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THOMAS M. DEVLIN
ATTORNEY-AT-lAW
1802 MARKET STREET
CAMP HIll, PA 17011
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Register of Wills
Cumberland County COurthouse
1 COurthouse Square
Carlisle, PA 17013
1791~-33q2 92
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE i ,::' I
WITH REGISTER OF WILLS) iCOUNTY CODE
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OtCtOtNf'S COMPUlE AOORU~
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Undlr Plnchi.. of plrlury. I d.dar. thot I ho", ..aminld Ihis r"ur", including accompanYing uh.dul.. and .IallmenU, and 10 thl b." of my t.nowlldgl ond belief
it is truI, corted ond comple'e. I dulor. 'hot all rial 1'1011 has b..n '.ported 01 'rUI mark I' ...alu.. O,darOlion of ptlpar., ark., than Ihe plnanal ',p'ttlnloh", i,
bOled on all information of ....hich prlporlr has ony t.nowl.dgl
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COMMONWUlI" Of 'INN~HVANIA
O(,..IMfNIOf I(VfHUf
Of" 210tJOl
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1195-()7-17()6
11/18/95
'01/16/1H
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R,malndl' R.'urn
(for do'" of d,oln prior fa 12.13.82)
F,d,ral Eliot. To.
R,turn Rlquirad
T 0101 Number of Safe Depollt Bo.."
Original R.tur"
. 2
Supplemental R.lu,n
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LimIted ellalt
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_ Jo Future Inll"nt Compromil.
(for dOli" of death offer 12.12,821
_ 6. Decedent O"td rellotl -= 7 Cecedent Maintolned a living Trull
(Altoeh copy 01 Willi (Alleeh copy of TruIII
I ALL CORRESPONDENCE AND CONFIDENTIAL TAX INPORMAnON SHOULD BI DlRICTEDTO.
NAMf i'OMPUTE MAILING ACOU!.'
i1'homils N. Dcvlin, Esq. I 1802 Nilrket Strcet
'fh"HON' NUM'" . Cilmp II i II, P^ 17 () 1 I
I 730-9878 I
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1,690.81
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( 8) 51,632.31
5,112.00
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(II) 5,312.00
(12) 46,320.31
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(14) 46,320.31
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(17] 2,779.22
Inter,.. -0-
1. Real E"a.e (Schedule A) ( I)
2, S.ack. and Band. {Schedule BI ( 2)
J, Cla.ely Held Slock/Panne..hip In.ere" (Schedule C) (3)
4. Mongage. and Nole. Receivable ISchedule D) ( 4)
S. Cash, Bank Oepasitl & Miscellaneous Penonal Prap.rty( S)
ISchedule EI
6, Joinlly Owned P'openy (Schedule FI I 61
7, Tran.re.. ISchedule GIISchedule l) I 7)
8, Total Gran Anets (totallinll 1.7)
9, Funeral Exp.nses, Adminiuroli\le COSII. Miscellaneous ( 9)
Expen.e. (Schedule H)
10. Debll, Mortgage liabililie., lien. {Schedule II (101
11. Talal DeduC1ionl (.o.alline. 9 & 10)
12. Ne' Value of ESlale (line 8 minus line 11)
13, Charitable and GO\lernmenlal Beque..s (Schedule J)
14, Net Value Subject ro To... (line 12 minus line 13)
15. Amount of lin, 14 laxoble 01 6% role (15)
(Include \lolues from Schedule K or Schedule M.)
16, Amount of line 14 taxable 01 15% role (16)
(Include \laluII from Schedule K or Schedule M.I
17. Principal to... due (Add lax from line I Sand Itom line 16.)
18. C"dill Prior Paymenll Oiscoun'
+
19, If line 18 is greoler rhan lin. 17, enrer th. difference on Iin. 19, This il th. OVERPAYMENT.
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20, If line 17 is greoter Ihan lin. 18, enler the difference on line 20. This is Ihe TAX DUE,
A. Enler Ihe inleresl on rhe balance due on line 20A.
B. Enler Ihe toral of lin. 20 and 20A on line 20B. This is Ihe BALANCE DUE.
Make Check Payable 101 Regl,'e. of Will.. Agent
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Check here! if you are requo,ting a relund of your overpayment,
2,779.22
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(20A)
(20B)
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COMMONWULTH O' 'ENNSYlVANlA
INHUIlANC! 'AX .!TURN
.!SlDEN'DICEDIN'
SCHEDULE A
REAL ESTATE
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ESTATE OF
Martha E. Ainsworth
(Prop.rty lolntly.own.d wllh Right of Survlvo..hlp mu.t b. dl"lo..d on 5ch.dul. Fl AII..ol..to.. .hould b. ..po,t.d ot foi, mo,k.t volu.
which I. d.f1n.d o. tho p,lco 01 which p,op.rty would b. ..chong.d b.tw..n 0 willing buy.. ond 0 willing ..II.., n.llh.. b.ing comp.lI.d
to buy or I.U, both having realonable knowledge of the r!~!!a~fac"..!.-_ .__.0____..___..______.____. ----------------.
ITEM I
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
_.__._---_..._._..~-_._----- --.----.
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1. 304 St. Mark's Road, Meehan icsburg, PA
Cumberland County
Joint survivor Deed: Decedent Martha E. Ainsworth
and Daughter H. Kay Ainsworth (See attached need)
Cumberland County Recorder of Deeds Book F28 Page 277.
County Tax Assessed Value - Land and Building $7510
$7510 x 13.30 Common Level Ratio Factor = $99,883
$99,883 / Cotenant's half interest =
Inheritance Taxable Value
49,941.50
TOTAL (Aho ,nt,r on line I, R.capitulationl
(II more 'pac. i, n..d.d. in"rt additional,h..ts 01 same siz..'
5 49,941.50
AN/) tht' 611ill gnult"r
lI'illll'arrallt ~l'nernl 1y
hf'rcllV t'U1'cflllnt H fllld f1url'lIIt11at nhe
t1lf~ rm111crtll Ilrrrbll rUlweurd,
COMMONW(AtTtl or IEt~~':jilVAIM\ =
OlfARJM[NI Of IlEW":,IE ==
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IN WITNESS Wllf:llf4.0/O', 111M grantor lUlU hereunto.ct
the flail a1ld lIrar firll above IVrittrn,
hand a"lI,ltal
her
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ill lIJI llrrSlllrl Dr
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, 19 ?J: belore ml',
PCnnSYlvan},a~
County of ~..~
On thil, the .:2.-1 day of
a Noury Public
the wulerBloned uBicer, personallll Rl111ear{'d
Hnry Ann Smith
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known to 11Ie (or llatislactorilJl proven) to be the rlCrsulI whole name is ~-fVl!'~~rf:,p,~~',.:'.:
1vithin instrument, and acknowledged tllat she cucllted lame lor thciTni'p:?,~.(6~~~:'~.I,
contained. ~ f:~t-)~,\\,"..I.( P c: \,'
IN WITNESS WlIEREOF', I 1""'lOWO "IV haJ1.ld lid ajliciallCal. f.'!t. 'f;" " ,'.:.
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Hy Commission Expires:
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. -:r: do IIt'reb,U c~rtilu t[lftt the l1rrdsc r(,HiIlcl/ce al1d rom1l1ctr ,.ost oJ]ice address
01 ~c within named orantee," ~~(,l\ ..:.~..,...... \" .\. \,y:... \~'.""l' \.), ~)...,j t..\".h ,\....,. ~~,...I:'~
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ABSTRACT LAND .ASSOCIATES INC.
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BOO~ rAC[ 278
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SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Pllall Prinl ar l' I
FILE NUMBER
COMMONweALTH 0' 'fNN$YLVANIA
INHllnAHCI TAX .mlN
IUID.NT OKIDINT
ESTATE OF
Martha E. Ainsworth
IAU property lolnll.,....n." with the RI,h. of Survlvonhlp m..... be "'ad...cI on SCh......ie '1
ITEM
NUMBER
DESCRIPTION
VALUE AT
DATE OF DEATH
1.
PNC Bank account
See last Activity Bank Statement prior to Death
(Inactive, non interest bearing account)
1,590.81
2.
Miscellaneous used, old clothing and costume
jewelry
100.00
To cover
De minimis or no
value items
TOTAL (AlIa Inllr an Iinl 5, Rica ilulalian) S 1.690.81
(Attach additlo"aI8~- JC 11- ,h.." if mo,. 'pac. i. n.oded,)
PNClBANK
Sllllllll ('1111,11 1'.\
Statelllent
102
MARTHA E AINSWORTH
304 ST 11ARKS RO
MECHANICS8URG PA 17055-3055
1",111,"111,",1.1.,1,1..,11,11",,1,1,.1,1,1,1,,1
LAst PAGE
STATEMENT NUMBER 51-4000-0451
STMT END DATE
04-05-95
ENCLOSURES
PAGE
1
Z
CHECKING
MARTHA E AINSWDRTH
Rill
03-07
03-23
03-24
03-27
03-2B
04-03
04-04
ACCOUNT NUMBEH
TAX ID NUMBER
LAST STMT END DATE
51-4000-0451
195-07-1706
03-07-95
FOH CUSTOMER SEHVICE CALL
1-717-761-2022
CAMP HILL OFFICE
ACCOUNT SUMMARY
CHECKS
WITHDRAWALS/DEBITS
240.57
NEW BALANCE
1,590.Bl
PREVIDUS BALANCE
1,320.26
DEPOSITS/CREDITS
5B5.00
lli1I1lli
2
AHDUNT
73.B8
DAILY ACTIVllY
CHECKS AND DEPOSITS AND
EXPLANATION OF TRANSACTIDN OTHER DEBITS alliER CREDITS BALANCE
YOUR PREVIDUS STATEMENT BALANCE 1,320,2&
CHECK 3421 REF' 22496489 28.04 1,292.22
ATM WITHDRAWAL MAC MCC209 60.00
CAMP HILL SHP CTR CAMP HILL PA
MAC ATM WITHDRAWAL FEE 1.00 1,231.22
A TM WITHDRAWAL PNCBANK PN0081 60.00 1,171.Z2
4242 CARLISLE PIKE CAMP HILL PA
ATM WITHDRAWAL PNCBANK PNOOBl 60.00 1,111.22
4242 CARLISLE PIKE CAMP HILL PA
ACH CREDIT 195071706A SSA 585.00
US TREASURY 303 SOC SEC
ATM WITHDRAWAL MAC MCC209 50.00
CAMP HILL SHP CTR CAMP HILL PA
MAC ATM WITHDRAWAL FEE 1.00 1,645,22
ACH DEBIT 2075560 8.57
AM INCDHE LIFE INS.PREM
CIIECK 3422 REF" 257637B6 45.84 1 ,590 .81
ACCOUNT INFORMATION
MINIMUM BALANCE
AVERAGE BALANCE
AVG COLLECTED BAL
CNARGES/FEES AMDUNT
CNECKS PAID
TELEPIIONE TRANSFERS
1,111.22
1,291.55
1,291.55
2.00
2
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YOUR ATM CARD "5605BBOOOOOI00BI12 HAS 46 OUT DF 100 TRANSACTIDNS REMAINING
CHECK
Ul!l1lli
3421
SUMMARY OF CHECKS
DATE
AIl2!.!l!I CAlI!
2B.04 03-23
CIIECK
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3422
DATE
AIl2!.!l!I CAlI!
45.84 04-04
CNECK
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DATE
AIl2!.!l!I CAlI!
, GAP IN YOUR-CHECK-SEQUENCE
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ISTATE Of
ITEM
NUMBER
A.
1.
B.
1.
2.
3.
4.
C.
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2.
3.
4.
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6.
7.
8.
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COMMONWfALTH O. 'fNN~YL"""'NI'"
lNHUIfANCI TAl UTuaN
USIOIHT DlCfDINT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Martha E. Ainsworth
DESCRIPTION
Fun.,al Exp.n...,
Myers Funeral Home, Inc.
See attached Itemized Invoice
Admlnl.t,allve Ca.lI:
Personal R.pr.s.ntative Commissions - 0-
Social S.curity Numb.r 01 P.rsanal Repr.sentative,
Year Commissions paid
A"arney Fell
Family Exemption
Claim anI H. Kay Ainsworth
Relalianlhip Daughter
Add..ss 01 Claimant at decodent'l death
304 St. Mark's Road
St...1 Add..ss
City Meehan icsburg
Stat. P A
Zip Cad.
Probate Fe.s
MIIe.llan.au. Exp.n...,
Deed Transfer in Cumberland County
Plea.. Print 0' Typ.
I Fill NUMBIR
17055
Register of Wills, Inheritance Tax Return filing fee
TOTAL (Alia enlor an Iin. 9. Recapitulation)
(lIma,. .pac. I. n..ded, In..rt additional .h..1I of .am. .1...)
,
AMOUNT
3,035.00
250.00
2,000.00
12.00
15.00
5 5,312.00
@t;t1l:;;WoI.._"in c..." '.....,I"nJ. oW" ",.
;}. Funcral Homc, Inc.
STA'I'EMENT OF Fl1NEllAl. GOOUS ANU SEHVICES SEI.I,:cn:u
COYD \.. MYeRS, JR. . SUPf'VllOf
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SCHEDULE J
BENEFICIARIES
(OMMO,,"'Ui'" 0' """1".""'"
1""lItfA"CI 'AI .nUI"
'"'OI"'OleIOl"'
FILE NUMBER
ESTATE OF
Martha E. Ainsworth
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
\. RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
A. T oJ-able Bequests:
1.
II. Kay Ainsworth (lIelen K. Ainsworth)
304 St. Mark's Road
Mechanicsburg, PA 17055
Cumberland County
Daughter
1/2
2.
Jean K. stevens
2320 pumping Station Road
Fairfield, PA 17320
Adams County
Daughter
1/2
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
a. Charitabl. and Gov.rnmental aequelu:
I.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Aha .nlt' on lin. 13, R.copitulotion)
s
-0-
(If mar. spau Is n..d.d. In,.rt addftlonal,h.... of ,am. size)
.1~lltllJll''''1
146562 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
"k
D NO. AA
RECEIVED FROM:
i
ACN
ASSESSMENT '='
CONTROL ...
NUMBER
AMOUNT
DEVLIN THOMAS M ESQ
1802 MARKET 51
101
.c. all'1. CC
CAMP HILL. PA 17011
:-,OCOHllf
ESTATE INFORMATION,
f:II FilE NUMBER
li1 21-1996-0588
I:! NAME OF DECEDENT (LAST)
i:iI AINSWORTH MARTHA
II DATE OF PAYMENT
EJ POSTMARK DATE
COUNTY
SSN
(FIRST)
E
195-07-1706
(Mil
CUMBERLAND
DATE OF DEATH
SEAL
H KAY AINSWORTH
C/O THOMAS DEVLIN ESQ
CHECK" 3758
m TOTAL AMOUNT PAID
$2,779.22
PB
REMARKS
REGISTER OF WILLS
I 0_
RECEIVED BY / ' I ~
.. StONA~UA~,.
i ....__ .r
"lARY C. LtlHS ,.. ,
REGISTER OF WILLS
-- ~.' /.':.-
, ..
,f
- --.
..---
. -4.............-bll.."""l:'_ ~....v .1:'
o NO. AA
146932 COMMONWEALTH OF PENNSYLVANIA
DIPARTMINT OP _IVINUI
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
..I~
~.~
.~n62ut4""1
--------..
"... .... ,....,-
RECEIVED FROM:
fJ
ACN
A~SESSMEtH ITI
CON I ROl ...
NUMBER
AMOUt.lI
THOMAS ~I DEVL IN "SGl
1002 MAriKET ST
101
S10.91
CAMP HILL, PA 17011
ESTATE INfORMATION:
f:II filE NUMBER
g 21-1996-05nO
r:I NAME Of DECEDENT (lASTI
~ AINSWORTH MARTHA E
II DATE Of PAYMENT
m POSTMARK DATE
COUNTY
S5N 1'/:',..0'/. l'/n"
IflRfiif' IMI)
CUMBERLAND
DATE Of DEATH
_~J
~ TOTAL AMOUNT PAID
"18.91
CW
~
REMARKS
H KAY AINSWORTH
C/O TH0/1AS M DEVL. I N E SGlU J rH.
CHEO:1t 3844
. -----------sre-NAlURE
1'/-
SEAL
RECEIVED BY
IUGIS111101 WillS
MllflY C. l.EWIS
REGISTER OF WILL.5
COMMONWEALTH OF PENNSYLVANIA
D~PARTMENT OF REVENUE
*'
BUREl.' OF INDIVIDUAL TAXES
IHHEP1TAHCE TAM DIVISION
DEPt. 28D601
HAPnlS!URG, PA 11128-0601
NOTICE Dr INIIERITANCE TAX
APPRAESEHENT, ALLOWANCE OR DISALLOWANCE
or DEDUCTIONS AND ASSESSHENT or TAX
t,..a,'''l'' III-hI
THOMAS M DEVLIN ESa
1802 MARKET STRFET
CAMP HILL PA
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
10-28-96
A IUSWORTlI
11-18-95
21 96-0588
CUMBERLAND
101
MARTHA
C;;T ALON: Tt~"." ~!~'[
_..__ 4 _. .. .-. -.. . ..
-
':i~'o':'.nt' R_.II.~ t~_~~
I _.-.+'-,,-~._~.
-'.'1. 'l/-
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
O'UTI.I I nw,"p PORTTOIl FOR YOIIR R.F.~_~,!DS____~. .. _
1101\
~._.",,~.~_'-'nT '1:'
,
,
E
TO:
.,.'-' ..- "............ ... ...
"
C
CIJ
RESEAVATTl)IlI: ~.t.t., .,' d2':O:t."~r ~~'b,,: ..,. :~ ~r~:r': h:....~.:- ". ,y;r.:" u if :0..'"1" fu.ul'lIt Intlr..1: In tn. tllll,.,...I. tr,....,..'lIIrr."..
.:..
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,-
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---.__.__.~-~~.
r---
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,
15--1/( . II
UlIRF4U OF INOIVIDUAL TAXES
;NItElilrt.'HcE TAlC DIVISION
UEF'T. 280601
HARRISBURC, PA 111l8-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
. >
NOIICI III INIIIMIIANCI lAM
Ar"XAISIH'NI, AIIO"ANC' OM IIUAIIOHANC'
Of 1I10UCIIIIN5 AlHI AnlS5HINI III lAM
THOMAS M DEVLIN ESQ
1802 MARKET STREET
CAMP HILL I'A
DATE
ESTATE OF
DATE OF DEATH
FILE NUMDER
COUNTY
ACN
170 II
ESTATE OF AINSWORTH
,*
lit lhl 11111111."1
10-20-96
A IUSWOR T II
11-IO-'lS
21 '/6-0588
CUMBERLAUD
101
Aftount R.;lH"d---'-.
... ...~=~=~
TAX RETURN HAS. I
I ACCLPTlD AS flLCD
I X I CIlANGED
SEE
MAKE CHECK PAYADLE AND REMIT PAYMENT TO:
REOISTER OF WILLS
CUM8ERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
REV: is'47 -EiC Ai=ji- iiiF 9& Y - iiiiY i c r -OF - -iNH [ii iT ANC! - YA X - 'A-p pi! 'A-is Eiiiiir;- Ai. i.-owA N-C E-iili- - - --- ---- - - - - ---
DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX
MARTItA E FILE NO. 21 96-0588 ACN 101
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIOIUAL RETURN
1. R..l Elt.t. (Schedul. AI ell
2. stocks and Bond. (Schedule 81 e21
3. Closely Hald Stack/Partner,hip Int.r..t .Schadul. CI e51
4. Harlg.gal/Not.. Racalvabl. (Schadule DI 141
5. Ca.h/Bank Deposita'Hlle, Parlonal Proparty ISchedule [I 151
6. Jointly OMnad Property ISch.dule FJ Chi
7. Transfara (Schedule C) C71
8. Total AII.t.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Fun.,.al bp.nl.I/Ad", COltl/Hilc. [lIp.nl.. (Sch.dul. ttJ llll
10, D.bh/Hodg.g. LhbilHi../U.n. ISch.dul. U 1101
11. Tobl D.duct ion.
12, N.t V.lu. of r.. R.turn
13, Charit.bl./Cov.rn...nt.l B.qu.ltl CSch.dul. JI
14. N.t V.lu. of E.tat. SubJ.ct to r..
49.941.50
.00
_00
.00
1.690.81
.00
.00
lBI
5.002.81
.00
111)
112)
113)
114)
MARTlIA
E
DATE
ATTACHED
10-28-96
UOTICE
HOTE: To in sur. P,.op.,.
cr.dit to your account,
.ubnit the upp.r portion
of this forn with your
tax payn.nt,
51.632.31
~.no? 81
46.629.50
.00
46.629.50
NOTE:
14, 15 and/or 16, 17 and 18 will
returns assessed to date.
If an assessment was issued previously, lines
reflect figures that include the total of ALL
ASSESSMENT OF TAX:
15. Anount of Lln. 14
16, Anount of Lin. 14
17. Anount of Lin. 14
18, Principal r.. Du.
.t Spoul.l
ta..bl. .t
ta..blu .t
r.t.
Lln..l/Cl... A r.t.
Coll.t.r.l/Cl... 0 rat.
I1S)
I1bl
117J
TAX CREDITS:
PAYHENT
DATE
07-29-96
RECEIPT
NUHBER
AAf"i6562
---y~~~-~~~~ : ::--r
--._~..~._-.- .--------~tfo.
I
L__
INTEREST IS CIIAROED FROM 08-19-96 TO 11-05-96
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
I
I
,
.
l._..
.00 X .00=
46.629.50 X .06=
.00X.15=
IIBJ
AHOUNT PAID
2.779.22
I TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
. IF PAID AfTER OATC INDICAILD, SLE RCVCRSE
FOR CALCULATION OF ADDITIONAL INICRCST.
.00
2.797.77
.00
2.797.77
2.779.22
18.55
.36
18.91
I IF TOTAL DUE IS LESS TIlAN '1. NO PAYHENT IS REQUIRED.
If TOTAL DUE IS REfLECTED AS A "CREDIT" ICRI. YOU HAY BE DUE
A REfUND. SEE REVERSE SIDE OF TillS FDRH FOR INSTRUCTIONS. I
r In,. 1/
f..'
BUREAU OF INDIVIDUAL TAXES
I Httf:R. UHC[ tAlC DIVISION
PEP', 1110601
liAARISPURG. PA 11111-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
"
, ,
*
1l'.UII III" II','"
THDMAS M DEVLIN ESQ
1802 MARKET STREET
CAMP HILL PA
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
12-09-96
AINSWORTlI
11-18-95
21 96-0588
CUMBERLAND
101
E
MARTHA
AMount Re..itt.d
17011
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
NOTE: To In.u~. proper credit to your account, sub..it the upper portion of this forn with your t.x pay"e"t.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
Rifv:i6o-j-Ei[-AFP--ii1i:96i-------...--iNifERir-ANcif-TAx--sriifEHE-NT-iiF-Ac:couiff--.-..---------------------
ESTATE OF AINSWORTH MARTHA E FILE NO.21 96-058B ACN 101 DATE 12-09-96
TNIS STATEHENT IS PROVIDED TO ADVISE OF TNE CURRENT STATUS OF TNE STATED ACN IN THE NAHED ESTATE. SHOWN BELDW
IS A SUHHARY DF THE PRINCIPAL TAX DUE. APPLICATIDN OF ALL PAYHENTS. THE CURRENT BALANCE, AND. IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-21-96
PRINCIPAL TAX DUE :..
2.797.77
PAYMENTS (TAX CREDITS):
PAYMENT
DATE
07-29-96
11-11-96
RECEIPT
NUMBER
AA146562
AA146932
DISCOUNT (+)
INTEREST (-)
.00
.39-
2,779.22
18.91
AMOUNT PAID
TOTAL TAX CREDIT
2,797.74
.03
.00
.03
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
. IF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATIDN OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAN fl.
NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI.
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIDNS. I
nl:V,
Fk I
If
",it.
'96 ole 30 r,1O :)J
CI&i1
Curm, ,
I. :({
I.' PA
PAnENTI
Detach the top portion of thl, Hotlc. ~ ,uo.lt with )lour pay.ent aad. payable to the ne.. .nd addr...
printed on the rav.r.. ,Id..
If RESIDENT DECEDENT ,ak. check or .on.y ordlr payable tal REGISTER OF WILLS, AGENT.
If HON~AESIOEHT DECEDENT ..h check or 8on.y order payable tal C0ttl10NWEALTH Of PENNSYLVANIA.
All pIYllenta rftllved "'-11 be applied fir.t to ....y lnt.r..t which ..y ba due with eny re..lnd.r applied to the tax.
REfUND CtAJI A r.fund of . ta. credit, which wal not r.qua.tad on the T.. Return, ..y ba raqua.tad by co~l.tlng en
-application far R,fund 0' P~.ylvenl. Inharltenca and E't,t, T..- (REY.!]l]). application. .r. tvallabl, at
the Of,lcI of the Aagl.tar Df Willa, any of the Zl R.venue DI.trlct Of,lc.. or fro. the Dapartaant', Z.-hour
answerIng .,rvlc. ~b.r. far far.. ard.rlngl In P.nn.ylvanla 1.800-]6Z.Z050, out.ld. P.nn.ylvenla
and within local Harrl.burg ar.a (717) 787.809~. TOO' C717) 77Z.2252 (H.arlng I.palr.d only),
REPLV TOt Due.tlon. r.gardlng .rrar. cont.lned on thl. natlc. .hould b. eddr...ed tal Pl D.part.ent of R.venu., Bureau
of Individual Tax.., lTTNI Pa.t A.......nt R.vl.w unit. D.pt. 280601, Harrl.burg. PA 17128.0601, phone
C717J 781.6505.
DISCOUNTs
If eny tax due I. paid within three C]) cal.ndar .onth. aftar the d.c.dant'. d.ath. a flv. p.rcent 15~) dl.count
of the tax p.ld I. allaw.d,
PEHAL TVt
The 15X tax .-na.ty non-participation p.nalty I. ca.puted an the tatel of the tax and Int.r..t .......d, and not
p.ld b.far. January 11, 1996, tha flr.t day aft.r the end of the tax a~.ty p.rlod.
INTEREST a
Int.ra.t I. charg.d b.glnnlng with flr.t day of dellnqu.ncy, or nln. (9) ~th. and one CI) day fro. tha data of
d.ath, to the data of pay.ant. Tax.. which b.ca.. delinquent b.fare January 1, 1982 baar Int.r..t at tha rat. of
.1. C6XJ parcent p.r annul calculatad at . dally rat. of ,OOOI6~. All ta.a. which bae... dallnquent an and .ft.r
January 1, 1982 will b.ar Intar..t at a rata which will vary fro. calandar y.ar to calandar y.ar with that rata
announc.d by tha PA Dapart.ant of R.venua, Tha appllcabl. Int.r..t rat.. far 198Z through 1997 araa
V.ar Int.r..t Rat. DailY Int.r..t Factor V.ar Int.r..t Rat. Dally Int.r..t Factor
19BZ ZOX .OOOSU 1981 9X .0002..7
1983 16:( .0004]' 198'.1991 IU .000301
1984 11X .000301 1992 OX .000247
1985 UX .000356 1991"1994 7X .000192
1986 ID~ .000Z74 1995.1997 OX .000247
....Intar..t I. calculated a. fallaw.a
INTEREST = BALANCE OF TAX UNPAID X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
....Any Notice luued aftar tha ta. baeo.a. dallnquent will r.Uact an Intar..t calculation to flfta'" U5J dan
bayond the data of the ........nt. If pay.ant I. aade aftar the Int.r..t ca.putatlon data .hown on thl
Hotlc., addltlanel Int.r..t "".t b. calculatad.