Loading...
HomeMy WebLinkAbout97-00664 CIIHHOHWUlllI or IltHHIVIVAHIA 1If.IIAHtHUn IIr NtVI:HUr. IIIRtAII III IHIIIVIPIIAI IAMtI Pfl.l'll U0601 IIANRlUlIllD, I'A 111/1.0601 /~/96. %NFORMAT~ON NOT%CB AND TAXPAYBR RBBPON8B AON DATI PXI.Il NO. 21 'f'l" it ''1 97130872 07-08-97 ItH,iJllmCfotll S'~TXO~4B~~~~~~Tg*K M~UHANICBBURG PA 17088 TVPE OF ACCOUNT EST, 01' GENEVIUVE N BI.UMANSTOCK ~ IAV%NOI S,S. NO, 183'12-3738 CIIBCK%NO ~~~~T~I' DEAT~UM~:Rt:~~7 ." ~:~~iF, RBH%T FAVHBHT ANO FURHI TOI RF.GISTtR OF WIl.l.S CUMBER AND CO COU,RT HOUSE CAReIS E, PA 17013 PIBCU hll IIroVld.d Ih. Pl.lrl..ol Hllh Ih. ";,.r..\I.o 1IIIId bllo" Hhl,I,hOl,bl'o u..d In olloulllloo Ihl pot,nUal '"Ie dUll Th,Irr"oard' lndlut. th,tlt' thl dlftth of 'h~ nbDV' dtoldlnt, you Wlrt a Joint awntr/h,",f\ol"rv of 'hit UDount', If Vall fn' thl. Info,...Uun It Inoorrlot, pl..... ohtnln wrlthn OOtt.o\lon fra. thl flnanolal In.\ltutlan, .ttlu~h ~,ooPv to thl, for. ,nd r.turn It tll thl abCJv."ddr..., Thh .oaQunt h \:'MII111 In loooi"dlllCltl with thl Inh.rlt.nu laM law. Qf thl COll/fIIonw.ftlth of PtMlvlvanla. au..llo',1 .IV b. Inl.".d bV .111100 \'111) lll-IUI, OOMPI.ITIl PART 1 'I~OW M M M 811 RIlVIlR81 8XDIlPOR PXI.XNO AND PAVHINT ~N8TRUOTXON~ Aaaaunt Na.' 018312S7SS-SHI Ooh 04-21-92 To lnl"" .ropar or.dll 10 .o.r .,.ounl, 1.0 Bahblllhod (I) .0.1.. 0' Ihll 0011.. oUII 1O.00p... ..u, paVII.nt to ,the ,R.,ttt.r of Wiatt, Hlle. ch.ok PIv.bl. tal "Rtgl,t.raf 141111, At.nt". Aaaount 80lanoo 696 .43 "o~alnt T"""bl. r 80 , 000 .I.. HOlEI tf 'aMPIVlltntt .1'1 ..d.wUhln thr.. ^~ount lubJ.at ta TO" 34a .22 Ul oonthl ., Ih. d..ldlol'l dll.o' d..lh, TaM R.i., )( ,06 you ,~'V d.duot . 9~ dhqaunt of th.'taM du., Anv'" lnnlrJ tlnu hKidUI 'will ,h.oo.. d,IIMulnt pahnUIl To" Ou. 20 . 89 olh. (9) ..nlhl 11\" Ih. dll. 0' d..ln. "MT ..' , , . ' , , TAXPAV~R RBSP,ON8B ,', " ,',' ' ," III I:: ;'~XW.RI,Tq.. RI'~Q"",.W~~~'.".8.4Lri,~".AN~\l~'Q'~,~iT"~A"I"'".It''!i''''',l!i,Q",'.TH.~,8'Hq,.,q'%1 A. 0 Th. .bov.' Infor..Uon an~ hM d~1 I. '(lorr..,t, " " ',' , , 1. 'You aflV IIhoou to r..tt PIIva.nt to thl Rlghtlr of Will. with two oapl.. of thit no\lolll to obtll" . dhoountor av"ld Int.rut,or vou .'V,ohtok,bo!C,IlAt',lInd rlt\lrn ,\hh nqtlol to thti R.ghtlr of Willi 'Inet In 0/110111 ........01 will b. 1...ld b. Ih. IIA nlParl..ol 0' R.Yln.., I, 0 Tht abQvI ....th.. b.,nor will b. reporhd and t.!C p.ldwlth thl Plnn,vlv.nl. InhlrUeno. Tall rl\urn to bl flhd bV thl dlatd.nt'tr.pr.utntaUv., 0, gThl .bOY. lo,or..llon lJ.,..I.o,orrl,1 .od/,a~tbh .nd dtduoUon, ~.r.'p.ld bv you. VO,U IUlt oo,p".te PART "W Ind/nr PART l!J bIlow, P~T %f yoU Indla.tl . dlff.rlnt t_Krot., pl.... .t.tl your l!J r.hUanohl" to doa.d.nt I , ' "All '''tTUIIN . 1l0MIlllTAnaN "" TAl( aN o.laXNT/TRLlll,' AOOOUNTII L%NB 1. D.tl B.t.bll.hOd I 2. Aaoount 8.1.nol a s. Peralni TI".~ll I 4. AMauntlUbJlat to TI" 4 8. o.bl. Ind Ooduotlari. 8 6, AMountT.".bl. 6 7, TI" Rlt. 7 M e. T." DUI I [ C~~~KJ nOCK , ONLY "OOT DATE PAID PAVEE DESCRIPTION 1~r <..~ i<'U~:t:,J i1~~:.~fc:~g:y fji:::(q~~t(lt~':flil..:i ,,~~Vf\ii/Mf: i:i! ,',' !,;!,~A!iQ.PAft1:H~Hr!,~Q~,!:':I{.~,'~ lI'i\:i/M 'i:e~~~'~i;~i:ij~;~;,~~~;;',"::f:;~':~'(!,,:. :~;7i'~~:::"1 Y"!':~;':,~!;'Sir;~K~AI!,l";ii,:,:< :'1:'::' 'lii\,!::'~1 :;,;4/;'" :i....'~(~:'i:i;i:~;L,f;I+~"::,' 'i " ~li;, ,;,1, ei,l~~[rl~i!i,i:;f1=,i:,](, '::1); i~';" " : ~ kl" ':":':iF\:,:'::~L ;:,,: "~ii,,:,: plaT8 AND DI~UOTXON8 0l.AIMI9 ~ t" 1'1 AMOUNT PAID t::,~~ plrjury, % d.ahrl th.t ,Ihl foato MY knoHl.da' .nd b.lllf. cL OENERAL INFORMATION 1, 'AILURI TO "",ONO W,~LL "IIUL T IN AN O"ICIAL TAN AIUIIHINT .llh .ppll..bll Inlor..1 b...d nn Inlar..\lon .uIltltl.d bV Ihl IIn.n.,.1 Inl\lIuUan, t. Inn.rl'In" t.. ~.'o... d.llnqu,n' nln. .onthl ,ft.r thl d.o...ntl, dltl of d.,th, S, A Join' "GDunt l. '"U." ,'/In thOUgh thl d,o.dll1tl, nil. ..II ftdd.d'lI II ,"tter af oo"y,nl'"ClI. . ., Alo"""lIlln.llldlnl 'holl h.ld b.I...n hll,b.nd .nd .".1 .hl.h Ih. d...d.nl,pul In 1.1111 n.... .lIhln an. V'" prior I. de.th .r. full~ t'N~I. II tr.n,f.rt. I. AoocKl\h "tHlhMd JolnUv b.'...." hu.blnd ItOd wU. lor. th,," on. Vllr prior to duth Ir. not tlll'bltl " Aooouoh held bv . dl.tdlnt "In trult forlt .nath.r ar other. It. t'lf~bl. fullV, REPORTIN~ INSTRUCTIONS - PART 1 - TAX~AYER RESPONSE I, IIOC~ A- II lho Inlar..II.. ond oaopul.llan In Ih. n.II.. .rl a.rrlol .nd d.du.ll.nl ,r. nol b.lnl .1.1..d. pl.ol .n "H" In blook "A" of Pitt I of thl "hMPlv.r Auponu" lIotlon. lion two 00,,1.., and ,ublllt 'thl' with !four thlok for the ..oUflt of 11M 10 Ih. R'llllor 01 Willi 01 1111 aounlv Irnll..hd, Th. p. D.porl..nl 01 R...nu. .111 I..u, on 01/101.1 ........nl ('.r. RIV'II.I IHI upon r...lpl 01 Ih. r.lurn "0' Ih. R'olll.r 01 Willi, I, IIOC~ I - 1/ Ih. ....I IP..III.d an Ihl. naU.' h.. blln or .111 b. rop.rl.d .nd 11M p.ld .lth Ih. P.nn.~I.onl. Inh..llonOl T'M Return 'Hid by thl dIO,d'n,l, r,pr",n,.tlv., pllOI In "M" In blook "I" of P.r' 1 of thl "TIMPIY'" Rltponlt" t"Uon. lien one oopv ",d r.turn I. Ih. PI D.porl..nl ., R..'nut, luro.u.f ladl.ldu.1 I"", D.pl 110.01, H."llburG. PA 17111-0601 Inlh' ....lapI pravld.d", , ' " , I, IIOC~ C . If Ihl n.llo, lnl.rullon I. In.o",ol 'It.d/.r d.duollon. .re bOlnl .1.I..d, .h..k blaok "C" lad ...plll, P.rl., .nd I ".or~'", to thl ,ntvuculonl hIJ.O", .llIn "'0 Gapl.. 'nd tUb.1t 'hi. wit" wour olt_ok tor tn. UUlHl' of ,.." pll"Il.,4.. u. U... A,"lth'" 01 Will. ., lho ..unlV Indl..I.d, Th. PA D.porCllnl of R...nu, .111 I"u, .n .ffl.I.1 ........nl C,or' RIV.II.. IH) up.nroOllpl 01 IhI'r'lurn Ir.. Chi RIII.\Or 01 Will., TAX RETURN - ~ART 2 - TAX COMPUTATION L1H1 I, IMor Ihl doi. Ihl ...01111 orllln.llv W" ..toblllh.d .r III1.d In Ih.llnnor 'll.lIng .1 dll' ., d,"lh. IIOTII 'or. d,"d.nl dvlng ./t.. 111111111 ....uncl ~hl.h Ih. d...d.nl pUI In 'jnl n.... . Ihln .n. !II .nr 01 d..lh or. '1lClblt fulh .11, 'ran,f,r.. UON,ver, thlr. I In IMoh..lon not to 'Molld 1,000 plr trln,'.r.. r.glrdl,.. of thl '"Iut of 'hi I.cauot or thl nu,blr of laoount. held. If. double .I'.rl.k (M") '_Pllr. bltar'Vaur 'Ir.t n... In. thl addr... portion af thlll)otlot, the-n,OOo IMolu.ICJI\ elrtHy.h.. blln d,duot,d 'rot the ',UOU"t bll.no. II rlported bv thl .'".no II In.tltutlon, I. Enlor lho':t.I.1 b.lon..,ol Ihl ...0uni'lnoIYdlnl Inl....\'..oruld I. Ch. d.l. of d"'~' , J. Th' plrCltn of thl 'ooour'lt U111 It teMlbl1 for lIoh .urvlvor I. dltlrllnld It followl. At Th4 plrolnt tIMlbl,'.or jo nt ....t...t.bll.h.d lorl than ane Vllr prior to thl dIG'd,"t', d..thl , I OlY10lD IV TGTAI HUIIIIR DO OIVIOIG IY TOIIL NUNIER DO M ID9 . PIRCINT TA~AIII JOINT OWNERI IURV1VINO JGINT OWNIRI , " ' 1....101 A jalnl ...., rogl,'or.d In Ih. ri," 01 lho d...d.nl ond 1.0 alhor por..n., I GIVIDID IV J (JOINT DW~RIl DIVIDlO IV I (IUAVIYORII' ,167 M 100 . 16,7X CUHABII 'OR IACNIURVIYOR) I" lh.;p,ro.nt tlMHi. for "l't. or..,.d 'Within on. Yllr of th. dlnd.nt'. l;I..th or HOOtMt. own.d by the dtOedlnt but hlld n IruII lor, onolhor Indl. du.Il.1 (tru'l b.n.llol" lull '" I GIVlDED IV TOTAl HUHIIR 0' IURYIYIWO JDTNT N 100 . PIACINT TAMAIII OONlRI DA TRUIT IINIPICI.RIII IKlopl" J.lnt ....unl roololorld In Ihl n... ., Ih. dlOlidlnl ond '.0 olhor Plrlanl ond ..toblloh'd .lthln ano vllr .1 dll\h bv thl d.cldlnt I '. .' I OIYIOIO IV 1 lIURYIYlIRl) . ,10 H 100 . IOk UAxml FlIR IICII IURYIYOIII .. ThI _I .IIbl'.' to I.. <I,lno .1 II d.I""lnod bv ""lllplvlno Iho,lI.ounl ..1.... (II.. II bv IhI p".onl I..obl. Clln. II, I, Int" tilt loll '01 ho dobl. oncl do<AA!ll... Iolld In Plrl I, ' , 't (hi Moun' lI."'lt' \lInl..' t. o'llr-Intd bV .uotrluun. tM liellh Ind dtduaUon, ClInl U frol tnl IHunt IUbjt01 to tl. us". H. 7, Inl'or 1M opprl'''' ',1.. ro I <I no 7).. d.,."ln.d.o.law." ' A, Fo~ dOl.. 01 dI.l~ OIollrrlnl 1/1" 61~!~91. tho I.. rolll lor Iron.I". I. "aUII' .re .. 10110." I. D.t.. " dIIth on or,.'llr 7/1/.. ono b.,o,. 1/1/.. Ih. rll. I. Ik, ' I, O. .. 01 d.. h on or l/tor 111/91 Iron, lor. 10 .pou... .111 ill 1..1d .1 OH I.. rol., ' 001., For d.I.. or dI.lh p,lor 10 7/j/9' "on,'.rl to IpOU." .r. I..obl. ., ok, I, Tron.'or. I. Inlll d....rnl.nl. n.IUdlno I.lhor, IOlhor, 'on, doutht" I O'ondohlldron, ..n'"ln-l'., doullhl,,'ln'IINI .llIohlld oncl thllr I.... or. I.Ubl.. IIH porlonl (oMI, ' C. Tron,.re 10.1 olh'ro Inoludlnl brolhtr, .Iolor, """II, IUIII, DlPh141 ond nltc, or. I..obll tl/l/l- PI.oonl (Ilk), 0, If vou ohllDll Ih. I.. rotl, ...... .pIC IV vour rollllon.hlp 10 'hi d.o.dlnl n lho "" pro. d.d, , I, Thl ..01101 01 I.. du.lllno Il 10 dllor.lnld bV IUltlplvlng IhI '1CjlP1 I...bl. (IInl 61 bv Ihl II' roC' Clln. 7), , CLAIMED DEDUCTIONS - PART 5 . DEBTS AND DEDUCTIONS CLAIMED AII..~I. debl. ond dldUcllon. .r. d.,.r.lnod .. 1011...1 A. Vou l.g.llv .r. r11...'lbll lor plv..nl, or Ihl ..,.1. .IIbjl.' 10 Idolnl.lr.,lan b- . p.r.onll roor..onl.tl.. I. Inlulllolonl to p.V lhOdlduol bll II..., ' I, VOU ,,'u.ll~ Plld lhO dobl. tfl.' dollh ., thO d...donl end oon lurnl.h pro.' .1 p.v...,l, O. Dtbt,blln. 011.1'- lU.t bl t..I'ld full~ n Plrt S. If add'\lo",. .paol I, ntlded, U'I pl.ln plplr . 111" Mil". Proof of p,v,,"1 IOV b. roqulllld bV IhI PA Dllor'",,' 01 AI.",,", ' ::V{]\~u1t\: ,,,,,' ,,,,' ,,',',',",' ",....',', 'T~P~VB~' ~.ST NeB""".,"" '.,' ,'.'.. " ""'.""",,,'. ".:',',',',","',., '" .'..,.",..,',.'. ~' . A, "':"". "',::"','.".',"""',":"'." i,',IP'YOU NEElD' FURTHER I R~' 0 'OR AS&lSTANC~1 CONTACTaoo'" Vi' i " RBGISTER OP WILLS. PA BP T BN OF REVBNUlllISTRXCTlF, CI!., :.' , " ,OR CALL THE URElAU 0 INDIVID A T XES TAXPAYER N UIR NIT IN '. ' HARRISBURG AT (71') 787-8~27, TODt (71~) 7t2-22S2 (HEIRYNO HPAIRElD ONLY)