HomeMy WebLinkAbout97-00475
PETI1'ION FOR PROBATE and GRANT OF LETTERS
HSlal. oj IMNllL (j~ 11~1~f;llQ.t./lLl~ No, .--aJ:...!1J:Y7,)~-
also known al _..___ .___ 'fo:
____.._..__ .,_______.__._ Ih,lIler of WLlllajfllJllhel
_.. nlClQud, Counly o( r:IJW L1~I.7\N ) In the
Social S,cu,ll)' No, .J 72.. 0 1- 5865 __ ... ....___. . Commonw~allh of Pennlylvanll
The petition o( Ihe IInderslaned respectfully reprelentl that:
Your petltloner(I). who II/art 18 years of ale or older.aI1JI"H)(C(iQI_ nil nJ.!lled
in Ih.last will o( Ihe above decedent, dated __,.. ..S1ITtJ1l!.lJL!..'2 . IP~
and oodlr.lI(s) dated __~L^ - ,
-
-
(111'0 rolovonl clr.umltln..., I", "..nellllon, deQlh OIIIOOlllor, Ill,)
Dec:endenl WM domiciled al doath In CUMOERL^ND_ _ County, penn~lvlnll' wllh
I> I S last family or prlnolpal re&ldence at .J~ESS I^II.....tiWnr. 1 DO MT: All (, _
nR 1 VI, UPPER ^LLCN .IW~= ~g~~ ~EH~SX A
011t Ilreel, numbol and mun,lpallty)
--
Decendenl^ Ihen .Jk-- ~oars of a,t, died M^ Y 1 7 "___. I P 97
al ME~SI H VI~Lt\"C, ML~II7\NICS~Ur~GL ['11. " ,
a_cepl.. folloWI, decedent did not marry, was nOI divorced and did nol have a child born or adoJlle4
.her IMcullon of Ihe wll1 offered for rm~~atei was nollhl viotim of a kIlIJIIJ and WILl never adJudlcaled
IncomP4tent: _ '
Decendent al dealh own~d property with estimated valuel as tollowl'
(If domlolled In PI,) All personal properlY
(If not domlolled In Pi,) penonal property in l:'enmylvanla
(If nOI domiciled in Pa,) Personal properly In County
Value 0' r~al estate In Pennsylvania
situated as follow&' _____._._.. ____.JilltIE.
S 75,000 ..
$
S
S
100,000
WHEREFORE, pedtlofler(l) respectfully reqllfil~) thl ~roblte of Ihe lasl will and codlcll(l)
presented herewith and Ihe arent of lelle1l.... rES AMEN RY
(IOUlmonlllYi IdmlnlSlrll\on c...." Idmlnllllltlon d,b,n,e,t.I,)
Iheron,
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s LANt.J!J&mm----~-.
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~ING DRIVE
. RG, PA 1 Z055
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEU:J'II OF PENNSYLVANIA } as
COUNT\' O}' ___.~li,'10ERL^ND __
The petlt1(\l1er(g) abovc"namcd swear(s) or .fflrm(s) thlllhe Ilalements III the fOlcaoln. petition are
trUI and ootrect to the bell of the knowledce and beUef of petltlonor(s) lnd thai ILl personal reprUIIl-
I.tlve(s) of lhe above deeedent l'c:itloner(s) will weiland lruly administer the eSlal. aecordln, to law.
Sworn :0 or affirmed Inn lublcribed {.. .I X~'" ({.. ,7, N, ,
before me this 2/111 d~~ of S, L~NE' IIOS TE TTLR
r,1AY~..____ 19.
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CERTIFICATION OF NOTICE. UNDER RULES. 2J..!l
N4Il\e of Decedent I DANIEL G. BURKHDLDE8
Dllte of Death: MAY 17, 1997
Will No. 1997-00475 Admin, No.
To the Register:
I certify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to
the following beneficiaries of the abovEt"captioned estate on
6/g/g7 I
~
Address
VALLEY OF HBG , PA ANC I ENT ACCEPTED SCOTT ISH RITE
2701 N. 3RD ST.!..I-HARRISBURG, PA 17110
EUCLID LODGE #698 3131 ELM STREET, HARRIS~UR!h.PA 17109
THE SHRINE CHILDRENS HOSP 2801 N. 3f\() STREET, HARRISBlIRG, PA 17110
GRACE UNT I D METH CHURCH 309 HERMAN AVE" LEMOYNE PA 17043
Notice has now been given to all persons entitled thereto
Ruie 5,6(a) except
CONTINUED. . . . .
under
Date: 6/9/97
. >>~..IL ~~:~~
Signature r
'()
~'
"
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Name ~ERALD J. BRINSER #09655
Mdress 22 N. RAILROAD STREET, P.O. BOX
323, PALMYRA, PA 17078-0323
Telephone ( 7q 838,6348
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'Capacity:
Personal Representative
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Counsel for personal
representative
'<iF'''''''-.'--'
RA~MONO VEAiTS
ROMAINE VEAiiS
JOSEPHIME HIGH
6372.126 AVENUE NORiH; lOi NO. 3B, lARGO, Fl' 34643
4544 N. DUKE StREEi, FRESNO, CA 93727
MESSIAH VIllAGE. MECHANICSBRUG, PA 17055
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REV.1500 EX. (7.911)
/1, 1/1'/
J INHERITANCE TAX RETURN
RESIDENT DECEDENT
COMMONWEAlTH Of PtNNUlV..N1A (TO BE PilED IN DUPLICATE
H~:R~:fJIX,Wnl~::, _ .""I!~.RE~I.STERnOF WILLS) . coU~:YCOOEn
ON'S N..MI (lAIT. flUf. AND MIDDLE INITIALI 4 O((fllUWfcoM"ffiTf"AOClUU
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'OR DATU 0' DIATH AnlR 12/31/91 CHICK HIRI
., " I'OUSAL
'OYUTY CRlDIT 1$ CLAIMID I I
,iiINlJ",e.R ' . -
97
YEAR
04 7~i
NUMBER
.--.....- -
I: BURKHOLDER, DANIEL .11.___. .,...._.
In ~OClAl $fCUAITV NUMUIt OAtf Of Of.ATl1 .["'..Of ",,"
III 172-01-5865 5/17/97 4/25/02
~__ ~~/~"'IJ '::NOI~OU'I.' N'M~JI"J.""" ""0 M~:"~~'~':.:Ic~A~j'CU"'YJIU:,,'
f- IX] I. Original Relurn [1 2, Supplemon'al Relurn
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~~g 0 4. llmll.d El'ale [] 40,
"t'" IXJ 6. LJ 7
20. Ill1n~ lQ 1$ greater Ihon Line 18, enter the difference on line 20, Thit Is tno OVERPAYMENT,
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ESQUIRE
TflEPHONE NUMBER
r1ESSIAII VILLAGE, 100 MT. ALLEN OR,
MECIIAN I CSOURG, PA 17055
C""[ 'M(~SW~R~~~~:::"O",I =:~_:::~__~.~...
'.') 3, Remainder Relurn
.. Ifor do'.. 01 death pr'a, 1012.13.82)
[] 5, Foderal ellott TolC. Return RequJred
~Q._ 8. Tolal Numbe, of 50f. Deposit 80.lUII
future Inl.te.I Compromls.
1'0' do'.. of d.alh afto, 12,12.82)
Decedent Maln/alned a Living Trull
IAllach copy 0 Tru"l
COMmn MAllINO ADOIIESS
22 N. RAILROAD STREET, P.O.
PALMYRA, PA 17078-0323
BOX 323
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1. Real Ellalo ISchedule A)
2, S'ackl ond 80ndl (Schedule 8)
3. Clolely Held Slock/Pcltln,r.hlp Inler.,' (Schedule C)
4. Mortgoges and Not.. Receivable 15ch.dule DJ
5. Cash, Bank Deposits & Mlle.Uon.oul Personal Properly
ISch.dule EI
6, Jointly Owned F"aperly ISchedule FI
7, Tranof... ISchedule GllSchedule li
0, Total Gron AUI" (Iolalllnfll 1,7)
9. Funeral Expon..., Administrative COlh, Mhcellaneoul
E'pen", (Schedule H)
10, Deb", Martgage 1I0blllll.., lleno (Schedule I)
11. To'al Deductions I'alallln.. 9 & 10)
12, Not Value af Ellalo ILlne 8 mlnUlllne 11)
13, Charllabl. and Go,ernmen'al B.qu.." (Schedule J)
14, Not Volue Subject '0 To, 11Ine 12 m'nUl l'ne 131
15. Spoula' Tranoler. Ilor dot.. 01 dea,h aker 6,30.941
See lnslrudlonl for Applicable Percentage on Reverie
Side, Ilnclude ,alu.. I,om Schedu'e K 0' Sch.dul. M,I
16, Amount of line 14 taxable at 6% ral.
(Include values from Schedule K or Sr,hedule M,)
17, Amount of Une 1A tallabJe 01 15% role
(Include values from Schedule K or Schedule M,)
18, Prlndpoltax due IAdd 101< from Unes 15, 16 and 17.)
19, Credils Spoulal Poverly Credit Prior Poymenh
___~_.~.__ + ~O~OD..
--.--.------
-~_.__.
11 I ____'___m_____'_.____.
121 _______.__~
13) ______.___
I 4 ) --__---------_.
151____.108,86L26 _
161 ___.___________
171 _ ,0-
11,168.50
682.44
181
1 08 , 86 7 . 26
z
Ii!
S
ie
.
8
S
{ 91
{lOI.
{lll
{121
{l31
{l41
11.8~~L__
97,016JL~._
24,254.08
72 , 76?...! 24
~
(l51 -.
___)(,_1:1
116) ______._____.____X
(171 n______~~"liiJ_,?_4__ X
,06 ~
, 15 ~
10_L,2,H..JL_
Dlscounl
+_ .4]]._68 _..
Inlerell
{l81 .____..JQ._n4.,,1L..~
1191 __ __..2..AZ.3...6.8_._ .
(201 _~_ __._____
ChNk IllH(.' ~f you me I('qu~~hng 'I ,efund of ,yo," ovcrpnymcnl '
121) _____n___L_44.Q,(iQ.__.
(21A) _________._______...__
121 B) .n__ ___.__....L.'L4Q_,.6P___.
21. If lino 10 is greoler Ihon Une 19, onler the difference on line 21. Thills Ihe TAX DUE,
A. Enler Ihe Interfoll un Ihe balance due on Une 21A.
8. Enler Iho tolol of line 21 and 21 A on Uno 211\, This is the BALANCE DUE,
Mnke Chtck Payablt tOl Rtall'" of Willi/ Au.nt
. ~ ~-'BESUR!;'O ANSWER-ALL QUESTIO.NS ON REV!~~IDE A.!'lD-T~ RECHECK MATH ..( .4( ',1:, ._
Under peflohlel of perjury, I doclaro Ihal I have ellumlned Ihll return, Including accompcln).'ing Ichedules and slalom,nh, and 10 ,he besl of my knowledge and belief
it I, true, correr,t and complele. I doclare ,hol all ror.1 eslole hot bean roported at trUG mcukel value, Oeclorollon of preparer other than the personal reprelenlalivll i~
ba~~. on all~ormall~~__~!_~!_I_~~_[l!.~P_~~~_~~~~~X~,~o_~!~_dJ1.!:__~__ ___",. .'.., _____, ____ ,___ _.._m._...._______...,_M. _ .~_.___,...~.__~.
::"1' ?~~~~: "sZf~:';~~~'~J:~," lU.'Ni7'~EJ NS'pR. I NQ,oB, Lf<1EClifl~ I C~B_U8G.L r.LLLo.~ L__. OAl'
sroNAru"m PRfPAR~R OTHfR/~~"'PRESW'ATIVE ADORESS D~--'_.---' --.,----.
-.~A~~t.;_CYl.;'!L"''1~ci-L P.O. BOX 323, PWIYRA, PA 170~8:03_23_u_n'n.__rJl:(r..l--
,
"'''"lX''''''' '* J J
COMMONW'~lTH OF ;'NNSVlY^,'" AD~~~J:;~~~;~1::'AND
IN'm:~,~1'Di~\S~;ll~_ ,~~~~ELL~NEO~_~ E~PENSES , PI.~. Pilnt or Tvp.
mATE OF . ~ NUMBER
DAM1EL G. BURKHOLDER 21,97-0475
--,----".- -~.~-_.._"...._..._-----.-.,....... ......._..........,,_....,...._-----,-~-
ITEM
NUMBER DESCRIPTION
AMOU~4T
A, Fun.ral EMp.n...,
1.
W. ORVILLE KIMMEL FUNERAL HOME, INC.
REV. J. ROBERT LEHMAN
6.00
50.00
2.
B. Admlnl.tratlv. Co.t..
1.
Perlonal Reprelentutlvo Commlulons
Social Security Number of Porsonal Roprosentatlve'
Yoar Commiulonl paid
182
22- 966
5,350.00
2,
Attornoy Foo, .. BRINSER & WAGNER
5,350.00
3,
Family Exompllon
Claimant
Addreu of Clolmant at docodont's doath
Street Addrou
Rolatlanshlp
City
Stato
Zip Code
4, Prabate Feos ' REGISTER OF WILLS 226.00
ADDITIONAL COST OF LETTERS .. REGISTER OF WILLS 35.00
C, MI.cellaneou. hp.n....
1. REGISTER OF WILLS - FILING FEE 15.00
2, THE SENTINEL .. LEGAL ADVERTISING 76.50
3, CUMBERLAND LAW JOURNAL .. LEGAL ADVERTISING 60.00
4,
5,
6.
7,
8,
TOTAL (Allo enter an line 9, Recapitulation) $ 11,168.50
(II mor..pac. I. n..d.d, In..rt additional .h..'. of lam. ...., I
//)-;,/3. /
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
RECORD ADJUSTMENT
e
'*
mUREA~ OF IN~IVIDUAL TAXES
INttERITANCE TAli DIYISION
OEPT, i!~a6Dl
HARRtsaURO. PA 11121.0601
UW-IUIU'" cn.tll
COLLEEN M, GREENE
1304 STRATFORD ROAD
CAMP HILL PA 17011
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
05-15-98
GREENE
09-28-92
21 94-0475
CUMBERLAND
101
RICIIARU
f'
E------.j
__._, AMount R..ltt~_
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WIllS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE I To inlun proper oredit tn your aocount, aublllit the upper portion of thh fUrll with your tax payn.nt.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ...
REV: iS9'3"i:if 'AFi'-- r ii '9': m'." "'iili' iiiHER YfANifi - i' AX -iiE'cciiiii -Aiij-usi'iiiNi' - -Ii ii- -,..".... ,."".,,, m...'" - --
ESTATE OF GREENE
RICHARD
E FILE NO. 21 94-0415
ACN 101
DATE 05-15-98
ADJUSTHEN'I BASED ON I
iiALUE OF ESTATEz
1. R..l hhto e Sohod\llo ^)
2. st~k. and Bond. (Schedull B)
5, Clo..ly Held stock/Partnlrship Irlt.,.ast <<Schedule C)
4. Hortg.g../Not.. Receivable (Schadul. DJ
5. Cash/Dank Deposih/Hillc, PI"lanll ProPlrty (Schedule E)
6, Jointly Ow"ed Property (Soh.duh Fl
7. Tranafars ISchaduh Gl
8. Total Assat!!
DEDUCTIONS AND EXEMPTIONSz
9. Funaral [xpan..,/AdMini.tratlvl Costsl
"i.ce1l.nlou4 Explnse. (Schadul. Hl
Dabts/Mortgaga l.hhiliU../Lhnl (Schadul_ Il
Total Dlductions
N.t Valua of rllx Return
Ch.ritlbl./Govarn~ant.l aaqu.,tll Hon-elected 9115 Trult.
Nat Value of estat. SubJact to Tax
ADMINISTRATIVE CORREC]]J1N
III ,off ~
(2) ,0 .',
(3) ,011 '-..
(4) ,0'0 ~
(5) 24 , 71 0,00 I
(6) .00 Ul
(7) ,ob ~
:tJi~) _4
;t;;'1 ~
a
::oil?
(D (")
(I~ ~.~
;1'
24iFO,OO
o
-
10,
11,
12,
13,
14,
TAXI
16. Allount of Una 1" at Spout.l rata
16. Allount of Una 1" taxable at Lin.al/Cla.. A rata
17, AMount of Una 14 taxable at Call.tarallCla.. '8 rat.
18. Principal Tax Du.
TAX CREDITS I
PAVHENT
DATE
(9)
(10)
11,002,64
858,29
ell)
(12)
(13)
(14)
11.860,91
12,849,09
,00
12,8~
,00.
770 , 95
,00
770,95
(Soh.dul. J)
(15)
(16)
(17)
,OOX,OO-
12.849,OlM,06-
,OOM.IS-
(181
05-2D-97
05-31-97
WRITEOFF
AA211405
,00
.DO
ANOUNT PAID-----~
247M!
770,95
RECEIPT
NUNBER
OISCOUNT C+)
INTEREST/PEN PAID (-)
BALANCE OF UNPAID INTEREST/PENALTY AS OF 06-01-97
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
770,95
,00
2,09
2,09
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
IF TOTAL DUE IS LESS THAN .1, NO PAYNE NT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOIl HAY B~ DUE
A REFUND, SEE REVERSE SIDE OF TtIIS FORN FDR INSIRUCTIONS,)
<-
'I) E
PAV14l!NTI
OltJOh tn. tOfi portion of thh Mcl,tlcift and lubIIlt wlth yourplypnt .edei ply~11 ~o the n... Ilnd idd.....
printld on th41 l'lv.r.. elM.
M" Hike check or 1I0nev ord.r Plvllbh tOI REGISTER OF WILLS, AGENT.
REFUMD (CRII . "fund .f . to. .r.dl'. .hleh .00 no' r.."ntod on .h. T.. ,.'"rn. ... h. r.."u..d h. oo."I.Ung '"
"Applle.Uon for R.fund of p.nn..lv.nl. Inh.rlt"'.. ""d E.'.'. To'" 'REV-!>!>l, APplle.lIon, or. ovallobl. .'
the OHlcl of thl Regi.tor of W1111, any of thll z:S RlvllnulI District Offl(181 or fro.. the Dllplllrtnnt" 2ft"hWr
anlw.rlng nrvicII nUllb.r. for' .forlll' ordllrlnlll In Pannlyivarllll 1-800-361,.-20S0, ouhlde Plnn.ylvllnl1
and withIn local Hlrrl.burg ar.a (117) 787M8094; TDDI (717) 77Z-Z252 (Hllarin; I.palrld only),
REPlV
TDI
QuIIIt1on. regarding error. contained on thh notic. .tlould be addr....d tOI p", DGpadllont of RI\I~' Bur."
of Individual TallU, AnHl pc.t AIIlDllI!IlIlInt RllVllw Unit, Dept, 280601, Harrlftburg, PA l7126M0601, PhaM
(711) 181-6505,
DISCOUNT I
If onY ... d". I. p.ld .I.hln \hr.. m "I.ndor ..n'h. .ft.r .ho d...d.n". d..'h, . flv. p.r..n' ,SXI dlae.oo'
of the tax paid i. allowed,
Th. ISX to. ..n.... non-p.rUelp.lIon p.n.lt. I. ...""..d on ,h. ..tol of ,h. to. .nd In..rn. .......d. and n.t
pald before Janu.rv 18, 1996, the firtt daY afte" the end of the tax aenuty perIod,
PENAlT't'I
INTEREST I
In..r..' 10 chorg.d ..glnnlng .lth firs' d.. of d.lInqu.n.. or nln. (9) oon'ho .nd on. !\l d.. froo .h. d.'t. .f
d.o'h to .h. d... .f p....n.. ,.,a. which ..c... .allM"an' ..foro J.n""" I, 1..2 .0" In.aru' .. tho r.to of
.1. (6Xl p.,'c.n' p.r .nn". .0Ic"I.'0. o' . d.IlY ro'a .f .000164. All ,,,ao which h"... d.lln,uan' on ...d ,ft.r
J.nuorY I. I'.' will ...r In..ru' .. . rota whl.h will m. fro. e.landor ,..r '0 ..landor .a.r with .h... ro'.
annoUf'l(led by the PA DepartMent of RavenulI, The appllcftble lntlrut rflt.. for 1982 through 1998 al'll
V..r Jnt.rut Rate nally Inter'lt Faotor Vaar Intorllt Rate Dall':l Int.rut Faotor
- -
1982 lOX .000548 1987 'X ,000241
19ft!. 16:< .OO04~a 1988~1'91 11% ,000301
1984 111. ,000301 1992 'X ,000247
1985 13:< ,00015(, 1993-1994 'X ,000192
19&6 lOX .000274 1995-1998 'X ,000247
INT&REST . BALANCE QF TAX UNPAID X HUHBER DF DAVS DELINQUENT X DAILV INTEREST FACTDR
--Inter..t Is calculated at folloWlI1
--Anll Motio. I.."" IIfhr the tall brlCOII" daUnqlHmt wUl reflect an lnter.lt calculation to flft"" (lS) daY'
tt.vtH'id th. dlltll tlf \hll .....lIllllnt, H plIy_nt 11 lIad. after the. lnterut cOllputat.lon dftte !lhown on the
Nodell, "dltion.l lnter".t IIUlt bll Clllcuhted,
~
PAVMENt I
Detloh thl top portlon of thl. Notlo1 and 'Ubllt with your ply..nt ..d, PIYobJI to thl n... Ind .~dr"1
printed on the r.ver.. lid,.
*. Hilke ohlok or lonty ordlr ptnbh tOI REGISTER OF WILLS, -AGENT.
REFUND (CA)I A r.fund of . tlK or.dlt, which WI' not r.qu..ttd on the TIM Alturn, ..y b. rlCf'M.tld by oo.pltt'ne In
"Appllcltlon for A_fund of P.nn.ylvlnll Inh.rltonol and E.tata TIM" (REV~l!l!). APplloltlonl Ir. Iv,tltblt .t
thl Offlol of thl Rlgl.t" of WI!I., Iny of thl 21 RIYlnue DI.trlot OffiCI. or frol the DIP.rt..nt', Z~~hour
Irl.....rlno ..rvlol nu,b,r. for for.. ordlrlnlll In Plnnly1ll'anla 1-800-362-2050, outll. PINIIylvenJ.
Ind within 10011 H.rrl.burg wr.. (117) 767-8094, TOO' e?l?) 712-1.252 (H..rlng rlPllr.d onlY),
REPlV
TO.
Que.tlon. r.gardlng .rror. contalnld on thl. notlo. .hould bl .ddr....d tOI PA D,part.,nt of'A.v.nue, lurteU
of Individual "IC", ATTNI po.t A.....Ill.nt R.vl.., UnH, D.p\. 210601, H.rrhbura, PA 1712a~060l, Phol'll
(711) 181~650~,
DISCOUNT I
If .nv, tllC due I. p.ld within thr'l (3) cal.ndlr ,onth. .ft.r thl dleldlnt'. dllth, I five p.reent (S~) dl.count
of thl tllC plld I. allow.d.
PENAl TV I
The lSi(' tltX .."..tv non-plrtiolpaUonpanlUv It cCHlputld on thl tohl of thl tllC Ind Intlrl,t .......d, end nqt
paid blforl J,nuary 18, 1996, thl flr.t d.y ,ftlr thl Rnd of thl t.IC '~nl.tv r.rlod,
INTI!.RESTI
Int.rl.t II chlrgld blalnnlng with flr.t dlY of dlllnqulncy or nine (9) lonth. end one (I> dlY fro, thl d.te of
duth to thl d,t, of ply..nt, TlIC.. which baC"1 d.llnqwnt b.for. Janullll'V 1, 1981 b.ar interl.t at thl rate of
,IIC (6X> percent plr annUl ollcul,t,d It I daJIY rltl of ,000164, All talC.. which b.el" d.llnqulnt on and ,ftlr
Janutrv 1, 1982 will b.ar Intorl't. It I r.t. which will v.ry fro. cll.nd.r V.ar to cII,ndar YI.r with thlt rate
~ouncld by t~ PA Dapart-.nt of A.v.nue, Th4 appllolbl. Jntlr..t rate. for 1982 through 1?98 ,r~l
~ Int.r..t htl DIlly Intlr..t factor Vnr Interut Rat. Oaih Interllt F,otor
1982 20X ,000548 1947 9;': .000247
1981 16% .000434 19..~1991 lli: ,00UOl
1984 11:( ,000301 1992 'X ,000247
1.85 15X ,OOOU6 1995~19CJ4 n .000192
198' lOX ,000274 1995-1994 'X ,000247
"~Int'r...t It calculat,d IU folloWIl
INTEREST . BALANCE OF TAK UNPAID K NUNBER OF DAYS DELINqUENT K DAILY INTEREST FACTOR
-~Any NottcI IUU8d aft.r the tall beeo... dellnqulnt will r.fllet In lnt"..t c.lcuhtlon to fUt.ln US) day,
b.~l)nd thl date of the ........nt, If Ply..nt II ,.d, Ifter thl lnterut c08putltlon date .hown on the
NOUCI, additional Int.,...t ltU.t bl cllculet,d,
01-19-98
BURKHOLDER
05-17-97
21 91-0475
CUMBERLAND
101
[' ~~::~~U~TR.;_~I f~~ __J
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LI~E ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
R 'Eli: 15'47 - EX - "FP" (eiii' :91T -HOT icf'OF - YNHER if ANc E - "fAx' APjiRA i sE"i;iti;--; -" [[owANcE-lili - - - ---- - -, -, - -, --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
DANIEL G FILE NO. 21 97-0475 ACN 101
,5~/k':) -j
BUREAU Of INDIVIDUAL TAKES
INtU:-:RIUHCE TAl( DIVIStON
DEPT. 280601
HARRISBURG, PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE Of INHERITANCE TAK
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT Of TAK
GERALD J BRINSER E5Q
22 N RAILROAD 5T
PO BOX 323
PALMYRA
DATE
ESTATE OF
DATI! OF IlEATH
FILE NUMDER
COUNTY
ACN
PA 1707B
ESTATE OF
BURKHOLDER
TAK RETURN WAS, (X) ACCEPTED AS fiLED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL~ETURN
1. R..l Est.t. (Schedule Al
2, Stocks end nonda (Schedule B)
:5. Closeh "eld Stock/r8t't.n.rshiP lnt.r.lt: (Soh.duh C)
4, Hortgagefi/Hota& Receivable (Schedula D)
S. C.sh/Bank Deposits/Mise, P.r~on.l Property (Schedulo El
6. JointlY Owned Prop.rty (Schedule f)
7, Transfers (Schadule G)
8. Totel Anat.
(ll
(2)
(3)
(4)
(5)
lbl
171
~
C~/
-'-
( ) CHANGED
_..J!JL
,00
,00
,00
108 0 86L..ll.
.......Q.Q.
,00
(8)
11,168,50
'*
U~'II41 U m u..'"
DANIEL
(l
DATE 01-19-98
NOTEI To insure proper
credU to your .C'Jcount,
IUbld t the upp.r port 10n
of thh forn wi ih your
hx pay...nt.
108,86L~
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Funeral Expenses/Adll, cosh/Mise. Expenses (Schedula 10 (91
10. Dabts/Hortgage UablliUeli/Uens (Sch.dul~ 1) (10)_ 682. 4(t
11, Tobl GoducHons Ul] 11 ,RC;O Q4
12, Not Voluo 01 To" Roturn U2) - 97,016,32
13. Chorltoblo/Goyorn..ntol Boqu.oto/ Non-olocbd 9113 Trusto (Sohodulo J) U3) _ 24.254.08
14, Not Voluo 01 Estoto Subjoot to Tox U41 72, 7~
NOTE: If an assessment was issued previously, lines l.r., 15 and/or 16, 17 ann 18 will
reflect figuros that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
1S. Allaunt of Line 14 at Spouul rat. US)
16. AMount (If lIne 14 t.xabh at Lin..l/Chaa A rate (16)
17. Allount of llnA 14 taxable at Collataral/Cl... 8 r.ta (11)
18, Principal lax D\l.
TAX CREDITS I
--~._-<
PAYMENT
DATE
-08 -18 ~97
10-01-97
,--,.~--,,--_.
DISCOUNT (+)
INTEREST/PEN PAID (-)
,00
,00
RECEIPT
NUMBER
'~-AA2T 164"-'-
AA242300
,00 K' 00, ,00
.00 K ,06. ,00
72,7""62.24 K,15, 10,914,34
UBI_..--lO. 914,34
-----..---.
AMOUNT PAID
9,000,00
1,440,66
TOTAL TAX CREDIi~, . - 10.440,66
BALANCE OF TAX DUE 473,68
----- -----
INTEREST AND PEN. ,00
-------- -
TOTAL DUE 473.68
~.._------
-
PAYMENT MUST BE MADE BY 02-18-98*,
. If PAID AfTER DATE INDICATED. SEE REVERSE
fOR CALCULATION Of ADDITIONAL INTEREST,
If TOTAL OUE IS LESS THAN .1. NO PAVMENl IS REQUIRED,
IF TOTAL DUE 15 REfLECTED AS A "CREDIT" lCRI, YOU "AY 8E DUE
A REfUND. SEE REVERSE SIDE Df 1'HIS fDRM fOR INSTRUCTIONS,)
RESERVATION I
PUfKlOS~ OF
MOnCEl
PAVHENT I
~EFIJHD (CRl I
08JECTIOHS I
A~lH
lSTRATIVE
CORRECTIONS I
DISCOUNT 1
PENAl TV I
INT~RESll
I::.t,t.. of decI...nt. dvhlll on or b,"ore o.oltllblr H, 1962 ~~ If env future Int.r..t In the ..tat. it tr.".f.rrtd
In po.....lon or enjoy,.nt to Cle.. a (colleteral) be~flallrl.. of the dlcadlnt .ft.r the .xplratlon af anY ..tat. for
Ilf. Dr for v.ar., th~ to..onwealth hereby Ixpr...ly r...rv.. the right ~o apprai.e and a..... transf.r Inherltancl Tax..
et the lawful Clu. 8 (coUatorall ratG on any iuch futurt Interut.
To fulf.l11 the raqulrtllllnt";of Slctlon 2140 of tho Inhlritance and E.tatl Tax Act, Aot 21 of 199!i, (72 P,S,
SlctIon 9140),
Det~oh the top portlDn of thl. Notlcl and .ubelt with vour p~Ylant to thl RIglstar of wIll. printed on the rav.r.. side.
~~Hak' chick or 1l01l1lY ordllr payable to: REGISTER OF' MILLS, ACEWl'
A "fund of I tax crldlt, which wa. not reque.tQd on the lex Return, MY be reqllutod by oOllplltlng an "AppllMUon
for Refund of P,.nn.yl....nla Inheritance and E.tIlte Tal(" (REV-HI3)' Applications art a...al1abla at the OffIc.
of the Reghter of Willi, any of the 23 RevQnue Dhtdct OfflcctS, or by colling the specIal 24-hour
an.werlna sorvlce nu.ber. far farn. orderlngl In f'folnnllvlvllnln 1-800"56Z'-2050, outside Penn.ylv,nla and
withIn local Harrisburg flr"a (717) 787~6094, TODIt (11) 772"?Z5Z Oloarlng IRP~lrlld OnlY).
Any party In Inhreit not utlsfJed with tho 6ppraJ'''1IIIi1nt, 8110w&n<:8 or dl.nllowMce of deduction" or u......nt
of tllX <1ncludlng cllscount ar Interut> a. .hown on thls HOtJC8 IIIU5t ahjoct wJthln sixty (60) day. of rlcelpt of
thh Hotlc. bYl
--written protll.t to th~ f'A Oepartll,ent of Row.nuu, BO,",id of Appeall, DApt. 2111021, ~Iarrl.burg, PA
--etelltlon to hllVII the ~41,ttm' dotlr.ln..d nt audlt of HIe acoount of the parlon.1 repru.ntIlU..,lI,
K-DPPQal to thll Orphans' Court,
17128-1021,
OR
OR
Factual error. dIlCO...AI'lId on thh aUIIIlu8nt should bo addruud In wrIting tOI PA Depnrt..nt of Revenue,
Burellu of Individual TaI(Q', ATHII Po.t "'saSSllent RI..,lew Unit, Oept. 280601, Harrltburil, flA 11128-(1601
Phune (711) 781~650!), SIUI page S of the booklet "II'I.truotlons for Inheritance hI< R.turn for a Rlllldlnt
Decedent.. (REV-l.501) for IIf'I 8>o.planaUon of !ldlllnlttratl"'lllY oorr'octablo Irror.,
If any tox due 1. Pflld within thrGG (3) cfllendar .onthn after tho decedent't dlath, Q fl.... p.rcent (S%) dl.coun' of
the tax poid II allowed.
Thl 15% tal< a.natty non"pl'lrticlplttlon penalty 11 (:o.puhd on thR total of thl talC and Inter..t allQued, and not
paid before JlIn\-lary 16, 1996, the flrllt day aftlr thll .nd o~ the tal< nllnuty period, Thl. non~partllllpat1on
plnalty t. appealabl. In the sael aanne" and In the the 18118 tI.. ptlrlod h' you would applal thill tal< and lnterllt
that hat be.n ....u.d 81 Indlcoh(,! onthh notlClII.
rntlrlllbt I. ~h&rgGd beginning with flr.t dwv of dellnquon-cy, or nln. (9) lonth. and one (1) day frail th8 date of
d..th1 to the datct of' paYllent, h:<u which b.c.... dflllnqu.nt lI"fore Janl.lflry 1, 1982 ben\'" Intlrllt .t the r.t_ of
the (6%) perc-'lt per annUlI cnlcuhtad at a dfllh rflh of ,000164, All tl'lXU Ilhlch Mt(;IIM1 del1nC!uent on ItIM.l .fhr
January I, 198Z ..ill bear Interut l't a rah wnlch will lIary froa o.lendar yur to calendar ynr with that rtlte
announc.d by the PA Dopartetent of R.venu., The appllci/tbh lnt.rut rlltu for 1982 through 19911 arel
'Wt !.!!.!!r..!..t Rat. Oall'1 Inhrut Factor Y.!!! Intflrut RfI~ !!.!.!.!1_1&liIrnt F8(,~
1982 20i( .000S411 1987 9% .000247
1983 16;.( ,000438 19a8KI991 11% .000301
1984 11i( ,00C/301 1992 9;.( ,000247
1985 13i( ,0003!i6 19t}3~1994 1~ ,000192
19ft,6 1Oi( ,000274 1995-1996 9% ,000247
~~Int.r..t 11 celcullthd .. follow'l
INTEREST = SALANCE OF TAX UNPAID X NUnBER OF OAYS DELINQUENT X DAILY INTEREST FACTOR
uNW MoUCI luued aft.r tho t81< b(lco." dellnqulnt will reflect an Inter..~ oalculatlon to flU.1m (15) d.~.
bllYond the data of ttll a.......nt. If PlYqnt It lIedII eft.r the Int.r..t c-QlllPUt.Uon thtt. lhown on thl
J40tlce, additional Int.rut IIUtt 1MI calcullted,
PAvtI!NTI
'DltlClt't tn. top porUctn of thlt Hotl4. and .oo.lt with "our pIV.."t... ,IV_I. to thl n... and Mfdrl"
prlntidon th. r,V'r~1 .Ide,
If IIEIIIlEN! IlECEKNT .ok. '....k .r _. .rdor PIY..I. t., REGISTER OF WILLS, AGENT.
If HOH-RUIIlENT KCEKN! ook. .....k .r ..no. .rdor po.obl. t.1 COltllONWEAL TN OF PENNSVLVANIA,
REFUND (CA)1 " r.fund of . hit orldlt, which w.. not rtqutlt.d on thl T.~ Rlturn, .'V bl r.qulltld by ClolPilUng .n
"Appllc.tlon for R.fund of PI""'Vl~anll Inhlrltlnol end Elt,te TIM" (REV-131J), Appllo.tlonl .r. IVIIIIbII .t
thl OfficI of thl RI,I.t,r of WI118, ."v of the 2J Rlvlnul Olltrlct Df,lo.. or fro. thl o.p.rt.-nt'. Z4-hour
tneMlrlng .,rvlcl nuMber. 'or 'or.' ordorlngl In Plnnwylv,nll 1~'PO-36Z~Z05a, out.ldl P,nn.vlvlnl.
end within looal H.rrllbur, .rl' (717) 787-809~, TDDI (717) 71Z-225Z (H..rlng 1.,.lrld onlv),
REPLV Tal au..tlon. rlglrdlng ~rror~ cont.lnld on thl' notlcl Ihould b, .ddr....d tOI PA Dlpart..nt of R.venut, luretU
of Indlvlctull TIMII, ATnll POlt A.......nt R.vl.w Unit, D.pt. 210601, Il.rrhburg, PA 171ZI-0601, phone
lIl7l 7R7-6S0S,
DISCOUNT 1
If .nv tlM due It p.ld within thr.' el) cal.nd.r IKmth. ,fter thl aOldlnt., ck.th, I flvl p.rclnt (Sin dllCount
of thl tlM paid I. allow~,
PENAL TV I
ThI 15X tlM .-naltV non.p.rt~elp.tlon p.naltv 1. eOlPut.d on thl tot.l of the t.~ end Int.r..t ......ed, and not
p.ld blfor. Jenuery 18, 19%, thl Ur.t dlY aftif' the .nd of thl t,M MI'\4Ilt~ period.
INTEREST I
Int.r..t I. ch,rgld bealnnlne with flr.t day of dlllnqulncv, or nine (9) aonth. and one (1) d.y 'r~ thl d.tl of
d..th, to ttM dltl nf pIV...",t. hMII which ble"l dlllnquent before JlnUlry 1, 1912 b..r int.r..t .t tM rltl of
.IM (6:() p.rclnt plr annUlI calouhted .t a dallv "Itl of ,000164, All tlMU lihloh ble... dtllRqUWlt on end ,fter
January 1, 1982 will bl.r Jnt.r..t It . ratl which will ya~y frel oallnd.r v..r to oalendlr VI.r with thtt r.t.
announcld bv thl PA O.part.lnt of Rlvlnul. Thl applioable tnt,r..t t.tl. for 198Z through 1'98 ,rll
V..r Int.r..t Ratl Oallv Intlrl.t F.etor V,ar Intlr..t Aat. Dally lnter..t Fletor
1912 20:{ .OOOS~. 1911 9X ,0002H
1911 16iC ,000418 1981-\991 lliC .000501
19" ll~ .000301 1992 9~ .OOQl:tt1
1915 151: .000556 199]~1994 7~ ,000192
1986 10~ .000274 1995~I99' 9X ,000247
~~Int'r..t II c,loulat.d .. foUo,",sl
I"TEREST . BALA"CE OF TAM U"PAID M "U"8ER OF DAYS DELI"QUE"T M DAILY I"TERERT FACTOR
--Any Notlol I..uld aftlr thl t.~ bIOO'" d.l~nqulnt will r.fllot an Intlr..t ealculMtlon to flftl," (lS1dly.
blYond thl elatl of thl ......IIen" If p.y..nt II .ad. Ifter the Intlr..t oOllPUtaUon d.t, .hown on thl
Notlc., Bdd1tIDMI Intlr..t WIt be ClIlouhted,
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