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R1V.I500~X+ III.") 'O.DATIIO'DIATHA""12I~I"1 CHICK 111.1
r, '. " INHERITANCE TAX RETURN IUlPOUIA'
~~~~;!~ RESIDENT DECEDENT ~1L~~~::DlT II CLAIM!D 0 ~-_._-
COMMONWEAlH1OfPENNSYlVANIA (TO BE FILEt IN DUPLICATE "I _ cfs u8 "I
DEPARtMENT or REYENUE ) .... c "
NARRlSfJ:6.l~n\280601 WITH REGISTER OF WILLS COUNTY CODE YEAR
. rffiijTfllllinlAsTmm~" "fCEliifil'Sc'ciiooIE ADDiEs!'" . .."---.--,,..
IF /I lJ A ,{:IS Ife"~ t!. /" 5 I(d.
~~~~R;~;M~R;~;~":'--r~f~O;~~.tl~~~~:I~t:~~R~; ;'19 C,,"~'l "'1' N /11, P A ''1NI- I IN
. .__ ___.,,_______.__.____m..______" ._ .__.L,,~..lJY\k_r;._r.I(l_nIC.________ .______
~-- --~-I."-Orlgl~al Rel~;~--u,-, - [OJ 2, Suppl.menlal Relurn LI 3, Remainder Relurn
I~ (for dale, a' deolh prior 1012.13.82)
~ [] 4. lImlled E'lale [J 40, Fulure Inlerlll Campromha [J 5, Federal E,lole TaK
is ill . (far dol II of dealh after 12.\2.82) Il,'urn RequlreJ
)d 6, O"edonl Died Tlllale 1.1 7. Decedenl Malnlalned a living Trull -'28, Tal,,1 Number of Safe OepOlIIBo...
___... (Allach copy of WillI (Alla~h copy of TrUll) _'___
AU. COI.I1PONDINc:e AND CONPlDINTlAL TAX INI'ORMAllON IHOULD II DIRICTID TO.
I A - '-'=riMmll"MAIlINO AD?"S
II Ii:N~N~kR-j5---T.rift'----m.-- -------- '!a~,~~1 j~~ 7, i) f~~
u 2 I 7) Z_ L7 3 l_~ .f:/. 6' C!...r!.=..~~=.7~=.=~"'=~=,,=========.
1. Real E'Iale (Schedule A) ( 1) _. ____..n_______
2. Slack. and Bond. (Schedule BI ( 2)-- ",,_un'_' .._ .________H_._.".
3, Clallly Held SIocklParlne"hlp Inlerlll (Schedule q (31 .___ __...___._u,,_,,_____......__._.
4. Marlgagll and Naill Recelyable (Schedulo 01 ( 41 ___mm_________
S. Ca,h, Bank Depo,lII & MhcellaneoUl Pe..anal Praperly( 51 ._..__..______,2,...8'iLJ~___
(Schedule EI I
/ CI ~ 3 </,1. C, 3
6. Jalnlly Owned Properly (Schedule FI ( 61 --J.-{'--t.--~---
7, T ran,fe" (Schedule G) (Sch.dule L) ( 71 ....___.
8, T alai Grall Allell (Iolalllnll \.7)
9, Funeral EKr,e,,", Admlnillrotiye Ca,", Ml,collaneaUl ( 9) ____________
ExpeOll' (;jchodule HI
10. [lebll, Marlgage lIobllltill, lie" (Schedule II (10) ___
II. Tolal Deduction. (Ialalllnll 9 & 101 (111 -.---!f, () J/.t...!:...qj_
12. Nel Value 01 E'Iale (line 8 mlnUlllne 11) (121 LL9-J.!L~ .2,. tbQ.__
13. Charllable and Gayernmenlal Beque," (Schedule JI (131 -----~J-(}-(2Q.!-=---
!4, Ne' Value Subl"I 10 T~K (Iin!.,,12 _,,:,Inu~~!!l_________~_ (141 .LZlr2J! .9_~ .____..___
15. Amounl of line 14 laxoble 01 6% role (1SI----.../J2,-fL,;[.7.!-L1!A"K .06.. __1../2-}../;.5.5_____
(Include YO lUll from Schedule K or Schedule M,I
16, Amaunl of line 14 lOKoble 0115% role (16)__...________..___.__K .15.. ____.____._____,,______.__
(Include yalulI from Schedule K or Schedule M.)
\7, Principal la, due (Add laK from line \5 and from line 16,)
18, Cr.dlll SpaUlal Poverly Credll Prior Poymenll Ol"aunl
5'33
_ ,,_.. _. ._.... + _._ .... ._ ___" + ._._.._......___..__ ._._ ... n'''_'
19, If line 18 h greoler Ihan line 17, enler Ih. dlllerence on lino 19, Thl. 1,Iho OVERPAYMENT,
mLI
20. If line 171. grealer Ihan line 18, enler ,he dlllerence on line 20, Thl. h llie TAX DUE. (201 .....J()-J__L~_~._._.m__...___
A. Enler Ihelnlerlll an Ihe balance due an line 20A. (2DAj ... _n..____"____._____...__
B, Enler Iholalal of line 20 and 20A nn line 20B. Thl. h Ihe BALANCE DUE, (2DBI. ._........__._. _._....._._._____
Make Ch!ck Payabl! to, Regl!'",of Wlllo, AgI_"I _____._____m___ .__..____._ ____.._.._..____._______
---- .... U lUll TO ANIWII ALL QUUllONI OtfRlVlRIIIIDI AND TO RICHICK MATH....-.--~
Under penclll., of p"rlury, I declare thai I havo II(l]mlned this return, Including accompanying uhe'd;;iel ani,tat.menu, and 10 the betl of my ~nowll)dg. Clnd he lief.
III. tru., correcl and complel.. I declare thai all real filial. hat been reporled al true markot vCllu6. Doclarallon of preparor olher Ihan Ihe pOrlanal reprclllntallve I,
ba,od on alllnformatJon of which preparer has any knowledge.
:::~;::!::~~:N 1~~:*r!~-~~~~-~.~;~1.iei7i~~/;-~~~ :::f~~~-a-.~~-~~~~.
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(17) __IO-J'_~_S5_w___.__.._._
1181 _____~,_J..__________
(191 __......_.....___._.__..._._ __...___
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PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (,;) IN THE
APPROPRIATE BLOCKS. '
y~S t-!9..
1, Old decedent make a transfer and:
a. retain the use or Income of the property transferred.. .1I1l..................tI..".."'.,,..
b, retain the right to designate who shall use the property transferred or Its Income,
c, retain a reversionary Interest or ............,....'lffl..'''.......'......H'''...,....."....:...... v
d, recl'lve the promise for life of either payments, benefits or care9 "",.."""".",,,,, ../
2. If death occurred on or before December 12, 1982, did decedent within two years
preceding death transfer property without receiving adequate conslderatlon9 If death
occurred after December 12, 1982, did decedent transfer property within one year of
death without receiving adequate considerCltion9 """'"""""""..""""..",,,,,,,,,,,,,, v'
3. Old decedent own an 'In trust for' bank account at his or her deathL,...."""..,...". V"
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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c0Mlf31Mi!.mmvl~ANIA
ESTATE Or-
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(AM ,..,.rty 1ol.~y-ew,"4 w"" ,hi RI.hl 01 ....I..nhl' ....1 lit 41,,10,04 I. Schod.1o P,
SCHEDULE E L
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY PI.all Print or Typo
FILE NuMBER
IrlM
NUMBIR
DISCRIPTION
VALUI AT
DATI OP DIATH
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TOTALJAllo .nler on IIn. 5, ,R.capltulatlon S J. g (,p, -
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C~~I~~~~IO~=I.~~J:~~NI~ JOINTLY .OWNED PROPERTY L
!IlIOINIOICIOINI
ilTATI O. - - --I PILI NUMIIR
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NUMI. JOINT MADI DISCRIPTION O' PROPERTY TOTAL VALUE DECO'S DOLLAR VALUE O'
TlNANT JOINT OP ASm %INT, DECEDENT'S INTEREST
1. II ae. ,q fJf :OtltcJ Che...."('.a.J ~to. ,1.1(~1I3'J.37 "VI U $113,1"-
c.", M~'" S1C(,1< I
3S ~~ Shll r e'j @ /;1, "II'S"
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JI.. A B r4l.h. Va"~~iJ.r" JI~h Y/tldP.."tf, '" tJ'J, 738.9S"
/qq,,- M ~ 1(,;,,,1 ~"J ,.-;'lttll"4 gS/f71. rto Set
)
,3. fiB Feb, 31 50% 6'~ 759.~'
Iqqo d 511// T~~ E1t;.:/f Ur."",.,! e' 05/ 5'IQ. J
To. r... F.. " fJbl/. '7
if, AB 1,/87 PtJc. fallllt-: ~It-Chelklrf. 4,7J9.3J 5"% I
(u.,...s tCN 8/1/11 AI!. ! 1/,~.73
AC, M l.&. tua./ /, 3 33.4s- 5'''~
:5, 19';5 :ra~I"p 13,,~k-(1J) )
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J__
_ TOTAL (All. Inlor on IInl 6. Rocapltulatlonl S_.d~~ 3'S'~. t.3
(II mart 'poco I. nllcl.eI/n,"" aclcllliano',h.." 0' .aml '/11) '7
.., '.,....",._,
.\1'
i::
~~y
.'6-::
W:,'
If('
~-'
';/
-",)',-,
'lo,"
\l(
'l"
,I
"If';
k
~,l:':
IlV,l~l~ IX. IJ.'71
UTATI O'
J.Ja,.
lTlM
. NUMIIR
1.
ITlM
NUMIIR
1.
~.
'*
COMMOHW'AllH O' "NNmVANIA
INN'.nAMa fAX ,nUIN
"~D4", DlCtOlNt
I SCHIDULEJ
~INI'ICIARIIS
L
PILI NUMIIR
A, F'"4~II'tJn
NAM. AND ADDRUS O' IINIPlCIAAY
AlLATIONSHI.
A, Ta.abl. 80qUIIIII
, ,
NAMI AND ADDRESS 0. IENIPlCIARY
.3.
8, Charllablo and Govornmontal 80quOII" , /'II J
~, .0 II ~ vnur(!JV\
We.sIt'r\lIl~Te r , r~ t ~",a"lI '1 1ft ~9 }t1/P
'''"3 e l1,d/"\\n alli v, Y 'Ol. . c.lt
W r 'Id U)1I...T....',....s;pr f,.~sIJJinl"''rI III'
j)W\C"'!I ~",' ,
OX UI~TI.;I... ,T~r c.h""c.~ aty M1487t1/P
'1''3 E. M,'dla...d. Sa.j'
W~$r SA",re. lSafl,~f t:?h"l'C.h ,
:A'tJ' -+ Ma~kct STreet i tti",pIJd/ t?l (fell
i3a.c!,.C!'l'\~ CcNetf!... (] A.i K OK. 7"'/4() 3
M ~ '1'1 tJlJ Bae"" 'C. red. IIILS 010tG
Wesi Sh"t'e. ~"e:Tht'c!./\ Ih Ch,,',,:f
/"gS" OV'rs 13.,..,d1f!. /?p) lo/ec.hal1't.. ~bj,(l'r
4,
s,
fA , 'J()5
TOTAL CHARITA8lE AND GOVERNMENTAL 8EQUESTS (Alao onlor on IIno 13. RocapllulatJon)
III moro .pa.. I. n..dod. Inll" additional .h..,. 01 .am. .111)
AMOUNT 01
IHARI O' IITATI
AMOUNT 01
IH._RI O' ISTATI
~ (JOO.
~t:10.
1 ()tJ .
300.
Ifco
$ (J,/l>OD,.
" ..
"i " I,
'I' I, ~" .~ -' .t _.r ,
LAST WILL AND TESTAMENT
KNOW ALL HEN BY THESE PRESENT: That I, Ida Ackerman Fullen of
Hampden Township, Cumberland Counnty, Pennsylvania, being of
sound and disposing ~Ind and memory, do ~ake, publish and declare
the following to be my LAST WILL AND TESTAMENT, hereby revoking
all Wills and Trust Agreements by me at any time heretofore Made.
FIRST: I direct my Executrix, herein after named, to pay all my
funeral expenses, administration expenses of my estate, Including
Inheritance taxes, state or federal, which may be occasioned by
the passage of or sucesslon to any Interest In my estate under
the terms of this Instrument or a separate Inter vivos trust
Instrument, and all my just debts.
SECOND: I give, devise and bequeath the following:
(A) My wedding ring to Shirley Martin and my engagement ring to
Nancy Tripp. My other jewelry to the person so named In my
jewelry boxes. If a piece Is not designated, It Is to be given
to aoy descendant who wants It. If two or more descendants want
the same piece, the eldest will have ~reference. '
(B) In addition to the furniture previously given to Shirley
Martin, my furniture as follows:
Cherry desk to Amy-Jo Crlm
Picture of Great-grandmother knitting to Jeff Tripp
Oak commode to Heidi Martin to match her bedroom dresser
Walnut commode to Nancy Tripp
Sewing table to Noelyn Crlm
Arm chair mahogany rocker to Nancy Tripp
Drop leaf end table to Shirley Martin
Small round folding table and four chairs to Shirley Martin
'Large round folding table and four chairs to Nancy Tripp.
(C) My Dow Chemical Stock, my life Insurance and my money, both
cash and deposits, shall be divided Into two equal parts, one
such part to each of my daughters, to be hers absolutely and
forever:
Shirley Fullen Martin Nancy Fullen Tripp
7906 West .Brltton Road 425 Reeser's Road
Perry, Michigan 48872 Camp Hill, Pennsylvania 17011
The share of either daughter named above who shall not survive me
shall be divided equally among her children and shall nat go Into
her estate. ,
(D) All the rest, residue and remainder of my estate of whatever
kind or character and wheresoever situated to Nancy Tripp.
THIRD: I hereby appoint my daughter NANCY FULLEN TRIPP as
Executrix of this my LAST WILL AND TESTAMENT. If she does not
survive .e, then I appoint F. WILLIAM TRIPP as Executor of my
estate. I direct that no Executor/Executrix serving hereunder'
~hall be required to post bond.
IN WITNESS WHEREOF, I have
Cu~berland, Pennsylvania,
1988.
hereunto set my hand and seal at New
this ____U~______day of ___~~______,
1
~ tl.-r~
J,..Lj-f?
.
'v_&_4_Ju..~____L.S.
Signed, sealed, published and declared to be her LAST WILL AND
TESTAHENT by the within naMed Testator In the presence, who In
her presence and at her request, and In the presence of each
ot , have hereHnto subscribed our names as witnesses:
,
~_____________ of ~~~~~_______, Pa.
.A~.,~jJ ~?/l~~. of ~,~. -A{t't? Pa.
_J~~~_~_~~~~~_J"_________ ~w_~_~~______________,
-- -
AFFIDAVIT
Commonwealth of Pennsylvania
County of Cumberland
Personally appeared ______:~q_Lf~~Jd________________
and
______________________________ who being duly sworn, depose and
say that they attested the said Will and they subscribed the same
at the request and In the presence of the said Testor and In the
presence of each other, and the said Testor signed said Will In
their presence and acknowledged that she had signed said Will and
declared the same to be her LAST WILL AND TESTAMENT, and
deponents further state that at the time of execution of said
Will the said Testor appeared to be of lawful age and sound mind
and memory and there was no evidence of undue Influence. The
deponents make this affidavit at ~e request of the Testor.
II
. --- &~~ - ~~:.--::~---------
--------~-------~~---------
Subscr.lbed and sworn to before me this ____.Q:L___________ day of
__.._~_______, 1989.
~~(J- ~~-- -~-----------
· "fll II . .
N C~ If~ANOm" ~OTAmu'IIC
II': CO~"'U/ON u:,:f."::.lANDcou~rr
II, Ittft'tl'1lft~ AtIO(j " ll. ,,,,
. . 'IItIt 0/ NOlI/I"
/
CERTIPIED COPY 01" ORGINTIl,
.' 7"" f/h
"~~;~9~ffi1C)--
. MiW 04,. 1988 ./
bl6NI N, MY''', IIOTm 'UIUO
flit Cij"'U1AIID IO_C, CUlImlAlIDCOUN
".~' _'..,ON ""Us HOV, 21, 1t18 IY
b.. '.,lvlllil AlIOtI.U.n 0' ~otll'lI
C/~,r:"I~'1 ~/j '/(,;doJ :
I.
-l~I.JI ''/''Il/' I I,' ), """'"
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...,.....,......."............ '....
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~_,,__....J. ,_. ~_ ~_._ __. ___ ...~. ~._ ..~. ..._ ,.._ .~,. ,_.. ._~ __. _. .._._._ ~_. ._. ._.. __.~_..
.... _ _...._........ .... __ __. _:.. __ __ __ _"_ ,_ __ _ __... _." '__ __.J.
b,~AA o~7915 ", .COMMON:J:t~T~: R~:~:YLVANIA
i..I1611./WI . O."<:IALRICIII'l "INNIYLVANIA INHIRITANCIANiUITATITAX
'o! .
',.~"
,~
RECEIVED FROM,
i
ACN
ASSESSMENT P:'
CONTROL I;i
NUMBER
AMOUNT
NANCY F. TRIPP
4E!S REESERB RD.
---101
.10,122.00
CAMP HILL PA 17011
lOIOH,ar
SSN 390-39-9376
I'IRST) IMI)
DATE OF DEATH
I
.1SWBa..oo
m TOTAL AMOUt~T PAID .
-- 03/&6/91
REMARKS
NANCY F TRIPP'
SEAL 1)1(' " I /' .~" ' . I
RECEIVED BY I 11)'~~A;~;.i',':"-,~~'" N.' I
REQISTER OF WILLS MARY C. LEW 1 S \ ," Ii
. . . '"' REGISTER OF WILL.S .'
If"' ..,.,-. --7" -,~------- --'I"-.~ ,-- -'''--'.'-- -'-'C-:----,- -- '--" -..... -- .-- --. -" -- -.-.- '-' -..- -'~. '-".:-~- '--'7 --....,
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'~','..\i.,' '.'-',.,,' ',,', ',' "-., ".;. ,i,,',',.;.', "I" ". ,/ I ,_ I "'"
.uqJF'~I:'( 1."-: ,li',,_,' :)"-..<\,,,.:11-,'1.1: . ,';'<. '. '., \l." '. " , . :, ..; . '" , "
1I~}~!':~~~iO!, ~OMMO~:~~~T~:R~:~lYLVANIA' ,,"
tij\;j~~~.ij , '; , "'",,, O'~ICI~L IIIC.," ,. "INNIYLYANIAIN~IIIITANC. AND ISfATI TAX
.
' ,
"
, "I
RECEIVED FROM,
I
ACN
ASSESSMENT '='
CONTROL IiliI
NUMBER
AMOUNT
NANCY F. TRIPP
4SlS REEBERS RD.
101
U !O"ol!! '
CAMP HILL, PA 17011-1306
,...'OH)HUf 'CIDHfI'
ESTATE INfORMATION:
!II fiLE N MBER
U el-199!5-04Se
!II NAME OF DECEDENT IlAST!
!;I FULLEN I DA A
II DATE Of PAYMENT
_ tO/Hl/q!'l
B POSTMARK DATE
COUNTY ? /9l!l
CUMBERLAND
DATE OF DEATt!
BaN 380-38-9376
IFIRST! 1M'!
"
REMARKS
m TOTAL AMOUNT PAID _
, .lSO.ee
IJZ
NANCY F TRIPP
SEAL
CHECK" ?8!5
RECEIVE'D BY 2;, , //. J(iiL<J.~) ,'i ,/' "
) SIllNAfi1II _
'.' /... !
~~~rl!lfERL.a~I~ILLS
REG'iSTER OF WILLS
..-...--~--,- ------.:....... -- -- - ~-;;" -- -..-~--.- - --- - - -- - -- - -- - '-"'.--lIt"..,- -'- ~"'--r _'1",1
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/.. , ,
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. ...1....
\
I
v
;5 ~ I/I-_,~
RIIV.1547 EX AFP 112.94*
C~ALTH OF PlNNSYLYAHIA
Dt:PAIlTIt[HT OF Ilt:vtHUE
IlM!AU Of IHDIYI"...IL TAKES
Dt:PT. 110601
HARtUIIURO,.A 11IZ1-06Ol
ACN 101
NOTICE Of INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWAHCE
Of DEDUCTIONS AND ASSESSMENT Of TAX
DATIl 10-09-95
FILII NO.
DATI! 0;: DEATH 03-26-95 COUNTY CUMBERLAND
NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SOIHIT THE UPPER PORTION Of THIS fORH WITH YOUR TAK
PAYHENT TO THE REGISTER Of WILLS, HAKE CHECK PAYAILE TO "REGISTER Of WILLS, AGENT"
REMIT PAVMENT TOI
NANCV F TR~PP
425 REESERS RD
CAMP HJlL PA 11011
REGISTER OF WIllS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 11013
I
l
('.J
CUT ALONG THIS LINE .. RIITAIN LONER PORTION FOR YOUR RECORDS ~
Rsv:is4'i.ix.AFp. -C1'F94i""iiiiT"icr.oii"i"N'iliififANCi.TAX.A"PjiRAiSii1iiir;.AtLOWANCi.cili............ .....
DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX
ESTATI! OF FUllEN IDA FILE NO. 21 95-0482 ACN 101 DATI! 10-09-95
TAX RETURN WAS, C ) ACCEPTED AS fILED C Xl CHANGP.D SEE ATTACHED NOTICE
RESERVATION CONCIIRNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1, R.1l E.1o1o CSoh.dul. Al 111
2, Itook. .nd lond. CSoh.dul. I) (2)
S, Clo..ly Hlld Stook/p.rtn.r.hlp Inlorut (Soh.dul. C) CSI
4, Horts.s../Not.. R.o.lvobl. CSoh.dul. DI C41
5, C..h/lonk D.po.lt./HI.o, P.rlon.l Prop.rt~ ISoh.dul. EI (5)
,. Jolntl~ Own.d Prop.rt~ ISoh.dul. f) 1'1
7. Tr"".f.rl CSch.dul. GI C71
8. Tot.l AII.1o
APPROVED DEDUCTIONS AND EXEHPTIONSl
9, funor.l E'PWnI.I/A~, COlt./HI.o, E...n... ISoh.dul. H) C,)
10. Dobh/Horte... LhbllHIII/Lhn. ISoh.dul. II (10) ,00
11, Tot.l D.lklctlon. 111)
12, Not V.lu. of T.. R.turn C 12)
IS. Ch.rltlb../Gov.rnlllnlol I.qu..to ISohodulo J) CU)
14, Not VlluR.of E.ht. Subj.ot to h. (14)
NOTEI If an .....I..nt w.. i..uld pr.viou.1Y, linl. 14, 15 Ind/or 16, 17 .nd 111 will
rlfllct figurl' th.t inolud. thl tot.l of ~ rlturns .......d to d.t..
AS8E8SH~MT OF TAX' .. .
15, A.~unt of Lln. 14 'ot'.s),oUIIl r.t. (15)
1', Aoount of Line 14 t..obl. .t Lln..l/Cl... A r.t. 11')
17, A....,t of Line 14 t..obl. .t Coll.t.r.l/Cl..1 I r.t. 117)
II, Prlnolp.l T.. Duo
TAX CREDITS I
PAYHENT
OATE
06-23-95
RECEIPT
HUHSER
AA041915
-
DISCOUNT C')
IHTEREST C-I
532,14
AMount R..Ut.d
,00
.00
..ll.
,00
286,00
183.342.63
.00
(8)
183,6~
4,046.03
".046.D~
119.582,60
.00
119,582.60
.00 X ,00.
119,582,60 X ,06.
,00 X ,15.
(18)
,00
10,114.96
,00
10,174,96
AHOUNT PAID
10.122,00
TOTAL TAX CREDIT
BALANCE OF TAX DUI
INTEREST
TOTAL DUI
PAVMENT MUST 8E MADE BV 12-21-95M,
10,654,14
120.22
.00
120,22
. If PAID AfTER DATE INDICATED, SEE REVERbE
fOR CALCULATION Of ADDITIONAL INTEREST,
If TOTAL DUE IS LESS THAN n, NO PAYHENT IS REQUIRED,
If TOTAL DUE IS REfLECTED AS A "CREDIT" ICRI, YOU HAY IE OUE
A REfUND, SEE REVERSE SIDE Of THIS fDRH fOR INSTRUCTIONS,)
, 'H'"
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RlIfRYAIION. r.I.I.. of dot.donl. d.l.. on or bofor. DtGlObor \l, I,.l .. If on. lutur. Int.r"1 In lho ..1.,. \. Ir...f.rrod
in pa.....lon or enJovwent to c.... _ (coU.\".1) bMtflollrlll of thl decedent Iftlr thl IlCplr.Uon of InV IIt.t. for
lIf, IIr fat v..r., the COMOnWellth her.v .lCpr...1v r..,ry.. thl rlltht to IPprl1l1 1M ...... trll1l'lr Inhlrltlf1Cll TaXII
It the ....fu. Clall . (caUlt.,ll) nt. on IMV luch futurl Int'rtlt.
_Of
MOUCEl To fulfill tltl requlr...ntl of SloUon U~O of the Inhlrltencl and Eltltl T,IC Aot, Aot II of 1"1. n P.I.
s..,lon lnO,
PAYHENTI Dltloh the top portion 0' tMI NtlUcl end ...it with vour P'VHnt tn thl RI,hter of Willi printed on thl r.ver.. Ildt.
..H.... ohook or _. ..dor .....1. 101 REGISTER GF MULS, AGENT
All p'YHnh rlCl,lvtd Ih.ll flr.t bI IPPUId to In" Int.rllt whloh "V be due Nith InV r...lnder .,,1I'd to thl tlX. ,
RI'llID (CR) I A r.fund of I tlX credit, which WII not requelted on the TIll R.turn, II., be rtqutlttd bv cOIPIIUn, In "AppllcltJchl
for Alfund of PIMIV1Ytnll InhtrltlnCl and Elt.te TIM." (REV~1S1S), 'PPUcltlonl Irl IVIUab.1 It thl Offlc.
of thl "..I.t.r of WUlt, II'Ivof thl 2S R'II,"", DlItrlct O'flclI, or tlv c.lllne thl lpeol.. ,4-hour
tnlNlrln, vlrvlcl ~r. for for.. orderlngl In Pennlv.vanl. l~eOO~J6Z~Z050, out.ldt Ptnn.vlvtnl. end
within loolt Hlrrl.burg .r.. (717) 717~'0t4, TDD' (717) 77Z~Z2SZ (HI.rlng IIPllrld OnIV),
O_ACTlONSI any Plrtv In Interllt not "thU.d Nlth thl 'Pllrll".,"t, .1l0Wlnol or dlllllCMiltncl of deduotlon., or .....lHnt
of tlM Unc.ucllng dllcount cr Int.rllt) .. .hown on thh Hotlc. .u.t objtot within IlKtv (60) dlV, of rec.lpt of
thll NotlCI byl
-~wr1tten protllt to tM PA Pep.rt.."t of AIVN'IUe. Iolrd of .PPIIII, Dlpt, 211021. Hlrrhburg, PA 17UI~lOn, 0"
--olectlon to h.vI the ..tt.r dtt"llned It e.udlt o~ thl ICCOunt of thl Plrlantl rlpr..tntltlvl, 0"
--...... to thl Orph.,.' Court.
AONIH
IIIRAIIY!
C_CIIOHt,
FactuII Irrorl dllcovlred on thll ......lInt .hould be Iddr'llld In writing tal PA o.p.rt'tnt of A.VInUI,
lutlau of Indlllldutl T.KII, ATTNI po.t A......."t AIVllw Unit, Dlpt. 210601, Il.rrhburl, PA 171ZI~0601
Phone (71U 7'7~6~0'. s.. P'" S of thl bookl.t "In.truotlonv for InhtrltlnCl. TIl( R.turn for I Rulant
hcedent" Ut!V~.I01) for In .Ilpllln.tlon of "lnhtrltlv.1v correctable Irror..
DIICCIUlI,
If InV t.1C due h Plld within thrH (S) cllend.r aonthl Ift.r thl dftldtnt'. dt.th, . flvI Plrcent (IX) dhcount of
thl tll( Plld I. .I.~dl
Intlr..t II chlrttd bellnnlng with flr,t dlv of dellnquencv, or nIne C'J eonth. and ant (1) dty fr~ thl dlt, of
..th. to thl d.te of p'YHnt, TIICII Nhlch bea... delinquent blfor. JII'IYIr), 1, 1911 bllr Int,r..t It thl rlt. of
lhe (6in "rcent ,.r ....,... c.lculltld It . dlllv rltl of ,00016.. All till.. Nhlah bee... delinquent on end .ft.r
J.w.ry I. 1"1 will bI.r Int.rllt It e ret. which will v'r)' frol clt.ndtr Vllr to cllendlr Vllr with thlt ret.
~td by thl PA Ptplrt.ent of R.vlOUl. ThI tppllaab.. Int.r..t rlt.1 for "IZ through I'" Ir.1
IHTEIlf:II,
t!!r Intlr..t bt, Dellv tnt.r..t Flator :!!!r lnt.rllt A.t, 0.11)' lntlr'lt FlGtor
1911 IIi ,01014' .'" .i ,000141
I"S .~~ , mil. .,"-.". IU ,000101
19" iii ,00OSOI ...l 9~ ,0001\1
I9Ii 1I~ , milA ...I-Itt4 Ii ,000ltl
I." 10~ ,000114 ...1 .i ,0001\1
.-Int,,"t It u.culltld II fol1OWl1
INTEREST . SALANCB OF TAX UNPAIO X NUHSER GF DAYS DELINQUENT X DAILY INTEREST FACTOR
--AnV' Hathl IlIutd I"er thl t.. beCOMI cttltnquent wll! rlfl.ct In Int.rut allculltlon to fIUI'" (11) d.n
"wand thl dltl of tM ''''''lInt. If P'VMnt It .1IdI Ifttl' ~hI Intlrut COllPUtttlon dl" lhown on the
NotlcI. Ilekntlon.. Int.rllt IUlt bI t1.lcullttd.
'J.' <//-,1
u
,
I
J RIV.1607 IX APP (12.'4>*
C_UTH 01' P/:IIIIVLYANIA
IIUMTllDIT 01' RfYEIlI!
_AU 01' IH1IIYIDlJAL TAletI
IlV'T. 210"1
HARRlllURU. PA 171'1-0'11
ACN 101
INHERITANCE TAX
STATEMENT OF ACCOUNT
DATIl 11-20-95
DATI OF DUTH ~~~~~~95 IDA S~b~T~O. ~~MnR~1nfi
NOT! I 70 INSURE PROPER CREon TO YOUR ACCOUNT, SUSHn THE UPPER PORTION OF THIS PO,," WITH YDUR TAlC
PAV"INT TO THE ADDRESS SHOWN. "Al<E CHECK PAYAILE AND REttIT FAY"ENT TO. ,
NANCY F TRIPP
425 REEsERS RD
CAMP HILL PA 11011
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, I'A 1101~
c
"-on! R.Ht...
CUT ALONG THII LINE ~ RITAIN LOIIER PORTION FOR YOUR FlLlS ..
Rili:160".iiC.APji.llz.:94i............iNH.iRir.ANcif.TAiC.STA.fiHi.NT-O-F-AC-couiif...-.....__._..._...__.....
IITATI! OF FULLEN IDA FlLl NO. 21 95-04B2 ACN 101
THIS STATE"ENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF TilE STATED ACN IN THE NAHED
EITATE. SHOWN IE LOW IS A S~ARY OP THE PRINCIPAL TAK DUE, APPLICATION OF ALL PAYHENTS,
THE CURRENT BALANCE J AND J IF APPLICAlLE J A PROJECTED INTEREST FlOURE t
DATE 11-20-95
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT I 10-02-95
PRINCIPAL TAX DUE I,
10.114.96
PAYMENTS (TAX CREDITS),
PAYMENT
DATE
06-23-95
10-11-95
RECEIPT
NUMBER
AA041915
AA082240
DISCOUNT (t)
INTEREST (-)
532.14
,00
AMOUNT PAID
10.122.00
120.22
TOTAL TAX CRIDIT
IALANCI OF TAX DUB
INTlRIST
TOTAL DUI
10,114.96
.00
.00
.00
. IF PAID AFTER THIS DATE, SEE REVEIlSE
II DE POR CALCULATION OF ADDITIONAL INTEREST.
C IF TOTAL IlIII IS LESS THAN n.
NO PAVHENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI.
YOU HAY IE DUE A REFUND, SEE REVEIlSE SIDE OF THIS FO,," FOR INSTIlUCTlDllS. I
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PAVlIENTI
DetlOh the top portion of thl, NoUOI W'Id lUMit with your p.~t ... Plytlbl1 to thll\lM end Net,...
printed on the rlvlr.. llde.
__ If RfIIDElfT IlECEIlEHr ..... _ or ...... oreW _I. 101 REGISTER Of WILLS, AgENT,
__ If ItOIHIUIIlENT IlECEDElfT..... chKk or -... order ...obl. 101 COIIlOHWEALTH Of pENNSYLVANIA.
All P.~t. r,oelved shill be ~l1td flr.t to In)' Interut which ..y be due with InY rNllnder .,UId to the tlJll~
REFt*D CCRll A r,hM of . tu credit, which Wit not r.quuttd on the 'IX Alturn, .y ~ requt,tld by eOllPl.t~"' Il"l
"",UCIUon for R.f~ of PtnnUlVlnl, Inherit... Ind ht.t. h.IC" (REV-UU), Application. Ir. .~llIbl' .t
thl OfficI of tM Retlltlr of Nllll, IfW of thl 23 Rwenut Diltrlet OfficII or fro. thl Depart""t', 24-hour
In.Wlrlng .Irvlol ou.bIr. far 'or.. ordlrlngl In Pennlvlvlnll 1-800.162-2050, outllde Pennlvlvenll
end within locel H,rrltbur. .r.. (711) 7'7.aO~, TUD' (711) 77Z-2152 (Hlerlna IlPllred only),
REPLY TOI QUIIUon. reprdlnl error. con'llned on thlt notlc. should be eddrllHd tal Pi o.,.r....,. of AIV...,., IurllU
of Indlvldull TIXII, ATTHI pa.t A.....-.nt Aavlew Unit, Dlpt. 210601, Hlrrllburg, PA 1112'-0601, phone
(111) 7'7-1'1505,
DlstCUfTI If MY tu due I, paid within thr.. (S) ul."..,. .,th. ,U.r thl dtudlnt'. death, I flltl parelt'lt (SX) dltcOf.I\t
Df the tl. plld II allowed.
INTtRI!tTI Inter,et 11 (hlrtMI bettnnJng with flr.t dlv af dtllnquency, or nlM (9) IIOnth. 1M one U) dav frOll the dltl of
dM\h, to thl dati of PIYMI'lt. Tallll which *_ dllI~t befan Jamlry 1, 1912 belr Intlrllt .t thl r.t. of
.1. C'~J plrcent plr annul cllcul,ttd It . dIllY rlta of .000I~. All tl.a. which bee... delinquent on end .ftlr
J..,.rv I, 1912 wUl bear Intlr..t It . rata wt"eh will Vlry frOll cllendar yoar ta cIlan6lr yHr with that r.tl
announced by thl PA o.partaent af Aavlr~. The IPPllcebll Intara.t rlta. for 19.2 through 1995 .rll
Vllr Interllt AI" OIUy Intara.t FlOtar Valr Int.rllt R.tl DaUy Intarllt PlOtar
1911 lOX ,000S41 1911 9X .ooom
1915 IIX ,00015' 1911-1"1 m ,000101
19M IIX ,000101 1"' 9X ,ooom
19IJ lSX .000116 1"J-I'194 IX .000192
1911 lOX ,ooom 1"5 IX ,mm
--Intlrllt II caloulatad la fal1Ot1'1
INTEIlElT . IAWCE Of TAlC UMPUD K HUKlER OF DAYS DELIHQUEKT K DAILY INTEIlElT FACTOR
."Any MaUCI hlued aftlr tho tlX beoo.e. delinquent wUl rlt1ect In Intarllt calculltlon to flft..., UI) din
blyond ttw dlt. af thl I........,t, If ply..,t 11 HdI .ttlf thl Intlr..t OOllPlJtaUon dlt. IhQwn on thl
Notlc., Iddltlonal Intar..t .u.t be calcullttd.
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ltIV-15'41IlC APP 02~94)_
' C~EA1TH OF PEKHSV1YAMIA
DEPARTMEMT Of REYE~UE
IUREAU OF IMOTYI.YOl TAMES
DEPT. lI06r,1,
HARRIIIURO, PA 171l1'06Ol
HOTICE OF INHERllANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF OEOUCll0NS AND ASSESSHENT OF TAM DATIl 10-09-95
FILE NO. 21 95-04112
DATI OF DEATH 03-26-95 COUNTY CUMBERLAND
NOTE I TO INSURE PROPER CREDIT TO yOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH yOUr. TAM
PAyHENT TO THE REOISTER OF WILLS, HAKE CHECK PAyABLE TO "REGI&1f.R OF WILLS, AGENT"
i, ,i I : i ,; REMIT I'AVMI!NT TO I
ACN
101
NANCY F TRIPP
425 REESERS RD
CAMP III L L
(>,
PA (jI7011
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
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