HomeMy WebLinkAbout95-00565
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lt1:v,I~1')Q EX. 11.941
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15- (1(" - /,;L
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
*
15
iii
III
o
COMMONWEAlTH Of PENNSYlVANIA
DEPARTMENT Of REVENUE
DEPT. 2'0601
HARltIUURO. fA 1112'-0601
D IOIH' HAMlllA". m,$l. AND MIODIIIHI IAtl
Harnillh Cleo
SOCIAl 5ICUlIIY HUMI"
COUNTY CODE
orCIDIHT'S COMPIIII ADDJIU
1816 S. Market Street
MechanicllburF. PA 17055
Co,,, Cumberland
AMOUNT IUCIIVID lln ltUTIlUCtlONSI
F.
Harnillh Willard K.
Qg 1. Ollglnal Relurn
181-14-6339
o 2. Suppl.menlal Retum
fOR OATIS Of DEATH A"IR T2/3 1/9' CHICK HIRE
If A SPOUSAL
POVERTY CREDIT 15 CLAIMED 0
flU NUMBIR
01/
95
.sIPs
o A. L1mU.d Eltale 0 040. Future Inle'II' Camplomhe
(for dotes of death oft., 12.12.02)
[! 6. Deceden' DI.d T.ltole 0 7. Deceden' Maintained a L1...lng T,uI'
(AII.ch copy 01 Willi (Alloch copy of TrUll)
'ALLCORRISI'ONDINCI AND CONFIDINTlAL TAX INFORMAnON SHOULD BE DIRECTED TOJ'''''
HAMl C9i\11f MAlllNQ..,AOOAlU
Richard E Connell Ell . :J J. N. :;econd Street
"'''HON'I<UMIU . p.O. Dox 1108 gn
717 232-8731 Harrisbur PA ,17108 :'1
182-22-3738
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32
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I. Roal Ello'o (Schodulo AI
2. Slock. and Bond. ISchodulo B)
3. Clollly Held Slock/Porln.nhlp Inl.,II' (Schedul. C)
A. MOrlgog" and Naill Rec.l...able (Schedule D)
5. Cash, Oank Depollts & Mlscellan.ous P.nanal Prop"ly
(Schodu'o E)
6. Jolnlly Own.d Ploperly (Sch.dule F)
7. Tran"o.. (Schodulo OJ (Schodulo l)
O. Tolal Gran AlII" (10101 Un., 1.7J
9. Fun"al Exp.n..s, Admlnb'rotlv. COI", Mlsc.llon.ous
Ellpen..s (Sch.dule HJ
10. Dobll. Mo~oaoo Uobillll... Uo.. ISchodulo II
11. Talal D.ductlo.. ('olaIU... 9 & 10)
12. Nel Valu. of Ellale (Un. 0 mlnuI line 11)
13. Challtabl. and Ga....,nm.n'al Oequ'I" (Schedul. J)
104. N., Value Sub eel to To" (line 12 minus line 13)
15. Spousal Transfen (for dol.. of d.oth afler 6.30.9.4)
5.. Inulucllonl for Ar,pllcoble p.,,,nlage on R.....ne
Side. (Include valu.. ram Schedul. K 01 Schedule M,)
16. Amaunl of line 104 10 "able at 6% lale
(Includ. values from Schedule K 01 Sch.dule M,)
17. Amoun' cf line 14 1011 able at 15% lale
Ilnclude ...alu.. f,am Sch.dul. I( or Schedul. M.)
18. Prlnclpallall due (Add lax flam lIn.s 15, 16 and 17.)
19. Cred!" Spousal Pav.rly C"d., Pdol Paym.nts
(I)
(2 )
(31
(41
(5) $
(61
(71
3,200.00
3,118.97
YEAR
NUMBER
Z
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(101
Q,6R4 10
03.
05.
Remalnd., R.lurn
(for da'o. .1 doalh prior 10 12.13.021
Fed.,ol Ellale To" R.luln R.qul"d
(151
(16)
(17)
Dlscaun'
_8. Talal Number of Sof. Depallt BOIlII
....,./,
',,:'/t/.::.,
.~
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C~
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Lu
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....,
0,
(0 I $
6.318.97
(111
(121
(13)
(141
9,684.10
(3,365.13)
-0-
M.__
M ,06 =
M .15 =
(I B)
Inl"ell
+ +
20. If line 19" greol.r Ihon lIn. 10, enl" the difference on line 20. Thll Is Ihe OVERPAYMENT.
aD
21. If line lOll greoler than line 19. enlel Ihe differ.nce on line 21. Thll II the TAX DUE.
A. Enl" 'helnl""1 on th. balance due an lIn. 21A.
8. Enlll Ihe tala I of lIn. 21 and 21A on lIn. 218, This Is Ih. BALANCE DUE.
Make Chede Pavable tal Regl,'er of Will., Ag.nt
r.' ~~ BE SURE TO ANSWER ALL QUESnONS ON REVERSE SIDE AND TO RECHECK MATH 00II( 00II( . ,..
Und" p.nolll.. of p"lulY. I declare that I ha.... uamlned Ihll "Iuln, Including accomponring schedulll and sla'.m.nh, and to Ihe b"l of my knawledg. and belief,
Ills tlU', carted and campl,'e. I d.da" ,hal all ,,01 "'01. hal been lepolted al',ue market ...alue. Declalotlon of pleparel othel Ihan the penonal rep"unta,l...e II
bOlld on alllnfolmollon of which p"paler has any knowledge.
SIGHJ:' liE 0 '~p~ IlUPON 1 , II' 1 G IlfTUIIN A 1t(1~ ,1 ~ -1L.!:!sf-' /);1 I ~-p- DATf , / _ ~ _
r//,. 1""'......... i,1/'.{ A 1J1/-ud'U~ 1L.miW~';1-- 7 _~lt!l.:J
, ATUR' · "'...or L1 :;~~' 7) ,;;-' JJ !JJ. JJcy/ /Cl~ 1/ I~ ~ OA" '7/';;7 ('1;5
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Check here If you atc toql.lo~ting a 'ofund of your overpayment. .
(IQ)
(201
(211
(21AI
121BI
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Act '48 of 1994 provldu for IhB reduction of Ihe lax ralBllmpoled an Ihe nel value of Iranaferl 10 or for
Ihe ule of Ihe Ipoule. The ralel 01 prelcrlbed by Ihe lIalule will bel
e 3% (.03) will be applicable for ellalel of decedenll dying on or after 7/1/94 and before 1/1/96
e 2% (.02) will be applicable for ellalel of decedenll dying on or after 1/1/96 and bBfore 1/1/97
e 1% (.01) will be applicable for ellalel of decedenll dying on or after 1/1/97 and bBfore 1/1/98
e Spoulal transferl occurring on or after 1/1/98 will be exempl from Inheritance lax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (....) IN THE APPROPRIATE BLOCKS.
1. Old decedent moke a transfer and:
o. retain thB use or Income of the propBrty tronsfBrred, .......................................................
b. retoln the right 10 designalB who shall use the property transferred or its Income, ...............
c. rBlaln a rBvBnlonary InterBst; or ...................................................................................
d. rBcelve the promise for life of eithBr payments, bBnBIIIs or core' .......................................
2. If dBalh occurred on or befarB DecembBr 12, 1982, did dBcedBnt within two yean precBding
dBath tronsfBr property without receiving odBquatB consldBratlon' If deolh occurred after
DecBmber 12, 1982, did dBcBdBnt transfer propBrty within one year of deoth without receiving
adoquate consideration'.... ...... ..... H................ ..... ..................................,. to. ........... ...........
3. Old dBcedBnt own an 'In trust for' bank account at his or hBr dBalh'......................................
YES NO
x
X
X
X
X
X
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
tn.lSo. 119 12.111
*'
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
PleOle Print or l' e
FILE NUMBER
.
,
COMMONWEAlTH 0' PfNNS"WANIA
'NHIIITANCI TAX .nulN
I.IIDINT DICIDINT
ESTATE OF
Cleo F. Harnish
(All plopertv loln,lv-owned with Ihe Right 0' SutvlVOllhlp mutt be dl.clo.ed on Schedule F)
ITEM DESCRIPTION VALUE AT
NUMBER DATE OF DEATH
.'
1. Personal Possessions $ 500.00
~
2. 1984 Audi 4000 2.700.00
VIN WAOFA 0814EA 133198
TOTAL Al,o enter on line 5, Reca itulotlon $
3,200.00
(Alloth addlllDnal 8V," )( 11" .h..'. If mall .potell n.eded.)
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COMMONWEALTH 0' PENNSYLVANIA
INHERITANce TAX RUUlN
USIDENT DECI'DENT
SCHEDULE F
JOINTLY.OWNED PROPERTY
Cleo F. Harnish
I FILE NUMBER
ESTATE OF
Jalnllonant(.).
NAME
A. IVillard K. Harnish
ADDRESS
1816 S. Mar~et Street
Mechani9sburg, PA 17055
RELATIONSHIP TO DECEDENT
Husband
B. Bradley D. Harnish
3075 Conrad Drive
Lawrencevil1e. GA 30244
Son
c.
Jalnlly-awnld proPlrly.
ITEM LmeR DATE
FOR TOTAL VALUE DECD'S DOLLAR VALUE OF
NUMBE JOINT MADE DESCRIPTION OF PROPERTY OF ASSET '*' INT. DECEDENT'S INTEREST
TENANT JOINT
1. A 1965 Real Estate $100,000 $ -0-
1816 S. Market Street
(Upper Allen Township)
Mechanicsburg, PA 1705
(consisting of two
bedroom house with 2
acres of ground)
Entireties Property
2. A PNC Bank Corporation 5.000 -0-
Stock Common Stock
Entireties Property
3. A PNC Bank (Passbook 5,393.89 -0-
Savings) Acct. No.
302 262-1 Entireties p.
4. A PNC Bank Acct. No. 3,608.71 -0- '
31312738-0~42i507p080p 6
nt ret es r p.
5. B Series E Bonds 6,237.94 1/2 $3.118.97
List Attached
TOTAL (AI.o Inlor an IIno 6, Rocapilulatlanl
(If more .pace is n..ded insert additional she.', o( some sin)
S 3,118.97
. .l....UIlI.. 1'.111
,
ESTATE OF
-!j;!-
COMMONWEALTH O' PENNlYlVANIA
tNHUITANCE TAX UtURN
IIESIDENt DECEDlNT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
,
Plea.e Prln' or T e
Cleo F. Harnillh
ITEM
NUMBER
A. Funeral Expen.ea.
DESCRIPTION
1.
2.
3.
.
Malpezzi Funeral Home (Mechanicsburg, PA)
Rose Hill Cemetery (A1toona, PA)
Messiah Village (Clergyman Honorarium and Contribu-
tion for Post-Funeral Gathering)
William Kel1y & Son (A1toona for grave marker)
4.
B. Admlnlatratlve Callal
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
1.
Personal Repre.enlatlve Commlnlon.
50<101 Securlly Number of Penonol Repre.entolluel
Veor Commlnlona pold
2.
Allornay Fee.
Ball, Skel1y. Murren & Connell
3. Fomlly Exempllon
Clolmonl Willard K. Harnish Relollon.hlp Husband
Add.... of Clolmanl 01 decedenl'. dealh
Slreel Addren 1816 S. Market Street
City Me"hRni rRhllrg
51 ole -EA- Zip Code 17055
Prabole ree. Register of lVillll Office (Cumberland County)
filing fee - inheritance tax
Mlscellaneoua Expenaea.
TOTAL IAI.o enler an line 9, Recapltulallonl
(If more apace 10 needed, Inae" addltlanalaheell alaame alae. 1
AMOUNT
$
1.,580.10
1,76/,,00
500.00
425.00
-0-
1,00.00
2,000,00
15.00
s
9, '684. 10
~...... .
. ,U.;:'iSl1I.t 1}-'71
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COMMONWIAlIH 0' "NNsnVANlA
INHIII1ANCI 'AX .nU'N
'I~O'," DleIOIN'
SCHEDULE J
BENEFICIARIES
ESTATE OF
FI LE NUMBER
Cleo F. Harnish
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
.,'
A. Taxable Bequests:
1.
Willard K. Harnish
HUllband
Remainder of
Elltate
-
2.
Bradley D. Harnish
Son
1/2 interest in
Series E Bonds
which pass to
son by virtue
of joint owner-
ship.
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
B. Charitable and Governmental Bequestsl
1.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (AI.a onter an lino 13, Rocapltulatlan) S
(If more spac. Is na.ded, Inllrt addlllanalsh.... of sam. size I
Name I Bradley David Harnish or Mrs. Cleo F. Harnish
Date Number Amount
12/79 Q6355945261E $58.87
12/79 Q6355945260E $58.87
11/79 Q6356787101E $58.87
11/79 Q6356787102E $58.87
10/79 Q6355945160E $60.50
10/79 Q6355945161E $60.50
9/79 Q6355945029E $60.50
9/79 Q6355945030E $60.50
8/79 Q6345463243E $60.50
8/79 Q6345463242E $60.50
7/79 Q6345463150E $60.50
7179 Q6345463152E $60.50
6/79 Q6339574575E $60.50
6/79 Q6345463001E $60.50
5/79 Q6339574443E $60.36
5/79 Q633957444llE $60.36
4/79 Q6317617410E $60.98
4/79 Q6317617411E $60.98
3/79 Q6317617304E $60.98
3/79 Q6317617309E $60.98
2/79 Q6317617170E $60.98
2/79 Q6317617173E $60.98
1/79 Q6309447727E $60.98
1/79 . Q63094l17726E $60.98
12/78 Q6285756994E $60.97
...
....
Date
Number
Amount
12/78 Q6285756993E $60.97
11/78 Q6285756834E $60.80
11/78 Q6285756833E $60.80
10/78 Q6274808233E $61.44
10/78 Q6274808234E $61. 44
9/78 Q6269600190E $61. 44
9/78 Q6269600189E $61. 44
8/78. Q6269600079E $61.44
8/78 Q6269600080E $61.44
7/78 Q6260435694E $61. 44
7/78 Q6260435693E $61.44
6/78 Q6260435588E $61. 43
6/78 . Q6260435587E $61. 43
5/78 Q6236907 3 77E $61. 27
5/78 Q6236907376E $61. 27
3/78 Q6236907278E $61. 91
3/78 Q6236907279E $61. 91
3/78 Q6236907213E $61.91
3/78 Q6236907212E $61. 91
2/78 Q6229670747E $63.75
2/78 Q6229670748E $63.75
1/78 Q6229670702E $63.75
1/78 Q6229670703E $63.75
12/77 Q6189940766E $63.75
12/77 Q6189940765E $63.75
9/77 Q6175712381E $71. 40
- 2 -
"-
;,.
Date
Number
Amount
9/77 Q6175712382E $71.40
4/77 Q6160163321E $72.69
4/77 Q6160163322E $72.69
12/76 Q6116979553E $72.69
12/76 Q6116979552E $72.69
11/76 Q6116979460E $72.48
11/76 Q6116979459E $72.48
10/76 Q6103759534E $73.94
10/76 Q6103759535E $73.94
9/76 Q6103759467E $73.94
9/76 Q6103759469E $73.94
BI76 Q6103759422E $73.94
8/76. Q6103759421E $73.94
7/76 Q60B1989869E $73.94
5/76 Q6081989742E $73.78
5/76 Q6081989743E $73.78
4/76 Q6066645114E $75.28
4/76 Q6066645113E $75.28
3/76 Q6066645087E $75.28
3/76 Q6066645086E $75.28
2/76 Q6066645033E $75.28
2/76 Q6066645032E $75.28
1/76 Q6049294978E $75.28
1/76 Q6049294977E $75.28
9/75 Q6020316159E $76.61
9/75 Q6020316158E $76.61
- 3 -
Date
Number
Amount
8/75
8/75
7/75
7/75
12/74
12/74
11/74
11/74
10/74
10/74
9/74
3174
3174
2/74
2/74
Q6020316115E
Q6020316ll6E
Q6020316054E
Q6020316053E
Q5229684814E
Q5229684813E
Q5209734136E
Q5209734135E
Q5209734029E
Q5209734030E
Q5196096124E
Q5151155682E
Q5151155683E
Q515ll55595E
Q515ll55596E
$76.61
$76.61
$76.61
$76.61
$77.98
$77.98
$77.79
$77.79
$79.36
$79.36
$79.36
$80.78
$80.78
$80.78
$80.78
Total $6,237.94
"
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- 4 -
STATUS REPORT UNDER RULE 6.12
Name of Decedentl Cleo F. Harnish
Date of Death I 10/29/94
Wlll No.
, Admin. No. 21-95-565
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
t'~ admlnistration of the above-captioned estatel
1. State whether administration of the estate is compLetAI
Yes-x-- No
2. If th" "n"wer Is No, st.at.e ~,I"ln the pArnonal
representative reanol.abiy belleves that the administration wii1 be
comp1etel____.
3.. If the answer to No. J is Yes, state the following I
a. Did t.he personal representative file a final
account with the Court? Yes__ No "
b. 'rite R'~rarate Orphans' Court No. (if any) fur:
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? ,Yes x No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be a;7a::) to th ,?r ~ort.
Datel ;-:o/e,fc1s- C ~ '
;::' S gnature
r.,
RirhArd E. Connell. ESQ.
Name (Please type or print)
511 North Second Street
HArrishllrg PA 17101
Address
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'..1) :J
Gu
(717) ?1?-R711
Te I. No.
Capacity:
Personal Representative
x Counsel for personal
representatIve
(MAli I rmf/ AM3)
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15~ <./Iu-/a
c....
REV-1547 EX AFP (12-94*
COIIIIHWEALTH Of' PENtSYLVAHII
DlPAlfHENT ,.. REVEJAE
IlJRUU CW INDIVIDUAL TAXEI
D[JIT. 210611
HAlRIIIURa. PI 17121.0601
NOTICE OF INHERITANCE TAX
APPRAISEHENT. ALLOWANCE DR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT Df TAX
ACN 101
DATE 11-06-95
S 0 FILE NO.
DATE OF DEATH 10-29-94 COUNTY CUMBERLAND
NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUlHIT THE UPPER PORTION OF THIS FDRH WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS. MAKE CHECK PAYABLE TD "REGISTER OF WILLS, AGEKr'
REMIT PAYMENT TO:
RICHARD E CDNNELL ESQ
511 N 2ND ST
PO BOX 11 08
HBG PA 17108
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
Altaunt R..lttMl
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YDUR RECORDS ~
iikV:isW-ije-,U:p-n'2=94riioT'icniF--itiliiififliNcirT'AinipjiiiiiiiiiiiiiT-;-AmijjliNci-irR------~----------
DISALLOWANCE OF DEDUCTIDNS AND ASSESSMENT OF TAX
ESTATE OF HARNISH CLEO F FILE NO. 21 95-0565 ACN 101 DATE 11-06-95
TAX RETURH WASI I X I ACCEPTED AS FILED
RESERVATION CDNCERNINO FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED DN: ORIGINAL RETURN
1. R..I Eatata ISchedula Al III
2. Stacka and Band. ISchadula BI 121
S. Cla..ly Hold Stack/Partnerahlp Intara.t ISchadula CI 151
4. NartG898.lNata. R..aluabla ISchadula 01 141
S. Caah/8M\k Depo.ih,"iec. p.,.eon.l P,.~,.ty eSchedul. E) es)
6. JointlY Owned Property ISchadu1a FI 16T
7. T,.~.fe". eSchedul. g) (7)
8. Tot.l A...t.
I CHANGED
...!!!L
.00
.00
.00
3.200.00
3.118.97
.00
IBI
6.318.97
APPROVED DEDUCTIONS AND EXEHPTIONS:
9. Funeral Expen.../A~. Co.t.I"1ea. Expen... eSchedul. H) (9)
10. Dabt./Hartgaga Llabl1ltla./Llana ISchodula II 1101 ,DO
11. Total Dado,.Uan. III I
12. Hat Valua of Tax Ratum ll21
13. Cha,.Ullbl./Covern...,t.l 8equ..t. eSchedule J) US)
14. Hat Valua of E.tata Subject to Tax 1141
NOTE: If an assass.en~ was issued praviouDly, lines 14, 15 and/Dr 16, 17 and 18
reflect figures tha~ include the ~Dtal of abb returns assessed ~o date.
ASSESSMENT OF TAX:
IS. Aaaunt of Line 14 at Spou.a1 rata 1151
16. Aaaunt of Line 14 ta.abla at Llnea1/Cla.. A rata 1161
17. Aaount of Line 14 taxable at Coll.t.,..I/Cla.. Brat. (17)
lB. Prlnalpal TlllC DUll
TAX CREDITS:
PAYHENT
DATE
9,684.10
Q . ~R4 1 n
3.365.13-
.00
3,365.13-
will
.00
.00
.00
X.03.
X.06.
X .1S.
llBI
.00
.00
.00
.00
RECEIPT
NUHBER
DISCOUNT I +J
INTEREST I-I
AI1DUIlT 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.
I IF TOTAL DUE IS LESS THAN .1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS.I
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RESOtVATlDf.. Eet.t" of dHedenh dylna on Dr bII'or. ~,. 12, 19.2 .. Sf ..". future Inhr..t In the ..t.t. h tnn.terr"
In ""..lion or ....Jo~t to ell.. I (cotht.,..!) beneficl."l" 0' the decedent dh,. the .xplratlon of 8nY ..tat. for
Uf. or for )lMr., the eo.onw.elth herebv 'kp,.."ly r.......... the right to ...,.1.. Md ...... tt...f.,. Irherlbnce TUII
.t the I_Jut CI... I (cou.t.,..u rat. on eny IUCtl tutu,.. Int,,.lIt.
PIIlPOSE lll'
NOTICE. To fulfUl the rIlqUJ,...."t. of Section 2140 of V. lmerlbnce Met E.t.t. Tax Act, Aclt 2Z of 1991. 72 P.I.
SeotJon 2140.
PAVHEJrfTI DetKh the top portion of thl. Notlc. Md __It Nlth you,. P'YMnt to the R-slht.,. of M11l1 printed on the ,....,.,... .Ide.
u""_ check or """11' or.,. P8_h tOI REGISTER OF HILLS, AOEHT
All P'YMnt. rec.lved .".11 flret bel epplllld to MY Int.,...t which MV .. We with "'11' r_lndrlr ...UId to the tax.
REFUaJ (CA)I A rehnd of . tax cr-edlt, which NIl. not r.....ted on the lex A.turn, ., Mi rltCllM.ted by c0IIP1,Una WI "'Appl.lClltlon
for R.fund of Penneylv.nl. l~rJt~. Md E.t.t. Tax"' (REY-I'.!). application. .r. ev.lllbl. at the Dfflc.
of the Aegl,ta,. of Will', ....v of the 25 A.~ DI.trlot Dfflc.., or by c.lllna the apeol.1 24-hour
~...rlng ..rvlc. nu.ber. for for.. Drderlngl In ~1Y1v.n1. l-100-56Z-Z050, out.lde P~.ylv.nl. ~
within 10C111 Herrhbura .1''' (717) 717-1094, TDO' (717) nz-zzsl: ("",ring I.alr... Onb).
DIJECTlDNSI Any party In Int.r..t not ..U.f1ad with u. epp,..lI....,t, aUCMNnCtI or dlHUow.M:. of deduction., or .....-.nt
Df talC (Including dllCOl.l1t or Int.rllU .. ~ on thh Notlc. w.t obJact wUhln .IMb (60) An of rKlllpt of
thh Notlc. byl
--wrltt," prot..t to the PA o.p.rbwtt of A.v...., Ioerd of Appeeh, Dapt. lIUZl, Harrlabura, PA 17121-1021, OR
--.IMUon to heVI U. _U.r eMler.load .t audl t of the ItCC~t of the personal rapr..antat!v., OR
--.....1 to the Drphen.' Court.
....IH
ISTRATlYE
CORRECTIONS I
FICtU81 .rrDn dhcov.rad on thh ............t should ba IIddrll"" In wrl Una tal PA DIp.rt.....t of R.v....,
Bur.au of Individual Tax.., ATTNI Po.t A...........t A.vlaw unit, Dept. Z10601, Harrlaburg, PA 17121-0601
Phone (717) 717-6505. s.. PItOe S Df the booklet "In.truotlon. for IntMrlbnc. Tax R.turn fDr . Allldlnt
Decadent.. (REV-ISOl) for an .xplenatlon Df Idalnl.tr.tlv.IY correctabl. .rrDr..
If .,y to due Ie peld within thr.. U) cal__r .unth. .ft.r the decadent'. deeth, . flv. percent (U) dhcount of
tM talC paid Ie aUowed.
Int.r..t .. chergad e.tlnnlna .,Ith flret day of dellnquwtc}', or nine (9) IOIth. .., one (1) dell' frOll the det. of
death, to the dIIt. of pev-ant. Tax.. which bee-. dellnquwtt tMfor. J.nuarv 1, 1gez bMr Int.r..t .t the nt. of
.IM (0) percant per .... calcuht... at a AI1V rat. of .0001&4. AU tax.. Which bec_ dell~t on Met aft.r
J.nuarv I, l'lr .,111 ba.r Int.r..t .t . r.t. which will v.ry frOll calendar ye.r tD cal__r VIII' .,ith thet rat.
~1Id by U. PA Depertaant of R.venue. The eppllcMI. int.r..t r.t.. for 1912 through 1"5 .r"
OISaUITI
IHTERESTI
!!!! Interelt A.t. Dally Intere.t Fector !!!! Int.r.It Rat. Dally Intera.t FlCtor
ltaZ ZOX .000541 1917 'X .000247
I'" 16% .OODU' 1'11-1991 IlX .GODSU
I'" IlX .DODSDI 199Z 'X .000247
1915 'SX .DGDS56 1995-1994 7X .000192
".. lOX .DOOZ74 199' ,. .000247
--Int.r..t I. calculated .. follow"
INTEREIlT . BALANCE OF TAlC UNPAID X IfUIl8ER OF DAYB DELIHQUEIff X DAILY INTEREIlT FACTOR
--Any Hotle. 1..ued .ft.r the t.M beeoee. dell~t will r.fleat an Int.r..t calcul.tlon to fifteen (15) day.
beyond the dIIt. of the .........t. If P......t II ... .ft.r U. Int.r..t c.-put.tlon date Ihowl on tM
Hotlc., Iddltlonel Inter..t au.t be calcul.ted.
--. -. - -.' -, .- . . -
-.- -- -"- - -,,, -- "--''''-'- ,-,- -, -'- -- -. -,- -,. '--r-.
~tt,\;..:,~~~t;;~~;!;i;j't:;":",~;~:;r':n'l.~:':p;~li(;;:7~;>,~~{~.it:~)~:*:;:'."tI..tP;~~'~"~,'~\.j""l:r'~~~~ ~K~;~.~t'~~.~\~lFf;N:Z'k-;5~~';,:i,.:'r~~:~::':.~:'I!.:>;~/:."i:n~':.j"<:
;'.,<r.;:\I~'~,:';,~;~il ,.,..,,:::,:;~:.,::>t"~"i:)i'f"':SY."~ ....;. ;;"':;;'?-',."~'l,'/~')'::~.
gl!''i1.-\;''I'~~?';'i,tj r4'6'~, '8'~~'iCOMMONWIALTH:O~ P.ENNSYLVANIA;~>;,",'::',;,.';'" ~'~:;~;'_')'" "'.,' ,
"0.'1' ' \!,~''': .' f ' l~g,.,-..c "~I'i}ft:"'~""f'\--'~'-"""'" '~'..'.'"~<' ~.~,,~ '~"..--""'.~"...- ......... '~.' ". ': ,"_. .... \"":"",:'...,.'. '"~~....,".'., ,.~"..L........".~_":,,,,'i<..
''''''','"...,'' ~ '
.. '" .';__~'i j,~". .,; .. "l(;."1;Y'.lj:;.;..~"r:;-'\'~. . '/J:'i),,';)':::.~;:.f>S,/'.:;,'C,.-,~:,,-,,::,,\;:>;::t':',;;.;;";-.'.';,'._.':.\>" ':
. !I!)~t:}'1}-,~"0f~Jh~.(f~~;;:.;;,~t11&-,~J.}U%~'f~~:~g/!<fj;\L~~~.:~l:;~~~~!''!'~ij;;f;:+tn~.,;.'.~ '~':::~~'?":~i:-\'."~;:' 'L"},~~''') ~:S':;{,,~?r~r!
:~\;;.;;,;;'.w:-;}~;h;;r;;~c;lO~ICI~ IQIO,II".~~~N$YLVA~'A' I.NHIR~NCI AND ISTATlTAX.'; ',' .;' \',.' ,(. .
ACN
ASSESSMENT P:'
CONTROL 1;1
NUMBER
RECEIVED FROM,
&
AMOUNT
DAUPHIN OEms IT BANI<
A'ITN I IlORIS TA'JSTLE, TRUST DEPT.
P 0 OOX 2961
HARRISBURG,PA 17101
101
$fi,1fio;.nn
(MI)
ATE OF DEATH
,
/ 0 1
REMARKS DAUPHIN DEPOSIT BANI<
A'ITN1 OORIS TA'JSTLE,TRUST DEP1'
SEAL CIlECK/I 728103
m TOTAL AMOUNT PAID $6,365,00 ,
"""" '" ~A~",~~P""
(/ )lftf~ /J/?f
REGISTER OF WILLS
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