HomeMy WebLinkAbout94-00950
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
R!V.llOO IX+ 111.911
I
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II
82
'OUAn. 0' DIATH Ani. 12/3119' CHICK HIli
IP A 'I'OU'AL
'OVIITT CIIIlIT I' CLAIMID 0
PILI NUMII-Ii-----------
wIll not probated ,.rO
COUNTV CODEJ~R II NUMBER
ir!~MPlue ADoRUS
ain Nursing Horre
cwvillo, PA
COO""~ Cl.IITber land
[] 3. Remainder Relurn
(for dalll of death prior to 12.13.B21
[] 5. federal E.tale Tax
Relurn Required
_ B. Tolal Number of Safe Depolll BoxlI
'4
~;W*;~
COMMONWEALTH OP "fNIYlVANIA
DEPARTMENT D. R VENUE
DIPl. 2.060
HAUllIURO. PA 17 2'.0601
, NO MtDDl! INlflAL)
WITl'ER, 01garetta K.
I U
191-18-3152
r::~~~H J .IR
D 2. Supplemenlal Relurn
[] 40. FUlure Inlerlll Compromise
(for dalll of dealh aker 12.12.B21
[1 7. DlCedonl Molnlalned a Living TrUll
of Will (Allach ropy of TrUll)
AND CONPIDINllAL TAX INPORMAtlON SHOULD U DIRICTID TO.
....... lETf MAIliNG ADDRESS
'1'.'
F
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1. Real Ellale (Schedule A) ( 1)_
2. Sloc~1 and nand I (Schedule B) ( 2)
3. Cia Illy Held Slock/Partnershlp Interlll (Schedule q (3)
4. Martgagll and Naill Receivable ISchedule D) ( 4)
5. Ca.h. Ban~ Depo,II. & MllCellaneou. Penonal Property( 51 . 7,116.60
(Scnedule E)
6. Jointly Owned ~roperty (Schedule fl I 61 41,757.51
7. Tran.fers (Schedule G) (Schedule LI ( 7)
B. Total Gran Ane" (talalllnll 1-7)
9. Funeral Expenlll, Admlnlllrativo Call., MllCellaneou. ( 9)
Expen... (Schedule H)
10. Debl., Mortgage L1abllill.., Lien. (Schedule II (10)
11. T 0101 Deduction. (Iolalllnll 9 & 10)
12. Net Value of Ellalolllne B mlnu. line 11)
13. Cha,IIable and Governmenlal BequIII' (Schedule J)
14. Nel Value Suble" 10 Tax IlIne 12 mlnu. line 131
15. Amounl of line 14 laxable 01 6% rate
(Include valulI from Schedule K or Schedule M.)
16. Amounl of line 14 laxable 01 15% rate
(Include valulI from Schedule K or Schedule M.)
17. Principal tax due (Add lax from line 15 and from line 16.)
lB. Credll. Spou.al Poverty Credit Prior Paymon"
+ +
19. If line lB I. grealer Ihan line 17, enler Ihe difference on line 19. Thl. I. Ihe OVERPAYMENT.
IiID
20. If line 17 I, grealer Ihan line lB, enler Ihe difference an line 20. Thll Is Ihe TAX DUE.
A. Enler Ihe Inlerell on Ihe balance due an line 20A.
B. Enler Ihe tolal 0' lI"e 20 and 20A on line 20B. Thll Illhe BALANCE DUE.
Make Ch.c~ Payable 101 Regl.t" of Wille, Agent
; , ........ tU. to ANIWII AU QUQt10NI ON 1M... IIDI AND To RICHICK MAtH.... .
Under penahlll of perlury, I declare Ihall have examined Ihl. relurn, Including a<companylng "hodulll and "alemenl., and 10 Ih. bill of my knowledge and belief,
It IIlru., (O"'d and compl.t.. I declar. thai all rial 11101. hat bun r.ported ollru, mark" value. D,claratlon of prepar., oth.r than the p,nonal r.pr,"nlatlv. I.
balld on alllnlormallon 01 which ro aror hOI an~ knowledge.
. RUUR H;~itf~i~d~b~~a~p~~l~~l~: ~~ Ban DAlI 11/7 J J!L
sut~!I~10 CharrOOrsburg Tr~st Co. Illdg.-- DATI I~ J~ J.;V -
Charrbersburg, PA 1/201 , (
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fKJ 1. Original Relu,n
D 4. limited E.tale
D 6.
Joel R. Zu11ingcr
1lll1Iffii'lfN1J:\lm---'
75 East King Street
Shippensburg, PA 17257
( 717
I 5~2-7570
Clt:'
;l
6,652.51
38.89
(0) 48,874.11
6,691. 40
42,182.71
(15)
42,182.71
(11)
. . (121
(131
(14) __ 42,182. 71
)( .06.. 2,530.96
(16)____
)( .15..
DllCounl
126...5.5.. -
Inl""1
(1BI .-_
(191 _______
(20) 2,404.41
120A) ___..
(20B) 2,404.41
(h,.(k. IlI'll'.1 you (Ill II'qUt'\lIllq (I It,huHI of YOUl nvt"lItlYIlll'1l1
P:f\l.1S11IhI7.l.!
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COMMONWEAlTH OP PENNSYLVANIA
INHERITANCE TAX mU~N
ml~ENT OECED~NV
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
ItrATI OP
01garetta K. Witter,
lTlM
NUMB..
A.
80
4.
C.
1.
2.
3.
Ii,:
40
So
60
70
,80
will not probated
DISC.II'TION
AMOUNT
I.
Pvlltlral hIMnHII
Fogelsanger-Bricker Fl.\rera1 Hare
fungu1 U.B. Church, real after funeral
Food for rreal after funeral
Reverend Arnold SegeSlran, funeral service
Mary Fulton, help with real after funeral
5,234.00
50.00
, 73.51
50.00
30.00
2.
3.
4.
5.
1.
AcImlnll'rallve COS'II
P.llonal Rlpre..nlatlv. Commlnlon. none
Social Slcurlty Numb.r of Pononal R.pro..nlatlv"
Year Camml..lan. paid. "__
2.
Atlornoy Foe. 1 R
Joe . Zullinger
Family, EKlmpllan
Claimant
Addrell of,Clolmant at dec.d.nt'. death
Stro.t Addr... .
City
Zip Cod.
1,200.00
3.
Rolatlon.hlp
Stat.
Probate F... Ol.lIlberland County Register of Wills - filing return
15.00
, ,
Mlleellaneous "pense..
, "
TOfAL (AI.o enter on line 9, Recapltulatlonl S
I" - """ I, ftM4etl, "'10ft tMWltleneI "'"" of Hme ;/Ie.1
6,65~.51
11"'1512"+1',111
~~
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE L1ABLlTIES AND LIENS
r;OMMONWIAnH Of 'INNlYLVANIA
INHUIlANCllAX InUIN
"SID'NT OlelolNt
ATI o'
Olgaretta K. witter
ITIM
NUMBIR
1.
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DESCRIPTION
~~a1d. Drug
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PI.a.. Pllnt al T .
PILl IIR
will not probated
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TOTAL (Allo enler ,on line 10, Re;apllulallon)
III mare .pac. I. n..ded, Inllrl addltlanal,h.." 0' .ame lilt.}
AMOljNT
38.89
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38.89
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RECEIVED FROM,
&
m
AMOUNT
ZUL.\.INGER JOEL. R
310 CHAMBER8BURG TRUST
101
.e.ltolt.ltl
CO BLDG
CHAMBERBBURG PA 17eol
'OIOHUl
ESTAn INfORMATIONI~_.
m N MI
Ii el-lflfllt-09l50
m NT (LAST)
. iiAl101"~R OLGARETTA I<
B
saN lfll-1B-31ee
(fiRST) M
REMARKS
BEVERLY A. BISHOP
m, TOTAL AMOUNT PAID
~"-.,.
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.RECEIVEtl BY _ .
SEAL
.CHECKIl 141
REGISTER OF WILLS
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