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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
RE~.I500 EK+ .1".911
1. Rool EllololSchodul. AI I 11____....___._____________.__
2. Slockl and Bondi ISchodulo BI ( 2) ________.__._____
3. Clo.oly Hold Slock/Porlno"hlp Inloroll (Schud.lo C) (31 __________ .
4. Morlgog.. and Nolo. Rocol,oble (Schedule 01 ( 4) ___
5. COlh, Bonk Oepollll & Mlleollonooul Pe"onol Prnporty( 5) J_ 1 , 241 . BO
(Schodule EI
6. Jolnlly Ow nod Properly (Schodule FI ( 61 ______________.
7. Tronlfo" (Schodulo 0) (Schodulo LI ( 7) ___
8. T 0101 Gro" A"ol. Ilololllno. 1.71
9. Funorol Expo..o., Admlnlllroll,o COlli, Mhcollonooul ( 9) __._-1.., 312 . 75 .
Expenlol ISchodule H)
10. Oebll, Morlgoge 1I0blllllol, 1.10.. ISchodulo II (101_.______"-
11. Tolol Oeductlonl (Iolollln.. 9 & 10)
12. Nel Value of Ellole (line B mlnu. line 111
13. Chorlloble and Governmonlol Beque". (Schodule J)
14. Nel Volu. Subject 10 To~ Illno 12 mlnulllno 131
IS. Amounl of IIno 14 loxobl. 01 6% rolo
Ilnclude value. from Schedule K or Schodulo M.)
16. Amounl of line 14 loxoblo 01 15% role
Ilncludo voluel from Schodulo K or Schodulo M.I
17. PrlnclpollOX due (Add lox from line' 5 and from Ilno 16.)
18. Credlll Spoulol Poverly Crodil Prior Poymonl' Olleounl Inlero"
---._--- + ----------- +------...--- - ------
19. If line 18 I. groolor Ihon IIno 17, enlor Iho JiKorence on IIno 19. Thlll.,he OVERPAYMENT,
riD
20. If Ilno 17 II greolor Ihon IIno 18, onlor Iho dlKorence on IIno 20. Thh Illho TAX DUE,
A. Enler Ihe InlorOlt on Iho bolonco duo on IIno 20A.
B. Enler Iho 10101 of IIno 20 and 20A on Ilno 20B. Thll I. Ihe BALANCE DUE.
Make Chock Payablo ,., .ogl.,o, ., Will., Agont
1 .. .1 IURI TO ANIWIR ALL QUIITlONI ON .IVI.SI SIDI AND TO RICHICK MATH."
Under Plnelllt. of perlury, I declare Ihol I hay. uomlned this flllurn, IncludIng ac:compnnylng Ich,'dull' und slalemlnh, and 10 th, bett of my knowledge and blll.f;
1111 tru., correct and complete. I declare thai all real 1,1011 has been reported at truI markel value, DeclaratIon of preparer othor thauthe penonal r.pre..ntallve I.
~1~le~ Informalion of whiol> proporor hal any knowledgo.
N ~ IE '0 fll~GRETURN ADDmS . ..--- ~ -
R furl:'- "'enk~~ 129 \'I. Ridqp St.-,-canisle, P^ 17013 I;, J'//9Y
IIGNA~I 9f p R TtlAN flfNTAliY' . ADDRESS ..------ 6~'
~ ~k_ fi q
.~. aniell'!.L E8q~lirf'. Onn \~. Jliqh St.L. Cur] i81f', P^ 17013 -/ (, . r
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.0. DAm o. DIATH Ani. 12/31/91 CHICK HI..
" A lPOUIAL
POVIlTY UIDIT I~ CLAIMID 0 ____
PILI NUMBI.
~I
COUNTY CODE
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A~'I~*:9A
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COMMONWEAlTtI Of PENNlYlVANIA
DEPARTMENT Of RE'ENUE
DEPt. 280601
tlARRIS8URG. PA 17128.0601
NAME jlAST, FIRST, AND MIDDLE INITIAL)
1'-1
9(,1
YEAR
NU~BE~
~orpst Parkelth Center
700 Willnut Bottom HrJ.
CarlislB, P^ 17013
~~L!::.I.~~I~rlilnd
[J 3. Romolnder Relurn
Ifor dale I a' doolh prior 10 12.13.82)
[Is. Federal Ellalo Tax
Relurn Requlrod
_ 8. T 0101 Number a' Sofo Oepollt Boxo.
.mNI<INS.1 ETHEL Z.
S iWJ'SiCURITi'NDM'm- --rOAlE C'TlilAm-illAfr018IRlt'-'-
204-03-2922 111/12/93 16/10/04
o 1. Original Rolurn [I 2. Supplomonlal ROlUrn
o 4. limited Ellalo [I 40. Fulure Intere,' Camproml.e
Ifor dale. of doolh after 12.12.82)
~ 6. Oecodenl Died Te.lolo 0 7. Oocedent Molnlolned 0 lI,lng TrUll
Allach 'a y of Will) IAllach copy of Tru.l)
ALL COR.lIPONDlNCI AND CONPlDINTIAL TAX INfORMATION SHOULD BIlllRICTID TO,
M OM I rEMAliiNOADli1im
\~.S. Danil~ls, ESCjuire 205 l'ill"lnBrS Trust BuJldJnq
illE/HONE NUMBER One \'lest HiCJh St.re8t
Carlisle, P^ 17013
L2.!_:~_13- 43.- 3 03]
. ,
Z
o
i
I 81
$ 1,241.BO
(15)_____
(111 2.312.75
(121 __-=.0-
(13) . -0-
(14) -0-
.-0-
)( .06..
(16)___...'..________)(.15.. _
(17) ___----=.9_:..___
ctlcck hew if you (Iff' 'NIUlf!ihng n relund of your oVl'rpoyrm.'nl.
(181 _____
(191 -0-
120) ----~O-
(20A) _______
120&1 __:.9-=--_.__
UV.UlIlKt(1."1 J
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COMMONWIAlTH O' P1NNIVlVANIA .
INHUIlANCI TAK RIlUIN
. RIIIOIN! OICIOIN!
iiTAta Of
ITIM
NUMIIR
SCHIDULI H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
J'ENKINS, ETHEL Z.
DISCRII'TION
1.
A. Funeral bpln"I'
Hoffman-Roth Funeral Home
..
Admlnlltratlve Calli'
1, "-rlonal Rlprellnlatlve Commllllonl
Social SlcurUy Number of "-nonal Roprellntatlve: _
Vear Commllllonl paid
2.
3.
4.
C.
1.
2.
3,
4.
5.
6.
7.
8.
Attorney Fe..
Humer & Daniels
r'Omlly exempllon
CI I I Robert S. Jenkins R III hi
. a man . e a onl p
Addre.. of Claimant at decldenl'. death
SlreetAddre.. 129 W. Ridge St,
City.
Cil.rlis1e
SIale PA Zip Cad. 17013
Probate Feel
L "". .., .. ""
[LI NUMBE' -
AMOUNT
pre-paid
N/A
300.00
Husband
2,000,00
None
Mllelllanloul bplnl..1
Postmaster, postage for life insurance claim
2.7'5
Register of wills, filing inheritance tax returns 10.00
(insolvent estate)
TOTAL IAllo enler on Uno 9, RocapUulatlon) S 2,312,75
(If morl Ipael II needed, In..rt additional Ih,," of lame 1111.)
....-
.
-- ,....
....
I, ETHEL Z. JENKINS, of the Borough of Carlisle, Cumberland County,
PennsylVania, deolare this to be my last will and testament, and revoke all wills
and oodicils whioh I have previously made.
I - I devise and bequeath my estate of whatever nature or wherever
situated to my huebsnd, Robert S. Jenkins, if he survives me and I direct that for
the purposes of this will he shall be deemed to have survived me unless it appears
unmistakably that he predeoeased m~.
II - In the event that my husband does not s'Jrvive me, I devise and bequea h
my estate of whatever nature or wherever' situated to my husband's children in equal
shares or to the ohildren of any of his ohildren ae may be deceased.
III - I appoint my husband, Robert S. Jenkins, to be Exeoutor of this my
last will. In the event he fails to qualify or ceases to act as suoh, then I appoint
Farmers Trust Company of Carlisle, Pennsylvania, ae substituted Exeoutor.
IV - I direot that my Exeoutor shall serve without filing bond in this or
any other jurisdiotion.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this -LL- day of
August, 1987.
iLh-:J.- ~~ ~
-
(SEAL)
Signed, sealed, published and deolared
by Ethel'Z. Jenkins, testatrix above named,
as and for her last will and testament,
written on one sheet of paper, in our
presenoe, who in her presenoe, at her
request, and in the presenoe of eaoh
other have hereunto subsoribed our
namee ae attesting witnesses:
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12 vi I~/-),LI(' - 1'/
It'l REV-1S47 EX AFP (12-94*1~ l
COIlIlONWEAllH Of PENNSUl V'HII ACN 101
DEPART"ENT Of REVENUE NOTICE OF INHERITANCE TAM
BUIlt.U Of INDIVIDUAL lAKES ArPRAISEHENT, ALLO~ANCE OR DISALLOWANCE
m~:~i':~~~=_~I~~~;6;~ _ TITl"l"- .~F _DEDUCTIO~S AND==~~SE~~H.~~O~ TAM _DAT:-l-::1S-91S
~TE O~ n. EnoL FILE NO. ,.-096
DATI OF DEATH 11-12-93 COUNTY CUMBERLAND
NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAM
PAYHENT TO THE REGISTER OF WILLS, HAKE CHECK PAYABLE TU "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
W S DANIELS
205 FARMERS
1 W HIGH ST
CARLISLE
ESQ
TRUST BLDG
PA 17013
Q,.
=
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
t-
~
AMount ROMltted
-
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ....
REV: is'47 0 Elf 0 AFP Of i'Z-: 94"!". Neff icE" 0 OF - "iNIl Eiii;: AilCE 0 TAx- A"P' PRA"i S Ei.fiNr; -A L loWANCE 0 'OR 0.. 0 0" 0.0000.00.
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTAT! OF JENKINS ETHEL Z FILE NO. 21 94-0961 ACN 101 DATI 02-15-95
If In ......m.nt wa. i..u.d previou.ly, lin.. 14, 15 and/or 16, 17 and 18 will
r.fl.~t figur.. that include the total of ALL r.turn. aa.e...d to dat..
ASSESSMENT OF TAX:
15, AMount of Uno I" ot SpoulIl rote I1SJ < 00 M ,00.
16. AMount of Llno 14 texoblo ot Unool/Clllo A roto 116) ,00 M .06.
17. AMount of Uno 14 texobll .t Collltorol/ClIlI B rota 117) ,00 M' 15.
II. Prlnolpal '10. Duo 1111
TAX CREDITS:
PAYHENT
DATE
TAM RETURN WAS I I X) ACCEPTED AS fILED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL
1. Rool E .tato I Sohodulo A) 11 )
2, Stook. ond Dond. ISohodull BJ (2)-
3, Clo.oly Hold Stook/Portnor.hlp Intoroot ISohodulo C) 13)
4. Hortglgoo/Noto. Roaolvob10 ISahodulo OJ 14J
f, COlh/Bonk Dopollt./Hloa. Porlonol Proporty ISahodulo E) IS)
6. Jointly Ownod Proporty I Sahodulo F) (6)
7, Tron.foro ISahodulo G) 17)
I. Tatl! Alloh
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Funof'l! Exponlll/AdM, Cooh/Hha, Exponlll lSahodull HI 19J
10. Dobh/Hortgogo Uobllltlu/Llon. ISohodulo Xl 110)
11. Total Doduatlon.
12. Not Vo1uo of To. Roturn
13. Chorlt.blo/GovornMontol Boquo.t. ISahodulo JI
14, Not V.1uo of E.tata Subjoat to Tax
NOTlI
RECEIPT
NUHIER
DISCOUNT 1+1
INTEREST I')
,
~
) CHANGED
,00
,00
.00
,00
1,241,00
.00
.00
II)
1,241.00
2,312,75
,00
1111
112)
(13)
11.1
~.31' 71i
1,070.95-
,00
1,070.95-
,00
.00
.00
,00
AHOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
.00
,00
,00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN f1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAY BE DUE
A REFUND. SEe REVERSE SIDE OF TNIS FORH FOR INSTRUCTIONS.)