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pA DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT 280601
HARRISBURG PA 17128.060,1
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ESTATE OF CHESTER SHIPLEV
S,S, NO, 197-34-8145
DATE OF DEATH 08-17-94
COUNTY CUMBERLAND
/1/' ,NS" /3
INFORMATION NOTICEJFILE NO. 21 ~ 9 'I- 9 r~
AND
TAXPAVER RESPONSE ACN 94148181
DAT! 10-27-94
TVPE OF ACCOUNT
~ SAVINGS
CHECKING
TRUST
CERTIfICATE
REMIT PAYMENT AND FORMS TO,
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
RIY-15ft3 EX AFP (1-94) '*
C~ALTH OF PENNSYLVANIA
Ol:PAlITHEHT OF REYt:HUE
IURUU OF lHOIVIDtlAL TAMES
Ol:P r, 110601
HARRISlURO, PA 17!!1-0m
\,
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CHARLES T BARNHART
PO BOX 821
FORT ASHBV WV 26719
HARRIS SAVINGS BANk hll provld.d lh. OIPIr"l..nt with th, 11Iforlltlon 1 tllld bllow which hit bl." uI.d \n ulculttlng thl
potential tlX due. Their r.cord. Indlca~. th_' at the dQ.th of th, Ibov. dlcld.nt, you w.r. a Joint own.r/b.neflDi.r~ of thl, ~count.
If you f.. 1 thl, Inlor..tlon I, Incorr.ot, pl.a.. Dbt.ln wrltt.n ~orr.ctlon frol the ,Inanal.l Inltltullon, .ttleh . copy to thl, for.
Ind r.turn It to the abov. .ddr..t. Thl. account I. t.xablt In a~cQrd.nQ' with the Inhtrltanc. Tux LIN' of th. Co-.onw.,lth of P.nnl~lvanl.,
MIUon" IIY b. ..,'Ntrld b~ olUlng (711) 187-021,
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
A...unt N., 05-54-235834 o.t. 01-04-93
E .tabl hh.d
A..ount Bolon"" 1,587,86
P.ro.nt T..obl~ M 50 , 000
Aocunt Subjoot t. T.. 793 , 93
T.. R.ta -;- , 15
P.tonUoi T.. Due 119 , 09
PART TAXPAYER RESPONSE
[!] I,'AXLUIIITO RESPOND 'ULL RI8UL TIN AN OFFICIAL TAX AI80tNENT IAIID ON THIS HOTZCa 'I
A. D Th. above Infor..tlon and tu due II corr.ct.
1. You uy choo.. to r..1t ply..nt to th. Righter of Willi with hlo copI., of thh noUa. to abhln
. dllcount or avoid Int.r'lt, or ~ou ..y chick box "A" Ind r.turn thll not Ie. ta the Reullt.r of
Willi and en offlal.l a~I'II..nt will be I"u.d by th. PA O.p.rt.lnt of A.v.noe,
To In.ur. pro~.r cr.dlt to your lecount, two
(ll copl.1 of thll notic. .u.t acco.pany your
payunt to the Rlaht.r of Will., H'h ch.ck
payabl. tOI "R.ahter of Wlll1, Ag.nt",
NOTE, If tel( PIY'.lItI Ira ..d. within thrll
[1) .onth. of tho dlc.dlntt. d.t. of d.,th,
you .ay d.duct . SX dl,count of thl tlX due,
Any Jnh.rltlnC. tax due will b.co.. dellnqu.nt
nln. (,) lonth' aftlr thl d.t. of dutll.
[. CmK ]
BLOCK
ONLY
.. c=J The above ....t hI' b..n or will b. raportld and tlX paid with the Plnn'Ylvant. Inherlt.ne. Tax return
to b. fll.d by th. d.c.d.ntt. r.pr...ntfttlvl.
C, r=J Thw abov. Infor..tlon I~ncorr.ct Ond/O~lbtl end dlductlonl Wlrl p.ld b~ you.
You IUlt clHIPlIt. PART ~ Indlor PART ~ b-Ilnw.
If you Indl..t. . dlff.r.nt t.. r.t., pl.... .t.t. your
r.l.tl.n.hlp to d.o.d.nt,
PART
@
TAX ""iUilfl - COHr:J'l'ATXC:1
LINE 1. O.t. E.tobll.h.d
2, Aooount a.lon..
5, P.ro.nt T..obl.
4, Aocunt Subj.ot t. T..
B, Oobt. ond Deduotl.n.
6, Aocunt T..obl.
7, To. R.t.
a, To. Duo
O~ TAX C~: JC!IIT/TnU!lT ^CC()U~T!' r"~D.
1 1
2 2
5~ 3_
4 4
I 5
6 6
7 X 7
8 8
,~\ lU,,\ f~EB~~ A,N~ D~~r;:,IIO'~\S .~t^I~~.
, SCjUPTI ON I I "f
OFFICIAL. USE ONLVOM~i
PI. DEPARTMENT OF REYENUII<\
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PART
[!]
DATE PAl
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TOTAL (En .r on Lln. 5 .f T.. Coopu . lonl I
Under.n.ltl..., f p.r~,rY' I d.ol.r. th.t tho f..t. I
.~I.t. _ t~...,-~ .f .y k wl.d,. and b.ll.f,
\.. ~'("\K' ,tt .
TAXPAVE NATURE
h.v. r.p.r~.dll.bOY.,'.r.,. true" ~~rr~ and
HOME (:J,,~) ;: ~ ( (, '1 '-,' (
WORK ( )
TELEPHONE NUMBER
GENERAL INFORMATION
1, PAlLURE TO RUPOI4D WILL RUUL T IN AN OffICIAL TAM ASSESSHENT with ...1IC1bll Inl,,"1 bllld on Inlo,..lIon
....11I1d by 1111 Ilnenol.1 In.tll"lIon,
Z. tnhlrltenct tlM beeOM' delinquent nlnt ItOf\th. ,fttr thl *.ant', d,t. of d..th.
S, A Joint lCIoount II ")llbl_ Iven though the dlc,dant', n... Nil Mtded .. . ..U" of conv.nllnce.
4. MOM" UnolucUr'II tho.. held bit..,. hu.blf'ld Ind wU,) which the dte.dent put In Joint n.... wlthln OM Vllr prior to
dHth I" fullY 'IKlbl, It tnn.fl".
I. Aoo~t. utllbll1hed Jolntlv bt1..lIn hu.blhd anti wlf. Hr' tMll ONl VI" prior to duth Ir. not tlMabl.,
.. AcoOU"t. held by . Heldent "In trutt for" II'lOthlr or other. Ir. tlleRl. fullV.
REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE
1. SLOCK A ~ If t.... Infor..Uon and COIlPutttlon In thl notlc. Irl corrlat and dlduotlon. Ir. not being cl,INd, plln an "X"
In block ".. of Plrt 1 of thl "TIMpIYlr AI.pon,." I.etlon. Sign t~o cepl.. and tUblAt th.. with your chick for thl -.aunt of
till( to thl A"ltt,r of Willi 0' tM countv Indlclt.d. lhe PA O.p.rt.ent a' R,vlnut wll! luut en offialel ........nt
(fori R!Y~lS41 EX) upon reo.l,t of t~ r.turn frol the Rlul.tlr ~f Will..
Z. IlOCl( I ~ If the ....t 'PlGlfl.d on thlt noUel hit bien or will bl reported end tllC plld with the Plnn.vlv,"l. InheritInG'
Till Alturn fHId bV the dIoldlntl. r.prlltntltlv., pho. "" "X" In block "a" (If Plrt I of the "lIllPav.r Ruponu" ..otlon. Ill" OM
copvend r.turn to t~ PA DeflartHnt of R..,tnUI, lurllu of Indlvldull hlClI, Dlpt 210601, Herrhburu, PA 17121-0601 In thl
""'IIQftl provided.
5; ILOCK C - If thit noUc. InfortlUon I. lneorr.ot tnd/Qr deduotlonl er. bllng olatud, "hick blook "C" Ind capl.t. Pert. Z 1M S
IClC'Ordtna to thl In.truotlon. bllow. 51," two cOP I.. end .ubllt thM wlth vour chick for thl MO\.lt of tllC p.vlbl. to thl Reqlltlr
of Willi of thl cOW\lY Indloltld. The PA EMpart""t of AI"lou. will luue .n offiol.1 a.......nt (fort REY-IS"'I EX) upon reo,lIpt I
0' thl r.turn frot the RlQlttsr of MlIlI.
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
I. Enttr thl at. thl ~count originally WII ..tlblhhld or UUId In thl lamer l)ChUnl It dati of dllth.
HOTEl For. dee.dent dvtng .ft.r 12112/821 Accuuntt wtdoh thl Mo.d.nt put In Joint nNtIl within OM (1) ynr 0' death er.
t.ICIbJ. full V al trln.f.". How.vlr, there II an IlColutlon not to IICOMd U,OOO .,.r tr..,.flra. reuardl... of the v.lue of
thl eoc~t or thl nuMir of IKICountl held.
If . doubl. ..t.,lIk (Mil) tppllr. before your fir.t n... In the l"4dre.. porUon of thll noUIlI, thl U,OOO llColu.lon
.lreadY hi. bHn deduotld frDtl thl .ccount balantl II r.ported by thf flnlOChl Inltltutlan.
2. Ent.r thl tot.1 b.I.no. of thl .ecount lnoludlng Intlr'lt lCorued to the d.t. of d..th.
S. The Plrclnt of thl account th.t I. t.)Clbl. for .tch .urvlvQr II dlt.r.lntd "' follow'l
A. ThI ptrcent 1I1C..11. for jotnt .u.t. "tablhhed IOra than OM Yllr prlor to thl dee~tl. daathl
1 DIVIIll!D IV TDTAL HUllER Of DIVIDED IV TOTAL _IER Of X 100 . PfRCENT TAXABLE
JOINT OWNERI SURVIVING JDINT OWNERS
EM..,II. A jalnt ....t retllt.r.d In the n... of thl d.cld.nt end two other plrtanl.
I DIVIIll!D IV 5 lJOINT OWNERSI DIVIDED IV 2 lSURVIVDASI . ,161 X 100 . 16,7l lTAXAILE FDA EACH SURVIVOR)
.. Tht percent tlMIbI. for ....t. ar..t.d within one y..r of thl dleadlnt'. dI.th or ICCount. owned by thl dectdent but held
lil tru.t for anothlr Indlvldull(.) (tru.t bantflolarlll)1
I DIVIDED IV TDTAL NUMIER Of SURVIVING JOINT X 100 . PERCENT TAXAILE
OWNERS DA TRUST IEHEFlCIARIEI
E"IPIII Joint I<Icouot rlAlltirld In the n... of thl cMo~t IOd two othlr ptrlon. and IItlbllthed within OM y.,r of de.th by
Ih....._I,
1 DIVIDED IV I (SUA'lIVOfII) . ,50 X 100 . SOl lTAXAlLE FOR EACH SURVIVOR)
4, Ttt,..x.r1t IWJ"t to tlM UII'\I ,,) II dettrlln.d by lultlplvlng the 10llount b,llne. (IIn. 2) by the ptrctnt t'Mlbl, (lIne Sl,
5. Enter thl tot.l of thl cMbt. and d.ductlon. IlIt.d In Plrt 3.
'" Tillf .M.UUU' 'fIllt.,l" Olntl ,) 11 tl..hU'.!lIwloi i.v .ubtr..~i.I"\I In. UlIU\. atnU daCl\Alt.!o". dlulIJ 5) 1rol en. IUUM' .ubj.ct ~o UM tllne III.
1. Ent.r thl .roprl,t. taM rat. (line 7) II det".ln.d bllow.
A. 'or dat" of dI'th occurrlnt ,ftar 6/S0/M, the tlM ,.t.. for trln."" to .pou... are II followlI
I. O.t.. of death on or Iftar 111/" end befort 1/11" the rat, It 3:<.
Z. Dlt.. of de.th on or aftsr 1111" Ifld blfort 1/1/91 the rat. It U.
5, D,t" of dnt.h on or aftar 1/11911nC1 blfort 1/1191 thl r.t. II IX.
". Dati. of de.th on or .ftar 111/.1 tren.fer. '0 .pou... will be .ICIlIPt frOll t'll.
Matll far dat.. of death prior to 111/94 tr"lfl" to 'POU'" Irt \lMIbI. at 6ie.
.. Tren.fart to IInt,1 dtllllndlntl Inch.ldlng flthlr, lethlr, lon, dllUlhUr, artndchlldrlfl, lon-In-IIN,
dlulhttr-In-IIM, .tepchlld Ind thllr I..ut .r. tllCabl. It 11M percent (6~).
C, Tren,'lr. to III othlr. Includlnt brothlr, .lltl', until, aunt, ntphaM Ind nl.QI Ir. t.Mlbll tt fifteen percent (I'~).
D. If VDU chantt thl t.1C r.tl, pl.... .~olfv your rllltlon.hlp to thl decedent In 'hi Irll provided.
I, ThlllCM'lt of ta. WI (11M I) l. det".lnId by IUltlphl~ thllllW\t tllClbl. Cline 6) by tht t.1C rill (1Ine 1).
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
Allow.l, debt. and dtduoUon. ere dttertlo.d II followll
A. You 1...lh ,r. rllpon.lbll for P'1Hnt, or thl..tlt. .ubjlOt to IdtlJnlttrltlon bv . p".on.l reprllant,tlvl It In,ufflolent
to PlY thl deduoUbl. It.... ' 1. ,l
I. You IOtual1v pold thl dtbt. .fter de.th of thl deCdnt and oan furnllh proof of PIVtltnt. \ I' () 4 'I! In ':"j
C. Debt. belnl clllNd IlUlt be It..hed ful1V In P.rt 3. If Iddltlon.1 illIG. 11 ntldtd, Uti PI.I4)g..-.\ I. "n" 'M 11"'. Proof of
PIYNnt NY be r..,..ttd bv the PA DIfIartltlM' of A.venue.
TAXPAYER ASSUTANCE . ..
..,.IP YOU NEED FURTHER INFORMATION OR ASSISTANCE. CONTACT ANY
<<IIE9lSTER OF WlLLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES TAXPAYER INQUIRY UNIT IN
HARRISBURG AT (717) 787-8527. TOO' (717) 772-2252 (HEARING IMPAIRED ONLY)