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PETITION .'OR IJRODA TE "nd GRANT OIi' L~l"rERS
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_.___....~__.__..___.____. Dm.u.vecl, Co\l11lY of _----n------'-' In Ihe
Sod,,/ sC'c'lIr/(,v No, _1!d.~7.c..:12 g ~ _,. Clll11l11n11WUullll of 1'0nl1sylvuIlIII
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uftCI' u'eeullon of llio wlllorfcl'cd 1'01' 111'1lb1l1U: IVIIS nollhu I'k-limoI' 1\ klllh\Q IIndwlIs ncvel' I\djudlclltcd .
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DC,cemkul 1\1 dUl\lh ownud ,PI'ollUl'!y with eSlll11nlud vnluus I\S followsl
or Ilnl\1ldludln PI\,) ^\IpUI'SoulIlllI'lll'uny $ ':2.30.00
or I1nl dllll1ldlu\IIIlI'Il,) I'Ul'snUl\ll'l'lll'ony 111 I'clIllsylvllnlu $.
(\I1l!11 d\ll11lclle<lIIlI'I\,) l'ul'SOl1l\lpl'lIpUl'lY In COUIIIY $
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WHEltEFnIW. POlllloncl'(s) I'espcclfully ruqllus\(sl Ihu PI'OhU1U of Ihu IllS! will nnd codlcll(s)
prusuf)lud hcrewllh hlld Ihc grul1lor IuIlUl's.~_.__ -..-~,-,--,~----_.
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OATH OF ,}ERSONAL Rl~IJRESENTATIVE
COMMONWEAI.TlI Oil I'ENNSVI.V ANIA l. ~8
COliNn' OF _'".._~_..__~_ ___-'- J
The IWlltlollollslnhol','.nllllwd SWUII!'(S) or IIfflnl1(s) Ihnllhu sllllc1110nls IlIlh,' forcgolng potltlon nre
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WARNING: It Is Illegal, to duplloate Ihla oopy by photostat r~r photograph,
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4613128
~r 2 6 1997
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OOMMONwaALTH Qf PINN8VLVANIA . PIPAATMINT Of HaALTH . VITAL AIOOR08
CERTtFIOATE OF DEATH
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Ronald GElrlwrt
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III ;. "AU' "HI I.l"^",, M,,-, ""'lItl
Alice Minaku
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210 YIJ1El Avenue Cal lIill, I'a 17011
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COMMO~~8YlVANIA
0~PAR1M~NI OF RHVf.NUE
OEI'I,280001
REV.1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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FILl HUMSIM
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o 7, Ooudonl Moln~lnod 0 LIvI"1l T"I8II""h~, ~ t","
o 10, Spoulol Povo Cro<lllld"~"" _n lI,l'." on<! Hili
o 3, Romal"der RoIUlllld" ~ ".. pllJllo 12,11111 '
o 6, Fo<Ierol E,IIoIO Tal Relum Required
_ 8, To~1 Number 6f Silo Depoln BOIOI
011. Election tololUlldlr Sec. 0113(A)(""h6<hOI
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~AWlP~/L.<. PA 17011
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1. Rool ElIolo ISchedule A) (1)
2, Slocke ond Bondo (Sohodulo B) (2)
3, OIOloly Held Oorporo!lon,Portnellhlp or So~,Proprtelollhlp (31
4, Mortoogel & NOles Reoolvable (Schodu~ 01 (4)
6, OOlh, Senk Dlpoal~ & MllOOllenooua POllonol PrOptlrty , 161
(Schedule E)
8, Jolnl~ Owno<l PIOptlrty IScho<lule PI 161
7. Inlor.Vlvol Tlonaloll & Mlacelloneoul Non,Probolo Property 17)
ISohedulo G or L) ,
6 Tolol GrOll Amlallolol Lines 1.7)
0, Funerol Elptlnaea & Admlnlalrollve COllo (Schodule H) (0)
10, Doblo of Decodonl, Mortgago LloblllU8a, & L~na (Schedll~ I) 110)
11. TOIoI Deduotlohl (10101 Llnoa 0 & 10)
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12, NIl V.lu.of Emil (LlnoS mlnuaLlne 11)
13, Ohortlob~ oM GovommonlolSoquOlWSeo0113 Trulta 10' wh~h on olectlon 10 tal hoa nol been
made (Schodule J)
14, NIl V.lulSubjtot 10 Tox ILlllo 12 mlnua,Llno 13)
16, A unl611ln. 14 Ioxoble
oll11e lpouaol lox role , I, X ,0
See Ina!ruOllono on revllllllde 101 Oppl~ble ptllcenlogo
16, Amounl of IIno 14 tolob~
016%1011 " X
17, Amounlolllne 14 tollb~
0116% rolo X
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ADD ESS '
DATE
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DATE
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TillC Payments and Credltsl
1, Tax Due (Page lLIne 18)
2, CrO<llle'Paymanle
A, Spoueel POYellY Credll
B, Prior Paymenle
C, Dlecount
F'PA \ liP
122~
(1)~
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Tolal Credlte (A + B + C) (2)
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3, IntereeVPenally Ilappllcebla
0, Intereel
e, Penally
. TolallnlerasUPanolly ( 0 + E ) (3)
4, If line 21e greeterlhenllne1 + line 3, enlor the dlfferonce, ThllIe Ihe OVBRPAVMENT,
Check box on Page 1 Line 19 to requeat arefund (4)
6, If line 1 + IIno 31e gleolor Ihen line 2, enter Iho difference, This Ie Ihe TAX DUI!. (6)
A, Enler the Inlaloel on the tex due. (6A)
B, Enter Ihelotel of Llno 6 + M, Thiele the BALANOlI'DUB, (6B)
Make Oheck pa able 10: REGISTER OF WillS AGaNT
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PLBASIl A SWIl THI! FO LOWI G QUI! Tt S
BV PLAOING AN "X" IN THIl APPROPRIATIl BLOOKS
1, Old deoedent make a tranellir and: . Vea No
a, retain the uee or Inoome 01 t",e property trenalerred: ....................,........,..,,,,,,,,,,,:,,,,:....,,,..,.. ~ I
b, retain the right to deelgnate who ahall uaa the property tranelerredpr Itelnoome: "....",/;,....
0" rttlln a reVer&IOnary, Intere.t:or,,,~,,.,,',"""""""'"'''''''''''''''''''.'''''':''''''''''''''''''''',,,,,,,,,,,,,,,
d, reoelve the promleelor Ille 01 either p.aymente, benefita or oare? ,..................,......"..",,,,,,,..
2, If death ooourred on ot belore Dlloember 12, 1982, did deoedent within \Wo yeara
preoedlng deeth traneler property without reoelvlng adequate oonalderatlon? If death ooourred
afler Deoember 1 a, 1982, did deoedent tranefer property within one yeer 01 death without
receiving adequete oonel.deratlon? "'"';''''''''''''';>1'''''''''''''''''''''''''''''''1''''''''''''''''''';;'''''''"""""".0 IE
. 3, Old deoedent own an "In truet lor" or payablo upon doeth bank aooount or aeourllY
4, ~tl;lde~a~~n~~~~:~' i~di~id~~i ';~;i;~~'~~'; '~~~~~~t': ~~~~ity;'~;' ~ih~,~' ~~~~'p';~';;~';~ '~;~p~;;v;;:::: 81
IF THIl ANSWIlR TO ANV OF THB A130VE QUBSTIONS IS VES,
YOU MUST OOMPLIlTB SOHEDULB G MlD PILE IT AS PART OF THB RBTURN
12 1'.8, 99116 (1I) (1,1) (I) provided lor t e reduotlon 01 the tex ratelmpoeed on the net val~e 01 tranelera to or, or the ueaolthe
eurvlVlng epouee Irom 6% to 3% lor date I 01 death on or after July 1, 1994 and before January 1, 1998,
12 I',S, 89116 (a) (1,1) (II) provldad lor the reduotlon of the r.te Impoaed on the net value of tranefClIa 10 or for the uae 01 the aUrvlvlng
epouee Irom 3% to 0% lor datee 01 death on orefter January .1, 1998, The otetuta po~e not exemDt a traneler to a aurvlvlng epouae
Irom tax, and thil.ltatulory requlrementa lor dleoloaure of auete and flllng a tax re,turn are stili applloable Dven II theeurvlvlng apouea
Ie the only beneflolary,
POR DATBS OF DEATH ON OR AFTER JANUARY 1, 1998. Pleaoe anawer tho folloWing queatlon by plaolng an "x' In the
appropriate epace,
Old the deoedent oreat, e truet or ,lm!lar .rren"ement whloh Ie ,olaly lor the ,urvlvlng apou,e'e beneflt for "'I' or her entire
IIletlma? Vae 0 No 181' .
II you anewered yee to the above queallon, the tex on the truet or similar arrangement 10 poatponed until the death ol.the eeoond
opousa, at which time II will be lully texable at the rate(a) applicable to the remainder beneflolary(lea), linter the value 01 the truat on
Schedule J. Part II, In ordor ,to remove It Irom thecalouletlon olthe tax due In thlaeatate, Vou mey wlah to file So~ed~le Oln order to
mako the elaotlon avalleble under SeOtlon 91,13, If the eleotlon II mede, Ihetruet or elmllar arrangemant Ie tax ad In the eetata 01 the
flret decedent epouae, the portion 01 tha truat or almllar errangement whloh benefite the eurvlvlng apouae la taxad at the zero lex rale,
and the remainder la texed et the rete(e) applloable to the remainder beneflolery(lea), II you ohooee to meke the elaCtlon, you muet
attech Sohedule 0 to a timely-flied tex retutn, along wllh Schedule(a) K and/or M In ordar to ehow tho apportionment 01 tha truet or
elmller arrangement betwilen the eurvlvlng apouae and the remainder beneflolary(lea),
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Tax pavm.ntl and Cr.dltll
1, Tax Due (page Hlne 18)
2, OrlldllelPaymenle
A:Spouesl Poverty Orlldll
a, Prto! Peymente
0, Olecounl
(1)
Totel Oredlle (A + B + 0) (2)
3, InlereeVPenelly If ep~I08ble
0, Intereet
a, penelly
TOlellntereaVPen811y ( D + e) (3)
4, II line 211 greaterthen line 1 + line 3, enter Ihe difference, Thle 181he OVIIRPA VMRNT,
ChtQk box on PU" ~ln,'8 to raqu..I' r,fund (4)
6, If line 1 + line 31, greater than line 2, enler Ihe difference, Thl, Ie IheT AX DUI!, (6)
A, anterthe Inlereel on Ih8lax due, (5A)
a, enter Ihe lolal of Line 5 + SA, Thle Ie the BALANOI DUll, (5a)
Make Check Pa able to: R/!G/$TER OF W/~~$ AGBNT
P~ 81 RT PO 'If Q B 10
BV P\..AOING AN "X"IN THII APPROPRIATB BI-OOKS
I, Old decedent make I tran'fer and: 'Vea
.. retain thl u.e or Income of the property tran,ferredi l"""!!l,,'''....!...t''''''''.'''''''''"''''''''...t!''''~
b, rata1n I,he right 10 dealgnate who ,hall uae the property tranlferred pr It I Income: ""","""'"
0, """,' . ""._ .,,,.., "'"'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''',''''''''''''''''''''''''',"
d, recelvelhl proml.. for IIf. of .Ither,peymentl, beneml or oare? '"'''''''''''''''''''''''''''''''','''''
2, If dealh,ocourred on or before December 12, 1982, did decedent wllhln two yearl
preceding dllth Iranlfer property Without reoalvlng adequate conllderatlon? If d..thocourred
after December 12,1982, did decedenl tranafer Property within one year of daalh wlthoul
receiving adequate conalderatlon? "......."'...,'"'''''''''"..'.''1''..'.' ,.,.,;t 1''''''11'''' ,.."..., """1'" ",,,,,,,,.0
, 3, Old decedent own an 'In truII for" or payable upon deeth bank acoount or eeourlty
4, ~tl;l~ec:;.~~nf::~:'~'I~di~id~~i't~ii;~~;~i'~~~~t','~~~~1ty:'~;'~ih~;'~~~~'p~~;;~i~';;;~;;~rtY;;:::: 8
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12 P,$, 69116 (a) (1,1) (I) provided for the ra uollon ollhe tex ratelmpolld on Ihe net value a Irani ere 10 or for theUI. 0 Iha
lurvlvlng apouaelrom 8% to 3% for dates 01 death on or aftar July 1, le94 and before January 1, 1 eee,
12 P,S, te116 (a) (1,1) (II) provided for the reduollon of Iha tate Impolld on Ihe net value of Iranlferl to or for Ihe ula of Ih. lurvlvlne
apouII from 30/0 to 0% for dalll 01 death, on or after January I, 1 eee, The Itatule ~oea nol ,xemola tranlfer 10 a lurvlvlng IpOUII
from tax, and Ihe Ilatutory requlrementl for dlacloeure of aellta and filing a la,x return arl! atlll apPlloable evan 1f,Ihe lurvlvlng IpOUle
II Ihe only beneficia""
FOR DA TII8 OF DBATH ON OR APTIlR JANUARV I, 1888. Pleaae anawar the rollowlng qu..\lon by plaolng an 'x" In Ihe
approprlale apace, , '
Did Ihe dloedlnt oreall a trUtt or 11m liar arrangem,nl which II tolaly for the turvlVlng apOUt,'a benaflt for hla or her Inllre
IIflltlme? Vea DNo 18I ' ,
If you anlwered yes to the above queatlon, Ihe tax on Ihe truel or almller arrangement 18 pOltponed until tha death 01 the ,8Icond
apouae, al Whloh lime It will be fullV taxable al the rata(a) applloablelo the remalndar benefiolary(lee), Ent.r Ihe valua of Iha trult on
Bohedule J, Pert II, In order to remove II from the O8lculallon of the lax due In Ihla eatate, You may wllh to file SChedUlaO In ordar 10
make the elaotlon available under $aellon 9113, If the aleotlon II ",ade, thelrult or Ilmller arrangement Illa,xed In the ..Iale of the
flrll dacedenllpouae, the portion of the IruII or elmllar arrangement which beneml the aurvlvlng IpoulIll laxed at the zero lax rale,
end Ihe remalndar II taxed al the rate(l) eppllcable to Ihe remainder benaflqlary(le, e), If you choo18 10 make Ihe eleotlon, you mUll
eltaoh Sohedule 0 10 e tlmely-filell tax relurn, along wllh Behadule(l) K and/or M In order to Ihow Ihe apportionment ollhalrult or
almllar errangemenl between Ihuurvlvlng apouea and Ihe remelnder benefiolalY(lea),
IUR~AU OF INDIVIDUAL TA~~S
IHllrklTANGL lAK IIIVIBION
OEl'l. nO"1
fIARRIRIURO, I'A 1IIa1..6.1
COHHONWBA~TH OF PENNSV~VANIA
OEPARTHENT OF REVENUE
-
NOTIC~ OF INH~RITANC~ TA~
APPRAl8SHBNT, ALLOWANCB DR DI8ALLOWANCB
DF DSDUCTION8 AND A88S18HSNT OF TA~
lIV'IU'II"I'III.t11
RONA~O GERHART
2107 YA~E AVI!
CAMP HJ~~
'OJ
MAY 16 AlD:~ 7
OATE
ESTATl! OF
DATE OF OEATH
FILE NUHBER
COUNTY
ACN
00-12-2003
GI!RHART
10-24-1997
21 97-0923
CUHOI!R~^NO
101
Amount Romlt tod
F~ORCNCE
E
HUl;Olu\.II' ",;,< of'
Fit!!;li!,I" "il!:I:~
HAKE CHECK PAYAB~E AND REHIT PAYHENT TU,
REGISTER DF WI~~S
CUHBER~ANP CO COURT 110USE
CAR~IS~E, PA 17013
CUT ALONG THIS LINE ~ RETAIN I.OWBR PORTION FOR YOUR RECORDS ....
ilirV': r ii'4""'iif ~AFP'"(OY:6i;- 'iliITicj("oji-WiliiiifAHC i"TAX"A'PPRAiiiHiHi'~'-m: OWAHd'i"iilf- ........-- - _.."-
DISA~~OWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF GERHART FLORENCE E FI~B NO, 21 97-0923 ACN 101 DATE 00-12-2003
rAM 0 11 ,
C\/tnlJurllll' I:, 4,
it
l
1'/\
TA~ RalURN WAS, (x) ACCBPTHD A8 PILBD
RESERVATION CONCERNING FUTURE INTEREST . SEB REVERSE
APPRAISED VALUE OF RETURN BASED ON. ORIGINA~ RETURN
t. R'"l ~Itltl (Soh,dul, A)
a, 8tookl Ind londl CsohodUl, II
I, Clol,ly HIld 8took/P,rtnlr'hlp Intoro.t (80h,dul' C)
4, Horts'soI/Noto. R,ooivabl' Csohodulo D)
B. C..h/..nk DtpaI1t./Htlo. Per.onll Prop.rt~ (Bollldull E)
6, JointlY Ownod Proporty (80h,dulo P)
7, Trlnllor' (80hldull 0)
8, Tot,l A,.ot.
) OHANOBD
Cl)
(2)
(I)
(4)
(S)
(6)
0)
. DO
.00
. DO
. DO
37A.88
.00
.00
(I)
HOTBI To inlure proper
oredit to vour laoount,
lubmit tht upper portion
0' thl' form with your
tlX p'~IlI'nt.
374,88
APPROVED DEDUCTIONB AND,EXEHPTIONS,
t. Fun.ral GKPtn.../Adm. Coat./Hi.c. Hxpen... (8c~.dUl. H)
10, Dlbt'/Hort~'so ~1.bllitlee/Li.n, (8ohodulo I)
11, Totll Dc duotion'
ta, Nit Velul of TIM Return
11. Charitable/Gov.rnMental ',quI.t., Non"lllctld 9111 Trult. (Schodule J)
14, Nit VIlul 01 Sltlte Subjeot to TIM
(91
(10)
270. IS
NOTIlI
241..00
lIll
C1R1
(Ill
lI41
14. 1& .nd/or 16, 17. 18 .nd
r.turn. .......d to d.t.,
R11 .1 R
137,00-
,00
137,00-
19W111
If .n ........nt W'I 111u.d pr.v1oul1V. 11n..
r.fl.ot,f1aur.. th.t lnoludl thl tot.1 of ~
A88BBSHENT OF tAX,
II, A.~unt 01 Line 14
16, A.ount 'of Line 14
17, A.ount of Line 14
18, A.ount of Line 14
19, Prlnol.11 T'. DUI
at 8pQ~..1 rlt.
tlM.ble It LineII/C1I.. A r.te
It Sibling rite
taxabll It Collatoral/Cla.. B
(1)
(16)
(1)
(18)
,00 ~ 00 .
,DO X 06 .
. DO ~ 00 .
.00 ~ 1~ .
(9).
AHOUNT PA I 0
.00
.00
.00
,00
,00
r.~.
HUHIER
IN SREIT/PSN PAID C-)
TOTAL TAX CREDIT
BA~ANCE OF TAX DUE
I~TEREST AND PEN.
TOTAL DUB
.00
.00
.00
.00
. IF PAID APTER DATE 'INDICATED. ISU REVSR8E
FOR CALCULATION OF ADDITIONAL INTERE8T,
IP tOTAL DUE 19 LE89 THAN 'I, NO PAYHENT II REQUIRED,
IF TOTAL DUE IS REFLSCTED A8 A "CREDIT" ICRl. YOU HAY IS DUB
A REPUND, 8ES RBVBA9S 81DE OF THI9 FORH POR IN9TRUCTION8,)