HomeMy WebLinkAbout95-00837
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
roa OATIS 0' OIATH Ama 12/31191 CHICKHUI
" A SPOUSAL
,0Vla" CalOIY II CLAIMIO 0
i1u NUti....- .
,;),1 .
COUNTY COOE
MPUTI ADOIUU
1 Langsdorf "'ay
Carlislo, P^ 17013
!i:
..
Q
~
a
COMMONwrAllH OF rrNN~UVANI.
Of'''''IM('''I o. '(V(Nut
or'T 'lObO I
tt,UIl\ftUI"_'A 1'll'_~1
tm~A i ..
MI l ,
Ruth E. Negley
loll U I Y M
200-09-2299
9/10/g5
3/211/03
Cumberland
c~~
01.
~.
o 2. Supplomonlal Rolurn
Original R,turn
o 3.
OS.
o Aa. Fulur. Inter'll Comproml..
I'ar do to. of death ahor 12.12.82)
o 6. Decedent Di.d Testot. 0 7. D.e.d.n' Maintained a living Truu
(AlIoch copy of Willi (Attach cop)' of Trult)
ALL CORRFSPONDENCE AND CONFIDENTIAL TAX INFORMAnON SHOULD BI DIRECTlD TO.
NAMT-. M MAll
Richard L. Webber, Jr., Esquire 366 Green Sprin9 Road
H N M p.o. nox 40
Newville, PA
limited ellot.
.L8.
,s
YEAR
'g'd7
~
NUMBER
RemaInder R.lurn
I'or dOlO, of doalh prior 10 12.13.82)
F.d.ral ella', TaK
R'lurn Required
Total Numb.r of Safe O'POIU B0ll81
776-6566
17241-0040
96.905.57
50.00
(15)
90.05A.'i7
)(.06 .
1. Roal Ella'o (Schodulo A) ( 1)
2. Slach and 80ndl (Schodulo B) ( 21
3. Claloly Hold StocklPortno..hlp Inlo,o,' (Schedulo CJ (31
4. Marlgago. and Nolo. Rocolvablo (Schodulo D) ( 4)
5. Ca,ht Bonk O'pollli & Mlle.llon,ouI Peuonol Property I .5)
(Sc..dulo E)
6. Jalnlly Ownod Praporty (Schodulo F) ( 6)
7. Tran,',,, (Schodulo 0) (Schodulo L) ( 7)
B. Total Gron AU.II (tolallin., 1.7)
9. Funeral Exp.nlls, AdmlnbtraU...e CO'". Mlle.llan.ou. (9) I 6,797.00
h.p.nll' tSch.dule H)
10. C.b". Martgogo Uablll,lo.. Uon. (Schedulo I) (101
11. Ta'al D.dudlonl (10101 IIno. 9 & 10)
12. NOI Valuo 0' Elta'o (IIno 8 mlnu. IIno 111
13. Charltablo and Gavornmonlal Bequo." (Schedulo J)
14. NOI Valuo Sub odlo To. {lIno 12 mlnu.llno 13
15. Amounl of IIn. ,.. laJCable 016% rat.
(Include va lUll from Sch.dul. K or 5th.dul. M.)
16. Amount of IIn. I" 'olltobl. 01 15% rol,
(Includ. volu'l from 5eh.dul. K or 5ch.dul. M.)
17. PrlncipoltoK due (Add IDA from lin. 15 and 'rom line 16.)
1 B. Credill Spousal Pov.rty C,.dit Prior Poym.nt.
+ +
lQ. If Ii no 18 Is graolar thon IIn. 17, .nt., the diff.,ence on IIn. 19. this II the OVERPAYMENT.
~[J
20. If line 17 Is grealer than lin. 18, .nter the diN."nc, on lin. 20. This II the TAX DUE.
A. Enler ,h.lnl""' on .h, balance due on line 20A.
B. Entor ,h. 10101 of IIno 20 and 20A an IIno 208. Thl. h Iho BALANCE DUE.
__~a" ~hlC. Payable tal R.gllt., 0' Willi, Agent
... .. BE SURE TO ANSWU ALL QUESTIONS ON IEVUSE SIDE AND TO RECHECK MATH..
.l;;- p.noii,;;o, pori~;r: I d;(i~tIllho' I ha.... ..omin.d Ihi, 'elurn, Including oc(ampon~lng tch.dul.. and .lol.m.nh, and 10 Ih. bitt o' my kno.....l.dg. and balwl.
, Itu.. corr.ct Qnd cnmplnl.. I d.e/ol, Ihal all r.ol..lol. has bun "porl.d 01 Iru. morhl ...olu.. a.doration of p"po, r olh., t on th. Q.,.onol~r'.P"'."Jnh"" 1\
,ed on all Information of which p'.por., hot any knowledg.. Hi) r 10 d r I ." 11. ,. ,t.~fA 1 _'!/ 1/ 1/ p-
~l~'lmlo.rnINomU1N B ~I Spr ng Aye. 'li.ut
1io~'~tllY W. sheirtf#;1t17 N. \'ialnut ~j;""nl~~v Ie, P^ 1,(2111
mAJijl~ O'_'.J'J..UO'.'~." "'/N'.Y""N'.TIY' .DD.... 1 <;;pr ill'll. I.., 'I G C. b D.lI
---7 L//1 1"t.l/\.1-
Hlchard L. l'ip-bbet, ,1r. 1(,r; Hd., P.O. Box 110, Np-wvll1e,
(16)
>c .15_
Ol.counl
270.18
Interll'
Chick her. if you are' roqur\ting a 'rfund of VOUI Oyofppymenf.
(201
(2011)
(208)
( 8)
96.905.57
(11)
(12)
(13)
(1 A)
6.847.00
90.058.57
90.058.57
5,403.51
(17)
5.403.51
(18)
(19)
270.18
5.133.33
5,133.33
11/./ q"
/, II Ilr
PA 172111-00M)
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (,;) IN THE
APPROPRIATE BLOCKS.
.YES NO
1. Did decedent make a transfer and:
x
a. retain the use or income of the property transferred, .........................111...........
b. retain the right to designate who shall use the property transferred or Its income,
x
X
c. retain a reversionary interest or .............................11.....................................
d. receive the promise for life of either payments, benefits or care? .......................
2. If death occurred on or. before December 12,' 1982, did decedent within two years
preceding death transfer property without receiving adequate consideration? If death
occurred after December 12, 1982, did decedent transfer property within one year of
death without receiving adequate consideration' '..11.....................".....................
X
X
3. Old decedent own an 'In trust for' bank account at his or hor death?......................
X
IF THE 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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COMMONWUn" 01 PI NN~Y1"ANIA
INHfll'''NCI I.... '(lUIU
_r"OrNIDICfDfNI
SCHEDULE F
JOINTLY.OWNED PROPERTY
fiLE NUMBER
--_.._.'---_...~~..
ESTATE Of
Ruth E. Negley
Joint t.nantl')'
- .. - ADDRESS----. .-"--- 'RELATIONSHiji-ioo-icEOiHT'
417 N. Walnut Street daughter
Mt. Holly Springs, PA'1c4S
NAME
~Dorothy ~. Sheaffer
~ Raymond L. Negley
14 Big Spring Avenue
Newville, PA 17241
son
C,
Jolntly....wn.d p,op.rty.
ITEM LmER DATE
NUMB'EI FOR MADE DESCRIPTION Of PROPERTY TOTAL VALUE DECD'S DOLLAR VALUE Of
JOINT Of ASSET % INT. DECEDENT'S INTEREST
TENANT JOINT
" A 10/14/ 5 PNC Bank, N..A. cert. $15,000.00 50% $ 7,500.00
of dep. #1753240076859
Accrued into to DOD 340.89 50% 170.45
2. A 4/16/8 PNC Bank, N.A. cert. 5,OOO.OD 50% 2,500.00
of dep. #175324D087613
Accrued into to DOD 92.96 5D% 46.48
3. A 2/14/8 PNC Bank, N.A. cert. 25,000.00 50% 12,500.0D
of dep. #1753240104266
Accrued into to DOD 154.11 50% 77.06
4. B 2/14/8 PNC Bank, N.A. cert. 40,000.00 50% 2D,OOO.00
of dep. #1753270104267
Accrued into to DOD 357.05 50% 178.53
5. A 2/14/8 PNC Bank, N.A. cert. 40,000.00 50% 20,000.00
of dep. #1753270104268
Accrued int. to DOD 357.05 50% 178.53
6. A 2/15/9 PNC Bank, N.A. cert. 20,000.00 50% 1D,000.00
of dep. #1753270155916
Accrued into to 000 2,954.62 50% 1,477.31
7. A,B 3/26/8 PNC Bank, N.A. Interest 20,035.99 3 l/F% 6,(;70.66
Checking #5140412085
Accrued into to 000 13.55 3 1/3% 4.52
8. A,B 3/26/B PNC Bank, N.A. Savings 46,727.95 3 1/j3%15,575.9B
Account #5130348307
Accrued into to 000 54.15 3 1/3% 18.05
TOTAL IAho .nlt, on IIn. 6, RICapltulatlon) 596,905.57
(II more space il n..d.d inl,rl additional sh.." of som, sin)
_IYIIII".I"I,
T E OF
,,!@;~
COMMONW(AL1H 0' ,(NNSYlVolNlol
INttllfllANCr lAX I(tURN
IUIO(NIO(((O(NI
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Ruth E. Negley
DESCRIPTION
AMOUNT
ITEM
NUMBER
A. Fun.ral Exp.n.."
2.
B.
4,
C.
1.
2.
3.
4.
S.
6.
7.
8.
1.
Hoffman-Roth Funeral Home
$ 6,407.00
50.00
Newville Church of the Brethren - luncheon
1.
Admlnlltratlve Ca.t"
Personal Representative Comm1ulons
Social Security Number of Personal Rep,osentaliye:
Vea, Commission. paid
2.
Anarner Fee.
Richard L. Webber, Jr., Esquire.
Family Exemplian
Claimant Relatlan.hlp
Add,ess 01 Clalmanl 01 decedent'. dealh
Sl,eel Add,ess
300.00
3.
City
Slate
Zip Code
Probate Fee.
MI.c.llaneau. Expenll"
PNC Bank, N.A. - fee to inventory lock box
25.00
15.00
Cumberland County Register of Wills - filing fee
(inheritance tax return)
TOTAL IAI.a enler on line 9, Recapltulolian)
(limo,. .pac. I. n..d.d, Inllrt additional .h..t. ol.am. .1...1
s
6,797.00
-. .....
r.<
-- - -- - -- -- -------.. -- ,- ~-- -- .,.~ -,- ~- --....-.
-~ --.. -- .._- - .--- -- -- - -- -- ---- - -- -.- -.-
D AA 082291 COMMONWEALTH OF PENNSYLVANIA
NO, DEPARTMENT OF REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
~fi~
..v.".2UI....1
RECEIVED FROM:
a
ACN
ASSESSMENT I'!'
CONTROL ...
NUMBER
AMOUNT
WEBBER RICHARD L JR
11 W. BIG SPRING AVENUE
P. D. BOX 40
NEWVILLE, PA 17241-0040
lul
,.::), l~;.:1I.~;:tI
'010..(1(
SSN 200-09-2299
(FIRSTI (Mil
REGISTER OF WilLS
fa TOTAL AMOUNT PAID
(t, (', "",/
RECEIVED Bv/ ~(il~ .' A {(uI~) 1/-;1
? 'GAL /1'-
MARV C. L WIS '~l)lM'} y",/
REGISTER OF WILLS
.:5,133.33
PB
REMARKS
RICHARD L WEBBER JR ESQUIRE
SEAL
CHECK" :566
_-------------------------------------------r--~----
II . .' ' .
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.___~__.....___..._A~_ _ ~--_
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REV-1547 EX AFP (12-95*
CotUIDHWEAL lH OF P[HHSYLYANIA
DEPAA'HEH' Of R{VENUE
BUREAU OF IHDIVIOUAl 'AMES
PEPJ. Zl0601
HARRISBURG, PA 171l1-0UI
CJl'~v
ACN 101
NOTICE OF INNERITANCE TAX
APPRAISEMENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT DF TAX
DATE 03-04-96
EST T 0 FILE NO. -0
DATE OF DEATH 09-18-95 COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX
PAYMENT TD THE REGISTER OF WILLS. HAKE CHECK PAYABLE TO "REGISTER OF WILLS. AGENT"
REMIT PAYMENT TO:
RICHARD L WEBBER JR ESQ
366 GREEN SPRING RD
PO BOX 40
NEWVILLE PA 17241
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE. PA 17013
A.aunt R..I Had
CUT ALONG THIS LINE ~ RETAIN LOIIER PORTION FOR YOUR RErORDS ~
iiEV:Hi4'i-EXu,\j:ji-ii'F9SY-NOTicE-.OF-YNHEiiii'ANCE-TAin-pjiiiAisEH€NT~..,\i.i.-ciiiANCE-ijR-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF NEGLEY RUTH E FILE NO. 21 95-0837 ACN 101 DATE 03-04-96
If an assessment was issued previously, lines 14, 15 and~ar 16, 17 and 18 will
reflect figures that include the tatal af ahh returns assessed ta date.
ASSESSMENT OF TAX:
15. Aaount of Lina 14 at Spous.l ,..t. US)
16. A~unt of Lina 14 t.~abl. at Lin..I/CI... A rat. (16)
17. A.aunt of Llna 14 ta.abl. at Collataral/CI... Drat. (17)
18. Principal Tax Du.
TAX RETURN WAS, I X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I E.t.t. (Schadul. A) el)
2. Stocks and Bond. ISchedule 8) (2)
5. Clo..ly Hald stock/Partnership Int.,...t (Schadul. C) (3)
4. HartD.g../Not.. R.c.lvabl. (Sch.dul. D) (4)
5. Caah/Bank Dapo.it./Hi.c. Pa~aon.l P~opa~t, (Schadula E) IS)
6. Jointly Ownad Propart, (Schedul. F) (6)
7. Tran.f.r. (Sch.dula 0) (7)
8. Total A..ata
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. FUna~al E~pan'a./Ad.. Coata/Hiac. Expansa. ISchedula H) (9)
10. Dabt./Hortgaga Liabilitia./Liana (Schadule I) CI0)
11. Total Daduction.
12. Hat Valua of Tax Ratu~n
15. Charit.bl./Gova~nn.nt.l B.qu..ts (Schedul. JI
14. Hat V.lua of E.t.ta Subject to Tax
NOTE:
TAX CREDITS:
PAYHENT
DATE
11-06-95
RECEIPT
NUMBER
AAD82291
DISCDUNT I.)
INTEREST I-I
270.18
I CHANGEa
.00
.00
.00
.00
.00
96.905.57
.00
IBI
96.905.57
6,797.00
50.00
1111
1121
1131
1141
~.R47 on
90.o5B.57
.00
90.058.57
.00
90.058.57
.00
X . DO.
x.06.
X .15.
I1BI
.00
5.403.51
.00
5.403.51
AHOUNT PAID
5.133.33
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
5.403.51
.00
,DO
.00
I IF TOTAL DUE IS LESS THAN '1. NO PAYMENT IS REQUIRED.
IF TDTAL DUE IS RF.FLECTEO AS A "CREDIT" ICRI. YOU NAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM fOR INSTRUCTIONS. I
RESERVATIONI E.t.t.. of dec~t. d,lne an Dr ~fDr. Dec.-ber II, 1911 .. If ~V future Int.r..t In t~ ..t.t. I. tr~.f.rred
In po.....lon Dr .nJD,-.nt tD CI... . Ccoll.t.r.l) b~flcl.rl'l Df the dlcldent Ift.r t~ ..plr.tlan of ~V ..t.t. far
Ilf. or far v..r., t~ C~.lth h.r~v ..pr...I, r...rv.. the right to appr.I.. end ...... tran,'.r Inherltanc. TI."
It t~ lawful CI... I Ccoll.t.r.l) r.t. an en, .uch future Int.r..t.
PURPOSE Of
NOtiCE' To fulfill the requlr...nt. of S.ctlon 21U of the Inhtirltanc. Met Elt.t. Tax Act, Act It a' 1"1. 71 P.I.
Section 2140.
PAntEHTr D.tlCh ttMI tap portion of thls Hotlc. end .ubIllt ..lth ,our p..,..,..t to tM A.glst.r of "11" prlntMt an the r.v.rs. .Ide.
--"Ilk. chick or lIOnII' ord.r PIV~I. tal REGISTER OF MILLS, AGENT
All p.y.-nt. r.c.lvMt shall flr.t b. applied to anv Intar..t which "V b. due with any r...lnd.r ."lled ta the tlX.
REFl.ItD CCA)I A refund of . tlIC credit, which .... not raqulltlld on tM Tax A.turn, ..y " raqut.tld by caaplltlne an "Appllcltlon
far A.fund af Penn.vlvanl. Inherltanc. and E.tat. T.x" (REV-ISIS). Appllcltlon. .ra .vallabl. at t~ OffiCI
of the A.g....r of Will., any of the ZS Alvenue District OffiCII, or bv cllllng the .peelal ztt-hour
an.warlng ..rvlca nuablr. far far.. ard.rlngl In pann,Vlvanl. l-100-S6Z-Z050, out.ld. pann.ylvanl. and
..lthln lac.1 Uarrhbur" ".. (717) 7I7-aO"', IIID' (nn nZ-ZZS! (Halorl,. IIIP.lrad Dnhl.
DBJECTIONS1 anV p.rty In Int.r..t not ..tl.flad with the appr.I...ant, allowanc. or dl..IIDManc. of deduction., or .......ent
of tlx (Including dl.count or Inter..tJ .a shawn an thl. Hotlc. .ust Objlct within .IICt, (601 d.ys of racllpt of
thh Hatlc. bYl
--written protnt to th. PA naparhnnt of Aavanua, laIrd of App..h, n.pt. 281021, H.rrlsburg, PA 17UI-1021, OR
".I.ctlon to h.v. the utt.r dllt.r.lnad .t audit of the acCOl.nt of the par'OI\III r..-rllant.tlv., OR
__app..1 to the Drphln.' Court.
ADttIH
ISfAA'JIVf:
CORRECTIONS.
Factu.1 .rror. dl.cov.r.d on thl. .......ant should b. addr..aad In ..rltlng tal PA n.plrt.."t a' AIVenue,
lure.1N of Individual Tlltn, A"H' po.t h......"t A.vl... Unit, Dept. 210601, tt.rrlsburg, PA uua.061l
Phone C717J 717-6505. SI' pe.. S a' t~ baoklat "Inttructlant 'or Inherltanca Ta. R.turn far. R..ldant
O.c.d....t.. (REV-ISO" 'ar .... allpllMltlon of Itdalnhtrattvlb corrKt~la .rrar..
DISCOlln,
If WlY t.. duft h paid within thra. UI c.IWldtr eonth. .tt.r thl decMlant.. de.th, . flv. ~rcant nXJ discount a'
Uti t.1C p.ld Is aUOM.d.
Int.r..t I. charged b..lnnln. ..Ith flr.t d.v of d.llnquencv, or nine (91 eonth. and ana (IJ d.y 'roe the data of
d.ath, to the d.t. a' p.y.....t. 'Ixa. which bee... delinquent be'ar. J..,.ry I, ltaZ bear Intarnt .t t~ rat. a'
.1. C6XJ percent p.r annua c.lculatad .t . dally r.ta of .000164. All t.... which bee... d.llnquent an and .,t.r
Janu.ry I, 1912 will b.ar Int.r..t at . reta which will v.ry 'roe calandlr y..r to c.lendar V..t with that r.t.
announced b, thl PA Dap.rtaant of A.vanua. ThI appllcabl. Int.r..t r.t.a 'or 19., through 1996 .ra'
IHTEREI"
~ Inter..t Aata D.lly Int.r..t rector !!!! lntarut Rat. Dalh lntar..t ractor
1'12 ... .00OS'" 1917 OX .000247
1915 lOX .DDO"51 1'11-1991 IIX .oOUIl
191ft llX .00OSDl 1992 OX .GOU'"
1'15 lSX .00OSS6 1995-I"" n .oool9z
1916 lOX .00027" 1995-1996 OX .000l'"
--Jntarllt It c.lcultt.d .. '0110""
INTEREST . BALANCE OF TAX UNPAID X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Katie. I..uad .ttar thl te. beeDle. d.lInquent wUI r..IlKt an Intar..t calculation to .Ift.." US) d.y.
bayond the d.t. a' the .......ant. I' p.,.ent I. .Ide ,'tar thl Int.r..t coaput.tlon data shown an thl
Notlc., addltlon.l Int.r..t au.t b. calculat.d.