HomeMy WebLinkAbout95-00606
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/11- '11 - /.2-
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
Rl'V.1500 u. 11.lul
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5iJ 1. Original R,'urn 0 2. Supplemental R,turn
o A. lImlttd Eltal. 0 AD, FulurI Inlt,,,t Comproml..
lv/l.L NOT I'trof.lIlTED (for dolo. of doo.h oflo, 12.12.B21
rgJ 6. O.e.d.nt DI,d TIllo'l 0 7. o,e,d,nt Molntalntd a Living Trull
(Alloch copy 01 Willi (Alloch copy of T,ull)
'CORRn NDINCI 'AND CON.IDINTlAI; TAX INPORMAnON SHOUI;D 81 DIRICTIDTOp";;fi~~~W.lil"
(OM'1I MAlliN A II
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COMMONWU.l1H Of P(NHU1YAN1A
DEPARTMENT Of R(VENUE
OIPJ. "0601
HARRIUUIlO. PA 11 2I.060t
DEe EN" NAME IlA' . III . AND MIDOll IHI IAll
Kl/OPL.E
we'At UCUllnv NUMllII
1'15' - 07 - 7s-g'
III "hIUIUIIUhlY!HO ..ouu., ,.,,"', "All. 1,1" AND IoIl00\IIHlll"'1
fIllPHONl NUMIU
-,
~
I
1. Rool hlolo 15chodulo AI
2. 510ck. ond Bondo (5chodulo BI
3. Cloooly Hold 510ck/Ponno"hlp Inloro.' (5chodulo q
.c. Mortgag.. and NollI R.c.lvable (Sch.dull 0)
5. Cash, Banll O'pOIIII & Mlle.llon,ouI P.nonal Prop'r1y
(5chodulo E)
6. Jolnlly Ownod Proporly 15chodulo '1
1. T,ono'", (5chodulo 0) (5chodulo II
8. Tolol Gran An'lI (Iolollln.. 1.7)
9. funllal Exp.ns.s, AdmlnlslratlYI CoStl, MlsClllan,ouI
bp.n..s (Sch.dul. H)
10. Dobl., Mongogo 1I0bllllloo, lion. (Schodulo I)
11. Tolol Doducllono (Iololllno. 9 & \0)
12. Nol Voluo 01 Eo'olo(lIno B mlnuollno 111
13. Charllabll and GOYllnm.nlal a.qu,sIS ISth.dul. J)
1"'. N.t Volul Sub.et 10 Tax lInl 12 mlnuI lIn. 13
15. Spousal Trans'.n (for dolll of d.oth aft., 6.30.9"')
5.. Inslruetlons for Applltabl. Parcenlog. on R.Yln.
Side. (Indud. volu.s Irom Sth.dul. K or Sthedul. M.)
16. Amount of lIn. 1A loxobl. at 6% rol.
(Indude yalulI from Sch.dule K or Sch.dul. M.)
17. Amount of line I'" toxobl. at 15% rat.
(Indud. valulI from Schedul. K or Sch.dul. M.)
lB. P,lnclpol.oo duo (Add 100 from lIno. IS, 16 ond 11.1
19. C,.dlll Spousal POy.rty Credit Prior Paym.nll
+
z
~
f
.
8
a
cWl
COUNTY CODE
DEN' M'l 0 I
OETHIl'J't VIL.LIl~e
:125 wESL.ey DI\'IVE
ME 11ltfo/ICS tJlI/T(;. ;>"1
COllnl
AMOUNT II CE VID IIU I IU "IONI'
:1 't HIDDe~
/fOCI-(ESTI:If,
III
121
PI
(4)
(51
(6)
171
S82.,/{)
Il.JS !.fWI, 7(,
,
20. 1I11no 191. groolor .hon lIno IB, on'or Iho dllloronco on lIno 20. Thlt IOlho OVEAPAYMENT,
IiID
21. If lIn. 18 II greatll thon lIn. 19, Inlll the difference on Lln. 21. This II the TAX DUI.
A. Enter Ihelnl.,est on Ihe balonc. due on line 21A.
B. Enlor Iho'ol.1 olllno 21 ond 21A on lIno 218. Thlt I.,ho BALANCE DUE,
Mob Check Payable tal A.gl,tll of Willi, Aglnt
19)
(10)
5 'J 12, (.S
3'1 'I. 0 ll'
(IS)
(161
(111
1'-/0 352.11
,
Dlscounl
+ 42/ OL
Inl.rest
CI",ck t\L'le II you C111' f1'qUI'\1l1l11 u It.fund of YOUI oVl'ifluynll'llt
AOOIUI
:r'l HIPD;;IV
IfOCHE<;TPn
,
VIlI.L.EY tiP.
NY 1'/'2~
'OA OATIS O' DIATH Ani A 12/31191 CHICK HIAI
IF A SPOUSAL 0
POVIRTY CAlDIT IS CLAIMID
FIll NUMBIR
9.1)
VEAR
6o~
NUMBER
/7tJ5!i
o 3. Remolndlt R.furn
Ifor doloo 01 doolh prior 10 12.13.B21
o 5. federal Eslall Tax R,'urn Required
..Q. 8. Tolal Numb., of Sofa Dlposlt Bous
.jf~""''\\;;
"
v Ij Lt.I:Y If D.
N,! 1"1'2'1
(BI
I 'H 0 f.] . lrl.
,
Ill)
1121
(131
114
S"
/"10
,
71/.
352
73
11
x._-
)( .06 .
f?W2.I./3
)( .15 .
(IB)
X 42.1 13
'121.0L
8' 0 cJ n. 0"7
(19)
(201
(21)
121AI
(218)
5('000,0"7
LAST WILL AND TESTAMENT
m:
GLADYS H, RIPPLE
I, GLADYS H. RIPPLE, of the Borough of Camp Hill, Cumber-
land county, pennsylvania, being of sound and 'disposing mind and
memory, do hereby revoke all prior Wills and Codicils made by me,
and do make, publish and declare this to be my Last Will and
Testament:
ITEM I: All inheritance, estate and similar taxes becoming
due by reason of my death (hereinafter collectively referred to as
"Death Taxes"), whether such Death Taxes shall be payable by my estate
or by' any recipient of any property, shall be paid by my Executor
out of the property passing under ITEM III of this will as an expense
and cost of administration of my estate. My Executor shall have
no duty or obligation to obtain reimbursement for any Death Taxes
paid by my Executor, even though paid with respect to proceeds of
insurance or other property not passing under this Will.
ITEM II: I hereby exercise all powers of appointment which
I may have at the time of my death in favor of my Executor, and all
property subject to all such powers of appointment shall be included
in my estate and shall be governed by the provisions of this Will,
ITEM III: I give, devise and bequeath all of my property,
real, personal and mixed, to my son, WILLIAM H. RIPPLE, or, if he
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does not survive me, to his wife, JEAN K. KIPPLE, or, if she also
does not survive me, to my grandson, WILLIAM K. KIPPLE, or, if my
said grandson also does not survive me, to such issue of my said
grandson as may be living at my death, per stirpes, or if no such
issue are living at my death, then as follows:
(a) One-half (1/2) thereof to the OTTERBEIN
UNITED METHODIST CHURCH, presently situated
at 310 Peffer street, Harrisburg, Dauphin County,
Pennsylvania, to be used as the said church
sees fit; provided, however, that if at my
death the said church has ceased to exist as
a separate congregation, then this portion
of my property shall be distributed to the
BETHESDA MISSION OF HARRISBURG, presently
situated at 611 Reily Street, Harrisburg,
Dauphin County, Pennsylvania, to be used as
the said organization sees fit,
(b) One-half (1/2) thereof to the BETHESDA
MISSION OF HARRISBURG, presently situated at
611 Reily street, Harrisburg, Dauphin County,
pennsylvania, to be used as the said organiza-
tion sees fi t.
ITEM IV: No interest in the income or principal of my
estate shall be assignable by, or available to anyone having a
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claim against, any beneficiary of my estate before actual payment
to the beneficiary, and no part of the income or principal of my
estate shall be subject to attachment, levy or seizure by any
creditor, spouse, assignee or trustee or receiver in bankruptcy of
any beneficiary of my estate prior to the beneficiary's actual
receipt thereof, My Executor shall pay over the net income and the
principal to the beneficiaries herein designated, as their interests
may appear, without regard to any attempted anticipation, pledging
or assignment by any beneficiary of my estate and without regard
to any claim thereto or attempted levy, attachment, seizure or other
process against the said beneficiary.
ITEM V: Any person who shall have died at the same time
as I, or under such circumstances that it is difficult or impossible
to determine who died first, shall be deemed to have predeceased
me. Any person, other than me, who shall have died at the same time
as any then beneficiary of income of my estate, or under such cir-
cumstances that it is difficult or impossible to determine who died
first, shall be deemed to have predeceased such beneficiary,
ITEM VI: In the settlement of my estate, my Executor shall
possess, among others, the following powers, to be exercised for
the best interests of the beneficiaries:
A, To retain any investments, whether
real or personal property, including any shares
of stock or other securities of my Executor
or of a holding company controlling my Execu-
tor, which I may have at my death, for so long
as my Executor may deem it advisable for my
estate to do RO.
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B. To vary investments, when deemed desir-
able by my Executor, and to invest in all forms
of real and personal property, including such
stocks, bonds, notes, real estate mortgages
or other securities, including common trust
or investment funds operated by my Executor,
and stocks, bonds, time deposits and other
funds of my Executor or of a holding company
controlling my Executor, as my Executor shall
deem advisable, all regardless of any limita-
tions imposed by law on investments by executors,
any principle of law concerning delegation
of investment responsibility by executors,
or any principle of law concerning investment
diversification,
c. In order to effect a division of the
principal of my estate, or for any other pur-
pose, including any final distribution of my
estate, my Executor is authorized to make said
divisions or distributions of personalty and
realty partly or wholly in kind, said assets
being divided or distributed at their respective
values on the date or dates of their division
or distribution, In making any division or
distribution in kind, my Executor shall divide
or distribute said assets in a manner which
will fairly allocate any unrealized apprecia-
tion among the beneficiaries.
D. To sell either at public or private
sale, upon such terms and conditions as my
Executor may deem advantageous to my estate,
any or all real or personal property or interest
therein owned by my estate severally or in
conjunction with other persons or acquired
after my death by my Executor, and to consummate
said sale or sales by sufficient deeds or other
instruments to the purchaser or purchasers,
conveying a fee simple title, free and clear
of all trust, and without obligation or liability
of the purchaser or purchasers to see to the
application of the purchase money or to make
inquiry into the validity of said sale or salesl
and also to make, execute, acknowledge and
deliver any and all deeds, assignments, options
or other writings which may be necessary or
desirable in carrying out any of the powers
conferred upon my Executor in this paragraph
or elsewhere in this will.
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E, To mortgage real property, and to make
leases of real property for any term,
F. To borrow money from any party, includ-
ing my Executor, to pay indebtedness of mine
or of my estate, expenses of administration,
Death Taxes or other taxes,
G. From the same source as from which
Death Taxes are to be paid in accordance with
ITEM I of this Will, to pay all Death Taxes
or other taxes, and expenses, costs and charges
in connection with the administration of my
estate, and my Executor shall pay the expenses
of my last illness, funeral and burial.
H, To vote any shares of stock which form
a part of my estate, including any shares of
stock or other securities of my Executor or
of a holding company controlling my Executor,
and to otherwise exercise all the powers incident
to the ownership of such stock, and to actively
manage and operate any unincorporated business,
including any joint ventures and partnerships,
with all the rights and powers of any owner
thereof, including the power to incorporate
the same.
I. In the discretion of my Executor, to
unite with other owners of similar property
in carrying out any plans for the merger or
reorganization of any corporation or company
whose securities form a part of my estate,
including my Executor or a holding company
controlling my Executor.
J. To assign to and hold in my estate
an undivided portion of any asset.
K. To hold investments in the name of
a nominee.
L. To compromise claims and controversies,
and to abandon any property which, in my Execu-
tor's opinion, is of little or no value,
M. To partition, subdivide or improve
any real property in which my estate may have
an interest, and to enter into agreements
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concerning the partition, subdivision, improve-
ment, zoning or management of any such real
property, and to impose or extinguish restrictions
on any such real property.
ITEM VII: If, at any time, any minor shall be entitled
to receive any assets free of trust by renson of my death, whether
payable hereunder, by operation of law or otherwise, I appoint CCNB
BANK, N,A., with primary offices in New Cumberland, Cumberland County,
Pennsylvania, as Guardian of such assets authorized by law payable
to such minor. The Guardian may receive, administer and shall have
full authority to use such assets, both principal and income, in
any manner the Guardian shall deem advisable for the best interests
of the minor, including college, university, graduate or other educa-
tion, without securing a court order, The Guardian shall have all
tHe rights and privileges in its capacity as Guardian as are herein
granted to my Executor as to my estate,
ITEM VIII: I hereby appoint my son, WILLIAM H. KIPPLE,
as Executor of this Will. If for any reason he should fail or cease
to BO act, I appoint the aforesaid CCNB BANK, N.A, as Executor of
this Will. All references in this will to my "Executor" shall refer
to my aforesaid Executors, individually or collectively,
ITEM IX: Any Executor or Guardian shall qualify and serve
without the duty or obligation of filing any bond or other security.
Any corporate fiduciary shall be entitled to compensation for services
in accordance with its standard schedule of fees in effect when the
services are rendered.
'-.( " (
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IN WITNESS WHEREOF, I, GLADYS H. KIPPLE, herewith set my
hand and seal to this, my Last Will and Testament, typewritten on
eight (8) sheets of paper, including the self-proving attestation
clause and signatures of witnesses,
J.I'<O
also written my name, this . ,- day
upon each sheet of which I have
of June, 1989.
?,,.: . I 'AI
/Ul'f1' t't',..., / .
Gladys H./Kipple
-1''1;' I- " /c.. (SEAL)
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On this ~ day of June, 1989, in our presence, GLADYS H.
KIPPLE declared to us, the undersigned, that the foregoing instrument
was her Last Will and Testament, requested us to act as witnesses
to it and to her signature thereon, and thereupon signed said Last
Will and Testament, We now, at her request, in her presence, and
in the presence of each other, believing the said GLADYS H, KIPPLE
to be of sound mind, hereby sign our names as witnesses.
"J;...-:~~~;~~-l-:.-::j ,,0:.':;/0-;. residing at +11 v '7,~,d.~,'k. '~;:l.y~ 7-,b"~yb,(t
) )(,1. < 't:/."
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residing at /?1J ~ R~.'(. J/.':J-b'l,
If" A It~('Ii...ILI"1(,1 r:?
,
COMMONWEALTH OF PENNSYLVANIA )
) SS:
COUNTY OF DAUPHIN )
I, GLADYS H. KIPPLE, the testatrix whose name is signed
to the foregoing instrument, having been duly qualified according
to law, do hereby acknowledge that I signed and executed the said
instrument as my Last Will and Testament; and that I signed it
willingly and as my free and voluntary act for the purposes therein
expressed.
Sworn to or affirmed and acknowledged before me by GLADYS
H. KIPPLE, the testatrix, this 2'~ day of June, 1989.
JoI'
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(Notarinl Seal)
Gladys H,_Kipple
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I<C)'w,~q ~;:l'~ ,,':t.,~. ';:',.-:','h~~~
HJnl~~rc. to.; ~':'.'~';::l (CUt~:i'
My CcrJ:trj~!Cn ~~.!.i.; lloJ~ 1,~, 1~:~'Z J
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COMMONWEALTH OF PENNSYLVANIA )
) 55:
COUNTY OF DAUPHIN )
WE, h-aNK 1-. ~kj~Jrl and LllII,{/IA Ill. ....r:;~d".I..
the witnesses whose names are signed to the foregoing instrument,
being duly qualified according to law, do depose and say that we
were present and saw the testatrix sign and execute the said instru-
ment as her Last will and Testamentl that the testatrix signed it
willingly and executed it as her free and voluntary act for the pur-
poses therein expressed, that each of us, the subscribing witnesses,
in the hearing and sight of the testatrix signed the said Last will
and Testament as a witness I and that to the best of our knowledge
the testatrix was at that time eighteen (18) or more years of age,
of sound mind and under no constraint or undue influence,
kV,.; <1 1ft
:L "!.:J. day
Sworn to or affirmed and subscribed be fore me by h"~' k /-,
and -Aj".-l-h~ ,t<. '-r:j. ,'I,"'" , the witnesses, this
of June, 1989,
fh:~~~::~'~ -lC~~~1i4
Witness -
))t.ti ',rl.,.. it/..,. ...1a..u'.k.~j.:'./
Witness
(t:otar ia1 Seal)
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~"'-c, I:',. 1\1 ....( tv..._) l t ,... ~ )
/ 1 Nqtary Public
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SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Plla.1 Print or l' I
F E NUMBER
ATE OF
COMMONWfAUH O. 'fNNSYlVANIA
INHIIIYANCI 'AX .nUIN
I"IDIN' DICtDIN'
CrL 11/)'15
H.
KIIOI"LE
(All pr....rty Iolntlv-own." with tho RIghi .f Survlvonhlp mutt be "1,eI...d Oft Sch.dule '1
ITEM
NUMBER
I.
2,
3.
DESCRIPTION
VALUE AT
DATE OF DEATH
CASH
8' '}..,IO
CL.()THIIVfr
200,00
v-F-lVe L ft'l
'J 00,00
$ SS2.,/O
I""och oddltlonal ew" )( 11'" .hee'l If mor. Ipac. II n..d.d.)
.
IIV.ISotlhIU-IfI
'*
COMMQNWlAUH 0' PINNSYLVANIA
INHUlTANCI TAX 'U!fUIN
.UIDeNT DeCeDINT
SCHEDULE F
JOINTLY.OWNED PROPERTY
ESTATE OF
Fill NUMBER
(;L A D'tS
H, /(lI",oL t:
Join' 'onan'(olo
A, lvlLt. I;",..,
NAME
/-I, KIPf>Lf
- RUATIONSHIP TO DECEDENT
SO~
ADDRESS
'311 HI DDEN VAl-LEy 11'p.
~OCl-/eS TF./f NY 1'1(.2"1
,
B,
c.
'.
Joln,lv-owned propertv.
ITE~R LmER DATE
FOR TOTAL VALUE DECO'S DOLLAR VALUE OF
NUMBE JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST
TENANT JOINT
1. A 7/11/(1'1 7, ITOW!: PltlC.E V, $, /1,021,02 ~O SSIJ.SI
TIt6AScJ~Y f101ll/!'t Mh~l(E1
I-tCCOUIoJT NO, b/oo 21. 'f02-S
ACCITUl!D /^'T. 7/IJQS-7/u/9S JS,OI SO 17,51
2, .lj 7/11/87 lSO II, S. TlfellSu~ y f.l tJlJDS H,!- LfSJ, 12 so 11'-1 72.'. S,
,
IS5VED II/IS /77 MI'oTcJtrl^'G
'1/IS/07 7.875 ?, I A.I r.
P""D 5/IS 4- ^" 0 1/ /IS
I,CC./tVED INT, S/,S/9; - 7/21)11$ 3 Sscl.13 SO , 77'1, 97
J. II '/')./11'1 PIVC "" IV/( ClieC/(IIoJ(, , 8 U, 2' So 3'1'1'1, IJ
!tecT, NO, 51-..,0IS-94'2
~C.CtT Ve /) INT. 7Inl?s- 7/UJh. lj,/7 SO 2.,08
.
TOTAL IAho on'o, an IIno 6, Rocapllulollon) 51'15 481,7'
(IF more 'pace i. n..ded insert additional ,h..ts 01 same ,i,.)
IIVI\III1'I'UI
ESTATE OF
.
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
COMMONWIAI'H 0' 'INNlnVANIA
INHUIfANCI lAX .nUIN
IUtOINf OICIOfNI
crL.A{)'IS H.
I< II" f' 1..1;
ITEM
NUMBER
A. Funtral Expenltll
8,
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
DESCRIPTION
1.
W,
HOME
,
OltVIL.L E
FIJNE,.UIL.
I(IMI'1EL FCJl\le~AL
SettVlCfS
1,
Admlnl.tratlve Callll
Personal Reprolenlallve Comml..lanl
Social Seeurily Number of Personal Reprelenlallve:
Year Commtntonl paid
2.
Allarney Fee.
3.
Family Exempllon
Clolmanl
Addre.. of Claimant 01 decedenl'. dealh
51 ,eel Addre..
Relalion.hlp
City
Slale
Prabale Fee.
J '.OM ""' 0' ,,,.
r NUMBER
AMOUNT
lIVe,
5"2 '15, '0
Zip Code
MI.eellaneaul Expenlell
ftEG'~Telt OF IV/t..L.S OF CVMt'JEttl-AAlO COtlNTr
FII-/N6 FeE IT/! INHEItITIlIv'Ct: r....~ ItE Ttlt?1V
lv'I-I..II\M H, Klfl"l-E . Y"HOTocory E)I f'elVses
I~, 00
2., OS
TOTAL (AlIa enle, on IIn. 9, Roeapltulollan)
(If mare 'pace II needed, In.ert addltlanallhutl of lame Ilze.1
S ~312.,(S
i~:C~
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~f~
1f".
l1Y:,".
t:";,.
.\i;:
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iF
f:1t
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COMMOHwrAUH o. PlNN'''YANIO\
INHflltlHCI JAIII'UIN
IUIOIN'DICtDfNT
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
PI.a.. P,lnt ar T .
FlU NUMBER
ESTATE OF
(,.LIlDY.s H,
K/(:Jf'L.E
ITEM
NUMBER
DESCRIPTION
AMOUNT
1.
H"It~'Sf3vlt(r ffItDIOL.OCr'l /fSSOCIIlTES _ DEBT 0,: Dec,
2'/, dO
2,
3,
'1,
I't/..EtfT f'Hl'lttMItCY - bEeT OF DECEDeNT
SVE CAItIt - DeIJT OF DeCEDENT
'11,38
12,00
MS.TIt~f'(Jt./TItN MEDICAL INC. - DEIJT OF bECED,
153,00
s,
I3L.VE c.ItOSS - I3Lve SIIIe!./:) - IJEIJT 0': D~Ceb.
II j, ,70
TOTAL IAho on'er on line 10, Recopllulallon)
(II mar. 'pace Is n..el.el, ins.rt additional .h..,. 01 sam. sin.)
$ 3"'''.08
. _(v.un ,.. IU7J
.
COMMONW!AtlH 0' "NNULYANtA
INH""ANe. lAX _nU_N
IUIOINT D'C'DINI
SCHEDULE J
BENEFICIARIES
ESTATE OF
FILE NUMBER
ITEM
NUMBER
AMOUNT OR
SHARE O' ESTATE
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
1.
A. TaKabl. B.qUIIIII
wILl-1M,! H,
JLf I-/IP DEN
/'ro(.HESTEft,
ENrl~e
ESTIlTE
klt"l"l-f
VIl!-l-CY ~Q
NY 1""2'1
SON
;
ITEM
NUMBER
AMOUNT OR
SHARE O' ESTATE
NAME AND ADDRESS OF BENEFICIARY
B. Charllabl. and Governm.ntal B.qU'1111
1.
TOTAL CHARITABLE AND GOVERNMENTAL 8EQUESTS (Af.o onter on IIno 13, RocopUulotlonl S
(If more .pac. I. n..d.d, Inllrt addltlanal .h..t. of .aml 1111)
,
,,_ _ ~ 4.... __ ~,
. .
,
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DNo.AA 048t11'(':WF~~~p~tt:!:t~~:R~~~:YLVA~IA; r::::~:- _ '!'
t, , . '. ' OFFICIAL R'ECEI" . PENNSYLVANIA INHERiTANCE AND ESTATE TAX ' : ," "
: ..."..11/....' _
i' -',:;'"..;"
"">'~~~ti '
~
RECEIVED fROM.
&
ACN
ASSESSMENT '='
CONTROL ...
NUMBER
AMOUNT
WILLIAM H KIPPLE
34 HIDDEN VALLEY RD
lut
.t1, uuu. u.,
ESTATE INFORMATION.
eI FILE NUMBER
511 e 1-19915-0606
S NAME Of DECEDENT (lAST)
II DATE OF PAYMENT
fa POSTMAR
COUNTY
'O(OH'"
ROCHESTER NY 146e4
BSN 1915-07-715S9
IFIRSTI (Mil
DATE OF DEATH
WILLIAM H KIPPLE
m TOTAL AMOUNT PAID
REMARKS
/
REGISTER OF WILLS
\ ",' " n _ _7"'": _ _ _ .)
RECEIVED BY //( /Id.f/! . .".J,>H~.:.1 .r:J.:....
-.:/ SIC!NATURJ /.~ _;.:_ " ),,'"
i/ ,,<) (.1"../. "-,J
MARY C. LEWIS
REGISTER OF. WILLS
-a.000.07
DO
SEAL
CHECK" 671
/
/
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REV-1547 EX AFP (12-94*
COtttOIMAl TN (W" POMYLVAHIA
DD'UTlD'T DI" R[Y[)U;
IURUU Of INDIVIDUAL TaKEI
DlPT. tlUIl
HARAIIIUAG, PA 17l11.,'al
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
ACN 101
DATE 11-06-95
FILE NO.
DATE OF DEATH 07-20-95 COUNTY CUMBERLAND
HOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUlfT, SU8ltIT THE U~~ER I'ORTION OF THIS FORN WITH YOUR TAX
~AVHENT TO THE REGISTER OF WILLS. HAXE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
WILLIAM H KIPPLE
34 HIDDEN VALLEY RD
ROCHESTER NY 14624
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
AIIount RHIt tM!
CUT ALONO THIS LINE ~ RETAIN LOllER PORTION FOR YOUR RECORDS .....
iiE'lj: iii'4riif"AFP-iiZ":94Y-iliffici--ciJ;-i-riiliiiii'iiNcE-YAx-A-PPRA'isiifiili'-,--AL.i."ciwANcE-oli-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF KIPPLE GLADYS H FILE NO. 21 95-0606 ACN 101 DATE 11-06-95
TAX RETURN WAS' (X I ACCEPTED AS FILED
I I CHAHOED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I E.t.t. ISchedul. AI III
2. Stock. and Bond. ISchedul. BI 121
S. Clo..ly Held Stock/p.rt...rahlp Int.r..t IScheduI. CI 151
~. Horto..../Hot.. Rac.lvabl. (Schedul. DI (~I
S. Caahl88nk DepoaUI/Hhc. P.r.anal Property (Schedula EJ (S)
6. Jolntl~ Dwnad Propart~ ISchedul. FI 161
7. Tr~.f.r. (Schedule OJ C7J
a. Tot.l A...t.
.00
.00
.00
.00
5S2 . 10
145.481.76
.00
tal
146,063.86
APPROVED DEDUCTIONS AND EXEMPTIONS:
5,312.65
9. Funaral EKPen.../A~. Coat.mllo. Expen... (Schedula HJ (,)
ID. Dabt./HortGag. Llabllltl../Llan. ISchedul. II 1101 399.08
11. Tohl DaducUon. 1111
12. Hat V.lu. of T.. R.turn 1121
IS. Ch.rltabl./Dov.rnaant.1 Oequolt. ISchedul. JI 1151
l~. Hat V.lue of E.t.t. SUbject to T.. II~I
NOTE: If an aDDaDD.ant waD iDDuad praviouDly, linoD 14, 15 and/or 16, 17 and 18 will
rBflact figureD that include the total of ~ returnD eDDeDsed to dete.
ASSESSMENT OF TAX:
IS. ~t of Line 14 at Spou..l rat. (15)
16. A.ount of Line 14 taMabla at Lin..I/CI... A rat. (16)
17. ~t of Lin. 14 t.M~I. at Coll.t.raI/Cla.. 8 rat. (17)
18. Principal Tax cu.
1;.711 7:01
140,352.13
.00
140,352.13
. DO X' DO.
140,352.13 X.06.
.00X.15.
1181
.00
8,421.13
.00
8.421.13
TAX CREDITS:
PAYHENT
DATE
08-10-95
RECEIPT
NU"BER
AAD48111
DISCOUNT C'I
INTEREST C-I
421.06
AItDUHT PAID
8,000.07
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
8,421.13
.00
.00
.DO
. IF ~AID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN '1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FOHN FOR INSTRUCTIONS. I
f-
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GO
REIDYAIIONI E,bt.. of decedent, ctwlnt on or M'or' ~r 11, .'11 .- Sf MY future In,.,...t In the .,tat. 1. tren"lrrlld
In po.....1on or -njo~t to Cl... . Ceolletar.l) bene'lo..,... of ~ ~t 1ft.,. the 1.1,..tlon of MY ..,.t. for
11'. or for y..r., the C~.1th Mrllby I.UUtv UMrY" the rlllht to IPPr,'" ... ...... tun,'.r IrlMrltWlCI Tax"
at the I,-'ul el... . Ccolllt.r.l) r.t. on ~ .uch future lnt.r..t.
P\IIPlISE OF
tllllCEI To luU111 the ,...,1,....". of Section 1141 0' the Jmerlhnce Md [It,t. fa Act, Act 21: of 1991. 72 P.I.
IMUon 1140.
"'nEXT1 Detach the top portion of thh MoUce ... .w.lt with YOUr" p.~t to the A....t.r of MUla pr1nt~ on the rwerte ,...
....... -=heck or .,.,.y or.r p.~l. tal REGISTER OF MILLS, AaEKT
All ptIPMtl rHalved ...U Ur.t be ...11... to "'11' Intar..t which -v be dull with ..._ rMelnder IIPPlJed to the tax.
RUUND (CAli. nfwtd of . tu cr.1t, -.Ich .... not r.....ttld on the Tn A.turn, .., be ,....u..,.. by c...l.U,. WI -AppllnUon
far Refund of Penn,vlv",.' Inherlt~. ~ E.tet. 'ax" (REV-ISIS). Appll~tlon. el'" ~II~I. et the Dfflc.
of the A..I.t.r of Will., ~ of ~ 1) AIVInUI al.trlat Dfflc", or bv c.lllng th4 specl.1 24-hour
In.wlrlng ..rvlc. nueblr. for for.' orderlngl In PInn.ylvenl. 1-IOG-S6I-Z0SG, out.lde Penn.vlv~l. ~
Ildthln local Hlrrllburl '1"" (711) 717-laM. TDDt (711) nt-un (....rlng J..lred DnbJ.
DLEClIDNSI Any p.rty In Intlrllt not ..tlsfled with ttM ...ral..-nt, IU__ 01" dt..Uownce of dlckM=t1on., or .........,t
of tax (Including dllCCd\t or tnt.rllt) .. show! on thl. NoUe. ...t obJlClt within .h(ty ('U day. of racelpt of
thl. Hotlc. bYl
--wrlttln prot..t to the PA Dap.rm.1t 0' A.vlnUl. IoIrd of AppeIh, Dlpt. 211111. Hal"rllburl. PA 17UI-1I11. OR
--election to MYe the .tt.1" det.r.IMd It MMlIt of tt. KCOU'lt of the paraonal rapl".....t.Uv.. OR
..."..1 to the Drphln.' Court.
AD'UM
IITOllVE
CORREClIDHSI
Feotuel .rron dllCov.red on this .........t shoUld bI 8ddr..iIId In writing tal PA DIp.rtNnt of AIVInUI,
lureau of Indlvlduel T...., ATTHI Po.t A.......nt A.vl... unit, Dlpt. 110'01, HarrisbUrg, PA 171'.-0'01
Phone (717) 717-6501. 5.. p... S of the bookl.t "In.tructlon. for J~rltanc' Tax A.tum for I A..ldlnt
Decldlnt" (REY-IIOI) for In .xpl~tlon of ~lnl.tt.tlv.lY correctable '1"1"01""
If any tn due II p.ld within thr" (S) Alandlr IlDnth. .ft.1" the daudlnt'. dMth, . flv. parc...t (n) dhcOWlt of
the tax p.ld I, allowed.
D I SCOlI(T I
IffTOflTl
Int.rllt I. chIraad begl,..,l". with first d.y of del1nquancv, or nll1ll (,) IlDnth. ~ OM (1) day fl"_ the dIIt. 0'
dMth, to thl dlt. of p.vaant. Tu" whIch __ delinquent blforl Januery I, 1911 bear Int.rllt at thl rlt. of
... (62) percent per .....u. Cllcuhtld It a dilly r.t. of .0001604. All tax.. Wllch bec_ dlllnquant on and aft.r
J....ry ., 1911 ..Ul M'" Intlrllt It . nt. which wUl Vlry froe C11land1.. veil" to c.landl.. V.... with thlt nt.
announcld by thl PA DIp.rtNnt of A.v~. ThI appllcabl. Intlr..t ret.. fa.. I'll th..ough 1991 '1""
~ Int.r..t R.t. a.llv tnter..t Factor !!!!' Int.r..t R.t. Dallv tnt.r..t Facto..
.'11 ..X .GUMI 1.17 OX .IUl47
1'" lOX .uoO. 1'11-1". IIX .UOSII
1'" IIX .OUsal I"' OX .IUI47
1'15 ISX .OIOS56 ."S-I994 n .GUIU
I'" I'X .un7" 1"5 OX .UOZ47
utnt.r..t I. cllculltld .. follow..
IKTEREBT . SALAHCE OF TAX UNPAID X HUftlER OF DAYS DELINqUENT X DAILY IKTEREBT FACTOR
._Any Notlcl l.~ I,t... the te. bIc~. delInquent will refllGt ~ Int.r..t cllculltlon to fifteen (11) dly.
bII.,and the All of the .........,t. If p'weent .. Nell .ft.r the Int.rllt CDlPUt.Uon dlt. IIhown an tM
Hotlc.. 8ddltlonll Int.rllt .u.t be c.lculltld.