HomeMy WebLinkAbout97-00441
I)I<:TITION I,'OIt .)IWIlATE lllld (;RANT ()Ii LETTERS
/'~- J.'-v~ "'1 011-1111 \
t:,\lII/(' "I l::fePP.ey:W' f...,L.nrri6'L No, c,..) .., I.. ... .
al.l'o/jJJ."II\I\."'I~ M.'V....~~_ ' 10:
~''-'''_ w ~"" Register of.wilbl'JiJ.I~e._ .
, /1".'1'(/"",11. ('mlllty of r.;.t.A11I~e in the
Soc(al '\cc'U/'i/I' No, 17P'~~/.()4f3;- ... C0l111111lllwealth of Pennsylvania
TIll' Ill'tilion 01111l' lIIHknii~l1cd I'l'''pcl'lfully fCpn.'SClIl\ lhue
Y01l1 peliliolll'rlsl, 11110 is.iIle IX years olllge or older 1111 the l'..wc1l112./~S
in the IllS1 will 01 I Ill' abol'l'de",'d.'III, dlJil'd ~..... .... I.~ - .SC_
alld cndit'i1h I dilled
... . .--.-- n~S9
~..__....__, 19_.....
('[all' rl'll'l'ilnl dr~'II111~lalll'l", l'.~ rl.'I1\ltldulinn, IIl'nlh III l'\l','Ulm, (.'[l'.l
Ikcelldcllt II'IIS dOlllit'iled III dealh ill .._~d~~,.. m 'n (JlIl.!1tX' l'en~I,v.~' with
1~=~~~~I~~llllllrlY_nrpri~lCiPal reSidCIl''l'allr!:(;t?Q~~:t_:~~~$ '._ !._-:::_
(11"1 ,[ll'l'l, Illlt11tll'I ;llld 1ll1l1l_lp.rIIIY)
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FXI.'l'l'l a... fllllm\''\, (k'l.'l'dl'lll did JlollllHr'ry, wa.., IlOl divor....'cd anti did flot have a l'hild born or adopted
uncI' l..'\l.'l,.'ulion of till.' will offcred for pmbatl': wa... 1l01lhc vk'lilll of a killing and was nevcr adjudicuted
inl'olllpCIL'llt: __<.. n.__...._____ __.._._..._~_____
DCt'L'IHknl "d dl'~llh oWllL'd propcrty with eSlimated valucs as follows:
(If ""lllll'ikd ill Pa,) All pel'''''''' 1 property
(If not dOl1lidled in PH,) Persnllul property ill Pcnnsylvnnia
(II IHl\ dOl1liciled in l'a.1 Personal property ill County
Valth,' \11' r('all'slate ill PL'llnsylvunia
situHled i.h "olin"'...: __._.
$ -a:.?, "I!> 0
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. \\11I:1~t:H)J{I'., pelitiollerls) rcspe"tfully reguest(s) Ihe prohnle of the la..~t will and eodlcll(s)
pn!sentcd h.'rewilh and Ihe granlof 1cllel.\~...._I.lS11lJ1ElL18.B.L..._......_._....
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-71
OAnl OF I)ERSONAL REPRESENTATIVE
('Ol\lMONWEAI.T11 or l'ENNSYl.VANIA
('m "n or CUMBERLAN[)
I
J HS
lhl' Pl'tlliolll'rt...) aIHl\t'-lHlllll'd '''l'm(s) or affirlll(\) lhat Jill' slHll'lllelj(s III the foregoing pctition arc
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OflFICIAL USE ONLY
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
J I,)
I ~i
- II
FIll! NUMBER
21
COUNTY CODE
D
E
C
E
D
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COMMONWEAl. TH OF PENNSYl.VANIA
DEPARTMENT OF REVENUE
DEPT,2101CJ1
HARRISBURG PA 17121-0101
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIALluII a bl&nk ,pactIO ..p.r.l. WOld.
earner, George W.
SOCIAL SECURITY NUMBER
DATE OF BIATH
97
---
00441
NUMBER
YEAn
DATE OF DEAlt\
172-01-0438
~'AS ,~ ' ~tl'IJXi,~~,SPOUSE'S N....' IL.ST,
n a
x 1.0rlllln'IR.turn
4. L1nlll.dhtat.
X 8. D.ced.nt DI.d Tlllllll
5-14-97
SOCIAL SECUflITYNUMBEA
12-15-17
THIS RETURN MUSf DE FILED IN DUPliCATE WITH TIlE
REGISTER OF WILLS
3 (dlt.ofdeath
. A.mllnd.rA.turn prior 10 12-13-82}
5. P.d.,,1 elt...t. Tall A,lurn R.quited
8. Tolll Numberof Sde Oepo.u BOKU
2. Suppl.m.n.., A.turn
... Futur.lnt.,ut Compromlu (d...t. of d....th afl., 12w 12-12)
7,
O.c.d.ntMaln..ln.daLl....inllTrlIIt
(Attach copy of WlU) (Attach r;opy of Trutt)
D .. L1llgatlon Proc..d. A.c.l.....d 010. Spou..1 Po.....rty Ct.dlt
o
11. EI,ollon to tlK under S.c, iI13(A)
(dalHI d..th b.tw..n t2-31-il .nd 1-1-i5) (Atllloh Sch 0)
THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE a. CONFIDENTIAL TAXINFORMATIDN SHOULD BE DIRECTED TO:
NAME COMPLETE MAILINOADDAESS
effre S. Cohick
r-IAM /lAME (II Applicable)
state Settlement services
TEl,EPHONENUMBER
90 Alexander Spring Road
arlisle, PA 17013
',) ~"',
OflFICIAL USE ONl.Y
R
E
C
A
P
I
T
U
L
A
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N
1, Real Ell1ate (Schedule A)
2, Stocks and Bonds (Schedule B)
3, CloselV Held Corporation, PanllOfllhlp or
SoIe.Proprletorshlp
4. Mongages & NOles Receivable (Schedule D)
5. e..h, Bank Deposits & MI9C<lilanoous Personal Property
(Schedule E)
8. Jolnlly OWned Property (Schedule F) (B)
7. Inter-VIvoe Translera & MI9C<lilanoous Non-Probate Proporty (7)
(Schedule G or L)
8. Tolll Groali Aaaoll (total Unes 1-7)
9, Funeral Expense I & Administrative Costs (Schedule H) (9)
10, Debts 01 Decedent, Mongago Usbill11es, & Uens (Schedule I) (10)
11, 'fotal ~o.. (total Unes 9 & 10)
12. '"' Value of Eatate (Un& e minus Una 11)
13. Chsrllabkl and Go"emmontal BequestslSoo 9113 Trusts for which an eleotlon to tax has not been
made (Schedule J)
t4, Nat Value Sub~ to T.. (Una 12 mlnu. Une13)
15. Amount 01 line 14 t""able at
the spousal tax rate
See InstruC1lon. on page 2 lor applicable percen1age
18. Amount of line 1~ taxable at 6% rata
17. Amount of 1l1l314 taxable 8115% ralo
18, Taxllutl
~iil[CI1E!:/Il'i1!Ill!!:I"!~Il'..Rl!iFll!!Qlle$11li1dl1JiIlE~UNorOFl!!.iHiOveR~AVM_
. ~ BE SURE TO ANSWER ALL QUESTIONS ON PAGE.2 AND TO RECHECK MATH < <
61,560.76
(t)
(2)
(3)
(4)
(51
51,505.00
~"...
14,357.96
(8)
65,862.96
3,892.12
410.08
(11)
(12)
(13)
4.302.2Q
61,560.76
(14)
x
.0
(15)
61,560.76
x
X
,06
,15
(t8)
(t7)
(18)
Ur.de, p.nelli.. ot perjury. I d.cltre thall h...... .1UImin.d thl. rllurn, including .ccomp.nying schedul.. .nd stat.m.nts, and to lho b..t of my knowl.dg. .nd bill If, It I. true,
:.orrlct .nl1 campl'lI, Olc,-,.tion oIIH.p..r.r othlr than thl pI/lon.1 rllpr..lnl.tiv. I' b.ud 0/'>..11 !ntormalion of whlch pr.pttlr hat ..ny knowlldg..
SIGNATURE OF PERSON RESPONSIBLE FDA FILING RETURN ADDRESS 541 Conodoquinet Avenue OATE
~13y-v' !t.~ a" ~~:r-:!_~f.>.I.~_,._?~_.~7.g.l,~.__...._.................. ~I;"/f/
"a7ik;'1l1~':A_)39= ~;;~~A~r.~".~~~~~1~~~..~~~..~~. ~~~~..... ." ;);,"It F
G9 r Form REV.. 1500 EX (A...... 1-97)
Decedent'. Co'!lplete Addre..:
R AD S
Tqdd Circle, Apt..S
STIITE
PA
ZIP
17013
Tax p.ymem. end Credit.:
1, TAl( Duo (pago 1 Uno 18)
2. Crediltl/PoymontB
A. Spousli povor1y Crod~
8. Prior Poymonts
C. Dl&count
(1)
3,693.65
"ot81 Credits ( A , B + C) (2)
3, IntOfos1lPonalty W oppllooble
D.lnt0f9llt
E. Ponalty
Total Inler(ISt!Pona~y ( D , E) (3)
4. IllIno 21s grootOl thon IIn01 + IIno 3, onlOl tho dllleronce, This 10 tho OVERPAYMENr,
Check box on Page 1 Uno 19 to roqul8t. rotund (4)
6. 1IIIno 1 + llno 310 groater than llno 2, enlor tho dlfferenco, Thle 10 Iho TAX DUE. (5)
A. Ento, tho Intorost on tho tex duo, (6A)
8. Enter tho total 01 Uno 5 + 5A, 'ihls 10 Iho BAUlNCE DUE, (60)
Make ChOClk Pavablo to: REGISTER OF WillS, AGENT
11111lI11Illllllll!!lllilllllll!llllllllllillll::I!:!1111111111111Iillllllllllilllliilll\111111111Iilllllll\111111!!I!ill:IIIII!I::!II!!lllli!ilil!!illllllil!!I:II!lillllllllillillllllill!lliiiliiillililillili!iiilllllill!lll!I!llil!III!!I!II!III!!I!I!li!I!I!lill!:!11111111111111111111111!lllliI111111!1111111Iillllllllll:1111IIIIIIIIillllll!III!lll!l!l]!!l!il::!!:!!'::!:::
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1, Old doce<1enl mako a translor and:
L retain the U9Q or Income of tho property translerred: '
b. retain lho rtght to doolgnalo who shall use tho proporty translorrod or lis Income: .
o. retain a rev&fSk)nary Interoot; or" " , , , , , , , , , , , , , , , , , , , ,
d. r900lvo tho prornisalor 1110 01 elthor paymenl9, benoms or care? , , , , , , , , , ,
2. If doath occurred on or beforo Docomber 12. 1982, did decodont within two yoars preceding death
transfor property without rocolvlng adequato consldorallon? It doath occurred anor Decomber 12. 1982,
did decedent transfer proparty within ono year of d911th without receiving adequate consideration? 0 [R]
3. Old decedent own an "In trust 10r" or payabla upon dealh bank account or security at his
or her death? , . , , , , ,
4. Old the decedent own an Individual retimment account, annuity, or other non-probate property?
3,693.65,
3,693.65
Yes No
~I
B~
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES.
YOU MUST COMPLETE SC~IEDUlE G AND FILE IT AS PART OF THE RETURN
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIIIIII111!111111111111!1!11111!111111111111111111111111111!!1IIIi!II!!III!I!II!!!I!!!I!I'I!I!!!!I!!!II!I!II!!!!!!11111!1!!111111!11!111111111111111!!111!11111111111111111111111111111111I111111111111111111:11111111111111111111111111111111111111111111111111!1111111111111111111111IIIIIIIIIIII!IIIIIIIIIIIIIIIIIIII!I!IIIIIIIII!II!
72 P,S, Section 9118 (0) (1,1) (i) provided for Iho roducUon 01 Ihe lex rato imposod on lho net valuo of tranolors to or for tho uso of Iho surviving spouso
from 8% to 3% lor datos ot ooath on or anor .July 1, 1994 and beforo Januwy 1,1995,
72 P,S. Sac1Ion 9116 (a) (1,1) (U) provided lor tno reduction 01 tho rate Impoood on lho 1101 valuo of Ironofo,o 10 or for lho usa 01 tho ourvlvlng opouso
from 3% to 0% lor d4100 of death on or aftor January '1,1995. The statute does not o@!!!Q!atransfer(oasurvlvlngspouoofromta><, and 1he statutory
requlromenlslor dl9cloeuro 01 assots end filing a tex return are sllll appllcablo evon If Ihe surviving npouso 10 tho only benoficlary,
FOR DATES OF DEl<llI ON OR AFTER JANUARV t. 1995.. Pl.... answe, the following quostlon by placing en ''x'' In tho approprlato spaco,
Old the deo_nt crute I trust or similar arrIngernent whlch la solely for the surviving spouse's benefit for his or her entIre IIfeUme?
Y.. 0 No [RJ
If you answered yes to the above questlon, the tax on the lrust or similar arrang'lmant Is postponed unllltho death 01 the second spouse, at which lime
It will bfJ lully texabla at tho rat6(e) applicable to tho remelndOf bonollclwy(les), Enter Iho V,"UO of lho In"'t on Schodule J, Part II, in ordo,. to romovo II
lrom the calculation of the t8l)( duo In this estate, You may wish to file Schedule 0 In ardor 10 make the elecllon available under Sectlon 9113, II the
election Is made, tho trust or slmllar arrangement which berwfllalhe surviving spouse Is taxod at tho zero tax rato, and tho remainder Is taxod at the
rate{s) appllcabkt to tho remainder bonelk::lary(loo), If you choooo to make the election, you must attach Schedule 0 to a tImely-flied tax return, along
wllh Schodule(a) K and/or M In ord8f to show tho apportlonmonl of the trust or similar firrongomer1 botwoon tho surviving spouse and the romalndor
benanclary(loo),
CS1 Form REV-t500 EX (A.'i, 1~971
AEV'''.''''I','n SCHEDULE F l
COMMONWIALTH a, PENNSYLVANIA JOINTL V-OWNED PROPERTY
INttlAITANCE TAX RETURN
"nlOtHT llelOENT
eSTATE OF FlU! NUMSER
~eamer, George W. 21-97-00441
" III UN! woo w_ JoInt wlthln 0,", YMt of the _I'. dole 01 doIth. " mUlIIMI'IpOflId on Sc>hIduIe G.
SURVIVING JOINT TENANT(S) NAME
A, S ar R. Hertzler
ADDRESS
41 Conodoquinet Avenue
arlisle, PA 17013
RELAT10NSHIP TO DECEDENT
aug tar
B.
c,
JOIN1t V-OWNED PROPERTY:
.
LETIER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEA1'H
ITEM FOR JOINT MADE Inolude "1m. of flnanetllln.muUon and bank DATE OF DEATH DECO'S VALUE OF
lGoount numb.r or sImilar Id.ntIfYln~numb.r.
NUMBER TENANT JOINT Attloh d,.d for jointly-held ,...1.. t.. VALUE OF ASSET INTEREST DECEDENT'S INTERES1~
1. A. .991 ~allon Bank - savings
~ccount #180-130393 23,745.66 50 11,872.83
2 A L991 ~ellon Bank - checking
~ccount #182-732-6222 4,970.26 50 2,485.13
I
- TOTAL (Also eMer on line 8, RaeaellulsUon! $ 14,357.9~
(II more space Is needed Insert additional aheets 01 the 6ame size)
C9,
Form REV" 1501 EX (Rllv. 1~97)
'.
\
COMMONWIALTH Oil PlNNS'n.VANIA
COUNTY 01' CUM.ULAND
}
.1
___-ShD%i R. Hertzler
-....-.. .,.-......
b.ln9 duly _-8..\iU).[.&:l.__ .coordln1 10 law, depo... and SOYI th.1 Wc_ AhA ;" ,..h" r.n-F'v"t"u.t.Dr
_,,_ _,_ 01 tl,e &t.t. 01 ~rgA W. Rp"m",r
I.t. 01 __..Carl ial.e. _......." .___ . .., ,,__, , Cumb.rl.ncl County. PI.. d......d and that the
within I..n invanlolY ...d. by __ __.lu:.t....-. ,th. ..id Co-Executor
01 tho .ntl,o ..1.10 .f ..id d.o.d.nt, .0n.l.ling 01 "II the pOrlonal prop~rty .nd r..1 .1I.to, ..copl reol utat. oUNld.
th. C"mmonwulth 01 P.nnlylvanla, .nd thot th. Ilgur.. uppo,ih. ...h ttem .1 Ih. Invonlary r.pr...nllt'. 1.1, v.lu.
.. 01 tho d.l. .1 de".d.nl', d..lh .
J[
191f
\ -~
~~' ,e.
.nd ,ub..rlb.d belaro m..
NOTARIAL SEAL
KAREN M. N~IDIOH, Notary Public
Carlisle, Cl.Imberlsnd Oounty
M Com~.~pilO!i ( )cl 23 2000
541 ConoE~~uinet Avenue
Adtl,."
Carlisle, PA 17013
D.I. .1 o..th
ll.tth
.._____, May
t.l.",h
1997
.-..-
~.Y
Va",
INSTRUCTIONS
I. An Inv.nt.ry mu.t b. I1I.d within th... month. alt.r appolntm.at of p....n.1 ,apm.ntatlve.
Z. A .upplem.nt lnv.ntory must b. fll.d within thirty d.y. 01 dl..overy ol.dditlonal molt.
1. Additional .h..tt m.y b. attached as t. person.lty or ,.alty
4. S.. Al'tl.I.IV, Plelu.la,l.. A.t .11949.
.-I
o.;t "Ii
o.;t ~ ""
0 .
w Q) -
0 ~ ~~ .~ Qj .
, .
.-< ~
,.... oS Q) Ul .
0- 0 :; Q I ...
f.... p: ,,.. .
I ~ u. .-< J 5
.-I .... ~ 0 . "" 11.0
N ~ ~ 01 ~
~ <( Ol\ u i:
z
o Q "
:! - ffi ~ J
*
Go ."
"
- ..!
0 ~
I . -I ." ...
... . .
I . d .. .
... ... GO
c~~r
~,"Q
KS~~
8
~ i
T
o
N
;
1.$- - J lfo
(!.,.,
/1
"!V-l'OO~X.(t.Cln
OJ.:l"lc':IAl us, 0"'11..'(
REV-1600
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FlU! NUM8I'.Il
:n .. -2.L_
!
6
T
COMUOfjW!Al TH OF "iNNflYlVANlA
O!~AAn'INT OF "!V!NU.
011'1', .....,
~""IS'lJ 0 ~A 1712a-6fOl
Oil IINAM , !PUH,
--
OOHl
NUMBEA
COUNTY COD~
VllAI\
II"-;-br&nk ,p~~ 1~~lIi-'.~ .::~
~~ - -~. ~
UINrl
OAmmATlt
DATtci,-ii'R'T'H'""'
5-14-91 12-15-17
.. '---;OCII\'~ljfUTIWiVNiiMBe" !lHlSJUiTUAHMUit. .'flu\DI"OUl"'l,r.A,TllWTTH'rttf
n a _,~_~ __ _ _ _ REGISTER OF WIU-S
1.0liuIII.Ir\.tum 872' ~UPPNflltM'IA.hH" . < ......._-rTiR";,;indllrIlCllilm ~~t~~~11111Cl_.1Ir~U)
4. UrIIl',df:ttl.t;t &IL Futur'lnl".ucQ/Tl~HOml"lllllll'ltlld".'h"'l"12 \2"U) 0 S. ,.clurllli'~I.TuH'hUflnllqui"d
.. O,~c1'flt Died Tnu.tt 7, D,ot(fllnl M.I"tI,m,d '11VlI'I(l Thl11 ._?C; t. Totlll Nlimbar or SA'" OllP03lt Box..
(Attll'lh c.opy of lMm IAMAlOtI copy at i'tuaf)
09. 1,11Igltlllnl"rocofld,f.l'l;9iVta 010. $P~U"'I~ov'ftY'Cr..(ht 0 11,Ere(;tIIlJltQtllKUn~"8tC,Q"SlA)
_< !~~~~.!.!~~ U'~l-'t IIId lw\"9ftJ .. (AltAl,h f!FhOJ . __
lllI8~'!!!!!:.MUST 1IIl.~_~ COAAIlSPOMlEHCE' Cl?fll'IDI!NT1AL TAX INf'<llWII.l1011stlQuWlIIf) DIREC'nlD TO:
NAM! COMPtI':Tf MAILlNQ 1\00"11'58
eff:l:e $. CohiCk
FIJiM H"Mf (If ~p;;;'b!;J-'--
,etate Sett.lement Sorvicee
Tli~!"'HONi~iiR-'---.'
o &
~ n
; ~
T
90 Alexander Spdng Road
arlisle, PA 17013
41
(J~f1ICIAl USE oNr..V
~
P
I
T
k
T
b
N
1. RMI!.IIolo ($ohedulo A)
2. Sl0d<8 and Bonm. (SCIltdllle Ell
3. CIoMiy Hold Corporlllon, P_hip or
Solt-Proprlolorshlp
4, MongJlQ>M & Notes Ro.:tivftble (SChedule D)
I. Cosh, lIant< llepoW & M_.""""s Personal Property
(So'*lukl E)
II. Jointly OWned Property (Scht\dulo F) (I)
7. I01"'.V111OS Translwn & Mlecellonoouu Non-ProbAltl Property (1)
(Sohodulo G 0/ L)
I, TmoIGnlUAuela (1otll Uoos 1-7)
t. Fun....1 ~""'" & Adrr;nlstra~ve Casto (SChedulo H) (9),
10. o..bls of Decedent, MortgaO" Uablllti<li, & Uens (Sohedulo I) (10)
11, 1"oiiii DacIuoIl<)f\8 (Mal Un... 9 & 10)
12. Net VIIIu. aI &we (Uno 8m"". Line 11)
13. Chorllablo an<l Gov..nmomAl E!<<lueetsl5ee 9113 Tru818lorwhlch an o/OO1lon to tax has not bOlln
made (Schadu'" J)
14, Nat VakAa !l~act.!!' TfJe (Une 12 ",n", LIne 13)
15. _01 011..9 14 tfJ<MIe at
me ",,0_ l4lC ralO
Seo Instrue1lo". on P0Q8 2 for ftPl'llcahle poroontogo
11, Amount OHM 14 tfJ<ablo .'11% r"'" 1 0 , 0 5 2 . 0 0 X ,00 (1.)
17, Arnall"! of 11".,4 _e oj 15% rote X ,15 (11t
~~~ ~
It.DJ1fIJii!\!l~~__~ _-;----
;: ',', ". . L~,.1IeIURETOAIlllWEPlAU..~0III\0NPAGli'2ANtI'mRECIlfCKMA'nt,..
651.12
651.12'
(1)
(2)___
(3)
..!
(4)
(5)
11,077.00
(I)
11,077.00
225.00
(11)
(12)
(1St
22~....QQ.
10,85 .O~
-
.JI4)
10,852.00
X
,0
(IS)
U"d.r ,,"llltl' ftf ptrjl4ry, I d.9iltt u,., IllIvt tMlmlnltd 'hll tttufn,lneludinQ aCl,'ompanylnallellldulllllllltl $",."'t"1II, ItH~ tel thl b.~t 01 t.'l'f ~nOw!.d". .nll blti.f, tti'tll,lt,
carrtl;landcolllplttt, O.r;Luatj,," 01 p~.tt' tither 1""( Iht ptnorYIl r.""..n!.a1ivtlJ; bu.d on ...lIlnfnrml,th,ln 01 wllich ptlj'llr.r Il~ folly I,,"OWltdOI.
SIGNAYURE or ,.eR90N R~SIfONSleL! I'on jI'L1NClIIIITUAN ADOFlf.83 54 1 Conodoqu i tie t Avenue
~~!: ~ .i. ':.l}.. ~!_ _ _1?~.. ~:~ 9;1. ~.... __ _ __ _........... _" ___
(
c.,
ADDRESs":f90Alex<\nder spr"mg Road
~~~~A~.l.';lL~~." ~."'!.9P.. _ __n.. ........ _'"
OAT( ~
;;:.zJ/ '? f
DA.n
0Vff'
Fllfln AEV'.1500 EX ("Ilv, '.-If)
\
GEORGE W. REAMER
,
SSN : 000.00-0000
DlCOClent'o Compltto Mdr8d:
. mF.J!T ADORESn --.---.-.--..
-.!.2~d ClEcle~.,_B
CITY
_~rlisle
TlIlt Plymonts llnd Crtdll*:
1, Tax Duo (PIQO 1 Unt tel
~_ cmII\IIPIf/lllIlIl1$
A. SpoullOi ""\Hll1y C~
I. priOr paymonltl
C. OIilOOUIl\
$T^TS
PA
ZIP
17013
(1)
651.12
TotllCfedl\ll(AtStC) (2)
l, 1n1lllIlllPtnllly" appllt.able
D.lr_
f.PenIlly
lotallllUlllllllJP,nIlly (D t Eo") (3)
4. "Uno 2 W gr1lct.. \hllllllne 1 t line 3, Oll\tf tho dift..onne ThI.1o \he OWIIPAYMEHT,
Ch~ boX OIl PJllJ'I' 1 U...l' \0 .-quM1 a rol1lnd (t)
5, "line 1 . 11M 3 10 g....1er then line 2, .nUll' Iho dlffomnr.o ThI8 10 tho TAX DUE. (I) 65 :l.'TI
A. EnlIr tha Inter'"' 00 tho II>< duo, (liA) _ 58 . 6 0
B. e_ll'otlOtII 01 U085t 51\, This Is tholWANCE aUf, (58) 709.72
Mak. ChKk 1'ayU>1.1O: REGISTER OF WILLS, AGENT
!\!lmffill\llmlllm!m~lmlm!mlilmmmmllili!liil!1111!II!immil!!ili!liillil!lill1i;!ill!!!ii!!llilii!lli!illiiii!lll!ii!iliilIliilliliiillli!lilllllilillilll!IIIIi:ilii!I!I!lllllillIliil!illl!llil!lii!I!!!i!I!!!!!!!!!i!lll!i!l!I!!lll!1iiiill!!!!!!!i!!I!II!!:li!II!!!II!I!!II!!!!II!!!!!!!!ill1!liil!I!I!!I!!!lll!!!III!!!lllll!l!i!il,l:!,!!;l!!,l!!
PLEASI1 ANSWER THE FOU.OWINO QUESTIONS '
BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did cloooOdeOI maJ<Q . tton$!or and: V.. No
e. reclllothoU$OOIlneomeotlh8pmporlyVllIllllllrrod; , . . , , " , . ' , , ," '~ ;
b. ~ tt10 right to da$lgnato who shllil use thO propNty trnollferrod or lUi IClCQfT18i ' ' , , , , X
Co rellIln.'""""'ion.ryln1et'05l:or...... "",."...." ..", X
d, reoeMt th<l pmrriM for 1"0 ot lllthar PllYmonl:J, bllnofiUI or wo? , , , , , ,. "",'" , . x
a. "dMIh oec:urrGd on or baloro Deeembor '12,1982, did doeedent wilhin two yom preceding d.ath
tJlMfer property w/thOUl roooMng .<ltJqul'" conoldor.l1oo? II ""8th occurred atI<< oecomber 12,1$82,
dld doooclenllTn1er property wltI110 one year ot deeth withoUI rOC<llvlng a<l6quato comldol.tlon? , ' ,0 [E]
3. Dkl dIlr.adanl OWl\ .0 "In tru.. for" or p.y.1lIa upon d08lh b.n' oooouol or .ocurrty .1 hi.
ort,...dQmtll'l , , , , , , , ' , , , , , , , , ,. """", ' , , , , , , '
4. Old IhIl dllOedenl own en Indiuldulll r.tirement """"unl, oonullV, or olltor ""n"probata pmperty? , , , ,
8~
IF THE ANSWER TO ANV OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PARi OF THE RETURN
1!!IIIM\~imm:I!lmllll!!111!limll:W~ilimllim~~~~ll!i!lilil!!I!lll!!ll!iil!ll!i!I!!!!!ll!l:!!I:!!I!!!l!!!!l!l!iiil:lill:!I!lill!II!IIII!I!llili!!IIII!I!!!III!I!I!!!1!11!!lilii!!lllllllli!!!!lillllll!lllllli!lllllllltiii!iimml!!!!lll!!lli!:II!i!!I!::!!:!!!!!!lill!ii!li!iliil!:'ii!liil!ll!iiil!llmiili!lilll'I!II!!l!iiiliilll!il!I:I!i::m"llii:i:
71! p,!I,!olotIon .118 (.) (1,1) (I) pro'lldl<l for tho ntdUC\1On of "",tal< r.'. Impo""d 00 the nel yaluo 01 transl.... to O! for ",e u"" oltho surYlYlng spou"
from 8% to a% lor _ 01 de8Ih 00 or al18r July 1, ,.904 .nd belOlO Jonuory 1,1095,
72 1',5, SOCIlIon .11e (0) (1,ll (l) proYlded tor It.. reduction of tho ra'. Impo..d on the 00' VOll'" ot Itloat"'8 10 or forth. uM ollho ,uNiYlng apou..
110m 3% \0 0'l40 lor d_ 01 death on or ""or JanulfY " 1995 Th. 'tltule fl1.OO.....Jl9-\~1 . tranater 10 a SUNNing 'POll" from toX, and the 81...,tOry
lllqIlir.monlS for dlsclOlUrI at """"'" ood filing. IIX r.\Urn Ifa 81111 oppllcabl. .,,'" rt Iha ,uNlvlng 8pOU.. "' \lMl on~ b<lnoficlory.
!'Oft M~ Of DEATl1 ON 011 AFTER JANUARV 1, 1115 - I'IoMe aoswer Ihelollowlng qu.otlon by placing on ">I' in tlta opproprliM spoco,
DId ... dlIOOdont ..... .lN8l or Ilmllar ~ wlIIch I. ..,I.ty lor tit. Ollrvtvtl1ll opo.....'. -'II for hi, or her enUre moll_?
v"O Ho~
tf y(lU anlW8f8d yes 101M tbove qlleation, tho tax (.In ,he tru$'l or simllw nn't1l1gement I' postponed unUl the denth ot \he fllElCOrld spouse. a' WhiCh time
"wIll Do My WabM ct lite r.1o(8) oppllcab1o to IhIl ,.malnd", bllo.liclwy(Ios). EnlG>' lhe yalue ollhe tnJst 00 Sc/tOdulo J, Po" 11, 10 or de< to ,"""yall
Imm tIl8 calcUI..on of tnlI II)( We In IItIo llSII1tl. Vou mt"i willh to fila Scltadula 0 In order 10 mM.U18 oIo<o~on lyollabll under SIoIloo 9113, "lite
oIacIIon Ie made, 1/tO \lU81 or oImilar ....ng.mont wll',h bllnofi1B tho 8UMving OPOUOO .. toxed el the l.ro I.. '01., and the rtmolnder Is taxad at 1ho
rlll(l) IPPIt>IIllO to tho r........ndlo' bfJnIliOlary(KlS), ~ you _10 mal<O II'" oIocti<'o, you rrtU'lllllCh SchOdU'" 0 '0 · timaly..Nod "", NlUm, along
wI1h Sc/tOdllle(e) I( .nd/or M 10 ardor to .hoW the appor1lOnmtnt ot 'he tnJ9I or .lmII", .....ngc;ment boIwooo tlJo .,,,vlYlng epoUII and the romolnder
IlenoftQary(\H),
C51 Farm REV-1600 EX (flIV, 1-1U)
c= __A.DUn~ Ro.lttilr---
MAKE CHECK P^YABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLANO CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~
R E ij:: iS47 - Eie. AFP-- i' ii '9-= 97r HeificE' OF - i"NHEifi f A NC Ii' YA x. iiii piiiii S EtfriHT ~.. A i.low Aiie ii' OR........ - _. . - _. __
DISALLOWANCE OF DEDUCTIONS AllU ASSESSMENT OF TAX
GEORGE W FILE NO. 21 97-0441 ACN 101
If an assessment ~'as issued previously, lines 14, 15 and/or 16, 17 and 18 will
reflect figures that include the total o,p ill returns alSBSsed to date.
ASSESSMENT OF TAXI
15. Amount of Lina 14 at Spousel
16. Amount of line 14 taxable at
17, Amollnt of L in. 14 taxabl.. at
18. PrincIpal Tax Due
BUREAU OF INDIVIDUAL TAXES
INlIER 1 'ANCE! !AI( IIIYISION
!lEI'I. 280601
IIAARISI!IURa, PA 17128'0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INIIERIIANCE lAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
JEFFREV S COHICK
390 ALEXANDER SPRING RD
CARLISLE FA 17013
DATE
ESTATE OF
DArE OF DEATH
FILE NUMBER
OOUNTY
ACN
05'11-98
REAMER
05-14-97
21 97-0441
CUM8ERLAND
101
ESTATE OF
REAMER
TAX RETURN WAS I I X) ACCEPTED AS FHED
CIIANOED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. Real Est.t. (~ch.dul. AJ
2. Stock. and Bonds (Schedule 8)
3. Clouty "aId stock/Padne,..shJp Interest [Schedule C)
4. Hodgagu/Notu Receiyable (Schedule 0)
5, Cash/8ank Daposl\s/Hise, Personal Property (Schedule E)
6. Jointly Owned nropYr~y (Schedule f)
7. TI'B/lst..rs i ~chedule G)
8. Total AssIt*'
III
121
13)
((t)
IS)
Ibl
(7)
,00
,00
,00
,00
51.505,00
14,357,96
.00
18)
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Funeral Expanu./Adm, Cosh/Mise. Expenses (Schedule 10
10. Debts/Mortgaga llabiliiivs/lians (Schedule I)
11. Tobl Deductions
12, N.t Vdue 01 Tax Ret.urn
15. Charihble/Govflr"",ental BflquflSh; Non-elechd 9113 Trusts (Schedule J)
14. Nai Value of Entat. !iubject to fix
3,892,12
(9)
(lPI__
410.J!.ll..
III )
(12)
(3)
(4)
NOTE I
rai.
l,1n.al/Cless A rat.
toll.teral/Cle's B r.t.
115) ,00 x,OO,
116)-61,560,76 X ,06,
1171 .' ~ X ,15,
(8)
TAX CREDITSl
---'-'-'-...--- _.~_.~------_._-
PAYNEIIT RECEIPT
DArE NUMBER
--'oFj r:9S- -----iiii269nr---
DISCOUNT (')
INTEREST/PEN PAID (-J
,00
AMOUNT PAID
3,693,65-
-------..-..--. -
BALANCE OF UNPAID INTEREST/PENALTV AS OF 02-18-98
*
'lH'HU.H IU.I1,
GEORGE
W
DATE
B5-11-98
NOTE: To in.ure propel'
credit to your account,
submit the Upper portion
of this forn wi th your
tax pay",.nt.
65,862,96
4.30? ?O
61,560,76
.00
61,560,76
,00
3,693,65
.00
3,693,65
---------~ --~
TOTAL TAX CREDIT 3,693.65
BALANCEOFTAXDUE ----~OO
--------.--.- ---------
INTEREST AND PEN. 2,74
-.__._---~--_._._-_.. -. .
TOTAL DUE 2,74
----.----..------ --------~----
, If PAID ArTER DATE INDICATED, !IEE REVERSE
FOn CALCUlAl10tl OF ADOlllONAL INTFR..T ,
IF TOTAl. DUE IS LES!i T11^~,_ $1 ~"NO f1IWH,~NT H nr~lnr".'J
...
E--~.-'''''''A~olJnt .-Re"itted :3
~-""",-=--~~---=...:",,,,,---==.=--
~-._."..~._._-_._-------
MAKE CHECK PAYADLE AND REMIT PAYMENT TOl
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG TliIS LINE ... RETAIN LOWER PORTION FOR YOllR RECORDS ~
riEV.7is4-j-iiCAFP"ioF9'1riii'ificEnOF-YNHEififiiN"ClrTAinppiiiiYii!HEiiT~'.'An-ciiiAifcE-jfrf-m----_.._--- ---
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
GEORGE W FILE NO. 21 97-0441 ACN 101
15~ I cf() -II
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TA~ DIVISION
DEPT. :taObOl
...mU$~URa, PA 1712&~0601
NOTICE OF IHtlERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT Of TAX
JEFFREV S COHICK
390 ALEXANDER SPRING ~b
CARLISLE PA r7~13
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
03-29-1999
REAMER
05-14-1997
21 9"/- 0441
CUMBERI.AtlD
101
ESTATE OF REAMER
TAX RETURN WAS, I X) ACCEPTED AS FILED
) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VAL.UE OF RETURN BASED ON: SUPPLEMENTAL RETURN NO, 01
1. R..l Ellt.t. (Sch.dul. A) (1)
2. stocks and Bonds (Schwdule ED (2)
3. Closely U.ld Stoek/PertnGlrship Interest (Sch..du!@ Cl (3)
4. Kort".V8s/Notu R..c.ivab1e (Sclw.dul. D) (4)
S. Cash/Bank DIIPosits/Hisc, P6rsonol Pr'operty (Schedule E) (5)
6. Jointly Owned t'roperty (Sch.dule f) (6)_
7. TrWlsfers (Schedule G) (7)_"
8. Total A...ts
,00
...QQ..
,00
,00
11 ,077 ,00
.....Jl.!..
,00
18)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Cosh/Misc. Expenses (Schedule H)
10. Debts/Mortgage liabilities/Liens (Son-dulA Il
11. Totlll1 Deduotions
12. Ntlt Vah... of Tax R.turn
15. Ch.ritable/Governwent.l B.que~tsJ Non~.l.ct.d 9113 Trusts
14. He'l Value of Elltat. Subjeot to Tax:
19)
IlO)
225,00
.00
111)
112)
(l31
(l4)
(Schedulo J)
If an assessme~t was issued previOUSly. lines
reflect figures that include the total of abb
ASSESSMENT OF TAX:
1~. AMount of Lins 14 .t Spou~.l r.te
16. Allount of till8 14 taxabla .t Line.l/Class A rat.
17. AMOunt of Lina 14 t.xablo a.t Colbt.r.l/Class 8 rat.
la. Principal Tax Dua
NOTE:
c
*
'n.au n An U..tl1
GEORGE
w
DATE 03-29-1999
HOYE I To insure proper
oredit to your account,
.
sub.it the upper portion
of this forll with your
tax pay.ent,
11 ,07~, 00
n~ on
10,852,00
,00
72 , (il2...:..Z2..
14. 15 and/or 16. 17 and 18 will
returns assessed to date.
(lS) .00 X ,00= ,00
(l6)_.-ll,412,76 ~,06=- 4,3(14,77
(17) .:!!~,15=__ .00
118) 4,344,77
TAX CREDITS:
PAYMENT
DATE
02-17-1998
05-15-1998
01-26-1999
RECEIPT
NUH8ER
AA269764
AA270090
AA324541
DISCOUNT (+)
INTEREST/PEN PAID I,)
,00
.00
57,28-
AMOUNT PAID
3,693.65
2,74
709,72
TOTAL TAX CREDIT
~-_..
BAI.ANCE OF TAX DUE
-------
INTEREST AND PEN,
TOTAL DUE
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
4,348,83
4.06CR
,00
4.06CR
If TOTAL DUE IS lESS THAN $1, NO PAYMENT IS REQUIRED,
IF TOTAL OUE IS REflECTED AS A "CREDIT" ICR), YDU MAY 8E DUE
A REFUND, SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS.)
/5~/,V{)-/1
COMMONWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
BUREAU Of INDIVIDUAL TAKES
INHUUUNCI: lA)( IHlJlSION
Of111, <'!IOflOl
...Rfl I S8tJRG , JlA 11128-0601
NOTICE Of INHERITANCE TAR
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
Of DEDUCTIONS AND ASSESSHENT Of TAK
IIATE
ESTATE OF
DATE OF IIEATH
FILE NUHBER
COUNTY
ACN
E~~-~A.~_~__R~~]=~~~-~]
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE .... RETAIN LOWER PORTION FOR YOUR RECORDS ~
R 'EV: iS4? - i!x - AFi>-' [0'9': m - "iloYi eraF - YNHiliiifiiiiC' E - 'fAx - jfpPRA":i" sE;.iENT', - - .H,l.'OWA'Nc E' iiri - - - - - - -. --. - - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
GEORGE W FILE NO. 21 97-0,.41 ACN 101
APPROVED DEDUCTIONS AND EXEMPTIONS:
9, Fur.a....! Expanses/Ad"'. Costs/Mise, Expenus (Schedule H)
10. nebts/Mortgage Li8bilities/Lhn. (Schedule XJ
11. Total Deductions
12. N.t V.llle of Tax Return
13. Ch.",U.bla/Gov.rnIlMntlll Bequests.: Non-ahcted 9113 Trult. (Schedule J)
14. N8t Value of Est.t. Su"ject to Tax
JEFFREV S COHI CK
390 ALEXANDER SPRING RD
CARLISLE PA 17013
ESTATE OF
REAMER
TAR RETURN WAS I (X) ACCEPTED AS fILED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..l Est.te (Schedule A)
2. Stock. end Bonds lSchedule 8)
3. Closely Hald stock/Partn.r~hip Inter..t (Schedule C)
4. Hortgages/Not.. Receiv8ble (Sr.h.duIM 0)
S. C.sh/S_nk DlIposUs/Hhc. Person\llll Proptilrty (Schaduh E)
6. Jointly Own.d ~rop.rty (Sch.dul. F)
7. -rransf.rs I Sch.dule G)
8. Total Au.ts
NOTE:
If an asseBsment was 1sBued previously, lines
reflect figures that include the total of ~
ASSESSMENT OF TAX:
15. AMount of Lin. 14 .t Spousal
16. "..ount of Un. ll't taxable lit
17. All'lo\lnt of Line 14 t.xabl. at
la. Principel Tex Due
TAX CREDITS:
-~-_..-. ~-------..__._.._~
PAYHENT
DATE
02-17-98
rflt.
lin..l/Cla,s A rat.
Coll.ter.l/Cla.1 S r.te
RECEIPT
NUHBt:R
AA269764
DISCOUNT 1+)
INTEREST/PEN PAID I')
,00
BALANCE OF UNPAID INTEREST/PENALTV AS OF 02-18-98
M If PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION Of ADDITIONAL INTEREST,
05-11-98
REAMER
05-14'97
21 97-0441
CUMBERLAND
101
CHANGED
U)
(2)
(!)
(4)
(S)
(6)
17)
.00
,00
,00
,00
51.505,00
14,357,96
,00
IBI
--'
,
*
(9)
UO)
3,892,12
410,08,
UY.Ii" (III' llt-'II
GEORGE
w
III )
(2)
U!)
(4)
DATE
05-11-98
NOTE I To insure p-roper
oredi t to your acoount J
sub,lit the upper porHon
of this for" with your
tax paynent.
65,862,96
4,30220
61.560,76.
,00
61,560.'16
14, 15 and/or 16, 17 and 18 will
returns as.eBBed to date.
,00
3.693,65
,00
3,693,65
3,693,65
,00
---
2,74
2,74
IF TOTAL DUE IS LESS THAN '1, NO PAYHENT IS REQUIRED,
If TOTAL DUE IS REFLECTED AS A "CREDIT" ICR I, YDU HAY BE DUE
A REfUND, SEE REVERSE SIDE Of THIS fDRH fOR INSTRUCTIONS, I
US)
(6)
(7).
,00 R .00.
61.560,76 R ,06.
,OOR,15=
liB)
AHOUNT PAID
~------r; 693 ,-rr-
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
---~--
TOTAL DUE
'plllln~110 ~ un. .u"'llJ, ,luoU,ppe '101l0,,:
l'4l yO UftO'4' Illp UOUIlnd!to, l".IlluI 14l .I1U' 'P'. 'I lUl.~Id 11 '~UIl.""" 'lll jCl I,'p Inn pUOJllq
.Alp (It) uel"lj Dl ~".,no,.o "I.lI,UI ue lO."I., "I" lUlnbUIIIP "IOOlq Xll 14' "1"1 pin.., IOI,oH ~uy"
104OY4 ~1313~NI ^'IVa X ~N3nDNI'3a lAVa 40 131NnN x alYdNn XYL 40 3~NY'YI . ~8313~NI
11"0110' .. pI\llnOIU3 '1 '''''I'Ul~T
"I"" ro6 "61-0061 I:I/.ZOOO' 1.01 91161
161.00' r.L "661'5:661 9~~aOO ' Xii SUI
l'IlUOO' 1,6 Z661 10tDOO' 10ft 1:11161
tOuOO' Y,U tOOt-IIOI fI~I:IOOO' Y.9t n61
lllZOOO' roo ll6t 0,9000' ro'l 186t
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ID 1'1.1 14' "t ,"J.,llt J..q n6t 'T ".,lllUIr 'JOjIO ,UlnbUII'P ltINotq 1l0{4" ..n! ,u,.".d '0 l'lp 04\ 0' '4l1lP
10 '"'P 14l 110.1' "'P (1) IUO putt '4\UOI (6) lUlU .I(l ~AoUlnbU11'P fO "IP ""If 4lt" DUluulhq p.DJ.ll3 '1 '''.I'luJ
11UUIHJ
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UOllld101lJld.UOU 1'41 'POt.l.d A,Ie....a Kill' 14' '0 JlUI '4l .I'UI Alp ll.lft '4. '9661 'VI JI.lIIlUVr l"Of.q Plld
\OU put ,p....... l""8'U, puI Xill '~n fO I'lO, 14\ 1.10 P,.ndIIO:l .t Jlltlued UOll.dl~n.l'd-uoU Al...... u, Y.SI '4!
'PI,,0'18 ., PI'd XI' 14l
fO \unoO'IP (l,S)lutOJld '^I' 8 '4,I'P '"U'P'3IP '4l .,Ilf' '41~ .IIPUII" Ii) ".14' U14ll" Plld II .np XIl "ut II
'..10.1.,. 'tqv'I)t)J.l03 JlI'I'I1\It.ll'llllIPI 10 UOO'll8ldMI UI .Iof (lOljl'^3~) ..\Ulpl:'IO
lUlpl"~1 JOf UJnlltl M'l I3U8HJI4UI .101 luot\onJ\lul.. ,'IJoIooq '4' jO Ii ee8d lIS 'ljO!i9-llll Uli) lUOlfd
1090-flUll 'd 'D.lnq'IJ.l8H '1090Vl 'ld.o 'Hun ",,^.tI ,U""''', ,'Od INln' 'nnl l'I\PI"Ipul '0 n".,na
'tnUll'lltI jO lUIN,JldIO Vd 10' eUI'fJ~ UI p....Jppe Iq Pl004' ,u.......e '14l 1.10 PI.l,^oo'IP ..10....1. T'n,'e~
Ill! 1VN3d
I lHnO'S 1 a
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~U'tllSl
NIWaV
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HD, 'tzot-gZU1.d ID.lnq'IJ.lIH 'uouz "dlO "lllllddy :to p....og 'enul^'~ :tCl lUMp.d.O Yd '4' 0' ,"\OJd u'l\l.l".~
l/liq 10noN '11of'
fO ,dll~.J 10 .tilP (09) JI'MIs 1.114\1" ,o'rqo llt1tl '31\0'" '14' UO Wl041 II U"JI,ut .10 1unoollP DU,pnIOUfj MI' fO
\UI....... ..0 '.U01\OnplP 10 eOU8"olll'fP .10 101.18"0118 I,UI..1I1IJddv '4l 4U" P'U'H" lClU ,..JIlYI VI 1\,.Iud JluV ISHOUHrllO
'(JI!UO P'.I18d111 eUTJ8'H~ lSilZ.Zll (lTl) 1001 'lI60V.llI.l (lll) ..JIiI D.,nqll.1...8H lnol u14H"
put 81U1^I~IUU8d BPI"hO 'OSOZ~l9~-009'1 ',UU^I"'UUld 1.11 ISU1JIP.lO I.JO:t JO* I".q~u 1'11'1.11' DUIJ'~IUI
.In04-,2 tllOld. 14' DU'11'~ Aq olD "'~I"O lOI.l.'IO InUll'lltl ~Z '4' '0 JlUo '111'" '0 .I1'ltBltI '41 '0
101110 '4' 'II .tqll,,11'I1 ....8 .UOTlRoI1dd, 'lliTit-MtI) "KIl 1'1"3 '"" 10VI\t.l'4Ul I,U'^TA'UU'd 10 pun,.tI .10'
uon.ol1ddy.. UI IIU1\'ldw03 Aq PI,Unbll., .q JI.1lI 'uJn,'~ ICIl 14' UO p.,"nbl.l .ou 18" 43J1~~ '\tPIJ~ M'l I '0 pun..", Y l(tI'l ONnntl
J.N3DV 'S111" .:J:O tl3J.SID3H 10l 'lqvJllld J.P.lO JI.uo. .10 101014' IlljIH~-
'IPI' I'.I.^.J '4' 1.10 P',UIJd '11'" 10 .I',I,S'ij '4l Ol luetJlld Jno~ 4't" l,'qn. pue "'lON 1141 10 uOl,.I0d dOl '4' 4'8"0 11N3WllWd
'IO"161.10IP'5
'S'd Zl) '5661 10 tZ toy ''oW X_! '18l'3 pOI '~U.l'J'4YJ 14' '0 O'tl uOl'o.S 10 .'U....Itnb..1 141 111'lnj 01 13J1IOH
~O 3S0dtlnd
"".I,,Ul ..In,n, ~'n. Jlue uo '.IJ (ta.l'lutID') B ".I~ In'''81 14l 'I
IIICIl .OU8l1J.lfUl ...,.ue.l" 1I1Il..1 pue li'IIJddt 0' ~401'" 14' ..^.I...... ~1...Jdle. Aq.J'4 ~H"I~Ut)IIIO:) '4' '..11." JOI .10 'H'
JOI -ll'" AUI 10 UOIlI.lldXI '41 ....".. lU'P,Olp '4l 10 ..,.,ltOl,lUlq (111.1"81100) B 1"1' 0' \u'.~orUI "0 UOI.....od UI
PIJ.I"IUlJ' II 'lR1" _4' 1.1' ll..I"ul 'In,nf ^UV ., -. ZV6t It I J.qelola 'JO~lq ...0 uo uUfJlP "Ulpl~lp 10 "ll,13 INOI1'^tl3S3~
0'1 ;;~
0J!l r:"!
0 ,)
;i;~ l'Z 1 ()
N "
'-., .- ']
tJJ (v ~ "
CI vI .J)
0&' '.0
t.l ~ ~a
Q)
CC
1-'/_/ /'e)- /1
COMMONWEAL TH OF PENN8Vl. VANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
c---
*
BUREAU OF INDIVIOUAl TAMES
IHtIERlTANCf TAM PtVISIOH
DEPT. 200601
HARRISBURG, PA 171Za'0601
In.I'.'" ". (l1-"l
JEFFREV S COHICK
390 ALEXANDER SPRING RD
CARLISLE PA 17013
DATE 07-14-1998
ESTATE OF REAMER GEORGE W
DATE OF DEATH 05-14-1~97
FILE NUMBER 21 97-0441
COUNTY CUMBERLAND
ACN 101
C~~_~:I_=
MAKE CHECK PAYABLE AND REMIT PAYMEN'r TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE 1 To in.ur. proper oredit to your aocount, sub. it the upper podlcm of this fa,... with your t.x p.y..nt.
CUT ALONG THIS LINE ~ RETAXN LOWER PORTION FOR YOUR RECORDS ~
REV = iiiii'i-ix-iij:p-COY=9'ir----'iiii.--f NHERXYANC'E- - i iiif - S;:jiTEH'E-NYOF - iii:cOUNT' - .-. Ii-- - - - - --- -- --- - - - -, --
E8TATE OF REAMER GEORGE W FILE NO.21 97-0441 ACN 101 DATE 07-14-1998
THIS STATEflENT IS PROVIDED TO ADVISE OF THE CURREHT S'IATU5 Of TltE STATED ACN IN THE NANED ESTATE, SHOWN iElOll
IS A SUNHARY OF THE PRINCIPAL TAM OUE, APPLICATION OF ALL PAYNENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
b.. PROJECTED INTEREST FIllURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENTJ 05-04-1998
PRINCIPAL TAX DUE, 3,693,65
PAYMENTS (TAX CREDITS)J
PAYMENT
DATE
02-17-1998
05-15-1998
RECEIPT
NUMBER
AA269764
AA270090
DISCOUNT (+)
INTEREST/PEN PAID (-)
.00
2.74-
AMOUNT PAID
3,693.65
2.74
0 t~ 1;(
l.> R :JrL
_'!1 f'~j
1\:' . .
CO
N
~; ~)' I,)
13< " "
~ 0:: ~O
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
3,693.65
.00
. If PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN n.
NO PAYNENT IS REQUIRED,
IF TOTAL OUE IS REFLECTED AS A "CREDIT" ICRI,
YOU NAY BE DUE A REFUND, SEE REVERSE SIDE OF ~HIS FORN FOR INSTRUCTIONS, I
,00
,00