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HomeMy WebLinkAbout97-00210 I:, ,II".) (I' 'OR DATl5 0' DIATH Afl'IR 12131/91 CHICK H." INHERITANCE TAX RETURN ~oA,,::$,umDIT ISCLAIMID II RESIDENT DECEDENT fill NUMIlR (QMMO"WEAllH Of PlNNSVlVM'" (TO BE FILED IN DUPLICATE ....../ DfI'ART~IENl Of REVENU[ 0 HARRlSfJ:~, ~~0\1:"0601 WITH REGISTER OF WILLS) COUNTY COPf ... 0 ~ y NEL~' ~A:-i~~i;:;," MIOOI;'N''';:''------'--~--l-- '6f(fPP;"~ ~O~~:-::~~ D,'lve lfj ,oe"IIfCUOIiv Nu..;;I.--'-- -IO'i'0, 0"'" j""'O{II"" -. Carlisle, P A 170 t 3 ~ 717-10-6678__. ___ p~_~ct. J9]967APr.19J6 . cooo'r'g\ll!lb~r!!!D_'L___':twld_k2i;'j__.i1l!..<L j ._.:.__ ':~'~::~:~o ..0:.::"" '"'' ':'~~'~':':~'_ :"., :U",":M'" . AM:UN1.,,"V'~~~'~~:C"0"SI ______.__._n_:_~ IJ 2 Supplem,,"1 Relu," U 3, [J 5. fl:fV.1.500 El{+ (7J/AI l!! ~158 '" 9 u .. :315 "f:> Sf fJ 40, Future Inlllflltl Compromis" (la, do'" 01 deo'h after 12,12,821 ("] 7 Decedent Mainlolntd a living TruU - (AIlach copy of TrUll) .INt1ALTAX INFORMATIOwa"~ULD BI OIR_1) TO, "."It '. CQMPl TE M.4.ILlNO "'00 ss 5 South Hanover Street Carlisle, Pa 17013 1, Reol E.ro'. IScoedule A) 2, S'ock. ond Bond. ISchedul. BI 3, Clolely H.ld S'ock/Por'norshlp III,oro" ISchedul. C) 4. Mot1gogel and Not" Recolvable 15th.dule OJ 5. Calk. Bank Depollh & Miscellaneous Perlonol Properly ISch.dul. EI 6, Joln,ly Owned Property (Schedule FI 7, Trontlers ISchedule GIISch.dulo II 8, Total Gron A..,,, (Iololllo.. 1.71 9, Funeral Expen'I', Admlnhtfallve CoollI, Milcellaneous E.pOnlll ISchodvl. HI 10, Dobh, Mor1gog. lIobilIUe., 1I.nl ISchodvl. I) 11, To'al D.dvcllonl ('o'ollln.. 9 & 10) 12, Net Value of e.tate (lln. 8 minus Une 11) 13, Charllabl. and Governmental Bequtlh (Schedule J) 14, Ne' Volu. Svble" '0 To. IlIne 12 minus lIn. 131 15, SpoUlol Tron.fors (for do'el of d.o,h oft.. 6,30,94) S.. Inslructlons for Applicable P,r(tnlogl on Rever.. 115) Sid., Ilnclvdo yolulI from Sch.dul. K or Sch.dul. M,I 16. Amount of Un. 1.4 taxable at 6% rale Ilnclvde yoluOI from 5ch.dvle K or Schodul. M,I 17, Amounl of Unt 14 taxable 01 15% rale (Include valu.. from Schedule K or Schedule M,) 18, PrlnclpalloK due (Add 101( from linea 15, 16 and 17,1 19. Credlll Spousal Poverty Credil Prior Payments Discounl ._.___.~._.____.__ + _.._~_~__ __'.._... + .,___._m..._..__. *' ..9, , LXII [J4 U6 Original Ralllrn lImlttd Eltate lflEPHONf NUMBER ( 717 L 24b'i1U&.. .. 5! 5 ~ b:J .. z 5! Ii: ... i . '" u ::! ... Cl'l ,;)10 YEAR NUMBER Remalneler Return liar do'.. of doo,h prior '0 12.13.821 Federal Eltate Tal( Rtturn Requlrfld ._ 8, Tolol Numb.r of Safe Dtp0111 BO}(I!II -W~ITM ' _,"- ' '-~'l.':! --. ",' "\t'-'--- ., "~ft ,- III ,......_,___. ".. ,-,----. 121__________ 131- (41_,_.._"..________._ (51 .._.___Hl.93~_'__~Jl_ I..j .J __1:0 ,1. m '.(1 () , " . ~'-.J I '" ( 61__.___,___,_____ (71 ----,--..-----..--- 14,078.75 .i \,J (i!' () ~ 1~.938.~~__ 181 ,~ _,_I ( 91__. 1101___, (111 (12) (131 (141 14,078.75 ( 14!!~I.L (14.0.17 ) )(,----.- 1161 x ,06 . 1171 ____."'_.._"'_.._,_x ,15 . (181 Inleresl 20, If lint 19 II grtal.r than Une 18, .nler Ih. dlHetence on line 20, Thillllhe OVERPAYMENT. IIU (191 1201 tt\l'( ~ 1".'11' If YOll Or(' f('qul'!ollng rl H,lljnll of yom oVl.'f.p~ynH\nl 21. If Une 18 is grealsr Ihon Une 19, enler Inll difference on linlt 21 This illne TAX DUE, A, Enle! Ihe inleres! on Ine balance due on line 21 A (21) 121AI 121BI D'Ai{" ~PS_-,-lf].ll.. .:;jJ),S 1997 --'''-f.--'~--- 8, Enler Ihe 10/01 of Une 21 and 21A on line 21 B, Thil illhe BALANCE DUE, Ma~. C~..ck. Pavabl. tOI Aegl~.t.r o~ Wlll,~ Ag~~.!__..__"____._..______ L' "i;{"p~,." IE SURE 'l'OANSvmA~L QUESTIONS q~ REVERSE SIDE AND TO RECHECK MATH <II( ~;:~ii:f.""'it-1>:~~r~ ~r.,der pflnaIU., of perjurr, I d~doro Ihol I have examined Inil relurn, including Q((omponying ,~hedules and "alements, and 10 Ine bell of my knowledRfI and bell.f, 1111 IrUl:l, correcl and complele, I declare Ihal 011 reoleslole has been rapar/lld 01 true morkfll valua Declarotion of preparer other Ihon Ine perlonal representative h baled on alllnfurmallon of whicn preparer nos any kpowledge. 5lM}~W) or.';fP;ONR(!.'1N1'IBiJf~fHMO)~'ETUIiN'---"\,A(lDR~S--- -- ,,' -- ... -----------~ OAIT '~Ll.. c~Jdl0f__.../L9t" Ii i \ j}91ShcPlvoorl D/'" CUI'ILslc, I'A 1'1013 SIONAT ~E Of PI!EPAllfR OltlfR TtjM~ IIfPRf!.fN'A1IV~ AO()RE~~ _.._..__tG.~~1_~~ u7>,_ 5 S. IIl11lOvch' St., Cu/'lislc, "Al?013 .fVUll!h (1,841 rkTAU"'OF ITEM NUMBER A. B. 4. C. 1. 2, 3. 4. 5, 6. 7. 8, ~:Jt'9" ,....-Yf/I:No COMMONWfAlTH OF P~NNSYlVANIA tNHEIHT.NC[ T....l( flUURN MUIDfNl DECf(>ENl l SCHEDULE H I FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND I _ . MISCELLANEOUSEXPENSES_J __~_ Ploa.o P~.')t ~!1Y.e.o.. " - -------.--'rtTNUiilIfR LYNELL W. WOLF ,._J..___,~__" DESCRIPTION AMOUNT 1. Funeral Expon..., Hoffman-Roth Funeral Home, funeral services Carlisle Memorial Service, Inc., lettering grave marker 5,987.50 630.00 1, Admlnl.tratlve Cathl I Por.anal Repro.ontallve Commissions Social Security Numb.. of Personol Ropre.ontallve:_ Yoar Cammlsslon. paid 2. Attorney Fee. 500.00 3, Family Exomptlan Claimant Address of Claimant at decedont', death Streot Addro.. City Zip Cado Rolallonshlp State Probato Feos MI.eollanoout Expon.o.. Homesteaders Life Co., pre-arranged burial expenses for spouse, Edith V. Wolf J. J. Skelton, fuel 011 6,002.00 240.64 54.04 6.29 14.54 1, 74 2.00 PP&L, electricity Bell Atlantic, telephone The Sentinel, ad to sell Chevy Blazer Wal-Mart, "For Sale" signs for Chevy Blazflr Notary Public fee Rubbish removsl 130.00 TOTAL (Allo enle, on line 9, Recopitvlolionl S (If ma,o .paeo I. noodod, In.ert addlllonal.hooh of .amo .11..1 /'j-/ (, c') ," BUREAU OF INDIVIDUAl. TAKES IHHUIUNCl UN OIVIUOH O!:PT, 1.10601 HARAn.UNn, PA l1lZl"0601 COMMDNWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE . ~ NonCE OF INltERlTANCE TA~ APPRAISEHENT, ALLOWANCE DR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENr OF TAK 05-12-97 WOlf 10-26-96 21 97-0210 CUMBERLAND 101 E--'..A-MounCIiO;Ii'tod--.-3 ~.- . -_..."""~ -------.---"---- MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, fA 11013 CUT ALONG THIS LINE ~ RETAIN LOWER PDRTION FOR YDUR RECORDS ~ R 'EV: iilW OEX"j. j: p - i 03:97 Y - Noi'i C E - -ciF - "iNti! iii T ANC E - 'fAx - ;'-P' PRA- i SEifENT -; - j. L l"ciiiAN-c E - iiA' - - - - - - 0 0 0 0 0 - 0 - - -- DISALLDWANCE OF DEDUCTIDNS AND ASSESSMENT OF TAX LVNELL W FILE NO. 21 91-0210 ACN 101 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN FREV . TIlEV 5 S HANOVER ST CARLISLE PA 17013 ESTATE OF WOLF UK RETURN WAS: (X) ACCEPTED AS FILED REflERVATIDN CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..l Ect.t. CSchadul. A) 2. stucki and Bond. (Schedule BJ 5. Clo..l~ Hald ~tock/P.rtn.r.hlp Inter.at (Schedule C) 4. Harte.u../Hot.. Receivable (Schedule DJ S. C..h/Bank O.polits/HiIC. ~.r'o".l Property (SChedule E) b. Jointly Owned Property (Sch.dule F) 1. Transfers (Schedule Gl a. Totel Alleh APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral E~p.n.../Ad~, Ca.t~/Hi.c. E~p.n... (Schedule H) 10. Olbt./Hortgagl Li~bilitia./Li.n. (Schedule IJ 11. Total Deduct iona 12. NIt Value of Tax Return l~. Charitable/Government.l aequ'lts (S'hldula J) 14. Nat IJII1ue of Estat. Suhjaot to rill>: If In I.....ment WI. i..ued previou.ly, line. reflect figure. that include the totll of ~ ASSESSMENT OF TAXI 16. A~ount of Line 14 .t Spous.l rata (IS) 16. A~ount of Lina 14 taxable at Lineal/Cia., A rat. (16) 17. AMount of Lin. 14 taxable at toll.t.raI/Cl.,. R rat. (17) la. PrinciPII TIX Du. TAX CREl!lTS I -PAVHENT-f DATE --- NOTE: RECEIPT NUHBER DISCOUNT (') INTEREST/PEN PAID (0) ) CHANGED ll) (2) (5) (4) (S) (6)_, (7) .00 .00 . 00 ,00 13,93B.58 .00 .00 (8) *' In'l'" U." lOl.I11 L VNEL L W (9) 110 I 14,078.15 ,00 (11) (12) (15) (14) DATE 05-12-97 NOTE I To in sur. proper oredit to ~our account, I~~it the upper portion of thil for. with ~our tal( p.~~ant. 13,938.58 14.078 7~ 140,17- ,00 140.17- 14, 15 and/or 16, 17 8nd 13 will return. ...u.ld to date. .OOK'OO. .00 ,OOK.06. .00 .OOK.15. ,00 (18) .00 AHOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. ----- TOTAL DUE ~ .00 ------ :~~ - . If PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTERESr. If TOTAL DUE IS LESS THAN II, NO PAYHENT IS REQUIRED. If TOUL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND, SEE REVERSE SIDE OF TltIS FORH FOR INSTRUCTIONS.) , ,j i I I i I 1 RfSERIJATJOfU PlJRI'1lIE OF NOnCE, PAVHENT, REFUND (eR) I ll'\ L',t'.(' 'ILL U ."? "=;' - r~ 0\ I >- ;2 , I~O~; cc. p:; {l) ~ (.)8 Ethtl. of dtcltdttnt. d~Jnt on or tHlfor. o.cIlllHlr 12; 1912 u if any future inter'I'l 1n tM o.t.to 11 tran,flrrld In pOlsa..Jon or .njoy..nt to Cl.., I (0011at.ral) bln.flcl.ri.. of thl dlcldlnt .ft,r t~. IMPlrttlon 0' anv .,tat. 11'. or for YI'r., thl Co..onwellth hareby l"pr...1V rllarv.. the right to ."ra',. end ...... tran.f.r inherltlnGl at tM 1...'ul tlu. I (/lolht,ral) rllt_ on any such lutur. Int<<r..t. f.r TaMo. To fulfill thl r.quirt-.nt. of Slctton 21~b of thl Inherltano. and E.tat. Tax Aot, Aot 21 of 1995. (72 P.I. hctlCM1 91401. Datlch the top portion of thl. Natlcl and tub.lt with your Ply..nt to thl RI,l.'tr of Will. printed on thl river.. .Id~. --"akl cMck or IIOnay ordlr plyabl. tOI REGISTER OF MILLS J AGENT A refund of . t.w cr~lt, which ~I' not r.que.ted on the TIM Return, .ay b. reque.ted by coepletlnJ en "Appllcltlon for R.fund of P.nn,y!venlill Inheritanc. and Ewt.t. hM" (REY~U15), Appllc.tlon. ar. Iv.Ulble It tM Offla. of the Rlli.t.r of Will., any of the 25 R.v.nu. Di.trlct Offlc.., or by caillng the .p.cllt 24-hour ."....rlng ..rvlce ~ullberl for for.. orarlngl In PlInnlylv."ta 1~IOO-36Z~ZOSO, outDid. Pem.ylvW1la and ~ithln locIl Harrl.burg ar.. (111) 111-1094, TDDI (111) 112-2152 (He.ring IIPalr.d Onl~). OIJECTJONSI Any plrtv In Inter..t not .atllfl.d ~Ith the .ppl.i....nt, .110wlncl or dl..11ow~c. of d.ductton., Dr .w.....ent of tlM (Including di.count or Int.r.,t) al .hown on thl. Hatlce IU.t obj.ct within .iMtV (60) dly. of rec.lpt of thll Notlel bVI ADMIN ISTRUIYE CORRECT IONS I DISCCMlT I PENAL TV I INTEREST I --written prot..t to the PA Dlpart..nt of Rlv.nu., Board of App.al" a.pt. 2el021, H.rrl'~lrg, PA 11121-1021, OR --.llctlon to haIJI th.. Ill.tt.,. dat.r.Jn.d at audit of thl account of tha p.r.o"al r.pr..ent.tlve, 0" --appall to the Orphftn" Court. faotual arror. dl.coIJar.d on thll ....D.~ant should ba .ddr....d In writing tOI PA O.pertoant of Ravanue, Bureau of IndlvJdual TIM.., ATTN: Pa,t A.s.....nt RavJaw Unit, D.pt. 210601, Harrl.burg, PA 11121-0601 Phontl (11) 111-650S. Saa p.". 5 of tha baokllt "In.tructlon. for Inhlrltanc. filM R.turn for a R..ldant Dec.dant" (REY-ISOl) for an .Mpl.n.tlcm of 'dIllnl.tratllJ.lv correot.bla arror.. If eny tlM due 1. paid within thrle (3) callndar lonth. .ftar the dec~dent.. daath~ I fJIJI Plroent (5~) dl'cou~t of the t.l( pald 11 .llow.d. The 15X tax ..na.ty non.p.rtlclp.tlon plnaltv 1. co.putld on thl tot.1 of thl taM and Intlrl.t ......Id, end not peJd b.fon Jenullrv 18, J996, the fJrst day aftar the .nd of t11. t.M allnllty plrlod. Thll non-p.rt1clpation p.nl1ty II IflPIIlabll In the '~'I ~"In.r and ~n tha thl 11111 tI.a Plrlod 8' you would Itpplll the bw and Int.r..t th.t h.. bien .......d a. Indle~tad on thl. notlcl, lnt.rllt II charged b.glnnJng ~Jth first day of daUnqulncv, or nlnl (9) .onth. and on. (1) d.y fr~ the dlta of d.ath, to the dlta of pI,'..nt. Tax.. which b.ca.. dallnquent b.fore January I~ 1982 b..r lnternt st the rat. of .he (6iO pareant p.r annutt calculahld at II d.lly rat. of ,000164. All tax.. whIch b.ce.. clallnquant on aM IU.r Januarv I, 19&2 will bur lntara.t It a r.ta which will vary frol c&lImdar v.ar to cellndar yaar ~1th that rat. announced bv thl P. Dlpart.ant of Alw.nu., lhe eppI,Jcebl. Jntere.t rat.. for 1982 throo{fh 1991 .r., '!!!! Intar..t Rat. ~ntlr..t fl!tctor ~ In';"ut Rlt. D.llv Intarllt Factor 1982 20% ,000541 19151 9% .000247 1985 16.% .0011418 1988-1991 11% .000301 1984 llX .000301 1992 9% .000247 1"&5 13.% ,000356 1995",1994 7% .000192 1916 lOX .000214 1995-1997 9% .000241 --Intarllt I. Clllculet.d ao followlI INTEREST . SALANCE OF TAX UNPAID X NU"SER OF DAYS DELINQ~ENT X DAILY INTEREST FACTOR -8Any Notlca I..ued sfter thl tax bleo... delJnquant will rlfllot .n Intere.t caloulatJon to flft.en (151 dev. b.vond th. date of thl a"I..aent. If plv..nt i. .ad. aftar tkl lntlr..t co~utatlon dati .hown on the Notlcl, ftddItlonal Inter..t IU.t b. oalcul.tld. \