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CERTIFICATE OF DEATH
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
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1. Original Return LJ 2. Supplemental Relur" [J :J. Remainder Relurn
(lor dole' 01 dealh prior 1012.13.821
o 5. Federal hlole To.ll Return Required
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COMMONWfA\lH 0' p(NNSnVM~I"
OfPAIlIM(NT Of R[v(NUf
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HAIlAISBURG. PA 171280601
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I fOR OATIS Of DIAlHAnlR 12/31/91 CHICK HIRE
If A SPOUSAL .
POV,I,Il."_CR!1l1l )SCLAIMID 1,'
fiLE NUMBER
COUNlY, COO_~,
YEAR
I
NUMB[ P
I I,
04,
06,
[J 40. FUluro InlorOll Compromi~e
Ifor do to' of death ohef 12.12.821
Deced,"' D;ed Ie,'o'e [] 7. Deceden' Mo;nlo;ned 0 l;,;ng I,,,,
IAllach copy of Will) (Allach copy of Trull)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
_ 8. Tolal Number 01 Safe Oepolit BOllOl
COMPUTE "'...IL!t4G "'OOIlUS
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NAM[
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HL[PHON[ NUMllll
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I. Real Eltate (Schedule A)
2. Stach and Bondi (Schedule B)
3. CIOlcly Held Stock/Partner,hip Inlerel' (Schedule C)
4. Mortgagel and Note, Receivable (Schedule 0)
5. Calh, Ban~ Oepolih & Mi\Cellaneoul Per\onol Property
IS,hed,le EI
6. Joinlly Owned Property (Schedule FI
7. Tron,fers (Schedule 0) (Schedule II
8. TOlal Gran Aueh (tolallino\ 1.7)
q. Funeral hpenle', Admini\Irative COSh, Mi\Celloneou,
hpenul\ (Schedule HI
10. Debt" Mortgage liobililiel, lien, (Schedule II
11. Tolol Deduction, (total line, q & IO)
12. Net Value of Eltate (line 8 minus line 11)
13. Charilable and Governmenlal Beque,ts (Schedule JI
14. Net Value Subiectta Tall (line 12 minu' line 13)
15. Spouial Tranifen (for dote, of dealh aher 6.30.94)
See Initruction, for Applicable Percentage on Revene
Side. (Include value, from Schedule K or Schedule M.)
16. Amount of line 14 talloblo 01 6% roto
(Include value, from Schedule K or Schedule M.)
17. Amount of line' 4 taxable 01 15% rote
Ilnclude voluo, from Schedule K or Schedule M.l
18, Principal tall due (Add tax frolO line, IS, 16 and 17.)
19. (redih Spou,ol Poverty Credil Prior Paymenh
+ ~:' ", '.,"1
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20,
If line 19 'grealer than line 18, enter lhe difference on line 20. Thi, i, tne OVERPAYMENT.
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1201
21. II line 18 i, greater In on line 19, enter the difference on line 21. Thii i, Ihe TAX DUE.
A. Enter the inlereit an Ihe balance due on line 21 A.
B. Enter the total of line 21 and 21A on line 21B. Thi, i, the BALANCE DUE.
Molr:. Ch.ck Payable to: R.glster of Wills, Agent
121)
121AI
121B)
>- >- BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE ANDTOilECHECK MATH ~ ~
Unde, penollie, of perjury, I declare that I have cllamined this relurn, including occompanying \Cht!durt!\ and ,Iatemenh, and 10 Ihe best of my knowledge and be Ii of,
il i, true, correct and complete. I decl~ue that 011 real eUoh! no, been reported atUue mar~et value. Declarolion of preparer other than Iho penonol representative i,
based on all informal ion 0 'II tel, eporer ,~ch any knowledge
51C.N~1U1lf 0' P!.Il':'OI'~"UPl 11[' "'ILIN 'y"TUllt, "'OOIl[S~ - , ---" O"'lf
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SIGNATUIIE 0' n[PU[1l Oh~[1l tHAN IItPIlBENfAflvE "OOIB~ OAn
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COMMONWEA.UH Of P(NNSYlVANIA
INHERITANCE IAk RnURN
R[5IDfNT D(CfDIN'
ESTATE OF
1='(' t, r". t' -" ,J
Joint t.nont(."
NAME
A. t=.'?,~N,U, ,J. (.'(>1/'01'0'"
B. /?f(.III1I!/J C.
( iN'''f'.~J-
C.
Jolntly-own.d prop."y'
SCHEDULE F l
JOINTLY-OWNED PROPERTY
-'----- -.-~_._ _.._H__.._.___.____.__~
..------.---.--- --~--~----_._--
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FILE NUMBER
..)/ tJ{. ()j J(
ADDRESS
/1';( 5,../~ fu; I.. II ':''/ ,
,I, It" b"j,), I" P.t l.x:)3,'"
, ,
RELATIONSHIP TO DECEDENT
U'LV(j A 1...-
~{().': /",,^ 177 f,)
/J;e, ~ t~ n I (.~ 6,.I~J I
/-~
17l','J~) ,
S'",\..
ITEM LmER DATE
FOR TOTAL VALUE
NUMBEI JOINT MADE DESCRIPTION OF PROPERTY DECD'S DOLLAR VALUE OF
TENANT JOINT OF ASSET % INT. DECEDENT'S INTEREST
1. f1 Va.t"Il.'J jt'rle.~ C fj,,~,):,
1'i7{,'.~,' ( .see. tL IkeJ,,',i D. /,tI t. .1/33'-1. ). 7
l' f' R,""nut' ,,,,,,,,1,,, 1- ...~L ~ t. I' .-,/ j uj.
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J. ;J II ' St)....,t"'S EC 8,.",,:,
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() f R\.Iw'('"U,-" 1,'vl..~h'''1 l\.f......l IS' 31.) I ~j- .9?' /.5 6tJ/if:
ILll'".I\l"~ (I,tl~ ~.f ,lfull.
v~d I,..,J I~,
3- Ii t..j ft. fll,' II"" fL,1. .51/;'; /.~nFl f;2
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TOTAL (Also enter on line 6, Recapitulation) S ...; i./{)(), (J 7
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COMMONWfAUH Of P[NN~Yl\l.ANtA
INtHAnANC[ 'AX IUTUIIN
'[StOENr DECEDENT
ESTATE OF
ITEM
NUMBER
A.
B.
4.
C.
1.
2.
3.
4.
5.
6.
7,
8.
1.
2.
3.
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Please Print or Type
FILE NUMBER
.;2/ 16 01.37
F;?,1fVc:.C<'
_J (o/J{Ii':u..
DESCRIPTION
AMOUNT
1.
Funeral Expens..:
/1/(cl/(Zl.1 /::;',/1.".'-<.1 /./c',ry"
( '///1/'i6)
~-:J (;1 J<i.. cro
Administrative Cosh:
Personal Representative Commissions
Social Security Number of Personal Represenlalive:
Year Commissions paid
Allorney Fees
Family Exemplion
Claimant
Address of Claimanl 01 decedent's dealh
Slreel Address
Cily
Relalionship
Stale
Zip Code
t?~1",/t', c'( tt:.//,:>, C\/n6{,.1a41(~,,,J.,/
Miscellaneous Expenses:
,01 /I,;...,,[/o! '11../(.ttT (Fi.'V,~ Doll)
;:: IO'/(t'~ {'l"~:Je (('l" "<'/1<.. r t'" Il...c.. /{ {i,Jv,,/ I
,t.10~" /::.",",-,.1 j-"":'H,,,I'( (,,,-Iht",,,?)
5i:/III'ld ( lo!'jG../ r;JV'>'/I>';(j )
{~'tlliJt'r/o{,..( ACt"; .j".",,,j ( J.<,)d Ilj",.-IIj"d)
.tfei~'" c:t IJ)./I:, - i' /,,'5 "J.......du......,,_ l~ '1'/.-'"
Probate Fees
7 i/. ()7)
.)'/2l.
3.23. 8.3
9&.3'1
.'j'l, J 1
"/.-"..,
.'.:1....0
/:).w
TOTAL (Also enler on line 9, Recapilulalion)
(If more space is needed, Insert additional sheets of same size.)
5 /i752 1(.
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CFDCUSINFO
CRF Display Customer Information
0275
04/06/96
TIN l80-l6-1296 A-K CONNEFJ.05 Appl cd Acct
\ Name FRANCES J CONNELL
1111 APPLE DR APT 8
MECHANICSBURG PA 17055-3937
Regn 0275
Page 1 of 2
Password
Home Phone (7l7) 766-8989
Work Phone
Customer Accounts --------------------------------
DO l40-07l-0024
DO 142-252-l565
~= SO 414-895-S-03/27/96
TO 140-09030l-C
- Service Listing -------------------- Driver Account --------------------
No Services Exist
.
CFDACCTINF CFDACCTHLD CFDCUSACCT
No service information avaIlable for this customer/account.
COMMAND ===>
CF84033I03
F2-Retrieve FJ-Exit
F8=Next Page F9=PXmain
F10=CFmenu
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DISP OF INT.....1
INTEREST DISB.OOO
O/S CERT
MATURITY...04/05/96
LAST ACT...03/27/96
LST INT PY.03/05/96
NXT INT PY.03/27/96
WITHDRAWL..03/27/96
CR DD..140-07l-0024
RESN.OOO CONT VAR.N
@TD 140-090301-C
DEPOSIT TYPE.......01
FACE AMT.....3,000.00
LAST INT.........9.63
DLY INT......O.OOOOOO
INT ACRD..... ....0.00
INT YTD.........49.4l
1099INT........49.4l
RDEM VAL........ .0.00
SW IND.1 SW ADJ....O.OO
010 TYPE........4
03/27 CONNEFJ.05
CERT TYPE....22
RATE.....5.3070
ACCT CLASS...03
INT PAY FREQ.04
WITHDRAWAL CD.1
DISP OF FACE.. 0
PRIN DISB... 000
ORG.0414 EAREDM
ISSUE DT.04/05/95
RENEWAL CODE....2
TERM-MTHS......l2
AMT..........O.OO
SW YTD....O.OO ORIG OFF..4l4
CONV-IND..... APY....... .5.45
@TDHSI
@TDRHI
@TDHSI
140-090301-C
00000000 99999999
BANK 0275 DATE 04/05 PAGE 1
EARLY RDMPT TRANS DATE 03/27/96 OWNING OFFICE 414 RDMPT 3,009.63
ORIG OFFICE 414 ORIG ORGN 414 EFFECT DATE 03/27/96
MAT PYMT TRANS DATE 03/27/96 AMT 600~.~ @I
I"dete~ I
INT PYMT TRANS DATE 03/05/96 AMT 12.68
INT PYMT TRANS DATE 02/05/96 AMT l3.55
INT PYMT TRANS DATE 01/05/96 AMT 13.55
INT PYMT TRANS DATE 12/05/95 AMT l3.11
INT PYMT TRANS DATE 11/03/95 AMT 13.55
INT PYMT TRANS DATE 10/05/95 AMT 13.11
INT PYMT TRANS DATE 09/05/95 AMT l3.55
INT PYMT TRANS DATE 08/04/95 AMT 13.55
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/,'\ . l)/ . I,', COMMONWEALTH OF PENNSYLVANIA *'
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX ,;/
INUlRlTANC[ TAll DIVISION
DEPT. ZI0601 STATEMENT OF ACCOUNT
ttARRISIURC, Pi l1Ul!I.0601
1I,.!ltllI ,,, IIl.tU
DATE 02-24-97
ESTATE OF CONNELL FRANCES J
DATE OF DEATH 03-08-96
FILE NUMBER 21 96-0239
COUNTY CUMBERLAND
RICHARD E CONNELL ACN 101
208 LANTZY RD Allount Re..iUed J
MECHANICS BURG PA 17055
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTEl To insure proper credit to your .ccount, lub..it the upper portion of thil for. with your t.x p.y..ent.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiiv:i6oTEx-AFP-n.F96y------iiiiii-iNHER'iTAilcE'-YAX-Sl,'iiTEiiE'NY-O"-iicciiuNT--iiiii---------------------
ESTATE OF CONNELL FRANCES J FILE NO. 21 96-0239 ACN 101 DATE 02-24-97
THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHEO ESTATE. SHOWN BELOW
IS A SUHMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 02-10-97
844.28
PRINCIPAL TAX DUE: -----
...__._--~_._-_.--------------_.~.._-_..-
PAYMENTS (TAX CREDITS),
PAYMENT
DATE
06-07-96
02-10-97
RECEIPT
NUMBER
AA1l2911
REFUND
DISCOUNT (+)
INTEREST (-)
42.21
.00
809.49
7.42-
AMOUNT PAID
If)
,"
, '
r'.
~
0(,)
TOTAL TAX CREDIT
844.28
BALANCE OF TAX DUE
.00
.00
.00
INTEREST AND PEN.
TOTAL DUE
. IF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN tl,
NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI,
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I
PAYMENT I
D.t.ch the top portion of this Notlca and .ubelt ~Ith your p.yeent .ad. pay.bl. to the nae. and addr..'
prlnt.d on the r.v.r.. .Id..
If RESIDENT DECEDENT .ake ch.ck or IIOn.y ord.r p.yebl. tOI REGISTER Of WILLS, AGENT.
If NON-RESIDENT DECEDENT eek. ch.ck or eon.y ord.r p.yabl. tal COMMONWEALTH Of PENNSVLVANIA.
All pay..nt. r.c.lv.d shall b. appllad flr.t to any Int.r..t which .ay b. due with any r...ind.r appll.d to the ta..
REFUND (CA)I A refund of a ta. cr.dlt, which wa. not raque.ted on the Ta. Ratu,n, a.y ba raque.tad by co.pl.tlng an
"Application for R.fund of P.nn.ylvanla Inh.rltanc. and E.tat. Ta." (REY-lll]). Application. ar. .vall.bl. .t
the Offlca of the Ragl.t.r of Will., any of the Zl R.v~ DI.trlct Offlc.. or fro. the Depart.ent.. Z~-hoUr
an.w.rlng .ervlc. nuab.r. for for.. ordarlngl In Penn.ylvanla 1-800-362-2050, out. Ida P.nn.ylvanla
and within local Harrisburg ar.a (717) 787-809~, TOOl (717) 77Z-2ZSZ (H.arlng I.p.ired only).
REPLY Tal aue.tlan. r.gardlng .rror. contalnad on thl. notlc. .hoUld b. .ddr....d tal PA O.part.ent of R.v.nue, Bur.au
of Individual Tax.., ATTNI po.t A......ent R.vl.w unit, O.pt. 280601, Harrisburg, PA 17128-0601, phon.
(717) 787-6505.
DISCOUHT:
If any tax due I. paid within thr.. (]) caland.r .onth. aft.r the d.c.dent'. d.ath, a flv. p.rc.nt (5%) dl.count
of the tax p.ld Is allowed.
PENAL TVl
The IS% t.x aan..ty non-p.rtlclp.tlon penalty I. co.puted on the tot.l of the ta. and Intar..t .......d, and not
paid b.for. January 18, 1996, the flr.t day aft.r the .nd of the tax ..na.ty p.rlod.
INTEREST:
Int.r..t I. charg.d baglnnlng with flr.t d.y of d.llnquency, or nln. (9) eonth. and on. (I) day fro. the data of
d..th, to the date of p.y..nt. T.... which b.ca.. d.llnqu.nt bafor. January 1, 1982 b.ar Int.r..t at the rat. of
.iIl: (6X) p.rcent par aMU8 calculat.d at a dally rat. of .00016,.. All tall" which bacaa. dallnqu~t on and aft.r
Janu.ry 1, 1982 will b..r Int.r..t at . rat. whlch will v.ry fro. cal.ndar yaar to calandar y.ar with that rat.
announced by the PA n.part..nt of Rav.nu.. Th. applicable Int.r..t rat.. for 1982 through 1997 .r.1
Vaar Int.r..t Rat. Dally Int.r..t Factor
V.ar
Int.ra.t Rat.
Dally Intar..t Factor
198Z zOX .0005~8 1987 .~ .0002,.7
1983 16% .000~J8 1988-1991 11% .000301
198" 11% .000301 1992 .~ .0002U
1985 13% .000lS6 1993-199" 7~ .000192
1986 .OX .OO027~ 1995-1997 .~ .OOO2U
"Int.r..t I. calculatad .. follow.:
INTEREST = BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notlc. I..u.d aft.r the ta. beco.e. delinquent will r.fl.ct ftn Inter..t calculation to flft.an (IS) d.y.
bayond the data of the a.s.....nt. If pay..nt I. aad. aft.r the Int.r..t coaputatlon data .hown on the
Notice, additional Int.ra.t ...,st b. calculatad.