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21-97-40
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~Il.__~~ ',1, " ""'l.".-,, c-maT)T",..MllHlchael L. Norris, Coroner
~..':*--=-~,~~~''''~~::...~~,~:~~~~~.,~:~.~:~.~~~~.~ ~ r:'~' 405hFat.rwlY Drive ,
.....~.-:;~~~..l~r-:-" ~J/...t!J .. ".....~_.n1c.bur., PA 17055
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M.IlJolUP'f'lIOftro
00WUl0000 '" C4UOI
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-
21-')7-40
RENUNCIATION
In Re Estate 0; -l)~\ ~IAI t, G..JL:.iLl.L-.1J.Lt,l ft,:
deceased,
/
To the Register of Wills of (l )~~ L ;,,,1-\\ ...
County, Pennsylvania.
The undersigned I )('"J)J i )\,I!.~I" \,\c(, I ,',~f', ,"f)L.lli:iULRLU:.:L\',\i I r<'
of
thc above decedent, hereby tenounee(s) the right to administer the estate and respectfully ask(s) that Letters
C.i\ /\I".-"Y\\k. )l~ Tk:...~...rfCd ,I
be issued to
. ----~ (-." , '
\ .)/:"\JllO..!.s:...LLJJ. If" , ( G
WITNESS
hand this ~_. day of ,\ t\~J,
19'((
_1_'
c-
)(j\\",Q^U.~,,,,,",,,,.k)~~\ Q, 11
lSlgnature)
n4t.1;\i\'W) C"f l.\'S'I~,U?l-)
,M.u: ,l "h)I(<;'\~.>"fy,-r,\ \'(os;-'<)'
(AddrISS)
It]
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III N
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(0 .' ',1)'." 'I .I..
-7";"'1/7'''/ 1<,,(,., ( ~.LL,,-,,-,
, (Signature)
. /" J _ _ j) ,to
I ~.(., , t--';:' ,.J f-'i I 'c_ /< c:-
ee) e I;;, 11C-.......L~L--L.750 :,-
(Address)
(SlgnatuTO)
(Addre's)
INHERITANCE TAX RETURN
RESIDENT DECEDENT
COMMCNW'^U" Of "NtlSYl'^,"^ (TO BE FILED IN DUPLICATE
nrrAR1MENIOf REV[NUE
PErI'lA0601 WITH REGISTER OF WILLS)
_~~J\~RIS~~~~.!.~_.~~.l.~_D21~O_~ _. _____________ __ _.. _ _____n____ __ _ ,_. ... _ _ _ _ .
..-.._-.. OfmfNI.~t:i~r:TiiiSi:^fiE MID!I[fli~jiii..ij..---~_.'__-_n ....... iifr fiifilj1rni":lritif'^Fiwt~"-'
_.wf:J,.I.,~&'I' /)t.'f)rl.-~). ll,I..... .. ~'?!'c.~t:~~f~..:c.L,'~eot.(VV'7Cl..t"
!>OCIAt !.fCUNIn NUMBER OAIf or [HAIl! {),\If Of I\IR!II ....,.. n '""" t'....'" q _.... , n 7~
.'L~:-'5b-l.q.?].u..u1''''~i r3\~44 (o""'r" C"'M.8~llL"'~b
'" "1,c'9tlt-,,,,,,,,,,,, '"'''''' ".... "'" "'" ..", '"'' " ",,'"'' I'" '" 1f","'1V """,," '""'"" ",<'f'v'" 1"i /1",,,,1("''''''
I ~ Original R~ltJrn ( I 2 5upplflnllHll[11 Rolun\ \ 1 Rnmoindnr Roll/rn
(fol doln\ 01 death prior !n 12 1 :].fl?l
[ 1 -1 limilod F.\lnln I I An full/rn lntor,," Comprornho ( l!i rfldflrnl 1'\1010 lnw Rfllurn Rflquill,d
(lor dfllM 0' doolh oltor I') 1') n 7)
[ ) 6, ()OCOdflflt Dlod Tostolo I 1 7 Dtlcodont Maintoinod 0 lI\1ing Trll\!
lAHoch copy 0/ Will) IAttoch copy of TrulI)
AitcORRESPONDENCE AND CONF1iiiNiiAITAX iNFORMATiONiHOULDSEDIRECTED TO.I-----...--. ...----. ----~-_..-
N~nAE({~ ~. I'II\Jff-t" (;;':~~~i~~f'i;~~f\i)
Hi'l~nstVtH'M8il ~ ./ ~(1
Id71"JL'd1V' ~ \~~ ....__ !!.t:cc\tp'~ f~lf\NO
I
2.
3.
Reol E,tole (Schedule Al
Slock, and Bonds 15ch"dule 8)
Closely Held Stock/Porlnonhip Interest (Schedule q
Morlg(jges onel Notes Recoi\loblo (Schedule D)
Cn,h, Bank Depositi & Miscellof\llous Personal Properly
15ch.d,ln FJ
Jointly Owned Propelty (Schedule Fl
Transfer! (Schndule Gl (Schedule l)
lotol Gross Aneh (total linos 1.7)
Funarol f'lpenses, Admlnlslrnllve Co,ls. Ml,cellonnous
EKpen,es (Schodule HI ,
10, Deb", Morlgage lIabllllies, lions (Schedule IJ
II. Tolol Dedut.llon, (total line, Q & 10)
12, Nel Volut'J of Eslate (line 8 minus Une Il)
13. Charitable and GovernmMtal Bequesls ISchedul1l JI
.~~.~~~_~~!~.~.~l<<:~~~~l~i~~_.~?_.~'nus..~~~_.~~J_____.~__~
15. Spousal Transfers Ifor dale' of death after 6.30.941
See Inslructlons for Applicable Percentage on Reverso P51 .
Side. llnclude values !rom Schedule K Clr Schedule M.I
Amount of Une 1 d t('1xable at 6% rate
(Include value, !rom Schedule K or Schedulo M,l
Amoun, of Une 1.4 tOKohle ot 15% roto
(Include volues from Schedule K or Schndule M,l
Ptlnclpal to)( cluo (Add to'l !rom lines 15, 16 end 17.1
Credits Spousal Povf'Hly Credit Plior Puymenh
fir " \ ~oo fZ t I' '1.1)
~~t~
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16,
17.
z:
co
>= 18.
~
~ 19.
I!
co
'-'
~ 20.
...
+
J ij J ~)/,--0
fOR DAlES OF DEATH AFlIR 12/31/91 ClIECK IllRE
IF A SPOUSAL
POVERTY CRIDIT IS ClAIMED I I
Fill NUMBER
cou:tv \ODE
tf-,
YEAR
B fotnl NUl1lhtlf of Soffl {)npn\it Bn~M
D. /1'-' 0
IJ-:-;--... ~'_-_'_C'_-_'-
(II
121
131
I ~ I
IS)
-~
r':
~-
"--
141~19 ./'1
16)
17)
II{ 6/f.1 f
19)
~~, cr:H" 13
I B I
1101
~ 'l.'13'/'~J
Oef,e,lf' ~flrl::
1111
1121
113)
._.._--_._-_._~- =~_._..
I'
"
.::':~ -
~ I
. ------><,-
~
116J
. .06 =
1171
)( .15 ==
I1BI
Discount
lnlorod
+
(191
1201
If Uno 19 is gIMlet thon Une 16, enter the diflfHcllce on Un", 20.
mil
This illlo. OVERPAYMENT,
CI1(~C~ here I you ~rc requesting a refund or your ovorpnymenl.
21, If tint! 19 i, grelllof Ihon Une lQ. (lntor Ihn diflfHtlOCfl on line 21 This is tho TAX DUE,
^, Enler Ihn int(\lesl on thtJ bn\nnco dlln on linn 21A
B. Entflr Ihe 10101 of Line 21 nl1d :ilIA on lino 211\ 1hi\ i1 Iht BAI.ANCE DUE.
Make C~.~_k ~ara~~_e 1~_:__~_{lli~!! or Wlll.~~g.nf
121)
11IAJ
(2IAJ
:=-_~....-=. .~_.)o:.)t:.~!. ~UR.ETOA~WE~.A!tQli!STIClNS:O~REV~~S_E _SI~E-A.ED. .!Cl]~~!lE_~~~~~TIi_..~=~u~__=. '.. . .
Undor pMahie, 0' pnriury, I doclore tho! IIHl\lc ownminnd thi~ telurn, ;nrll1dir'~ ouompo.'yinO "hndultJl ond slCllemonh, nnd 10 thp be\l of my knowlodgl' Clnd hl'lir./.
il is true, (orrnc' and compln!o_ I dr.rlCl1o thol flll rf!ol o\lntn hm b('(\fl r('portner 01 !tun mmkOI \lnlun DorlCHCltion of propotrH 011101 thol1 Ih,. pnlwnnl tOprf'\flnlC1tiv,,!\
bosod on 011 information 01 which Pf(\POIOf hus (Illy knowlodgo
siGt~Jiir of" I'rii~o~~ Jlf~r()ri~i~lf FilR il\!t~(j ill ii/Rr/ ^hf1Rii,~
n,.!7...,~A -z..<.&:~~ 71'<(.L ~~_" /.._"<. IC:! A.-L {:, ," A-.l~<{ r'A 17" N
"'6V~~f;;;:" ''''''\P~'~';:I;'I' (d ~;~'/h- (v{~1'\fi[ PI-A Ai iJ I ~~ I n bl b '''I''
,,", 'J/."Jh 7
CJ ~ ~~)
[--'_ -A;iOun~ -R.~l~:d --l
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE .. RETAIN LOWER POR'nON FOR YOUR RECORDS ~
R 1!V: i:5'''-7 - EX"- AF p-" f (19"=97"1 - NoYi c E" OF - YNHEiii f AN"CE - "fAx - iippjii, is EHENT ~ - -A i i:OWAN"C E - ciri" -- -- - - - - - - -"" - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT O~ TAX
DONAl.D W FILE NO. 21 97-0040 ACN 101
/.' 1>'1 J'
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
lNtjlRITANCE fAX DIVISION
D[PT,780601
ttARRlS!URO, PA l11U-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
ROBERT E MVERS
100 YORK RD
NEW CUMBERLAND
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
04-06-98
WELLER
01-06-97
21 97-0040
CUMBERLAND
101
PA 17070
ESTATE OF WELLER
TAX RETURN WAS, I X I ACCEPTED AS fiLED
RESERVATION CONCERNING FUTURE INTEREST - S~E REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..l e.bh (Sch.dul. A)
2. Stocks .n~ Bo~d. (Schedule 8)
3. Clanh Held stock/Partnarship lnt.rut (Schedule C)
4. Hodg.g.s/No'hs Racail/ebh {Sch.duh OJ
S. Cash/Bank n.posits/M1$c. Personal Prop.rt~ (Schedule EJ
&. Jointly Owned Property (Schedule F)
7. Transfert (Schedul. G)
8. Total A,..t,
CHANGED
III
I ZI
(3)
141
(5)
(6)_-
(7)
.00
.00
.00
.00
14,618. 18
.00
,00
IBI
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expa.n.../Adlt. COltl/Hisc. Expense. (Schedule Hl
10. O.bh/Hodg.g. l.bbllit.1u/L.1ans (Sch.dule I)
11. Toh1 D.ducUol'ls
12. Net Vdua 01 Ta)( R.turn
IS. Ch.ritiab1e/Govlrnll."tal Bequ..ts; Non-elected 9115 Trult. (ScMdul. J)
14. Hilt Value of flhte Subject to hx
(9)
110)
28,936.13
.00
Ill)
(U)
(15)
1141
(/
*'
I(~'I~.I .:. ." < Ot"1I
DDNAl.D
W
DATE
04-06-98
NOTE: To in.ur'. prop."
cr.dit to your account,
SUbMit the upp.r port ion
01 thh fo,,1I'I with your
t.)( Ply..nt.
14,618.18
28.9:'>6 13
14,317.95-
,00
14,317 .~5-
NOTE:
14, 15 and/or 16, 17 and 18 w:l.ll
r.turn. a......d to data.
If an as.allMent wal :I...uad pr.vioully, lina.
reflect figure. that include the total of ill
ASSESSMENT OF TAX:
IS. A~t of Line 14 ~t Spou.II
16. A~unt of Line 14 t.)(able et
17. A~t of Line 14 t.)(iable .t
18. Principal re)( Due
TAX CREDITSI
PAYMENT
DATE
.00
,00
.00
M .00=
M .06=
X .15=
(18)
r.t.
tin..l/Ch.. A r'1:.
Collataral/CI... 8 r.t.
115)
1161"
(17)
RECEIPT
NUMBE R
DISCOUIlT I.)~
INTEREST IPEN PAlO 1-) I AHOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
------------
TOTAL DUE
.00
.00
.DO
.00
.00
.00
----
.00
.DO
. IF PAID offER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
----~---_._----~-~-_.--_._- .----.-.-------
IF TDYAL DUE IS LESS THAN n, NO PI.YHENT IS REllUIRED,
IF TOTAL DUE IS RefLECTED AS A "CAEDIT" ICRI, YOU MAV BE llUE
A REFUND, SEE REVERSE SIDE OF THIS FDRM FOR INSTRUCTIONS.)
\)
Li
i..;L
RESERVATION I E,t.t.. of d.cedent. dvlng on or be fort D'c..~r 12, 19a2 PO if ~ny future Inter..t In thl ..tat. I, tran,ferrld
In pollu.lon or enjoy..nt to Chit B (oo11.t.rn1) blnefJolerl.. of tM dlcldont afhr the expiration of any ..tate for
11f. or for yurt, the Co..onwulth hlr.by IlCpr."ly r...rYI, the rl;ht. to appr"Ju and Ill.... trenthr Inh.rltance Tat<u
at thl lawful CI... 8 (0011,ttral) rat. on any luch future Intere.t.
PURPOSE Of
HOTICEI
To fulfill th_ requlr...nt. of hCltion 2140 of th. Inhorlhtnot and Elt&tt hIe Act, Aot II of 1IJ95. (12 P,S.
S.ot1on 9140).
PAVMENT I
Detach the top perUon of thlll Hotloll and 'ubtU with your pay..nt to the ReglUer of Willi printed nn t.,. rlVlr.. .Ide.
uHat(e chlok or IIonIV ord.r payable tOI REOISTER OF MILLS, AOENT
REFUNO (CR)1
A refund of a talC cr'dlt, which wa. not reque.ted on the Taw Return, .ay be reque.tld by co.platlng an "Applloatlon
for R.-fund of Penn'!l'lvanla Inh.rltllncl and E.tat. Taw" (REV~13ll). Application. art avaHable at the Offlol
of the Regl.ter of Willi, any of the 2l Revenue Dhtrlct Office., or by calling the .peclal 24-hour
an.werlng .ervic. nuaber. for fore. ordering: In Penn~yivanla 1.800-362~20S0, outllde P.nn.ylvanla and
wltl,!n 100a1 Hard.burg er.. (717) 7a7~8094, TOOl 011> n2~22S2 (Hurlrlg h,palred Only).
OBJECTIONS: Any party In Inter..t not ..tlsfl.d with the appral"lant, al10wancI or dl..llawance of d.ductl6n., or ........nt
of tal( (lnolwJlng dJtoount or Int.r..t) a. thown on this Notlo. .ust objeot within .hty (60) day. of r~elpt of
thh NoUol bYI
-~wrlttlt1 prot..t to thl PA Dl9artHnt of R,vM\l', So.rd of Appe.h, Ol9t. 281021, HarrltburD, PA 171Z8-1021, OR
ueleotion to have the I.tt.r dtct.relned fit audit of the aocount of the perlonal rlpruenht!v., OR
--app'1l1 to the Orphans' Court.
AotnH
ISTR,t,TtVE
CORRECTIONS I
Factu.l .rror. dl.oov.rod on thl. a.......nt should be addr"'~ In ~rltlnD tOI PA alpart.lnt of R'VtnUI,
Surltu of IncUvldu.1 TaWil, ATTNI Past A......lnt Rlvlew Unit, alp\' 280601, H.rrhburg, PA 17128-0601
PhoM (17) 787~6505. S.. PIfI 5 of thtl booUet "Inltructlon. for Inhlr1tenc. Tax Return for I RSt!cMnt
Decedent" (REV-IS01) for an Iwplan.tlon of .o.lnJ'trltJvllY correatebll error..
DISCOUNT:
Jf any tllX due h F'\ald within thr.. (3) cII.ndar IIOnthl .fter thli dec""t', death, a flvl peroen~ IS;() ditcount of
the tax PIJd 11 1I11owltd.
PENAL TV I
The 15;( taw ~.tt~ non-partlolpatlDn penalty I. co.putld on the tot.1 of the tax and Intlrl,t a...,.td, end not
paid blfor" J8nUary Ifl, 1996, the first day Ilft.r the ~ of thti tell n."..ty pttrlod. Thh non-p.rtJolp.Uon
pena)ty It appealable In the 'aM ..,.".r and In the the .... U.. period .. you would awnl the tal( Ind inter..t
thllt MlIIi been .....lIad al lndlt.tlld on thll notice.
INfERESTI
Interut It charged beQlnnlr'lil with first day of dellnquancy, or nine I'} IIOf1thl and one (ll day frN the dat. of
dedh, to the dltl of pl~t. T.x.. which btc... delinquent beforl .-....ry 1, 191Z b..r Inter..t It thou rat. of
,II( (6;() Plrc~t p.r ~ calcul.tld at . dally rata of .000164. All taw.. Which bee... delinquent on and ,ftar
January I, 1981 will bear Int.r.st nt a ratl which will vary frOl oalendar ~eer to calendlr year with thet rate
WtnOUnCH by the PA D.pertMnt of Rlvenue. The appllotbl. Inhr...t ret.. for 1911 through 1991 Ir'"
'!!.!! Int.r..t Rat. !!!!tL!nt.rtlt FlNltor !!.!! Interelt R.t! gtlllv Int.r..t F~tor
1912 lO% .000548 1911 'l .OOOZH
1915 1':< .000451 19M-I991 11J( .000301
198,. 11:( ,000301 1'" 'X .000Z~1
1915 In .0003~ 1"'3-\,"" Il ,Oa0192
191' 10iC .000l74 1995-199. 'X ,00024-7
--Intlr..t It c.loulatld .. folloWl1
INTEREST. BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINqUENT x DAILY INTEREST FACTOR
--"ny Notlel I..UId Ifter tht till beeo... delinquent will ,.In...t an Int.rut CBlcul.t1on to fifteen ItS) dlVI
blVond thl date of the ........n', If pav""' Is aadl "H.r the IlIterllt COIIpUttt!on date .hewn on the
Notloe, addltlonlll Inter..t IUllt b. Clllllcul.tlll.
COHMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DlJRfAU OF INDIVIDUAl T^Mf~
IHtll III lANU IA~ tl\VI~lnH
IHP! i'IIO(,OI
f1I\1WI c;nlllHJ, II" "I?II !I(,1I1
1m Ilcr Of Itmr~l' MICE '^~
^Pf'~^ISHIENT, M LOW^NCf OR OISM I(IWMIC!'
Of IlF.DUCTlONS AND ^S5fS~HF.NT or TAl<
DAn
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
RORER r E MYERS
100 YORK RD
NEW CUMBERLANil
PA 1/070
II', 111,. ~B
WILLIR
01..06 - 9/
?\ 9/. 011',11
CUMRFRIAND
101
^llIo\Jn t Rafn t t tAd
f'};.~:s.Jl.
~t_'
11'li.,I",,, rl'!1!
1I111lAI,J
W
MAKE CHECK PAYABLE AND REMIT PAYMENT TO,
REGISIER OF WIt LS
CUMRfRtANO CO COllRF IIOllSE
CARLISLE, f'A 17013
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS .....
n'EV: is;,? -iX-AFP- -f 09 :9?Y -Ntifi ci( -ar. - t NHEifif",j.;e -Y i\ y. ~:pri~iii~.i(~"r: - ~i niw A N"6ji- riR - - -- - - - - - - - - - - - --
DISAI.LDWANCE OF IJEDUCTIONS AND ASSEssMEin OF TAX
ESTATE OF WELLER DONALD W FILE NO. 21 97'00',0 ACN 101 DATE 0(t'.06-~8
T^~ RETURN WAS, I X I ^CtEPTED AS rllro
RESERVATION CONCERNliiG"'FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..l Esht. (Schedule AI
(!, S'l('Jckl and Rondll (Schedule Al
5. Clos.tv !l.Id ~tock/r"rtn.nhtp lnt..r..;t ISr.h_duh C)
{t, H('Idgagas/NotA!I ReceIvable (Schedule 0'
5, Cuh/8nnk OfllPO!lth/l1tso, "arsnnel Proparty ISr.heduh E)
6, Jointly O"nll(1 Pl'opllrty (Schedule f)
"! Transfar!l (Schaduln G I
8. lot.l AI~.ts
APPROVED DEDUCTIONS AND EXEMPTIONS,
CII^NGED
II I .00
1?1_____JlQ.
I SI .00
(oIl .00
m 14,6lJLU!.
'hI ,00
171 ,00
161
78,936,13
IQ l___"~_..____
1101 .Q.Q..
10,
11,
12.
13,
14,
q;, Fun.ral [xp.n.../Adln. Cosh/Hlllo. fY.r.m'lA'II (~.r.hndl/ln It)
n.bh/Hodgftge l.hbilltiu/l.hms (Sct,.duh II
fot.l Daduction,
Nat V.lulI of Tax R.turn
Ch.rlt.bl./Gov~rn~.ntal Baqu..t.) Non.el.eted ql13 Trust, ($oh.dulM J)
N.t Value of F.hta Subjllct to h)(
Tf pn ......"q..mAnt W~! i"llU"d prAvil1"qly, Unt!o 1~, 15 ..nll/ar ''', 11 And 18
reflect figures that include the total of ~ returns assessed to date.
ASSESSMENT OF TAX:
15. Allount of l.lne 1(,
1~. AMount of Lin. 14
17, ""ount of tine l(t
18, Prlnclpel l.x Du.
TAX CREDITS I
~~_._------'.~..__.
PAVHENT
DATE
NOTE.
.t Spoll..l
tax.hh .t
taxllbh .t
I'.t.
Une.l/Ct... " r.t.
Coll.t.r_l/CI... D r.te
RrCflPT
NUNSER
DISCOUNt III
.lNIEREST/PEN PAlO 1..1
UOTE: To InsUI'e prop.r
crflldt t to your account I
"iuhllll t the upp.r por t Inn
of thlt for", with your
hx pa~lIen t .
14,618,18
1111
IllI
1131
O{t)
?8.936 .Ll..
14,317,95.
.00
14,31/,95-
will
fl51
IIbl__
fl71
.00 X,OO, ,00
.00 K ,06. ,00
.00 K .15,----:00
IIQ I ,00
.00
,00
.00
,00
1
AHOUNT PAID
TOTAL TAX CREDIT
--... ~,._.".,~_._-~_._--. ...
BALANCE OF TAX DUE
...H_._....__... ...___..
INTEREST AND PEN.
TOTAL DUE
. II' PAlO ~Ilrn O^lr INOICArrO, SEE REVERSE
fOR C:W:UlA\lml or ^,1011l0NAl INlrRE~l.
I II TOIAL DUE I~ I f'~ fN^N II, NO I'^VHINI 15 RrQUIRfll.
If TO{Al Ilur J!'-i f!nlrc!ln AS ^ "CRrnlf" ItRl, YOU MiW nl" O(J!:
^ RHlIHO. ~.rr H[vtP!iF ~lor Of TIltS fORM fort IN!;'RlI(IION~, I
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND !j AL..
}
15/
DilVld S. Wclllur
".' b,ln9 duly ""or" .ccordln9 to I.w, dopol" .nd s.y. th.t h. '" 'hfi __
Mlmilli"trillnr 01 the Ellel, 01 DOllilld II. \"':1101'
1.1, 01 ~':L2.r..!Ulg.!.l. I.!l!:!!!.:!l\!Jl~. "---'-~---- , Cumb.rlond Coun'y, P.., d.ce.sod .nd thot tho
Ithl I I I d b David S. WlCller th Id Mlllini"trillor
W n I an hY'n ory mill I Y _ _ _ -'I. .1
of tho .n'lr. el"" of IIld d.c.d.n'. conslltlng of .11 fhe penon.1 prop.r'y .nd r..luhh, 'Xc.pl real 811010 ouhld.
tho Commonwealth of Pennsylvania, .nd that th, figures opposlt. ..ch Item of the Inventory repr.s.n' It's fair v.lue
01 of the d.te of decedont's d..th. . .
1'.).1' ..I.J. /1 ( ..
. .
ond sublcribed belore me,
C~r.A --' y
;
l
/;-7
I
IL1!A...JcJ.A) )/4l..
19.21-
C) ,.~' J,'
'"7 . V .:;.:. yo" _
'-" -..;-, .,,<..... ./c' C:::: .~. {(,.v!." H""'.4~.~
ElClcu'ot . Adml,,!if,.for
744 ~ l'UIlSI Ollp Rei.
Ma r\OTAf~I";;:,,(
ry 0 VVIIi.l(/;' I' t,,' "
Olll~/)'!I(I [l -' "I' ~ r ,'hll(;
~c ',lH('T "-(~' I
" .omfllFSS""l/' 'lUll,'
--...:.:-::..~- ,_~!'l:!,,~, I:;' 1
I
No" ClImherl ilnd, P^ 17070
Add.."
D.te 01 Oea,th __
6
January
M.nlh
19~7
D.r
Y..,
--
INSTRUCTIONS
I, An Inventory must b. lIIed within three month I .fter 'ppolntm.nt of p.tlon.' r.pr'lentellve,
,
2, A lupploment Inventory must be IIIftd within thirty d'YI of dllcovery of .ddltlon., ....Is.
3, Addltlon.l.h..1s mey be attached AI to petlon.lty or realty
4. Su, Article IV, Flducl.,ies Act 01 1949.
1..,'
, .' ..;
8 w ..
M
~ I- oo
~ ..
"" u .
0 .. en ...:
0 W ~ .... Q ~ ..
z j!; . ,,'
... u. .. ..
0
u. ... ;:j 0 0- :a:
IoU o,~ ;:. ~
> I>:
Z ' 0 Q g
0 - VI Z ~
'" ....
Z w 0(
"" "U
c
'" .!
0 ..
..
..0 ... ""
.. e .
.. ~
. u 0
oJ " ,.
Invontory of the roal and porsonal oslalo of
c)l I
( I "f. lit.'
Dona',' W, Wollor
_ deceased
1. Public auctinn-equipmenL, i.nventory, of YInger's Gub GadoL
Solos and ServIce 8831, :.i5
2. PNC Bonk, N .A" chocki.ng account 104 01
3. PNC Bank, N .Al t 8~vings account ,", 97 03
, .
4. 1ff\1 Ford Truck 1200 00
5. Check - to bUAinoAs - on hand at doat:h 861 12
6. Accounts receIvable 2149 94
7. Cash all hand 101 b 00
8. IRA - cash out 2051 72
9. Gifts from friends to estate 325 00
10. U.S. Series E. bond-91256665389E-~7.-56 ($25.00) 186 00
'~ )
,"
Total
16,BJ'
7'1
{,
(;0.:
I'.
~ v.'
COMMONWEALTH OF PENNSYl.VANIA
DEPARTMENT OF REVENUE
nUREAU Of INDIVIDUAL rAXr.s
INIII R"ANtl: IA)( IJllJllOlnN
fliP!. <'1l0bOI
!(^,H~I !iIHJRG, PA 1 II 78 O(,O!
NOT ICE or INHERIT ANn T M<
AflP"^ISfHHH J ^' 1.0WANCf OR O[~^' I.OWM4cr
Of IlFOlICIIONS AND ASSESSMrNT OFI AX
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
ROBERT E MYERS
100 YORK RD
NEW CUMBERLAND
PA 17070
0',. O~' 9R
WElLER
01- 06., 97
71 97-00',0
CUMBERLAND
101
Altlount RfllIlit hd
I
~M
"1, I~H II "P ,~t t1,
1l0NAI. "
W
-~I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO.
REGISTER or WILLS
CUMBrRI ANIl co COURT 1I0USE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
ii i::V; i5i07' "EX.'''';'. "[0'9-; .;;;Y "iHiYicroTYNHEififili.!F.€- Y A Y- iip;;~';ii ~ ~"ii" ili'": -;. i'i .liw to 'N-CF. 'iiii-- ----- - -- - - - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF WELLER DONALD W FILE NO. 21 9700',0 IICN 101 DATE 0',-06-98
APPROVED DEDUCTIONS AND EXEMPTIONS.
Cl, fun.ret El<P"''''18'l1/Arlll. tosh/Mho. fxpanu!I (Sehllduh tl)
10. DRbts/Hortg...g.. I,lahilities/Lift"' ISchaduh [)
Ll. Total Oeductions
12, N.t V.IUlI of rax R.turn
15. Charitable/Governlllental 81qu..hJ Non~l1.ct.d 9113 Tn..h (Schedule J)
14, H.t Valu. of E. ~.ta Subj.ct to i'ax
TAX RfIURN WAS, f XI ACCFPIED AS nuo
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
I. R.al Eshle (Sehedule Al
2. Stooke .nd lJand. (Schadule En
3. Cloul)! lIeld ~tcwk/P.l"tn.l"shlp Inhl"8.t (Schedule C)
4. Hortgage~/NotAs R.eeiv8h~. (Schedule 01
5, CBsh/8ank ""po"i h/Htsc::. rersond rroperh I Soh.dula E)
6. Jointly OWnl'ld PrflPftrty (Schadula f)
7. Trlllns;flIrs (~ch.dlll. GI
8. Total A.sat~
Non,
T1' pn a~~p~~m"nt wa~ i....UAd pr..vjl'l"~ly, line..
ra1'lact figuraR that includa tha total of ~1h
ASSESSMENT OF TAX.
16. A"ount of Lina 14
16. AlJount of Un. 14
17. A"ount of Lina 14
18. Principal Tex Due
TAX CREDITS.
-.----..----- --------,-.---.-- _._---_.__._---.-~---
PAVHEHT RECEIPT
DATE NlIHBER
.t Spau..l ,..t.
t.x.ble at Lina.l/CI... A ,.t.
texabl. at Collet.ral/Cl... 8 rat.
DISCOUNT I tI
INTEREST/PEN PAID I-I
1 CIIANGED
III
12)
13)
(l.,
15)
16 I
171
,00
,00
,00
,00
14 , 618,18
,00
,00
101
28,936,13
fq)
1101._._
,0.0_
I III
1121 _
113)
1141
HOTEl To insure proper
C1radit to your account I
sublll! t the upper pad ion
of this fO"III wi th your
tAx PIII~I'.nt,
14,618,IB
78,936 I:\.,
14,317,95-
,00
14,317"~"
1&, 15 ""rl/or 1ft, 17 and lR will
r9turns assassad to d9to.
f 151
fl6)
fl71
,DE. x ,OO"__--.:~~_
,00x,06, ,00
,00x,15, ,00
l1el .00
-- -- ,--- -.....---.--. --. --. --_... __......~__________ ____ __ . ___.._ ...~ u_____
AMOllNT PAlO
----_..-.-----~ -----..-.---- -------..---- ,- .--.--- ..--.---.-....- -.-..-,. -
. IF PAID AfTER DATE INDICA rED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
TOTAL TAX CREDIT
.- --~-~~.._-_.__._-_......--_.---
BALANCE OF TAX DUE
.._._y_.__.___ _'U .'_"'__ __,..__
INTEREST A~D PEN.
..--.------., - -.- -- -~-- --.. ... - .... . ---
TOTAL DUE
,00
.-.-- .---...-.--- ...----
,00
__._________4..'______.4_
,00
.00
If TOTAL DIIE IS LESS TIIA" 11. liD PAYMENT IS REQUIRED,
IF TOTAl DUE IS REflECHO AS A "CREon" ICR), YOU HAY AE DUE
A REfllNO. SEE REVERSE smf OF TillS fORM fOR INSTRUCTIONS, 1
~ ~. .
~
"'~ ,4 ,;
~ III .
~~ H I>i
.,~ ~
1><'"
~~S :l= .. 0
A ~ U
p..<Il ::;j0'tl
o .S' ,.., ,;
~ "
'" ~S 844 H
" ..
Q!:(,Z III
08~ 0 p.,IlI,o 0
... 0'" ;l ...
l;;lU"" 9 III l:l " 0
0 ~,.., U'1:1 0
t:)AU I
8 ~. .... ~.... ,...
0- ... 'tl Pd> '"
ell I "'1lI:EH I
... ~" l>o .<
N n.s II) r{J N.
.' ~ <i
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... -3~ff'''?:~~rns(
'l:1l0() Gq,~ Aq ',I;~~.-~W
PllUtlllllOD \UMoo'r,.:t66i"l, -':"r
ROBERT E. MY~QS .
ATI'OltNBY AT LAW
100 YORK !lOAD
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