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HomeMy WebLinkAbout97-00628 " , ...., ~.'.. ',,, <~ ~,_..., '..", 'i :..' 11I\',"1>;1'.,"', ~ COMMO~~YLV~IA DEPARTMENT OF R&Vl!NUE OEPT.lBOBOI u't-I'l3-- IIf' REV..1500 INHERITANC6TAX RETURN RESIDENT DECEDENT I II! I ~ I< LI!l M S "Ulln """'",!, , w ~ L ~ I A ML II H, fJ.,( 190.38.1196 s I<LIllMS, ANNM1\RII!l 1KI1, Original Rslum o 4, Llmlled Eslats , o 6, o.oodentDled Tea~lelllio:~coPYOf\lll} o 9, LllI9aUOn'P~a Raoelved o II 0 Harry Brioker, 05/23/1999 I T I II 09/0'8/1 I 207"44"7192 o 2, supp~mtnlal Relum o 4a, Puturo Inleretl comprol\l~a Ij"Ofollll~ U'I/.III o 7.Peoodsnl Malnlalned ft Living Trusll"'~ coPy Of""Q o 10, Spousal Poverly Ored" 10... Of..... _",11,,,11IoI \<10111 o Jr. Ee uire s ~ 407 Nert) Front lI~rrhburg, 1'1\ z o ~ E ~ ~ 1. ReaIBsllle(BohedUIeA) , (I) 2, SlockB an<! Bondl18ol1edu~ B) (2) 3, CloIa~ He~ CotpOrtUon,Partnellhlp or Bols.Propllelollhlp (3) 4, Mortgeges& Notal R8C4lvab~ IBchadu~ D) 14) 6, Cash, Bank Daposltl & Mbllaneous Pallonal Properly 16) (SoI1edu~ BI B, Jolnlly OWned properly (Schedule PI (B) 7, Inlar.vlvol Trans/all & M~cellaneoua Non,probata Properly (7) (Bchedu~ G or L) 8, Tolal GrOll AUtII (Iolal LlnBl107) 9, Funelll BKpenl8l & AdmlnlltiaUva COlla (BoI1edule H) 19) 10, Dabta of Decadsnl, MoRgags L1obIllUaa, & Liens (Bchedule I) 110) 11, Totti Dtduotlons (lolal Llnl! 9& 10) 111) (12) (13) 114) (16) " ,OB (1B) ,16 117) 11S) 1 , 8, '~'-'r;irl(jl'tA\J{li'oi4"j~' ~~-" o 3, Remainder Relum 10... Of..... priot b II.!}.!II o 6, Podolll Eslata Tex Rstum Required n. B, Tolal Number of Bsls DtPOIIl Boxea 011, fltollon 10 IaK under s.o, 9113(A) (AiIIO/1""O, I , (, 1 9, (B) 611,58' I'" , ('-, - 'h o 69,:g!t.. 12, Hal Vtlut of allall (Llns 8 minus Line 1 II 13, Chaniable and GovammenlalSaquealll8eo 9113 Trusta for which an eltollon 10 laX has nol bean made (BoI1edule JI 14, Hel Vslue Bub~ol to Tlx ILlne 12 mlnul'Llna 13) 16, Amounlo line 1 taxable at IhBBpouBlllaX role . , I. Sea InsllUcIIone on revarle l~e for appllollble peroontaga lB, Amounl01 IIno 14laxable alBllrale " 17, Amount olllna 14 taxable al1611rol0 18, Tax Due x ,0 x 'I x 10, i ~. ... N ..,.. , . , \ ,.,: "! 1- " ;!:t -. >, ';: \'1 in'o ... w 00 ~___.".,~ "....u__" _.., ,........' 1 8 I 0 6 9 " 7' 0 1 9, 6 1 1 5 8 ~j ( 1, 5 4 1 8 8) (1 15 4 1 , 8 8 ) .. o. 0 0 4'J' 'q 01, i ,oil ,,', ~.\ " "., ".' " "t. l' I' "ir.l.-: , ". .,' Il~, ~~I,' <'f. " "',,~~}r , .~, il(f:'" '?~~I:, il. h', 'i~r I {"t: !,I,. 'f,' . I"~ , . " (', " "'1'1'" I . t.,' '. ,l"., , ' "[,' 'f. . t .' 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'~!"d~' 1'<'- .'\i(~,I~<'lll ,:';\ ..,;/1, :'! 'I"'~" ('fl'~""":J.\I,."",,, '.'\'.: "\'~I'I I I I' ':' ) , , ~ ';"'" ,') i4" \1 I oj " \, /i::) I ' '>,:!l . '-, -i,1 ~I" I,,! ~ ',I, ~ ',' ',.1,' , ' '. ;'... , I " 'I' r.'i ,:. ;1! ' /I I"" ' . , ~ 'J r, " I': :. r~-l ,I, , '" ~'\' , "~I If' " .,..~' ,J1 . "~;'I; "J ' ,~.:)'i.- ~ I ;Ik,;:,"l,/' 'it,,'-I .'r ,',- '';J, l; I ~;" ,(,,1 ',",.,', 11\;' ,'; ,"; II: ,~~"~ ;\' (~I'~',I , ".'1:) I'"} ',I V,"," 1'~,1\;:~: )'\'I~~ ,!'I,;l' ~~' 'Lf\'",\,'"' t ,I :,!t~ ~". J 1\ '~:' ,I;, i 'r ,.,. -. l'.:;,(' ',I ','" ~ "."11 ,'. ,'p ,\'.',: / )'1'''' , ,'"l.', ~ , ~ I,' '-1 " :,. ~ " ,'",-, ,:,' "'I d' , , , ',,".f I'" , ',1;','. "'rr \ ,i'," 'I"." 11',' d., , "- " - Register of Wills .of Cumberlan4;ounty, PSlllJsylvanla INVENTORY Ilalata 01 William L. Klel\Ul, Jr. No, 1997 - 006~a Dew of Death -D.a /23/97 ~Iso knDwn as ~ . pooeaaad Soolal SeollrltvND, tgp-~B-1 H}~_ POrto~~1 Rop,080nlellv.!.) of,lh, pbovo ~'lllo, d80elleod, vOllIV lhol \ho lIem. IIppenrlnu In Iho folhlwlno Invenlorv InolUdo III of Ihl pO,.OIlII Iu.I' whlrovlr .lIullo ond oil of 1110 '0111"'0'0 In Iho Oommonwonllh of, r,nn.vlvlIlIIo of .00d Dn"d'nl, ,Ihol Ih, velUolI'n plooed orpn.llo eeoll 110m uf oaldlnvnnlorv rnpro.enl' II. lolr Vnllln n,of Ih, deln ollhn Dnnedonl" dOlllh, end Ihal Do,,\len\ owned no ronle.\ele oUI.ldo ollho commonweollh of PonneVlvenle "oerll Ihel Whloh 01,"'0" In II memorandum ellhe ond of Ihl. InvlnlorV, Irwl vIlllV Ihllllho .Ielomonl' mndo In Ihl. Invonlo'V~" trli, nnd 00"''', Irw. \""I,"lOn\l Ihnl fnl,o etl,lln\enl' heroin orO modo lulllo'lIo IhU penolll" 0' 1 0 Pn, C,O, SIIIIon4sD4 rolnllno 10 IIn'WOrn 101.llInnlllln 10 "ulhorlll,., I' p.,rllonnl RopfaaonlutlVti\ Nomn 0' Allorn,VI I,D. No.1 Harry L. Srioker.tc...l!l;:.w_ ESe;!. 07049 Annmarie Klema ~," -,,"'7--~ >, ,. ",' , . Addre,,'. 4'07 Nort.h Fro~t-B..tl:aet. -,-illlrrisburg, I?A 1ill.1-....__ relepho.I' (717).2 33"'25 5 5 Dornd May-19." 1998 n.'------.-------H- Ol.orlplloll L Liberty Mutual InaUl1anoe Group - Workmans I compensation Claim No. WC303-54,~03B GREG 2. MotorBoat and Trailer 3. +~93 Ford Tempo Automobile 'l. 1994 Pontiao '47D6orSedan S'.' Nationwide Insuranoe - Aocidental Death Benefits COVera~a - C~aim No. 5B37S 829314 6, Dividenddisbursad by ;d'r products and Chemioa'ls, 1.00. 7. 'l.'wentY(20) Shares of Air Products and Chemiol11s, Ino. Common stook I , " Vnluo $ 1,140,00 1,400,00 4,SOO.00 I' 9d75.00 10,000.00 11 34.70, 1,520.00 " * Not inoluded in Inheritance Ta~ Retur.n, not a ta/lable. asset, sinoe the life insuranoe Was qn toe ,life o~ tl\e c;lecedenl:: but was TOlnI11B, 069.70 ,baVable t.othe Estat.e. (^nn\lh}~ddmonnlllhnotH 11 "ocus~nrvr Notnl Tho Moltlor.ndllnl 01'01\ 011'\0 fIllllldolhu CflIlU110tlwultllol fl"tullvlvnnltt IIIftv,nt till! ffhfoliUllolllm IJOr.llllnIIIlJllfl'"l1t"llvfl~ IIIOlulll1 thft VllluD 01 floah ltflfll, bill ,uoh lllllUot ehnuhlllClt'hn elllnlillud 11110 tho 1II11'1' of tho 11i'1'pillhfi(. ~ t" .~ 't5 '~p;; .lll .- '} . 'I , n)~ Irij h \)',';i. I , ~ I '1'.\ ]Jj ~ :i~ ~li U ./i 11) Q'SJ; ~ d~ ..~.~ ; ;, " ;, I' ~ .Register Of Wills of cumbel'iap(County, Pennsylvania INVENTORY r:statuof' William I.. llimsl Jr. No,J997 .. 006~8 alao known an Dato of Daalh -0.5 / ~ 3/ Q7 ,()oollaaad flDClal Saourlty ND, ~9'{)"3R"1111R_ Pallo;,ul AopIGlonl.lIv.I,1 oHho o~ov. aI' 010, d.oonood, vOlllv lhollhq 1I0ml OPlloollng In Iho lolluwlnu Invonla'V Inoludo all al Iho "o,ion.1 ...." WII.,.V., IIIU.lo and ,all of Iho 1001 oSlalo In Ih. aommonw.ollh 01 Pannlylvomo of ",oldOooodonl, lho' lhP'Vuluullon pluaod 01'1'0.11,0 eooh 1I0m.f 1.ld InvonlolY 10""'01111 110 foil voluo onl Iho d.'o of Iho OoooUonl'o dOolh, onu Ihal Ooo.dln'ownou no 1001 oUo" oUllldo oflho c,ommonwoollh of Ponnlylvonlo .Koopllhol whloh 0"".0" In 0 momo'onuum ollho .nu ofllll,lnvonlblY, Itwo vOIlIy lhol Iho 'IAlom.n," mouoln 1It10 InvomolY .10 1111. oneloo"ool, Itwo undo'ilonu Ihol f.l.. el.lomonll hOloln 0'0 m.d. IU~loollo lho "onollloo 01 10 Po, a,8, S.ollon 4aD4 lo,ollng 10 IInlWOln falllffo.llon 10 .ulho'III~., ' p.,.onol R.pluonlollvol N.mn of Alto,neYI Ita~ry L. Brioker ,2r., IllSq. 07049 Annmarie Klems awx~hdt?~:' , " , Ool.d .....M.Ay-1.9." 199 B I,D, No.1 Addl"" . "I' 407.Jlo~th E'ron.t..-Btreet. Ila~~isburq I PA 17101 (717) 233-2555 T,I,phon.1 1. O.lollpllon Liba~ty Mutual Insuranoe Group - Workmans' compensation ,claim No. WC303-,549038 6 RIllG Moto~ Boat and T~ailer 1993 Ford Tempo Automobile i' 'I Vuluu $ 1,140.00 1,400.00 ;/; 41500.00' 9;'475.00 10,000.00 '" 34.,70 1,520.00 '2. 3. .. 4. 1994 Pontiao 4~Doo~ Sedan Ne,tionwideInsuranoa " AooidEmtal Death Benefits Coverage - C1aiw No. 5~37B 829394 6 . D~vidend d,isbursedbY Air' J.:>rqc:\uots and Chemioals, Ino, 5. 7. Twenty, (20) ,shares of Air produots and ,ctlamiol1ls, Illo, ,donunon 'Stock I' I , " I< Not ino1uded in Inheritanoe 'l'ax Rellurnl not a taxable ~ssat sinoe the +ife insurance was on llhe life of the deoedent b,ut was TOIAI; lQ, O~9. 70 Pllvable t.o the Estat.e. IAtlutTI) ~dlJfflol1ul Shunts 11 llOnnssnryr NOTE: The MOIlHH.nchlnl of /1111 e"lIlo OIl,lhlilUla CnrnlllollwDflllI1 ul f1ttlUl.vl",,"ln fIlAV. fIllha oloOllclII 01 tllo IUlfl1I111I1 fOlueuntaUvo,lllolude the v"uo 01"'0" Itlm. bUI I\loh IIUllleI 111011111 1101 bet oliiiJiulnd f"Ib Iho lutlll ollhe Iny_"tofY. "W-U HAKI OHIOK PAYA8LI AND RIHIT PAYHINT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 OUT AL9Jfll THIILINI ~ RITAMi LOWIR PORTION POR YOUR RIOORDI ... TiW:II1i'f.'l/'.A~'Jt".r&':"j..Il&Yfai".6".ItfA'''iif~'f(d'i.Y,(~.A'll'~~AY"lMt1t."Att."lI'Q~'f(61. 'iflf........~........ DZIA~LOWANOI OP D*DUOTIONI AND A81111HI~T OP TAlC ' IITATI OF KLEMS WILLIAM L PUINO. 21 97.0628 AON 101 DATI 08.51-1998 TAM RBTURN IIA8 I (, X I ACCBPTBD A8 FILBD (I CNANGBD RIBIRVATZON OONOIRNINlI PUTURI INTlRIBT'. 1.1 RIVIRII APPRAISID VALUI OP RITURN BASID ONI ORIGINAL RETURN 1. Rool Botato (80hadulo AI 8. .tooko and .ond. (.ohodulo ., 8. Cloaol~ Hald 8took/Portnerohip Intoro.t (.ohodulo CI, ~. Hart~o'/Hato. Recolvablo (.ohedulo DI a. Co.h/.8nk Dapo.lto/Hl.o. Por.onol Proport~ (.ol\8dulo II 6. Jolntl~ oWned Property (.ohedulo FI 7. 'Traneforo (Sohadul~ GI S. Totol A..oto APPROVID DIDUOTIONI AND IXIHPTION81 9. Funeral BMP,,".o./AdIo, Coeto/Hho, BMp.ne.. (Soh.dulo HI (91 19,611.58 10. Dabto/NortlllGo LlabU1Hu/Llonl (80hldulo II (101 . DO U, Totol DlduoHonl (U I 18. Hat Vlol\l1 of TaM Roturn (18 I 18, Charltabl./GovornMontol l.quI.t., Nnn.olootod911S Truet. (Sohodul1 JI (lSI U, Hat Value-of Bototo 8ub.100t to TOM (1~1 1,541.88- NOTII If.n ...,..m, .nt W.. i..u.d pr,viou,~y, ~in" ~4t ~8 Rnd/or ,16, 17 .nd ~8 wi~~ r'f~.ot figur.. th.t ino~ud. t~. tot.~ of Akk r.~urn. .......d to d.tl. ' ABBI18HINT OP TAXI 11. AlIOUIlt of Llne 1~ at Spou.ol rota '(111 ,00 M .00. ,00 16, Aaount' of Llne 1~ tlMabl1 at Llnlll/Cla.. A rato 1161 ,00 M .06. ,00 17, AlIOUI'lt of Llne 1~ tlMoblo'''t CaUatorol/Olul I rota 1171 ,00 M . lB. .00 11, Prlncilpal TOM Duo ' UII .00 TAX CRIDIT81 PAVNBNT DATe f~;fq3~1~ IURBAU ~F INDIVIDUAL TAKeB IHlteRITAltCf TAM PIVI8101l IM!~', 111601 IWlAlIIllla. I'A 1711'-0401 OOHHONNIALTH OP PINNBYLVANIA DIPARTHINT OP RIVINUI NOTICI OF INHeRITANCe TAM APPRAISeHeNT, ALLOIlANce DR DtBALLOWANCe OF DeDUCTIONS AND ABIBIBHeNT OF TAM HARRY L BRICKER JR ESQ 407 N FRONT ST HARRISBURG ' PA 17101 DATI IITATI OP DATI OP DIATH PXLI NUHIIR OOUNTY AON 08-51.1998 KLliMS 05-U.1997 21 97.0628 CUHBERLAND 101 AaaUl1'RHHtod U) (21 CSI C~I (81 (6) (71 .00 .00 .00 .00 18.069.70 .00 .00 (SI RBCUPT NUl(IBR DI8COUIlT (+ I INTBRBST/PBN PAID C-) AHOUNT PAID TOTAL TAX ORIDIT 8ALANOI OF TAX DUI INTIRI8T AND PIN. TOTAL DUI . IF PAID AFT.R DATB INDICATBD, SBB RBVBRSB FDR CALCULATION DF ADDITIONAL INTIRBIT, . r tn.".,.. ,,, I".'" WILLIAH L J NOTBI To lneuro propor orldlt to ~aur ..oount, lubalt lha uppor portlon of thlo fora wlth ~aur toM pO~BIIflt, 18,069,70 1Q .~1 1 fiR 1,841,88- .00 .00 ,00 ,00 ,00 C IF TDTAL DUB II LBIS THAN fl, NO PAVHBHT II RBqUIRID. IF TOTAL DUI 18 ReFLECTED AS A "CRBDIT" CCRI, YOU HAV BB DUB A RBFUND, IBE RIVIRIE IIDI OF THII FDRH FOR INITRUCTIONS,)