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HomeMy WebLinkAbout96-00482 . "'2 (j: - ~ . L1.l UJ u Z UJ .~ S Cod :r !..I.. \ ..5 '0 . ~ V) UJ - W Q) Q, '2 ~ :r ... 8 a ;n . Yo . a ;r ... ~ 0 f tl:: en ~ Z ~ ::t ::r PETITION FOI{ PlwnATE lInd GRANT OF u:rnms 1:,/(11,' (~r ({lJdtJ..i: IJ LC t!. c:c. 1~1U1 (j A,l\.No, J./-/Cfq ~ ~4-J ~ a/\O A'IIOlrll tl.\. W I J'l I"u: Sflt'ial .'.t'('lIrity So. , [)('n.tlwd. I b~ _Ocl ~ 'i }"Jet Hr~i'lr' or Will, ro, Ihr C","" y or t:'. U i"ll3c}/~tlM~n CUlIIlI1011\\'callh of Pcnll\yh,:tllia Ihr rhe I'\.'lilioll oj Ilu.' IIlHll'P,i!!lll'd Il"Ill'l.'111lIly Il'PIl"l'lI1\ IlIal: Ymll pl,tiliolll'I(\J, \\110 j, all' Il'i Yl'al, of a~l' ,I(" oldt" an Ihl'l"l'I..'IIICl~ ___________ llallH:d inlhr la,1 \\i11 01 1111' al'o,,' dr<,'d"III. dalrd . ,e '1. C (., .T.....__. . IlJ~l-6-- 'lI1d <odi,'il,,) dalrd II) () Nt::. . . . ... .....--.---.-. l'I.lll' ,dl'l.1II1 \11(lllll\I.lIh.\'" I' I'. Il"llllll\."lllllll. dr;l1h 1III"l'\"IIIIII, I'll:.) Ik<clld<1I1 \\a, domidkd at dralh illC!... \...).-I''''~J3 .::"J~L.l"l""I'?h' ('OIlIllY, I'rllll'ylvallia, wilh ILC;:.~. I"" family'" prilldpal ,,',idrll<r al .-LJ "l..03. .' R ('_'I. '-It..__O-/:\.J~_JU) flo p __~.\A.M,P . HI LL,. P A .D_D.)I ___. ../-ttl'111fl.Dr:.t.,LLl.\,i(2 I 111-, 'lll'r:, IIl1lllbl"' .llllIUHIIl\Ij1.lhl\J Ik<rmklll. Ihrll -.JLl . ",'a,' or a~r. dird .___.._.1 Lf.... ___flf...B..__. IlJ.:'/-6-, al .. . POl'/(LiNI(..flilC:-D. CNJR,_.______.___.________ . I:'~l'pl ,,\ lolhm.... dl:t.:'I.'lklll did not marry, \\ ""0 nnl di\'(n~l'd :tnd did 1I0t have a child born or adopted .ltll.'f l'\l......ulion of 1111: \\ill 01 fl'r.:d for prohate; wa... 1101 the \'ktim of it ~illillg ami wu\ never adjudicated ill<ollll'rlrlll: __. _N.ONE. -__.___.___.____._.__._._____ DI'(l'lllh,'111 ill dcath \l\\III:d plOl'l'rty with c"tim:lIcu \.aluc~ a... t'olh)\\\: (If dOlllidkd in I'a.) :\11 prNlIIal prop~lll (If nol uomi....ikd tI1 Pa.) Penonill prOpl'rlY ill PI'IlI1'yl\":tllia (It lUll \lotl1i~ikd ill Pa.) Pcr"lOlwl propcrty ill <:OUlll~ "aim' l,r fcalc,lall' ill Pl'nn...\h'ania ,iluah:d ,1\ follmn:____ ____ _~N. o_Al.~e.__. . I ~S~'~ L_ _ S S S \\1I1:HI:I'UHI:. prlilionr,,') 'r,p~<lfnlly 'rqll~,I(~ Ih~ I"ot,,"r of Ihr ""I will and codicil(,) p,rwlllrd 1I\',r'\1lh a",llhr ~'alll 01 kllr". _ .___ .__le') rAI~1E-N.rHP.'L 11~"'.lIm'nl.\I \; .hllllllll,,\r ,111l1ll ~. .1.i1.; allmini'lfiuioll d.l1.n.l.'.t.a.1 Ihl.'lI'll. -. '- .___~m_~-J~ . '. rUJ__R_\='_t...cl...I_ 1.GJ1i\l _n':-/_C3n_RcJ'y.1.tL !?cll\O . <:.A MfLt_J.J.._t...,--?-1L..po II . '- ..,- x~ ~~ '" r _ _.u.,.____ ... ... --- OATH OF PEI{SONAL IU:PIU:SENTATIVE (,O~I\lO"i\\'EAI.TII OF l'E:\"iS\'I.\' ANIA I . . s~ COl"iT\' OF .~V)'\1.\3.c;:,-~t..rlJJJ;>_ J" llll.'I'I,.'lilhw"'lb) ;IIHHl"llaI1H..'ll',\\l'arb) or aflirll1(") Ihat thl.' '1;;111:1111:11" in the foregoing pClilion me Irlll' "lid \,..0111,.'\."1 10 1 hI,.. h"',, l'll~ll' ~:llmll'd!!l' and hl'lil.'f or Pl'lilioncr(...' and that a\ pcr~onal rcprcscn- lall\rl-I ,.1 111< ahm,' ,!',<<drlll p<,jti,'nrrl') \\ill ,\\'11 amltrtlly adlltini'l~h~;c'lal~ a<m,ding 10 law. S,,,'ttl I.. ,,' allllllt<d a II. ,I '1I1"<:ih,'d If.A.?~ a.'.~0.~..u!:...~;:: a"--. ~ hd..". n,,' Ih" 17lh. d'96'" . .. --- -.- ___001_ ';; nJ~\.:'t'~iL(..0j.(.t-r))~ij)td -l.r- ........ .d ._u_______ ~ 15-I09-'t~RylC'.. LEWIS f I...."I\~'P-"tlt. ""- 2 No. ~l-Iqq~ - 4~:L Estnte 01' FLORENCE E. FLANIGAN , Deceased DECREE OJ.' PROBATE AND GRANT OF LETTERS AND NOW JUNE 1 8 19~pin consideralion of the petition on the reverse side hereof, satisfaclory proof having been jlresented before me, o' OCTOBER 9, 1990 IT IS DECREED Ihal the mstTumenl(s) dated described therein be admitted to probate and filed of record as the last will of FLORENCE E. FLANIGAN TESTAMENTARY JOHN R. FLANIGAN and Letters are hereby granted 10 MARY C. FEES Probate, Letters, Etc. ......... $ Short Cerlificales( ).......... $ x-pag.e!? RenunClallon ................ $ JCP $ 5.00 TOTAL_$ 32.00 Filed . ~.~~.~. .~~.'.. ~.~?~............... 18.00 3.00 b.UU H & fI) ((, V_ .--E. (' " 'I tI) E' Arro-,;;:;;y;s~r. Ct. 1.0. No.) .PA.~.Q,.. C)(,Z50 .':> q 6 \ ~1f~~s~ Kt....- r <:>}' <: AM F' r/) L-.L-. rcJ1/70f} - "I z. z.? PHONE 7 /1 -7 W O~ 6 7':o~ ._ M (') ~ . '. , (~ L ., ~ . '~l ~ . -.J , c U c , - N - IiI ..". u> ~ :t>~ ~ CXl LETTERS AND ORDER MAILED TO THE ATTORNEY. Thi.. i~ IIlUllity dl.11 Ill(' 1Illllllll.Ili111111llt .1:1\1.'; '., ,'Illllth "'l'It ! I,.,nl III "lli'llLli \('rldl,.tlt 10/ dt.nll dllh lrkd Will! lilt. ." 1."l",III{t'~I"'Ir.lr. Tltt. III ifill,1! I {"If r1 rl.ll,' \\ III lit It q ',\ .11 ,!t, 1 I. 'Iii ....! ,'" \ II I \ HI \' 'I,!', I '"I! ( j, or I'l"l IlLtll1 III I dllli~ ,,,U_1 .. 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I J II 1lt-41 IH..~." ,1. 17/10 li&otliiLl'~.e~-,;;;---' ,,,_ 4rt:,__.!'L,..~'o._---- 'II,DoCUIU_II.CDltOMIII 0..... MtOa...,-....__.........._ ....,_."..'''.........''.1....- ..". ....."'... .........1............1.1.... _..,,~. .. ". N~"u:---~~-~;-l..t~~- .1;..._10.. . I f? I L I.~ I L l..~l J..1-1C,r,1., -4-D- nn \Ci ::0 em :om ~ ", 0'\ co () '. .9- c- u ~ f' .... " -.I l - '. c. -0 .... - ~. : ~\I' N i:ti S!. :-0"- .. - ~;.::. OJ : . " " . [j^fj'l' WILL, 01' FLORENCE E. Fl.ANIGAN I, FLORENCE E. FLANIGAN, of the 1'ownship of IIcJmpden, Cumberland County, Pennsylvania, declare this to be my Last Will I ; cJnd revoke any l'/il1 previously mcJde by me. Item 1: I devise cJnd bequeath all of my estate of every nature and wheresoever situate, together with insurance thereon. to my husband, JOliN R. FLANIGAN, providing he shall survive me by thirty (30) days. Item 2: Should my husband, JOliN R. FLANIGAN, predeceaee me or die on or before the thirtieth (30th) day following my death, I devise and bequeath all of my estate of every nature and where- : soever situate, in equal shares, as follows. (A) One equal share to my cousin, GEORGE J. SCHRYVER, of 3-D Lee Avenue. Albany, New York 12203. In the event the said GEORGE J. SCIIRYVER, predeceases me. then I direct his share shall be distributed among his issue, per stirpes. (8) The remaining equal share shall be divided among my following enumerated cousins or the survivor of them: ,":1 ~ ~~ < ..... ~ \Ii.3 "- CV.,; (a) DONALD SCIIRYVER of Valley View Estates No.4, Allegany, New York 14706. (b) PIIILIP SCIIRYVER of 845 Balsom Street, Lakewood, (c) WILLIAM SCIIRYVER. formerly of Ohio. Colorado 80215. f''': , u Item 3. I direct that all taxes that may be assessed ~n ?:; - ~ consequence of my death. of whatever nature and by whatever o ...J \ u. jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. , I . I I r Recoro~ i Iii; '::1) of RC~li~k 1', Wills '96 JUN 17 P2 :18 CI ' ". ',(' I er". ' '~ ,.uw CumIY.>I:.;,ld GCI., PA ... = ~ S ~ ~ tIS g ... ~I t:A ~ w W~ ~ 5~~~~ ta t.:l .... ~\+-t ~ O!(liigrt ....l u:tilo:Z~ =Q 11< ~~i~~ tIS . l.1l - l.1l' ~<i~~ - .... u . z g;j ~ 0 u ... ....l tA 11< as r.;! - . . '. I ..~ -... '.. I - ;.- CERTIFICATION OF NOTICE UNDER RULE 5.6 a Name of Decedent: Florence E. Flaniaan Date of Death: April 14. 1996 _Admin. No. Will No. 1996-482 To the RegisLer: 1 certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on September 16. 1996 Address Name - John R. Flaniqan. 4403 RovalOak Rd.. CamP Hill. PA 17011 Notice has noW been given to all persons entitled thereto under Rule 5.6(a) except N/A ~-". (/ ~_61r Da te :3" ::.eP 'f .4 'll J~:"'" ;~\~ Sig,J'lature , / . . .~ Name Lisa Marie coyne, Esquire In '.~ Address 3901 Market Street , ,~j 0__ camp Hill. PA 17011-4227 r- .- C- ." Telephone (7l7) 737-0464 .)(" ci: -. .') ~. , personal Representative X counsel for personal representative .;.:.:::. 00 Capacity: \ I I , I \ \ I \ REV.UOO fl(. 11.Q'1 w ... W:!M ...",.. w...... :cOO ...",... ~"' .... ~i5 "'0 a:Z 8~ TN':' (J L V i-. N T t:., fA TC I ~) - 1(1 i I - /-1 /- * 'OR OATIS 0' DIATH AnU 12/31/91 CHICKHIRI I' A SPOUSAL POVIRTT CRlDIT IS CLAIMIO 0 fill NUMBlR 21% - 0,1112 INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) ... i5 fil ... w o COMMONWEALTH Of PENNSYLVANIA OfPAltlMfNT Of RfVfNUf OHI 210001 HAUISlURO,'A 11121,0001 Of IO(N"!o NAM( ItAU, '11!o . "NO MIOOI( INITIAL! l'lanigan, Florence E. SOCIAL UCUIITY HUMIII OAlf 0' IlI'H COUNTY CODE YEAR NUM8ER OI(IOWI'!o (OM'UU AOOI(U ,1,103 HOYi.ll OiJk CUlllp lIill. l'^ CUIlbor1and Dci.ve nOl1 OAI( 0' O(AIH 1/23/07 .1/1,1/% 163-09-'1179 CO\ln' II' .''''IC-,Ill! 'UIVIYINQ "'OuU.' ....MIlL''' I.." -''''0 '1010011 '''''''-'ll AMOUN' 1f((IV(O IU( INiUUClIONil o 3. Remainder Relurn (lor dolt. 01 doolh prior 10 12.IJ.821 o 5. Federal E,'ote Tax Relurn Required o 2. Supplemenlal Relurn [] 1. Original Relurn o 4, limiled Ellale 0 40. Fulure Inler." Compromi.. (for dOlO' of doo,h oh.r 12.12.821 lj 6. oecedenl Died Tlllol. 0 7. Dteedent Maintained 0 Living Tru't (Alloch copy of Willi (Alloch copy 01 Trull) ALLCORRESPONDENCE AND CONFlDENTfAt TAX INFORMAnON SHOUlD Be. DIRECTED TO _ a. Total Number of Safe Oepa.it Baxe. N....M( . ,~.B'. iy~~~: . i uire COM-mil MAILING AOOI(U 3901 ~klrket Street C.:llIlp lIill, P^ 17011-4227 737-0464 None $175.00 Nune None None Z o ;:: :5 ::0 ... 0:: c ... w a: 1. Rool ElIot. (Schodul. AI (1 ) 2. Stock. ond Bond. (Schodul. 81 (2 ) J. Clo.oly Hold Slock/Pollnorship Intoro.t(Schodulo q ( J ) 4. Martgag" ond Not.. R.c.ivable (Schedule D) ( 4 I 5. Co.h, Bank oepa.ill & Mi.cellaneoul Penonal Property ( 5 I (Schodulo E) 6. Jointly Ownod Proporty (Schodulo F) (6) 7. Trondors (Schodul. G) (Schodulo L) (7) a. Tolal Gran Ane" (totallin.. 1.7) 9. Funeral EJCp.n.... AdminillrOliVI Call', Miltellon.ou. (9) Exp.n.o. (Schodulo HI 10. Cob", Mortgogo liobm'ios. lion. (S,hodulo 'I (101 11. T olcl Oeduction. (total lin.. 9 & 10) 12. Net Value of Euate (line a minu. Line II) 13. Chariloble and Governmental 8equltl' (Sch.dul. JI U. Net Value SubjlC1 fa Tax (Line 12 minus line 13) 15. Spau.al Tron"e,. (for dotal of d,olh aher 6.30.941 See Inllrudion. for Ar,plicoble Percenlage on Reve,., (15) Side. (Include value. rom Sch.dule K or Schedule M.) 16. Amounl of Line 14 laxable 01 6% role (161 (Include valu.. from Schedule K or Schedule M.) 17. Amount of line 14 toxabl. at 15% role 117) (Indud. valu.. from Schedule K or Schedule M.I la. Principal lax due (Add lox from LinellS, 16 and 17,) 19. Cr. dill 5pou.ol Poverty Credit Prior Poymenll + (19) (20) None None (8) 175.00 11,506.00 None 11,506.UO (11.331.00) (11) (121 (1JI (141 None None 0.00 x.QlL= tl nn x .06 :I x ,IS :I Z o ~ ... ~ :Ii o ... >< c ... (18) 0.00 OilCounl Intereu + 20. If line 19 i. grlol.r Ihon line la, Inl., Ihe difference on line 20. Thil ialhe OVERPAYMENT. ao Check hore if you arc requesting 0 refund of your overpaymonl. 21. If Line la i. greater than Line 19. enter Ihe difference on Line 21. This i.,h. TAX DUE, A. Enler Ihe interelt on Ihe balance due on line 21A. B. Enter the 10101 of Line 21 and 21A on Line 21B. Thil i.lhe BALANCE DUE. Mab Checle Payabl. to: Regl.te, of WlII., Agent (211 121A) (218) ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SlOE AND TO RECHECK MATH ~ ~ Under penolties of perjury, I declare Ihall hO'le Ikomined Ihi. return, including accompanying Ichedules and ,Iolementl, and 10 Ihe bell of my knowledge and belieF. it i. trul. correct and complete, I declare that 011 rial e"ole ho. b.en reported ot true morkel yolue Oeclarolion of preparer other Ihan the personal representative i. bosed on 011 information of which pre parer hos ony knowledge. SIGN I( 0' ''lRSOr. Rf!l. t<dllLf '01 flLIN '(TURN .CORBS OAIf )/..\. .,''''' _ ].2/l/ .\403 Ruydt O"k IJrlV,.'. CUlII? lIill. P^ 17011 1..//( / Of 'If(P....E h'E' ,~ N'if iH NT"TI~:[ 4CDltB!I. C.t(;' , 9~ IlYUIII.."nl ESTATE OF ITEM NUMBER A. 1. B. 1. 2. 3. A. C. 1. 2. 3. A. 5. 6. 7. 8. I\~:I~:~II ~5tJ".. COMMOHWr.AUtI 0' .(NN!>>'t''lYANIA INIlUIJANCr IAl AflUIIN RUIPfNI PfCrPfNI - --.---- SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Florence E. Flanigan Ploaso Print or Typ. ._.___________._\F.,iE;~:B::4B~- u~__.__ DESCRIPTION AMOUNT Funoral Expons..: Neill Funeral Hare $7.964.00 Admlnlstratlvo Costs: All II Personal Ropresentativo Commissions Social Socurity Numbor 01 Porsonal Ropro.onlolivo: Yoor Commission. paid Allornoy Foo. Henry F. Coyne, Esquire 500.00 Family Exomption Claimonl John R. Flaniqan Addross 01 Claimont ot docodonl'. doolh 3.000.00 Rololion.hip Husband Stroot Addross 4403 Roval Oak Drive City Camp Hill 51010 ~_ Zip Codo 17011 Proboto Foo. 32.00 Mlscollanoous Exponsos: Inheritance Tax Filing Fee 10.00 TOTAL (AI.o onlor on lino 9, Rocopitulation) S 11,506.00 (II moro spa co Is nood.d. Insort additional shoots 01 samo slzo.) .. 'h... 't . \ ~ ~~ @{S' ~"I.'1! " ~'\_,..-.,l.oO>'" ~ 0..."),..1'1 "l1'F/A"' ~ ~ (~~ .. '~ "v:,......-:;, ~/I.~~{ "', '.~'''nn::-. ...~" '1" ,~ ...\.yll..... - r-.., $'!:,.. .".... .....1 . :.. - ': I :,~.~ ~ ,"', , t'" r I : It ~ :: (1 ~ ~~;\ /.: 'J iE ... \ '" 0- - (1.". ;'. .AW .;'""'~ - ,....., "'..; W ~ .. '. n.. ~ ,. ~....., 7, 1:'6," _'". ., -/ r Q,I_........_ ' .-/. ~ .... ._," _r(); \" '.......,,; "I:I'\J JP \\\\\.\", "'I~~frfllll\I\\ Register of Wills of CUMBERLAND county, Pennsylvania Certificate of Grant of Letters Testamentary No. 1996-00482 PA No. 2196-0482 ESTATE OF FLANIGAN FLORENCE E \LA~~, r~K~~, M~UUL~) Late of HAMPDEN TOWNSHIP ~UM~~KLANU ~UUN~Y, Deceased Social security No. 163-09-4179 day of June 192i an instrument WHEREAS, on the 18th dated October 9th 1990 was admitted to probate as the last will of FLANIGAN FLORENCE E (LA~~, r~K~~, M1UUL~) late of HAMPDEN TOWNSHIP CUMBERLAND county, who died on the 14th day of April 1996 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, MARY C. LEWIS , Register of Wills in and for the county of CUMBERLAND in the commonwealth of pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to JOHN R FLANIGAN who ~ duly qualified as Executor(rix) and ~ agreed to administer the estate according to law, all of which fully appears of record in my Office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my Office the 18th day of June 1996. **NOTE** ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE) I ,Pll CU' CUHlJl-:Nt.AtiO undorsignod Guthority that the Te.tatrix signod Gnd executed the I I I .ignnd tu t/l. ntUched or lor09uln9\ I I instrument as hor L4St Will nnd that sho h4d signed willingly, and: , that Ihe exocuted it os her froo and voluntary act for the purpose /Ie IIJ ~ 1 ;::; t!: '/-Y G , / tho Testatrix and Lhli wilneueB and Wu. n.oRt:UCE E. FL^UIC;M~. b/,o<",,,, 16 (!C~N~ / rORpoctlvoly, WhORO nomos are instrumontl buing fint duly sworn, do horeby declare to tho thoroin oKproRUd, Gnd thAt IH,ch of tho witnoslleR, 1n tho preRonce and hoaring of tho TORt4trix, nignod tho Will as witnesS and that to tho best of hi. or hor knowledge, tho TORtoStr1x woo at tho tima I eighteen ( 18' yearR of ago or older, 01 Bound mind and under no \ constraint or undue in f luenca. 4~,~ 4-' sub8cribod. sworn and acknowledged belon me HfLfPl M, Q...~ fF~ by FLORENCE E. FLANIGAN. the Testatrix. Gnd .ubscribed IJnd sworn to boloro mo by /I~/Wt1;::: t'''~l'Ie .nd 611~~", l'l. tf'."'I'IG. tho wltno...., thh ni doy :f a tT..J., ...... . 19~. ..:M-- "m. G~ Notary pUblic SEAL I ~f"'I1LSVL M(LU",I:II"ITll,lIl1TltTft.'UC u. M'IL 'C"O. (1""(1\..1." CUnt' III cc-mlt"t ("lln .nlL 'I. 1. MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .... REV:iS'4j-Ex-AFP--iiif:9Ejj-iioi"icEuon-NHEifiTAiicE-YA'x-iiP-j;RiiisEifE"iir-;-m.-OWAN-cE-oli--------m--m- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX FLORENCE E FILE NO. 21 96-0482 ACN 101 /J : ;rYi . ''/ BUREAU OF INDIVIDUAL TAXES IHHfAlIAHCC fAil DlvlslOH DtPl, :101001 IlAAAUIURQ, PA 11Ua.olool COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INIlERITANCE lAX APPRAISEMENT. AllOWANCE OR DISAllOWANCE OF DEDUCIIONS AND ASSESSMENT OF TAK HENRY F COYNE ESQ 3901 MARKET ST CAMP HILL PA 17011 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 02-17-97 FLANIGAN 04-14-96 21 96-0482 CUMBERLAND 101 Anount Renitt.d ESTATE OF FLANIGAN (.!- ~~* U'.lhl ,. I" III h' FLOREtlCE E TAX RETURN WAS: I X) CHANGED SEE ATTACHED DATE 02-17-97 NOTICE If an assessment was issued previously, lines 14, 15 and/or 16, 17 and 18 will reflect figures that include the total of abh returns assessed to date. ASSESSMENT OF TAX: 15, Allount of Line 14 .t Spousal rate Cl5' 16, Anount of lina 14 taxable at Line.l/Class A rate (16' 17, Anount of Line 14 texabl. at Collateral/Cia.. Brat. 117' 18, Principel Tax Du. ) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1, Re.l E state I Schedul. A' II >> 2. Stock. and Bonds (Schedul. B) 121 3. Clos.ly H.ld stock/Partn.rship Interest (Sch.dul. C, (3) 4, Hortgages/Not.. Receivabl. (Schedule D) (4) S. Cesh/Bank Depo.its/Hi.c. Personel Property ISchadul. E) (51 6. Jointly Ownad Property (Schadul. F' (6) 7. Tran.fers (Schedule G) (7' a, Total Aueh .00 175.00 .00 .00 .00 .00 .00 18' APPROVED DEDUCTIONS AND EXEMPTIONS: q, Funaral Expense./Ad.. Costs/Hisc, Expans.. (Schedula H' (9) 10. D.bt./Mortg.g. lllbllltl../ll.n. ISch.dul. II 1101 11, Total Deductions 12, Het Value of Tax Return 13. Cheritable/Covarn..ntal a.que.t, ISchadule J) 14. Het Value of Estat. Subject to Tax 8,506.00 .00 Ill' 112' 113' 114' NOTE: .00 .00 .00 X .00= X .06= X .15= 1181 TAX CREDITS: PAYMENT DATE DISCOUNT 1+' INTEREST 1-' RECEIPT NUHBER AHOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. NOTE: To insure proper credit to your account, subnit the upper portion of this forn Mith your tax paYIl.nt, 175.00 R.Gn6 nn 8,331. 00- .00 8,331. 00- .00 .00 .00 .00 .00 .00 .00 .00 I IF TOTAL DUE IS lESS TIlAN .1. NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI. YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. I RESERVATIOHI E.tat.. of deced.nts dying on or b.for. Dec..b.r 12, 1982 -- If any future Inter..t In the ..tat. Is transf.rred In po..asslon or .njoy..nt to Class B (coll.t.r.ll ban.flcl.rl.. of the dec.d.nt aft.r the .xplratlon of .ny ..tat. for 11f. or for y..r., the Co..onweelth hereby .xprellly rel.rve. the right to .ppral.. and a....s tranlfer Inherltanc. Tax.. at the l.wful Cia.. B Ccoll.ter.l) r.t. on any luch fulur. Inler..t, PURPDSE OF HOTICEI PAYMENT: REFUHO (CR)I DBJECTIONSI ADMIN ISTRATIVE CDRRECTIONS: DISCDUNT: PENALTY: INTEREST: To fulfl'l the raqulre.entl of Section 21~0 of the Inharltanc. and E.tat. T.x Act, Act 22 of 1991, 72 P,S, S.ctlon 2140. D.lach the top portion of thl. Notlc. and .ub.lt with your pay..nt to the Regl.ter of Will. prlnt.d an the r.var.. .Id.. .-Mak. ch.ck or .on.y order payable tal REGISTER OF HILLS, AGENT All pay..nts r.c.lv.d shall flrlt ba applied to any Int.ra.t which ..y b. dua with .ny r..alnd.r appll.d to the ta., A r.fund of . ta. cr.dlt, which w.. not r.qu..ted on the T.x R.turn, .ay b. r.qu.stad by co.platlng .n ~Appllcatlon for Refund of penn'Ylvanla Inherltanc. and E.tata Tax~ CREV-1JIJ). Application. ar. avallabl. at tha Dfflc. of the Ragl.t.r of Wills, .ny of the 2J R.v.nu. DI.trlct Dfflc.., or by calling the sp.clal Z~-hour answ.rlng s.rvlce nu.b.rs for for.s ord.rlng: In Penn.ylvanla l-eOO-J6Z-Z0S0, out.ld. P.nnsylvanla .nd within local H.rrllburg ar.a (717) 787-e09~, TDDI (717) 77Z-Z252 CHearlng I.palr.d Dnly), Any party In Intarast not satisfied with the appralse.ent, allowanc. or disallowanca of deductIons, or .I......nt of tax Clncludlng dIscount or Int.r.st) as shown on this Hotlc. .u.t abject within sixty (60) days of r.calpt of thh Notlc. bYI --wrltt.n prot.st to the PA O.p.rt..nt of R.v.nue, Board of App..l., Cept. ZeloZ1, Harrl.burg, PA .-.Iectlon to hava the .attar datar.lned at audit of the account of the per.onal repr...ntatlv., ..appeal to the Drphan.' Court. 171Z8-IOZI, OR OR Factual .rrors dlscov.red on thl, a....s..nt .hould b. addr...ad In writing tOI PA Dap.rt.ent of R.venu., Bureau of Individual Ta.e., ATTHI Post AI.a....nt Review Unit, Capt, 280601, Harrisburg, PA 171Z8-0601 Phon. (717) 787-6S05. S.e page 5 of the booklet ~In.tructlon. for Inheritanc. Ta. R.turn far a R..ld.nt D.ced.nt~ (REV-IS01) for an .xpl.natlon of adalnl.tratlvaly corr.ctabl. .rror.. If any ta. due I. p.ld within thr.e (J) cal.ndar .onth. aftar the d.ced.nt', death, a flv. p.rc.nt (5~) dl.count of the ta. p.ld I. allowed. Th. 15~ tax aan..ty non-participation penalty Is co.puted on the total of the ta. and Int.ra.t .......d, and not paid be fora January II, 1996, the flr.t day after the end of the tax a.nesty periOd, This non-partIClp.tlon penalty I. appealabl. In the .... .ann.r and In the the sa.a tl.. p.rlod a. yOU would app.al the t.x and Int.r..t that h.. b.en .......d a. Indlc.tad on thl. notlc., Int.r..t 1. ch.rged beginning with flr.t day of dallnquency, or nine (9) .onth. and on. (1) d.y fro. the d.t. of death, to the date of p.y.ant. Tax.. which baca.. delinquent b.fore J.nu.ry 1, 198Z baar Interest .t the rat. of .Ix (6~) p.rcent p.r annu. c.lculated .t a dally rate of ,000164, All taxe. which bee... d'llnqu.nt on and .'t.r J.nu.ry 1, 1912 will be.r Int.re.t .t . rat. whiCh will vary fro. calendar y..r to c.lendar y..r with that rat. announc.d by the PA Oepart.ent of Revenue. The appllcabl. Intere.t r.te. for 1912 through 1997 .rel ~ Interest Rate Dally Inter..t Factor :!!!! Int.r..t Rllta Dally Inter.st Factor 1982 ZOlC .000541 1987 .. ,OOOZ47 1981 16JC .000431 1911-1991 l1lC ,000101 1914 IIJC .000301 199Z .. ,OOOZ47 19as 13JC .000356 199J-1994 n ,000192 1916 10lC .000274 1995-1997 .. ,OOOZ~7 --Interest Is c.lcul.ted .. follow. I INTEREST = BALANCE OF TAK UNPAID X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR ~-Any Hotlc. I..ued .fter the t.x baco... d.llnquent will rafl.ct In Inter.st c.lculatlon to fifteen (15) day. b.yond the d.t. of tho ........nt, If p.y..nt I. ..d. .ft.r the Int.re.t co.put.tlon d.te shown on thl Hotlc., addltlon.l Inter.st au.t b. calculated, ",". M --. ...( - '0 ., ':L ~~: cD ." .-,: CO - (n ul '- ,- " CI ~' ; r- ,: 010: !)) ~:J a: UU