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CERTIFICATION OF NOTICE llNDER RilLES 5.61al
Date of Death;
Ralph W. Peck
January 28, 1997
Name of Decedent:
Will No:
1997.000123
To the Register:
1 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 March 3. 1997:
Ralph F. Peck
205 1/2 Geary Avenue
New Cumberland, PA 17013
Notice has now been given to all persons entitled thereto undcr Rule 5,6(a) cxcept:
Date: March 3. 1997
Ronald E, John 11 Esquire
78 West Pomf Street
Carlisle, PA 7013
Phone: 717-243-0123
Capacity: Counsel for personal
representatives
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
COMMONWEAl.'1I 01 "NN"'VANIA (TO BE FILED IN DUPLICATE
NPAR1M[NT Of Rr.VENUf
0'" 180601 WITH REGISTER OF WILLS)
~.A.R.~IS.~~~9.l.r.~_l~J.~'!:.~~_!,."...____ ." .._..1 ,_ _._._ _ ___ __ _ _ ._
P{C! DENT'S N;mlfm(iRSf."'lNDMiOiiiriNlilMT~.--"'~----~ --~-..'---'-'-'----
sOCj::t:l~~R'hv.~~JiliI~~~~._. ....---jfiATTOf..UfA.;H..... --.' '10'i~.~,'I'~'~':l2
., _J6Jl,,~~ o__JHL -. .,- ,...,Jj 2 H /97 I '
I,I ~HlIt~llrl ~U.VIVIN{I HOU$I'~ 10./11 11.1.1' rll~l AI~IJ MIl'I'11 1'1'1''''11 50(IM M (UNity NlJMAI ~
.n/o.
kx 1, Original Rolurn I l 2. SlIpplnmonlol Rotllff)
L.] 4 limlt('d Estate [ I 40, Futuro InlnroU C(lmpromilll
(for dOles of doalh Clflor 12.12.62)
LI 6 Dacodonl Divd Teltate I 7. Doced4ln1 Malnloinolf (j living Trull
(Allach copy 01 Will) (Alloch copy of T rU'II
-~----~- All. CORRESPONDENCE AND CONFIDENnALTAX INfORMATION SHOULD 8E,DIRECTED TOJ
N~,ME ..' -- - ~COMPlElfMAIUNClAOORESS
TIT~O~~ )'~M'~...~1.<:!~nBO.!!.,~~~.'l~0:~______..__.__ ~~r\t~: ~ el:o;~re~ 7~~ ~"e t
.__ "'_L~P,_,_1,,~2.4J=.D12J,==~=.7=,.===~_.=~. -"_ '_
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1. R,ol E,lol. ISchedule AI
2, Slock. and Bond. {Schedul. BI
3, (lolOly H.ld SlackfParlnor,hlp Int"..tISch.dule q
,4. Morlgag" and Not61 RflClllvobl6 ISchedule Dl
5. COlh, Bank Deposits & MllctllClneous Per$onal Properly
{S,hedul. EI
6, Jolnlly Owned Prap"ly ISchodule FI
7, Tronll". ISchedule GIISch.duleq
8. Total GrolS Auets (Iotol Linel 1.7J
Q. Funeral Expenles, Admlnlstrallve COSh, Miscellaneous
EKponlO' ISchedule HI
10. Oebh, Morlgoge liabllilies, Liens ISchedule II
11. T 0101 Deducllonl llotol Lines 9 & 101
12. Net Vallie of estale (Line 8 minus line 11)
13. Charllobla and Governmenlnl Bequests (Schedule Jl
lA. ~!! Vo!~_ Subl.c.!.!.~~~~_~~~~~u_sHlin~__~.~_
l,~ Spousal Tromfers {for dOles of death oher 6.30.941
See Inltructlonl for Ar,pllcable Percentage on Reverse
Side. llnclude valulu rom Schedule K or Schedule M.l
Amount 01' Une 14 taKable 01 6% role
(Include values from Schedule K or Schedule M,)
Amounl of Line 14 taKable 01 15% role
Ilnclude values from Schedule K or Schedule M.l
Principollo,-: due (Add ta" from Uno\ 15, 16 and 17.)
Credits Spolllol Ponrly Credit Prior Poymenh
+
I
I
II
16,
17,
'"
Cl
>= lB.
c
I- 19,
'"
..
IE
Cl
..
S 20,
21.
fOR OAIESOFOr.AIH AFTER 12/31/9T CHECK lURE
IF ^ SPOUSAl .,
POVERIY CRIOIT IS CLAI.MID U
fill HUMRIR
~1-97-[)12'l
COUNTY COD! YEAR NUM8ER
o{(T[JtiwrtoMPl1itAO-{)--'I.-~~" ~~'=~~.:.:.:c.._~..";''--'
~O'> 1/2 (:I,ary AV0l1110
Npw ClImbor I (lOci, I'A 17070
CnUll1 Cumbe r 1 and
I^MOiIN"[C'"viD I'I'.'N""":_"" .,',..-=,.~:: .-..'....
113. Homoindor Relurn
Il?r doto~ of dftalh prior 10 12.13.82)
rJ 5. Ftlderal ellole Tax Relurn Required
_~ e, T 0101 Nllmber of Safe Oep01it 8oKe~
!/!~I~;"~/\
'..
111__.___,. --.----.--.
121 -..---.~------
131 __.________,___
{4} ___.__._~_____
15}_-2!L,487.19_
16 )
171_____
~:
,,0
J (, J
'I
,
,
IB)---2.lI,487 Iq
191 --R,.B46-.ll.----
11 01 --+,5M,W"
1111 11,426.71
1121 ___U,OoQ,.48______
1131 _._....
_____~___c;JJ~60. 48
1151.._~__
. ~_~.__n_ X. ,uc_.._=
1161_..13-r060. !lB. ,..__..".._,. ,06 =
j'8.:L 6 3
1171___._
_~.._..n~...)( .15-;::
(lB)
Discount
+ .___.~._ n._ on
Inl&roll
1191
1201
If Line 19 is greater than line 18, enter the diHerence on Line 20. Thll II the OVERPA YMENT.
IilILl
If Line 16 j\ grealer Ihan line lQ, onter the difference on Line 21. This is the TAX DUE.
A. Entor the inleresl on the balon<n due on Unit 21 A.
Ch~(k hCll' If vOO orc requesting a rcfU,nd of )'our overpayment
7,fi1L9.3_______."__.
{211
(2IAI
{21BI
7S3,6:L_.
B, Enter 1he 10101 of Lino 21 and 21A on tino 218, Thi\ i.lne BALANCE OUE.
~aka Ch.ck Payable '0: Ragl.tar of WI!!./ A~!~t_
-- .- -
;:;:;-;;--------- j.:_~BfsUr.E TciAN~W~~.^Li:QUESTiONS ~!fREVlRSESiDlAND TO-RE~HECK-MATii- ~ ~ .
Under penallies of perjury, I cleclore ,hot I hove ftlluminoclthis rnturn; including Clccompanylng Hh~dules ond stolflments. and to tho Ill"t of my knowledge and belief,
ills 'rue, cor reel and cOmpltltll. I decloro th II rlHl llslotfl ho. btlOfl raported oltfUflmorket volun Doclarotion of prllpOrtH other Ihon the penonnl representallve II
ba.ed on aU motion of which flpm a un flowlodHfl
IIoNAiu", mi-;,'o, ,liT, "H " ^O""f"~~\~ /;,f;,b~:;.~';;~t;:~lf~7U7U D~-S:;~l.. ,....
AI)IIRI~'~87 f' Uf~
. lV, Po", r,ot Sin'pl ;;t; '.1-/'7'7
ellrl i.du, I'A nOLl '/.tI/
UV 1.~ll ,~. 1'-1181
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COMMONWEALTH Of PfNNSVLVANI.4-
IN.H:RI1ANC~ TAK RetuRN
RE ~Il~[ !'lJJ?!.f~_Dr.~l._,.
ISTATioF' .
P~ck. Ra 1 ph W.
SCHEDULE H
FUNERALEXPENSE~ '
A~~~~tt~~::,vJs C~WN~~f I.,. ", ,Ploal! p'rlnt.~r Tvpo
-"~.,..,_.. m"'~rmNUMIIIR'
"'" ""..21_:n::21 2 3".,...
AMOUNT
ITEM
NUMBER
__"_._ _____._._".~..._m_.__"'~___._ -
A. Funoral bpon"ll
1. Musselman Fun~ral Hom~, In'::.
2. Rolling Gre~n C~m~tary - Interment
B.
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
DESCRIPTION
and grave marker
$3,548.75
1,813,36
I.
'Admlnlltrallve COlli I
Perianal Reprelentoll.. Comml..lon,
Social Security Number of Penonal Representative: _,__~____.:..
Venr Comml..lon, paid _..,___'__------
2.
Attorney Fe.,
Andr~ws and Johnson
500.00
3.
Family Exemption
Claimant ~l'J:t..J'_,_"p.~.~,,_____ Relationship ~_iAther
Addre.. of C!almant at decedent', death
Stre.t Addre.. }~, 1 / 2._.Q~ar'y_,~.y',enue ,.
City ...l:Lew Ct!~!?~.r.LanL___,_".___StalO ..J>A,._ Zip Code
17070
3,500.00
Probate Fee,
to R~gist~r of wills
74.00
MII.ollanooul ExpOn1011
Miller-Miller lns. - car insurance premo
145.00
Register of Wille - Pa. lnheritance Tax filing
15.00
Reserve for closing
250.00
TOTAL (Also enter on line 9, Recapitulation)
S
9 .846 .11
(If mo.. Ipa.e II noedod, InlOrl additional ,hee.. of lame 11.0.1
/515? ~/'I
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
511REAU OF INOl~IDUAL TAXES
lNIlERItANCE UK OIVISIOH
Df:Pl, 2I06QI
IlARRISIURO, fI" t'fUtI-0601
IIOTICE OF INliERITANCE TAX
APPRAISEMENT, AlLOWANCE OR PISALLOWANCE
OF DEDUCTIONS AND ASSESSMI'NT OF TAX
DATE
ESTATE OF
DA TE OF DEATH
~ILE NUMBER
COUNTV
ACN
10-21-97
PECK
01"28-97
21 97-0123
CUMBERLAND
101
E---- AlIloI.;n"t- R."'iIT'ci"---J
=_. ._._.-->t
-~~-----,~-
MAKE CHECK PAVABLE AND REMIT PAVMENT TOI
REGISTER OF WILLS
CUM8ERLAND CO COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR VOUR RECORDS ...
R 'EV: iS4'f"Eif "AFP -j 0'9':97Y "Noi'"ic E - "OF - i"N'HEifi f AiicE - T i. X' iippiiiii S EMEN'r; -A i:.rliiiAN.CE- OR - - -.. - --" -."... -"
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
RALPH W FXLE NO. 21 97-0123 ACN 101
RONALD E JDHNSON ESQ
78 W POMFRET ST
CARLISLE
f'A 17013
ESTATE OF PECK
TAM RETURN WASI (X) ACCEPTED AS FIl.ED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. W..l E.t.t. (Schedul. AJ
2. Stock. wnd Bond. (Sch.dule B)
3. Cla..ly H.ld stock/P.rtn.rlhip Int.r.st (Sch.dul. C)
4. Horta.g.a/Not.. R.r..1v.bl. (Schadul. DJ
S. Cllh/Blnk Depo81ta/Hl.u. P.r.~n.l Property (Schedu18 E)
6. Jointly Own~d Property (S~hQaule fJ
7. Tranafera (Schedule G)
8. TotRl A...t.
) CIIANGED
(1)
(2i
(3)
(4)
(5)
(6)
(7)
,00
,00
,00
,00
24.487,19
~
.00
(ftl
APPRDVED DEDUCTIONS AND EXEMPTIONS I
9. Funeral EKP.n.../Ad.. COlta/Hi.c. Expen... CSchedule H)
10, Debta/Hartgag. Liabiliti.a/Li.n. (Schedul. I)
11. Total Deductiona
12. Net V.lue 0' T.~ R.turn
13, Ch.ritable/Goyern..nt.l a.qu..tt; Non-.lected 9113 Truat. (Sch.dule J)
1~. Net Velue of E.1ete Subject t. T..
If .n ......ment w.. i.su.d pr.viously, lin.. 14, 15 .nd/or 16, 17 .nd 18 will
r.fl.ct figure. th.t includ. the tot.l of ~ r.turn. .......d to d.te.
ASSESSMENT OF TAXI
IS, A~ount of Lin. 14
16, AMount of Lin. 14
17, Aoount of Line 1~
la, Principal Tax Due
NOTEI
.t Spa"..! rat.
taxable .t Lin.al/CI..a A r.t.
taxable at Collat.r.l/Cla.. 8 rat.
TAX CREDITS I
PAYMENT
DATE
07'15-97
RECEIPT
NUMBER
AA211536
DISCDUllT 1+)
INTEREST/PEN PAID (-)
.80
9,846.11
1 .580.60
lll)
(12)
(15)
(],4)
(9J
UO)
115)
(6)
UlI
,OOR'OO.
13,060.48 M .06.
,00R.15.
IU)
( ~
*'
AMOUNT PAID
783,63
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
---. .
TOTAL DUE
IHIIi4/ H _" If'.t/)
RALPH
w
DATE
10-27-97
NOTE I To inaur. ~rDp'r
credit to your eccount,
'UbMit the upp.r portion
of this forM with your
t.~ payment.
24.487,19_
II .4'6 11
13.860.48
.00
13.860.48
.08
783.63
.88
783.63
783.63
.08
.08
.08
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION DF ADDITIONAL INTEREST,
IF TOTAL DUE IS LESS THAN II. NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" fCR). YOU MAY BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
, J
r~ ,
.) (J
AEIERVATlONI Elt,te, of dHt.ntl d)'lnt on or before Dtct.r It, 1912 ..'. If an)' futu..e Int.r..t In the "t,t, II tnn,'.rrH
In pan.nlon or enjoYHnt to Cl... I (ooll1tl"l1) blntHoStrl.. 0' the dMtd."t ,UtI" the IMplrtUon of MY ..t,.. f4r
II'. or for y..r., the C~..lth htrebv IMpr...!v r...rv.. thl right to IPPrtl.. 8nd ...~.. trlO,f.r Inherlt~. TaMI'
at the lawful CII" . (ClOU,t.I".1) rite on In)' such future Int.rut.
PUiRPOSE Of
NOTICE I
PAVNENT I
REFUND (CR)I
OIJECTIOHSI
ADMIN
ISTRAlIYf
CORRECTIONSI
DISCCUlTI
PENAL TV I
INTEREST I
To fulfill thl r~ir...nt. of Slotlon 1.140 ~f thl Inhtrltenat and E.tat, TIM Aot, Act 21 of 1995. (72 P,S.
hotlon 'UDl.
O.tloh the top portion of this Notlol and sublit with your ply..nt to thl Rlgl,tl" of ~Ill. prlnttd on thl rlVlr.. tldt.
--HINtI Clh~k or 10nlY orcHIl" ptyablt tOI REDISTER OF MILLS, ADENT
A refund af . tGIc credIt, which WII not raquut'd on thl Tal( Return, .ay be requuted by co.pletlng en "APplloltlon
for Refund of P.ntllyly."te Inheritance Ind Estat. TalC." (REY-1313>. AppliClUonl are avalhbh at the Offica
of the Ra,l,ter of Will., any of the 25 Ravanu. DI.trJct Offlc.., or b~ calling tha .p.clal 24~hour
,".~.rln, ..rvlcl nu.b.r. for for.. ord.ringl In Penn.ylvanla 1.800-362.2050, aut.ld. P.nn.ylvanla and
within 100.1 HarrhOOr. arl. (111) 787-8094, TDOI 017> 71;H~252 (Hurln, IIll9.1r.d Onh).
Any party In Inter..t not nthUlCi with tn. appr.h...nt, lI11oWIflC. or dh.llowana. of d0ductlon., or ......Mnt
of t'l( (Including dl.count or Int.r..tl B' .hown on thl, Hotlcl ~u.t obj.ct wIthIn .ll(t~ (6D) dlYa of rlOllpt of
thll NotlCI by I
-.wrlHan protlflt to th. PI. D.p"rt..nt of R.....~, hard of App..tt, O.pt. 281021, Harrhburg, PI. 17121.1021, OR
--II.ctlon to have thl IIIatt.r d.t.r.tn.d at audit of the .ccount of the plr.onal raprllantatlv., OR
-.~p.al to tho Orphan,' Coort,
ftctu.1 .rror. dl.cov.r.d on thl. ......lInt .hould be addr....d In wrIting tOI PA Oep.rt-.nt of Rev.nue,
a~re~ of Indlvldull Tal('" ATTNI po.t A.......nt R.vi.w Unit, D.pt. 280601, Harrl~bur" PI. 17121-0601
Phontl (717) 167-fi505. !i.. page 5 of the booklat "In.tl'uctlonc for Inh.rlbncl Tal( R.turn for a R..ld'nt
DIc.dant.. OtEY-15011 for en ol(planfttlon of adllJnhtrllUvlly cortlotab!. .rror..
If DnY tlM due It pllld Mlthln thr.. (5) oal.nder IIOf'tth. after thl d.cadent'. dI.th, . flvl p.rc."t (S:() dhcOWlt af
tM hI< paid It allowed.
ThI IS:( tal( alUl"b' non-participation p.n.Uy II co..."utad on th. tot.1 of the hI( and Int.rut 1I.....ad, IInd not
paid b.forfl J"'~llrY la, 1996, the Urlt day aft.r the .nd of tM hl( no..ty p.rlod. Thh non-partlolp.tion
pllnllty II Ipplalllbl. In the ...... 118nnll' and In thl thfl ,..._ tllII periOd It. YOU would flpPllll the till( end tnt..rl'lt
that hue b..n .......d .. Jndioat.d on thl. not~c..
Int.ra.t II charged blglnnlng with Urlt day of d.Unquern:y, or nln. (,) Rnth. and OM (I) d.y fl'o. the data of
de.th, to the data of pay..nt. T'l(e. which bac... dOllnqu.nt before January 1, 1987. b..r Int.r.,t at the rat. of
.he (6:() p.rc-.nt ".,. MOUI cIIloulet.d It a daBv r.ta cf .000164. All till(" which blClHl daJlnqu.nt on and .ftar
Jenu.,.y 1, 1982 will b...' Intarllt It a "lib ~tch will "'8ry frol calandar y.ar to c.lender Yllr with thlt rete
~cld by thl PI. D.part..nt of R.vtnUI, Th. appllcabl. Inte,,,,t rat.. for 1982 through 1997 .r.1
~ Inter..t "atl Deily Int.rut factor !!!! Intlr..t Rnt. DailY Inter..t Faotor
---
198Z lOX .000548 1.87 'X .00OZ47
1985 16:( .000451 19&1R19'1 11:( .000501
1914 lli( .OOD~OI 1992 'X .000247
1915 UX .000556 199]-1994 IX .000192
I'" lOX .000274 1"5-1997 'X .000247
"Intar..t 11 olllouht.d II followlI
INTEREBT . BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any MaUc. l..uad eft.r thl t'l( baco.. dallnquWlt will raU.ct an Int.r..t calculation to flft.." US> day,
beyond thl d.tl of tn. .......ant. If ply.ent I. IIda aft.r the lnt.r.at co~utatl~ data .hown on the
Notta., Itddltlon.l Inhrut MIlt hi o.l!;ullltad.