HomeMy WebLinkAbout97-00120
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Commo_IUl 01 PannaVlvanl.
County of Cumber1nnd
Oath of Personal Representative
The Palltlo""r(B) .bova-nomed owa.'(R) or Ifflrm(B) Ihollh. BlltomenlB In Iho lorogolng Polltlon "'0 Iruo
and oorreol to lhe tx.at 01 tho knowlodgo Ind bollol 0' POllllonor(B) Ind Ihll, "' pOlsonol raploBonllllVo(R) 01
the Doeedollt, Polltlonor(o) will woll and Wly admlnlR'or Iho oo'ato according 10 law,
SWorn to or alllmlOd and oU~8Crlbod , r;;,...~ (;/
boloro roo till... 4 th dlY 01
FelJrUil~L___19 97
I) "II\~~)4~C~ ,~ ~ "~~r thO Roglat.r
-". o.'f "\
c'} C:<'AA~"<''''..L
C!
No, 21-97-120
Docel9Od
Ealalool Ann L, Haehn1en
SoolaISocu,UyNo: 196-14-3953 DatoolDoalh: 01/30/97
___' .19.......:~ ~ conRldoratlon
AND NOW,
February 7
01 the POllllon on lhe rovor.. Rldo hOroon, oallRlootory proal hRvlng ~..n pre.ontod boloro mo,
IT IS DECREED that Lottors [K] Tootomontary 0 01 Admlnlstretlon
are heroby grlnted to
(0,1.0,; d.b.n,o,t,a.: pondsnto lite; durlnle Ibsontia; durante mlnorllate)
Ann L. Faryniak
In the above O81lte and that the Inotrumont(s) dOled
04/14/83
doocrllled In lhe Polnlon bo admltlod 10 problto and 1II0d 01 rocord as the 10Sl Will 01 Dec<1dent.
FEES
Loners. , , , , , , $
Short Corttlieate(s) , $
RenunclatJon. $
Affidavits ( ) $
EKlra Pages ( ), $
CodiCil, , $
JCP Foo , $
Invenlory, $
Olher " . $
TOTAL. $
25.00
,) . ('
--'- T )W",(\ ,
()
i;",..,,- .)," ~8, , ",,:t.~
Rogl.tol 01 Willo I
30.00
Atlornoy:
Norman p, Hetrick
I.D, No:
06884
Addreso:
P,O. Box 1248
IS. Marke t Sq. ,
Harrisburg, PA
213 Market St.
17108 -1248
5.00
Telephone: 717/237-6000
60.00
PrepIled by1hfl P.nn.yl....nl. e.rAUClclltlon Cerpyrlghl (e) 11l961orm loft Wife onlyCPSYI\lmS, IIlC.
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21-97-120
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CERTIFICATE OF DEATH
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COMMONW~AL HI Of PI """"JVA""
[)EPAR MI~Nl 01' r I:VH/l1
[T. 0110\
HARIIIS U a,i'A 17\ltHI!Hl1
I ') ,/1
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INHl:RITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILI.S
r;OllN1Y CO~lI:
f nfl 1M Il ~\ 01 orAHt ArT[ H 1;1/3 \/111 CH[CI<, HUlL
II '''If'oUnAI r-l
1~_\l.Y.kltD'..illLQj..L!.1~_.L.... ________
filE NUMBER
A[V~ Iboon + (H14l
D
E
C
E
D
E
N
T
orCEOENT'!] NAMI: (LAST, riM I, AND MIUIHI !NITI"!)
~~7:I:~'~rl;:~~IT\' ~I~t[:f ~., . ]O~~~'n[A';~I-'-l~J~';';' ~)"I-;~~;;'~"''''-
196.14-3953 01/30/199/ O~/OI/191]
Crnmly
(If APPLICABLE) SUIlVIVINO fJPllUSE'!l NAMt (tASTYIl1!\\" AND MIUDLF INITIAl) nOCI"1 ntcunlrr' NUMllER
tllr:rIJlNT'!lCnMPlrrr Anrlflr!\5
~()H Sfitl'lt:~ AVOtlUn
emnl' 11111, PA 17011
Cumborlllnd
CAB X I.
H P 4.
~ R C
K~~[]J8.
2, Supplomonl81 Rolurn
4a. Futuro lnlerosl Compromlso
(lor daten 01 doall, aMer 12-12-92)
Docedont Died T.atole 0 7, Doeedont Molnlolnod a Living Tru't
Mach co ~\",ill) (Al1ach a copy 01 Tru,t)
C P All CORRES~NDENCE AND CONFIDENTI~l TAX tN~ORMATlON SHOULD BE DIRECTED TQ.:
o 0
R N
R D
E E
S N
T
COMflLEH MAILlNCl AODRESS
Eckert Seamans Cherin '.Me11ott, LLC
P.O. Box 1248 I
Harrlsbur PA 17108.1248
(1) None
(2) 2,1/,6.25
(3) None
(4) None
(6) 785.33
(8)__ 22,787.21
(n. 27,582.74
717 23'7-6079
1. Roal Estaie (Schedule A)
2, Stocks and Bonds (Schodule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages and Notes Receivable (Schedule D)
6. Cash, Dank Deposits & Miscellaneous Parsonal Proporty (Sch. E)
6. Jolnlly Owned Property (Schedule F)
7. Translers (Schedule G) (Schedule L)
8. Total Gross As,ets (total line, 1-7)
9. Funeral El<penses, Administrative CoslS, Miscellaneous
E'pen.e, (Schedule H)
10. Debts. Mortg'ge L1abllltle', liens (Schedule r)
11, Total Deducllons (total Line, 9 & 10)
12. Net Velue of Estate (line 8 mlnue Une 11)
13. Charitable and Governmental Bequest' (Schedule J)
14. Net Value Subject 10 Tex (Line 12 mlnu, Line 13)
IS. Spoueal Tranalor. (lor datee 01 death aher 8-30-94)
See lo'truollon' lor Applicable Percentage on page 2.
(Include values from Schedule K or Schedule M,)
16. Amount of Line 14 taxable at 6% rate
(Inolude values from Schedule K or Schedule M.)
17. Arneunt 01 line 14 taxable ,t15% rata
(Include value. Irom Schedule K or Schedule M,)
18. Principal tex due (Add tex from Line 15, 16 and 17.)
It.Credlt'/Sp Poverty Prior Payment' Dl,oounl
+_ 2,300.00_ + 121,05
20, IIUne 191s greater than line 18, enter the dlfferenca on L1no 20. Thl. I' the OVERPAYMENT.
~ 0 rChock hore II you oro.requuUng 0 relund 01 your overpayment:]
21. IIllna 101. greater than Line 19, entar the difference on line 21. Thl'I' the TAX DUE.
A. Enter the Intoreat on the balance duo on L1no 21A.
B. Enter the total 01 Llno 21 and 21A on Line 21 B. Thl, I' the BALANCE DUE.
Make Check Payable to: Register 0' Wills, Agent
.. .. CE SURE TO ANSWER All QUESTIONS ON PAGE 2 AND TO RECHECK MATH <I <I
Ollglnal Return
Llmlled E,tate
06.
1 8.
NAME
Norman P. Hetrick, Esq.
TELEPHONE NUMBER
n
E
C
A
P
I
T
U
l
A
T
I
o
N
(9)
9,626.03
H-9/-0120
VEAH
NUMUffl
(10)
101.2~
AMOUNT REC[IVF.D~aE[; INSTRUCTIONS)
0.00
Rem.lnder Return
(lor d.te, of death prior Ie 12-13-92)
Fad."1 E.tale Tex Return Requl,ed
TOI.I Number 01 Sale Deposll Bo,.,
, ,
(8)
53,301.53
(11)
(12)
(t3)
(14)
9,727.31
43,574,22
1,3 , 574.22
(16)____ 0.00 X _.'
0.00
(18)
43,574.22X ,08'
2 ~12...
0.00 X ,15 .
0.00
(18)
2,614,1,5
T
A
X
(17)
(18)
(20)
2,421.05
0.00
8
M
P
U
T
A
T
6
N
Interest
(211
(21A)
(21B)
193.40
0.00
193.40
Urldnt perl.HlltS 01 pefJury,l declarll that I have uamHled thl5 retum, Includlnglccompanying Illhedululnd 'lltement', And to thl! but 01 myknowlldgelnd belllf, It IIHul,
(<(mllct Ilr\d cO'Tlplete.1 doclarlllhatall rllal o~talll has belln reportod lit tnlll markllt value, DoCf4tlltlon 01 prllperllr other than the personallllpreuntetivell baud on ..lllnlormlltion 01
whlcll pteparllr huanyknowllldgo.
Ann L, Faryniak
1508 Woodviow Drive
i'-(tt~i;\i':gh: -PA- - Ts)j].....-. - -... - ..-.. ..- --....
Eckert Sellman. Cheri" & Mellott, LLC
P.O, Box 121.8
il:ll:ri si;_L<i:i~:.i>A' ~ji168-.\?i"il..." -....... -.. -...
DAH
!~! Vi 'J
DATE
~;/I-/
Form 1500 lA'". 1.'9~)
AEI'., ISO; E)( + (12-86)
CDM~ND\\n~q~yg~WJANI^
ESTATE OF
Ann L, Haehn1en SS# 196.14.3953
SCHEDULE F
JOINTLY-OWNED PROPERTY
01/30/199L-
FILE NUMBER
21-97.0120
Joint tenanl(l):
A.
NAME
Ann L, Faryniak
ADDRESS
1508 Woodview Drive
Pittsburgh, PA 15237
RELATIONSHIP TO DECEDE;rr-
Daughter
B.
C.
JolnUy-owned proplrty:
LETTeR DATE
ITEM FOR MADE DESCRIPTION OF PROPERTY TOTAL VALUE DECO'S DOt.l.AR VALUE OF
NUMBER JOINT OF ASSET % INT. ~ECEDEN1' INTEREST
TENANT JOINT
I A 04/18/89 Dauphin Deposit Bank and 1,615.03 50,00% 807.52
Trust Company - Checking
Account No, 40090728,
jointly owned with Ann H.
Far.yniak, opened
04/18/1989.
2 A 08/02/85 Dauphin Deposit Bank and 14,670,26 50,00% 7,335,13
Trust Company . Savings
Account No. 5319642148,
jointly owned with Ann H,
Faryniak, opened
08/02/1985.
3 A 09/13/79 U.S. Savings Bond - $5,000, 5,000,00 50,00% 2,500.00
Series H, dated August
1979.
4 A 09/13/79 U,S, Savings Bond - $5,000, 5,000,00 50,00% 2,500.00
Series H, elated August
1979.
5 A 09/13/79 U,S. Savings Bond - $1,000, 1,000,00 50.00% 500.00
Series H, dated August
1979.
6 A 09/13/79 U.S, Savings Bond - $1,000, 1,000,00 50,00% 500,00
Series H, dated August
1979,
7 A 09/13/79 U,S, Savings Bond - $1,000, 1,000,00 50,00% 500,00
Total f Cantin" ation Schedu1e(s) 8 11,4.56
TOTAL (Also entor on line 6, Recaplllllatlon) "- 22,787,2]
(II more space is noeded, Insert addlllonal shoots 01 same ~Ize.)
COPYrl~hl (t) 1 Qfl4 'olm ,ollwarll Mly CPSy<lm~, Inc.
Form 1500 .'lChlldu)1l F (Allv. 12-&8)
/J.)~ / '
~?t.. /,1 'Mlt,..!.....,;
(SEAL)
J~E.:~u\i!l:~~_~~_~J~_~:!':,~:J rl'^ti!~~_:~ g~
~!!..Ii.J~,--'l~~IINl,rfY
I, ANN L. ItIlEHNLEN, of Lho CiLy of Itarr!sburg, Dauphin
County, pennsylvania, deolaro thh Lo be my Last Will and revoke
anY Will previously Illude by me.
1. I direct thnt my funeral expenses be paidss soon
as convsniently may be sfter my deoease.
2. I give, devise and bequeath all of my estate, of
every nature and kind snd wherever situate at the time of my de-
cease to my daughter, linn L., and further do nominate and appoin t
her Executrix of my estate.
3. I direct that my Executrix Shllll not. be required to
give bond in any jurisdiction in which she may be required t.o
serve.
seal this
IN WITNESS WHEREOF, I have
,'1"/ "
I';' day Of-7.:.\,.D
hereunto set my hand and
, 1983.
Signed, published and declared by ANN L. HAEHNLEN as
and for her Laat Will, in the preeence of us, who at ber re-
quest, llnd in her presenc~, and in the presence of each other,
have subs~ribed our names as witnesses hereto. .
/l!a,wv,.d: ');;. 'Mz..{;;il.. residing at-"'/t:.? /dH'lt. -~;'/.
" /) // L .. ?1- .., Ct:t~t,} fQ
(~ fCv~ .4reaiding at / jr-'~'11. I~. t7 I(>~
... ,.. ~.
UVUiilllll/11
Co.~' .~
II'Il.ilJ"fI
iot \l4W>>A
SAFE DEPOSIT BOX
INVENTORY
(O~Mnf'.Wt~tlH 01 'HmlV\'o'M~\l.
fjHA..1MHH 0' lIf'o'lNUf
nmlln"HC, fAIt bIVll'ON
11m U06()\
"'=~~~. liANR!IIIIRO. '''..~~\~~.':l~_._~.=~~~.:._...:.:.~;. Plea.. Print o~,.!VP.
MUST" WMI'lf1W RY REPRESfI,TATlVE Of FINANCIAllNSTITlJlION WHERE SAfE OEPOSIT aox IS I.OCATED AND RETURNED 10 ABOVE ADDRESS
CoilNTV C6D5~1~~~--__i~7 )~BE~ I 't 0 S(?9c.SE_C~RCY _o~tj3 C1.RTIFlCATE NUMBER
D'~IU~~'~/~A~t~~~;1. MI*;~~-~---- .....u_________.__ ~A~E]6~~H; ------
, AnoBs~ ci~OEC~N~,-ZE~;C --iN ~-~-q~~------C=jYI ~,~---; 1~---'-7 ~';r': (liP CODE I
NAMI ANO AOORESSOFPERio~ REQtlESTlNG THEOPENING-oiuTHISAFE OEPoiW BO-x------
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C~~~:3j~,kl,.1.__.>ibJl~~~b dtJ ;r.c"v'J.~t7 ~-/~I:!lr .f'ilZ- (7/or
NAME, AOllRE5~_A"Il..~.!LATlONSHIP \I~ A_I!.!L!'?~':EOEN!, OF PERSON(S) PRESENT AT THE BOX OPENING
(I, lNAMf) (RelATIONSHIP}
m(i_I'")~('__.J.:__ of f'f.!::::-'t_t!.. ' &- k (-=",1'(;'"'- v/?t.. !-Y---L~W..vV;:: I
(STRHl AOORES'I (CIlYI I" IS1A1E}-----rz;PCODeiI
__1 s.'::'j~_. Cdpo d tJ I t k) j) ( f. 1""1.5 b V /'$l:L_l!I'"'......:....- I S'~ 3?
b. (NAMEI f (RElATIONSHIP} ,
___-'-~...0__cD c, (!::..____ 0:'" f .1""'....... [;rl" 4f'
(STRHl AOOR"51 (CITYI
_ d- I 3 fh('f14::f p:? I::fr--:r"-' -6 w"
e'. lNAMfj lRElAllONSHIPI
tJC'-"ll\rJ J~I !?,eK _ (.,.:1 iler- t<:ctPI~
ISIR'-E.f AOO"~-' -- (CITYI ~ 't ISlAfE}
oJ 1 j I?l::-,('k~r._~ /cJ.../n..{'i~",'i I"~ 11/ "'.I'
NAME ANO AOORESS OF fiNANCIAL INSTITUTION WHERE THE SAfE DEPOSIT BOX IS LOCATEO
._-.--_.~~"
(NAMf)
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llilRHl ADORESS) '" [CllY) (STATE) (ZIP CODEl
__:2.:!J~&V'"b.:r ",,-~_!.~rrM6'":'~/f 'r/'- / 7~tJr
I ".N.AM...E Of PERSON M"I~ING LAST ENTRY -~~ ANO TIME OF LAST ENTRY
A fl f) L /-tt{lV"" lit/<'.. -LL11--C;7
..0ATEOfC-ONTRACTTO-RliNTBOXJlfNUMBER OF BOX-.;mnm UNDER WHICH BOX IS REGISTlRED
~..L:2:._~_L_ _L_~c,f~.~~v..~h!._C(jL (J~j), 11 f'/W-YIYIIf.'<-.
NAMI AND ADDRESS or PERSON(S) HAVING ACCESS TO BOX
--.~.'I~iAM'El~-'--~- -
(STAlE}
/'_,.. 1'7/'''J>-
1m COOEI
IIIP COOEI
b.INAME}
fS1REf'f'AbORESSI
(STREET ADDRESS)
Ic'liYI
(STATEI (ZIP CODE} iCITYI
ISTAiEI
(ZIP CODEl
- i,iAili"fANO IITlE OF EMPLO{ErAKING THE INVENTORY
___./.4....$ $~6-9t. c;2.t9c.,If
WAS A WILL IN THE BOX? DYES ~ If Y." ., O.t..f willi
b. Nam. and addrClII of penonal r.pr.l.nt01tl....., If named I" the will
(NAMEI
(STREET ADOREl-S)
(CITYI
(5fAfEI
(ZIP COD~1
t. Nam. and add,... of attDrnev, If any
(NAME)
{!JTREirADDRf5S)
(CITYI
I51ATE}
lZIP CODE]
Page _'--- of __L
INSTRUCTIONS----~ ...... .....,..._..~.__..~---.- ". '-~-'~-' - --
(1) Caoh: Report t~-t~T;;-~Ty~.-. ....... ........ ...__._~_~_._.'_n_._~~_. ------ -
(2) Stock.: li.t in detail e,ery cammon or preferred ,.,'ificote, warrant 0'. ather righ" found in box. Stock. are
to be dO!ilgnatAd by narne of company, certificate number, doto of ,.ertificote, !lame ill which stock is registerad,
and number of .hare. and ciao. of ,tock.
(3) Obligation. of U. S. Government, Number of item.. dote of i..ue, face value, names in which regi.tered
and type of ownership, i.e" jointly held, paY<1ble on death, ete.
(4) Bond.. Designate by name, amount, slHial number, or other designation. (Bearer Bonds)
(5) Bank and Saving. and Loan Paubaoks: Stole nama of depositor, number of book, lost date appearing in
book, name of bank and branch, and balance.
(6) Jewelry, Coins, Stamp., Manu.cripts, ete: list and describe as fully at possible.
(7) Deeds, Mortgage., Current In.urance Polities or other evidences of Indebtedne.., list and de.cribe as
fully as po..ible,
~.AII other contenls. --
-' _h' -
ITIM ITlM DISCRIPTION
NO. ---~--~
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I CERTIFY UNDER PINALTY OF PIRJURY TIlAT THf A80VI RICORD IS PERSON RECEIVING COPY OF
CORRECT AND COMPLITI TO nil 8m OF MY KNOWLIDGE AN.D 8ILIIF, SAfE DEPOSIT BOX INVtiNTORY, _M'__~._
5IGNATURE---- SIGNATUfjA. ~~ __
~~--t~vJ;r~---- . -- eliiNT N~"" ANO C~ECK ,~p;. P ff,1ft?frWiw"''-----~-o---.n
_~~, ~.!a""p:G"_______ /7/'1t'l L r"r y"',.. k
PRINT Ilf CHECK APPROPRIATE-BOX: .~~----_.__.""--- -
ta.......
Q,; Wru.~ ~ a~ ~xecutor(lrix) DAdmini"ral()r\lri~1
D ~Uole ReprflSen!a'i:_~_ 0 ~~~~':'~!..?.!..!(lfll .d~pOl~I__ ~_':_~_ .
-------~--_._---------
SAFE DEPOSIT BOX INVENTORY
NOTE: A"CI~" Clddltlanal 8 ';''' x 11" .heet (5) if ne~e5Sary or use duplicate., of this 0
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COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
II> I:~ 9 . / /
IVREAU Of INDIUIDUAL TAKES
IHtI'RnA"'ct TA)! Ol'JllilON
OCPT, lI0601
tl"RRlSIHJtQ, PA 1111'1-0601
HOTlCE Of INHI'HITANCf TAK
APPRAISE"ENT. ALLOWANCE DR DISALI.llWANCf
OF DEDUCTIONS AND ASSESS"ENT Of TAK
DATE
ESTATE OF
DATE OF DEATH
FILe: NUMBER
COUNTY
ACN
r:~-~=~~~~~-Itt!d __j
MAKE CHECK PAVABLE AND REMIT PAVMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONO THIS LINE ..... RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV.: is'4"7" Eif "AF ji"f 09:97") . NOTicE" "oF" "iNHER if ANtE" TAx' i\-p PRi\-i ii EHENT ~"- A L. LowAifc E' OR - --" - - ,,"m -"" - --
DISALLOWANCE OF D~DUCTIONS AND ASSESSMENT OF TAX
ANN L FILE NO. 21 97-0120 ACN 101
NORMAN P HETRICK
ECKERT ETAL
PO BOX 1248
HBG
ESQ
PA 17108
ESTATE OF HAEHNLEN
TAK 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 A)
~. Stock. and Bond. (Schedule 8)
3. Clos.ly Held stock/Partnership Int.~.st (Sohadula C)
4. Horta.gas/Not.. Raceivable (Schedul. O)
5. C...h/Oank Deposits/lthe. rersonal Propart).' (Sch.dub E)
6. Jointly Owned Property (Schedule ~)
7. Tr.fulfers (SchGdul. GJ
a. Total A~set,
III
(21
(51
(41
(Sl
(61
(71
01-12"98
ftAEHNUN
01-30-97
21 97-0120
CUMBERLAND
101
) CHANGED
,00
2.146.25
.00
.00
785.33
22.787. il.
27.582.74
(II
APPROVED DEDUCTIONS AND EXEIlPTIONSI
9. Funer8l Expenses/AdM. Costs/Hisa. Expens., (Schedul. H)
10, Debtc/Hortgeoe li.bllltl.,/Ll~n. (Schedule X)
1), Total D.ductions
12. Net Value uf Tax Return
13. Charitable/Govern..nt.l Beque.t.; Non~.lected 9113 Tru.t. (Schedule J)
14. H.t Velue of Estat. Subject to TAX
.,1
1101
9,626.03
101. 28
(111
1121
1151
1141
( '.
'*'
tlY-l'ql II'" lot.HI
ANN
L
DATE
01-12-98
NOTEl To inlure proper
credit to your account,
.~it the upper portion
of this farM with your
tax paYll8nt,
53.301.53
9.717 31
43.574.22
.00
43.574.22
If an assessment wae issued previOUSly, lines 14, IS and/or 1&, 17 end 18 will
reflect figures that include the total of ~ returns assessed to date.
ASSESSMENT OF TAX:
is. Allount 01 line 14 .t SpoUR.l rllt. nS),
16. A_aunt 01 Line 14 taxable .t L!ne.l/CI... A rate (16)
17. Allount 01 line 14 taxabl. .t Coll_teraI/Cl... 8 rat. (17)
18. P,..J.ncipel rax Due
NOTE:
TAX CREDITS:
PAV"ENT
DATE
04-28-97
10-06-97
RECEIPT
NU"BER
AA21l231
AA242317
DISCOUNT (+ I
INTEREST/PEN PAID ("I
121.05
.00
.OOK'OO, .00
43.574.22 K ,06, 2.614.45
.00 K .15. .00_
1l01__~14.45 "
ANOUNT PAID
2,300,00
193.40
TOTAL TAX CREDIT
BAI.ANCE OF TAX DUE
INTEREST AND PEN.
-._--
TOrAL DUE
2.614.45
---
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
fOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN fl. NO PAV"ENT IS REQUIRED.
IF TOTAL DUE IS REfLECTED AS A "CREDn" (CR I. VDU "AV BE DUE
A REFUND. SEE REVERSE SIDE OF THIS fOR" fOR INSTRUCTIONS. I
('/
RESERYATlOHI Eltetu of dloldent. dylnlOn or before Dtol..r 12, 1982 ... H IIfIY fytur. lnt.r..t ln the ..tit. 11 trlln,fOrrH
In po.....loo or .nJoYMnt to Cl.,. I (ooU.t.r.1) bentlfiClI.d.. of the aoltd.nt after the .It,,lraUon of tnY utatl for
11f. or for y..", tM (;oMtOnw..lth h.rtby .xpr...l)1 r..erYI" the right to .ppr.l.. Ilnd ...... trBn.f.r Inherltanc. Taltu
It the 11ltfu1 eI... I (colhter.U nt. on any .U41h fytu,'. Int.r..t.
PURPO,E OF
NOTICE 1
To fulfill the requlr...ntl of SlCItlon 2140 of the lrm.rltIlM. Met Estat. Talt Aot, Act 21 of 1995. (12 P.$.
S.ction 9140).
PA'fHENT 1
DetlOh the top partlon of this Notlc. .nd ,ub_1t with your pay..nt to the R'allter of Wlll, prlnt.d on the r.ver.. .hM.
--M.k. cMck or Hnay ord.r payabl. tOI REGISTER OF "ILLS, AOENT
REfUND (CA),
A r.ful'\d of II tall crMlJt, which w.. not r.qu.stH on thtl TlliC R.turn, IIlIlY b. r.qu..hd by ClolIP1.tlng fin "Appllofltlon
fl)r Refynd of P.nn.ylvantll Inh.rltano. and htaU. Tlx" (REI/-1313L AppllcaUon. ar. avall.bl. It thtl Office
of thlt Roght.r of MUlt. any of the 23 R.v.nu. Ohtrict Offlcn. or by clll11lnQ the ,plllelal 24-hour
lIfI.werJnll ..rvlc. nuIlblll" for fOri" ord.rlnrtl In P.nn'Ylvanltl 1-800-362-20liO, out.ld. P.nnlylvtn111 end
..,lthln loc.1 Harrhburg ar.. (717) 781-8094, TDOI (717) 772w2ZS2 (Hearing IIp.lred OnlY).
DIJl::CTIONSI Any party In Intlr..t not .IlU.fl.d Nlth the apprel...cnt, allowanc. or dhallow.,~e of deduction., or a.....Mnt
of tall (Inoludlng dheol.lnt or Inter.,t) 01 .hoi<<'Ion thh Natto. flUlt objeot within .hety (60) days of rH.lpt of
this Notice bYl
~-"rJtt." prot..t to the PA o.PftrtMnt of R.V'nuI, Bosrd of ApP.llh, D.pt. 2IUOZl, Harrhburl~ PA 17121~1021, OR
-".l.ctlan to have the .att.r dIIter.tn.d et audit of the a~count of the p."on.l reprtlent.tly., OR
-~upp.al to the Orphan.' Court.
ADMIN
ISTRATIYE
tORRE c: TI OHS I
FlctuIII1 erro" dhcov.rld on thh aU'UMnt .hould b. addr....d In wrltlna tal ~A DlIPart..nt of Aevenut,
IUrlMl of IndivIdual Tex.., ATTHl Po.t h......nt R.vl.w Unit, Dept. 280601, Hlllrrhburg, PA 17121-0601
Phone (717) 787-6505. S.. Plt8* S of the baokl.t "In.tructlon. for Inh.rltenc. taM R.tyrn for a A..lant
Decedent" (REV'-1501) for'" 'MPlllnltlon ()f edtllnhtrlt1v.ly correct8bl. erro".
D15COUNT I
If eny taliC due It paid ..,ithln thr.. (3) e.l.ndlllr IIOnth. .fter tht MCldent'. d..th, . fly. percent (S;() dhcount of
the tlllM paid I, .Ilo..,.d,
PENALTY I
ThtI 15:< tex aanuty non~pRrt1olpntlon pen.lty 11 cOlIPut.d on thfl totel of th. tax end Inter..t e.....Id, end NIt
p.ld befor. Janullry 18. 1996, the fh'lt day .fttr the end of tho tax l!l1llW'ty p.riod. Thll non~Plllrt1elp.tlon
pen.1 tv 11 opptllll!lbl. In the .... eanner and tn thl the If... tiN p.riod .. you would Ipplal the t'M end Internt
that ha. b..n .......d tI, It'ldleottd on thh ncUe.,
INTEREST I
Inter..t If charged b.glnnlntll with flrtt day of d4IllnQ\tency, or nine (,) Hnth. and OM (I) day frOll thtl date of
dt.th, to th4l d.t. of paYIHmt. liMIt which b.e... delinquent h.fortl Jenuery 1, 1982 be.r tnt.r.,t .t thl rat. of
.IM (6:<) perc.nt p.r annut! celculat.d .t 8 dei1~ rllt_ of ,OOOA64. All tax.. which bee... dllInqutmt on Ind aft.r
JllnUlry I, 1982 will bur Int.r..t It It rat. \IIhlch will varll frOll c.I~1r ~nr to calend.r Y.llIr with that rl'lt.
.mounc.d b~ the PA Olpartllllnt of RIVenu.. Th. applicable tnterut ,.tlll for 1982 through 1998 .nl
'!!!r Intlrut R.te ~It.r.lt Factor :!!!r Intlrlllt A.t. DallY Inter..t f(t(ltor
191Z ZOiC .000548 1'81 OX .000247
1913 16iC .00008 1968' 1991 ll. .000301
1984 lIiC .0OO'~01 1992 .. .000241
1915 13iC .nOO556 1993-19~ 7. .000192
191B6 lOiC ,OOOZ74 1995-1991 .. .000241
--lntar..t It c.1culat.d .. follow.:
INTEREST = IALANCE OF TAX UNPAID X NUKSER OF DAYS DELINQUENT X DAILY INTERES1 FACTOR
~~'ny NoUc. h.u.d /lftllr the hit b.Clo_, del1n~t ..,111 r.fI.ot en Inter..t c.lculCltlon to fift.In un MV'
beYond the det. of the ........"t. If plllylMtlt h allde after the Interlllt Cl'*PUhtlon d.t. ehoWn on thl
Notlu, addltlon/ll Int.rlllt MJlt bt cel.cuhttd.