HomeMy WebLinkAbout94-01054
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21 . 94 - 1054
RENUNCIATION
In Re Estate of
TeJd.
A). sit J?i~. r+
C!.J WI ~QrIQ,-<c.{
Les fer E-. ~'h JCj ~a rl
, )
deceased,
To the Resister of Wills of
County, Pennsylvania.
The underslsned
Fa..f.!.er'
of
the above decedent. hereby renounce(s) the rlsht to administer the estate and respectfully ask(s) that Letters
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be Issued 10
WITNESS
Mf
hand this C; dayo( De-c. 119.2.!t
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COMMONWE~LHI Of PfNNSYlVANIA
OEPA"MENI Of RE'/INUE
O!PlISO""1
ttARRlsaUAO,'A 17 28.0601
OeCfOr:NI'$ NAMf liA~i. r1R~''- AND MIDDU -INII-IA-ll-~"
Shughart, Todd N.
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IXI I. Original R.lurn [.I 2, Surpl.montal R.lurn
[J 4, llmll.d E,Ial. I: I 40, Full'" Inlo'OI1 Camp,amh.
110, dalOl 01 d.ath alt" 12-12.821
LJ6, Dotndonl DI.d TOIlal. [:1 7, Doe.donl Malnlalned a living Trull
IAllach copy 01 Willi IAlloch copy 01 TrUlII
ALl. CORRISPONDINCI AND CONPlDINlIAL TAX INPORMATION IHOULD II DIRICTID TOI
COMP(fIE MAnlNOAOOAf S
REV,ISOO Elt 1',9ll
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
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'OR OATIS 0' DIATH AmR 12/31/91 CHICK HIU
IP A SPOUSAL
POVIRTY CUDIT IS CLAIMID lJ
;IU NUMliR-.------u-.---
94
VEAR
1054
NUMBER
21
COUNT V CODE
OfCfll!tfI'!I COMP-Liit-A-PDRi-S-s
33 Kelly Hoad
Shi[lpensburg, PA 17257
Co.", Cumberland
..- ....tMOU"'=':~~~:':~:::~,"il----..------.-
[I ], R.malnder R.lurn
I/o, dolOl of d.alh prior 1012.13-821
LJ 5, F.derol ElIol. To, R.lurn R.qul"d
..Q. 8, ToIol Number 01 Sol. Depolil Bo,.,
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'l'~lor .l'~..Andrewa,...E.sql.lin:.m.__._______~_
m!PtlON HUMan
~~ 7,).. 24~-0123
78 W. Pomfret Street
Carlisle, PA 17013
_.____._u_~______._ ___._____
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151 -_ ~~I.~.4l&l.__._.c..-.-
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(61 __n_____..__.,.__
17} _.______L________
18) __f.~43.63
1. R.ol E,Ial. ISch.dul. AI
2, Slock, ond Bond, ISch.dulo B)
3, ClolOly H.ld SIockfPo,InOllhlp Inlo/OII ISch.dulo q
4, Mo"809" ond NolOl Rocelvoblo (Sch.dulo D)
5. Ca.h, Bank Depotlh & Mllcellaneous Perianal Proporly
(Sch.dul. EI
6, Jolnlly Owned P,operly ISch.dul. FI
7, TronllOll ISch.dulo 0) ISch.dulo II
8, Tolol Groll All", 110101 L1n.. 1.71
9, Funeral Expensel, Admlnhtratlv, Co, II, Mhcellaneoul
E'pen,.. ISch.dul. HI
10, Dlb". Marlgag. llablllll.., ll'n! ISch.dule II
1 L T 0101 Dlducllon! 110101 LlnOl 9 & 101
12, N.t Volue of EIIO" 11Ine 8 mlnUl Line 111
13, Charllablo ond Govornmonlo! 80qu.II'ISchodul. JI
14, N.I Volue Subleclla To, Illn. 12 mlnUlllno 13)
15, SpoUlol Tron"o" 110, dolOl 0' ".oth olio, 6,30,941
See In'lrucllon, for Applicable Percenlage on Reverie
Sid., Ilndud. voluell,om Sch.dul. K 0' Sch.dul. M,I
16, Amounl of line 14 tOltabl. at 6% role
Ilndud. volu.. !rom Sch.dul. K or Sch.dul. M,I
17, Amounl 01 line 14 lo,obl. al 15% ral.
(Ir,e1ud. volu.. from Sch.dule K 0' Sch.dul. M,I
18, Principal 10' dll.IAdd 10' !rom Llno, IS, 16 and 17,1
19. Credlll Spaulol Poverty Crlldil ~rior Paymentl Dhcounl Inlefltll
......,.___'_mm__. + h__ ...__._ +.___________, -------
20, If lIn. 19 II g"oler Ihon lIn. 18, ,"Ier Ihe dlllerence on line 20, Thll h the OVERPA YMINT,
110
21. If lln. 18 II grooler Ihan line 19, ,"Ier Ih. dlller,"ce on Line 21. Thh I, Ih. TAX DUE,
A. Enler Ihe Inlerllt on the balance due on line 21 A.
8, Enler Ih. 10101 01 line 21 ond 21A on lIn. 218, Thl, h Ih. BALANCE DUE,
._ Makl Chock Pavabll _'al RIOI"" af WIIII~ AOlo' __ .
to! ~.. .IIURnO AN.WI. ALL QUIITION' ON .1V1....IDIAND TO RICHICK MATH -c <( , - :
Under penahl" nf perlury, I declare Ihall have IKnmined thlt return, Including accompanying ,chedulel and 'Ialementl, and 10 the bill of my knowledge and beUef,
IIII true, correct and complllle, I declare Ihal all real ellale hal baln reporled at trull market value, Declaration of pr.parer olhllr than the penonal reprotlnlallve Is
baled on aU Information of which preparer hal any knowledge
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IL -. - L.___ .'n_m. " L . "'-. "- .Il-I, '7\'" --1' :..<.
$10 e A 1 'N RfP ATIV( ;-><J AOOR[S~ I f. ~ .~-r~J ^ / '( ,. D~~y I"">
"--/!:. 1...: __.__m~.-!:.____.~?JriJ,_ '~_. ~--~---r- _.~'f'Y/J, J.> I .I!-Z)
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(9 }nlQ.Jl..14_,.~~____
1101 ,_~~~~. 75
111) _.lB.,.9.26.00
(121 __?,816.58
1131 0
114) 7,717.63
1151 _____ K,__'"
(161 ._~I 7l?_'.~~__.__.___K ,06..
463.06
1171------...,,--
K ,15 '"
1181 ___......363.06
119)
1201
(!Il'(~ hi'll' If yuu (1111 It'qul...IIIlH (j It,lulld 01 vuur ovt'lfluY"H'nl
1211 .______A6.1.D.6.-
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(21BI __.A63.1l.L____
GEORGE W I DEWALT
Al:ItomoM
Since 1941
103 Fairfield Street Newville, PA 17241
776-3607
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SCHEDULE H J
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
. PJ.al. P,lnl..!!.!vp.
L NUMBER
COMMONWIAUH Of 'INNSYlVANIA
INHunANCI TAl( UIURN
IiIIPIN! OlcrOENI
ISTAlI OP
Todd N. Shughart
21-94-1054
ITlM
NUMIER
DESCRIPTION
AMOUNT
1.
2.
Pun.,al bp.nl.11
Ewing Brothers Funeral Home
Carlisle Memorial Service
5,979.50.
1,755.00
A.
I. Admlnlll,atlv. COIIlI
1. renonal Rep,e"lIlallve Commlllionl
Social Secu,lty Number of PerIanal Repr..enlallv"
Vea, Commllllonl paid __
2. Attorn.y Fe.. to Andrews & Johnson 750.00
3, romlly Exempll~ster E. Shughart &
Clolmanl \I"~e M. 9h'1'Jh~rt Relollonlhlp Paretlts 2,000.00
Add'lII of Clalmanl 01 decedonl'l doalh
Slrll' Addrell --33-1(ell~oad
Clly Shippensburg 51010 PA Zip Codo 17257
4, P,obale Fell 90.00
C, MII~.lIan'ouI bp.nl."
1- Fexeral Express--Paym8nt of Auto Loan 10.75
2. Allstate Insurance - Automobile Insurance 289.00
3,
4.
5,
6.
7.
8,
TOTAL lAlla onlor on line 9, Recapltulallan) $10,874.25
(II mall Ipaull n..d.d, In'.'1 additional Ih..1I of lame .111,)
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(,OMMONWUIIH 0' 'INNIYlVAN1A
INHUllAN(I fAll; Illlun~
1l1l1~'N'ClICIClINl
Todd N. Shughart
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DEBTS OF DECEDENT, .
MORTGAGE LIABILITIES AND LIENS PI PIT
.a.. '"' or VP',
~'ILI NUMBIR
21-94-1054
ISfATI 0'
Nb~~IR DESCRIPTION
AMOUNT
1. GMAC - Auto Loan on Chevrolet Truck (See a,ttached)
8,051. 75
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TOTAL (Allo .n!1I on IIn.l0, Rtcapllulafion)
(1/ mote .pat. /. n..d.d, In'"I addillonal.h.." 0' 'am. till,)
$ 8,051. 75
t/
1<1. </- 9'
REV-lIl47 I!X AFP nZ-94l*
tOHMONWEAlTH Of PEMHSVlVAHIA
DEPIRTII!HT Of REV~HUE
aUREAU Of IHOIVIOUAL TAKIS
DEPT, 110601
HARRIIIURQ. PI 1112S-06Ol
c
ACN 101
NOTICE OF INHERITANCE TAM
APPRAISEHENT, ALLOWANCE OR OISALLOWANCE
OF OEOUCTIONS AND ASSESSHENT OF TAM
DATI! 07-10-95
DATI! OF DEATH 11-28-94 ~~h~T~O. CUMBERLAND
HOTEl TO INSURE pROPER CREOIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAM
PAVHENT TO THE REOISTER OF WILLS, HAME CHECM PAYABLE TO "REOISTER OF WILLS, AOENT"
REMIT PAVMENT TOI
r AMount HOMlftidl
CUT ALONG THIS LXNI! ... r.ETAIN LOWER PORTION FOR YOUR RECORDS ....
RBV': i5W- Eini:ji'n 2: 94i'iiiii'"icE' 'oF' "iN'HEiii rANce.'TAX' APjiilA i iiEHEiiT";' ALLOWANce.' oR..... .....-.. _..-
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF SHUGHART TODD N FILE NO. 21 94-1054 ACN 101 DATE 07-10-95
TAVLOR P ANDREWS ESQ
78 W POMFRET ST
CARLISLE PA 17013'0229
TAM RETURN WAS, t X I ACCEPTED AS FILED
RiiERVATION CON~ERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1, Rool Eltoto lSohodulo Al
2, Staakl and Bondi ISahodulo BI
S. Cla..IY Hold Stook/portno"lhlp Intorut (SchodUlo CI
4, Hartvogel/Notl1 Roo.lvoblo (Schodulo DI
S. COlh/Bonk DIPolltI/HIIO, P.rlonol Proporty lSchodulo EI
6, JointlY Ownod Prcporty ISohodulo FI
7. TrOOlforl lSohodulo 01
B. Total AlIOto
APPROVED DI!DUCTIONS AND EXEMPTIONS I
9, Funorol Explnlu/AdM, COlto/Hilc. E.ponl" ISohodulo HI 191
10, Dobtl/Hartgogo Llobllltlll/Llonl lSchodulo II 1101
11 , Tatol DodUotlonl
12, No'l Voluo of T.. Roturn
15. Chor~tobh/OovorllMntol Boquuto lSchodulo JI
14, Hot Voluo of Eltoto Subjoct to To.
NOTllI
TAX CRI!DlTSI
PAVHENT
DATE
04'28-95
RECEIPT
NutlBER
AA023093
DISCOUNT 1'1
INTEREST I-I
:00
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
I I CHAHOED
111_ .00
121 ,DO
(5l ,DO
141 ' DO
151 26 .643.63
(61 .00
171 ,00
(81
26,643,63
10,874.25
8.051.75
1111
(121
1151
(14)
1A.q?~_OO
7,717,63
.00
7.71~
,DO M .03,
7.717,63 M,06.
,DO H .15.
IIS1
.00
463,06
.00
463.06
If In aaa...m.nt wa. i..u.d pr.viou.1Y, lin.. 14, 15 and/or 16, 17 and 18 will
r.fl.ct figur.. that inolud. the total of ~ r.turn. a......d to dat..
A88E88MI!NT OF TAXI
15. Aoaunt of Lino 14 ot Spou..1 roto 1151
16, A..unt of Llno 14 toxablo ot Lln..I/CloII A rl\o 1161
17, Aaount of Llno 14 tl.oblo ot Collltorol/Clol1 B roto 117)
1&. Principal 'II. Ouo
AHOUNT PAID
463.06
TOTAL TAX CREDlT
BALANCE OF TAX DUI!
INTERI!8T
TOTAL DUI!
463,06
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
I IF TOTAL DUE IS LESS THAN '1, NO PAVHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY BE OUE
A REFUND, SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS,I
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EI'I'" of dtttdlntl dying on or blfor. Deoelblr 12, 1..2 ~. I' any future Int.r.., In thl ..t.,. 1. t,,",flrred
In po.....lon or .nJovant to el... . (eoU,t,rIU btnIfSol.rl.. of the dlCtant .ft'r thl IlCplr.Uon of InV' ..tit. for
'11f. or 'or V"", thl C~.lth hlr~v IlCprl.llv r...rv,. the right to IPpr.I,. and III'" tran,'.r tnhlrlt~. Tax..
It the 1...,ul Cl... a <<oatht,reU ratt on tnV' .uch 'utUrI Interllt.
Pi.lIPosl!Ill'
H,mCl'
To fulfUl thl requl"""'1 of SeoUon ZUO 0' thl Inhtrltlno, -net ftt.t. Till Act, Act 22 of 1991. 72 P,'.
'ocUon 2W,
PIV1EHT I
DetlCh thl top portion of thl, Notlol end 'ubi!' Mlth your Ply tent to thl Rlgl.t,r of Will, printed on the rlv,r.. tide.
uNoko chock or ..... orar ....blo tOI REGISTER OF MILLS, AOENT
All PlY""" receiVed shill fir.' be .pplttd to anv Int.r..' whIch ~.v be due with any ,...Ioder 1PP111d to the tMK.
Rf'UNlI (CAl'
A r.fund of . tlM credit, which WI' not r.que.ttd on thl '1M Rtturn, ..~ bt r.que.ted bv COlPittS", In "Application
for Refund of Ptnn.vlvlnll Inhlrlttnel and E.tlta 'IX" (REV-I]IS), Applleltlon. .r. IVIIIIbI, It the OffiCI
of thl Rtthtlr 0' NUll, any 0' thtl z) Revenut Olltrlot OffiCII, or by ClUing tht ,peol,1 Z4-hour
In'Wlrlng ..rvlel nulbtr. for for.. orderlngl tn Pennlvlvlnl, 1~.OO.S'Z.2050, out.ide PInnIVlvlnl, Ind
wUM,. 1001. Klrrbburll .t.. (117) 717-lOflt, TOOl (111) 17Z-U52 (Hltrlng IIP,lred Only),
O.Jl!CTlONS I
Anv p.rtv In Int.r..t not IIthflld with the BPPr,hl..,..t, tUOWlW'lClI or dl..11owlnCl 0' dtduClUon" or 1"",Hnt
0' tlM (Including dhc~t or Int.rll" II .hoI.fn on thll NoUet lKut objeot within .htv (60) dlV' of rlc..pt of
this MoUel bVI
"...l.ltten pratllt to thl Pi DIPlrtHnt 0' RIVtnUe, lo.rd of 'PP..ll, Dept. 21\1021, H.rrltburg, PA 17\21"1021, OR
.....lectlon to heVI th4i ..tt.r d.t.r.dMd .t IUdJt of tt. ItCCOWlt of the p.r.on.l rlpruenttUv., ON
~~Ippt.l to the Orph.,.' COYrt.
AlIMlH
IIIUTlI/I!
ClIIIllI!CTlONS I
FlGtutl .rror. d!lcovlrld on thl, ......-.nt .hould be tddr...td In writing tOl PA O'Plrtlent of A.vlnYl,
auralU of Incllvlckull TlIlII, ATTHI Po.t A......."t Rlvlew ~It, Dept. 210601, Hlrrhburl, PA 17121"0601
Phone (717) 7a7~6501. lie Pili S of the bookllt "In.truotlon. far Inherltanc' T'1l A,turn for, A.,ldlnt
DIClldent'" (REV"150U for 11'I IlCpllMt10n of IdIlnhtr.t1v.1Y corrlOtlbl. errort.
If .,y t.x due I' Plld within thr.. CS) c.landlr IOMth. .ft.r the decedent'. d.,th, I flv, Plrc,"t (S~) dl.count of
thl tlM plld I. 'UowId.
Int.r..t I. chlrttd bltlnnln, with flr.t day of d,llnquency, Or nine (9) IOnth. Ind ant Cl) dey fro. the data of
dleth. to thl dati of Plvwant. TIICI. thlch bto... delinquent before .~ry 1, 191Z bllr Intlr,.t It the rlt, of
,he (6:() Pflrc,"' per Il'W'Q cllcul.ted at , dillY rlta 0' .000164. AU till" ...,Ich bee... delinquent on end .fter
JlnUlry 1, liU wUl bear Intarllt It . rat. ...,101\ will vllry frOll cI1Mdat ytlr to cllandl,' VII' with that rat.
InnOUnOId bV the PA Dlp.rt,,"t of A.venut. The I9Pllotbl1 Int.r..t rlt.. for 19'Z through 1t95 .rll
DIICllUlTI
IHTflll!lT'
~ tnt.rll' A.t, Dlllv Int.,lIt FlIOtor !!!r Inter..t Rlt. Oallv Int.r..t Factor
1912 lOX ,ooma 1911 'X ,000241
I9IS 16X ,OOO4~ 1....1991 \IX ,000101
If14 IIX ,000501 1n2 ,X ,0002~1
1'.5 III ,0DOl16 I99S-1''M IX .000192
1916 lOX ,ooom I99S 'X ,000241
ulnt.rllt II Cllcullt" II fol1~'1
IHTERElT . IALANCE OF TAX UNPAID X HUKIEI OF OAYI DELINQUENT K DAILY IHYERElT FACTOR
uAnY NoUat I..utd Ifter thl tll( becOlllI dtllnquent wUI r,ftlOt ., Int.,..t cllcuhtlon to flft"" ell) diY'
bevond thl d.t. of the .....lNnt. If PlVlIflt II Hdt Iftar the Intlr..t cDefMltltlan d.t, .,., on the
Notice, additional Intar..t IUIt be cllcullted.
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