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GE CARD SERVICES
OS/29/1996
'fililllJfte
13805
AMOUNT ]
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l DA TEISSUED I PURPOSE OF CHECK
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'HE PAlNflNG PLACE 51)-11'-1$71
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REGISTER OF WILLS
CUMBERLAND COURTHOUSE
ONE COURTHOUSE SQUARE ROOM 102
CARLISLE, PA 17013-3387
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, TCbI 002 CODE IHB ACCT 5440570340015055 CYCLE 26 AGENT 7428
. ( U MONTH HISTORY ):::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
SCREEN SELECTION ( 1 234 ) => SHEAFFER STANLE
CURRENT (05) 12/26/95 (06) 11/27/95 (07) 10/26/95 (08) 09/26/95
PAYMENT 0 0 0 1 0
092995 .00 .00 .00 84.32 .00
MIN PYMT 45.00 135.00 90.00 45.00 92.00
PURCHASE 0 0 0 0 0
081595 .00 .00 .00 .00 .00
CASH ADV 0 0 0 0 0
082895 .00 .00 .00 .00 .00
CREDITS 0 0 0 0 0
.00 .00 .00 .00 .00
MISC CHG 0 0 0 0 0
.00 .00 .00 .00 .00
INS FEE .00 .00 .00 .00 .00
LATE CHG .00 .00 .00 .00 15.00
OVRL FEE .00 .00 .00 .00 .00
PURC F/C 1. 30 .00 .00 1. 30 1.24
CASH F/C 7.37 .00 .00 7.37 7.81
LIMIT 5rOOO.OO 5,000.00 5,000.00 5,000.00 5,000.00
BALANCE 1,792.72 1,792.72 1,792.72 1r792.72 1,868.37
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1. FAILURE 10 RESPOND WILL RESULT IN AN OffICIAL fAk ASSESSt1lHT willI "1'ldllllhl. Inhr.,t hu..111Il Inlol...'11I11
lubalthd bv Ih. 'In,,"cllll In.tltutllln,
1. Inh.rltanc. h. lI.co... llelln'lu.n, nh,. 1I0nlh, ",'h, U.. ".,.denl" .1111. lit .1...111.
S. A Joint ftccount I, Ilullbl. .~.n thoIJllh th. deUtden", "_. ,..n "lIde.1 ... It ....thll II' (1.,.,.,1....
ft. Accounh IlncludInll tho.. held lJ.t....n IlY,bllnd "'It! wl'.1 ..hll" II'. ,I.t..lenl flut In JQlnt n_I IIlthln Qt.. ....,., 'If lor to
d..th .r. fully I"Jabl. 81 IllIn".r..
5. A(CDunh ..tabll,hed Jointly b.t....n husband find 1111. lIur. IhlM1 un. V.,U Iulor 10 lI.llth Iue nol ,..."bl..
6. Account. held by .. deeedant "In trult fo,. ~ther or oth.r. ar. I,..,.bl. lull....
REPORTING INSTRUCTIONS - PART
1
TAXPAYER RESPONSE
1. BLOCK A - If the In'or...tlon IInd coaputlltlon In the notlc. ar. corr.ct nnd deduction, Ar. not 11.1ng chl..d, placa an "X"
In block "A" of Part I of tha "'lUIpnyar Rupon'." ncUon. Sign Iwo coplu And Sub_It th.. with your chac" for tha ".ount of
tax to tha Ragl.tar of Will. of tha county Indlcetad. 'ha PA D.pertaant of Ravenu. will I..u. .n official ........nt
(For. REV'l~~a EX) upon recalpt of tha raturn fro. tha R.gl.tar of Will..
Z. BLOCK B - If tha a..at spaclfiad on this notlca has baan or will ba raportad and tn. peld with th. P.nn.ylvnnla Inharltanca
Ta. Raturn fll.d by tha decadant'. rapra.antatlva, placa an "X" In bloc" "B" of Part I of tha "Ta.payar Rasponsa" .actlon. Sign on.
copy and raturn to tha PA Dllpart.ant of Ravanua, lIuruu of Indlvlduftl 'a~e', D.pt lB1I6111. Harrhburg. PA 1111a-1I6111 In tha
anvalop. provldad.
5. IIlDCK C . If tha notlca Inforaatlon I. Incorract and/or d.ductlon. ara b.lng clal.ad, ch.ck block "C" and cO.plat. Part. Z and 3
...::.:::.r:.:1.,_ t: ~~. 11"I1.I'h'~"'~'; L;.,,~t.... :1;,.. ,;..~ c;~:a. ,,~u IU=:':~. ..~.:. WillI )';Iu" ',;,,"~.. ;.., U.. ......un;' 1.0; ..... p,\r..;:itl t.. :':.. ;:;"\l:~\.'.
of will. of tha county Indlcatad. 'ha PA Dapart..nt of Revanua will 1.lua an official a.......nt IFor. RlV.IS4a EX) upon receipt
of tha raturn fro. the Ragl.t.r of Will..
TAX RETURN - PART
2
- TAX COMPUTATION
LINE
1. Ent.r tha data the account originally was a.tabll.had or tltlad In the aanner ..I.tlng at data of denth.
HOTEl For. d.cedent dying aft.r IZ/IZ/az: Account. which the decadent put In joint naaa. within one (IJ yaar of death ara
ta.abla fully a. tran.far.. Howllvor, th.r. I. an a.clu.lon not to e.ce.d $3,000 per tran.feree regardl... 01 tha valua of
tha account or tha nuabar of account. held.
If a double a.t.rl.k {wwJ appaar. bafora your flr.t naa. In the addra.. portion of thl. not lea. the $3,000 .xclu.lon
alr..dy hat b..n d.ducted fro. the account balanc. a. raportad by tha flnancl.1 In.tltutlon.
Z. Ent.r the total balanca of the account Including Int.ra.t accrued to the data of deeth.
S. Th. p.rc.nt of the account that I. taxabla far each .urvlvar I. d.tar.lned a. fallows:
A. Th. perc.nt taxabla for joint a..at. a.tabllshad .or. than an. y.ar prior to th. doc.dent'. d.ath:
1 DIVIDED IIV TOTAL NUMBER OF
JOINT OWNERS
En.pl.: A Joint n..t ra!llttered
DIVIDED BY TOUl HUMBER OF X 100 . PERCENT TAXABLE
SURVIVING JOINT OWNERS
In tha na.. of tha decadent and two ather parson..
I DIVIDED BV 1 (JOINT OWNERS) DIVIDED BV Z (SURVIVORS) . .161 X 100 . 16.1~ lTAXABlE FOR EACH SURVIVORJ
II. Tha perc.nt t.xabl. far a.sot. craated within one yaar of the decodent'. d.ath or account. awned by tha dacadant but hald
In trust far anothar lndlvlduall.) (trust benaflclarla.):
1 DIVIDED BV TOTAL HUHBER OF SURVIVING JOINT
OWHERS OR TRUST BENEFICIARIES
X 100 . PERCENT 'AXABlE
Exeaple: Joint account reglstared In the na.. of tha decedent and two oth.r person. and a.tabllshed within ona year of death by
the dacad.nt.
1 DIVIDED BV Z (SURVIVORS) . .50 X 10e . SOZ (TAXAIIlE FOR EACH SURVIVOR)
7.
Th. a.aunt ,ubJact to tax (1lna ~) I. d.t.r.inod by .ultlplylng tha account balanc. (line Z) by the p.rcent taxable (line 3).
Enter the total of the debt. and daductlon. II.ted In P~rt 3.
r:-,& ::..:,;_-.t t~...r.:;.l;. u.:r....:.: h ":..t~,ro1...'; 1:., .:...::.tI6..U~,i. ~:,a ~..:..:;: ...r.': ':..:..~t:....... :::... :;~ ...... t:.. .-.,;l,I:.t .~;..~i. '.w ~.:.. .:1". ..;.
Entar the appraprlat. tax rat. (lln. 1) es dater.in.d bolow.
..
5.
A. For data. of death occurring aftor 6/10/9~, the tax rato. for tran.fer. to .pou.a. are a. follow.:
1. Dat.s of d.ath an or aftar 111/9~ and b.fore 1/1/9~ tha rat. I. l~.
2. Dato. of d.ath on or aft.r 1/1/9~ trans for. to spousas will be ta.ad at O~ tax rate.
Hot.: Far data. of doath prior to 111/94 trans for. to spouse. are taxable at 6Z.
B. Tran.fer. to lineal de.condant. Including fathor, .othar. .an, daughter. grandchlldran, Ion-In-law,
daughtar-In-Iaw, .tepchlld and thair I..ua aro taxabla at .Ix percent (6~).
C. Tran.fars to all athor. Including brother, .I.t.r, uncia, aunt, naphew and nleca aro tawabla at flltaen percant (15ZJ.
D. If you change the tax rata. plea.e .paclfy your r.latlon.hlp to the decedent In the ar.a provldad.
a. Th. aeount of tax duo (llna at I. deteralnad by .ultlplylng the aeount ta.ablo Illn. 6) by the taw rata (1In. 1).
CLAIMED DEDUCTIONS - PART
3
DEBTS AND DEDUCTIONS CLAIMED
Allowable dabt. and daductlon. ara det.r.lnad a. fallow.:
A. You l.gally ara ra.ponslble for pay.ant, or the o.tata 'ubJact to ad.lnl.tratlon by a p.r.onal ropr..ent.tlva I. Insufficient
to pay tha d.ductlble It....
B. Vau actually paid the debt. aft.r d.ath of the docadant nnd can furnl.h proof of pay..nt.
C. Debt. being clal.ad au.t b. Ite.lz.d fully In Part 1. If additional .paca I. need.d. u.. plain pap.r a I/Z~ x 11". Proof of
pay..nt .ay be raqua.tad by the PA n.part.ent of Revenue.
TAXPAYER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANY
REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES. TAXPAYER INQUIRY UNIT IN
HARRISBURG AT (717) 787-8327. TDD' (717) 772-2252 (HEARING IMPAIRED ONLY)