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REV-1547 EX AFP (12-95)*
CotItOHW!AlTH OF PDIrfIYLVAHU
DfpAATHEHT OF REYEN.E
IURUU Of' INDIVIDUAL TAXEI
DEPT. 210601
HARRIIIUAC, PA 1712'''0601
S FILE NO.
DATE OF DEATH 08-12-95 CDUNTY CUMBERLAND
HOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS Fa~ WITH YOUR TAX
PAY"ENT TO THE REGISTER OF WILLS. "AKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
NOTICE OF IHHERITAHCE TAX
APPRAISE"ENT, ALLOWANCE OR DISALLOWAHCE
OF DEDUCTIONS AND ASSES5IlENT OF TAX
ACN
IDl
DATE 03-25-96
MIRIAM FOUGHT
303 ALLENDALE RD
MECHANICSBURG PA 17055
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA l7D13
I So Aoount R..ltt...
,'IE. cab, b S?'
; CUT ALONG THIS LINE ~ RETAIN LOWER PDRTlON FDR YDUR RECDRDS ~
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
} S8
The petltloner(s) Bbove.nBmed swear(s) or Brnrm(s) that the
statemenlS In the foregoing petltlpn Bre true Bnd cprrectto the besl
of the knowledge Bnd belief of petltloner(s) and thaI as personBI
reprcsentBtlvc(s) of the above decedent petltloner(s) will well Bnd
truly Bdmlnlsler the eslate Bccordlng to law.
~
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Sworn to or arnrmed16f1f subscribed
, before mbb~~. dByggf
/~k'i1rJ'~Of" ~~-l,
. . Regisler
MARY C. LEWIS
No. 21 - 95 - 771
Estate of
MARY S SHANK
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW OCTOBER 17. 19~, In conslderBtlon of the petition on
the reverse side hereof, satlsfBctFf'fIff~f ravf&lffiW pre5Jn~olf !mANK
IT IS DECREED that . an
Is/are entitled 10 Lellers of Administration, Bnd In Bccprd wllh such finding, Lellers of AdmlnlSlratlpn
MIRIAM t tUUGHI ana JAMt~ H ~HANK
Bre hflUby grunted IP
f'., I'"
.
MARY S SHANK
co, In thef tslBte of
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(flL (J' 88 FEES
Letters of AdmlnlslrBtlon ..... S 18 .00
Short Ccrtlficules( 1) .. .. . .. ... S 3 .00
RepunclBtlon ................ S Ii . nn
JCP S r; nn
Flied ... .q~T9.8.~?:~J~~.. A.~. 1~1 BR
ATIORNEY tSup. Ct. 1.0. No.)
ADDRESS
PHONE
Mailed letters to Miriam E Fought on 10-18-95.
21 - 95 - 771
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NOTICE OF BENEFICIAL INTEREST
In re Estate of
WILLS, COUNTY
S.
, PENNSYLVANIA
BF-FORE THE
Please take notice of the death of decedent
letters to the personal representative(s) named
a beneficial inter t in the estate as follows:
;i1.~ ,1~
, deceased,
/1D55',.-. a tfof
( beneUCiary)1~-154i
3 (address)
tJ.b'5' ~ 7(,6'-11~9~'"
~
and he grant of
below. You may have
, #6: 1- ~13 "'Jf-(,{'- 83:l..4-
'.- E3 (,'O,1....51/~,
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-
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(if additio al space is needed, use back of gel
"me 0' decedeo< /flll)l} 8/fJULi( ,
Last known address~ P.. ,y.Jt. ~L, R LIE)
-M.
of decedent
Place of death
Date of death
County of grant of original letters
Decedent died ~ testate
intestate.
A copy of the will
is ~ is not attached.
Name(s), address(es) and telephone number(s) of all personal
representatives appointed
-. ,.
Name(s), address(es) and telephone number(s) of all counsel
Name
Address
Telephone
Additional information
Dat. /f7f~---
may be obtained fromrthe undersigne
\...' , .-
Signature
~~ ~ r
Address e~ :IlLL.E.~d=L ~ t0J.
/#11 /fA-1IJ~ 8BtJ~ f}i-,/7~i:-.3I~f
Telephone 1~~--j1~~
capacitYI~ Personal Representative
Counsel for personal
representative
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STATUS REPORT UNDER RULE 6.12
Name of Decedent:
Date of Death:
Will No.1 rr.iJ--OO 71/ Admin. NO.t( / 'I 6'~>{) '11/
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
1.
State whether administration of the estate is complete:
Yes '" No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. If the answer to No. 1 is Yes, state the following:
a. Did the pe~~onal representative file a final
account with the Court? Yes ~ No .
b. The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes ~ No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with
Cerk of the Orphans' Court and m~ be attached to this re
L I'- G
Date: /
S gnature
t1t:R,{1i~e {p& ;;fJt{ ~
~8f}LL~IIj),4f,~ RA '/J.i.iI#A1~SBtJR
Address I~, /1tJ!i!)-
(7/;/l ?'~~ -7r4-d- Mf
Tel. No. 1-
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Capacity: ~personal Representative
Counsel for personal
representative
(MAH I rmf/ AM3)
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COMMONW(AlIH Of '(NN!o~lV'-'NIA
or'AITMfNIOf U1J(NU[
D'" 10060'
HAUIUUIlO.'A 11121.0601
DECl N '!, HAM IlAllJ. flU . AND MIDOIl H41 IAtl
fOR PAllS Of DEArH AnER 12/31191 CHECK HERI
If A SPOUSAL
POVERTY CREDIT IS CLAIMEP 0
,iLE NUMBER --".
,;II
C,oYNIY. CODE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
'1'-
.)
YEAR
'I~I
NUMBER
O(CIOIt~'" (OMPUTf ADDlln
ffi
iii
bl
..
- han!L.-Mar.y-5,
r,oc.A' UCUIlIl'l' HUMin lOAn 01 0104.111
- - 8illl --B~12=9
"'...'rtlC....lllaUI"WI'fQUOUU\J.I"..., ,"'&l.I'.U"'IO"IOOtI,,,,I'''11
Cumbcrlnnd County Nursing Home
315 Clnremont Dr, Carlisle, PA
c.". 'MouNTfrHWM~J-~ilIMi,oN'1
DA U 01 lumt
fill.
O~,
06.
Ll 2, Supplemental Return
o 3. R.maind.r R,'urn
(for doles of d.alh prior 1012.13.02)
o .5. Federal Estal. Toll. R.lurn R.quir.d
Origlnol R.lurn
o .co. Fulur. Inl.r'll Compromilll
(for dol.. of d.ath afler 12.12.82)
D.ced.nt Di.d h,tat. [J 1. Dec.edenl Molnloinod 0 Living TrUll
(Attach copy of Will) (AlIac.h c.opy of Tru,')
. UlJ:ORRISPONDINCE'AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO. '
AM COM'IlU MAILING ADDIlU
lImll.d Eslal.
_ 8, Total Number of 50f. D.po.lt Box..
, J t.
:~ '--;f\.~~~.r'i~
TUl'HONl HUMIU
303 Allendale Rd
Mechanicsbu~g, PA
17055."
II)
(21
131
(~ 1
( s 1 -L.33.L..6J.
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1. Real E.tol. (Schldul. AJ
2. Sloc.h and Banda (5c.h.dule 81
3. Cloilly H.ld 510c.kJPartne,.hlp lnlerOit (Sch.dule C)
., Morlgogea and Nole. Recei'f'able ISchedule D)
.5. COlh, Ban~ O.polila & Mi.clllaneouI P.nonal Property
(5ch.dul. E)
6. Jolnlly Owned Properly (Sc.hedule FI
7, Tran.f." 15chodul. GI(sch.dulo l)
8, Tolal Oroll Au,'a (fOlol linea '.11
9. Funeral Exp.ns", Adminhlrallv. Coah, MliCeUan.ous
hp.n... ISc.h.dul. H)
10. D.bh, Mortgag. lIablllli", Uen. (Sch.dule I)
11. Total Olduc.tlana (Ialallln" 9 & 101
12. N., Valu. of E.tate (Une 8 mlnu. line 11)
13. Choritabl. and Gov.rnmental 8.que'h (5c.hedul. J)
1.. N.t Value Subject 10 To. (Une 12 minu. line 131
1.5. Spou.al Tran.f.n (for dot. I of death after 6.30.94)
S.. Inslrucllons for Appllc.abl. P.rc.ntage on Revene
Sid.. (Includ. values 'rom Sc.hedule K or Sch.dule M.)
16. Amount 01 line 14 laxabl. 01 6% ral.
(Includ. volu.. from Sch.dul. K or Schldule M,)
17. Amount of line l.c taxabl. 01 1.5% ral.
(Include 'f'alues from Sc.htdul. K or Sch.dule M.)
18. Principal loll. due (Add 'all. from Un" 15, 16 and 11,)
19. Cr.dih Spauaal Poverty C"dil Prior Paymenh
+ +
20. If lIn. 19 h grealer than lInl 18, .nler the dlff.rence on L1n. 20. This 1.lh. OVEAPA-/MENT.
110
21. If line 18" grealer Ihan lIn. 19, enter the dlff.rence on line 2t. This h th. TAX DUE.
A. Enter the inter"t on the balonce due on lIn. 21 A
8. Ent" th. lotal of line 21 and 21A an line 218. Thi. i, Ih. BALANCE DUE.
Malle Ch.cle Payable 101 Regl.'er of Will., Ag.nt
(19)
1201
1211 80.68
121AI
121B) OO~68
(61
171
I.'
I 8 1 _1....5.52..6.1
1.344.67
1.344.67
00.68
z
'"
S
ie
.
'"
...
S
80-.-68
ChNIo. hl'tc if you nru Icqul'\lin9 n refund of your overpayment.
, '..~::dt,"~>:' II URE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH,: 'c. q, 'ie, '~,;,.,;';'j;,;,'
Under p.nchi.. of perjury, I dedar. thaI I ha'f'l uomined Ihh relurn, including ac.c.ornpanring Ith.dulea and Italemenh, and to the blat of my knowledge and beB.,.
It I, tru., correcl and c.ompletl. I d.c1are Iho' 011 real IItate hot been reporl.d 01 Irue mark.1 value. D.c1arolion of preparer other than the p.rsonal reprelllnlolivl h
baUtd on alllnfarmolion of which p"par" haa any knowledge.
SIONATUllf Of '(II$ON U5'ON$',1l fOil flllNO IlnUlIN ADDlIUS DAU
(lllIl"N lIf,lIUlNI"IlV(
~. ~ U:.2 I'-"L::'_
4oJC/;',u?( .z
aln Street,Mechnnl~~~~-EA-
12-01-95
ADOlllU
DAn
Act '48 of 1994 provld.. for the r.ductlon of the tpx rat.. Impo..d on the net valu. of tran.f.,. to or for
the u.. of the .pou... Th. rat.. a. p,..crlb.d by the .tatute will b.1
. 3% (.03) will b. appllcabl. for ..tat.. of deced.nts dying on or aft.r 7/1194 and b.fore 1/1/96
. 2% (.02) will b. applicable for .lIate. of decedents dying an or after 1/1196 and before 1/1/97
. 1% (.01) will b. applicable far e.tate. of decedents dying on or after 1/1/97 and before 1/1/98
. Spou.al transf.,. occurring on or after 1/1/98 will be ex.mpt from Inh.rltance tax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (.;) IN THE APPROPRIATE BLOCKS.
YES NO
1. Old decedent make a tronsl.r ond:
a. r.taln the u.. or Incom. 01 the prop.rty translerred, .......................................................
b. retain th. right to d.slgnote who .hall us. the prop.rty tronsl.rred or Its Incom., ...............
x
x
x
c. retain a reversionary interest; or ..............................................................0....................
x
d. r.celv. th. promls. lor 111. ol.lther poym.nts, b.n.lits or car.' .......................................
2. II d.oth occurred on or b.lor. O.cemb.r 12, 1982, did dBced.nt within two years preceding
death transl.r prap.rty without receiving ad.quote consld.ratlon' II d.ath occurred oft.r
December 12, 1982, did d.cedent tranll.r prop.rty within an. y.ar 01 d.ath without rec.lvlng
adequate consideration'. .......... ........ ,... .... ........... ............... ......... It. ........ ......... ..... It.... ......
3. Old d.ced.nt awn on 'In trust lor' bank occount at his or h.r d.ath"'....................................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
x
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COMMONWuIJH Of 'lNNIYl"""A
IHIlIlIIWlcI 'AX lnulN
IIIIDINT DlClDINT
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
. Ple011 Print or T, I
FilE NUMBER
ESTATE OF
Marv 5 ~hank
lAll_ 10M;', --' - .... ...ht ., S-'-'hIp lftuot ... dlod_d Oft Sched.1o "
ITEM
NUMBER
DESCRIPTION
VAWE AT
DATE OF DEATH
1.
Refund, Blue Cross
Refund, Neill Funeral Home
$
279.60
1,278.07
2.
s
IAItoch oddlllonal .)\- )( II- theet. .. more 'pac. I, nNded.)
Ilv.llltU.P"1J
ESTATE O.
"
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Ploa.o Print or T 0
FILE NUMBER
.
'*
COMMONWIALTH O. PlHHSV\YAHIA
IHHllltANCI lAX UTUIN
IIIIDrN' DICEDIN'
Mar S. Shank
ITEM
NUMBER
1.
B.
1.
2.
C.
. . DESCRIPTION
AMOUNT
A. Funoral Exponsosl
Admlnlstratlvo Caltll
Penanal Rop..,onlall.. Camml"lon,
Sadal Socurlty Numbor 01 Penanal Rop..,ontallvel
Voar Cammllllon, paid
Attorney Feos
3. family e...mpllan
Claimant Relallonshlp
Add.... 01 Clolmanl 01 decedenl" death
SI..el Add....
City
Stale
Zip Code
4.
probale Fee.
1.
Mlscollanoaus Exponsosl
Marker engraving
Cemetery wreath
Filing Feel Cumberland County
Tax prep ration services I H&R Block
$
108.00
24.00
31.00
50.00
2.
3.
4.
5.
6.
7,
8.
TOTAL (Alto onlor on line 9, Recapltulallon)
(II maro Ipaco Is noodod, Insort additional shoo" of somo slzo.)
S
213 .00
{j.'/' /
REV"IS47 EX AFP 112"95*
CDHHONWEALtH OF PENNSVLYANIA
DEPARTHENt Of A[\I[tfJE
IUREAU OF INDIYIDUAL tAXES
DEPt. ZlD6D1
HARAIUUAO, PA HUI-D6DI
NorICE OF INHERErANCE rAM
APPRAISENENr. ALLOWANCE OR DISALLOWANCE
Of DEDUCTIONS AND ASSESSNENT OF TAM
ACN 101
DATE 03"25-96
o FILE ND.
DATE OF DEATH 08"12-95 CDUNTV CUMBERLAND
HarE. TO ENSURE PROPER CREDIT TO VDUR ACCOUNT. SUDNIT THE UPPER PORrION OF THIS FORN WITH VPUR TAM
PAVNENT TD THE REGISTER DF WILLS. NAKE CHECK PAVABLE TO "REGESTER OF WILLS. AGENT"
REMIT PAYMENT TO:
MIRIAM FOUGHT
303 ALLENDALE RD
MECHANICSBURG PA 17055
REGISTER DF WILLS
CUMBERLAND CD CDURT HOUSE
CARLISLE, PA 17013
A.ount R..i tted
CUT ALONO THIS LINE ... RETAIN LDWER PDRTION FDR VDUR RECORDS ~
iiili":is'4i"i:X"AFP"nZ:9!ij"NiiYici""ciF"i"NHEiiifANCE"TAX"'APPR'Aiiii:ifE'Nr-'-"ALi."OWANCE"jili.""m"."mm".
DISALLDWANCE DF DEDUCTIDNS AND ASSESSMENT DF TAX
ESTATE OF SHANK MARV S FILE ND. 21 95-0771 ACN 101 DATE D3-25-96
TAM RETURN WAS, (X 1 ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED DNl ORIGINAL RETURN
1. RoaI E.t.t. (ScheduI. AI III
2. Stock. and Band. ISchoduI. Bl 121
5. Cloeely Held Stock/Partner,hlp Intereat (Schadule C) (5)
4. Hartgage./Nota. Recalv~le CSchedule 01 (41
s. Cash/lank Depollte,"llo. Pereonal Property (Schadule El (51
6. JolntI~ Owned Prapert~ IScheduI. F1 161
7. Tran.ferl (Schedul. 01 (71
8. Total A..atl
I CHANCED
,00
.00
.00
.00
1.557.67
.00
.00
IDI
1.557.67
APPRDVED DEDUCTIONS AND EXEMPTIONS:
9. Funaral Expan'eI/A~. Co.te/Hlec. Expens.. (Sch.dule HI
10. O.bta/Hartgaga Llabilitl../Lian. (Schedule 11
11. Tot.l Daduction.
12. Net Value of Tax Return
15. Charitabl./OaY.r~t.l Sequa,t. ISchedul. Jl
14. Net Value of E.t.te Subject to Tax
"I
I1DI
213.00
I~ an asseBB_ent wes iSSUBd previously, linss
r.tlect ~igures that include the total o~ abh
ASSESSMENT OF TAX:
15. Aaount of Line 14
16. Aoount of Lln- 14
17. Aoount of Lln- 14
18. Principal Tax ~J8
,00
IU1
112)
1151
114)
14, IS and/pr 16, 17 and 18 will
returns assessed to dBte.
:>1:'l nn
1.344,67
,00
1.344,67
NDTE:
at Spou..l rata
taxable .t Lineal/Cl... A r.t.
t.~abl. at Coll.t.ral/Cl... Brat.
IISI
1161
1171
,00 M .00.
1,344.67 M .06.
.00 M .15.
1181
.00
80.6B
.00
8D.6B
TAX CREDITS:
PAVNENr
DATE
RECEIPT
HUIlBER
DISCDUNT 1+1
INrEREST I-I
ANOUHT PAID
PAVMENT MUST BE MADE BV 05-13-96W.
TOTAL TAX CREDIT
BALANCE DF TAX DUE
INTEREST
TDTAL DUE
.00
80.6B
.00
80.6B
. IF PAlO AFTER DATE INOICATED, SEE REVERSE
fOR CALCULATEDN OF ADDITIDNAL INrEREST.
I IF TDTAL DUE IS LESS THAN .1. NO PAVNENT ES REQUERED.
IF TDTAL DUE IS REFLECTED AS A "CREDIT" ICR1, YOU NAV BE DUE
A REFUND, SEE REVERSE SEDE DF THIS FORN FOR INSrRUCTIONS.1
ACHIN
ISTRAlIVE
CORRECTIONS.
.....rltten protut to the PA Deparh."t of R.venu., loard of App..h, Dept. 211021, tt.rrhburg, Pi 171n-tall, OR
.-.l.ctlon to have the .att.r dltatlln.d It audit 0' thl account 0' the plt.onll r.pr..entatlv., OR
.-epplll to the Orph.".' Court.
RfSERVATlON. E.tetl. of decedent. dying on 0,. befora DKHbet lr, 1912 u If WI, futura Intltut In the a.t.ta II ttWl.flt,.",
In po.....lon or enJo~t to tla.. . ICDllat.rall beneflclarla. af the decedent .ftar the ..,Itatlon of en, a.tat. for
Ilfa or fat ~..r., the C~alth hereby I.pt...ly ra.arv.. the tight to ."ral.. 8nd ...... tren,'lr Inh.rltanc. ,....
at the lawful Cl... . (call.tlrat) t.t. on en, luch futura Intara.t.
PUIlPOSE Ill'
HaTlCE. 'a fulfill thl t...lr.....ta of Section lUO 0' the Inhlrltanc. SInd E.tU. Ta. Act, Act 2l of 1991. 7l P.S.
Section luO.
PA\1tEHT. DltKh tIM top portion of this Notice end .ubait with your ply.."t to tN Rqllt.r of Wllh prlntaa on the rav.r'l .Ide.
.."-ka check 0" 110M)' o,.der p.yBbla to. REGISTER OF MILLS # AGENT
AU p.panta ..ac.lv.d IhaU fI,..t be 1PP1I1ICl to InY Int.,...t which .., ... due with eny ,....lndI,. appllad to the tax.
REfUND (CAli A t'aft.ftd af I bill crlNllt, which lIa. not t'~~..tad on the '11Il Raturn, .., be r.queltld by coapl.Ung ., '"Appllc.tlon
fat' R.fund af Pann.ylv.,la Inherltanc. ~ E.tatl ,.." CREV-1JI3J. Appllc.tlon. .r. .vIIIBbt. at the Of.lc.
of the RIII.t.r o. WIll., InY of the ZJ Rav~. DI.trlct Offlc.., or by catllng the .peel.t Z'-hour
.".warlng ..rvlcl nuaba,.. for fo~a ora.rlngl In Pann.ytvanl. 1-8DD-S6Z-Z0S0, out.la. Pann.ylv.,la and
..Ithln local Harrl.burg .r.. C717J 717-8094, lDOI (7171 172.ZZ52 CH'lrlne lap.lrad Onlyl.
OBJECTIONSI Any plrty In Int.r..t not ..tl.fl.d with the eppr.lleeent, Illowancl or al..llowanc. of dedUctlonl, ar ......eent
a. ta. Clncludlng dl.count or Intlra.t) .. .hown on thl. Hotlc. au.t abject ..Ithln .I.ty (60) dlY' of rac.lpt of
thh Notice by.
INTEREST I
Factual Irror. dl.cov.rad on thl. .......ent .hould ba addr....d In writing 101 PA Dep.rtaent af Ravenu.,
Buraau of IncUvldul1 Ta..., A"NI Po.t b.......,t Aavl.w Unit, n.pt. ZlID6DI, Illrrhoora, PA 17lza-D6DI
Phone (7111 787.65D5. S.. page 5 af tha booklat "In.tructlon. for I~rltanca TeM Rlturn for. R..ldent
Dacadant~ (REY.ISOIl for en akplen.tlon of ldalnlltratlvlly cDrrect.bl. Irro"l.
If eny talll due I. pala within thr.. (J. cellnd.r .anth. aft.r the dlcedent'. dlath, a flvl plrcent C5k) dl.count of
the tax paId I. .Ilowed.
Int.ra.t S. charged blglnnlng ..Ith fl...t day a' d.llnquency, 0,. nlns (,. aonthl and onl (11 day froe the data of
daeth, to the data of p.vaent. 'a... which bac... d'llnquent bafor. January I, 1'8Z b.ar Int.ra.t It the rete of
.Ix (6XJ parcent par 8nnUI calcul.tld .t a d.lly r.ta of .ODDI6'. All t.... which b.cI.. d.llnquant an ."a .ft.r
January 1, 198Z ..III baar Intara.t .t . ,.at. which will vlry 'roe caland.r Ylar to calend.,. ya.r with th.t rat.
announced by the PA Oap.,.t...,t o. Rlvenue. Th. appllc.ble Int.....t ,..t.. for I'll through 1'" ar'l
DISCOIMTI
!!!r Int.rut A.tl O.lly Int.r..t Factor ~ Int.,...t R.t. Dally Inhr..t Factor
1912 20X .OD05'. 1'87 'X .DlDZ47
1915 l6X .ODOU8 191..1991 IlX .DDDSOl
19114 [IX .DODSOl 199Z 'X .DDOZO
1985 ISX .DDDS56 1995-1'94 7X .ODOl'2
I'.' lOX .DODZ74 1995-19" 'X .ODDZ47
ulntar..t II cllculatld .. follovll
INTEREST . BALANCE OF TAX UNPAID X NUKBER OF DAYS PELINQUENT X DAILY INTEREST FACTOR
nAny Notlca luu.d .fta,. the ta. bacON I d.llnqulnt will ,..Uact en Int.r..t c'lculatlon to ,lft.an Cl5J dava
bayond the data of the .....~t. If p.y.ent I. aad. a.tar the Intar..t co~tatlon d.tl .hown an the
Notice, addltlon.l lnt.rut ..,et b. calculated.
i/
/.5' -6/- 7
REV-16D7 EX AFP 112-95*
COtWtONWEAL TH OF PfHHSYLVAHIA
DEPARIHENT Of' REVENUE
BUREAU OF INDIVIDUAL TAXEI
MP'. lIUDl
HARRISIURO, PA 1111"0'DI
ACN 101
(~:.~
INHERITANCE TAX
STATEMENT OF ACCOUNT
DATE 04-15-96
SHANK MARV S FILE NO. 21 95-0771
08-12-95 COUNTY CUMBERLAND
HOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNr, SUBHIT THE UPPER PORTION OF THES FORH WITH YOUR rAX
PAYHENT TP THE ADDRESS SHOWN. HAXE CHECX PAYABLE AND REHET PAYHENT TO. ,
MIRIAM FOUGHT
303 ALLENDALE RD
MECHANICS BURG PA 17055
REGISTER DF WILLS
CUMBERLAND CO COURT HDUSE
CARLISLE, PA 17013
A.aunt R..Ut.d
CUT ALONG THIS LINE ~ RETAIN LOWER PDRTlON FDR YOUR FILES ~
iiE'y:i6iWiiC-"iij.--mf:9Sr-----.ii.--iNif€Rii"A'Nc'E--fAx--si'iifiiiENi'-ii,;-AifcDuiir--iii.---------------------
ESTATE OF SHANK MARV S FILE NO.2l 95-0771 ACN 101
THIS STATEHENT IS PROVIDED TO ADVESE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED
ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATEDN OF ALL PAYHENTS,
THE CURRENT BALANCE. AND, IF APPLICABLE. A PROJECTED INTEREST FIGURE.
DATE 04-15-96
DATE DF LAST ASSESSMENT OR RECORD ADJUSTMENT. 03-18-96
PRINCIPAL TAX DUE.,
BO.68
PAVMENTS lTAX CREDITS).
PAVMENT
DATE
03-28-96
RECEIPT
NUMBER
AA1l2676
DISCDUNT 1+)
INTEREST (-)
.00
AMDUNT PAID
8D.68
. IF PAID AFTER THIS DArE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
80.68
.00
.00
.OD
.
IF TOTAL DUE IS LESS THAN fI,
ND PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI.
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE UF THIS FORH FOR INSTRUCTIONS.
Q~ ~ :0:0
s:;) t~ 2
,~'j " ,
~ '" (1
.' ;-I~'
,
io; ~
'.
('1
9 ~ 0':'(
(.: ~t~
() \0 in
~r: (11 n.
;:! UJ
PAYHEHf.
DetKh the top porUon e' this NoUn Md wbIIlt with YOU" pay..,,' aad. p.,.,I. to thl n... ~ ~r...
print" on ttM rav.r.. .Ide.
If RfllDENT DECEDENT ..... check or 80M)' order plv_l. tOt RECISTER OF WILLS, AGENT.
If NOH-RESIDENT DEaDENT ... ~ck or ""IY orde,. p.y.,11 tal COHHONWEAL TH OF PENNSYLVANIA.
All pIYHnls ,.Kal,," ehllU be applied flr.t to WlY Int.,...t which ..y be dull with My n..lndti,. appll..t to the tlIC.
REfUND (CR), A r'~ of . tax credit, which .... not r~.t.d on thl Tax A.tu~, ..y ba reque.tad by c~l.tln. WI
"application for R.fund 0' P~.ylvanl. (nn.rlt~. ~ Est.t. rlx" (REV-ISIS), Applications .r. eVIltabl. at
the OffiCI of the R~I.t'r of Will., WI)' 0' thl 25 Rlvanu. DI.trlct OffICI' or 'r~ the D.p.rt.."t', 2'-hour
.,~,.lng ..rvlcl ~r. '0,. 'or.. ardarlng. In pann.vlvanl. 1-aOD-S6Z-2050, out,lda Pann.ylv~la
~ wIthIn local Harrllburg araa (717) 787-11094, TDDI (717) 77Z-225Z CHaIrIng I.,alrad onlv).
REPLV TOr Due.tlon. reglrdlng Irror. contllned on thl. notlc. .hould be eddrl..ed tOI PA D.plrt..nt of R.venue, aUreau
of Indlvl~l Ta..., ATTHI Po.t A.....-.nt R.vlew unit, Dapt. Z10601, Hlrrl.burg, Pi 17121-0601, phone
(717) 717-6505.
DISCOUNTI If ~y taM due I. paId wIthIn thr.a (3) c.landlr lonth. Ift.r the decadent'. d.ath, a fllJ. p'rc~t C5X) dl.count
of the tax Plld 1a 11I0wed.
INTEREST I Int.r..t I. charged beginning with flr.t dav of dallnquency, or nine C9J aonth. and an. Cl) dlv fr~ the data of
d'lth, to the dlt. of pay..nt. Tau. which bee... daUnquw'lt b.fora Jenuerv 1, 1911Z b.ar Int.r..t at the tIt. of
_I. (6X) parc~t p.t ennu. calculatad at e d.lly rete of .000164. All tl..e which b.c... dallnquent on and .ft.r
Janulry 1, 19112 will baar Int.r..t at . tlta whIch will v.rv frol calendar y..r to cIlandlr y..t with that rata
~ad by the PA D.part.~t of Rav.nue. Th. eppllcebl. Int.ra.t rat.. for 19112 through 1996 Iral
V..r Int.rut Aata Dllb Int.rut Fechr V.lr Intar..t Alt. D.Uv Intar..t Fector
1912 20X .000541 1917 OX . DDOZO
191J [OX .DDOUI 19U"I991 [IX .0DDUl
19M IU .000301 1992 ,:'! .000Z47
19I5 UX .0003S6 1993'"1994 n .000192
I... lO' .ODD274 1995-1996 .. .000247
--Int.r..t I, c.lculated .. follow..
IfITEIIEST . BALANCE OF TAll UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FAt'TDR
"'-Any Notlc. I..ued aft.r thl tl. blC~' delInquent will r.flact an Int.rl.t cllculatlon to flftllft (15) daya
beyond the dlt. of the ......eant. If pa~t I. .ad4 .ft.r the Int.r..t coaputltlon dlt. shown on the
Notlc., addItional Inter..t .u.t be calcullted.