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HomeMy WebLinkAbout97-00087 RfV.I!lOO flC.. l'Q~) I () .~:z~,~ 1~UU /f'-~ ) " ( roR OAIU OF DIAIHAnlA 12'3"" CHICK HUI IF A SPOUSAL rOVIRTY CAlOIT 1$ CLAIMIO I FlU HUM.IR ,;)/~ INHERITANCE TAX RETURN RF.SIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) ~7 L Rool E'lolo ISchodulo AI 2. Slack. and 80nd. ISchodulo 81 3. Clo.ely Held Slock/Porlnershlp Inter~ut {Schedule q d. Mortgages and Noles Receivable (Schedule D) 5. Cash, Bank Deposlt1 & MIscellaneous Perianal Properly ISch.dulo EI 6. Jointly Ownod P,op"ly ISchodulo FI 7. I,onolo" (Schodulo GllSchodulo l) 9. lotol Groll Allell llolal lines ,.71 9. funeral hpentel, Administrative COlh, Mlscollaneous hpenlel ISchltdule Hl 10, Debts, Mortgage llabilitlel, llens ISchedule II 11. lotal Deductions (totcllln<<.. Q & 10) 12, Net Value of Ellate lllne 8 mInus Line 11) 13, Charitable and Governmental Bequelh lSchedule J) lA. Net Value Sybl!tclto TaK lllne 12 minuI ll~~J_~.. ..______.__~.____.. 15. Spoul.,,1 Trenders lfor dolel of death alter 6.30.94) See Inltrucllunl for Appllcoble PfHcentage on Reverift Side, (Include values from Schedule K or Schedule M.) 16. Amount of Line 14 tCllmble at 6% ratfl llnclude valuel from Schedule K or Schedule M.l 17. Amovnt olUne 14 laxable ai' 15% rote Ilnclude values from Schedule K or Schedulo M.l lB. Principal lax dUfl (Add lax from lines 15, 16 and 17.} lQ. Credits Spoulol Poverty Credil Prior Poymllnls ?7 I~UMBER lOUlm CODE YEAR t'ifn'fifi'i1;C;(("j~ipmi }.tfiif~f,;':c' ---.- ._...__-=-.,'_=-c.:..:_.._., Hil, U.flburn Hel., Ant:. 211, Crmn lillI, I'A 17011 Co,", ClIplbcJ:lnnrl fA""""i ;;ii'V'ii"li'''''''Kii::''".: I ) 3. Remainder Return (10' dolo' 01 doalh prior 1012.13.821 ! I 5, Federal E,'ot. Tax Relvrn Required __ B. fotol Number of Safe Depo\1l 8o)(~s 111 121 (31._._. - .-... 141-_..__.__."..._n.---."..". (51-- 2 7_L?J3.L-28.__. ___ 161__.~.,.!!.2.1i.,_2J..."._._ (71 __...._....____.____.___~ (e 1 .._n..J.h~~~~11 COMMONWEAl1H or rrNNSYLVM1IA OfrARIMENT Of Rr:VH.Hlf PEP! 10n60 1 HARRIUURO, PA 111"8.0601 :;;--==:~~-=;: ':'OF ' N-AMr I~~', ,iksl~-xi.~[i i';;,ilolitMAil Schaffer, En\est C., .lr. ! ~O~i~:~~U;j;~)~~6_ ...]~:A/'1n;,i,!^~'~, 1';;;1;;;':;/1 co '" ""'"'''' ,,,,,,,,,w ",."", '''''' '''". "'" "". "''"'' """'" I""'A' ,;e,,'1\' NUM'" ~ i'f. 1. Original Relurn II 2. SupplomMlol RalUtn ~f~B [01 4 limited Elloln [ I 40 rulurfllnlef8" Compromllf'\' 5 ~ lIar dolnl of deot" ofll'H 12.12-82) LJ 6. Decedent Died Tfalatt'l [I 7. Oncedl1nt MolnlCllned 0 living TruI' '" (Allo,h copy of Willi IAlloch copy of Iru"l ---.--..- ALLCORRis~OND.NCE AND CONPIDENTIAl tAX INPORMATIONSHOULD 8E DIRECTED to, ~ i "t1l; rr e 1 "~;~- \V~l~ e r;~"-;~L ~.. ....-..-..---....- CO~~,H' ;~l~'~ 'O;;R~S~ ~- ~~r e e tn.. -.......--.-.------ B~ mfPi:iCim"'NUMieii~~~---' -----.-.-.-.--..-- ..._~__ _L71] I j~~) -/16_~Qc_==,,__ __ _J:~~~.nt~_~C~I:11.:~,=I:~_=,~~02:=.~=_===__"=. '" co s ! '" I co '" + (91 .. .9.,~2}._00._ 1,062.19 (III _ ~~_'.. 5..fl?~_!9_ (12) ____35 ,4 91 ,..2~ (131.-.------.-.....-- (141 :15 L~21.. 5L..____ (101 .- (151.._. _..__.._....._..__.._....__........._._D (161.. ..~ _._ _.~_n_ _____._)( ,06 . (171_}~L~9.~.~~--.~. .is D _____.l..,.}3h1?. (181 Ohcollnt lntefesl + (191 1201 :l ... 20. If line 19 I, greater Ihan line 18, enlet the differonce on tine 20, This Illhe OVERPAYMENT. ml] ( 4Hk IWIC if you ClIe Icqulntlng 0 10 un" of your nvctpoY"Wl1t 21. If line \0 h gleal(H Ihon Lina 19, anlel lho niflolflllCl'l on Uno 11. This Ii Ilu'lTAX DUE. 1211 A. EnlfH the inlorMI on Ihl;\ b.:lloflcO dUll Oil linA 21 A (21 Al B. tnler the l(llnl of line 21 nnd 21A on lho 211\ Thi\ I, the BALANCE DUE, (218) _.___~~~_!.~.~~_~_.~_~_~a~I!.~~__R~gl.!e.'-~-! ~~!h,~,,"II!_ _ __ ...______..._ _._________._-._ , ,,- ~ ~ 'liESURE TO ANSwfRu"iCoUESTlC5NSONREVERSESlOE".ANDTO RECHECK -MATH -<4( ~- --- un'(i;; p~~~i~;, ~i p;~j;;ry-,-Tdedore-,i;~i'iiH1Vll ~lWminfld ;ill\ roturn, intludin~ nr.compol1ying s~herh;j~~ n~a ~!Cltllmonts, ';--;;ci i~'ih~h~'~i-~f~y-k~o~i~d~ o~di;lief; It h !ruo, corrfll:l nnd completo.l declmtl thn! 011 ronl tutoln ho\ I'f\f'fl f{'porler! 01 Irun nwrklll volul) Dedorolion of plflporor othof thnn tho peflonol rept41sonlalivtl is baled on 011 information of whi{h prepOffll hm {lily knowlf'dgfl ~>f::~~;~.~1i~r;.~(~.~~:~:(c1/~f,~/~;::lii~:.::::H . 11::,;'i.'~':'id I'. :;('l1n rrC'l~ ~;';~~J"~~::l:',lh~~~i'Y 2~~ ()(, ,; r/~.', ~hl"r('1 I{, \Vn1t'('J"~, [1],1\8'1. ';1, I,:. t1ni" ;:1.. l1C'chnnicilbllq;, I'll 1'71)",'; fii.ff .n --~_._-.---,,- .. !j.?VCZL u DAIl I '':1 ti <, 7 'O:t !38; '0 I{) ~ co I) -t~ om: , .' I;) , () ~ ,:') '''I ;11 ~ ':';,1 to"~ :1 U L'> (I, l~ ~..~ III P\ a: "",,,,,,.,,,,,, ~~ SCHEDULE F j (OMMONWEAIlI~ or rENNSVlVAN'A JOINTL Y -OWNED PROPERTY INHEIUTANCE TAlC kEttlllN RESIDENT O~CfDENT EST:T;:~f-~.~~=~~:~:=nqs_ ~.~.~.LJ ~.' ... ..... .. ...............=-.-...... ..........--='.... ... .....:.J~~~~:~R:-:-..... ...:'::'-~-. Joint tonont('I.l NAME . ,~...._._-~---.-" ........."__~~__.___._r_"'. A. Donald P. Schaffer ADDRESS ._..-_.~- ------~._ .. _______~"....~".L..~______~~__'" 9720 Woodberrv St. Seabrook, MD 20706 _ _._~~~~!!.C?NSI:'.IP TO D~c:~~_Nl.. brother B. c. Jolntly-ownod proporty. -~_.~... -~--- ITEM LEnER DATE NUMBE FOR MADE DESCRIPTION OF PROPERTY TOTAL VALUE DECO'S DOLLAR VALUE OF JOINT OF ASSET % INT. DECEDENT'S INTEREST TENANT JOINT ----- ._---.._--~_.. -_._.~~---_.._--~- 1, A 8/1/61 PNC Bank checking H 511,005695 7 5,899.02 50 2,949.51 2. A 1/94 First Harrisburg Bancor, 31,090.85 50 15,545.112 Inc. -...------~--~..--_.._.,.. -.-----?--...~-----_.~.......----.-~-..-.. ...----.--..-,.-.,,'. ...--------..- -..-.'^....----- -_...,,'"~.._..__~_n_.____ TOTAL (Alia o.,lor on Ii"o 6. Recopilulctlcnl S18,49/1.93 (If mOrtt spoce i~ needed imor' additional slloeh 0' some $iu) ~ .~~ 15,f .,., Co ,') ,- ...c Q .'" u .'" .. g .~ , , ~ ''''::1 '-; .r. Jl 5:\":i (5 \,lJ ~'d at Q,) ~ ~ a: a: I, ""-c ;j' (/J 7 '1 AU_EAU OF INDIVIDUAL YA~ES INHlMlTANCf YAM DIVUIDN DfPl, 110601 IilRNlIlORO, PA 111t'-0601 COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE (~ HOTlCE OF INHE_TTANCE TA~ A~~AAISE"ENT, ALLO~ANCE OR OIULLOWANCE OF DEDUCIIDNS AND ASSESSHENI OF TA~ DATF. ESTAT! OF DA Ti! OF DEA TH FILE NUMBER COUNTV ACN E~-=~=~ RoMI~~~d_ ] MAKE CHECK PAVABLE AND REMIT PAVMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE .... RETAIN LOWER PORTION FOR VOUR RECORDS ..... RIV: is"j" EX "A Fii " f oi": 97T "NoYi C E" "oF "YNHEifi f AilcE" "fAx" ;,p jiiiA"i ii Eif€Nr;"j. n"owAN"cE" if Ii """ - -"" m - - - - - -- DISALLOWANCE OF DE~UCTIONS AND ASSESSMENT OF TAX ERNEST C FILE NO. 21 97-0087 ACN 101 MURREL R WALTERS III 54 E MAIN ST MECHANICSBURG PA 17055 ESTATE OF SCHAFFER TA~ RETURN WAS, I X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE ----- APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. R..l Elt.t. (Schedule ~) 2. Stocks and BondI (Schedule 8) !. Clo..ly ...ld Stock/Partn.rlllh1p Int.r..t (SClhedule C) 4, Kodg.g../Not.. Racdvable (Schedule D) S. C..h/B.nk Dopaaita/Hisc. Parlonel Prop.rtv (Schedule El .. Jointly Owned Property (Schedule f) 7. Tranlf8'" (Sch.dule 0) e. Total A...t. APPROVED DEDUCTIONS AND EXEMPTIONS: 9. fun.r.l Expan.../Adll. Costs/Hilo. Expon... ('Schedula H) 10. Dabta/Hort.aua Liablliti.,/Li.n. (Schadull Il 11. Total ned\\cHon. 12. Nat Value of Tax Ratu~n 15. Cha~ltabla/GOY.rn..nt.l 8equm.t. (Schodul. JP 14. Nat Valua of E.t.te Subject to rax 1.f an a.....ment W!l8 is.ued previou.ly, line. reflect figure. that include the tDtel of ~ ASSESSMENT OF TAX: 15. AltOunt of L in. 14 RJ'l Spoua.l f..ta 16. A~ount af Lina 14 taxabla at Linaal/Cl... A rata 17. Aaount of Line 14 taxabla at Coll.teral/Cl... 8 ~.t. 1a. PrincipIl Tax Du. TAX CREDITS: PAYHENT DATE 01-30-97 NOTE I RECEIPT NUHAER AA185122 DISCOUNT (+ I INTEAEST/rEN PAID (-) .00 11) (2) 131 14J IS) (6) 17l (91 (0) 05-05-97 SCHAFFER 06-14-96 21 97-0087 CUMBERLAND 101 I CHANGED .00 .00 .00 .00 27,581.78 18.494.93 .00 (8) 9,523.00 1.06L.il.. Ill) (l~) (3) (4) * ~H-IIH II M' lU"1 ERNEST C ~ .00, ~ .06. ~ .15. o (J 081 ~~ h," .00 ,00 35,491.52 AHOUNT pAID 5.323.72 DATE 05-05-97 NOTE: To {"aur. proper c~adit to your account, .ubait tha uPP'~ po~tlon of thl. fara with you~ tllX pIYlMlnt. 46,076.71 ID.~8~ 19 35.491. 52 ,00 35.49~ 14, IS and/or 16, 17 and 18 will returnl alle.sed to date. llSJ_. ll6) (7) .00 .00 5/323.72 5,323.73 \,(~ ! 'Tl .... -- 'LI " "'" "'~' -;. .', ~". " ~ BALANCE OF TAX DUE '" . 0 1 .------- INTEREST AND PEN. ,00 ------- -- TOTAL DUE . 0 I ------..---- --------- . If PAID AFTER DATE INDICATED. SEE REVERSE FDA CALCULATION Of ADDITIONAL INTEREST. IF TOTAL DUE IS LESS IHAH II, NO PAYHENT IS REQUIRED. IF lOTAL DUE IS _EFLECTEO AS A "CREDIT" ICA) / YOU HAY 8F. DUE A REFUND, SEE REVERSE SIDE OF TH~S FO_H FOR INSTRUCTIONS.) RESERVAT ION I E.t.t.. of dto.dlnt. dylng on or btfor. Dec'~r 12, 1..2 -- lf any future int.r..t 1n t~~ ..t.t. i. tr~.f.rrtd In po.....lon or ~jo~lInt tn CI... I (cell.t.re}) b.neflcA.rl.. nf the deo.dent ,ft.r the 'Mplration of In~ ..tlt. for lUll or for y.ar., _tha Co..om,..lth h.r.by .KPr.uh r...r"., the rJOI'It to epprlhl .~ ...... trlfl.f.,. InhtrlhnCIl flxlI .t th, l.wful Cl... a (colllt.rll) rlt. on In~ Juoh future Int.r..t, PURPOSE OF NOTICE I PAVI4ENT I REFOOD (CR) I OBJECTIONSl ADftIN ISTRATIVE CORRECTIONS I DISCQTl PENAL TV I IHTEREST I To fulfill th. rlquir...nt. cf S.cUon 2140 cf the lnh.rltlnc, ar.d [,tfttl TaM Aot, Act 21 of 1995. (72 P.S. S.cHon 91l10). Dltmah tho top ~~rtlon of thl. NotJc. and .ubalt wJth your poy..nt to the R.gI.t.,. of Will. prlnt.d on th. r.v.r.e tJoe, ~-"... chick or "oney or'de,. pay.bl. tOI REGISTER OF MILLS, AGENT A rlfund of I t'K credit, whJoh wa. not rlqul.t.d on the T'M R.turn, ..y b. r.qu.ltld by coep1.tlng In "App1lcatJon for R.fund af Pennlylvenl. InhsrUano. and E.hts Tax" (REV-Un). 'ppllc.t!onl Irs .".Uabls .t thl Offlc. of the R.ght.r of Willi, any of the 23 R."snuw Dlttrlct Offlell, or by cIlllng tho 'Plcht! 2ft-hour 80....,.1"11 ..rylo. nuMber. for for.. orUlr!n" In PI,wlIlylvMla 1-aOO~S6Z-20!iO, outlldt P'M,.ylvenIa .nd wlth!n 10c'l H.rtl.burg Irl' (117) 787-8094, TOOl (717) 71Z-Z~S2 (H.arlng I~.Jr.d Only). Any p.rty In Int.re.t not .atl.fl.d with the apprIJ.I.ent, allowancD or al..llowlnol of dlductlon., or a......ent of t.~ (Including ~I'count or Intara.t) a. ,hoNn on thl, Hotlc. .ult obj.ot within 11Mty (60) dlY' of raclJpt of thll Notlc. bYI uwrltt~ prot..t to thl PA D.part.ant of R.vanu., Board of APPI.h, Oept, 281021, HII'rhburg, PA 17126.1021, OR -.alectlon to h.v. the Iltt.r datarMln.d at audit ofth. RCCount of tha plr.onal r.pr.l.ntatIYI, OR .~IPPI.I to the Orphant' CCturt. FaotUll .rror. dl.cov.r.d an thl. a.......nt .hould b. ftddra'lad In writing tOI PA D'Plrt..nt of R.vlnue, Burl*Y cf Individual TaXI', ATTNI POlt A.'.....nt R.vJlw Unit, O*pt, 280601, Hartl.burg, PA 171Z8-0601 Phone <717} 717-6505. S., pag. 5 of th, book lIt "InltructJon. for Inh.rJtanc. TIK R.turn for ft R..ldant De08ldnt" (REY.1S0}) for en 'Mplanatton of ad.Jnhttet!v.1Y correctable .rrorl, If tny t.M due I. p.ld within thr.. (3) cIllndar .onth. aft.r the dlc.dant'. daath, a flv. p.rc~t (iX) ai.count of the taM p.id I. allow.d. Th. IS~ tlK BIn.,ty non-partJolpation panalty I, co.put.d on the tot.l of the t.M and Int.ra.t ...,...d, end~t paid before J8nuII.y l8, 1996, th. flnt day aHar tha .nd of the tlK a.",.ty Plrlod. Thh non-p.rt!clp.tlon pan.lty It epp.allb1. In the .... .annlr IlInd In thl thl .MlI tI.1 Pltlod II YOU wouid IPPlal the t.K tnd Int.r..t that h.. b.an .......d a. Indleltld on thl. not lei. Inhrllt It ch.rpd baglnnlng wlth flr.t day of dfll1nquenay, or nllla (9) .onth. and OM (1) dlly fro. the d.tl of de.tn, to the dlt. o. ply.ant. TeU'I" width baoll... del1nquent bafora Janu'ry 1, 198Z bfllr Intlr..t It the r.t. of .Ix (6%) percent par annue calculatad at a daUy rlt. of ,000164, All taKII whJeh b.el.. d.l1nqu.nt on end .ft.r Janu.ry 1, 1982 will ba.r Intlr~.t at a rat. which will v.ry fro. ell.nd.r yair to ~aland.r y..r with th.t r.tl ennouncad by the PA D.rart..nt of Rav.nuI. Th. applioable Int.r'lt r.ta. for 198Z through 19'7 Irll Y.!!.! Int.r..t R.t. O..IlY Intlr..t Flotor :!!!r tnt.rllt Rat. Dally Int.rllt Factor 1982 ZOX ,000546 1981 9% ,0002'" 1915 1" ,0004311 1988-1991 lli: ,000301 1914 11< ,000301 1992 .X .000247 19lUi UX ,000356 1993'1994 IX ,000192 i,966 lOX ,000Z74 1995~1997 .X ,(100247 ~.Intsrllt J, cllcul.tad .. foll~'l INTEREST . BALANCE OF TAK UNPAID K NU"BER OF DAYS DEUNQUENT K DAILY I"TEREBT FAC'tOR ~-AnY Notlc:e h.ued aftlr the taK blco... d.lInquant will r.flact In tn1.raat cl1culetlon to flft..n (15) dl.,. beyond tha dlt, of the a.....-.nt, If p.y..nt I. ~ade aftar the Intar..t co~ut.tlon datI .hown on the Notloe, eddltlon.l intlr..t IlUIt bl c:elculatad.