HomeMy WebLinkAbout94-00916
IJETITION Hm IJROnATE lint! GRANT m' LETTERS
Hi/tl/t' of .81'1\ ~.. B.aflA.Qo11- .. .. No. ~L- '14:/-9..1 ~._._-_._-
111.\(/ km;II'IIII.\ ..,.,!lfl....'z-........ 1'\1.... .~~IJI' To:
J\nnc. 'Z.&r " ".... DL"..... '\ Kegisler of Wills for the
.... ... .. .... . . .. /)('('('II.\I'd. COllllly of . ._.. ..____..____ In thc
Sodlll Se('urlty No. Jt..O.o 5 ~ 44 I C01l111l01ll1'ellllh of I'cllllsylvllnla
The pelitiollOf Ih,' IIl1del.liglled r"speelflllly r"11I'eSellll Ihlll:
YOllr pelilloller(s). II ho is/lire IX years of IIge or older :llIlh,' l'.\eeIlL :r:..~An...<:._~..".a.tt 1l111l1cd
IlIlhe IlIst will of Ihl' 1I1111\'l' (kmklll. dilled. .:("'.,...."'-.j~,J'I'4.':l......_n...__..__. 19..i.~
IIl1d codkil(s) dilled . /'.'J( A . ....... -...
_ ____.+_ ." .._m..___~__ ..... .______..______._____._.
(,Iall' rl'k',unl drl'lHII,>tillll\'\, l'.~. rl'lllllll.'iil1inll, tkalh lit' l'\l'\,'llltH, ell'.)
Ilecelldelll WIlS d01l1kiled III delllh ill.C~."\I:lD"~"'....~_u. ...u_ .n"_ COllllly. I'cllllsylvalllll, with
h-"'L.... Il1sl hllnily (lr prlllclPlI1 rl'sldellce 1I1..:!..,..12..~.r:<;l\lIL...+_...__~~foI._fL~uLfi..110 I I
1Ii~1 \llel'!. Illllllhl" and 11l1llldpalin'l
Ileeelldellt, Ih('1I .J!: .~)( ... years of age, tjjed ..Q.~Iol>r__~"t___....._. 'v . 19 q 4 ,
1I1_~/1J:>.P,/l'\. .... ot'l.5'P(r..t-Ro..t>.d:"'L_....AR'L~iJl,f.A ,
Except liS 1'011011'.1, decedelll did 1I011l1llny, 11'11.11101 divorced IIl1d did 1101 havc II child born or adoplcd
aflCl exeelllloll of Ihe wllloIT,'red 1'01 prohale; \\'IIS lIollhe vlelilllof a killillg IIl1d WIIS lIevcr adJlldlcatcd
ille01l1petelil:..~ .. . .... _' '. ...._n... ...... _..__........___.n___.__
Deeelldelltal dealh ow lied property with e.llitllaled value.las 1'011011'.1:
(II' dotllleiled IlIl'a,) All per.lollal properlY $J.i-ODO. C::Ob
(II' 1I0t dotlllciled In I'a.) I'er.lolllll property III I'l'lllIsyll'allla $
(If 1101 dOllliciled ill 1'11.) I'er.lollal property III ('mlllty $
Vulnenf reall'slale in l'elln.lVll'allla $
sltualed n.l follow.l: .m" _.:.._ ..!-:\..()Jl~.....n_.._..._____'____
IVHEIWFORE, pelltlollcr(s) rl'speclfnlly reqncslls) Ihe probUIC of thc IlIst will and codlcll(s)
presenled herewilh alld the grulll of lell('r.l.._._.___.
(ll''illlmCtllnl~'i lIdmlnl'ilTllllnn c,l,a," administration d,h,n,c.l.R.)
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.. .c.,.....'f'"', 111'f't. J'1t>JL,,~~l~.__
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...._---.... -+_.__._--_._.__._---~-_.. ..
______________ ......_...____._.______... . ___ n'
OATH 011 PERSONAL REPRESENTATIVE
~~~~~I~~N~~I~~AL.I'.I_~~~Rl~~~:;~V_l~VA~~~_ J H8
The pelilinller(.I) ahol'e'lIllllled .Iwear(s) or alllrtll(s) Ihlll the .IlnlelllCllls Inlhc foregolllg petitioll nrc
Irlle nlld elllll'el In th,' best of Ihe kllnwledge IInd I lief nf petltioncr(.I) IIl1d Ihulas personal rcprcscn.
latll'L'(s) of Ihe ahnl'e deeedellt pelilinller(s) will we d . lid . 'sler the csllltc aceordillg to law,
Sworll 10 0.' .affi.IIlIL'.d 11.II.d .Il1b!ierlb.ed \.....
beforl' llIe IJJ.i1 ec.t4'.. :. . i/,<".. day of . ...
'1ri~ r~Ti~ 1~1:':r . ......
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No. 21-94-916
Estate. of ANN ZERANCE BENNETT I Deceased
a/k/a Ann Z. Bennett, a/k/a Anne zeranne bennett
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW OCTOBER 27 19_-2L, In consldcratlon of the petition on
the reverso sldc hcrtof, slItlsfactory proof havIng bccn prescntcd bcforc mc,
IT IS DECREP.D Ihllt thc IlIstrumclII(s) datcd JANUARY 9, 1983
dcscrlbcd lhcrcln bc admlllcd 10 probate and fllcd of rccord as thc lasl will of
ANN ~EiL~E BENNETT a/k/a ANN Z. BENNETT a/k/a ANNE ZERANCE rENNETT
and Lellcrs TESTAMENTARY
arc hcreby grant cd 10 ILENE CLARE BENNETT
~1l0
(l.. ~''''';A' F-Dol\ .l
Rcal.terorWIII. ~
FEES
Probate, Lellers, Etc, ".,."" $40.00
Short Certlflcatcs( 1) , . , , , , . , " $ 3. 00
Renunciation ,.,..,.,....,,'. $
. ~c~age $
A liORNIlY (Sup, CI, 1.0. No,)
3.00
S.QQ
TOTAL _ $ 1\1.00
Fllcd ....' P-G'J.'" , A7"J ~,~~, , , . ,.. , , , , , , .
ADDRESS.
PHONB
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20, II line 1911 groalOl Ihan lln, 18. ,nl" Ih, dlll".nco an Lln. 20. Thh It Ih. OVERPAYMIN'r,
110
21. II lln. 18 It groal" Ihan Uno 19. .nlOr Ihe dillorenco an line 21. Thlt 1,lhe TAX DUI. 1211 .. .-...---._..___
A. Enle, Ih.lnle'lIl an Ihe balance due an Line 21A 121AI .___.u.__._______
B. Enle, th. 10101 of Line 21 and 21A an Lln. 21B. Thlllt Ihe 6ALANCE DUE, 121BI _._..__.
Mak! Ch!~}ayab!, la. R,gl.l" af Will., Ag,n' _ u_ _
f. ~~ I..UIITO ~NiwIULL QUISTlONI ON IIVIISIIIDIAND TO IICHICK MATH <11(, t(. , "','. . .
Under penal II.. of perlury, I dedar.lhall have .lI.omlnld thll r.turn, Including accompanying tchedulll and lIal'lnDnh, and 10 Ih, b." of my kntlwlldge and b,ll,',
~ It rUI, cor,ocl and complete. I declar. thai all real '1lale nos bllln reporller"1 IrulI marhl value. Declaratlon of pr'parll olh,r than Ih, penanal rep'lI,nlallvl I,
alan alllnformallon of wh .e.r'p..~~~~_r!~o~J.dQ_!~__________,__.______.,_..__.._,_.~__,______.~___ ______
SION U _" L1NO R{TURN, A~ORf!iS ,c /' ~,DAn
;ION~tull ~"AII'-O;;T.,j,N'iliiiliNWI"....---::';to~.?-~"'.'f~:,,-'~_.::~i~.t._-~'^'.-j.ItL.lL~.. \\ C7.tc1J oA"L:(l9(9S--
~IV"IOO!K+ 1/.9'1
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'OR DATIS 0' DIATH AnlR 12/31/91 CHICK HIRI
INHERITANCE TAX RETURN ~O~m!,umDIT IS CLAIMID [J
(TO R::I~~~J I~E~~~~CTATE 'l{j~~M-'-iR ....,7..i.. If7 Ie.
. .WITH REGIST~R.OFWIL~SI COUN'v.c()D~
(HCWftH'~ CQMP\fH AOnU5!l
,r~"t.,L. (....(,c?P(\ ":)-r .
r ,,,\~) f~"II,Ph 11" /I .4<11 'i
C'~lA:O\YNi ~~~..~ i~i~~~~iiU~'~ON1l-'--'-~==
[J 3. Remulnd.. Return
. IfM datil of deolh p,'or 10 12 13.821
[J 5, F.de,al Ellal. To, Relurn Requl,ed
18. 10101 Number 01 Sol. Depaoli Ba...
...
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COMMClNWEAlTti Of PENNSYlVANIA
DEPARtMENT Of ~EVENlI[
om 180.01
HA~RI18U~c., PA 17 18.060\
D!C!oINT'$ NAM! IIA~f ~.'-i;~I.--~Nu.MI-ODlt i;ii,i;ii
1.:>'~ ~.:!:L._A.!I.~ ."h
!>CXIAl ncull.uv NUMUI!.
YEAR
NUMBER
..~ -
[OAT!" o;Ot.~_,lim' ----UJriAWO;"iiRili..- -.
_~~.:....<XJu:~~.1::L_ . . p:6l:.,I:- 'i'~ILJ.'.:~=0-_U..
I" .' ""."" IU",""'" I'UU" 1 "'''''''''.''''''''''"'''''' ""'''OJ . !O:.':~!::::~'"U_MIE~.u
I 'I 2, Supplemenlol Relurn
il
Bf
[-I 40. Future Inlertlll Compromlle
U (lor d011l 01 d.alh nller 12.12.821
[ 6, D"edenl Died ll1lale II 7. Oecede,,1 Molnlolned a Living T,ull
.. IAlIoch ,opy of Willi IAlIach copy af Trulll
ALL"COIR!.!OND'NCI AND CONPlDINTlAL ~AX INPORMATlON SHOULD II DII -~.
1T.O.t L COMPL!H M HtNOAD R I. r~
.J;kl>P_~.I,1v..l~~t\..::..~~.=-.....n.._.._...n ....._.. .:2.,..,;>, (...~.." f' " (jj-.-
lfI;'l~;~:'l.~l.::;Lt<.,:)..~.==~====~~"",= =,~=_=~~~~'~'.-,':(.~ il . PI, I, (> (I . ,1 +_ ')
...
I. Real E.lale (Sch.dul. AI 11 I. .c... ;;;It.
-F,-
2. Slock, and Bond'ISchedule BI (21 n........n
3, Cla.ely Held SlockIPa,lne"hlp Inlere,1 ISchedul. q (3 ) '-l+--
4, Marlgage' and Nole, RecolvoblelS,hedule 01 14) .-.,ld.,".,. ....~.n..~~=~...~)::
5. Caoh. Bank D'pa,il' & MII,ellaneou, Po"al\ol Prap.rty 15 I . Jrs.!.?...sn... 'm"_'
ISchedul. EI
6. Jolnlly Owned Prop"ly (S,hedule FI 161 ..:13.(.,'\..&4........__.___
7, T,o..le" {Schedule GllSchedule L} 17) m~__....... ....-. -...._..--
8, 10101 G'OIl All'" 110101 Line, 1.71
9. Funaral EKpenlol, Admlnhtrallve COlh, Mhcellaneoul
E'pe..eo ISch.dule HI
10, Deb". Mortgage L1oblllllll. L1,.. 15ch.dule II
11. 10101 Oeduclla..llalal L1nll 9 & 101
12, Nel Value uf E.lalo (Line 8 minu. Une II)
13. Chorlloble and Goverllmenlnl BequOl" 15chedule JI
14. Nel Value Sublectlo la, (lln!. 12 mln". Line 131
15, Spou.al T,o..I." 110, dalll 01 d.olh alter 6,30.941
See InstrucHons lor Applicable Percentage on Revetle
Side, Ilndude valve, from Schedule K 01 5,h.dule M.I
16. Amount of line 14 laKubl, 01 6% raltl
Ilndude value. Irum Schedule K 0' Schedul. M.I
17. Amount 01 L1n. 14 lo,oble 01 15% ral.
IInclude valulI I,am Schedule K or Schedul. M.I
lB. Principal to, duelAdd to, from llnll 15. 16 and 17.1
19, Crodih Spoulal Poverty Credit Prior Paymllnh
"........._............._ + ...mm.__....__ +____ -
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l'mlled EllClte
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19 I ._1..2,/2._3.r:~.'}_ .
18)
I '" 4 ~ ..L:j.4----'-
(101 ___:~~~~m________"___
(III _".l.fl_Q..2.'(,'. en 9
(12) --:1o-~~,.o.5
"' t\\
(13) ---.-!... ,.... '''--'--'-.---
(141 .~~Q5
(l51_________._______.__K, _..a
(16) ..3'..Lf..!,~.Q_~.___.._K ,06 a
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...
2.0 (" ,,S.K_._.____
...__,5:./~~ v-..
(18) 'm 7. ~9~O__f!:._____.
1171.."~_'l.~U;,...Q__s:__.u.._K .15 a
Dhcounl
lnlerell
(191 ___!: . ---
1201._.______.___._.....___
(IHock 11t'11' If ynu (If(' fI'qul'\lllln U JI.lund of yuu, OVt'lfluynll'rll
.
.'~~1~"'11l'"1 W
COMMONWIAllH 0' P1NNIYLVANIA
INHUllANCI lAX RITURN
RlIlDINl DICIDINl
IITATI 0'----- 11
AM 2.. ~""MLQ::.
SCHEDULE F 1
JOINTLY-OWNED PROPERTY
- - ~I PILE NUMBER
Jololl.naol(,11
,,---- ..... --NAMI.--.---.----- ----......... -... ADDRISS-----.- . --
A, L\Qr,e.: C ,<bs>,,~ ~~1'2..G r<<cn<Q./-
t,!~f> A.'rI\pf\ '1l~1-441'i'
__ _____.____ .~_____ 0..__. __,_,._..~__
. . -liiLATioNSHIP TO DECEDENT
'J) f'l-\~ ntor
B.
\.
C,
. J.'o,ly..wn.d pltptrtYI
, ':.
..
IT~ LmlR DATE DECD'S DOI.LAR VALUE OF
PO& TOTAL VALUE
UMBI. JOI T MADI DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST
TINA T JOINT I .
1. f.\ , 'I'\'>1 ~oQ.c!. "f.""'\l" Scd~ t~~~ !;C1f:. .\> '?'Q),<il
((.b f-o( r.~N~"( f~C~".:I..s,(
\ ...... C.... P u" I) .
J2.. A 1I~$((o DA..~ II> -p.-po~. ,01-
IS I Ie(", 1(., ~t;)".tS "( s 53. c ~
'6......, " h 1-'
'6 . ~ /I~'S{ GO II !.,.,C..,6f-....... 6~. ?J2. :jot. . 1lt>\,ICo
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. TOTAL IAllo .ot.r 00 110. 6, Recapitulation) $ 1 Cfc.".4,(}..4
--
N
III mort 'po" I, n"d.d I..,rt addltlanollh..,. 0/ lam. II..)
REV.1543 !X AFP (~.94).
COHKONWfAl!H "f P/.~9'lVAHIA
OEPAAlHEHT Of ~f.VEHlJf:
BUREAU OF INDIVIDUAL i'XE"
OEP!, 211601
IlAARUIURQ, PA 11120-D601
INFORMATION NOTICE
,~ND
TAXPAYER RESPONSE
(J;
1)(
FILE NO. 21 94-0916
ACN 95101635
OAT! 01-31-95
TVPE OF ACCOUNT
~ SAVINOS
CIIECKINO
lHU~T
CERTlFICHE
RENIT PAVNENT AND FORNS TO.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 11013
ESTATE OF ANN Z BENNETT
5,5, NO, 160-05-8441
DATE OF DEATH 10-Z4-94
COUNTY CUMBERLAND
ILENE C BENNETT
3412 GREEN ST
CAMP HILL PA 11011
DAUPHIN DEPOSIT 81< . T hat provltlld the Oepart.,nt with thl IllfurJlotlon llltld bllow which hat bun ulld In cat cut. Una thl
pot,ntlal talC dUI. Thl!r rlcordl Indlantl till'll JIlt th1 rl'tl!lth of tl11 /lb':lV~.. dlC.l,twot, 'lull Wlr. II joint own.r/ben'flohry of thlt acoount.
U yOU f..l thil Infer.flUon It Incorr.ct, plUII obtain wrltt." correction 'rol thl flnllnclal InlUtutlon, attach II cop.,. to thh for.
Ind r.turn It to thl llboYI add"... Thh account Is tIIJ(llbl. Jllllccordftnce with thl Inhtr1t1lnel Tft)( law" of thl COlllonwealth of Plnnlylvanh.
QUI.tlon. IIIV bl anlwerld b~ calling e717} 787-8327.
COMPLETE PART 1 BELOW M M M SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Aooount No, 4901121305 Dot. 11-25-60
E.hblhhod
Account Balanc.
Perclnt Ta~lbll
AMount Subjoot to
To. Rlt.
Potlntlol TI' DUI
15.42B,48
50,000
1,114,24
.06
462,85
TAXPAYER RESPONSE
FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT BASED ON THIS NOrICE
~
To In.ure proper crldlt to ~our account, two
(2) copJ.. of thlt notlcl IIU.t accolpany ~our
paY"nt to the Rlglltlr of Willi. Hakl chick
payabh tOI "Alghtlr of Will.. Aglnt".
~
NOTE I If tall paY"nt. art lad. within thru
(3) Monthl of thl dlc.d.nt'. datu of d..th.
you lIay dtduct III 5% dhcount of thl tal< du..
Anv lnharltanel tOI< dUI will bleo.. d.llnqu.nt
nlnll (9) .onth. afhr thl dati of d.ath.
Tox
PART
[!]
[CHECK ]
ONE
BLOCK
ONLY
A. 0 Thl above InforMation and tal< due 11 corrlct.
I. You .ay choo'l to rlllllt paVllnt to thl Rlgl.trr of Will. with two cop I.. of thl. notlo. to obtain
a dltcolint or avoid Int.rltt, or vou IlIlY chick bOll "A" and rllturn thl, notlcl to thl Rlghtlr of
~Hllt and an official a....n.nt will bl luu.d bv thl PA DIIPart..nt of Rlvlnul.
"-
B. tJ Thl aboVI P...t hu bun or will bl rlportld <lnd tllll pdd with tho Plnnlvlvanla Inhtrltanoe Tal< rlturn
to bt '1I1d by thl dleldlnt', rtpr...ntatlv..
If you indicat. I differlnt ta~ r.tl, pl.I.1 .tlt. your
rllltlon.hlp to dloldlnt,
c. c:J Th. abovI Inforllatlon I~ncorr.ct and/o~lbt' and d'ductlon, w.r. paid by you.
You IU.t cOMplltt PART ~ tmd/or PART L3IJ blflow.
~-\C.
1U,'FFICIA~jUSE 9f'I~ .0 MF
PAIlEPARTH~NT OF, RE.VENUE
OF
1
2
3 ~
4
S
6
7 K
8
oJ
'".;..
PART
~
TAY. rETURN .. cor'lPUTt.nON
LINE 1, Dltl E.tobll.hld
2. Acoount 8.11nel
3, Plrolnt Tlxlbll
4, A~ount Subjlot to Tlx
S, Dlbt. Ind Olduotlon.
6, AMount TI.lbll
7, Tlx Rlt.
8, Tox DUI
TAli uN .JOINTIT~Us'r ACCOUNTS
PAD
1
2
3
4
5
6
7
8
DEBTS AND DEDUCTIONS CLAIMED
.'
,
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,"',,',
,.1,
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...
-
PART
I!I
DATE
PAID
PAVEE
DESCRIPTION
AMOUNT PAID
U
TOTAL IEntlr
I
on line 5 of TIX Co~put.tion) .
tlct. I hi VI reportld aboVI Ir. tru., oor~t
HOME (/,., ) ./ ':>'1. (K~~
WORK ('It- 1 ) 7 'i, '1 . c/ (,,(,.0'(
TELEPHONE NUMBER
-
Un
oOMplltl
Ind
("W5n)
o TE
"
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GENERAL INFORMATION
1, FAXLUftE TO ftESPONO WILL RESULT IN AN OFFICIAL TAM ASSE~SHENT with ,ppllellbl, lntorlOt bll'. en tn/or..llen
,ublltt,d by the flnlnolll 1n,tltutlon.
Z. Inhtrltancl tex bleD." dtllnquent nln. lonthl ,'t.r thl dtcld,nt', dtt, 0' d"th,
J. A Jotnt IOOount II 'IMlbl, IVln though the dlctdlntt, "... V.' ,ddtd II . ..tt,r of convent.nol.
.. Aooount' CJnoludlnt thol' hlld b.twlt" husband and w14.) which the dlCldlnt put In t~lnt n.... within ont y..r prior to
d41,th Ir. fulh tlxllblt II trlnlf.r..
S. Aooount. ..tabll,hed jotntly b,twt,n hu,blnd end wlf. ~r. thin on. v,.r prior to d..th Ir. not t'MIbII.
6. Acoount. held bv II decld.nt "In trutt 'f'r" .nothtr or athlr. Ire tlM,blt fully.
REPORTING INSTRUCTIONS - PART 1 - TAXPAVER RESPONSE
1. BLOCK A . If the In'or..tlon end COlPutttlon In thl n~tlc. Ir. corrlct and d.ductJon. art not being al,lled, pllOI In "M"
In block "A" of Plrt I of thl "TupIYlr Nupontll" IIOUOll. Sign two ooplu Ind .ubelt th.. with your chick 401' thl ..Ooot of
C1IM to the Rlgl.t,r of Will. of thl county Indlcatld.rhl PA D,plrt.lnt of Rlvlnu. will I..u. In offlclll I.......nt
CFor. REV~lS4' EM) upon rlc.lpt of thl rlturn fr~. the Rlgl.t.r of Will..
2 OCK . ~ If thl ....t 'PlaUI.d on thh noUa. hu blln or will b, rlpartld and taM paid Mlth the Plnn.ylv.nla Inhlritancl
1M R.turn fil.d bV thl dleldlnt.. rlpruontltlvl, pilei an ")(" In block "a" of Plrt I of thl "Tal(pIY.,. Ruponll" IICtlot1. Sign on.
copy lOCI rlturn to thl PA OIPlrt"nt 0' R,vlnul, Buruu 0' IndlvldulIl Till", Olpt 280601, Harrhburg, PA 1112t-UOl In the
.nvII~p. provided.
S. alOCK C - If thl notlcl l"for~.tlon I. Incorrlot and/or dlduotlonl "I'I bllng clllald, chick block "e" Ind coapl.t. Part. 2 and 5
Iccordlng to the Inltruotlon. bllow. Sign two copl.1 .nd IUbllt th.. with ~our chock 'or thl aeount 0' tll( paYlbl1 to thl Rlgl,tlr
nf Wllh n' t.... "ounty hv'lleatad.Tht PA OOPlrtlont 0' nC'lInuo 101111 1:I:lll' on 0[(1(,1&1 al...II....il~ m.". itEIJ-1S..a f.)() upun r.",lpt
of the rlturn frOI the R.gI,tlr of Will..
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
1. lnter thl data the IccOunt orlglnllly WII ..t,bU.hld or UUad In the ..nn.r IMlIUng at data of duth.
HOTEl For. dlud.nt dying aftlr I2I1218Z, "ceaunh which tha d.e'd.nt put In Joint n.... w!thln on. (1) Y.lr of d..th Irt
tllllbl. fullv a. trln.f.rl. Howlvlr, thlrl II ~n Illclu.lon not to '~c'ld t3,000 p.r trlo"lrll rlgardl... of the v.lua of
the .cco~t or thl nUlb.r 0' .ecount. hl1d.
If a daubl, ..terhk (11M) appllr. b.forl your flr.t nil' In thl .delr... portion of th1l noUc., the U,OOO lXolullon
11r..dy hit bien dlduct.d frol thl account bel.t.u II r,portld by the 'In.nol.1 In.tltutlon.
2. Ent.r tha totl1 ba1.on. of the account Including Int.r..t Icoruld to the d.t. of d..th.
S. ThI p.rclnt of the aee~unt thlt I. t'~lb11 for ..ch ,u'vlvor 1. d.t.r.lnsd ., follow, I
A. ThI plrcent tlHlbl. for Jolnt .1'ltl ..tlbll.h.d .,rG th.n on. y.ar prier to thl d.e.d.nt'. d.~thl
I DIVIDED IT TOTAL HUHIER 0,
JOIHT OWNERS
Ell..,II' A Joint ....t rlgl.t.r.d
DIVIDED BT TOTAl IoUllBER OF X 100 . PERCENT TAXABLE
SURVIVINO JOINT OWHERS
In the nD" of thl d.c.d,nt .nd two other lIer,onl.
1 PIVIDEO BT 3 (JOIHT OIlHERSl DIVIDED BT l (SURVIVORS) . ,167 X 100 . 16.TX (TAXABLE FOR EACH SURVIVOR)
.. Th. parcent tl~~11 for ....tI ct'utld within on. Yllr of thl dec.d.ntt, death or .ocol,lnh owned by the ctlo.dent but held
In tru.t 'for InQ.th.r IndlvJdullCl) CtrUlt b.neflnltrl..),
1 DIVIDED BV TOTAL HUMBER OF SURVIVIHO JOINT
OWNERS OR TRUST BEHEFICIARIES
X 100 . PERCENT TAXABLE
Exl.plll Joint .ocovnt rlght"ld In th. n.n. of the nlud.nt and two other par.on. Ind "tabU.h.d within ani yllr of dllth by
the dleldent.
I DIVIDED IV 2 (SURVIVORS) . .SD M laD . SD~ (TAMA8lE FOR EACH SURVIVOR)
4. The Hount .ubJlot to talC UI". ,) It dlter.lnld by lultlplylng the ICCUunt b.t.nc. Ulnl ZI by thl p.re.nt tlllabl, Uln. 5).
I. enter the tot.l of th. d~h Ithd dldUCltl~n. U.t.c' in r.rt 5.
6. ThI MOUnt tlICabl. Cllnl 6) I. dlter.lold by lubtraoting thl d.ntt and d.duotlnn!! (II"" ~, frn_ t"- .1I,","t .1IhJIC"+ to tll: (llnu \).
1. ent.r thl .pproprl.tl t.~ rata Clint 7) .. dlt.r.ln.d b.low.
A. For dlt.. of dtflth occurrino Ift.r 6/50194, the t.M rlt.. for trln,'er. \11 .p3U'" ar. II followll
1. Dltl' of death on or a't,r 7/1/94 .nd b.for. 1/1/9& t~ rat. I. lX.
2. Dlt., of dI.th on or aft.r 1/1/'6 end b.fora 1/1/91 thl rat, I. 2~.
S. Dlt., of death on or .ft.r 1/1/91 and b.farl 1/1/98 thl rat. I. I~.
~. Dat.. of dI,th on or .ft.r 1/1/'8 tran.f.rl to .pou... will b. 'I(..,t '1'01 t,l(.
Hot., For dat.1 of d.ath prior to 111/94 tr.n.f.re to 'POUI.I '1" tll(abl. at 6~.
I. Tran'f.r. to Itnaal d..elndant. Jnoludlng f.thlr, loth.r, .on, dlught.r, gr.ndchl1dron, lon~ln-l.w,
d.utht.r~ln"I..., .t.pehl1d and thaiI' IlIu. Irt teH~ll It .iM p.re.nt (6~O.
C. TrlOd." to ,11 othtrl Inoludlng brother, ,lIhr, unci., ..unt, n.phlw and nllel tlra tlMlbl. .t fUtI.n p.relnt nix),
D. If you changl thl taM ratv, pl.... ,plolfY your r~lltJon.hlp to the dleld.nt In the Irll provld.d,
I. the HOU'1t of tllC due Ulne I) it cltt.r.Jn.d by lultlplylng the .lIOunt tllllbl, IIln. 6J by the ta)( rat. IlIn. 7),
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
Al10wab14 d.bt. and d.ductlon. '1" d.t.r.ln.d II fo110w'l
A. Vou 111.IIY ar' r.,pon.lbl' for p.yaant, or thl ..tatl eubJ.ot to .dllnlltrltlon b~ a p.r.on.1 r.pr.,.ntatIVI I' In.ufflclent
to ply thl d.ductlb1a It....
.. Vou ,otuIl1v paid thl debt. Ift~r d.lth of the dlolOlnt end e.n furnl.h proo' of plv.,nt.
C. Dtbtl b.ln, olela.d lU,t bI lttallld fUlh In Part S. If IKldltloPlI 1r'!IC' 11 nlld.d, Uti pllln plp.r I 1/2" IC 11". Proof of
PIY'lnt ~IY b. r.queltad by thl PA o.plrtalnt of R.VtnUI,
> .. . ............. ... ... TAXPAVER . ASSUTANCE
...... ..... ...... .......... ...IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANV
i" ..RE91$TER OF WILLS. PA DEPARTMENT OF REVENUE BUTRIeT OFFICE
>QRCALL THE BUREAU OF INDIVIDUAL TAXES TAXPAVERINQUIRV UNIT IN
HARR1$BURl.'l AT(7) 787-8:527. TDDI (717) 772-2252CHEARINO IMPAIRED ONLY)
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~REV.1547 EX AFP 112.94'.
cO'"'O!IlIEAL TH Of PCHHSVLV"IA
OW.IlTI\[HI OF REVEHUE
,-tUREAU OF IHDIVIDUAl TAMES
Dl!PT. /10101
HIRRI.IURO. PA 171/I.gIOI
11./';).1/3.-/1
(.
NOTICE OF INHERITANCE TAM
APPRAISENENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSNENT OF TAU
ACN 101
DATI 10-09-95
FILE NO.
DATE OF DEATH 10-24-94 COUNTY CUMBERLAND
HOTEL TO INSURE PROPER CREDIT TO YUUR ACCOUNT, SUSNIT THE UPPER PORTION OF THIS FORN WITH YOUR TAM
PAYNE NT TO THE REGISTER OF WILLS, NAKE CHECr. PAYASLE TO "REDISTER OF WILLS, ADENT"
REMXT PAVMENT Tal
ILENE BENNETT
3472 GREEN ST
CAMP HILL
PA 17011
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
C AI""",t R..Uhd l
CUT ALONG THIS LIN! ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
rEV'- i547 "iif - AFP-i 12":94"i "NoYi or -OF - IHHiiiif AHci-i:A'it APPR'A-i sEMENT"; - AL rowAN"O!" iili- - ----" -- --"""" --
DISALLOWANCE OF DEDUCTIONS AND ASSF.SSMENT OF TAX
ESTATE OF BENNETT ANN Z FILE NO. 21 94-0916 ACN 101 DATE 10-09-95
TAM RETURH WAS, I I ACCEPTED AS FILED ( Xl CHANGED SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST-SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETU~N
1, R..l E.t.t. ISoh.dul. AI
2, Stook. .nd Sand. (Soh.dul. SI
5, Clo..ly Held Stook/P.rtn.r.hlp Int.r..t (Soh.dul. CI
~, Nortgag../Not.. R.o.lv.bl. ISohadul. 01
6, C..h/Sank D.po.it./Ni.o, P.r.onal Prop.rty (Soh.dul. EI
6, Jointly Ownod Prop.rty lSoh.dul. FI
7, Tr.n.f.r. (Sohadul. 01
e, Total A...t.
III
121
lSl
t~l_
iiI
161
171
,00
,00
,00
,00
8.517,50
7.964.24
,DO
leI
16,481.14
APPROVED DEDUCTIONS AND EXEMPTIONS I
12,038.69
9. Fun.ral E.p.".../AdII. Co.te/Ni.o. E.p.n... ISoh.dula HI (91
10, D.bh/Nortg.ga Lhbl1iU../Lhn. lSohadul. II 1101 .00
11. Total D.duoUon. 1111
12, Nat V.l... of T.. R.turn 1121
15, Ch.rU.bll/Ooy.rn..nhl Sa_.te ISohedul. JI CUI
l~, Hat V.lu. of E.tata tUbj.ot to To. (1~1
NOTEI If In I.....m.nt wa. i..u.d pr.viou.ly, lin.. 14, 15 and/or 16, 17 Ind 11 will
r.fl.ot figur~. that inolud. the totll of ~ r.turn. I......d to dlt..
ASSES8MENT OP TAXI
lS. A.ount of Llna l~ .t Spou..l rat. (151
16, Aaount of Lina l~ t..abl. .t Lin..l/Cl... A r.t. (16)
17. Aaount of Line l~ t...bl. .t Cull.t.r.l/Cl... S r.t. (17)
IS, Prlnoip.l T.. Du.
TAX CREDITS I
PAYNENT
DATE
07-13-95
l'.n~A I:.~
4,443.05
,00
4,443,05
,00 M .03.
4,443,05 M .06.
.00 M ,15.
1111
,00
266,58
,00
266,58
RECEIPT
NUIISER
AAO 8000
DISCOUNT 1+1
INTEREST I-I
, DO
AItOUNT PAID
723,0
TOTAL TAX CREDIT
BALANCE OP TAX DUE
INTERIST
TOTAL DUE
723,04
456,46CR
,00
456,46CR
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
IF TOTAL DUE IS LEII THAN '1, NO PAYNENT IS REQUIRED,
IF TOTAL DUE II REFLECTeD AI A "CREDIT" ICRI, YOU NAY IE DUE
A REFUND, lEE REVERIE IIDE OF THII FORN FOR INSTRUCTIONS. I
.
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RESERVATION I E.'at,. of ~tdlnt. dvlng on or be far. Dte..o.r 12, l.a2 ~- l' IftV future lnt.r..t In thl I...t. 1. tranl'.rrld
In pal.I..lon or .njo~..nt to (1,.. . (0011It.ral) beneflcl,rl,. of the dlc.dant "'.r t~ IMplr.tlon of any I.,.t. far
11'. or 'or v..r., thl C~.lth h.rlb~ IMPr",lv ,...rvI' thl right to .,pr.I.. and III... ,ren,'.r Inherltano. "M"
It thl l.w'ul Cl,.. . (oo11.'tr.l) rat. on anv luch 'ut~r. I"t.r..t.
PURPOIE Of
NOTlCEl To ,ulflll thl r.qulr..."t. 0' Stctlon 2140 of tM InhlrJtancl and EIt... fix Act, Act 2Z 0' 1991. 72 Pll,
10011.. 21\0.
PAYMENTl 'Detaclh the top portion 0' thlt Hotlcl and 'ub,1t wUh your Plv..nt t~ thl RlIlst.r of NUll prlntld on U.I rlv.r.. I1H,
'''"ok. ohook or 110M. order pI.lIbl. \0' REaISTER OF MILLS, AaENT
All PIVlentt rlc.lvfd ,h.ll 'Ir.t be .,pll.d to any Int.r..t whloh "V be due with InV r..,lndtr applIed to the tlX,
REFUND (C~)I A r.fund 0' . t'M crldlt, wh'ch w" not requ.,tld on thl TIM qlturn, "V b, r,que.t.d bv cotpl,tlnl en ffA~llc.tlon
'or R.,und 0' P.ln.vlvanl. Inhtrlt~1 end E,t,t. r.M" (REY.1S1S), Appllcltlon. Ir, Iv.lllbl. It thl 0"10'
0' thl A..I.t.r of Mill., anv 0' the IS R.venu, DI.trlct U'fle.I, or by o.lllnl thl .p,ol.1 24-hour
..,.werlng IIrvlo. NJIIbI" 'or 'or.. order In" In Plnnlvlvanl. 1.'OO.S62-2050, ouhldll P.nn,vlvanl, end
withIn loc.1 Hlrrllburg erll (711) 1'7-1094, TOOl (117) 112-2252 CHllrlng I..lnd OnlY),
OIJlCTIOHIl Anv p.rtv In Int.r'lt not o.tl"lld with th, appr.I....ht, Illowancl or dl'llloMInG. 0' dlduotlons, or l'llllfttftt
0' t'M C InolueUng dJtcount or Intlrllt) II Ihown on thlt NoUee lIUlt objeot within s1Mb (60) dive cf rlo.lpt 0'
'hie 1Io\l01 b.,
ADMI"
II!RATlI/l!
C_C1I0IfI.
--writt.n protllt to thl PA Depert.lnt 0' R'Vlnut, 10lrd of ."..11, o.,tt. 211021, H.rrltbur., PA 11U'''1021, OR
..'lIotlon to hlv. the ..ttlr dehr.ll'Mtd .t lueUt 0' thl account 0' thl 01"100II1 rlPrtllntlUvl, OR
".IPPII. to thl Orphan.' Court.
PlGtutl .rrorl dllcover.d on thl. ........nt lhould bI .ddr....d In wrltlnl tOI PA Deplrt'tnt of R.venut,
lur.eu of Indlvidu.1 T.MI., ATTNI POlt A"'II'tnt Rlvl... Unit, Dlpt, 2.0601, H.rrl,bu,g, PA 11121-0601
Phone (711) '.'''6101, S.. p,,, S of the bookllt "In.trUGtlonl for lnhtrltanol T'M R.turn 'or. A.lldent
OICledMtff (ReY.UDI) 'or an IMpIIR.Uon 0' IldItlnhtrtUvltv corr.cllbl. "'rart,
DIIClltlN! ,
If MV tlM due It Plld within thrll (5) e.llnder tonthl .fter thl d.e.dent', dllth, . ,lvl ptrclM1t (I~) dhcount of
the t.~ Plid i. .llowtd,
Inttr..t I. ehlrted b..lnnlnt with fSr,t dlY of dlllnquenc~, or nIne C,) IOnth. Ind one (I) dav 'ro. thl det. of
dI.th, to thl d.t. 0' P'V""t. rlMII which bto.. delinquent bI'are JtnUerv I, Ita! bI.r Interllt It thl rete 0'
I" (6X) pere.nt per ~ c.teul"ad .t I dillY rltl a' ,000164, All ta~.. wtllch blc... cftllnquenton IfId .fter
,ItnUarV'1, lft2 will bllr Interllt It I rttl which will VIrV fra cal.ndlr Vllr to ulandtr Vltr "11th tMt rat.
tnnounc.d bV the PA D.,.art..nt 0' R.venue. 'hi ."lIcMI. Intarllt retll 'or 1912 thrauth 1995 "'II
INTIRl!I!,
'!!!! Int.rllt A,ta DailY lnt.r..t FlGtor !!!r Int.'lIt Rlt. O.llv Int.r..t Faatar
.1912 lOX ,oom. ..U 'X ,0001\7
..11 16X .000\11 19O..1.1I lIX . 00 0 SOl
.914 m .000301 1"2 'X ,0001\7
.911 IIX ,DOUU 1"1-1"\ 7X ,000192
.... lOX ,00027\ .". 'X .0001\7
--Int."o.t II allcul.t.d .. 'allOWII
INTEREtT " BALANCE OF TAX UNPAID X NU"BER OF DAYI OELIMQUENT X DAILY IMTEREIT FACTOR
.~Anv Notlc. '11u.d aft.r thl t'M bl.o.t. dtllnqutnt will rl'll.t In Int.r'lt e.lcutltlon to 'I,t.an (IS) dlv,
btvand thl dlt. of thl .......-nt. If PIVIIRt II aed. .ft.r 'hi Interal' ooeputltlon dl" .hown on thl
NoUeI, addltlon.l Interllt IUlt be .'leUlltad,
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IIehoh lhl lop ",rllon 0/ lhh Noll" ond 'IAIoH wlll1 vour "'_1 _ plvollll 10 lhl .-. onclodd....
printed on thl rever.e .ide.
-- If IlfllDCWr DEL'tDEW1 nkl ohook or ....v ordor PIYoIllI 101 REGISTER OF HILLS, AGENT,
-- If NON-MIlDEW1 DECEDENT nkl .- or _ ordor pavobll 10' COIItONIlEALTH OF PENNSYLVANIA.
AU PlYMnh receivld .hlll be .,,1I1d Uret to en~ Int.,ut whleh HY be due .,ith InY ,...Indtr applied to thl tax.
REfUND (CA)1 A "food of I tI>c credit, which WII not r..,..tld on thl Ta>c R.turn, .I~ M rlqullted b~ cOlIP1.tlnt In
"'AppllCl.tton for R.food of Ptnnsvlvanlo Jnhtrltenc:. and Elt,t. T&)C" OtfY.UU). Applle.tlon. Ir' IV8Ulbl. It
thl OfUel of ttM RlGhhr of "1111, In~ of thl 25 R.vtnUI Diltrlet OffiCII or frH thl D.part.."t'l 24"'hour
..,....'1"1 ..rvloo tuIbIrs for for.. erdtrlngl In PennlYlvlrtl1 1.100"162.2050, out.tde P,""I~lvlt'lll
Ind within 10011 Hlrrltburg er.. (717) 717.1094, TDO' (717) 772.U52 (H..rlng IlIPllred only).
REPLY Tal bltton. r...rdlna .arrorl conttlntd on thh notlCI lhould be Idd""ed tOJ PA OtplrtHnt of R.venut, Iu"...,
of Indlvldull rl>CII, ATTN. Po.t ........nt R.v!... ~lt, Dept. 210601, liIrrhburll, PA 11128.0601, phone
m7l 767-6505.
DISCOUNT I If tn~ tl. due 1. Plld wlth1n thr.. (5) c,l~ IOnth. Ift.r thl decldtnt'l delth, I flv. plraent (IX) dlloount
of thl tlX Plld II IUowd.
, INTEREST I Int"..t 11 ahlrgtd betlMlng with first dlv of dtllnquenoy, or nine (9) wonthl and OM (1) dlY f,ot thl dati of
~th, ~o t~ dlt. of plvwent. T'M" which btc... delinquent b.for. JlnUlry 1, 1912 belr Int.r'lt .t ther.t. of
.he (6~) peraent plr ~ a.lcul.tld at a dalb rlt. of .000164. All tIM.. which blCHI dlU"....,t on Ind Ifter
J8nUlr~ I, ltl2 will bI.r Intlr'lt It I rat. which .,111 y.ry frOl a'ltndar ~I.r to cIl~r ~"r with thlt rlt.
tnnouncld bv thl PA D~.rttent 0' Alv.nue. T~ Ippllclhll Intlr.,t r.t.. for 1912 through 1996 .r'l
Vllr Int,,"t R.tl Dllh Inter..t Faohr y- Inter..t R.ta OIlb Int,,"t FlOtor
1"2 2U .00054' 1917 9X ,000/47
1915 IU ,000411 19M-I991 IU ,ooom
1914 IU ,000101 1992 9X .OOm7
1911 15X .000116 1995-1994 7X ,000192
19M lOX .000214 199'-1996 9X ,000247
"""Int.rut I. olloulltld '1 folllMlII
IHTEREST . .ALAHCI OF TAX UNPAID X HVlIBER OF DAY. DELIHQIIEHT X DAILY INTEREST FACTO.
uAny HotlOI I..UId .ft" tn. tI>c btcOll. "lI,,",,*,t .,Ul rlf1lOt In Int.r.;t a.lculatlon to flft"" UI) dlv.
b.~ond the dlt. of the ......een1. If Plv-ent I. aadI aft.r the Int.rl.t COIpUtltlon detl .hown on thl
HOtlCI, MtdlttOMI lnt""t IUlt 1M alloulltN.
.
STATUS REPORT UNDER RULE 6,12
Name of Decedentl_~l')fl ;2ar"l\l:.a.. ~.Q.IA..IL~
Date of Deathl~
Will No.._I.,~..oC"\I/'o Admin. No.
Pu~suant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estatel
1. State whether administration of the estate is completel
YesL. No.
2. I f the answer is No, state when the personal
representative reasonably believes that the administration will be
completel
3. If the answer to No. 1 is YeD, state the followingl
a. Did the per.sonal representative file a final
account with the Court? Yes No
b. The separate Orphans' Court No. (if any) for
the personal representative's account iSI
c. Did the personal representative state an
account informally to the parties in interest? Yes No___
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts ma be filed with the
Cerk of the Orphans' Court and may b ached to this report,
-
Datel~f---
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Name (Please type or. print)
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Address,. .11'1 of" l'"'^U-4+l
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Te 1. No.
Capacity: f...
Personal Representative
Counsel for personal
representati ve
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