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OATil OF PEnSONAL nEPnESENTATIVE
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Cot \TY OF e.UMBERLANO J
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! ARTIe. LEWIS IIn",..' (. I._____ :2
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No. ?1 - 9(j - 6r,6
Estllte of ,\ (. 'J('" \. \. k" (' I \ \ , neccllscd
a/k/a JAY TAYLOR 'j
nECREE OF PROIlATE ANn GRANT OF l.ETTERS
AND NOW AUGUST -21 ..______ 1'1..96_. in consideration of Ihe petition on
the rc\!cr!lC !'Iidc hereof. sillisfaclOry proof ha\'ing hCl'1l prc\l'l1lcd hdorc me,
IT IS DECREED Ihm Ihe inslrlllllenl(sj d,lled-------~~~l:::;J ~J ~ I I" (I tv
described Ihercin be adlllilled In probate and filed of record as the la\1 will of ~. ."(,, C. '( '/)0 \u,'l.... itJ:=-
and Lellers ,J I.
arc hereby granted to
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I ~ Rcgi\ler of Wi1l~ '-.,o (J
, MARY C. LEWIS
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Mailed letters and order to attorney on 8-23-96.
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LAS T W ILL
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J E SSE T A Y LOR. III
I, Jesse Taylor, III, of Camp Hill, Cumberland County,
Pennsylvania, do hereby declare this to be my Last Will and do
hereby revoke all prior Wills and Codicils heretofore made by me.
1. My wife, Gladys V. Taylor (hereinafter referred to as limy
wife"l, and I presently are joint owners of a residence located at,
and known and numbered as 2 Brentwood Road, Camp Hill, Cumberland
county, Pennsylvania, which is our usual home. If upon my death,
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our home, whether it be the one which we now own described above or
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one which is hereafter acquired by us, is held in any manner which
will not result in the passage to my wife of full title to such
home by operation of law, I hereby give and devise my entire
interest in such home to my wife, if she survives me whether
passage to my wife of title to such home is by operation of law or
under this paragraph, I specifically direct my executor to apply
assets of my estate to the satisfaction and discharge of any
mortgages, liens and other encumbrances, together with all interest
accrued thereon, which may exist with regard to such home at the
time of my death. If my wife does not survive me, such home shall
pass as part of my residuary estate hereunder.
2. I hereby give and bequeath to my wife, if she survives
me, my entire interest in and to any and all furniture, antiques,
/,/
-\-' I.,
Jesse Taylor, III
-1-
clothing, jewelry, pictures, statuary, works of art, silver, plate,
ornaments, bric-a-brac, tapestry, household goods, utensils and
supplies, books, linen, china, glass, automobiles, horses, boats,
plants, implements, and tools that may be in, at or about our home
at the time of my death, and all of my other tangible personal
property, together with all policies of insurance thereon.
If my wife does not survive me, all of the property above
described in this paragraph 2, except those items enumerated in a
letter of instruction mentioned below, I hereby give and bequeath
to those of my children, Thomas O. Taylor, Jesse Taylor, IV and E.
Lynn Roberts, who may survive me at the time of my death, to be
divided between them or among them in as equal shares as may be
possible, as they may mutually agree; should my said surviving
children be unable to agree between or among themselves upon such
a division of said property, alternate choices of individual items
thereof shall be made by them until an equal or nearly equal
division and distribution of said property items is completed. The
order of selection shall be based on the drawing of lots among my
surviving children with such drawing being supervised by my
executor.
If I leave a separate, dated and unsigned letter of
instruction, which is placed with my Will, containing directions as
to the ultimate disposition of certain items of the property above
described in this paragraph 2, such letter of instruction shall
determine the distribution of such items notwithstanding the above
provi~s of
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Id
this paragraph 2.
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Jesse Taylor, III
-2-
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In the event that I am not survived at my death by my wife or
by any of my above-named children, then all of the property which
they would have taken under this paragraph 2 had they survived me
shall pass as part of my residuary estate hereunder.
3. If my wife survives me at my death, all of the rest,
residue and remainder of the property and estate, of whatsoever
nature and wheresoever situate, including property over which I
hold a power of appointment which I have not heretofore exercised,
together with all policies of insurance thereon, as determined
after the payment of allowance for payment of all taxes, interest
and penalties thereon as hereinafter provided and all expenses,
claims, debts, liabilities and losses of, against or due from my
estate (all of which property after such payment or allowance
therefore is collectively referred to in this Will as my "net
residuary estate"l, I hereby give, bequeath and devise to my
trustee hereinafter named, to be held and administered in trust and
applied and distributed by my trustee for the exclusive benefit and
enjoyment of my wife and the other beneficiaries hereinafter
identified in accordance with the following terms and conditions.
My trustee shall add my net residuary estate to all other
property, if any, payable to or received by my trustee hereunder by
reason of my death in any manner other than under this will (all of
which property and my net residuary estate collectively is
hereinafter referred to as the "trust estate"l.
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Jesse Taylor, III
-3-
My trust estate shall be held, administered, and applied and
distributed by my trustee for the sole and exclusive benefit and
enjoyment of my wife and the other beneficiaries hereunder in
accordance with tho terms and conditions hereinafter set forth. In
doing so, my trustee shall give priority to the long-term continued
care and maintenance of my wife for and during her lifetime, it
being my intent and direction that my wife shall be the primary
beneficiary of my trust estate and if during her lifetime, the
funds and property of my trust estate are insufficient to meet all
of the purposes hereinafter stated, preference in the distribution
and application shall be given to meeting the needs of support,
maintenance and health of my wife as herein provided.
(al From time to time, my trustee shall also distribute
or apply to or for the benefit of my wife such amounts from
the net income and if that be insufficient then from the
principal as my trustee in its sole discretion may deem
necessary to provide for her reasonable support and
maintenance and to meet the expenses of maintaining my wife's
health such as medical, dental, hospital and nursing expenses
arising from her illness, accident, disability or invalidism;
in determining whether and to what extent such distributions
of principal shall be made, my trustee shall consider such
other assets and sources of income or support as may be
available to my wife.
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Jesse Taylor, III
-4-
.
.
In addition to the above-provided distributions, my
trustee shall pay to my wife such amounts from the net income
and/or principal as during her lifetime she may request in
writing in any calendar year (including the year of my death),
provided that the aggregate of such additional amounts in any
one (ll calendar year shall not exceed the greater of Five
Thousand Dollars ($5,ooO.OOl or five percent (5%l of the
market value of the principal as of the last day of the
calendar year in which my wife requests such additional
amounts (or as of the date of her death in the calendar year
of her deathl. My trustee may in its sole discretion postpone
payment of any of all such additional amounts requested by my
wife which in anyone (ll calendar year exceed Five Thousand
Dollars ($5,ooo.ool until a reasonable time after the end of
that year in order to determine if the amounts requested by my
wife hereunder during such calendar year are within the
limitation set forth in the immediately preceding sentence.
Such right of my wife to request additional amounts shall be
non-cumulative from calendar year to calendar year, and to the
extent that she shall not have exercised such right as of the
last day of any calendar year, or if sooner as of the date of
her death, such right shall lapse. To the extent that any
such payments are not made prior to her death, then such right
to payments shall lapse.
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Jesse Taylor, III
-5-
.
At the end of each trust year, all net income which
during such trust year was not distributed to or applied for
the benefit of my wHe hereunder shall be added to principal.
(b) Upon my wife's death, all principal and any
undistributed net income shall be distributed, free of trust,
by my trustee in equal shares, per stirpes, among my children,
Thomas D. Taylor, Jesse Taylor, IV and E. Lynn Roberts. f
any of my children predeceases my wife, then that deceased
child's share shall be distributed to that child's issue as
follows:
a. Until the youngest of such issue reaches age
25, the income and principal, if necessary, shall
be sprinkled among such issue as necessary, and not
necessarily equally, to provide for their support,
maintenance, health and education.
b. When the youngest of such issue reaches the
age of 25, one-half of the principal shall be
distributed equally among such issue.
c. When the youngest of such issue reaches the
age of 30, the balance of the trust shall be
distributed equally among such issue.
d. Any undistributed income at the end of any
calendar year shall be added to the principal.
4. Should my wife and I die simultaneously or under such
circ mstances that it cannot be established which of us died first,
L' '.
Jesse Taylor, III
-6-
.
my wife shall be deemed to have predeceased me for all purposes
under this Will.
5. Should any legatee or devisee under this will die within
ninety (90l days after the date of my death, he or she shall be
deemed to have predeceased me for all purposes under this Will.
provided, that if my wife survives me at my death, but dies within
ninety (90l days thereafter, she shall have for and during that
portion of such ninety (90l day period as she in fact is alive
after my death, the right to the use and enjoyment as a life tenant
of all property in which her interest hereunder will fail by reason
of her death within said ninety (90l day period.
6. No statutorily provided interest shall be allowed or paid
on the gifts made under this Will. All net income realized by my
estate during its administration shall pass and be distributed with
my residuary estate to the Trustee under paragraph 3 hereof.
7. No interest of any beneficiary hereunder in either the
principal or income of my estate shall be subject or liable in any
manner while in the possession of my executor to anticipation,
pledge, assignment, sale, transfer, charge or encumbrance, whether
voluntary or involuntary, or for any liabilities or obligations of
such beneficiary arising from his or her death, debts, contracts,
torts or engagements of any type.
8. Any amounts, either of income or principal, which are
payable to a minor under this will may at the sole discretion of my
exec tor be paid either to a parent of such minor, to a guardian of
//1
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Jesse Taylor, III
-7-
the person or of the estate of such minor, to the person who has
custody of such minor, or directly to such minor, or applied to or
for the benefit of such minor.
The receipt by such parent,
guardian, custodian or minor, or evidence of the application of the
amount for the minor's benefit shall be a full and complete
discharge of my executor to the extent of such payment or
application.
9. Except as otherwise restricted, directed or provided in
this Will or required by law, in the administration of my estate,
hereunder, my fiduciaries serving under this will shall have the
following powers, which may be exercised without leave of court, in
addition to those powers as my said fiduciaries may have by law:
(al At any time, to retain any assets or investments
held by them at the time of my death or thereafter, and to
invest and reinvest any funds which they may hold in any
stocks, bonds, notes or other securities, or in any other
property, real or personal, tangible or intangible, or mixed,
or interests therein, wheresoever situate, as and in such
proportions as they may deem best, notwithstanding that such
investments may not be of a character allowed to fiduciaries
by statute or general rules of law.
(bl To sell, exchange, grant options upon, or otherwise
dispose of any property, real or personal, tangible or
intangible, or mixed, or interests therein, wheresoever
any time held by them, at public or private sale,
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Jesse Taylor, III
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for cash or upon credit, in such manner, to such persons, and
at such price, terms and conditions as they may deem best, and
no person dealing with them shall be bound to see to the
application of any funds paid to them.
(cl To manage, operate, repair, improve, partition,
subdivide, or lease for any term any real estate or personal
property at any time held of owned by them, wheresoever
situate, and to enter into agreements for the same.
(dl To lend or borrow money for the payment of taxes or
for any other property purposes in the administration of the
property held by them upon such terms as they may deem
advisable, and mortgage, pledge or encumber real and/or
personal property held by them as security therefor.
(el To distribute in cash or in kind, or partly in each,
and in shares different in kind from other shares, upon any
division or distribution of any property which they hold.
(fl To compromise or settle claims, and to abandon any
property held by them which is of little or no value.
(gl To retain and pay agents, employees, accountants and
counsel, including but not limited to legal and investment
counselor advisors, brokers, banks, custodians and other
agents, for advice and other professional services, and to
delegate to them such duties, rights and powers as my
fiduciaries may determine for such time periods as they may
deem necessary.
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Jesse Taylor, III
-9-
(hl To allocate, in their discretion, any receipt or
item of income, or disbursement or expense item, to principal
or income, or partly to each.
(il To hold assets in bearer form, and to register
securities and other property in the name of a nominee.
( j ) To
join
and
participate
in
merger,
any
reorganization, voting trust plan or other concerted action of
holders of securities for the deposit of securities under
agreements and payment of assessments, to subscribe for stocks
and bonds, to give proxies, to grant, obtain or exercise
options, and generally exercise all rights of holders of
securities, and to delegate discretionary duties with respect
thereto.
(kl In dealing with the stock of any close corporation,
partnership interest or other business held by them hereunder:
to disregard any principle of investment diversification and
retain any part or all of it for so long as they may deem
advisable; to do anything that they may consider appropriate
with regard to its operation,
expansion,
reduction,
liquidation or termination or any change in its purpose,
nature or structure; to delegate authority or duties to any
director, stockholder, manager, partner, employee or agent,
and to approve its payment of reasonable compensation to any
such person; to cause it to borrow money at reasonable terms
the banking department of any corporate fiduciary
~~-;- 1"
Jesse Taylor, III
-10-
hereunder notwithstanding any contrary law regarding conflict
of interests; and to make additional investments in it if such
action appears to be in the best interests of the
beneficiaries hereunder.
(ll With respect to any policies of insurance forming a
part of my estate: to continue such policies in force and to
pay the premiums on such policies out of income or principal;
to obtain the cash surrender value, if any, of any such
policies which insure the lives of others and add the same to
principal, or convert any such policies insuring the lives of
others to permanent paid-Up insurance (unless in either case
such policies are specifically bequeathed in this Will); and
to deal with such policies in any way that my fiduciaries may
determine to be in the best interests of the beneficiaries
hereunder, including the right to borrow on such insurance
policies in order to pay the premiums thereon.
(ml To the extent permitted by law, to exercise any
election, right or privilege given by federal tax laws, or the
tax laws of Pennsylvania or of any other jurisdiction,
including but not limited to the joinder with my wife in
filing income tax returns, the joinder with my wife in filing
gift tax returns with respect to gifts made by her or by me or
by both of us prior to my death, the consent on gift tax
returns to have any gift made by her considered as made in
for gift tax purposes, the determination of proper
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Jesse Taylor, III
-11-
'.
taxes, interest and penalties and the payment thereof even
though not attributable in whole or in part to income or gifts
from my property or estate and without requiring my wife, her
estate or her legal representative to indemnify or reimburse
my fiduciaries for taxes (or penalties or interest thereonl
attributable to my wife, the election of alternate valuation
for federal estate tax purposes, the election to have assets
or property of my estate or otherwise includable in my gross
estate for federal estate tax purposes treated as qualified
terminable interest property under Section 2056(bl (7l of the
Internal Revenue Code of 1986, as amended, for the purpose of
qualifying the same for the federal estate tax marital
deduction for my estate, which election I hereby direct my
executor to make in the manner provided by law with respect to
Part A passing under the Agreement of Trust referred to in
paragraph 3 hereof so that all property thereof will qualify
for the federal estate tax marital deduction for my estate],
and the election to claim deductions for death tax purposes or
for income tax purposes, and for their exercise or
non-exercise of any such election, right or privilege to make
or not make in their discretion equitable or compensatory
adjustments as between income and principal of my estate or
any part thereof, or as between any beneficiaries thereof or
their shares therein, all without the consent of any
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Jesse Taylor, III
-12-
.
, "
beneficiary and without any liability on the part of my
fiduciaries for so doing.
(nl To make from time to time partial distributions in
varying amounts to the beneficiaries hereunder prior to final
settlement and distribution of my estate, and in connection
therewith to determine in their discretion the time or times
when such partial distributions may require recomputation of
said beneficiaries' proportionate interests hereunder for the
equitable allocation of income or on account of changing asset
values pending final distribution.
(ol To receive, collect and recover the interest, rents,
profits, proceeds, gains, and other earnings and income of and
from the property held by them hereunder.
(pl In general, to exercise all powers in the management
of the assets and property by them which any individual could
exercise in the management of similar property owned in his
own right, upon such terms and conditions as to them may seem
best, and to execute and deliver all instruments and to do all
acts which they may deem necessary or proper to carry out such
management and their duties under this willi provided however,
that the aforegoing powers, or any other authority or
direction herein or otherwise conferred upon or given to my
fiduciaries shall not apply or extend to any assets or
property of my estate or otherwise includable in my gross
federal estate tax purposes and qualifying for the
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Jesse Taylor, III
-13-
federal estate tax marital deduction for my estate under the
Internal Revenue Code of 1986, as amended, to the extent that
such power, authority or direction, or the exercise or
performance thereof, will or may result in the loss, in whole
or in part, of said federal estate tax marital deduction for
my estate.
10. (al I hereby appoint my wife to serve as executrix of my
estate hereunder. Should my wife be unwilling or unable, fail
to qualify or cease to act as such executrix, I hereby appoint
Dean W. Wharton, presently of Financial Planning Associates,
to serve as my executor under this Will.
Said individual
shall be entitled to receive compensation for his services
rendered hereunder at a reasonable hourly rate; in no event
shall such compensation be determined as a percentage of my
estate.
(bl In the administration of my estate, I hereby direct
my fiduciaries named or appointed in this Will to retain the
law firm of Shumaker Williams, P.C. at such firm's standard
hourly rates.
11. I hereby name and appoint, Gladys V. Taylor and Dean W.
Wharton of Financial Planning Associates as Co-Trustees, of each
trust created under the will. In the event that Gladys V. Taylor
is unable or unwilling to act, then Dean W. Wharton shall act as
sole Trustee. If Dean W. Wharton is unable or unwilling to act,
then D uphin Deposit Bank and Trust Company shall act in his stead.
. ,
( It
~ -, ".
Jesse Taylor, III
-14-
. ..
, ..
At all timos, Gladys V. Taylor shall not participate in any
decisions which would result in the assets of the trust created
hereunder being included in her estate under the Internal Revenue
Code and its attendant Regulations.
12. The fiduciaries named or appointed in this Will, shall
not be required in any jurisdiction to file, enter or post any bond
or other security for the faithful performance of their duties
hereunder, and shall not be liable for the acts, omissions or
defaults of any agent appointed by them with due care.
13. Subject to the restrictions and limitations hereinafter
set forth, I direct that all estate, inheritance, legacy, transfer,
succession and death taxes, of whatsoever nature or kind and by
whatsoever jurisdiction imposed, and all interest and penalties
thereon, which may be payable or assessed in consequence of my
death, whether or not with respect to property passing under this
Will, shall be paid out of and charged against the principal of my
residuary estate in the same manner as are general administration
expenses of my estate so that all property subject to said taxes
shall be and pass free and clear thereof, without apportionment of
or reimbursement for such taxes, interest or penalties among any
beneficiaries, transferees or other persons interested in such
property, and without any right of my estate or executor to
contribution, recovery or collection for the same. Taxes on any
future or remainder interests may be prepaid at and in the election
and discretion of my executor to the extent permitted by law.
~-\ "
Jesse Taylor, III
-15-
.
Provided however, that if my wife survives me, in no manner or
event shall any such taxes, interest or penalties be paid from,
charged to or apportioned against any assets or property passing in
any manner, whether under this will, in trust or otherwise, to or
for the benefit of my wife and qualifying for the federal estate
tax marital deduction for my estate under the Internal Revenue Code
of 1986, as amended. Provided further, that my executor shall not
pay from or charge against my estate or any part thereof any such
taxes, interest or penalties payable or assessed with respect to
property passing under the Agreement of Trust referred to in
paragraph 3 hereof (which taxes, interest and penalties are to be
paid as provided in said Agreement of Trustl, or imposed upon
generation-skipping transfers under the Internal Revenue Code of
1986, as amended.
14. I direct that all expenses of my funeral and last illness
be paid from the principal of my residuary estate as soon as is
practicable after my death.
IN WITNESS WHEREOF, I, the said Jesse Taylor, III, hereby set
my hand to this my Last Will, typewritten on and consisting of
these sixteen (16l sheets of paper, at the bottom of each of the
preceding pages of which I also have placed my initials, on this
25th day of May, 1995.
\-";,.,,-,,~r-,, 'I
"-
Jesse Taylor, III '-')
-16-
.
. ., .
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF C '" "'" \.,~,. \ow,' ,(
SS.
I, Jesse Taylor, III, testator, whose name is subscribed to
the attached foregoing instrument, having been duly qualified
according to law, do hereby acknowledge that I signed and executed
such instrument as my Last Will, and that I signed it willingly and
as my free and voluntary act for the purposes therein expressed.
Sworn or affirmed to and acknowledged before me, by Jesse
Taylor, III, the testator, this 25th day of May, 1995.
~-.
\ ...._).).. ' ""\'-to__ -(QJ"')' I,
Jesse Taylor, III )
t:(,J~
c
My commissio
Expir~orialSoal
SuS1ln L. Hirshman. Notary Public
lower AUan Twp.. Cumbo~and County
My Commission e'plros Nov. 12. 199B
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF C" ""'~. ...\,,--,<> c~
SS.
"
( Ir, .-~
May,
J
We, ",i J </1, I. ."
the witnesses gned to the attached forego ng
instrument, being duly qualified according to law, do depose and
say that we were present and saw Jesse Taylor, III, the testator,
sign and execute such instrument as his Last Will; that such
testator signed such instrument willingly and executed it as his
free and voluntary act for the purposes therein expressed; that
each of us in the hearing and sight of such testator signed such
Last Will as a subscribing witness thereto; and that to the best of
our knowledge, such testator was at that time 18 or more years of
age, of sound mind and under no constraints or undue influence.
I
Sworn or affirmed to and subscribed before me by kf ,i h A
"-.((",1," i,'"r" \,,') ':,'1\, l1, ""I "1r..., , witnesses, this 25th day of
1995. .
l/)cM v ';/ / /. :,' 7CV,-:J
/ Notary ~
My Conmlission Expires:
WIT~
V$?C#d'--t
~ ,l~ Ll^J~vb,
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47643
Notarial Seal
Susan l. Hirshman. Notary Public
lower AUen Twp.. Cumbe~and County
My Commission e'plros Nov. 12. 199B
~
CERTIFICATION OF NOTICE UNDER RULE 5.6(al
Name of Decedent: Jesse Taylor, III
Date of Death: 6/25/96
~
Will No. -00656 Admin. No.
To the Register:
I 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
7/30/96
Name.
Address
Gladys V. Taylor
2 Brentwood Road
Camp Hill, PA 17011
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except NONE
Date:
0\ ~ct
"6 '7)
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II: UU
Name Anthony J. Foschi, Esquire
Address Shumaker Williams, P.C.
P.O. Box 88, Harrlsburq, PA 17018
Telephone (717l 763-1121
Capacity:____ Personal Representative
X Counsel for personal
Representative
Iii.'
A
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.."-
'96 ,lGO 20 '::C:1i I
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Cun:, .
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1 I. ,"
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
II:
GLADYS V. TAYLOR
being duly _u___syto(n_ _ .ccordlng to I.w, dopo,e, and '"VI th.t st.e .ILthe_Executrlx_
- - -_ ____ of Ihe E,'.'o 01 . __ Jesse_T.ay.locIlL_...._._._u__________
loto 01.. 2 Brcntwood Drlvc, Camp Hili ., Cumberland County. P.., doco.,ed and thai the
within I,.n Inventory m.do by Gladys V. Taylor ___, the s.id__Executrlx__ .__
of Iho entiro est.te of s.id decodont, consisting 01 "II tho p."on.1 prop.rly .nd rool .stot.. .xcept r.ol OIt.to ouhldo
the Commonwe.lth 01 Pennsylv.nia. and th.1 tho ligur.s oppo,lte each Item of the Inventory r.pres.nt It's lair volu.
01 of th. dat. of d.c.dent's do.th.
, ..J.-<.,,/7'Jk -1'1
!:;!;;S~L_~~
Euc.utor . Administrator
and subscrib.d boforo mo,
~(tdfl2i ?
19 e)7
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J
2_Br.cotwo_od_IkLY_1t _
. __CamP.J:I!!!L~_nnsylvanla
Add,...
17011
Date of Death __1~______._.______ _ JUIJIt-_
Day Month
1996
Y..,
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of personal representativo.
2. A supplement inventory must be filed within thirty days of discovery of additional ..seh.
3. Additional sheeh may be attached as to personalty or realty
4. See Article IV, Fiduci.ries Act of 1949.
,
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1.
2.
3.
Inventory 01 Ihe real and perlOnal ellole 01
JESSE TAYLOR III
deeeoud.
Q07Q Shares AMP, Inc. Common Stock
1970 Mercury Cougar
Cemetary Lot
Total:
$197,39
2,00
10
$199,Q9
00
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO IlE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
1l9:i1r.'~(\
...:....':r.'v..
U)Io4MIl"WIAlllt 01 rlflU\"....AHiA
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Oucuddnl Ou!d l(',lull!' I I I Ol'u.drnl MOIII1Um,.d II lh"n~ll,u\1
(Allulh lOpy 01 W.lll 1^"tHh lOj!) ollfu"l
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SIlOULD BE DIRECTED TO:
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Taylor, Jesse III
')'''.AI\lI...,l''w....I. \0...111)1111...'"
lU7-12-U6q3 6-25-96
t" """1 "'11 ,u""'"'' ,'ouu ,....., Iii" I'''' '''1''''11(01' """"1
Taylor, Gladys
l>q 1 Olluinnl Rututn
1-) 4 LinHlnd [\I,ll'
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\'051 UAHSOf UlAII. AfllW I '21.1"91 (lUCK fUR
If A SIIO\JSAl ,
I'OYlRlY (Alnl( IS (lAIMlU 1 I
1I1I NUMOI"
J I
1'1'11..
I" r,( ,
. ~ .... ....
(OUtH V (OUl
IlIJM(\(
Yl AJI
1l'lllIIIII',,'lOUIII(Allll'I\\
\,"'~~'3';~'~ 3
!\llll,l,I\l(It.ll"llI...l1.
2U7-12-3930
2 Urenlwood Drive
Camp HiH, l'^ 17011
'''""', Cuml.1erlilm.l .
1""'ll"OI1111IlVltll\lllIj,)IUlllIOII\1
199,'197
IIJ
1 I ~
RClIlllltull" R!!IUln
(101 dale" 01 dllOlh Plim 10 11.1 J.8i
r,.dl!tul [\Inl" lUJ R"lulf1 RI'qi,Olll'd
.0.11
lolnl r~urnh"t 01 Sol,. Ul'POUt BOH'\
i:(j;;.-ittiiMA,ii,j(.AOiiii\;;-'-~---"--'-~----'-_.--
"AMI
---~._----_..__._--_._.__._"- .._~-_._-_... ..----
P.O. Box UU
~iuiilol 'WlrAilill-O"ltllli"";I-ilr~I"l'-il":''''I
"'Ii(liq-~\
_.!-..!.lthonY_J~_.F_o.s.l:.hL__.m_- .....
HurllO"1 uu",.t.
..___._ n.. .,.~cAlarrlsburg6PA,=17108~=c~~~=,o"=7'oc.=
III -:O.-:___..:~' ,. .:n
121 _....1.9_I,)JJ1___.__
I J I ___.. -0- ._.__
-0-
141 ._-__
I ~ I ~~~O____.. .. _
I n7 I 7Ji.3=U21--
Ruol E,late (Schedule AI
Slack, and Bond, (Sc.hedule BI
Clo,ely Hllld Slock/Portneuhip Interel! (Schedule q
Morlgoge' and Nole' Receivable [Schedule 01
Cmh, Ban~ Depo,it, & Mi\CeUaneouI Pellonol Plopelly
IS,h.d,l. E)
Jointly Owned Properly (Schedule FI
T ron,flltl (Schfldult' GI[Schedule 1I
Tolol Gran Anell (10101 Line, 1.71
Funeral Ekpen'el. Admini,tralive Co,t,. MilCelloneou,
fkpen,e, (Scht'dule H)
Debll, Morlgoge liobililie,. lienl (Schedule II
Tolal Deductionl (10101 LinCI Q & 101
Ncl Value of E'lore (lint' 8 minu' line III
Choriloble and Governmental Beque'I' (Schedule J)
Nel Value Subject 10 T Ok (line 12 minuI lin" 1 JI
Spoulal Tronlfen (for dol" of deolh oher 6.30.9"'1
Se" InllruClion, far Ar,plicabl" Percentoge on Revene
Side. (Indud" value, rom Schedule K or Schedule M )
Amount of Line 14 takable 01 6% role
(Include value' from Schedule K or Schedule M I
Amounl of line 14 tallable at 15% tole
(Include value I from Schedule K or Schedule M )
Principal 1011 due (Add 10. from line, 15. '6 and 17)
Cradih Spou,ol Poverty (fcdil Prior Poymanh
-------~._---_..~ ...
161
17) .._
.....::.0::.___
-0-
-...-.-.---.. --~-_.
199,Q97
18 I
I Q I __......2._127 _._______
(IO) _.-=,,0.:...___..._
5,127
194.370
Ill)
(12)
IIJ)
(14)
19Q,370
II~I
19Q,370
x...Q.Q=
-0-
116}
______x .06 =
1171 --.-
x .15 =
(IBI
-0-
Oncount
Inl!!t!!\t
+
1191
(201
If Line 19 i, greater Ihon line 18, enter the difference on lin!! 10 Thil i, Ihe OVERPAYMENT.
aD .14:m~il'l ,..1"'1"'."',.',('1'1,1 t'I,I:':'. iI,ll'Tr.r:r:'I&'I.l'I""'lil!l:j'.lIII-I.I-
If line 18 i, grealer Ihon line '9. enle' the diffCIt'nct! on line 11 lhi, i, thc TAX DUE.
A. [nlt'r Iho inlete,r on the boloncc due on line '11/.
B. [nler the 10lul of line 21 ond 21A on line 21B lh;, i, the BALANCE DUE.
Make Chock Pavable to: R..~iller 01 Will,. Ag_'!.~~__ __. __
(21)
121A)
(2IBI
-0-
.----:.0: -
._.___ _n.____n___
-0-
~ ~ BE SURE TO ANSWER ALL QUESTIOtlSO-N-R'EVERSE SIDE AND TO. R.ECHECK MATIl -< ~
Under pen~I"e' of perjury. I declore Ihutl hove e.omlned Iii., rel~.rn. including o(camp~f1ying -~h~dulel ond "o'~mef1h. and to ih-;-bc'l ~-rno"",led9t' and bellel
il illrue, COllccl and complete,_1 declole Ihul all rt!ole,lolc ho, been lepalled Cllfu,. m()f~!!1 value Orc1arollon of ptepoter ollic' Ihnn Ihe pe"onolleJ\fl!,entolive I
baled on all informal ion of "",h'ch prcpor'" he' ony ~no....ll!dge
~IQN ATu.Tm'(ISOtiiTIfOtT~iitr '-o-iflilti[:..fluir,~-'. iiit1.I.~;; ""-
pi,,---._..._~. .
{l.l."
SHUMAKER WILLIAMS, P.C., P.O. Box 88
Harrisburg, Pennsylvania 1710U
Acl #48 of 1994 provido. for Iho roduction of 'ho 10. rolo. i"'I)O.od on ,ho nolvoluo of 'ronsfen 10 or for
Iho u.o of Iho .pou.o. Tho rolo. a. pro.cribod by th. .Iolule will bot
· 3% (.03l will bo opplicoblo for 0"010. of docodonls dying on or oltor 7/1/94 and bofor. 1/1/96
· 2% (.02) will bo applicable for o.lolos of docod.nls dying on or altar 1/1/96 and before 1/1/97
· 1% (.01) will bo applicoblo for oslalos of decodenls dying on or altar 1/1/97 and bofore 1/1/98
· Spousal translors occurring on or alter 1/1/98 will be exempt from inheritance tax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (1"') IN THE APPROPRIATE BLOCKS.
1. Did decedont make a transfer and:
YES NO
a. re'ain ,he use or income of ,he property transferred, ...................,.........,..,......................
b. retain the right to designale who .hall use the property 'ronsferred or its income, ...............
c. retain a reversionary interest; or ..............................................................,....................
d. receive Ihe promise for life of either payments, benefits or care? .......................................
2. If death occurred on or before December 12, 1982, did decedent within two yean preceding
dealh transfer property without receiving adequole consideration? If death occurred after
December 12, 1982, did deceden' transFer property within one year of dealh without receiving
adequate consideration? ............................................. ................... ................... ................
3. Did decedent own an 'in trust for' bank account a' his or her death?...........,..........,..............
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
\
x
x
x
x
x
x
UY.UOJ Ix. 11..61
~
COMMONWU,u1t 0' 'lNNinYANIA
INHUlJANCf lAX .nUIN
'UIO(Nt DIC(DINI
SCHEDULE B
STOCKS AND BONDS
ESTATE OF
Jesse Taylor III
FILE NUMBER
1996-0656
(All proportv 'olnllv.ownod wllh RighI of Survlvo"hlp mUll bo dllClo..d on Schodulo F.I
ITEM
NUMBER
I.
DESCRIPTION
VALUE AT DATE
OF DEATH
QS7Q Shares AMP Common Stock, Fair Market Value QO.50/shar
197,397.00
TOT At (Aho entor on line 2, Recopilulalion)
(IF mare space is needed. inlerl oddilionol 1"1'f"1 nf COt... ,il''' 1
S 19L397.00
IIVI)III"I'''1
~.~.~ J
~.Jt~;;!'
COMMONW!Alltt Of '(HN~'flVANIA
INU(l11A'4(( lAX II( ruiN
USIOIHI O(C10(NI
ESTATE OF
Jesse Taylor III
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES j PI.a.. Print or TVp.
FilE NUMBER
1996-0656
. ...--. ....... .________L ...________,________
DESCRIPTION AMOUNT
ITEM
NUMBER
-- .--- ".-.----..--.-----.-
A. Fun.ral Exp.n..s:
I.
$ 397
200
75
1770
135
200
Myers-Harner Funeral Home
Camp Hill Presbyterian Church Memorial Fund
New Hyde Park Presbyterian Church (Minister's Servlcesl
New Hyde Park Funeral Home
Food, reception after memorial service
Cemetary Lot
2.
3.
4.
5.
6.
B. Admini.trative c..ts:
4.
C.
I.
2.
3.
4.
5.
6.
7.
8.
1.
Personal Roprosenlalivo Commissions
Social S.curity Number of Personal Rep,e.enlativo:
Year Camminions paid
,
,
,
.Allo,noy Foo. SHUMAKER WILLIAMS, P.C.
!
!
. Family Exomplion
Cloimanl Gladys V. Taylor
Wife
207 - 12 - 3930
-0-
2.
1500
3.
Relalion.hip
Addr... 01 Claimonl 01 decedenl'. dealh
Sl,eel Addre.. 2 Brentwood Drive
Cily
Camp Hill
17011
Slole P A Zip Code
Probote Fee. Cumberland COunty Register of Wills
391
MI.c.llaneau. Exp.n..s:
PNC Bank
338
TV Rental Co, Woodside, NJ (in hospital)
50
Travel Expenses
46
Mary Immaculate Hospital
25
TOTAL (AI.o enlor on line 9, Recapilulalian)
(If more 'pace i. needed, in.ert additional .hee" of .ame .i.e.)
s
5127
"I'S.IM') D';IIK"~)
~j
sell EIHI LE 0
TnAlI\SFEHS TO SUHVIVING SPOUSE
n~",~1"" 111'" M'....UI "At4.'
..ItJlIl.u<<11"'lUl\~H
UJ,lIlJrI11fllllt)it
""i1rNtllllbtr
t~'T ^ n: Ilt'
1996-0656
Jesse Taylor III
It^ltT A: ruin 11M! dcsaiplion and \'alue of all inl(1C'\U, bl.llh lauhl... and IIUII-Ia.,hl.... fel~.udl(U IIf IO'':.lllnn, (lid of dttluc111lltS)
"hich r"" to the dt~edtnl" survi.."inr. 'pOUIoo! by will. inlnt.1I.::Y, 'l!)tUlllKl nfla\\', Of ulho."',\"I\.C
DCSCr1 )lion Or items Amount
I AMP Stock - Test. Trust - Q,B7q shares Common 197,397
Stock at $Qo.50/per share
2.
Automobile
2,000
3.
Cemetary Lot
100
Part A Total: Enter the amount 5ho.....n on \he recapilulation sheet In the [Hetdtnt Inronnlllon SteHon.
Election To Subject Property To Tax Under Seetion 2113(A) As A Taxable Transfer By Tbis Decedent.
If I ln1s1 or similar arrangement mew the requirements of SCC'lion 211 ji A). and:
I. The trust or similar anangcment is lis1ed on Schedule O. and
b. The ,'alue of the trust or similar arrangement is mitred in whole Of in p.u1 as an a.sscl on Schedule O.
then the tranSferor's pmonal representative may specifically idtntify the wst (all Of' I fractional portion ()( rc:rcmuge) 10 be included in the elmion 10 have
sua, ln1st or similar propmy lIe.1ed as a Lauble trlNfcr in this csUle. If less than the entire value of the Innt or similar rropcrty is inc1uikd as a
taxable lta.Nfcr on Schedule O. the rmon-al rcpresenlati\'e: WlI be corwd.ertd to ha\'e nude the elec1ion only U 10 a frac1ion of the INst or limilar arrangement.
The numcnlOf' oflhis fraction is cquallo the: amounl ofthe trUst or similar atnnCm1ent included U I taxable: Wd on Schedule: o. The denominator is equal
10 the total ,'alue oflhc bUst Of' limilar anancnncnl
ELECfION: ()o )'ou tltd undrr Stctlon 11 IJ(A> to Irnl as a tau bit trarurrr in this "Latt all or a portion ora tnut or .lmUar arnnCtmtnt
("at~ for th~ IOlt UH ofthls dtecdtnt'llun1vlnC IpoUH durlnC the lu,.,,"hinC 'POWt'l t'nU~ Urtllmt7
\'ES W NO D SIEna'." Il.t. 3-2Q-97
Note: trtht tlKllon appUts to mort thin ont trust or IlmUar arnnCtmtnt.lht'n a "paralt' tonn must be 'Itned and nJt'd.
Part B: Enttt the cScscription and value or all inler~ both laxabl... &nd non-lIuble, reg.udlcu of local ion. (nd of deductIons)
"hich pw 10 the decedent's survi\'ing JpouSoC for "'Nch a xction 21lJ (A) elc:1.1ion is hem!: 1Il1dc.
lion of ilems
Jesse Taylor III Trust
Amount
Descri
I
197,397
197 3 7
rartllToul
;5- -/>//-('
BUREAU OF INDIVIDUAL TAXES
IHII[RItANC[ tAll DIVISION
D[PJ. :101>>01
IIAARlsaUAC, PI 11121-060l
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
~ A.oun\ R..I\\.d
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
ifE'v:is4-j-EX"Aj:P-"coi":9:rj"iicificE--cin-NHEiiiiiiiicE"i'"A'X"APPRAisEHEiiT",-"Ai.i.-ciiiiiiicE"i:iR'"---"------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
JESSE FILE NO. 21 96-0656 ACN 101
ANTHONY J
PO BOX 88
HBG
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
FOSCHI
PA 17108
ESTATE OF TAYLOR
06-23-97
TAYLOR
06-25-96
21 96-0656
CUMBERLAND
101
(.'/
*
"'.1"'11'" III.tll
JESSE
TAX RETURN WAS: I ) ACCEPTED AS FILED
I XI CHANGED SEE ATTACHED NOTICE
DATE
06-23-97
If an assessment was issued previously, lines 14, 15 and/or 16, 17 and IB will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Anaunt of line 14 .t Spousal rat. US)
16. Anaunt of line 14 taxable at line.l/Class A rat. (161
17. Anaunt of Line 14 taxable at Collat.ral/Class 8 rat. (17)
18. PrincIpal Tax Due
TAX CREDITS:
PAYHENT
DATE
03-25-97
RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. RooI E.toto ISch.dulo AJ III
2. Stocks and Bonds (Schedule HJ 121
3. Closely Hald stock/Partnership lnterast (Schedule CJ (3)
4. Hortg.gas/Not.s Raceivable (Schedule OJ (4)
5. Ca.h/Sank Deposits/Hisc. Parsonal Proparty ISchedule E) (5)
6. Jointly Ownad Proparty ISchedule F) Cb)
7. Transfars I Schedule G) 17)
8. Total Assets
APPROVED DEDUCTIONS AND EXEHPTIONS:
9. Funeral Expansas/Ad.. Costs/Hisc. Expense. ISchedule H) 19)
10. D.bt./Hortg.g. Ll.bllltl../LI.n. (Sch.dul. I) 1101
11. Total Daductions
12. Nat Value of Tax Raturn
13. Charitable/Government.l aequests (Schedule JJ
14. Net Value of Estat. Subject to Tax
NOTE:
RECEIPT
HUHBER
AA185311
DISCOUNT It I
INTEREST/PEN PAID (-I
.00
.00
197.397.00
.00
.00
2.100.00
.00
.00
(81
8,627.00
.00
Ill)
1l2)
1l3J
1l4J
99,911.00 X .00=
90.959.00 X .06=
.00 X .15=
lIBJ
AHDUNT PAID
5,458.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
NOTE: To insure propar
credit to your account,
sub.it the upper portion
of this forn with your
tax paynent.
199.497.00
R.6?7 00
190,870.00
.00
190,870.00
.00
5.458.00
.00
5,458.00
5,458,00
,00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION DF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAN $1, HO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YDU HAY BE DUE
A REFUHD. SEE REVERSE SIDE OF THIS fORH fOR INSTRUCTIDNS.I
RESERVATIONI E.tat.. of d.c.d.nt. dylno on or b.far. O.c..b.r Il, 19a1 .- If any future Intar..t In tha ..tata I. tran.f.rrad
In pa.....lon or .nJay..nt to Cia.. B (call.t.ral) banaflclerl.. of the dacadant aftar the axplratlon of any ..tat. far
Ilf. or far y.ar., the Co..onw.alth h.r.by .xpr...IY ra..rv.. the right to appral.. and ...... tran.f.r Inh.rltanc. Ta...
at tha lawful Cia.. B Icallat.ral) rat. on any .uch future Int.r..t.
PURPOSE Of
NOTICEs
To fulfill the r.qulr...nt. of Sactlon ll40 of the Inh.rltanc. and E.tat. Ta. Act, Act II of 199~. 17l P.S.
S.ctlon 9140),
PAYltENTI
a.tach the top portion of thl. Hotlc. .nd .ub.lt with your pay.ant to tha Ragl.tar of Will. prlnt.d on the r.v.r.. .Id..
.-Maka ch.ck or .on.y ord.r pay.ble tal REGISTER OF' MILLS, AGENT
REFUND (CA Jl
A r.fund of a tax cradlt, which .... not r.qu..t.d on tha T.x Aaturn, .ay b. r.qu..t.d by co.pl.tlno an "Application
for A.fund of pann'Ylv.nl. Inh.rlt.nc. .nd E.t.ta T.x" IREV-1111). Appllc.tlon. ara .vall.ble nt the Offlc.
of tha R.gl.tar of Will., any of tha 21 Rav.nu. DI.trlct Offlc." or by c.lllng tha .p.cl.1 l4-hour
an.w.rlng ..rvlu nuabars for for.. ordarlngl In P.nnlYlvanlll 1-800.16Z-ZD~0, outs Ida PaM.ylv.nla and
within lonl H.rrlsburg .raa (717) 187-a094, TOO' (711) 77Z-ZZSi! ItI..ring I.p.lred Only),
OBJECTIONS I
Any pllrty In Int.r..t not ..tl.fl.d with the oppral.aaant, allowance or dl'lIllow.nc. of d.ductlon., or ........nt
of t.x (Includlno dl.count or Int.r..tl .. shown on thl. Hotlc. .u.t obJ.ct within .I.ty (601 day. of r.calpt of
this Notln by;
.-wrltt.n prot..t to the PA O.part..nt of R.v.nu., Board of app.al., a.pt. Z810ZI, Harrl.burg, PA
.-.I.ctlon to have the .attar d.t.r.ln.d at audit of tha account of the p.r.onal r.pr...ntatlva,
--.pp.al to the Orphan.' Court.
17lza-tall,
DR
DR
ADMIN
ISTRATlVE
CORRECTIONS I
Factual .rror. dl.cov.r.d on thl. ........nt .hould be .ddr....d In writing tal PA a.part..nt of R.~anua,
Bur.au of Individual T.k.', ATTHI po.t A.......nt R.vl.w Unit, Dapt. Z80601, Harrl.buro, PA 171Z8-r601
Phone (717) 781-6505. S.. p.g. 5 of the bookl.t "In.tructlon. for Inh.rlt.nca ta. Raturn for a A..td.nt
D.c.d.nt" (AEV-I~OI) for an akpl.natlon of ad.lnl.tratlvalY corr.ct.bla .rror,.
DISCOUNTI
If any ta. dua I, p.ld within thr.. (1) calandar eonth. aft.r the d.cad.nt', d.ath, a flv. p.rc.nt (S~) dl.count of
tha taM Pllld I. .llow.d.
PENal TV I
Tha 15~ taM aan..ty non-partlclp.tlon panalty I. co.put.d on the total of the ta. .nd Int.t..t .......d, and not
paid b.fore J.nu.ry la, 1996, tha flr.t day aft.r the end of the t.. ..n..ty p.rlod. Thl. non"partlclpatlon
p.nalty I. app..labl. In the .... .anner and In the the .... tl.. p.rlod .. you would app.al the tax .nd Int.r..t
th.t has b.an .......d .. Indicated on thl. notlc..
INTEREST I
Int.r..t I. ch.raad baglnnlno with flr,t day of d.llnquency, or nine (9) .onth. and on. (I) d.y fro. the d.t. of
d.ath, to the date of plly..nt. T.xe, which bec... d.llnquent bafor. Janu.ry I, 1982 bear Int.r..t .t the tat. of
,I. (6~) p.rc.nt p.r .~ c.lculat.d at . d.lly r.t. of .000164. All ta.., which b.c..a dallnqu.nt on and .ft.r
January I, 19aZ will b..r Int.r..t at a rat. which will v.ry fto. c.lendar year to calendar y..r with th.t r.t.
announc.d by the PA Depart..nt of A.v.nu.. Th. appllcabl. Int.r..t r.t.. for 1982 through 19'1 .r.:
'!!.!! Inler..t Aat. Dally Inl.r..t Faclor ~ Inl.r..t A.t. a.lly Intere.t Fnctor
198Z ZO~ .000~48 1'81 .~ .DOOl...l
19U 16~ .DDOU8 19aa-I991 1I~ .000101
1984 11~ .000101 1991 .~ .0DOZ...l
1985 13~ .Oaal!,6 199)-1994 n: .0001'Z
1'86 lU .000214 1"~-19n 91- .000241
--Int.r..t it c.lcul.t.d 00 follow.:
INTEREST : BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Hotlc. I..ued .ft.r the ta. b.co... d.llnquent will r.flact an Int.re,t c.lcul.tlo~ to Ilftean tl!,) day.
b.yond the d.t. of the ........nt. If p.y..nt I, ..d. .ft.r the Int.r.st co.putatlon data shown on the
Notlc., .ddltlon.1 Int.ra.t au.t b. c.lculat.d.
IIV.W.OIIJtIl' ~ ~
. ~;~~;;.c' j
COMMONWEALTH Of PENNSYlVANIA
DEPARTMENT Of REVENUE
BUREAU 0' INDIVIDUAL TAXIS
DEPT.2B0601
HARRISBURG. PA 1712B.0601
DECEDENT'S NAME ..,..
'.lc.:..':,~)C J 1'''lt (;1(..
INHERITANCE TAX
EXPLANATION
OF CHANGES
-
III
filE NUMBER
_,;.' I "(,
ACN
t-I((IS
/t.'/
SCHEDULE
ITEM
NO.
EXPLANATION OF CHANGES
h:,~l~ :::. <;..(!../'o ,-, ~ I ,,.I. I (< I (/ ',.., ,Ic..( L r ft:.(!.../ I>'c. JiJ '-I 3'3,r,r;~
'/l... hl.lIl'l'( ~((-'rY'pl,,,.1 tU..I~. "'IN,.lc/..r.! "".e.~"":'/~J ;'/.c..
jill/f)" -.;1 i II'-.l Chll/.) /-".( ,-/ ,.? Uu... ClO /" '::6- OCl. 00.
, I
'.. o.....'=-k-sL.L.l." '-, '!;
~
PAGE
TAX EXAMINER:
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