HomeMy WebLinkAbout96-00518
PETITION I-'OI~ PlwnATE und GI~ANT 01-' I.ETTEHS
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OATil 0... PEHSONAL IU-:PIU':SE~TATI\/E
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(,Ol':\n OF ClIMBERLANO. __ '...____
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N 21-96-518
II.
Eshttc 01'
I''IIVE M. IIAVEl;
. Ucccllscd
UECIH:E OF ..IWIIATE ANU GnANT OF LETTEI{S
AND NOW ____ __~U~Y_2f>lD-, ._______ ..__. ___ 1').~. in <onsidcr:uionof Ihe I'elilionon
Ihe rcvcr~c ~idc lu~rl'of. ,alisfuctmy pruof having heen presented hdorc me.
IT IS DECKEED thallhe in>lrull1enl(') dale't... _!,UGUSTJ~'~11~!991
des<rihed therein he adlllilled 10 I'ruhale and filed of le<l1Id as Ihc la'l will of
FAYE M. HAYES
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and Lellers _TESTlIMEi{l'ARY...-.__.
arc herehy granled lo____~.ILLIJIM HARRIS,JR.
32Iru~'-'I-(?-'-~<-L<A.:V il'/Y jJ{ilI~l-dt.lt
U !t<~i"<f of Will, MIl C. LEWIS I
FEES
Probale, Lellers, EI<, "..,..., s_4.0..o.o._
Shorl Cellificale'(3).,.""". s_.2..0.~
Renunciation ,....".,.,.".. L___.___
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JCP TOTAL __ S. 5.00
Filed "" .JULY, ,2ND.1996.".". .60~~JO,.
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MAILED LETI'ERS lIND ORDER m A1'fORNEY ON 7-3-96.
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COMMOUWEALlH OF PENNSYlIJAWA. DEPARTMENT OF HEALTH. VITAL REcenDS
CERTIFICATE OF OEATH
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and wheresoever the snme shall be at the t1me of my death unto my son, WILLIA/ol
I~RRIS, JR., of Camp Hill, pennsylvan1a.
ITEM 5. I hereby nominate, const1tute and appo1nt my son, WILLIAN
HARRIS, JR., to be and act as Executor of this my Last Will and Testament,
Ny Executor is spec1fica11y re11eved from the duty or obligat1on
of filing any bond or bonds.
ITEM 6. It is my desire that RONALD D. BUTLER, ESQUIRE, of Harris-
burg, Pennsylvan1a, be retained as attorney for my estate,
IN WITNESS WHEREOF, I have hereunto set my hand and seal to th1s
my Last Will and Testament th1s
',)r;~ ,\ 'day of (I t b--'l< ,J J
A.D., 1991.
J-'r l(,
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'L,ller,
Faye ~l. Harris
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(SEAL)
WITNE~ ~
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residing at
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CERTIFICA1'ION OF NOnCE UNDEH HULE 5, (j (11)
Name of Decedent:
, Faye H. lIarris
Date of Death:
June 24, 1996
Will No.
1996-00518
Admin. No,
To the Register:
I certify that notice of beneficilll interest required by
Rule 5.6(a) of the Orphans' Court Hules WlIS served on or mailed to
the following beneficiaries of the above-captioned estate on
July 19, 1996
Name
Addross
William Harris, Jr.
338 Faculty Road, Duncannon, PA 17020
Notice has now been given to all persons entitled thereto under
Rule 5.6 (a) except None
Date: July 19, 1996
(/lltdJttL/(
Sign ture
NlIme Ronald D. Butler, Esqu1re
Address 300 N. Second St., P.O. Box 430
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Harrisburg, PA 17108-0430
Telephone(717)
236-1485
Capacity:
Personal Representlltive
x Counsel for personal
representative
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FOA OATIS OF DIATHAnlA 12/31/91 CHICK HIAI
IF A SPOUSAL ,
POYlAn CAlOIT IS CLAIMID I i
FIll HUMllA
DC] 1. Original Return [.1 2. Supplemenlal Relurn
D.t, Limiled EUale [J 40. Future Inlere" Compromilo
Ifor dale' of dealh alter 12.12.821
![] 6. Decedenl Died Tellale [J 7. Decedenl Maintained 0 living Trult
(Allach copy of Will) (Attach copy of Trult)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO.
113
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COMPlfH MAILltlG ADDItISS
300 North Second Street
P.O. Box 430
~arrisburg. P~7~08
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( 2 ) _'~_____m_ __, '___ _____
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(5) __.6,,5,O_O,J!ll._______
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(7) __._.____ __.__
(9) ___n6_,255.)_"-~_,__.
1101 ____144,Q.Q. __"_._m
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2,,111.56,
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
COMMOtlW"l!I'O"WN'HVAN" (TO BE FILED IN DUPLICATE
DEPARTMENT Of REVENUI 21
_~...,,"J:~ ~~n:"0601 WITH REGISTER OF WILLS) COutm COO!
DIClDIW'S "'AMI (LAst. 'lit ST. AtW MIUOll1l4111AlI ~1{11(lllltll '> tU""llll AUUIII'>!l
lIarr!s, Faye N. 59 I.or! CI rc Ie
'OW'SICU"," NUMB!' -,.-_n--r""Oi'OI','" ,,'jUAIlOH'lI'" ~ NcchnnlcAl.mrgt PA 17055
286-20-4365 6-24-96 10-25-23 CW"'. Cumuerl"nd
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NAME
Rcna1d O. Butler EB~re
TUErHON[ NUM8ER
236-1485
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Discounl
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Inlere,1
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1. Real ellala (Schedule A)
2. Slocks and Bonds (Schedule 8)
3. Closely Held Slock/Partnenhip Inleresl (Schedule q
4, Mortgages ond Noles Receivable (Schedule 01
5. Cash, Bank Deposils & Miscellaneous Penonol Property
(Sch.dulo E)
6. Jointly Owned Properly (Schedule FJ
7_ Tron.f". (Sch.dul. GIISch.dul. L)
8, Tolal Gross Auels (Iota I line 1 1-7)
9. Funeral Expenses. Adminiltrative CO,". Miscellaneous
Expen,,, (Schedule H)
1 O. Debts. Mortgage liabilities, liens (Schedule II
11. T 0101 Deductions (10101 lines 9 & 10)
12. Nel Value of estale (line 8 minus line' 1)
13. Charitable and Governmenlal Beque," (Schedule J)
14. Net Value Subject 10 Taxlline 12 minus line 131
15. Spou,al Tranlfers (for dales of dealh after 6-30,94)
See Instructions for Ar,plicoble Percenloge on R"vene lIS)
Side. (Include value, rom Schedule K or Schedule M.I
16. Amounl of line 14 laxable 01 6% role {16}
(Include value I from Schedule K or Schedule M,)
17. Amount of line 14 laxable at 15% role (171
(Include volues from Schedule K or Schedule M.I
18, Principal tax duo (Add tax from linos IS, 16 and 17.)
19. Credih Spoulal Poverty Credil Prior Paymenh
20, If line 19 is greater Ihan line 18, enler Ihe difference on line 20. This j, the OVERPAYMENT.
IilO
Remainder Return
I'or dole' of dealh prior 10 12.13.82)
Federal E,lale Tax Relurn Required
Tolal Number of Safe Depo,it 80xes
(8)
8,710.90
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Check hore if you are requesting a refund of your overpaymenl,
(II)
(12)
(13)
(14)
6,599.34
2,ITCS6-----
If line 18 is grealer than line 19, enler the differcnce on lino 21. Thi, il Ihe TAX DUE.
A. Enler the inlerelt on the bolonce due on line 21 A.
8. Enler .he lotal of line 21 and 21A on line 218. Thil is the BALANCE DUE.
Make Cheele Payabl. 10: Reght.r of Wills. AI!.._n!~____._ ______._._ _~___._.. __ __._ _______ _-.- ___ ___~___
1211
121AI
1218)
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126.69
(18)
126.69
(191
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6.34
120.35
120.35
~ ~ BE SURE TO ANSWER ALL QUESTIONS ON .R'EVERSE SIDEAND TORECHECKMATH '-:.;,j(.:.('- u~__,___
!-,~der penalties of perjury, I declare Iholl ho....e examined thi, relurn, including accompanying "hodule, and Ilolemen". and 10 Ihe b(!s' 01 my ~no....ledge and belief.
II" Irue, correcl and complete. I declare Ihol 011 reol e,fole ha, been reporled allrue mor~el value Oedaralion 01 preporer olhl'l Ihon Ihe pl!l'onollepresentoli....e is
based on 011 informal ion of which proparer hOl any ~nowledge
Sl(iNA'UR( Of H~SON IttSPON~II11f 'all "tI'jG"iifuil'tj~~- - ;T~6,ii~~- 33S-"Facul ty - Road - - -
l Duncannon, I'A 17020
S'/jfUrf.7;Y';'11f '-tsil~I.A'I"f - ~.l'-nD~i~\ 300 N. Second St. t P.o. Box 430
#---'-f-LZ.~ Harrisburg, I'A 17108
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COMMONWrA.UH OF PfNNSYlVA.NtA
IHHIIITANCI rAX InUIN
IUIOINr OlelDINt
J SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Plooso Prlnl or Ty.e.!.
FILE NUMBER
2196-0518
ESTATE OF
Faye N. lIarrio
(All p,op.rty lolntly-own.d wllh the Right of S",vlvonhlp mu.t b. dl.c1o..d on Sch.dul. F)
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT
DATE OF DEATH
1965 Narlette mob11e home located at 59 Lor1 CIrcle,
~lechan1c9burg, I'A 17055
6,500.00
TOTAL (AI.o onter on line 5, Reco ilulolion) S
6,500.00
(Allach additional 8~" )( 11" .h.." if more 'pace i. ne.ded.J
llYIS09I.. lIlli,
"
*
COMMONWfAtlH 01 'rNN~YlVANIA
INHUmANCE 'AX .(tURN
_UIO(N' O(ClO(Nl
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
FILE NUMBER
2196-0518
Faye H. lIarriJ!
Jolnttlnonl(,11
A,
NAME
W1111am E. Harr1s, Jr.
ADDRESS
338 Facu lty Road
Duncannon, I'A 17020
RELATIONSHIP TO DECEDENT
Son
8,
C,
Jolntly.ownld prop"rly.
ITEM LmER DATE
FOR TOTAL VALUE DECD'S DOLLAR VALUE OF
NUMBER JOINT MADE DESCRIPTION OF PROPERTY OF ASSET %INT, DECEDENT'S INTEREST
TENANT JOINT
1, A 7/5/88 Dauphin Depos1t Bank & Trust 1,636.89 50% 818.44
Company Account 0009763916
checking account
2. A 11/5/93 PSECU account 00203204365 2,784.92 50% 1,392.46
i
TOTAL (Also onlor on lino 6, Rocopi.ulolion) 5 2,210.90
(" more space is needed inse,' addjtiona' sheets or same size)
1,...,,11'1. PUj
..- - ~- -.....-.-.
ESTATE OF
" :. "
., \~').Yl\
I!: ~l1!.;':"
COMMONW(AIW 01 P(NN!l'!'lVANIA
INH(lUI"'HC( ,.... A(IUR'~
"(!lID(N' DfCfOlN'
..-- ---
:
I
I
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Faye H:_~llI!rl~,___.
ITEM
NUMBER
A, Funtlol Expon...:
1.
2.
DESCRIPTION
1I0over Funeral Home
Funeral d1nner
1.
8, Admlni.tralive Co.ls:
2.
Personal Ropro,ontativc Commiuion\
Soclol Socurily Numbor 01 Porsonol Roprosenlolive:
Yoar Commissions paid __~_._________~_ ..
Allorney Feos
3. Family Exomption
Cloimont
4,
C,
1.
2,
3,
4,
5,
6,
7,
8,
Rololionship ._____.
Addren 01 Cloimonl 01 docedonl's doolh
Streol Addren
Cily
___________51010 ___.,. ,Zip Code
Probote Feo.
Mlocelloneou. Expen...:
Cumberland Law Journal - Advert1s1ng
The Sentinel - Advertising
I
! Ploo.. Print or Typo
, FIIENUMBER
,.I ___2196-~~1~____.___
AMOUNT
5,274,00
104.56
650.00
60.00
6C.00
81. 78
Reg1ster of Wills - Fil1ng Inher1tance Tax Return and Inventor
25.00
TOTAL (Also onter on lino 9, Recopilulotion)
S 6,255.34
(II more .paco I. nooded. In.orl addllionol .hoo.. 01 .ame size.)
-. .,. .~ ~ ..
Ilv.U1UU lU'1
~
COMMONWIAIIH 0' ,tNN,nVAttIA
INHUIlAHClIAX IIIUIH
.UIOINI OIClDINI
SCHEDULE J
BENEFICIARIES
J
FILE NUMBER
ESTATE OF
2196-0518
Faye H. Harris
N~TfltER NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
A, Toxoblo Boquo.ts:
1. W1111am Harris, III
Duncannon. I'A 17020
Gtandson
1991 8u1ck
Skylark - sold
prior to death
2. William Harr1s, Jr.
338 Faculty Road
Duncannon, PA 17020
Son
Sole benef1ciary
l
J
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
B. Charitable and Governmental Bequests:
1.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS {Also ontor on Ii no 13, RocopitulOlionl S
(II mOil .poc. I. no.dod, In..rl oddltlonol .h..,. 01 .om. .b.l
PSEG" ~
~ i1d....
... 4)."--"'~
W. ~.~~;
PENNSYLVANIA
STATE EMPlOYEES
CREDIT UNION
July 30, 1996
Mr. Ronald D, Butler
300 North Second Street
Penthouse Suitc
Harrisburg, PA 17108.0430
Dear Mr. Butler:
Re: Account # 0203204365
The following is the status of Faye M.Harris's uccount with I'SECU us oflhe dute of death,
Joint Owner's Name
William E, Harris, added 011593 as joint tenant with right of
survivorship
Date Established
Date of Death
Date of I3irth
050592
062496
102523
Account
Balance
Accrued Dividend
Saving/Share I
Money/Handler/Share 4
$2,775.30
0,00
$9,62
0,00
The total value of Mrs, Harris's account on June 24,1996 was $2,784,92, The dividend earned
from January 1, 1996 through June 24, 1996 was $87.15.
You may eall (717) 777-2227 in Harrisburg or (800) 237-7328 extension 2227 Nationwide if you
need additional information,
Sincerely,
4 ~.
I
L/. ' / ,,-,
it tltlfj 'f
Mepcie Fairfax
Member Service Represenlutivc
Finance Support Unit
Main Address: 1 Credit Union Place, Harrisburg, PA 17110.2990, (717) 234.8484' (800) 237.7328
Mailing Address: P,O, Box 67013, Harrisburg, PA 17106.7013' (717) 777.2100 (TOO) . (800) 472.1967 (TOO)
SaWQI """'" _ Ill" 1100.000 by'" _ ClICIllklon_
and wheresoever the same shall be at the time of my death unto my son, WILLIAN
I~RRIS, JR., of Camp lIi11, Pennsylvanla.
ITEM 5. I hereby nomlnate, constltutc and appolnt my son, WILLIMI
I~RRIS, JR., to be IInd IIct liS Executor of this my Last Wl11 and Testllment.
My Executor Is specifIcally relleved from the duty or ob11gatlon
of fl1ing any bond or bonds.
ITEM 6. It is my desire that RONALD D. BUTLER, ESQUIRE, of lIarris-
burg, Pennsylvanla, be retained as IIttorney for my estate.
IN WITNESS WHEREOF, I
my Last Will and Testament this
have hereunto set my hand and seal
,
,I. t-' {\v ('{ /'
,L [),.. aay of ; 'l,t-, \ , ,J_
,
to this
A.D., 1991.
--
f n(,
, V
I I
,I.' C (' I I I .-
Ilarris
,
1/,
Faye M.
(SEAL)
WIT?~t~.
residing at
...JffY C~,_..j JA..::g--
/14,/ L<_,.(" "6 /2 (7 ((':'
i'
,
,
r~siding at
- 2 -
COHHONllEALTII m' PENNSYLVANIA )
COUNTY OF b F\U(>/i;N
I 55,
)
We, FAYE ~I. HARRIS, f<'f)NALA b. AU'T"lE e , and
l,,) [.0 Dr SII Afr,"'A. .r.~ , the Testatrix and the witnesses respect-
lve1y, wHose names are signed to the attached or foregoing instrument, being
first duly sworn, do hereby declare to the underslgned authority that the
Testatrix signed and executed the instrument as her Last Wl11 and that she
had signed willingly (or willingly directed another to sign for her) and that
she executed it as her free and voluntary act for the purposes thereln expressed,
and that each of the witnesses, in the presence and hearing of the Testatrlx,
slgned the Will as witness and that to the best of their knowledge, the Testatrlx
Was at that time elghteen years of age or older, of sound mlnd and under no
constraint or undue influence.
.. ., I,
/- Co\,il, II! ' ,,',,. .1,
,F~YE }lHAR~IS ,
/!f(t!~.,t/C
v Wl tness
, ,
Witness
Subscribed, sworn to and acknowledged before meJ FAYE M. II{\RRIS,
the Testatrix, and subscribed and sworn to before me by ~klAlh 1).
R,,"1' Lf. R.. and 1.)1= tJI\r SHAMAAuGH , the, witnesses, thls ..;!.l,'f-k
day of t'\IICU,t,'-r ,1991.
~~ 2J!, ),,~
otary Public
Hy Comm1ss10n Explresl
...."
NOTARI.!\L r,r:':\l. I
CH~RYL L. ~:...~; i'~. :'~.' ...\, . ..... I
"'("~i"I'i!.4\1re. I',; ......'.J;,..\. '-~,
My C,mmiult.n EAplrc' A,r.1 v. 1 j':~
- 3 -
RON^LD D, BUTLER, p, C,
^TTORNtYS AT L^W
Huu:r l'UNDIt[D NO"'" 1Iol:CQHD tUAII'
"1:f+"'OU~[ !>Ultt
1l^~~ISBU~C. P[~NSYLV^NI^ 17108.0410
f'O&' or' ICt 110_ 4JO
(717) 1}6 -1485
fAX (717) 1}6-7777
September 13, 1996
Register of Willa
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
Re: Estate of Faye M, Harris
No, 1996-051B
Gentlemen:
I have enclosed the Pennsylvania Inheritance Tax Return and
Inventory in duplicate for filing for the above-captioned estate. Please
clock in the extra copy of the Inheritance Tax Return and Inventory and return
them to me in the enclosed self-addressed stamped envelope. I also enclosed a
check in the amount of $25,00 for the filing fee, I have also enclosed a
check in the amount of $120.35 for the pennsylvania inheritance tax,
Let me know if anythIng further is required,
Very truly youra,
), 'Q / ,() j.-:-r'
(' C{,,! ,,{(:l ()
/..". " C ~-
Rbnald D. Butler '
\. ~
_, :rJ
',IC'
RDB/clf
Enclosures
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146739 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT 0' REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
~k
II NO. AA
RECEIVED FROM:
fJ
ACN
ASSESSMENT '='
CONTROL ~
NUMBER
AMOUNT
RONALD D BUTLER ESQ
POBOX 430
101
.120.35
HARRISBURG, PA
17108
ESTATE INFORMATION:
1:1 FilE NUMBER
~ 21-1996-0518
1:1 NAME OF DECEDENT (LAST)
Ii:tI HARRIS FAYE M
II DATE OF PAYMENT
II POSTMARK DATE
COUNTY
SSN 286-20-4365
(FIRST) (Mil
CUMBERLAND
DATE OF DEATH
REGISTER OF WILLS
m TOTAL AMOUNT PAID $120.35
'~ CW
RECEIVED BY\... Ii /.'/,,' L _,r~, l' ,) ,J,:'~'V'
SIGN""~E. ._"
~~~1S~ERL~~x'~ld{; ,i /l?''{
REMARKS
WILLIAM E HARRIS
CIO RONALD D BUTLER ESQ
CHECK" 1014
SEAL
----.-
-"~A.~ .4~.t..... ..,~..
" '/
!l Ii
/~
C__'
*'
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
1...RIUH([ ,All DIVISIOH
DlPt. 110.01
HARRISBURG, PA 1110'1-01101
NDTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
..,."6111'''11'..11
RONALD D BUTLER
300 N 2ND ST
PD BDX 430
HBG
ESQ
DATE
ESTATE OF
DATE ,OF DEATH
FILE NUMBER
COUNTY
ACN
12-23-96
HARRIS
06-24-96
21 96-0518
CUMBERLAND
101
FAYE
M
AMount ReMitt.d
PA 17108
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
CUT ALDNG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~
ii"iv:is4i-Eic-Aj:p-n-Z:96j-NoricE--oF-YNHERiTANci-rAic-iiPPRiiiSEHENY-,--iii.i.-OWANCi-iili-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HARRIS FAYE M FILE NO. 21 96-0518 ACN 101 DATE 12-23-96
TAX RETURN WASI (XI ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: DRIGINAL RETURN
1, R..l E.t.t. (Schodul. Al
2, stock. and Bond. (Schedul. BI
S. Clos.ly Held stock/Partn-rlhlp Int.r..t (Schedule C)
4. Kortgag../Not.. Receivable (Schedule OJ
5. C..h/Bank Deposits/Hi,c. Parsonal Proplrty (Schedula EJ
6, Jointl~ Ownod Prop.rt~ (Sch.dul. FI
7. Transflrs (Schedule GJ
8. Total A...h
I CHANGED
NOTE: To In sur. proper
credit to your account,
sub.it the upper portion
of this fora with your
ta)( pay"ent.
,00
,00
,00
,00
6.500.00
2.210,90
.00
IBI
nl
(21
(31
(41
151
(61
17l
8,710,90
APPROVED DEDUCTIONS AND EXEMPTIONS:
6.255,34
9. Funaral EXPen.../A~. Coats/Hi.c. Expans.. CSchedula H) (,)
10, DoIIte/Mortg.g. l1oblliU../l1.n. (Schedul. II nOI 344,00
11. Tot.l D.duction. 1111
12, N.t Vol"" of T.x R.turn n21
15. Charitabla/Govarn.antal 8aqua.t. (Schadula J) (13)
14, Not Vol"" of E.tot. Subject to T.. U41
NOTE: 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. A.ount of llna 14 at Spou.al rata (15)
16. Aaount of line 14 taxable at lin.al/Cl... A rat. (16)
17, Aaount of Line 14 t..abl. .t Coll.t.r.I/CI... B r.t. 1171
18. Principal Tax Due
TAX CREDITS:
PAYMENT
DATE
09-13-96
6.~99 34
2,111.56
,00
2,111.56
.00 X ,00=
2.111.56 X ,06=
.00 X ,15=
UBI
,00
126,69
.00
126,69
RECEIPT
NUMBER
AA146739
DISCDUNT
INTEREST
1+1
(.)
6,33
120.35
AHDUNT PAID
PAYMENT MUST BE MADE BY 03-25-97M.
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TDTAL DUE
126.68
,01
,00
,01
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATIDN OF ADDITIDNAL INTEREST,
( IF TOTAL DUE IS LESS THAN 11. NO PAYMENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU MAY BE DUE
A REFUND, SEE REVERSE SIDE DF THIS FORM FOR INSTRUCTIONS,)
2~ -.r.l :D
:on>
=\ .. O. (l> ()
.- . "0.
,...
Cl t'
c-:l
o- N
VJ
RESERVATION I
~ -:...:
..... _..
Estlt.. af dludentl dying on or bafar. Oaullber U, 1982 u If InY future Int.r..t In tM II,ht. 11 trtan.fur. n
In poIII.llon ar enJoyeent to CII.. 8 (collataral) ben.flelerl.. of the decedent .ftar t~plr.tlon,!f any ..t.~or
Ilf. or for y..t', tM Couonw..Uh hat,by Ill:pr...h ,...tV" thl right to appnha end ..~':'tran.f~InMrItBnC. h...
at the lawful Cia.. I (col1at.ra.' t.t. on any such future Int.r..t.
,.
PIJIIPClStllf
NOTICE:
To fulfill the requlr...n.. of Section Z14D of tM Jnherltann and E.tat. 'a. Act, Act 2Z of 1991. 12 P.S.
Section 214D.
PAMNTI
DetKh the top portion of this NoUn end ,ub.1t with your PlY."" to the RIlIlstar of WUls prlnted on tM rlvlrsl sidl.
uM.... chick or ~y order paYabla tal REGISTER OF MILLS, AGENT
All pa,.ent. recalved ,hall ,.,.1 bl applied to any Int.r..t which ..y ba due with any t...lnd.r applied to t~ tax.
REFlJfD (CAh A r.flJ'Kl of . tell cradit, which .... not r~.t~ on tM lu Raturn, aa., ba r~.t~ b., cOllPhUng ." "Appllc.Uon
far R.fund of Pemnlv..,S. IntMirltanu end E.tate ..... (REV-UU). Appllcetlon. .r. .VIIU.bl. at th. Office
of the Aaght.r of Will., ."y of the ZS Ravenutl Ohtrlct Offlcu, or by calling the .pecl.l Z~.hour
an....rlng ..rvlca ~r. far for.. ordarinal In Penn'Ylvanl. 1-800-S6Z-Z0SD, out.lde Penn.ylv..,la and
within lac.1 Harrl.burg ara. (717) 7a7-809~, 'DOl (717) 77Z.ZZ5Z (He.rlna lapalred Onl.,).
aaJECTlOHSI Any party In Inten.t not .athfl~ with the apprels....,t, .llowanc. or dhallowW'IC. of deduction., or e.....lteMt
of tax (Including dlscOl.W1t or Intarut) .. .hown on thh Notlc. au.t abject within .lkh (60) de.,. of recalpt of
thh Notlc. bYI
--\lIrlttan pratut to the PA Dep.rt.."t of A.vantMl, loard of Appaah, Dept. ZllOZl, Harrisburg, PA Hila-lOll, OR
"alectlon to hava the aaUar detaralned .t audit of tha account of the par.onal r.nuntaUv., OR
--appeal to the Orph.".' Court.
AOftIN
ISTAAlIVE
CORRECTIONS:
Factual arror. dl.covered on thl. .......ant should ba addr...ed In wrltlnt tOI PA D.partaent of Aavenu.,
Buraau of Individual'...., ATTNI Po.t A.....aant Aavl.w Unit, Dept. l10601, H.rrl'burg, PA 17IZI.0601
Phone (117] 717.6505. S.. pag. 5 of the bookl.t "In.tructlon. for Inharltanc. T.. A.turn for a Auld.nt
Qac:.."t" (REV-UDI) for an axph.natlon of .cllalnlttr.tlv.lY corractabl. .rror..
DISCOUNT I
If ."y till. ctu. It paid within thr.. (3) cahndar .onth. aUar the d.cedent'. death, a five percent (~) dhcount of
the ta. p.ld I. allowed.
PENAL TV I
The 15X t.. ...,..ty non-p.rtlclpatlon pan.lt., I. coaputed an the totll of tha t.x and Int.r.,t ......ed, and not
paid bafor. Janu.ry II, 1996, the flrlt d.y .U.r the and of the tex ..,.1'" p.rlod. Thlt nan-p.rtlclp.tlon
pan.lty It ~IIMJla In the .... .enntlr and In tha the I". tI.. p.rlod .. .,au would appeal the ta. and Intar..t
that h.. b..n ......ed a. Indlc.ted on thlt notice.
INtEREST:
Intar..t I. charged beglnnlna with flr.t da., of delinquency, or nine (9) .unthl and one (1) d.., fro. the data of
da.th, to the data of payaant. 'axa. which ba<'" delinquent before Janu.r., 1, 191Z be.r lnt.ra.t at t~ rata of
.hl (6X) percent per IW'IMu. calculatact at . dally rete of .00016'. All tax.. which bac:... delinquent on and a,tar
Janu.ry 1, 191Z will be.r Int.r..t .t . r.t. which will v.ry fro. c.lend.r y..r to c.lend.r y.ar with that rat.
announced by the PA OepartHnt of Aavanue. the appllcMJII Int.rut ret.. for nil through 1997 arll
'!!!! Int.rut Rat. O.lIy Inter..t Factor !!!r Intlratt R.t. 0.11'1 Int.r..t F.ctar
nlz ,ax .DOOSltl 1917 'X .000l47
1915 lOX .DDDUI 19&8-1991 IlX .000301
1914 IlX .000301 1991 'X .DDDU7
1'15 UX .DOUS6 1993.)lJ4M 7X .000192
1'" lOX .00017~ I99S.I,91 'X .0OOl47
--Intar..t It calculatad .. followll
INTEREST = BALANCE OF TAX UNPAID X HD"BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notlca Issued .fter thl tax beco.., delinquent will r.fla<t an lnt.r..t calculation to IIfta'" (15) d..,.
ba.,ond t~ data of tM ........"t. If p.,,""t Is Ude aftar the lntar..t co.putatlon data shown on the
Notice, eddltl~l Intarllt ...It b. calcullted.