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1)I~l'ITION "'OR 1)IUlUATK Rod GRANT 0'" LETTERS
nll.II(" (1,( ....1a.?LkL<<l'.llcttll4 iU~y:.i~ Nu, _.~L~9}:~.tLC:L_.._~__
,,'so' k"CJ\WI us 'H___._~,,~___'-'~_"~H~L_'_' .__'_.'~L:_"~~_~~__" To:
...',-n.._.'.._.~~-.........,.,..,......., .......u Reglsler uf Wills for Ihe
_"..._......._::~.....n_.._..,..d....._.., /11'('('(/.IW/, ('O\lllly uf ...._...m._.m__ hi Ihe
So('/tI/ S('('urll,I' Nil, 7-l.S~'It,~:.a:.KI.Q.'-7-.....n . ('ol1lll1()I\wenh h of l'e\lllsylvnlllR
Thr. 1ICllllull \'1' Ihellllllersllllled rcspeelfully represellls Ihllll
Yuur IlClhIUl1er(s), Ivhu IS/Illo 1M yellls qf I1lle nr qlller 1I111he es,H!UL_. ..,....u.~..u.___.__I1I""cd
III Ihe Illsl will (If Ihe IIhuw 1I0c,'del1l, dilled ......u..... ......u,.........._._~._....~_~_.~" 19__
lIild codIClI(s) dlllod .,.......____'..,.._..,......._-.. .... ..._n_..._..._.......m~.._ .--
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(SWil' rl'levunl drClIl1i'ilHl1l'l'S, (',II. It'IIIIIwlllllnl1. dl'lIll, of l.'\l.'~'\llnt\ ',*',)
l)c~ondenIWIIS dUl11iellellnl delllh In ...C.3fJ1L)er (4J:/l.,.....,.,......, Cml1l1y, I'ellIlsylYUjlJJl, wllh
huL~~':J)~~~(~t::",~~~I~~.~.~:dO~I~.e~II'';''~~'' u:~-!~~~~..afI~u~~:~.~=~y~.Jlil/;r'2'-/JJJ ~ /
I . {Usl sllcel. 1I11I11hurlllullll\llIl'ipIIIlH'1
l)e~cndoill,IIWI\muc:i.:g-n YCIIIS{l1' IIge, dletl_...i.~_I<!.6.uJ:.r:Lr.,.._....m_.~-' 19...:lJ_.
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I',W\'PIIlS fulluws, declldenl, dlttll(llnllllTY, WIIS IH11 t1lvol~c!d IIl1d ,lid IlUI hllw II ~hlld born or ndolllcd
1~:'~~~;1~~~~~~~ :~'" ~~.~ f~ffo,lc~rl~~ll~~I~11 el_ ~~"~..I~l~~~~'_~I,~.III~:f~_~~~~l\ IIl1d,~~S l1evcr .lid] udl~RI od
PecCl1dol1ll11 dlllllh o\vncd Pl'l1perlY wllh eSlll1IlIled vllhlCS liS folluws:
'(If ,lol1\lclled ,111 I'll,) All personlll properlY
(If 1101 Ilol1llclled In I'll,) l'ersllIllll propcrlY In 1'0111lsylvllllln
or 1101 dOl1llclled 1\1 I'lId I'crsol1l1lproperlY In COlll1ly
VIIIIII' of ICIII cSlllle III Pc 11 11 ",I 1'1111111
shulIl,'d liS follow,: .._...__:m."_'_"'_"'-u~' ..._.,..._..___.~___.___.m..__~~__,_~
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__.___~.__..._.._"h...._'" _ _.... ,__.., ._' .~_"~__.~.~. .,,~_,__._ __'_.__.n ,-.-------~- ----
WIIEIWHlIU'., pellllol1or(s) rcspoclfully rcquest(s) Iho prohl1le of Ihe IlIst will 111111 codlell(s)
presel1led herewilh IInd Ihc ~rl1l1l of Jollers, ..".._~ ...'m'.."H_.....'.:....-.~_...._-~__..
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11'-'~li\llll'l\Iltty: lulmjnl~lralltlll \',I,II,llld!1lilll~IUui(111 d,h,II,C.I.R.)
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OATH 0... I)ERSONAL REI)RESENTATIVE
COMMpNWEt\l.TH (W I)ENNS\'LVt\NIt\ L tl8
COlJ NTV OF ..._ -a.U\1!llmI.iN:l.!l------.-. J
511'0111 10 01' urflil1lod IIl1d,uhscrlhed
he 1'(\1',' !He Ihi.- ...". .... ;HlJ',h..." dill' or
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7J'JOJ!'O ~'f\lf.:.,. ~~~:'r;; t;.~~\-- h;',~i.'I~;"
-;:J./ Y _ I I;,~r I " .
Thc 11I'1111ullcr(sj uho\'c.l1nl11.!d slI'ellr(s) or \1rrlrm(s) Ihllllhc sllllcll1C\lI\ IlIlhe roregoln~ pClllloll Rle
Irlic ilnd ~orrwl 10 the 11I'sl of Illl' kllnwled~c IIl1d helieI' of pellll\lller(s) nl1d IhlllllS peISt1l1UIICpleSCI\'
11I11\,,'(,i) or Ih('lIh(1\'I' dc~cd"1I1 11I'11IIol1,'r(s) )\'111 11'011111\\111'\111', IId11l1111S1er Iho eS\(IIC Recording 10 IlIw.
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IS"
I ' I' I' ,"" I ' I' "I '1'1 I ' , '1'1'11'1111111 'I: '1'11.1 : 11III1I1
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, "1" , II" I" 'I Ii II",' "I,' I II' '1, " " "I ' 'II" II I :' I" ' '11'1
' 'I' 'I " '1' , II I I I 'II I I, 'I' I 'I I ' , II
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'I'll, I I"!'I' III " ' "'II" "I I I I I 1,1 '! ' , 111'1'1 "I' ",1 ", I "I' , I I ,II :1" I' I I II""
' 'I II ' I II I I I " I I' 1, I I II J II I II I I II j
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, 'I '"i ,II ' I,' ;1,' 'I III I : I," i,: 11"11 ,..111'" " I' ': "I' I", ,"':" I, II: '111"11 I: I "111'11
i : i : I : ' ! I ! ,III i I' '1 ! i;', ' 'I! ii, ' ,I , I: I! 1 I' I : lj ,II: "" I "I' ~ ' ,: ! 11I111 ' ' I' i'. I I II' II : :; , I I I I', Ill'i I ,: ': "I, I
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I "I "'I I ' , ,,, , 'III ' I ' 'I" , ," I I 'I'" I
II I ,', I II, I ' II I" II'" I "I' 'III ' " " , ",,' "'1'1' 1"11' I '''I ' I: I
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"I I 11'1':' II", III" 'i ,JI ,I,"" : I" "1' I, I,' ,1,1' 11'1' 11,1: II 1'1 "" II 1'1' ' "1'1
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1'1 ' I 'III I.. "'",, II ,II j , I I " , 'I', I,',,, II' i I II,' ,111, '" I' II" 'I 111"
,I I I "'I 1,',1, ,'" ,;1 Ii 'iI I ( I "I'll I" ,I,": I 'I':' ,', 'II, , 1'1" I 'I ,i J 1.11 illl I' I "111 'II
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il',:II!"!, II", ,ill;' 1 ,I, II' : I', , II "II ': '11'1 I: '" 11'11[' II 1 ,I ' "1,1' "I' '1'11.: I :lllli ' :', I, '
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111111:' I I I "'1,1'11 ",:'1 tll ':I':li ," " ,'I, 111:1 ! I' 'II i'l II,' 1"1' "I ' I' , , I",; 'i'll' II I : II I I'I'!I I : I ", I I
I ,:I !" I", II' i ",'" 'I, "ii, I I' II 'I' 'I ill 'I, " ' 'I 11'1' I" 1'" illlll':1 III I 'II I '1['1
111':'11 I! "'I"'! 'Ii", II '111':1," I]",": 1I'1 :'1' ,!"l III111 'II :1'1'1 ! I I 1;11; 'li'I'III'I'III,II'I'11 "'I I,'III[ ',,: 1":'111
11111111,1 I 1,1" II 1,'1 " II ' , I' il'll I I I 'I'" I I' 'I 1'1' , ',' "II I " I I ,I I
i 'i : i : II ,! 1 'I "III ~ ~ ',' ,I III II ;, I ' : i!' I I 'I,", II .' \ II!' I I, ' I : I "II I' ; I I 1111: I Ii: II I' I 'I, ; " I, I
! II ! II I II I 1'1 ..dill' : I I' :': ' I, "I, II IIII 'II II'! i ,1111, III I 'I I,ll II I III : III : ~ III I "II : I I, I II, 1:1 I I ': I : I!
II i 111,1'1 I 11,1': I'! ,I'" ", I ' II 11'1" I!II""'" 1'1' I'" ,I I 1'1 "1111: 'I"':' ': :, ,I
I 11111 I! I: I II III " I: I ,I, II' 1 .' II t II, , ,,,II II II ~ II, III' " II : I' , : 'I 'II II ' ,1111 I I " 'I' : I ' "I' I : : ",
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I11I II [I Iii! I:, !!I' II;' i,l!I!II'; (::: : ,lill,1 Ii:, ,I: 1'11111' Ilil: ,II illll:II:11 ! !i II i ; : ;
III I: III i i III I I ; :' Iii ,I ,:! I ! I :1 ; II : :' II I ,III: I I,: II:' I I: II I' II iI i i : I I I 1111 I :! II I '11111 ': I I:' ~ ,: I :,
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I"l',' '1'11,[' II I:"! "1,1'11, I' ":1 III" "111'1 'II , "I I I I' 1111" I " 'I' I"
H,I'I'!li III II'ill':II:II'II:llllll'I"III' 111'1:11111111 '111,;.11[11111 III "111111 ::1 I' " :: II ::1
II 1,,1, III "1',111, ",1:'1' i", II'II! 11 ' 11'1 ill 'I 'III' I 11111"111' '111'1 I II 'II " ' 1
\ I I! li!I"II' Ill,,: I ill ~ ":,, 'I 1':1 I' I : Iii III :IIII',j II"JI, II '1'1"[ : II I:: III', 111:1\' I':I! I"I! ,11'1:' ! :! :: I:: I::
1'[ 1IIIi "1['1'11'111111;11,1 JI 11'111 I II" II ','II "I'll 1111"1 I, ,1"1'111"1' '1111:" "I III" " ,: ::
I III 'I' ,:' 'I; , , ,,: 'I 'II I! I, "I 1"11 I' I 11III " II II "'1'11111' I, ," I 1 I II 'II I "I : " "I ,
, III II i i : ~ I I, I i ~ i ,'i I I:: : I II, i I I' 1111'! ,I ! 'II 'I "II Ii: I 'i II ' Ii II 11111111'" I i [ i I: II' ',' I 'I" II ',' ' I ',' ,
111111111, I" ,III 'I'll" ' , III '<II I, I 'I, I li'''IIIIII' III 'I'll' 11'1'111 ,1111' , I '
II, i i 'I J I II! II 'I I .' ~ I : I "I":: I II' 'I' ,I,' , Ill'!;' I I, I d ' I'" I 'i I' I" I II' i I ,', I II ; I' ,;,..
I!l !II! ! i ! II:: II ili,'::II':: i, III '1Iili'IIII'I,,'II);~I::, ill: III!IIIII: 1IIIIll;,I! ill'l !III) II11I i :': "ll :,1! ::'1:' ~:lIII'1 ::'1
HII: II II! 11111",1 i', 1'1 i, li,1 ' 1" I:III! III: !!I: II" I'I Iii' ,,'ld',11111111.1 I I! "'II II "I" I ':1 I"
,ljlll ,Jill I 1.111 I' '1111 :'1 I I III" 111'11111 'I I II I 11 I I I' Ill! I I 1 II" '11"1 I
' IIII! II III I '! 'II I 'I ' I '", I 'I I ~ I II I I ' ,I, Ii: ' , I :' , i! I' !' II, , "I' I' I , , ' III I! I , : I I ,I I11I i I I ' I ' '! , I ,'I I I' I
' ",I ,'I I I,'l' 'I"" "II I, ,:" I: I, 1'1' "'\1,111 I'l" "I" II I , ' ' " 1"11'11 II 1,1 1111111"1' I
'I i,' ,II' I , I, I! ! I', , , I : ,I 1 I ;", I",:: I I I (,: 'I"l 'I: II, I ~ I' I 'I :' . I'll ,i; I': I " i' i 1111',' Ii III' I, ': I ':: II II" I
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::11 i;lii i): ,i:'I: il'il:!!."':':!1 ;J,:~, ,::~;.iI:! ! I:,! I :I:ii:,~ ::' ::. :i;i: i!'; ::1 :i:'l.111 III ill Ilill.' il: 1III,!I,I!!>11 II
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" I 'i' \ II!'III II ) I,ll I I I' :'1 I 'i 11;1 , 1" l I' III il'l' I I 1111'1 !I 11'11 'II 1"1
I Ii ';Ii :'"'" '1:11, ,I I " '11"1 'I Ii"'!" ': I il :1'1 ,I I' :1,11,1 'I : II il I':!, i: '" I, i:, I:' II!' ' I.'" !il"l I' I,
I :: I, 1,1 ,,:'1, t, I ,I, '1111111,'11 "II, 'I' " 11'11 I ,I " "11,11 I 11111'1 '1'1 ,I I ,,11'[11'11 I,
, I' i..'I'" , ,I, :' 'I' ".. 11.'1 "'I II " II' , II' I ,:' II" I,il, ;"1 i' '11'11 11"'1 I ':;1 "1,1, I( I I
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BUREAU Of INDIVIDUAL "AMEB
l'*lI:RITANCE TAM DIYral1lll
DtlPT. 210601
IlARRIIIURO, PA.17ua'0~DI
OOHHDNNIALTH OF PINN8YLVANIA
DIPARTHINT OF RIVINUI
NOTICE Of INHERITANCE TAM
APPRAISEHENT, ALLOWANCE OR OI~ALLOWANCE
Of DEDUCTIONS AND AS8ESSHENT Of TAM
v/
.
Uy.luta. UP U""l
12.11-2000
HARMAN
09-30-1997
21 97-0919
CUMBERLAND
101
AMount Ra..Htad'
HAKI CHIOK PAYAILI AND RIHIT PAYHINT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17015
CUT ALONa THI8 LXNI ~ . RITAXN LONIR PORTION POR YOUR RIOORD8 .04
~W:IIW.'l/'.~~1l'.r&':6&)-.illlYfai".d'jl.lNAali'fflil6'i.Y,{'1l.'A'lSjl, ~'A"ii'Hll'ilt...~t,t, -CSIiIAil6..'lllf-.......... ......
" "DZ8ALLONANCI OP DIDUCTXoNs ANDA88188HdT OP TAX
18TATI OP HARMAN JOHN W FILl NC. 21 97.0919 AON 101 DATI 12-11-2000
TAM RBTURN NA81 (X) ACCEPTED A8 fILED () CItAHOED
RI8IRVATXONOONC.RNINO PUTUR~ XNTIRI8T . 811 RIVIR81
APPRAX81D VALUIOP RITURN .IA8ID ONI ORIGINAL RETURN
1, R~al Eatata (B~~dula Al
2. 8tooka .nd Bonda 18~~dula .)
5. Dl~.al~ Klld8tOok/Part~arahip I~t.r..t (Sohadull C)
ft, Hortppa/Not.. R.o.iYllbl. ,C 8ohadul. D)
S.. Caah/SInk Dapoalta/Hia~. P.r.~".l Prop.rt~ IS~h.dul. EI
.. Joi"tl~ OWned Prop.rt~ 18o~dula fl
7. Tra"afa~a (S~~dUl. 0)
8. Tot.l A..ata
APPROVID DIDUOTION8 AND IXIMPTION81
9. Punar.l e~p.".../AdM, Coat./Hiao, EKP.~a.a (Soh.dul. It) (9)
10. Dabta/H~rtDap LillbiUU../Lla"a CSoh.duh I) (10) .00
11 ~ T~tal hduOtiona ' (111
12. Kit Val\HI ~f TilK Ratur" (121
15. C~ritllbla/Goyar~a"tal .aquaata) No~.al.otad 9115 Tru.ta (80hadul. J) 1151
1ft. Hat ValU& ~f E.t.t. Sub~.ot to TaK 11ftl
NOTlI Xf .n ........n1: W" ,:I.IlIU.d pr.viou.~y, Un.. 14, 18 .nd/or 16, 17, l8,.nd
r'fl'o1: figur.. 1:h.1: inolud. 1:h. 1:01:11 Df ~ r'~urn. .......~ to d.t..
A88188MINT, OP TAXI " ,
18. A_t of Li"" 1ft at Spouial rat. US) .0,0 K 00 .
16. AI\qUl1t of U"" 1ft taKabla ,.t Li"..lICh" A rat. U6) ,00 K 06 .
17, AM~lII\t of Lillt 1ft at 8ibU"D rata (171 .00 K 00 . .
18. AM~lII\t ~f Li"" 1ft taKabla at Col1atilrallC1..a B rata (18) . 0 U K 18 .
19. Pri"~ipal TIK QUa (19)'
1,
DATI
18TATI OP
DATI OP DIATH
PILI NUHIIR
OOUNTY
AON
JOHN
W
'/.: U;,' I
MARGARET L HARMAN
1108 OLD MILL RUN
DELAND filJ 32720
Cl.i'
Cl)
(2) ,
(51
1ft)
(8)
(6)
(7)
.00
.00
.00
.00
.00
.00
.00
(8)
NOTE I To ,"aura propar
oradlt to ~our aooo~t,
lubMlt t~ Uppar porti~n
qf thia for.. With ~our
tlK pa~.~t,
.00
.00
nn
,00
,GO
,00
19 Will
.00
.00
.00
.00
,06
AHOUNT PAID
TOTAL TAX CRIDXT
IALANCI OF TAX ,DUI
INT.RI8T AND PIN,
TOTAl. DUI
.00
,00
.00
,00
" If PAID AfTIR DATE INDICATED, BeE RIVIR8E
'OR CALCULATION Of ADDITIONAL INTERlaT,
( If TOTAL DUe 18 LISS THAN .1, NO PAVHINT IS REqUIRID,
If TOTAL DUI 18 R8fLECTED AI A "CREDIT" ICRI, YOU HAV BE DUE
A REfUND, 8EI ReVERSE SIDE Of THI8 FORH fOR INSTRUCTION8,)
RllI.RVATlOHI
PUllPOIl! uP
ROllm
PAVItl!RII
R.PUMP (PRI,
PIJI!PTlOHII
APRIR-
lITRATlV.
CORRllPTlOHII
OIICOUHI,
P.HALW'
IRllRIIT'
1.,.,.. of do..donh dvln, on or bofora o.o_r U. 191t -- II anv fuluro Inl"..1 I" lho ..,.,. 10 tr",".rrod
In po.....lon or .nlov..'" 10 01... I 10011,'.r.II b.n.flol.rl.. of Ih. d.o.d.'" .ft.r Ih. ..plr.,I.. of anV ..t.t. for
11ft or for v..r.,th. OOIlOl\MO.llh htr~V ..pr...lv r...r... th., rl",t to .ppr.I.. ."d ...... tron.f.r Inhorlt..,.. 1....
.1 Ih,'ltlfful C.... . 10.11.,,,.11 rlt. on anV .lIOh fllluro Inll,..I.
T. fUlfill th. ,equlr'''nl. .f 1..,1...140 .f Ih. Inh.rll.".. .nd I. to I. T.. A.'. A., IS of .000. III P."
"ouon 9140) f
O.I.oh lho top portion of tl.1o Hotl.' ond .UlI.1I Mlth v.ur p.v..n". Ih. ROII.,,, .f Hili. prl",.d on tho r,..r.. .Id.,
--"tk..hoo~ or ..n.V ordor p.voblt 10' RBOISTBR OF HULS, AOSHT
A r.fOOd .f . t.. .r.dlt, MhIOh M" nOt r.qu..,.d .n tho T..R.turn, .ov b. r.qUI.,.d bV ..-pl.tln, an -APpll..tlon
for R.fOOd of P","'Vlvo"l. 1101,"1,1_ ond hili. T..- IR.V.mSl, Appllo"lI.n. or...ollobl. ot tho Off I..
o,f tho R"lolor of HIIII. anv.f tho I! R'.'nu. olotrl.t Offl.... 0' bv o.lIln, tho .p..I., 14-hO\"
""".rlng IIrySoI n\til,"-n for fori' order!n., J..aOO"S6e""liO for rota..)' ....vlol or l..ftaa.PAT.~.. with touoh-
tORI ....viol. '11''110'' for tlMpIWlrlwlth,plolal ~.rl"Q end 'pI'kin. n"dll
1-100-441-S010 ITT onlvI,
Anv ~.rtv In lnt.r.,t not,.ttlfltd Nlth thl Ippr.l....nt' allowlnol or dl~.11awlno' of dtd~atlon., or ...i....nt
of t,k ClpolUdlna dl.count or Int.r..t) II .hown Dn thl, Hotlo. .u.t objlot ~lthJn .1Mtv (60) dlVI of rlolipt of
thll ".110. bVI ,"
--..III.n pr.'", to Ih' PA Ott>ort"'"t of R"'""', aoord .f App.oll. O.pl, mOll, ttorrllbUrg, PA 11UI-IOZI. OR
.-11IQtlon to hlVI the ..ttlrdttlralned at audit of thl .~oount uf thl plrlonll tlpr"'nt.tIY~, OR
--tPP.,1 to th.orphan.t tourt.
Flotual _rrot. dlloovlr.d on thie ........nt .houl~ be .ddr....d In wrltlngtol PA Deplrt..nt of ~.Y.nUl,
lur..u of Indl.ldu.1 T...., A""' p..I A.......nt R..I.w Unit, 0..1, 110601, ,H.rrl.bur,. pA 171.1-0601
PhOne (717) '17"'&OB. '.., pe.. Ii of ~ bookl.t "In.trUOt1nnl for InhtrUfll'1Ot taM Rlturn fot · R,d.nt
OO.tdtnt" (RI.-II01) f.r on 'MPIOhatlon of tdalnl.,roll..IV .orr,.'obl. .rr.r"
If envt.. dUO I. p.ld Mllhl" Ihr.. I,S) ool.ndor .onth. .fl.r lho d...dlnt.. do.lh,. fl.. p.r..nt (IX) dl..aunl of
lho 10. plld I. .llow.d.
ThollX t.. """,.tv non-p.rtl.lp.tlon ,enolt, I. .oapUlld .nIH. t.lol ./ lho I.. ond Intlr..t .'..',Id, and not
plld b.foro Jonuorl' II, 1996, lho flret d.v IlIor th.,.nd .f Ih. I.. ..n..tv porlod, lhll n.n-p"lIolpIII.n
penllty I. ,pPI.lobl. In tho .... oonnar and In lho Ih. .... tl.. p.rl.d .. vou w.uld OfP.11 Ih. I.' ond l"t.r..1
th.t hi_ betn .......d II 1ndioattd,~ thh noUol,
Int.r..t I. .h.rgod ..,Inning Mlth flr.1 dov .f d'llnquo"... or nln. 191 ..nlh' .00 .n. (II d.v /,n. tho d'" 01
d..th, to tho dot. ofpoV.."t. I.... wHI.h b..... d.llnqU,nl b.f.r. Jonuor. I. 19aa b..r Inl.r..' II Ih. r.t. .f
.1. (OXI p.r..nt p.r onnuo ..Ioul.tad .t . dlllv rll' of ,000164. All low.. ohloh b..... dlllnquent on and oft.r
Janulirv 1, 1912 ",111 b..r 1ntlr..t.t . rltl,Wh1oh will y.rv frolll oal.ndar y..t to C1lll"d"t ~..t ttlththlt r.t.
announ..d bv tho PA Oop.rl..nt .f RIYInUI. lh. .ppll.obl. Int.r..1 roto. f.r 191a tnrOUgh 1100 .r,'
'tilt Intere.t Aete 0.1111 tnt.rllt PilatoI' :tUt Interelt Aete D,1111 Intlrllt F.ator
1911 .OX .100000a 1911.1991 IIX ,000$01
1913 lax .m4sa t991 o:c .000147
1964 m .000101 1995-1994 7X ,000191
1961 !IX .0001" 1990-1991 9X .000147
1966 lOX ,000.14 1999 7X .000191
1917 9X ,000141 1000 ax .000ll9
"1"'''''' II ..I.ulll.d "' f.U"'"
IHTBRB8T . IALANCS OP TAM UHpAID M NUHIBR~F DAYS DBLINqUBNT M DAILY INTSRSST PAatOR
.....ny Motloq 'Uutd IHlt WI hw __I deUnquent NUl tlnlQt _"inter..' OllOl,.lllUDn to f1ft..n Uli) day.
tMvond thl detl Qf thl .....uent. ',If pav""t 11 .adl '.ftar thl Int.r.lt OOlPutatlcm dati Ihown on thl
Hotl.., addltlon., In'.r,,' IU" .. o.I..I.tad.
Decedent's Complete Address:
Tl:ET 0 Il'
CITY
ISlAit .
_u____ _~I
-1"-"-- -
,
Tax PaymEtn~S and Credits:
1, Tox Due (Pege 1 Line 19)
2, Credlle/Peymenls
A, Spousel Poverty Crodll
B, prtor Peymonls
C, Dlscounl
(1)o,,~.~.__,_.___,_,_____
. ,
~...............~-.._~~~~_._,.,_.....,---'"...----~_....
~.......--_._._-~~.~..._-~~~----
Tolol Orodlls ( A + B + 0 )
(21
3, Inlers8VPenolly If applicable
0, Inlore8\
E, Ponslly
-"~._-~-----'--'-~
5, II Llno 1 + Lino 3 Is groolor Ihon Llno 2, onlor Iho dllforonco, This Is Ihe lAX DUe,
(3)
(4)
(6)
(SA) __
(5B) _____,.
Make Check Payable to: R~GIST~R OF WILLS, AGENT
I _111111'" _11IIII J_.,,-,L!l"IrIlRIDIF"-->>.WIII,.b !lll:Iaa-
PLEASE ANSWER THE FOLLOWING QUI!STIONS BY PLAOING AN "X" IN THE APPROPRIATE BLOOKS
1. Old docodsnl mOKO a I(onsfsr and: Yos No
0, rolaln Ihs uso orlncomo 01 Iho property Ilonslorrod;..,...........................,....,................,......,..............,........'...... 0 D
b. rololn Iho rl9hllo dosl9nole who sholl usa Iho proporty Ironsfelrod or lis Income; ............ '....,.....,...., "............, Q 0
c, rololn a rovorslonory Inler081; or...................."..................,...."..............,..,;",....,,,.......,..................,,,.."............' [J ' D
d, rooolvalho proml80 lor 1110 of'ollhor paymenls, bonefila or carol ........",..,....."......,...................,,,,,,,.............., 0 0
2, II doelh occurr6d of lor Dscsmbor 12, 1982. did dscedenllranslor ploperlY wllhln one year 01 dealh ,
wllhoul racelvln9 adoquolo consldorallon'I....,....,..,..,....,..".....,..,....,..,;"..,........,.........."..""""....,..........,,,..,:..,,..,.. 0 D
,3, " Old decodenl own an 'In Ilusl for' or poyeble upon deolh hank dccounl or sacurlly 01 hla or her doalh? ..........,.., 0 D
4, Old docedenl own an Individual Ro!lroh1el\1 Accounl, annully, or olhor non.probala proporty which
conlaln8 a bonellclory dOII~nolfon? ..,..........""......,...."",...",...."..............,..,......."....,,,',,...,,..,..,..........,..............,, 0 0
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS, YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN,
Under pi;lnllltlo' 01 peqllry, I doclBI8 Ih~11 hilvt) O~8mln(ld Ihlt rlllum, Incl\lding IItcofllpanylng lchedulol and sllllQfIll101S/ilIId 10 lilt'! but 01 11'11 knowlodgo nnd belitlf. 1\1. tniu, wrrectflnd completo
Declaration 01 '. ale' othllt Ihlln th(l "onatlll flll&nlllli'/oll bned on alllnlormllliQO 01 whkh 10 aret hM on knowlod II,
~1<3NATURE OF N RESPONSIBLE FOR FINO RE URN
A, Entor tho Inlerest on tho lox due,
TOlollntoroeVPenalty ( 0 + Q )
4, If Llno 218 groolor Ihon Uno 1 + Llno 3, onlor Iho dlfforonco, This 10 tho OVERPAVMBNT.
Ohock ~ox on Pago 1 Llno 20 to roquaa' a refund
B, Enlor tho 10101 01 Line 5 + 5A, This Islho BALANCe DUB.
DATE
2.. ~. Co ~~,
J -
ADDRESS
II.. '
SIGNATURE OF PRE PARER OTHER THAN REPRESENTATIVE
DATE
ADDRESS
II.. .U1L _....atIlJ~<<ltiU1VD1Al'oJjWlt;".~.;._.....!lIn..II1lL___~,iIl1Jlil,ll.U1J 11 L I L
For dalos of dealh on or oflar July 1, 1994 and boloro January 1 , 1095, Iho lox ralo Imposod on Iho not valuo of Irol1llors 10 orlol tho UIO ollho 8urvlvlngspouse Is 3%
112 P,S, S9118 (a) (1.1) (I)), '
For dalos 01 doalh 00 or oftor Jonuory 1, 1995, Iho'lox rato Imposod on 100 nol VAllIO olllnnsloralo or lor tho UsO ollho aurvlvln9 apouso Is 0% 112P,S, S9115 (0) (1.1) (1111,
Tho sloluto dOM nol oxompt ollAnllor 10 a surviving spouse 110m la', A"d Iho slalulory roqullomnnls fordl.c1oiilro,ol nSBol. And filing 0 lax roluln are sllll Appllcablo oven II
the surviving spouso Is Iho only bonollclory,
For dAles 01 dsolh on or after JUly 1,2000:
Tho lox rate Imposad on tho nol valuo of HAnMers lrom n dncoaBsd child Iwonly.ono yoarB 01 ngo or youngor AI doolh 10 or lor Iho uso 01 0 nolural paranl, An adopllve paronl,
or A slopparonl ollhe child Ie 0% 112 p,a, ~9110(0)(1 ,2)).
Tho lax rolo Imposod on Iho nAI vallie of Iranllorslo or lor Iho ulO ollho docadonl'alinoal honoliciarlos IB 4J>'/o, oxcApl nB nolod In 72 P,S, SOI10(1.21112 P,S, S9110(a)(111,
The lOX rnlo Imposed on Iho nol voluo olllanllols 10 or 10r'Iho uso 01 tho docadonl,'s siblings Is 12% 112 P,S, g9110(0)(1.3)1, A 81blln9 Is dofi"od, undor Socllon 0102, os an
Individual who has at least ono poronlln common wllh Iho docodenl, ,wholhol hy blO(ld 01 odopllon,