HomeMy WebLinkAbout97-00863
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; INIlIM) 51 .-
Shover, Jeanne E. Church of God Nursing Homo
ThmnRUlilm1U!lmi"'~-~'l]jmon;lAllf' --[l5ATfOHllifll--UO Oa r 1i ale I PAl 7013
166~14~1090 2/18/97 10/1/20 co,,, CumbeL'lanc.l
......-..,---...,...-.--''''........... _ -... . ...,-!-..,...--------...,..-----...--....
[X I, O',lglnal Rolu,n {] 2, Supplomonlal R.lurn [J 3. R.ma, Ind.r R.luln
(lor dalol 01 doalh prior 10 12.13.B21
D 4. Llri1llod ellolo [., 4a; FUlur. Inlo'oll Comp,amho [.I 5. F.doral ellal. Ta.
lIar dal" 1'1 d.alh allor 12.12.82) Rotu'n Roqulrod
[J 6, r, 7. O.c.donl Malnlalnod a Living Trull _ 8, Telal Number 1'1 Solo P.pellt Bo...
Allach cOEY of TruI11
INPl)RMATl N Hou~t'l~itIlTOI
~,'i\t ",.t
~
cOM"b~~:,,~~'~,~S',rJl~U~, IINIA
... '~m__~ARRlIIDlo, ~A..~\21'06OI
m..____.,.. .,.,.. + -.. ,'.-.-----..
19, If IIno lB II otoalor,lhan IIno 17, onlot Iho dlll.,onco all Ilno 19, lhh l'lho OVERPAVMENT.
liD
20. Illlno 17 h oroolor than 'IIno 18,011101 Iho dllloronco on IIno 20. Thl,lllho TAX PUE, (201
A, Unlor tho InIO",,1 'on ,Iho balanco duo un IIno 20A. (2M)
B, enlot Ih. 10101 01 IIno 20 and 20A on'lIno 20B, Thlll'lho BALANCE PUE, 120BI
. "., Mok. Ch~.~ P~y,oble tOI R..!!I....~,~f Willi) Ag.'!lL. '. ......,., . ....,.._...__ ., ..... _._, .u...""..
=~. ,.... . . . ". ,..!!t..IlUU"UOAN.W.IIA~L.QUI$TION.. ON "'V.II!! IlR!ANJU~.~1q!:!!qK M~H."_.L ,'; '. ',...
Uodllt ponalllot of perll.!ty, I dodatelhall have 8,1(.'amlnod thlt relurn/lhdud.ltlg occomponyJng tchodlllot and lIalomonll,.ond to ,h, bot! of mY'knowlod9o,and bollof,
II h true, Hoel and cuniplele, I doclare that all tOOllutalo hat beon toportod allrue markol vCllvo. Doclcuc'llloll 01 plopnror othot than the porsonal ropte,enlollvo J.
balod 0 all l~fEe~ of whleh proparer hal any kllowl.dgo, .
.IlIt<^ roT malmp[f1OilTi[iNGll;~~-~ADfjRm----'--.-' ,..,..___.-_u,.._.__.. .. "... ..---"~rz~.-l.......... '
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I'
NU~ft!R
"
...
~:l~~f~U~I:~?~\\(a~_tz, E~?ire ___~~'_..
-l~L1-J~5-1790
411-A East Main Street
Machanicaburg, PA 17055
=1=;:.-"
I
g
1. R.al hlQlo ISchodule AI ( \), ____,d,.u. ,.--".--.;,.
2. Sieck., Qnd Bendl (Schedulo B) .1 21 ...., ...---...--...., ......
3, ClolOly Hnld Slock/PartltOllhlp,ln,erell (Sch.dulo C) I 31----., ,... ..___n.__'.
4, Morlgag.. and Nol.I Rec*lval1lo (Schedulo 0) ( 4) _.........,_,___...___.__._..c........__~
5, Cqlhl Bqnk OjPoIlI1 & MI".IIQMoul Po"onQI Properlyl 51 ,~.diJl1.Ll:l, ..._.__.,,_._u.__.
\Scnedulo e . ,
6, Jelnlly Ownid Prep*rty (Schedul. FI ( 61 unu...____._.,,_"'...______.
7, Tranlf." ISchedule O)ISch.dul. q ( 7) ___,___'u..__.__._u..'
B. Tolal Orell A"ollltolalllnel \.7)
9, Funorol e.penlOI, Admlnhtrollvo COllI, Mhc.llan.oul I 9) 7_'..~~_5...o(L..___. ,,,.------
e.ponlO' (Schodulo H)
10. Pebll, Merlgoge llQblllllol, Llonl (Schedule II 1I0)11LQ56..AJL......----...
11. Telal Poducllon. IlelQlllnol 9 & 1,01
12, Nel VQlue 1'1 Ullole (line 8 mlnulllne 11)
13, ChatllQblo aod GovernmentQI Boquolll (SChodul. J)
14, Not Valuo Sublect to To. IIlne 12 mlnuI IIn. PI
15, Amaunt elllno 14 IQ.Qblo 01 6%ralo
IInclud. val~.. from 8ch.dule K er Schoelulo M.I
16, Amount ef line 14 tQxable QI 15% role
Ilnclude yeluo\ Irom SChodulo Ker Schedulo M,)
17. PrlnclpQII.' duolAdd 10. from IIno, \ 5 Qnd Irom \Ino 16,)
1 B. Cr.dlll P,I,er Poymont. Ol'counl
(1 B)
119) .
I B) h~,!'}l.LIL.___..,.
1151
111) ,__19!.9.'!,!_L~~__~._n
1121 _.u...........Q.,.Q.O._.,
(13) ...._____.....m_n_~_"
..._.._---'__.___U~) "'--C"C' 0 . QQ""-;:;.n"
,.., .______ .., ..,x ,06" .., ,..._._...' ....,.,,--.---
(161___..,. ,'"
.._.x .15 ..
(17)
Inl.r."
<'hl1ltt JIIlII' If yuu UIO IUIIIIII'I111I1I (I lufune! uf your nvulllClVlIlllllt
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.tV."lIlltl1-"1
:ITIM
NUMalR
A,
a,
,21
4,
C.
1.
2.
3,
4,
S.
6.
,7,
8,
Jeanne E . Shover
1.
Pun,,"1 bp'","1
Myors Funeral Home
5CH_DULI H
~UNIRAL IXPINIIS,
ADMINISTRATIVI COSTS AND
MISCELLANeOUS ExpeNSU
~1-97.-0B63
PI,"" Prln' or T ,
I)BSCrUPTION
. Admlnl..'rotlv, CO"'I
Perianal Repr...ntatlv, Cammllllan.
SaclClI Secuilly Number af PerIanal Repr..enlatlvII
Vear, CClmmlulon. paid
1.
Attorney Fee. David W. Knauer, P.O.
FClmlly exemption
Clolmanl Relallonlhlp
Addre" of CICllmont al deeedenl'l dealh
Str"I Addr"l _
City SIale.
3.
Zip Code
Probot4 Fee. Cumberland councy RegiBt:er of Wille
Mlleellon,oul bllenl.1I ,.
AMOUNT
6,436,00'
750.00
750.00
49.00
TOTAL IAllo enl.r on line 9, ReeapltulCltlonl $ 7, 9 B 5 . 00
(II mort .paee I. n..ded, In"r! oddltlonlll .h.... ii' lame ,'...)
Decedent 'Confirmation
, .
,',to,
ROi Estato of .
SSN
000
.101\11110 E, Sho\'ol'
166-14.1090
02/18/97
Doscrlptlon Account Account AccQunt
AQeo"u' No, 78177386
Aeeo"n. n'po Checking
DAtO OpGnod or IlIuod 12/12172
DAteClo,od or ~fAturod
Doto of Dooth Uoloneo $3,27'1,80
PLUS PI.US 1'1,lIS PUIS
Dolo of Dooth,Aoorulid Int. , $2,20
J,olnt 0\\'1101" (If on~') Kenneth'R,Shol'or
DAto of JoInt O\\'nor,hlp 12112172
Special Commentsl N/A
(ROV 1/8198)
DOlol'roporodl Augu.t24,1998 l'ropArod h~'1 Amy L, HAlvor'
I'OROl2
lit.. c2 / () ,..f
aUNEAU OF INDIVIDUAL TAKE I
IHlIE~l1~HC~ 'AX PIVIUllH
[)IlIIT, tlO601
III~AIUUAO. "I I1IU-0601
COHHCNWIALTH OP PINNBVLVANXA
D~PARTHINT OP RIVINUI
NOTICE OF INItERXTANCE TAK
APPNAISENENT, ALLOWANCE DR DISALLOWANCE
OF DEDUCTIONS AND ASSESSNENT OF TAK
u*
..Y-IUI" UP IIt.m
MARK D SCHWARTZ ESQ
411A E MAIN ST
MECHANICSBURG PA l~OSS
\ ~L i
"I
DATI
IBTATI OP
DATI OF DIATH
PILI NUHIIR
" COUNTY
AON
07-26-1999
SHOVER
02-18-1997
21 97-086S
CUMBERLAND
101
A.ount -r..Ht.d
JEANNE
E
MAKI CHICK PAVAILI AND'RIHXT PAVHINT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17015
CUT ALONG 1.llXB LINI ... RITAIN LOWIR PCRTlON PCII VCUR RICORD8 ...
ftW: 1I'4".llf.A~'Ji, -nv:n).-tlbVl6i..cS.-ntRI1fff~Jl6'i-YA~-A'\i'~~A"fiilfit'i1't~"At'L-cSQ~Jl6'"b1t'~......_......m
, OIBALLOWANCI CF OIDUOTIONB ANO A8Bj88HiNT OP TAX
I8TATI OP SHOVER JEANNE e FXL-II NO. 21 97-0B65 AON 101 DATI 07-26-1999
TAW,RETURN WASI I Xl ACCEPTED AS PILED I I CItANOED
RISIRVATXON OONCIRNINo PUTURI XNTIRI8T . SII RIVIRS~
APPRAXSID VALUI OP RITURN BASID ONI ORIGINAL RETURN
1, R..l Elt.t. IS.hldul. Al
I, It..~. .nd B.nd. CS.hldul. Bl
s. Cl~.ll~ H.ld Bto.~/Plrtnlrlhip Intlrl.t (S.hldul1 Cl
q. H.rtalal./N.tll R..liv.bl. ISohldull Dl
a. Celh/Benk'Dlp.litI/Hil., P.rlonel Preperty (I.h.dule El
6. J.inti~ OWnld Prop.rt~ IS.h.dul. PI
7. Tren.f.rl Iloh.duX' 01
8, rotel AI..t. '
III
III
IS)
141
lal
(6)
171
.00
.00
.00
.00
:~L B57 t 73
.00
.00
(81
NDTEI To inlur. pr.per
orldit t. y.ur ....unt'
lub.it thl upplr p.rtion
of thil for. with y.ur
tlH p.y..nt.
5,6!l7,75
APPROVIO OBOUCTIONS AND IXBHPTIONSI
9. Pun.r.l BHP.n.../AdM, Celh/HiI.. EHPlnl.. (8.hldul. HI 191 7,986.00
10. D.bh/N.rt.... Li.bUiUll/Lipnl (S.hldul. II UO)' 11.086.48
11. T.t.l D.du.U.nl ' 111) 19.041 .48 '
~~. Nit V.lu. .f T'H R.turn USl 16, ~85, 76-
IS, Cheritobl./O.v.rnolnt.l aeqU.ltll N.n-.l..tld 911S Trultl (sohldul1 J) 11S1 ", ,00'
14, Nit V.lu..f alt.t.Subj..t t. TIH U41 16,4B5,75-
NOTII If'.,n ......m.nt WI' i.'U.d prlvioU.1Y, lin.. 1,41 11 and/or 16, 17 and 18 Will
r.fl.ot fillure. that ino;Ude the t01:ll of AJ.J.. r.turn. a......d to dl't;lI.
ABSISBHINT OP TAXt
18, A..unt .f Lillll 14 It Spoulll r.te (la I
16, A..unt .f Linl 14 t'~lbl1 .t Lin..l/Cl..1 A rlt. (161
17. AMOunt of Lillll 14t.H.bl. .t Coll.t.r.l/Cl.l. 8 r.t. (17)
18. Prinoip.l TI~ Duo
TAX ORIDIT81
PAYNBNT
DATI
,00 X .00. '
,00 W.06.
,00 k ,11;\.
(1111
.00
,00
,00
,00
RBCBIPT
NUHBBR
DISCDUNT (+)
INTBREST/pBN PAID I-I
AMOUNT PAID
TOTAL TAX eRIDXT
BALANOI OP TAX DUI
XNTIRIST AND PIN.
TOTAL DUI
.00
.00
.00
,00
. IP PAID APTBR DATB INDICATED, SBa REVERIE
POR CALCULATION OF ADDITIDNAL INTERBST,
( I~ TOTAL DUE IS LESS TitAN .1, NO PAYHENT IS REqUIRBD,
IF TOTAL DUE 18 REFLECTEO AS A "CREDIT" fCRI, YOU HAV 8E DUE
A REFUND, sse REVERSE SIDE OF THIS FORH FOR IHSTRUCTIONS.)