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HomeMy WebLinkAbout97-00850 COHHOHWfAt III Of IltHHIVIYANIA UI'PARIHtH! 01' RfVfHUt BIIRI'AU Of IHDIYIOUAL lAin 1II~"f I 2110601 IIAU. 1 ,'1\".0 , PA HUI'OOOI '*' 'IOC} "J / :')" l'--~ ~ ~ I'~ INFORMATXON NOTIOe ANU TAXPAveR ReSPONse PI~I AON DATI :.1./-91- {l5D NO, !18' 97143300 10-09-97 m'lIn,,"'t"''' ROBERT 0 FIKE 130 EVERGREEN PALMVRA \ ' LN " 17078 ,~" -IF -~, \ TVPE OF ACCOUNT t::ST, OF BEULAH M PIKE ~ IAVINoa 8,8, NO, 196-34-817.8 CtlBcKINO DATt:: 01' Dt::ATH 06.2~-97 , TRUIT COUNTY, -l,HAflllN- Vu 1\\ Ll. ('t (:iN) M k mUf , RBHIT PAVHINT AND fDRHI TDI REGIST~R OF WILLS UBANO ~OOOOURTnHOUllE LUANO T'PA-1704a.. (IU\'l\ 131" R 1 Mil,]' e('j (IOU({I UuuU, (' n ,:1.1, ~ I (', ('~ I') rll,' DAUPHIN DBPDan DANK I TR CD hll pr..i.o. Iho Dop.rl.onl wlIh Iho Inl....II." 11010" U.I.w Whl.h hll Uun UII. In olla\l1.Un; thl potlnth.' taM dUI. Thltr reoordt IncUoattl that at thl death of th. aboYI dlCldlnt, vou wlr. .. Jolntown.r/blnlllol.rv of thl, tooGunt. If VO\.! h.l thh lnfor..Uon " lnClorrtot, pl.... obtain wrUh" QliIrrlotlon frOIll thl Unanolal In,UtuUcm, .Ulah . CI.OPV to thll for. and rlturn It to thl .bov. addr.... Tnb ICloaunt II t'lCabl' 1n 11'IoordanOl with thl lnhnh.nol Tile Law. of ,th. Co...onwlIlth of POf\r\ivl'Janlll,QIJUUOnl lIlO:t' be onlwlr'~ bV ol4\Unt (717) 787.c)3&1, OOHPLITI,PART 1 BILOW. M M 811 RIVIRSI 8XDI POR FXLXNO AND PAVMINT XN8TRUOTIONS A...unt No, 32896204 D.ta 03-09-81 r. Inou.. pr.por ....11 I. v.vr ....ul1\, tw. U.tapl!lhld (e) oopl.. of thh naUoI lIlu.t loca.pln:t' vCJ~r pa~..'nt to thl R'Ul.twr of,Wlll.. Hftke chick Pft~abl1 tOI ilAlulltlr of Willi, AUtnt", ' A.o.unt D.lanoa 869,21 paro.nt Ta~abla H 60, 000 "oun' Sub.... '0 Ta- 429, 61 HOU,.' 1/ t.. p.voonl. ... '..0 .llhln throo n_. , ~," n el) lIlonth. of thl dae.dlnt', date of dl.th, TII( R.t. M I 06 you il~V dlduClt . IX dluount of thl tlM dUI, Anv h,hlrltlnol hM dUI wHl blOC.' d,Unqulnt pohnti.l Ta~ Dua 28, 7B nino (9) ..nlho ./lor tho .oto .f ...th, mT'~n~.t.~~,~,,'.lii::' ,qi\" ,,~~H.~:i\f ,l~:nli." .,~;;;~"~;!~:~,~~~;:~~i~::'A.'...H.Hmi::'A,..~1igH;i~!Il~.1!i/.i,i'ml'fiI [CHECK ] ONE BLOCK ONLY Thl aboYI lnfor..tton'.nd taM dUI I, carrlat, I, You .'V ohoo.. to r.IIU pav.'nt to thl Mlahtar of'HUh with two GOpt.. of thlt nQUclI to Obtai" Idl.oount ~r avoid tntlrt.t, or VbU "V ohlok baN "A",'nd return thtl'notlol to thl Rlal.tlr of Hill. Ind en offl01.l ........ntwll1 b. lttu,d b~ thl PA ntpert.ant of Mev,nuI; I, 0 thl ebava Ulllt hat blln tlr will bl rlPorhd and tlX paid wHhth. Pflnnlvlvlmle lnh.rlt.nol TIM rlturn to bl flhd bV thl dloldent'. npru.ntaUVI. C, 0 Th,' "bov. .lnfarMaUon l,,;.noorr.C1t and/Q~ebtl end dlduotlon, wlr. paid by ~oU. You .Ult ClOMP11" PART L!J end/or PART L!.J bllow. ;, P~T If ~.u Indl.a a . diff.ran a~ ra a, pha.. I a a ~our ~ ~.l.tl.n.hl~ t. da.od.nt, TMI. RIlTURN. IlOHPIJTAtxON OF TAlC ON JOINT:lTRUllT AllOOUNT'I LINe 1, D.t. e.t.blllhad 1 e, A...unt Dahno. e I, Paroaht T.~abla I w ~, AMount aub~aot to Ta~ ~ a, Dabt. .nd D.duotlan. a 6, A~ount TaMabla 6 7, T.~ Rata 7 w ,8, T.~ Du. a PART I!l DATE PAID DIITB AND DIDUCTXON8 ,C~AtHID PAVEE DESCRIPTION AMOUNT PAID I, J II.'" .. ,t.. . .f ,.. '_I.U..I ~ p~4~"I da~l.ra that the f..t. I h.va rap.rtad ab.va .~a true, .orra.t and - tlDwl~dO. and bl1 laf. I:lJlJ1A (7/7),5' 3"3 - </ (II' / WORK (6/0) rrt/O.C70 l:? IO~16,q7 DATE GENERAL INFORMATION ., 'AlLURE TO, RE,PONO WI~~ RE'U~ T IN AN DFFICIA~ TAM AIlEIlHENT .Ith oppll.oblo Intor..t 100..11 .n Info...t I.n .ub.llt.1I bV Ih' flnon.l.1 In.lltull.n. !. lnhlrit.nol '1M bIOD'" dll'nqUln\;nlnl.onth' .ftlt \h, dIC,dln'" d~t. of d"th. I, A jolnl ....unl 10 1...101. ..in Ihouonlh' d..id,nl" n... ." .d,l.d .. · ..tlor of ..nvolIl.n.., A. A,..unh lIn.ludlng III." h.ld b.I...n hu,b.nll .nd .if.l .hl.h tho d...d"'\ I,uI In j.lnt n.." .lIhln .n. vlOr prl.r t. dl.\h Ir' fullV t,M.blt.. tr.nl'lr,. I. A.,.unh ..1I",loh.d j.lntlv b.I...n Ilu.b.nd .nd .If. .or. Ib.n .n. v..r prl.r 10 dooth or. n.1 t...bl., 6. AQoountl hlld bY I d.nd,nt t'ln trUtt forti ano\hlt ar athlr. ,t" '8wabl' fullV. " I, iIOC~'. If I~' Inf.r..II.. .nd ...,uI.Ilon In 110. noli.' .r. ..rro.1 .nd dodu.ll.n. .r. n.1 b.lpg .1.lo.d, pl..o .n "X" In bl..~ "A" .1' P.rl I,of 110. "T.,p,v'r R..p.n.." ...Uon' lIun I.. .0p10l .nd .ub.1I 11000 .1110 vour .h.ok for thO ...unl .f I" I. 110. R.ol.lir of WIll. .f Ih. ..unIV Indl..I.d; lh. PA o.p.rt..nl .f R...nu, .111 I"U' .n .ffl.I.1 ........nl (For. REV-l'... E)U upon rlc.lr,~ of thl r.turn fro. thl R.,litl" of HIUII J, UOC~ i _ 1/ 110. ....1 .p..lfI.d .n 1101. n.lioo 10" b..n .r will b' ..p.rl.d .nd II. p.ld wllh 110. p.nhlvl..nl. Inh.rll.n.. 1.' R.lurn fllid bv 110. d...d.nl'. ropr...nl.II.., pl.o. on ,,~" In bl..k "i" .f p.rl I .f 110. ''In'P.v.r R..p.n.." ..oll.n, IIgn on. ..pv .nd r.lurn 10 110. PA o.porl..nl .f R.y,nu.. iuroou ., Indl.ldU.1 T"", D.pl 110101, lIorrl.buru, PA \lIU-OoO\ In 110. " .nYllop. provldld, ~, ilOc~ C _ 1/ 110. n.ll.. InT.r..ll.n I. 1000"..1 .nd/or d.dooll.n. or. b.lnA .Iolo.d. .h..~ bl..k "COO .nd ...pl.1o Pori' J .nd S ....rdlno 10 IhO 11I.\ruotlo,,' ~ol.., Olon I.. ..pl.. ond ,uboll In.. IIlIh V.llr ohooll ,^' 1M "ollnl al I" ....101. to 110. Roul.lor of Will. .flh' .0unlV Indl..I.d, Th. PA D.p.rl..nl ., R...nu' will IOIU. .n .fll.I.1 ........nl IFor. R~.-\l., ~Xl up.n r...lpl of thl rtturn'fro. thl RI,l,t,r of Will., TAX RBTURN . PART 2 . ,TAX COMPUTATION REPORTING INSTRUCTIONS - PART 1 - TAXPAVHR RESPONSE LIH~ 1, Unitr thl'datl thl aaoQunt originallY wat ..t~hl1.h.d or 'illed In thl ~Inn.r ,",,'Ing at dati of dl.th, WOT~I Fo". d...d.nl dvlno ./lor IIIII/I!I .,.ounl. wnl.n n. d...d.nl pul In lolnl ......llhln on. 01 v.or .1 d..ln ... 1...101. fUllV .. Ir.n.'.", 1I....or. thoro I. .n ...Iu.lon nol I. ..o..d U,OOO por Ir.n.for.. roO.rdl... .f 110. ..Iu. of thl IOQount or thl,nu.blr af nODount. h.~d. I' . doubl. ..I.rl.k (..1 .Pp..r. b.,.r. vour flr.l .... In Ih. .ddr..' p.rll.n of Inl. nollo.. Ih. '1,000 .,.Iu.lon .Ir..dv h" b..n d.duol.d ,roo 110. ....unl b.l.n.' ., r.p,rl.d bV 110. fln.n.I.1 In.lllull.n, E, ~nl.r 110. 101.1 bllln.. .f Ihl I..ounl In.ludlnglnl.r..1 ...ruld I. Ih' d.I., 0' dlO\h, I, Thl por.lnl of 110. ....linl Ih.1 I' 1.,.101. for ...h lur.I..r II d.tor.ln.d .. f.I\.." ' A, Th. roro',nl 1...101. f.r joint ....\1 ..Ioblloh.d 10ro \lWO\ on. vOIr prl.r 10 Ih' d'.ldonl'. dooln. I PIVIPED iV 10TAI HUHiaR CF oIVIP~D iV IP1AL HUHa~R OF ~ lOG . P~RC~Hl TAXAiL~ JOINl OWH~R~' SURVI.IHO JoINT OWH~RS EM.,pll' A Jolnt-...., re,llt.rld In thl na,' af thl dlcldent and two other plrton'l I OIVlO~D DV S ~JOINl OWW~R81 PI.IO~P,iV J (AURVI.ORSl - ,Ill . 100, . lI,l~ (l..~il~ FPR ~ACII iURVI.ORl i, 1101 por.lnl to,.bl. '.r ....I. or..l.d wllnln on. v..r .,In. dl..dlnl'l d..lh or ...ounll ..nld hV Ihl dlo.dlnl bul hlld In trtf.t for ."othlr IndlyldulU.l Urult bln,flalerl"U I DI.IDED IV T01Al HUHIER Of OURVIVIHP JOIWl OWH~RI OR TRUIT iaH~FICIARIEI X 100 . P~RCEHT lAXI&LE ~,".pl.1 J.lnl ....unl roul.lorld In,lhl n... 0' Ihl .Io.dlnl .nd I.. olhor por..n. and ..I.bll.h.d .lInln on. v..r .f d,"lh bV thl dlcld,nt. ' - - - ' I DIVIDED i. J (SURVIVORS1 . ,iO ~ 100 . OO~ 17.X~nE fOR lICII IURVIVORI 4, Thl ..Qunt .Ubllot ',0 \lI('(,l1nI4) 11 det.rMlnld bv ,Y1\lpl~'ng ',hi acoount blhne. Oln.2) by thl plrnnt tlMlblt tUne 1), ", Ihtlr 'hI tnte of th1 d,bttlnd dlduotlon. lhted in put S." . , thl,.UU"t tlMlbl, (1 nl,6) it dllor.ln.d bv ,.ublrMUng Ihl d.bll .nd d.d".UO"' (IInl Dl fr.. Ih' ...unl .ubl..1 10 I.. (IIn. .1, 1.&:nt.r thl IPpropr!lt, tlMret. (1 "I 7) 81 dltlr.lnld bllow. ,,' AI For dat., ofdllth oocurring Iftlr6/10/9,',' the tlx rl'" f~r, tran.flr. to ipOY'" ar. I' fOlloW" I, D.I.. 0' dl.lh .n or .fllr 111/1. .nd b.f.rl 1/1/.. 110. ,.1. I. S~. I. Oat" of d..th on oraft.r 1/1/" tranaf,r. to ',POUt,. wiLL b. tewld at OX tlM ratl. HOt" for d.t,. ofd,.th ~rlor to 1/1/94 trln,f.r. to ,pou..' .r. ,aMlbl' at6~1 I. Tranif.r. to l1n'.l,d..~."d.nt. lnOlud,lnaf.thlrJ _other, .on, d',ughtlr, ,rlndOhl1dr1nJ .0n.ln~1'w, douuhl.r.ln-I'.l .I.p.hlld .nd In.lr I.IU' .r. 1.,.101' .t .I"p.r..nl 16~ , C. lr..,lf... 10.1 olhor. lnoludln. br.lh.r,lllllr, unol., .unl, n.ph...nd "I....r. 11,,101. .t flfl.ln porCIni (UX1, p, If vou .h.ngl In. II' r.t., pl.... .plolfV v.ur r.l.llon.nlp 1.110. d...d.nl In.lh. .r.. pro.ld.d, ., lhl ...unl .f I., du.,(lln..1 I. d.l.r.ln,d bv .ulllplvlne Ih. .Iounl t.,lbll llln. 01 bV In. I.. r.11 Illn. 11, CLAIMEP PEPUQTIONS "PART 3 DEBTS AND DEDUQTIONS QLAIMEO Allow.bl. d.b,.,~"d d.duotlon. .r. dittr.lntd .. fol1~w'l ~, .ou 160.llv .r. r..p.nllbl. f.r plVI.nt, .r 110. ..1.1. .ubj.ol 10Id.lnl.lr.llon by · p.r.on.1 ropr..lnl.II.' II In.u,llollnl I. p,V 110. dlduoUbll 11.", . i. Vau .olulllv p.ldth. d.bll IfI.r d..lh .f Inl d...d..1 find GO" ,urnl.h pr.of .f p.v..nl, . c, 0.101. b.lno ol.llld "'IiI b. Ilo.I.ld 'ullv In p.rl S. If Iddlllon.1 .pl.. I. n.'.ld, u.. pl. In pop.r ill!" ,II", Pro.f of plv.ant ..w~bl ,.qU'ltld ~w 'h. PA aIP'rt..nt of R'VtnUI. ~;~;~ H,,;,ili~:~I~~.~;rtI.:I~~~;~;i;::,i,1 " " ' ~ Ilnhlll'lll, Fllln \:1(1 I':"IO"/(""I'n I.lInll l)tllll'~"'1l1 1''\ 17(17H {!;dJc.~(.. 'Ir 1/,1 /9r7 ~ S'c.l_ " 9~ b.r2,~~, i2.4~ ~kLn~~'~~~~ ~~. ' t#~ 1ntJ-f4~' ~ J 8~ ~/~ ~S t6~IlQ- w-Rd; ~1ofJrJ)O~ .. ~ fJiJ.; ~p !I:~, . ~ ~ 04f6 { R~ CM1J~ 'W~i) .unfffl ~ ihCuw,~ ~ (UJAue411.:(j ~.J, ~ ~ /f)6 ik wku. L4~~, " b611l1 ~4~fL Palrnr~ ~ /,dJ s> (). . n /. :.t ..4tJl. ..t.- a.u.,1U4J ~ . " ~f ~&t(htVJ(t, ~ ~ J fJ~ oJf~ 'at .5 33-1./t/7/ , ' ..~.. t1 ' c~aee(J ,JW{:, /tY~ 'I S 4t ~ I , ' ciJ)Il?(e. .1.J!{~. ~2..?- r~ tJ.LLll {~JJ.t.MI.~1' , P\J'POI~ 0/' HOlICII PAVttllHTl I}; , , , ' . U M/l1I Ih~ "q.I"..nh ., 1..U.n 1140 ',f Ih. Inh.rlhll.. .nd hl.l. ". All, A.I II p' 1991, (7f P.I, 1..U.n '140l, D.I..h Ih. I.p p.rll.n ., Ihl. H.II.. .nd .ub.11 ,llh v..r p....nl I. tho R.,I.I,r ., Will. prlnl.d .n Ih. reYlr.. .id,. .. H... .hook or _'V ordor "V.bl. 1'1 REDIITIA OP WILLI, AOIlHT, R~PUHO (C.1I A roflll\d .f . h. ."dll, ,hl.1l ,.. n.1 r.~.'lt.d .n Ih. 10. "Iurn, IIV b. roqu..l,d bv o..pl.Ung ,n "Appllo.U.n for ..fund .' p.nn.vl..nl. Inh.rll.no. .nd ~'I'I. I"" (RIY.IIII), Appllo.ll.n. .r. ...II.bl. .1 Ih. 01110. .1 Ih. R"tol" of HlIlI,lnv 0' thl n R.y.n.. Ohlrlol 0111... or bv olUlng Ih. .p.olll 14'h... InINorlng ..r.lo. nulbtr. for for'l ordtrln'l In Penn,ylyania 1-eOO-S6a-2010, o~,.Sd. P,nn.vlvlnl. and within 'oc,l H'~rl.b.rg """ (?ll) 711-10'4, 1001 (1111 lIl-UBI (l1..rlng .,...I"d OnlY), 0IJl10710HII Any plrtv In Inter..' not uthfted Hith ~h. .ppr.I....nt, .11a~.nQ' or 'dluUANInClt! dt deduotion' or ........nt ., I.. 'lInoludlng dho.unl or Inlor"l) .. .h.... .n Ihh H.U.. ..v .bJ.ol ,Uhln .I.IV (60l d... 0' r".lpl .", Ihh H'Uo, ,bVI " ' --,dllOn prol..ll. Ih. PA b.porlllnl 01 R...n.., 100rd.1 ApP"II' DlPt. 111011, H.rrl'bur",PA 11181-1111, OR ....,.'..oUn. to hIVI' thl ..tt~r deter.Sned at thl I\tdH of thl aooount of thl Plrllmal r.pr...nt,UvI; OR '-'PI..I I. Ih. orph.n.' oourl ' ADHIH' IITRATlI/ll CORReCTIONS I Flotu" '1'1'01" dlloov,rld on thl, ........nt .hould bt addr"lid I~ wrltlng t~1 PA PiP.rt..nt af R,Vlnul_ I.rt.u .1 Indlvld..1 1...., AlTHI POll A.......nt ...1.. Untl, OIPl" 110601, llorH.b.rI, IA 1711'-0601 Phon. (711) 111"6U8, ... p.g. 8 0' Ih. bo.~I.l"lh'lr..tlon' 'or Inherll.n.. 70. ..turn 'or .R..I~.nt Q,aldint" (R!Y~l'Ol) far In 'Mpll~fttlon of Id.lnl.tr.tl~.l~ oorr.ntlbl..rrorl, PltCOUHI I I~HAL1VI IHTaRUTI II .nv I.. du. I.p.ld '1Ihln'thr.. (al oll.hd.r ...Ih' .,I.r Ih. d.o.d.nl'. d..lh, . 'IV. p.r..nl (IX) UII..unl 01 tho I.. plld II .U.,.U. ,,' Th. UX I.. _.tv h..-porll.lp.ll.n p.nlllY II ..Ilp\II~d .n Ih.lolIl ., ,Ih. ". 'nd Inl'~"I, .......d'; '!Od nol plld b.lorl J",,"trV U. I"I~ ,tho IIrol d.. .ft" lho .nd ,of Ih. to. ..n..lv porlod, lhlo n.n"perllolp.Uon p.n.IIV I. opp..I~I. In Ih. ,... ..nn.r .nd In the Ih', .... II.. p.rl.d .. vo. ,0.ld .pp..1 tho I" .nd lnl.ro.1 Ih.1 h" bl.n .......d .. Indl,.lld .n thl. h.II,., Inl.r..1 I. oh.rg.U b.glnnlng ,llh flr.t d.V of dtllnqu.n.v, or nln.,(') ...Ih. on~ on. (Il d'V lroo IIWI, d.t. old..th. I. tho d.l. 0' p.v.ont, I.... IIhlch b..... d.\lnq..nl b.l.ro Jon.orv I, 196* bo.r Int.r..I.1 Ih. r.l. 0' .1. (IXl p.ro.nl p.r onnuo o.loul.l.d .1 . d.11V r.t. 0' ,000164, AU tlMII whlohblOI.. dlllnquent on 01" aft,r JIfW'ry,,1, 19" will bill' Inter..t .,t. rl'e Nhloh NUl vlrv frOI a.'ende,. YIII' to Olhndl," V"" '11th -that rib announced b~ the PAD,plr"ent of R'.venul. The ,ppl!oeble lnl.r"1 rol.. for 1'12 Ihrough 1"1 .r'l ' '!!!!' IntiI'll' Rite D.IIV lnl.r..1 Poolor w.t Intlrllt RltI Olllv Intere.' Flator I'll IOk ,0001.. 1917 'X ,000U1 un UX ,000"1 "11-1991 IIX ,OOOIDI 191. m .000101 1991 IX ,OOOU1 I'" !IX .OOUI6 1991-1"4 1X .000192 1'16 lOX ,000114 1"8-1'" 'X ,DOU.t --tntereit I. ..I.ulolad .. ,.110"1 XNTIREST . SALANOS OF ,TAM UNPAXb M NUH8ER OF OAVS OELX~qUENT M OAXLY XNTERE.T FAOTOR --AnV H.llo. I.."," Ift.r lho I.. bo..... dlll....,1 ,Ill r.,I.ol on Int.r"1 o.loUllllon IU ,Ift.on (Ill dlv' boVO!ld Ih. d.lf 0' lho ......_t, II P'VIIPt I. oodl ./ter lilI Inler..1 .......I.II.n dllt olio"" on lho ""II." Iddl\10i1.1 IPlerlO1 ....1 bo o.h.l.tld.