HomeMy WebLinkAbout97-00024
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3881383
DEC!! 21996
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COMMONWEALTH OF PENNSYLVANIA' OEPARTMENT OF HEALTH' VITAL RECOROS
CERTIFICATE OF DEATH
UMOll! lY"",,,
- ,,~
KATHRYN WAGNER GHEh'NIIWAW'
UHDeIlI ON
......-
."
I, FEMAJ,E
91~lf"t6NU"'UA
SOCI"'-SlCUflITV'iUMOER
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CER'rI~'1..C^TION OF NgT.E:E J,l~DE;IL!WLIL?~ti~J
Name of Decedent I
Kathy~n W. G~eenawalt
Date of Death I
Decembe~ 21, 1936
Will No. 1997-0~~~__________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
Name Address Mechanicsburg, PAl7055
Humane Society of Hbg, West Shore ~elcer, Sinclair & EPeley Road,
Betty Reilly, 340 N, Pront Street, Wormleysburg,PA l70~3
Rh.k allJ Jail Repa,-27 "[Jple LAlle, EH~he1:~, FA 1-1{l22
Midge Dunn, 28 Eve~green St., Thompsontown, PA 17094
S4llIl-K9"rr:l~Y I 30e N "''''ont "t ....,,,,,t " Wru:mley"hl1"'g~A 1 7()4 ~
Elizabeth D. Lewis, 77 Drexel Place, New Cumberland, PA 17070
1.01 Ii "no Bob Roth I 304 CrQQJr !loe" I Ca.Illp-lilll.__E.A--.l2Oll
YWCA Support Group for Domestic Violence, c/o Patti Schwartz,
Syl""n I;!Qi')hts Home She1 t"'~ I ?l S_..M.ar.kel:_.~'3t.r"''''~. HArr; 1'lhllrg. .lOA-_l7l01
Humane society of HAr,isburg, Inc, East shore Shelter, 7790 Grayson Rd,
Notice has now been given to all persons entitled thereto under Hani'<llu'lrg
Rule 5.6(a) except NONF. _ _ -fA 17111
Date:
1/24/97
~r, ". .....) I' .
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Signature
Name
Herschel Lock
Address 3107 N. Front Street
Harrisburg,PA l7l10
Telephone Q..~~38-666l
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Capacity:_____ Personal Representative
It Counsel for personal
representative
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,tv 1.\0(, (,. II ',Ii 1 fOR DATES Of DEATH AfTER 12/31/91 CHECK Hili
,,~:.l~}(\ INHERITANCE TAX RETURN l~o~::~u~:~DIT IS CLAIMED [I
..}fIJ_ RESIDENT DECEDENT i flU NUMBER
(OMMONWEAl1H OF PENNSYlVAI;lA (TO BE FilED IN DUPliCATE '
DEPARTMENT Of REVENUE I 21 97 -00 4
_~ARR!J.lliU~ol~J!'0601 WITH REGISTER OF WillS) COUNTY ~ODE .. 2 YEAR IWMII
>- D'3R'E'ENAWAL'~';" ttt. T'HORly~i;'~:-------~ m .. r""w~lo{~m()/Nl;Pe\~.ry'l S~[)b~~uTI:g;,-S -P:Ar e e It 7-0'4-3--'~-
i \O~'~I~~U~';~~~'~; _r~';!);A{'/96 J"~/';'~'/26 L"," C~mberland
.~_~_ ";-^""";"i;,""""':~~::':"' "ill'"" ""," ""'"''''.1'"'''''''''"''' IlU:'I~_ . r':~I ~:(IV:::~'~~':U"'~~~.=.'._
~ lZ..b<1. Original Return
::.c:~cn
frlre~ 0 4, limited Estate [ J 40. Fulure InhHost Compromise
~~9 (for dotOI of death after 12.12.82)
~ctl [J 6. Decedenl Died Taslale iJ 7, Decedent Maintained 0 Living Trull
< (Attoch copy of Will) (AlIoch copy of Trust)
-..--...- ALL CORRESPONDENCE AND-CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO,
~~ NA'1lerschel Lock, Esquire -~0310711~O.AOF~~n~ st-;ee;----.---
8~ ITIMioNfNLiM8Tf-------~-,... ._.._..___...__..._~_..___o__~_. _ Harrisburg I -FA 17110
---- .l} l7--L 238-666l . ..,,~,,~.,~~.,c=,==c_=~=-~~~=~=="=c=~,==~=~===~~"=""=-'=
1. Real Ellale (S"edule AI III .1.!?.,9_00-,-00.
2. Sla,ks ond BondI (S"edul. B} (21 ---:--':-:::.:.---
3. Closely Held Stock/Parlnenhip Interest (Schedule C) (3) __":':.=_~:.=-:::.=___~___u_.
d, Mortgages and Notes Receivoble (Schedule D) l4) . -..~.:-=--=-~-=-=-"":: .-....------.
5, Ca~h, Bonk Deposil$ & Miscellaneous Personal Property (5) ...-,_ dO~_'~..?}_'~__~__~~_ ..--.-----'"
IS"edvlo E)
6 Jointl)' Owned Properly (Schedulo F)
7. Trons!e" IS".dul. G) (S".dul. L)
8 Total Gross Aueh (tolol Lines 1.7l
9. funerol Expenses, Administrotive COSh, Miscellanl10us
Expenses (Schedule H)
10, Debls, Morlgage liabilities, Liens (Schedule I)
11. 10tol Dfldudions (Iotol lines 9 & 10)
I,';
J t ,
, "
)
I 2
[.I 3
[) 5.
Remaindor Relu(n
(for datlu of death prior to 12.13.82
Federal EUalo To)( Return Required
Supplemental Relurn
e, Tolol Number of Safe Deposit Bo~c;
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l5,458.86
(61
171 ..
97,380,85
IBI
(9 ). _ u_~-,..2_.~ 5 . l~ __~.
38,294.8l
(101___.__....._.__.__.____._
46,589.99
~---~--'--~--
50,79 O._f;l~_...._
500,00
-50;290;.86--.-
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12. Nflt Volue of Eslale (Line 8 minus Une 11)
13, Cnaritable and Governmental Bequests (Schedule J)
14. Net Value Subject 10 T~)( (Line 12 minus line 13)
15, Spousol Tran,lers lfor dotes of dealh aflor 6.30.94)
See Instructions for Applicable Percentage on Reverse
Side. !Include volues 'rom Schedule K or Schedule M.)
16 Amount of Line 14 lo...nble al 6% rate
(Includ~ values frClm Schedule K or Scnedule M.l
17, Amount of Une 14 lo)(oble at 15~'o rote
(IncludB values from Schedule K or Schedulo M.l
HI. Principal 10)( duo (Add to)( from Lines 15, 16 and 17,)
19, Credits Spousal Poverly Crodil 5:i()&()~OB
_._.._.________ _____...._ + __0_.------- __~_ +
1111
(12)
(131
(14)
1151 ...__.___._._~_.......___.__...
.
(16) .. .._..._._n'__ ..._.___..._..... .06 .
50,290,86
u U___X ,15 =
7,543.63
1171
{IS}
lnlorest
Discount
250,00
..__2.L~.!?Q_~()_O_
1191
(201
20, If Line 191s greater thon line 18, enter the difference on Lint) 20, This il Iho OVERPAYMENT,
miD
~
>-
Check he(o if'vou ~re requosting tI refund of your overpayment.
2,293,63
21, II Line 18 is gracler lh<1rllin':l 19, enter !ho dilfl1ronce on lino21 This is thil TAX DUE.
A_ Entnr the intermt on rhe bolonco duo on Line 21 A
(211
(21AI
(21BI
2,293.6:1
I e. Enlor Ihe tOlol of line 211.lnd 21A on Line 21B. Thi\ is Ihe 8ALANCE DUE.
Make ChClr.k Payable to: Regtster of Wills, Agent
..___n .==c-");.-..---BESURE 'TOANSWERALlQUESTIONS ONREVERSEcSIDEAND:TO:ReCHECK'M-ATH'-~:;j(------'
Un-;f;penalti~~ per;~;, I declare th~t -i~h;::;-;~;;;i~~-d-lhi~'~;;;~~, includi-;;-9~-~~-;~pu'I;.ying -s-~~~'~i;s Clnd ~~;~;~t~""~~d~- th~-b6'~'j"d~y-Ok~~(~dgo- C;;-~'db-t
.t is hue, (onocl and complole,. I daclafll tho! all roo I ustote has boon roporlQd ut true mmke! voluo. DcdCHotlon of propatot othor thon tho personol repro~e..tdti..
bosed on 011 information of whl,h prflparer hos any kl1()wledge
~i(J~iATi.jAr'OrpToo~.~"{5P-6i'15i1l(l'r6R iillNl,'R-E!U~-li'--' . --.A(}C~I~-~---- .-.- .-----------.-. -- - -----,------. .-. -.-- --. ---.-.. ------, DAT~-- n___________. -.
.{~1:lr,...~)t}4--\' '. 1_;,." ','. 77 Drexel Place, New Cumberland, PA 17070./ /.1\,,,,, 'i'/
~'G.I~.'._.'.UUi:;fl.iif ..VPA.R.F.J~,: (,).~.I~!f niMJ R[rIlIS!~'IA..'.;'1[ ';\-()(j~!~;-' DAn r-j
~. J, .3107 N, r't:ont: SI:,., Hauiebut:Q,PAn l7110L/IY/1!
RfV,1509 !Xt P1,UI
~J~'9C1
'Io(~
COMMONWEAlTH Of PENNSVlVANIA
H~HERITANCE TAX RElURN
RESIDftH DECEDENT
SCHEDULE F
JOINTLY -OWNED PROPERTY
-.. -" - -- - ". .- .... . ."
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ESTATE OF
GREENAWALT, KATHRYN W.
Joint 'onont(.),
_____ tlA~~________.J.__. c' ,... __A.D'pR~,SS."._.___.___ ,._ .___~ELA TI()~~.HIP TO D~~IDINT
A. Elizabeth D. Lewis 77 Drexel Place Non- family
New Cumberland,PA l7070
8.
C.
Jolntly-ownod proporty,
ITEM LETTER DATE
FOR
NUMBE JOINT MADE
TENANT JOINT
1. A 12/28/ 5
2.
A
l2/28/ 5
DESCRI PTION OF PROPERTY TOTAL II ALUE OICD'S OOLL~ IIALUI OF
OF ASSET % INT. DICIO. T'IINTEREST
.-----------...- _...---,,"-.-
New Cumberland Federal l3,OO2.13 100% 13,002.13
Credit Union
Checking account
NCFC(J
Saving account 2,456.73 lOO% 2,456.73
TOTAL IAI.o ".Ior on II." 6, Rocopll"lollcml
$ 15,4S11.!Hi
_____---,--____._~_..______._.H_..____._...__.. ....." ..._._,.._..__ ____
(If more space is nendod inser' oddillortalllw(I!s of wnw iiIfl)
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A~ S~rTLEMENT STATEM~NT
U.S. UEPARTKENT OF HOUSING
AND URBAN DEVELOPNEHT
0N8 NO. 2502.0265
B. TYPE OF LClAN
1. I l FIlA 2. I ] FllIHA 3. II COIIV. Un 11.1 6, filE NUNBER J7' lOAN NUHlIER 18. NORTIlAGf INS CAS{ IUWf
4. I l VA 5. I ] Conv, lna, JTINSAAN
C. NOTE,Thl. fono 10 furnlolled to glvo you 0 OlotOlllOf1i of .ctuel IIttlOlllOnt cooU, _",to paid to and by tho .ottl-.t O~"'t
.re .ho..., 11_ IIIrkod "[POC]" WI" paid ouuld. the oloalng; they or. .hown here for Info/'llltlonal pur"",.. ond e"
not Included In the totela. 5,0 10.96 (8/JTlNSIWl)
D. NAHE AND ADDRESS OF BOIlROIIER E, NAME ANO ADDRESS OF SEllER F, NAAl: AND ADDRESS OF LENDER
Jeffrey D. Tlnomon
Eatal. of Kethryn W Breenawelt
Comnunlty Benko. N.A.
P.O. Box 350
Nllleroburg, PA 17061
G. PROPERTY LOCATION
312 North Front Street
Wormley.burg, PA 17043
Cl.I1'berland COLJ"lty, PA
N. SETTLEMENT ABENT
South Contral Agency, Inc.
I. SETTLEMENT DATE
PLACE OF SETTLENENT
3401 North Front Stl'..t
NorrlaburR, PA 17110.0950
January 28. 1997
J. SUMMARY OF BORROWER'S TRANSACTION
100 GROSS ANIJl.IljT DUE FRDlLPORROIIER
~ 'nn'.'" Sel.. Pr ..
tlQt ~Att~~":rC!oertv-;;
'0/.
105.
K. SUKKARY OF SELLER'S TRANSACTION
--n..
:11: !~:;~'IT:~:!~~,"'''' - =f"'.. '
(> flU for hems paid bv ~,.Il.,. ~I'l -
406. Cltv/town taxes to
/.07 """'v .._.. -
??7n 'l~~ toxe. n'.".07 '0 07""-':07
6930 M::;: C.u..l .......0'.,..07.n . _
14\0.
41"
412.
77,669.17 420. GROSS AMOU~T DUE TO SELLF.R
,no ""''''T! 0"' '" 'Mr< '"' 0". '" C" I .0
1101",,_,,0.00;,," .... lo",uo,looo'
_ M1.l100 on 1E;.02..-S.ettlp.ment.J:harces t.lL.S..e..IIIllI" Ii"..,
1'>03. Existina Loans Taken Subl.lli t",
:.._~~~~~~_~l Nt' to ~endov~' ~~o' Ino
I",
AO 1n I
IIn.'4nr
1rl for ftMl:!: cs.id bv jflllll' in ""tvRn'-C.-
110,( r It-'!Ltown taxes tl'l
7. County taxes to
',n. School t.xes 01-28.97 to 07'0'.~
109. ~ater Sower & Refuse 01.28.97 to 0 .n1407
I"n
1',,,
112.
120.
GROSS ANOUNT DUE FROM BOPRONER
200. AMOUNTS P' '0 'v 00 ,. '''''' O.
0'
Wt~:~~~:~~1 L~:~J;; TaKen Subject to
r,;v.
,05.
206.
"07.
I>n.
l>no
75,297.02 ,
..m..sJl_
... 0" "ii-,
Adjustments for Items;;;:'-;'-;;-T~--h\J
210. Cllvltown t.xes __ ~
", Cn"o'v to_.. 0'.0'.07', n1.".07
~ <:l'h,,,,,1 taxes to
>It
~ --'~it
219. 519.
220. TOTAL PAID BY/FOR BORROWEk 60,012.55 520, TOTAL REDUCTION AMOUNT DUE SELLER
~C:ASH AT SETTLENENT FROM/TO BORRDIIER 6BO. CASH AT SETTLEMENT TD/FRIl4 SELLER
30" Gco.. Am, Due j rom Borrow.r ( II ne 120) 77,669.17 601. Groa. Amount Du. to Seller ( II ne 420) 75 .297,02
302. Less Amt Pold by/for Borrower (line 220) ( 60,012.55) 602. Le.. Reduction. Due Se'l.r (line 520) ( 26,9\7.05)
303. CAS~ IXI FRDlt --N TO BORROIIER 17,656.62 603. CASN (XI TO [ 1 FRIl4 SELLER 48,339.97
The unde"lgned ~ore~~.~.j""'\'/~ , ,,:'eted copy of paga. 1&2 of lhl' BlatemeoT & .ny IltechmenlO roforrod to hlroln
BORROII-->'---.. ,'I..) //r= .: E.,o,. of Kethryn W Greene.olt
71' : SELLER
~affray~~~~~
SE~ER ~~Jl1 ,je)
111.10" (3-86) RESPA, HB 4305.
~ ,-'
, .,
--"-I-tv/town taxes
511. County taYACI
2..12. School taxes
F
bv S.I I..
'0
o,.n..07 On . .97
12 .~S
" "
to
26,951.05
BORROIIER
.P.. '2.1
..,..C~
~._~--- -
InlD. Totol Sale'/Bro'e,. 'OlII1lluLlloL..IAull t41 Prl~L.L.____ __
=....P.llllJ.mu.t~ll1jllCl...lJJnt...o) II follOllIL- ___.___
70'.--1: to _._____ _0_
70'_ I to "___.
~3. Com, I.. Ion hld..J.L~
704.
~Qc...L~IN CONNECTION I/ilH LOAN
BOl I Oon Qr.iUa4.t.llllLI.cL-.......z:;~-...l.LJ:oom'"l tv Bon., N A.
'E!.OZ. Loan DfscOt..nL- X -1i1_. .
fiO.]. AqprQ,wl ,,,,,. to P. Scott Archibald AQtlraJ.u.n..._
IB04. Crodi~ to C(.Gltl1JU"OBU 01 Greo"r HBbq_
llQi......Laan A~{fC8tfDn Fee _ to C~ltv Il.!lnks N~A.~
B06. ~Ortoll.llLlllL...Aoo. F.e __. to_
a.o.l-.ASsumtlon Fo~ !Q
B~~eDarotlJ!Q..tu to C";runitv Bonk, N.A~ ._
810. _ ______
811.
900. ITE~S REQUIRED BY lENOER TO BE PAlO
~~r.u.uLom __to ,.,
~~.Jnall!:All~
90S.
u.QQO...~.fpOSITE~"iiii ~ENDFR
~~lDrd Insur8nC& ______
1frQa~rtQ9a~ Insur8~,e
11Q.QL..,Cltv/tOlo(n texes
1';"ni." ,......untv rues
t005. School t.xe;
~---
1008.
I1no '.Ul.Ll:I!ARGES
~'-:~;:~~n~r";1;1~'~:~~~~e :~ South CentrQ1.A.~ 10k-,
W.03. Title Ex~mination . to
11104. Titte Imurance Rinder to
'H~.QJ!i\IIm1t preo.rU1J!D t!t-
~~t.al:.Y..fee!l _ to
....LtoL..At~'.J fees to ~~.rsehE![ lock Escul~~
(~1!Jdes above item mnbers!
~iQ8. Title Insuronc; to s~outh Central Aoency Inc.
Cinctudes above item n~~
1109. Lende(~o.'illo.e S " . c::o
1.L1.Q.-O,i'lM.r's CoveraQI:. s: _ ZJ
i1i1" 100/30018.1 to South Centr.1 Acencv, Inc.
.1Uz..__ _. _____
1113.
J'-\I~RNMENT RECOROI~w.ANO TRANSFER CHARGES
"01. RecQatiDfLEJ'=UJ~.L.Z!L.~r.l.o.e I 33.S0 'R~S
1202. Cltv/Countv T~K/St.~l---.D'ed S 'Hortaoce S
~.llu:LlJlUi.tw!IlS.L D.ed S 1 lOO.OO '~QctQ~Q~ ~ _
1204. ~to. S.lli.tnl'.11J!(Ll'tt..._...~QJlQtV Recorder 01 Deed,
1205. to4tg. Satisfaction Fee to CLlfi:>erlend County Recorder of Deeds
1lO]. ADDITIONAL SETTlEMENT CHARGES =:
,UQ1. Survev _. to
1102. Pest InsQ~C.tUHl _______~to
WiJ. W.ter. se~LLr~.lISL- '^ ^'
l1~fuAUw.J:S:; Reinn to .;'t. 'v., ..~ ,ri./ri.
130S.
~DiRiii---
BOIlRO'oIER . S
FUNDI AT
PAID f~C>>l
SELLER'S
.~~..~T
--
-Moo
--
".
"'.nn
IN ADVANCE
:ntnll to
1.0 vftarl to
~
Idav(
dllvs
t)
month.
II'IOnths
~;h.
mnnthg
o .
g S
Q S
Q I
o I
g S
. .
month.
''''M'.
~. ""nth
:; =;~
P~L.JiIQQ1b..-
^"" ""'~:~
~;~ ;;;
no. .,
3'.00
-
\
(POCI
roc.
''''<~n
75.00 ~
---
<Ann
7<n on
"nn
12,00
.
OO~nn
15.5Q
2,3n.15 923,50
W~Cli^v.~ li.^
O.pt 01 HUO
1400. TOTAL SETTLEMENT CHARGES (Enter On Lines 103, Section J .nd S02, Section K)
By lIgn/ng page 1 of thIS .t.t....nt. the Ilgnatorl.. .cknowledgo rec'lpt 01 0 c"""tetod copy of page 2 01 thll 2 pagl "ot-"t,
l/n1.""
~ P.vaH
(B/JTINSMAN)
Certified to bo . true copy
'c{ fi11/tU
Inc,
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1~~~ ,,'. APPRAIS~R' .-~-_.- DATE --.-----~ I~~
'0'~~~ - '?l,~1;ro~€S\l5j. ~t\iJ~}~(-<PJ\" ;v~r~:vt\~~~1~t1W' 4~~A;f'\J~ ~~~(~~i~k'~
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REr"EASE
KNOW ALL MEN BY THESE PRESENTS, that I, BETTY REILLY, of
~lormleysburg ,
aoknowledge as for divers and other good oauses and valuable
cumberland county,
psnnsylvania, do hereby
considerations, have remised, released, quitclaimed, and forever
discharged, and by these presents for myself, my heirs, executors
and administrators, do remise, release quitclaim, and forever
discharge the said Elizabeth D. Lewis, Executrix of the Estate of
Kathyrn W. Greenawalt, her heirs, executors and a.dministrators,
of and from all, and all manner of action and actions, cause and
causes of acti on and actions, suits, debts, dues, duties, sum and
sums of money, accounts, reckonings, bonds, bills, specialties,
covenants, contracts, agreements, promises, variances, damages,
ju~gments, extents, executions, claims and demands, whatsoever in
law or equity, or otherwise howsoever, which equity, or otherwise
howsoever, which against the said Elizabeth D. Lewis, Executr.ix
of the Estate of Kathryn W. Greenawalt, I ever had, noW have, or
which I, my heirs, executors, or administrators, hereafter, can,
shall, or may have, for, or by reason of any manner, cause or
thing whatsoever, from the beginnings of the world to the day of
this date of thes~.Eresents.
,)
IN WITNESS WH~REOF, I have hereunto set my hand and seal,
thi$i ': .28t:t1'ili '\B:Y of June
J ' ~997,
_.-L?- -' / '
BETTY REILLY,
~(;/fl
u
!-~
....'---... ~"""'--'," .
~. c
-, i.~-'i
n I
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i... PI :J
ex 0 U
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/'
/ ')
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
I'
*
DUREAU or INDIVIDUAL TAXES
INHtlHTANC[ TAl( OIVISION
O[PT, ?80601
HARRISBURG, PA 17128-0601
NOTICE or INHERITANCE TAX
APPRAISEllI;NT, ALLOWANCE OR DISAlLOWANCE
OF DEDlICTIDNS ANn ASSESSMENT Dr TAX
In-l.U U lH lOl.W
DATE 10-13-97
ESTATE OF GREENAWALT KATHRYN W
DATE OF DEATH 12-21-96
FILE NUMBER 21 97-0024
COUNTY CUMBERLAND
ACN 101
[~-==~~~U~~~R~~~~~'~==~~~~1
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE .... RETAIN LOWER PORTION FOR YOUR RECORDS ~
R 'EV: iS4-j - E if -;. F i; - [riFij7 Y -NoYi C E - 'OF' YNH Eiii i' ii Nt 11. - TAX' A 'p PRA- is E;'lEN:r-; -A i:.1'6 w ii N-c E - OR -, -,-, - - - - - - -. - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF GREENAWALT KATHRYN W FILE NO. 21 97-0024 ACN 101 DATE 10-13-97
If an assessment was issued previously. lines 14. IS and/or 16. 17 and 18
reflect figur'es that include the total of ill returns assessed to data.
ASSESSMENT OF TAXI
IS, A~ount af Line 14
16. A~ount of Lin. 14
17. A~ount of LIne 14
18. Prinoipal rax Dua
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
"02:::27791 ---'iIAfii52 1 1
06-19-97 AA211440
HERSCHEL'LOCK ESQ
3107 N FRONT ST
HBG PA 17110
TAX RE7URN WAS: (X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1, Raft1 Estate (Schedule Al
2. Stocks and 80nds (Schedule 8)
3. CloselY Held Stock/Partnlilr'ship Inhr9st (SchQdulfl C)
4. Mortgages/Notes Receivable (Schedule D)
S. Cash/Bank Deposits/Misc. Personal Property (Schodule E)
6. Jointly Owned PI~op.rty (Schedule F)
7. Transfers lSC'.hedule G)
8. Total A.uets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. DebtSi/Hodgage l.iabilities/Lions ISchedulfl IJ
11. Totsl Deductions
12. Net Vmlu8 of Tex Return
13. Chllrltable/Gov8r'nllumhl B.~uests (Schedule J)
14. N.t Value of Estate Subject to Tax
NOTE:
at Spousal
taxable 81
taxable ot
rate
Lineal/Class ^ rat.
Collateral/Clasa B r~t9
DISCOUNT (+)
INTEREST IPEN PAID (-)
263.16'
,00
CHANGED
I Il___lliOO 0 . 00
(2). .00
(3)_ ,00
(4) .00
(5) 6,921.99
(6) 15.458,86
(7) ,00
(8)
NOTE: To insure proper
credit to your .e~ount,
submit the upper portion
of thh form with your
tax payment.
97, 380.85
(9)
1l0)
8.295.18
38.294.81
llIl
(12)
(13)
(l't)
46.589 99
50,790.86
500,00
50,290,86
will
(15) . 00 X ,00=
(16) .00 X .06=
(17)__ 50, 2~~ X .15=
llB)
,00
,00
7,543.63
7,543.63
AMOUNT PArD
5-;-boo .00
2,293,63
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN,
TOTAL DUE
7,556,79
13,16CR
.00
_._~----_.
13,16CR
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FDR CALCULATIDN OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN fI, NO PAYMENT IS REQUIRED.
IF TDTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIIlE or THIS FDRM rOR INSTRUCTIONS.)
'.
RESERIJATtONI Eltatu of decedent. d~Jngon or beforlil OeclIllber 12, 1982 ~~. if any futu!" Jnt.rut In the uht. htranlfar'rld
in POI...lion or .njo~..nt to CIa.. B(collaterall b8neflolarl.. of tht dee.dlnt after the ,expiration of any 8state for
11f. or for yearl, the Co..on~.alth herebY 8xprellly ral.rve. the rIght to apprel,e and a..... tranlfer tnh.rltan~. T~X.'
at the lawful Cl",. B (collateral) rat. un any suoh future lnt.ralt.
PURPOSE O~
NoTlCEl
To fulfIll the requlrellftnh of Soctlon 2140 of thll Inhorlt"noll nnd Eltllhl T~x Aot, Aot II of 1995. (72 P,S.
Section 9140L
PAVHENT,
Debeh the top portIon of this NotIce ilnd SUbMit with your p'll/lIant to the RagistClr of WUlI printed on th. rev.rlle ,Idl.
uHak" check or lIonay order Pflyabhl tOI REGISTER OF HILLSJ AGENT
REFUNtJ (CR):
. refund of a ta)( oredit, which wes not rtlquuttld on the Tax Rnturll, IllY be requutod by oOllpletInll an "Appl1oathln
for Rofund of Pann5ylvania Inhoritance and Eltate T8X" (REVMl113). Applioation. are evaileble at tho OffIce
of tho Register of WIlls, any of the Z~ RevenuG DIstrIct OffIce., or by callIng the cpeolel ?4~hour
answering service nu~ber. for forMS orderingl In PennlylvanIa 1-800~~62'2050, outsIde Penn,ylVflnia and
wIthin local Harrisburg 8roa (717) 787~8094, TOOl (717) 77?"2252 (Hearing Impaired Only).
OBJECTIONS: Any perty In Interolt not satt.fled wIth the appraIse.ent, allowance or dIsallowance of deduotion., or a.......nt
of tax (Including discount or interest) a. shown on this Notioe .ust objoot wIthin sixty (60) days of receipt of
thit Notice b!/I
--written protest to the PA 08parhlllOt of RevllnulI, BOllrd of Appeall, Oellt. 2810Z1, liarrlsbur'g, PA 17128-1021, OR
--elClctlon to hl'lvO tho nthr dGtclrlllned ot audit ('If the account of the Ilersonal reprlilSenhtive, OR
"-appnl to the Orphans' COllrt.
ADMIN
ISTRATIl/E
CORRECTIONS:
Factual errors dIscovered on this assessment should be addr~'s.d In ~ritJng tOt PA Departmont of Revenue,
Bureau of IndIvidual T8X8', ATTN: Post Ass8SSIIent ReI/law Unit, Dept. 280601, ~tElrr1sburg, PA 171i!8-fl601
Phone (117) 787-6505. See pllge S of the booklet "Instructlons for InhllrH21noe Tax Return for II RuIdant
De~.dent" (REV-IS01) for an .~p18natlon uf ~d.inlstrntJv~l!/ corroctable errors.
DISCOUNT:
If MY tax due is paId wlthln thnul (3) calendar Months after the ducGdent's death, 111 flve porcliInt (5iO discount of
thQ tl'lX paId Is ollowed.
Pf:NAlTVl
The IS% hx aMu.ty non"parUo:;Jp8tIon pef'l8lty 111 co.puted on the total of the tax and Interast au.uod, and not
paid bofo're January 18, 1996, th. first dl'lY tlfhr tho "nd of the tft>l llllnUty pRriod. This non~ptlrtlcipatlon
penlllty Is appealable in the 'SMA .anner and In th. tho sa.. tl.. periOd 85 YOU would tlppeal the t~x and inter..t
that has belln l'IuQSluld 8' JndIc!'lted on this notice.
INTEREST:
Interolt i. charged beginning with fIrst day of dellnquenc!/, or ~ine (9) aonth. ana 01'10 (ll dftY frOM the date of
death, to the dah of paynei'lL 18XIII whIch blllcaSle delinquent bGfore January 1, 1982 bear Interest at thl rate of
Ilx (6%) percent par annUlI celcultlhld et e dtlib rata of .000164. All t8X.. whIch bece.e dellnqulDnt on and after
Janu8ry I, 1982 wIll bllar interest at n rata which will vary fro. ce18ndbr y.ar to cal.ndsr !/9ar with that rate
announoad by the PA Oep8rt.ent of Revenu.. The spplicsblA Interast rate, for 1982 throu~h 1997 srel
't!!!: m!!L!..!L8!ll! Oftlly Interut Fl'ldor ~ Inhrut Rlllfl Oally Interollt Fsctor
1982 20% .OOOS'IK 1987 9% .000247
1983 16% ,0110438 1968-1991 Iii( .OO03~1
1984 11% .000301 1992 9< .000247
1985 13% .0003S6 1993~1994 ]X .OODln
19&6 10;( .0(1027(1 19IJ5-19-97 9% .000247
~~Inter(l.t 11 calculated .. folloWl1
INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINqUENT X DAILY INTEREST FACTOR
M"Any Notice iuued afhr the tax beeo." delinquent wIll reflect an Int.rut calculation to fiftHn US) day.
beynnd tho date of thl nll.UIIOMt. If pay.ent it .sde after the Int.rut (loMputatlon data IhoNl"t on the
Notice, additional intere.t .ust be caloulated.
j
I::) /),--~'; "
BUREAU OF INDIYIDUAL TAXES
INHER1TANCE TAW DIYlS~ON
DEPT, 2('10601
HARRISBURG, PA 171Ze"0601
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
,'../"
*'
In.llll u ,,~ IOI.HI
HERSCHEL LOCK ESQ
3107 N FRONT ST
HBG PA 17110
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
11-10-97
GREENAWALT
12-21-96
21 97-0024
CUMBERLAND
101
KATHRVN
W
~Amount R'~ltt.~
MAKE CHECK PAVABLE AND REMIT PAVMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTEI To in.ur. proper oredit to your ~ccount, subnit the upper portion of this forn with your tax Plymant.
CUT AI.OND THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
ifEV: i i,ij'niC Aiip.. f oi-: 97") - - - - - -.. ii - i NHER i T ANe if - T AX- - S T iI"i EM ENT -oF" - Acfcouiif - - i... -- -.. - - - - - - -.. - - - - - --
ESTATE OF GREENAWALT KATHRVN W FILE NO, 21 97-0024 ACN 101 DATE 11-10-97
- .
TIllS STATEMENT IS PROYIDED TO ADVISE OF THE CURRENT STATUS OF THE STATEL ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 10-06-97
PRINCIPAL TAX DUE, 7,543.63
PAVMENTS (TAX CREDITS) 1
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (- )
02-27-97 AA185211 263.16 5,000.00
06-19-97 AA211440 .00 2,293.63
10-27-97 REFUND .00 13.16-
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
7,543.63
.00
.00
. IF PAID AFTER THIS DATE. SEE REYERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN n.
NO PAYMENT IS REqUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCRI,
YOU MAY BE DUE A REFUND. SEE REYERSE SIDE DF THIS fORM fOR INSTRUCTIONS. I
TOTAL DUE
.00
PAYHEHT I
Dttach t~ top portion of thi. Notio. and 'UbMit with your paYMent Mad. paYable to tht na.. and addrt..
pr Inttd on the reyer.tt sidl"
If RESIDENT DECEDEHl .ake oheak or lIorlllY ordllr payabll tOI REGISTER OF WIllS, AGENT,
If HOH-RESIDENT DECEDENT .aka ahlck or lIonly ordlr payabI. tal COHMONWEAlTH OF PENNSVLVANIA,
REFUND (CR)I A'refund of a ta~ credit, whlth was not rlqul.ttd on tht Ta~ Return, MSY ba rlqua.taa by co.pleting en
".pplicaUon for Refund of Pannlylvania InharHanea IInd E.tD'i:e Tali(" (REV~131!). Applioation. ar. Iluellabh lit
the OfficI of the Rluhter of WUlt, any of thl Zl Rev.nuI Ohtrict OHlolI or froll the Dapart..nt'. Zit-hour
antwlring ..rulel nll.blr. for for.. ordll'lnll! In Plnnlylvania 1-8110-:562:-Z11S0, out. Ide Plnn.ylvflnlB
hnd within local Harrisburg area (711) 787~81194, TOO' (717) 77Z~ZZ52: (Hearing IMpelrld only),
~EPLV Tal
QuutJon. regarding 4IIrrOrl oontain.d on this noUel .hould bt addr.sud to: PA O.partlllGnt of Rlvlnu" Bur.au
of I~dlvidual Te~el, ATTHI Po.t A.......nt Revt.w Unit, D.pt. 280601, Harrllbur;, PA 17128~060l, phone
(717) 787-6505,
DISCOUNT'
If any tax due Jt pMld within thr.. (3) ~alendar Ilonth' after th. decod.nt'l d.ftth, ft five p.roent (5~) dJ.oount
of the tax paid h allow.d.
PENALTY I
The 15% tax 8an..ty non-partlciJlation p.nalty is eOllput.d on the total of tho tax and Interut ......od, and not
paid before January 18, 1996, the first da~ aftar the end of the tax a~..ty p.rlod.
INTEREST I
Intlre.t i. charg.d b.glnning with first day of d.linqu.neY1 or nine (9) .onth. anu one (1) day froll the data of
death, to the date of pay..nt. Tax.. which blon.. delinqu.nt b.for. Jonua,'y 1, 1982 bur interelt at thPl rat. of
six (6~) p.rc.nt p.r annu. calculated at a dally rat. of ,000164. All tax.. which blea.. d.linqu.nt on and after
January 1, 1981 wUl bur lntll'..t at a "ute which will vary froll ea1.ndelr y.ar to oallndar y~.r wUh that nth
announoed by the PA Depart..nt of R.venue. Tht appllcabl. Int.r.st relt.. for 1982 through 1997 art'
V."r Intor..t Rat'. DaJly Internt Factor Vear Interest Rtlte Dally Int.rllt Factor
--
1982 20% .000548 1987 9% .0002:47
1m 16% .C!0043& 1986-1991 11% .000301
1914 ll~ .000301 1992 9:': .000241
1985 13% .000156 1993-1994 7% .000192
1986 10% .0002:74 1995-1997 9% .000241
--Int.rut is caleu1l!ltld lit followll
INTEREST ~ BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
uAny Notioll lllu.d uUer the trlx b.oo... dellnqu.nt will rafhat an Intereat ellou1l'lUon to flft.tn (15) dlYI
b.ynnd the dlt. of thl l!l....n..nt. If pay.ent It lade after the Intarut co.putation date .hown on th_
Notlc., addition..! lntoralt .lIlt be calculated.