HomeMy WebLinkAbout95-00607
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,~:,II~,'l,.,:.'.I\ II-IIIEIlITANCE TAX RETURN
IlESIDENT DECEDENT
lOMI.\<JIIWI^,""JI'"I1""V""^ (10 DE FILED II" DUPLICATE
IIfMlIlMtllI ur 'n.VlInll '\I '1
"" ""',,' WIll' REGISTER OF WILL) -I
1l^"PI5Dunn r^ 1/120 owl 5
="-~~~~=-'nrllljiHF!ll^mli~ir.ifftii:-^IIf,li,lfUl Iljifi.ili . . PltIPml'I~::~~~DEIIl YEAR
15 (3 ,'(y, (l, V , ,1.( 'I. 1) ''- C:.!) f:. IJ N] fl ; ,J (.. ., C ~ <t oJ ~ t... /... .J)'l filL
; !tl1l;l;[WI'Ii~u;m.36'c'.. "t IP~f.~r;~~- u;r;/"';,- CA Nf' IJ( L " A,. 1"7" I'
-- 1; - '1'~~~:'~III:;:'--- 1:1 2. SU"III,llllolllul KoluIn COIIIII \J 0'3 {3'LnL-A INd R
., ~ . .mo n .r .Iurn
I1...U II' I I-I (fordoIOlord'0Ihprlor'oI2.13.07
~ ~o ~ 'I, hulled hlulo _ duo rUIUfO InlDlo.1 Compfollllla 05. Federpl Ellol. Tax
U&;;;1 1'1 . liar Jule. of dealh ollar 12.12.821 R.lurn Rlqulred
~ . 6. Uf!fl'llnlll Ulflt.llolllllo I] 7. Decedont Maintained Q lIvlno Trull
__t..__,_ ._...__I!'"udl.~~_O' Wllll______ 1^lluth co I of Trull _8. Tolol Number 01 Safe Oepotl' 00"1'
I mtr"t.'~~.ESPO!I~NC_~'.I!I!!EC:'!,"~'!'!IIIII\L T^.X INFOn AT 0 S 10 D E RECTE, lOiU,,,", t., ". ." ,,'" 1:\, II
UJ ffi . . rol.\fl!lrmnr~~Ulrh.
:1i Q L.A...J 1((1-'(,( .S. (3,c.1<L.~o.,I' <J CUI!,.J "',-c..- J)(.'"'(,,.
o z l!I[fIIuIlfJIIIIllW-'--' I- C. <1 f' /I (-QLL
UO .,.,"'1 Nfl... ,-.-.'"1UlI
__~._ _L1.L:LL :J.:;J '7..!.1' 7.iL- I
.._ .,_ ~_.____._.., __d' __. ____..__.__ _...:;::o~_
fl(VBlIlJUt nl911
I. R.ol ElI"I. (Slilll,lulo AI ( II
2. Slo,h ",,,I nOIll/' (5d,od"lo n) ( 21
3. Cfolofy Ifold Sloek/Pm'"olllolp h,lo'.II(5c1,oduf. C) (31
~. Mo,'uuuoI ""d Hol.. Reeol,abfo (Selood~le DI ( ~)
5. COIIo, Dunk 001'0111. & Mheolfu"oou. POllollol Plop"lyl 51
(Se lodulo q
6. lul"lIy Ownod Plope'ly (Scllodulo r)
7. T,o,,,foll (5ehodul. G) (S,hodufo I)
O. Totul Gron Anoh (lolullll101 1.71
9. runolOl EJlIIOIIUII, Aflrnlnhlrallvo COllt, Mhtellunaoul I 91
brolllos (Schedule fll
10. Dolo". Mo,lgooe lIobUIII.., lien. (ScI,odulo I)
I'. T olof Dod"crl.n. (Iolu/II".. 9 & 1 01
12. Not Vulllo of Ellale I"no 0 minus 11110 11t
13. CIlurlll1h1o tlml Oovolllmolllo1 Doquolls (Scllodulo JJ
.___,__ 1~..!:!~'0~ulol~ello Tu. (11110 \2 IIII"UI If". IJ)
15. ^lIlounl ur 11110 IA IUlluMo ul 6% Hlln
(1lldudo vultI''' hOIll Sc.llodulo K or Sdlodulo M.I
16. Amoulll vr Ii no lA IU.ltuhlo (II 15% rula
(Includo vuluol f,olll Scllodulo K 0' Sdlodulo M.)
17. PlllldpalluJl. dualAdd lox from 11110 15 and hOllllln. 16.)
10. C,odlls Spousal Poyorly C.odll f',lor "aymollts j (~~COUl1t
+ + ~\-~O
19. If IInll 10 Is uroolo, IlIul1l1l1o 17, C11l10, Ilia dlrlo,cllco on IIno 19. This Is the OVERPAYMENT.
Pi.11[II;ronlmmIJa1~i\!UU1iltli"tlmml!ilill.III.'l"'llllillJIUiJlllI
20. II ",,0 17 II 0"01., ,loon II". 10, o"ler ,h. diff..."eo on IIn. 20. TIoI. II tlo. TAX DUE.
^. Enlor 1110 Inlo,oll 011 1110 balanco duo all 11118 20A.
n. E"I., ,he 10101 .r 11110 20 o"d 20A on IIn. 200. ThI. I. 110. BALANCE DUE.
,~a~le Ch.,1o Pnyoblo 101 neoh'or 01 Will., Aoenl
... .__,_....__.___....!t."t BE S~!I.E to -^-!!~\"!r:~ !.'!:L..<!UESt.!,ONS ON REVERSE S!~l"'ND TO. RECllECK MAT"~~:Iir::,;:i}~~;",)\:H'j~.
UllIlrr plltlulllro, 1)1 pml"I)'. I dlldllle a;;;,IIIU'tIfI nllvml""tllllh 'Ohllll, Including octolnpon)'ll1g "h.dul.. and slol.menls, and 10 the b.1l of my knowlodge onll bell,.
Ills IIUo, COli Ill! uml rUlllpll'ln. f dCtcllllo tlrol nil ,onllnllll" 11IIS 110011 repolled olllu, Inalkol yolu.. D.cla,atlon of prepar.r olll.r Illon II.. p.nonalrepr...nlall,.
baloJ till tlllllllolllllllioll "I Vlhl'.IIII1t'fIOlor lUll lIllY ~llowfotlll'"
~liil}51UUor HAlO[, mfon!iH~ftlillflil ftIlU;r,--- ^uUlm
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'OR DATlS 0' DIAlII AnlR 12/31191 CIIICK IIIR'
I' A SrOUSAL
rOYIR" CUDn IS CLAIMED 0
Fiii'ifuMBIR
9s
fDo7
UUMB[I
J 'f :rl~, fro
O:t'i. 71r
161
l 71
~.~ 00",. ft
I 01
11 >.:>'1<'. '7 7
(10)
11 .))j, 1', 77
1/77/...G'/
(111
(12)
(13)
Il~1
If i 7~, '(I
70t...'l.
(15)
1/77L f'1
x .06 a
(16)
X .15 a
1171
7o'.St..
Inl....1
3';; .~o
(18)
(191
(,.'71. J. L
7 at. ~-t;
(201
(2M)
(2091
(,1'. ) ,
-10/'. &",-
/J UOll
....oR(<!(, CriM' f./,L.... r{l,. 71.).11 qj-
, liAlI '
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UfAUo
ITEM
NUMDEn
A.
1.
D.
1.
2.
3.
I~';~
COMMOUwrAlll1 or rrlHlSYlVAllIA
nlllrRlIMICllAX RlIUIlU
RrSIUUl1 D[C(OUlI
('-Ill .D "U..P
1(.
SCHEDULE ..
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
1'100'. 1',111' or T .
f!l[I1lUMDl
f?J : c. ,< L E..
DESCRIPTION
FUlloral Ex"on.o..
fit ~THLMvf\(. I- oJ,.j (-"..I\t.. J), It oL......ot\"
('avs('E,...-'- /J/l..t. c...: '" ~ ,EftY (0 ()~..J G'lAH:.)
1'(!<.lSt"tL"T" ,JIL... C~-'1{,(/ti (llJ~Tnl.'" H'3fZl<.('~
fl... J. ~u Ii ,H.tC.ot'L. C MI) ~/(,o~)
Admllll.lrallvo Co.11I
Porsollol Roprololllllllvo Commhllolll
Social 50curlly Numbor 01 Porsollol Roprololllollvo.
Yoar Commllllolll paid
Allornoy fool
family exampllall
Clahnalll
Add.oll 01 Clahnan' 01 docodonl'. doalh
51.001 Add roll
Cllr
A. Probalo fool
C. Mlltolloll.ou, Exponn..
,
1. N~!) I Lt'\'l.-
2.
3.
A.
5.
6.
7.
O.
Rolollonlhlp
51010 Zip Codo
TOTAL (Aha .nlor on IIno 9. Retopllulolloll)
III moro .paco Is n..d.d, In,ol' oddlllonol .h.... 01 .om. .1...)
AMOUNT
'1 ~G,l',~o
is-o.I.l'-
~:l9. 'a
~'Ut.>,Uu
,,),\1 00, ""
{:i-'. )..7
S ""-~l.
.''1' IIUII. '"'1
I
SCHEDULE J
BENEFICIARIES
I
~,'~
COMMOtI'wIAUIl or '''lllhl~.A''IA
1II11IIIlAIlCfIAI.IIUlt,
1Il1l1lt1lCIIUOIIII
L..--__
ESTME or
M /l.DIlL" r<..
rilE NUMBER
(3 : <:... I<. U:.. '
ITEM
NUMDFR
NAME AND ADDRUS OF BENErlC'ARY
RELATlONSIIIP
A. lOllult'o o,qU'llll
I.
13 f U(,tL7 J. JJ UI3t: IL
..AUCJ.,,) flLI.HI'l,.J 1'7.1,,-,
-J./"lCH'::. -r....,,/J N.o. .,) n~o
,
..DING IITl,,-
..JONAL.O c. t:;"c.IC..L.<:'7
77Lf' {'61 t'L /r1...i:(.. L:.tt-,.JL
W fj-,f.juc,,\- "'VAOKf-H 7(,/1.{f'
I
So...!
L.f.}U_JlUL" t. f.. s.
'i Co ,z.,.,~ I...L
(,fll\jt" WI"L
,
B ~ c. KI...'C.'/
J)~,o.J<:"
P Ft . I 7.0 1/
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
n. Cllal'lahl. and Gavernm,nlal D'qultrJf
1.
TOTAL CIIARITABlE AND GOVEnNMENTAl BEQUESTS IAI.o en'or on IIn. 13, RlCopll.lollonl S
III n,o.. 'POCllt "..d.d, In...' additional .hll" of .am. .1..1
AMOUNT OR
SIIARE OF ESTATE
13
'/3
//3
AMOUNT OR
SIIARE 01' ESTATE
,
,
-. .- -.' .-. ..-..
~ -----~. ~- '.---~~~\~t--._..'(~ --~~-:~---:~,~- '__ _:~--
r. '~:~0481!t.'.:J"~i'5..~~~~~::'';W~":'''i!0&j1
J
I,
i'-
i I
I!;'
'I ,
,
RECEIVED fROM,
&
ACN
ASSESSMENT
CONTROL
NUMBER
li1
AMOUNT
LAWRENCE S. BICKLEY
9 CORNELL DR
/"
"'()(OHfll
\
CAMP HIll PA J70JJ
JOJ
.67J.1!6
--
--
"
ESTATE INfORMATION,
m fILE NUMBER
U J _ J 9915-0607
S NAME Of DECEDENT IlAST}
11 DATE Of PAYMENT
S POSTMAR
COUNTY
SSN J915- 7-3869
If/RSTI IM" .
'Of o Hili
Can not .t"eal2
DATE Of DEATH
REMARKS
SEAL
l S BICKLEY
l':J TOTAL AMOUNT PAID
CHECK,. J1515S
-------------.---------.---.-c__-_--_______.-- _.-:'_.;;---"
"'1' I"
I
REGISTER OF WIllS
RECEIVED BY --! Ii ", . ," :
, SIGN"rUlI:e_,
, ";r
.,.... ;'r" "J.
MARY C. lEWIS " _ ,
REGISTER OF WIllS
....?1-E!6
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J REV-1547 EX AFP 11Z-94*,
COtItONW!ALnt UP' PfMfSYLYAHIA
DEPARntEHT Ilf' RfYOlJE
IlltUU Of' INDIVIDUAL TAXEI
DEPT. liD".
HARAJSIURO, PA 17111.0'Dl
/5 ,.;q - J3
(/
ACN 101
NOTICE Of INHERITANCE TAX
APPRAISEHEHT, ALLOWANCE OR DISALLOWANCE
Of DEDUCTIONS AND ASSESSHEHT Of TAll
DATE 11-06-95
o FILE NO.
DATE OF DEATH 06-08-95 COUNTY CUMBERLAND
NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUIlHIT THE UPPER PORTION Of THIS fORK WITH YOUR TAll
PAYHEHT TO THE REGISTER Of WILLS. HAKE CHECK PAYABLE TO "REGISTER Of WILLS, AGENT"
REMIT PAYMENT TO:
LAWRENCE S BICKLEV
9 CORNELL DR
CAMP HILL PA 17011
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
Mount R_lttod
CUT ALONG THIS LINE ~ RETAIN LOIlER PORTION FOR YOUR RECORDS ~
iiEV:is'4"i"EX-AFP-iiz:94Y-iiii'ficE-.OF-YriiiEiiifAiicE-'fAX-jipjiiiiiiiiEiiiii'i'-.--Ar.roiiAiicE-iili-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BICKLEV MILDRED R FILE NO. 21 95-0607 ACN 101 DATE 11-06-95
TAll RETURK WAS I I X I ACCEPTED AS fILED
C I CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R_l E.t.to I~lo Al ell
2. Stock. and Bond. (S~lo Bl 121
S. Clo..l~ Kold Stock/P.rt..rohlp Intoro.t (~lo CI (51
It. HortgagllI/Hot.. Recah.tll. .Schedul. OJ (4)
S. Caah/lank Oepaalta'Hllc. Par.onal Pr~rty (Schedul. E) (S)
6. Jolntl~ Ownod Proport~ eSchodulo fl e61
7. Tran_fara (Schedule G) (7)
8. Total A...t.
.00
14.275.80
.00
.00
8.729. 78
.00
.00
CIl
23,005.58
APPROVED DEDUCTIONS AND EXEMPTIONS:
t 11.228.77
9. F~r.l EMpan.../A~. COI a/Hlle. Expan... (Schedule H) (,)
10. Dobto/Hortoooo Llobllltlo./llon. (Schodulo II 1101 .00
11. Totol Ooduotlono 1111
12. Hat Value of Tax Return (12)
IS. Ch.rltoblo/Co.ornoentol Bo""..h ISchodulo Jl IISI
14. Hot V.lu. of Eotot. Subjoot to Tox C141
NGTE: If an aBBeBBMont waB iBBued previouBly, lineB 14, 15 and/or 16, 17 and 18 will
reflect figureB that include the total of ~ re~urnB aBBeBBed to date.
ASSESSMENT OF TAX:
15. Aaount of Lina 14 .t Spou..l rat. US)
16. A~t of Lln. 14 t.~ab1. at Lln..l/Cl... A r.t. (16)
17. ~t of Line 14 ta~abl. .t Call.t.r.l/CI... 8 rat. 117)
1a. Principal Tax Due
11 . "8 77
11.776.81
.00
11,776.81
.00
11.776.81
.00
X .00.
X .06.
X .15.
1181
.00
706.56
.00
706.56
TAX CREDITS I
PAYHEHT
OATE
08-15-95
GISCOUNT l+ I
IHTEREST C-I
35.33
RECEIPT
HUlIIl ER
AA048116
AHOUNT PAIO
671.26
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
706.59
.03CR
.00
.03CR
. If PAID AfTER DATE INDICATED, SEE REVERSE
fOR CALCULATION Gf ADDITIONAL IHTEREST.
I If TOTAL OUE IS LESS THAN '1, NO PAYHEHT IS REQUIREO.
If TOTAL DUE IS REfLECTED AS A "CREDIT" (CRI, YOU HAY DE DUE
A REFUHD. SEE REVERSE SIDE Of THIS fORK fOR IHSTRUCTIOHS.I
,,-
G\
I
u.:
~J \
.-~ ::>
'J(,)
AUONAnONt [.bte. of ~t. ctwlnl on or before o.c-ber 11, 1911 ..... If MY tutur. Int.r.1t In the ..t.t. I. ,,..,sflrred
In po.....lan or enJopent to CI... . (coUlhnU beneflcl.r'l. of the IIK...,t ,ft.r the IXPlr.tion 0' MY ..t.t_ 'or
11ft or for v..n, the C~.lth ..,.by .xpr."lv r...rv.. the rllltlt to 1IPP,.I.. .-I ...... '''WI.,.r J....rlt.-.c. Tax"
.t the I.,ut el... I (colll,.nn nt. on MV MKh 'utur. Int.r.lt.
PURl'CISE Of
MlTlCEI To fulfill the ,.....,....... of Seotlon U4D of the Inherlt.ncl Ilnd E.tat, Tax Ad, Act n of 1"1. 7Z P.I.
s.otlon UU.
PAYItDfl'I DetKh tN top portion of tnl. Motle. .net IlMlt "Ith yaur p.~t to the R....l.,. of wn.. printed on the r.wr.. ..tM.
ntWtl dMck or IIOMY order p.ytiQl, tal REaISTER OF MILLS, AOEH'I'
AU plv-ntl r.ulvM -.11 fir.' t. eppUed to ..... Int.r.1t which My be ckM ..Ith MV r_lndlr IIPPUMi to the tu.
REf1ICD (CA)I A r.knt of . talC credit, tfhlch v.. not ,......ted on the Tax Rltum, ..y be ,.qullt... by cDllPI.t1ng WI "Appl1Atlon
for R.fund of Pennl,lv.n11 .nMrlt.-,ca .... [,ht. ,.... (REV-UU), Application. .r. ..,.11_1. at the OfUca
of thII Aqllt.r of WUh, ..waf th8 U AIV___ ahtrlct offlca., 0.. bw celllng ttM .".clal 14-haUr
..1W8r1ng ......,Ic. ,.,...n fo,. fo,... o,.derlng. In P8IW'svlv..l. l-IOO-HI-IOSD, out.hlll P8IW'1Y1v.n1. ..
Mlthln local ..,.,.hburl .r.. (717) 717-1094, TDa. (717) nl-U52 Utea..lng 1..lrMl Onlw).
OIUECTlONSI ArW p.rtv In Int.....t not MthUMI ..Ith thII ...,..I......t, .UDtif8ftC. 01'" dl..UDWWMl8 of cMductlon., 01'" .........t
of talC lIncludlng dllCCU1t 01'" Inhr..t) .. IhoWl on this MoUc. ..." obJact ..Ithln .bty t6U dIIy. of rKelpt of
thl. Notice bWI
....r1U.. prota.t to ttM PA Delpart-.nt of Aav""", aoa..d of appuh, D41pt. 211121, "I"'rhburl, PA 17UI-1011, OR
..aleotlon to h.va the ..Ual'" cMt.r.lned at IUdIt of ttM IlCCCU1t of the ~r'DnIII r...rIHnhtlva, OR
.......1 to the orphln" Court.
AllIUM
IITRATlVE
COAA[CTlDHSa
hctUll .rron dhconrMl on thh .........t shOUld be 8ddr...MI In wrltlna tOI PA Dep...tMnt of Aev"'"
Dur.... of Indlvlctu.l T...., A""I Po.t b......"t R.vl... Unit, IMpt. ZlG6Dl, n.rrhburl, PA 17121-0601
PhoM (7171 787.6505. 5.. pltgI 5 of ttM bookl.t "In.t..uctlon. for Inhlrltsnc. TalC ..turn for' ...hlsnt
DlCldent" (REV-15011 'or .. 'kPl~tlon of ~lnl.tratlv.lY corract_l. .rror..
olSCOlMT I
If ..y tu due .. p.ld M!thln th,... (51 cal""''' MJf1th. .'h" thI dKadant.. du\h, a flv. plrcent U%I dhcQU1t of
thII hll p.ld Is .Uowsd.
Int.r..t I. charged ~IMlng ..Ith fl...t MY of dellnqulf'lCW, 0" nlntl ('I aonth. .. ani (11 dIIy fr_ thI dIIt. of
..ath, to the dati of pav-ent. T.... which bee:.-. delinquent be'or. Jlf1UIrw 1, 1912 bear Intara.t .t the ...t. of
.IK "in plrcent pi" IIW'IUI calculatMl .t a dally nt. of .000164. AU t.Il" which becaeI cMlInquant on .. aft.1'"
J.nusry 1, 1'81 Mill ba.1'" Int.....t at . I"'.t. which ..Ill vary 'ru. calendar y.al'" to c.lender Y"" with that r.t.
W'nOUICsd bW the PA o......t....t of ..v......... The appllc_l. Int.r..t ...t.. '0" 1'12 \hr","" 1995 ar"
INTEREST I
~ tnt...." Rat. DaUy Int.r..t Fector !!!! Inh..." R.t, DaUy Int.r..t Facto"
1912 'OX .000541 1'17 'X .000247
.'15 1" .000U8 I'.....". llX .00nDl
"14 llX .oono. '''. 'X .000nl
1915 ISX .00DSS6 .995-1994 1Z .000191
".. lOX .000U4 1'" 'X .0002'"
--Intlr..t II c.lculatld II 'ollOM'1
INTEREST . BALANcE OF TAX VKPAIO X HUnBER OF OAYB DELIHQVEKT X DAILY INTEREST FACTOR
.-Any MoUc. luued .ft.r ttM taM becDIM' dlllInquent MUl nfJact en Inhrelt calculaUon to ,1ft..., US) d.y.
bayond the date 0' the ........,t. If p.,..,t Sa .... .ft.r ttM Int.r..t COllPUt.Uon date IhOliln on the
Notice, Ilddl tlond Int.r..t ...t be c..cul.tMl.