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PETITION FOH PROBATE and GRANT OF LETTERS
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t:'slale of -8.JJlQJ>...Q..J'.IlOJL ........ .._...
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No.
To:
__._____.._.._........ '_'..__' Regist"" of Wills for the
._.._____ ....._..} !Jccc(J.w.'(l. County of _CUlllhprl riT1r1 in the
Socia/ Security No, ...;u)4_.().J~~-'>...----... Commonwe<llth of I'ennsylvflnill
The petition of the I'nderslgned rcspeetfully represents th<lt:
Your petitioner(s), who is/arc 18 years of age or older <In the exeC'uQJ:.fl
in the last will of the above deeedcnt, d<ltcd -..-_.._h~_......_..___..J.lln(il e
and eodiell(s) dated ____________..______.
named
, 19~_
(stutc relevant drCllll1.\lilfKes. e,g, rCllllIKialloll, dl'alh of C\CCllt~lr I ctc,)
Decendent was domiciled at death in -C.umJ;.~nd.---.._ County, Pcnasylvaala, with
h" i " last family or prlaclpal residenC'e al2..2.4.. Fcix...lii.ll_Rnad,._ Np",hllrg. 1'1\
C"lllb'.i1~-Co.I.Wot.I'.----~voe;-.....e~.__.._______
(Iht street, IlUmhCI lllllllllllllcipaHly)
Decendent,then 75 ._yearsofage,died_. Spptpmhpt 17,19 qr;
at("h~Q)b,,'''~b''r'J HOspit~1-r-('halllb(ilrsbu.t:gT" PennSl'luanl i> ..'
Except as follows, decedent did not m<lrry, was not divorced aad did not have a child born or adopted
lifter execution of the will offered for probate; \\'IIS not the victim of a killing <lnd W<lS never adjudicated
incompetent: _.____.____.__._..._...
Decendent at death owned properly with estimated val lies <IS follows:
(If domiciled In Pa.) All pcrsonal property
(If not domicilcd in I'll,) Personal property in i'ennsylv<lnia
(If not domiciled in Pa.) Personal property in Count)'
Value of real estate in Pennsylvania
situated as follows:
?7d Pcw 1-{111 R.oad, NAwbur.g-r--RA-.. Hnp"""'" 1 1 'l'QJ.\msh.ip,
-C.1.llllQsr land CO'u:ttl' .__.....
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codleil(s)
presented herewith and the gfHnt of letters 'l'P"'.taJl~.lrilJ;.y_._
(t~'~la1llcl1tary; ndministration c.La.; udminlstrl\tion d,b,n.c,La.)
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OATH m' PERSONAL REPlmSENTATIVE
COMMONWEALTH OF PENNSYLVANIA }' 88
COUNTY OF C.u.mbpr 1" nl1_________
The petltioncr(s) above-named sIl'C;'.r(5) or affirm(s) thatthc statements in the forcgoing petition are
true and eorrectto the best or the Kno'.','ledge and belief of PL'litioner(s) IInd that as personal represen-
tative(s) of the abuve deeedenl pctiliuncr(s) will well and Iruly adn,inistel the cstate according to hlW,
Sworn to ~r arfllllled and S'.IIN:I ,bed 1
before me this. ......_ dr-d .. .. d"y of
____._----r___octolwr. 1<J!J.(i+ __
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/ MAHY C. If lVI" I,,'glll"'_
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COMMONWEALTH Of'P6NNSVLVANIA. DBPARTM!NT 01' HEALTH' VITAL RECOAOB
CERTIFICATE OF DEATH
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DECEDENT
CHECK
APPRO-
PRIATE
BLOCKS
CORRES-
PONDENT
RECAPIT-
ULATION
TAX
COMPUTA-
TION
/1) I)) I
INHERITANce TAv RETURN IroR OATES or DEATH AFTER 12131/91 , '
. f.. CHECK HERE Ir A SPOUSAL .
RESIDENT DECEDENT I'Cl.VER.l!:<:,!~.~IT IS C~IMEill__.__.
(TO BE FILED IN DUPLICATE FILE N~~BER 'JG Uf10Y
WITH REGISTER OF WILLS) COUNTY CODE YEAR NUMBER
- ..-.--...--..----.- -- ..
__ . ___..__._. ""._~______ u' . --.
DECEDENT'S NAME (LAST, FIRST, AND MIDDL.E INITIAL) DECEDENT'S COMPLETE ADDRESS
Pu h I\I1Ds 0 2'14 Fox Hi 11 J,oad
.
SOCIAL SECURITY NUMBER DATE OF DEATH DATE OF AIRTH Newburg, PA 17240
204-03-0516 09/17 /96 n/06/l320 Coullly Oln1b2rland
IIF A PLICA . JSURVIVINO ",'OU'['S NAME (LAST. SOCIAL SECURITY NUMBER AMOUNT RECEIVED (SEE INSTRUCTION~)
FIHST AND MIDDl.t INiTIAl.) , ....
o 4, Limited Estate 0 4n, Futuro Intorost Compromiso
(lor dales of aeatllallor 12-12-82)
[8 6. Decedont Died Testato 0 7. Decedenl Maintained a living Trust
(Attacll copy of Will) (Attacll copy 01 Trust)
~cdl1 e$PoNQeNcEl ANPOQNFIDEiNiIALTAXINPORMA'tION skolJi:D eeQIRl(qTeQtQ:
~. ..... .........~-
NAME COMPLETE MAILING ADDRESS
Forest N ere 10000 Molly PItcher Highway
TELEPHONE NUMBER Shippensburg, PA 17257
717 532-9046
1. Real Estale (Sclledule A)
2. Slacks and Bonds (Scllodule B)
3. Closely Held Stock/Partnerslllp IntOlest (Sch C)
4. Mortgeges and Notes Receivable (Schedule D)
5. Cash, Bank DepositA & MIAcoltaneous POrRonal
Proporty (Sclledule E)
8. Jointly Owned Propel1y (Schedule F)
7. Translers (Scheaule G) (Schedule L)
8, Tolal GrooA AsselS (tolal L1nos 1-7)
g, Funeral Expenses, Admlnlstralivo Costs,
Miscellaneous Exporlses (Schedule H)
10. Debt', Mortgage L1abllltleA, L1enA (Schedule I)
11. 10tal Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmenlal Bequests (Schedule J)
COMMONW[AI. TIt OF PENNSYLVANIA
(JUIAATMENl Of A(VtN\![
DEPT. 28060\
ItAllR1SaURO, PA \1126-0601
~rlglnal Return
14.
15. SpousalTranslersl'or datos 01 death aller 6-30~94l. 508
In!llwcllonslor AppllcllblePllrcontagoonPago ?,(includo
vaiues Irom Schedule K or Schedule M.)
16, Amount of Une 14 taxable at 13'% rate
(Includo values from Schedulo K or Sohedule M,)
17. Amount of Line 14tsxsble 8t15% tale
(Include values Irom Schedule K or Schodule M.)
1A, Principal tax due (Add lax from L1nos t5, 18 and 17.)
19. CredUs SpousalPrlVfHlyCrlldl1 Prior Payments
+
L~(lflynullt !OIIl\H SllltWiHl' lluly, IIIHI\ Nllkll,lnr:, N!'141'Alllil
Supplemontal Roturn
03
05
Fodoral Estato Tal< Roturn Roquirod
20, If tlnu 191s greater than L1no 18, enter tho difference on L1no 20. TlliAls Illo OVERPAYMENT,
A. (:tl.llk h....llou or. r. u..tln . r.tund of your overpavment I
21. f Une 18 is glOator thon Lino 19, onlor 1110 diflmonco on L1no 21, Tllis is tho TAX DUE.
A Enter tho mlores1 on 1110 balanco duo on Lino 21A
6. EntOl the tolol 01 Uno 21 ond 21A on L1no 2:16. Ttli91~j tho BALANCE DUE,
Make 9hock_~.bl~ to: Reglstor o!Wllls, Agont
... .. BE SURE TO ANSWER ALL aiJifsTloNs ON pAGEt 2 AND to RECHECKt,lAi'H....ioIIoIo''ii,
Glldor penaltlos 01 perjury, Idoclaro that Ihava Ol<8rl1lliod lllis mluln, lnclllding accompanying schodulos and statemonts, and 10 tlm basI ol'my knowlodgo .
and bollol, It Is truo. con net and comploto, I doGlmo 11101 all lonl oslalo haB boiJn toporfod tl\ truo markot valuo. Doclara.llon 01 proparor othor than tho porsonal
reprosentativo is based on all InformL\tion 01 WhiCh p~]parol tH\~1 flny kno~lodgo .__
SION"S1~~4~~~1I11l.r Ion rll.INO HllUflN A(l(Hl[ ~l~ DATE
~dt'-t ~~... __. 1L,,,,,,.L:'L1J..:LL.:I~",,~'=?,-,'2chedllJ.e aLtached L. --/7 - '/'L._
!~nn[ Of pf-\rI'AfHllnTHI Ii lllAN rH.f'fH'",f NlflTIVI Af)[J!Il'!,S llA1l"
---:\.--,...;\ . "';'$'-- .__..______10000 r,hLly Pil'chel' HIghway (,-11. <)-,
1'A16001 Nil """ Shi prx'lldllll'CJ. PA 1'72')/
Romalnder Roturn
(IOf dales of death pflOf 10 I:! 13"112)
S!.9 8. Total Number of Sale DepoAII Bo,",
(1)
(2 )
(3 )
( 4)__
(5 )
110,000.00
3,252.00
None
None
12,693,69
(6 )
(7)_.
None
None
(8 )
125,945.69
(9 )
11,730.50
(le)
1,695,67
13, 4~6, 17
112, 519 ,52
None
(11)
(12)
(13)
(15)
112,519.52
0.00
(16)
112 ,518.18 x ,06 =
6,751.09
(17)
0.00 x .15
0,00
(18)
6,751.09
Discou nl
Interosl
+
('19)
(20)
0.00
(21)
(21A)
(21B)
6,751.09
0.00
6, 751. 09
.-0 ....
J SCHEDULE H
FUNERAL EXPENSES,
COMMONWEALTH OF PENNSVLVANIA ADMINISTRATIVE COSTS AND
IN~~~:~A,~W,^~,"OEET~iIN MISCELLANEOUS EXPENSES
ESTATE OF
l\lTPs 0 Pugh__
ITEM
NO,
A. Funaral Exp.n...:
AEV-Hi\ 1 EK~ (7-1111)
Pl.... Print or Tvp.
FILE NUMBER
21-96-0809
DESCRIPTION
AMOUNT
1 Fogelsanger-Bricker Funeral Hare
5,312.50
B, Admlnl.trallv. Co.ta:
1.
Per.on.' Represenlatlve Commissions
Soolsl Seourlty Numbor 01 Porsonal ReprosolllatlVe:
Vear Commission. paid
0.00
2. Allomey Fee.
6,000,00
3. Family Exemption
Clalm.nl
0.00
Relationship
Address 01 Clslmonl at deoedent'. deolh
Street Address
Clly
51ale __, Zip Code
4. Probale Fees
0.00
C" MI.o.U.n.ou. Exp.n...:
1 Register of Wills, probate fees 294,00
2 a.u-nberland Law Journal, advertiserrent of letters 60.00
3 News Chronicle, advertisement of letters 49.00
4 Register of Wills, filing fee inheritance tax return 15,00
TOTAL (Also onlo' on line 9, Roo. lIulollon $
(It mar. .p"C. I. n..d.d, In..rt .ddltlon.1 .ho.t. 01 ..m. .1..,)
11, 73q. 50
PA15t1l NTI ""
COllyrighll'urmt f111flWlrll Only. 111011 Nlllw, lilt. Ntlllf'A111
2
Looation: The subject property is located in the Township
of Hopewell, County of Cumberland and State of Pennsylvania,
situated along Fox Hill Road (T-358) north of Shippensburg,
approximately 5 miles.
Purpose of Appraisal: The purpose of the appraisal is to
estimate market value of the subject property.
Market Value: For the purpose of this report, market value
is defined as "the most reasonable or probable price estima-
ted in terms of money which a property will bring if exposed
for sale in the open market allowing a reasonable period of
time to find a purchaser who huys with full knowledge of all
of the uses to which the property is adapted and for which
it is capable of being used, assuming normal market condi-
tions exist." A reasonable period of l;ime is oonsidered to
be 180 days.
Property Rights Appraised: The property rights appraised
are assumed to be fee simple in ownership.
Parcel No. 11-09-0507-030.
Deed Book: Part of "T", Volume 12/ Pg. 486.
Assessment: Tax purposes - $9/730.00.
Area: The area in which the subject property is situated
can be classified as rural in character, with the predomin~
ate use related to agriCUlture. There are single family
homes in the area.
utilities: Electricity and telephone are the only available
utilities to the land. Domestic water is from drilled wells
and sewerage disposal is by means of on-lot septic systems
(there is none on this property).
Zoning: Hopewell Township has zoning and this tract is in
A-I which is AgriCUlture.
LandI The topography of this tract is such that conservatin
practices are necessary and several diversion terrace~ have
been established. The total acres of (142) one hundred
forty-two have not been cultivated or farmed for several
years. Due to the growth of scrubby trees and other debris
is proof of my statement. Your appraiser was a farmer for
many years and due to the topography of the land much of the
acres on the northside of Fox Hill Road should not be
cropped due to elevation and Sloping of the land. Some
areas could be in grasses ond pasture. Most of the land on
f ,1"llh .,.. t""U HuH. drl I'll u,,~d~11 11l1.1l'!1' . hlil\h Hvltl M irIltIIA~~m8tlL AbHt\611 or , "'11 rl!llt. lhdt~A.U'
tllU thA (toll l~ lI"t. ~llll~.l In HIli nr"" nr.thll nl'nfli1!Il11llr^llr h hfJt 111'1\1111 0" \ ll~ ~., III
.'Inll 11~1!\i11 1I11'{ tli'^~iII.
-or 1I1~hnl (~MIl (''1rll III ) ~',n Ol\lll Whl"\~ ^\tnltA IIi\Y \ "~II""II h~,. t~~'lIrll
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. Atllllllll1-u"lt.!Ilnllth, 111ft fllI\l)UlIt (It tnrl~lt or r""11 rll'1l1lr.<1 '" tu~ (1,,/11 .,,111I111 11Iilt (Mil 1111". 0.' hort!'\t
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.. ",. ~~"i'If'1 IHI /'It tilt. "'II" lUlU fnr I'n1ftl'''1I1Hnll tll" t.#Ihflvlnr fthArllllurlHla' or thfl .or unlt.
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I.f.MH:(J, COlN(VLl) MID CmWlm.If:O, M1f\ Ill' 1Ilr~a: /'rH:~;nn(l 00 f;HMll, IIt.lcr,Altl, ~:Cl.l'1 ,',I_1UI, CtlfTOfT,
Jlf:Lf:M.E, COfWF:V ANn CO~H 1m,! urno 11n; ~;AI(l r^nl1r:~; or TIn: !if:corl(l PMl, Till-In II!: Ill!; MIll A/151mw,
ALL 111M CEHTA1t! TI!M:l Of' l.^"(l SITUAlf: Itl THt: TOWtHilllP or 1l0rCI'II:Ll, COWlTY Of' CI)t,llIcnI.MIO AND
COIY.\lHIVltAL TI1 or POlllf;YLVAlll A I 1l01l11O[D MIll (J[l)cn I Hf:O A!\ f'Ol LOI'!f.:
nr.Olllftl~1O M All CU,1 Hlf~( AT conm:fI or 1.^rHl~~ rornH-:!ILY Gr 1:, !>TAVr.ll rlOW or [{I, U(lIlLMl AllO TIlC
t,lllrp\:tI~(ltlflO nOAll1 Hlr.llr:t.: M.ot'Hl !1o\11l IlOAU, :j(1l 111 1 T\'IUIlV (.!) Ilr(\!H-r~; 1'11:'>1 I tllllL AI,lP 1'0\1(1 tlllllll (9-J,/9)
f'f:nCI!!:!110 ^ !l10t1:1 TlIurm: AltHHf Lfllm!. IJO\IllIl rOfHlt;III.'t' (If II. \'/, WUlllll:!lli, 'HW']II LI(;IIlY~t'l)lIfl Ill,)
(l[OnHfi Wf:!iT, lV/nlTV (?o) f>eJlCIIU: TO A [1TOII[;1 '1IlnIOC M,(III(, LAtlll!; 110\'1 (111 f'(lIH,tcrlt.~' Of' llLtIPVIllll~f:,
~lonHI f0I11Y"S,lX,AtlU (I/H:'~HAt.f' (J.{JHI,) !Jf;n!l!'r;ri \'IU;l( ntH: IIUtIOf!!.:!) l:IOIlTi:UI MIl' <\lX"TUI'lII (JW.6) flr:[~CIl[D
TO A PU!!TI THnl(;[ flY TlH: !\M.1L, ~; UHI f,;lnY"lVlO 6;') {l/Jl[H',E~; 'II~:~\T. 1\'1[tlly..rIVl: (~J)f'r:!lGHl:~ TO II
!!ICKOfl~' TllU: THeIler: rIY 'lIlt: r.MU:, tlOflll1 f'lnV"f>l(iHT AI III Otl["'HAl.r' (~HM lH;nHO:r. Vn:Sl, r(\!l'IYkClmn
(liB) NflCIIl:n TO A I'Of,lITIH:NOC 1)01'I1J '11H: cmjOllOn\lllllT C[l!:[~: 0)' ITf; f,C\'CIiAL cOllwa':l, AIIO lJlnTMIOUl rOlny.,
t~IHf. MIO rotlP TUITII (1.9,1.) PUWH::J 'TO A IiT(J~Ir:1 TIIUle!: llY l.MJlI.ll ['OfHIUII,Y or ,100lll 1'1, IlUTfl.rlllntn NOW
or JOHN fAILOfl, <;(1UTII Hl>:lY (60) (J[n~l[l:n f:A8T, :;cvunrul (l'l) flU1CIIU; TO A pwn I lHLlICI: flY 11(1: SAMC,
NoqTH f' I f'TY"ONE ArlO TIUlCE-f'OURTfI (51:~) flCOl1u:n, C^'1,! i f'cmTY-roLlf! (l.h) P[!l(;HCS TO Ii :\101,n: I" TIH.:lIC(
11 Y T liE SAME I SOUl II SIXTY ~O~H.: Mill ((1) {I( nnu:s EAnt( 7,/.. H) Pf;I1CH[S TO fI HT Otlf. J THf:tlCl: BY LAND or fjli"~F:
NORTH 4~ OEonr.r.s f:AST (ill) Ptf/CItCS TO A ~lTom: III Lilli; or LA/I[) 110\'1 orl rorIMEHl.Y or M. H, H'trJUH.IG
ON THE v'eST SlUE Of' THE !.\HIPPUn\OllflG [Wh[J; THEllCf: BY HIE DM1E, !J'JU1H THlflTY-nIIE 01) tH:oru:,r.8 EAST,
r: 10HT MIll C I OIlT -Tf:NlH (H. f.l) f'U1Cllr;s TO A PO~il1 lIIUICf: fly THC f1M,I(, flonTH rOHTY~TV/O (I~:n lH:UI1!:l:S
r:A:H, lwttITYMm,c MIll f'uur~ lUilll (;!1./..) PUiCfH.:s Tn ^ :;TotH:, lIH:m:r.!lY THt !JMI( ::OUTH rlf'1y"rOlJll
(51~1)' lJE.OfH:r:S [M'f ,ON!:: HlIrWIH:O '[\'IC!Jly-mflcr: ANU (Hlt>lElI1f1 (1~~).1) I'fflCIU:;S TO I, rO!;T It I Lltlt rOrH,u':fl\.Y
or rflf:O HOf'fI,IMlj THENCt f,OUTH TVI[t!Ty-r IV!: (;~5) uLGrlf.U; urn, t rOHTy'.r (Jut! (Ill.) PEllcHlB TO A P08TI
TilEr-ICE OY LAtI(J Of [0 .l,IOHl.Arl, tIOH1fIEIOHlY"OtJ!. (llt) tJ{:(1fll;n:VIl:~iT, !H:vnlTY.'f'oUI1 ArlO nix TUrrI! ('11,,6)
rmcHl:i TO AN tL~I, TIlf: PLM:E Of llCGlllllllln. I.UHi TVIQ, (;;) E;f.\II!.1. TIlA{;l~: or LAlIU l.YI!/I, hl.(lllti THe llOfITIl[IW
110tltlufly or THl GA:lil FMH.1, fOR Wlllf;H ~a:t: UU:(l f\(lO~ Ill?", V{It.. ,I, 1'/d:C V,) Mlu [11:(0 II(H\I~ "12", VOL. ~:,
fl/d,C \'/'1, (;OII1^'lIIIIO 0111; HUlIllllE11 rIIT)' (1~(l) M:U[:;, 1',lUIU: uf{ I.L~;~;.
Ilr.llHi .1111: SM"i: fl!lU.tl:H:~\ WIIICH llAllllMlC'! n. HUH/Y, Viluml ^,1(J'~ill)(;I,r \'/OI,I^II, t1Y 1I[,n (lu:n OAlf:(J lI!:cnllll:l!
6, 19ld MIll 1'(COIlUHI III Till O)TICI; rot! Till m:(;ufl[lIIlG Of (Ju:t1:~ fur' C\JI,tIUILMltJ COUn1Y 1111lLt:u 1I001~
"nil VOl.. 12. prIne '/1.), COIIV!.:)'!.:O III 111l IHI^tnOf!~; IILIILIII.
11lE WAll;1l 1~IGln IIU;r.IlVU,1 IlIl!!!: ll(W 01" f.vlrHlfll!CT 'i, f:UHiY, 10 \'JII.l.lIII.,1 fl, l1M:Kj Ui(l, , UAlllJ ,It/LY
If lq41 Mln riC(;OI!tH':U IlllHUl llOOli .I, VOl.. 1;~, PArA, Idl;, , A/Hl WHICH \'!^~, COtlVLVl:(l 0 ~l. A,I1IT1IIJm:n
11'('I',lAfHlMlr.T S. 1!L1H1Yj 1'/fOllV/, flY uU:(J 1l11'lCfJ llU;U,IIIU! Il, LI)I~l .\Ill! IIf:COfWl.U III OU:O BOUlt l'nll,\'lI.l. 1~,
PMiE 79 Ui IIf:REny oonv!:Yf:U TO AI,mD O. PUGH AlIO l'AUl.1I1L fl, PUGH, I!I~; Vlln:, llllU THE !,Alu WATm
rllOffT \','''s rlCglHVLU Mi rOLLOWS:
GRMITOIl, HER HEIIlS Mill ASSIGN:.! rom.ven rlE~r;rlVL() lHt flllllJl HI U~:E TIlE \'IE:Ll t.oeATtD Wl1111tl THE
Ol:.t.;CI110f:D PROPeRTY JOllllLY WllH THE GrlMITf:E, ron TH[ PIJflPmlE Of' O[}lAlIlltlO VIATEn OY f,ICMm or lHl:
SM1C rACIL!Tles AS IS lJ~r.o AT Tilt T",II:: or TlflS GOINr.YI\IIC[ rOr! TIlr.r;pnAYlIH'l OPEHATIOtIS Oil TII[ rmJlT
THEEn Otl HfE ntHA I tll NO PORT I OH Of" THE r Mlk~ f"fHlI,1 1'111 I eH THE: 1'lllH III ou;crllBEO THAGl WAn A flllfH.
SAIl) llSE: Of' WELL 18 TO OE: CONSlHUEO TO IHCI.UOl ~lPflAYllIr. OVEn TIre ~Al-lt: TEllRlTORY AS IT IStJOVI
(l(;ClJPIELJ llY fRUll mU:TH lIT lHL T 11,ll or TlIl~) ClHlVlY/llICl:.
10UE'II![I! V/ITIlAll. Mill H1!IGuLAfl Till:. HIIILOlllO;I, IHI'fluvr:lvm1. 1'/()OUn, VlAYfi, IlfOIlT!l, 1.1tlL:lll1tn,rflIV1L'"
[(lEn, Hf:llUIITlikIENTB MID A(lPlJHn~lllitlC[~; TO 11lL (iAML lILt.OIllillHi, on Itl,^"YWIHt APpmlAltllllO AtIV Tile
1~L:VEfl8 J 011 AND ntVCR~11 OW:, nE~M l/-lllCn MILl HO.lA 11'lIltfl!" HL~Il~), I nmJCt; MIO flnOf' 1 T B lfl!:rlcor, ANO or
d'EHY rMn MlO PAntCL. 1111~n[Orl MH,l J\UJ(l, fl1.L Till: Lt.TATl:, 'flIOHT, TITI.I;. ItlTL:lH;fiT, I'f/OPUlTY, flonSr.~;Slot'l
Ct.A P,I !IIIO D[I,IMID l'II!AT[](If.VCn, DOTlI III \,,','11 MIU t:lllJ I '1Y, or Till ~i'\ III flM1T I Efi Of' TIll: r 1f1~n p/"n, or,
III, TO 011 OU1 or Tilt.: ;,AIU PI<LI\II~H:~i, MID r:Vf.flY flMn iliH) PAH\iC\. Tlll:llCllf', WITH lHC Id'I'(II11I::lMY:C'.1:
10 HAve /\1,10 101101.(\ 11ft:: ~,^IU 1'f1Eldl~~tn, VllllI AU. IdlU ,~illltillI.M( TIll ^f'PllfnUIi\IlC[~l, llllTO 'lit!' !;AILJ
rl\nTIE!:1 or lHE !;[CONO PMIT, THEIn !lllfW MIll ll~j~~lnll~;, TO /dIU rOf! Till OliLY PfWI'Ull)~H:, lIt!llrlT MIll
BeHoor or THE SAIU PMlTIU; or lllL ~1l:(;0Ij(1 PII1l1 1I1Llfl HI:IH~i !lllu A:;!~IGtnJ rOIlf,vf;rI,
Atm THl SI\IO P^l11lt::'. ur 111L FlllnT 'PAnT I rurl TIILM:.I:LVr:;;, AtJU lHLlfl HeiliG, r:XE:ClJHJ!!8 Mill AtJl,llIjlnM
1 HATOHG, 00 )!Y, 111[:iL p{:r:nr:~ITS, COVUIAIH, OflAIH MllJ liOller;, TO MIll WITl! TIll: ;,A I II PAllll [:; (If' nll:
!lE;COllO PM1, TIlUn IlElfW Mill M;~lml'; f Ofll:Vr.n, TIIA'[ rilLY "lIIL :;/<llJ t'lIllTll,.:l or 1IIl.: rll/:,T PAllT THCM-
:;CLVf;S MJLI THElfl "tlrl~ Al.L MIl) SlllotH.Arl lllE IIi:flEUfl!,UCIITS 11Im rnUllf;ES H~l1[ltl ABOVE UF,Cfll{JEO AND
GllMJTED on ~,Ir.11T 100If:O MIU 1Il1ENOf.O OO,TO flC, l"lnl n!t': /IPflllllTHI^NCU;, IlliTO lilt $Alll ,f'MTlr;r. or THE
f1ECOI.JU PAlll, TIII:IH 1It:ffJ9 11I1(1 /,~i~;I('ar;, ACi^INST 1I1L l;AIU PMlTlf;fl or Tile rfW1T rAIn MW THLlnllt:IIlS,
flUU ^G/,ltl3T AL1. AIW CVEm' 01HLn P!:flSUlI'Ofl Pr;rWOt)~; \'IHOM~;U(Ij(R, LAVIf'Ut.LY CL.AH1l1~(j OH,TO CI.AllIllHr.
'lAME: Ofl MIY p/'ln THClu:or, .')H/,LL MI(I WILL DY lH[st rrn:.sCII1S WAfHlMIT Mill rorU:VI:H OULlItl.
IN'VllHI/.:SS Wtltl1EOf", TI!r: SAfD PARl'IL:S or TilE: rlllST PMl1'lo TIIU\[pm:SClIT8 WIVE IIt;nCUIITO ~;t:1
'THelf/ HMlllS IItlU Sr.AI..s OAT[{) Till: [lAY MIU Yf:An rllHn A{l(lVt \'lfllllt:ll.
Sltilll:U,I1f:AlEU AtW ()[L!VE!l(O n. A. IIITT flll,[l1 (fil:AL)
lH TIl[ pnt: nl:: II C F.: or COtlA ',I, f\1'ITflHltJ!{!H:^L)
ADD I SOI'l M. (lOWf..IMI, Jfl,
~1^1[ nr rt:HN'1YLVMJlII~;n
COUNTY 01 ClJl,'IlEIlLMllI )
01,1 THe 29TH (JAY Qr M"'lell IN TH~; YEAfl ONC TlfOlJ!lArlll 1,IIIH>lllHlufH;ll MID rorllY~rOlJn, OcrollE Mt, THe
9uuscnlllt:n, ^ WllTEO STillER cm,y"WH,IOtllfl, IH ArlO ron S/IIO BTAH MIll COIHITY IU:Sllll:tn AT GAflll!H.l:IP^.
PERSONALLY CAME: TItE AllOVI>tIAMED S. A',fllTT1Notn AIID EtlNA lot, IlITTJJ~~H1S l'lln:, TO j.,1E Pt:flf>ONALLY
!{NUVItl TO lIC THl rUHIOHG WHO SUOSOlllfH;U Tltl: rOllCOOlllG UL:UI, 1\IJlJ/~!t~'( II OWLC[H\Lll lilt AlIOV!: IllULNTlJRE
to liE: llltlll ACT IItIO DEEO, AND llf811H;O THl:: t.M,lf HIGHT liE rlf:(;On~Cll~ASAI'
V! I H~cns MY HAND MID orr I C I ^L tJl:AL, :;
MIll I ~Otl ~{, \I O\~'I,IAII, \, -
\lIHT!:!l ~1'fIlTUi OOI1^tnnJONI' AT CMH.I!ILC, P/\.
I lu;nUJY CEI1Tlry lllAT TIll: Pf\ECIf1/; nt~lltJl:tICl 01 'I11I: \','ITfffll r.nAtnn'~J'\l ,11l1lTIIA/,lPTOI-I TOWW,H1P, cUI.meR
:..AtIO r,o" PA. SHIf'Pl:llf.flUIHI, fl,D, PA.
MmlilOtllA, (10'1/1,11\11, ,Ill,
,o, 'I' (llllll:V I'OI~ r;)I At II LI::i.
('EHIIFI<'AlION ANII SIAl E~IENT OF 1.I~1I1 INI: ('ONIJlTIONS
('1-:111 Ii'll ',IIIIIN:IIII' AI'I'"II,," I"illll,,". 11111111/'11"" 111111:
, 'hi' ^l'pflli~('1 11ll~ WI ptf.'~('f11 tlf trlllll'llll'lnll'{/ 'Uhllf' i1llerc';1 Itl lhe plnp\'lt~r tlpprl1l~cd; !llld 1It'l II Il'f Ihe t'!Ill'lrl,\'IIll"'1 In
IlInk!'!lll' !lppr;li~nl. tlln Ihe r(1!1ql('ll~l\tlllll rill II. J.~ 1'lllIllIlW'lllllplJllllil' Ilpl1lnl..,('t! \'1I11!!' or till' plllpclly,
).111(' f\pPlllt.:t'1 hn~ 110 pt'r~IIIlHlltlll'Il",f III III Idno, \\'llh 1{'~qU'd In lilt' ~uh,I\'rl 111nllct or lilt' !tj1plnl~tlllrpl1l1 lit Ihl' I'lllllrl,
p:lllf~ 111 llit, <;1111, '111e "1~~litlllll!' 111 ~'!II~:d VilliII''' IlIllH'lIppluJ!i1d It'pnrf h IInlllll'led 111 whok 01 III jlllIl IIponllll' l!ln', lnllll,
nr fwllllllfll 1l11,illI lillIif' lor1<;j1tTIII'I' n\\'I1!'I~ nt lltTllpl1t11<; of till' /Hnpl'lf}' IIPPlld';t'd, !11 11/1011 11!l' Inn~, cl1lw tll IlflllllHUlllll,dll
of lilt' 1'1('':['111 n\I'Ilt'I~ III nrt'IIPI1l1l1; lIr llie' IIlop('III('_,: III 111l'I'lrlf1ll.\' of lilt' pHlpelf)' llIlPl!lI~t'd,
.1 IIII' ^I'I,,"I'.l" lill' 1'<'''"111111.\' 111''1",,11'11 llil' 1""I"~'I,\', lilllll II"ld.. '"111 ,"11, 111111 1111\ 1111111" 1111 exlt',li" 11I"II('lllllll ,,' 11/1
lllllll'IIIIIIII(' ,"11',' Ihl..d III III" 11'1'"11 '1111111' 10,'".1 III III" AI'I'":!""" kllllwl..dg.. 111111 Iwlld, 1111 "llIkllll'lIl.. I1l1d 11I1i1l1l111111111 III
Ihh leprHll1ft, 1!l1l' Hlld rlllH'l'1. IItHl rill' Appluht'l Ilfl': IInl ~;1I0WII\ld}' \\'lIlllrcl(f 1111)' r,ll~IlJfl{'l1llllll(hllpnn(ltl.
, 'l.A" rllllllllgcpl IIlId IInriIl1l1', rllnd/llll""' Illl' CflJ1lldll('d Irt'Il'ln (I!lIIHI.'a:d hy !lw 1('1111.'; of Iht' 11,,;.'lII',IIIIICI11 Of flY lilt' lIIHkl.
~1f1lll'd ,dft'dln1l tlH' 1111:11,\";['.<:, [lplllhlll~\, trill! l'(lIlrlll'drlllr, l'fllIlnIIH'd 111 1110 Il'pll/II.
.~_ 'I fd~ l1PI'IHI~t" t('I'"!1 1111" Ilet'l1 l11ndt, In ('nnfilllllily wlllt IHld l,r, r.lIhJr'l'1 In thl' It'qulr(,IIl/!III.'i of lhe ('pd(~ tlf IllnrC.~~hllll"
I~lhln nlld .'1lllIllllIld'; of l'loft"l.'lllllull Cnlldlltf of lilt' UPI'II1I.<:11I l1f!!11111l-11l11ln,,; wllh whlrll Ille ^pf1lnl.'ll.'f 1.'l nffl/lllled,
fi ^" lt1lldll~lnll~ Ulld f'p/tilnfl~ COIlt:t'!l1I111' Ihl' 1t'1l11'~ll1lt~ Ihnl 111t' ,'If'! kullt 111 Ihe IIpplnl.'lnl tepotl Well' PIt'fUl/tlt flY IIt~'
AI'I',"h" 111111'" Ilj'III'IIII" "1'I'{'I" 1111 IIII' "1'1'",hlll 11'1'"11, IIl1k... IlIdkllled II.' "U..t'ir\V AI'i'''''''"!,'' Nil rllllllj!' 1111111)' IIl'III III
111(' llppllll~nl I('pllll ~1I1111 Ill' !tultle b)' 11fl)'(lfle olltl'I Ihu1I lire ^f1ptnl,<;N, !llld llle ^j1I'IllI~rr .'lIllllllu!vc 1111 'l'.~l'llmlltllllr fill Hit.\'
..Ill'll ll1il1l1lhllll,,'d rlllttlW',
('IIN liNt Ir,N l' flNII 1.I~"IIN( I ('( JNJIIIIIINS,' II.. 1'I',llIkllll,," "IIII<' A 1'1'",1'"" "1'1,,'I'IIIl! 1111111' 1I1'1'"i/".1I1 1('1'"'/ h ,11111.11'1/
Inlhl' fidlm\'!r1p l't1l1dlllrHI1; nlld Itl ,<;lIrlll1Ihn '~jit'l'lIi{' IlIld 1I111lflllll t'/llldilitlll.<; l1-<; IIle ,lll'l rhllh by llle APPllll.r,er In lIlt, It'I'OII.
I 'I fll' '\pP'II;<;('I 1f<:lll1I1H''; Ill! !{,,<;poll~lhil1l,v fill IIlnlll'I!\ tlr II lewd flnllll\.' nl((ocllllg Ihe ,""pt'lI)' n/'pIUf"l'tlur the llllf.' Illt,It',
III, 11111 ",,'" IIIl' AI'I'"I/"'1 I('lIdl" 1111)' 111'11111111 11.\ III 11,l' IlIk, wllil'1I I, 11,',111111"" III 'II' [!lIl1d I1l1d IIl1l1hllll"l', 'IIII~ 1'"'1""1)' I,
IIl'plld~/'d nr, 1!l1I1I!!11 IIUdt'1 II'<:pof1<;lhle OWllt'I,r,hip,
), ,III)' ,h'lI II III Ilir l('I'"i1 11111)' ,111111' "PI"lIdl"lll" "11111'11':11111" ","1 '" I""'"dt'd III 11.,.,"1 IIlc IClld", III """11111111/! I Ill' 1'"'1'
I'll}' "Ill' ^pl'lId!;t'l IIII~ Itlud!' IHI <;1I1\T)' u/ll1t' /l,npl'''Y,
.\ 11:.. AI'PllJill." ""111 1("1"11('11 III 1'''''' Inll'I'"I)' '" "1'1'1'111 III t'1I1111 1"".'1111,'" III 1111"'"1.\ IIlIlde III.. "i'I' "",III I IlIIII It'll'ICII'l'
III lite !llnp('fly III tjIH";!llll1. 1I111eJ:.'; l"II1Il/!l'1I1f'111r, 11:\\'1' h(,I~1I pll'\'Il1\I.~ly 1Il1l11t' lI,e,dill,
,I, ^"~' lIi'ilrihlltlllll III Ihe II11llnllllll III rllt' lqlllll hell\'tTIl laud !Jlld lIlIPI!l\'I'I1H'Ill.r, IIppllen unly wldcr lhe c:~J~I/IlJ~ flltlpllllll
fjl uIl1l1l1111111,' Ill' ~('pt\ltll(' \'Idllnll(lfl~ fin 11111(1 nllt! hulldllll! II 1U.r, I Iml he tI!ird Itl t'onJlHldloll willi /lilY ollil't nPl'lnl~1I1 11IHIUll'
111\1111,1 H 'HI l1'\l'd
,\ """ AI'I""I,," 1I,'IlIIlIe' 111111 IIICit' "" 1111 IIlddell "' '"11II'IIIIt'1I1 ('lIl1dllllll" III tile I'IIIPCII)', ,11111.11I11, "' ,"ItI(IIII(',', IIlIllli
\\tll1ld 1('1111(,1 II "'nll! (11 Ie,'i,'; vnlflullll', Till' ^PPll1f.'a'1 /I,'i~IIIlW.'; 1l!1 IC~'HIf1.~lhllil)' rnr ~l1dl rtll1t"1I01l~, Of rm (~II[!IIlt'cdll{! wllit'h
!nlr.ltl hI' 'rqulrt'llln dl.'i{,IJ\'l'1 ~lIt'h rl1('lol.'1,
(1_ IlIfl1ll1lll11nll. (',r,tlllHllt'1;. Imd Oplllll'"<:' IUlIlI_!;lll'd III lilt' ^/lplnI.R'f', 1l111lcl1lllnllll'II III Ihe 1('1'011, \\TI(' nhl:dflt't/ ""111 ,t;II\11l'l''\
tl1mldell'lI Idll1hlt' till!! hdievt'llln he IIIH' nml t'lIIH.'el. IIO\\'('\CI, IIn 1l'~pnl1'\lhlllly fill' IIlTHltlCY jll ,'lllt'h 1ll'1I'~ fUIIII,r,ht'I.llht,
API"rllq'f nil I he fg'illllled by Ih(' ^/lprnl'it'l.
" 111<<"'"ll1l' 1I1111l' l'1I111t'1I" III I Ill' Ipl',"h"I "'plI'l h /l1l1"'IIH:tIIl)' till' 11)'111(\',' 1111111("/111111111111,' 111111" IIIlIli','I'"IIII/III'I'"II,IIII
""'"111111111111' 111111 \lllIl'lI IIIl' AI'I'IIII.,CI 1.1 ,,111111I1l'd,
R I<I'IIIH" ,,/I, HIIr nil)' p",I III lilt' "111111'111111 IIIl' 1('1' II It , '" (liP)' 11I..,cllr f/lldlldllll! l'0"':/1I,1101I,' I" III llic I"IIIH"I)' l'"liH'.
1/11' 1:1,,"111)' III ,II.. AI'I'II:I\t", i'",Ie""1111111 I d",\lglI!IIIIIII,I, II'lcII'II('t' III 1111)' I'III"~,\IIIIIIIIII'IIIIII,,"II1'gllllll,IIIII1I1,', ," 11Il' "'"1 willi
IIllIdlllll' AI'I""hl" I, ('IIII1It'rl..di, ,I'nll hI' "'l'd 111I1111)' 1"111"1,1(',' h)' 1111)'11111' hili I Ill' rllclIl li'ct'lllrd '1I1I,c 1('111111, 11Il' 11I1,,"Wl'l
If 111'1'lnl~nl rt'r /1:1111 h)'~JltlH', tire Itlollgr!l!cl' PI il~ ':1l('l'('r"r,1l1~ flrHlll~,'lI'!ll_'i, 1I1nrlgfl/!l' 11L<;11l l'F.'l , l'lIll,r,lIUrtlll!:. j,,"rl'~_~10l1ll1 np/lllll11111
1l"!11ll1"11I1\1l~, 1111)' 'ifnl(' 111 'hlelnlly npP'fll'l'd flIllllldlll Ifl~IIIII!lllll. /111)' tll'f111111lH'lIl. "!!l'IIl')', lit 11l.'iht1lllt'llllllll)' III lflt' UIlIIe!1
,t;lnln!ll 11",\' o;latl' ill lite l)j~rlh:' fir Clllllll1hln, \\'11110111 Ihe l1tl'vIOIl~ wllflt'l1l'lIlLr.I'l1lnllllt' ^PIIIIl!r;CI: 1101 .1:11111/ 1l11r l'lIll\'c)'t,tf
",I' llfl)fllll' III 1I1l' puldie ""Utlll,ll nllvl'III<:IIII1. pllldk Il"nlll1fl,~, I1CW,'l, .~IIIl'.!;, III nlltL'f "Iellln, wlll1tll!I 'he wdllefl l:1I11.~l'lll 111111
n"plflI'nlllf lilt' ^Pflfnl'il!1.
'I, Oi! nil "/'1"111':111<:, _<:lIh.ll'l'1 In ,t:l1l1,;flll'lf1I,\' l'lllllpldlllll, It'Pllll.!" III nllclullOfl,';, Ihe uPPllll,';lI' fe/Illfl mltl VII hIt' l'nrldll,'lltll1 1111'
('1II11lIlvrl1l11lIf1l1 nlll1plcllflllOfllw ItIlP'OVCI11('ill,o; 111/1 1\'11I ~lllnllllkt, IIUllllWf.
''''to'' (,)""~"0/,;N( l.wl^"II1I1I\1'II".I(J~Aa~2I?~'(<. . ,
i:tJ1 ct?/l>fP'- L
, I /
1) .
BUREAU Of INDIVIIlUAl TAXI'S
INli1RIIANU rAl( llllJI9lOH
[)[PT. <'80bO!
ItARRI~DIIIW, II"" I/l~8-11(,OI
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
( .-'
NOTICE OF INIIERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISAllOWANCE
OF DEDUClIONS AND ASSESSMENT or TAX
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
.'~~=~n.~!:~mli-t.~~,_,~j
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLI SLE, PA 17013
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ....
it 'EV: is'4-j - Eit - j. i: ji - f 0 j-: 97 Y" NO Yi CE - "0 ii" YN"H Eiii T Atfc E - YA" X - A"P PRA' i S Ei-fE"NT ~ - -j. [,1. OWANC E ,. cili - - - - - - - -" - - - - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
AMOS 0 FILE NO.21 96-0B09 ACN 101
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:
IS, Anount of Line 14 .t Spousal
16. Anount of Line 14 taxable wt
17. Anount of Lina 14 taxable at
18. Prin~ipal Tnx Due
TAX CREDITS:
------.--
PAVMENT
DATE
ii6-1RY'
FOREST N MYERS
10000 MOLLY PITCHER
SHIPPENSBURG PA
HWY
17257
ESTATE OF
PUGH
TAX RETURN WAS: I X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Re.l Estate (Schodule AJ
2. Stocks ~nd Bonds (Schedule B)
:5. Clonly tteld stock/Partnership Interast I Schedule C}
4. Hartg.ges/Notas Receivable (Schedule D)
S. Clsh/Slnk DftPoslts/Mlso. Porlonsl Property (SChedule E)
6. Jointly Owned Property (Sehedule f)
7. Transflrs (Schedule G)
8. tobl A..et$
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funerll Expense./Adlll. Costs/Mhe. f.xpenses (Sehed,~l. H)
10. Debts/Hortgagn 1.1.bititi8s/Li8ns (Schedule I)
11. Total Deduction.
12. Net V.lue 01 Tax Return
13. Charitable/Governmental Bequests (Schedule J)
14. Net Value 01 Estate Subject to T.x
Non:
rate
Line.l/Cl..1 A r.t.
Collater.l/CI.'I Brat.
RECEIPT
NUMBER
Ali2Ti4~--
DISCOUNT (+ 1
INTEREST/PEN PAID 1-)
------.
.00
III
121
131
14 )
(5)
(6)
17)
(9)
110),
l_____
10-21"97
PUGH
09-17-96
21 96-0809
CUMBERLAND
101
I CHANGED
110.000,00
3.252,00
----&Q.
,00
12.693,69
.00
,00
18)
11,730.50
l.69.5.,H.
(11)
112)
113)
114)
1151
1161
(17)
.00 X .00.
112,519.52 X.06.
.00 K ,15.
lIB)
AMOUNT PAID
6.751.09
JJ.l~
,~~'
t(i-I~.' ,I If~ I U ,II,
AMOS
o
DATE
10-21-97
NOTE I To insure proper
credit to your lecount,
submit the upper portion
of this forn with you,'
tax payment.
125.945,69
13 . 4? Il...lL.
112.519,52
.00
112,519,52
.00
6,751.09
.00
6.751.09
TOTAL TAX CREDI.!._ ___._,~!~ii'9 =1
BALANCE OF TAX ~UE ,00 J
- - --------~
INTEREST AND PEN. .00
._- ~
TOTAL DU! .00
--_._---------~.- --~-~-_.__._-
· IF PAID AF1ER DATE INDICATED/ SEE REVERSE
FOR CALCUlATIDN OF ADD:TIDNAL INTEREST.
IF TOTAL DUE IS lESS THAN fl. NO PAVMENT IS REQUIRED,
IF TOTAL DUE IS REflECTED AS A "CREOn" ICR). VDU MAV BE DUE
A REFUND, SEE REVERSE SIDE OF lHIS FORM FOR INS IRIJCTlDNS. )
RESERVATION: e.tet.. of decadent. dying on or before DGcl~ber 12, 1982 ~~ If any future intere.t in the .It~t. 1, tran,farred
In po.....ion or enjov~.nt to CIa.. B (collat.ral) b.nlf1oiari.. of the decedent aftlr the 'MPlratlon Of any e.tate for
I1fe or for vear', the Co..onwealth herlby expre..ly re..rv.. thl right to appralee and a..... tran.fer Inheritance TaMe.
at the lBwful CIlIs 8 (collat.rlll) rat. on flRY f1uch future inhr..t.
PUllPOSE Of
NOnC!::l
PAYMENT!
REFUND (tR) I
OBJECTIONS:
ADMIN
ISTRATIVE
CORRECTIONS!
DISCOUNT:
PE:NAlTY:
UlTEREST I
To fu1fHI th. requlr...nh of Section 2140 of the InherltelncG and Estelte TUIi Aot, Aot 21 of 1995, (72 P.S,
SVQt10n 9140),
Oetaoh the top portlon of this Notice nnd IUbMit with your paYMent to the Reglster of Willa printed on the rever.e ,ide,
--Hike check or 1I0nllY order payable to! REGISTER OF HILLS} AGENT
A r.fund of a tlM credit, which wu not requutad on the Tal( Return, lIay b. reql,uhld by cOIIIPleting an "Application
fer Rafund of PennsylvanIa tnheritancI and f&tnte T~xn (~EV-1313), Appllcatlons ar. avallahle Rt the OffIol
of the Register of WIll., any of the 23 Revenue DistrIct OffJcII, or by c"111n9 the ,plcial 24-hour
antwering .ervlcft numblr. for for~s orderlngl In rQn~sylv8nln 1~800-362~2.050, ?utsld8 PennsYlvania and
within local Harrisburg arRII (n]) 781"6094, TOOl (717) 772-2252 IHllaring Impaired Only).
Any party In Inter~st not satisfied with thu nppralsQmontl alloHance or disallowance of deduction., or ~"~".I~t
of taM (Includlng dIscount or intarestl HI shown on thAs Hotlce .ust objlct wIthin sIxty (60) day. of rloeipt of
th1l Notic. by 1
.-\rIrittln protl.t to the PA DQpartm.nt of Rn....nu., Board of ApPlnts, D.pt. 281021, Harrhburg, PA 1712841021, OR
--C1hetlon to have the JU'lttor detlr_ln.d at audit of the I'li'lCOunt of tha personal rlPrliluntnUve, OR
--app.al to the Of'phans' Ccur t.
Fflctu~l ilrrorlt dlsco...ered on thlfi aSSOSfi!llGnt should be addrosud In wr.\tlng to: PA DQpartllent of R.....nu.,
~ur.eu of IndivIdual Taxu, AnNl Post As$QsSIIent Review Un.lt, Dapt, 280601, Harf'lsburg, PA 17128.0601
Phonll (717) 787-6505, Su pBge 5 of the hooklet '''Instructlon. for InherItance Tali RetlJrn for II Ruldlnt
Dicadent" (REV-ISOU for' en e)(plsnatlotl of adllllnlstrat1vely corr..c:table error.,
If any tali dUll It paid within thr.. (3) calendar 1Il0nth, aftllr the decedllnt', death, 1'1 five purc.nt (5X) dllcount of
the tal( paid Is alloHed.
Tl1e lSi talC alllne.ty non-pnrtIcJpaUon penalty It cOllputed on the total of the t&M and InterOlJt au....d, and nat
pald before Janunry 18, 1996, the flr.t day after thM end of the tali "'.nasty period. This non-plrt1cipatlon
penalty 11 fjpp.alable in the .UI .anner rind In the tht! I8ll11i ti.. rllrlod fl. you would appul the hM and lnt.rut
that hi' bien .,..s..d fll IncliOflted on this notice,
Int.rut 11 charged beginnIng with fIr,t dl'lY of d.llnquenoy, Of' nln.. (9) .ollth. and on. (1) da~ fro. the date of
dllath, to the date of pay.ent, Tal(eR whlch becn.. d.lln~uent b.for. Januar~ 1, 1982 beat lnterest at the r~t. of
,1Ii (6X) percent p.r ftrmu. cblculat"d lit 1I delly rate of .000164. All tftliU whlch becslle d.llnquent on and l'lfter
January 1, 1982 wlil b.ar Intllr..t lit a rat. which will vlIry fro. clIlendar yur to calendar yaar with that rite
announced by the PA Depadll.nt of Revenu.. I'h. flppllctlhllll Intltrut rates for 1';182 through 1l)~7 are!
'!!!! Int.rlllt Rnh Dally Intorut Factor Y!!r Inhrut Rnt. !!.!.!.!1. Inter.st Factor
1982 20% .OOO!j4& 1981 9% ,000247
19&3 16% ,000438 1988-)991 11i: .000301
1984 11% .000301 1991 9% ,000241
1985 11% ,000lS6 199~-1994 7% ,000192
1986 10}: .OO027'l lIJ95"1991 9% ,000247
..~tntere.t It ulculatlld .. followlI
INTEREST. D^L^NCE Of' T^X UNPAID X NUNDER or D^YS DELINQUENT X DAILY INTEREST r^CTOR
~~Any NoUe. Iuulld lifter the tal( beco... d.lInquent will ref!lllllt IIn lnterut calo\daUon to flft.." (UD daye
beyond the dat. of the ~.s..I.ent. If p8y~ent 1. Mllde Ifter tho Int.re.t co.put<<tion date .hown on th.
Hotlc., addltlonml lntere.t lIu~t b. caleuiat.d.