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HomeMy WebLinkAbout97-00335 . o 'z' ... o CD -& 1;; I' No. 2\-97- .135 Estate of F.. MAR NAILOR , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW April 9 19~, In consideration of the petition on the reverse side hereof. satisfactory proof having been presented before mt, IT IS DECREED that the Instrument(s) dated_ Marl;h 29. 196\ described therein be admitted to probate and flied of record as the last wlll of R. Ma~ Nailor and Letters T"At'a..~ntary are hereby granted to __--E.-.Janp Rpam an~ 1oI.. J ~A M R..111 hArt r>.!k! p . Nelda M. Miller FEES Probate, Letters, Etc. .....,.,. Short Certlflcates( 5) . . . . . . . . . . Rcftunclation ,'I.". I.,."..... JCP $ 115.00 $ 15.00 $ $ TOT,AL _ $ 135.Q.Q APRIL 9, 1997 ii......,....",."."..,.'.'.....,.. 5.00 14 R.gISler of W M8R Y C L ~~ I~S , IRWIN, McKNIGHT & H GH S J.'1IJ/lttj( Ul Il.f<-o tJ fJ1/I . m~ Rebecca ~. Hughes. Ellq: ~721~ 'k!J1I ATfORNEY (Scp. Cl. 1.0. No.) I U 6!lW. Pomfret S~CarlfA]e, PA--j7013 ADDRESS . Flied 7l7~249-2353 PHONE g~ ~d . :Xl :Om I 3 -, -, '\' CJ LJ ;B , , . ---, ~.. , ( , ('1, ~., :'\:J \" \,Q 1/1 ~'l~ :'tJ';':. j,;. ):,..;7\ "'" Called attorney on 4-9-97. This IS III n.nij'v tI\ilt tilt' 111Inrll1~lli(\ll line givclI i" Ulllt'(ll~' tOplcd lllJlII ;111 (lli~',ill,d (t'lliliLllt. (II d(';lIh dldr lil,.d willi flle ,I" IJII.-,d !{eglstral,'Tlw (lriginal n'I'lilh~Il~' \vill ht' Itllw,ll-dl'd 10 Iht' -"Lltt' \'iLII l{('((ll,l" (JIH..t' (Ill pl'lIII,\Hl'llI lilll1)', WARNING: It Is Illegal to duplicate this COllY by photostat or photograph. ~~ __-j/Jrililiil)l'i,--", ~iiil~~\WQrilt~\, J,":!O,~, /","", .,", 'J'.,~",~\ i~.{ lIl" '~~ !WI' ,;. ~ 8, "", ,:;;: ~ .. \;< - ,'", Ii", _ ',",! _.... l .' \\ ~'" ' " , , /d:>..' ~ ~ ~~~' . ._--<"~\l\\ , :i't'WNl ~\ ~;'I"\ ~ J mtillJJ~ 2:L~.~~~~v 1.110.,11 1{t'gi'ilri1! Fl'(' fur dill! L'l'rlifl,-'dic. $.~,OO 4158817 f'Ell ~: c1 f~97 N(), ()aIr lill)$UJFlllv 21'1 OOMMONWSALtH OF PSNN$VLVANIA . O$PAATMfiNT OF HfiALTH' VITA' RfiOORQS CERTIFICATE OF DEATH 'ltIIlT ~OlllIlTlI-1I-U.,1 U'Wfl'l\Y.11. """'1"'~I-o.rI ... J. Female IW~'Il~MJU"" 5QCIALS€CUMVkuioln" ,204 - 30 5221 MIOl'Dl!!.(fH(I.!cr>'/I,O'y....) . Feb. 21, 1997 .I NllolT (INK 'l~"'E DECEDt~TI~'" i,l<l!-' l,ul l. E. ~lae Nailor 93 y" COIJHTr01 OEAHI UVO"'I....I'4~1 0 =~IO '~I Cumberland Chapel Pointc at Carlisle WC,\Of,~~F~n~t~~~N OEC60E'IT' OUG,vI!W ,..,0 N<>IXI FlAt: ,AtII4r.e.~"'*'~,8loc:..WM.,tI~ I~""'l Whi te (j(C[~tf!JlJ1lllA~Q$9!f'A!ON 1~~~II'r~%..v~;~~ Homnmaker M~'~~Is,::,~~~ ~m~.fojl Wldowed~ ", UAVMNOS~UUS€ ill""'g;v."'_......'NI) , l'IlG!Ot'm'S.IAllINQADO/USS,SV-" C<yIr.,.~SI"A.t'f>Coo.l ChRpel P0inte at Carlisle 770 South HOllover St. I' r",.l-l,'JIl PA-l.7(11J F.1HEn S',~.IE I'H) ""_,,,. '.H" !~berl Blown Ijl"O"U.Nl'SN~U[n,l>e.-"'._"ti Nelda fl. fl1l1er ...eTt:ooofOOi'~ [-, """.,OCI ~'.m",,~LJ 1l,""U.'I,omSI,ItLI r:-,..,'''''.I ~""'r~,....,,,"._______ .__ '" Sl('\'j~! \1b,C<l<lnI1 Cumberland .... ~-" .... towl'IIllp1 IhLl"U,lW:tofIIPivfll.. ~ Carlisle (~ It><><o . PA 17013 'C~1lTQor1\. III', ijlCQ/)<I 1997 219 . II. "AT I. Eo'.. n:;~\t..., .",,,,,u 0' 'o~'rlql",e. ~~"'"CI"..d I~' <1<Ill~ Do r>o>l.",., I,.. """M 01 "';"~_I""~t, 011 "I! 0"" 0.... ""I.,n '''~ ,eo 1'19 'M CA II! IIIlEOTOIJIOiC-4 UAMIN f\r ...0 C>>IliA' ~ . \'IEIlE~UlOl'aY"INc<'mS ~\II,Iu.nlp.M'Onl0 CQI,l,,,[\!(lI-IOI' C~U5E 0I't>E:~1t1> MAI-I>IERQFCiATtl "H!o'irlI.It ..1.....lo.tf'/O'"~ 10000Itflll,jUI~ I i - ..'---+-----. /_ ,C;;tJ /', ' ~.c.;.d:b- I , MAl II; OlMI.il/~U;",~I"""",",^,~..,...,'tl>uIlflQlOl!I'I~, ""I I\4lln\lll"'GIf\!N_'l-iroQlI....II"<itl~PAAtI ~.......' d _ .-{';"'''-__._ '4. 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',' II'i I I ',' '1'1' ',' I "1'1": ' '!I'::' ill,; II;i"'1 ,,1 'Ii: 'II: :[:1. :d, ,:1',,1\1', ,\ 1111,1" ,i i I ,,',1 !i; I, ' "I . ,: II ',d ,i I; , Ii!, 1\:;::'1,1:; ;:'lli":II/II':.II';I'1 i::!II,;lil'l ili; II"! 1111::1:1111:'11 ;':II:I!II;:::. " "I '. ' ' 'I 'I ;', 1 . '., ,., 1,,1. ': I .", 'I "'" , " '" ' "'" ,"".' "'. .' i" I ['11 'I i,: 'I .'1' '.I" ' :: i ):, ! i : ' , :. i I II ' r , I, i!! I" i j i i .'1 : : I ! -', : t I::", _ i : i ! l ~ - ! I \ .. i! I I' , I \ Ii,' , . , , ' - - "" :f. .. 0:: 9 Q' ,- z ~ cl: 14. 0 ...I W ...I :i - ~ ... w 5 ,.. 1'IT , J' -~ ~ HENRY 1.... en~ART ~ ATT(.l~t'f V t a.N ,.~ (j, HI ,,>!u"I.H [I' '1:,1 OARI.IFIU;', "J', . '" .... ~ Name of Decedent: Date of Death: E, MAE NAILOR FEBRUARY 21. 1997 21-97-0335 Estate No,: To the Register: I certify that notice of the beneficial Interest required by Rule 5,6(a) of the Orphan's Court Rules was served on or malled to the following beneficiaries of the above-captioned estate on April 17. 1997 Nmn.c Address E. Jane Beam Nelda M. Miller 121 Frost Road. Gardners. PA 17324 526 Limestone Road. Carlisle. PAt1.Q13 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: 04/17/97 I Signature IRWIN. McKNIGHT & IIUGHF.~ Name Rebecca R, !Iu.he,. lJ.aulre Lr1 ~ .~ l;r,~ 0 !l1 D.. fY"1 l'),;::-;: 0_ ',' '"-'" co ) ..... I , ~ ':' " (,I .~ .1 CJ [3; ~d Ul u.: Addre"~e't Poml1'et Street Carlisle.I'A 17013 Telephone (717) 249.2353 Capaolty: Personal Representative x Counsel for Personal Representative I I I II .,! ~ I , , f t' - I,)' I 13- I . I Rl;~/, 15(,() (X 1[1.94) OUCE:OENT'S N.MI! (L.MH, Flmlf, ANO MIO(J1 E INITIAl.) Net lor E. Milo SOCIAL. fl~CUR-;-;Y;iUMAER'~ O;~.F. OF D'F.ATH-~lAT{~-O/' aIRl~~I--- 204-30-5221 02/2J/1997 03/27/]903 ._--,-~- __.~ C=rou".!t..._~mbo.rlllnd_ _____ _ IWAPPUCABLE)SUAVIVING SPOUSE'S NAME (LASt,FIRST AND MIOOlt INITIAl) SOCIAL SECURITY NUMBER AMOUNT AECEIVEOjSEE INstRUCTIONS) . __'_'_' _ 0.00, ~ B X 1. O"gln.1 Relurn -02, Supplemenlal Relurn 3. Remainder Return ~ p L 4. Limited E".,e D 4a. Future Interest Comproml,e (lor detes of death prlo, 10 12-1a.821 ~ R g (lor dalo' of doolh a"or 12-12.021 06. Foderal E,'ate Tax ReMn Requlrod K ~ ~ []] 6. Decedent Died Te"alo [J 1. Docodent Malntalnod a Living Tru,' 0 I. Total Number 01 Safo Depo"t Box8' . (Anach copy 01 Will) (Allach a copy of Tru,t! C PAll CORRESPONOENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTEO TO: C') C- O 0 NAI..iE"----. - COMPlETEMAllINOAOORESS --!i '"I' ~':: BoNE ~ Reboccll R. ]ugheH, Esquire IRWIN, McKNIG~r & HUGHES S N TaLEPHONENUMBEA 60 West Pomfrot Street ,,' - T 717~249~2353 C.lrllsle PA 17013 . " 1. Real E,ta'e (Schedule A 1 one 2. Stocks and Bonds (Schedulo BI (2) None 3. Clo,oly Held Stock/Portnershlp Interast (Schedule cl (31 Nohe 4, Mo~gage' and NOlO' Rocolvable (Schedulo 01 (4) Non~ 6. Cesh, Bank Depo,h. & Miscellaneous Pe"onal Property (Sch EI (6) 72 ,233.83 6. Jolnlly Ownad P,operty (Schedulo F) (6) None 1. Tran,I." (Schodulo G) (Schodule LI (1) None 8. Total Gro.. A..ots (lotal Lines 1-7) 9. Funeral Expenses, Administrative Costs, Mlscellanoous Expo,..es (Schodulo H) 10. Debt.. Mortgage Llabllltios_ lien. (Schedule II 11. Total Ooductlon. (total Line, 9 & 10) 12. Not Value 01 E.tate (Line 6 mlnu. Line 11) _ 13. Cha,hablo and Governmental Boquest, (Schedule J) 14. Nat Value Subject to Tax (Line 12 mlnu, Line 13) 16. Spou,al Tran.lo,. (fo, dalo. 01 death a"o,6-30-94) S.. Instructions for Applicable Percentage on page 2. (Includo valua. from Schedulo K or Schodule M,) 11. Amount of Line 14 taxable at 0% ,a'e Onclude values "001 Schedule K or Schedulo M, I 11. Amount 01 Line 14 taxable al 15% ,ate Onclude value, from Schedul. K or Schodulo M.I 16. Principal tax due (Add to< from Lin. 15, 16 and 17, I 19. Credll,/Sp Povorty P,lor Payments Discount Intaro,' 0.00+ 0.00 + 178.71 0.00 20. II Line 191, groator than Llno 16, enlo, the dlllorence on L1no 20, Thl.l, 'ho OVERPAYMENT. [IJ 0 [Check here If you are reque.llnll.!.,,'und 01 your overpayment.] 21. If L1no 10 I, grealer than L1na 19, en'or tho dllle,ence on Llno 21. Thl. i, Iho TAX DUE. A, Enter the Interest on the balance due on l.ine 21A. B. Enl.r the to'al of Line 21 and 21A on L1no 21B Thlu I, lha BALANCE DUE. ~ake Check Payabl. 10: Regl.te, of Will.. Agant _ ~ ~ BE SURE TO ANSWER All QUESTIONS ON PAGE 2 AND TO RECHECK MA1'H .. .. Under penalties of perlury, I declarelhall have "xamlned thIs return, Inci"udlng .ccompanylng schedulel'llnd st.lements, and to the best af my knowledge and belief, II I. true, corroeland cOmpreltl. I doclare that III real estate has bean r"parlad at true markot value. t'leclaratlQn of preparer other than the personal repreSf)ntlllve Is bUlICl on ,,!Illlio/mlllon of which preplrer has any knowledge. ~__ :!/I_ ~ E. .Jane Beam/Nelda M. Miller DATF. 121;. Fr.o~t. .RdJ526. .~lmeH.ton.e. ~~i..... _...... _.._ Gardners/Carlisle, PA/PA 17324/170~__ IRWIN, McKNIGHT & HUGHES 60 West Pomfret Stroet Carii-s-fe',- .PA- - -i.7o"ij-'"' -.,.. - - -..... -- -. -. _........-. I I , :, fOR O"Tt:~i OF OUTH M'TEfl lVJ1/01 CHeCK HI!RF. If "SPOUSAL 1-'1 _r.Qy~flll.Q.6lilllmm,AlMlilL ,__ ._______ FilE NUMaSR COM~?~lt,~~\\'II PJMiiJMANIA H"FlAIS8~~t.i'~91~~-- OM 1 INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WlTli REGISTER OF WILLS NUMBER ;'1.9'/.335 YEAR COUNTY CODE ft J flF.CF,nFNT'S r.OMf'Lrl (: "[)rHlE~l~l no Sout.h Ilul\ovor St>:oot C">:ll,,lo, I'A 17013 :'>'1 'r'''''l " 'J ,.) 2 C A P I T U ! N I~ ; (:;;J V' , (I) 72,233.83 (9) 10,008.42 (10) 2,656.88 (11) (12'- (13) (14) 12,665.30 59,568.53 None 59,568.53 (16) 0.00 X 0.00 (16) 59,568.53 X .06: 3,571..11 ~ (11) O.oo.X ,15: 0.00 C o M C f N (11) 3,574,11 (19) (20) 178.71 0.00 (21) (21A) ( 21B) 3,395.41 0.00 ~95.1.1 ~o'J.~/" DATE Fo,.;'1500 (A.". 7-9") REV - 15 lZ F..X t (1-931 SCHEDUl.E I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS CO"~i1~?!l{1b~\tl~f~'N" ESTATE OF E. Mae Nailor 3311 201, - 30 - 5221 02/21/1997 ITEM DESCRIPTION NUMBER 1 Chapel Pointe at Carlisle, 11009-A 2 Cher.\<; 112526 written on F.r.Co. acct. #430633 to PA Dept. of Revenue, cleared ban\<; 02/28/97 3 Emerald Drug, presc~iptionS " TOTAL (Also enter on line 10. Recapilulallon) (II more space is needed. Insert additional sheel& of same sizo.) Co~yrlght (0) 1'1194 form 10i\W". onlv CPSyatllms, Inc. Pl.... Prl.,. 01 T . FILE NUMBER 21-97-335 AMOUNT 2,493.95 103.00 59.93 $ 2,656.88 Form 1500 Schedule I (Rev, ,-{l]\ i, E. MAE NAILOR, of Dickinson Township, Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this as and for my last will and tes- tament, hereby revoking and making yold all former wills by me at any time he,retofore made. FIRST. I direct that all my JUSt debts and funeral expenses be fully paid and satisfied out of my estate by my personal repre- sentative hereinafter named as soon as conveniently may be after my decease. SECOND. I give devise and bequeath all of my estate, real and personal, to my tWo children I n equal shares, or thel r Issue. LASTLY, I nominate, constitute and appoInt my said two chIld- ren, namely, E. Jane Beam, of Gardners, R. D. # Z, Penna., and Nelda M. Brillhart, of Carlisle, Penna., Executrices of this my last will and testament. IN WITNESS WHEREOF, 1 have hereunto set my hand and seal this 29 ~ day of March, 1961. ~: ~~ )ja~h, I (SEAL) Signed, sealed, published and declared by the above na~led testatrix, E. MAE NAILOR, as and for her last will and testament In the presence of us, who, at her request and In her presence and I n the presence of each othe r, have he reunto subsc: r I bed ou r names as wi tnesses thereto. /t"1,:z>~ ~.,.. ~ ,:.-.... . ,t-. '4.' , .. V) ~. , " l ' ',', ' :,. " It', ,. " t' " .' . ",' ,,"".', I ,,' ",', "": :: . '. 1 ',' ..' ' " , inventory of the real and personal estate of II. Mse Nailor deoeased ~ L Capital Blue Croas - Cancellation Refund. . . . . . . . , . .' . . . . . . 67 05 2. CoreBtatea Bank - Certificate of De posit 164B349910-8350314 . . . . . . . . 8.309 08 3. Farmers Trus t Company - Checking Account 1430633. . . . . . . . . . ;t . . . . 11,30B 14 4. Farmers Trust Company - Savings/Burial Account 12-082998. . . . . . . . . . lI.204 79 5. Farmers Trust Company - Certificate 11123675 . . . . . . . . . . . . . . . 6.162 113 6. PNC Bank. N.A. - Certificate of Deposit 1/2100105505 . . . . . . . . . . . . 1.094 05 7. York Federal Savings & Loan Association - Accollnt 11020-56580. . . . . . . 41.0BB 29 TOTAL. . . . 72,233 83 o ? '~i~ r-.J n. ~ N ir d it?, \ll(e 0: COMMONWEALTH OF I'ENNSYLVANIA \ COUNTY OF CUMBERLAND J II: Ii. .JIIIlO U\'om 1'.\1\1 NeldIlJ1.J'lJU&t bolng duly__.-'!liQrn. . oocordlng 10 low, doPOlU\ and lay. that th.y__ML.llilL exer.utril\J!~~..,_u__ ._m._..m _ _ of tho E,lat. of ._~I" Mae..futll\)r ,___.__.~_..____~_.~__ lot. 01..-- theUorou!\h of CarllAl. ______,,__, ~_., Cumborland County, Po.. d.OOOIOd .nd that tho within II on Invontory modo by .E..,lnno II~{\m__.11Il(Ui9J.Q.~_M. ~j.1J er__ __ ____, tho .old ..ex~~utril((J.'l__._._ of Iho ontlr. ..Iot. 01 ..Id deoodent, con.l.llng of .llth. p.r.onol prop.rty and tool OItoto, o.copt r.ol .stal. ouhldo tho Commonwo.lth of Penn.ylvonlo, and Ih.1 tho IIguro. oppo.lto ..ch Itom of Iho Invontory ropro.ont It'. fotr volu. a. ollh. dato 01 docod.nt'. d.olh. Sworn __ and .ub.cribed belore m., _19 97_ c~~_ g. ~:ne Hearn Executrix ....1.f1,...E.r:'Os.LRoad -N~~I~"~: ?rfi1~..Lte"" Executrix 526 Limestone Road _ Gardners. PA 17324 CarHsl~....J:!\_H013 Add.... Date 01 Death _.__._.. 02 1997 D.y Month Year INSTRUCTIONS I. An Inventory mud bo IIlod wllhln throe monlh. ollor oppolntmenl of porsonel ropresentatlve. 2. A .upploment invenlory mu.t be filed within Ihlrty dey. oldl.covery of additional ellots. 3. Additional .heots may bo attech.d e. 10 pOrlonelty or reelly 4. See Articlo IV, Flduclerio. Act of 1949. dJ' M'I ClI' III I-< <II 1M ,~ ~ 0-1 1 ::l ~. t!! 5 ~ ~ ~ ~ Pi! j "- 0 4-1 '" lI'1 0 H 0 .. '" 0 w l:J ~ 0\ ~ H '" :I: g; .s::l :. .. r.o I Z ... ... u. J E ll> '" ... ~ 0 ::l "- ::l 0 H '" u.. ~ 0 i:I:I:l: ~ , W 0 ~ I-< i: H > <r: 0 .< U N Z 0 c "" 0 o<i :>< . g 0 - :Q ~ .w OJ <U . Z w ,ct () ... u Z ,"- ... "tI u ~ 0 OJ . ,0 ... '1: OJ >-, 0 ~ o<i .tJ "tI .... ~ E ... .. 0 j . u: 0 tl .. /5'-//3 ./ BUREAU UF iNDiViDUAL TAXES INHERITANCE TAM DIYISION nUll, 1'10601 IIAJUUSltlNO, PA 1712&'0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERiTANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLDWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN REBECCA R HUGHF.S IRWIN ETAL 60 W POMFRET ST CARLISLE ESQ PA 17013 (I,. .' *' IlV.lhl U ."'11."1 09-09-97 NAILOR E 03-29-97 21 97-0335 CUMBERLAND 101 Anount R....il~~- - = L M MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT ~OUSE CARLISLE. PA 17015 CUT ALONG THIS LINE .... RETAIN LOWER PORTION FOR YOUR RECORDS ~ ii 'EV: is'4-i-EiCAFii - [oi-: 97Y-ilo'r"fCE - -OF - i N'HEiii T ANCE - YA"x - iiPPR'Ai Ii EifE"il'(; -A L i:oWANC E - '(Iii - -- - - un - - - - -. -. DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF NAILOR E M FILE NO. 21 97-0335 ACN 101 DATE 09-09-97 TAX RETURN WAS, I X I ACCEPTED AS FiLED RESERVATiON"CONCERNING FUTURE INTEREST. SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Resl Estete (Schedule A) 2. Stocks .nd Bonds ISoh.duh B) 5. Closoh H.ld stock/P.rtnership Intqr.st (Soh.duh Cl 4. Hortgaoes/Notlls Ifeeatv.bIe (Sohedule DJ S. C..h/Bank Depoaits/Hisc, Permon.l Property (Schedule E) 6. Jointly Owned Property (Sch.dul~ f) 7. Tran.fero tSch.dul. G) a. Total Au.ts APPROVED DEDUCTIONS AND EXEMPTIONS: 9, Fun.ral Expans.s/Acllt. Cosh/Mhe, Expense. (Schedule H) C ,) 10. Oebt.l"ort~.g. ll.~111ties/LiMns ISchedule I) (10) 11. Tohl Dod~lct1on. 12. N.t Value of Tax R.turn 13. Charit.ble/Gov.rnma"t.l aequa.t, (S~h.dul. J) 14. Nat Valua of Emt.t. Subject to T~)( 111_ 121 (31 (~) IS) (6) (7)_ ) CHANGED . 00_ .00 .00 .00 72.233.a3 .00. .00 (81 10,00a.42 2,656.88 (Ill (121_ (3) . U~I NOTE I To In.\.Ir'. proper cradit to ~our account, sub_it the upper pori Ion of this forn with yaur tax Plynent. 72,233.113 1?66~ 3.lL 59,568.55 .00 59.56a.53 If an assessment was issued previously. lines 14. 15 and/or 16. 17 and 18 will reflect figureR that include the total of ~ returns assessed to date. ASSESSMENT OF TAX: IS, A~ount of lina 14 at Spousal rat. (IS) 16. Anount of Lina 14 taxable at Ll"..l/Cl... A rat. (16) 17. AlIlount of lina 14 taxable at Collateral/Clalil1 ~ r,lt. (17) 18. Principel Tax DUI NOTE: TAX CREDITS: PAYMENT DATE 05'-21-97 RECEIPT NUMBER AA211330 DISCOUNT (+) iNTEREST/PEN PAID (-I 178.71 .00 59,56a.53 .00 X .00. X .06. X .15. UBI AHOUNT PAID 3,395.4i TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF PAID AFTER DATE iNDiCATED, SEE REVERSE FDR CALCULATION DF ADDITiDNAL INTEREST. .00 3,574.11 .00 3,574.11- 3,574.12 .0ICR .00 .0ICR 1 IF TOTAL DUE IS LESS THAN U, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YDU MAY BE DUE A REFUND. SEE REVERSE SlOE Of 7HiS FORM FOR INSTRUCTIDNS.) l('j c\_ tr> ...... r... j', RESERVATION I E,t.t.. of d.oefinhdvit't on or before DIGHbIr 12, 1912 u H Iny future lnt.r..t In the utat. 11 tran.f.rred ~(', po.....iOI'! .'or enJo,...tl~ to Cl... I (ool1at.raU bln.fleh,r I.. of thl daeadMt after the al(plraUon of ~y, ..tlta for U.flor for y..r., t~.a1th hertbv 'l(pr"..ly r...rv.. the rlllM to apt:lralla end ...... trln.f.,. Inheritlnoe Taxu at the I.wf~l Cl,.. B (ooll.tlrl\) rate on any .uah future Intlr~.t. PURPOSE OF NOTICE, To fulfill tha raqulr...nt. of Section 214D of thl Inh.rltancA and E.tata TIM Aot, Act 21 of 1995. (72 P.S, Section 9140), PAVMENTI oltach tho top portion of thl. Notlo. and .u~~lt with your p'YMent to the R.gi,t.r of Will, prlntad on the rav.r.. .idl. uHfMo:. check or lIOn,y nrdar pnabl. tOI REGISTER OF MILLS, AGENT PEFUNo (CR)I A refund of a t.M or,dlt, which WI' not reque,tld On the 'aM Return, ..y be raqUi.tld by oo~l.tlng an "Applloltlon for Raf'Mld of Plnn.ylvanla Inharltanc. and E.tata r.M" (REYM13J5). Application. ar. *~lllabll at the Offlc. of the R'II.ter of Will., any of the 23 Rlv.nul Ol.trlot Offlo..,or by ollllng the .p.olal Z4~hour an.w.rlng "rvloa nu.bar. for for.. ordlrlnll In Plnnlylv.ni, 1-'OOMS62~Z050, out~ld, penn'Ylvanla Ind within local Harrl.burg ar.~ (717) 7ti7~1094, rUD' (717) 77Z~2ZSZ (H.arlng .apalr.d Onlyl. OBJECTIONSl Any party In Int.r..t not u,tl.fi.d with the appral....nt, allowanc. or dl.allowanc. of deduotlon., or ......~.nt of tax (Inoludlng dl.oount or lnt.r~.t) a. .hown on thl. Notlc. IU.t obJeot within .IMty (60) day. of r.c.ipt of thll Notic. bYI ~~Wrlt1.n proteut to the PA D.p.rt~.nt of R.vlnul, lo.rd of .pp.al., Olpt. 211021, H.rrl.burg, PA 17121~1021, OR ~-.I.otlon to hav~ the a.ttar det.relnad,t audit of the Iccount 0' thl parlqn.l r.pr.l.nt.tlva, OR ueppeal to thl Drph.n.' Court. ADHIN ISlRAlIVE CORRECTIONS I fa~tual .rror. dl.oov.rld on thl. ........ht .hould b. .ddr....d In writing tOI P' Dlpart..Mt of Rav.nu., ~ur.au of Individual TaM", ArTNI POlt ........nt Review Unit, n.pt. 280601, Harrl.burg, PA 11121~0601 Pnon. (717) 717-6SDS. S.. paga S of the bookl.t "In.tructlon. for InharAtlnc. ,.x R.turn far I R.,ld.nt D.cad,nt.' (REVMlSOl> 'or In IxplenaUon of artalnhtraUv.h oorrectabl. arror.. DISCOUNT I If eny tlX ou. I. peld within thr.. (3) c.l.ndar .onth. .ft.r the dlc.dent', d.,th. a ,Iva p.ru.nt (SXl dlaaount of the taM p,ld I. allow.d. PENAL TV , The 15X tax .-na.ty non-p.rtlolpatlon p~lty I. cQlPut.d on thl total of the tax and Int.r,.t .......d, and not paid b.for. January lti, !996, tn. flr.t day aftlr thl .nd of tha tax .ana.ty p.rlod. Thl. non-p.rtlclpatlon p.nalty I, .pp.alabl. In tha .... .ann.r and in the the .... tl.. p.rlod a. you would Ipp.al the t.M and Inter..t th.t ha. be.n .......d .. Indlclted on thl. notloe. INTERI!5TI Int.r..t 1. ohargld baglnning wJth flr.t d.y of d.llnqu'noY, or nlna (9) .onth' .n~ onl (I) d.y fro. the dlt. of d..,th, to the date of ply..nt. TlMII Nhloh b.c.,. dflllnqu.nt b.for. .Ianuary 1, 1982 bur Inter..t at thl r.t. of 11M (6%) p.rc.nt par MOO' calculat.d It . dailY rat. of .000164. All tal(lI which b.c... daltnquant on and aft.r January 1, 1982 will b..r Jntara.t It , r.ta which wIll v.ry frol Clllnd,r v..r to ollandar y.ar with th.t rate announoed by the PA Dapart~'nt of R'~lnu', Thl .pp11~.bl, Illt~rl.t r.t.. for 1912 through 1997 Ir.' 'W! Intarut Rate DailY Interllt r.ctor !.!!r !!l!.!!.!.!U!.!! Dally Int..rOlt Factor 1982 20i( .000541 1"7 'X .0002ft7 198] 16;( .000lt!. 1988-1'191 lIX .OOUOI 1914 11% .000,'01 1'992 9;( .000247 1915 Ui.: .0003S6 199!MI994 ]X .00019l 1916 10;( .000274 1995-1991 'X .000147 u Inter..t I. calcu1.t.d a. folloWII INTEREST . BALANCE OF TAX UNPAID X NU"DER OF DAYS DELINQUENT X DAILY INTEREST FACTOR ~~Any Notlol I..u.d .ft.r the taM b.co~.. dellnqu.nt will r.'laet .n Int.ra.t o.lculatlon to flftaen (IS) daY' b.yond the d.ta of the ........nt. If p.ya.nt J. aad. aft.r thl inter,.t co~t.tlon dlte .hown on tht Notice, ttddl tlon.1 interlllt llU.t be o.lculatad.