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AfV,t~ IX+ (709'1
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20, II Uno 19 I. groa'" ,han Uno 18. on'or ,"" difforonce on Uno 20, TIll. I. ,"" OVnPAYMENT.
aD
21. II Uno 18 II groo'.. than Uno 19. on'or tho difforonco on Uno 21, Thll "Iho TAX DUE.
A. Enter thl int.r... an the halanc. due on Un. 21A.
8, En'.. tho '0'01 of Un. 21 and 21A on Uno 218, Thll II ,ho BALANCE DUE.
Make Ch.ck Payablo 101 RIlII.,.. of Will.. Agonl
BE SURE TO ANSWER ALL QUESTIONS ON REVERUSlDE'AND,TQ IIlCHECK MATH
nder Plnaltl.. of perjury, I dldor. .hat I hay, ..amin.d .hls r,'um, including accompanying sch.dule. and ,'at.ment., and to the bill of my .nowledg. and blli,f,
iI trut, (orrld and complet.. I declar. lhot 011 r.al ..101' has be.n r.port.a at lru. morbt valu.. D.claratlon of prepare' other thon thl p.rsonal r.pre.enlative is
.Id on all information of which ptlpar.r has any knowledge.
"'UIl , '1IWN ltUroNSIIU; , 'IUNO InUIN . A.OOIU$ DATI
,,'n 1t'-<(_,t,vl~<Y- 1900 Carlisle Roadr Camp Hillr PA 17011 '1'\"1\,
'u,....u IH HAN IrPIU(N'AllV( ADDltUS DATI
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
"/Ll,d :< -.,: 'ie,
IIClIDAns 0' DIATHAmi 12131/91 CHIClCHI~
.. A SPOUSAL 0
POVlITT CRIDIT IS ClAIMID
PILI HUMIII
COMMONWU.UH 0' PINNSYLVANIA
oe,..a'M!H' 0' R'VfNUE
OIOT, 210601
HAUISlUIO. '14 17121-0601
D lOIN'" NAMllLAsr. rIIU. AND MIDDU INlfIAll
YEAR
l'
/f!)7
NUMBI
.;7./
COUNTY CODE
Dr: D H 'S COM'U AOoun
6
iii
III
co
1900 Carlisle Road
Camp Hi11r PA 17011
Cumberland
AMOUN' UQIVID 1111 IN".UcrIONSI
$48,156.00
SOCIAL SlCUI' HUMin
185-14-6843
pi """CAtUI IUIYmHQ '~II.' HAI'I"""I. II'" AHOMIOOl.IINl'1AtJ
Rumbe1r Jean M.
119 1. Original Rtlum
o 4, Umllod Ella'.
o 2, Suppl.monlol Roturn
o 3, Romolnder R.'um
(lor d011l 01 d.o,h prior 1012,13.8:
0.5, Foderol E"olO Tax Rtlum Roquired
/38
"co
....
Ble
o 40. Fuluro In'eroll Compromlll
(for dolO. 01 dea,h oker 12'12,92)
o 6. DOCld.n, DI.d T.llolO 0 7, DlCodon' Malmoln.d a Uvlng Truo'
(Anoch copy of Will) (Anoch copy 01 Tru.'1
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMAnON,SHOULDBI.DIRICTID TO, ;:,'
HAMI COMI'U I MAIUNQ ADORUS
David H. Stone, Esquire
... :" ." ~-<~:
_ 8. To'al Number of Sal. D.polit Bou'
'ILtrHONI NUMIU
Stone LaFaver & Stone
P.O. Box E
774-7435
..
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5
g
III
..
1. Rool E.,o'o (Sch.dul. AI (I)
2. S'ode. and Bond. (Sch.dulo BI ( 2 )
3, OOllly H.ld S'ockJPorln.nhlp InlOro., (Schodulo q ( 3)
4, Mortgogll and No'" Rtctlvoblo (Sch.dul. 01 ( 4 I
.5. Co.h. Bank Dopo,i" & MIK.I/on.ou. Pononal Prop.rty ( 5 I
(Schodulo E)
6, Jointly Ownod Prop.rty (Sch.dul. F) ( 61
7, Tran.ltn (Schodul. GI (Sch.dulo l) ( 71
8. To'al Grall Allot. ('0'01 Unll 1'7)
9. Fun.ral Exp._nse., Administrative Colt., Mlscellan.ous (9 )
Exponll' (Schedulo HI
10. Deb". Mortgog. Uobili,llI. Uon. (Schodulo I) (10)
11. To'al Dedudlon. (10'01 Unll 9 & 10)
12. N.t Valuo 01 Ella'. (Un. 8 mlnu. Uno 11)
13. Chari'oblo and a.v.mm.n'ol BoqulI" (Schodulo J)
14, Not Valuo Subjod 'a ToxlUno 12 mlnu. Uno 131
15, Spou.al Tranlfon ('or do'" 01 doath ok.. 6-30,941
Sot Inllrudlon. 'or Appllcabl. Porcontogo on Ro..no (15)
Sldo, (Indudo volulI !ram Sch.dulo K or Schodulo M,I
16, Amount a' Uno" 'o.abl. at 6,*, ra'. (161
(Indudo valu.. from Sch.dulo K or Sch.dulo M,)
17. Amoun' a' Uno I~ 'a.oblo a' IS'*' ralo (17)
(Indudo valulI Irom Sch.dul. K or Schodulo M,)
18, Prindpol,o. duo (Add 'oxlrom Un.. 15. 16 and 17,)
19, CI.di'. Spou.ol Pov.rty Crodi' Prior Paym.n'.
DilCOunt Inl.re.,
$ 5.500.00
4'.';<;'; nn
10r568.50
(8)
$48r156,OO
46.00
(11)
(121
(131
1141
1Q,lil1.!iQ
37.541.50
OQ
37 ,541.50
.00
$48.156.00
x,OO.
x ,06.
)( ,15 .
(181
.00
Check 'll'H:" if you Oft' H.'qut'"ting n refund 0' your OVl'fpoYnlcnl.
(19)
(20)
(21)
(21A)
(2181
00
OQ
P.O. Box Er New Cumberland, PA 17070
2-1-'16
Ad '48 of 1994 p~ovld.. for the redudlon of the tax rate. Impo.ed on the net value of transfers to or for
the u.e of the .pou.e. The rate. a. pre.crlbed by the statute will bel
e 3~ (.03) will be applicable for e.tate. of decedent. dying on or aft... 711/94 and before 111/96
. 2~ (.12) will be applicable for e.tate. of decedent. dying on or after 1/1/96 and before 111197
j
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. 1~ (.G1) wi" be applicable for e.tate. of decedent. dying on or after 1/1/97 and before 111198
. 5,--' trCIII.fe,. occurring on or after 1/1/98 wlll be exempt from Inheritance tax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (~) IN THE APPROPRIATE BLOCKS.
IS NO
1. Old decedent make a transfer ond:
a. retain 1I1e use or income of lhe property transferred, ...........,..,........................................
:\
( ;
b. retain the right to designate who shall u.e the property transferred or It. Income, ,..............
c. retain a revenionary interest; or ....................................,.......................,......................
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I
d. receive lhe promise for life of either poyments, benefit. or care' ..,.......,.......,....................
2. If deM/! occurred on or before December 12, 1982, did decedent within two yean preceding
death lransfer property without receiving adequate consideratlon' If death occurred after
December 12, 1982, did decedent transler property within one year of death without receiving
adequate conslderallon'..............................,.........................,....................... ....,..............
3. Old decedenl own an 'in trusllor' bank account 01 his or her dealh'............,......................... 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.
x
X
.tv.lsot 11+ 112.'11
*
SCHEDULE F
JOINTLY.OWNED PROPERTY
COMMONWEALTH Of PENNSYlVANIA
INHERITANCE 'AX RETURN
_UIDENT DECEDENT
ESTATE OF
Robert J, Cowher
Jolnllonanll.l,
I FILE NUMBER
NAME
A'Jean M. Rumbel
ADDRESS
1900 Carlisle Road
Camp Hill, PA 17011
RELATIONSHIP TO DECEDENT
wife
B.
C.
Jalntly.ownod PIOPO"YI
LmER DATE
ITEM FOR TOTAL VALUE DECD'S DOLLAR VALUE OF
NUMBU JOINT MADE DESCRIPTION OF PROPERTY OF ASSET 'MoINT. DECEDENT'S INTEREST
TENANT JOINT
1. A 09-17- 84 All that certain lot 0
piece of ground with the
buildings and improvements
thereon erected, situate i
the Township of Lower Alle ,
County of Cumberland and
State of PA, being the sam
premises which Frank G. So lier,
Jr. and L. Jane Soulier, h s
wife, by their deed dated
Sept. 17, 1984 and recorde
in Cumberland Co. Deed Boo
W-30, Page 1181, granted
and conveyed unto Robert J
J. Cowher and Jean M. Rumb 1,
Assessed value times commo
level ratio (6400 X 13.33) $85,312.00 50% $42,656.00
TOTAL (Also enler on line 6, Recapilulalian) S 42,656.00
(If more space is needed insert additionol sheeh 01 some sin)
QV.un o. .,-11I
'*
COMMONWfAlIl1 O' 'ENN5nVANIA
INHflITANC! TAll RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
J. Cowher
ITEM
NUMBER
A. Funlral Explnllll
B.
4.
C.
I.
2.
3.
4,
5,
6.
7.
8.
DESCRIPTION
I.
parthernore Funeral Horne, Inc-funeral expenses
I.
Admlnlltratlvl COlt11
Personal Rlpreslntotlve Commissions N I A
Social Slcurlty Number of Personal Represlntatlve:
Vlar CommissIons paId
2.
Attorney Fees Stone LaFaver & Stone
3.
family ExemptIon
Claimant .Tp~n M l)nfnl-u~'
'.1ifv
Relationship
Address of Claimant at decedent's death
Street Address 1900 Carlisle Ro;!n
City Camp Hill . Statl PA Zip Cadi 17011
Probate Fees Filing Inheritance Tax Return & Inventory
MllClllanloul Expln.111
Reserve for closing expenses
TOTAL (Aha enter on line 9, Recapitulatlonl
Pllall Print or T I
AMOUNT
$6,193.50
750.00
3~900:00
25.00
100.00
510,568.50
.
*
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LlABLlnES AND LIENS
PI.a.. Print or Typ.
rf1LE NUMBER
COMMONWIAUlt 0' HHNIYLVAHtA
INHIIIJANCI TAllfTUlH
IlIlDI", DlaDI"'
EsTATE Of
_ Robert J.
Cowher
ITEM
NUMaER
DESCRIPTION
AMOUNT
1.
Holy Spirit Hopsital-debt of decedent
$46.00
TOTAL (Also ontor on lino 10, R_pltulotlon)
III more spoco is noodod. insort oddifiono/.hn" 0/ somo si...}
S 4/; .nn
COMMONWEALTH OF PENNSYLVANIA L
COUNTY OF CUMBERLAND J
u:
.TA~n M. Rumbel
bein9 duly 9"'''..n accordin9 fo 'aw, deposes and says fhats he i.. ,,"rvi vi nl1 "pOIlA!'!
of fhe Esfate of Robert J. Cowher
let. of _LoJ!g,;'_.~~!~.!L~P~" ---- . Cumberland Counfy, Pa.. deceesed and fhat the
within is an in~entory made by Jean M. Rulnbe1_ , the said
of the entire estate of said decedent. consistin9 or all fhe personal prop.rty and reel estate, except reel estate outside
the Commonwealfh or Pennsylvania. and fhat fhe Fi9ures opposite each ifem of the In~entory repreunt it's fair ~alue
II or the date of decedent's deafh.
and subscribed berore me,
19
X
Jean
l A_Al.-'L-~' ~
Rumbe]n~~-~ffrift-
1900 Carlisle Road
Camp Hill. PA 17011
Add....
Date of Deafh
03
Doy
06
Month
1995
Y..r
INSTRUCTIONS
,. An in~entory must be filed within three months after appoinfment of personal repreuntative.
2. A supplement inventory must be filed wifhin thirty days of discovery of additional allets.
3. Additional sheeh may be aHached II to personalty or realfy
4. See Artic'e IV, Fiduciaries Act of 1949.
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~rC!V"I\~47 EX AFP (12-95)*,
CDHMQHWEAllH Of PENNSYLVANIA
DEPARTttENT Of' REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. U06Gl
HARAtSIURC, Pi 171ZI.0601
ACN 101
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR OISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
DATE 05-27-96
o FILE NO.
DAT! OF DEATH 06-03-95 COUNTY CUMBERLAND
NOTEI TD INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX
PAYHENT TO THE REGISTER OF WILLS. HAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
DAVID H STONE ESQ
STONE ETAL
PO BOX E
NEW CUMBERLAND PA 17070
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
A.aunt R..1tt.d
CUT ALONO THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
ifiV:i5'Cin,X-Aj:ji-nz:9sY-iioYiCEuoj1uitiiiEriii'ANCE-YAx-jiPPRiisEHEiir-;-'U.LowiiiicE-oli-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF COWHER ROBERT J FILE NO. 21 96-0107 ACN 101 DATE 05-27-96
TAX RETURN WASI I I ACCEPTED AS FILED I XI CHANGED SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Rool E.toto ISchedulo AI III
2. Stocko end Bond. ISchodulo BI 121
S. Clo.oly Hold Stock/portnor.hiP Intoro.t ISchodulo CI 151
4. Hortgogo./Hoto. Rocoivablo ISchodulo DI 141
S. Cash/Bank Depolits'Hilc. Parlonal Property (Schedule E) (5)
6. Jointly awned Proporty ISchedulo FI 161
7. Transfara (Schedul. G) (7)
e. Total AI.at.
.00
.00
.00
.00
5.500.00
42.656.00
.00
IBI
48.156.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. F~r.l EMP.n.../A~. Coatl/HiIC. Expans.. (Schedule Hl (9)
10. Debt./Hortgogo Li.bilitio./Lion. ISchodulo II 1101
11. Totol D.duction.
12. Hat Value of Tax Return
13. Charitable/Govern.antal Bequ..t. (Schedule J)
14. Not Voluo of E.toto Subjoct to To.
10.568.50
46.00
Ull
1121
USI
1141
In.1.14 CiO
37.541. 50
.00
37.541.50
If an assessment was issued previouslY. lines 14. 15 and/or 16, 17 and 18 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Aoount of Lino 14 ot Spou.ol roto 1151
16. Aoount of Line 14 t..ablo ot Linool/Clo.. A roto 1161
17. Aoount of Llno 14 to..blo ot Coll.torol/Clo.. B roto 1171
11. Principal Tex Due
NOTEI
.00
.00
.00
.00
37,541.50 X .00.
.00 X .06.
.00 X .15.
UBI
TAX CREDITS:
PAYHEHT
DATE
RECEIPT
HUHBER
DISCOUNT 1+1
INTEREST I-I
AHOUNT PAlD
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAN '1. NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I
.00
.00
.00
.00
.
I,
.
RESERVATION I [1t~'.. of ~cedent. dvl", on or before Dec.-ber 12, I"! -- l' ~v future Int.r..t In the ..'ata I, ,ranl'.rred
In po.....lon or enJo1~t to Cl,.. . (co11,t,r.1) beneflol.,... of the decedent ,'t,r the I_plrallon 0' ~ ..t.t. 'or
II" or for ,"'I, the C~.lth hereby Ixpr..,I, r...rv.. the right to eppra... end ...... tranl'" InherJtenc. T....
at the I..ful Cl,.. . (eol1.t,r.l) r.t. on any auch future Int.r..t.
PIIlPCISE IIIF
NOnCEs To fulfill the requlrMenta of Section IUO of the IntMrltencl end Eltate TalC Act, Act IZ 0' 1"1. 72 P.I.
Seotlon 2140.
PAMNTI DIItKh the top portion of thl, Notice end ~lt ..Ith you,. PIYMI\t to the Aqht.r of WUb printed on the r.ver.. tide.
...-.... cMck or ..,., orde,. PI,.lt tOI REGISTER OF MILLS, AGENT
AU ,.~ts recalved .....11 fir.' be epplled to ..., Int.r..t which ..y " due "lth eny ,._Inde,. ...lIed to the till.
REf1>>ID (CRh A refund of . tax credit, .....lch .... not requelted on thl hlC R,turn, ..y b, requested by cOllflllUng ... "Appllc.tion
fer Rafund of Penn.ylvenl. Inherlt8nC' and E.tata Tax" (REV-1J1I). Application. ar. avallebl. .t the O,flc.
of the Aegl.tar of Will., 8nY of the lJ Aevenue DI.trlct Offlca., or by calling the .pecl.l 2.-hour
......rl'" ..rvlee I'IUIIben for fora. orderl"'l In Pennlvlv..la 1-100-162-2050, outllde P..,lylvlll"lla and
within loc.1 Klrrlabur. araa (717) 717-1094, TOOl (717) 112-2252 (Hearl", 1~.lred Onlv).
OIJECTlDHSI MV p.rty In Intara.t not ..tlllled with the ...r.lI......t, aUow8nC. or dhallow8nC' of deduction., or .........t
of tu Unclucll", dlKOU"It or Intan.t) .. shown on thll NoUu .,.t object within .htv (60) day. of recalpt of
tnl. NoUc. bYI
"-.rIUan prota.t to the Pi Depart.."t of AavlnloM, loard of Appe.ls, Dept. ZlUZl, Hlrrlabur" PA 17UI-laZl, QR
"11MUon to hIv. the uttlr dIItar.lned at wdlt of the account of tha personal rapr.....,t.Uv., OR
-.......1 to thiI Orphan.' Court.
AlliUM
ISTRATlI/E
toRRfCTlCIIS I
Factual .rror. dl.covarad on thl. ........"t Ihould ba ~ra..ad In .,rltlng tal PA Departaent of Ravenue,
aur.au of Indlvl~1 TIX", ATTHI Po.t A.....8Iftt AIVIIM unit, Dapt. ZIO'Ol, Hlrrlabur" PA 17121-0'01
Phone (717) 717-'505. S.. p... J of the bookl.t "In.tructlon. for Inherlt8nC' Tax Aatum for. Aa.ldant
Dacadlnt- (REV-1501) for en axplanatlon of ~Inl.tr.tlv.ly cor rIG tab 1. arror..
DISCOUNTI
If any tax cIua II paid .,lthln thr.. (5) c.lendar 8OI'lth. .ftar the d.ud....t.. cMath, . IIv. parclnt (ll) dbcOU"lt of
the tax paid II allowed.
ThI 151 lax __.ty non-partlclp.Uon penalty II CHlNted on the total of the tlX and Intlre.t .....Md, and not
p.ld befar. Januarv .1, 1'96, thl flr.t d.y aft.r thl and of thl t.x .-ne.tv period. Thl. non-p.rtlclpatlon
,.,.1 ty II appnlabl. In thl .... IIIMIr Md In the thl .... U.. par loci .. you would .....1 thl tax Md Intar..t
that hIl. been .....nd a. IncUc.ted on thll notlc..
PfHALTYI
IHTERE:ITI" Int.r..t I. charged bellml", .,Ith flnt day of dII11nquency, or nlna (9) aonth. Md ana (I) d.v frCHI thl dIIt. of
daath, to thl data of PI~t. Tax.. which bee... delinquent before January 1, 1912 bear Intara.t .t the rat. of
.Ix (~) parcent par ........... calculatad .t . d.lly r.t. of .0001". All tlu. which bee... dellnquent on and aft.r
January I, 1"2 .,111 be.r Int.r..t .t . rat. which ..Ill vlrv frCHI cllMdlr YI.r to cllendar v..r ..Ith that rlt.
~ed by thl Pi aaplrtaent 01 Alv~. The appllcabll Intlr..t r.t.. far 1912 through I'" .ral
!!!! Intar..t A.t. P.llY Int.ra.t Factor !!!r Intlr..' Aat. Dally Inter..t Factor
UIZ ZOX .010S4I 1917 9X .000247
un I6X .000411 1'81-1"1 IIX .000501
1914 IIX .OODSU 1992 9X .000247
1915 UX .000556 !tn-I'" n .00019%
19.. lOX .OODZ74 199'-1'" 9X .000247
--Int.rllt I. c.lculated a. follow'l
IKTEREST . BALANCE OF TAX UNPAID X HUHBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notlel 1,1UId .,t.r thl ta. baCOll, d.llnquent will r.flect an Int.r..t calculation to fifteen (15) day,
bayond thl data 01 thl .........,t. If p.y.....t I. a" .fter thl Intar..t cOlPUtaUon data shown on the
Notlc., additional Int.r..t au.t be celcu1atad.