In.tructlon. for Inhtrlttne. T'M A.turn 'or I A..ldent
Dtctdtnt" (R!Y-1I01) for tn 'MPIll1It1on of Idtlnhtratly.1v corr.otabl. ,rrort.
IHlERElI I
If InV t'M dut It 'lid within thr.. (S) ollendar aonth. Ifter the decldlnt', dllth, I fly. p.rcMt (IX) dluCW1t of
thl t.M Plld I, Illowed.
Inter..t It charted bt,lmlnt with flr.t dI)' of dftllnCMtnOy, or nlnt (9) tonthl end OM (I) dlY 'rOIl the dati of
dtlth, tu thl dlt. 0' Plvaent, TIM" which btClnn dllJnqutnt btfort JtnU"y 1, 1912 be" Intllrut It thl rat. of
.1M 16X) p.ralnt ,.r Il"InUI allcul.tld at . dilly rlt. of .nOOI64. All tlMII which bee... dtllnquent on and Ift,r
Janulry 1, 19.2 will bllr Intlrl.t It I rat. which will Ylrv froe clllnd.r y'lr to a.land.r v..r '11th thtt rlt.
announced by the PA Dtp~rt..nt of A.y.nut. ThI ."llolbll Int.r..t r.tl' for 1"2 through 1991 .r'l
IIIICIlUH1.
~ Int""t R.tl O_IIY tnt.r..t Factor !!!! ~!!l.!!.!! Dlllv Int'rt.t Flotor
11I1 lOX ,OOmA 1917 'l .000147
11I1 UX ,OOOUI 1911-1"1 IIX .000101
"14 IIX , ODD 101 I"Z 'l .000141
1"1 IU ,000116 1"'-1994 7X .0001tl
1'" lOX ,lOOm 1"'1 'l .000247
"Int"..t I. allcullted I' follCHtl1
INTEREIT . BALANCE OF TAX UNPAID X NUHIER OF DAVI DELINQUENT X DAILV INTEREST FACTOR
"-Any NoUat lulled .fter thl tlM beCOM' dll1"..,t will rlfltat .n Interllt allculltlon to flft,," Us) dlY'
bevond thl dltl (.If the "'".lInt. If PIYNnt It ..de lifter the Inttrllt Co.,utltlon det. .hown on the
Motln, tddltlontl Int""t IlUlt be ollcullttd.