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1.20;" '~o Mr. n6fue:rti')8.r1 AyeX'H,re,d,,,'~ng ,l,t 7131'NoodhoUQW;
DX'ive.. QflP; Honow t;\}!'trtments, /f132, :\ustin, Texi,s, 7873\. I
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3. 20){, to iiIJ;.i.):U.fforCl ilyeTiJ, '3 wood noad, Westtovm, N.Y 109 8.
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my remaininr/ tate l)G divide" equO,llY fJ,n\onn: my 2 ,neidell, 8 d
tll!l two neplieW!l at 2 80),0\1 ind'e;Hlo,C, 20'f, 8.6 nJ'evlpusly menoned
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Rogi~,,\el {i Wills
'97 JAM '5, AlO 52
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CUmbil: ItAl\cl Co" PA
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I'OA DATES O' D.'A'H AnIA. 12/31/91 CllICK HIA'
INHERITANCE TAX RETURN ~o~::fyU~:;DI"SCLAIMID I I
RESIDENT DECEDENT PILE NUMB'A
COMMONW'AlI" Of PENN5VlVAN'A (TO BE FILED IN DUPl.ICATE 121-97-55
DEPARTMENT Of REVENUE
"AR",fJ:.u~onl".o60' WITH REGISTER OF WILLS) CQUNTVCODE. . YEAR ....NUMBER
... O'v~~~2'k~:r~~~"A ~;OD" ,""j", 'j"-;.'/."I"'7""i.';""4"" [c;lo.C,',"",~~:'7~0~\!'SI:')UI~PII:a':n;)~0:v":o;17~~08111t'3~~_-ee'.t.'-_ -..'--...---
':c~';~~~'~~~u:~r . ,.. ]'I^~/~Y~~" " 'r:L n1MIAM
'" "',,,,,,,,,,",,,,,,,,, \>0,"" I 'I'M' ,,," """ .",,,,,,,,,,, "'"'''' 1''''''' ','"I''''' ",,".i. I AMOW" '<<."VlO 1\1' 'NI.',",IIONII
r~ \. Original Return I 2 Supplemenlul Return [I 3 Remoindar Raluro
{for dolel of cleolh prior to 12.13.82l
rJ 4. limited fltole I 40. fullJre Illlerell Compromise [j 5. fedflrol Ellale Tox Roturn Roquired
(for dotol of denth oltor 12.12.821
fk 6. Decedflnl Di~d fellate 1 7 Detedent MoinlClined 0 living ':'rU1t _.0_8. Tolol Number of Sofe Depolll 80"'"
(Alloch copy 01 Will) (Alloeh copy 01 Trult)
Ai,~ cORiiUPONnlNCI AND CONPlDINTlAL TAi< INFORMATION SHOULD ai DIRICUIl;TO, "
NrMr"""'-- . .L_____~_ .~-.-.~~ ruMriTIfMAii:INC;.A7>Dif1r----.~--~.-------..,.-----.---
Stephen D. Tiley, Esquire 5 S. Hanover Street
i1IfpjiON,'NUMif,"-' Carlisle, PA 17013
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1 Real eUole (Schedule A)
2. Stocks and Bonds (Schedule 81
3. Closely Held Slock/PartMrlhip Interelt lSchedule q
A. Morlgages and Notel Receivable (Schedule OJ
5. COlh, Bank Deposih & Miscellaneous Personal Proporly
(Schedule E)
6. Joinlly Owned Property (Schedule f)
7, T,anlforo (Schedule GIISchedul. LI
8. Tolal Gron Auel$ (tolclUnes 1.71
Q. Fuoerol hpenses, AdminislrotivCt Co $II, Miscellaneous
Expenses (Schedule HI
10. Debts, Mortgage liabilities, liens (Schedule IJ
11. Total D.ductlon.('o'ol Lln.' 9 & 10)
12. Net Value of Eslato (Une 8 minus line 111
13. Chadtablfl and Governmental Bequells (Schedule J)
lA. N!' Value Subjecl t,~ Tax. tUne 12 minulllne 131
15. Spoulal Transfers (for daliOs of df'oth oller 6.30.9l11
See Inllructlons for Ar,plicable Percenlage on Rever~'t
Side. Ilnclude values rom Schedule K or Schodule M,
, 6. Amount of line 1A lo..oble 01 6% role
(Include values from Schedule K or Schedule M,l
17. Amounl of line lA to..able at 15% rote
(Include values from Sthedule K or Schedule M,l
18, Principal tax due (Add lax. from lines 15, 16 olld 17,1
1 Q, (red ill Spoulal Poverly CrAdil Prior Peymonts
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(II
121
131
(4)
(5)
(6) ..
(7)._.
(13. 3.J!Q..0,Q. ,~
18) ~..,.._~_..~!.~_O.~ 00
(9 1 .. ."_'. ..l.~,?~!..lL.~
(10) ...__._._. ."_'__"~__'
. 15 348.75
(II) __._..._.1._..._.
37 951.25
(121 ._--.._~-,- ..
(131 --.....-...-......-
(14) . .._~'L95~.~'i__,
(15) . ..._......_..___....._.._.~, .._*
(161 .._....._.. ._...__~_. ...._., ~
(17) ....3.?,.!l5}.~.~~.._x
,06.
.15 * ......._..__.~.6.9~.68
(18)._..__ .2.1(Jll~&8.
Discount
Inlerelt
+,
(191
(201
::;
<-
20. If line 19 II grealer than Lind 18, enler Ihe difference on lir,e 20. This is Ihe OVERPAYMEN'i.
1;10
Ch(.c~ hCfC If YO\) ore tequesting a refund of our overpayment.
(21) ,
(21A)
(21B)
._ 5,6.92.68
189.82
. .. -- . -- -
._5&82.,50
21. If line 18 is greater thon lina lQ, enlBr Ihe difforence on lino 21. This it the TAX DUE.
A. Enler tho intBresl on Ihe balance due on line 21 A.
8, Enler the lotal of line 21 ~lnd 21A on line 21B. This is Ihll BALANCE DUE.
~a,~. ~he(k__~.~.y~.~.~! to_~._.!t_.f!I~_!~_'_ o!.,,,!!lII',J~g_~~.'_
~~ BI SURE TO ANSWER ALL QUESTIONS ON REVEASE SIDE AND TO RECHECK MATH ..(:.oc: ,..
Under penalties 01 perjury, I declare thaI I hCl\lO eXl1mi'ned lhi~.7;1~.;~~;;I~di~~g--;(~ornponying--;(h;d~.!;; and !I~'tem~~ts, and 10 Iho bes~~yk~;Iedg-;~~d belj;f,
1 il true, correct and compl3te. I declore Inal all reol osl(1le hos beun reponed l111ruo market value Decloration of preparer other than Iho penonCJI represonlative is
bose:!.. on 011 i~for~.~~~~~nich ptep~Hor h_O\ any knowlodgfl. __ _ _
~"~;:;.:::z;;;:::~~~J.i:~~,,~V1'W R..d,S~O;' I:O~t,~;~;;;--=-= p,u-/:' ~,,;
.-1 ':.o.....A) .:..L.:.!.'J--- . ._5_S..IIIlIl~V!:.S!~,_C.'lrlis.!~,n.~a.l.~Q~.3... ..____.__.,_. .#_1.1~.91..
"
July 21
Sept. 26
Oct. 23
23
Register of Wllls, I Rhort certificate
Register of Wills, I short certificate
Register of Wills, filing Inheritance 'rax Rotum
Register of Wills, Agent, Pa. 'rrnnsfer Inheritance Tax
Reserve for 1997 income taxes
Sandra Ayers, Executrix commissions
Frey and Tiley, Attomey'f; fee
Reserve to file Account
TOTAL DISBURSEMENTS
RECAPIT1,lLATION
Total Principal Received
T'otallncorne Received
Total Receipts
Less Total Disbursements
Balance for Distribution
3.00
3.00
15.00
5,8,82.50
100.00
2,865.00
3,415.00
115.00
21,331. 25
53,300.00
, 3,203.43
56,503.43
"'21 , 331,25
35,172.18
PROPOSED SCHEDULE OF DlSTRUlU'l'ION
BALANCE FOR DISTRIBUTION
TOI Robert Earl Ayers
P. O. Box 1093
Bastrop, TX 78602
One-fourth of residue of estate:
313 shs. Textainer @ 14, in kind'
, Balance for distribution
TOI David Ayers
178 Waterloo Road
Westtown, NY 10998
One-fourth of residue of estate:
312 shs. Textainer @ 14, in kind
Balance for distribution
-2-
"
35,172.28
4,382.00
4,4U.Q5
8,793.05
4,368 00,
4,425 05
8,793.05
.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
D //<) "..')"
BUREAU OF INDIVIDUAL TA~ES
INHlRIfAHCE l~K DIVISION
DEPT. Za0601
IlARRUIURO, III 17lZfI'0601
NOl,C~ OF INHERITANCE TAW
APPRAISENENT, ALLOWANCE OR DISALLOWAHCE
OF DEDUCTIONS AND ASSESSNENT OF TAW
02-16-98
VAVRICKA
10-03-9.
21 97"' 0055
CUMBERLAND
101
E:~-- ~:~_~-R!.IH;d-:-~=j
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLANO CO COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORllS ~
il EV: is;,-;' -~X'AF p' - (' iiF 97 T' NoT" i eni,;; - i:"NHEii i i AiicE'r i. x' ilPPRiI"i $ EM ENT ~ . -A ri"ciwANcE' oii'- - - -.-.,. -- - - - - -..
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
EMMA A FILE NO. 21 97,"0055 ACN 101
DATE
ESTATE OF
DATE OF DEATH
FILE NUMlIER
COUNTY
ACN
STEPHEN D TILEY ESQ
5 S HANOVER ST
CARLISLE
PA 17013
ESTATE OF VAVRICKA
TAW RETURN WAS, (X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I E,t.t,. (Schedule AJ
2. Stock, and Bondi (Sch.dule 8)
5. Clom.ly Hald ~tQck/P.rtn.r~hlp Inter.lt (Sc~l. C)
4. "or"g.g../Not.. Receivabl. (Schedul. D)
Ii. C.lhtRank O.pasi h/Mhc. ,'.,..,on.l Property (Schedule E)
". Jointly Owned Pr'lp.rty fSch.dul. F)
7. Tr.~.f.r' (Schadule G)
... Tobl ASiI.t.
) CHANGED
(1) ~
(2) .00
IS) .00
141______, ,00
ISl_ 53.300,00
(~) ,00
(7) .00
18)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Fune,.al E~p.ns../Ad.. Coat,/Hilc. Expen... (Schedule H)
10. Debts/Hortg_a_ Liabiliti../Lt.na (Schedule I)
11. Tot.l Daduction.
12. N.t V.h,. of Tax Raturn
13. Ch.ritabl./G~Y.rn.ent.l Bequ..tIJ Non~.l.ctGd 9115 Trulte (Schedule J)
14. Hat Value of e.t.t. Subject to Tox
If an assessmDnt was iSSUDd previously, linDs 14, 15 and/or 1&, 17 and 18
reflect figures that include the total of ~ returns assessed to date.
ASSESSMENT OF TAXI
IS. AlIOunt of line I'. .t Spou..l rat. (IS)
16. A.ount of line 14 bxable .'t U"..l/Cbn It rd. (16)
17. AftOUht of Line 14 t.xab1. .t Collet.,.el/Cl... 8 rete (17)
~8. Principal Yax Due
TAX r.REDITS I
PAYNEN"
DATE
11"12-97
NOTE:
RECEIPT
NUNBER
AA242449
DISCOUNT C + l
INTEREST/PEN PAID 1-)
185.60'
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTF.REST.
191
(10)
15.348,75
<,
'*
.00
Ill)
(12)
(15)
114)
Uy.nH u ~" lit-HI
EMMA
A
DATE
02-16'"98
NOl~: To insure prope,"
cr.dit to your .~countJ
.~lt the upper portion
of thtl for. with your
t.x pay...nt.
53,300,00_
}5.348 75
37,951,25
,00
37,951. 25
will
.00 W,OO= ,00
.00 W,06=___ .00
37,951.25 w,15= 5,692,68
(8) 5,692,68
AI10UNT PAID
5,882,50
TOTAL TAX CREDIT
---
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
5,696,90
4.22CR
.00
4.22CR
I IF TOTAL DUE IS LESS THtN '1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED A~ A "CREDIT" ICRI, YOU NAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRIICTIONS,I
t:'j
(,I
f
RESERVATtONI E.tolllt.. of HtItMtent. dvll"ll on or bIIfor. o.o...r 12, 1912 -- If MY future int.r..t in the ..t.t. 11 tnn,f.rr"
tn po.....lon or anJo1N"t to Cl... 8 (ooll.t",1) MneflClI.rJ.. of the dH""t aUa,' the uplrllUon of MY ..t.ta for
llfa or for ya.r., the C~alth heraby a.pra..ly r...rva. the right to epprtl.. and ...... tr",.far InnerltlnClM Taxa.
et the lMfful C1ft.. . (collltar,U reta on MY .uc.h futl.lra Intar..t.
PI_"
NOTICE 1
PAvttENll
REFutm ((11) I
a.JEeT IONS I
MinHIN
ISrRAlIVE
CORRECTlONSI
DIf;:COUNT I
PENAL T'. I
INTERESTl
To fulfill the r~lreHl'\tI of h(ltlon 2140 of thl> Inn.ritw\c' and E.t.ta hx Aot, Act 21 caf In5. (12 P.S,
Sootlon 9140),
DfltllCh the top portion of this NoHo. and lublIlt with your ply.."t to the RIIlst.r af Nllll prlntH on thl rl".r'l .1da.
uH,k. check or llIonlY ord.r plIyalllt tOI REGISTER Of' NILUlI, AGENT
A r.fund of a tax cr~lt. which Will not. rtqUt.tld on the Tax Rllturn, NY be r.que"ted by oDIIPlaUno an "Applloation
for Rlfund of PII..".ylv....t. Il\htr ItMU and E.tetl h)t" (REY-UU)' AppllolUon. arl IVIUabl. et thl OffiCI
of the R.ghter of NUh. any of the l! Rlv.nue DlItrlot OfUOIlS, or by cIlllng thl ,peelal 2~-hour
M,w.rlng ,.rvlcl nuaa.r. for for.. orderlngl In Ptnn.ylvenla 1-800-162-2050, out.lu. Plnn.ylv.nla end
wUhln looa1 Htrrhbur. .r.a (11) 787-809lt, TOOl (717) 77Z-2ZSZ (Hearing I.alred OnlY),
Any Plttll In Int.r"t not .aU.fl.d wUn the epprah.Hnt, allowanc. or dh.llOlo1anca of ~t1on., or ....1II-.n~
of tax (I~cludlna di.caunt or Int.r.~t) .. .hown on tnl. Notlea lUst obj.ct within glxt~ (60) day. of rlaalpt of
thh Notlc. bYI
--written prot..t to the PA o.p.rt-.nt of Ravanut, aoard of Appe.l., Dept. Z&1021, HarrisbUrg, PA
-~tlItCUon to ha". the ..ttar detar.lned at audit of the IICCOunt of the plt.OMI rtpr..antaUv.,
--apptJll tc the Orfthan.' Court.
OR
171Ud021,
OR
f.ctu.l wrrar. dl.cov.red on thl. a.......nt .~Ild ba &ddr.I'~ In wrltlna tOI PA Dep.rt~t of RIVenut,
'uranu of Indlvldu.1 Tax.., AllN; Po.t A..Q...-nt RavllM unit. Dept. 2a0601, H.rrl.burg, PA 17128.06Gl
Phone (717) 787-6505. Sae P&98 5 of the bookl.t ~In.tr~tlon' for Inh.rltanca Tax R_turn for a RI.ldent
n.c:tdent" (REV-IS0l) fOl' an axplanatlon of adalnl.tratlvaly corr.otable .rror..
If any tax dut 11 pahl within tnr.. (1) calendflr aunth. aft.r the Dtw:acMnt'. dlath, a flve pareent (S;O dltoCl'4Jflt of
tlta tax paid It allowed.
The IS~ t.x .-nI.ty non-participation p~lty It coaput~ on the total of the tax and Inter..t ......td, and not
paid bafor. January la, 1996, the flr.t day aftar the end of the tax eana.ty parlod. Thl. non-p.rtlclp.tlon
penalty It appt.hbla In the IN. .f'\Mar and In thl the ... ti.. p.r led .. YOU would app.al the ta)( and Int.r..t
that h.. b$<<l ......ed II' IncUcattd on thlt oot1u,
Int.,..t It chlrued beginning flIlth flr,t day of ~l1nquency, or nine (9) IKH'lthl and OM! (1) doy frOll tho datI of
death, to the dat.. of p.Ylltnt. T~.. which blCl'" dtllnquoot hefor' J.,.".ry If 1982 belllr Intar..t It th41 rat. of
II~ (6~) percent p.r annua calcul.ttd at a dally rata of .000164. All ta~" which bee... d.llnquent on -nd aft.r
Jltnuar~ 1, 1.1l ~Ill bear lnt_r..t at a rat. which will vary fro. flIlIl.ndar Ylllr to clll.nda,' yaa.. with th.t rab
lMlMA'Kled by t1~ PA Dep.rtHnt 0", M.vanutl, The appliCable Int.re.t rat.. for 1912 through 1998 .rlll
'!!!! Intlr..t RIlt. !!!.!.!.LInt.r..t Factor ~ Int.r..t Aata Oalh Int.r..t Factor
1912 to:< ,OOOSttl 1981 OX .00ot~7
1985 16;( .OOOU' 19aa~I991 ll~ .000501
..14 IU .000301 1992 .~ .00OZ47
I.IS In .1l003S.~ 1993~199lt n .000192
19&6 1O~ .OOO~14 1995-J991 .~ ,000Z~7
--tnt.r..t It Cl.!cul.ttd .. f0110~'1
INTEREST = BALANCE or TAX UNPAID X NUNBER OF DAYS DELINqUENT X DAILY INTEREST rACTOR
~-Any Notice h.u.d aftlr ttM tall btclo... delinquent wUl rlfleet an Int.r..t calculation to flft.." (15) ay.
btIl1onc1 tM data of the ."Il.nant, If pay""t h a.tdt aft.r thl Intar..t oOllflUtaUon dati thown on the
HotICI, ~ltlanal int.rl.t .u.t be Clalculattd,