HomeMy WebLinkAbout95-00721
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llNHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
Irv.l500 EX. 11.9'"
+ +
20. If line 1911 grealer than line 18, enler Ihe difference on line 20. Thlllllhe OVERPAYMENT.
IiID
21. If line 18 h grealer Ihan line 19, enter Ihe difference on line 21. Thllllthe TAX DUE.
A. Enter thelnlerell on the balance due on line 21A.
B. Enler Ihelotal of line 21 and 21A on line 21B. Thll IIlhe BALANCE DUE.
Make Checle Pavable tOI Regl,'e, of Will., Agen.
>- >- BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH ~ ~
Under penahiu of perjury, I declare Ihal I have examIned Ihll relurn, Including accompanying Ichedules and slolemenh, and to ,h. bllt of my ~nowledge anc4 belief.
Ills true, correct and comple'e. I declare Ihot all real"lot. has been reportecr at true market value. O.clara'lon of preparer olher than Ih. pellonal repre"nlalive II
baled on olllnformollan of which pr'parer hal any ~nowledge. _ )
SIGNATll f Of PUSON Jf~'ONSI'l( fO. fl NO .ttU.H/J ~OO.U~~, ,...";0. ..-_c - .....y....~~ OA.H ... _ ._
/J _~4"J-n, ...&7t:. '-)':n,A~<,-Ju~,-;r'-L a......u...P,_ . _ ?'~? 9----,
'>1l~A1U" 0""'.... OTN" ""N """'NlAlIV' '00"" (}' ') ?',~~;~ D'~ ~" ,/;
......l......J.- ('.~.......... lutJ C.L..::t",~1 _r::i Sv.-'t... 2,67 JJ6-H'W&a.j fl..... 17/v! -f'dl'/f,S
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l!J 1. Original Relurn 0 2. Supplem.nlal Retur"
o 4. lImlled Ellale 0 "0. future Inler..' Compromise
(lor dot.. a' d.Dth aft" 12.12,82)
o 6. Decedent Died T"lale 0 7. Oecedenl Maintained 0 living Trust
(Alloch copy a' WillI (Allo,h copy 01 TrUll)
ALLCORRISPONDINCI AND'CONPlDINTlAL TAX INPORMAnON SHOULD BE DIREcnD TOI
NAME COMPIln MAllINQ AOO.U~
J\drienne M. Nailor 312 Brandy Lane
TUfPHONE HUM'" Meehan! b Ph
236-8015 CS urg. 0'0
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COMMONWfAl1H Of 'ENNSYlVANIA
DEPAIlTMENT Of UVENUI
0"", "0601
HAIIIIIUUIIG.'A 17 2'.0601
Ole DEN 'I HAMf (I AS . flU . "'NO 10'1001 INI IA I
Harle. Elizabeth Coble
lOCIAI lieu. III HUM'" DAU Of DfAIH
172-24-9436
7-8-95
I" ""IIUIUI 'UIVlVIHO SPOUII'I HAMIItA". fII" AND /IIIIDPI.' IHIIIAII
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1. R.ol fllot. (Schedul. A)
2, Slack, and 80nd. (Sch.dul. B)
3, Clo..ly H.ld SIDc~/Portn...hlp Int.r.'I(Sch.dul. q
... Mortgage. and Not.. Receivable (Schedul. 0)
5. COlh, Bonlc Oepall" & MIIt.llaneaul Penonal Property
(Sch.dul. EI
6, Jointly Own.d Prop.rty (Schedul. F)
7, Trani'." (Sch.dul. GI(Sch.dul. L)
8. Tolal Gron Auet. (loloIUn.s 1.7)
9. funeral bpen..., Admlnblralln CosII, Mllcellaneaul
bpen"l (Sch.dule H)
10, D.bll, MDr180g. L1oblllll... L1.nl (Schedul. I)
11. TDlol D.ductlonl (10101 L1n.. 9 & 10)
12, N., Volu. of Ellol.(L1n. 8 mlnUl L1n. 11)
13. Charllabl. and Governmental Bequ..h 15chedule J)
14. N.I Value Sub eet to Tax lIn. 12 minus Une 13
15. Spavin! Tranlfe" (for dol.. of death after 6.30.9")
5.. Inltructlons far Ar.pllcable Percenlage on Rey.".
Sid.. Ilndud. valull ram Schedule K or Schedule M.)
16. Amount of line 1.. taxabl, at 6% role
(Include yolue, fram Schedule K or 5ch.dule M.)
17. Amounl of LIne 14 la.able 01 15% role
(Includ. valu.. from Schedule K or Schedule M.)
18. Principal taK due (Add tox from lIn" 15, 16 and 17.)
19. Credill Spousal Poverty Credil Prior Poymenll
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'OA DATIS 0' DIATH ArTlA 12/31/91 CHICK HIAI
" A SPOUSAL
POVIATT CAlDIT IS CLAIMID 0
PILI NUMBIA d<) - 95 - 7.:J I
S.S. l72-24-9436
COUNlY COOE YEAR
D Cl IN" COMPlE I AOOI
NUMBER
213 Meals Drive
Carlisle, Ph 17013
COIIII' CUrborland
AMOUNllIClIvlO IUE INlI~UClION'1
DAU or IIUH
9-4-06
N/^
N^
o 3. Remainder Return
(faT dol.1 0' d.Dth prior 10 12.13,82)
o S. Federal Ellol. Tox Relurn R.quired
Q... B. Tolal Number of Saf. Deposit Box.,
l7055
....,
(1) -0-
(21 -0-
(3) -0- \..l
(41 -O- r-I
'':
(51 -0-
(6) 12.463.00 ,..
.;/ 1'."
(7) 689.00 ,~
~
(8) 13.152.00
(9) 1.011.00
(10) 1,853.00
(IS)
(161
(17)_
-0-
10.288.00
(11) 2,864.00
(121 10.288.00
(13) -0-
(141 10.288.00
)('-- _r
)( .06. 61"1 ..,W
)( .15 . -0-
(18) 1i17 7R
(19) 32,48
(201 -0-
-0-
DllCaunt
32.48
Int"..t
ChucJ.: hCfU if you ow ruquulting a refund of your ovurpaymcnl. .
(21)
(21A)
(2181
584.80
-0-
584.80
_ ..-. ..- ......... .~, ._-.
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Act '48 of 1994 provld.. for the r.ductlon of the tox rat.. Impo..d on the n.t valu. of transf.n to or for
the u.. of the .pou... Th. rat.. a. pr..crlb.d by the .tatut. will b.1
. 3% (.03) will b. appllcabl. for ..tat.. of d.c.d.nt. dying on or aft.r 711194 ond b.for. 111196
,
~
. 2% (.02) will b. appllcabl. for ..tat.. of d.c.d.nt. dying on or aft.r 111196 and b.for. 111/97
. 1% (.01).w1ll b. appllcabl. for ..tat.. of d.c.d.nt. dying on or aft.r 111/97 and b.for. 111/98
. Spou.al transf.r. occurring on or aft.r 111/98 will be .xempt from Inh.rltance tax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (....)IN THE APPROPRIATE BLOCKS.
til
.....1 ,
1. DI~ dec~t~~.make a transfer and:
a.,. retaio...b.e J.ue pr income of the property transferred, .......................................................
..
YES NO
x
b. retain the right to designate who shall use the property transferred or Its Income, ...............
x
c. retain a rever.lonary interest; or ...................................................................................
, .
.. ...
d, receive thti 'piomlse far life of either payments, benefits or care' .......................................
2, If death, occurred an or before December 12, 1982, did decedent within two years preceding
death transfer property without receiving adequate consideration' If death occurred alter
December 12, 1982, did decedent transfer property within one year of death without receiving X
adequate con.lderatlon' .......... ....... ................... ..................... ................. .................... .....
X
X
X
3. 'Old decedent own em 'In trust for' bank account at his or her death'......................................
X
1f.:tME 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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COMMONW[AlTH OF rfNNSnVANIA
INHUmANCf fAX UfUIIN
IlUIOfNf DfCfOUH
ESTATE Of
HARLE, ELIZABE'l11 calLE
Jol""o"o"'(,"
A.
NAME
Adrienne M. Nailor
SCHEDULE F
JOINTLY-OWNED PROPERTY
ADDRESS
---~----
312 Brandy La.. Mechanics burg,
Ph 17055
617 North Excelsior Avcnue
Butte, Montana 58701
FILE NUMBER
l72-24-9436
RELATIONSHIP TO DECEDENT
Daughter
Son
ITEM LmER DATE
FOR TOTAL VALUE DECD'S DOLLAR VALUE OF
NUMB!! JOINT MADE DESCRIPTION OF PROPERTY OF ASSET %INT, DECEDENT'S INTEREST
TENANT JOINT
1, h 1989 1989 Spruoeridge Trailor l4,900.00 50 7,450.00
2. B 1991 Dauphin Deposit CD
Acct. H 10,025.84 lO,025.84 50 5.0l2.97
TOTAL (Also enler on line 6, Recapitulation) S l2 462.97
B.
B.
Robert L. Harle
(II more space i. needed inser' additional.heeh o( lomo lize)
C.
Jol""y,ow"od proporty.
, ..
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DEPARTMENT OF' TRANSPORTATION
CERTIFICATE OF TITLE FOR A VEHICLE
9425800240044L2-00L
50LL1364Y 89 SPRUCERIDGE 42000644602 HA
'I11'!CIIICllNllIlCAIlONNllUntn n.UI U,,~( or \"I,lell 1.!t(W,lUIIIU
0 I I I 1~,~,~001
1I00Yhrl "". lil'tC',. lJtJIAfllftW(M\hf aCwll fl!llnllA/lL!li
7107189 9119/94 I I 9/19/94 EXEMPT 4
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ODOMETER DISCLOSURE EXEMPT BY FEDERAL LAW
JOINT OWNERSHIP WITH RIGHTS OF SURVIVORSHIP
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ELIZABETH C HARLE &
ADRIENNE H NAILOR
2L3 HEALS DR
CARLISLE PA 17013
ntSILUI'No'OAOI
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ELIZABETH C HARLE &
ADRIENNE M NAILOR
213 HEALS DR
CARLISLE PA 17013
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Dauphin Deposit Bank
and Trust Company
MAIN 0I'F1CE: 113 IWIKET 8mEET, HARRI8IIURO, PENN8Y\.VANIA mOl
711-18&-2111
Decedent Confirmation
Name:
Elizabeth Harle
Social Security No.: 172-24-9436
Date of Death (000): 07/08/95
Account No.
8000130785
0041945042
------------------------ ------------------------ ------------------------
Type
Date Opened
or Issued
Certificate of Deposit
Checking
------------------------ ------------------------ ------------------------
10/15/91
03/08/95
------------------------ ------------------------ ------------------------
Date Closed
or Matured
08/09/95 (Closed)
------------------------ ------------------------ ------------------------
Date of Death
Balance $10,000.00
$1.378.01
------------------------ ------------------------ ------------------------
PLUS
Date of Death
Accrued Int. $25.84
$.90
------------------------ ------------------------ ------------------------
Joint CMners
(if any) Robert L. Harls
Adrisnne M. Nailor
------------------------ ------------------------ ------------------------
Date of Joint
CMnership 10105/91
03/08/95
------------------------ ------------------------ ------------------------
------------- ------------------------ ------------------------ ------------------------
Special Comments: N/A
Additional information avatlabl. at 520.00 per hour. One hour .tniMu..
Date Prepared: September 13, 1995 Prepared by: Carolyn A, Berkebile
Customer Management Information Dept. (CMI)
Telephone No. (7171 255-2054
Page 1 of 1
For_ 00-020-218 (REV 7/93)
c~ ,.s /q{
To Whom it May Concern!
Please be advised that I have appraised the home
belonging to Adrienne Nailor and Elizabeth Harle
to have a value of! $14900.00. The home is located
at 213 Meals Drive, Carlisle PA l7013, in South
Middleton Township. Serial No! 50l1-1364Y
Thank You
tra,lIi) C- !0O-(LJ
Owen E. Meals
Meals Mobile Home Sales, Inc.
7l7-249-5446 '
OEM/sea
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UY,ISIO 'hINI7J ' ..
COMMOHW'A~H ff "HHlnYAH'A
IN,,""A I 'AX lININ
.nIDlN DtCIDlNf
uTAT.O'
Harle, Elizabeth Coble
SCHEDULE G
TRANSFERS
PLEASE PRINT OR TYPE
'Ill Mill
l72-24-9436
THIIICHIDULI MIIIT II COM'LITID AND "UD IP THI ANIWII TO ANY 0' THI QUIITlONI ON THI UVUIIIIDI 0' THI COVElIHIIT II VII
111M DnCRIPllON Of '"OPIITY 10lAL VALUI DICD, DOLLAR VALUI
IXCLUIION ,~. Of DIC!OINI'5
NUMIIR 1M"'" ItCIfH 01".. troIt...., 'Mir,.lot;oftmip fa cI~ftnI. dole 01 'rot..I.,. Of AUII INIIIUI
l. Dauphin Deposit Bank II=t. 41945042 3,000.OC l378.00 50 689.00
Joint OWnership created 3/8/95
with Adrienne Nailor - daughter
,
,
TOTAL (Allo .nl., on Iln. 7. R.(opilvloHon) 5 689.00
(" mote 'pac. ;, f1..d.d, in.." odditioltal ."...h 01 .am. .i...}
V-"'f,C'._"'i'"
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Dauphin Deposit Bank
and Trust Company
MAIN OFFICE: 213 MARKET STREET, HARRISaURG, PENNSYLVANIA 11101
717-2&5-2121
Decedent Confirmation
Name:
Elizabeth Harle
Social Security No.: 172-24-9436
Date of Death (000): 07/08/95
Account No.
8000130705
0041945042
------------------------ ------------------------ ------------------------
Type
Certificate of Deposit
Checking
------------------------ ------------------------ ------------------------
Date Opened
or Issued
10/15/91
03/08/95
------------------------ ------------------------ ------------------------
Date Closed
or Matured
08/09/95 (Closed)
------------------------ ------------------------ ------------------------
Date of Death
Balance $10,000.00
$1.378.01
------------------------ ------------------------ ------------------------
PLUS
DBte of Death
Accrued Int. $25.84
$.90
------------------------ ------------------------ ------------------------
Joint OtIners
(if any) Robert L, Harle
Adrienne M. Nailor
------------------------ ------------------------ ------------------------
Date of Joint
OtInership 10105/91
03/08/95
------------------------ ------------------------ ------------------------
-..--..--..-----. ------------------------ ------------------------ ------------------------
Special Comments: NIA
Additional inrormation available at S~O.OO per hour. One hour mintmum.
Date Prepared: September 13. 1995 Prepared by: Carolyn A. Bsrkebile
Customer Management Information Dept. (CMI)
Telephone No. (717) 255-2054
Page 1 of 1
Form 00-020-210 (REV 7/93)
"'UIIII'lt"1
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SCHEDULE "H"
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
_ PI.~~. Print or _!)'Pl!____m ,__
, --'I~I~,~;~~~:~~;~6~~ ~~~_,::-~~_~: ',-.-:~:_~
(()MMOuwrAt1U Of rnmS"VAHIA.
INI1U!:I'Aucr tA.. "ffUAU
".f~U)~~~! ~51~tl_4!.__ '=-:' :.:.:_ _____
_ ___~_'_'___ _ _, _M__..__._._n
---- -------------
mAn OF
Harle, Elizabeth Coble
ITEM
NUMBER
A,
B,
C.
DESCRIPTION
AMOUNT
Fun.ral ElCp.n..,:
1.
2.
3.
4.
Riverview Gardens - Grave cpming
CLenation Society - F\Jneral. Um
Trinity Lutheran - church Service
Deisler Flowers
300.00
l09.00
25.00
62.00
1.
Admlnlltrallve Calli.
rutlonol Rupresnnlativ" Cnmmlnlons
Soclol S.eurlly Numbe, 01 Peroonal Repro,.nlally.: _ ,_,________.__.
V.a, Comml..lons paid _, __ __ ,__
2,
Allo,n.y F..,
500.00
Hanson & Ruben
3,
Family e.ompllan
Clalmonl__ ",___
Rolnllamhlp ,_____
Add,... of Claimant al d.eodonl" d.alb
51'0.' Addr... ______'"
Clly _,_,_____.._ _____
,______5101. ___~_ Zip Cod.___
4,
Prabal. F.., -
1.
Mlle.llaneaul Exp.nl."
CUTilerland County - filing fee of inheritance tax return
l5.00
TOT All^I,o onla, on IIno 9, R.eapllulallon)
$ l,OU.OO
I" nunllt .,..",.. I. "iIl'HI"Ft, I",..,t ",f,lltIt'I"nl .h."" ft' .nm. ,Ir.,
k
i
, .
'Iy,'"".. 11.", .
COAWOHWIAUH Of "..NIII\I'NI'
IHHllnANCI'......tU.N
InIDfH'DIClO."'
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE L1ABLlTIES AND LIENS
PILI NUMIIR
l72-24-9436
AMOUNT
225.00
29B.55
505.99
20.26
23.33
50.00
13.90
715.70
$ l.B52.73
f
ISTATI Of
Harle, Elizabeth Coblo
"1M
NUMBER
DUCRIPTlON
I,
2.
3.
4.
5.
6.
7.
B.
lDt rent for July for trailor
Robert Cairns - real estate tax
Carlisle Hospital
United telsphone
PP&L
Lawn care
National Geographic
Carlisle Hospital
TOTAL IAI.a .nl., on IIn. 10, Rocapltulallan)
(II more .poc. I. nl.J.elln,." or/ditlonal .h..h 0' .am. dn)
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eOMMONWIAUH 0' "NNUWANI'"
INHII""NCI ,.. .nUIN
IUIOIN' Dle'OINI
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SCHEDULE J
BENEFICIARIES
ISTATI OF
Harle, F.1 habeth ~le
ITEM
NUMBER
FILE NUMBER
l72-24-9436
NAMI AND ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
1.
A, Ta.abl. B.qUIIIIl
Not Applicable - No Will Probated
No Probatable Assets in Estate
o
~
N~~~ER NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
,
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8. Charltabl. and Gov.rnm.ntal 8.qU.111I
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TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Aha .nlor on IIn. 13, Rocapltulallan) S
(If more spac. I. n..d.d, In..rt additional Ih.... of 10m. III.)
......
I
LAW OFFICns
HANSON & RUBEN
SUITE 307
100 CIIESl'NUl' STREET
IIARRISBURO, PA 17101
ROBERT D, IIANSON
RlCIIARD C, RUBBN
STACBY CONNORS MOSCA
TBLBPIIONB,
(717) 236.1015
Septembsr 28, 1995
FACSIMILE,
(717) 236-6tOI
Register of Wills
Cumberland County
Cumberland County Courthouse
One Courthouse Square
CarliSle, PA 17013
RE: Elizabeth Coble Harle .21-4.s-- 7Z(
Dear Sir of Madam:
Enclosed for processing please find one original and one
copy of the inheritance tax return for the above-referenced
decedent.
Also enclosed is a check in the amount of $584.80 for the
tax due, as well as, the check in the amount of $15.00 for the
filing fee.
If you have any questions, or require anything further,
please contact me.
Sincerely,
~ )-r-p
Connie L. Kopp
Estate Paralegal
Enclosure
m TOTAL AMOUNT PAID .:584.80
DO
RECEIVED BY 'Y1~ (! ~ ,j2bV
. ION,.. ~
I' " I
, MARY C. LEWIS ,
REGISTER OF WILLS REGISTER OF WILLS ~
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IffE~~'fif.!\';!i~:};:; 9P"~I~~REC:EiPT"., P:~~:~~~~ I~~:~~T~NCE AND ESTATE TAX . .
ACN
I:'lI ASSESSMENT I'l'
II CONTROL i:iI
NUMBER
AMOUNT
'i
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:- . .... ~~~ . -.: .
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RECEIVED FROMI
ADRIENNE M NAILOR
31e BRANDY LANE
101
.:384.80
MECHANICSBURG, PA 170:5l5
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ESTATE INfORMATION,
!:II ILE NUM8ER
li1 el-199:5-07el
!:II NAME Of DECEDENT (LAST)
,.. HARLE ELIZABETH
1:1 DATE Of PAYMENT
EJ POSTMARK DATE
COUNTY
SSN
(fIRSTI
COBLE
17e-e4-9436
(Mil
CUMBERLAND
DATE Of OEATH
REMARKS
ADRIENNE M NAILOR
SEAL
CHECK" 146
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REV-1547 EX AFP (12-95*
C~ONWEAlTH OF PENNSYLVANIA
DEPARTHEHT OF REVENUE
lURE AU Of INDIYIDUAl TAXES
DEPf. ZI0601
HARAIS.URe, Pi 17U8-0601
ACN 101
NOTICE OF INHERITANCE TAM
APPRAISENENT, ALLOWANCE DR DISALLOWANCE
OF DEDUCTIONS AND ASSESSNENT OF TAM
DATE 01-09-96
FILE NO.
COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBNIT THE UPPER PORTION OF THIS FORN WITH YOUR TAM
PAYNENT TO THE REOISTER OF WILLS. NAKE CHECK PAYABLE TO "REOISTER OF WILLS, AOENT"
REMIT PAYMENT TO:
ADRIENNE M NAILOR
312 BRANDY LN
MECHANICSBURG PA 17055
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
Allount R..Ut.d
CUT ALONG THIS LINE . RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiE'Y:i:5;;j-Eii-Aiip'fi'1f=9SriiiiYicE--OF-iiiHEii'ifANCE-;:A'x'jiPPRiiisEHE'ii'r-;-AL'LOWANCE-jili-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HARLE ELIZABETH C FILE NO. 21 95-0721 ACN 101 DATE 01-09-96
TAM RETURN WAS, t X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Rod Eatoto (Schodulo Al II)
2. Stock. and Bondi (Schedule 8) (2)
5. Clo..ly Hald stock/Partner'hlp Int.r..t (Schedule CJ (5)
4. "ortg.gaI/Hot.. Receivable (Sch.dule DJ (4)
5. Cath/Bank Oapollt./H1Ic. Parlonal Property (Sch.dule E) (5)
6. Jointly Owned Property (Schedule f) (6)
7. fran.fara (Schedule 0) (7)
a. Tot.l A...t.
J CHANGED
,00
.00
,00
,00
.00
12.463,00
689.00
IBI
13,152.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
1.011.00
9. Fun.ral EMpanl../Ad.. COlt./H1IC. Expan... (Schedule H) (,)
10. DObh/Nortgog. LloblUU../Llono ISchodu1o II llO) 1.853, DO
11. Tot.l D.ductlono 1111
12. Hat Value of TaM Return (12)
13. Charitabla/GovarnMantal a.qua.t. (Schadule J) (13)
14. Hat Value of Eat.t. SUbjeot to Tax (14)
NOTE: If an assessment was issued previously, lines 14/ 15 and/or 16, 17 and 18 will
reflect figures that include the total of ~ re~urns assessed to date.
ASSESSMENT OF TAX:
15. A.aunt of Lina 14 at Spou.al rat.
16. A.aunt of Lina 14 taxabla at lin.al/CI... A rat.
17. A.aunt of Lina 14 taxabl. at Collataral/CI... Brat.
18. Prinoipal Tax Dua
TAX CREDITS:
PAYNENT
DATE
09-29-95
:>.R6~ nn
10.288.00
.00
10.288,00
liS)
116)
117J
.00
10.288.00
.00
.00
617,28
.00
617.28
M'OO.
M .06.
M ,15.
11S1
RECEIPT
HUNBER
AA082197
DISCOUNT
INTEREST
It I
1-)
30,78
ANOUNT PAID
584.80
PAYMENT MUST BE MADE BY 04-09-96M.
TOTAL TAX CREDIT 615.58 ':J"
r t,
BALANCE OF TAX DUE 1.70
INTEREST .00 "(;10/'f
TOTAL DUE 1. 70 ,-' It
IF TOTAL DUE IS LESS THAN U, NO PAYNENT IS REQUIRED. .JI9)~"
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU NAY BE DGt /
A REFUND. SeE REVERSE SlOE OF THIS FORN FOR INSTRUCTIONS,)
· IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
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In po.....lon ar enJor-ent ta CI... I (coll.t.r.l) bentflcl.rl.. of thl d.cedent .,t.r thl ..plr.tlon of anv ..t.t. for
111. or 'or ~..r., th. C~.lth h.r.b~ ..pr...l~ r...rv.. thl right to Ippr.I.. Ind ...... trln,'.r Inhlrlt~. T....
.t the l.wful CI... I (coll.t.r.l) r.t. on InV .uch lutur. I"t.r..t.
I'IJllPOIl Of
NOTlCE I
To lul,lll thl r.qulraeant. of S.ctlon '140 a' thl Inhlrlt~. and E.t.t. ,.. Aot, Act " 0' 1991. 72 P.I.
lutlon '140.
PAYJtEHTI
Dltach thl top portion of thl. Hotlc. Ind .ubllt with vour p'v'lnt to th. R'II.t.r 0' Will. prlnt.d on thl r.v.r.. .Id..
uHIIk. chick or IOftIV ard.,. p'vlbl. tal REGISTER OF MILLS, AOEMT
All p.,.."t. rlc.lv~ .hlll flnt bI ...lhd to InV Int"..t which "V bI due with InV r...lnMr applied to thl "x.
A nfWld of . tlx crldlt, which w.. not rlqUlstld on the Tu R.turn, "V b. r..-..tld bv cupl.tlno en "Applic.tlon
for R.fund 0' Penn.vlvenl. Inh.,.ltlnC. and E.t.t. T.... (REV-ISIS). Applle.tlon. .r. ",.IIIbI. .t the D,'lc.
of thl R'll.t.r of WlI1', '"~ of the ZS A.vlnY. Dl.trlct D'fle.., or bv c'lllnl the .p.ol.1 24-hour
"'.w.rlng ..rvle. ~r. for 'or.. ord.rlnll In Penn.~lvlnl. l-aDD-S6Z-ZDSO, out.ld. PInn.vlv."l. and
within loc.1 HarrS.burl .r.. (717) 7a7-1094, TDDI (717) 77Z-ZZ52 CH..rlng 11p.lrld Only).
Any p.rtv In Snt.r..t not ..tl.fled with the appr.I...lnt, .Ilowanc. or dl..S10W1nC' of deduction., or ......lInt
of t.x (Includlna dl.count or lnt.r..t) .. .hown on thl. Hotlc. lU.t abJ.ct within .I.tv (6D) day. of rec.lpt 01
thlt HoUc. bVI
RtF\.IaJ CCA)1
OIJECTlDHSI
--written prot..t to th. P' D.part"nt 01 A.v.nu., lo.rd 0' App..I., D.pt. ZIIDZ1. H.rrl.burg, PA 17IZI-IDZI, OR
--.I~tlan to h.v. th. I.tt.r d.t.r.ln.d at audit of th. .ccount of the p.r.onal repr...nt.tlv., OR
--~..l ta th. Drphln.' Court.
ADHIN
UTA" Tlve:
CORRECTIONS I
FlOtu.1 .rror. dl.cov.r.d on thl. .......ent .hould b. addr...ed In writing tOI P' DIp.rt'lnt of R.VInUl,
!IJ:"CQU of In:Uvldu.l hH", ATT"' Poet A......"'t R.vJ_ ""It, P4:"t. tllllloDI, H"rrhttoIrG, PI 11IU,..t1flfll
Phone (717) 717"6S0S. S.. p-a' S of the ~I.t ~In.truotlon. lor Inh.rltlnC. T.. R.turn far. R..ldent
Dee.dent" (REY-ISOI) for an ..planatlon of ad_Inl.tr.tlv,ly carr.ctabl. .rror..
If any tax due I. pald wlthln thr.. (S' c.IBnd'r .onth. .ft.r th. d.c.d.nt'. d..th, a 11v. p.rcant (5~) dl.count of
tha t.. p.ld I, .llowed.
Int.r..t I. chergad b.glnnlng with flr.t day of d.llnqulnCv, or nln. (,) .onth. Ind one (I) d.y 'r~ the d.t. 0'
d..th, to tha d.t. of paVB'"t. T.x.. which bee... d.llnquent b.lar. Januarv I, I"Z bI.r Int.r..t .t the rat. of
.lx (6X) p.rc.nt p.r ~ calcul.t.d .t . dally r.t. of .DDD164. All t.... which bee... d.llnquent on and aft.r
January 1, 1'12 will bI.r Int.r..t .t . r.t. which will v.ry fro. c'land.r v..r to c.landar v.ar with thlt r.ta
announc.d bv th. PA D.p.rt_ant of R.vanua. The appllcabla Int.r..t rat,. far l'IZ through 1"6 .ral
DISCOUHTI
IHTERESTr
~ Int.,...t A.t. D.IlY Int.,...t F.ctor !!!! Int.r..t R.t. D.lb Inhr..t Fector
I,IZ 2U .oaa541 1987 OX .U12U
1'15 I6X . aDDU' 1918.1991 1IX .aDDsal
1914 IIX .oaDSoI 1"2 OX .001247
1915 ax .DD0556 1991-1994 7X .nDl9Z
1916 lax .oa1274 1995-1996 OX .DDazO
ulnt.,..t I. caltul.t.d .. fallow'l
INTEREST. BALANCE OF TAX UNPAID X NUllBER OF DAYB DELINQUENT X DULY INTEREST FACTOR
--Anv NoUeI Is.ued .'hr th. tax btcOltl. d.lInquent ..Ill rlfI.ct an Int.r..t c.lcul.Uon to futa", US) d.v.
blvond th. d.t. 01 thl .......-nt. If p'v-ant I. .Id. .ftar th. Int.r..t coaput.tlon d.t. .hown an the
Notlc., addltlon.l lnt.r..t .u.t be c.lcul.t.d.
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i,:(~~/,~,';~-~:'r~-~:!:_;'_:'i:_;~\'~;:::<':;")/<':::"<', . '-" ,,'~<; ,:. -,' . -" '''' _
p',.,:,'"i,'"",','A',, "A'" :"',.,0" 8, ,2"571,, ,", '.. ,COMMONWEA, LTH OF ,PENNSYLVANIA '
~e", :, " ' ,'" ". ", :' DEPARTMENT 0. RIVENUI ' ..
""r';;;",,'- """',' OFFiCIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX'
~.ty.n'lu ...., ," ,,' -,
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RECEIVED FROM.
fJ
ACN
ASSESSMENT ITI
CONTROL IiiiI
NUMBER
AMOUNT
ADRIENNE M NAILOR
31e BRANDY LANE
161
u . '10
MECHANI CSBURG , PA 17055
- lotD HfIr ,OtO "'"
ESTATE INfORMATION,
!II filE N M8ER
lIII el-1995-07el
!II NAME Of DECEDENT (lAST)
J;,I HARLE ELIZABETH
II DATE Of PAYMENT
m POSTMARK DATE
COUNTY l'
CUMBERLAND
OATE Of DEATH
SSN 17e-24-9436
(fiRST) (MI)
COBLE
REMARKS
m TOTAL AMOUNT PAID
SEAL
CHECK" 931e
RECEIVED BY 111m
.1.70
PB
I' -I '
'-. (;; ,'It U41 'L/f/
I AU i -r
MARY C. LEWIS )1U--1.i I 'f 't
REGISTER OF WILLS
ADRIENNE ~ NAILOR
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REGISTER OF WILLS
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REV-16D? EX AFP (12"95~
COMMONWEAL TH Of PENNSYLVANIA
Dl:PUff'l(Hf OF R(VENUE
IUAfALI Of INDIVIDUAL IAXU
I)(PT. rlG"l
HARRI.IURa, Pi 17U..UOl
15. S'7 - /J.
INHERITANCE TAX
STATEMENT OF ACCOUNT
DAT! 02"20"96
ACN 101
HARLE
DATI! OF DEATH 01'08-95
ELIZABETH C
FILE NO. 21 95-0121
COUNTY CUMBERLAND
HOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT TNE UPPER PORTION OF TNIS FORN WITN YOUR TAX
PAYNENT TO TNE ADDRESS SHOWN. NAKE CHECK PAYABLE AND RENIT PAYNENT TO, ,
ADRIENNE M NAILOR
312 BRANDY LN
MECHANICSBURG PA 11055
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
A.......t R_itted
CUT ALONO THIS LINE ~ RETAIN LOIIER PORTION FOR YOUR FILES ~
ii{y=i6iij"ix""Fji"nZ".:9Sy--moiiiiii"iiliiiiiiTANC'E--fAX"iii'ii'fEiiEiif"o"-AI:ccijjiif""iiJi.-mm--m"-- ""--""
ESTATI! OF HARLE ELIZABETH C FILE NO.21 95-0721 ACN 101
TNIS STATENENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE HANED
ESTATE. SHOWN BELOW IS A SUI1I1ARY OF THE PRIHCXPAL TAX OUE, APPLICATION OF ALL PAYNENTS,
THE CURRENT BALANCE. AND. IF APPLICABLE. A PRO~ECTEO INTEREST FIGURE.
DAT! 02-20-96
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 01-02-96
PRINCIPAL TAX DUEl. 617.28
PAYMENTS (TAX CREDITS),
PAYMENT
DATE
09-29-95
02-01-96
RECEIPT
NUMBER
AA082U7
AA082517
DISCOUNT (+)
INTEREST (-)
30.18
.00
AMOUNT PAID
584.80
1. 70
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
617.28
.00
.00
.00
. IF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN fI,
HO PAYNENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREOIT" (CR I,
YOU NAY BE OUE A REFUND, SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS.
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htltCh the top porUon of this Notlc. end IUtNIlt ..lth vaur P.YMnt ... p.yabl. to the "... end addn..
prlnt~ on the r.v.r.a side.
If RfSUKNT DECIED(HT .Iik. check or ~y ordeir p.yabl. tal REGISTER OF WILLS, AGENT.
If NOH-RiESIDEN' DECEDlENT .H. check or HMV ord.r p.vabl. tal CottttONWEAL TH OF PENNSYLVANIA.
All P.v-nt. r.c.lv.d 1h.1l b. ~lI.d flr.t to MV Int.r..t which ..V be dua ..lth eny r"'lnd.r ..-pUN to the talC.
RiEfUND (CA), A r.fund of . t.. cr.dlt, which .... not r.~.t.d on the T.. R.turn, ..y b. r.que.t~ bv co.,l.tlng an
"Appllc.tlon for R.fund of Penn,vlvenla I~rltanc. and E.t.ta TI." (RIEV-IS1S). Application. .r. .v.llabl. .t
the Offlc. of the R.gI.t.r of Will., any of thl 2S R.venue Ol.trlct Offlc.. or 'roe the O.,.rt..nt.. Z'-hoUr
an.werlng ..rvlc. ~r. 'or for.. ordering I In P.nn.vlvanla 1-100-162-2050, autlld. Penn.vlvanll
end ..Ithln local Hlrrhburg .rl. (717) 7I7.IOM, TOOl e71n n2-Un ttt..rlnA 1.,llrM onIV).
RlEPLY Tal D\M.Uon. r.llrdlna .rron cont.ln.d on thlt noUce .hould b. Mdr.1l1d tal PA DIp.rt.."t of R...,InUI, Bur.au
of Indlvldu.1 TI"", ATTHI Po.t A......ant Ravl.w Unlt, O.pt. 2106G1, tt.rrhburg, Pi 17121-0601, phone
en]) 717-6505.
DISCOUNT I If anv tax due I. p.ld within tht.. eS) c.l~ar sonthl .ft.r the decadent'l d.lth, a ,1..,. p.rc."t (SX) dl.count
of the t.. plld II .llow.d.
IHTIERlES'1 Int.r..t I. chlrgld b.glnnlng with flr.t dlV of d.llnquencv, or nine e,) ~th. and ana (I) dlY fro. the d.tl of
d.ath, to thl d.t. of plv.ent. 'IMI. which blc." d.llnqu.nt b.for. Janunrv I, 19.Z b..r Intlr..t .t the rat. 0'
.Ix ('~) p.rcent p.r ~ c.lcul.tld at . dlllv r.t. of .00016'. All tIM.' which b.c... d.llnquent on and I,t.r
Janu.ry 1, 1912 ..111 b..r Int.r..t .t . r.t. which ..Ill ..,Irv 'roe caland.r v..r to c.l.ndar v'lr with thlt rat.
announc.d by the PA D.p.rtlent of R.venu.. Tha .ppllcabl. Int.r..t rlt.. for 191Z through 1"6 .r.1
Y.lr Int.n.t R.t. O.Uy Int.r..t fHtor y..r Int.r." A.t. D.Uv Int.r." Factor
1912 ZOX .0005ltl 1917 'X .Ooa247
19.5 I'X .OOOUI 1'11-1991 IIX .00OSOl
1914 1I:C .00UOl 1992 'X .0002"7
1915 UX .OOOS56 199J-I994 lX .000192
1986 lOX .000274 1995-1'94 OX .000247
"Int.t..t I. c.lcul.t.d .. followl.
INTEREBT . BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREBT FACTOR
..Anv HoUn IliUM .ft.r the t.1l b.cDeI' delinquent will r.fl.ct ., Int.r.tt c.lcul.tlon to flftun (1S) d.'1
b.vond the d.t. of the ......-.nt. If p.y..nt II .Ide .ft.t the Int.t..t coaputltlon d.t. .hown on the
Hotlc., addltlon.1 Int.r..t au.t b. c.lcul.t.d.