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HomeMy WebLinkAbout97-00642 P(CTlTION FOR PROBATE and GRANT OF LETTERS &/0/' oJ 1Illthony J. Barbieri No, _~~ ';)/~~7 "l..tf4. olIo known ar Tony To: RealHter of WIIIH for the " , , ' , , Deceosed, County of ,Cl.U1\barlanp _ In the Soclal,,securlt)' No, 174~05~3619 C\'Immollwenllh 01' Pennsylvnnln Tho petlllon of the undcralane~ respeotfully reprosonlR thntl You(petllloner(s), wh01tr'are '8 YO, nrs of nll.o or oldoran tho,exoout riaea IIllmed" In the IIRI will of tlli: nbove deoedellt,dnled ~ 24 " I 19...l.lL- and oodloll(s) dated ,none _' - (11a18 rolovanl elrcllnillunm, I," renllnelallon, death of o~oeUlor, lie,) Deoendel'lt'iyas domlolled at death In Cumberland .~ e.riastJa~~y ~ rlfjf.Jrn ~~trOl~ n6f C~~~i~~ , (1111 Itrool, oumbor, and munelnalllY) DeQendll.nt, Wen '81 mf8 of nat:.dlpd 'June 17 ',19 97 , at bif6w,\,ol1n..Bt" cal:l1a1ei oumoerland county, PA ,"', a~geptns foUliws,deoedent did not mllrry, Wnsnot dlvoroed nnd did not hnve a ohlld born or adopted dter, exeoutlon of th,e Will offered for probntel wns not the vlotlm of n killinG and WM never adJudloated Inollmpetent: no \~~Qapt1one DepCl1~ontal death owne~'propOrIY with estimated valuos as followsl (If'dci\l1lolled 111 I'll,) , ,.:. , All porsonlll property " (If not'domlolled In I'a,) , Personnl proporty In Penn8ylvnnln (If no\' qOllllolllrd In 1'/1,) . " Porlonal property In County "Iltue 'Qf 'renl e!!~telnp~nnsYJYanla 8ltualod.Qs :fallow&i, 546 'W. 'Penn Btreet, Carliale, PA suneatimated S S , ' . S uneaUma tea - WHIlRIlPO, RB, petltloner(8) r08peot,fullY roquest(8)lhonprobate of the la8t will alldoodloll(s) prMentod herewith and the arnnt of letlers~atamentaEX- , . , (1.."monlalYl admlillllr8l10n 0,1,6,\ admlnlllratloll d,b,n,e,I,I,) theron, /7 " "1' !Jcf.r'-';' ,,-. ;1.:(' /&AZ;t..~,.aL,-4.L.."','-.e..(." " '" , Suzanne B. Long " 'AntOl natte B. sprink:la , t... ,g~~~t~~~an~~r ~m9g RO,aa ~e~~~~~gu~~e;~ l/U55 11 ~i~~' H~76G-2312 I~ BBN~162-36~B473 ~~2ia~~3~~1672 l' OATH OF PERSONAL REPRESENTATIVE CO~MONWE:ALTHO,F PENNI3YLV ANIA} aa COUNTY OF CumQe~d "ho pothl(lnor(A)~bovo.nnmi:d sw?ar(s) or ernrnt(s) tl1~I'lho statementS In the foreaolna petltlo.~ are truo and correot 'toll1e best of tho knowledae nnd belief of potltloner(s) nnd ll1at as perlqnalrepresen. IIt,lve(H) of, the,'l\boVe deo~lleOt I'olhloner(s) will well nnd truly admlniRlor the e,8tate nooor~lna t,o law, S, 11', orn '"to or n ff Ir,med and sublorlbo d '{ Su~anne B ',I.o ~9 I before me tills 1 R to.. dRY of {;"-;'H .' " x..-;:;._~, _~ 19 97 'f ' ( (f)rJA-:::'c..., r;".:-" - Ante. nett:e B. B rinkle _ '1/ M<I'Y j>..':)~ ...,,,,,. -., '" ,. ",".',""-''<. ~ 11111' ~(\1 ur\' 'li~li Tills Is 10 Ix'rtlfi' 1I1111 i1,,' IlIfill'ilHlllolI 111H" 1\11'<'11 Is \0111,..11), ..opil'<I I'IIJlII nil ol'igill,IIl'l:',lilk:"I' ordl'illll dll!>' IIbl 'wltll lilt' ,I' I.o"ill 1(l'glmn!', '1'11" OIlglll111 CI'l'Illkilll' wlIlIH' I(HWill,I""llo tll\' ,~IIIII' Vllnl 1(,,1 ollis (lilll'l' 'or 1"'lIl1illll'lI\ Itllll~, WARNING: It III 1I1110al to duplloato thlB oOPY by photostat Dr photograph, 1'1'\' lijf Ihl, \1'1'11111111':, ,~;\,(J(J ~. "" ~~&~.~~' ~~~"F~_.r+~~_~~--_ 1111'1111("111.\11'''' I' 4260240, Nil, ....d_..~.;/UN'-'.L~ 10G'I 1),\11' ......--.......-.;..-. ~~-..... 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M " " 'il t I, , " X Ii " I " , " " , , J , J.\ II " {I t/ , , :1 , " , " I' 'C) 'Il' 1'1 ,. , , C'''\ n., l'l .... j; '.. 1j1 . " I"" .}) ..:::. '" f. F' 58 0.: I] " , RIV"~OoIU II,qjl j, I ~ -/'Ill '- I \ rOlD~bUO'DIATHA"IR12/311','CHICKHIRI \ ~~, 'i:?n INHIR,TANCE TAX RETURN lov:m mDIT II CLA1MID [] ~ :&If RISIDENT DECEDENT m"NuMiu' . ,.,,------.-.--.--- COM'i~Vl'~~i.'~ ~\UlMllA1l1n (TO 8E PiLeD IN DUPLICATE ill ~ 97' ~ OG42 r .--. ., II~RR.' ~~~.~n~~mli1llllnrrfol1llll _~<I:.I,i_~~!I~.!.~R_~~~~~L(j~rml ~~~p'I~:r ~~~r .,. YW.. ..l'!\l~B'! i llMIIIJllll;f., /lNI'1I0NY I', ,li4(, Wonl: ['ann Sl:t'oi.H: I lOtlil"fcUllh IwMl1I '1lInu OIIIWII IIlAU 11I111111 . "cl,U:u'1J10",' 1'/1 , 1,7013 l'/4~llli~:Jhl~ n/t'//u'/ 1/2911(, ''''''If Q\II\\I;IQl:l"lld ! -'~___ :.~~:.~j,,: :uo''':'''' "",," . :,:",(/\, II." ."" "I"", "','"'' I Ill( I I mrl~:1 '",Mil. '." ~~(:lJ.l~ ,.:r.r:V~~~.:I:~i6nll'------'- ~ I 1.l11. O,lolnul RollJ,n I 1 1. BUI'I,I"nonllJll!olu," L13. RomolodOl Rolu,o' , I ! ' 1'0' do '" 0' doolh p,lo, 10 12d 3.02) . 1:\ IJ 4, llmlt.d 0"1110 ("I 411. ~lJIU" 'nl"!11 Co,",,,onll,o [] 5. ,fodOlOI 1,101. Ta. R.lu,n R.qulrod I I!I " '0' lIul.. 0 d'"I~ U'IOI 2012.021 ' ()g 6, ,DU'donlll,I'.",I,~., 'III., ( I, 7, .\.d.1I1 M"lnl"lnod,o lIvlnu I,UII _0, Tolol NumbOl of So" D.polll BoUl IlIlIoeh enllr 0 W , Moeh c~'Y 0 l,ulll . ""~'--'- ALrco!l!"mifONDINi;-""lj',n:ON~rtiiNJJ'iAL TAlC INPORMATION IHOUrirlf1 DIRICTlD TO, I m/',(, _.._.II.u:uJ__~~ ----,", ]'OMlll1l'1'Wrni1.1iIillir- - _L ~:11;~:~~~,;;J':"::':I~:,:,,,_,_~:,__,,:~.,~~~~;':JtO:~:t , , " . L R.nl Otllllo (Behululo AI (II ..,..,U~ IQOO,.OQ._,_,,_,,~: .. 2, Bloc~1 ulld Bllne/IIBeI'OIlul. III 121 "''' .__....".NQIl9....,,,..__..,... 3. Cloltly It.ld Blne~IPnllnlllhlp Inl"oll (6ch.~ul. CI ( 31 ..__..__~Qnl'!..___._ 4, MOllooOII clOd NollI Rmlvohl.IBchodul. tll 141 '.....hm.}I<~Q.e."'''''__m''~_ S, COlh\,B"n~ O'p"111I & Mlu.l/lIn.nul,Plllon,,1 l',opOIIY 161, .._ "_~r.2~.G-,.7.o.,_."",.,,,< ~~.Q , 6, lolnlly Own.d P'o""ly (Bch.dulo fl 161 ._ ......J~L5!,~.!l~._h:'."_:, 7, ""nd"'IBeh.dulo 0) (Beh.dul. LI 171, .",.:lO,.Q'ZD..!1,L..___...:" o. 101111 0'011 1111011 1101llllln'l 1.71 0, 'unolol h,"nlll, ""nllnllllllll.. COlli, Mllcullllnoolll hlllnlll (Bch."ul. Iii 10, Oohll. MullUIIUo 11111,1111101, llilll IBlh.",I. " I L 1010IO'''ucllonl, (lololllnOl 9 & 101 12, Nol Valuo uf e,llll. 11In. 0 mlnullln. Iii 13, CIllUllllhl1 IInd OOVllnm.nlol OoqulIUIBchodulo JI !J.cll.'!!.Y.olu!J~!!l!!!.!!'...!!!:'jlln. !!- mln!',I)J!1!J1L__.____ IS, Bpoulal T,ontflll (lor dol., 0' doal" .flol 6.30,941 S., 'nlltucllpnl '0' "I'PIIIObl. P'II'nloO' on Rev.,.. 1161 ____.........c______. 0,_- Sid., Ilnclud' yolulI ,om8eh.du. K 0' 8eh.dul. Iv',,) 16, Amounl ollln. 14 1""lhlo 1116% rqll . 116) .." . ,.:.JQJl,.E.1~"f.!!Q._.._",.o ,06 . Ilndud. volull from Be "dul. K 0' o,hodulo M,I ., 17, Amouhi of lIn. 14 I,IOohloIlI16% IlIlo (171 "__..__,_,,_."'_""'~..___m._'J( ,U.- IIn,lud. valu" from 8eh.dul. K 0' Blh.dulo M.) 10, P,I/'IIPllllo. due (^dd 10. 110m lln" 16, 16 and 17,) 19, C"dlll 6,10VIlII POYllly C"dll 1',101 Poymonll Dllco,nl InlolOll _,..,,_._.___:..._ + ....J~.I,OOChQ'O+~~,30 ___.___ 20, If lIOO,I'!.!!..Q'~Olll ',hon llo. 10,.nlll Iho dlll...n'. on lIno 20, Thll h Iho OVIRPAYMINT, 1'1 (-IUIIIII'IIIIIIJ,.I.'.II'r".ll!!TluIIlIlJIIIIII.'.fllmmllft.'.lIIII_n'.11I11I~IIIIIII , 21. IIllno 18 lI'U'OllIUI Ihll" lln. 19, O"IOIlho dll'oron,o ollllno 21. Thll II Iho TAX OU8, 1211 '_'_"_'_""'''___~_'_ ^, 111I., Iho InlOlOlI on Iho hollln.. duo on lIno 21^, 121A) ____ 0, finlll Ih.lolIII ollln. 21 "nd 21A on llno 21B, Thill. Iho BALANCE OUE, 121B) ____.._.__. , .". n ...1!I."~~.~~~~!.!!Y.~~!' !!L!'.!Jl1IlII ~H'f~!!JAfl..n' _, , .. '. . .-.--..- ",." -" ~~ .'"IU81 TO ANIW'R ALL Q'!.!!JIONI oN RIVIRU 1101 AND TO RICHeCK MATH ..c.,j( , (in"if.,,"n(,III....rpo'lu,V: I dolfl/" lI,ii'l h,lV' ..ar'lnotl Ihll "lu'n~:lnp lIll"moonrlno ..hodulOl anti lIo,o\llonll, ond 10 ,ho boll of my ~nowlodgo ood b.llof, I It "Plt, UIJf,,1 fllld ~bmflIOlct, Illldmft I Hit nil ,nU otllll" hcu haon r flol <"truo mCHAo ~IU Peclnrflllon of ,qral,cuof olkor than the porwn I, P.J~.nlallv, II ;HUlIlIull tllIl/lflumnlln" n whlth ,lfflluu" hut 'mil' kMWhtdlJo. 1/ ':':J~ JA ~ -" ......&4 ~S, y 111l~~"llrb~:z~(nl~~ ~'iIIlO jl:.;ri'- "';I'om".l "Alo11uiifl;tl.il;rlng . Hd ;-CIIl.1.is l;;-;""['A --- tiAf~ /< I /"1 r?' - IIlIj?_~~iy.till~I~~~~,~f~~rt~'~'''A1I;iil~~~:~:~~~:~I~~~~:;~Qil~~9 ,--PA-- b~~/1J' . _" 6 .. _. ! '......, _." -._"" __..__ __....__..,,__L__:9.F__~_ . , I a ~; .', I: I 191 _~__.__7JLQ.19.-,-~~,._._:_ (lal ___, 'n" .1~~_~3.~.__n.__' l,J 10) _..__131,.12.35.36___._ (II) ._.,.-21.;.9.9 2 . 56 (12) 10~,.p.42.80 (13) NQlla (141 __ 109,542.80 ._0.00 ,_.,,__9.&1bll-___ 0.00 (10) _.__~,572.57 1191. 10,526.3L__~ 1201 __~53. 73 ..:-_, A. H;_U.Ll?'~~~TJgJ~iN~ii:~i~'~.iltiL_":~==-~~:-.:~~:~=~:=~~ .::'-If,J,,OA.N Ty~~L:==I~~lj75% iiQ.Y[~'Fiiud'.~~~=~ .= 9.l!,A FILE tIIL.fiE9t1~~_~___.____,__.___.____ . L.ENO.~.__.!:iurrlu SE.ylng!~_ank C,\'h.l.. torlll 1. turnlahlll to 1I1YI you u atatollllnt ot aotud nttllllllnt ooata. Alllount.. puid to and by thl ..ttllllllnt aVlnt arl ahown. It.llla lIIarkld p.o.a, Wlrl paid out.idl olouinll' . E, NAME OF SELLI:A: Eut Anthony u Barblerl/Buunnu B, Long EMeoutrlK Antolnullu B, Sprinkle, EMuoutrlK ,.---.-..lliH"SET,T, LEMENT'AClEN, T: I, SSTTl.'EM,ENTDATEI OUnoM a Otto, P,O, WudnlludeV, 14-uen~98 1 Irvine Row ' , OARLISLE, PA, 17010. 2:00 p,m. -- ,-, _..._~.....-...--- -- - .. _01.. SUMMARV OF BORROWER'S TRANsAOTION _ K, SUMMARV OF SELLER'S TRANSAoTION .!!2... aROU ""oU", DVI ,na" DaRRoHIII' " .too' aRall ..M!'V"T oVI TO "',~JR " 101 a.n.raa' 'alo. Piho _ $04,000,02. 401 aanbraa. ..10, p.lao 101 'o..an~.p.r'y 401 ,.r.an.l prap.r'Y ",--' 101 ",".o.n. ohorVI' IUno 14001 , ' D, NAME OF BORROWER: Ohrlltophlr W, Kllly Sharon e, Kllly 'ii:'iiRQPEATY LOOATION: 646 Wett P.nn SI" Oarll.II, PA 1701 Cl $04.000,00 104 loa . _ ~u.t..nt. it... prlpald 100 Looal t.1M" , 4707:74 .403 ___ 404 _._-- _. Adj.....n.. 10.., prop.ld b~ llllo"_ ___. 40a ~...I ..... .. 1'1'0..-11 _ 0100 40$ ^.....Ift.ntl _ 407 School t.".. 4112.48 40a 401 811200.22 420 GROSS DUE TO SELLER , ....---- - I>y ..!.! I.. I I. H'O'.'11 ~ 0,00 lal A.......nt. to 101 Sohaol t.M.. to 30"l1unp9ll , , .. ~O'~.n.n .~; , , 4112.40 10' 120 GROSS DUE FROM BORROWER 104 101 106 101 601 , 18,118 Mjll....n.. t.r I.... .npaid I>r Boll.. " 110 ~..ol"IIi" 14-~.n.n " 0,00 all ".....IIt.nt. to III lahQol taK.. to nIOUOTloN. I" AWoUNT OUD TO 61~~IR , alCa... d.PQl1t R.ttl..lnt oh.'9.' ao~ .Ml.~ln~ loan. tak~_ r.ya" lIt ~a't9.i!- ,.v.II and ...t.... , 044Q2.40 , ~_ AWoUNTI PAID IV OR 'OR DonRoHDn 201 DIDa.it O~ .arn..t Honey 202 Hlw MortvaVI AAaunt, liard.. savinl!-- 203 IMhUh9 lOAn" t.k6m _Ubjlot to a04 , aDo " 1000,00 '01 79800,00 loa SQQ1.02 .-.. a05 a06 207 ^d~u.t.lnt. tOf lteM. 210 L~O.. T.... to, 211 A.....~.nt. to 212 Bahool TAKI' to 215 216 117 220 TOTAL 'AIO DY UORROHDR ~OO OUII rRoHtTo BORROHRR I' 301 Oro.. '~ount du. Ito.-borrower 30a L... ..aunt. nald bu/lor_b~rr~wlr GOllOABH FROM(tO)/;lQR8,QiYSFlI.';' -- , IIn"aid bv 11110. , 14-Jan"u , 18,98 1'4'~.n'98 ' ~- I4.J.n'lD , , , 0,00 all 814 80016,118 120 TOTAL RIOUOTlOIIR 81~LIR 600 aASN'TotrRO" SILLIR 89200,22 601 ar... .....nt .. 11110. 808' 8,98 aOI n.411.11... I. .011.. ' $8 08ll,27 ~-oo'oA$H.1'QT{~RSiJ~)ja~L;WERI" ;,..' ,- 6008,77 ~ 84492.48 8000.77 ; $18,480.71 I hUYI ouotully tIIv.l.lwecl the IIUD.I, Sotthllllnt StatuDnt and to thl boot o~ lilY knowhcl91 ancl belilt, it i. a t~UI und oaOurotl otatlllllnt at all rloeipto oncl dioburoelllenta Illudl'an ",'y ao~<?unt ,,0,'. on 1II~.blholt and I haYI readyed a aapy ot,thU7D/UD-i to. ,lIIyr.for~., ~','., , . /J4:;l.~AlJt1IJ/I#'fe/. , . , ~' ,,6=..,,;. ....~J~...~.:1.;.....:.,,~"'"'2'..., ____..._ _.... I ~ -$~~" _ ...__..._ C~)ophor W, K.I~ ~An ,ony J B~I~..n ,e, Long E' _uLrf.tl[kifl.2.:..-"S...Jis.JI...tt~____ . ~''!:.:./~!t.t:t.L'''0t?..&~d..:1:!:.1t___ . Sharon S, Kelly 'Antoinette B. Sprinkle, Exeoutrlx PAGE -N2 HUD DIBOLOBURE/SETTLeMENT llTATllMENT . PAID BV PAID BV Ioo~~::~39iACRI?~~:T:o.'~I:~9~OMMlssii:;N'" ..n..,~_n .-...--.. '..'..'....-..-.....'..- ". [QmlQW~r:L.....__._" --e~~~~ 701 Llellng ugenov:.__..m.'.,.'.._._.._-,...~...Woll;-&el;oii;e;$aii40,0.0.-......-. .."'.....P "..... ..----.--.... _ _ ~ :L; ._.._~~ _' . "._ _~~....__...__._.H.+..._..__~ri.."'-o-..................__~......,~.._.H~...."~~+-"-+~~.....-- ~~~ ,.,.........', .~_I'-~..~T_........ --,_.~ __.h__ 702 Sel~~_~Q!!.lEtL_.__..._....____.._ _.__ ,....._...Q!'I).t4!IJ1.!'.~!~0!J~49~~Q!l..,,__.,.'."'_n ......-,......--..... -- I03 OommJeelon pal~.!!.!.el\l'J!1!!lL 800 ITEMS PAVAULE IN oONj;ilio.fio-N'\ViTt:fl.OANnm...-...... -.-,.- ......._..... .h_....._..u_..... --...-.-.-.- __.._.....~~___++..____.,____,......_......1__.__.......-..-_..........--...n~..........F ...............-.,.,..,.....-..---- ----.- 801 Loan Orlglnallon I.. . .___.......J:!!ill!! aavlaa~~IJ.L____....._.__ ------- ~ ~02 LoanJ?lloount IIB\l4,00~!.!l.~.00,~.9..<?..___.._,;__ ..l:!M!l!~!!vln"g~!!n.L,,_~___.._._...'".__ ~.._,"...t~D8,OQ ._.... 80G Apprallll Fee Harrle BaVI'lIlIf3ank _'__"_ __.__ ' 804 Or.dlt Repon , ,__...J:l!t!!!.!.!!ylnlll Bahk ._........__..___ _..~-,_.. - ~ll Underwriting File ~._ ~~__"._.-1:!!!!!!. Bavlngl B}lnk _....m___-...__._. _ 100.00 ' 808 Dooum.nt Preparation Fee '___.,u. Harrlll!9-vlllSI'~~!1JL__.___:' n____----1!!.!.Q.Q. -"---' 807 Flood Oenllloatlon __._~!rl. Bavlng.!...B_a.~.!L. ....__..._~.. _,__Jlll.OO a08TlIxBervloeFee ,. __ ' ...n____._____.._.__..._____ 800 Applloatlon Fee .GaMO POO _ Harrle Elav!n.st~ank ._. _..e.0,~__. 810 OvernigHt Mall Oharges: Dunoan & Olio 18,00 900 ITE!v1S LENDERRIlClUIRES TO aE PAID IN AOVANca-..:........ -. 001Intereal@18.24/day , ._ 14~Jan-Oa ol~~eb-oa ' ~ongagelnlUranoe .. _..____h_ -___ DOG Ha!.ard In.ill!!lS.!....___._,.._._____.. _.._______._n__..____.___ --- ~4 .. -- 1000 RESERVeS DEPOSITED WITH LENDeR - .-.--.-.~---'-" - E.orow8oolleoted: ____.N mos, dlJ.!'L_,.J5.!.r.or mo~_~_. _.._.____ 1001 Hu.rd Inlurenoe __~ 2 lL.Q2. 3~!..00 1002 Mortgag.lnluranoe __ 0 0.00 0,00 1Q.OGOountv/Looaltaxea .. ,.,' 11. G9.88 _ 4G8.1!_ 1004 Bohool teKee ._ '8 80,70 8Ga.1I0 1008 Aggregat. Mluelmsnt '... (Initial Esorow Dspollt $024.17) ~84, 18 1100 "ITLEOHA~GES _____.. _ '---'-- 1101 Bettlement or olollng fee: . _ 1102 Abltraot or title .esroh: 110G Title examination: . ____no 1104 Title Inluranoe blnd.r: ...___... .' ----' 1108 Dooumsntpreparallon: ._-,-,__.._' __.._.__-_-.. 1108 Notaryfesl: ____ ~.!!!L___-__..---, 1107 Attorney" feel: ~ ' ._ Robert R. Blaok, Esq, (lnoludes ab.2Y!.!!em numb.rl): ' 1108 Title Insurenoe: WI~~IAM A. DUNOAN, AGENT FOR ~IDeLITY NATIONAL TITLe (Inoludel8bovell.m number.):1101-1104 l:!nd2!!!'JJlenta 100 GOO a,l $7a.oO ~ Owner's oov.rage . $~4,OOO,QQ $722.715 _____ 1110 Lend.r'l ooverage '$70,C100,00 1111 Dllbursement fee OUnoan &0110, p,o, ....--..--..------...-. laoo aOVERNMENT R!9.Q.f\DINa AND TRANSFER OHARGED 12~!J)eed _-=--::- _ 24.00 Monga\l!!.!'8tlmu\&:'.=.=-- _. --27,80 --"81.eo 1202 R.lease .f...lgnm.!lL....._ _. O,O~ _.' 1202 OCluntv/Looaltransflr lax (1 %J_. ..____._. .._____ ~OG Pa!...~.a.I'lran.f'r la~J!.~L__ 1300 ADI?.ITIONAL SETI~.OMENTOf.!ARaEe---~-'''--=-'--'-'- lGOl Radonteallngl __.,., _ ..___ _ 1302 F'eatlnspeOtlon: ~~ GII~..e't'l ____..__--- 130G Water Oenltloallon or t..tln~l. . .....___.__ 1 G04 Final watlr & S.w.r (loot, #2202 . ,Oatll8le BoroJ!f1,b___ '" _ !!I~TOT AL.SETlliM.ENT OHARGe8L__.--,,-.___~____.__ (.110 enter.d on line lOG lor Borrow.r; line 502 for Belier) 274,GII ----- 0,00 ~- P,O,O. , 797.715 B8.00 -":, 840.00 , MO,OO 88,00 -' 470LL4. 21,82. 5001,82_ SCIIEDULE F JO.lNTLV.OWN~D PROPERTY I..... '" BAlUllllRl, ANTllqNY J, Join' '.nln'(')1 Vila Numbar ~1.97.0(i4~ NAME A, SUUIUlIl D. 1.0\18 ' ADDRESS 859 AloXiIlIder Sprlnlls Rond Cnrllsle,l'A 17013 RELATIONSIIIP TO DECED~I'IT I)nuahtor D. Urwula RlehRnllon Suburbnn \lCil'k Apnrtmonts ~685 Carnellle Road York, I'A 1740~ Nono C. Jolntl .ownad LI/rrER DOJ..LAR lIOR D~TE VALUEOll ITEM JOINT MADE TOTALVALlJE DECO'S DECEDENT'S " , NUMBER TENANT JOINT DJ;;SQRIPTION 011 PROPERTY OF ASSET '/, INT, INTEREST \, A 1~/ln6 Flnilllolnl TfIlRt CompilllY, obooklns ncoaunt H538477;lIO\laUnehmontlo Sohed~lo E $~7 ,039,43 50% ,$13,5 19.7~ ~. n 1130196 YorkFedoral Savlnlls &. l,Qan, oortlOoato of doposll H700.~864, see aUaohed, TaX to be plld by trnnsforoo, Ursula RlohlU'd80n $~O,047.48 . 50% $0.00 3, ^. .. Dauphin Doposlt ,Balik &. Tt\lsl 10/21196 Company, oorllfioato of doposlt H8140541605,lIO\l aUnohed, TOM to bo . pold by trilllsferoo, f:!\lZonne 1.ons $15,064.80 50% $0,00 .. Roll.ovefl\'omCoro Stntos.Bank 00111fiosleof deposit H~OO 1 ~3, 1 04. ~974453 o\lC1)ed I0/21/94"sCQ aUoohed NOTE: !loe 7~ Purdon's StnlutesSeollon 9144(f.) fur pnymonl oftnx by tronforoo, TOTAL (AlIlO onlor \In IhIC 6, 11\lCllllltulnUOl1) SI3,519.72 - "lriC:f~Ia" AUgIIH( 2Si 1997 Luw omUOll LundlH Bhlok &. Schurpp 36 So'ulh Hunovor Stroot OIlI'1IHlo. 1111 17013 At1111 RoborlR B1uok j- Rei I.iHtUto ~f Anlhony J Burblorl Duur Mr:'13Iuok. In roful'onoo to )'ourlollor dnted,AuguHtll. 1997 rognrdhlg UOCO\1l1tH held In tho nUl110 of "I;\nlhon)' J Bnrblorl".lhe following uccmllll {s} UI'U held III York Fedorul SnvinHHund LOllni " '-;; ACCOUNT NUMBBR HOWTI1'LBD . DArB OPBNBD DOD , ACCRUBD BALANCE INTEREST .~..............~................................................................~............................ 70Q.2542 Anlhony J BUl'blerlTrusl 10/10/95 $20,000,00 $52,63 'j 700.~543 Anlhon)' J BIII'blerl TrUHled I;\nlhol1)' J BllrblerlTrust 10/1 0/95 $10.000,00 $26,31 Anlhon)' J Burblerl TrllHtoe $47.48 700.2864 Antholl)' J" Bnrblorl 01/30/96 $20.000:00 Ursulu Rlchnrdson $22.6'0 700.2878 Anthony J Burblorl Trust 04/04/96 $10.000,00 , Al1lhony J Bllrblerl Tl'llHlcC IfYOll huve ul1)'quellllonsconccrnlng thlslnforllllltloll.l muy bCI'ouchod betwoon Iho I' ' hOllrs of 8:30 A.M, mld 4:00 \l,M, .' '., Shlcorely,' . r.~~-r-G;H<4~ ROPYIl Boose Depolllt Servlclllg REOEIVED 'AUG ,2 "/1991 Landis Black & SohOrpp ,.I' to I s, Goorgo $1. York, PA.I7,IOI 717'8010.0771 ' 1'800'222' YFW lf~~ral Bump.. Up Certi.ficate of Deposit .700- 002864-C W',fiW~lr,lf~l1.rs i911.AUOt Ii CCO/l" (fw(II(JI'(S)1 I I " ('''/''1 Uf') '""I'!',U',.^ l'II',II^[,'I,)',,',',!'" :l~1\'nl~\ ,~. lin,r\l! r,n .. I rlo';J ., II' \1. 11 /I/lle lif 1,\',\1111I"'" (J1l1'II/tIN M/IIIIIIIIIII IlIlIh,/ Mlllwll)' //"11"11'0/ //o/m"'" /lo/mll'l' Ollfl! teltwi //"1/11//,,',1 :JO,l;lll(1,(I.' '1:)1),(1(1 01/,](1/'10 ell :~UNTHfl 111111I/111 I'I'/,I','IIIIIN" I'M" //ollllif lillm/tIN,"I"'/, 11/1111/11I /,,/'I'//I/I!O<'Y /~' C/IIII/IOOII"/II# Ol/~O/'!!. 05t,eOI), r)~i, I (II)(, ,MONTHLY If,l:l':ral "Bump.. Up Certificate of Deposit 700 - 6 6 2 8 7 8 - C ~.::;!UnUJ1~;til- ~J1;~Jrf.11f Ii ceolllltlto( II (JI'(S)I il';; ,ie;';" j [IM,P: i;F.J TRUST IflLV nN1'IIONY.1 nr,::;f:lr:RJ TRu~m -- Mllllmlllll //11011"'01 1111I11/111 /llllll(ll 1''rt'I/lfC/ll!)' o! /J/II11 01 Of/ellloN /lOhIllI'II 101l10IMIIIII/'lIy! 1','/'efllloN" 1,'Ol'llloN,l f/II/' COIII/IIIIIII"loN l,f,lIUIIII'. I/tllllllfl' /lel/III/'II" Dol. "'enJI 1M" 11/1111/111 (Jt1/,,;'I,tl!; ',~.1 ,(100 to: Ir)O+O:1 (11,/1)''/90 ill, MOI:THIl OB,leOI) r.l~, 0000 MONlHL Y HOM' 1.4~ W I'IlNNH'I' Addr... Ulllll, No 131 P~IO 01101\011 1l4!1I41Vft O;U' Cod. 01(1 , ' CJ 0 " loxlD Ho, TRI HIFlo PDO'- 174,CO.aS1U IXI M 01120/18 loxldHo, IHl HIFIO QOQ CJ loxlD Ho, TRI HIF}6 Doa CMI,IHI.III'A 171113.2230 Homo Phon. No, 717.248,4063 Nlllnbol or DlanaM.' R.oll/md 1 ol18ln088 Phono No, ' TVI'O of Ana.llnl a4 MON DUMP UP OBRTI Rololod pervla.'1 Twlnnlnu 1\0..111\1. . pRP ohooklllU AQ.I, Na, 6ovlnu,A..', No, Intololl Dloulbllllon CJ "Tro~olor.,lnlo'ool M.nlhlv 10 1!I Mnlllmd(o" 1!I MOi,llhlV CJ Ollorlotlv o AI Malurltv Ovnrdrnlt PrnlaaUan,BWoop,Dtllo oonlr.1 Cha.kll1g Aaal, No. Bovlng. Aaol. Na. o Baml.Aplllll1l1V o Annllollv UTMAI Ago of Malorltv BII......, Oil.,.dlnn Wltn... IRA RID # Ulld.r ,..n.II~. 11Fl1or.hlr~; I (W.) U<lnll')' Ihlll (l) 174,08.3619 " I, 1l1~ (nUt) onrre,QllOXhOl'or Illonll.o..llnll I,Ulllh.(, ond (2) Ihol , "11 (Wo Ill'll) IInl'III1Jo~lln hll~kll" wlthhnhllll~ hQUlIII"" (II) I (W.) h[lv~ IInl h~.lIl1nlrnodlllln 10m(Wd.",J,'llhio'lln h.~knl1 wllhhnldlll~ II' 1I11l.1I11 nl'. 1iI1t1l", In I'Il1'ntl 01111110""1 ntdIVldolld',lir (I)) Ih. 11I1~t1II1IJ\.V'III" HOI"I~d 1111. ~nll!1011 IIi<! (II') 111.1' 1111 (Wolll1l) IIn Inll~or .lIhjo.lln hll~kllp 1i!lIl1l1l1ldlil~, (Irlh. IlilUfllIIllluvullilo Ho",l.. I"IM lHilII1<I11 IIIU I"I~UO IlIul.holho I. '1111]0'1111 ho~kllll wllhhl1"lIl1~ dulo\~ (2) IIhl1,",) o I/W4"'~0IYDII "'~I"'1r n~"llInl dllUllI'"I1lIlIl\'rllllllll1l1, B1"nU~r. - Blgnature " ,I " B1gnlt~ro 1610 (Rav ,O~/94) 9ronch tUltoMar Ukf PIta Contro( Ii "j Ii " " ,'-, Decedent Gonflrnuttlon . If( Name Sllel~1 S~ourltr No Dato of DOIlCh "~'~PU:IO:::::::OII, . Anlhony ./. 13nrblorl . 174.05.3619 ',. JIm\! 17, J 997 ' Acuount I Auc(IUIIC , 81~~)451177 , ,I " ACOllllht I 81404a5o,~o I . ' 814(J~41 (lup' ..u. , ( $20,{)OQ,OO I , 1'1111 I I $16,00 1 $201000iOO I ",~::~;,,"ill' . , PluI I I $04,80 1 PlY, $92180 '" , l)qtol'ro"Rrodl AlIgust 29, 1997 I'rc/lurod bYI Cllllryl A,ao\Yors (/lov 8ta6IV1l l'Ugol2 " I' -- - i' , -.- SCHEDULE G TRANSFERS IlARUISRI, ANTHONYJ. File Number " . 21.97.0642 111.1. 01 i1II1':mINun~w iill {;m.~Il' " {,Y.I:I'I1" {,JITllr'.I:Il':Il.ITtT.I:i'CtTiiITI"1UTjlm:rrmiili:l:J:r'nltl'llllHflliiHi!'llT.Umnill "f! !fIlM PUCRIPTllIN 0' rRlIPlRTY TUTAI, VAWI IIIKlP. 1I01J.U VAWI Nl1MPIUI I....... _ .,.... _1m.,....... "",....."Iti I. """""~." .r.....", IXOIAIIION 0' ASIIT 'HI 0' DWItllINT'I INT. INTIUIKIT L Dauphin Dq10slt Bank &. Tnlst Company, CortlOoato of Deposit N8140435090. Urania Rlohardsun, /luburblUl Psrk Apartm011l8, 2685 CamogloRoad; York, PA 17402, nono, 8/1 2196,110O attaohm011t 10 Sohodulo II, ,Ta,X to bo paid by $0,00 $20,016,00 100% $0.00 . 1t8l18forco, Uraula R\ohnrdll(ln. ' 2, Dauphin Deposit Ilnnk &. Tnlsl Compnny, Cortllloalo of Doposlt N814045 1177, /luuMe l.ong, H5!l AlexlUlder' Springs Road, Cqrllslo, PA 17013, dnullhlOf, 81\!l196, 110O attllOhmont to So"<<Iulo)7, Tax to bo pnld by ItlUlsforco, SU1.t11U10 Lons. $0,00 $20,092.80 100% $0,00 3. Dauphin Deposit I3nnk &. Tnlll ComplUlY, Cortlnoato of DopQslt N8140568341,1.JrsUla Rlohlll'dson,SuburblUl plll'k MIIf\InOllIS, 2665 Carneglo Road, York, FA 1'/4021 nono, 1 tl4196, 110O attaohm011t to.Soh<<lulo)7. Tax 10 bo pnld by trlUlslCroo, Uraula Rlohardson. $0,00 $20,041 ,60 100% $0,00 4. York )7odC1ral Savings &. I.oIll1 A8IlOOlatton, Cortlnoato of Deposit N700.2542, SlI1AIIlI10 l.ong & Antolnotto Sprinklo, dnughton, 10/1019S,IIOO,sttaohment 10 Sohodule F, $0,00 $20,052.63 100% $20,052.63 5, York Fodor.1 Savlnga &. Loan ASlOOlatlon, Certlnoato of DopQslt N700.2543, SUZ8l1ll0 Long &. Antolnotto Sprinkle, daughters; 10/10195,110O attaehmont 10 Sohedulo F. $0,00 $10.026,31 100% $10,026.3 I 6, York Fodoral Savings &. Loan AslOOlatl(m, eortlnoate of DopQalt #700.2878, Ursula Rlohardson, SuburblUlPark Apartments, ,2685 Camoalo Road, York, PA 17402, oone, 4/41\l6, 100 altaohmlUlt tll Sohodule F. Tax to bo paid by 100% transforoo, Ursula Rlohardll(ln, $0,00 $10,022,60 $0,00 NOTE: Soo n purdon's Stnlutos/leotloo 9144(f.) for pnym011t oftnx by Itanforoo. TOTAL(A'Ol ontOlMllno 7. 11"'1'11"'<1100) $30,078,94 CPHHOHWUll1I or Pf,HH'VlYA"IA PEIIARlHEHI or REYCHUlI aORElU Pf IHPI.IPUAl IA"U Of PI. uoaol IIIRRI.oURQ, PA 17111-0601 *' tNFORMATXON NOTXCB AND ' TAXPAYBR RBSPONSB F'ZLIl NO. 21 97-0642 AON 97144688 DATI 10-16-97 TYPE 01' ACCOUNT EST, OP ANTIiONY J 8ARU ER I '~ aAUIN~a S,8, NO, 174-08-3619 CHBCKING DATE ,OP PElATH 06-17-97 TRUIT . OOUNTY OUMBERLAND ' CeRm. RBNIT PAYNINT AND PORN. TO' REGI8TtR OF' WILLS CUMBE,R ANa 00 OOURT HOUSE CARLIS H, PA17011 tly.lhlU iU'U.t1I SUZANNE LONG, ,(" 8&9 ALEXANDER'SPRING,RD{l'l CARLISLE " PA. 170 ", DAUPHIN DIPOUT, BNK I TR'T CO hu pr.vld.1I ,tho O.R.rlunt Hlth Ih. IOf.r..II.n lI.t.o b.I.W,.hl.h h.. b..n u..d In ..I.ul.llnO Ih. R.t.nll.1 t.. du., lh.lr ....rd. Inol..t. th.l .t tho d..th ., Ih. .b... o...d.nl, v.u WI" . J.lnl .Hner/b.n.II,lorv ., Ihl. ....UIll, 1/ y.u '..1 thlo In,.r..llon I. In..rr..t" pl.... .bt.ln WrlIhn ..rro.lI.n 'r.. tho IIn.n.l.1 In'lIlllll.n, .tto.h . .'PY ta thlt fori and r,tllrn U io thl .boy. Iddrll', 'hi. IlCH'Q~nt I, t'Mibl. In ltaclnrd"nn_\..Jth thlt fnhlrltlllnn. TIM Llt41 of thll COllllonw."Uh ul n'n",vIY.nl., uU"IlIin. "Y b. .n'Hor.O bY ..ltlno 1717' 117'6117" ' ," OOHPI.ITI PART 1 BILOW II II II 811 RIVIRSI SXOIl pOR PILING AND PAVHIlNT INSTRUOTlONS Aooount No, $14,04&1177 D.to 08.19~96 T.,ln.uro pr.por ".1I1t t. vour ....unt, two htoblhhod III "pi.. ., thlt noli.. ,u.I .....p.nY v.ur 'oooun' B.lono. '20,092' ,80 p....nl t. Ih. ...l.Ior ,., Willi, H... .h... " ~ pIv.b&. tOl "M.gl.t.r 01 Will., A..nt", P.ro.nt T'Hobl. M 100 . 0 a H0181 If I.. ,p'~..nto .r..,d. olthln thi.. A~ount 'ubJ.~t \0 T'M 20 )'09 ih 80 1SI ..nlh' .f th, d...d.nl '. 0.1, ,., d..Ih, T'M R.t. H ,06 v.u ..~ o.du.1 . U olo..unl ., I~. II' dU., Anv ln1lorl,,".. to, duo Mill b..... o.lln.",nl Pot.nU_l To. Duo 1,208, 117 nln. m ..nlh' .ltor Ih. 0.1. .1 d..th, ~I (.',.~A~,~9,~.~':i!1m".iJ"~,!tIli:~f:~~j~;i"~'.9.~~i~~ii:~;::"t~.:~i~~!~:~'iA.U'.H~H~:i,;.^',I~,;ru~"lt"~,.iiK~r,~9~m " A, III th.,bolil Infor..Uon,.nd t." dUI 11 oarrlot,' .' 'L 'I, v.u ',v 'h.... I. r,.II p'Y..nl I. Ih. R'ol.t'".f WIll. Hlth Iw. ..pl.. .f'Ihl. n.II.. '.,.bl,ln . d"oa~t or .vOld lnt.rut, fir vou "V ohlck bOI( "A"_ "nd r.turn '"ft _not1~. to the A.,hur ,of WIll. .nd 'n .fflol.l ........nl Mill b. luu.d bV 'h, PA o.porl..nt ., R'Y'nU" Ii 01h. .bov....., hi' blln _or wl11 bl rlported Itnd tiN p.ld with the'~enn.vlvanl'Ir\h.rU.no. Ta~ r.turn I. b. ,It.d bv tho o...d'nt'. r,pr...nt.ll.., 0, 0 Th. '.~9V._ lnfor..Uon lJJnoorrlot .nd/o~'btl.nd deduoUonl WI,.. p.td bV~clt'" ..u .u.1 'OIlflIMl. PART W.no/." PART l.!J b.l.M, i POOT I ~OU, nd o. o. fflr.n oM r. '/ p .... M . . '~our ' r.l.t1onMhlp, to d.o.d'n~1 " TAli RllTURN " OOMPUTATZOtl OP TAll ,ON ~O~NT;TRU&T ACCOUNT' LIMB 1, D.t. htobU,h.d 1--.;.:__. a, Aooount. a.lIno. a , I, 'p.ro.nt T'M.ble I M 4. A.ount 'ubJ'ot to T'. 4 .. D.bt. and Doduot1on, a- 6. A.ount T'Mlbll 6 7, T'M R.t. 7 M a, T'M Du. A [CHECK ] ONE BLOCK ONLV . pART (!J DATE PAID " <Z' I,' :1' '1'1' ':--",h." i,;" '8 ,','p'" DIIT8 AND ~Il UOnON8 OLAIMk~ . ::;i[i::j::,:,:i:i:; ;:~:;::i:;:i::j:i:i~ii:H*:~'1:!ir:;;I;I:mr:!!1:I:m!;lm:!ii::!':<~:::t:::!; ::'1:::)::: PAVEE DESCRIPTION AMOUNT PAID I' ' ,J ,..,,, " co" . ., ." "_'.U", [ _ Und.r pon.lt1o, of porJury, I d.ol.r. \hot tho f.ot. I hoyor.port.d .boYO .ro truo, oorr.ot ond oo.pl.to to tho b..t of .~ knowl.d.. Mnd boll1f, HOME ( -1(':) 7-(( 1J, - :s l1-t <-L.- i ~ret);..j ,....MIlRK ( _) (II 27/"1 UMDE Oi'i'rE .' GENERAL INFORMATION 1, fArLUftl TO ftUfOND WtLL RnUL T XH, AN OffXOlAL TAN A....aH.HT IIl1h .ppll.lbl. Inlml\ b...d .n Inf.mU.., .uIlOltl.d bll ,"- IInon.I.1 In'lIlull.n, , ' !, InIt,rllln.. 1..,,",,'"1' d.llnqu.nl n,ln. ~.nlh. .fI.r Ih. dfl.d.nl'. d.,. ., dlllh, J, ,A 1.lnl "'''"'11,11 I..lbl. 'Y,n Ih'U.h Ih. d...d.M'. n... w.. .dd.d .. . "Ilor ., ,..nY.nl.n." ., A"IUII" 11l14llMll",'I~.. h.ld b'IW"n hU!b.nd .nd 1111., whl'h Ih. d...d.nl pul In j.ln' n.... within .h. VlOr prl.r I' ~,Ih .r. MIV'h,lbl. '" lron"m, I. AOIIUIII, "lobi I""" j.lhIIVb.Iij.'I1 hU.b.nd.nd wlf, ,.r. Ih'iI.n. Y..r prl.r I. d..lh .r. n'l I..lbl" .,AO.,unI.".ld by . ,dtOtc/'nl "In Ir~.1 'or" ...Ih.r .r .Ih.r.'.r. I"'bl., 'uIlY, REPORTING INSTRUCTIONS 0 PART 1 0 TAXPAVER RESPONSE " I; ,~OCK A . 'Ulbt,lh/.r"II.n.... ,'.,.uI.II.n ,In Ih. n.II.lIr. urr..1 .... d.dU.II'nnr..., b,'n,.I.llfd, pi...',,, "K" In bl..k,,"A' ., P,rll.f Ih.,"I....V.r RfI..nlOr "'11.n. lien Iw. ...1.. .nd .UIl.1! \hI. IIl1h YlIUr '"",k I.r 1".,......1 .f 1,,\0 IhI R..~.\.r'of,WIIl..' Ih. o,unlv Indl..l.d, Th. PA boo.rl""nl ., R.u.nu. will I..Ut on '111'1'1 ........hI (f.r. MY',.I., IKI "on ....Ipl .'lhI rolurn 'r.. Ih'R..hl.r ., Willi, ., I~OCK,I' If i"......1 ....IH.d'.n Ih,l. n'II01 h.. b,.. .r 1I11l,b' r.p.rl'd .nd I.. p.ld wllh Ih. P.,,;,OYIYIonI. IniI.rllln.. hM,ROIur" fllld bY'''' d..'dtnl',r.pr"'hl.llu., pll.. on "II" In;bl... "I" ., P.r' I ., Ih. "T..p.y.r R..pon,," '"Uon, 01"... 'OflV IIhd r'lur"I. Ih, PA b,p'r'..nl ., R,utnU., lur,"u ., Indluldu'l To'''',bIPI "0601" lI.rrhhuro, PI m..-o.OI In,lhI ' onu'IOIIt prouldld.' , .. l~oqK 0',' ,If Ih. ,noli.. In,.r..llon IOnoomOI 'ndI.r d.dU.lI.n. .r. ,b'lno lIitl"d, .hook blook "C"'.Pd ..",1,1' P.r,I"Ind" Meordtnl,-to th' tn.truotlory. b'low,I!"h htu 1.11.1.,1".;.",,, .~b.H 'h.., wHh ~o~r ,oh'lolI 'Or' the "'(lW~t f'tf h," 'Ulllfth1, tn thl.R..ht.r OIW,lll' Of ,I'" o~tv IPdI..I.d. Th. PA DfP.r"fhl 0' R.Y.nllO MIlllo.u. on olll.lil ........nl I'or. RIY'1I4. 8MI UPon r...lpt 0' ,~' r..~rn fr...lh. R..itt.r o',Wllh. " TAX RETURN- PART 2 - TAX COMPUTAT!ON Lilli , " I. 'Inl.rlh. ..to lho lI.aunt .rl.ln'lb W'" ..I.blllh.d.r tlll.d In 'h. ",,",r 'Mlollnl .1, oj./. .'d..lh, " fIOTII "r. d...d..ldVlnl ./I.r, U/II/III Aooounl! Mhl.h Ih. d...d.nl pul In J.lntn....,. ,hln on. III v..r .f d..lh... t'K~l. fulh '1 t"""flr,. Howevlr, th.,., , _n_ '",Glutl,," not to IJ(O"d ",oQO plr tr,n'fIr,rt, rla,rdl", a" the ",lv. I*f I". "''''\111 or,t". hUIb.r .f ""'\lnlo h.ld, " ,';, ,,' , 't,r,io",.~....., I',", I,."r, I.., l",~l ,",p..r. b.,.r'!~'ur IIr'l n..., In,I,~, .ddr..',..,r,IJ.n.' 'hh nollO" Ih. U,ooo IlIdu.lon · r,"'~ h'~.!lotndodu'llidfr" lho ....\lnl b.l.n..,.. r.port.dblllh. In.n"1 In.llluU..., I, Inl.r ,tho 1.,1'1 b',IIi!OO ,Of Ih. ....\II1t l,n.I,Udtn. In,llr"'l o,orllOd to ,Ih' d'l. i' dlllh. J, lho Plr.ont'f'lho 1000lln' Ih'l I. liMobl. ,f.r ...h IUry, Yor I. d.l.r.ln.d,.. oll,w'l , Tho ,p.ro..t 1,'Ib,I. for J. nt.,...I. IItoblllh"d lOr' Ihon .n. v..r, prIor 0 tho d...dtnl'l H.lhl ';,. ,..,. j, I ,0,IVIDl!D ~V TOTAL HUII,llllRllI' DIYIDID'IY TOTA,LHUlIIl!R b', K, 100" _ PIRCINT !lMml ' ,',/OINT PlMRI .' I\JIlY1YlHO JDINT bllHllRI ' .....1.. A Jolnl......1 r.glo'.r.d In Ihln... ., tho'd...dtnt .... Iw. .Ih.r p.r..n.. I,DIYIDID IV I lJOINTOifHlRl1 blYIDtlDIV 'ClURYlvOROl - ,I" K 100 " 16,1K !TAKml 'lift IACIl 'UIlYIYORI "0' .- ,0;' . ,,".- _.'.,.'- '" 0 , ,_ '.. _ '. 0 ,', '_, J- I, J"hI,' p.ro,"1 ,,'obI' fort'I'to, .r"",dwl'hl,n 0.. y..r .f Ih. dll.donl'l d..lh or "oU""Io .Nn.d by I". dt..don' bill hold n ,Iru.t f.r tnolhlr Indy d~.l(.l.' (lru. b.n.lIll.rlIIII I blYlllIlb IV IQTAL HUNIlI IlfI IIJllY1YlHO JOINT K 100 . Pl!RCINT TAMULI' , ,OWNIRI OR TAUOTIIHI'IC1~11' . . . I IM...III tJolnl .oooun, r,,/,.Iorod In IhI n...'., Ih. 'd...oj..t ,.nd Ill. .Ih.r p"r"n. .... flloblloh.d wllhln ... V.lr of dtllh bll IhI dt..donli " , ' , ,,, I CIY,IIq,IV '(IlIAYIYOf!ll -,10 K 100 " "M CTAKm.~Ofl IACIl IIJRYIYORI . , ~. .n.., ~t,", Jill,' I,. IlIInl.. ,4)'1. dtl,r',lntd, bY'",IIlPIVlng Ih. ...ounl b.I,".. lit.. I) bV,lh. P', r'lnl ,1'MIbI,' cilito,"",SI,. f. Intttf' t;t;o".~.t~ otht_dt"h ..rwt,IMHltHm,' SltH lnpftrt;I.,' ' . . "', 0" 0., o. .... tr~.~I~~:::~titUI;H't.l: rm~'~r:~b~:~~r~:~I:::I:t~ d'bl.,on<! d.dUnll,on' CIl.. II Ir.. IhI,.......' ....loot ,. ~,~CH..~). ~, 'or dol..,.f ", 'lhO,"OU, rrlnO, 'f1o~ 6~10/94, I, h. I,M r',lt. I.r 'ron'forl ,. 1P0iI... Ii" .. ""0M" ' I, D.t.. Of~'lh on or "l.r 111/94 on<! b,'or. 1/1/,. h.r.l. I. SK" I" P",I.. of , .Ih on, or.,' .r 1/1/" ,ron,'.r. ,I. IPOU.fI Mill' b. I'MIid '., 6~ I'M r.I., ' No'I!, 'or ,dol'" dt.1I1 prior '" 11 194 Iron,'.r. I. IP UII' .r. 1.....1. It oK" , 1',',,:Tr",,'f.r. 10Ihf'l',d......., ..I. l,hyIUdlhfl,.thlr, .:%horl '''',' dlUth, I.r" or_hlldron/ .on-ln'l"', ", dlUllf1t.r'lnol"',' ~hlld .... IhI r 1"lIO .r. ...lbl. II ,l~ POroonl C.Kl, ' , '" C,,, I,ron.f.r. to'l OI".r. nllUd1nO,bro h.r, ...I.r, ""tl', ounl, n.ph'w .... nl'" .r,' 1.~IIllI. .1 IIfl_p.r.ont om, D,f,VO\l 0""",,, hi I'Mr.., pl.... 'P..IIY v""r r.hl on.hlp I. I". H.odtn' In IhI .r.. pr.uldtd, , I; T,!"'''',,"I\t:,f t.W ~ ,lllno II j. d'I,,'ln,~ by IUlllphln. thl"IUIIII.Kob" Clln. II b~ Ih. I.~ rol' CIl.. 11. All......,~. ,dollt. oncfdtdllotlon. .re dol.r.lntd II '.11....1 A', YlIU ....Ih .r. r..pon'lbl. lOr p.V...I, or lho ..1.1. .ulIj,,1 10 ....In..lr.ll.n bll . p.r.on.1 rlflrllonl.\I.o h Inlu/llolonl 10 PO. lho d.dUltlblO I '", , " I, YlIU ..IUllIv PI d lho dlblo,' '.r .lIlh 'f Ih. H,"'.nl 'lnd .on 'urhhh proo, of p....nl, b, IIobh bol.. 01. IlId ....1 bo 11..1... 'ullv In Por, I, If ....1II.n.1 'p", I. n..d.d, UII ph In p....r . III" Mil", Proo' 0' PI>>,_",t ..~ ... I't~.t.d b>>, tht PA Dtpertilent af R.Vlnutll CLAIMEDDEDucnONS - PART ',3 DEBTS ANI! PI!DUoT,IONS CL~IMED , '"'' , " . I, ',"'" ,',' , , ' ' , ' """ , "'"AXP<VOO'f AIS....'t"NIC.. ' ,'", , " ' ''''','' " " ::"""';,>"':,r': '\"":'" IIlVOU N!llil'~""URTHii~11Nj:;'0'R A'tJlI~".ORASS"ISTANCE~ 'CONTACim' 'y ,:.:,: ',' "~>::;:', ,,' " '" , RlllJUTI!R OF IllS. PA DEMI THE T of RltvllNUlt DISTInCT OF. eli, '>"'; '-," ,'" ,: ': ' ORCA!.!. THE BUR AU OF INDIVID AL AXESJ. TAX PAVER INQUIRV NIT IN " ,', '"'",,,: , HARRlSBURliI AT (717) 87.8321. TDD.~717) 712-2252 (HI! RING !M A!RIlD ONLY) " I '. OENERA~'INFORMATION 1, FAILURI TO RII~OND HI~L RnUlT IN AN OFFICIAL TAM AlnUMBNT wilh .,'pll..bl. Inl....1 b...d on In'....\I.n ..bolll.d ~v Ih. I lnono 1.1 In.1I lull.n, I. Inh.rih"oe ,tit( b.CiO...d.lInqu.nt nln. lIonthl;'.ft,r ttl. Il.ud.nt', dlt, of tI."tI" I, A Join' .aoooo\ 'ItIICH" ,Yln though the IIn.d.n"'. "'I' ".. .uld.d "' II.H.rof oony,"I.nu. J, A...unl. (In.ludlng Ih..i h.ld bi'...n hu.bond .nd wll.1 whl.1I \I,.,d"'d.n' .ul In J.lnl n.... wlthh' .n, vo.r prior I. d..lh .r.MlV I...bl. RI 'ron,,.,,, I, A'o.unll ..,.blllll.d J.lnllv ,b.'o..n h..b.nd .nd .If. '.""Ih.n nn. v..r prlnr I. d..lh ." n.' I...bli, i, A.o"""l. h.ld bv . d...d.nl "In Iru.' lor' on.\I,.r.r .Ihor! .r. I...hl. fUllv, REPORTINO INSTRUCTIONS . PART I . TAXPAVER REqPONSE I, ILOCK A - If 'h. lnf.,..".n ond ....ul.I,I.n III Ih. n.lI.. ." .n"..1 .nd d.du.".n. or. n.' h.lnl .1.1..d, pi... .n .." In bl..k "A..I P.rl I .l,lh. .T....vir M..p.n... ..OII.n, 'IIn '....pl.. .nd .ub.11 Ih., willi v..r .h... for 'h. ...unl,ol I.. I. Ih.R....'tr.,Wllh ., 'h. ..onlv Indl.."d, III. PA o.porl..nl .f R.y.nu. will I..u. in .fll.l.l ........nl CFor. RIY-IIU 1M) ""on ,...1.1 ., \I" r.lurn 'roo Ih. R"I.lor .f Hili., I, aLOC. I . If 'h. ...., .p..III.d .n Ihl. noli.. h.. b..n .r will b. r.p.rl.d .nd ,.. p.ld .Ilh 'h. P'M,Vly.nl, lnh.rl'.n.. TIM R.turn fllM taw thl d.o.~.ntl, l'.pr..,"t.Uy., "llo.," ttKI! In blOCk tll", uf Part 1 of the "hMp.v.r R..ponn" ilutlon. ,.," oMI ..PY .nu r.lurn ,. Ih. PA o.p.rl..n' .f R.y.nu", lur....l IndIYld.,1 T.'.., n.pl 1a060l, Ilorrl.bl/rl, PA 1711I,0601 In Ihi! t"Yllap. provided, " ' I, bLOCK C , If Ih. noli.. Inlor'.II.n ,II In.."..' .n,l/or d.d~OIi~n. .,. b.lnl .101..d, .h"k bl.ok "C" .nd ...pl.,. PorI. I .nd I .aoard!". to the 1",truoHonlbllow, Ilgn two'cQPlu Ind tub,,1t th... wUh vour q"toi't tar th,,,..aunt af '.""'Vttultt 'uJh." ""lfht.r .1 WlIlI .f llItoounlv Indl..l.d, Th. ~A O.por'..nl .1 R.~.nu. will I.... .n ,.fll.l.l........nl (F.ro RIY-1I\6 1M) up.n "..Ipl ., Ih. r.l.rn fr.. Ih. R'II.,., .f Mill., TAX RETURN "PART 2 "TAX COMPUTATION LINII \, Inllr Ih. d.l. lilt ....~nl orllln.!lY .... ..I.bll.h.d.r IIlltd In Ih. '.nn" ."I.llnl .1 d'l' .f d"'hl HOTIl For. d'Oidonl dvln. ,.fllr IIUI6I1 Aoo..n'l.hl.h 'h' '''od.n' Pdl In J'jnl n.... . Ihln .n.' C ) v..r ., d..lh ." 'lllC.blt fullv .. 1rlnlfl,.l. IhtWly.r, thtr. 'In 'Molullon f\ot tll -UO'let ..,000 pe,. trantf,,.1t ,,_,"rdl,.. of thl VII"'. 0' thl looount Qr thl nu.ber af IqCloun'. hlld. If. dOUbl...lorlok ("1 .pp..ro'b.,.roy.., llrol ho.. In 'hi odd,... p.rll.n.f Ihl. n.llo., Ih' 11,000 ...I..I.n .I,.tdV,hi. bo.n ,.dU.I., fr.. Ih' ..o.un' b.I.... .. ,.p.r,.d bv Ih. fln.nol.1 In.lllull.n, I. In I.. lilt 1.1.1 b.l.n.. '1 Ih. .oo.unl Innl.d'n. 1~"rt'I' ...r..d 10,' Ih. d.l. ., d..lh, I, Tilt p.,.onl .f lilt ..o.un Ih.l I' I...blo '0' "011 ..rv YOr I. d,'.r.ln.d .. 1.II.W.l A, Tilt p.,oonk I..obl. I.rJ. n ....1. .olobll.lltd lOr. 'lion on. V'Or prl.r . Ih. d.o.d.nl'o d..lhl I OIYlOBO IY TQIAL NOHIIR Of' blYIOIO IY '10m HIIHRRR.QI' ,k \00 " PIRCIHT TAkABlI JOIHT OMNIIR. ,URYlYIHO JOIHT OMHIRI ' 1......1.1 ,~ J.lnl ....1 r.gl.'.r.d In, lilt n.." " 'h. d...d.nl ond 1...lh., p.,"h', I OIYIOBIlIY I (JIlIHT OHHI!RU OIYIOI:O ~Y 1 (lURY,IYORIl . ,167 K 100 . l6,7X mKllLI FOfl BACIIIURYIYORI 1ft, jhiplro.nt -t"wabll.for ul'tforn'td wHhln on" Vlyr 0' thq'dlO.d'ntt,duth or looountt owned bV thl deGldlnt but h.ld n Iru.' I.r on.lh.r IndlY du.I(.) (1,.,1 bon.flol.r ,.)1 i OIYIOBO IY InTAl HUHIIR 01' IURYIYlHO JOiHT K 100 " PIRCIHT TAKmE OWHIRI Ofl TRUIT IIHIPlaIARll. a......I.l Jolnl ....unl "11"".d In Ih. h'.' .1 'h' d...d.nl .nd I... .'h" por..n, .nd ..,.blllh.d wllhln .n. v..r .f d..'b bv lilt d...donl, I OIYIOBO.Y I ClUAYIVotll) .',10 ,K \00 . III CTAKAlU I'OR IAaIIlURYIYOR) ~'" Tilt '.\ 'IIbJ"'l '0 ",' ,(lIno ~ll. 1l',I.r.t,..d bV,..IIIPlvlna Ih. ....unl b.l.n.. llln. IIbv 'h' Fer..nl "...bl. 11Ino I), I. "Int.r tit. toh,'\ v. \I.. u.;lI~. .'" 1l.~uw\hlH" h\." III. P"r' S. . . '" . ..' , " Th' -un I ,,""IT \11,.. i'I', d', 1',,',.1"', d,bY .UIllr..ll.. Ih. d'bl"lnd,d.dU.lI.n. Clln.1l ".. lilt ...",,1 'ubJ..I," I.' (IIno ~l, 7, lnler III. .11~,..r . . t.. r. . (l n',7) .. d.Io,.ln.d b.I.., A, p~rd.l.. of do, ,.Ih:Q..urr, In., .11., 6/~0/'~, Ih. ,., "I.. for "on,I." I. ',P.u... .".. f.Il..11 I. all.. .f do.'h on or . '" I/IIO~ .... b,for. 1(1/'. Ih. r.'. I. IX. ' , I, 0.1.. 'f, do.lh on or .,11.', 111" I,on.f." ',' 'p.u"" wHl b. ,I.... ,.' OK,.. r.I., Itolll For d.l.. 01 do.'h prl.r I. 71 1'~I,,,""er. 10 'P'.'" ." 1I.1b1. .1 iX, ' I, T,on.I." t. Ino.1 do'oondonl' In41udlnl I.lher, "'h"l IOn, dllllll\lor{ Irtnd.hHd,on, .nn-ln-lOll, dll\llhl"olnohWl .I!I!'OhHd ond ,Ih.lr 1""'1 .r. IIMlbl.. .1. p.".nl COXI, a, Tron,'",' I', .1 .I,lItr'ln.ludln,I b",hl" .1.1", unol" tunl, n.ph.w tnd nl... '," "..bl..1 Ilfl.on p"..nl lUX).' a, II you ,hontt lilt ,.. r. ., pl.... ,P'~ fv vou, r.I.II.n.hlp I. 'h. d...don' In Ih. .". proYldid. I, TIIt.......I., I..".... III,.. II I. d.l.rolnod bV lulllPlylnl Ihi ..ll\Oll ,...bl. (IIn, 61 bv Ih. 10M "I. IIln. 71, C~AIMED Dl!DUCTIONS . PART 3," DEBTS ANO DEDUCTIONS C~AIMED AII...tbl. dill'. end d.dUctlon, ". dOI.r.l..d ., f.II....1 A, Y." 1".lIver. 'OIP.n.lbl. f., p.v",nl, or 'hi ..Ia'. .IIbj..1 10 ,clolnl.I"t1.n bv . p.".n.1 'lIflrlunlltly. h In.uffl.l.nl I. p.y,11It dOdOlllbl. II..., a, You ,'Iu II~ p. d Ih. d.b\J .lIer d..'h ., Ih. d...d.nl tnd .an '"rnllh pr..f " p.v..nl, C, 0Ib\J boT... 01. Old "".1 b. "..I... fully In P.r' a, II OddIlI.n.1 .P..' I. ...d.d, ...pl.ln p_r a III" . II", P,..,.f p.v..nl ..v bo r.ou..I.d bv '''" PA O.p','","1 .f R.vtnlJt, ..i ",:" .'.. ' 'li~I~OU NEW F~~THl!R TI'Q\VJA~to~Xo~~A*OSl!ISTA~Cl!'I' CCJNT/or,.MV ~,', ... . ,OR RCAI.l.$TT'U'r:: OBURll,(U'~'F P^'DNiWA~l! lAiES \VA"iWAVrPJSUutCIRJlFUN'iICW IN' HARR1SBURO AT <717> 787"SlS27': TOOl (7 71 712-22112 CHl!ARXNB IMPA RED ONl.V) :;:::1(:-:':::; ,', .;;::,:,:-:-, ";'1'"," :.(_:C'" COH',OHWElllll Or OeHHmYI~IA. oe"AHIHEH! Or HEYEHUE ' .IIHEAU Of' IHOIYIOUAl .IIMEI I"<O!, 110601 '~HHI"llllO, 01 17111'0601 "* INFORMATION NOTIOE AND TAXPAVER RBSPONSB IJ;, PILI NO. 21 ~7-0642 ACN 97144686 DATI 10-16-97 TVPE OF ACCOUNT ~ST, OF ANTHONV J BARBIERI ~ IAYINGS S,S, NO. 174-00-5619 CII.eKING OATE OF DEATH, 06-17-97 TRUIT COUNTY OUMBERLAND CIRm, RIHIT PAVH.NT ANb fORHI Tal REBISTtR OF WILLO OUMBER ANO 00 COURT HOUSE CARLIB E, PA 17015 Uv.ltUtlmu.'t1 MM' URSULA RICHARDSON 266S'~ARNEBIE ' YORK PA 17402 DAUPHIN O.FOln aNK I,TRIT co h.. orayl~.~ Ihl P'o.rl"OI wllh \h. 10Iar..llao,II.I.~ h.loW whlnh h.. b..o U..~ 10 aelouhttna 1hl pohnUaLtlM dUI. Thtlr r.aord. lndlcltI thlt at thl d..th of thl abCJY" iltlold'nt, 1I0U wlrt .. Joint awnlr/b'n'flc,larv 0' thh looount, ., vau '"l thll 'nfarllllUaM II l"'lorrla', ph... 'obtlln wrlUln oarr.otloM fro. ,thl flnlnot.l I"."tutlon, _Ithoh . ClO__ to 'hli for.."d r.turn It to thl .bove .ddr".. Thll ftooolmth Ulelblt In 'cloord,nol wOh,th. Inhlrlh""f "'... I,lIItj. of \hlt Ct'''''Otlu..Uh a' O.M.yIYOIII., 1l\l..II.ol..Y b. .n.world hfa.lllno (717) 767-1111, COMPLITI PART 1 IILOW II II M 811 RIVIR81 8IDI POR P1LINlI MID PAVHINT INSTRUOTIONS Aooo""t No, 8140B68541 a.t. . 11-04-96' T. 10'u," ;.r,aoor aro~11 t.yaur ...auol, tw. Bat.bU.h.d ' (Il .apl.. ., Ihl. o.U.. 'U'I ..a..p.ny y.ur o.y..nl 10 Ih. R.llllor ., HIlIl, ,H... ah... I1IVlbl. tOllfRllIl.ttr of WUlf, Aglnt", A'ooo""t hl.n.. 17 I 041 , 60 F.r..nt T.M.bh K 100 , 00 HOIQ' 1/ h'o.y..n', or. ..~. wllhlo Ihr.. AMo,,"t lub,j.ot to T'M 17 I 041, 60 (I) ..nlhl 01 Ih. ~'.'~'Ol'. ~'I' ., ~"Ih, rOH R.t. 'M , 1 B Y.U ..y ~.dual . I~ dhoCllll!I 01 Ih. I.. ,du., Any InllorIIOll.. I'w duo will h..... d.ll""u.nl pot.nU.l T.H OUt " ih BB6, 24 010' IV! ..olh. ./lor t,h' ~'I' .1 ddlh, PffiT'.mi~Y~~~~~'!i'~..,eO~~11~~:q~'@ft,J'Y~,~~;mi~;i~~,~~;:;~~:~:;m~"'t."'!f+'f!i..~f.~;'i~"'i.j1,".~,"':~I:f~t~~lilii'l ~. ~"h' abov,lnfar.,Uon andt"" dUe II oarrl.t, ,.. ,. . I, y.u..y ah.... ,. r..11 p.y..nl 10 th. R.ghlor 01 HIlIl wllh Iwa ..pl.. .1 Ihi. n.u.. I. a~I.ln . dlloaun' or avoid Int.r..~, or you .IY ohlck bOM "A" and r.tur" thl. "0\101 to thl A,alttlro' WHit IndIa" offlol,l "........", wUl bt 'UUOd bv thl PA"D,plr,..nt of RIV'mll, I, 0 Tht abov, ....t hu "'n or Kill bl r.po!'ttd tnd tlM paid with thl Ptnn,ylvlnl, Inherltlnol TIM r.turn to bt ,H,d bV thl dlo,d,"'" rtpr..,nttUvI. - , a, '0 Thl ,boY' '"'ar..Uan IUnnrrlot and/Q~.bh and d,duQUon, ".n "aid by VOll', Y.u "".1 .a.pl'I' PART l!.J .nd/ar PIRI W holaw, f~T If YOIl ind 0.",., . d f .r.'" 'M, r", ~ .... . 0 oY.llr l!I r'lIUo"'hl~, to d.l.d.nt r , TAlCRIlTURtl ' OOnpUTATlotl 01' TAl( oN ",OINT/TRU8T AOUOUN111 LINI 1, a.t. 8.t.bll,h.d 1 a, Aooount a.l.no. '. S, P.roont T.Hlbl. I W 4, AMount lub,j.ot to'T'H 4 I, albt. and a.6uotion. I ., Aoount r.Hlbl. . 7. T.. R.to 7 W e, To" Duo e [CHECK ] ONE B~OCK ON LV Pi!JT DATE PAlO PAVEE . bESCRIPTIllN AMOUNT PArO ,.,1, ",.,,:' ,." . ,.". ........... l Und.r pon.ltl.. of p.r,jurYI I d.ol.r. thot th. foot. I hoY. r.port.d obo.. oro ~rll', oorr.ot and oOllpl.t. to tho b..t of MY kn.wl.da. ond b.llof, tl9ME ( ) WORK ( ) TELEPHONE NUMBER , , \ GeNERAL INFORMATION 1, FAILU"! TO HUFONO WILL "&lULT IN AN OFFICIAL TAX AliBI_HINT "lIh .ppll,.bl.' InWIII b"""n In,.r..llon ."b.III.. bV Ih. ,lnonol.1 In.lllbllqn, II tnhlrlhno. ,,,"blto..i d.Unqulnt "In. ..~mth. "ftlrtht dIClldtnt', dill' nf d..'h. II It JCllnt ,ooount JI ',Jeul. IVln thoueh thl deCldln'" nut WI' "deled II . ...tter lif OORYlnl.nu, 4, ~...unl. (In.lbdln, Ih... h.l. b.I...n h",b.1Id .nd wlf., "hl,h,lh. ......nl p,,1 In J.lnl n.... wllhln .n. V..r pd.r I. ...Ih ... f"IIV I...bl. II Iron.'.r', ' " a, ~...unl. ..I.bll.h.. J.ln'lv b.lw.,n,h".b.n. .n. "", ..r. Ih.n .n. v..r .rlor \,...ih .r. n.1 I,,'bl., 6, ~"OUhh h.ld bv . .....onl nln Irb., 'or" on,lhOr .r .Ih... ... ,...bl. fullv, REPORT1N~ INSTRUQTIONS - PART 1 - TAX~AVER RESPO'NSE I. aLOCK It .. If thl lnfor..Uan 'nd oo.p~n.Uon; In th~ nnttOl Ire corrlat and deduatlon. It I not ".Int ol.I,..ft, plICl. II" "M" In blook 'W' of ,Part ,lof ,thl "TflXf!OVlr A.,pon"" ..otlon. lie" two 00"'" Ind ,ub,l t th.. wUh your ohlClk far ,thl, ..ount uf ". \0 \I,. ..,UI.r' ., Will. 01 Ih. ,ounlV Indl..I.., Th. p~ D.p.r\..nl 01 .",nb' will I"b.'.n 0111.1.1 ."..,.",1 CP.ro RIY-Ia., 1M) up.n r.o.lpl.' Ih. rolbrn Ir'~ Ih. R'el.l.r ., Will" I, ILq~M 1'_ If Ih. ....1 .p.,l/I.d 'n Ihll n.II.. hll b"n 01' "III b. r,porl.d .n. to. p.ld "lIh Ih. P.nn,vl..nl.lnh.rltan" Ttuc R,turn fllld bV' thl d.udlnt', rIPrl..nhtl~., phc, In ")(" In blook f11" of Part 1 of till "tIMPIVlr RIIPcm.." ..oUon, 'Ian ani OopY Ind r.turn to th. PA DIP"rt.llitof Rlv.n,.., lure,,1J of lndlv'd'lll rIMIt, nlPt 280601, lllllrrhburg, PA lU,."06al In the env.lop. ,provld.d. . I. BLOCK C .. If the nqUo. Infor.lthlli ,I. InOOl"rlqt Indlor deduotlon. are belnt chl"d, ohlok blook "C" and cOlplet. Plrt. I end S lOoQrdlnl to thl;,ln.truotlon. blloWi I'an \wo'(Iopl.. and 14b'IIU 'hll wUn vaur-C1h'~k fell' ,UII '''UU.I~ ~f ~.A t',,~.ijl' to th* "..lIhl" ., Wlllo .1 Ih. ..""tv Indlq~I", Th. P~ D.."I.~nl ., RO"II~I will I"u, .n of/lol.1 ........nl CP... R~Y-Ia'l ~Ml up.n r.o.lpl ., lhO r.lurll fr.. Ih. H.,I,t.r .f Will., ' TAX RETURN - PART 2 - TAX COMPUTATION' , , LIHll , ' I, Inl.r 'h. UII' Ihl 'O..unl .rlalnollv'w., ..llbll.hl..r 1111.. In Ih...nn.r ..I.lllIa,11 ..t. .1 d..lh, HOn, for. ....donI .vlna .11.. 121111111 ~.oounl' .hl.h Ih. '1....nl"pul In J'ln, n.... wllhln .n. III Yllr 01 ...Ih ... hMlbl1 fullY" tran, .I.,r.. UOWIVI"; thlre It IIIn .lColullon nat to IMelld n,ooo plr trln,f"'1 r.alrdl'.. Qf thl vllU' of the .ooount 01"- th,' m...b.r of It;looUOh h.ld, ' , ' , H. doubt. ..'.r,hM. -(MM/ tPp..ri b.fQrl ~our fir.' n.., In 'hi Iddr... portlcm of thlt noUQ., thl U,OOO 'MQlu.lqf'I .lr.adV h..baan,d.duolo, Ir.. Ih. .o..unl b.l.n.... r.porl..bv Ih. Iln,"o .1 In.tllbll.n, I. Inl.. thO,lOlIl b.I..... ., I,h' ......'1 Inoludlha Inl..1I1 .oorbod I. Ih. ..10 01 d..lh, I, TM p.rCllf\t~f th' locouot thll 11 '11(011 for IIGh .urv yor 11 dl\lr.ln.d It faUo~'1 AI' The plro'"t tlxebl, hr - ~o nt "~ltI ..tlblht\td ttQrl thin ani ~..r prlur to thl dlo.~n'li d..thl . I DIVIIlI!O 'YT~ml'1~:Illf' DIY.lDID IY 13myr.::'5~,~~ aWHIRI'~ 100 · P~R~IHT mm~ lM...lII Ai JO,ln' .... rlgltt.rld In th.n... af thl dloed.nt-.nd two othlr perlani. I DIYIDID IV IlJOINT O\IHIIRll DIYIPID IY,I C'URYIYORIl . .167 M lOP,. l6,1M mMAILI Pllfl EACII IllRYIVPRI a, Th. R.ro,"t tttMNlI for 1"lh Of'l.t'tdwl,hln on.~..r of thl dIOldl"t't diethar ',ooo~"" own.d bV thl dlo.dlnt but hlld In Ird., I~r _lhOr Indl.ldIi.IC.) (\r~,t b.n.II.1.rl..)1 " . I DIYIIlID IY TDT~L HUHIIR OPIURY1YIHO JDIHT M 100 . P&RQEHTTA~'ILI OWHIRI OR TRUIT IIH~PICIARIII blllPlll ,JoInt IOQOunt r'aht~rld In Uu. nl,1 of thldloldlnt'nd ,two othlr p.rlonl ,nd ..tattlhhtd within on. ya.r of d..th b~ I 'iltYi\llD~rJ"t:r,;O~~ClIlIl . .10 M 100 . lek IT~MULE fOR mil IURYIYORI' , . 'Tho _I .lIbl.OI '0' I." CIl", '),1. .llor.ln.d'bv ""llIplvln' Ih. ....\lht b.lona. (IIn. II bv Ih. p.rolnl I,"obl. (II"" II, ' , Intlr tM tl;:l'. 1,I~,\IMi ~h.LH""~ lJ...~Uvll. 11.'." lHII"rt I" . . ". - ' ' " 0 'ThO "0\1111 IIWoblo'(llnt') 1o"llorolnld DV 'lIblr.'llnOlh" .01110 and ..MII.n'(llnoaHr.. lhO .1IObh1 'lllIJ.ol'~ I.W Cllno 41, 7 Inlor lhO approprl.l. I'W, rol. lIlno 7l .. d.I...ln.. D.l."" " ," " A, for d.lli. 01 ...Ih ..ou..loa .11.. 61'0194,' 'h' to< rol.. I.r IrMlllr. I. OP"'''' ... .. loll.... I, D.I., 01 "~lh 011 or, .fl.r,7/1I,' and b,'.r. 111101 Ih. r.l. I. Ik, I. Dil" ,I d", h OIl or IlItr 111191 Iron. I... I. ,pOd'" "III b. I.".d .1 Ok I.. r.I., ' ' IlOIlO for d.l.. 01 "llh prior . 711/94 Iron."" 10 ,pOb.1I ...' I."obl' .1 6k, , " I. Trllh.!.ri 10 11\1,.\, ....andonl. l""IUd,l.. Illhlr, ..'h.. I '011, dau!lhl.r I eronclohlldron,,' .on-In-IIII" .allth ..-lnol"'l . ....hl\d andlhOlr Io.b. ... I...bl. " .1. p..o.nl (Oi), ~. Irono ,... 10.1 0 h..,. ..IUdI",brol",r. ',16hr. """I.. .unl. n.ph." and nl'~' .r. I..obl. .1 1I11..n p.r..nl (Ukl, D, 'f v~."""" thO I." r~h, pi.... ..~ollv v.~r, r.l.lI.nohlp I. Ih. d.o."'n' In Ih~ .r.., pr..ld.d. , ' " ThO ....unl.' 10" ... (llno II 1o"I"lln.dbv!,"lIlpl~ln, Ih. ..Obnl towohl. llln. 61 bV Ih. I.. r.l. Clln. 7). CLAIMED DEDUCTIONS ,. PART 1I -DEBTS AND DEDUCTIONS QLAIMI!D All~dbl' cltblO '"" ~\l0l\' .r. dol.rOl",!d .. 1.\lOW" '~. Vou l.a.I,IV, .r.r.op,",lbl. Idr ..VI"on'l. .r Ih. ..t.I':",ubJIOI 10,tdolnhl..IIOhbV ~ p.roon.1 "pr...nl.llvol. III'~I/Iolont I. ..v IhO ......lIbl. 11'11, , I. Yo~.o'ulllv P.l~ lhO dobh "tor dulh 01 Ih. 'lI!Iadanl on. .on lurnl.h prool 01 ..v..nl, ~, o.bl.b.l", 01. Old ...., b. 11..1... f~llv In p.rl I, II oddlllon.lop." I' noad..i b" pl.ln PAPIr I III" w II", proolol , p.v""I '.V ba .."",.I.d bVlhO PA D.p.rl.onl .f ROY......, ' ,::":!:\,~!;"",!,.:.~:,.;i",:",!.'!!,'.(.f,,..!.:!.,.:.,.\:i......,:,.:,:...., W*:.',.~,:..::.:!.~"..,~.',.'IL".:W)...i..',',',.E.'...t:,II:~,'....,.,~....'L,,::~,~,.~liH;'.E'.'I,.t,.:'..;T'.,Il.,.M "~...rcl)l'~V,'~~f/.I',"',.,',S','..t'~,'R,,T,.,A",'A.HIsO,l,.I.'lI,..,':t.~,.'.'......C,,:.,i~..':..,:.'......t,..,',.(J,.~,',".,t',..~..,..:&,.T,..".,'.lM'..,"',''...'v,!,..'!;,r....,...:"'.,,.:,1,',,:.,",.,;,:,.....::",.~..!:'..,....[.!..,,:j,..'.,i:,.!.,.,,~!,:!].',:" .":!";:::!!,::'!:ii':"!f':::::!:6~lCll;\eTf '.PPJRWtfU'$Oi..P~'llIVtD~ ~...~li"'. .~\VA\H~A'VdlIStT'"iuCl~'O~UN.{f~.::i!.':':t:.!,i!:.:::!j. :,'ii:i.:!aM~I$II~RlJ^'1'. '.1'J>~87,.a~~1\~iPID" <7 .~,.~ >It,~.. ~U2 ...' (~E~~~~OXMPAIRa~ONI.VI'!iH COHHOHWUllll OF PtHHIVlVA~'/A Otl>APIHtHI or RF-VF-HUI IUPF-AU or IHDIVIDUAl IAK.I OF-PI, n0601 /lAPPIIIUpa, PA 11111-0AOI . INFORMATION NOTICB AND TAXPAYBR RBSPONSB . {~~etL. FILl NO.21 97-0642 AON 97144685 DATI 10-16-97 TYPE OF ACCOUNT EST, OF ANTHONY J BARBIERI ~ 14uIMOI 8,S, NO, 174-0S-3~19 CH8CKINCl DATE OF DEATH 06-17-97 TRUIT COUNTY CUMBilRLAND ClftTIP, RSHIT PAVHSMT AND PORHI Tal REGISTER OP WILLS CUM8ERLAND CO COURT HaUSS CAR~ISLEI PA 17013 , ....IH$umu.tIl URSULA RICHARDSON 266& CARNEGIE RD YORK ' 'PA 17402 DAUPHINDBPonr aNK .. TRIT CO h.. pr..ld.d thl n,p.rl..nl with Ih. In"or..II.n 1/lI,d b.l" whl.h h" b"n u'ud In QltlclI.Il.Unll the PCJhnthl tlM dUll Thlt, r,oordl I"dluh that at thl d..th of the tbOIl' dlllldl"t, ~a~ Wlrl " Joint qwn,,./bl",flohlry of thh IQflotmt, 1f-~QY ,..1 thh lnfpr..Uon I, lnoorr.o\, pl.... o~h.'ln wrlthnoorrlotlon fruth'- fln.nollfl In,tHutton, '.Hloh . OOPV tothh for. end tlturn'lt to \1" abovI .dllrtlu. lhh ""fI"unt Ilth~ulil" In IIICllJrdlnat wlth the lnhtrlhl1U'J TflHL'lI' af 'h. C9.rttmuuHh .1 P'IW1'VI.IIlI', Qu..".n, .'V bl IIlIW~r.d bv o~llln. ,1711l la/-aU/, OOHPLITI PART 1,III.OW " Il " !l11l RIYIRIIBIDI paR pII.INO AND PAVHINT INnRU01'%ONI Aooollnt No. 8140438090 Data" ,Q8-12-?6 To Inlu,,'pr.p,r .r,dll 10 vour ....un" Iw. htablhh.d (II oopl.. .1 Ihl, n."., .u,1 ~.oll!lll'nv v.ur 'ooount a.l.no. 20,016,00 p.v"nt I. tho ..ahl.. 01 Will" M~. .h..k , " . PIVibi. tOI ~~.g..t.r of Wltl., ^U'"t"l P.ro.nt T.w.b~. K 100 , 00 , , HaTU" 1/,1.. p'v.'nll .r, "d. wllhln Ihr.. Aaount lubj..t to hw 20 I 016, DO m ..nlh, 0' Ih'"d,..d'nl'l d.I. ., d..th, T.w R.t. K .15 v.u ..v d.d..1 . oK dl,..",,1 .1 Ih. I.w du.. t t . Anv IIthtrUInG. tiN due .,Ul blOOli d.Unquent Po .n 101 T.w aU' 31 002, 40 nln. <9I."nlh' .11.. th. d.l. 0/ d'"lk, PffiTI !!i:M~'~~.~,,!::~gj;~~,"~~"~,j!lf~~~rlli~..g,q~i~:~ii~~!:~~~,~,:;~~~';:~ii~...._~.."rl'~'''~:'i,~"ii\f"l..mi,6~t~~,'J':jl }' . '1. ,'- , . , A. IXJ Tht .bo~.lnfor.IUo" and tlJii dUI h oor",ot. . '. ~ " .' I, V.u ..V'.h....'. rA.1I p.v..nl I. Ihio R..hl,r.1 Will, wllh IW. o.pl',.1 Ihl',n.U.. I. .bl.ln CHI!CK · dl.o.",,1 .r ...Id In"ro'I, .r V.. ..11 Oh..K b.H H~. .nd rolurn thl, n.llo' '0 Ih. R'ahl.r .1 [ONE l WII.II .nd 'n .Hl.I.I...."..nl will b. hlu.d bv Ih. p~ D'p.rl",nl .1 R..,""" , BLNOLCyK j I, II .Th' lb... ...01 h.. b"n .r WIll h. "porl.d ,nd I'H p.ld Nllh Ihl PIl\l1lvlvIIlI. lnh.rll.n.. T'M r.IUrn o .,." I. bt 'lI.d bv Ih. d...d.n'" r,pr."nl.".., , , c. 0 Thl .bav. lnfor,.,uon 1";'"00rr1ot 'nd/o~'bt. _nd dldijotlon. Wlrt p.ld b~ you. V.u .uII ...plll. PART I:iI .ndl.r PART L!J ~'l.w, R~T IfllOU n 0.' a d f.r.n .K ra " p .... . . . your ~ r.l.tlonlhlp to d.o.dlntl 'l'AlI RITURN . aaHl'Ul'A'rioN OF TAlC ON 1l0XN111'RUST ACOOUNTlI LINB 1, O.t. Iotlblhh.d 1 a; Aooount ao1.nel. a I, P.r..nt r.W.bi. s W ~, Aaount ,tubj.ot to T.w ~ a, O.bt..nd O.duotlon. .. 6, Aao,\lIIt T'Wobl. ~ 7, T'N R.t. 7 H a, T'N au. a P~T DIlTS AND DBDUOTIONS OLAIMBD DATE PAID PAVEE DESCRIPTION AMOUNT ,PAID ] "t:.".. UM' ,f '" ,"'".,,,.., t Undor p.n.1U.. of porjur~1 I d.olor. th.t tho foot. I hlV' roporhd .b... or. .tru., ..rroot ond .o""lot. to thO bo.t of a~ kno\,lodg. .nd b.U.f, HOME ( ) WORK ( ) TELEPHONE NUMBER , . , BENERAL INFORMATION 1. rAILUftBTO ftI'~ONDWILL ftBIUL T IN AN OrrlCIAL TAM AIIBIIHBNT ~III\ .ppll..~I. Inl.r..1 hmd .n Inf.r..".n luh.lll.d hv Iho f1n.n.I., In.lIldll.n., . , I, lnh,,.Uanu ,."blllet... del1nqUlnt nln. .on\hl aUI' the c1la.dlnt'. cti'. of dll\h, I, A joint IcOOunt II "Mlbll IVln thou,h thl dlaldln,l, nU'~" ..delld II . ..".r'of Clanv,nIlnGl, ~. A...unlo lInolddln. Ih...,h.ld h.lw.on hd.~.nd .nd wll.1 Wh\oh th.d...d.nl pUI In J.lnl n.... within .no v."prl" 10 dl.tlt .re ful1~ t~~.bl. .. trln,'.r.; , I, Aoaounh ..tlbllihld Jolnth hltw..n hUlbltnd andNHI lor. th.n 9nl, Vla;r prior had"U\ .r. nrtt hlll.hll. .. Acoount. h,1d bv . dlc.d.nt "1n 'rUt' far" anoth.r or ath.r. .r. 'IM.bl. fullv, 'REPORTINB INSTRUCTIONS. PART 1 . TAXPAVER RE,PONSE , . 1. BLOCK A . If thl lnforllh.t,~pn Ind oo,putaUon'ln thl na'lIat l\rt .oarreotend dldua\lonl .r. not bit"" ol.,..d, pi'" "':', '1)(" In blaok "Aft of Plrt 1 of the "lIMPlVlr ntlPonn" lIotlonl IIgn two aoj:itll ftnd .ubaU th.. with Y~UJr oh.ck fa" thl ".nunt of I" 10 11140 R.,I.I., .f Will. .f, Ih. o.""IV Indl..I!d, Iho PA,e.p.rl..nl of R...nu. will I..u, "" offl.I.1 ........nl IFo" REV'U~1 EMI up.., ,...Ipl of Ih. rotdrn 'r.. Ih. R.,hl,r .f Willi, II aLOCK I 4 If thl ....t .ploiflld on thlt "OtlOI hll bltn or wtll b, 'rIPdr,\.d and't..M paid WI\!' th.P.MIVlyft"'. Inhl"Itlno. T'M ".turn fHId bV thl dtlloldtn\'. rlpr.llnt.Uvl, pllOl In ilK" In bloClk' "I" of Plrt I of, t~t "Tawplv.r Rupcmtl" "!JUon, Ilgn on. "pv ""d "Id'n 10 Ih. PA eoporlo.nl of R..onu., aur.... of Indl.l.u.1 I...., e.pl 16060', lIorrl.hdr" PA I1IU.WI'ln Ih. .nl(.loPI prClvldtd,' ' , s, aLOCK 'C 4 If thl nQUc.tn'or...Uon I. t"correct .nd/or dlduathml Ir. b,lnlf olll".d, ahlok bloat( "C" and ad_pllt, P.tt, I .nd I ,ooordlnt to thl' In.truoUon. btlfJW, I'tn' two oapt'" .nd lub.1t thl' with your ohlClk'ar thl ..ount of tl" p'VlbU"to ;tn. klghtl,. of Willi of \1140 .0unlV Indlool'd. I~. PA e.porl..nl of'R...nu. will I,.u. .n oW.I.1 ........nl IF'" REV.ma 1M) upon r...lpl 0' thl r.turn fro. thl RIgI.tlr of Willi, TAX RETURN . P~RT 2 . TAX COM~~TATION' ~11lI! I, ~nt.r thl dlt, thl.ooount arlgln.llv wal .,tlblt_hld or tltlld I",tht "annl" IMI.tlnl It dftl. 0' d,.th, , HelE' For. d...dOnl dvln~ .11" 12l1e/&l, Aoo.unl..hl.h Ih. d.....nl put In jolnl n.... W Ihln .n. Ill, v." .f ...I,h ". tlMlblft .fulh .. trln,flrl. How,vlr, th.rl it In Iwclu.lon not to .MOI.d U,OOO p.r tr.n"lrn r'Iftrdl... of th,vIIUt 0' the .ooount'or th' ny.b.r o,'.ooount. h.ld, If. doubt. ,,'.rtlik (NN) '"p..r' bit for'. ~Oy", flr.t n"1 I" th,'addr... portion of ,thl.nat!ol, th. U,ooO Il4elutlan .lr,IdV hel,biln d.duCt.d fro. thl 10QOunt b.llno, II r.partld bv thl ,Inano II In.tltu.lon. I, En'.r lho 101'1, ~.lon~a, ot Iho '4.ount lriolUdln. lri,I".'1 .o.ruod 10 Iha d.l. of do.lh, a. 11140 por..nl of, Ih. .01011I1 thOl I. ta..~I. f.r ...h .d,vl.o, I. d.tor.lnod .. ,{.Il.WOl ~I Th' p.ralnt "MR' for"Joln' ...." IIhblhhld florl thIM on. ~..r prior 0 the dIOldlnt" dl.thl I OIVllIle av Te1A~ HUIlUR OP elVlOeO BY Tn1A~ HUMaaR ,Ilf' M ,100 . PIRCEHI TAMIILE JOINT OWHIRI IURVIVIHe JelHT eWHlRI e....,OI A j.lnt ....t,..hlor.d In"th. n..o of lri. ....d.nl .nd Iw..'h., p.".n.. I elVlelO av f(JOINT eWHIlRDl elVleEe IV .'UURYIVORII . .lO7 M 100 . U,7H (fAMml FOR IACII alJRVIVORI 8, Thl PlrOI?t tlMIbI.far ....h .or..t.d within ani Vllr nf tha dlo,dlnt!. dlllth ,or loaol",tl o.,nld bv thl dlc.dlnt but h.ld lri Iru.I, .r...lh40' .lncll.ldu.Il.1 (Iru.1 h.n.flolorl..!!, , I OIVIDlO IV leTA~ HUHalR OP IURVIYING JOIHT M 100 . naRCIMI IAMAa~1 eWMeRI eR IRUII aEH8FICIARIII thea.l'l Joint 1000unt r,ghttr.d In Uti n'.1 of th. dUldlnt "hd tMo ath.r plr,on. IncLtltlbl hh.d within on. )1"1' af d..th b~ tho d..oaont. I elYllIlo IV 1 (IlI!lVIVllRU',1O M 100 . IOH l1AMAI~E POR,~ACII IURVIYOR) ~, 11140 '......llubj..1 I.' low (IIn. 41 I. d"...ln'd hv 1\11 I IpMn. Ih. ....unl 1I.I.n.. (lln. U ~V Ihl p.r.""t I...hl. (II". a), , ., ""t,t me 'ot.~ Of ttlt a'DU IhQd'~"UO"' u.~'* III ".r\ a,. """ .' '. ' 6. Th. MOIlri' I.wobl. (IIn,'611. "".O,lnOd ~V"\IIIlr""C',lh. dollllllrid d.duollon.(lI"", II, froo Ih. "",","I .ulll..1 10 10' (II... 4), 7, Inlo. Ih' ."orop,I'I. ,.. ,.10 (IIn.71 .. d.I.,.ln.d 01..",' " A. por ",It.,' of ~i.th,..ourrlnl i,t.r.'/So/94; thl t',M r.t" 'or trIM.f.". to IPou,,',lr. II fallowll I. Dolo. of ."lh on or .1I.r 711/94 .nd h.f." 1/\/91 Ih. "I' .I. SH. ' t. e.l.. .f d.. ~ on o~.II.r ,l/l"a Ironlf'" 10 'P.dl...1l II. I".d .1 OH I.. r.I., , HoI., For ..t.. 0' dO~\t1p,lo' 10 71 I.~ I'....f... to .P..... "0 I..obl. .1 6k. .,. a. Tnn.f... 10 1""0' d..4....onl,O ,In.lddln. f.lh40', ..Ihorl ..." d...ghl.., .'.....hll.'..., ,,,,,'In",", dOU9hlor'ln,I'"t il...hll~ .... th.l, I.... .,. I..ohl.. .1. p.r....1 loHl, C, T'on.foro 10.1 .thlro n.IUdI", hrolhor, .101", uno1., .unl, n'''''1M ondnl... ". l"obl.,.1 fill.... paroonl OaHI. e, If VO\l Ohon.. 11140 ,10M "I., p,.... .p..lli your ,,1.llon.hlp I. Ih. d.....n' In Ih. .". ",ovldOd. a. Tho......l.f I.. duO (IIno " II dh.nln.d ~v ...lIlplvl.. Iha ..oun, 1...1110 11In. 61 hi Ih. "" "I. Clln. 710 OLAIMED DEDUCTIONS . PART 5 DEBTS AND DEDUCTIONS CLAIMED Allow..l. d'~I' ond docIUIll..,. .r. d.lor.lned .. foil..., A, YOU I...IIV ..a ,..pon.llIl.for ..v..M, 0' lhO ..1111 .ullj..I'lo odolnl.I"lIon hy Ip."on.' "pr...nl.II.. 10 Inll/"l6lont lop.v Iho doduoll~1O II..." " ">" I, You .0Iu.llv P.\d IhI dohl. .fl., d..lh of l~.d...d.nl and .on 'u,nllh pro.f .f p,v"ril, e, 1lob"~.lntI 01. 0.. ,....1 bO 11..h..fdllV In P"I S, If odcllllon.l .p... I. nOld.., u.. ploln P..' a III" '. II", P,oof of p.v...,1 ..v 110 ,oqu..,.d ~v, tn. PA eop.,to...1 .f R......., ' ,,"""'""':.,,, "'""i""",!)."",,,,,,,,,,',..,,,,",' '''i ",'",,' """""""'T~X~d'ri 1~'roSSlS'l'AN Ol!"'" "", " " '" ", """" ,ii'",",,',.,""""''':''' :""""""""""""",<;"""~"""",,,,,,,,,,,,,t"....,.'...'." ,'..".",'.'.'. ",H' . ., '.. "",...,.......,,,,....,,,,..,,,.,,..1.1......,,,.......,."",'..','.'t "".' ""':"':""',",:,"",:,i,,""",':'"'''''' "'u ',', '''''''''''' , " ,,' '"'''''' " ' ,," ':,':"",,",' '",'..:;:;"", ,",;", "",:""":;:"i,,' ',Ill: ,au NlI(ftJDffiU~"HI:l~. Illir a~'~SSMST~C'" CaMTACYMV """"""""",' " " " "'" ' .....Tij II '~T~I! ~I Tit"'" :,'.'i';::':'::i:",:,i:,','.,,;:,,,"',:;':'RI:l.u.. ,0, . S., EP ,0' I!VlHI , STR C 'f,P C"',,.,,:',,;,',::, '),::';::,:::..':',:.'OR CALI. T II( JlUR A OJII I 1I1Vi A 'lAX S TAXP V R INQ lR UNlTIN' . '>HARR1SIIUR$i AT (717)'787-11$27. . TO' 7 7) 7tz.UB2 (HEARING MPAIRI!II, ONLY) ~:;;::;':i:;ii;i:i:;::t :;:): ...,.... "';'i".. ,>:';D COHHOHWUllII 01 PCHHlVlY~HIA II<<P~AlHeH' or AIYCIM IUIIUU or IHDrYIDU~l IANII II<<PI, "0601 IIIAAUI\JAO, P~ 111".0601 *' . "I I.~) I / ( . II INPORMAT~N NOTICI TAXPAVI= RIIPeNI. (I , I PILIl NO. 21 97-0642 ADN '98101606 DATI. 01-20-98 TVPE OF ACCOUNT EST, OF ANTHONV J BARBIERI ~ IAVINGI S,S, NO, '174-0B-3619 CHICKING DATE OF DEATH 06~17-97 TRUIT COUNTY, CUMBERLAND CIRTIf, RENIT PAYNE NT AND fDRNI TDI REOISTtR OF WI~LS CUMBER AND CO OURT HOUSE CARLIS E I PA '7013 eU.ltH" '" II.'" U'SUL~ RICHARDSON . CDS BUR BAN PARK APT~, . 2689 ARNEGI E RD :1' YORK PA 17~01 VDRK fEDIRAL , hll p,.Yld.d IH' Doperl..nl .IIh \III In,.".II.n IIj"d b.I.. wIIl.h hll bI.n y..d In ..lalll.lln. IH' p.l,nll.1 I.. clut, 'H.lr ....rd. Indl..l. IH.I .1 Ih. dlllh ., Ih. ob.y. d...d.nl, V.U .... . J.lnl .""../b.n.II.lerv .f IHlo ....unl, If V.U 1..1 Ihll In'.,..II.n I. In"r...I, pl.". ,b,.ln .rlll.n ..,,,.II'n fro. Ih. IIn.n".1 In.lllwll,n, .I\..h. .,.y I' Ihlo lor. oM ..Iu,n II I. ,H. .b.y. .dd".., Ihl. "..unl I. I"obl. In ....'don.. .lIhlh. 1,,"..II.n.. I.. l... .f Ih. C....n...IIH of P'M.~lY.nl.. Qu..Uonl .IV b. ,n,.,lr.d bV ollUnll HIli ""-111/, CCMPLIlTIl PART 1 IIlLCW M M M 811 RIlVIlR81 81DIl POR PILING AND PAVMIlNT INSTRUCTION8 Acccunt No, 700-2864 D.t. 01-30-96 I. In,u.. pr.per ."dll I. y.ur ....unl, ,.. ..t.blhh.d (II ..plu .1 Ihlo n.lI.. ....1 ......onv v.ur 20 , 0"7 ,48 ..y"nl I. I"" "01.1.. .f NIlIo, H.k. .h..k ., pIv.blt tOI "Rllltt.,. 0' Nllh, At.nt". 50,000 HOIII "I.. ..v.'nl' or. ,I.d. .IIHln IHro. 1 D, 023. 74 (I) "onthl 0' thl d'Cld,"t" d,.. of ~..th, .15 yOU IIV dlduot . lle dhoount of thl '1M dUll ~nv 1,,"..II.n.. I.. duo .111 b..... d.lln"".nl Pct.nUa1 '-M au. 1 I liDS, B6 nln. C91 ..nlh. ill.r IH. d.I..' d..lh. PAIIT ' TAXPAVeR ReSPON8!! . , LlJ l. .I'AlL.4"1' :"<<IIII,,,Q"1I. "1L~~18UI.T .IN ' AN .Q'''~O~''~.. ,TAlC AII18IHINT., ~"8ID ON · "H,~8 ..NOnOI, I A, 01 Thl NOVI Infor..tlon end 'Ill due II oorr.ot, ' jlI.J I, Vou I.V .110... I. 'HIl plw,"nl I. Ih. R.ol."r .f ~1I11 .lIh ,.. ..pl.. .f IHI. ,n.II.. ,. .bl.ln . cUSUGUnt or Ivoh' Int.r..t, or i"OU .'Y .".ok bOM "A" end return thh noUo. to UII R"ht,r of WUh W In offloS,1 ........nt NUl bt IIIUld bv thl PA OIPlrt..nt of AIVlnul, ' I, 0;1h' ,boy, ...., hll b'." or wlH bt r.ported Met till paid wUh thl pennlVIYlnla Inherltano. TIM r.'urn to b. f1 lid by thl dlcld,n". r.pr",nttUvI. .' c. 0 Thl .ttOVI In'or..Uo" IMnaorr..t Itnd/O~'bt'. and dtduotion. ..Ir.', Plld by you, V.u .u., ....I.U P~RI l!J .nd/.r .ART l!.J b.IR.' P~, T I ~cu ,n n.. ferln .M r. '1 pl.... . . . ~our ~ r.l.ticnlhlp tc d.o.dentl TAX RIlTlJRN " COMPUTATION OF TAX ON IIOZNTlTRUlIT ACCOUNTI LINE 1. D.t. Ilt.bl1Ih.d 1 ., Aoaoullt lalanc. . I. pero.nt TaMlble I X q, Alcunt lub~.ct to T_M q ., D.bh and D.ducUonl . 6. A.ount T.M.bl. 6 1. TaM htl 1 ~ a, Tax DUI . Acccunt '.llnc., Plrcont T.M.bl. Alount lub~.ct to T.M T.M R.t. K K [CHECK J ONE ' BLOCK ONLY . ,'.'; 1.'1' OFPICJAL"USIi QN""" n AP i'i'!H, PA~EP"RTHIiNT OPRIiViNUi P,~D.:,' . .. . ,I' 't ,'" ';;""',.':1' ':){iIT":' )~- ':;:)Ji '3 "", ';:" 4 , S ''':;:,:: '6:' ;.,:::: ,'7< 8 :, ;-,-" PART r!l DATE PAID DIITI AND DIDUCTICN8 OLAZMID PAVEE DESCRIPTION AMOUNT PAID I I . OENERAL INFORMATION 1, 'AnU"1 TO ftl.,OND WILL "nUL T IN AN D"ICIAL TAM AlluaHINT .lIh .".II.obl. Ihlm.1 bI..d .n Inf.r""~ .UlIoIII.d b~ Ih. flnon.l.1 ,In.lIl<<1lon, , ' l.tnhtrltllMl' ,.~ _'0,""_ ~.Unqutft' "'nt "n'h' .",'" Uti dUltltnt I, tilt. of, d..thi I. A 1.IM.......I It I.WOIII. ..on IhqulIh Ih' d...d.nl'. n... ... od... .. . ..11" 01 .on..nl.noo, +.. ,A'oO\l\I' IIn.l.dln. 11lQ.. hOldbOl..on hu.bond ond .1111 .hl.h Ih. '...d.nl .ul In 1.lnln.... .lIhln ... ...r .rl,. 10 dtillh .,. 'ull~ 1,,0111. .. I,,,,,f..., I. A.oO\l\II llltOll.h'd,I.lnll~ b.I",,, hu.~ond Ind.lf. lOr' Ihon ono ...r .'I.r to ...Ih I" nol IIWobl" t. A"~~I' hOld bV . ......., "In Ir..1 f.r" onolhOr ., .lhOr"" I...bl. f.II., REPORTING INSTRUCTIONS . PART 1 . TAXPAYER ~~SPONS~ I. ILQCW'! - If 'h'lnf.,..II.n ~d .....Ul.llon In Ih. n.II.. 0" ..rr"1 ondd.duoll.n. .r. n.1 b'ln~ .1.1.... .1... on "K" In blook "I" .f ...1 I .f Ih" "'''p'~'' ,R....n.." ...II.n, lion 1.....1.. """1"""11 Ih., .lIh .OU, .hI.k fo' Ih' lIIIOU!!l ., I.. I. Ih' R.,hlor ., NlIlt .f IhO .aunl, ,Indlool.." Th' P! O.po"...1 .f Rov.nu. .111 I.... '" .ffl.I.1 .......onl 1'0" R.v~II!1 IWlupon ,...I.I.f IhI r.lu.n"., IhI M'II.I" .f Will., I. ILllliW I ' If Ih. ....1 ....111.. o. Ihl. n.lloo hoo b..n or .111 b. r..orll. ,ndh. ..1. .lIh Ih. p.nn.vlYonl.lnhorllon" TlW R'I.rn fll.d b~ Ih. ''''''n,I'' ...,...nl.llv.. pl... on "K" In blo.k "I" .f .orl I .f Iho "t".OIor R",on.." ...II.n, 11111 .n. ,.... """ rolu.n I. 'h. PA D..orl..nl ., Moy.n.., I.,..u ,.f 'ndlvldu.1 ,...., 0..1 110m, lIorr I.bu", p! 17 III-DID I In Ih. .nv.l.p' pr.vldo., I. ,LOCKC' Iflh. n.lI.. Infor..ll.n I. looorr.nl .n./.. ..clu<lllon. PrO 'b.lnl .lOl..., .h..k bl,.k "0" .no .....1.1. Pp!l. I """ I' 'GOurdh1' to thlln.truoUan. bqlow. tl,,, two .0(11.. Ind l~b.1t -tM. wl\h "nli,. oh,ok. fCl~ th. t"O\.lnt Of hM ~.vt"lC1 ",,'hl "1,1,,,,. .f NllI. ., Ih.'4aunlv In.looll', Th. P~ O..orlonl .f R...nu. .111 I.... on .ffl.hl "......nl'('.'. Mlv'I\1I 1"' "".n rl,.jpt, .f Ih. rll.r" f... tho ROIlIt" .f Will., " TAX RETURN. PART 2 . TAX COMPUTATION ! 8 ,t 7 liNE ' ' " I, Inl.. Ihl .,It Ih. ..,ounl ..111"'Il~ ... Ilt.lllhh.. or ,llIlod In Ih. ...nnor ..hllng.1 d.l. ,f ...Ih. HOTI. 'or. "oodfnl d~lng .I\Ir IlIIl1U. At..,,"lt .hl.h Ih. ......nt .ul In J.lnl n.... ."hln .n. (I) ...i .f d..th ". I..obl. ful ~'.., lron.lor., II....". Ihor. ..n ...lo.l.n n.1 I. ...,Od II,Ogo por lron.for.. rlgor.I... .f Ih. ..11II.f t~,'GGOUf1t'or'ht nulblr of,IOGounh hlld." II , d.ulIlI .,Io'hk (.., ."",or, IIII.re ~..r llrol noo. In Ih. oddro.. p.r,llon .('hl' nolloo, Ih. 11.000 ...1.11.., .I,...~ h.~ 1I.,,,dodu.l.d f,.. I~ ..,..1\111.1...... r...rl.. b~ ,I~ fin..." In.11 u116n, I" 1"1,, Ih., 111,\.1 ,b.I~. 01 Ih""'."',,1 11101""lnl ,Inl""l',.orllld III IhI dtl, '1 d..lh, 'So l~'V~.~'.~I'~"::,~:,I~:lnl'.l::r:I:.t~lf~.'~~.Vt~~.~\;~:I~I:~ t:II~'~'.'d"I" ...Ihl l",DIVlDED Iv 'fgm, iMllIR Dl' OIYIOIO Iv TOtiI H""IIK ,QfI" "100' PIRUNT I~W~ILt i , ,>,' JOINT O.NlRI ' 6URYIYlHO JOIHTOW"IRI " 1."",101 Al.lnl ,.!.I '"Ihl".d In Ih, n_ .f Ih. d""'nl 'on<! I.. .Ih"p"..n., '\ DTYlDEO IY I (JOINT lIIINllRII DlvlOtiO IV I CIURVIYOllII . ,167 " 100' 1I.7K (TAK~IU 'OR B!OIl tiJRvlvPRI , I. Jh' ."t'''1 1,,,"1. fllr ..t.h or..l.d .llhlh .n. voor .f Ih, oi'....nl"d'.lh or ....unl. '..n..bylh. d""'nl bul h'ld " I'.. 'lor onOlh"lndl. ..,1(., (\,u.1 b.n.II.lorl.." ' I DIVIDED IV TOTAL HUNIEROf' IIJRYlvlHll JOINT "100 '. PIROINH..ml O.NlRI OR TRUIT IINIPICIARIII IW"""OI J"nl"oo,,"1 rl',IIl".d In 11\0 n... .f Iho ......nl """ I.. .Ih.. .....n. ... ..IoIIIl.h,1I .lIhlh .". ~II' ,01 dOOlh b. , II\o'd.....nl. I DIYIDEO IV I (1II/lvIYORII '.10 K 100 . U. lT~"!m 'OIl 1tCH'liJRvlvOllI , ' ThO ooll"\t ,tull/"l 10, lOt (II... +I,I,...I"'jntd o~ ,..III.IVlng Ih. 1...unl"II.h.... Illn. II b~ Ih. .oroonl 1...111. (II.. II, 8"t... thfl', tnt"" 0 ttW dlbl'lM d'Muon. httd In PIr'1 '1 ' ,'" ' Tho~,I' 1"0111. (II.. 1 1,,"1". "." b~,'ub,I"6'lno h. ..bl. ond ..duoll."I, (1In. II I... lho oooun' .ubl..1 t. I.. (1In. .1. In'" th' .pp,'p.l.l. "",. .111.. '" d.I.'.I..d b,I... A, 'or ,,'1..,.1 "'Ih ",urr,ln. ,,,.r IISO/9.. Ih' tOt rll" for lron.I." I. ...u", or. ... 1.1l.." I, Qol" .f...lhm' or. lor 'fll/II Ind b.f.ro 1/1/91 Ihi rll. II SK, ,,' " ' I, 0,"" .f, 'd",lh 0 0'1'"'' I 191 "..."" I. ..ou...,.IlI, III t.,.,..'.I, OK ,11M rll', HoIOl, ,.. d'loo .f d.., p, or t. 711/" 'I,...f." I, 'POUII' Ire I...blo .1 I~. I, Tton.for. \.,11...1 .....n.onl. "', IUdlnl f'lh'" ,..lh",1 ',.n, doulhl", I""",,.hll.ron, ..n-ll\ol'" '~I.r-In.I'"1 .I...hl\' ~ lhil. I.... ,"'I...bl.. .1. p.,...1 I.KI, , C, T'... or. 1.,1 .Ihor, n.l.dln' b..'hlr, .1'lor, un.I., ",,"I. n.,how.no nl... or. l..obl..1 IIf'..np"tonl CU~" c, II ~ou'h"" IhI ,.. rei.. ,I.... ....If~ ~.u, r,I.II.n.hl. I. Ih. ....d.nl In Ihlor.. pro. I.... " ,I, ThI _I .f' \0. d\it qllit II h "'or',II\" ~~ ..lllphlnp Ih. ....nl ".obl. Clln. ~I oy}h' t..rol' Clln. 1). ;,' " CLAIMaD DEDUCTIONS . PART S DEUTSAND DEDUCTIONS CLAIMED Allo.obl. .obl. ond doclu<l".n. or. d.\oreln,d .. I.ll.." A, VOU'I...II,Y P.. r."ontlbl. I., ,.~oonl. ., 'ho..,.I. .ubl..1 I. ...lnl'I..llon b.. "r.on'l ,.P.....I.ll.. I. In..ffl.l,nl I.... IhI'doclu<l"bl. ,..., I, You ..1..Il,V p'ld Ih. ..1111 'llor do'lh .f lhl ..,Id..1 """ .on Mnlth proof ., p.~oonl, C, Oobl. b,lnl '1' lid ,,'1 b. I ..I..d f.lh n PorI I. If Odell"onll .p... 10 ......, ... pl.ln P"''' . III" . II", P,oof.f PIV.-nt ,.'~ bl r.~.'td bv 'hi PA Dtp.ft.~t of Rtv.nul. :.::?Ht: ;:,.;, " ' T~IPAV~R' AsaI~ANC!! , YOU NE D FURTH!! 1 ,FOR ATIO~ 0 SS ST CE CONTACT A V RVemE O~ WILLS. ~A !!PA TM!! T 0 ~!!~!!NU~ DIlaTRICT OFP~CE o CALL TH BUR AU 0 INDIVln AL AXES TAXPAVE 1 UIRV UNIT IN HARRlsguRa AT (~17) '87.8~27. TDDI (7 7) 7t.~.2252 (nEA~~NO IMPAIRED ONLY) PIlRPOII Ill' HClml' P^VIIlH\1 I.)!,' , t. fulfill Ihl nqulroolnlt .f ...II.n 1l~0 .f ,Ihl 1000lrllln.1 Ind 111110 T.. A.I, AI, .1 .f 1'91, eH P,I, I..II(1n '1101, ' O"..h lho lOP p.rll.n .f Ihlo H.II" ond.ubtlll wl\h,v.ur plv..nll. Ihl A"lulr .f Millo prlnlod onlho r.v.r.. ISdl1 , .. HIlIiI .ho.~.r _v .rdor P'V"IO I., AIoUl.A Ill' HILU, 101HI, AlfUHO (CAli I rlfuncl of . 10. .rodll, wt)1.h Mil n.1 r.quo'lld .n Ihl 11M rll~rn, .IV bl rlqu..lld bV ..""lllInt IlI\ "APoll.lllon for A.fund .fPonnlVIVlnl. Inh.rlllll\.l,ond 1.101. I.." (AIY-l.11), Ippllo.tlon' or. ov.ll.blo 01 lho offloo,.f lho Alol.lor .f Hili., '"v of Iho .. Alvlnu. OI.trl.1 offl....r bv .llllno Ihl IPo.I.1 'l'h.~r',"'.lrl",'"rvl.. nuobir.f.r f.r.. drd.rlnoi In PI""'Vlvonl. l.aOO-II'-'OOO, .~I.ldl p.nn.vlvlnl. .od wllhln 10..1 HorrhbUr' .r.. (7171 717-,09" TOOl (717) 77"1211 (II..rln. lop.lr'd Dnlvl, DaJlDTlDHII Inv PlrlV In In'.r..1 nOI,..II'fl'd,Hllh Iho ",pr.I,",,"I, oll.'~I,.r dl..II.w"",I.' dd~ll.n' .r .......onl .f I'. (In.I~ln, dl...unl .r Inl.ro.ll .. .h.on.n Ihll NoII.o .0V..Jool wllhln' 11.,v elOl dOV' .f rl.llpl .f , Inll NoII.o bv, ".r Illln pr.11I1 I. Ih., P^ DIPorlolnl .f AoVlnul, a..rd .f ^PPI.h,. 'D.pl, 11I01\, lI.rrl.bur., PA 17111-1011, ,-.h.lIn, I. h.VI lho ...11.r dOlor.lnld.1 Ih' .udjl .f Iho ....unt .f Ih. por.onol r.prll.nl.\Ivl, DR ....po.1 I. lho Drphonl' C.url OR I, ^DHIH- UIAATlI/II CIIfIRECTlDHII f'.,IU.1 Irr.r"dlo.ov.rldon Ihlo 1......lnl .h.uld bo .ddro..ld In .rllln,I., P' D.p.rlo"nl ., AIV'nu., "uroou.' IntlvldUll TO.I', 'TTH. P..I ....0..lnl,A.VI.. unl" DEPT, Il0aOl, H.'rl.bur., PA 11116'0601 Ph.n. (1111 7a1-6aOI, DII p.,1 I .f Ihl b..~lol "In.lru.ll.n. fa, Inhlrllonal TI. Allurn far. Allldlnl Doaldonl" (RlY.UOIl f.r on ..plon.llan ,of ,Od.lnlolro\lvoh .arro.,.bl. Irraro, OUCOUNT, PlHAL !VI IH,m.." Ii onv I.. duo I. p.ld .llhln Ihr.1 el) a'lond.r ooolh, .il.r Ihl dl.ldlnl" dl.lh, . flv. p.raonl (I~) dl..oonl..f'lho 10. Plld I. .llaw,d,' ' Tho 11~'tl. .....Iv non-p.rtl.lp.llan Pln.ltv I. aaOpulld.n Ihl 1.101 .flho I.. ond,lnl.r..I,o"ol,..., ond h., p.ld bof.rl, Jonuarv II, 1"", Iho flrol,d" ..IIor Ihl .od .f Ihl \I. ......IV porl.d. Thl. non'porll.lp.llon "",,011V II ......Iobl. In 'Iho,....o lI,n"or ondln lilt! lho ._ II.. porl.d .. vau .auld .ppl.1 Iho '0. ."d In'o,o.1 Ih.1 h" blon ......... II lodl..I.d an Ihh noll.l, ' Ih'"rl'l I. .hlr,~blllnnl~, Wllh flr,l dov,.fdoll~quo~.VI .r nino e,) .,nlh.ond ono ell d.v froo lho do'..f d..ln, I. lho ~.Io .f, p'V""I, T.... ohl.K bo...o dlll~qu,"1 blf.rl JlnUorv I, 1'61 b..r InlOro,'o,1 lho rol. ., .1. e6~) p.r.onl p.r...... ..Ioulllod 01 . doll~ roll .f ,000141, All 1..1' ohl.h bOO... dlllnqulnl .n.r .fllr Jonuorv I, I'll will bo.r t,,'orl.1 01 . r'" .hlah .111 v.,v froo .olond.r VI.r I. "ll"dor vl.r,.llh 'lhOl roll ~Id bv IhO PAD.por,..nl ., A.v""", , Thl ...pllaobll ,lnllr..1 r.I.. far 111. Ihrau-" I"a .r.. " W! lnllrlll A.I. D.I1V In,.rl.' P..I.~ Y!!r In\lron Roll Olllv tnt.r..' 'Iotor I,U .O~ ,006146 1917 ,~ ,noot.7 , 1910 16~ ,000,.. 1916-1"1 IIX ,000101 1'1>1 II~ ,DOOSOI I,U ,~ ,000117 1911 II~ ,aOoul 19'$-1 ,.,. 7~ ,000192 I'" IO~ ,000171 1"1-1"1 ,~ ,000117 --lnll'".1 I. ..I.ul.,.d o. f.II..., l~T.~T' ~,IA~"C. OF TAM UKPAIC M, HUKIB. OF CAVIOBLIHQUBHT M bAILV IHTBRBBT F^CTOR , "AnV Noll" llIuOd IlIor lho I.. bo.p"II IIollnquonl Will rollool on Inlo,..1 ..I.ul.,lon ,. f1floon (II) d.v. boland lho doll .f ,ho .......onl, If povoonl I. .Id. .f1or IhO Inlor..1 a....u\lllon d.l. .haon on Iho Mat1Ui eddUlonal Int.r..t .us' bt C1IJOUlIttd, PUAtIOII Ol' " HOTlCII rQ 1uI1I1I'1tt. i"",lrlMnl' QI I..UQhI140 Qf lho InII.rll..... oneil".,. h" AQI.AQ' II'QI I''', (7I,p,., ,..lIlIn 11401, PAY","I, IlOlooh Itt. 'QfI IHIrU,," QI Ihll ~UQ' oneI ....1\ wllh v""r ,.v..., IQ Itt. R.,I".rQf WlIh ,rlnled,," Itt. r.y.,.. .hlo, , " ..1\Ok1 ~ Qr ~V Qrdor p.voblt IQ' !lIOIITI. oi'WILL'. AGeNI, RllpUlfll lCR) I A r'filnd Qf . "0 or~lI. lIt1loh, woo nQ' r'llUO.llIcl "" Itt. I.N'r".rn, "'V b. r,".",,';" bV Q""IoII", "',"AtltlII"UIll1 ,fQrR.III!ld of P'I\!!.vly..,l. Inhorllll\Q' oneI "1.10 Tlo" CRIY.lmlo ...,.1I0.1I1ll1. .r.,.v.lIobl. 0' Itt.OfH,o Qf 1110 A..I,'"Qf Wilh, "IV Qf Itt. II A.y."", Oh'rl,1 01110'" or bv 00111", Itt. ."",1.1 l4'hQur.o"'wt,rlnll ..rYIQ' ~rlfQr fOrlO Qrdorl"" In ,"""Vlv",l. 1......61....0. ",,1.ldo P_,Vly",l. oncI wllhln 1....1 ~.rrl.~rt.... (7171' ~~Nm. IOoH?17) 71N.,. CHo.rl", 1"".lred llI!lYlo AOIlI". UTAATlvt '. ,,' ' " , ,,' , C_CIIOltII '001..1 .rrQro dl'"y.red "" 'hit ........., .hQuldb. .ddr....d'ln "~Iu'" 101 PA Oop..'_1 01 R'Y,""", lur.", QI Indlvh",.1 "0." ATT"'P,,' A'''.....I R,vlllllJnll, OI!Pl. ,110601. Hml,burl. PA" 17111-0601 Phot1t (7l7! V.7'II01. ... "1' I of 1110 bQ~I'1 "In.lruolI,,"' for Inhorll..... Too ,.,'.rn fQr . R..I.....' ,q,oodonl""CRllV.1I01) for.., .",I",.U,," Qf _lnhlr.IlY,IV oorr.,lob," .rror,.' If "'v ',." dUo It p.ld"";;ln, Ihroo (I), "Iond.r Hl\lh, .fI.r,ltt. ~fdO!ll" do.lh. . fly. ,or,,,,I. cm dl'QOYnI'ol' lhol." Plld I. .IIowed, Altv ,.,IV In Inl.r..1 ""I ..11.11'" "lIh IhI "",rlh"'nl. .11011""" Qr,dll.II01101lO' Qf _,I,,"' Qr ....._1 Qf 'I" C1""lvdl", .dlu",,"1 Qr ,Inl....') .. oMOn "" Ihlt Holl,' IIV "j.., "lUll" .I"IV CU) doV'Qf r...lpl of ,Ihlt ""II,. ,bVI. ' , ""rlllon p,,'''' IQ 'hi PA IllPOrl_1 ,I AIY_, .,.rd QI App..lt, 1lftI1, ,,1011. Horrl.burl, PA 1111...011, ""hll{ljl I. hoY' IhI ..\lOr dol..,lnod ., 'hI....1\ Qf Itt. ..00Ull' of Itt. per.,,",1 ropr..OIjI'IIYI. OR .._.1' IQ 'hi or...,..,.: courl " OR o.~crIOlttI , OI.C~TI "'HA~TYI ThI m""_'w',",,"'p.rlhlp,U,," p",.IlVl. ......IOd "" Itt. 10"1 Qfltt. "0 oncI Inl.r..1 ......ed. oneI no,' p.ld \ltfOr, J"!"'IrY.l.. ,"I. lho flr.'dov oil'" I,he """ ., Itt. I,.. o..,..'v ..r,lod. TIIII ,",,"'..rUol..U,," pontllV "."",001"10 In IhI.... ..",",r .....,In tht IhI ,OH II.. pori""" VOUllOUld "",""'hI,'o" "",,Inlor.o, ,h" hll bill! ........, ..lndlool.dlll1 Ihll ""U.., IHURlIll 11l1',rUI II o'"rlld""I,,"I", "lth flr.1 dov QI .Il_~. " nln. CfI",,"IIII oncI _ II) do, fr"lhI dollol,d..lh. 10 "'0 d.,..1 ..v_I, r.m lIhloh boo... dllI_lboforo J_rv I, 19.. boor In'or'II,'l\hI n'o .Ulq,Xl Plr,o",,' per ......... .010.101'" ., 0 d.llv nt, .1 ,000l~. All ,10"" lIhloh tio.... d.llnqvtn, "" Qr ./I.r J~ I, 19.. "Ill bo.r Inl.r." 01 0 rol. lIhloh "III, vtrY Iroo ..londor v..r '0 ullllldar 'OIr "lth Ih" ro" _ood bv lhl PI 1IoI>0r,...1 Of A.y_," Tho .....110.1. lnl.r"l rolo. lor I'.' Ihrovth I... or'l 't!!! Inllr"l Ro" DIS1~ Int.r'lt ,.otar %!!! Inl.r..1 Ro" D.IIv In,.ro.' F"lor I"'" lOX ,000"1 I"' ,X , OQOI~' 1m IIX ,000411 1....1"' m ,000101 I"~ )IX , 000101 1"1 'x .000147 Itll UX 1000111 I"N"~ 7X ,0001" "I. lOX , ,,000114 1"1.1'" 'X ,OQom '"lnlorll' II ..IQulo,ed ,..I.lI~1I " %HTBMUT . ..LAHall 0' TAK UMPAXO M MI/1lIIBR OF OAYIOBLX"IIUEHT K OAnY XHTllllUT FAOTOR "Anv",U" 1,_ o/lor lItO 'II" b...... doll......,1 "Ill ,r.Il..1 on Inlor..' ool.uloU,," '0 flfl_ CIIl do" bOlond 'ho dO" 01 IhI ......_I, If p.v"",' It...... .1I.r IhI In"r..I ......I.U"" dolo ._on IhI NoU..., "'cllU"".1 ,In'.r..1 ....1 b. ..I..I.IIIcl, r- e" ., ," i ' .~:! '("-J 1-;\ l,l." ,~:I (, " (",,'; ',..1 {.i\ . ,II r") 0(:' P\IIItIOIIOI' HOIlOI' To f.11I1I Ih. r.qulroo..l. of ...Uon 1140 of tho Inhotll"".. ....1.t.I.,I.. ~ot, All II 011"1, (11 P.., ..ou.., .140 I. PAYHlHT, Pt'ooh lhe lOp porllon of thl. Hollo. and .ublll wllh vour p.v..n' '0 'h. A'ol,'.r,ol will. p,lnlld on lhe r.v.r.. .Ide. I .. ".... Oheok or oonoy ordor p.Voll" to, . AIOIIIIA 01' wILLI, ~OIHT. Rf'UHll (CAh ~ t.flllll 01 . h. orldll, whloh w.. nol ,.""..I.d on, I'" I., ,.I.rn, o.v be r.~.I.d bV .....I.Ull\l .., "~ppll..Uon fo, R./und 01 Penn.vl.",,'. Inh.rl,.... end I.t.t. T.," IRIY'I'III, APpllo.llon. ." ...110111. .1 ,he Dlflo. of I'" R..I.I.r of wlllo, ""V 01 lhe II A..""". Dlotrl.1 0111... ot bv 0.11111\I "" ..,,1.1 14'hoUr ""_'Inti ,or.IOI ,...to for forOl ordorlntl, In P.""VI.""I. 1"00'161'10'0, "'1.ldo P.nn.vl.""I. and .lIhln 1...1 ' H.rrlobutt or.. 11111 ""'0"', TOO' (111) 111.1111 (Ho.rl... l""oIrod Onlvl. ADHIH' IIl"ATlYI D~CTIDHI' ,"1..1 ."or. dl.oo..r.d on Ihl. ........n' .ho.ld b.,oddr....d In wrlllno 101 p~ DOp.rl..nl 01 A.."""" ..,.... of Indl.I"".1 T....,~TT"' POll ........nl A..I.. Unll, DlPT. 110601, tt.rrloburo, PA 1111"0601 flhono C1I11 Uf'610., ... P_ I of ,he booIclol "In.lrIlOU..,. lor Inho,II"".. T.. A.I.rn lor . A..ldlnl DoGIdonI" (AlY.IIOII for"" ..pl"".II.., o! Odolnl.,foll..IV oo"..IIbI. .t,or., Anv portv In Inlor..1 nol ,.U.1l1d wllh lhe IIfItIt.I.HOI1I, .1I.w",,'. or dh.llo..... .1 d.""oU..,. or ......_1 of I.. llnoludl... dhoaunl or Inh,..U .. _ on Ihlo NoUOI .'V olIl..1 wllhln .I.tv (601 d.v, 01 ,...Ipl of Ihh NoUo. 'by, ' '.w,llI"" prol..t 10 Ih. PA D.,..,lnnl of A......., '..,d .f ~",",.Io, ..", 1l101l,tt.irhburo, P~ 1111"1011, ...I..llng '0 h... 1""..1'., d'l.roln.d .1 IhI IUdII of IhI ...nunl 01 lhe p.r....1 r~r'.onl.'I.., ON ..IIfItII.1 10 lhe D,ph"'" ~o.rl ' ON OMOTlDHII DI'COUNT! II ""y I.w duo I. p.ld wllhln Ihr.. III o.lond.t oonlh. .".r Ih. dooodonl'. do.lh, . fl.. po,.onl (I~l dl..ownl of lhe I.. p.ld I. .llo..d, ,PlHALTVI TI" II~ I'M .....'v non'p.,Uolp.U.., pon.llv I. ,0"".11d .., lhe 101.1 .f ,he I., and Inl."'I......od, end nol p.ld beloro J""".rY I', ,I"', IhI lltOl d.v .ftor lhe ond 01 IhI h. .....'v p.rlld, Th.. non'p.,Uolp.Uon ~.lly I. 1IfItII.11b1. In lhe .... .onnor ond In lhO IhI .... II.. p.,lod .. y.. MOUld .....1 lhe I.. end Inl.,..1 'h.I'h.. boon ........ .. Indl..tod on Ihl. ...110.. IHTI~'T, Inl.r..1 I. ohlrtoO be,lnnl.. wllh flr.1 d.v 01 dollnquonoV, or nino (.1 oonlh. ond ono III d.V l'IlI lhe d.l. 01 do.lh, 10 lhe d.I' .f p.vnnl, To... whloh b..... ..11_1 b.,or. Jonuorv I, I.n beor Inlor"l .1 Ih. rol. of .1. (6~1 por..nl por ."".,. ..1..I.I.d .1 . d.llv rot. of .000164. 'All ,.... IIhloh b.o'" ..lIn"".n' on or .1I.t J.n.orv I, lOll will b.., In lor..' .1 . rol. wh'oh will ..rv 1,.. o.'ond.r v..r I. o.lond.r..., wllh Ih.1 r.t. ...own..d bv lho PA Dtp."..~1 of R......, lho "'110001. Inl.r..1 '.',~' tlr lOll IhrDUlh lOI' .r" ' Ii t!!r Int.r..' Alt, P.ll~ Intlrl.t PI. tor ~ Int.,..., RI" D.Ilv Inl.,..1 ,..10' 1m m ,00014' 1..1 .~ ,000141 lOll , 16X .00041. 1....1... ilK ,000101 I'" IU .000101 lOti .K ,000lU lOll 1I~ ,000116 I"J.lt'" n ,000101 "'. 10~ ,000114 1901'1'" .K ,000141 ;1 "Inl.,'" ,. ..I.~I.I.d .. foliO." INT.RBlT 0 IALANOS OF'TAH UNPAIP M NU"IER OF DAYI DILINqUBHT M OAILY INT..IIT FAOTOM "Anv HolIOl 100..d .llor lhe I.. boo_I dolln"".nl will tllI..1 "" Inl.rOlI "I~.""on to flfl... IUI dove "'Vond IhI ..1. .1 ,he ........nl. If p.vnnl. II .od. .ft.r Ih. Intor..' ._t.llon d.l. .hown 011 ,he HoII.., oddlllonol In'.r"1 ...1 b. ..I..I.tad. MAKI CMICK PAVAIL~ AND RaMZT ~AVH'Nt'TDI REGISTER OF WILLS CUMBERLAND CO;CDURT HOUSE CARLISLE, PA 17013 CUT ALONOTHU. LINI ... RITAZN LCWIR PORTlCN FOR VCUR RICCRDS .... ~W: ll?i'fl'l/',.A~li'. r~':"1..il~Yianjn'NHil({;Wlr6i. YA'll.A'li~ftA.{il ilfiilr..At'L.6Q~'Ilcl'i.'b1r. ............... .' DISALLOWANcl OF ,DiDUCTlcNa ANb AIIIIIHINTOP TAli ISTATI Cp BARaIl!RI ANTHONV J FILl NC. 21 97.0642 ACN 101 DAT~ OB.18-98 TAM NftTURN WAS i I X I ACCBPTlD AI fI~ID I I CHANqBD RISIRYATICN OCNCIRNINQ'PUTURI INTIRIST .,811 RIYIRII APPRAISID YALUI OF RITURNIASID CNI ORIGINAL RETURN 1, Rill lototl IIohldUl1 Al ,a, Stookllnd Bondi <lohlClul1 BI .: Clolll~ HIld Itook/PlrtnlrlHlp Intlrllt ISohldulo 01 4, Hortalall/Hotl1 RI.llYlbl1 <Sohldul1 DI S' cuh/"nk Dlpodto/HI.., Plrlond Proplrtv <lohldul1 'a) 6. JolnUv,Ownld froPlrb 'CSoHldull f) 7, Trlnlflrl IsoHldul1 01 S. Total A,,"to ' ApPRCYID DIDUCn'ONI AND IXIHPTICNSI 21,840,23 9: funlrll IMp,anllo/Ad., Coato/Hloo, aMplnl.. <Iohlduli H) (9) 10, Dabto/Hor\"1I1 ~1.~UIUa./~lono Iloh.dUh I) ,1101 182.33 11 , 'Total Dlduotlon' IUI 12. H.t VllU. of Tlk R.turn ,,1111 U, Chlrlt.bl./QoYlrnlllont.l"qu,otol Non-.hqt.d 9111 Trulto, llohadull JI IUI 14, Hit Vllul of80t.to subJ.ot to Til. ,1141 109,842,80 I " 'I," Nonl If.n .",II..mlnt W" :l.1I1.l.d p,r, 'V:l.Ol.lo1y, 1:l.t1!1!1 14, 111 IndIan 16,17 I"d 18 wU:L rlf1.at f:l.8I.lr.. tn.t :l.n01ud.thl totl1 of ~ n,~urn' .1I.....d to dlt., AIIIIIMINTOP TAXI 11, AllIoUnt of Linl 14 .t SpoUI.l r.t. ,111) ,00 M' 00. ,00 16, 'AMount of L1nl,U tlMlbl1 It Llnl.1ICh.. A r.tl (16) 109,842,80 M ,06., ,,6,872,87 17, AMount of Lina14 tOMlbla at CoU.tar.l/Ch..B r.ta (17) , 00 M' lB. , Q 0, 11, Prlnolpd'TIM Duo 1111 6iS7.2, 87 TAX ORIDITSI PAYHINT DATa 15'~)qL/-I/ BURBAU Of XMDIYIDUA~ TAkBI INIIERllIHCr. TAM DIYI.ION OEPT. /1060 I IIARRIIIURO, PA IIlU-0601 OOMMONWIALTH CF PI N8VLVANIA , DIPARTMINT 01' R VINUII NOTlCB Of XNIICRITANCB TAM APPRAIIIHIHT, ALLOW~NCB OR OIIALLOW~HCB Of DBDUCTIONI AND AISBIIHINT Of T~K ROBBRT R BLACK ESQ 36 S HANOVBR ST CARLISLB PA 17013 DATI ISTATI OF DAn OP DlATM PILI NUHIIR COUNTY "CN III III ISl (41 (S) (6) m RSCUPT HUHUUR DUCOUNT (+) INTlRSIT/PIN PAID C.' 05.18-98 PARBIERt 06-17-97 21 97-0642 CUM8ERLAND 101 AllIaUl\t R..IH.d 841000.0D .00 ;,00 IDD !l936.70 131519.72 30j078.94 III AHOUNT PAlD .TOTAL TAX CRIDI,T IALANCI OP TAX DUI INTIRIST AND PIN. TOTAL DUI " If PAID ~FTBRO~TE INDICATED, IBB RBYURIU fOR CALCULATION Of ADDITIONAL ~NTBRBIT, C0 * lIy.\t4' 11 ,It m.m ANTHONY J NOTBI To Inlur. prop.r or.dlt to ~our 1000unt, lub.lt tho upp.r portion Of thll for. with vaur ta", 'p.v..nt , 131,BSS,36 '-1.GQ' "' 109,842,SO ,00 10,528,63 3,7S6,06CR ,00 3,786,06CR I If TOTAL OUB II LBII THAN .1, NO PAYHBNT II RBQUIRBO, If TOTAL OUB II RBFLBCTBD AI A "CRBDIT" ICRI, YOU HAV 8f. DUB A REFUND. IEB RBYIRIE SIDB OF TlIII FORH FOR INSTRUCTIONI,) ~, lB ~~ (i)~ ~ I r , \.:~ :';: () ,(.1 t'l ~., Q ',) "'" 11 '@il,' ,... !; ill E~ 1i" \,; ~~) ~ g,j AI,IAYAIlOH, "1'I..oI~,..lIfnl. ~~Inl .n 0' bllo" c......., 'I" III. .. If .nY 'uIU,' 'n,,"..t In Ih. .."" I' '~'n'fir,od In p...."'.n ., Inj.~..nll. CI... , (..IUI."I, b.n.".l"l.. ., Ih. d...cllnl .It" Ih. "pI,.II.n ."n~ ..t." ,., lH. .' I., Y...., l"'i'C....on~.."h "",...~ .,~P"..lY ....,y.. the ,llhi I. .ppreho ond ...... t,....,.. 1,,""11111.' mo' .1 Ih. 1.~lul CI.,. 11..11.1.,.11 'It. '~,.ny.u.h lutu,. Int.,..t, , , PURPoat llf\ HOTlel' T. lulllH lho "II\II,...nll ., ...Ilon 11.0 ., tho 1""',II'h.' II\d .."10 h. A.I,".ol II ., 199', 111 P,I, ...II.n'1401. P.YHIHT, c.t..ri, Ih. loP P',lll.".' thl. H.llo. and .uboll ~lIh y.U, P'"yo.nt to Iho A"hll,.o' NHI. p,ln"d on Ih. ,~Y.r.. .Id" "H"'.;h..k ., 'on.~ .,d" p.y..,l. I., RBOIITBR 0' MILLI, AOBHT '; At!~UHc tCAII.. '"....d ., 0 I.. "odll/ ""I.h~.. not "1I\I""d on' Ih. To' A.IU'n, '..~ b. ..qu..lI~ by .0""I.tln. 'n ".ppll..ll.n , ,., A','''"~ ., PIIf1I1'~,IY.nl.'lnh..li.n,oo .nd hhl. T"" lAIY'\lII,I., APpllootlon. ... .Y.I,',...I. .1 Ih. 01110. ,I ,Ih. Aelht.. 01 Nlll', IlriY 01 Itll IS A.Y.nu. Ohl,lol Olfl..., ., b~'''lllnl 'h. .p..l,1 U'hou, on,~,"n. ..,YI.. n\lOb',' '0' I.,.. .,d.,ln" InP.nn.~IY'nl.I'IOO'!."IOIO/ .ut.ld. p.nn.~IY'nl. .nd ~lIhln 1...,1 '''''I'burl ".. 17171717'8091, TCOI 17m 771'lIlllH."lnl I.pol..d Cnl~lo OIJEOTlOHI, .n~ p"lyln Int.r,.t n.t ..\l.Il.d .lIh'th....p"I....nt' .ll.~.n.. .rdl"llo~.n...' ~'du.Il'n./ or ........nt .,,1.. Iln.lu~ln, ~Ia...nl.' Int....tl...hoMn .n,thl. Noll.. I..t ooj..1 ~lIhln .I.IY UOl dli'.' ....lpt.' 'Ihh H.I.. bY, ACIUH IlIRA ml CORRIOtlOHI, ,,,,,tU.I "'.~.\~h..YI..d .nlhh .......II.n".h.ul~ bo, .~drl...d In ~rlllh, I., P. C.p"t,ont ., A.yonut, ,u..,U.I lndlYldu.1 ".../ ATTH' Po.1 .......enl A.YI.~ un II , , c.pt" 180601, 1I.",I.b.", P. 17116'0601 PI\on. 17m 717-.101, ... PII. I '., t~. b..kl.1 "In'I,u.II.n. '0' Inh.r.ltonu 1" Allurn lor . Aul~.nt O",""I~'(R'Y'IlOII I.r .n "p,\en,lI.n ., IIcflolnUlrolly.ly ......tqb.. "".rll, If ",y 't"II\I' I. p.ld'wllhl" th... UI ..t.nd.r'..nth. ."..th. d...dlnt'. dulh, . Ily. p".'nl (Ul dl...unt ., lho, ,,,, P.ld " oU.~Id, " , Th. I,'~ tIM ...,q,IY non'p"II,qlp.".n p.nollY .. ...p~l.d '.n ,th. 1.1.1 ., the t.. end"lnt....t .......d, .nd not Pol~ b,"" J..,.,,~ III \996, the "..t dlY ',/t.. the on~ 0' tho t" ""'''IY p..lod, Thl. n.n'p..tI.I"".n p'n"I~ I' qpp'olqbl. In Ih. .... ..n'lI' .nd'ln the Iho, ....11.. p"l.d u Y.u ~ould .ppu1 Ih. I" .nd' ,,,lIr..1 th" h.. ,b..n .......d "Indlulld .n thl"".II.., IHTIAII" " Iitt.f..t h .~""db..iniilng wllh 11..1 d.y .1 d.il"'l\I'n.~, .r "I", t91 ..nlh. ond .'" III d.~ 'r.. IIl.do,a ., lIf.lh, I. the d.I.,o' p,~"nl, T.... .UI,h b..... dlllnqu.nt bliP" J.nuo,y I, 19er bur In",..1 Il tho' "I. ./ .IN, (6Klp,r..nl p.r ."""",..I.ul.I'd.1 . d.ll~ ,.1.., ,000164, .11 I.... ~hl.h b..... ~.llnq\l.nl'.n .n~ .It.r J..,..'y I, ~'I' ~III b'or In'.'.., .1 . ,ot..hl.hwlll y.~y ",. ..I.nd., y.., 10 ..I.nd.r y..r ~llh th.1 r.l. ',,",~"d by thl P. Qqpo"oqnt., Aly.nu., Tho .ppll..b1. Inl"..t ".1.. l.rl9ll Ih,.ugh 1991 ..., "wr ItI." p,"",.t t. tho,P. C.p"t..nt .', A.y.nu. / 1.lord ., I., pul./ C.Pt, '11I011, ,H"r "bU'Y,P. 1711'-1011, "'hOll.n ,to h,y. Ih' ootllr d.t...ln.d ,.t .udlt ., Ih. ....unt ., 'h' p....n.l ..p....ntot y., ., OR, "",p..1 t. the Orph",.' Court, " " pR , \ I , mCOuMT' PlN'~ m UIJ: Int.,..., Rat, QAU" hUt,..,. '.Gto~ x.ur 19" lOX ,,000111 191. I6K ,.000111 1984 lIX ,0OUOl 1911 UK ,100116 1916 lOX ,000174 7.1nl....1 " ..hul.t.d"'.lI.~,, INT....T "IALANCB OP,TAK UNPAXll M HUK_BRap DAYS lllli.XHqUBHT K DAI~Y XNTBR"T PACTO. ",ny N.Il.. IO,uld "lor Ih. '..b...... d.llnqu.nl ~1I1 rqp'.1 .n Inll,..1 .',I.ullllon I. 11I1..n OIl "V' b,y'nd 'h. dll.., 'hi ........nl, If,p.y..nt I. .1Id. .I\or Ih. In'....1 ...puhll.n d.l. ,h.wn .n Ih' , N.IIIl, .ddlll.n.1 Inh,..1 'Ull b. ..I.ul.t.d, " Intl"II_; ht, bi'l~ Int.rlit Fiolol' 1m 1911'1991 1991 1991'1994 1991'1991 OX m OX 7X OX 1000u7 ,000101 ,000147 ,000191 ,000147 E~ ~ I" (!J :a !,l,i 'R f? !ill; "l') .~ r;~_ "J -. I' q . ~ ;i~ ~I ~g W '~ Sl. ... PUIIPOII OP IfOIIOEI To lulflll th. r'oulr...nll 01 loo\l.n 1l~0 .1 Ih. Inhorll.nOl .nd !l1.1I I.. A.I, A.I II 01 1991. (12 P.I, mll.ti 9l~01; PAVHEHT I O.lloh Iho I.p por\lon 01 Ihll Ho\lOl .nd .u~.H Hllh ~our p.v..nl I. ,Ih. R.ohl" .1' lUll. pr lnl.d on Ih. rlvil'.. Itd" I -- Hol<o .hook .r ,on.v o,d.. p.v.bl. I.. RIOIlTER OP HnLI. AOIHT, RIi'UND (eR)1 A,rlfund of. \,It or.dlt, whloh WI' nat r.qu.,t'd bn,'hl tiN r.turn, IlIIV b,-requlltld bv oallPllUna In "."pllo.Uan lor R.lund 01 p.nn.vlu.nl. Inh'rH.n'..nd E.III. To." (REy-um, Appll..ll.n..ro .v,llobl. .1 Ih. Olflu 01 Ih. R'OIlI., .1 Hllh, .n~ 01 Ih. U R.y.nu',OI.lrl'l Offl..." bv '.lIlno Ih' .pool.1 !~'h'ur .n'Horlno ...vIOl ny.b,"e fgr. for.. ardftr'~11I tn P.nn.~ly.nl.-l~aDO"S6!.1O.0, aut,ad. P'M_VI"lnl. .nd within lou' ' ""rhburo ,or.. (1111 1I1-009~, TOO. 17111 171'2IiI OiOl,IIIo I.p.irod Onlv!' O,JEO!lOHI, Anv PiitW_tn Int.,...t nat ..n,ft,d wlthth. .ppr.I....nt' .~_low.'1~. nt dhallow.no. of d,duotlont or ........"t 01 I" IIMl.dlno dlOo.unl " lnlor..O .. 'houn .n IhI. H.II" "V .bJ"1 .llhln.I.ly (001 d," .f roo.lpt of thh H.IIOI'O., '.' ',' , -'.rlll.n prot"l I. Ih. PA O.p"IOInl.1 RIV.nu.,' Oo.,d 01 ApPlllo. IIopl, 111011. ""rllbu,o. PA 11111-1011. ""I.ot~n.ta hlv, thl ..U.r-dlt.rllllnld at thl audit of thl aooot.mt of thi p.rlonal rlpr..'ntat1v., OR "'PPOIl I. Iho orp~.~.' CO"" OR ADltlH- IITRATlV! COAAECTlI)HII ~iGtual .,.~'or,'dllooY.r'd on thh '_.......nt Ihould b. addrUlld In Nrltlng tot ,PA D,p.,.t..nt ,Gfrtlv.nu" ,W',IIU 01 IPdIY,ldu.1 To"'" AITHI po'l A.,......,nl Rovl.. Unit. DEPT. ",0601. lI"rl.b"ro. PA l7lU,UOI Phonl ('711) 787-6101, ... pallll I, of thl bookl.t "tnltruotlonl fQr ton.rltlno'Tlte R'turn far a Ruldtnt D~otdlnt" (RllY-UQ1) far In 'KPlanlUon UJ'd.!rUltrluvlh GorrlobbS. ."ro,.lt' DIICOUHT, P~HAL TV' IHTIR!lTI If lf1~taH dUI II Plld wUhln t"tlt (11 otl"odlr lonthl aft,r the d.tledent'l d..th; .. fly. p,~o'"t Uln ' d'..ounl .1 tho t.. p.ld II .ll...d, Th. h~I."..n"ly n.n'p..,I.lp.llon p.nollvj. .0.p"l.d .n tho 10t,.1 0' tho t." and InlOr..t.......d, ond noi P.ld bafo\.' J'llU.r~ U. 1990, tho f1"t dov 'ftor tho .nd ., tho 10' ,,"..IV p"l.d, T~h n.n'porIIOlp'lIon p.nl1t~ It IpPIIllbll In thl' .... .IM'r find ~n the thl .... tI.. plrlod'". vou ~9t.lld.pptal' thl bK and 'ntar..t Ih',t hll b..n i......d .. Indl"lOd .nthh noli.., " Into,..1 'I. .horO'db'olnnlno Hlth 1Ii.1 d.v 01 d.lln....n.y' or nln. (91 oOlllh. .nd .n. (I) d.y '1"0' th., dat. of d.,th, to thl dati of ply.,nt, TlKII ..hloh bIUI. dlllnqulnt b.forl Jlnu.rv 1; 1'81 ~..r Inl,,,..I'., Ih. rot. .f olK (.~l p"..nl p'r annlllO ..IoUlOt.d 01 . d.llY rOlo ., ,000U~, Alii.... .h'.h b..... dollno".nl on or'/I" J.nuory I, 1941 Hlll,~'1r Int....t.1 . fOlO whloh Hill vorvlr.. o~lindar ~Itr 'to olllnder v..r with thlt rat. JMc:iunold bV the PA alp,rt"nt of R,ytnuI. "Thl 'PpllC)lbl. IM"..I ,.,,~ '.' 19U Ihr.Uoh 1991 or," ' V'or tnt.ttttA,te Utllv tntlt-..t'ICI\Or ~" In"'OII "". o.llv Inl.,..t p.Ot.r - 1911 lOX ,0001\0 1917 9~ ,0001\1 IIU 16~ ",000\11 1911-1991 IU ,000101 191\ IlK ,000SOI 1991 'X ,oOOl~1 1911 'IX .0001&6 1995-I999 tX ,000191 1916 10~ ,000l1~ 1991019" 9X ,000191 ..Int.rut J. o.l~uhtld al I.lhutl XNTBRBST . SA~ANaH DP TAM UNPAXD X NUNIBR DP DAVS DB~XMQUUHT X DAX~V XNTURBST PACTDR uAtW NoUet 'nuld 'Hlr thi "tH bIClo... dlllnqu.nt will refllct tn In\tr..t c,hull_Uun to flftlln (111 fI'V' biVond thl dlt. of the ....,.....nt. If plv.,n' II ..de .ft'r thl loter..t COIIPlttltlon dati .hawn un th. Notlo., addltlon.l Int.r..t .ust b, ollauh'ld. /b'./Cf<j-/I IUMIAU OP INDIVIDUAL TAKla INHlRI7AKQE lAM DIVIIIOH IIIPT. .1"11 HARRIIIURQ, PA 11111-1611 OOHHONWIALTH OP PINNSYLVANIA DIPARTHINT OP RIVINUI :lNHBR:lTANOI TAX BTATIMINT OF AOOOUNT CVw .n.IUIII U, III.'" URSULA RICHARDSON SUBRURBAN PARK APT, 2688 CARNEGIE RD YORK PA 17402 DATI IITATI 011 DATI 011 PlATH PILI NUHlIR OOUNTY AON 08-01l-1998 BARB1BRI 06-17-1997 21.97-0642 CUMBERLAND 98000566 ~.Qunt"",Htlld ANTHONY J I ' I HAKIl O"IOK PAYAILIl AND RIHn,PAYHINT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 170111 HaTe T, To lnlU'" p~~r orlldH to ~our 1lO0ount, I~H the IlpfMIr PQrtlClli o~ ,thll forti wHh !lour t.M p,~~, OUT ALONO THII LINI .. RITAIN LOWIlR PORTION paR YOUR RIOORDI ~ iiliV':I'b"-i'll'-~~1I'-rD'f:m--.----jjM'l('-fFiIlIRiYA'AflY-fA'lr-it'A"ilmif-'Q'\f'-~'lrcl'aWf--il.ijj----------------.._-- ISTATIl OP BARBIERI ANTHONY J I'lL. NO. 21 97"0642 ADN 980001166 DATI 08-01l-1998 THI8 ITATIHINTXI PROVIOIO,TO ADVIIIOP THI QUM"INT aTATUa OP THI ITAtlO AQH lH THI HAHID laTATI, ,aHQMH IIL~ II A llUlIIARY OPTHI PHXHaI!'AL TAll DUB, APPL,lCATXOIlOF ALL PAYHINT., THI CURRIHT IALANeI, AHD, lPAPPL1CAILI, A 'IOJSpTBD IKrSRIIT 'IQURS. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENTt 06-08-1998' PRINCIPAL TAX DUE" ljS03~S9 PAVMENTS (TAX CREDITS). PAYMENT DATE 06-17-1998 RECIlI I1T NUMBER AA29611114 DISCOUNT (+) INTEREST/PSN PAID e-) 1I4,16- AMOUHT, PAID 1 , S1l9 ,78 N ~;,!.l 15 .\' Po ""i.'/ " N 11 , Ct. " ~ , " ~ ':1 Ei )" ~~ ~&! ~ 'TOTAL, TAX ORIDIT , IALANOI 01' TAX PUI IHTIRIST ANP' PIlN. M, IP PAlO APTIR THXI DATI, 811 RIVIR8B 8101 PDM DALCULATIOHOF ADDITIONAL IHTIRIIT, I IP TOtAL DUI II Lla8 TMAH fl, NO PAYHINT xa MlqUIRID, XP TotAL DUI lS RIHICTlD AI A "CRIDIT" (CRI, YOll HAY 81 DUI A RIFUND, &Be ReVIRB! 1101 OF TillS FORH FOR IHBTRUCTIOH8, I TOTAL DUll 1,BOS,62 2,211CR ,00 2,2110R ';, PAVItIIlTI U.lltOt1 lilt lop po,"on .f Ihlt Noll.. end ....It Nlth ~ou, p'1/IIOI11 _ p.~oIIl. I. ,Ilt n_ ond oddr... p,lnloct on \hi r.yo,.. .Ido, -- If RIIIIIIIIT DllC!llllNT ..... ....... ., "'""'~ .'dor p.vtlll. IO! RIGIITIR OP WILLI, AIINT. "" If NON'RaIlIllllT DIlC!llllNT ..... ....... ., .....1- .,d.. p'~"'I. "1 CDI4I\DNlIIALTH Op PIHNIVLYANlA. Rl!PUIlD (ClllI A refund .f . I.. .r...II, Nhl.h N" not """".I.d .n lilt T.. R.lorn, ..v bo ,,,,,,,,,.1... b~ ."""I.llnt1 .., ", "AIotlIl..llo11 f., R.fund .f P_.~lv,,"l. I""'rll..,.. ond ~.I.I. ro." (RaY-IIU1, Appll..llon.... ...110111. .1 \hi Offl.. ,Of \hi Rtlltl.. .f WIIIo. on~ .f lilt II R.V..... OItI,I.1 Of II... ., f'.. lilt 1JotI,,"""". ,4-hOU' on_'lntI ~,vl.. nuobt'.,f.r f.,.. .'do,lngl In Ponn'~lvon,l. 1"OO.56'-'OBO, oul.ldo P,"".~lv..,l. end Nlthln 100.1 Ho,rhbu,g .,.. 17171 7.1,'109-\, TOO. (717),77'-11&1 lHoorlntll....lroct onh), RiloLV TOI 1I0..tion. 'IIIrdlntl orr." .onl.lnod on Ihlt noli.. .hOllld bo ""d.....d IO! PA'DIp"'Hnl .f R.vlf1lHl, Bo,..o ~'f Indlvlduol T...., 'ATTNIP..I A...."""'I R.vl.. Unll, P.p" lio60l, 11.,,10""'11, PA 1711.'0601, ~ (717) 717-6101, PIlCOUNTI If on~ I.. duo 10 p.ld Nlthln th'H ISl 1.I.ndor IOnlh. .ftor ,Ilt doG.....,I'. do.lh. . flv. po'tonl UX) dh.OurtI .f lho I.. p.ld I. .110N0d, PflIALTVI Tho IIX I.. ....IY non-porll.lp.llon """,,II~ h loopul'd on lho 10,.1 of tho I" ond Inlor..1 ........., ond nol p.ld bofo" Jonu.'v I', 1996, lho fl,.1 do~ .f'., ,hi end .f tho t.. ....I~ p.,I.dl INTIRIITI , Inlor..1 10 Ih..1IId boglnnlt\l Nlth f1I,.1 d.~ .f d.llnou.no., 0' nino Ifl ..nlh. !'n<l ont 1I) d'r f'M tho doj' .f do.'h, loth, d.I..f p'~HnI,T.... Nhl.h bo.H. d.llno""'l bofor. J_..~ I, 1912 boor Inl....1 .1 lho ",. .f ,I. 16~1 peltonl po, onnuo ..1001.11d '1 . d.II~".I. .f .000164, All I.... Nhloh bo.... dollnquenl on ond .fl., Jonuo,~ I, I'" NIII ,bo" Inl.,..1 .1 . ,.1. Nhloh NIII v.,. f'M "' lend., .,., t. o.londo' .,., wllh lho' ,.1, onnounold ~. lho PA,Dop.'tHnl .f R.V*""" Tho IPPlloolll. In,.,..1 'NI.. fo, I'll Ih'OUIh 1"1 "" " V.I,. Inl...1I R.I. P.I.~ Inl.,..1 '101.r V..,. Inl....1 ROt. P.II~ Inlor..1 rIOlo, - - 191' lOX ,000141 1017 'X .000147 1911 16X .000411 1911-1991 IIX .000101 19M IIX ,OSOlOl 1991 ox ,000147 19.- IIX ,000116 199'-1994 7X .000191 1916 lOX .000174 1991-1991 OX .000147 --lnl.,..1 1.'..loul.I..... f.IION.1 INTBRB8T . BALANCE OF TAM UNPAID M NUHIIR OF PAYS DBLINqUBNT X DAILYIHTB.B8T FACTOR --An~ Hallo. ...UNd .'10' lilt I.. boo.... d.llnquenl NIII r.fl.ol on Ih'.r..1 0.1601.llon 10 flfloon liD) d... bo~ond lho d.l. of lho ....."""'1, If p.~.,nl I. .Ido .fl., 'Ilt Inl.,..1 10,""1.llon dll. thoNn on lho NoU.., oddltlonol Inl...lt 11\I.1 bo ..1.ul.l.d. ' IIot.... Iho :1.... partlll!l ,,1 thll ""II.. lI1d IIlIHlIt wltll ~.ur rav..rl .1Idco pavlllll. t. 'Iho n.... ""~ .delr... print" 1I11hO r.v.r"'.lil., ' ,', ~., L. 1._ '-If. tlllIlDlHI,lHlC.""!c;..... ohtok .r ..."'~ orller ray.bl. I.' RIOIITIR Of Wl~Lli AOINT, .. If' HO!l-RmP4lWI IlI!CIIlHlHI ..... .11o.k .r ...n'~ urd.r p.y.bl. t.1 coliHoHlflAI.TH Of PIHNtVI.VAHIA, m\lHD (~Il A r.I\lf1d." t" mdlt, '""I.h W,I'".I r.quo.Ied oo'h',11M R,I.rn, oov b. r'qil"t.dbv .oopl.llnl 1I1 "Appll..tlll1 'lorR.lljIld 01 p.nn.vIV1I11.lnhlrUll1.. ond Utlt. 11M" lRIV-lsm, .pplI..IIl11. or. ,v.Ilt1lI. .t t""'Dlfl...1 tho R.,I.tlr 01 Hili., on~ of tll. II M'V'nue OI.Irl.1 Olll..~ or'lr" tho D.p.rt,,"I'. a.-hoUr on...rl", l.rvl.. ~r' ~or '.ro. ordlrih" In p.no.yIVlOlo l-aoo-saa-aOIO, out.ldo ~tnnl~IVIOI. end Within 1..,1 lIor".bUrl .f.a 1111) 101-109., IDo' 1111) 111-"0' lll..rlnl lop.lr.dunlv" RlPLV 101 Q\IO.tlll1. r...rdlnu .rror. ~.ntoln.d o~ 1111. notl.. .1I..ld b. oddr....d t., P. D.partoonl ., R.Y.nue, lur... of IndiVidual ,To,.., .TTH, po.t ........nl R.YI..Volt, Dopt, ,10.01, ".rrl.burl' PA 1111.-oaol,ph.", (711) m.a'O., DIICDllHh If IOV tlM ",,"' It plld .lthln thr" lSl .al.ndar oll1lh' oltor Ih. d.olll.nt'. elI.lh, 0 IIV' por.onl lIXl,dl.._I of thO 11M p.ld I. .1I..ed. , I'lI14ILTVI Tho IIX I.' _..W n",'p"rll.lpaUon p.rioll. 10 .....ul.d on tho lot. I of Ih. I., ond Int.r..t .......d, ond not p.ld bOf.r. Jono"" la, 199a, tho flrel d.. oftor '110 ,nd 01 th' ,11M _..IV porl.d, IHTIRI'I I Intor..111 ,hor,.d bO'lnnlne With flrel d.v ..I d.llno..n.V, or nln' \9) 0..111' and ono III day It'.. IlWI ,~.t. .f doolll, to th. 'dil. 0' p'ilttnl, 10... whl.h 1I.~..,dod;'.u.nt ,b.lm Jo~uorv I, ,l9l1b.or In,.re.I'it tilt, r,t. of ':.IH (6X) p~r....t por onn.. oolo.lol.d.t 0 dollv ro'. ., ...00a,! All t.,.. ""I.h b..... dol,l.quonl .. ond oft.r J,""lr~ I, 1911 will bOor ,lntor..1 .t a r.l. ""l.holll ..or. fr.. ..I.ndar ~..r 10 .il.nd.r v..r .1111 Ihal rot. ......uno.d bVtho PA Ooolrloonl of R.v.nue, II1o,IPpll..bl. Inl.r..1 rl'" '.rl91l 'hr.UOI\ 19" orll vllr Intlr..t R.I. ,DoIIV Inl.r..1 FI.lar V..r Int.r,,1 Rat. ballv Inl.r..1 F.at.r - - I'" lOX ,000"1 1"1 9X ,DOlt4?! 1'01 16H ..ooom 1911-1991 IIX .000101 I'" lIX ,000101 1991 9X ,0001.1 "" 'IIX ,ooo..a 199"'99~ 1X ,000191 I'" 10H ,0001t.: 1991-1990 9X o 000l~7 utntari.t 11 (I_loulahld '1 fClUcn~11 , JKTaRBlT. .ALAHOI'OP TAHUMPAIP " HUHIBR aV DAYS PBL%HqUBHT " DAIL~ XHTBRBBT PACTOR " .-.n. Ha\lOl 1..II.d ollor lho tl' b...... doll"""lnl 0111 r.fl..1 1I1 Inltr..1 .llOllloUon I. filtH!! (Ill dlv' , bOVand 'ho dill a' '''' ..........,. If pl~Hnl I. ,..dl allor lho !nt.ro.t .....ulo\l.n dol. .- 1I1 Ih. Hatl~.' Iddltl...l Inl.r..1 ...1 bl .11.1l1.lld, ;.1.'1 I .. , , L , ., " -, \ \'\'! ," <.:.... \. ,,,h... () 1/' -\ . " (1.. n , . 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