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INHERITANCE TAX RETURN
RESIDENT CECEDENT
(TO BE FILED IN DUPI.ICATE
WITH REGISTER OF WILLS
REV - \500r.X i(1.9~)
OECEOtNl'S NAME (lAST, nA~H. ANtl MIUfJU' INlllf1Ll
Mjtcl'.el~Edn-,,-M. ~__ ___ __
SOCIAL [IEClIAITY NUMB:JA OAH or nEATH DAH Of HUH!!
]77-24-5665 1?/29/1996 01/0~/1916
___ ---" ""---- . ..._______ __ C{lllnly~~_S:}~~!:..o_!'.J_~..!ld~_~ ~._ __
(IF APPLlCABl E) SURVIVING SPOUSE!i NAME (LAST FIRST AND MlbDI r INIII.M) T~OCIAI SFCURlfY NUMO~R AMOU~lr fH:CEIVEO (SF.f INSTRUCTION'l)
L 0.00
X 1, or~g'nilIRa'~-"---"""82."~;Pp,;~-;W;lR~~r-n- --"~--- - 3. nR-~;:";alnderRetut~'-._'-~
4. Limitod Estato ._ 41, hmHO Interost Cornpromi'jo (for dates of death prior 1012--13-82)
(for dales 01 death aile! 12--12-B2) Q5Jo~ Federal Estate Tax Return Required
[]] 6. Oecedent Died Testate [J 7. Decedllnt Maintained a livlng TrL!st 1~; ~7!J, Tot/'ll ~mber of.-~ilOeposit BolWs
(Attach copy 01 W,II) (Ana~h a copy 01 Trust) _______::'. . .
C P ALL CORRESPONDENCE ANll CONFIDENTIAl. TAX INFORMATION SHOULD BE DIRECTED TO:
~ ~ NAM' ----- . - ------~TE MAIl'~G ADDRESS
R D Goorg~~augh~.!l.L______ ~-.J
~ ~ TElEPHONE NUMBEA 3901, 'I'd nd 10 Road
T il7975-9102 Gam) Hill PA 17011
1. Real Estate (Schedule A) 1 None
2. Slock, and !londs (Schedule B) (2) ______ Non..
3. Closely Held Stock/Partnership Interest (Schedule C) (3) None
4. Mortgages and Notes Receivable (Schedule D) (4) None
S. Cash. Bank Deposits & Miscellaneous Personal Property (Sch E) (5) 695.29
6. Jointly Owned Property (Schedule F) (6) _----11,594.64
7. Translers (Schedule G) (Schedule L) (7) None
8, Total Gross Assets (total Lines 1~7)
9. Funeral Expenses, Administrative Costs, Miscellaneous
Expenses (Sch.dule H)
to, Debts, Mortgage liabilities, Liens (Schedule I)
11. Tetal Deductions (total Lines 9 & 10)
12, Net Value of Estate (line 8 minus Une 11)
13, Charitable and Governmental Bequests (Schedule J)
14. Net Value ~ect to Tax (Line 12 minus line 13)
15. Spousal Transfe" (lor dat.s of death aller 6-30-94)
See Instructions for Applicable Percentage on page 2.
(Include values from SchGdule K or Schedule M.)
H1. Amount of Une 14 taxable at 6% rate
(Include values from Schedule K or Schedule M.)
17. Amount of Une 14 taxable at 15% rate
(Include vallles Irom Schadula K or Schedule M.)
18, Principal tax due (Add tax !rom line 15, 16 and 17.)
19, Credits/Sp Poverty Prior Payments Discount
__ + 3,300.00 + _~_113.68
20. It Line 19 is greater than Line 18, enter the differonce on Line 20, This is the OVERPAYMENT.
CD D !Check here If you are reques\~~..!!-,un_d of your overpayment. I
21, If Une 18 is greater than Line 19, enter the difference on Une 21 This is the TAX DUE.
A. Enter the interest on the balance due on Line 21A
B. Enter the total of Line 21 and 21A on Line 218. This is tho BALANCE DUE,
Make Check Payable 10: R~ler of Wills, Agont
~ ~ BE SURE TO ANSWER ALL QUESTIONS ON PAGE Z AND TO RECHECK MATH ~ ~
Und"l penallles of Pfll]lIry, I declare that I helve e)(a/nIMd this return, Including accompanying sChedulo!! and statements, and to the lIest of my knowledge and bollef, It Is twe.
canncl.nd complnte I declare that all roal estale has been reported III true market v~e Cllclarallon of plOpilrer other than the per!lonalleprosentallve Is based on aU Information 01
whlchpreparerhasllnyknowledg" . _ ~~.F-- 1 ___________~ ___
SIGNATURE OF PEASON RESPONSIBL E FOR FILING RETURN Barbara ~OCdfi DATE
-) , j , 61?3 Wa{l/I;gford Way ._
,,8-r?-4.d-::-'d.~7j ~e.t"", MI'chanlcsbI1E.lL...PA---.lZQ~_ /1-/0-97
tlO TURE OF P~f'ARE~THEA ~~~N REPRESENT^T!VE D~
t:&1~ ~ 39()1, 'I'rlndlo Road . J ~
C'lmp Hi] I,PA --.17011 II 111
-p:;,(":,, "m'ollw"~::;YO!.m'_'''' ' ----- F"~~~A.;~-94!
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fOR n"rr:~; or flEAl H Ar! fA 121 J \191 CHECK Hf.HI
If' ^ !;I'OllSAt J-'.'--"'1
1'_9~flilY CI~WU.l~i.~_lf\JMLD.__ __ ___.._.
FILE NUMBER
71 - 'it -71,6
COLIN IY COOl:
rEM\
NUMIlEfl
I){-'C[ DI'NI '~J cOMf'I, FIF ADDAr.!lS
(,1?'j WHlllngfoni Way
Mpchlll\ I CHbut g I PA 1 701)~
11I,1
.-:'i
('h
VI
(8)
72,289.93
(9)
1,825.50
(10)
11,358.84
(11)
(12)
(13)
(14)
13 ,181,.31,
59,105.59
59,105.59
(t5)
0.00 X
,
0.00
(16)
59,105.59 X _06 '
3) 51,6.31,
(17)
0.00X_1S'
0.00
(t8)
3 , 546 . 31,
Interest
(19)
(20)_
3,473.~~
0.00
(21)
( 21A)
(218)____
72 .66
0.00
72 .66
REV - Hi09 E>: t (12.88)
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COMl1.m/l;\~%m~~1l"N"
ESTATE OF
Edna M. Mitchell
SCHEDULE F
JOINTLY-OWNED PROPERTY
SSII 177,,24-5665
12/29/1996
Jolntl.n.nt(.):
~~v
A. Barbaqll\,~eeds
ADDRESS
6123 Walllngford Way
Mechanicsburg, PA 17055
B.
c,
FILE NUMBER
21 -97-21,6
, .
RELATIONSHIP TO DECEDENT
Daughter
Jolntl~-own.d prop.rty:
ITEM LETTER DATE TOTAL VALUE DECD'S DOLLAR VALUE OF
FOR MADE DESCRIPTION OF PROPERTY
NUMBER JOINT OF ASSET '4 INT. DECEDENT INTEREST
TENANT JDINT
1 A 07/10/87 CoreStates Bank; 20,043.23 50.00% 10,021.62
Certificate of Deposit
#2000966810292585; balance
as of date of death
2 A 01/17/95 CoreStates Bank; 2,251. 30 50.00% 1,125.65
Certificate of Deposit
11200096681029258 ; balance
as of date of death
3 A 10/18/89 Corestates Bank; Checking 6,318.01, 50.00% 3,159.02
Account; #69510779; balance
as of date of death
4 A 05/05/92 Corestates Bank i Savings 67,502.44 50.00% 33,751. 22
Account; #5995010072;
balance as of date of death
5 A 05/12/95 Corestates Bank; Savings 11,098.26 50.00% 5,549.13
Account; #1409102330;
balance as of date of death
6 A 02/01/93 Six (6) US Sav lngs Bonds; 35,976.00 50,00% 17,988.00
Sedes EE; Face amount I
$10 ,000. 00 ; Issue Date, Feb
1993 (see copies attached)
TOTAL (Also enler on Iin. 6, Recepilulalion)
(If more space IS needed, insert additional sheets of same size,)
Copyrl{l~l (e) 19941Nm software only CPSystems, Inc.
71 ,594. 6iI
Form 1600 Schudui6 F (Rov. Il.60)
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WILL
or
BDNA N. NltCKBLL
I, BONA N. ICITCKBLL, of Hampden 'rownohip, Cumberland County,
Pennoylvania, declare thio to be my loot will and revoke Bny will previouoly
made by me.
ITIlK I. I direct that all my juot debto and funeral expenaeB, including
my gravllmarker and all llxpenBes of my last illness, and any and all taxes and
aosessmento imposed by any governmental body as a result of my death, whether
on property passing under this will or otherwise, shall be paid from my
residuary estate as ooon as practicable after my death as a part of the
expenOll of the adminiotration of my eotate.
ITIlK II. I give and bequeath all of my household goods, automobiles,
jewelry, and all other articles of household and personal use, equipment and
ornament, t.ogether with all insurance thereon and relating thereto, to my
daughter, BARBARA L, LBBDS, of Mechanicsburg, Pennsylvania, provided she
survives my death by thirty (301 days. Should my daughter fail to survive my
death by thirty (30) dayo, I give and bequeath all such items and insurance
thereon to those of my grandsons, per capita and not per stirpea, who survive
my death by thirty (30) days to be divided among them with due regard for
their pereonal preferences.
ITBM III. I give, devise, and bequeath all the rest, residue, and
remainder of my possessions and estate of evet'y nature and wherever situate to
my daughter, BARBARA L. LEEDS, provided she survives my death by thirty (3D)
days. Should my daughter fail to survive my death by thirty (30) days, I
give, devise, and bequeath all the rest, residue, and remainder of my
possessions and estate of. every nature and wherever situate to those of my
grandsons, per capita and not per stirpes, who survive my death by thirty (30)
days,
ITBM IV. I appoint my daughter, BARBARA L. LEEDS, executrix of thio my
last will. Should my daughter predecease me or otherwise fail to qualify or
oease to serve as executrix of this my last will, I appoint my grandson,
DAHIBL C. LBBDS, of Ft. Leonard Wood, Missouri, executor of this my last will.
Should my grandson, DANIEL C. LEEOS, predecease me or otherwise fail to
quality Dr cease to serve as executor of this my last will, I appoint my
grandson, DAVID C. LBBDS, executor of this my last will,
O:\L WORK I Wll.I.SIO I 00996C. WPO
\,
.. --. .,. -... ~- '
ITBIC V, In addition to the other powers and authol:"itiell granted to my
personal representatives by Pennsyl.vania law and by the other term" and
provisions of this will, I henhy give to my pel'Sonal representatives the
following powers and authorities effective without court approv~1. and until
actual distribution of all property: to compromise any claim 01:" controversy;
to make distribution in cash or ill kind, or partly in cash and partly in kind,
and in such manner as ml' pernonal representatives mny determine and at
vsluations finally to be fixed by them; to invent in all forms of property,
including any stock or other securities in any corporate fiduciary or its
successor without <'estriction to investments authorized for Pe>1nsylvania
fiduciaries, as my personal representatives deem proper, without t'egard to any
principle of risk or diversification; to retain any or all assets of my
estate, real Or personal, without regard to any principle of risk or
diversification; to sell at public or private sale, to exchange, or to lease
for any pel'iod of time, any real or personal property and to give options for
sales, exchanges, or leases, for such prices and upon such terms Ot conditions
as my personal representatives deem proper I to allocate receipts and expenses
to principal or income or partly to each as my personal representatives deem
proper in their sole discretion; and to serve as guardisn of any property
which passes, eithel:" under this will 01:" otherwise, to a minol:" or to any person
adjudged by any court of competent jurisdiction to be mentally incapacitated
to care for such property or for such person's own affairs, and with respect
to whom I am authorized to appoint a guardian and have not otherwise appointed
a guardian or trustee with the power in the guardian to use principal as well
as income from time to time for such person's education, support, and welfare
without regard to the ability of the parents of such person to provide for
such education, support, or welfare, and to make such payment for these
purposes, without further responsibility, directly to such person or to the
parent or any other person taking care of such person.
ITEM VI. I direct that my personal representatives and fiduciaries
shall not be ,required to give bond for the faithful performance of thEdr
duties in any jurisdiction.
of
IN WITNBBB
(j)~.
waRaor, I
I 1996.
have hereunto set my hand this ;17 day
.c d,~ 17). f I( :"'~a.1;::._
EDNA M. MITCHELL
D:\L WORK\ WILLS\Q I Q0996C. WPD
- 2 -
CoreStates Bank of Delaware NA
PO Box 8920
Wilmington DE 19899-8920
(800) 833-3010
June 9, 1997
,]./ j17- 2/1 (J?
.
CoreStates
REGISTER OF WILLS .
CUMBERLAND COUNTY COURTHOUSE
CARLISLE PA 17013
RE: THE ESTATE OF EDNA M MITCHELL
EXECUTOR: ATTY GEORGE A VAUGHN 111
AMOUNT: 3,362.01
DATE RECEIVED: 5/6/97
SATISFACTION AND RELEASE OF CLAIM
The undersic;rned, CoreStates, has received from the personal
representat~ve of the above estate the sum shown above as full pa~nent
of the claim filed by the undersigned against the estate on the date
shown above. This Satisfaction and Release of Claim is executed to
acknowledge payment and discharge the claim, and to release the estate
and the personal representative from all further liability with
respect thereto.
NOTE: Accounts for residents of Delaware and some other states may
be with CoreStates Delaware NA, an affiliate of CoreStates Bank of
Delaware NA. Refer to your CoreStates Account Agreement.
CoreStates
3 Beaver Valley Road
Wilmingt n, DE 19803
;:
By:
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Is/-167-1.1
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
.
C~....
BUREAU OF INDIVIDUAL TAXES
IHflfRllANCl TAl< OIVISION
NJll, Z60c.Ol
lto\llR]!;BIJRG, PA 111;"11- Oi,OI
NOTICE OF INHERITANC[ TAX
APPRAISEHENT, AI.LOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMEIH OF TAX
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
AeN
08-11-97
MITCHELL
12-29-96
21 97- 0246
CUMBERLAND
101
GEORGE A VAUGHN III
3904 TRINDLE RD
CAMP HILL PA 17011
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EDNA
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I CHANGEO
III
(2)
(3)
(4)
IS)
(6)
171
,00
--..Jl.9..
.00
.00
695.29
7L594.64
.00
(8)
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLlSI.E, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .....
REV: iSiii.iX-AFP"l1ii"=97Y"iliii'-icE"OF - i"NHEiiii'ANCE. TAx. APPR"A-i SEHENi'",.. Ai:. 'i:OWANCE. b.Ii...... ....... -. --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF MITCHELL EDNA M FILE NO. 21 97-0246 ACN 101 DATE 08-11-97
TAX RETURN WAS, I X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..l Eshh (Schedul. A)
2. stocks and Bonds (Schedul. B)
5. Clo".l~ Held stock/Partnership Int81"'lls't {Schedul. Cl
4. Hortg.g.s/~ot.s Raceivabl. (Schedul. 0)
S. Ca.h/Bank Oeposits/Misc. Parsonal Property (Schedule El
6. Jointly Owned Property (Schedule F~
1. Tranlfarl ISchedule 0)
8. Total huts
APPROVED DEDUCTIONS AND EXEMPTIONS:
q, funeral Expanses/Adm. Costs/Misc. Expanse. (Schedule HI
10. Dabts/Mortgage liabilitios/Lianm (Schadul. II
11, Total Oaduction'
12. Nai; Valua of Ta)( Return
13. CharHabla/Go",ar"lIlant.l aeqUa.t. (Sch.dul. J)
lit. Nat Valua l)f Estllt. Subject to ra)(
If an assessment ~as issued previously, lines
reflect figures that include the total of ill
ASSESSMENT OF TAX:
1S. AMount of Lin. 14
16. AMount of L~n. 14
17. Anount of Line 14
la. PrincipIII rex DUll
NOTE:
.t Spauul
hXllbla .t
h);lIbl. .t
rat.
Lin.~l/Cl..s A rat.
Collet.rlll/Cl... Brat.
TAX CREDITS:
---~--
PAYMENT
DATE
03-17-97
04-15-97
RECElrT
NUMBER
AA-i85272
AA185392
DISCOUNT (+ 1
INTEREST/PEN PAID 1-)
173: 68
.00
191
(10 )
1.825.50
11.358.84
Ill)
(12)
1151
1141
NOTE: To insure proper
credit to your ~ccount,
.ub~lt the upper portion
of this form with your
hx payment.
72,289.93
B.184 34
59,105.59
.00
59,105.59
14, 15 and/or 16, 17 and 18 will
returns assesled to date.
.00
3,546.34
.00
3,546.34
i:f.~~_~:~~__~;~D~~~ _=___~5~6 ~~_~
INTEREST AND PEN. ,00
___TCl~L.._~U~__ _ ____-'-~O __.
IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). YOU MAY BE DUE
A REFUND. SEE REVERSE SlOE OF THIS FORM FOR INSTRUCTIONS.)
115)
1161
1171
.00 X .00.
59,105.59 X .06.
.00x.l5,
(18)
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
AMOUNT PAID ;;=j
3,300,00
72.66
0,
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RESERIJAllONI Eltlt.. of dlclderit. d:oJlnll on or beforl Illlenber 12, 1982 ." if any luturll Ir'lterut In the utat. 11 tran.hrren
In po.....lon or Injoy..ent to CIa.. I (collat.,al> bln.flolarl.. of thl d.eldlnt after thl IlCpl"aUon of any I.t.tl far
llfl or for y'ar., thl CO..llonwl.Jth h,r,~~ IlCpr~.,ly r...rv.. thl right to apprai.. and ...... tran.fer Inh.ritancI Tn~AI
at the lawful CI... I (co!latltal) rat. on any luoh future Int.re.t.
PURPOSE OF
NOTICE 1
To fulfill thl requlrellllnh of SeatIon 2140 of tho Inherltllnoe and EI\ah Tu ALt, Aat ZI of 199&. ('IZ. P,S.
Slot Ion 9140),
PAV~NT:
O.taeh thl top portion of thJs NoUce and lublllt with your paymlnt to thl RIghter of Will. prlntld on thl rever.e sldl.
--Haka ohlck or ",onlY order pllY8ble tOI REGISTER or HILLS, AGENT
REFUNIl (CR):
A r.fund of a ta~ oredit, which was n'Jt raqu~.tld on th. TIl~ Return, mllY be r.qulIIhd by cOlllphtinll an "ApplloatIon
for Rlfund of Plnn.yivan!. Inhlr1tancl and Estatl Tax" (REV-UU). ApplJcatIon. are 8\11111able at the Offloe
of the Rflgllhr of Will., any of the Z!. R.v.nu. District OfflcRIj, or by calling thQ Ipecl"l l4-hour
nnlwlrlng GGrvlel nu~ber' for for~s orderln;l In Plnnlylvanl" 1-800-562-2050, out.ld. Pennlylvnnla IInd
within 10cII1 Harrlyburg ar8lll (117) 781-8094, TOO. (711l 772-2252 (Hurlng IIIIPlIlrad Only),
OBJECnONSI Any pnrty In lnt-r..t not latl.fl.d with thfl appralllllll.nt, 1Illowance or lilsaliowelncl of d.duc\lon., cr a"."lIIlnt
of tax (Including dllcount or IntRr..t) a. shown on this Notlo. ~ust object within sl~ty (60\ day, of receipt of
thlt NotIc. bYI
..\IIrItten prot..t to the PA DePllrt..nt of Rev.nu., BOflrd of App.al., Dlpt. lalOll, ttllrr!yburg, PA 17128-l0ll, OR
--.I.ctlon to have the lIlatt.r deterllllned at lIudlt of th. aocount of thl personal r.pr...ntative, OR
.-appeal to thl Orphan.' Court.
ADHIN
ISTRATIVE
CORRECTIONS I
Factuel arrart dlteov.red on thlt au.....nt .hould be addr....d In writing tOI PA D.partm.nt of Revenu.,
Bur.au of Indlvlduli lalCu, ATTN! Po.t A"'''lIIent Revlew Unit, Dept. Z80601, Harrl.buru, PA 11IZS-OltOl
Phon. (711) 781.6S05. S.. page 5 of th. bookilt "In.truotlon. for Inharlhnrll fIIlC R~turn for I R..ldent
Dle.dent" (REV-1SOI) for an I~pl.natlon of adYlnl.tr.tlvelY oorrloteblo .rror..
DISCOUNT I
If Iny t.x due 1. plld within thrll (]) calendar .onth. aft.r the d.e.d.nt', dlath, . flvl plroent (SX) dl.count of
thl tlx paid I. allowed.
PENAllY:
The 15% taw amn..ty non~partlelpetlon plnalty i. cOlllput.d on the totll of the tax and lntlrl.t .....sed, and not
paid b.for. Jlllnuary la, 19q6, the first day after the end of the tax a.n..ty periOd, 'hit non-partlolpation
IJlnal\v Is ftppuhble In thl SUII .ann" and In thl thl IUI U.e plrlod at you would IIPPtll the tax and Interut
that ha. be.n .......d .s lndJoeted ~n thl. notlc..
lNTEREST I
Int.rut II charted blglnnlllg with f1ftt day of dlUnqueney, or nlnl (9) month. and one ()) day fro. the d.te of
dllth, to the data of paYlllent. Tax.. whleh blCllll1t dlllnquent blforl January 1, Iqal! bur Inter..t at 1.he rUa of
.Ix (6%) pereant per IInn\.e caiculattd at a dally rate of .000164. All hXII whioh baea.. delinquent on and efter
Jlllnuary 1, 19ftl! 101111 bur Int4)tflSt lit a rate whloh will vlr~ frolll calendar Yler to Oliandar Ylar with that rate
announcld by tha PA O.p.rt.ent of R.venuI. The applloabl. Int.r.at tat.. for I98l through 19q7 ~rel
'!!!.! Int.rut Rat. DaUy Intarllt Fector ~ Interltt Rat. DailY Intorltt taotor
I98l! 20% ,00OS46 1967 '1% ,000241
198! 16;': .000456 lqU-I991 11% .00nOl
lq84 11% .000301 1992 It% ,000241
Iq85 U% .000356 1993-1994 1% .000192
1986 10% .000274 1995d9q1 1)% ,000241
.-Int.,..t II oaloulated .. folloWl1
INTEREST . BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINqUENT X DAILY IHTERF.ST FACTOR
--Any Notice l"ued aftlr thl tax baeo... d.llnq~'ent will raflad en lnterut calculation to fifteen (IS) dllYs
bayond the datI of the a.......nt. If pay..nt Is ~ad. aftlr the Int.r..t cOMputation date ~hown on the
Notice, ftddJtlonllll Inhrllt .ust be calculohd,