HomeMy WebLinkAbout97-00193
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KA'['IIHYN .1. GIWVI':
E.s(~(1 of ___~~__,.._~_._.~..",.,.~,~
also Anown as ___.___..,____.~_
PETITION FOil l'1l0BATE Hill! CIlANT OF LETTEHS
No, ..__~__c::rl=J~
To:
___.,_.__..._....~._.. R'glsler of Wills for the
Vccrascd. Counly of _0.I!:1IJEHLP,NIl In lhe
Social Secllr;ly No. 2l'f'I -1 6 - 2 ~'J 'i CornmOllweallh of Pennsylvania
The petilloll of Ihe 1I11derslgned respectfully reprcscnls thai:
Your pelllione/(s). \l'ho 1.,/are 18 yenrs of age or older all the execul or
in the last will of the above dccedellt, doled .June 20-,-
alld codicll(s) dolcd _.
named
, 19-2.L.
(,\!r\IC fdcvr\!ll c:lICIIIlI.UMICU, C.I. ItlHIuc:l/1tlon, UC::Ilh or U_t:c:ulor. elC:.)
Deced'nt \l'IIS domiciicd al tieaih III .._~~aberl and , County, Pennsylvania, wllh
h er last family or principal resid,nce al 2207 Market St.
...Borough of Camp Hil..!
lllsllltrctl, IlUIIIUor, Twp. ur Uoro,1
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Deced'"I. Ih('11 76 _ l'cars of ag'. died ___. February 13, ,19 97
at 1101 y Spirit Hospi ta 1 _ .. .
Except as follows, dc~cd'nl did 1101 nlalry, was not divorccd and did nOII\av. a child born or ado pled
afler eXCCllllon of lh, \l'ill offcred for probalc; \l'as 1I01lhe victim of a kllllllg and was never adjudicated
Incomp,lenl: _
Deced'"t al dcalh ol\'l1,d property \l'lIh e,<limOI,d I'olucs as follo\\'s:
(If dOllllcH,d in pn.) All personal properly
(If not domicll,d In Pa.) Personal property in Pennsylvania
(If not domiciled In Pa,) Personol properly in County ,
Vnlue of real e,slate In Pellns)'lvall!'
situated as follo\l's: __
s
S 100,000.00
S
S
None
,
I
J
'I
WHEREFORE, petitloner(s) respectfully rcqu,st(s) the probale of the last will and codlcll(s)
presented herewith and the cranl of Icllers Testamentary .
(lutamentar)': administration C.l.l.: administration d.b,n.c.t.I.)
th,ron.
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PNC BANK, N.A.
BY:.~__+.......-'L
Ronald C. Krall'@r , Vice Presid~nt.
4242 carlisle Pike. P. O. Box 308
Call1\i Hi 1]. PA 170m -0308
OATIl OF PEHSONAL HEPHESENTATlVE
COMMONWEALTH OFl'ENNSYLVAN,IA } 55
COUNTY OF -.::.UMBERLAND .__
The petltioncr(s) nbove-nalned swcnr(s) or affirl1l(s) lhal th, stal,menlS in the foregoing pelltlon are
lrue alld correct to the be,t of the knowledge nnd belief of pclltloner(s) ond Ihot as personal represen-
lollve(s) of the above deeedelll p,tilloner(s) will well and truly admlni,ter Ihe estate according 10 law.
Sworn to or affirnled and subscribed + -----i.~r k..<-<>~ ~-.') t'l
before me Ihls .J.1f day Of. .....!:o,;ald C. j<ramcr, Vic,:" presiden~ o';j'
Ii":~,w fJII~ .."" Bo,k, "-,. I
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II f ,'~ lliUO l: ,l(. (1 ~a<l)
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J INHERITANCE' TAX R' ETURN FOR DATES OF Df,Al'H AFTER 12/31/111
GHP.CK HERE IF A SPOUSAL
RESIDENT DECEDENT f'{)VERI'::_C.!lEll,I!!!l.gl,AIM!'P,fl.
(TO BE FILED IN DUPLICATE FILE NI~.MIBER
" 1997 0193
WITH REGIS.,T~~=9~c~~~:~)c, COU!J.TY CO!?E m~ ,__ NUMBER
DECEDF.NrS NAME (LAST, FIRST, AND MIDDLE INITIAL) DECFDENT'S COMPLETE ADDRESS
GOOIJE, KA'ffiRVN J, 2207 MTlRKEl' Sl'REET
DECEDENT SOCIAL SECURIl'i NUMBER . DATE Of DEATH"~rDAll'(jrillin'II' ClIMP lULL, PA 17011
201-16-2895 02 13 97 lELlli1~~_ C01 c.umEmAND ,__.____
(I I. L I ilU VIVIN "",",sr', AM' II AnT, FCIAI SEClJRI~ l'UMBfR AMOUNT ftECEIVED (SEE INSTRUCTIONS)
~IRST AND MIODu: INlTIAlI . ~ I". " .
1, Or~ln.l Return ~. Supplornnnlal Roluln -lJ:), Romalndor~Rolurn ~-_._-
E:
--'
COMMONwt.Allllor PI:NNSYLVANIA
DLPMlTMI::NT OF AEVI'NUr
orPT.2/10601
HARAtHilURO, f"lA 17128-0ll01
o 4, UI11lted Estalo
(lor datu 01 duth ~rior to 1 ~~ I ]"IUl
o f,!, Fodoral EslalG Tax Relurn RoqlJlrod
CHECK
APPRO-
PRIATE
BLOCKS
D 4ft, FulurD Inlerosl Comprolnlso
(lor dalos ot doalh allor 12-12-82)
[B 6, Docedont Clod Toslalo 0 7, Decedenl Malntainod a Living Trllst
(Anach copy of Will) (Anach copy 01 "usl)
~iXiiW!8iitNll!Idt"NOdoHFIDErmAL'TAl( INFCiiiMATIOW SHOULO BE PIRltCTEOTQl" iT' i 'ii ,'ii"ii: <IT,:,'" i ....,'""7
NAME COMPLETE MAILING ADDRESS
srANLE'i E. OOOOS FOR me Bll.NK .1600 M!\RKEI' SI'REEr
TELEPHONE NUMBER ro OOX 42933
215 585-6876 ffiII.l\DEI.rnIA PA
1, Real ESIRIO (Schedulo A) ( 1 ) None
2, Stocks al1d Bonda (Schodulo B) ( 2 ) None
3, Closely Hold Slock/Partnerahlp Inleresl (Sch, C) (3) None
4, Mortgages and NOlO> Recolvable (Schodule 0) ( 4 ) None
5, Ca.h, Bank Doposlt. & Mlscollaneous PefOonal (5) 99 , 719.65
Prop9f1y (Schedule E)
8, Jointly Owned Property (Schedule F)
7, Tronslela (Schedule G) (Sohedule L)
8. Total Gro.. Assets (total Unes 1-7)
9, Funeral E'pon...., Admlnlstlallve Costa,
Mlscellanooua ","ponaea (Schedule H)
10. Debta, Mortgago Uabllltlo., Uen. (Schedule I)
11. Total Doductlol1s (tolal Unea 8 & 10)
12, Net Valuo 01 Eatate (line 8 mlnua line 11)
13. Charitable and Governn"ntal Bequost. (Schodul\l J)
..Q! 8, Total NUl11hel 01 Sole Dopoalt eo,es
CORRES-
PONDENT
19102
(8 )
(7 )
None
6,732.62
RECAPIT -
UL,t,TION
(a)
106,452.27
(8 )
11,746.28
(10)
572 . 16
(11)
(12)
(13)
121318.44
94,133.83
2,000.00
14, Net Valuo Sub/OCI to Ta, (Uno 12 mlnua Uno 13)
15. Spouul Tranller. (fa' datu 01 dlllh aft" 8~30~"41, 5..
In.tructlolll for Appllcabl. P"c,nMQ' on Pag, 2. (Includ,
valuu from Seh.dul. K or Scn'dul' M,l
18, Amount 01 Uno 14 taxablo at 8% lato
(Include ValU98 from Schedul. K or Schedule M,)
17, Arnounl 01 Una 14 taxablo 0115% rale
(Include valu... trom Schedule K or Schodulo M,)
Principal tax due (Add tax trom Linea 15, 18 and 17,)
Credlls Spou..IPov,tlyClldll f1rlCJr Payments Discount
+ _~400.00+ 600.00-
20, .U Une 191a gl~~lel than Uno .1?,.ontor tho dllloronco on lIno 20 Thl. Is tho OVERP~VMENT,
~ICI.~"'" y~... requeatlnlla noM!!~!Y!!.'!!:..~.JP!i.1!!1W. "J.l.J
21, If Ul1e 181. groator Ihan line 19,011191 tho dlHerence on line 21, This Is the TAl< DUE.
A, Enter tho Interes! on tho balanco duo on Uno 21A,
0, Enlef lhe lotal of Uno 21 and 21A 011 Uno 216. This Is tho BALANCE DUE.
Mlk. ChlKlk Plyoblo to: R"Illato' 01 Willa, Agont
... . ".',/~',."'.J~...' . -~ ~ -....-........-,.::.,. ..,~
b~~~;~!~~~Iti9sjoIP~rl';~, ~I:I~~ ~I~a~: ~~,::~~ ~r~~c~';~:~~r~:~~II~q~:O~~I~E;n~Ea~e::, :dlo~e ~'1 ormyTinowledqe -
and OOllaf, Ills truo, correct and complOlo I declaro thai aU rORI (/91010 has bo(lIl roporlod ttllruo maiko! valuo. Doclarallon of proparor OU10l thAn Ihe personal
roprqscnlallVo Is based on aU In'ormatlon ~l ,which plOp arm htlR l~n~,o'ol:'~~~_
SIO"A R OF PErSON Rfs'9-Ni!eL[fORfi~INCi ')[lUfl~ AfHHU,!;~,
. ...l. ') !Lcr ~t7,L...- ft 1(' I rJL 1)1~k. See Schedule attach~
r' SIGNATURE PFlf: PARrR OTH[ A THAN fll PRr: HF NTAlIVr AnOfl!: ~f,
(14)
92,1~3.83
(15)
X,_ "
(16)
0.00, ,08 .
0.00
(17)
92,133.83, ,15 .
13,820.07
TAl< 18.
COMPUTA- 19.
TION
(18)
13,820.07
I ntorast
(18)
(20)
12, DOg. 00
(21)
(~1A)
(21B)
1,820.07
0.00
1,820,07
--,-~--
DAH / /
__!./J-1Qj.9 7
()AH
mlOO1 NTF 116,g
Copyrillhtforml Softw.re Only, 11194 N,lco, Inc, N94f'AOOl
1600 MlIIW::r Sh ro BOX 42933
PIlIlADElPHIA, PA 19103
I
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AEV-11lOO EX + (12..06)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX R~"URN L
RESIDENT DECEDENT
:;- - ----..
!STAT!! Of
KA'rnRYN J. GOOVE
Jolnt _1(1):
NAME
~.
Jointly-owned property:
SCHEDULE F
JOINTLY-OWNED PROPERTY
ADDRE88
J
] FlU! NUMBl'.R
21-1997-0l.93
--.-
IlELATION8HIP TO DIlCEDl!1l!.
LETTER OAT!! ~OTALVALUE llOI.LAIl VALUE OF
ITEM flOR MA1lI! DIlSCRIPTlON OF PROPERTY DECD'8 DECEDIlNT'8
NO. JOINT " INT.
tENANT JOINT Of ASSET INT1!IlEST
---
None
TOTAL (Also en,er on line -!JLooaphulatlonl $ 0.00
PAll50tl
NTF 121811
CopyrlOh1 Form. 8oftwa,. Only, tiN Nlloo, Ino, NV4PAOQl
(II more apace ,. need.d, Inser1 addltlonaleheolt. 01 .ama .I.a.)
. I'
REV-1610 EX + (2-87)
COMMONWEALTH OF PENNSYLVANll
INHI!RITANCI! TAX RETURN
RESIDENT DECEDENT
EStAYEOF --
SCHEDULE G
TRANSFERS
PLEASE PRINT OR TYPE
-=
.1<A'lllR'iN J. GOOIJE 21-1.22I:9121
THIS SCH. MUST BE COMPLI!T1!D , FILf.D IF THE ANSWER TO ANY OF THE QUESTIONS ON THE RI!VERS!! SIDE OF COVER SHeeT IS YI!S.
ITEM
NO,
I
tel
DESCRIPTION OF PROPERTY DECO. DOLLAR VALUE
noIude nomo olthe Iron.ler... thelt EXCLUSION TOTAL VAlliE % OF DECEDENrS
ItIon.hlp to dooedenl. dlle 01 ,,"neler, OF ASSET INT. INTEREST
wrm l'NC BANK,N.A. AS 6,732.62
. #6001005143 CONSISTING OF
,
DOD ~ OF $6,693.89
INrEm.ST OF 38.73
Y IS PA'rnICIA SCH\'MolGER
.
,
- TOTAL (Also enter on line 7, Rooaoltullllon' $ 6.732.62
-
(II mote 'p"ce I. n..dod, In.e" eddltlonll eheele 01 .ome el,e,)
1
I.RoA.
'lRI.JSl'EE
A CD wrm
AND AO:EJID
BENEFICIAR
PAUIOI
N'I'F 1?17A
CQPvrlght Form.Sotlwlr. Onlv, ,,,'" N.lco, In(;, N84F'A1C11
CLAUDE C. WOLFE & ASSOCIATES
AllCTIONF.liRS.. F.~'TATli APPRAISERS
113 OLD FORD DRIVE. CAMP HILI. PA 17011
717.737.0734
February 16. 1997
Estate of Kathryn J. Grove
2207 Market Street, Camp Hill, PA 17011
LIVING ROOM
Occasional chair with cane . . 10.00
Pair of end tables & coffee table 35.00
White table lamp 5.00
Kidney shaped desk with inlaid top 165.00
Small globe . . . , 5.00
Ship of horn . . . . 5.00
Pair of Victorian side chairs . . . . 100.00
Cabinet. - for elephant collection . . . . 500 . 00 .
153 Piece elephant figurine collection .. 850.00
Framed elephant needlepoint . . 65.00
Zenith tv - old , . 10.00
TV stand 2.00
Candleholder . . 2.00
Large glass go b 1 e t . . 2.00
Green chair \~i th ottoman . . 10.00
Oval Victorian marble top table - 22 1/34" top . , 375.00
3 Legged pedestal stand . . 35.00
Rocking chair . . . . 20.00
Sofa . . 15.00
Misc. books , . . . . . 5.00
Misc. pictures . , 10.00
.
Round mirror . .. . 10.00
Oval Victorhn marble top table - 24" top 400.00
Occasional chair , . , . . . 1. 00
Old Mahogany stereo 5.00
Afghan . . . . . . . 3.00
Card table & chairs 10.00
Tall clock . , . . , . 325.00
"t.
CLAUDE C. WOLFE & ASSOCIATES
AucnONb'RR.I''' f:STAT1! ,lI'PRAI.I'I,'RS
113 OLD FORD DRIVE. CAMP HILI, PA 1701\
717.737.0734
Grove appraisal
Page 2
LIYING ROOM - continued
M~tal elephant wall hanl/ing , .
Table lamp . . , .
Small, round, 3 legged pedestal table
Green carpet
Misc. knick-knacks
Misc. contents of room
, ,
10.00
2.00
25.00
15,00
25,00
20.00
, .
, .
. .
. .
. .
. .
IWJ.. .
'. ," '.
, .
10.00
1. 00
5.00
2,00
3.00
Clymer 1974 watercolor
Round mirror
Emergency kit
Luggage .
Misc. contents of hall
I fl'
, . .
. .
. .
. ,
I I ..
, .
, .
. I . .
EAST BEOROOM
Eureka upright vacuum cleaner , . 12.00
Misc. books . . . . . . 7.50
5 Drawer chest . . . . . . 30.00
4 Drawer file cabinet . . . . 25.00
Dresser . . 30.00
2 Glass vases , . . . 2.00
Penn Stnte lamp - broken , . . . . . . 2.00
Misc. knick-knacks . . . . . . . 5.00
Hoovet. upright vacuum cleaner - old . , . . . . , . 2.00
2 Straight chairs . . . . . . 5.00
Double bed . . , . . , . , 25.00
Small table lamp , . . , , . 1.00
Electric fan . . 2,00
Small t.v - old , , . . . . , . . . 5.00
.....PNUTRusi'.
lEL No.730-2254
IRA Beneficiary Ejections :",," .
Req~~~.d' ~istrij)utio~gl'At':De.~~;~,"'~!. "..
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". . -: 1)1)) TIll/.' PA!lTIOW,u'tf,Ol& II UOIt .....rlm HjSllII!.il."'<"\i.lIQ.lllll'Ef)'llWtNDATE"r.....'}\'o;-" "~,x ".,. . ... '.
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... "",' , . . .... ".' .. "',,.rtl,lrviy:jnl SPOON, Ownpletll Part A. or 0 . S\nviVinI' SPOV'fl, Oompic't ran 8 or 0
.. PART'" '\.k!',~ ,m~'.l.~~~\I~ ~~~I:~ ~l.'lfi~~~ior\l at'leal<< .. rw.pldly .. Ulldtr.~e m~hod ~ to tktt':rmlnr: lhe decOOtTll'.
required fUWm..-1O dltu'.)bullon, r ~t M)' 'riMe to Teteh\tm~ rap\ri di,tri"'\.t(km>>. Ir'lhtl.d~c:n' """':II".
'NCakuli.IIt'11 hWhr,r me expectancy, I ackn~1edSt ,hi. d)r. teqllln:d d"ath dlurlhulirm m\.lll be dCICrml"c:d by '\
. "oInl tho deo~Gil.:::tO.ft'l&ry" (I~ toy) "~Il~ UI. "POCla""Y h<tinnlr'l whh Ii.. year loll,",j". d..th, '
" ,...6e1ec4 ~~ one or.~f1 OVf,l, bcI~',,'" ',':,,',;;'", ,,';,'.', ~" ~"J:'\):'t., .~,',' I.,.:., .- , ' . '
()pI.ihn 1.' CJ ' i. dtcc ~o rWciWl my tntl~ ,'~o~"oY>ib'e':~I~t b.;j~nl:e by J:>ect~btr 31- o( the year' conlainlng the
5l/IlU\~I""'ry 01 Ih, ~pO.hD~~ dud>. "., ' ' . , ',.
I 'ded 10 ~C$i~ '~y' wn~.'(Jt the"~~i ~In('.e ~ 't'..ldng di,tdbut,onl oft~ tbe Imale Ufe , '
ex~tAJ:'C)' oJ'the dtjJp.tM ~n~::lld~ry. Suc.b dlltrihl.dlonill nUIt( b1''I810 no I~t:r thAn ~em~r !l.
19_ I the ,yen follO'Ning the dtpOtitnrs daD.th, , -I" .' ,i':' ,," ..' ,
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. 0 I 01... to .-...),..1.,. my Uf. .~~ eocl. year.
o I .Ioc' no, TO _.louu". my Ill< ..pocllUI<Y e.odl )'CO'.
o 1 e1"t to 1:qlrl IU('h dUtribow,nli no I"IN thlln ~mhftl' .31, the year lhe
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'1'1I\1 pari .... ~ oeIe<'M ooly by . au';'ivl.. ,~.. beo.lltlary, .....
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Q ", 1 eiKf ta alNhlCI my IpGUIt'lI I.RA ... ~;'(tWft IRA,
U the dapoIJlor clled .I,u hblher Rqlllnld btrln date. WI! minimum delenl1inbd for t.he ya.t of dealh I. not 61lciblo (0
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I ",rdry !hat I am die ollclblc bcoeficiary,.~lhorlmd In mw th... el...~... I Wlden..."'".., .he 01..,10" ma<t. I. Part A, P nr C ....
~bIe .. 01 th.tl dcadliDe for m.\kirlfC el<<uon.. nUl C\l~lodiNl, or any (utUR 6uSlod,..m. C'iIJ\ mY' on thtfe el<<tiolU, 1 unify lhl' ...
h"'ormation pNYkIM by me ls Inlc IU\d actUl'1Ih'J and t fUl'tht"t cCJrdfy thM' ho'fb ad\lltC hu been liven to me by chr Cu..todian and lbfl.'
all dedtiou reprdinS du:: l!Jec;d<m(l) m my own, J C'JlprwlV Ulumt th,reapontibUlcy fOl' eny adver9f! con~uerlUl wMcll may uttt. .
r..... Iho E1""dm(.) .Dd I ...... >hot oM Coa.odi.. """Iln DO woy be rtOpoI..lbk ID' Ih... <oo,.qu,n"'" I If.\VIl IlIlItN ADVISED BY
. TIlltClJlroDtAN '10 OOIlStlLT NY OWN 'TAX ADVISOll. .'.",,-,',<", ,," ,'. ,',., , ' .
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ALL urHEa ~.LEC'l'IONS INCLlJl>INO WITHIIOl.DlNO AND TilE METlIOI> OF OlSTRIPUTION
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02-16-98
GROVE
02-13-97
21 97-0193
CUMBERLAND
101
A.OU'1!""R..li~1
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF R~VENUE
BUREAU OF INDIVIDUAL TA~ES
INHERITANCE TAM DIVISION
PEPT. Z&060 I
HARAUIIJRQ, PA 17UII-06fll
NOTICE Of INHERITANCE TAX
APPRAISEHENT, ALLDWANCE OR DISAllOWANCE
Of DEDUCTIONS AND ASSESSHENT OF TAX
J
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STANLEY E WOODS
PNC BANK
PO BOX 42933
PHILA
DATE
ESTATE OF
DA TE OF DEATH
FILE NUMBER
COUNTY
ACN
PA 19102
E---.
.
(..~..
..
IIw.aHU'HUHll
KATHRYN
J
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
R..GISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV: is''-? - iif-AFP-fiiF 97 T - NO'f i cE" "oF" "iNHEiii T ANc E "'fAx "'A-p pilA"i siilENT ~ - -Ai. LowAN"c E - iili - -- -- -- - --- - - - -""
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF GROVE KATHRYN J FILE NO. 21 97-0193 ACN 101 DATE 02-16-98
If an assessment was issued previouBIy, linea 14, 15 and/or 16, 17 and 18
refloct figures that include the total of ALL returns aseensed to date.
ASSESSMENT OF TAX:
15. AMount of LIn. 14 .t Spou.al rate
16. Aftount of line 14 t.~.bl. .t Lin..1/CI... A rat.
17. AIlGunt of line lit taxabl. ..t Call.t.ral/CI... .. r.t.
18. Principal rax Due
TAX RETURN WAS: C X) ACCEPTED AS fILED
RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE
. -
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
I. R..l Eltet. (Schedule Al
1.. sto~k. and Bond. CSehadula D>>
5. Cloc.ly H.ld stook/Partn.rship Interest fSchedul. C)
4. Hortg.ges/Not.. Retelvable (Schedule D)
S. Ca.h/Bank Deposita/Mhc. Pet'lonal Property (Sr.hedule E)
6. Joi"tl~ Owned Property (Schadule f)
7. Transfers (Sohedule 0)
8. Totel A...ts
) CHANGED
(1)
(2)
(5)
(~l
15)
(6)
(7)
.O,Q,.
.00
.00
.00
99,719.6!i.,
.00
6 . 73 2 ..il.-
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funerel Expen..s/Ad.. Co,t./Hllo. Expen... (Soh.dul. H)
10. Debtl/H6rtgege Liabl11ti../ll*Ms (Schedule I)
11. Totd Deduct 10t1l
12. He* Value of rex Return
15. Chariteblo/GovernMent.1 neque.t.J Non~.lected 9115 Trusts (SChedule J)
14. Nait Velue of Est.t. Subj.ct to Tex
(9)
Cia)
11 ,746.28
572.16
CUI
U2)
(13)
U4)
NOTE:
USI__
U61
un
.00
.00
92,133.83
X .00,__
X .06,
M . IS,
U8)
.00
.00
13,820.07
13,820.07
TAX CREDITS I
PAYHENT
DATE
05-13-97
11-13-97
=f_.
DISCDUHT C +)
INTEREST/PEN ~AID C.)
600.00
I .00
RECEIPT
HUHBER
A!\211294
AA242459
AHOUNT PAID
11,400.00
1,820.07
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
. If PAID AFTER DATE INDICATED, SEE REVERSE
fOR CALCUI.ATION Of ADDITIONAL INTEREST.
NOTE: To incur. proper
credit to your ICCount,
sub.it the upper portion
of this forn with your
tax pay"ent.
106,4.S2.27.
1?31R 44_
94,133.83
2,000.00
92,133.83
will
13,820.07
.00
.00
.00
If TDTAL DUE IS LESS THAN II, NO PAYMENT IS REQUIRED.
IF TDTAL DUE IS REFLECTED AS A "CREDIT" ICR), YDU HAY BE DUE
A REfUND. SEE REVERSE SIDE Of THIS fORH fOR INSTRUCTIONS.)
REllE1l\IATlOH.
PIIlPOSE Of
NOTICE I
PAYI1ENTI
REFUND (tA) I
OlJEC1IOHSI
ADttIN
IS1AAHYF.
CORMCTIOHSI
DISCOUNT I
PENA~TVI
INTEREST I
I
E,tat.. of dec~lt. dlllnt on or blfore Dao.-bwr lZ, 1ger _n 1f 10)/ future Int.r'lt In the ..tate I, trln.f.rr~
In po'....lon or ,"jo~t to CII's . (c~11at.r.l) beneft~l.tl.. of t~ dtoedlnt .ftar the ..~tratlon of any ..tet. for
llf. or for year., th, C~onMe.lth hereby expr...l~ re..rv.. the right to appr.i.. and ...... trBn.fer Inheritanc. rllCI.
.t t~ IlNful Clt" a (cnll,t.rtl) r.te on any such future Int_r..t.
To fulfill the rtqulrelll4tRtl of S.cOon ll40 af the Inhtlrltencli and E,tab Tax Act, Act 21 at 1995. (72 P.S.
SS<ltlon 91"0).
Detach t~ top portion of thl. Notic. and tUb_It ~Ith your pay..nt to the RIgi,ta,. of Will. print~ on the rlyer.. .Ida.
-~Hltk. chtlok or lIlane:; ordGr payable tOI REOISTER OF' MILLS, AGENT
A refund of . tax cr.dit, ~lch 101.. not t'1lqU.,ttd on the filM RatUf"n, ..y b. raque.ted bll cDftPltUno WI "Application
for Refund of Pantl.ylvnnla Inhetl.tanc.. and EIItste Talt" (REV"13llJ. Appll<latJonl at. flv.Habla at the Offlo~
of th. Algl.tar of Will., any of the 23 Rev~ District Offloat, or by ~elllnQ the .p.olal 24-hour
an.werlng .ervlce nlMb.r. fClr 101'11 or"'arlnSlI III P.nn.ylvania 1~800-36Z~l050, outlide Pann'}llYlKlla ond
within looel Hnrrhburo lI-:'at! (717) 787-6094, TDD* ('111) 172-2252 (H..rlng I.palred Only),
Any party' In Intarut not 'IIthfl.d wUh the appraise.Cllnt, allowance or disallowance of cMductlon., or U.flllltent
of tax (Including dl.count Dr Intareat) al $hown on thl. Noti~a ~,t objact within .1~ty (60) day. ~f r.celpt of
thh Notic. bYI
--written prot..t t(l the PA O.part.ant of Rav~, Board of App."h, Dept. Z810Z1p .-tarr hbut'g, PA 171l8~1021, OR
~~eleot1on to have the .eth,. det.r.lned at audit of the ac:count of the p.r.ona1 reprllllantatlva, OR
--apP4/al to the OrphM'" Court.
Factual error. discovared on thl. ......-.ot ahould be addr....d In writing tOI PA D*part..nt nf R.v.,~,
Bur.au nf Individual Taxe., ATTNl Po.t A.......nt Review ~It, Dept. 280601, Harr'l.burg, PA 17121-0601
Phone (717) 767.'6505. S.e paae 5 of the booklet "In.truotJon. for Inher Itance h1x Rtlturn for II Re.ldent
Doo.dent" (REV-1SU1) for an .wp1anatlon of adalnl.trativtlly correctable error..
If ltMy tax dua II paid within thr.. (1) calWldar lIIOnth. aftar tl'Ml decadltnt'. duth, . fill. percent n:o discount of
tha t.~ paid 1. allowad.
The lSX tex .-newty non~p.rtJclpetlon penalty I, COMpUted on the total af tho tax and inter..t ......ed, end not
p.ld b.for. January 18, 1996, the first d~y .fter the end of the tllX a~.ty perlod. Thi. nDn"partlciPlltion
penalty II epp.olabh In tha ai.... .ann.r and III the t~ '''0 tI.. per lod II y'>U I*ould app.e1 the tax Ianci Int~ftlfit
that he. b.en .I....~d a. Indlcatad on thl, notlcR.
Int.,.st 11 charged bealnnlng with flr.t dllY of dallnquenc~, or nhle (,) lIonth. and on. 0) dell frOll the d.t.. af
death, ta t~ dftta af ,..eyunt. hx.. whlch beclUMl dalll\q'allt "fore Januarv I, 1982 b..r Interest lilt thll rate of
,Ix (6X) p.rcent par annUlI calculated at II dalb !'Ih of .1)00164. All tax.. which btto... deUnquent on 1M aftar
JllnUerll 1, 1912 will b.ar Intara.t at . rat. which will vary froll C61andar y.ar to r..landal' v.." with that rat.
~cad by the PA Depart.ant of Rell~lUe. Tha appllcabl. Int.~e.t rat.. for 1982 through 19" .ral
Y!!r Intar..t,.!!..1! DIIlh Interelt Faotor t!!! Int.r..t Rate Dalb Int.rliillt Factor
19&t 2G:( .808S". 1987 'X .000241
19'~ 16:< .000418 19&8-1991 lU .08UOI
19" IU .0ClOSnl I'" 'X .000Z41
1985 15X .000356 1995-1994 7X .000192
1.16 lOX .000274 1995-1'998 OX .000247
ulnt.ra.t h calculat.d .. follow.~
INTEREST . BALANCE OF TAX UNPAID X HUNBER OF DAYS ~ELINQUENT X DAILY INTEREST FACTOR
~~Any Motlo. Is.ued aft.r the ta)l( ~oee. dellnctlJlllflt will raUl(ji In Int_rut celculation to HUe." US) day.
beyond the det_ of the .......-nt. H Pll11Mnt 11 ... aftar the lr\t.r..t CQIIPUt.Uoo data lhown on tha
Mottoa, ttdditlonel Inter..t ..,.t be calculatM.
\