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COMMONW,""" O' 'INNIYlvANIA
DO"" MIN' O' IlvtNUI
DI" 110<.0'
HAallUUla h 1"21.0.01
/- 'I' J )
I ~ - ~ -/il
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
'O.DAmO'DIA,"Am.12/~1"1 cHlac""
.. A ll'OUIAL 0
!'OVI.TT CIIDIT II CLAIMID _
1IL1 N'S:\I. q t:, 00 (
COUNTY COD! YlU NUMI..
i
N' hAM I~ .. . AN IlolI l I"' IAll
RICI,. Mar"t t a ,I.
IA'. UII 'f HU"" .
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. H
187- 32-7328
5-28-95
'" AlfUU,ILQ W''fI'1NO IIOuIU "_I nAil, "." ,,",0 MlOOl.IIftlIIAij
. 1. Original All","
,.. . 'A
]25 WC!Hley Drive
MechanicHburq, P^ 17055
c Cumlll!rland
"MOUN II IY I IN U ION I
III H
9-14-99
o 2. S.ppl.",onlol R....n
Remainder R.I,,'"
110, do'" of dto,h p,lo, '0 12.1 ~.121
,.derol Ellat. To. R.'urn Requited
o A. limit.d Elfa,. 0 .1.0. 'utvre Int'tlU Comp,omi..
110, do'.' of d.o,h oh., 11.12.12)
~ 6. Decld,n' Di,d T,uat. 0 7. D'Cld,nt Mainlain,d a U.wing Trult
IA"och copy 01 Willi IA"och copy of T"'''I
ALLCORRUI'ONOINCI AND CONflDINTlAL TAX INI'ORMAnON,SHOULD IIIDIUCTID TO. '.._ '" ..l.....:~
HAM ()M'UTl MAILlHQ "CDUU
James M. Rayback
L ""ONI NUM,n
81 238-3053
'"'
51
...
:5
~
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1. R.ol E.lo'. (Sch.d.l. AI
2. Slod" ond aond. ISch.dul. I)
3. C1o,.ly H.ld S,ock/Portn."hip In'....' (Sch.dul. q
A. Mongog" and NOI" R.e.ivobl. (Seh.dul. 0)
.5. Ca.h. Bani O,polirl & Mile.lIon.ou. P,nanal Prop.rty
(Sch.d.l. E)
6. Joinrly Own.d P,op.rty (Sch.d.l. FI
7. T,onol... ISch.d.l. O)ISch,d.l. II
B. TOlal Grall An." Ilotal Un.. 1.7)
9. Fun.ral bp.n.... Adminl.tratin Co.,., Mi.e.llan.ou.
Exp.n... ISch.d.l. H)
10. D.bt., Mongog. Liabiliti... Li.n. (Sch.dul. I)
11. T 0101 Ded.ction. ('0'01 Un.. 9 & 1 D)
12. N., Valu. of Eliot. llin. 8 minu. line 11)
13. Charitobl. and Gov.rnm.ntal a.quII" ISch.dul. J)
1... N.t Valu. Subl.Cllo Tax (line 12 ",inu. Lin. 13)
15. Spou.ol Tronolo" (fo, dOli. of dto,h oh., />.3D-9A)
SH IntlNction, for Applicabl. Perantag. on R.....fH (1.5)
Sid.. (Ind.d. volu.. /ro.. Schedul. K 0' Sch.d.l. M.)
16. A",o.n' of Un. 1A 'oxobl. 0' 6'110 '0'. (16)
(Ind.d. vol... "0'" Sch.d.l. K 0' Sch.d.l. M.)
17. A...un' 01 Un. lA lo.obl. a' 15'110 '0" (17]
(Ind.d. volu., fro", Sched.l. K 0' Sch.d.l. M.)
18. P,inclpollo, d.. (Add '0' f,o", Un.. 15, 16 ond 17.)
19. Cr.dill Spou,al POy.ny Credit Prior Paym.nt.
.
20. II Un. 191. groo'., ,hon U.. 11, .nt., Ih. dlllo..... an U.. 20. ThI.I. ,h. OVI.'AYMINT.
aD
21. II lIn. 111. g,.o,., ,hon Un. 19, .n", ,h. dill.ronc. on Un. 11. Thl.I.,h. TAX DUI.
A. Enllr th. inter..t on the balance due on Un. 21A.
a. Enl., ,h. '0'01 01 Un. 11 ond 21A on lIn. 21&. Thl. I. ,h. BALANCE DUE.
Mak. Ch.ck Payabl. ,., R..lm, .1 WIll., A...,
.;;:,'fT.:.'.. BE SURI TO ANSWER ALL'QUESTIONS ON REVERS. SIDE AND:TO UCHICIC
Under p.nalti.. of p.rjury. I dldor. tho' I hay. .xamin.d thi. flhlm, induding accompanying ach.dulll and ,tol.",.nu. and '0 th. bllt of my Icnowl~g. and b.li.f.
it II tN', and compl.t.. I d.c1ofl .hot 011 flol "'01. hot bit" tlport.cf at tn" mor.1I yalu.. D.dorollo" of pr.parer olher than the p.f1Onal r.p.....ntatlv. I.
be 0111 ormation of whie po,.r hot any knowl.dg..
s. UII 01 II 10 I~HO AUUAN AoDAUS ,I tV )( DAn
''I'~ OIJ."'~-k"" Liz:tluc..../ '. )J.//O / /;"/k:>j?5
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Tolol Numb" of Sol. a'pollt IDu,
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102 E, Col1eqe ^ve.
State Colleqe, P^ 1680l
(I)
(2 )
(3)
I A I
(5)
(6) 10.475.34
{71
(SI 10.475.34
(9) 6.847.00
(10) 3.271.20
(111
(12)
(13)
(U)
10.1l8.20
357.14
357.14
X.__
357.14
" .06.
21.43
x .15 .
(II)
21. 4 3
Discount Inl""t
+
(19)
(20)
CI1{'(1I Ilru.' ., you nfl' rrqul"hnq u wlund 0' you, oVI'fJloymt'nl
21 41
(21)
(21A)
(m)
21.43
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COMMQHWIAIIH 01 PlNN"l....NI.
INHUII'AHC' 'AIIITUIN
IUIDIHI DIClalNI
SCHEDULE F
JOINTLY-OWNED PROPERTY
ISTATI 0'
'ILl NUMBER
II
Mare t to J. Rice
J.l.tt....t(.).
NAME
A. David Reagan Rice
ADDRISS
14A Dorado Drive
Morristown, NJ 07960
RELATIONSHIP TO DECEDENT
Stepson
J
,
B. Randall H. Rice
192 Old Niskayuna Rd.
Latham, NY 121l0-4917
Stepson
C.
v
."
J.I.tly..w..d prop.rty.
ITEM LmER DATE
FOR TOTAL VALUE DECD'S DOLLAR VALUE OF
NUMBER JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % tNT, DECEDENT'S INTEREST
TENANT JOINT
1. A 1982 Certificate of Deposit
#6042948C, Mellon Bank 5,034.20 50% 2.517.10
2. B 1982 Checking account
#62l2963, ~lellon Bank 15.916.48 50% 7,958.24
I
TOTAL IAIa. .nlor .n IIn. 6, Ro<apilula.lan) S IO,475.34
"
III mar. 'poco i. ntodod inllrt addiliana' oMoIa aI some d..}
UVoUIt ... ,....
ITEM
NUMBER
.
,.
1l~'$'~tI
..!fPJ,.:
(OMMONWI..Ut4 O' ,INNSYlVANIA
INHU,'''hCI 'AX "'U.'"
IIIIOINT DICIDIN'
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
PI"a," P,ln' 0' T pI
Maretta J. Rice
DESCRIPTION
AMOUNT
A, Funllol bp"n'""
B,
1.
2.
3.
Koch Funeral Home
parkview Memorials - grave marker
Tom Merritt - minister's honorarium
5,007.00
570.00
75.00
1.
I
I Admtnls',atlvI Co,'s:
I P.rsonol R'pr,,"n'a'iv. Commission,
Social Security Number 01 Personal R.pru.ntative:
,
i V.ar Commillion, paid
I
,
!Allarn.y Fee, Rayback and Blanarik. Inc
I
! Family Ex.mp'ion
! Cloimon' R.la'ionship
Address of Claiman' a' deced.n", d.a,h
S'rll' Address
1.000.00
2.
3.
City
Stat.
Zip Code
4.
Probate Fee,
none
C, MI,clllonlous ExPln..s:
1.
Register of Wills - filing fee
15.00
2.
3.
4.
5,
6.
7.
I
l~
8.
~
TOTAL (Also .n'e, on linl 9, Rlcopitulatian)
S 6.847.00
(If marl SpOCI 10 n.ld.d, 'ns.rt additIonal shilts of sam. slz..)
_,,,,'..IMII
.
W 0 wtAf.IM Of ......nw.....
......... rAl II"*'
--.
SCHEDULE J
BINIFICIARIIS
UTATI OF
PILI NUM"R
Maretta J. Rice
ITIM
NUMBER
AMOUNT OR
SHA" OF mATI
NAME AND ADDRUS OF .ENEFICIARY
RELAnONSHIF
1.
A, Tuabl. .oqu....,
David Reagan Rice
14A Dorado Or.
Morristown, NJ 07960
Stepson
joint account
2.
Randall H. Rice
192 Old Niskayuna Rd.
Latham, NY 12110-4917
joint account
Stepson
ITIM
NUMBER
AMOUNT OR
SHARI OF ESTATE
NAME AND ADDRESS OF BEN EFt ClARY
B. Charltabl. and Go..mmonlol Boqullu,
1.
TOTAL CHARITA.Le AND GOVERNMENTAL BEQUESTS (Aba antor on II.. 13, Rocapitvlatlon) S
(II..... _ II ......., Jm.t aCWItle.... "'"" of _ oIul
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