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HomeMy WebLinkAbout96-00871 .. .0.' z '-I- o CD .... ( a .... VI W '><) .. ., " . .. ~ ~ PETITION "'Ol~ PlmUATE und GHANT OF LETTEI~S 1,:'111I1' 1~/tl\I:"\(I,^-\ t: D,\k_<,,,__ Nil. ..;tl-=_~_~_~__~]_L_____ al.w /u"''''" fl.\ _ ~ _ ___ .____ _ 1"0: ___ __ _ Ro~i'lor of Will, I"of Iho \ __ ' ,--" - , Il . l)<'cl'II.II'''. COllllly o'-C__~~.JI~ J_",-d",>-.!.t in SIIda' S,'cllril." Nil, ___ __ ,':L_~ _!_:~'__:_~::'Ll"_~c..,, COl1ll11onwollhh Ill" I'onn,ylvania rho p,'lilillll of Iho III1lk"i~nod ro,pooll"lIl1y '01"0'0111' Ihat: YOIII 1'l'lilioI1CI-t'~. \\110 j.../,uc IX Yl.'ap. of al!~' or older ..1I111....l..\l.l.III1.:) ._ ___~__ inlho,la~1 ~',ill, 01" Iho ",',"'1'<' Ik~"lknl, darod ____~l(_\ '1\., \.3..-\~I,TI ~~~{~{:.~(iiJ:i~(),\lD~Lf~/_It'1jj~:.=--- Iho named .19_ 1""11..' ,dl'\iUlI dl~'llll"I;llln.". l'.~. h:lllllln;llillll, lkalh olnl'Olllll. l"lcl Ik~""IHkt11 \\a... domidlcd al lkillh ill _____ l_~_':'..~* r~~ ~~_ CuunlY. Pennsylvania. wilh h ""r--- - 111'1 1".lInilYDIlI "rind pal ,o'ido,n~o a,I,,----, -\ L1.._f:__-'4:r: '{l:cLli:!..LL,,=_LJ1~L.;__L_e(G.I-'-"J\..l; 1'1 (lfl;~- Ill" 'lh'l'l, IIIl111hn and Il\lIn~'IJl;llil~ I Ik~l'lIlkl1l.lhon .--?LL.- YOII" 01" II~O. died___--.J.:~/I g . I 91J...:.--. al__ t~~4.~(L N_L..'/!.Lr,LC_____Lr.!!LU_,'--"...bi.'Ltli.'-#,...J_ . b~~pl ." 'olll'>l\\. dw,'dulI did 1101 III ""y. "a, nol di\'or~od "n.! did nol havo" ~hild born or adoplcd afro' ~\O~UI ion of 113 II ill o[krod I"llr probato: "'" nOllho \'klilll of a killing and Wa' ncw, adjudicalcd inl,.'Ulllpt,.'II.'I1I: _A!.._. __.__'._. llccondonl al doalh m\llod proporty lIilh o"il11"lod \'aluo, a, 1"0110"': (I I" "onudlcd in 1':,.1 All por,ollalpropollY S .. () l' ,.' () (I f 1101 dnrnidlcd in 1'.1. 1 Per,onal proporty in Ponn'yl\'llllia S (II 11(11 dOl11i~"ClI ill l'a.1 I'or,ollal proporty ill COllnty S \'alul.' of n.'all"lall' in Pcnn\ylvania $ ,ilualcd ii' l"u11\1\\"': ____~_ _!L'e.'/'JE__ \I IILRLFORE. POliliollorbl ro'po~ll"ully r04"o'I{') Iho probaro of Ihe lasl "ill and codicil!s) prc:",cllh:d hcn..'wilh and the grant of Icltcr\____ _-=-[..... ".1'bi~\.\a , \....tl~.,,\..:rc= , 1l\.'\I;lIllCI\I"I~: "lIlllln"lr .llltll1 ~'.I.~.: alllllini\lralinn L1.h.n,C,I.a.) 111\.'1011. , :: 12 =,R ~g .9.~1t..,,~. t.J,.d-c=.-_______ (:<//1l"1l:=5_ !\.ut:F::'-=-S ____.. U_'C'E..~_.:J (~'---T --- --- -- ...:/!'!:...r,if,_ E,J.tf I7c'IL i'f(/ ~~ '" r - -- ---_...-.+_._--_._-- --_..__.. --- - . _._... ..__. _... __. . - .---"-0 OATH OF PEI~SONAL REPHESENTATIVE ('0:\1 i\lO:'\W EA I.TII OF I)E~NS\'I.\'ANIA I .. C'()l' "....\. ()L' '\' . '" r- ;. ~~ ,'."'. J" '. __'.l.,1..::l.~...~.'-:.:..' (l., I' u.. ._ J rhl.' pl.'lilllllll.'r,~) nhml'~l1aml":.i ~\'.l'i1r(\) or ..ffirm(\) Ihm the \talel1ll:l1l\ in Ihe foregoing petition arc Inn.' "ud nJln:d l~llhl' hl.'~llJf thl.' kIHl\\lcdgc and belicf of pctitinner(\) and that a~ pcr!olonal rcprcscn.. tati\l'bl ,,1 Ih,,' :Ihmc dl.'\.'cdclit pctitiollcr(lr.) will \\dl and trllly mhnini\tl'r the C\t:.IIC according to law. (1 /? /(' :..JtL1.~I2t:~._~" L.:./~Or- S\\tlTlt h' nr al'finlll'd and \uh'l.'tihl'd hcltH\.' llh..' 1111" v:':' ~_ .. _ dOl' 01 I o ~-.--,:~ --, -/(. --. . ,..: ,-,~< . ----~ I L_._ --- 1 'rJ).,1. 'u., i..!. &u.w pt.-L".(L. .;y"". ..L[ '-<>____ J /--"/~~t~/J RI'gi.\(('r '" ;Q' :. " i: ~ 3: Nil. _.21-1)6-1171 ESIUICIII'~(\{IGL\ l (,\\,::.<, . Dcccuscd DEClmE OF 1)IWnATE ANI> GHANT OF I.ETTEHS AND NOW l,<' 'f" Il)..'\~ ,__.2g-~-, 1~,',Ll.._, ill Cllllsidcrlllioll of Ihc pctillon Oil the r~vcrsc side hcrc..'ol', 'iathfal.:lllry proof having heen prc~l'lItcd hefore l11e, IT IS DECREED Ihal thc illstrllmclllIs) dalcdm__^,-~:-\,_L~._l c) '\ "\ dcscrihcd Ihcreio hc admittcd 10 prohalc alld tilcd or .word as I\'C laS! will or m l f!. i/I I)) f} C 1.11-:...F f2____.__. alld Lcttcrs \ .' '). '(" "" '>-. ,-\ ,"- r '.\---- arc hcrcby gralllcd III -")1' ~\."": '>. \:z c' c: ~(., " " /.,~' l',.. I; . /1, t'i -' '\\ I) ,I. "J ( , /~j.!"4~~t.,--, ,.../, d ' ," ~'(f-'i.-fy Rl'VI\ler ut \\'ill~ FEES Probalc, Lcltcrs, Etc, ......... S.!lD..,OO__ Short CcrtificatcslS) .,..,.,..' S--'2~". XK~lWlKlI~X...., ,....'"" L_6.00__~ ~CL_ S 5.00 TOTAL _ S 66. 0lL... Filcdcr~... .~~,. ,1,~~6........,.,.."..,. ('-'c.> K~>l~ r:...1~0.~ 1.LL ,\TlOR:-OI,\' \s,,~. n, 1.1>. "'0,1 (, I 'EE0 .2) l.l.j-\ I 'l-- <) ,. l'.\.C-l. )\1>1~ \~-.... I,lll) 2-,;.~ - I-I i CJ PttON!'. 0~:' I'''';. ,', CALLED ATTORNEY OCTOBER 30, 1996 (')(") ~rj ::D ~;:7 , ':.." G. C.1 n -i N .I~ .':J Cd i..-J ..~...: :.<, - - - Inventory of the real and personal estate of Nlrlllm E. Ollkes deceased 1. Neilan 811nk, checking lIccount 0885000-7314 30,249. 17 2. Person1l1 property 2,135. 00 3. Trllve1ers Check 20. 00 4. Engllgement Ring 1,100. 00 5. Wedding Rink 30. 00 6. 1/2 checking lIccount, NeIlan 811nk 1,315. 34 ~l: u, ~ -.~ (H] Tot1l1 34,849. 51 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 55: James R, Oakes ._--_.._~--------_. --- -_.--- .-.-- ---- --~. --. '-'--"'.--"-- -_._----.-. -- --.... being duly sworn ______ dCcording to law, deposes and says that he _______l~,,_the J':x.ec.lltor. ___________h__ __..____ of the Estate of .James H, Oakes _____ late of - -- Carlisle -----____ ___ _, Cumberland County, Pa., deceased and th.t tho 'th" 't d b James H Oakes th 'd Fxeclltor WI In II an I"von ory ma 0 y _'_'~_'__h'_'____ -__.._______ __ _ u_ ~_. __I 0 sal .. of tho entire estate of said decedent, consisting of all the personal proporty and real estate, except real OItate outside the Commonwealth of Pennsylvania, and that the figures opposito each item of the Inventory represent it's fair value as of the date of do cedent's death. Sworn to November 26 <Ju...t;...A ')1 \. 19 96 ----t- ,{]yJ?, [JalY--c- Executor .. Acfminht,,'or James R. Oakes 119 F St. _ .--.- -.------ Carlisle. PA l7ll3 and subscribed before me, \ ~- '----17- tJ:~;n;' ~,'-:-I M"Y:ItJ, (.(j' :'~.':''','~''''.~t: C,....;-' H'- '",' -,., .-' .....v ""c":'~''',;",\ t""" . '.. ':- -- :., ".. -- 18lh Date of Death Addr". October 1996 Day Month VUt INSTRUCTIONS I. An inventory must bo filed within three months after appointment of personal representative. 2, A supplement inventory must be filed within thirty days of discovery of additional assets. 3, Additional shoets may be attached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. . , . ..I -ti ..... ~ ~I C"- w " ... ~ 60 ~ '" I- ... ~ w ~ ... " I ... Ul '" U AI 0 VI .. 0 w .. u C '" >- ~ '" w "" ~ " I- J: ... .., .... ... c I- ...J LL ~ ~ Z < 0 0 c 0 I LL ...J , ... :I: - W 0 < w . .<:1 ,;. < ~ > Z '" '" ~ - Z 0 c c e ~ '. .; VI Z .., 0 '" U Z w < ... c, ... ... ... "'I "tI I .... c -- - ~ 0 ~ .. ..0 "tI .... .. E - ~ 0 ~ ~ 0 ...J U u: CD -/l E - CERTIFICATION OF NOTJC~; UNDfo:!l HlJl.E,5.6(al. Name of Decedent: I.) \ r \{i l,L\ L [', (l k e ~ " Date of Death: ( )( T n' I 'j'J (. , Will No. Admin. No, 21 -<i (.. -o,nl 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 1\ ' 4; - 'I \.. Name Address t--(,L,'-r i~, L -, - J l.--C---k'-"-:l L-<-^- Notice has now been given to all persons entitled thereto under Rule 5.6(a) except -)1.-'-v~ Date: 1Lu]; 'i, /1?G ~ F. ~~~ Signature Name :;\ OOUCLAS. oeUGLAS & DOUGLAS Address P,O, BOX 261 --eARttSLE. PA . 7013 Telephone(7r7) 'C'. '> 11'1 () Capacity: Personal Representative \./"'" Counsel for personal representative , , u6 . , t: ---~ NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA IN RE: ESTATE OF MIRIAM E. OAKES. DECEASED NO. 21-96-0H71 TO: JAMES R. OAKES 119 F. St. Carlislc, PA 17013 PI case take noticc of the death of deccdent and the grant of Ictters to the personal representative named below. You may have a beneficial interest in the estate under the Last Will and Tcstamcnt of Miriam E. Oakcs. See attached copy of Will Name of decedent: Miriam E. Oakes Last known address of deccdent: 119 F St., Carlisle, Pa.l7013 Date of Death: October 18, 1996 Place of Dcath: Carlisle, Pa. County of Grant of Original Letters Cumberland Decedent died Testate, and a copy of the Will is attached hereto Name, address and phone number of all personal representatives: James R. Oakes 119 F St. Carlisle, Pa. 17013 717-243-6119 Name, address and phone number of counsel: George F. Douglas, III, Esquire 27 W. High St. Carlisle, Pa. 17013 Phone: 717-243-1790 Additional information may be obtained from the undersigned: c: " ";t; DOl' las, Douglas(& Douglfls By , r." r G\'. \. ... [.L Gedrge F. ouglas, III, Esquire 27 W. High St. Carlisle, Pa. 17m3 717-243-1790 Dated: November 4. 1996 21. If line 1 B is grealer Ihon line 19, enler Iho differenco on line 21. This is tho TAX DUE. A. Enler the interest on the balance due on Line 21A. 8. Enler the 10101 of line 21 and 21A on line 218. Thi, is the BALANCE DUE. Mah Check Payabl. 10: Rlgl.t., of WI11., Agent ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -<-< Under penollios of perjury, I declare that 1 hove uomined Ihi, roturn, including accompanying uhedule, cnd ,Ialemenh, cnd 10 the bel' 01 my knowledge and belieF, it is Irul!, cottocl and complete. I declare thai 011 real estate has been reported 01 !rue mar~ot volue Declaration of pre parer Olhor than the penanal feptlnenlOlivl! is bosed on all information of which preparer hot any kn~wle~l1~.~_____.....____. ______.____.__~_~_________.~__,,_________.._ !IIG TUllf Of PfR!lON IIUPO~~Y fOil filiNG liE JUliN AODllf!l!.,. 1',_ II ,'_ -... ,---' - _, OAT( (j.~rt.Jt~'-_u ~_"-n_~'{__I.:_n~:>'!~,_':~'~L:?:\~,:,()J'ill7tIO_,f~({ _~/25-'96 !.1C;Il lUll! Of PIIlPAIIIII OT~(II THAN RlPRUfNrAtlvf AODII(!.!. OAT( IIlV I~OO El+ I' 'HI . w >- )C~cn U",,,, W"U ,",00 U"'~ "", " .. . >- "'Z Ww "'0 "'Z S~ ~~:~\rt' ->~Q\w COMMQHW1AltIt Of fUlN!,H\lAHIA OE PAllrM[NI Of 1l[\lWU[ 0[P17110WI tiARIlI!lIlUIlG, PA 111780001 O(UDH~l) NAMI lLA~T. '11l!lT. MlD MIDDI! IlllllAq I 5 - I 3lo - ~ INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILi:D IN DUPLICATE WITH REGISTER OF WILLS) ~ 'fOR DA1lS Of DIATH AnlR 12/31/91 CHICK HIRE i If A SPOUSAL I' POVlRTY CREDIT 15 ClAIMID [ I flU NUMBIR I 21Yh-OH71 lCOUnTY COOl YEAR tHCltll'" !.(U""'~1111 AOI)WI~~ "UMBER >- 15 o w U W o Oukc~, ~llrlilm_I;, un ~O(tAL ~(CUIlITY ttUMB!1l IOAT( at OIA11j IOA1I 01 ~lllltl _LZ!t,,211:-Q9f;L6_____ 10/1H'-~h, J>/12/1915 ".::~~:=~ =:' ...., ,"" ":' .~." ~"" ~ "" ["X'A' "::"~"U"'" Lx] 1. O,iginol Relu," :: 2 Supplomonlol Rel"n o 4. limiled E,tale 06 II Y F, St. Carlisle, I'll C"~~t[ Cumherland A-~Olltt' life! i'fltl (!.It 1.lj~,_lIuciIOlj~I-.~- _____ _,______ __._.____.._____.M....______ ! ! J Remainder Return (for dnle' al dealh prior to 12.13.821 Fedorol htale Tax Return Required r ] 5. ] 40. Fuluro Intere,I Compromise (lor dote' 0' deolh oltor 12.12.82) Decedenl Died Te'lole LJ 7. Decedenl Maintained 0 living Trusl (Allac:h copy of Willi IAlloch c:opy 01 Tru,11 ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO. L 8 T otol Number al Sale Depa,il 8011.1" NAMt George F. DouglilH, 11 ~!~ E~~I~~.rc __ 1[ttp~o~a NUM!H II COMPltll MAIIHlC) "DO;t!l~ 27 W. 1I1gh St. Carl Isle, 1''\ 17013 _JU-L----24J ~.lJ.90 ____==_, __:.:;_~.:h_ - ---,--~- ----_.,,'--~,- -..-. -----~---- ----,----~----- Z o ;:: :5 ::> >- c:: .. u w '" L Real ellOIO (Schedulo AI ( 1 I 2, SlaCks and Bond. (Schedule BI 12) 3. Clo,ely Held Slack/Parlnenhip Inlere,1 (Sc:hedule c) I 3 ) 4. Marlgage' and Nole' Receivable (Schedule D) ( 4 ) 5. Ca,h, Bank Depo,ih & Mi"ellaneou, Penonol Properly (5 I (Schedule E) 6. Joinlly Owned Property (Schedule F) { 6 } 7, T,on.le" ISchedulo GI (Schedulo II 171 8. Tatal Gro" A"eh (total line, 1.7) 9. Funeral Expen,e,. Admini,tralive Co,U. Mi\Celloneou, I Q) Expen,e, (Schedule H) 10. Debl'. Mortgage liabililie" lien, (Schedule II (10) 11. Tolal Deduclian' (Iatalline, Q & 10) 12. Net Value of E,tate (line 8 minu, line 11) 13. Charitable and Governmenlal Boque,', (Schedule JI 14. Net Value Subject 10 Tax (line 12 millu' line 131 15. Spau,al Tran,fen (for date, 0' death aller 6.30.Q41 See In,lructions far Applicable Percentoge on Revene Side. (Include value, From Schedule K or Schedule M) 16. Amount of line 14 taxable al 6% rale {Include value, from Schedule K or Schedule M.} 17. Amount 01 line 14 taxable at 15% rate (Include value, 'rom Schedule K or Schedule M.) 18. Principal lax due (Add tax from line, 15, 16 and 17.1 19. CrediU Spau,ol Poverly Crodit Prior Paymon" 7,4._Q(j 33,534.17 nnn.1,315.34 (8 I n),4~ 8_4,9_..?,L__ )0,429.79 111) ,_n,10 .429 ,.19 1121_1~,~!:IJ:!~__ IIJ) ,_____ 1141.u,-2!tc,!t:l9",n 115} x, = 24,419.72 )( .06 = 1,468.00 1161 1171 x .15 = Z o ;:: .. >- ::> " :E o U K .. >- 1181 Intere,t Di\Counl + .__.,L4..00 IIQI 1201 + ~------'_.~-- 20. If line lQ is grealer Ihan line 18, enler the difference on line 20. Thi, i, the OVERPAYMENT. aD Chock hero if you are requesling 0 r.fund of your overpayment. 1,394.00 121) (21AI {21B) 1,394.00_ __ m'nn "y,liOtn.lJ'.1 . . (OMMOUWI..,tHOf "Wi"'VAW" It/HIIU.NCI ,., _nU'N InIDINIDICIOU" SCHEDULE F JOINTLY.OWNED PROPERTY ---- ___.__u_..____ ---- ------ -.-- --------_-_1 F_'ILE-N2U19'~~:RO" B" 7L"_- Mfyofnm V nnkllJ,L _w__.__.____ __ u. Jolnllononll.l. ESTATE OF NAME --'!.ELATlONSHIP TO DECED!.N..!..-_ ADDRESS A, James R. Oakes 119 F. St.,CnrL1sle, I'A Hon B. C. \. Jolnll.,...owned prope,'",: .---.-- ITEM LEnER DATE FOR TOTAL VALUE DECD'S DOLLAR VALUE OF NUMBE' JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST TENANT JOINT 1. A 5/22/73 Checking Account,Hellon Bank $2,630.67 50 $1,315.34 TOTAL (Also enter on line 6, Recapitulalian) S 1.315.34 , ; , I ~ . ~_...+"...,,~;..,:;., (II more spoce ;s needed inse,' oddilional sheets 0' same sjze} ."~,.... ESTATE OF Hirlum E. (Jukes ',vlm... 11I'j ITEM NUMBER .t.~)~ COMMOf04WIAtttt or "NNSYlYANIA INHUIIANC'lAl lllUIN "SIOIN' OICIO!~J j SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND _ MISCELLANEOUS EXPENSES Ploale PrInt or Tvpe L'lE-NUMBER- - 2196-0871 DESCRIPTION AMOUNT A. Funeral Expenloll 1. Ewing llrothers 4,677.40 B. Admlnlllratlvo Caltl! 4. C. 1. 2. 3. 4. 5. 6. 7. a. 9. 10. 1. Personal Reprosontativo Commissions Social Security Numbor of Penonol Representative: Year Commissions paid None 2. Attorney Fees Douglas, Douglas & Douglas Fumily ExulI1plion James R. Oakes Claimant Relationship son J. 1,700.00 Address of Claimant at decedent's death Street Address 119 F St. ,Carlisle, PA 17013 City Stato Zip Code 3,500.00 Probate Foes 66.00 Mlscollanoous Exponsos: United of PA 37.62 Boro of Carlisle 28.09 PP&L 72.55 TV Cable 26.13 Rowes Antiques, appraisal 85.00 Evening Sentinel 90.00 Cumberland Law Journal 50.00 Register of Wills, filing inventory/appraisement Hountz Jewelers, appraisal Re ister of Wills, filin family agreement TOTAL (Also ontor an line 9, Rocapitulation) (If moro Ipaco II noeded, Insert addltionallhoots of samo slso.) 25.00 60.00 12.00 510,429.79 !} / j( C COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAKES INltIAII"NC[ lAX DIVISION DlP'. 180601 IIANRISlUAG. Pi IIUI-0601 NOTICE OF INHERITANCE TAK APPRAISENENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSNENT OF TAK GEORGE F DDUGLAS 27 W HIGH ST CARLISLE II I ESQ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN PA 17013 (. - 02-25-97 OAKES 10-18-96 21 96-0871 CUMBERLAND 101 Anou"t Renltt.d * 1I'.I"''''''III-t61 MIRIAM E MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ...... iiE"v:is4'j-Ex-jiFP-nZ:9&TNci'ficnip-YriiiEiiii'ANCE-YAx-iippiiiiiSEHENT-,--'U.i.-oiiANCE-O-Ii-----------mm DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF OAKES MIRIAM E FILE NO. 21 96-0871 ACN 101 DATE 02-25-97 TAX RETURN WAS: (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..I E.t.t. (Sch.dul. AI (11 2. Stock. and Bondi (Schedule 8) (2) 3. Clos.ly Held stock/Partnership Int.r..t (Schedul. CJ (3) 4. "arta.g.'/Not.. Receivabl. (Schedule OJ (4) 5. Cash/Bank Deposita/Hi,c. Parlonal Property (Schedule El IS) 6. Jointly awn.d Prop.rty (Sch.dul. FI (61 7. Transfara (Schedule G) (7) 8. Totel A...t. APPROVED DEDUCTIONS AND EXEMPTIONS: 9. funeral Expans../AdM. Coats/Hi.c. Expans.. (Schedule HI (9) 10. Debt./Hortg.ga liabiliti.s/Llans (Schedule II (10) 11. Tot.l Daduction. 12. Nat Value of Tax Return 13. Charitable/GovernMental 8eque.ts (Schedule J) 14. Net Value of Est.te Subject to Tax I CHANGED .00 .00 .00 .00 33 , 534 .17 1.315.34 .00 lBI 10.429.79 .00 (11) Cl21 (131 Cl4) NOTE: To insure proper credit to your account, subMit tha upper portion of thia forD with your tax pay.ant. 34,849.51 lO.4?9 79 24,419.72 .00 24.419.72 If an assessment was issued previouslY, lines 14, 15 and/or 16, 17 and 18 will reflect figures that include the total of ~ returns assessed to date. ASSESSMENT OF TAX: 15. AMount of Line 14 .t Spousal rata lIS) 16. AMount of Line 14 taxable at Lineal/Cla.. A rata (16) 17. Anount of Line 14 taxable at Collateral/CI... 8 rate (17) 18. Principal Tax Due NOTE: TAX CREDITS: PAYNENT DATE 11-26-96 RECEIPT NUl1BER AA146986 DISCOUNT (+1 INTEREST (-) 73.26 .00 X .00= 24.419.72 X.06= .00 X .15= ClBI A!10UNT PAlO 1.394.00 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 1.465.19 .00 1.465.19 1.467.26 2.07CR .00 2.07CR . IF PAlO AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS lESS THAN fl, NO PAYNENT IS REQUIRED. IF TOTAL DUE IS REflECTED AS A "CREDIT" (CRI, YDU HAY BE DUE A REFUND. SEE REVERSE SlOE OF THIS FORN FOR INSTRUCTIONS.) ()() c ;:- IC~ ~-1~ . "" j-:-l LlJ "I VI ~;....: Ul . . ~- (.j R[SEAVATIONI [It,t.. of dleadent, dying on or ~for. D'c'~r 12, 1982 .. ., any future lnt.r..t In thl I.tat. I, transfarrad In potl"IJon or enJoy..nt to ct... a (collat.ral) blne,lclar... of the decadent a't.r thl Ixplratlon of any I.tat, for 11'. or for y..r., the Co..onw..lth hareby Ixpre.sly ra..rv.. thl right to appral,. and ....., tran".r Inheritance ,.... at the lawful Cl... . (collat.ra!) rat. on any such lutur. Int.r..t. PUIlPOSE Of HaUCEr To fulfill th. requlr..ent. of Slctlon 2140 of the InherItance and [It.t. T.. Act, Act 22 of 1991. 12 P.S. Section ZUD. PAVttEHTJ Detlch the top portion of thl, Notlel and subalt with your ply.ent to thl AI;.,t,,. of WIlt. printed on the rav.r.. sIde. ..H.... ch~k 0,. lKHMy order payable tor REGISTER OF HILLS, AGENT All ply.ent. rec.lv.d sh.ll flr.t b. .pplled to any Int.r..t which ..y b. due with any r...lnder applied to the tax. REfUND CCR)r A r.fund of a tax cr'dlt, which wa. not reque.t.d on the Ta. R.turn, aey b. r.qu..t.d by coepl.tlng an -Appllc.tlon for A.fund of Penn'Ylvanla Inherltenc. and E.tat. Tax- (REV-131]). Application. .r. avallabl. .t the Offlc. of the R.gl.t.r of Will., any of the 23 R.v~ DI.trlct Offlc.., or by calling the .peclal 2'-hour an.werlng ..rvlc. nuaber. for for.. orderlngr In P.nn'Ylvanla 1-800-362-2050, out.ld. Penn'Ylvanla and within local Harrl.burg are. (717) 787-8094, TOOl (717) 77Z-2ZSZ (Hearing lepalr.d Only). OIJECTlOHSr Any p.rty In Inter..t not .atl.fled with the appr.I...ent, allowanc. or dl.allowanc. of deduction., or .......-nt of tax (InclUding dl.count or Int.r..t) .. 5hown on thl. Notlc. eu.t obJ.ct within .I.ty (60) day. of r.c.lpt of thl. Notlc. by: ADHIN ISTRATlYE CORRECT IONS I --written prot..t to the PA Depart.ent of Rnenu., Board of '-PPtIah, Dept. 281021, Harrisburg, PA 171Z8-1021, OR --.I.ctlon ta have the aatt.r det.r.lned at audit of the account af the per.onal rapr..ent.tlve, OR uappeal to the Orphan.' Court. Factual .rror. dl.cov.r'd on thl. .......ent .hould b. addr...ed In writing to: PA Dapart.ent of Aevenue, Bur.au of Individual Ta..., ATTNr Past A.......nt Ravlaw unit, Dapt. 2a0601, Harrl.burg, PA 17128-0601 Phone (717) 781-6505. Saa pltg. 5 of the bookl.t -Instruction. for Inherltenca Ta. Raturn for a Rnldent Decadent- (REV-1501) for an a.planatlon of a~lnl.tratl~aly corractabla arror.. DISCCUfTr If any tax due I. paid within thr.. (]) calandar aonth. aftar the dac.dant'. daath, a flva percent (5%) dl.count of the tax p.ld I. allONed. PENALTY: The 15% tax 8anI.ty non-participation p.nalty I. coaputad on the tot.l of the tax and Int.ra.t ......ed, and not paid bafor. January la, 1996, tha flr.t day aftar the and of the ta. eana.ty parlod. this non-plrtlclpatlon PMalty Is eppaalabl. In the .... .annar and In the the .... tla. parlod .. you NOUld appaal the t.. and Int.rnt that has baan ......ed .. Indicated on this notice. INTEREST: Int.r..t I. charged beginning with first day of delinquency, or nine (9) ~th. and one (1) day fr~ thl d.t. of da.th, to the data of p.yaent. T.... which bee... delinquent before January 1, 198Z ba.r Int.r..t .t the rat. of .1. (6%) parcent per ennu. c.lculatad at a dally rata of .000164. All ta... which bee... dallnquent on and aftar Janu.ry 1, 198Z will b.ar Intar..t at a tata which will vary fro. calendar yaar to calender yaar with that rat. announced by the PA Departaent of Ravenue. The applicable Inteta.t rate. for 198Z through 1997 ar.: '!!!! Intarnt Rat. Dally Int.rnt Factor !!.!r Intarnt Rata Dally Intarnt Factor 1982 20X .000548 1987 'X .000247 1983 lOX .0004]8 19a8-1991 IU .000301 1984 U:C .000301 '992 'X .000l47 1985 13X .000356 199]-1 ". 7X .00019Z 1986 10% .000274 1995-1997 'X .000l41 --Intlr.st Is calculated .. follONIt INTEREST = BALANCE OF TAX UNPAID X NUftBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notlc. tnued after the tax bac:~n delinquent will nf1~t an Intarnt calculation to flft.... CIS) dIIn bayond the data of the .......ant. If pa,..ant 11 .acta aftar thl Intlrnt coaputaUon data .hown on the Notlu, additional Intet'lt eu.t be c.lculatad.