HomeMy WebLinkAbout97-00908
'IJI~TITION Ii'()R IJROIlATE und <IRA NT ()It' LE'I'TEltS
US/i!/i' of..~f "~ No, ,..:2L...C17c~_9~J.",."~""...c..,,._.
'II/SO klloll'l/ r/,\' .__.. To:
... " -, l\uAlslur of Wills for Ihu
..."..,.---,,,.",', '''iI' h.._".,., /J.i~'!:JI,I'l''', COIIIII)' of _c;LMI31l:IllI.ll'lO._...... III Ihu
801'/(1/ 8('<'IIr/I,I' N(I.,.;"".~1f. ..':'U_~"LT.x.7". CollllllOIIWUllllh of l'ulIlIsylvlInlll
Thu pUllllolI (If tllu 1Ill1l\'1'si~IW<l rc,spuI'lflllly rcprcsclllh Ihllt:
Yollr I'Cllllollur(s), whols/llrc I H YCllrh 1,1 IIAC or ohlcr 1I111hc CXCCIIIA/,)!.".".. ......'m_...._.__lIl1nwd
1IIIIIc IIISI 11'11101' Ilw IIhow dUCl'dl'lU, lhucd ._,_' ,. __ ,_o. _,-'..... -".--..-..-~__V-I 19~'-__
IIl1d codlcll(s) dlllcd "._ ",__,,,.' "__'___m__ _ ,...",.~..(/_..._____...
..-.--._...,.....--. -.. _~_.~__...... ____, ._~h..,._'..........._.___._...______._____
-- __ _. ~'" 'n __ _1._
on _. .h___ ..".. _, _.., ...__....._ ._--> ...~. _.__.~_..__,__ __-----..--
lit.
t\llIh'll'h'\'lII1l l'l!l.'lIlmlutll'l'\, ,"olt, Il'IHlllduIIIl1l1Ih'ltlh lit i.'\l'i.'UllH. CI\.'.I
DCCClIdclIl 11'lls dllllllcllcd III dClllh III __ _" _ ..._..._~,,,~,/,'~___, COllnly, I'UlIlIsylvlIlIllI, wllh
h..u".." Ills I rlli\ll~lr prlndplIl rcsldcllcc III "----"_____.."~,,.._c_.,,__"_._~c . . ' .
__i':J.V-_____ i~c~,~,:!;~,~II~~;t~~-~I;II~~Jt~~~.aQ.IL
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III :~;:!~:~~~:CII-';I::I'111111;11:;;;III~.~':, :;;~I~-II<~:\iiVI;~~~Jli;-I':i~iJ~.~~rl::~:OPICIi
IIncr 1'\CCIIII0l1ol' Ihu 11'111 o l'I'u rcd 1'01' PWhIlIC! 11'lIh 1101lhu Vklhl) or II kllllllllllnd IVIIS IIcver IIdJlldlelllod
1t1C0Il1Ill'ICI1I: -",,------,. "...lVtl. ..,_ <-.". _.._______________...'''... ___...__,,____'---__.
l>c<:I'lI<kl1l'lIl dClllh OWllcd properly wllh eslllI1l11ed Vllltlcs liS 1'011011'.1:
(If dOlllldl"d ,111 I'll,) ^II pcrsol1l1l Pl'llllcrly
(II' 1I0t dOllllcllcd III 1'11,) I'crsol1l1ll'fOpUl'Il' 111 l'ul1l1sylvllnlll
(I I 1101 1l01lllcllcd ill 1'11,) l'ulsol1l1l propcl'll' 111 COli Illy
VII hI(' Ill' fC1I1 C.lll\ll' III 1'1'1111>\'11'111\111
hlll1ll1l'd "' I'olloll'h: ,___c.:._" -
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$
$
$-'--.------
-.-.---. ...,-....,.... .-- ..,- .~~__._.....___. .. .-, .__n__.._ .._.....~_ ...._. .,...___.._._h______.~+~...__
\\' II EI\EI'llIW, pelllioIlCr(h) respccl I'll II y rCl~IChl(tJ,j thc pwhnll' of Iltu hl.ll 11'11I IIl1d eodlcll(~)
prU.lCl1lcd hcrcwllh 1I11lllhc ~rlll1tol' "'"m..__, ,,~!?'L_J1;NrI\R!'__... _.........
, (Ii."llII1Wllllll~'j Hdllllnl~ltlllitll1 ~'.I.II,; lIdl1llnlstrntlon d,h.II.C,t.U.)
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",_._,,_, T' __ _.____.~. .___. ...__ __, .____. ......_.__..___..."" _,___..._ .__~~_..__...._..__.._ ...
-, '.., -.-., .-- ....... ---. .... . -. ..--... --, ..-+-..__._.._..__._..___~__.._..._.n___*________._
OATH OF PEI~SONAL RElIRESENTATIVE
(.:OMMONWI':AJ.T1101111J<:NNS\'LVANIA r HH
COUNT\' OF _QIJ!18Ji:RL!.~I~J?_____ _
, TI1l' 1'~lillollel(h) 1Illlll'e'lIunwd ,wcllr(,) or uITlrm(s) IhUllhc slntclllClllh III the forogolllg pellllllll nre
Iruc III1lI "nncel to Ihe hUht of Ille kllowlc"go IIlld hcll,,1' "I' pctillollcl'(s) IIl1d Ihnlns pcrsllnnl ropresen.
1lIllwh)<<,f Ihl' IIho\'(' "l'ccdcnl 1ll'lllloncr(s) will wcllllnd Iruly IIdmlnlslur Ihc cslllle lIeeordlng to IIIW,
SWOI'l1 10 or IIITlnllcl1 uml slIl1',nll1cd . ~_4&~_"" . f '
'''''''''';''''e~,,~,...1'.l,~ J ;:,=~=~: ~= i
15-"',::(!...3'~ 7 ~ y c.~ /l1',CI\II'/'~_ . _.~ "a.._n_q____ i2.
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Rn81:RT 10;, Mn:lts
r\rrIlRNt:V r\l LAW
IOO\VIlMk MilA II
Nl;W ('liMftt:MI,ANII, I'A '7010
,.
t1fV1!tl}UI\lH) .Jl~
COMMON_SV(VAN'A
DEPARTMENT OF REVENUS
DEPT, /1lOft01
It:- ,.,!.~ '1
!;'I--cY"-{;' .... I
REV..1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
C:I~
FUNUMIIlIR' '
2 1 9 7
o 9 0 8
P MIl." wo;dt
ffi s T 0 N Il R R 1 C 11 A R D II,
lAL I! V I I D H DATI 0/ ~1I1Il
~ 2 0 4 . 0 I . 1 4 7 t I /0
IIF I u VIVI , 'II I T L I
. . RIlGI8TER OF WI~~8
III
1JIl1. Orlg'nal Relum
o 4.L'mlled aalllle
Ciil6, D~anlDled TealllaIAltoOh"",~W<l1
o 9, L'tiQatl'm' Proceeda Ral:8l.ed
8 T 00 P liT
tJ 2,Supp~mentaIRelum 0 3,Ramalndl:Ratuml_Ofdt""""'.\I.'~1l1
o 4e, FulurelnlelGlt CDmprom'1814..~dt"""'" \1.\1,111 0 Uederal aatala Tex Retum Required
o 7. D&l:8dan( Malntalnad aL,.lng Trull I''''''''' ~ T."1 _ 8, TDtal Number DI Sale OeDOIII RDm
010, SpoulIl Pove Credlll~"oIdt""bO""n \1,1',1\ In4 \01,111 011. aleotlon ID'\axunder 880, 9113(A) 1....hl<hO,
RRIl8P DB ~ TAX INFORMATION 8HOU~D BI! DIRBOTIlD TOI
E8 -
202 Oak Knoll Rand
Nnw Cumborland, PA 17070
1. Real aslale (Schedu~ Ai (1)
2, SI~kI end Sonda (Schedu'e B) (2) . 1 I 5. 9 4 9 . I I
3, CIDIIW Held ColJlOretJon,Pennel1hlp or Soifl.proprlelorahlp (3)
4, Monglges & Nolee R~IYeble (SChedule 0) (4)
8, Cuh, Benk Oepollta & Mlac8l1eneoua Plraonel Property (8)
Z (Schedukl e)
0 6. JC'nlly Owned Propet1Y (Schedule F) (61 9,
S 5 3 2 .8 I,
7, InlerNlvos Tranllera & M'sC4l1aneous Non.PID~ele FfOpet1Y (7)
E (Schedule G Of L)
8, TDtal OrDII Allela (IDIIII Linea 1.7) (8) . I 2 5, 4 8 I . 9.5
;
9, Funarel axpenaee & Admlnlatmllve Cosla (Scl1edukl HI (9) I I , 5 3 3 . 3 9
10, Oebla Df Decedent, Morto8'le Llebllltles, & Lklns (Scheduifll) (10) I 4 t 9 2 0 o 0
11, Total Daduollona (Idtal Llnu 9 & 10) (11) 2 6, 4 5 5 . 3 9
12, HIIValue of a.tate ("na 8 Minus L'nell) (12) 9 9,0 26 .5 6
13, Chart~ble and Go.ernmantal Bequesi!JSac 9113 Trusts IDr whlcl1 en election ID IDx hes not b<len (131
mede (Schedule J)
14, Hat Value SubJeollO Tax (L'ne 12 m'nua L'ne 13) (141 9 9,0 26 . .5 6
15, AmDnnt 01 line 14 taxable
el \he apouael tax rele . . x ,0 (15)
Seelnllruc1kma on r8.araellde for eppllcllbkl percenlftge
18, AmDunl 01 line 14taxab~ 9 9 0 2 6. .06
~ al8'~ rele , ' , .5 6 x (161 .5 . 9 4 1 . 5 9
1], Amounl Df line 14 lllxable
el18'.,el8 x .15 1\7)
18, Tex ,Due (18) .5 t 9, 4 I .5 9
Rd. Nnw Cllmblltland PA 17070
Or.. Camp lilli, PA 1701'1
Richard R. 8Lonft~
. '
,
Tax Paym.nts and Oredlt"
1,' Tax Due (Pagel Llnele)
2, CredU,II'eymenls
A. Spousal POve~y CredU
e, P~OI Piymenl$
C, DllCOu01
(1)
5,941.59
297.08
3, InlereaVPenally " app/lillble
D,lnlerell
e, Penally
Tolal Credlta ( A ,t B . 0 ) (2)
297.08
4,
(3)
(4)
(81
(8A)
5,644,51
e,
I
I
I
P~IlASI!NsweR THe FOLLOWI Q QUI!II 10 S
BV PLAOING AN "X" IN THII APPROPRIA TI! BLOOKS
1, Old deoedent makee trenafa'and: Vea
II, reteln the UII or Income of the property traneferred, """""''''''''''''''''''''''''''''''''''''''''''''''''''''~
b, reteln the right to de"gnale who ahall UII the property Irenalorredpr Italn90me: "',,"'''''',,'
~:;:~~,~: {;::~~~~:;rf~~tI1r:~~ :';H~~'~~y;;;~~t~': 'b~~'~fl;~' ~~' ;;;;i~?";::::::: ::::::::::::: ::::::::::::::::: :::
2, If death ocourred on or before December 12, 1982, did dece<fent wllhlM two yeere
Prece<flng de.th trenefer pro~ei1Y wlthoul receiving a<fequate conalderatlon? If <f.alh OCCUrte<f
lifter Oeoember 12, 11182, did decedent Iranefer property Within one y'arof d.ath without
I
3.
CiI
~
,4,
72 P,$, 69118 (a) ( ,1)(1) prolllded for the leduot on of the tax ratelmpolld pn the n'l value of trena .re to or orth. U18 ~t .
aurvlvlng apcUII from 8% tq 3% for dalea of death on or after Jl'ly 1, 1994 andb.fore January 1, 1998,
72 P,$, 69118 (a) (1,1) (II) provided for tho reduction of the rate Impoaedon tha net valu,e of Itenafera to or for the ua, of the aurvlvlng
apouee from 3% 10 0% for datea ofdeeth on or after January 1, "1998, The elalute does nol'xemol a trlnafer tet aurvlvlng apOule
from tax, and Ihe ItatUlory requlremenla for dlacloaure of aaaels and ~lIng a tax return are atltl apPlicable even If the surviving IPOUII
Ie the only beneficiary, " "
FOR DATIlS OF DeATH O~OR AFTIlR JANUAAV1, 1888. Pleue en,wer Ihe fOllowing queal/onby plllalng an 'x'ln Ihe
appropriate Ipaca, "
Old the d'O,d.nt oreate a trult or almll" arrangement whloh la eolaly for the lurvlvlng apoUI.I.ben.nt for hI. or h.r .ntlre
IIf.tlm.? , V.. 0 " ,No l8J , " "
If you answarad yes 10 the above quasllon, the la~ on the truetorllmll.r arrangemenlls poslponad Until the dealh of Ihl, ,leoond
apoule, at whloh time It will be fully ta~able at Iha rete(s) eppllcabla 10 the lemalnder benefiolary(lel), Enler tha value ,of tha tN" on
Sohedule J, Pllt II, In order 10, remove II from theilalOlJfallon of the ta~ dualn thll e*tate, Vou may wl*h to flla Sohadule Oln or~er to
make the election avallab/eunder Section, 9113, If thee/action II made. tha truet or almllar arrangemant la tax'd In the altata of the
firat decadent epouee, the portion of the IMt or almllar arrangllmanl whiCh benefit, tha eurvlvlng apouletl taXld .t th" taro tex rite,
and the remainder II taxad althe rattles) applicable III Ihe remainder beneflclaty(lea), If you Ohooae to make the election, you muat
attach Schedule 0 10 allmely.med tax relurn, II10ng wllh Sohedule(l) K and/or M In order 10 ehow the apportlonmanl of tha tNet or
Ilmllar arrangemenl betwesn tha IUrvlvlng Ipouse and the"remalrlder bsneflclary(lel),
., /..
d .
Page '2
m.tate of Richard E. Stoner
Nov. 8. 1997
AMOUNT SECURITY
......
100
300
, 6
........
CHEVRON CORP
GTE CORP
,
ICN PHARM INC
1108.165 KEMPER HIGH, YIELD
.. ....
HI La'
84 l/S
46 1/8
53 3/4
82 3/8
44 5/16
51 3/8
8.45 NAV
912.330 LORD ABBETT AFFILIATED 14.98 NAV
625.984 LORO ABBIllT'1' BONP DEB
1347,000
100
200
15
'!loo
2!l..
75
1,000'
LORD ABBE~T PA TX/FR
aGE ENERGY CORP
PNC BANKcOR,P
PA IMIT #114 MP
ACCRUED. INTEREST
POTOMAC ELECT PWR
SUN INC
SUN INC SER A PFD
VKM PRIME RATE TRUST
9.67 NAV
5.12 NAV
48 1/2 48
48 3/4 47
656.44 NAV
t. I ..-........ It.
*** TOTAL ***
22 9/16
41 3/8
35 1/8
;)2 1/4
40 3/8
34 15/16
9.96 NAV
VALUE
......
$ 1l,326iOO
13,565.63
315.38
9,363.99
13,666.70
6,063.27
6,896.114
4,825.00
9,575.00
'9,846.60
56.55
11,203.13
1,021.88
2,627.34
9,996.00
...111....~..
$107,302.11
..........f/l .'
~TIiOflPIHNaYI.VNM
,tHlRtT,\/G TAX lWT\,Il\H
SCHEDULE P
JOINTL Y.OWNeD PROPERTY
RICHARD E. STONER
f.n MMI WIt _ Joln!wIlhln OM VII' oltht ~. dItII oldllth,~ II1UII be..Md on WulI 0,
IUI\VMNO JOINT TlN.lNT(811WM1
AlXlNl88
II,
Ro bu' tR. Lova r
~09 Uil1creat Dr.
New Cu~berland, PA 17070-3033
s,
a09 Uillcreat Dr.
New Cumberland, P~ 17070-3033
JAne Lover
~ au.anne Coffey
202 Oak Knoll Drive
New Cumberland, PA 17070
T'I
Irckllt _ III IInRlIIllIMOn n bri.lCCllUlllllUllWOIIImiIw ldenlfli"l~'-
'*" lOt ohoId ""__,
1,
1990 797.171 Sh. ~utna."iBh YLeld
Truat @ $13.11
1990 PNC BAnk Checki~~ Acct.
1514 006 2484
2.
c
PUN
21-97-0908
.
fWAT10NIHlP TO ClClClNT
None
Nonll
.Daushter
'"
DATI Of' OIATli OIco1 V,ll.UlOI'
V/l.VIlOf'MSIlT IHTWIT OIC1C1HT1 tflVll1
"
10,450.91 3.3% $ 3,480.15
12,105.38 50% 6,052.69
TOT ~ (11110 II1ler on Int 8, RecaIIl1uIItion) .
(" mont space Is needed, inlel1 additional sheets of !he same llze)
9,S32.84
COMMONWIALTH 0" 'INNSYLVANIA
COUNTY 0" CUM"RLAND
}
...
(~
Suzanne Ooffey
b.lrill cluly
appn:lntnd
'aaardlnll to I,w, d.pa... 'nd.,y. th,t h. f A l!or.." II h h
0' the e.t.t. of Riohard R. St(Jnl,lr
I.t, 0' --lo.oJtu.....AJ.J.Il.U.. ~Dwi.... 11.i P ,Cumb.rl,ncl County, P.., d.o....cI .ncl 'th.t th.
within" In Innntaryln.d. by SUlIllnne Coffov .' __ , I th. ..,d BX89utril'l'
o'th. .ntll" ..t~t. 0' ..Id cleo.d.nt, aan,l.tlnll 0' III the pm\1nll prap',rty .ncl "II ....t.. .xo.pt ,..I ..t,t. outtlcl.
the CommQnw..'th of P'nn.ylvlnl" 'nd thlt the' f1l1ur.. app,,!t, uoh It.m of the Inv.ntory "P''''nt It'. f.l, v.ruI
.. of the d.t. of cI.a.d.nt'. d..t~., ,
~14 "l~;1..e."",a '1.i1.. V
SUl!:anne. co~
,
h...I.. . ^~m'nlll..I..
SI-:~i1
.nd ,ubJOrlb.cI b.fare m.,
0'- ~.J"I~,19 '1~
, -~---
202 Oak Kn~ll Road
Nolan 8eal
'I , Dawn M, Boyor, olal)l P *0
New Cl.IJ)be~al1<l 8010, Dumti.~al1d Dounll' '
My DO/ll'l''''lon a,plr.. 0110, 16, ROO!
M'mber, Penn,vlvanl. AlIOClaliQn 01 Noll",1
New Cumberland, ,p~ 17070
^~~....
D.t, of O"th
iI
DIY
NovelQbllr
Mlnth
1997
Vu.
INSTRUCTIONS
I. All In....ntory mUlt b. fll.d wlt~ln three month. """'ppalntm.nt of p".on,I,.pr...ntltlvl.
2. A .uppllm.nt Inventory mud b. fII,d withIn thirty dlYI a' dl.cov.ry of Idc/ltlonll .......
3. Addltlon,l .hll" m.y b. ,ttach.d' .. to p.r.anllty IIr ...Itv
'I. 5.. Artl,'. IV, Pldual'rlea Act of 1'14'1.
''-
.r:l
" III
(--I l:l 1
~ .. :II
~ ~ QI 0
t a ...
~ ~'~ ~ 0 J
.. II I
.. I III QI 1
.... i.
"- ~Ir ' . ...
III ..;
-4. .. !
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.. QI
- \'I :II
.a 0 ""
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''-
III '1
:5 ~ 1
MAK. OHIOK PAVA'~I ANQ RIMlT PAVMINT TOI
ReOISTER OF WILLS
CUMBERLAND CO CUURT HOUSE
eARLISLE, PA 1701!
OUT AI.ONO THll 1.1NI ~ RITAIN 1.0WIR PORTlONlfOR YOUR RIOORDa ~ .
"Vv: lil.,,",\(, 'A~p"r&Y':f'Y "Ab,lYfU' 'IW'YNAl'f(ff~lllSl'IYA'~''A'jS~~AflllliilT"'' A t,1."6w~lllSl''lilf'' ........... - - -.
.' DUAI.1.0wANO. Qlf DIDUOTloNI AND AillsaM.~T Olf TAl<
ISTATI Olf STONER RICHARD E 1111.1 ,NO. 21 97-0908 . AOH 101 DATI 0~-27'98
TAM RITURN WAal (X) ACCBPTBD Aa FILeD I I CHANGBD .
RIIIRVATlON OllNOIRNlNO IIUTURI XNTlRIIIT - IU RIVIRI.
APPRAXIID VAI.UI Oil RITURN IABID ~NI ORIGINAL RETURN
1, Rill BI~'~I laanld~ll Al
2, ataok. Ind Randl (aan'd~ll II
I, Cla'll~ HIld a~aak/Plr~nlrenlp Intlrllt laahld~ll C).
4. Hortalal./Notll Rlally.bll laonld~il D)
a. Cuh/lenk DI~o"h/Hha, Plr.onei Proplrb. laaned~le I)
6, Jalnth owned ProPlrt~ lIanld\lh ,F I,
1, 'Trln.1erl IlIonld~ll '0)
a, Total A...ta
APPROVID DIDUOTIONS AND IXIMPTIONSI
9, F~nlrll e~pI"'eI/AdM. COlte/Hlla, B~Pln'" laahld~le H) (9)
10. D.bh/Hartalal ~lebllltl../~lln' laoh.d~h II 1101 14,92Q,QO
U. To~el D.d~atlone Ull ",4!111.11Q
12, N'~ VIl~1 01 n~ RI~~rn IU) 99,028,56
11. Ch.rHebll/GoYlrnMentel Ilq~..h' Non-Ihoted ,us Tr,~.h 180hld~h Jl ,UI) -J.!!.!!.
14. Nit VelUe 01 htate a~~~la~ to nil (14) 99,028,56
NOTII If.n ......m.nt w.. 1..u.d prlv1aUlly, l1n.. 14, 11'.ndlar 1', 11 .nd 11 will
rlfl.ot f:Lgur..t"lt:Lna:l.udl thl tohl Of AJJ. r''l:urna .......d to dltl.
AIIISeMINT Oil TAlCl. .
11, Ano~n~ 01 ~Ine 14 e~ 8po~'el re~e UIl .00 M ,~O.
U. AMollllt 01~lne 14 h~.ble et Lln.Il/Cle.. A r.~e (6) 99 , 028,56 M ,06.
11, Al!O~nt 01 Line 14 t.~ebl' et CoUet.rel/Ch.. I rete U11 ,OOM ,1II,
II. Prlndpel Ti., D~I ,. uai
TAlC ORIDn81
PAYHeNT
DATI
/5' ,;,{ 13 - '7
lURe AU OF INDIVIDUA~ TAMBa
IHI1ERITAHCE fAK DIYIUDH
DEP!, n0601
IIARRIUURD, PA IIIU'0601
OOMMONWIAI.TH QII PINNSVLVANIA
DIPARTMINT QII REVINUI
NOTICe OF INHeRITANce TAM
APPRAIaBHBNT, A~~OWANCS OR DlaALLOWANCe
OF DBDUCTIONa AND AaasaaHeNT OF TAM
SUZANNE COFFEY
202 OAK KNOLL RD
NEW CUMBERLAND
DATI
..TATI Oil
DATI 01' DIATH
1'11.1 NUMIIR
OOUNTV
AON
Q~'27-98
STONER
11-08"97
21 97"0908
CUMBERLAND
101
Aeo~"t Re.1 Hid
PA 17070
I
III
121
III
141
III
(6)
111
.00
1111.1)49,11
.00
.OD-
,DO
9JB!2.84
i DO'
181
11, 5!!, 39
RSCUPT
NUHUR
I
DIICDUNT 1+)
INTBRsaT/PsN PAID 1-)
AHOUNT PAID
TOTAl. TAX ORIDn
BAI.ANOI 01' TAlC DUI
INTIRIIT AND PIN.
TOTAL DUll
c-'
*
"'.ltH II m Ift.HI
RICHARD
E
NOTET To In.~re proper
orldlt, to ~o~r 10aount,
.~b.lt thl upper portion
01 thle 10r. wltn ~a~r
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125, ~81, 95
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5 ,941 ,59
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. IF PAID AFTeR QATe INDICATID, aeB RIVBRas
FOR CALCU~ATIOH OF ADDITIONA~ INTBRe8T,
I IF TOTAL Due II ~Eaa THAN u, NO PAVHeNT II ReQUIRBO.
IF TOTA~ Due II ReFLECTeD AS A "CRSDIT" ICR), YOU HAV Be OUS
A ReFUND, SEE ReveRSB SIDB OF THIS FOR" FOR INaTRUCTIONS,)
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E.lltll 0' dlo.atnt. dwln, on Qr bl'or. D'Gllb't II, 19U ... If anv future In'''..' In thl "'It. II trln.h",,,
in pOII.nlon or ."Jov..nt to ell" . 'aoUt'.r.U bln.flol,rl.. 'of thl d.Dla.nt Iftlr thl IlCplr.Uon of .nv ..,.,. for
lIf. or for Vllr., thl Clo'''onwuUh hlr,bV upr...h r,"tv" tha right to IPprahl Ind ...... trln,f.r Inheritlno, ,."'.
It thl l.wful 01,.. I (ool1"I,'U r.t. on tnv 'UGh future Int.r.",
To fulfill thl "qul"..ntl of ..otton 11_0 0' lho 1"".<'Itlnol Ind Boll" '"ht, Rot II of 1991, 171 P,I,
IlOllon 9UOI,
Oltlch thl tap porUon of thh Notlol Ind sub. It with vour plwl,n' to thl A.,llt,'r of Will. prlnt.a on thl rlv.r.. .Idl,
..Nlkl ohook or .on.y order P.y.blo IOJ REOIITER OF MI~~I/ AOENT
A refund ct' . '1M urldH, whlah..1I not ,r.~u..tld on th. hlC R.'urn, lev bl rlQUI'tld bY oo",I,"nl In "AppllGltJon
far'RlfunCl' of P'MIY1Y,nll Inherlt'no. Ind Estl'l TIIC" CRay-UU)" APPUoIUon, ". IYltalbl1 It the OHIGI
of .I~' R.gl.lor 01 Nil I., .ny of tho 21 Rlyinul DI.lrlot OHio.., or by ..Illng Ih' .p..I.1 I~-hour
,nlw.rlnl ..rylu nulblr. far far., order In" In PI""'VlvIl111 '-I'O-I.'.toIO"outeldl Plnnevlvlnl, Ind
.llhln 10..1 Itorrl.burg orll l7l71 717-1090, TOOt 17171 m-USE 1II11rlng I.p.lrt~ Only,"
Anv ,lIrtv In Intar..t "ot ..U'fl.d with thl .ppr.I....nt, .&low.nol or dlllUowlnol nf d.duoUon" or "..IIMn'
of tllC C1noludlnt dlloount or Int.r..U ., ,how" on thlt H(tHOt au" obJlot within Ihcty (60) dlv. of r.o"~' of
Ihl. NoUOI bYI '
-...rl'l,n pro tilt ta thl flA O'Plr'.,n' of R'VlnUI, Baird of APPI,h, Dlpt. ZtlOU, Illrrllbur" PA Illtl-lOU,
..,110 Ion to hlYI thl II.U,r d.t.raln.d It ludlt of thl lOeount af thl plr.on.1 rlpr...ntlt I\le, OR
....PP..1 to 'h. Orphln,t Court " ,
OR
"lotull .rror. dltll~y.,.d an thlt .."'....nt .hoUld b. .ddr....d In wrltlnt tOI PA OIPlrtltnt of Rlv.nul,
au,."" of IndlYldul1 TIICI', ~nNI Poet A.......nt A,YI... Unit, O.pt. flO60l, Ihlrrhbur" PA 111,.-0601
Phon. (717) 717-6101, '" pl,l I of the bookl.t "In'truoHon, for Inh.rltlnel 'IN Rlturn 'or a RI,ld.nt
Olo.d.nt" (REV-IIOI) for In 'Mplln.tlon of Idllnlltr.tlvllV corrlot'bl~,lr'orl.
If in~ tlM dut II ".Id within thrll (I) Cla.nd.r .onthl .ftlr thl dloldent', dl.th, I "'VI PtrOlnt ClIO dlnount 01
thl tlM p.1d " II row.d,
Thl UH tlM I.nl.tv non-PlrtlelP."on p.n.ltv' It ootpu,.d on the t"tll af thl tIN Ind l"terlU IUI..ld, and no'
p.ld b.fp.. Jonutry II, 1996, hi 11"1 d'y Iftor Ihl inti of Ih. t.. "","IY period, Thl. non'porU.lp.Uon
p,n,ItV II IPPll1lb11 In thl ,.., .Inner and In the the '''I tI.1 Plrtod II 'IOU would .,pIIl thl t'lf Ind Inttri.t
thlt hi' b"n .......d I' Indlaltld on thl. notlol.
Intertlt 'to .h"god boglnnlng .lth 11"1 d.y Of dlllnqulno~, or nlnl 191 lonlh. ond onl III dlY frot IhO, doll of
d"th, to thlli d.t. of Plv.,nt, TlICII whleh biOi.. dlUnqulnt blfo,. JlnUlrv a; 1911 b..r Inter..t at thl rltl a'
.IN (610 perolnt p'l' annul o,loul.tld It I dlllv ratl of ,00016", 'AU tlMIt Whloh blo... dlllnqulnt on Ind Ift.r
J.nu.rv I, 1911 will bltr, Interut .t I rlltl WhJah wUI ".ry 'ro. a.l.ndl' Vllr, to ctllnd.,. VII' with th.t rltt
ennD\M1Otd bv the PA Dlpert.lnt of A,Yenu.. Thl IPPUUbl1 Intlr..t r.hl lor I'" through 199' "11
'W.c tntlrl.tRlt., Olllv Intlrl.t 'Iotor XW' Intlr..t Alt, Oillv lnt.,...t 'lata,.
1911 10H ,0001_1 1917 9H .0001_7
1911 IIH ,000_" I....lttl IIH .000101
1914 llH .000101 1991 9H ,0001_7
1911 \Ii ,00011' "U'199~ 7H .000191
1911 IU ,OOOU_ 1991.1991 9H ,.00U7
"Inter..t II o,',nUltttd II ,ollow.I
INTERE'T . IA~ANgB OF TAX UNPAID X NUNIER OF DAVS DB~INQUENT X DAI~V'INTEREIT FAOTOR
uAnv HoUn tllutd Ifter thl tIM bleo... dlllnquent ..Ill r.U,ot In Inter..t ol1oulltlon to flftlen lIi) d'V'
blvond thl dll. of thl .......tnt. If PIV.lnt II IIde Ifter th' In,arllt eo.u""o" dltl .ho"" on thl
Hotlc., .ddltlon.' Int.r..t .UI' b. e.lqul.ttd,