HomeMy WebLinkAbout95-00822
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R(Y.ISOQ U+ 'Irq"l I, " FOR OATIS OF DEATH AnlR 12131191 CHICK HIRE
II~.:J~:?C\ INHERITANCE TAX RETURN ~~':,:::n_:tDIII5ClAIMIDJJ
_1lJII..,.. RESIDENT DECEDENT flU NUMBER
COMMONWfAl1H 0' "NN""ANI. (TO BE FILED IN DUPLICATE t'l/
O(PARlM(Nf Qlllh'INUl ~
"A.",fJ:b,~~Ot'l:,~.o""'._ WITH REGISTER OF WILLS) COUNIYCODE...
DIA(DItH'~ t~AMlll"'!o ,'I.~ . AND MIOOlllt~1 IAII Ol(lott.f!l (0""1l11 AObU!!\
jjt/J)a~f!..'; ~__~L..~__ "'__'_'''.''[H.n'H''___'_'U 17}IHI,'" ;'.I/,'l! ^ 8 ..
SOCIAl StcUllllY NUMlU 04" 01 OI.IU.. {JAil 01 IIll1hl. /tJ(, ."11- IHI/1II Otl. r b ~1l J..IJ.')
Ilo'l-.J.l.' J'fc/t". &!"'I.JLJ..'1,11'tfJul 2q,...JJII~ cf!l~"..;.~llu,/"h '''!.'!~ C"."I"'I",,~
1" ."11(....'11 'Ulvlv,unv, uu. "......, t,...~1 ,-.,' .1,(> ",N'\I "..,..q JSD'IAI !Ill~J.IT' NU...t(1I ~j~!!~'fAMOutn '((11'0'10 ISH IU\UUCT10t~!o1
l'>'~/I\'LD __________ ___ _____L___
~ 1. Original Relurn [I 2. Supplemental Relur" 0 3,
D A. limited hlot' [] Aa. fulure Inlerell Compromi,,, [] 5.
(for dote! of deafh alter 12.12.821
o 6. Decedent Died Teuate rJ 7. Decedenl Mainlained 0 li...ing Trusl ..s2.. 8. Tolol Number of Safe Deposit 8011"
(Alloch copy of Will) _ IAlloch copy of Trull)
AU CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO.
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1. Real Ellole (Schedule A)
.2. Sloch and Bonds (Schedule B)
3. Clo"ly H.ld Stock/Porlnenhlp Inleresl (Schedul. q
4. Morlgog" and Nolel Recei...oble(Schedule D)
5. Cosh, Bonk Deposits & Misc.llaneous Personal Properly
(Schedule E)
6. Jolnlly Owned Property (Schedul. fl
7. Tran.fen (Schedule G) (Schedule L)
8. Tolal Gran Anell (Iolalllnel 1.71
9. Funeral ellpens.s, Adminlstrall.... Casll, Mlsc.lloneous
bp.n"s (Sch.dule H)
10. Debh, Mortgage 1I0blllti.s, 1I.ns (Sch.dul. I)
11. Total D.ductlons (10101 line, 9 & 10)
12. Net Valu. of estole (lIn. 8 minus line 11)
13. Charilabl. and Go....rnm.nlol B.quesll (Sch.dul. J)
lA. N.t Value Sublecllo To. 11Ine 12 minus L1n. 131
'5. Spousal Trani'." (for dales of death after 6.30.941
S.. Inslrucllon, for Applicable Percenlage on R....erse
Side. (Includ. ...alull from Schedule K or Schedule M.)
16. Amount of line IA 1011 obI. 01 6% role
(Include ...olu" from Sch.dule K or Sch.dule M.I
17. Amount of line 14 tOllabl" 01 15% role
Ilnclude ...olues from Sch.dule K or Schedul. M.I
18. Principal 10. due (Add 10. from L1n.s IS, 16 and 17.)
19. Credlls Spousal Po....rty Cr.dil Prior Po)'menh Discount s"i"
rVD"H + _\L~"" +-'.C~i,~~
20. If lIn. 191s 9r.01.r Ihan lIn. 18, .nter the difference on lIn. 20. lhl,ls the OVERPAYMENT.
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R.moinder Relurn
(for dolll of d.ath prior 10 12.13.82)
f.d.rol Ellole Tal. Relurn Requir.d
(OMPUl( MAIliNG ADOlns
q 111 ,1,..",2. () (.',
111H'I,H nlit'J 8/1,1 I., AI. 17(;)'(
( I ) .!iiJ..JL-/I
(2) _.___9,l.IJ!.':'~___
(3 ) .J!CNJ
(A) _A!..~'!.1_
( 51
(61 J!pJI
( 7) J./cdt
., 7,.'lJ.1..:!..~
I
37,1-;.) , 'fV
(9 )
(10) ....!'&tI.1
;). SI'l -+1
(B I
(11) . ,:JS /4, 'f I
(12) -----3D.J 3 ," ~
(1311l~..h
(IAI 1/ 3.i J.J..LY 3
(15) _/:!.otol..lu._u___,_x.__.a
(l6)1l__3.:i.L12,::.:p_. u_. x
.06 a,___!!.....~lJ..).'!!___..._.
(17) _NoN' _.__...__x
.15 J:I
(I B) /I J II}, 'If
(19) It 16 'I. ~'f
(20)
Inl.r.sl
Chcdt hCll..' if you afe requesling a rofund of your ovorpayment.
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21. If lIn. 181s 9reol.r Ihon line 19, .nl.r the differenc. on line 21. This Is Ih. TAX DUE.
A. En'., th. Inl.resl on the balance due on line 21 A.
8. Enl.r Ihelotal of line 21 and 21A on lIn. 218. This is Ihe BALANCE DUE.
Malee Chee\.: Pavabl. tal R.ght.r o' Will., Ag.nl
f'":''' ~ >- II SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -<-<
Und.r penolll.s of p.rjury, I declar. Iholl ho.... uomln.d Ihh r"lurn, including accompanying schedule, and slolemenlS, and to Ih. bell of my knowl.dge and beli.I,
Ills Irue, co"e" ond complele. I declare Ihat all real ellole hOl been reporl.cf 01 Irue morkel ...olu.. O.claratlon 01 pr.por., other Ihon Ihe perlenol '.pr...ntoH.... h
baled on olllnlormaUon of which prepor" has any knowledge.
~AlUU 0' 'EUON -r.r..ONslaZ':1l 'IIING InUlU a APOIU!. OAU
"\ ~ /~.~'L :n~'7\ AJ_d~LLl__9.J!Jl1I1L-c'._/lt.l_,_iLlt.w,1"('S'IJ1"."(,_ jtl... _/..leD': It"!/' ~f
~ii~lE Of '~lP~lrr Tft-~nln(NIATl"'l Aopln!. , ' _, PAn
-U /)'vu-t.- Lr.-.---/..CUAdJ. 7_!llt.J/'A'~_../2L_tll~!./;.J,,,j"<"Ljj'''''''',_ (.L.t.J~.Jj':' 1& Sf' ~L~.____
(211
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.tv '~0I1.. 11111
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COMMONWEAltH OF rfNNS'tWANIA
INHIIIYANCI TAX .nU'N
.UIDINT DlelDINT
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
.. .._ m Plo_o.. P,i~lo,..Typ_'__
FILE NUMBER
ESTATE OF A
E. VA tJ ArlDft2S'C'/ _
(All prDperty IDlntIY-GWn.d with the Right of Survlvoflhlp mu.t b. dlulo..d on Sch.dul. F)
I
do.
_5
4-
s
t,
7
8
9
/0
1/
11
13
Itf
If
II.
n
ITEM
NUMBER
DESCRIPTION
, (' hu!/{;.,;t A~a",d ;tJrI~/ 1311tVt. 9 -:; - '1r
,t - o~ 1
600. {'life/: DI\1tb INI.f/i- D'fCJi/14 lto/ftdO<'t tim,'." eN '1-t -9f
, CMh fOArJAGf,llf,'// fll'Cc<.t.;( (r1(IIr',ll L'I"1l'1. 8:H'Il-
, t2'':QrJn ftl"~1 1J~,~""LI46I1'lnrJ"1 -Off'J,IIO J:N [11"1 1 MfI.I.,I/~,y '1-/1'-91
.
J9s"~ filet vitllJ' ()o,.Jj - CO,"J 1114.lIt ,1'" Ntl"'ilAr.uit 11"lul-
, VA(Llt 1:1 f,( lIl.{. ClJrJft.vl G"'/1 -'(,'~qf"" 1-3, 7f:
Si ~ RollJ 0'1: s,ll/to/. {Joll~., r;;it1"6,~c.. _we'
O,U ~oo/:. 0/= Cileu/Artd Jilt/Ill {Jol/,u'/ Iftl' lolfj(
Nif.ll ((.ell, 6r l':,lt...t'rttJ ",'ieM" @~.g.''''..,~
ONE. 1993-/Q" Po""~d/t lE",i~~ ('c/.... Tv
()IJL [/loll'; '11.1'( old L'r! elw..... III! d,\ll (ltf,!..... - GNl,j
TV tf\fll/"II v;/lA'! flIUMi,"/. /UI'II - IliA fllJidh"'.
()(l/t., '::101'" L.A1'1/'
CJfJl ~NO TAGIL
OrJt Tv TAf1../f
!JtJl. v.J~jJr lAJl\fr/, "...~ IIft,I:.,,/ pilof} ",: ()cJ/'u..,{ ,[1";/'''7
p{ .u.,v,H, C/.H,:ve ,- .s t'I\;...1 1..'1 . S i IAo:t - N 1)/."11/ . n",'ArtAj - L
Wt4'I~{~ ('~oUl-lwloJ"... Ce..r -,!j' ;'."'/
{lVoJ (! let;' I
e(IJ!, oJ 1101,.-09
VALUE AT
DATE OF DEATH
f II'1Lf.8:J.
1/ ::i {'O. " 0
{J ,')09/8,5;;'
11 ,}. 31.11, .)-J
j Ilot,. JI-
/I 9 /" o. tl7J
,t :t:io, ,,'t1
/I 7;, tV
/J 100, e"
.1f/oo,CJ,;:
U H,lI1l
II Zf.o/1l
J :z r, ""
il ';j().n
.I 2" 0, ,,'1>
Ii 2f',""
93, '11.
TOTAL IAho onl., on Iin. 5, R.c~pilulolion
~"'I-'I'/-
(Alloch additlonal BYI" l( 11'" ,h.". if mot. 'pac. h n..dld.1
JfVUll'ltC'''''1
,,~.J~'~~
-!tWJ"",
CQMMQUW(Altll or ,rNNn'IVAtUA
IUlUllltANCf fAI RlW_N
WUloWf o(C(OINI
mATE OF EVil A AAJvF.ljt.'/
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
ITEM
NUMBER
A.
I.
J.
3.
1/.
S.
B.
I.
Ploa.o Prlnl or Tvpo
: FILE NUMBER
I
DESCRIPTION
Funeral Expen...,
,t I"UNI.tAL "~;I../lff ''''1.111'11'01 8'1 #<1,/,'_" .r:.vJcl.l.....,,[ cui-/4,1I,!
r('II.~;..J~ f 1-C( f~",.IJ.
"'!D"'I.lJ
tn ;"IIJ-II(I
((I,ljic
PlflC;,J(. D" NII''l1 ...1 ;',.4D lit,.!, - sI1ull,upj /C/.,tlc'(''1''''.!''I''I.Jlf
. Admlnl.tratlvo Ca"1I
Personal Representative Commtnlons
Social Socu,lty Numb., of Pononol Rop,o.onIOllyo:
Yoa, Comml..lon. paid
2. Allo'noy Fee.
4.
C.
I.
2.
3.
4.
5.
~.
7.
8.
~
3.
Family Exempllon
C1almonl
Add.... of C1almanl 01 decodonl'. doalh
51'001 Add,e..
City
Relollon.hlp
Slole
Zip Code
P,obole foOl
MI.cellaneou. Exponll"
1t"<.'11 D~ 0"",,11,.1. /l.;D SON.I:'" LtI"'-, II1M~ III ,,"'. 111.~.uJ I?
(lUlU 1/ F,,-,.,., IY)IChl,,;;Cj VI/n. tn. '" t2ulJtl! JI,,".v~1 K., o'/v'
IlL"u."; /J'I I1Ulo. -r./", .,: /1.~1. ",11'1 Ar .)01\.111.1/
.sh,('!,lAu{,"','/ lil.\il'1 f.tritt,ol (O.t/r~)
itf;. f!OtILIA' ~ Cllo/DtA (0../.....)
IllUJ /^~ ",;1/,,,, 111111/:41(. /Il'",1'
/!/IIlIi~ "v" (. fIc,t';/ot <.
H.Z. fl:Il./',^..! allD"
J<..,.J/!t.E.1 S"Hic.\<. (,I."p
f'awAA"'! Ift~a
4't~,'u__J,w/JtJ
TOTAL (AI.o enler on IIno 9. Recopltulollon) S
(If mare 'pace I, needed, Inllrl addItional ,hoe" of .omo 01.0.)
AMOUNT
!l1f3<}.r.~
I( 100.0'
· 7~:....
1/ '-f<J.;b
I 1~'.1IO
.I 6,9.'0
J ,rQ.7/
1/ .:U:1 0 I
il ~b", 70
" (/;).'1. oy
It .:13. '(-I
.J/ 11.,';'(
r-'
; @ Mellon Bank
PERSONAL BANI<ING STATEMENT
,.
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DIRECT IUQUIRIES TO,
MELLOU DAtlK UA 3
COMMOtlWEALTH REOIOtl
MECHAtlICSBURO
2 ~I MAItI ST
MECHAtllCSDURG PA 17055-6231
7l7-766-~7~3
1",111",111""1,1"1,1,,11,,,,,11,,11,,1,,11,1,,1,1"11,,,1
EVA ADA AtlDERSOtl
MARY M RUSSELL
9 'WIOR OR
~IECHArlICSBURG I'A
00~23
0~14
142-110-~611
PAGE 1 OF 2
STATEMEtlT
FROM 08/03/95 THRU
09/05/95
I
17055-6134
....,
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. ........,. ...
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. I ~. . '::J:.
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.-.....----.....-.----
GET II SI'ECIIIL LOH IUTROOUCTORY RIITE ON II MELLON HOME EQUITY PERSONIIL
CREDIT LIUE. IIPPLY 7 DIIYS II \lEEI( DY CIILLIUG 1 800 I1ELLON - 2.
RELATIONSHIP SUMMARY
DEPOSIT ACCOUNTS
PERSONAL CIIECKINO
TOTAL
DAtAllCE
1.144.02
1.144.D2
LOAlI ACCOUtITS
otlTSTAtlDING
PERSONAL CHECKING ACCOUNT 1<12-110-4611
~ccoUtn SUMMARY.' "0""': : :,\',;.: " -' .:: ,,', "l.r:..,'I'.i.\:.... :tlll;'" 'WI ,~';ii~!(lil
oPEtlltlG DALANCE AS OF 00/03/95
TOTAL DEPOSITS AlID oTIIER AoDITlotlS ItlCLUDltlG IIITEREST CREDITED TIllS PERIOD
l..QIAl CIIECKS AUD OlllER HITllORAliAlS IUClUDIUG FEES AUD enAnCES TillS PERIOD
CLOSltlG OALA/lCE AS OF 09/0&/9&
AVERAOE ACCoUltr DALA/lCE
".
1.161.71
+197.00
-:U3.89
1.144.82
1,297.17
[KCCoUtn IICTIVITY
.;. '\, I:'" " 'In 1}'~'I~ ~'f~,I~f.\'ir,f{lliljtJtl.'V.r-rf~~~~ t,( ,}ff'~ r'~,~o(;,
DATE
fQSTED
00/03/9&
DESCRIPTIolI
oPE/Utlo DALA/lCE
IIlse AUTOtfA1ED cnEO us TREASURY 3ft9
306Z036096S0C SEe 403225496D SSA
DEPOSITS
AlID oTIIER
AODITIOUS
CIIECKS
AlID oTIIER
HITftDnAHAlS
l!Ul!5/9S SUIYn:~!llP.E
09/0&/9& CLoSlIlO DALMICE
· YOUR 110011I1LY SERVICE CIIARGE ISIIOlat TO TilE RIGIITl liAS DEEfI HAlVED
l111S 11011I/1 OECAUSE YOU I1ET TilE HlIllIMl DALA/lCE REQUIREI1Ef1r 111 YOUR
CIIECKJUQ ^Ccou~r,
.QQN
DAILY
DAlAtlCE
1,261.71
1.458.7l.
1,308.71 .,
. .
1,274,72 '
1.144.82
1.144.n2:
1,144.02
It~71001
, ",
197.00
00/17/9&
CIIECr. e 11&&
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'.-'-.
1&0.00
OQ/2119& CIIF.CK. 11&~
08/2219& CIIEcr.. 11&6
33.99
129.90
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01'
EVil 111)11 MIDI,IHlON
I, IW1\ 111)1\ IINDlmSON, of Lexin9ton, I'ayette county, Kentucky,
do hereby mllke, publish Dnu ueclDrc this to be my Last I'/ill und
'l'estmnent, hel:eby revolting all ~Iills unu couicils heretofore
made by me.
I'l'EM I
I direct thDt my Bxecutor hereinDfter nllmed puy all of my
just debts and funeral expenses and costs of udministering my
estate as soon liS practicable after my deDth.
I'l'EM II
I give, bequeath and devise all of my estute of every kind
Dnd description, whether real, personal, or mixed, and whereso-
ever situated, which I own or have the right to dispose of at the
time of my death, to be husbund, C1\RSON 1\NDERSON.
In the event my said husbnnd does not survive me, or if he
shDll die with me as a result of a common disuster, or under such
circumstances that it is difficuJt or impossible to determine
~Ihich of us died first, then in such event, I give, bequeath und
devise my property of every kind und description, be it reul,
personal or mixed, to my daughter, M1\R'i MlIGDlILEN lINDERSON
ntJSSBI..'..
\
I'I'I~M I I I
1 hereby nome, nOlO1no\;0 nnd opp01nt OR Executor of t:his,
my Last: will and 'J'eRt:alOent, my husbnnd, CMlSOU IINDERSON, and
request: t:hat: no sur.et:y be required of him, and de hereby give
and gront unto my fln111 I':xeeutor full power nnd out:hority \:0 sell
renl esl:al:e or pl:operl:y under. \:orms which ho shull deom advisable,
and I do hereby llirect: my r::xocu\:or l:o oxecul:e any document:s
necessary t:o effecl:ual:e nnd perform any cont:rac\:s en\:ered int:o
by me during my l1fe.
IN WI'l'NESS WHEREOF, I have signed the foregoing ins\:rument
consist:ing of t:his and one preceding page, and publish t:he same
as my Las\: will and 'l'est:ament:, t:his l day of July, 1980.
I .,'. )", II
/..tr~-I'I' ll.. 7,1(f.i.t\,,:.,...__
EVil 11011 IINDERSON
SIGNED IINIl IICKNOI.n.EDGEIl by IWII IIDII IINIlERSON t:o be her Last
will and 'l'esl:ament:, 1n OUI: presence, sight and hearing, who at: her
request:, have her.eun\:o subscribed our names as witnesses in her
presence and in l:he presence of each ot:her, at: Lexingt:on, Kentucky,
\:his .;:). day of .July, 1980.
I, }.. t.,.\(}.Q<.,.,~ "C)
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\
'l'l~~~c..=~~RU~~.~,)IIRED, BY I
--- ---/) /~
,c:'_"--~_/ C......___-/)=f ";t:'
E. 1.1IWSON KING
300 First: Foderal Plaza Qui .ding
J.exing\:onr Ken\:ucky 4050'7._
.~
ab~~. ~ ~
a\:~~'~.
Residing
Residing
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021 - /fj{I.5- .1" ~,;L
Inventory of the real and personal estate 01
i vrl A. tV/II,tft<!'
deceased
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~ CI1IC/:JN6 (l,rl.oIJI ,1111/0." ti-l,vt ",.\.q(
~ SCO.'~ Cl,tH, OAT/II b"" .q{.f)'I"l,'f'1 IrI ,1/10,'1 ,1Nov'" y-' ql'
-+ ('Mil 1Yl""""/~1 t..JI /lI,rool.J1 tl)lIefJ,'tL L'fAJt'/, AI .," 6'.) ,', 'i (
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I
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
fY)1J1y__I7]~/2t/4!dL--- ___H ----- --- ----------
b.lng duly---..- according 10 law, dopa... and IBY' .,Ihal S ho Jll~l-irl~j;'.ilLlL. ---
________. ____ 01 Iho E.lalo of .........k:..11l--11..~..J."
lat. 01 -'Y\!C/ld,o)icII3\.f,I(..( PfN ,,) . .,_______, Cumberland Counly, Pa., d.c....d and Ihal the
within I. an Iny.nlory mado by .__lfjfVl~/_/1J.-_12-v.li[jl-- -__ - -----, Iho IBid
01 Ih. .nllro ..Ialo of IBid doc.donl, con.I.llng of alllho p...on.1 prop.rly .nd ,..I ..1.1., exc.pl ,..1 .11.1. ouhld.
Ih. Commonw..llh of Ponn.ylv.nla, .nd Ihal Iho f1gu,o. oppo.lt. each It.m 01 Iho Inv.nlory repr...nl 11'. 1.1, v.lu.
as 01 Ih. doh 01 d.codonl'. doalh.
III
and .ub.c,ibod bolore mo,
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eUtutor . Admlnhtrator
19
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INSTRUCTIONS
I. An Iny.nlo,y mull b. f11.d wllhln three monlh. altor appolnlm.nl 01 p.rson.1 repr...nlallv..
2. A .upplom.nt Inyonlory mu.t bo fIIod within thl,ly d.y. of dl.coyory 01 additional ....to.
3. Addlllonal .ho.to may b. .ttachod .. to p...on.lly or ,oally
4. S.. Arllclo IV, Flduclerl.. Act at j ~49.
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
___JY}ilrZ_y.._IlL~t2l.{JJ~/L_._.. _.u___.__.__ ----
bolng duly ____. ___. __ .ccordlng to I.w, dopo.o. .nd ..y. :th.1 S h~ -~'~.e~~5'.liLJL
_ ._____._n _______ of Iho E,I.t. of ~..Ll .
1.,. of _.ffifC.I1<'14;' I 1311.1 c- (P(N N_. ... ..____ , Cumborl.nd Counly, P." d.c....d and th.llh.
within II an Iny.nlory m.do by _1fJf!!fI.~/_rJ].._/l".'lliL'I__._ .___ _ , Iho IBId
of th. onllro o...to of IBid d.codonl, .on.lltlng of alllho p.nonal p,ol'orly .nd re.1 0...1.. .xc.pl real ..Ial. outsld.
th. Commonw..llh of Ponn.yly.nla. and th.1 Ih. flguro. oppo.lt. oach 110m of Iho Inyonlory repre.onlll'. f.lr valu.
os of Iho d.lo of d.codonl'. d..th,
III
and .ubscrlbod bofo,o mo,
-~'1 tfI, ~1(11t/(
Eucutor . Admtnhl,.'or
19
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11(/~/I( r
Month
I'lPJ'--
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O.t. of O..lh
:2 If
INSTRUCTIONS
I. An Invonlo,y mu" bo f1lod within Ihroo monlh. .lIor appolnlmonl of p.llon.1 repr...nlallv..
2. A suppl.monl Inyonlory mu" bo fIIod within Ihl,ty d.y. of dl.covo,y of addlllon.1 ....ts.
3. Addlllonal .hoots m.y bo .1I.chod os to pOllon.lty or ro.lly
4. So. Artlcl. IV, Flduclerl.. Acl of 1949.
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REV-1547 EX AFP 112-95*
CDHt40tNEAL HI or PENNSYlVANIA
OEPAAIMtHl or AEV[HU(
IIUREAU Of INDiviDUAL lun . .
DlP'. 110601
IlAAAlSIUAC. PA 171l'-UOl Ie
I.', . ~. /. /:;i
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,/
ACN 101
NOTICE OF INIIERITANCE TAX
APPRAISEMENT. ALLOWANCE DR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DATE 02-27-96
ESTATE OF FILE NO.
DATE OF DEATH 08-24-95 COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FOR" WITH YOUR TAX
PAV"ENT TO THE REGISTER OF WILLS. "AKE CHECK PAVABLE TO "REGISTER OF WILLS. AGENT"
REMIT PAYMENT TO:
MARV H RUSSELL
9 HANOR DR
HECHANICSBURG
PA 17055
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
Allount R..Ht.d
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
iiEv:isW-Ex-iiFi'--m-:9ffi-iiii'ficE--o,;--iHHEiiifANCn'"AX-'APPR'AisEifEiiT-;-iiLi."owANci-ijlf-mm-mmm
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF ANDERSON EVA A FILE NO. 21 95-0822 ACN 101 DATE 02-27-96
TAX RETURN WAS. e X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..l Est.t. ISchedul. Al (1)
2. Stock. and Bonda ISchedul. B) 121
3. Closely Hald Stock/P.~tn.rshlp Int.rast ISchedul. C) (5)
4. Hartg.g../Not.. Receivabl. ISchedul. D) 14.
5. Cash/Bank Deposita/Hllc. Parsonal Property (Schedul. EJ IS)
.. Jointly Owned Property ISchedul. f) (6)
7. Transfars (Schedule G) (7)
a. Total A...ts
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funaral E.pans../Adn. Calla/Hisc. Expan... CSchedul. HI C91
10. Oabt./Ho~tgaae Liabiliti.s/Lian. CSchadule Il CI01
11. Total Daductions
12. Nat Valu. of Tax Return
13. Charitable/Covarnnantal Beque.ts (Schadul. JI
14. H.t Value of Eat.t. SUbject to Tax
If an assessment was issued previoUSlY, lines
reflect figures that include the total of !1h
ASSESSHENT OF TAX:
15. Anaunt of Lina 14 .t Spau..l r.te CIS1
16. Anount of Line 14 taxabla .t Llnaal/Class A ~.t. C161
17. Anount of Line 14 taxabla .t Coll.t.~al/CI.as Brat. e171
lB. P~inclp.l Tax Dua
TAX CREDITS:
PAV"ENT
DATE
11-02-95
NOTE:
RECEIPT
NU"BER
AA082277
DISCOUNT It)
INTEREST 1- I
105.70
I CHANGED
,DO
9.788,00
,DO
.00
27.964,44
,00
,DO
eel
37.752.44
2.519,41
,00
1111
U21
CUI
U41
~. ~1 9 41
35.233,03
,00
35.233.03
14, 15 and/or 16, 17 and 18 will
returns assessad to date.
,00 X .00.
35.233,03 X .06.
.00 X .15.
UBI
.00
2.113.98
,00
2.113,98
A"OUNT PAID
2.008.29
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
2.113,99
,OICR
,00
.DICR
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN II. NO PAYMENT 15 REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI. YOU MAV BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS,)
RESEAvaTIONI E.t.t.. of d.c.d~t. dying an o~ b.fa~. Dlc'.o.~ I', 19.' .. If InY futu~. Intl~..t In tn. I.t.t. I. tren.flr~ld
In Po.....lan O~ .nJoye.nt to Cl... . (coll.t.~.I) beneflcl.~I.. of the dlcedent .ft.~ the .wpl~.tlan Df env ..t.t. fa~
11ft a~ fD~ VI.r., thl Ca'.DnWI.lth h.~.by .wp~,..lv ~'.'rv', the rlDht to .pprll.. and ...... t~tn.f.~ Inh.~ltanc. ".1.
.t the I.w'ul CI... . Ccoll.t'~II) ~Itl an any .uch futu~. Int.~..t.
PURPOSE Of'
NDTlCEI To 'ulflll the ~Iqulr"'nts of Section 1140 D' the JnhI~StIlnCl .nd htet. TIM Act, Act II Df 1991. 12 P.S.
Section ,....0.
PAY"ENTI D.tech thl tap po~tlon 0' thl. Notlc. and .ub.lt with your ply.,nt to the RIII.t.r of Will. p~lnt.d an the ~.v,~.. .Id..
-""akl check o~ .onlY order plylbl. tal REGISTER OF MILLS, ACENT
all Plv.ent. r.c.lvld .hlll flr.t b. appllld to tny lnt.r..t which .IY b. due with any ~..elnd'r .ppllld to the ta.o
AEfUND eCR'1 A rlfund of . tl. credit, which w.. not r.qu..t.d on the Ta. R.turn, .ey bl ~.qul.t.d bv COlpl.tlng an -Appllcetlon
fo~ A.fund of Plnn,ylvanla InhI~ltanc. end E.tet. TI.M eREV"I~I~'o Appllcltlon. e~. avell.bl. .t the Dfflc.
of the A.,hter of "111., any of the ZJ AeVlnu. Dltt~lct Dfflc.., or by Clllln, the .p.e1.1 ".hour
In,wI..ln, ....vlc. n..ab.~. for for.. ord.~ln'l In PIN"l.ylvtnl. l..aOO.562-2050, outsld. Pennnlvtnle Dnd
within 10cII He..rl'bur, Ir.. ell') 117-ao'~, TDOt (717) 171.1151 CHI.~ln, lIP' Ired Only).
OBJEClIONSs Any pe~ty In Int.....t not .etl.fl.d with the appr.I...ent, .llowtne. o~ dl..llowlne. of d'ductlon., or """IInt
of tl. (Including dl.count or Int.r..tl .. .hawn an thl. Notle. .u.t obJlct within .I.ty (60. d.y. of r.c.lpt of
thlt Notlc. bYI
--wrltta" protl.t '0 th. PA D.p.rt..nt of R.v.nu., lo.rd of ApPI.I., D.pt. Zltozt, H.rrl.bur" PA 11111-tOll, OR
--.I.ctlon to h.v. the ..tta, det.r.ln.d .t .udlt of th. Iccaunt of th. plrso".1 r.p.....nt.tlv., OR
.-Bpp..l to tha Orphan.' Court.
AD"IN
ISTRAflVE
CORRECTIONS I
F.ctu.1 error. dltcavlr.d on thl. ........nt .hould b. .ddr....d In w~ltln, tal PA D.p.rt..nt of R.venul,
Bureau of Individual hu., AUNI Po.t A.......nt Ravl.w Unit, Dlpt. 280601, Iterrl.bur" PA 17U'.0601
Phon. C7171 7'7-6505. 5.. peg. 5 of thl book lIt "In.tructlonl for Inh.rl'tnc. T.. R.turn for I R..ldent
O.c.dent" CREV-1501' far In ..plonetlon of ed.lnl.tratlv.ly carr.etabl. .rror..
DISCOUNfl
If InV tex due h paid within thr.. UJ calend.r .onth. aft... the dac.d.nto. d.a'h, . f!v. p.rcent ISle) dhcount of
the te. paid I. .llow.d.
INTEREST I
Inl.rl.t I. cha~,.d big Inn In' with flr.t d.v of d.llnqulncy, O~ nln. C,) .onth. tnd on. (1) d.y fro. thl date of
dllth, to the dlt. of pay.."t. Tax.. which b.c... d.lInquent b.fore JllnUtry 1, 1911 b..,. Inter..t at the re" of
.1. 16%1 p.rcent p... snnu. c.lculetad at I d.lly ret. of .OOOI6~. All t.... which bec.~. d.llnquent on end aft.r
JtnU.rv I, I'll will bllr Int.....t et . r.t. which will very fro. c.l.nel.r yur to c.l.nder Yllr with th., .....
announc.d by the PA O.part_."t of R.venu.. Th. .ppllctbl. Inter..t r.tl' for I,SI through 1"6 .rll
!!!! Int...e.t R.ta D.lh Inte~,.t fector Ve.r Internt A.ta D.IIy 'ntere.t Fector
I'll ZU .0OOSU 1917 .~ .0002'"
1'15 l'~ .000U8 19I'.t991 II> .000501
I'" lU .000501 I99Z " .0002'"
I9IS U~ ,oe05S6 1995-1'''' ,. ,000192
1'16 IO:C .IOIll4 1995-'996 " .100247
ulnter..t Is calcul.l.d .. follow.1
INTEREST . BALANCE OF TAX UNPAID X NunBER OF DAYS DELINQUENT X DAILY INTEREST FACTDR
-"Any Notlc. I..uld .ft.r the t.. b.coe.. d.llnqu.nt will r.fl.c' .n Inl.,.,t calculltlon to flft.." liS) d.y.
beyond the d.te a' 'h. ........"t. If p.y..nl Is ..d. Ifl.,. ,he Internt cOtPU'.Uon d.t. .hown on the
Ho'lce, eddltlon.1 Inl.r.., IUlt b, calculatld.