HomeMy WebLinkAbout97-00514
21-97-514
Oath of Personal Representative
CommonwOllth 01 PennlVlvenle
Counlyo, Cumberlond
Tho PoIIUoner(s) obove-nomod .wosr(s) or slll"'~ollh.llho .Iolmnonlo In Iho forogolng Pollllon oro Iruo
and oOHoollO Iho beol 01 fhe knowledge and bollol 01 Pollllonor(o) ond Ihal, a. por""nol roprooonlaUvo(.) of
Iho Oacodonl, rollllonor(o) will woll and Iruly od",nlolor Iho 001010 oooordlng 10 low,
boloro mo 'hlo.~"W 01
JUNE
10 n.
, f oJ k I 0, (}tH;4! .!J;tu e ,
Gat{ IInll n/k/a Cathy Hull
j h' ~-, ~ ~ -
~ 1 ,. \ I 0... Cl ~ . u.... 111'J\~AN'-
Leall.o TUrm~('. ~\\,' ; ~,\",\,\,N
Swomlo 01 afllrmot;l And 3l.hiC'tlbod
C1ih'l.,,, & /J.&.J&9. '" i (!..t.l,"-J."";dlLtJ
(/ , For Iho Rl1\llolo, ,;l),il'<'1-
No,
21-99!f1~P;E OF' PROBATE AND GRAN'f Of" LE'fTERS
()(,
Oooe~ed :
'I"
.,"i
,-1)
"':,;
eOlale 01 Harry 0, Zimmerman 11 I
SoclolSecurl1yNo: 190-26-6218 0010010.0Ih: 06/03/97
c,
!
AND NOW.
.JUNE 17
, , 0 _9 7, In conslderoUon -~
Ch
ollhe Pellllon on lho revOlllO oldo horoon, .ollolsolo", proal novlng boon pr.oonlod boloro mo,
IT IS DeCREED Ihsl LolIsrs []] To'lsmenta", 0 01 AdmlnlolroUon
,:;
(o,t.s,; d,b,n,c.t.s,; pandonlo illS; dura;';" sb.on~i duranlo mrn~rhaIO)
.ro hereby granted 10
Cathy Hall a/k/a Cathy Hull and Leslie Turman elf/- ['tf:,6 t (~\iVIHr1"
In Ihe above "Iale snd 1I1a! Iho In.lrumenl(.) doled
03/04/97 None
do.crlbsd In Iho re1l1lon be admllled 10 probalo end 1II0d of rocord a. Iho laot Will 01 Oecodont.
FEes
Leners, , S 60.00
Shan Cortlllaa!e(.), , ,2, s 6.00
Renunciation. S
Affidavit. ( S
Extro rag.. ( 5 l. s 15.00
Codicil, . S
JCP Fee . $ 5.00
InvonlOlY. S
Olhor $
----_._-,~'..
'I)')/)~' II. M.ca.;; .w . (?, tL.J..t:.J;;,~ , fJ, M h ,
, , Re~I$ler of Wlllo ' . (
AIlorney: James G. Morgan , Jr.
1.0, No; 06897
HEPFORD. SWARTZ & MORGAN
Addre.s:, III N. Front Street
P.O, BOl( 889
Harrisburg, PA 17108-0889
Telephono: 717 /2 34.4121
TOTAL, $ __8fL.ill! LETTERS AND ORDERS MAlUm TO ATTORNEY JUNE 18'RJ9197
P'HI'~l! hy lhp Pt..!, ',J" ,\ ;: \. 1.",',[, II"" '1"""11111':' Ill'l, ' ''''', Form - (1991)
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o.111Ohtht top portion uf thh NoUoe Md lUbltit ..lth Yc>>Ur P.v.nt ... payllbl. to thl nMlt 1M eddr.l.
printed on the r.ver," l1de.
It R1!$11JE1fT DECEIJE1fT 0". _ or _. ordor ...oblo to, REGISTER OF WILLS, AGENT.
If NOIf'RI!SIDENT DECEIlEIIT _. _ Dr ...... ordor .o.obl. to, C_eAL TH OF PENNSYLVANIA.
REFUND (en), A refund of . t.x or"lt, which .... not r~.t4td on U18 Tal< Return, ..y be requ..tld bv OOltpllUng en
"Applloatlon for Refund of P~.YlvftnJ. Inherlt~e and E.tete 'IX" (REV.l!l!). ApplJcltlonl .r. IVll1lbl. It
tM Offlc. of thI AII!lt.r of W1Us, InY of the 23 Revenue Distriot ,Offic'l or frOll the Dtpar.....t.. 2~.hour
ans~rlng IIrvl01 ~r. for for.. crdorlngl In PennlYlv,"ie 1-800-362-2050, out.ide P.onIY1","le
8nd ..!thln'local ",rr!lburg ar.. (717) 787-8(194, TDDI (717) 712-2252 Oiliarlllll IlIPair.d onlY).
REPLY TOI au..tlon. r.prdlng error. contalrwtd on thls notlCIl llhould be addr....d tOI PA o.part..f1t of R.VfInUI, lur.1U
of Indlvlduel TaK", ATTNI Post A.......nt R.vlew Unit, Dtpt. 280601, Harrltb\lrg, ~'A 17128-0601, phone
(717) 787-6505.
DISCOOHTI
If anv tax due I. Plld within thr.. (!) o.lender IOnth. aft.r the decedent', death, a flvl perc.nt (6~) dl.count
of the taK peld it allowct.
PENALTY I
The 15~ tax .-n..tv non-partiolpatlon penalty i. coeputed on the total of the tax .nd Inter.,t .I....ed, end not
paid blfor. ~ary 18, 19961 the firmt d.y efter the end of the tex .-nIlty period.
INTERESl t
Int.relt I. ohIrged begInnIng with flr.t day of delinquency, or nine (9) .onthe and ona (1) day fro. the dlt. of
death, to the date of p.~nt. Tlx.. which bI~ delinquent before Janu.ry 1, 1982 bearint.re.t at tho r.t. of
.b (6;'0 peroWlt per ~ calculated at a dally rate af .000164. AU tllXII which bIo.. delinquent on end efter
January 11 1982 will b..r Int.rllt at e rete which will veu'v frOll clllendar year to calendflr v..r with that rete
wnnounced by the PA Dep.rt..nt of Revenue, The applicable Interest rat.. for 1982 through 1998 er.l
Y..t Int.rest Aat. DIllv Int.re.t Factor year Int.re.t A.t. Daily Intere.t Flotor
1982 20~ .000S48 1981 9~ .000247
''HI! 16~ .000438 1988-1991 llY. .000501
19"" 11;( .000301 1992 9~ .000247
1985 1!lJ( ,o"On6 1993-1~ r. .000192
'9" lOX .000274 1995~1998 9:< .OOO2~7
.-Int.r..t I, calculated .. followll
INTEREST m BALANCE OF TAl( UNPAID X NU""ER OF DUS DELINqUENT X DAILY INTEREST PACTDR
--Any Hotlce i..UDd after the tax blcOl.. delinquent will roflect an intere.t o.lculatlon to flft.-n (15) dly.
b.yond the date of the ....I~nt. If plYllnt I. lade after the Inter..t c~putatlon date .hown on the
HotlCCl, IddIUonal Interllt IU.t be oalculated.
I\'{ III V
,1.'JIlt)
CAB
H P L
E P 0
C R C
K 0 K
P S
C P
o 0
R N
R 0
E E
S N
T
(1, ,,! /'
,,(,(() L_
l'II!IlI,ll ",'11 I)I/IIII/\IIIIIIIIJI/'III III r ~_tl!nl --'
If ^ -,!,\llJ'j/l,1 ["'.-1
.1';.I.I..'.L'.lJ_\t!.Ji.U}W:..'..LL_AIH~.'_ .~_.~_._.._
FILE NUMBER
",2 /
/1-' -//,J-:")
.) .
'J
>. r
97
51 'f
WJMIIIH
1',illIX'(/'-"<i!
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS
1."LJ~I'Y ulllf
YrAH
AMuUN r HEI;j':!VEO(~li:E IN'll fllle WIN'l)
0,00
T
A
X
C
o
M
P
U
T
A
T
I
o
N
(21)
( 21A)
( 21B)
, "MM"NW~~ III '" "I N'{WI VAl""
nn'AIl IN! (If I l'\j -NII(
1"l,I"I>/Hil
1111f1HI'i U 1(1.1''' 111/11-(11!1I1
o
E
C
E
D
E
~
(1f:(.UI[N r'<, NAMr (LA', 1 !'lfl'i!, ANII MUIII\ I 1~1111^11
.~.jIllIllOl'lIllln ] II. .lIa':!y~~,______ _
'_iUCIAI. "i1:1.UI"TYNUMfllfl]:I^Ir (!rClUIIH ]'1\11' I fW\11I
190.U,.(,21H O(,/O'l/I'J'1/ II/m/I'! \1,
IOwoIy CtlllllH'rl.ulld
,II ""PIli A'"'' 'n,,:v.vINfl 0,,'''''','''. NAMI " A', '=~=~' 'N~-;;:T;;;--;:;-;~I~nll' N"MII' II
X i. OrIginal Return --n 2. SUpplo/llonlnl ROIUlIl
4, llmltod Esltlte D 41. FUlura Intoresl Comproml!lu
(lor da'o" 01 doalh nltOl 12'12-82)
[R] 6, Decedont Died TllS!O!O 0 7. OElcodonl Mlltrllainod n Llvinq Tfllst
(Allaeh copy 01 Willi (Allaeh a eopy 01 T,ust)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TOI
I{(llld
I'^ I IOll~)
Oli,
o 8,
AOlllaindor RoHlrn
(lor dates of doalh prim 10 l2-13-02)
Fodoral Eslalo Tax Auturn Roqutrod
Tolal Numbor 01 Safo Dupo~1!1 Bf'J)(09
'iIONATUR[ or' P[fl~',(IN nr.~,f'UN';ml.[ Hlti flLlNn flf rlll\N Cat'hy lIull Leslee Turman
~-TU)IAlI("" _ __L?,~z,tt'ij,1"-li,;3'1'--'~Li~~',.B~k'I~'~(i6'
'f\JlIFIUIHffilll^N~\~;V"V' IIEI'FORIl, S,WART?, &,MOR(;^N
/' c. ~ II' N FRONT STREET
L,/; _c:ffA<'t'/7~ (, - iliil(l{is-,ilIR{;':-j,ii--j-/I.lJil-._IiHH'Jnn.nnn-nn
{;~;;v;~~j;10.C !0I1Il ,,,l!w 1f" ,,,,Iy (I",y .1"ln If"
1111 I [UNI". f ,IMPI t If MHJlll "
1:'1111 ^ll"'\lI"I"
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NAME
James G, Morlan, Jr,
TELEP~tONE NUMBf,'A
717 234.4121
1, Real Estalo (Sehedlllu AI
2. Stocks alld Bond" (Schedule BI
3. Closely Held Stock/PartllOlshlp IlIlelOst (Schedllle C)
4. Mortgages and Notos Roceivable (Schedulo D)
6. Cush, Bank Deposits & Mlscellaneolls Personal Proporty (Sch,
6. Jointly Owned PlOperty (Schedule FI
7. Tren"lors (Schedule GI (Schedule L)
8, Tolal Gross Assets (lotalllnes 1 ~ 7)
9. Funeral Expanses, Administrative Costs, Miscellaneous
Expenses (Schedllle HI
lD. Debls, Mortgage Llabilllles, Uens (Schedule II
11. Tolal Doduct!<',ns (total Line" 9 & 10)
12, Not Valu" of Estate (Line 8 minus Line 11)
13. Charllable and Govornmenlal Bequesls (Schedule J)
14, Net Value Subject to Tox (Une12 minus Une 13)
16. Spousol Transfers (fo, dates 01 deafh alie, 6-30-941
Soo InslrucUolls for Appllcablo Porconlago on page 2.
(Include values Irom Schedule K 01 Schedule M,)
16. Anlount of Une t41a)(able at 6% rala
(Include valuos from Schedule K or Schedule M,)
17. Amounl of L1no 14 taxable at 15% rate
(Include values 110m Sehedule K or Schedule M.)
18. P,lnclpol tox due (Add lex Irom L1no 15, 16 and 17.)
18, C'edltslSp Poverty Prior Payrnen'o Dlscounl
(17)
COMPtE Te: MAILINO ADnRES';
HEPFORD, SWARTZ & MORGAN
ill N. FRONT STREET
HARRISBURG PA 1710B.OBH9
n). 74, 0 ,00
(2) _ None
(3) None
(4) None
E) (6) 157.17
(6). 3.078.72
(7) -0-
(8)
(8)
(10)
(16)
(18)
+
+
(19)
(20)
--
n,235,H9
(J.OO
O.O(J
20, II Une19 is g,ee,er thon Uno lB, entur Il1e dllle'ollce on Linu 20, This Is the OVERPAYMENT.
[1g 0 [chOek here If yeu .r~ requesllng a refund of your ove",ayment,1
21. If Line 181s greater Ihan Line 19, Blltef the difference on Une 21, Tills Is the TAX DUE.
A. Enler the Interest on tho balanco due on Ur18 21A.
B, Enter Ihe total of Line 21 ond 21A on Line 21B, This is Ihe BALANCE DUE.
Make Cheok Pa able to: Register ef Wills, Agent
~ ~ 8E SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH '" '"
UndN pun,llllllS of pllrJury,) d~(;I.lfll Ola! I hJ.Vb IlX.l""I\!Ir1lhl~ return. IncluillrllJ .1LClllr'p:lllylfllJ ,,(tlrr1l1lfl~ .,rod ~l.'ll"rnullt~. ~nd !I) UIIl host lit my k!1IlwhHl11t:! .lfld bllhoL It), lr,jtl.
CoJlllI;IMld r.UlTlplo!f1, 'lfl,,;IMll th<11.,11 r~J.lll~tilt!;! /1,1" loeOlI1 f(>pPfll'rl .11 IrLIp. '''_uktll "",lllll!. Ilf!rl,If,lll1lfl 111 Pl"f'.!llll nlhN tll.lrl thel>ur5lln41 rllflrtl~(IflIJIIVII i~ ll:l~ll<l 11/1 ,11l1(ltorfll.ll,ln11.r
which f'(f1p,lIOr Il,l~ .lllykllllWlfldllO.
1,7/.:3.78
0,00
1,743,IH
OAlf
') -}. (( ~
....L___. _
OAH
3 -;2- Xy
F('frll1500 {II'''" "<J4i
I\[V 1!,1I11 D~ + (Il..ftft)
'''M:1W~h%N\ (rA~~tt~t\I,yA",A
'I "-'ilOf. NT hECEClENT
SCH~DUlE F
JOINTLY-OWNED PROPERTY
ES1'A TE OF
-!l11rt'y...Q, Zimlllt>rmllll III
Joint tlnlnl(l):
SS# 190-26-6218 06/03/19Y7
----
A,
NAME
Cathy Hull
AODRESS
1',0, Box 1,112
Gilbert. PA 18331
ft,
Les1ee 1'urlllall
'1',0, Box 143
Blaill, PA 17006
C,
Ashley A. Zimmerman
507 South 20th Street
Camp Hi 11, PA 17011
JOlnUv-owned property:
FILE NUMBER
RELATIONSHIP TO DE.9~l_
Daughter
Daughter
Granddaughter
ITEM LETTER DATE TOTAL VALUE DECO'S DOLLAR VALUE OF
FOR
NUMBER JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. . DECEDENT INTEREST
TENANT JOINT
1 $50 U,S, S av i ngs Bond - 42,58 50,00% , 21.29
Series EE, IIL373217784EE,
issue date 6/88: Joint with
Ashley A, Zimmerman
2 $50 U,S, Savings Bond - 571. 24 50,00% 285,62
Sertes EE: j oint wi th
Thomas L,
Beers--#L335852626EE, 8/87;
#L338542919EE, 10/87 : ,
#L349578566EE, 10/30/87 ;
#L349903175EE, 12/87; . ,
#L349795277EE. 11/87 ;
#L338651646EE, 10/87 :
#L335742429EE. 7/87 ;
#L335535101EE, 6/87;
#L335633447E8, 7/87:
#L338219599EE. 8/87:
#L338324334EE, 9/87:
#L338436757EE, 9/87;
#L349687 898ER, 11/87
3 PNC Bank - Checklng Account 5.543,62 50,00% 2,771.81
'#5140175745; ,Joint wi th
daughter, Cathy L, Hull:
Account estabUshod
02/04/91
----
TOTAL (Also OlltO' 011111106, Rocopllulatloll) 3 078, n
-
(If mow spaco 19 nOCldod, ifl!lon ncldrUonnl slmots 01 98mo si20,)
C<lPY'l!lht lc) 11194 f<lfnl ,ullw.H1I only CP';y~lf!!Ib. 11Ie.
fmlll 1500 ';fI1MJlll/l F InHV_ 1/-1111)
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPEtlSES
f\f:V I'd I tK I (~-68)
""M\1,'IW'Xt""\.II\Otl'tN~jJ)II!ANIA
,1~",ljiNl UIi!!'EDtNT
ESTATI! OF
__H.!!.!JJ:_.o .
ITI!I.l
NUMBER
A.
8.
2,
3.
4.
c.
Pl.... Prln' or T .
FILE NUMBER
Zimmerrnftn III
SRIt 1911 ,/6. (,/ ]..H_.~1!~L'!QL19'l L._
DESCRIPTION
Funll.ll!!lp.no..:
F'uTleral ExpenHe
Pn,.f'"td fUIH''''']
;>
Funeral Exp~nH"
in cllskot
!llowers t."tmhursed to Cathy Hull for plact,ment
3
Funeral Expenao - Reverve for Ilnt:1dpated cost of tomb$tone for
grllvevite
1.
AdmlnJotroUv. Coota:
Personal Aopresontollve Commissions
1300101 Seourlty Number of Personsl Raprosontallva:
Voar Commissions paid
AUorney Foes
HEPFORD, SWARTZ & MORGAN
Family Exompllon
Clallnanl
Addro.. of Clalm.nl al decodenl's death
SI,oel Addro..
City
Rolallonshlp
Slalo
Zip Codo
Probale Fees
Register of Wills
1
MlooollonlOuo E"",no.o:
BAll. Atlantic . Fin'll telephone' bill
2 Cathy Hull. - Expense reimbursement for mileage, phone, V-Haul
3 Cumberland County Law Journal . estate notioe
4 Eichelbergers, Inc. . S~l'vice of water pump/oil tank at hO\lse
5 Facsimile
6 Facv iQlil~
7 Facs imile
8 Harris Savings Bank, Charge for estate checks
9 Hepford, Swartz & Morglln . Obtatn copy of real estate tax receipt
Totlll of Contlnuat:i.on Sclwdule(s)
~ TOTAL (Also oIlier onllno 9, RocaplluloUon)
(If more space Is needed, Insert additional sheets 01 !lime sIze.)
CI'flyrlljlll(i-l '(j(ltl Illrl1l Slll1w.1I" '1I11y l:P";y',!tIlH,., In<
AMOUNT
0.00
31.51,
500.00
1,500,00
86.00
67,51
758.48
60.00
101.94
6.50
26.00
6.50
13,88
2,00
11,43:1,48
$ 14,593,B3
FlIIll1 1500 ~,t;hllllulll H(Anv, 7. IlIj)
Estate of: Harry D. Zimmerman III
Soc See #: 190.26-6218
Date of Death: 06/03/1997
Continuatj,on of SchedUle H.C
(Miscellaneous El(pensl's)
Item Description
#
Amount
49 Telephone
50 Telephone - for facsimile line
51 Te lephone
52 Teleph~ne
53 Telephone
54 Telephone
55 Telephone
56 The Sentinel - Estate nuties
57 West American Insurance Comp~ny
insurance
12.19
0.19
6.53
1. 22
7.96
0.18
6.58
76.50
Budget Payment for hO~edwne.ts
70.33
58 West American Insurance Company . Homeowner! s ~nsurl;\nee policy,
premium (budget payment)
59 Treatment ,for termite infestation required for ssle of house
70,31,
550.00
.'.1'......................
11 ,433 .48
..:47 717'-737-4818
~.
, y U '.
'.'
fl.. .
CENTmv 21 AT HELM
PAGE e2
,
_I'l......-.....~'R..'h~_.'.
,AGREEMJ!:NT FOil THE SAI.EAND PURCHASE 0..' REAl. ESTATE
;.10 ,'I <lor"""" If~ '''111.1' form rt<<lmmendrd and .pprovcd (pr, hut nol fC'ltrlctcd tn,
" nil ,I" "" "'ul<<'b)' mem~n or the QUlller'lllrrl,bur. Anodiltlon or REALTORS.
[---AOENT PO~ SIlU.ElR~-,~ I --SUB A~ENT POR SIJJ.LER~J A(N~~
(~~~,:,2\.,,~t ;," " ',,' I\G ~~
._ prd~~~,D':~I~~~J;~,i::- ~ PA. 1~1~,~Ns~m BROKER ..-- PA, LlC[!NSED BROKER
,,.. , ,,,rt,'1I ,..., Of" ,," , ,,,,' '~.I'IAI" I'''t.
:~;:,:;,;:';;;:::::~Jta R:J1i ii::'" "Zi;;i;;; 77L~ :COtifijj"...:;..:" ...
(,oAldln. nl _.~._.j__ :i.ze:=.. .j"(.I.t€.iIUl'~;r:t1~Il'~PCc;.." .,-'--" .~..-
ho,elnar,o, c.Uod S<lI". .nd_~ ct:'(~,.- -- J--;:~ ---- . -,.I).. -~~-_.
(,o"dlns" __-:t!'J ;)o.rf1t. Jt.(clL~-. ft~o;X.- p.' __L~~~....--
herdnICter CAlII;rDuy~r.
1. rkOrER'rYl Seller' hmrc:hy ..rcfl.41u lell and convcy to Buyer. who htrllhy lIurce$ to r'lurc..LL.~e' A,tl..~~I CE',}!IN Lot (Jf pie\:('
~_~(~d~r..d !,;,~<~'n"~"~'on"<<I'd. ~.ny: ~::I.._ -1.~lD.~-~.~'_~': ~~ -
), ZONING: lnnl". Clmlnc.lion ',J~~.tDIl.Mn4-L..,":"',.u.'__n'....'___""'~'_ ._uu._." ,____"'_'U" _.,u.u~_..._ '
Falhm: of thll AII:rHmcnl 10 conlain the L'.Onlnll c:,lauIOCfttlon C1lliCtlpt In C,-MI5 when the properl,Y (or f!Ach J"lIHt.:c:llhrrcor, If ,\u'odlvlthlblel ...,.
Is l.onltd solely or primarily 10 permlllln.le-r.mlly dwt:lllns! shall rr.ndc:r this ^~rtt:JTJcnl v(1ldRblc It lhl'! opllon or th(~ BUYt! anti j( v(JiJr.d ~
depollts tendered by lht Buyer .hlll b. rr:lurn~ to the BUYf'f withoul ft rNlUlrrm~t of court .C::Ih)n. ,..- fr
.. l'EIlIMS: (a) Purcha.c P,I.., .J;..,,~. ,_-.L .c:::-~tr. }~..._ " ,'" __u,___u...,__u'n~_'Un_"'U'_ -
, r.rr; ~<IIIRf---=-~-l-f- ~ .. w ~ ~.o
.~C1 ~,tjI,.Jry H:>ioft.. T~ f:U.l&u---n------.-.. (L-'_i:y~O. ..._u_l~ /.
10 bt p.ld by Iho Iluyor as folloWS: S"'2x? - . ~
(b) Df!POSIT Cht<:~ Cut! D..t thc .I,nln. of Ihl, IIl1fftm(nl, fl'\,-1V' or whkh II hereby .e~nowltdlod S___~~-._______._ -- --- '~
('I ADDI.,,,,..Al. DP,POSITd:;.~n or "'f." It" , 1'-.._. ~. ...__..__~_u-______ _ __ ____ ~
(P'l~ ~- --
(iI) '~L"'NCP. OP PUflCH,.SE. PlUCB It ...U~II" tI ~ 7 3 Lt:t:'
(Ulh, <<f110.-i (heck, Ind/of mort.. rundt) ,."", ,'" ".,.,."""., '$. Ii: -- -J.-~ dJ
, ..1" ,'I TOTAL.. .. " ' .., SJ,J."atJ'iIfr- 7tf"-E~rl..\
(II) W,ln<<n 'PPfO".i ()f S.tkt 10 bI'on Of 't~'ott Ihr. ~~! 7,.;. ,I . illY ~f ~tf,J\JrrL.1--_._--' 19 -1J"" , ' - ....~,
. " ~'" "~~c. ~ (fC-'<
(0 Se-ukmotf1l 10 ~ mid. un IJ'/ "'Of' lhe! __ d." of _ ':1- __.______.____., 19._ . ~
(I'} The rallo..-In. stull! bot .~llontld Pf'oo-nl. at or .Itd .1 11m, 0 'dlkm<<lti lit" I. kv~ .nG "1IlI.~~, 'mil, Inll!refl n orl...<: '~~IJm tflf1~< ellndnlt"lIlum It" ..
.nd hOlMOwnn llfO(hllltafl r~ Ir any, ....tC!\' ."d/or Itwcr ICfllllr II"Y, IOtllhr.r ..Ilh In, othu Ilcn.htr. "1Vnldp.IIe/~ICel(, All )l:('~YJ Tr rf rU(I Ihlll hi divltlt"li
evenly un"'" ",ttarw'tt prDvllkd h-r~", ... ~ (""
!I, 'tlorU:TY smLf'.MrNT CONT1NGENC~; Tht, ..~ftmcnlll .uhl...' II) lhc 1Il1\llmtrlt or RIIYU" NorlOlrly loc,ttd 'I __L~____.__________._r-
.. ~:~A;~::~I::~:I:::::': Th~ 'r:i~Q ~~.':.:~~..n'l", 7~i;W~~/{~,!~",,,JJ..J'=~ TUM _~ ~ 0 ~ ~--~.
M,\WIMUM INITIAI.;~ ~ f ~~
'NT....'T 'ATe ~__ .. MAXlMlIM TOTAL P~C1'"DI"'G I.OA~ O. ;lNATlO~ "', TO ne PAlO O. TIle euyo"__..-.
TtI.MINAI. DATI{ 'I;Jr Obt..lnl". Fin.ncln. C(tmmllmr.hl - ..L.:l-~~~.._-_.- ---------
&rQII" mar Id"l.., Jluy~' or J'Oulble Inllrcn of Mtlfl."l rtln I, bI.It ,..nnot luumt ,nponllbUhy for ohl.lnin. ttu)'(r'A nwrllllle. U UIQ lo.n unl'Iol he nlttllMd
"hIlnJI'l J'1'ovldrd,lhll .....rcrwTnCnl .hall bt: ULJLl. "J'IIO VOID and..1I d~po;..1t montu Ih,lIllC' r.lvfr\cd tQ lhe nllye, rH1 Qr htfufc dllle 1)( ,cllkrncnt ,. rHQvil.l,4 hmUl,
lubjt:'C't hovwv"'(I IIw! PfQvitlom In rllfll&flph. I~) Ind fi(c). d
(h) . I!I\1Yt!'r .hall mlh I c;omp~ltd .,plkallon l(llt rC"JVQfl,tblc knlh". i1"IhutIQ" rnr the J.lld lo"n within ._ ___ ultnd., dAY- rrO"1 Ihe Sr-tl.r'. ."PfllUI "lC"'~(
Should ,h' '\1,"" rlilto make '~M:h r.nfnpltltd l{loliutlQn ",liMn Ihe lpn;iflCd "",tII, lI.h,1l he.1 the of,llon HIt .~.Il(:r, within rI"e (H ,~kndftr duo Ih<lIUI'lU 10:
(II D<<~rl lht. "'ltflflMnl NULL ^""b YOIU, al wnl~h tlu'!", .1I,ml'ml..-. paid Dn .(((lUnl will be (Of ...Iled III Setkr~. IIQuld"lld d.m...., l~bJw 10 .nll Rul., Ind
~,,\ll'llu", ,.r lh<; Phlflllrlvanla atJll ~.t'll CQl'fImluktn, or'" ," ".
(h) In IbMnu~' "rhlen nollt~ 10 lhe 'hl)"fr b)l 11'11I: Scllct' drt.4.r1n6 ltllt ""U~t,,",nl t~Vt.l, AND YOlO, lhl ~(lndllion ."d f:f.IftUlI"rn"y flf",idtd ror in lhi~ r",..u"h,
lo,~her ",hh tny oltllf r1n.l'ldn. conlinlcn!:... I~.t mlr br herein (If ..od()fte'd hrrelo, .h,Ul1o lonSet pU~"'III. .nll thi~ A,ruml,1l ,h.1I ttnllln t((h':llu I",ollllnl
'01111...".." In ft.!' ..me ro'nnl1' II if 'hi condilion .nd ,"onltftllUlCY W~T~ not I p,rl hettof,
1'1 Siller or A!Cnl mUll rIl'CII.... ....,rHlln cOlTlnlllmenl ....UJ \/nllllhe tt.lo:or IoI:Ukmenl. rOI the ..Id loin, I)n Of trdnr. ~he l.rmtn,1 rtlllr ,. ~P'KHletl, H 111... ..ld ctHnmilm<U'l
i, nol rurn .",d .lth the tefml II IpCl;'"Hlf<.i hutlh. or un ollwr ,IIrll1. Ikeerlcd 111 .,ltl". by lhf IllIYlr, IIn (Ir hr,Inlt It'll .pc(l[lcd d,lr, ~..Il" ~h,,1l tI...." ttlt! Qf'tton,
,I,h..l dill, or IIny otherr 11m.. ~htft!lht:t', durin. thllun, I)f lhl. ",f<<mllnl. ..nUl, tlllll101 t>t,l1nd Ihe d,l( or r<<lI'lpl of \ht (orrlmhrnllll hy Ihl'/t.:lIcr. flI A.ent, III
dtduc thll A.rnm4r\t NlIll AND VOID, by wrltttn nntkc 10 I".SU)''' ofhil/ht'f d",ltkll'llo clnHI, It which Hrnt ,U dapo,i\ rnonlu r_lcl Oil .,:co/unl thlll tw ulwrntd
101M 9uy.r, .utl}fl't In Utt paym.1l1 ,cqulrrd. Ir Iny, pt""ld,,d l(,r 111 r"/I'Hll'h li(tl): (II, (iI), ~nd (lit)
(dl Sdlcr hcuby Il\r-. ra rcfmll iOlr-"Ctioru hy .'IlhQr',...d 'PMliulI, repullhk ct:rllfku ,,"d/o' "u~f'r 1\ mfY t;.e Ilqlllrcrl br Iht!l~ndlnlll"llilllll!"\ M irl\,,'in~ ~Ieflde\
(r) S.lIcT he,eh)' .C'~. 10 PlY addltlon.1 nloll",1lI clt,cQUnllKltnu .ndh'r tC'lan ~'d&lnall~t In (l1( of . blJYClI {lhl.inl"~ flnlnCll11 r'OIlI I ten~lnlln.llIullflll tC\lHt:ln.
tny OM or.1l or Ifortujd ffttl, p"'I.l'I'lcUII, Iht Inial or IIIIJ (ett d(lo(' 1101 ull..d .~..'" of Ill" ."'f.unl of Iht f1Hlll...t, __
1. !'T"TlI~ Of w.4.TP:a ANI) ~r.\IIr:": ~lk, ..aHanl. Ih.l Ihi, pr(lI/i!ll)' II m~i<'rd by ---._..PA\\J~--.~..- - "".w and ..~J?I:.\Jlll1:...t:l___~._..
l(Ower Punher, !kllll w'Ir.1\1I1hlllh~_~c 1'1111ml 1ft (ull)' ralll f(lr Iml. ., or Ihr_ dltle uf llib .lIf~trtltnl Irr 11\ ~.!i\r'(I\lfY oP.'"Unllo q'r\'ll~--;;'n. l( tllhrr afof(ullJ ly\I~Ol
\I {lflUlt, Sedler ..Ifflnl, Ct.,l he/,he hll nn nOlI'" horn Iht munlclplUl., or frum Mllnid"al IIllliu>fhlc$ lhMi (lubllr .....l~f 1r1.l/orll~""'C'1 ....H~ltCIl(l.t (II 1f1~I.tlrol
.. MUI'IICI'Al.IMrftOVEMF.N1li: SeU(!~ hIS no Mil,.. of rTHlIllclll.1 trnpu)\Icme"l. (Wrll III Ilrtr....tk" rutbt, tl~,1 rAl:tlll__.JYO.N-r:._.____~,______.
__________ Ac'"" to JI flubllr fOld mlY fr:-qulr.lnu.ncc: of. H~W'\f (KCII"ln'jii' ~rmh frnm 'h~~fr IIMCIII IIr lr.'HI"Il~
. Rr~Al. Cl.AlI::~~~ o-.m.Al~r--._o~-li....~.. ttCII/K _.o~ . . _ ~- -
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=--r~~~ ~1P~ r;:; ~flt't.-- ~_. ..{JF-__:3:,fj16__l.El[.e:_______~~_=~
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A.tncy R,llhlttonth1r trftcme !rupeeCion fl(ir.1d hlw:d 1'~lnl lJ OIhuU): ..---~.-..-
11_ rE.SO...."".,l"VI "'11 uhhtl/l t1h.....bl"JI. h..llnt, 'IH,nndil,nn!OIl .nri tt.htin, fl~IUI" (IM,tudlfll ~hlndefler, and aI/III' f,",l) ,nd .r11~m\ ,p"llfl~n.n' rhql:lu !lull fV(rT\lnll
. I",t lhtrC'ur, 111111 ottlrr pHln.funl fil\lllfU,.1 Wt!ll '1 ." Ilfll"" ',uf1dr~ lUtI., T,V, II,tron". Mule 'I'lft rfflClf enrcrt1f. In,clh,,t wuh WAllIn \1'111 t'~'n<'llolI. Il',(~nl, Ilnrm
u,h ,,,d/or dnofl, Ihlldo, '""Ill!" vcncH.... b\lnd.. .oupllfl" 101 "IIlomoi'" w..heu .t,U drYWfl. tiC "dlllor ~"Y~", rnrnlc:u, .flel ~"rl~,1(f', ~i1~".o uh-;ncI4, df."""~
rodl, dr'flOlry 'rid h.rd.lre, C\lrlll n rQd., ('\ul.ln rod h.,d"If~, allm".... .hlJbt-=ry, rl.nUn,1 no" in fir ....n f"rnp"rty, "f.lI~ dout (If'l'''''", ,~d,\ H ..ny ul1l~u 41-.edflullv
ur,pl"d n rhh A,rnmenl, If.ln~ludrd I,., lh~ IIIr 'lid p\lTrh~t'! prlet. NlH,e of 'tor .bt.I~t "'~"llllll11"lIlClm, ,h.ll Ix f~m...".J (1f Aub.tIIllllJ by Ihe Stll(, rfO"' l'ffmllt\ .ltrl
rille or 1I'1~ ~,nO!r'I\tnl, Any Irn,~mln. hr..lln!! .nd/of (ml~inp: (uell. III,Htd nn Ihr prftnl$l!~ al Itmt of ~~ltlemC:f11 Ire lion Im'llIurd lIl1dcr Ihll ^'1,.,m'fnl, !{elkf h~,.hy ~urtnl.
Ihll he/lht .. II dellv", 1TX\d Ihle 10 ,II ...r It.., .(\Idr-. dnCfih(d lIl_lhl~ (lul'''flh. .nd IInv nlhn n.lUr'l'1 or Ueml n( ftt,~nllnll't' 'rc:dri~'.1l1y t,'''~\llllrlllll ht illdlHlarl in rhll
nl[, ~lkr "'lIn~nll.11 plunt~If'lI, hUllnl, Ilf r.Qn,lhi"l\lnll, n11"1""1111<:.1 :"I,lrt~lrk.l.yt'rrl1llnd rqllipml!111 tfld , [lIlli.n(c , In he III prOllef "'llrklll.nr~rr III Illllt uf \~jll~rll~1I1
1M' ,u'I.nl)' dun not ,ul~i~~ d....:n'.
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(I) H\( pr.ml!IC' ioU IQ'tw: \:i.JII"nctl '" tf1l llmpl. bV 1~1.1 WIlI.utfy d~d, I'ttt "nd'd,., o( .1IIltlR1'fKllllllt "~eR'''lIh,,...",.:l'IU, lllllcePTtNU HOW f.Vlitl , Inr fl'lUu\Il'llll:
6.illln" blllhllllll utltl~'IIOlu, tlIdl."n~C'f, ....lIIellll <<II 1(lllh. ~rlvllC'.h Of rlll!11 ~lr IIU\'Uc ..,-ylrt '''ml).lI1...., If .n,; llf c...,\uRII11r 1'1111,,11)1" lilll\ll. ...p'lII Ih,jrulJl\lJ~
(.l1t!lfWIU l1ttllllH will. .lm~( 6f..wrlbllt ,.~I Ulllil' ,h.U Itr loulJ and m~l&'I.,IC}~~l,v~t, ~,,:.n\ll, br; hU\lred by "lflpt.4~'hk lhle jfll\lf'fI~'C: ~Ulnpan~ .1 lilt f(flUIM fllln
ltll 111r~1 b~~:r fI;;~r:~ ~~ ~~,~,li~~~7~~~~, fftKh'I\I~llI(IlI"lur.n(lI .~d/(), _Ill" Jit.~~ 'r* l"'lfdH~m...lll1li(l1l "t II"'lI, If lih,I' ll, I I; ~ :H)' I \., I
Iii 'l'hc ","'11...", lut nlWw,J InUUln..:' ,."Mol fir. I"IUIIO"'II' wllh uI.n~ld ,:11...(11...., 11\1o~IUl\t't b1ndtf (~.,.u m 4'11KCUlitQn r~, If II'I-Y,
till I'ppniMI tH' and """Iu 1J,,1d In Ilh!f.t1cc lu mv,liAln, If Iny. ' I I
(lwl MU,ff'. flllflfl" ..\llrmenl utll' IIH.I II.'I.'rll.h ,.ultell plhlf.l~ 1.,I.d h.U'\n ~ ' .
\\'1 1'\1\, UI(VCY IIf IUrlll',1 "'hMllfl'Y \tw ittlHlr.d b, Iht' 'Inle In~ur.n~t (uln~'W pI 11I1I' .Nlr!M:IIIII'119'"I, h'f Ihlpflpllfadun v, In I/ikotUIll' kttt dn"lh~l()t1 or I~'
!'ffflll..-lllll\" 1,''''''''lllltllhllNfl, Ihall ht 1~':'.Jr"a .n'" Ilal.1 (~H h'l' Ill, Sell'll. ttO..-f'l...., Iflt' IIHWli, tIll..""C,1 1ok,,'IMI tI, Iht "1.1", 41f rctlulud br hi. mUIIIIl," It'lll
bt r-n-ulfd Ind ftal<.l fv.. hy Ih. It~,rf. ; , ,I I ' '
(<II In Ifle ,,,.l!llht \i.I\lI'r I, Ulllll,rllllu .1.., II ...utJ Illld m.f~ll"bl. 1111, 1\0 ,"~(k U ....1Il 1M Itl'IH"" h, III uplJllti~ t/Llt n,"'pIlhY, fl'''ilkl II .luIUII.., "lJ1" .hlli tin' II'll'
nllll.I" III 111\ InS Hldl Ihl~. .. Iht !'.I.ff l'iUI ilIff ....111\11111 ,b.t,,,-IIf1lt ur Jlrkt nf uf. twhll ..paid .11 murtlt'llKld b~ lh_ .u~<< 1\1111. tMtU., ron ''''UlII\I, 01 I~' plllllhll"
l'f!(, ,"J thw MU., .-111 "lInb'Hk Ih. tlllr'f hI' 'rlY l'II.I' 11l~I.Hu\lI', ttu "uY" rUf Ihln<< Ilr,f411 fl*'lrI,d In r"llI'''J-1h IJ:(I;.) !ltnl. Ill, WI. \lH) IIn4 I" 1111."111111 I't...),
.tI~ m t~, 11111" ''If'1I1 Ihut ,h.1I tit 1m rlulh(f 1llIJlluy IIf ubJ''''llun UII tlthl.'l u( Ihe p"III"~ hfflt<1 And Ihl. A"UnI.1I1 l.\.1! b'lClll'lllt till LL ANn VUlt),
If, r"~t.it'f'llr tit' Pf.'O'iI"1 lJrpq,ill, flf.atl1lru ur 1111 hllm 1.'11' \"IIYfn."1 llnd lh, l-fh'tn df,'.nll4id II' pflY", ,,,.11 be l).11ld w ....,IIII..r lh.'!hll.,-, wlln dlaUf.lllln Ihtlh in
11'\ tUfU'" I(i.'uunl w'uil ~urllljmlll~It\l" \Jf IcunlnlHurl (lr Ihl, 1'I1,,,",lIInlln clIllrormlly *llh ali 'pplll'lht, tll'Wt .Il~ u,l.ll.llruu AI'"1 h,. Uti ~f'Mf nlll", II Ill. III h'f ~,.If
uI'HoJl, huld '''1 Ulh'lII.hfil ~hct.~ 1"'llll/flllIU II~II{l'II, ""niJllll !tIll IlH'lI:l,l,n':1 OJr 11th offu,' "'.' .
Illh,,, h. dh(l\lll b.'lll'un Ih~ lllJUI Ilfll.l Ih. 'flltl IIUI whll II 'Illtlklllll Ih,; d'puliI. "Ifill ~III 1\.1)1 1M fctpunl{t',t. Iu 1I!lQh-t 11,.1 dllpUI' lIlId will n'.1 ~. 1i.\:Illl lu tll~1
"I.l,tl'f O( Ih, S.lt" lilt fdu.hl.,ll' Itltlf,il/ Ih. \kpll\11 'I/IIlllulIll "II ..\I~~IJ~I, ....,tllrll.il..lftm.lll "'*ffil ""Ytf litnd S.llu QI II vNII'" ~.11l11 uf.,lo!f, Y""rlf 1111'" ~U(f IllltW 11111,1,
III Ih. .unt Ih. ...."I'IIIIIIIIIt,H 'luh,,"111 lift/ll ,ulll<'''' II. /l111~lhlllt\H' Ih.' 1(lmll <I' d..:,ltJIll mUIII.-_, lhr AIl.II.'1 'lId/llr SUMlI".lI'l futolllltll<< "ullln.,/'I r~~l \UI.I ,"hit ""It
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(bl Stlld 'Will nYl'''11I1 Illl... '1" llC'I' tfllt4h), ....rlll." nlln_lulIllf ultllll'II"HI'I.If IllY, Of ..ddllltln~ l.u"CI) tQt the II'tml~1 ...llhllul tllJl"" WIUIfIl (l]n~"! Ilf Ihe nuy"'l
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.ny {l)QfJCfllllllil b(ollcr .I"J hil/hu I"I"'JI<Uoln OIhll tmptoytd and In... ofllet{ 01 panner" Ihll'tUUMf.lIn. brtJkl( art 1<;111111 as ..,fill cml, i1l brin.hl,ll1" lIuycr It"" Sellel
{Ol({hrr. and will In nlo1 till whl'.lHltlVrr b~ hrlrllilbl, jlllllllv Of ""'f"llly HI ,Ither Pllly f(tI lh~ Pl'rlOlffiilllC. Vr '"Y I\frn oll:ow.nl/lt Qf Ihl. A"I'C'/'IIO!nl i.lf fur "~IIl".l'ft rvt
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11, u,n'"ULT _ nflltE l~ Of Tltr. ESSl:NCt:: Thl/ '11d 11m. (or tlflll.mcllt .fld 11\ olh,,, hemt uh(l.d 10 tnt Iht pc,furmln" or IlIny'~f',h~ ~b1i;"'I'OIJ' ,If lilt, A"C'fl'!fI'fIl
In hqr.b1 "."c-d 111 be: or Ih. IHC:lll,'t or Ihll AI,..m.nl. Should Ihl:' IIlJy.r: ",' '
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inlh" pfll..:tlllfl' of lhe mUlI."....lu." loplk.tlon, which .~. \lIouhJ fnull in th"IaUufl h' 9bultn I.... IIl"pra>l,,1 0 .. moll,.,., lul"I'(I)",",Um.nl, 0.11"
,~'I Viol"" IIf rlolllO h.!lfllIlnil ptrlnrnt In~ or III' Iffml ur ~c;mdilion' of IhlR A,rlollt'llCnl, !hlt" I" fll~h (.... all !j.~.h ',101\1" .nu olhn IUnI' Pllld br I~ 811,ff <In 1~'l;f,I"lI\t
or 11\1' I'u,ehl$' price, ""hvlk" f.l.luh'.... by Ihl_ ,A"flltmClll or 1101, mu bt rtllliflfd: '
III by Ih.. Stil.r f,ln Il'tuunl 001 Ilw pUHhn~ Jlfl',", 1"01.1111 Ih.. uUCi dlm.nd 11\1 lull pu,chl.l>l' prlu, 01 I I. Ii'
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., .he Sell" UlII)' e\<<I. IlId In Ih. ,,,,_nllhll ih. $tllrr 11:111'(11 to'Wilc. 111' mont.lli tlquld'.I~ Jdlm"I'lI'lit".~I,"I';d~~E '~Id\ PAtJII.ph' llxe)Ult), nlll \ellu Ih.1I tr.C 1;1........1
horn 1IlIllabltH, Of ,,~II'flllun Ii Ihh """ctmenl ,hili be: ~Ul.t.'AND ....Oll), ' .- "
n, IIECnn:R" f'U~OI /4. f..l csI,I' ,"CO'ftn lund nilll to ttlmblJrM ltin)' ",flUI..' .N~u"'h',,'. f)h\I~I~"d l'tl~..IGi''fji jUd'.,nClIlI'.lIlluI I r"nnlylVlnhl real U\II'I'~'Il(cnwl' <;IwIn.
to fralld, Mh"'vt~nllllollt \If dt1;filll1" ftll ('IIII'If.ftlll~llun ~1I11 whu hill been ul1...'k 10 1W1l....,lh. jvdl..mtnl .rill" tdlllJ,ll"a.1i 1....1 'lid cqlJih~blt ''tltlll,ll._. l'l;If CUIII<
fltctfd'I.ll~.b(lUllhtflunlJ,cflU(117)?iIl..tI~.. ,.1 ,.11".', " '.' I, ,- ..,' 1,1..
n. AtAl, EST "1~: Ol\iit'un; MUIULUTION ""!iT[MI An~ tlhrllll. Of claim uhlfl" OUI 9' Of .fllIQl\lI"O Ihl, A.'Iil!r1Wfll, II\f "'"II 0' Ihi. "I,"mllll 'or Il\t M,~i~e ltf(ivhlt'IJ
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tepffl~II{lonl ,hId. by Ih~ buy~'. nlln. of ah)' brnk.." i1~tnl, tut>.aSltnl, 01 ()1M' PCUQ\'I ql entity In ~onnCiltil>fl.....llh Iha uifr, pul~~'-.t. flnanltlhl, wlldIU...I,", or 11th.' .Ufltl:l
u_' lh~ pfoP"r11IO ...,hli:'h Ikl~ Ailf..llm..l\l pl:rlllnt Ind~dln" w"hoUI U",i11111on, .Uvllallona Dr CUf\(r.llfl..-'f, tnl.,.pr,..nlllllon, fI~i1I."",," Iftd/ur rlllud.
hI IJtl,l\lilllJflI /;II Hli. P""IIf1ph relalllll '1,1 melUlllon Ihlll IU1"'iu uUlt1lllnl on I". IjjbJ~t pfoPlIly Of' nfll" 1r.,mlll_lIon of Ihl. A.llnlfllllll. '
ltl.Jr(f and ..n., .~kno....I('(I.t It\Mllh.y hllu ,n""''', ,ud, .n..! wndcfu.nd Ihl: It.n4.,d annourKf'rnenl brochure .nrl ful'" ,n4 prQo:(dllrt:1 rOlIt\c: R.all!.llllt DI"ulU' MnGlI,l.
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U, ^C,ItE[MUll. THIS ^GIl.EBMUNT c;OtHAINS THE wuoLIl ^OM~UiMBNT,.11'W2l\~I:TJ, (8 SIlU,.I\ANcl aUyjU". THuat Aid! NO' OT'Hnk,,..til~MS. OPl.IO^.
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,'-'RRIlIUItil, PA 11111'OUI
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILl!
~CN
DATil
NO.21
97132396
01-17-97
TVPE OF ACCOUNT
8 SAVINGS
[ CltECKING
TRUST
[J CERhF.
tU"II4IUln If.",
EST. OF HARRV 0 ZIMMERMAN
5.5. NO. 190-26-6218
DATE OF DEATH 06-03-97
COUNTY CUMBERLAND
** lESlEE C TURMAN
. 1i!08~llENDAl!! RD
MECHANIC5BURO PA 17055
I', 1', I'Xl.( N 3
(J,III/A!, I'd I!P" ~
REHIT PAY HE NT AND FORKS TOI
REOISTER OF WIllS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
HAR"II SAVINOS lANk h.. prnwlHd ttt. o.pertMnt Nlth the I"for..tlon lht~ b.loN which hi' bMn UI.a In ulcuhtlne tht;
potontlll taM dol. TMlr rltCord. 10011:11. that .t thl dI_th of the above lMcldent, ~DU ....r. I }ulnt OlIln1r/blM'le'lohr~ of this IKlC~t.
If you ,..I thit Infor.UIPfl 11 Incorroct, ph... obtel" Nrltt.., COI'(IKIt1on frOll tl... fl"enol.t In,t1tutlon, ,tt~h "c()p~ to thlt for.
IInd r.turn It to ttM above addr.... rtlll _"eount II t_Hettlt. If! ltOcordanol with thl Inherltlnr.. TaM lMl. of thl Coaaonwe.tth 0' Pannlvlvanl.,
'WuUiHl. ...r Il4I ....."'''.Id IJ~ ceUlnu 111(,' la".:'lf,
COMPLETE PART 1 BELOW II
Aooount No. 18-50-003571
.. .. SEE REVERSE SIDE FOR
D.te 11-14-96
Eotllb1 hh.d
FILING AND PAVMENT INSTRUCTIONS
ADo~t 1I.1MC.
rArDent Taxltbl.
A.ount SubjeDt to T.)(
T.,. R.t.
Potenti.1 r.x Du.
K
.00
100.00
,00
,is
,00
To Inlure prop., orltdlt to YOlJr I-CcO\rlt, two
(ll copl.. of thlM notice 'Milt I<lCCMIPlN'l~ ~ollr
Pllyant to thl RaQllttr of Willi. H6t<1l cMck
p.ylbll tOI ""fl.ghtar of 141111, Agunt....
K
NOTEl If hI( Ilayunh ar. MM within thrill
(3) -.,nth. of thfl d.cedent'. lUIt. of d'lIIth,
yay NY IMduot II ~i( dhCOUlt Clf the tax dol.
Anv Inh.r Hane. tft)C dull will Moo-. dll1~lent
nlf", (9) lIOnthl IIftlf t~ de'ill 01 d41.th.
PART - 'rAXPAYER RESPONSE
[!j mi~'tQll h' "II""lIi~~~~lm' 'W"'~""'~Hr" '"1*"'.' '*' ,~r'.", .'u.... "'~'~.. '.'.11$".' '.'" "g"" '""..~ 'I,ril~'~."~
""" " ' .""" ,,,,,, ... ,',", """" "", """ .,1, _ .... .,,1',,", . ".".... ,,',," "'0 ,"". "" " ,',"
.:.!,: ' ' "AI,:"" '!\If:::' 'll!t ,'. ,"',' """:' I':?,:, :.1 ,:':', J1l,IF.; 1M' ":,:'i;';, "~I:, _ ,:tilJ,tI!lo , ':':':. lilf "I'. ~~,!: :':' .' ,'. ,I.:.
.',',', ,', ,.~, ,','. d, """,.,,,.:!!,,,,,,,, ,",' ',' ".m!II'lIi, I,'.'",', ,-",I ,',.',', ,'"I, N. '~"'"'-''' ,',',,'-',',', ,',', ,'~,', ",.""".,,~ ,,',,',',',',',',',' "'~, ,',',',', ,',',,, "".~"."""".:, ,',',',:" ','.',',',',',',',','",' ',[,',',',1,', """M"",-"",..,~""".""" ,r:"I""I,,' ','~,', .'.',,',. N,',', .',,, ,', ,'''''~I'.!
' ,,-, ' " -" ,'"",,' , , 'I" " , '", ':.1.',' " , ,-" '" . " ,
[CHECK ]
ONE
BLOCK
-, ONl V
.. 0 The ebo~. Infor..tlon Itnd tax due h corrlMlt.
1. VOll..Y choa.. to r..1t P'VHnt to thl Reghhr 0' Willi with two copill' of thh notice tn Gobhl"
. dl~owtt or .vold Int.r..t, or vou "'1 (;M<lk bmc ",.. end return thit nntlc:. to the Raaht., of
Willi and Ilf'l offlcl.t ........ut will btl luvld bv ttMI FtA o.p.rt..nt at A.vlOOt.
I, ~ IIbov. ....t hat bHf1 or ..UI ~ rlpUrtltd .,., tiN p.ld ..Ith to. P.,..".vlv..,I. If'ilorlhan". TaM r.turn
to hi fl1-.d by the dKldent', r.pr..enhtlv..
C. 0 11'1. IIbov. Infor.tlon l~ncgrrlOt wwi/okJtlbh nod deduction. wo,. Pilld b~ you.
Vou IUllt CCMIlipht. PART l!..J WldIor PART l!J lMlow.
If you 1ncUo.t. . d1fhrent tax ,..t...J .P!~~ .t.t. your
..ht lonohlp to dIoodont I ___J2.1iI.1..~. E _
~ART
@
T~Y
LINE
IllETUAN . r.nllPUTATInN OJ'
1. D.t. htabllat.d 1
2. Aooount B.1one. 2
:s. '.ro..,t TaKMtl. 5
4, AaoI.o>t S""lKlt to Tax 4
s. Dabh ..... lladuotlon. S
b. AaoI.o>t T.,..I>1. .
7. T.. Rot. 7
a. T.. Dua a
Tn nlll .JnI"'UTAI)!IT Ar.r.nUNTlI
x
x
dUD
O()
~EBT8 AND DEDUCTIONS CLAIMED
~UT
[!)
DATE
PAID
d
PAHE
DESCRIPTION
AMOUNT PAID
I
TOTAL
on lIna S of T.,. c_t.Uon I
-I_
.
-.
CEnt..
linda. I*\IlU I.. ., "". jury, I cIao1.... tho!t tho! flKlh I
ZZ.h to tha ....t 0' .y kncnf11tdga ..... ...11.1,
bJ L (I 1L.Wll\.(l''-- 10- ILl .(n
T . ft, ~tnJnTIlP~
MYCf reported moye .,.. tMM, oo,.,.eot
tlOME n 17) ,S .~i..:. ~ ,:AI :)
WORK ( )
n'" ~PHnNI' NIIMft~D
.....
!'IATF
COHHONWEAL HI Of PENNSYLVANIA
DEPARTHEHl Of :ffiYEHlJE
BUREAU OF INDIVIDUAL TAXES
DEPT. Zl0601
HAIlRICIUffQ, PA 1712.~0601
*'
INFORMATION NOTICE
AND
TAXPAYER REOPONSE
EST. OF HARRY D lIi'l"1ERMAN
5.5. NO, /90-~b(.:1.lt
DATE OF OF:/.TII "'-Ii!! /f7
toO:!,"'::'; 'UM8('~/.I\AI/)
FlLE NO. 21 ~7-D514
ADN 97137139
DATI 00-23-97
TYPE OF ACCOUNT
fj(1 ~~~~~S
j I ,ll
[ :':' ','11
U~.IUI IX In ".",
CATHY L HULL
PO BOX 442
GILBERT
PA 18331
REHIT PAVHEHT AHII fll"H' rr I
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 11013
PNC BANK has providld the Depart..nt w1th the Infor..tlon Ihtld bllow whlth 1111 Ilu" uncl In tt1hlllllJIlU till
pot.,..tlal hl( due, Their rloord. Indict" that lit tM d..th of the abOVI dlcedlnt, yaY wlIr. , Jol"t llwll.r/ll.,~'lol~,-~ fI' Ihll ltif/Dunt,
If you f..l thh lnforntlon II Incorr.ot, plea.. obtain written C1orrftOtlon fro. thl f1nlKW'lhl hulltullon, Ithfill . ClOfl" hI thll 'm.
end r.turn It tl) tM IboYI addr.... Th1l aocolMlt It t1llcabll In _(lcordanol with the lnhtrltftfllill IAIl Iff WI II' III' (11...."IWulth "' 'lon"I"II,I~ll.,
QU..Uonl .ay be Itn,wtrtld by calling (11) 187-8]27,
COMPLETE PART 1 BELOW M . M SEE REVERSE SIDE FOR FILING AND PAYMINT INSTRUOTIONS
A...unt H.. 5140175745 D.t. 02-04-91
E.tobllahed
Account Balance
Parcent raxabla
A"oLWlt Subject to rax
Ta)( Rat.
Pot~ti.l T.)( Due
x
5.543.62
50.000
2.771.81
.15
4i5.77
'0 !r1l1lr. Ilrnf'" Cjfedt~ hi vnur 11111101"1'1 hilI
(i') ,;olllu 0' "11. IllItlt;. IIU.t ,jlliU",..ftll vow
pSYII.nt to th" ".,lltlf fI' Will., "'~e f]h'fj~
pev.bll tOI "N..letlr "' Willi/ AUlnt",
.X
Nonl If tu fl'V..,lh "' Ilfl. within tlun
(!oJ 11IIIthl of the II'llldlnt', dnh "' Il'fllll,
you IIfl" d,lj!.lflt e U dlllilll"lt lI' 1I~ tflll: dill,
Any Inh.r I t.nCl, t,N Itl" wi i I 11.(\,... ih.llnql.llnt
nlflll (9) fll:)flth. .fl.t 'h. ..." "' 1I...th,
PART TAXPAYER RESPONSE . - -
[l) 1'I(i!~~~,~~iB~~!li!~.~.~~~.!lijiil~r.~Q!t~I~!i8i~i!:~~~~:~~~~liii!it~X;;:;A..Qijj!O'.l!.~~."~'I:~l1miii[it~,~(~
[CHECK ]
ONE
BLOCK
ONLY
.. 0 ThtI Ibov, Infor.aUon and "I< due II corr.ct.
1. You ..y chao.. to relit pavnnt to thl Roglstlr 0' WI11, with tuu coptu 0' 'hll ntlU<l. to (IM.11l
a dltcCK<<'lt or ayu)d Inhrut, or you ..y ctwlck 00)( "A" IWld r.tul'lI thll nothe to UIIII "llIll'It.r 0'
Willa end en offlolal ...e"HOt wUl be luuad by the fl" n'll..rtll~' of "IVentHL
a, M!.... above ....t hili b..n c.r wUI be r.port.1i Met taM plld with the PltlVllvlYMl1 h..h.,-ltlflfUI hI( return
to be fll.d by tho d.c~W\t'. reprllenhtlv.,
C, 0 T.... ahoY. InforlltlUon l~ncl]rr~t end/o~~ehh ..-ld d.dufltlOflI were Pllld II., vou,
You IUlt cu.plete PART L~J Ind/or rART ~ b.low.
If you indicat. . differant t.~A.t., pl..~. .t.te your-
r.lationship to d.cedent I J) VG:~rI7 ~ IC.- ~
PART
I!I
rAX ntTUn~ . COMr.UTATION
LIHE 1. D.t. E.toblhh.d
2. Account Balance
5. Parcent Taxebl.
4. AMount Subj..t t. TI.
5. D.bt. and D.duct1on.
6. Aoount T...bl.
7. T.. R.t.
a. T.. Duo
1
2
5
4
5_
6
7 X
a
eN JOINT ITIWST
,,,-~ 'f (ell
.55'3.G,;;l.,
50.00
;;J,'7 7/. %/
hCCOUtlTS
or ':'AX
X
PART
[!]
DATE
. ~(,
1&(, .3 "
!IEBTS A..!!.L.DEDUCTXONS CL~!ll~D
t= -----.--.-~.-
TDThnTor :;~'~_:~~~;~;'"c~~~l-~~:~: l~~~~-~'
Under penllti.. of p.rjury, J declare that the f.o~. ,
..""I.t. t. tho ....t .f MY kno"lodll" _ I>oIl.f.
""'T7iVll^v~" ~~ i' f}jl.d!-'!~
PAID
j
PAYEE
DEseR 11'11 ON
AMOUNT I'AID
.-
hlY. '....II-t... ..ye e,.. bUll, Clorract IInd
( 1/1) t# '4' '&. - JJ IiJ.----r.7iil.-
WONH ( . 1__ /tJ,/~.-; /97
Tt'lr~II"llr "lIllMU'''-.-''---'-'- nATI'
IWIiI
, .
1\, Settlement Statement
II.S. 0."""....1 01 II",~IIII
n. ,.,... 01 LoAn Alld Urboll Doulo..tIaI11 OMlI No. JUI01f1
I. DntA :t, a~ J, ODIn" UnJ.., _. '11. -HII"lh.r ,. w."-N~...,~; ~ ~., ~lIrf"'" "''''''IIM (.~~~"..-bl'- - -I
4. OVA I, DCo... I",. 98-5967
--..-- WI.llIng "."l~UI'.rI~U""" ,ou 8~ J"""".!).~IlJ~~I~I~!I""I~~!:n. ;irJi:el'dl~~ IIIr~"J1I~ "I"" , 111.11:'1",' "0'- ..
C. N.lo, m ~'~~I'I"""'I- .... r~l..ou. .Ih.. "1.,~,I~~i'" "; .. r L-t 110. ,'or ... ,"~1: .d"'/tlJllf 1.1.1..
a, I W 'l,rlon<i '0 1O,...to,. mok.l\IlI. If .11\ If 10 ," 01 . I,.~! nn", II 1/1. r_ II,..
__ ~ r.a..lno:.uIL~fli1id~ dlllL~HII W a. __, ~_
0, NAMI D. DDlUloW'lln. l\udzwy A. C!lIrbt
'-_ AoDlIlW,
n. HAMU D. I~LLBnl
AOOU'"
p. N4Ml1 o. UlHOIP,
ADOAW,
o. rnoPIRTV AOOIll</lll,
The IAt&~a of H&ny D~" Zu,,;.,n;n,- III
~i:1oii-)i;i,~N;';'~' .
UOB Allondal.. ll<la4. """"Intallburv, PI. 1'/065
D rlin,h.1 1laoW.,,,. 0 "'''', II_I Jlm..
II, BmLB~tJI"" AOllHT, ' poatt A-: Pi.ttr.iak, .q-:--'" "..--' . .
nACI or ,1tlTLllMiNl" 134 llipe.AvanIUi. IIuI1alebl:ai<I1, 5'1. l~OJfi
I. 'IlTrJ.&hlll<'lT OATI, 03/13/'8
1..__ J, SUMMARV 01' DOlUl.OWItR'S TRANSACTlONl
100. GIlOSS AMOUNT 01111 nOM 1l0RROWBII
lUI, C...I""" OIl. urk< __ -
IUI. P."".., rill"""
10], SdlltftltRl d,.r,u III OOlfCJ*.r .IUnl 1400)
104,
101,
.: _==:..~;:!t.'MMAiY 'or 'JlI~Jt.'(!II.AN.^arioNi~"'--
4110, GilD.. AMOl/NT 11111 Tt1 "WRI
".000,00 4M.. CD"I"" Ol'''--;t!i!_ '.' . -'''--.-'' -=:.- ~~74 !!!!!I'DO:
____!ll!o.'~N..'!'!I.P,..."1 ..____ _ ....__ ___..____
l.iU.)) 401.
- -----.",-. ~-~..---
4~, ,._____ ....._. _~___~
411.
A<lJlIIlm.ou 10. Menu oold bY MlJu In .d..".. . =::- -'::_==._^'lIllllm.~i; lor II.... p.lAn;, ,.u~;'-~I ,dVAMI _.~
Clll/La"" 1111" .J.~._.~I.~l!.~wn _I~.~
CaunlY I.u, 03/1.V'8,. ].;l/31/'8 87.85 ...~-,-~0~"!1~'.'.'" .ao..~.LI'~.~.. ..lflj'~I':';;" oWB,:~lD~~~.. 81.~5
SCh..lt.... 03/13/'8 I. 06JJO/98 146.31 4ot, ~,..U~.. . .,. . (,!!". 146.31
40', ____.. .__..____.._..._..~_..-
410. u......_~ ............._.. -
411. .....,
~'J, ......._~...., ......................._.._
4JQ. 0110811 A'10..I!!!U!'!!! TO nl.t.lt\.lJ.__..._.
,!~",R~.~UCTIONS IN AMOUN1' !'.!!, 1'0 IJIIl"LliiR
SOO.DO 'n!:....!'.!~_""I"I'!!J...!J!!!'.~....I.~L..._.__._.__I-_
__ _...JD,JOO~ ..!~. ~11"!'!i-'~'I.'!'~.!!!~~ 14~1
101. ,.'.In~ 1".('1..10).. IU!Il."'..'!.....
_aso.oo _1lI4. -'-~.!!1!i!'I~"'.~!l.I.l'4!.!~~....,...
. lM:!. PlIVlJp.~
~J, IJnwoR ~r ~',"d..Mo"'I..' l4ci1f
7.,a34.16
106.
IU1.
lDI.
lUl,
ltU,
Ill,
IIJ.
uo, G1I0~8 AMOUNT DUB 1i'IlOM BOlUlOWEll 77.463."
lao, I\MOUNTS rAl1J "Y 011 ON DIlUALV or DORROWIlII
JOlt Da'" or _rMm nMlitoy
UJ, """,IDeI AlaQua~ Ilt nilif' ~eu
IDl, '-'llIln' k..ll) "'ktn ..I'hel '0
.114. A_I.VCtod" lI.porl
MolJa1 ~
7.398.17
li.~i6.65
101,
'04,
m. C....n. Coil. InN" Iol'..
.~._--_......
a.~2Q.OO IU1'....9!"n. C'''''!!..h,.''!..!!tt...
..._~u......~
._------1---
a.~20.DO
JOI,
m,
Ill..
Alii\~lnllllu 10. 110,111 lI.nold I,v !.II.. .., ...--.-..=~...uAdln'nllloIM. Inr Ill." uliMi~ hv "n<,
IIU. C11""'" I.... .. 110. CII,'I... I....
JlI, CIUUlllUU '_~ -!!!.:.-_c.~,j,'",,,,__._
III. .....,..'" m. 110,...11".
JII, Ill.
-
114, 114.
- ----~--~_._-
...!I.!:_. III,
III. Uf.
,
Ill. _ ___ _... Ill,
_~II... .~___ Ill,
m. Ill,
lID. TOT~l" PAIP DY/11011 DOIIIIOWEll ___ u""ijJ'::iio:iiO -iiD.'u;QTIU.-Il&PUCT10N AMOUNT DUI I.Ll"DR
100, CAIlII 1\1' Illl'ITLIlMIlN't PII0M 011 TO BO/lllOWllll 100. CASlI AT IITl.'LlMlNT TO OR FROM SILLU,
)111, 0,... um"1'" dill rnlll~ bormw.r (llnl lIen ~]_=~_~l~~~i~-~~ . '~.T'..----~~~;;;;~~.IL~ 10 -Ml.., {lbt.'~UI ~
:::: :B::~:ld:;:;::"' I!~n' J~ ,.__...~::::::: ::' :'1:4::.;:::~ .lIlw OI...~
LESS FUNDS 1'1\ I j) 'I'() 111I) 1.1( 1'1'.1< {>,'I"I'(I< '111,1' 1'1<1;":; ':'I"I'I.I':m:N'I' WM,j\-'I.'lIlHlUGII
aa~lr.lTi\~!\tth V"I~" l/~'I:;1.''' J/w 10 N""ld. 'l"'b~' ~fIIoA~~' ~~ 01111 I""' M"KII',:INI"
~lIl1:j~: =~:~: ".. n~.t t: -,,'~::J .~ ~II II' .fl~ltll,rP.j;'II..I",~.~ ~n:~,t",'r
U.d.,. ,.ulllY Dr 9lIrJ-l'll I ur\ifJ lb.! It.. .....~u "'II." .It Ihl. .tIt'I",," It lnr C1I"tt' '""W" h',"UAtI\Mn .Ulft,"'r,
-~--
3.,IOS.iii'
7..:134.16
31,105.63
.5,3aB.54
... ~UU.OC
'45 . 128---'-6'4
-----~--_.
-.--.----.--
111. IloInI' .r II,,,, P. lAllIm._n. /II
.
1\'~II~" ..'ltl . 1O~I'r~n .ia<mll:O'I!'l'l ,"4 .n 1\~!..4~ IIr I( II,. 401 lull O. '",",k'lll.. 4~.'"~ 4114\ " l_rl."1 101 1""'''"'110" AII4I" IIt'n.
l'Il", ",..111' III 1111 nlll"' 'JI' .r',,...,16 r.., ru; . tltll"., . M" ..... I"M' 1 .r I."" .It,. Aft .Ift IN ""l.... ." tt1i ll' ",,,- I... \i
tIf~1 n Iu,,~ Apt ... ,... I .nn n_ IhllG I tl'.. "fI' ,.," ...,..rflll.
RII'I. IIUD-I (1/141
lJRE.SETTLEMENT WALK.THROUGH
INSPECTION
DATE OF SALES AOREEMENT:_1/0J . ,19.J.L
RE: PROPERTYJ7py, Itllf~~~ttMA('(gU1b
SELLER(S):_ 21 iI1M"'1flVtN E' sTIl rc' __, BUYER(S): Cl{~) 5> r
~AC~
'if~..,,~
The under~lgned Buyer(s) 'lave compklely Inspected the above-captioned Pl'Operty on
~tt I Z. ,19~, nccompallled bY.Jp~ ScHvi?rz.. alld have determined 10 Ihelr
satisfaction thai lIle property Was In substantially lIle >IlIme condition as It was at the time of executloll ofllle Agreement
of Sale.
The Buyer(s) acknowledge that all non-real estatc extras as outlllled III the Agreement of Sale were on the premises at
the time of IlIspectloll and all fixtures were In place and functlonlllg,
The following Items were IHlled as NOT being in satisfactory cOlldltlon but were accepled in "AS IS" condltloll. (Indicate
if "'NONE,) The Huyer(s) have received copies of all required certifications alld Inspections and understand lhatlloll
warralllles Ille Included unless specifically Indicated on lIle written report. AlllemlS and conditions In the Agreemellt
of Sale have been satisfactorily met,
I
I
The followlllg Items were noted as NOT being In sallMaelory eOlldllioll alld NOT ACCEPTED by Huyer(s), Agreemellt
for resolution Is as foil ws: \!. eI.k
E ~ tIT- Nor J.(':b2kIAtO. ~ <; ~ei5 To
~ "TV 3An<;~ g();a. s.~ Is tIY!6'rr5N1
'i.t!?~lfnlTr Of'} "Iv\!l?'.
In the case of all FH A insured or V A guaranteed purchase, 1I1ls celtlflcation shall nclthe.. supersede 1I0r supplnllt the
requlslle pre,settlenlenl inspeclion certification but shall supplemellt sallie.
nuyel~s) warranls th.,t they are not rdyillg upon any representation made by Seller. Agent or Broker, and hereby releases,
quit claims, lIIId fore,er dlllcharges, Seller(s), Sellor(,)' Agents, Subagents. employees, and any officet' or partner or
lIIIY aile of them alld 'my olller person, finn, or corporatioll, who may be liable by or through lIwlIl frolll any and all
claims, lusse~d.rr, nds,llIc1udillg sOllal illJurles. lIIId all of the cOllse'luellces thereof. where now kllown or 110t,
which lllay ati')'f e 'tfJliio bJect pr~~ . "I ~ -
W~(lJessl \ 2!1. uyer:..L/.d.:.hi ti (/Y'1/~ Date.
Witness: Buyer. Date:
Witness'
. "..,. 01 ""'''~!:"' ".". '" ...,,,~,, "0'''''''''' 00," """0
. Seller: _ j...t.. / ~<e",,- Datel 3. I 3 - Cj X'
lerl f"du...Q 9...,- _ Oat.. .J..:l'O - q 'j{
Wltne.s
INSPEcnON WAIVER [Complete this sectioll ONLY if insp.ctionls waived by the Purchaser(s))
I (We), the undersigned Buyer(s) of the above-caplloned property, have been advised of alii' right to a pre-settlement
Inspectinn, We h.reby decline IIl1d waive our rlghlto such IlIspeclion and Ihe benefits ther,'of and hcrcby release, quit
claim. "nd forcver dlscharg.. Seller(s) Seller(s)' Agents, Subagents, employees. and any officer or partner 01' anyone
of them and any other person, finn. or corporation. who may be liable by or through them, frolll any and 1111 claims,
losse!l, or demands. including personal injuries. and all of the conseqllcncc.l\ thereof, where now known 01' not, which
may arise due to the condilion of the subject property,
Willi....
Duyer:
Dato._____
Wlllle.s.
. Huyer,
Illlle:
RtI'..fJ9J
COHHONWEAL HI Of PENNSYlVANIA
DEPAMTHENT Of AEVf.NIJE
BUREAU Of INDIVIDUAL TAXES
DfPT. 1II0601
tlARRlSlIUFtQ, PA IllZI.0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FII.E
ACN
DATI
NO. 21 ~ ,/'1 :,1'1
97132396
07-11-91
U~.lIU'_ lH (I.It!
EST. OF HARRY D ZIMMERMAN
5.5. NO. 190-26-6218
DATE OF DEATlI 06-03-97
COUNTY CUMBERLAND
TYPE OF ACCOUNT
iii SAVIHGS
o CHECKING
o TRUST
[I CERYIF.
MM LESLEE C TURMAN
1208 ALLENOALE RO
MECHANICS BURG PA 17055
I', I } I :"'~ III
1'1 I J II' I'll
, .'Ii
REHIT PAVHEHT A~D FDRHS TO,
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
HARRIS ~AUINQS 8A11( h.. pruyldad the DIlPlrtHnt ,11th the Infor.eUnn lI,ted below whiCh h.. tlHrl u.ttd In (lel(lullltlnQ the
potentl.1 tlM dol, T~lr record. Indle.te that at the de.th of the IIOOVI rllClld<<It, you Wlrll a Joint oWf1llr/~f1olary of thh account.
If you '..1 thh Infor.et1on It Incol'l'.ct, ph.... obtain written oorrlotlon 'roe the flnlnclal InltHutlOfl. IItt~h II copy to thll fer.
end return it to the aDI1V. addrll", Thil Itcoount II tfwablA In IIccc"dllnclI .Ith the rllherllflR-e. TftM. taws of the \.oltllOn....jth of Pennlylvenl",
h....l.hm. lid)" Ow ttnlN8rlla oy 011111"", l'l/J IO/"IUl.I.
COMPLETE PART 1 BELOW N
Acc....,t llo. 18-50-003571
N N SEE REVERSE SIDe FOR
D.t. 11-14-96
e.hblhh.d
FILING AND PAYMENT INSTRUCTIONS
Acc....,t 801_. . 00
P.rcont 'r...bh KID 0 . 00
AMOunt Subj.ct to To. .00
TO)( Rot. K . 15
PotonU.l To. Du. . 00
PART TAXPAYER RESPONSE
IIIIJIflJL~~' .,.OR.E~~~ ..ltxI,L .1l~ULT . XII NfOFllXCXALT AXASSUSMlHT .IIASlII. ClMTHX. t/OTXC1l
A. 0 Th. above In'or.lltJon and tal< due It correot.
), You laY chool. to r..it paYMnt to the RIghter of WUls with tNO copt.. of thh notie. to cbtaln
II dhcount or ,wold lnt.rut, or yoU "\I r:heck bOl( "A" lmd rlltturn thil notJ<l' to thtl Reghtllr of
WJ11. and on official a....'.-nt will be I..ued by the PA Oepart.ent of R.v.nue,
II. ~ ltbove n..t hea btlln or w111 b4I raported and tall paid with the Pennlyll,lanhl Inh.r1t&nCe Tax rlllturn
to bll filed by the docedent'l roprelftntlltlvo,
To In.ur. pt'oPIr crMlIt to your It<:count, hlO
( Z) cop I.. 0 f th II no tI ce "'1' t sccolapllny your
.,aYHnt to the Rlght"r ('I' Willi, Hltka chtck
payable tOI "R.gllter of Will., A~tn,
HOTEl If tal( plly..nh It,.. uda within thr.e
(1) lonths of tM! de(l8dent'. date of dlllth,
you flay dedUct II 5:< discount 0' thtl tax 00..
Any Inhlr!hnCll tllX ctu. will beeOH <IIllnquw,t
nine (q) .ooth. aft.r the dati of death,
[CHECK ]
ONE
BLOCK
ONLY
c, 0 The ltbov. Infor.aUon If Incorrlot andlor dobts and dlduot 10"' WIre paid by ynu.
Yotl ~I't 001tP18t. PART 0 ttnd/or PART ~ blluN,
If you indic.t. . diff.r.nt tax rat., pl.... ,t.t. your
ralMt ion.hip to decadent I I, f ~ I' (' ,II I , I'
: : : : ': ' : ' ~ , : : : : : : !
: ~ !: : i
,.:.:;:.;;""
'Ii OFr:tCUL U$E"l'JNtY','f1 AIIf'!
"'pjl"lillpI\R'l'III!NT" dll""Rfll/lllilii', ',,':;i
PART
~
TAli IU!TUAN - r.nMPIlTATlnN
LIHE 1. D.t. E.tGblhhe~
2. Ac~ount a.lane.
:S. Parc."t Ta)(ab1.
~. Aoount Subj..t to T..
s. Dobh ..... IloducUon.
6. AaDunt T..Gbl.
7. Tax Rat.
a, 1.x Due
'.",'.","
OJ: TAli nN .JnTNT "TD;)!!r Ar.r.mJNT!l ,',iikli'
1
2
3 X
4
S
6
7 x
8_
. () ILl
( (I
,.:';.,
,"'<,l,
i"':" '"
, 6
7
8
CLAIMED
":,,,.,:;;:;;:;,.,,','
" ;, ;':'::::: ~':
:"",;.;,.,
;,.:'
...~~
""::::,'
;":,,.;,
".:.<:'.:,:,;-,,"
"'4'"";"
"'S~
::;W~
""";::
-
""
....
--
PART
[!]
DATE PAID
-=::j
DEBTS AND DEDUCTIONS
PAYEE
DESCRIPTION
AMOUNT PAID
-l
j-"
TOTAL (Ent.r
on Un_ S of T.)( CaMput.Uon)
1-
o
Unde... pen.Ht.. of p.,.jury, I dealar. that t~ fact. :1
~lo~. to th7. ~_.~__~.f .Y knowladg. and balt.f. ','
'..-J1J/J \.. I LUlllL{"'" --lC'\'1~(I)
. V~ SIGR'ATURE
MY. reported abgyf' are trUll, correct and
1I0ME~_LU1~ ." I ') ( -;), I ,)
WORK ( )
TELEPHONE NUMBER
GENERAL INfORMATION
1. FAILURE TO RI:SPOND Wlll IUSUl T IN AN OFFIt:Ul TAX ASSESSMENT with IIPPlltllttll. Inht..t bUild on tnfor..Uun
.ubIIlttlKl by thll f1nfflotlll Inltltutlon,
Z. Inhflrlt-.oe hue bec:<ltllll dftUf\q\Jlnt nit,. ,"onltl' nfhr the d..euu.nt'. (jilt, of d4Utth,
1, A Joint ooc:ount ), taliatJl. ..."m though the (Jlc.dunt'. mI.. Willi I'Idtl.d Itl It IIIlttt.r of oonvllnl.nClI.
4, Account, (Inoludlna tho.. haltl b.twaan tlu'band Imd wife) whirh tho Cht(:Ddlnt JHJt In joint nM" within OMl ye.r prlor to
de.th lI,.e fully tftxabh .. trlm,f.r..
S, Aocount. ,uteblhhed jolnth hlltwevn husband lIml ~if. lIor" th~l onll "Iftr "rlor to Willth litre not taxabl..
6. AC(lGUlh ht.ld by III deClld4Hlt "In trtllt for" llnothllf or other. flf. tllll(obl. f\llly,
REPORTING INSTRUCTIONS - PART
1
- TAXPAVER RESPONSE
1. alOCK A - If tho In'ofll8t1on and CO.'lutl'ltJon In thn notlclI I'Ir. eJtJrr.ot Ilnd deduotlon' are not beln" chlud, p11K111 an ")e"
In block "At< of Plu't 1 of tho "TflXpf.lYllr R.'pon'IlI'"' SIlctloh. Slwn two copln fin.:! IlIblllt thl. with your <:hock for the ellOunt of
till( to tM Re"hhr of Wllh of thA county IndicAted. llla PA OeJ'Il,rtlilmt of Rev'nuII 101111 IlIu. 8n oHlclJ81 8..1I...lInt
(Far" REV~1548 E)O upon receipt iIf tha ruturn fro. the Ragl,h1r uf Willi.
1.. lILOCK B ~ If tho 8...t IIpeclfllld em thh notlca hon tUUtt1 or will bll reJ'orhd 8ntl tal< paid with th" r.nnaylvanla Inherttl!r1<l.
rill: A.turn fU.d by the dacldlnt'. rGpre.entfttlve, pl~cll em "If" In bILl'..Jk "8" of llllrt 1 of the "Ta><Jlltver ~.lIponl." U<ltlon, Sign onA
oopyand r.turn to the rA Oapftrh,ant of RavClOlIQ, Bur"nll of Indivlduftl. Tl'l)(n. DOJlt ?611601, Hltrrllburll, f1A HIUI~0601 In the
Inv.lGPe pr~ylded.
5, BLOCK C .. If the notlclI InforMation II .Incorrllot nnd/or deduction, ill'" hQln~ Cllll..d, ChAOk hlocl~ "C. Itnd cOlIPlIh flurtl Z 'tOO 3
eocold~nQ to tfltl inlltn..~tlon. bOil"", Slgll two co"I"1 and ,..nlllt t~.J;t ~llth your cheCk ff'" thA 1\11110\11"' of t"l( paYl!lble t(' tt", R.;IIiIter
of Willi of the county indlmltad. fila f1A Olljllu'tnent of Rel,lellw. 11111 luu. !H1 official e..fl....nt (for-III Rf.Y~IS46 DO upon receipt
of thti r.turn fro" the R.ghhr IIf 141111.
TAX RETURN - PART
2
- TAX COMPUTATION
LINE
1, Enter tha date thQ account orlglnnlh IoIfte uhwlhhoad elr titled In thll IlltOrMtr .)(llItlng Itt date (If death.
HOTEl for III dll(ledont dying IIftllr- lUIU8l1 Account_ whl(;h the decadent put In Joint 111''''..8 \llthln one (l) year of doet'" are
h)(nbl. fully III trMlfAr.. ttololll\ler, th.re II An e>(cdu~ion I\fJt to lI}lolllld $5,000 r'lr trMlf.r.. reQlIrdllf" 0' the 1,I1l1uI of
th" &CCl'unt or th4l nlIIlb.r of ~couf1h h.ld.
If II double atlhrhk eM)!) IIppCltlrl beforll your flrlt fllHtll In the I\lklr... portion 0' thll nutlca, the t5,COO el(clulllon
alraldy Mil been d4tdUohd frM! tha &ccooot belenee u reportltlJ by th41 financial In.tltutJon.;
t. Entllr the totel balance of tho tt<;count IncludIng Int.rut llconl8d to ttu dl/lttl of IIl11th.
3. The peroant of ttt. account tl'1at 10 taxable for IIttCh lurylvc,r ill deterlllned "I! follollll
... Thu percent tIlI>t:able for joint UlOtI olt!lbllshed .or. them ona Yllar prior to the decedent', de"thl
1 DIVIDEO BV 'rolAl NUHftER OF
JOINT OWNERS
Elt'dllplel A JoInt a..et re"htariltd
DIVIDED BV TOtAL NUHBER Of )( 100 . PERCENT TAXABU:
SURVIVING JOINT OWNERS
In t~ nY41 of the dllclldent and two oth.r PUlonll.
1 DIVIDED BV 3 (JOINT OWNERS) OIYIDEn 8V Z (SURVIVORS) . ,167 )i 100
16.7% (TAXABLE FOR EACH SURVIVOR)
I, The plrc.-,t tnxnbl. for lI...t, cr.ated within OJltl yelllr of thl dece<knt'l death or &ccount. own.d b~ thll dftOadlInt but held
in tru.t for anothllr Indty!du4tHI) (trult bon.Uclnrl")1
1 DIVInED BY TOTAL HUHBER Of' SURVIYIHG JOINT
Owt4€RS OR TRUST BENEFICIARIES
X 100 .. PERCENT TAXADlE
EXlIlIPhl joint I'ccount reght"rttd in thCl nit.. of the decedont and two othar pertonl and elh,blhhttd wlt"'ln on4I y.ar of de.th by
thtl doclden t .
1 DI\lIDED IV Z (!UWIYORS) .. .50 )( II1D 01 50l (fAXABU.: fOR EACtl smVIVO!U
~. Tnt ICiIOUnt .ubj-.ct to till)( (1I1lI 4) h deter.lned hy IIllJtlpl'j,lng tt.. account balftn€lll (lln. 21 by the p.rcent t.nt"'le (11M 3l,
S. Entlr the total of thl debt. and d.duet!cm. lht.d In Pltrt J.
6. The MIOUIlt taxable (11M 6) .II dlltlr.tned by lubtrfKItl~ tta debt. and Ml1Uctlool (II,,. S) frDlt the MlOOnt ,uhlllct to tlllM (Ih"" 6).
7. En"" tM ftftProprJllte ta)( rllta (llna 7) III d.hrlllrl$d hll~ow.
A. For dIIte. of tfl.ath DCcurrlnll after 6/30/9'1. the tax r"t.. for tranlhrt to ,paul.. ere ftI follow. I
1. Dat.. of dMth on or aft.r 7/1/94 and lIl1fore 1/1/?!; th41 ratl II 5~.
2, O.t.. fJf dItlth on or after 1/1/IJS tran.f.r. to IpOU... ~dll btl ta...c.d at 0;( tUl( rate.
Hot., For dat.. of ct.1Ith pdor to 711/~ tran,'.re to 'POUIU are t!l)(abh Itt 6~.
B, Tratuflr. to 1101111 dtlsc.oo..h IncludIng fether, lIW~har, Ion, deughhr, IItllOdchlldren, lon-Jn-ll!tW,
dM$hter-ln-1M11, Itepchlld and their IlIt.HIltre t.ltx8ble !'It ,Il< Pllrc.nt (6%1.
C, Tran"er. to all other. lnoludln" brother, !lhter, um:1., Ilollflt, nept\08W Md nhfClI oro hx!ltJl. I'It flftQft percent (lS;O.
D, If YOU ch...... th4l tax rete, plelal" ~1fy yoor r.htltmlhlp to the decedent In th. flrea provided.
e. The Nl/)unt of tax dull (lIne 81 1M deter.lned by IlUHtptyln" thl Yount tltxabLa (1il'"lfl 6) by ttMI ta)( rat. (llrM 7),
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
AUowabh debts and dedutt!onft erill deterntned ftI follow, 1
4. You l....lh ar. r..ponllbh for pav.-nt, or the utat. .ubjlil(lt to ttdlIIln11ltr!ltlon b~ a P41rlonal rapraunt.UvCl 111 Inl!ufflcl."t
to paw the dedl,Kltlble It..I.
!, You K'tUIIlb paltl the dlbh after dal'lth 04 the dfK:e~t L'Ifld can furnhh proof of P~YWlflt.
C, Dobh billing clalhCl _Ult b. Ite.lzed fully In Part~. If IIddHloflltl spMle Is needed. 1.1.. plain pftPIlr 8 II?" l( 11". proof of
pay.."t gy be r~,t~ by the PA D.part_ent of l~el,llnlHl.
-
.........p .. . TAXPAYER ASSISTANCE. .'
. .',",',," p . .. 1ft YOU NEED FURTHER INFORMATlON OR ASSISTANCE, CONTACT ANy... .....
!;i!j~j:'i};:f " . OR. RtAt~'JfH\ OlU~\\}So'F I'tN~t;jltJltE"lAl~ ~,v,.F;rP'WVfRX SlJqt1TRy(If'JJI)tiN .,' .. .'. . ....j...... .
IlARIUSlIURG AT (117) 787-8~l:7. TDDI (717) 772"l:l:S2 (HEARING IMPAIREIl ONLY)
COHHONW[ALTII Of PENNSYlV^NIA
DEPARTMENT OF REVENUE
f1URHU Of: INOllllDUAl TAKES
Off'T. 28060'
liARRICilOOOj PA 11128-D(,0'
*
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.21 97.,0514
97137139
08"23'91
u~-au II m O-tll
TYPE OF
ACCOUtH
[I SAVUlO~
[X!"':<'
I'
I
k_'
H
EST. OF HIII\RY n .,;, 1"[: f~'1,\N
5,5. N0, 190;;.6 6.;1J ~
lMTE OF tJf".TIl e~(i'~ '11
:'V':I'~': _ l..V!Vl,tk.{:.LAN[)
I"n.
'.,
CATHY L HULL
PO BOX 442
aIL BERT
PA 18331
"EHIT PAVHEHT AHO FORHS rr,
REGISTER OF WILLS
CUMDERLAND CO COURT HOUSE
CARLISLE. PA 17013
PNC BANK hfll proyldetl th. Oepartll.nt with the lnfofllatlon Ihtud below which hOll 1)(len used In calculating tho
pOhntlal tax due. Their rlcord. tndlcfttQ that ftt thGl dQath of the ..boy. dftCQdent, yoU WIU'. a joInt ownof/hllnefJclory of this !Jccouot.
If YOU f..l this Inforlllatlon 19 In(lorrll(ltj phtu" obtntn wrltten oorreotion fro" the flnanlllnl Institution, attach a (lOpy to this fore
and return it to the llIboYe addrQu. Thh account 11 tOJl~ble in !lllCOrdanclI with the Inherltllnce TEll( lftW!I of tt'oe COlllllOnWeltlth of Ponnsylvnnhl.
Quelttonl .ay b~ anlwerod b~ calilng (117) 187-8~27.
COMPLETE PART 1 BELOW M M M SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Aooount Ho. 5140175745 D.to 02-04-91
l.hltablished
^ODount Bal~nc. 5 I 5(.3.62
Poro.nt Toxob1. X 50.000
AMount Subj.ot to Tox 2.771. 81
Tox".to X .15
Pot.nH.1 Tox Ou. 415 . 77
PART TAXPAYER RESPONSE
OJ ~l.lJlli__"O.Il.eSPoNXlw:ii::iResU'i.rxN .AIfOI'I'I(:~AL TAX ASSUSMENT.'1lASEII ON THIS NOTIce 1
..
To lnsuflil propor crsdlt to your nccount, two
(21 cClples of this notleA IIlU!lt nocolllpany ~Olll'
pl;l'JJ18nt to the Roglstor 0' Wl11s, ~1~kG check
~HlY8b1Cl tOI "R,gghtor of IJIBs, AUont".
NOTEI If tm< pa~oI'lOnh "ra "sdll Il!thln thrle
(3) ",onttlll of the decadent's d,lta of dlll'lthj
you IIfty deduct a S% dlscount of th" tS)( due,
Any lnhor.ltnflcQ t<lX duo ",Ill hQCO.19 l!ollnqlhl1lt
nino (9) IIIOnths nfter thll date of dellth.
[CHECK ]
ONE
BLOCK
- ONLY
o The abol,lQ Inforllotlon ond tllX dUll is corroct.
1. You 118Y choOSII to rOIllJt paYllent to thQ RQglstllr of tH11s with t",(1 coplos of this noticu to obhln
8 tllscount or nl,lold intero5lt, or YOll m1l~ chock box "fI" and r~turn thh notlco to the Register of
Wills and on official ns~oll5.ent ",1.\1 lIo IsslIQd by thQ flA nOpflrtlllQ(lt of RllI,IlmUQ,
8. CO Tho above assut has bllen or will bo r9portod mltl \rile p~dtl Nlth the PlInnsylvnnla InherltanclI Telx return
- to bo fHud by tho dOClIduflt'1l reprosontatll,lo,
C. D Yllu llbol,lQ Inforllation 15 incorrect and/or <ll1bts tlnel dQductlons ",ero lisle! by YOll,
You lIust cOllplllte PART 0 and/or f'MH 0 b..low.
'rl\::
n: ;~~;:~~o~~~i:.;~:: t~~::~,;~:~ t ~ :.:1 "~:l~'~ ~:~:::n'~:;~ .~::~ U~lTe [n
/ ,/ /,,' J I
,."
2'~i-~i-
3,_,
4
5_
.6 "",.;';'; I'
7~
a
!1!!!LANO DF.DUCTION!...B!:~l.t1f..D
OFFICIAL USE ONLY 0 AAF
PA DEPARTMENT OF REVENUE
PART
[3J
"....,....--......~
LINE
1, Dat. Establishad
2. Aocount Oalance
3, Parc~nt Taxable
4. AJtloun't Subj.ct tl) Tax
S. Debt. and Deductions
6. Anount T8xBble
7. Tax Ret.
8. Tax Dua
i.
2
3
4
5
6
7
8
.'
" J(_; . (
)
X
" I
('Ii
I /)
( I
--
X
J ( J
I (,
I
~.~
-.;,_.~~
-
PART
[!]
DATE PAID
~-l
PAYEE
DESCRIPTION
AMOUNT PAID
-f
.
-~
TOTAL CEnter oi111;;;" ~ of TRx Computation)
Under pan.iti.. of p.rj~ry, I dealer. thet the f8~ts I
conpl.t. to th. b..t of MY knowledga and b.liaf.
TAXPAYER ~~~~~-jj /.-) OJ 'CQ Q.
have reported above are tru., oarr.c.t .nd
fIO~I, (II -1 ).JJ!S.JL~Jl.{d___ __
WORK ( ') .----- /iJ]0,1'1"t
TELEPHONE NUMBER DATE
GENERAL INfORMATION
1. f AItURE TO RESPUHD WILL REBUL T IH AH OFFICIAl. TAK ASSESSHENT with opplt".I. I"'.,.., ....d 0" 1",.,..11."
lub.lthel bV tha f!mtncd.l Institution,
2, !n'wrHIIR<I' tal( bloo... "lllnquln' "In. Month" aftll' the dIG.dl"t', data "' d..th,
" A Joint looount I' tfll(l:I)I'1 Wlfrr\ lhnuoh the dQOJfhmt'N /1""'11 U"I .,ddlllld ft. . uttar tit conv'nl.ncl.
4. AclcounU <lncltllJlllll ,h.I" blt.m,1l hu!>tumd null IIlr.1 'lhILt, 1111 1111(11dlnt IJut In Joint n.... within one "..r ,nlor to
d..th er. fully \tll(l I' ~ 'ru!\t 'l ~,
S, AOOOlll',h 01l\t.111..,., '1;r '". -.1 I\:tl,lf,(j _.,'f of; '" ftl ~I,,,r, "rl" 'JHhr rwlflr ,'1 ffHlth .,r.. lint ll1v", ,,\\1,
6. Acoountll hgl( e,.II" ',I III ;,'(.; (MOl anntlllr lr o'l1..r" Itrll j.,,Culll,; Ill!:",
,Ij .1.,';':'1 j~~l,; ,tW.-: - riA', I
I
- T~.PAYER RESPON~~
1. BLOCK A M If the 1n;cr..tlo" IW1d 4;lOIPutIUDn 111 the notlClI Ire oorrlct and dllduCltlon' .r. not b.lno ohl.ld, pllOa In 01)("
in blook "A" of P.rt 1 of the "'TIKPaylr R..ponl." ..cHon. Sh,n tWD oOfll.. and Ivblllt th.. with your <!heok for the nount of
taM to th. R.ghter of 141111 of the oQuntv Indlolt.d, Thl PA O.part..nt 0' R.v.nul "111 I..v. en offlolll ........nt
(Fora REV-IS"!' EIO upon rec.lpt 0' '1M r.turn froll th. RI,hter of NUll,
2, BLOCK a - If the ....t Ip.clfled on thh notlo. h.' b..n or wlU b. ttport.d .nd t,l( Plld with the PenntYlvMle Inh.rUano.
TaM R.turn fllld b~ the dH.d.nt'. rlPr..enhtlYI, pho. I" "X" In block "I" of Pllrt 1 of the "TluepGYlr R..pon.... '.QUO". SIDn on.
oopyand r.turn to the PA D.p.rtlllnt of Rev.nuI, Bureau 0' Individual hIC", O.pl 280601, lIf1rrhburg, PA 1712'~0601 In the
.nYIlope proYlded.
5. BLOCK C M If the nutloe I1lf0raatlon I. Inoorreot .nd/or dtduetlon. arl b.lnG elahlld, ohe(lk bloe;k "C" Ind (loIlPl.tl Pllrh 2 and 1
accordina tlJ tne InltruoUen, be!OIl, ~Iyn two copl,1i .1'10 ,uollh tnllll who your a/1llck for In. UOUlll Of tu pllYlol. to dMl IItuhtet
of Wills of the counh Indloated. The PA OePllrtlllnt of Rlv.nue will hllJI an offlol.l UlIeUlltnt (ForI REV-IS4. EX) upon rloelpt
of thl return froll the RlglltAr of WHit.
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
1. Ent.r the dati the .ccount orlglnlUY w.. ..tlblhh.d or tiUed In the .l!Inner Il(hting .t dlltl of dnth,
NOTEI For II dloedent dYJnll .fter 12112/821 Aocounts which the deoedent put In Joint n.... within on. (1) Yler of dlllth ar.
taliCllble fully as trlnlfer" How.ver, tht,. II an eICelu.ion not to el(c..d $3,000 p.r transflre.,~r,gardh.. of the v.lue of
the aO(lount or thll nUMb.r of aO(lounh htld, .
If . double utlrhk (MIO app..t. b.fots your flrlt nIlMe In thl .ddre.. portion of thh notlc., the U,OOO IMclu.lon
alrllldy has beltn dedu(lhd fro. the account bahncI a, reportld by the fJnaflolal In.titutlon,
2. Ent.r the tot. I balan(ll of the account Inoludlng Inter..t aeorued to thl date of death,
3. ::hI percent of the acoount that h tUl(able for Ql!Ich survivor II dahrelned al foHowal
A, Th. p.rcent ta>labll fot ,Joint ....te ..tablhhed .or. thtln r.ne ".."r prtnr to thl' doclilrl..nl'lI d'....,'<hl t I
1 DIVIDED BY TOTAL HOHBER OF
JOINT ONNERS
ExallP1tl A joint au.t reghtered
DIVIDED BV TOTAL HUHBER Of X 100 . PERCENT TAXABLE
SURVIVING JOINT OWHERS
In thl nelle of thl decedent and t"O other por,onl,
(i
I
I DIVIDED 6'( 3 (JOJNT OWNERS) DIVIDED BV 2 (SURVIVORS) . ,167 I( 100 . 16.7% (TAXABLE fOR EACH SURVIVOR)
" ,
8, TM petolnt hl(abl. for ....t. oreated within one Ylar of the d'(ltd.nt's cl.ath or aO(lount. owned by the d'(I.dent but h.ld
In tru.t for Mother indlvlduIlU,I) (tru,t btn.Helerl")1
1 DIVIDED BY tOTAL NUMBER OF SURVIVING JOINT
OWNERS OR TRUST BEHEFlCIARIES
X 100 . PERCEHT TAXABLE
Exupltl Joint .ccount r.gl'tered In th. nalllll of the deced.nt and two othlr person. and ..tabl hhed wi thin on. ~.ar of de.th by
the deo.dlnt.
1 DIVIDED BV 2 (SURVIVORS) . .50 x: 100 . 50;( CUXABlf:: FOR EACIl SURVIVOR)
4, Th. .lOUnt ,ubj.et to taliC .~Unl 4) 11 deteralnld by llultJplylng the acccunt bahn(le (Un. 2) by thl p.rcent taICtblt (Une 5),
5, Entlr the total 0' the dlbt. l!Ind dlductlons 1I1ttd In Part 1.
6, T~ ..ount t,l(abl. (lln. 6J II dlltlr.ined by lubtraotlng thl debt. and deduction' (Une 5) frolll the nllount IUbjut to telC (II". 4),
7. Enter the flPf'lr~prlnte hx rntll (Jln~ 7) IU d,terllllned ~elow,
A, Fot d.tu of dllath oocurdng aft.r 6/30/94, the talC rat.. fot tran,f.r. to .pOUIIS Ire III follow'l
1. O.h. of death on or aHtr 7/1/94 and be'ore l/l/9S the ratl h 1:1..
2. Onhl of d.ath on or aftlr 1/1/95 tranlflr. to .ptlu... will bll taMed at 0% t.l( rate.
Not.1 Fer dltll of dtllth prlot to 7/1/94 tranlfers to tflOU'" ar. 'taxable tit 6%,
B, Tran.ftrl to linu! d..c.ndllnt, Inoludlnu hither, .other, ,on, daughhr, grandchlldrln, ,on-In-Ilw,
daughhr-In-lt\w, .tlPchlld and their 111ue l!lre tl!lxabl1 fit till( plroent (6;().
C, Tran.flr. to all tither. tnoludlnlJ brothlr, IlIter, uncle, aunt, ntphew and nllo, ftre hl(abl. lit flfteln Plrc.nt OS:O,
D, If you ehang. the t.x rllte, plu.. lIpeclh your rllllltlon,hlp to thl dlud.nt In thA orn provided,
a, Th. ..aunt of tal( due (l1n. &) h dthr.ined by lIuHlphlnlJ the allcunt taxabh (I1n. 6) bll thl tel( rlltt (IIn. 1),
C~AIMED DEDU~TION) "PART 3
uEBTS AND uEUUCTIONS CLAIMED
i\lIow.bl. debtll ltnd deductionl l!lrll d.ter.lnlld ftl follow'l
A, You II""!!:>>' ar.. r.lponlllble for paYllent, or tha uht. .ubJact to ad.lnlstratJon by a p'rlon"l repr..entatlYI h In.uff1ot.nt
to pay th. deduotlbla 1 t..,.
8, You Betu.tho p.ld ~hll debts ofter d""th 0' the de<:ldent ftnd c.n furnlnh proof of pay.ent,
C. D.b" b.lng clal.ed IIU,t be Hulled fully In Pnrt 3. If addltlonnl .palll h ne.ded, UII plaJn paper II 112" M 11". proof of
pay.ent aay b. requ.sted by tnl PA Oepart.ent of Rlvlnull,
["" , "'," "" fA<'"'' AS"'''",,' .J......
>.. .11' YOU NEED FURTHER lNFORMATION OR ASSISTANCE, CONTACT ANy.... ............ ...
.... .... .. REGISTER OF WILLS, PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU Of INDIVIDUAL TAXES, TAXPAYER INQUIRY UNIT IN
'nH"A""" " (717) '" 'Am ,fD'~ 9.'.""" "52 ,",,,IN, IMPAI'" ON'"
/l)-:-I'y,!; "/'1
DU"E~U Of IHOIVIOUAL TAXES
INtlfRl'fANU UlC UIl,/ISIOH
m;Jjl, 7110601
II'RIU!HIURD, PA l'Ille-OIlOI
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
HOT ICE Of INHERITANCE TAX
APPRAISEHEHT, ALlOWAHCE 0" OISALl.OWAHCE
Of OEDUCTIOHS AHO ASSESSHENT Of TAX
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
05-18-98
ZIMMERMAN
06-03-97
21 97-0514
CUMBERLAND
101
f:,=~=.=~n=~~~~}.d=~l
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 11013
CUT ALOHG THIS LINE ~ RETAIN LOWER PORTICN FCR YOUR RECORDS ~
liE v: is''-; - Eif - AFP -f 0'9-: 97T - r'iiiffc E" -li F - "iNliER i i' ANc E - TAX - Xpiiiiif i SE HENi'"; -A 1.DiwAN-cE -iiri - - - - - --- - - - - - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
HARRY D FILE NO. 21 97-0514 ACN 101
Cf.
C)(')
~:"", .'
LV
(0
JAMES G MDRGAN
HEPFDRD SWARTZ
111 N FRONT ST
HARRISBURG
JR
MORGAN
PA 17108
ESTATE OF ZIMMERMAN
TAX RETURH WAS, (X I ACCEPTED AS fILED
RESERVATION CONCERIlING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1, R..l Estate <<Schedule A)
2. Stock. end Bonds (Sohedul. OJ
3. Clas.ly H_ld stock/Partnership Int.rest (Schedule C)
4, Hortg.gel/Notes R.o.iv.bl~ (Schedule OJ
5, Cuh/Bank D.posih/f1h~, Person.l Pf'oped.~ (Sch.dule (:)
(., JfJintl~ Owned Pro,."ri;y (Sohedule F)
7, Transfers (Sc'l1tdule G)
8. To"'_l Assets
APPROVED DEDUCTIaNS AND EXEMPTIONS:
9, Fun.rel Exr.ns8s/Adn, Co,*./"110. Expen... CSoh.dule H)
10, D.bta/Hor~g.g. Llabiliti.I/Liena (Schedul. I)
11, Tobl Deduct iona
12, Net Value of Tax R.turn
13, Char1hbl./Oovernlltenhl 8equ.shJ Non~.l.ct.d 9113 Tru.t.
14. N~t Valuft of Elt.te Subj~ct to T.~
11 an asaessment was issued previously, lines
reflect figures that include the total of 6h~
ASSESSMENT OF TAX:
15. Allount of line 14 at Spoulial rat. (15)
16. Allount of Line 14 t.xabl. .t lin..l/Cl... A rat. (16)
17. Allount of Lin. 14 t.xabl. at Coll.t.ral/Cl.11 Brat. (17)
16, Princip.l Tax DUB
NOTE:
TAX CREDITS:
PAV~EHT
DATE
03"20-98
---=r-----
RECEIPT DISCOUNT C')
HUHDER INTEREST IPEH PAID (-)
AA269876 .00
BALANCE DF UNPAID INTEREST/PENALTY AS OF 03-21-98
I CHAHOEO
(1)
(2)
(3)
(4)
(5)
(6)
(7)
14.000.00
.00
......J!Q..
.00
15.LlL
3 ,0/8. /2
.00
(8)
C>
*'
"v'l'd II ,,, 119.9/'
HARRY
D
(9)
(10 I
14.593,83
33.579.11
CllI
1l2)
Ill)
1l4)
DATE
05"18-98
CSchedule J)
NOTE I To insure prop.r
or.dit to your IICCOunt,
IUbMit the uppar portion
of this forlll with your
t.x p.y...nt.
77 .235.89
48. I n 94
29.062.95
.00
29,062.95
14. 15 and/or 16. 17 and 18 will
returns assessed to date.
.00 X .00=
29.062.95 X .06=
.00 X .15=
1l8)
AHOUHT PAID
1,743.78
TOTAL TAX CREDIT
BALANCE OF TAX DUE
--.-.----.
INTEREST AND PEN.
TOT AL DUE
.00
\'743.78'-
.00
\,743.78
1,743.78
.00
7.32
7.32
. If PAID AfTER DATE IHOICATED, SEE REVE"SE
fOR CAlCULATIOH Of AOOITIOHAL IHTEREST.
C If TOTAL DUE IS lESS TI1AN $1, HO PAVHENT IS REQUIREO.
If TOTAL DUE IS REFI.ECTED AS A "CRF.DIT" (CRI, YOU ~AV DE DUE
A REFUHO. SEE REVERSE ~IDE OF THIS FONH fOR IHSTRUCTIOHS.)
ff ~ l~
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~1 '0
n t:::l
(I , ,
C, , 'c
0 ~ ':Z;'("
, ,
~~ .... ~1crl
/iI'
ho: sa,
00
RESERVATION I E,t,t.i 0' deOtcNntl dYlne on or ,"'or. OwoHIMr 12, 1912 .. If '"~ 'u,tur. lnter..t In the ..t.t. Is trln,f.rrld
In pOI...,lon or ,"jo~__nt tQ ca.,.. (aollatlr,t) btne'loJ,rl.. of thl dtcedent .ft.r the .~plr.tlon of an~ ....t. for
U,. or 'nr Vllr" thl Couon....1th htrlby IlCprI'uh r...rVII thl r'lnt to .,prlh, and lot'.. trant'" Inh4lrltlnol Tlx..
It the hwful Cl,.. I ((IoUI'trlll r.t. on anv ,uch futurl Int.r..t.
PURPOSE Of'
NonCE I To fulfill the r.qulrt..ntl of Slot1on 2140 of the Inh.r1tIMC11 and ~.t.t. rex Aat, Act 21 of 19Y5, (72 P,S,
Illation 9140),
PAVHEHTI Dlta(lh the top portion 0' thh HoUel Ind ,ub,1t wJth your ply..nt to the Alultter ot Willi prlnt.d on thl r.ver.. II eM ,
--Mak. C1h.<lk or .on.y order payablo tOI REGI8"lER OF MILLS, AGENT
REFUND eCR), . r.fund 0' . tal( arldlt, which Wet not rlquflIhd on the TIM Rlt;jrn, lay b. rlqUl,t.d by ClOltPI,tlnl In "Applloltton
'or Refund u' P.nn.vlv.nt_ Inherlt.not ,nd Ettatl Ttl(" (REV-IllS), Applloltlonl ar. Iv,llebl, .t th.Of,lcI
of thl R.gi.ter of Will', any of the 23 R.v.nue 01.tr]ct Office" or by oalllna thl .p.~I.l 24.hour
an,w.rlng ..rvlo. nUllb.r, for fOrlll orderlnUI In P.nn.ylv.nla 1-800-362-2050, autlld. P.nn.ylvtni. and
within luc.l Harrl.burg are. (717) 787-8094, TDOI (717) 77~-2252 (H..rlng I~'lr.d Only),
DftJECTIONSI Any Pftttv In Intlr'lt not .atJ,fl.d with the .pprti...."t, .llowance cr dl.allow.no. of deduction" or .....'..nt
0' tu (includinG dhClount or Inter..t) .. shown on thll NoUu .u.t obj.ct wlthi" .hth (60) day. of r.c.lpt of
thh Nath. by,
--wrltttn prot..t to the PA D.part.ent of Ravenue, ao~rd 0' App..Jt, Dlpt. 2lnOn, Htrrhburg, PA 17121-1021, OR
~...JIOUon to have the .att.r d.hr.lnfld at audit of the .coount of the p.r.onal rlpr..entaUv., OR
. -appeal ta thl Orphan" C()urt,
ADMIN
lSTRATlVE!
CORRECTIONS I ~tatu.l .rror. discov.r.d on thl. ..i..'..nt ,hould b~ addr.".d In writing tOl PA Depart..nt of R.v.nue,
Bur..u of Indil"jdual fal(U, AnNt POllt A........nt R."I.w Unit, o.pL 2806Dl, Harrhburg, PA 17128-0601
Phone (717) 787~6~05, S.. page S 0' the bookl.t ~InttructJon' for Inherltanc. Tal( R.turn 'or a R.,ldlnt
D.c.d'"t~ (REV"1501l for an .wpltnatlon 0' .~jnl.tr.tlv.ly corr.ot.bll Irrors,
DISCOUNT I
If .ny t'l( dutl h paJd within thr.. (1) cal.ndar aonth. aft.r the dlolant... d..th, a flv. p.r(lent (SiC) dh;oount of
the tal( paid 11 .11ow.d.
I'
1
.
I
PENALTY,
The 15i{ tal( alllMl'ty non-pflrtlolpat1on p.nalty l~ cOllpuhd on the totlll CJf the tal( .nd Inter..t .......d, and not
p.ld bI'ore JarnJary 18, 1996, tho fJr,t day "'tlf the and of the taw un.,ty periOd, Thh non.p.rtlolpaUon
penalty I~ applllabl. In the .... ..nnor and In the tha ,... tl.. p.rlod a. you would appaal tha tax end Inter..t
thtt h.. be.n UI....d al lndl(latltd on thh notJCl.
INTEREST,
Inhr..t It chorg.d b.glnnlna with flr,t day of dllinquenoy, or nine (9) IIOnthl IW1d on. (1) day fro. the d.te of
d.ath, to tha date of pav..nt. Talt.. whlc:h blo... delinqulnt b,'ore January., 1912 b.ar Int.r..t at the rat. of
,1J< (6i{) p.rc~nt p.r aMUll c.lculated at a da~ly rflt. 0' ,OOOI6C"t. AU tal(" whloh b.c... cte1Jnquent on and aU.r
January I, 1982 will bear int.r.,t at a rat. which wjll y.ry fro. C1alandar y.ar to ~allndar y.ar with that rat,
announo.d by the PA D.part...tlt 0' Hlver,u.. Thl applIoabl1 Int.r..t r.t.. fCJr IfJ8Z through 1998 ar.t
~!!! lnterelt Rat. DaUy Inhr..t Faotor Y.!!! Int.re.t Rat. DailY Inhr..t Factor
IfJ82 20;': .01.10548 IfJ87 'X ,000247
1915 16;': ,0004l8 1911-1991 11i{ ,000501
198,. m ,000101 19fJ2 'X ,000247
I'as 15% ,000356 1993-1994 j'i{ ,000192
1986 lOX .000274 JlJ9S"1998 'X ,000247
~-IntQr..t I. oaloulat.d .. follow'l
IHTEREST . BALAHCE OF TAX UNPAID X HU"BER OF DAYS DELINQUEHT X DAILY INTEREST FACTOR
~~AnY Notlcl luu.d .fhr tha t'l( b.ooe". d.llnq~..nt will refleot an lnt.r..t c.louhtlon to flft..n US) day.
beyond the date of thl .......lInt, If pay.ant I. a.da aHer the Interut co.putttJon date shown on the
Notlea, addition.. In"r..t aUlt b. c:ah:ula"d.
P~VIElIr'
Det"" the tQp portion of ttllt ModOfl! .net .w.U with your P':MInt Hde PIw..e to tM ,.. W1d IMIdr...
PflntM on the rever.. .1~.
If 1lESlIlEH111ECEIlEH1 ..... _ or ...... ordor ,...obl. to, REGISTER OF MILLS, AGENT.
If HOH-IlESIIIEllT IIECElll!HT ..... 0_ or ..... ordor ..,obl. to, COllHONMEALTH OF PEHHSVLVANIA.
RE'FUMD (CAli A rlfu1d of . bx or.cHt, tIt11ch Ill" not rl<t\HIltld on the 'IX Return, IllY bl reqwllt~ by GOIlpl.tlng WI,
"Appl1oatlon for R.fund of PennlYlv,"11I Inhlrltenca end E,tat. Tlx" (REY~1513). Appl101tlonl ar. .vllllbl' at
the Off 1011 of the AUlIhtlr of W1U., ..,y of the 25 R.v........ DhtrlClt Office. or frOll tM Dep.rtltentl, 2~.twur
......rlng ..rylcl ~rI for for.' DrdlrIngI In rennlylvant. 1-800~362~2050J nutlide Penn.Ylv.nla
~ wlthJn 10011 H8rrllbura .t.. (717) 7a7~aD94, TODI,(717) 11Z~2Z52 (Hlarlng l.,alrld only),
REPlV TOI
DISCOUNT t
PENAL TV 1
INTEREST I
GuIlIlt1un. r...rdlno .rror. conhlnttd on this noUG' should tHt Ilddrllued tOI PI. Dlpart.."t of R.venue, Bur.-u
of IndlvAdull '.)(ell, AnNI Post h......nt Aevllw Unit, Dlpt, 280601, tlerrllburg, PA 17121-0601, phoM
(717) 717-6505,
If MY hx due h paid within thr.. (3) oalendar HTlth' after tM MClldont', cktlth, . flv. peroent (!Xl dlloount
of tM ux paid is aUowed.
The IS;: tax ....ty non-participation penalty h c~tec1 on thfl tot.l of tht tel( .00 Int.r..t .,nll.ed, .net not
p*ld blfor4 .....ry 11, 1996, the fir.t day elter tM end of the taK MflIa.t!t' ~rlod.
Int.r.1t 11 charGMf tMtIiIinning with fir.t day of d8lln-lUlncy, or nine (9) .onth. end on. (1) dey frOll the nte of
dMth, to the data of peYlllht. TaKU whloh beU8M deUnqu.nt bafor. January 1, 1982 be" in'ten.t lit the nte of
.ix (6X) perolnt per ~ cal(1uleted at a daily r.t. of .000164. All taxe. whloh bee... delinquent on Ind efter
,
.-nu.ry 1, 1962 uUI blar interast at a rat. which will v..r!t' frOll cl!llendar IINr to oaltndlr vear with that rat.
~Id by thw PA Dep.~t.ent of Revenus. The appllnable Jnt.re.t rate. fur 1982 throUAh 1998 .r"
V..r Inhr..t Rat. Dally lntere.t Faotor Year ]nterllt Rat. Dally Interelt Factor
191' 'O~ .000548 1987 9Yo .000247
1915 lOX .000458 19881-1991 II~ .000301
19M IIX .000501 199' 9X .U00247
1915 15:( .000]56 1993"1994 7X .000192
I_ 10;: .000274 1995-1998 9~ .ODD247
--Jnt.r'lt 11 calculated .. fOUC*81
INTBRB8T . BALANCE OF TAX UHPAID X NU"BER DF OAYS DELIHGUEHT X DAILY IKTERB8T FACTOR
--Any Hotlo. i.lued aft.r the teK baCOMt, delinquent will r.flect an Int.re,t oalculation to fifteen' (11) ~y.
bctyond the data of the ....."""t, If paYlllnt 11 .. "ftar tho Int.r..t oMput.tion data .hoM1 on the
Hottel, ttddltlonlll Int.rtl.t leU.t 1M ollcul.tMl.
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