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PETITION FOR PRORATE: and GRANT OF LETTERS
E:rlu/(' of --G'll!i_!l1 ",?",ll!l..tl_k(tJ- No. ..,---c:.~)\..'l]__:._..tJ_U__
also known as _______ .____,__ To:
----...---. H ______ ReglSler of Wills for Ihe
--------.. _u___ '__ _ . [Je"c'ased, Coullly Ilf_.C_UMl1ERLIllilL....__ in Ihe
Social Se('/ll'!t." No, -- ___.___________________. COll1l110llWeallh of Pennsylvania
Tile pel it ion of the undersigned respec.tfully represellls that:
Your pelllloller(s). who islare I H yeurs of age or older all the e\CC}II,P. \X_______________.____ named
Inlhe last will of the above de"c'dellt, dalcd__act . .-,S \ leI' il'_ __ .. __ __.u____.________, 19___
and codlell(s) duted -----------'-r::- ------- ".-/-- -k--- - .---~---+- " _6- d 1"-
------,--------------.--------.I-u:JeJ'LI....1_&--ltU'1.t:,'!..Yl ___.j.::&f.::_~G(!"S e ~ cef'l t'l
-----..--------..--~--..,. ----AlCl~!!I~mlUea,__.,?'+I'1"15----__~___
.,...._..~~-.. '----_.._-~-,."."._.~~-._-~-,-_...~..._._.- -- ---_.......,-. ....-.-
(slnll' r~k.\'llt\l dri.'IHn,lllIlCCS, l',g. n'lllIfll'l,1I101l. ikalllllf l'\l'~'lIlor. l'Il',)
, Qecelldelll wus, d omleiled al dealh III --.---~-C~~~COUI1lY, pe~Ylvanlal;LI~
h--1.--i.--a; ta~t familv or principal residellcc at'=:;[i~?>__ -L~t2.C4--R",,- /'hC"(, ,,;('., d:.
-~~-~,-~--T~f---------.,...,---,----.-,..---_.__._~_..
(l1s1 \lrl'l'l, nllmber and fll\lIldralilYJ
Dec~nde!lI \ Ihfll -A;::"_. year"of a&e" dieL_ _ __,Ju.>kL1~_t~L::___, 19 q 7 .
al -~>\lt>."\:e_c___.'>-:I_l'-a..'-cS_, _~ __-----'-i~ . \l\..m (G.,-, V\dV.... .
E,~cepl as follows, decedcl1t did 1101 marry. was 1101 divorced al1d did 110t have a child born or adopted
~::'~;'~I~~~~u~:~)n of the ~'_ill_(t1~:r[lI1ille;_~"1~rl:~1~v~clil:_Of ~_~Hing and was never adjudicated
Del,.'l.'ndclll at uealh owned property with estimated values as follows:
(If dOllliciled in I'll.) All personal propeny
(If l10t domiciled in Pa.1 Personal propeny ill Pennsylvania
(If nOI JOIllic'iIeJ in Pa,) Personai propeny in County
Valu,' "f real eslate in PCl1l1l~(~a ._~ .~
situat,'d a, follows: ---.------ ____Le~ ;:;cq--./s .----- Ii)
--------------fu1. <. Cl-"!.'1J-'~ .Jd' '--'-7--"'-f:
$ 2~_cJ~cJ
L ... .:..-
$ -
$-----LJj (10(1
__..__..,_ _.n __"_.__.___~_._,~..__~__. .....__~__~~__~___
\\ I-IlREFORE, pelilioner(s) respectfully requesl~s) Ille prohate of the lasl will and codicil(s)
prcsellled herewith and the gral1t of lellers_.___.____T~.ll~(\.-::tt, I! '" _
(ll'\latlll'/lI;H~': ndlllinhlnllioll ~.l~ll,; udminislration d,b,n,c,l.a,)
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF I)ENNSYLVANIA I 'S
COU'iTY OF H.m1!ll:RLANO______________ J :,;
TilL' !,etitionerl'} ahov\'-named",ear(\) or affirm!s) Ihal the statcmenls in Ihe foregoing pelltloo are
trul' dlld ',;Ol"rl'L'! 10 tliL' 11l'~[ 01 [he ~IlO\vkdgt: <llld hdiL'l' of petitiont:r(s) and that as personal represen"
1111""(.1 III' tilL' ahm\' del'edellt p\'titioner(s) wili weli and truly ndminf.\lcr the eSlale accordlog to law,
U eJi{i e
SW"',u ld orllf!'irlllCd a,l1d SUhS.,l'l'ib~d ,{, ---4.L, \.,_(~L.~' (.... 'l_.'t...(__L' L......
befor\' 11\'-' Ihi'_ __'__':;j_3JlJ!L_H ____ da} of _H_._______.____
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15- I'Yl _ \ L-) MARY C LF.W S R{,~I.\/('I' --------tr-------
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No ? 1 - 97 - 401
,
Eslate of
GUY M SCHRE I RER
, Deceased
DECREE m' PROBATE AND GRANT OF LETTERS
MAY 2. 97 .
AND NOW _______________ 19__, In consideration of the petlllon on
the reverse side hereof, satisfactory proof having been prcscotod before me,
IT IS DECREED that the Instrument(s) dated__9CTOBEIi. 5, 1981
described therein be admitted to probate and filed of reqord as the last will of
GUY M SCHREIBER
TESTAMENTARY
GRACE E SCHREIBER
aDd Letters
are hereby granted to _
FEES
Probate. Lellers, Etc. . , , . . . , ,. $
Short Certlfleates( ) 1 p, , . . , . .: $
Renunciation ,...".....,.." $
X-Pages $ 3 00
JCP 5.00
MAY 2T>OT~~7-. L"t1B~
Filed .""...'"......,.'., ,'..",.,. j..".
80.00
30.00
, -iJt;j'
Rosl.ter of Will. . a (j
MARY C ~IS
.JQ.o):;l /vv.&w.~ ~)15Y3
,. ATTORNEY (Sup. CI. I.D. No.)
(/q) Vil-7314
SCOTT ~MllIllBR, ESQUIRE
3 Kaeey Court. Suite 201
Meehanlesbura, PA 17055
PHONE
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WARNING: It Is Illegal to duplloato this oopY by phOlo"tnl or photograph.
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OOMMONWIALTH OP PINNIYLVANIA' OIPA~TMONT OP HIAUH' VnAL fllOOMDI
CERT1FIOATE OF DEATH
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April 24. 1997
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21 . 97 - 401
'81<<lISTE~ 0>' WILLS OF Cv~"'e" kc,~1 ~O.,:r<
~::TH_OF SU~~8ING WITNES/
-~~----_._--_._-- .~--,
~cil
(cach) a subscribing wltoess to the wll1~eseoted herewith, ach) \leing duly qualified according to
law. depose(s) and say(s) that ___~_~ present and saW
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_'_ signed as a witness at the
esencc of oach other) (10 the preseoce of the
the testal _. sigo the same aDd that .-
request of testat_-- in h__ prcseo
other subscrlbin~ wltness(es)).
Sworn to or affirmed and sub
me this.
--
Register
(Name)
----..
(Address)
'~
REGISTER OF WII.LS OF _CUMBERL~__ COUNTY
OATH OF NON.SUBSCRIBING WITNESS
M Sc~\'te\ 1061'2..
GrG4c!E
E SC~R€lh(?{2-
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(...., . "b~'b" "''''', I.,hl b"" dol, "''''',d ,,,""" " 'ow, "POll!' :~,j;~:k
~.--W.lZ:' A Ie 1[... familiar with the si~nature of _ ~ . . ~IZ-
codicil
testat.Q&... of (one of the subscribing witnesses to) the ~Ir:;) preseoted herewith and
L \". - codicil
that ~_ believes the signature on the @I) is in the handwriting of
be) Jr_01_M1B"f-1 t1 r:f>.--=: . ----
to the best of n ~kn()wledge aDd belief. ./- () ,()
",,,,,,, .ffI'.'" ."d ",..,,"" "",," t:.;;,jO!U""''frA-..
e thO 301 H d I IN ,)
m IS -AP L _.----..---- aY7 () ~7' Ildo~';k st
_____ ~/l/ y...,: _;::_'0/__ -
ur:tZO -. '_ (;yJdrrS) II
MARY C LEWIS Register { ~~~JH ,. X')....'
. (Name) --
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(Addms)
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~ICATION or NQTJg UNOlft !lULl '.:1L!..I.
. H.... of Decedent.
one of Oenh.
Wl1l Ho.21-97-0~01
To the Aeql.Ler.
I certLtt ~hlt notice at benefLcLal lntere.t requLre1 ty
Aule 5.6(.) of the Orp~ln.' Cnurt Rule. w.. .eeved on or m'lL.~ t~
the [ollowinq beneUcilrJ.e. uf the .bove-c.ptioned ..t.te on
auaust 1, V)<)7
t!!m!
Ray M. Schreiber
Addre..
147 Victoria Street, San Francisco, CA 94132
Larry E. Schreiber
Grace E. Schreiber
804 Don Gaspar, Sante Fe, NM 87501
103 Cumberland Street, Duncannon, PA 17020
Hntice hi' now been qiven to III pee.one entitled thereto under
Aule 5.6('1 ~
O.te.
8/5/97
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Hue Grace E. Schrei bet'
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Addrllli_101 ClImh"r] and StrNltc
Duncannon, PA 17020
T'lephone~ll 834-9553
C.p.city. XX 'el'lonl1 lIepr..ent'tL'I'
Coun.el for per.on.L
r,pre.entatLve
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COMMON:E,JIlVAfIIA
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HAIlRI' HO f'A lll} 0001
O[{;HlEHi'!lNMU: (I'!'!;!, flHStANOMlllOlllNIIIAll us~ 'I blMkb/t..d h) lllllMill!l'/rOld'i
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.__ __ ""\<"- REGISTER OF WII.LS ______
~ ~ 1,OrlginnlRelufl1 [J 2. SupplomenlalRolum 0 J.RemajnderR6tum(dal6ordll~lIlpnortoI2-jll\2l
M ~ 11 [I Hlmiled E"alo [J 4. Fulure Inle,"'1 Compromls. (0"01""'." ".11 011 [I 5 Fll<Ior.1 Estale Tax Relum R.qulred
n f ~ [J 6, Decedenl Died Tostate (AI!~;~copyoIWIIII [J 7, Decedent Maintalnod a Living Trust (Alt~htopyo' 1(~51l 6. Tornl Number of SMa Deoo3it Boxos
~ [.1 g, Litigation Proceeds Received 010. Sl>ousAI Poverty Credit (dateorrltalhool'ifell~ 12,31 9\ and 1-1-9&1 [] 11. Eleclion to tax tlflder Sec. 9113(A) (A~a::hS<;hO) I
THIS SECTiON MUST BE COMPLETED, ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
~IMU: l"l. COMPLETE ',!NII;~G ADOAf:SS ~____U_"._.
':><'.0" M 1J~",,,e.Q ~,sq,-"C"~_ S..l~. 'h t.
""'ii",, ,,,,,,,,,.,, '-' I --,- C,oll Iv\.-.-1.l\'\'(\lW""1 ~.
'3 I" (A.c.~ c.QW+,,- ... '^' h. ~o,
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REVM1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
F~E NUM8E~
'~u
'\ 1
C) 0 l..\ 0 I
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l;OUIiI~C(){){
GUlf
/vi
SOWISI:CUHllYNlIMflffl
--'-OATrOl orABI
OATEOf61RHt
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Iii-APPlICAfl! r) !ilJRlilVlWl SflOUSFS NAMF (tAS1, HAS1, ANOMIOOLE INIT!AI.)
DLJ../d.~I\'\<'\1
0I.9/2S:/\o,,'d.\
SOCIAl SECUllll~ NUMflFfl
HilS RETURN MUST BE FilED IN OIIPUCATE WmfTHe'-
ffi
Q
Z
~
i
o
"
1. Real Estille (Schedule A) (I)
2. Slocks .ne' Bonds (Scheaule B) 12)
l Closely Held Corporalion,Partnership or So~-Proprtetorshlp Il)
4. Mortg.ges & Noles Recel,"b~ (Schedule DI 14)
5 Cash, Bank Deposits & Ml,cellaneous Personal P,Oporty (5)
Z (Schedule EI
0 6 Jolnliy CHlned Property ISchll<lu~ FI (6)
~ 7. Inler.vlvos Transfelll & Miscellaneous Non-Ploba" Property (7)
:> ISchedule G or l.)
!:: 8. Total Ora.. A..eto (Iotal Lines 1-7)
~
0 9. Funer.' Expenses & Admlnlslralive Costs (Schedule H) (91
W
It: 10. Deb~ of Decedenl, Mortgage L1.bllltles, & l.lens (Schedule I) (10)
11. Tol.1 Deducllo", II0tal L1n., g & 10)
\1,000 00
a~ , '6 5 ~" 16 '7
4S,lOS'Lt'~1
(B)
Cf,lS~.Ut7
, \ ;)..?". 'i \
(11)
'\ , B ~ '7 . 5 B
35,9(.,'7 ~9
12 N.I V.lue 01 E.lete (Line Bmlnus line II)
13. Charitable ond Governmantal BequeslslSec 9113 Trusts for which an elootien 10 tax hes dol been
m.d. (Schedul. J)
14. N.I V.lu. Subject to T.x (Line 12 minus line 13)
15 Amount of 11118 14 taxable
altha spousal lax rate 1 I
Sea Instructions on reverse side for applicable percentage
16. Amounl 01 line 14 taxable ') S' C:f (-7 f'\ q
816% rate V 1 '\C t,;... \
1], Amount of line 14 taxable
11115%rale
(12)
(13)
--
(14)
3 5 , 9 V.:.2.l_
x ,0
(15)
~,
520lf
x .06
116)
x .15
(17)
16 Tax Due
lB.
:;.,
5 '(, , (, L.\
(18)
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
Undor penalties 01 porju!y. I declare thai I have tlxaminoo Ihi!i rOhHIl, including IlCcomplUtying sChedllles and sll1!llmenls, Bod to lite bftst Or my knowledge and beliol, it 151n16, COIIl'Ct and complete oOClllfftlion nl pmparllr olher
l!J!r.! !he 001500al hll1fosentllhvo is ba,~e<1 QnJ!tUnfQ!!!ldWL~PfODarOr has arw knowiodoc . _.~u____________.___..
SIGNA~EOFPERso.,NR. E~PO.NP..'Bl.EFORFll.IN.GRETlIRN, .' AODRESS _. r'\... e
...::."-- /-(( 7. _<~_d:._~:~':.:,=-----_j ('> -,-,_~:~~'y.':_::I_~_!:__~~~,,- ,,, II ~,
SIGNA URE OF PREPARER OTHEJH IAN REPRESENTATIVE PDDRESS
~eC!JLJC "J, ~~)__3 k(~rJ1{~vv.ri_k~llk4("IL!'L(L~~~
DA'TE "
/1/,\ 1./ '6
~~.__._..~--
DATE
I.n .ciQ.
~--~.,...
~ecedent's Complete Address:
i'~IU r 1 ^no~:.~ e)('r-\ (~o1{()o.cC-- .--- ----.- - - ----------. ----------- ------
ec (l~'''el\ov.\~
Tax Payments and Credits:
1. TSKOuelPllgel LIoel8)
2 Credlls/Paymenls
A. Spousal Poverly Cradll
O. Prior Paymeols
r, Dlscounl
~
III' 17055
(1)
-~
~/%t~
Total Credlls (A + 8 + C) 12) .
3. tnleresVPenally If applicable
O.tnleresl
E. Penally
TolallnteresVPenally (0 + E) (31
4. If line 21s grealer than line 1 + line 3, enter the difference. This Is Ihe OVERPAYMENT,
ChICk box on Plgll L1nl 19 to requtltl rafund (4)
5. If line 1 + line 31s grealer Ihan line 2, enter Ihe dlfferen~e This Is Ihe TAX DUE, (5)
A. Enler Ihe Inleresl on Ihe lax duo. (5A)
6. Enter Ihe lolal of L1nA 5 + 5A This Is Ihe BALANCE DUE. (58)
Meke Check preble to: REGISTER OF WIL~I AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1, Old decedent make e translor end: Yes
e, retain the use or Income of the property trRnsferred; ..,.. ....................-.................., ..,.. 0
~. ;::::~ ~h~e~~~I~on~~s:~~esr~s~~~. ~~~I.I. ,u,s.~, ,lh,~.proP,e~yt.~ans,fer~~~~r .It~ ,I~c~.~e;:::::::::::::::: B
d, receive the promise for life of either peymm\ts, benefits or care? ......................................... 0
2, If death occurred on or before December 12, 1962, did decadent within two yams
preceding death tranBfer property without rscelvlng edequata consideration? If death occurred
after December 12, 1962, did decedent transfer proPQrty within one year of deeth without
receiving edequate conelderatlon? ."..,.. .......,......,....', ,....""",...... ...... .-,..,.,..""..".......,..,..,........, 0
3. Old decodent own an "In trust for" or payable upon death bank account or securlly
at his or her death? ....... ..........".. ..,..............., ................-..,................ ,0
4. Old decedent own an Irdlvldual retlremenl account, annuity, or othar non-probate property?.... 0
:J,\~~_
.
9.,105. ;)./p
5~ .IB
r .
;)~ ,116
v-
f
ct'
J'
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEOULE G AND FILE tT AS PART OF THE RETURN
- -n -- . ... oj .- '1. .. L:I
72 PS, ~9116 (e) (1.1) (I) provided for the reduction of Ihe lax rate Imposed on Ihe net value of tranefars to or for the use of the
surviVing spouse from 6% to 3% for dates of dealh on or after July 1, 1994 And bAfore Jamtary 1, 1995.
72 P,S. ~9116 (A) (1,1) (II) provided for Ihe reduction of IhA rate Imposed on the net value of transfers 10 or for the use of the surviving
spouse from 3% to 0% for dates of death on or after January 1. 1995. The stalute does_not aKe!!!p1 e trsnsfer to a surviving spouse
from tex, and the statutory requiremenls for dlsclosura of assets and filing a laK return are stili applicable even If the surviving spouse
Is the only beneficiary.
FOR DATES OF DEATH ON OR AFTER JANUARY 1, 1995. Please anawer the following qUAstlon by placing en 'K" In the
appropriate space.
Old the decedent cre.te . trust o!.!I9'ltur err.ngemsn! which II lolely for the surviving spouse's benefit for his or her entire
IIf"tlme? Yes 0 No ~
If you answered YAS to the above question. the taK on the trust or similar arrangement Is poslponed until the death of the second
spouse, at which time II will be fully taKAble dt the rale(s) applicable to the remainder beneficlary(les), Enter the value of the truBt on
Schedute J, Part II, In order to remove II from the calculstlon of the tax due In this estate. You may WIRh to file Schedule 0 In order to
make Ihe Alectlon available under Section 9113, If the slectlon Is made, the Iruet or similar arrangement Is taKed In the estate of thA
first decedent spouse, the portion of the trust or similar arrengement which benefits the surviving spouse Is taxed at the zero tax rate,
and the remainder is laKed at the rate(s) applicable to Ihe ramainder beneficlary(les), If you choose to make the election, you muat
attach Schedule 0 to a timely-filed taK return, along with Schedule(s) K andlor M In order to ahow the apportlonmBnt of the trust or
similar arrangemAnl bAlween the surviving spouse and Ihe remainder banAficlary(les).
,- /'-1'"1 "
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BUREAU OF INDIVIDU"L TAMES
INtERnANeE UM DIYllilDH
lIfPT. Z60601
"ARRISBURa, PA 1712'-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAK
APPRAlSEMENT. Al.LOWANCE OR DISALLOWANCE
OF DEDUCTION~ AND ASSESSMENT OF TAK
DATI!
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
AON
SCOTT M DINNER ESQ
STE 201
3 KACEV CT
HECHANICS8URG PA 17055
04-13-98
SCHRE IBER
04-2~-97
21 97-0401
CUMBERLAND
101
E-- -.. A.ount Ro.lttod
----~-
',...--~
*
'IV_Ih, II'" llt..'1
GUV
M
-J
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER O~ WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV: i54-i -iin pp-" ro'F9'i") "NoYfci""oF - i:"N'HEif i fAiic E ""fAx" "APPRA-i ii EiiENT"; - ALL OWAiic! - oR" -"""" --" - -"" - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF SCHREIBER GUY M FILE NO. 21 97-0401 ACN 101 DATE 04-13-98
If an a...Blm8nt wal i.su8d previou.ly, line. 14, 15 and/or 1&, 17 and 18 will
rlflect figura. that include the total of ~ return. e..e..ed to dati.
ASSESSMENT OF TAXI
15. Aaount of L lna 14 .t Spousal
16. AMount of line 14 t.~.bl. .t
17. Aaount of Line 14 t.~abl. It
10, Principal Tax Due
TAX CREDITS I
-.---
PAVHENT
DATE
07-23-97
01-21-98
TAK RETURN WAS I 1 X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE
APPRAISED VAI.UE OF RETURN BASED ONI ORIGINAL RETURN
1. Rell Eai.t. (Schedull AJ
2. St4cka and Bond. ($chaduh OJ
5. Closely Hald Stook/Pmrtn.rlhlp Intarest (Schedule C)
4. Kortglg../Not.. Reoalvlbla (Schedul. OJ
Ii. C18h/8ank Depo.it./Hllc. Parlonal Pro~.rt~ (Schadul. E)
6, Jointly Ownad Property (Schedu1a f)
7. Tranllfer. {Sch.dul. OJ
e. Total A..ah
APPROVED DEDUCTIONS AND EXEMPTIONS,
9. Fun.rel EXP$n.../AdM. Co.t./M!.o. Ex~en.al (Sahadula H)
10. nabl./Mortgage li.bl1iti../li.nl (Schadul. I)
11. Tobl Oaduction.
12. Net Velue of Tax R.turn
15. Cheritable/Govern.ent.l 88queltaJ Non~alact.d 911S Tru.t.
14. N.t V.lu. of F..t.t. Subj.ct to lex
NOTE I
r.t.
LinaaI/CI... A rat.
Coll.teraI/CI... 8 rata
RECEIPT
HUMBER
AA211.568
AA242676
-
DISCOUNT I')
INTEREST/PEN PAID 1-)
105,26
,00
(9)
(10)
I1S)
(16)
(17)
) CHANGED
III
(2)
(3)
(4)
IS)
(6)-
(7)
17.000.00,
.00
.00
.00
28.854.87
.00
,00
II)
9,758.67
128.91
Ill)
(12)
(13)
(14)
ISoh.dub J)
.00
35.967.29
.00
K .00.
M .06.
K .15.
I1S)
AHOUHT PAID
2,000.00
52.78
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
HOTEl To In.ure propar
credIt to your account,
.ubolt t~ uppor portion
of thh for. wi th your
bx pllyatant.
45,854,87.
9.887 ~8
35.967.29
.00
35.967,29
.00
2,150,04
.00
2,158,04
2,158.04
,00
.UO
.ao
IF TOTAL DUE IS LESS THAN $1, NO PAVHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR). YOU MAV BE DUE
A REFUND. SEE REVERSE SIDE Of TIllS FORM FOR INSTRUCTIONS.)
'-i
'-""
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REIEnYATJOHl Est.t.s of deoadent. dylnt on or be'or. ~aeber 12, 1.ll .. i, any future Int.rl.t In the I. tat. 1. 'ran,'erred
In pon.ulan or 6nJOVlltlnt to el,.. . (llo11.t,r.1) benefJcJ.rl.. 0' the MctcMnt .It.r thl IKPlraUon of MY ..t.t. for
Ilf. or for ve.r., the Co~.lth herebv ~Kpr...l~ r..ery,. the right to IPPr~i.. and .....j tr~"~r InheritInG' T....
.t the llW,ul Cl... I (coU.ter.ll rate on any tuch future .lnt.tllt.
P\JOPQIE Ill'
NOTICE I To fulfill tht> requlr...nt. 0' 5Mtlon Z11110 of the; Inhtlrltano. and Elbtl TIK Aot, Act 21 0' 19". (72 P.',
lution 9140l.
PAYHEHYI Detach the top portion of thh Hotlo. end tubllit with your paVI,nt to th, Righter 0' Willi prlnt.d on thu r,y'rtl tide.
~-"~I ehttlk or ltnfMly order paYlb!l tOI RF.OIBTER OF MILLS, AOENT
REFUND (CRh A r.'und 0' . hK Qrldlt, which w.. not r.quethd Of! the fa)! ktturr., '1)' be raquutu by oOllPllUntan "Appl.IClltlon
for RI'und 01 Pann,Ylvenll Inh.r.lteMI end Elttltl fe." (REV-UlS). Appl.leltlona IIrl IVlllabl. .t1h1 OffICI
of the Rlll.t.r 01 Willi, any of the ZJ R.venut 011trlot Off Ie.., or bv ollllnl the 'Plolel Z".hour
..'I...rl", ..rvic. m.....r. 'or for III ordtrlntl In P,nn.ylyanll 1-800-56Z-Z0S0, out.h" Pem.ylv....l. met
lilJthln loc.. ".rrltburllt.. (717) 181.fIO?4, TDDI (111) nz-usz (tie.dnt I._Ired OnlY),
OBJECTIONS, Any Pllrt, .In lntill!"ut not ..~hfl.d with tht IlfIpral...entl al10wanell or dll.llOtf."Cla of dlduotlon., or ."'"Mnt
af ta)l (Including dluount or Int"..\) .. lhown on thh Hotlcl .u.t Object within .i.ty (60) daVI of r.o.lpt of
thlt Hottel. bYI
~~"rltten prott.t to the PA nlp.rt."nt of R.llanut, Board of App.als, DeFt\. laIOZ1, HarrltbIJrll, JlA 1712'~1021, OR
-..Iaetlon to haye the ..tt.r d.t,r.lned at audit of the account of th~ par.on.1 r~r~'lnt.tlv., OR
~~appall to the Orphan.' Court.
ADttIH
UTRATIYE
CORRECTIONS 1
Factual ,rrort dheollarud 011 \hh auu...nt .hould b. eddrullld In wrltlnl tOI PA O,part..nt of R.venu.,
Iklr..u of Indhddual TalClI, ATTNI Pott A,..ullant R.vlaw Unit, nlpt. Z806nl, IllIrrhbUrn, PA 17128.0601
~ (717) 181~6S05. 5.. page 5 of the bookl.t "In.trvntI0l1' for Inh.rltanc. TalC R,turn for a R.a.ld.nt
DtHled<<lt.. (REV-ISO!) for an alCpl."atlon of adIllnhtra\lva1v corractebl. Itrort.
DISCOUNT I
If anv t~ dua I. paid wl1hln three (Jl calandar lonth. .ftar the d.e.dtot'. d..th, . f.lv. p.rc."t (SX) d.l.~ount of
the hlC p.ld 11 .1I0....d.
PENAlTVI
The 15i( talC ..nt,t.v non-Pllrtlclpatlon p.naltY It co..,uted on the total of the ta. find Intlrllt ....n.d, tnd not
p.ld bafor. Janulry 18, 1'96, tha flr.t dly Ift.r the and of th. tllC a.ol.ty p.rlod. Thl. non-partlolpatlon
pltlaltv l. appilllllabh In the .... lIannar and In the thll "... tl.. period III you would .pp.el the taK w\d Intera.t
tn.t ht. bean .....yed a. Indlclt.d on thl. notlo..
INTEREST I
Int,rut It cherpd blllMlng with ,Irllt day of delln<tU*'!oy, or nln. 19J IIOnth. and M' (1) dllY froe thtl date 01
o.atn, to t"- dlt. of pay..nt. r.M" which bee... dlll~n' b.fore Janu.ry 1, 1981 b.ar In'lr..t .t thl r.tl of
.he (,.~) pere.n\ PilI" IIlfll* calcuhted tit I d.lly rete of ,000164. All hMU which ble... dlillnql,Mnt on and 1ft"
Janulrv I, 1981 will hl.r Int.r..t et n lIt. whl~h will v.ry fro. clllnd.r y.ar to eellnder y..r with that r.tl
~ouncld by tn. PA a.p.rtltnt of RWII'nue, Th4 appllcabll Int.r..t ret.. for 1912 through 199' .r"
x.ur Int.r..t R.t_ O.lIy Intor..t Faotor :!!!! Int.rllt R.te Dllll~ lnt.r..t F.etor
1912 ZOi( .00O!t4' 1981 .~ .OOOZttl
un 16i( ,0004J8 1981-1991 It:< .000301
198111 ll~ .000SOI 199Z .~ .0001H
1915 lJiC .OOOJS6 1995-199o\ ,X .00019Z
198' 10:< .000214 1995.1998 .~ .00Ol41
- -lnt"lIt I. c.lcullted .. follow'l
INTEREST a BALANCE OF TAK UNPAID K NUNBER OF nAYS DELINqUENT x DAILY INTEREST FACTOR
~~Any Notlce I.tu.d .ftlr ~ha tl. b.eoa.. delinquent will rllfl.et an Int.r... e.lcul.tlon to f.ftlGn (II) dlV'
beyond the d.t. ef tha ........nt, If p.v..nt ., .tdt aft.r thl lntlr..t co.,utatlon d.te .hown on the
MoUe., addJUon.l Inter..t MI.t ba o.hullt.d.