HomeMy WebLinkAbout97-00962
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IJE'I'ITION "Olt IJIWIIA'I'E and (;ItANT 011 LET'I'ERS
f"UI/I' ,(I . Rt~hv,,~' j11{.1U11lt Nil. ;J..f- 9r. r6d,
also knowI/ as ,,-w U 'U 1\1:
R"","I<" III ~Vills Ii" II}~ ,/
. "<;reall'd, ('1111111 v III{JiHtf;t.(tctt1AC\..il1 the
Social Sel'lll'il." No, J.JJ' '((' 'It:' f j ('lIl1l1l1l1l1\\'l'allh "II'l'lIl1sylvania
TIH' pi.'lIlillll nllhL' tllllh..'I"iJ.!llnlll.'"pl'L'llullv 1i..'PIL'Wllh that:
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Yom pctiliolll'r(\), who i"t1IT IH ~'l'in.., 01 agl' 01 nldl" <Ill the l.\t'\"'III,Uf nnllll~d
III I Ill' las! will olll\l' alhl\,t'~IL'L'_l'dl'llI, datl,'d ,"/. 119_.
nlld"(1di~i1('~ daled f' 4t1-~taJt It; / 'f'/ 't'. , ,__ ... ....----
c2&,w:4vu.:. ~ ~t/H(}m, ;11 ti~ / r If 'I ' ~~:====:~=
1\1 011 l' rdl'l,lI11l-llr1lll1\!;llll'l". \'.,', Il'IIIIIIL'iali'llI, (\v,\11l III '-'\I'~'lIlnl. de)
1)c~elld,"lIt w'" d'lIl1il'i,kd a,1 death ill &L"'>>~:t~(;Lit!~," J ~.It'(1l1nIY, Pennsylvania, with
IL.&l/ la,1 Ji'lll~y (1' I~~n,ipallpjlk'"'' 'I' .~~1J' tf., 4-1V(eIn-~---_-
___37t .....f, /l4f1./I"tC...f..-:t: , (!tt ~r; ,c: ,11(94----
lIl,1 ,lll'CI, Illllllhel ,ll\d Ir1Ulll'll'i\lll\l
D""el1 'I1t, 1"~11 {.~" .L:"'"' 01 a~t', died fir!1llff(/ / 'I< ,----, 19.1'.'1---,-"
al t :(..'" IH~/r1L~/ , --"-------~.--.-,
F\l.'l'pt" lollnw<.;, Il'n'dL'1l1 did 1101 many, wa.... 1101 dlvol'I.'l'd alld did lIot hilVl' a l'hild horn or adopted
~~:'~'~~n~'~~:~~',::~"1 011;"/'(/ 0111'1,,,1 In, plo\1a!c; "'" 1101 '''e victilll 01" .illil1~ "l1d\:I'llc_vel~ad~I~li~~I~
DCl'l'ndelll at th.'Hll/p\\'Ill'd pl'npt..'l'ly with l'~t;llliltcd valuL'<'; i\~ 1'<1110\\,<';: ,,' l' ,( "; ,:e--
(If dOlllicikd ill 1'",) i\\IIW""'I1,d prllpm,' $1/A/l'_1!.~_j.tL(( ,,',-:-
(If not dOl1lil..:ih.'d in Pa.) l'eL';olwl pWp<.:rty in Pennsylvania $m......._'~~__
(II not dOlllkil<.:d ill Pa.) I'l'L"Ollal property ill ('ol/IlIY $----.-----.
Valm' llf rl'(1l 1......lalc ill PL'llll....ylv<lnia $.. -.----....,....,..----.
situall'd as follow\:
\\'HLRLI:URL. l'elil;lll1ell'l le,pceli'llll,. l'::.'i'J:1!Lsl ~1 e _l'lll\1, "Ie of' the la,S! will al1d codlcil(s)
PH'Sl'll{(,.'d herL'with and Ihe grant '.)lll'ltl'r~ ~f'W1t t__. _.~_. ...__n_U ._-_.~_.._---~
, (t,''llill\ll'Il];H~';, dl\lI11hll:t(I{IIll'.l.a,; lIdlllini\tnllillll d,h.l\.l'.Ut.)
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OATI.. OF PEltSONAL RElJlmSENTATIVE
C,OMMONWEA,l.'l II ().F I'FNN, ,S)'L\,' AN,IA
COl NH' (W Uv~,ituL--
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t >-IS
rlll' pl,titiolll'l'bl ahO\'l.'"n<l1l1l'l1 "'\\l'<I!'(<';) or aflinll('>) lhat till' ...tatelHl'J\h in Ih(' foregoing petition urc
trlll' .\lld ....lHll'(1 (u IhL' Ill'''t 01 1111' ~:;lll\',kd~l' and Iwlid or Pl'tiliolll'r(<.;) and that a~ pcrsonul rcprcscn~
lal;\'l'hl pI' till' dhO\l' dl'l'I.'lkll{ Iwtitiolll:l{\l will well and truly adlllinbll'l' lhl' l'~littc ui..'l.:ording to law,
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SlInttl t" '" .tlllllllsd dllll ,"h""I,,'d ~ 1'...JMw-0 h~J1A., 'V),1i',j'I!'!'!::'::-. ,~
hl'!Oll' 1Ill' IiiI'> _~ dd\ III 0' . ____.____._..u'~
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21-97-962
REGISTER 01<' WILLS OF _______.__ COUNT\'
OATH m' SUBSCRIBING WITNESS
-p_.._...-._..._.~~---..-..",.... ......,--..~.--._---....._... ---------.-....,
_ ,_____. ._._~_....__.~_...ri_____1
wdlcil
(each) a subscrlblllg WIIIlCSS 10 thc will prt'sclltcd hcrcwlth, (clIch) hclllg duly qualified according to
law, deposc(s) alld sIlY(s) Ihllt ___m" ,._______....____m__________._...___~_.w.,.----'--.-. present IInd saw
~~_~__-..~__--~---.---......,...--.-.-----~.-,...-....---.-______~__'..R.'U_____.___..,....M.._n_..__~_.___.____.__~4~1
Ihe lestat___. sigllthc SlIllle IIlId thal__....._________.._..'_m__.... slglled liS II witness at the
request of testaL__..._ In lL_m___ prescllcc IInd (III thc prcscllec of ellch othel') (In the presellce of thc
other subscribing witIlCSS(CS)),
Sworn to oi affirmed alld subscrlbcd beforc
me this ____________ day of
___ 19_.,;C_
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(Addrcss)
(Name)
(Address)
REGISTER OF WILLS OF cumberland COUNT\'
OATH OF NON.SUBSCRIBING WITNESS
JjMIN/ V;~~ Jj)M~1huL-/Ci tJtM / r&m,flL' vB /71~
(each) a Wbscri I' hereto. (each) being duly qualiflcd IIccordlng 10 lal\:, depo~:(s) and say~s) Ihat
W~ .g1 t: -'t familiar wilh thc sigllature of ,
teslat..ti.x..... of UlRlXllkxlbex16l1ltllXibtIll:X~l<xbOl the will presented hercwlth and
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".. ~~~t U,!,,,".; boli,,,"""""""" ,",Ii, .HI I. ,"'", h..,dMIU" of
to the best ~ _-~-C-<^:::":_. knOWledg~d bc~~f. Jr /U1.~.J'-- - 1/ ~ ~ ~--t-~
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U (Name)
CZdj.$.m~~...J4~L.illfJ.:Y 1/ I (Ie.- I Md
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t2~j ~ ~ rNam';:"~?'~
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(Addre,~.s)
'(5),371tnlo"'I'J.' f/,,,,.p
J_I/Tfl c/'Y 1/,'+, Ihp. ,'( .^ ('I ;;" 3'11,;J
Sworn to or affirmed and subscrit.,)d beforc
me this _ 5 __....___ day of
canber 'I 1997
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l'hh bIll ll'lld;(
wllh i\c~ {I(I, P.l
IlLl! ihi.. 1\ ,I HUt' Il\I\I' Ii! !Ill' In llld Idu; h I 1\1\ IiI. III !Ill If'I1I\',\I\ ,1111,( ! 11\1',1'111 (lj' \ !I,d Ii
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WARNING: II Is IIlogalto dupllcato this copy by photostat 01 pholo(JIUph,
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NOV 2 () 1997
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cOMMONWI!A.lnl OF PENNSYLVANIA' DliPAR1MENl OF HEALTH' VITAl, AeCORDS
CERTIFICATE OF DEATH
~)98 787
" Rub D.
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tlO~ .....[]K,..._ItyC~. l~P8ljl White
~lIrnhArl""nr1 _~ .-CacllslfL.._ _____ tel CbaDf'.l.2oin~t.._.r'''''rli'''lEL-'__ Ill. .P~~--. l!,~_
-""'-",",OJL!U-'.oc,"~m'LJ-. "",,,".!!lL5I!1I~ijJl~HJl!,:!1fl.~__,... .......q({'CEot;tll!~U11tl fll'C((IfHl'!I(DVCAIKlH ..,",.I.IAflIlAI.HlAl"S'MI"'''<1 SUAYIVIIiQIlf'OllGf
(O"...'lol"",~"""",_"...un'fAI US.o.flMllJFOI1USI ___ril'.!:>!l<Xlfr~"'lls.\!!:~n_-.l..m1 -N;,_I.I..,Itd,w.-.I, I~""'_""''''''''''''''
04"""'IfI9.,.,'*'.....I""~....lf [J \(J f_"'t/119.t<:on<Uty ~ . [)!w,et<lf.ll<<"'rl
II.. P11hlin School 11 .'1'0 ._:~ I ~ Il,~ ~d,
I)(CEDf/(/'SI.lAllJ/oj(lAODflf.~I"~"'1l Cf-,{~"""~al. l~'(lllloll ~~~~tlT!I IltSII"__ m-pA--.. _ ..01<:1 1I',j") 'IM,....~_J1,,_~_ .____._..-_.w_.__.___.____-'"
Chapel pointe at carlisle :~~'':.~l~'" ~
1..770 S. Hanover St. ':':'::~~_ITtC""M1 _> =.curnberland lOWflo/lip1 l'4bc);;:=..~o'-
~m..-;;P,$iill-101J 30lllIIlSIlA"'Elf...........MlO,..'...""...1
lra ~rP.lig _______ _ II Catherine Knight
lNHIflI.l.lNT'S """""-(Tj\>oll'l f'll 'N'OOI.lAtl19IllAlll"lOAOOOES.'15u.... C';jn.-, $I.../",C,,"')
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llon4l1onLl Olflt<{$P*',t,~__.__.. I Jill' OCt. 20, 1997 Jl0 Kutzla Cemetery ddleaex'I'wp.CUWb.Co.,PA
SKltl~OF~~I""EflY;r;.:; CEN IICH - tICHISEtlUMII~n ~;;U.NUMlOO(S$OF'klll1'( Hoffman-Roth Funeral Home
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C<:>mpIt<lo.m,n.-c,of'lot_n, ''Y''''J .,I"'f>tt "'~.no..lolllQt.""'tnoc""...IIII...I"".,6.lItI"'I~o"""".1 " ii?TiliT~bllr - ..
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WEflf AUTOPSY FlNQI'j\lS ~M'm~At'" Of .~ltl
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J13t'owne
'3. One-si.xth (J/6) to my granndaughter, cynthia
(}.fH li. N' '1 ();2. ~.d./)1V'~, . .J" I ;>..1 ;L.
Blat.lefl, of >!~T4?'1mount R0'1'I:1'l',- l3alt,i,more, Mnryland2121b, who
i,8 the naughtor of my daughtor, Graco Virgi.nia Browne.
4. One-si.xth (1/6) to my granddaughter, Holly Browne
Calvert, af 15257 Dover Roan, Reistorstown, Marylann
21J.36, who 1.s
the daughter of my daughter, Grace Vi.rginl.a Browne.
5. One-eighth (1/8) to the 'l'rust.ees of the Shrewsbury
Assembly of God Church, Shrewsbury, Pennsylvania, to be used far such
purpose or purposes as the Trustees of said Church shall deem best.
6. One-eighth (1/8) to the 'l'rustees of Alliance Home,
770 South Hanover Street, Carlisle, Pennsylvania
17013, to be used
for such purpose or purposes as the Trust.ees of said Home shall deem
best.
4. I hereby nominate, constitute and appoint my husband,
clarence S. Wiring, as Executor of this my Last will and Testament,
but should he pre-decease me or fail or qualify, then in such event I
nominate, constitute ann appoint my daughter, Grace Virginia Browne,
as alternate or successor Executrix, and I further direct that neither
of them shall be required to post any bond to secure the faithful
performance of his or her duties in the Commonwealth of Pennsylvania
or in any other jurJsdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this
my Last Will and 'l'estament written on two (2) pages this lOth day of
February , 1988.
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Ruby ~. Wirsing I
( SEAT" )
Signed, sealed, published and declared by RUBY D. WIRSING, the
Testatrix above namen, as and for her Last Will and Testament, in our
presence, who, in her presence, at her requost, nnn in the presence of
each other, have hereunto subscribed our names as attesting witnesses.
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CGMMON~~gYIV^NI^
tlEP"RT~U:NT or flEVFNUf
IIAHHI ~~J~I ;~~f,\B~\OI RESIDENT DECEDENT
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OECEOP:~rn; Nmt (I MI, nfl~L Mm MIDD\ E 1~IIIIAI1IIse ,I bl~~1 b~td In lel'twAle wOll11
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SOCiAl SECURITY MII,HI!:I! ~-'--rWTOiOfAi~~--~-------[wTori\lfiT~l
;,. !! 0 -4 () - '/ () f/L..-LJ) I / 8 II !L!Ll-- ;< I ~ ;! II q (0 4-
(If AflPllCABl f:l ~uHIjI\lINO SI'OUSf'~; tiN,!!: (LA:;;!, fill'll, ANO MIOOI E IUltIM,) SOCIAL 'lfCumlY NuMllHl [:IHIS RETURR MUST BE FILED IN DlIPLICATE WITH THe-'
. _ R~GISTER OF WILLS
.----.
~ ,Rt 1. Original Return rJ ~_ Supplomenlal Roturn II 3, Romalnder Relurn (d.tlll 01 d~a!h pl\Ofl0 Il.1 J.62)
tll~ 0 4. Limited Estate [] 43, FlI(um Intorest Compromise (ll<1t6ofd~.lthanQf 11.12.62) [I 5. Federal Estate Ta)( Return ReQuired
Ii . ~ 0 6, DeCAdenl D,ed Testale ''''","''''01'11,111 [] 7 Decedenl Malnlained a living TrusIIAlloc"",,' 1'""1 - 8. Tolal NlImberol Sale Deoo,iIB".,
[] 9_ Utigatlon Proceeds Received 0 10, Spousal Poverty Credit (d.1lc oldllillh I:II!twceo 12.31.91 a(\d \.\.95\ [111. Ele~lion 10 tax under See 9113(A) (AlI<ll:h S<:h 0)
THIS SECTION MUST BE COMPLETED, ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
I NAM!: ~ /1) . ,j ,,) COI.IPlElI:MAlLlNGilODf1ESS
i v A' AU:: I 'JI\'(JuiNl: Gf\f~a v,' O^'t1I l'/'./L"-'
FIRM NM'E (If Acp11cat)lel cl' -- 1\7.,
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REV -1500
INHERITANCE TAX RETURN
12. Ne' V.'ue of E.ta'e (Line 8 minus Line II)
13. Charitable and Governmental BFlQuestslSec 9113 Trusts lor which an election to tax has not been
made (Schedule J)
14 Net Velue Subjectto Tax (Line 12 minus Lina13)
15 Amounlolll"el4lllxable
at the spowla1lax rate I X .0
See instructions on reverse side lor applicable percentage
16 Amollnlollinel41axable U /. tJ CI:,
at6Q/orale ' ~I ~ --I . -II':} x
17 Amounl 0Ili".14 taxable I I. I . I, <
at 15% rate tp (t 0' :<
'to .'
/ )
I. Real Eslale (Schedule AI
2 Slocks and Bonds (Schedule B)
3. Closely Held Corporalion,Partnership or SJlo.Proprietorshlp
z
o
5
::l
...
~
o
w
0::
4. Mortgages & Noles Receivable (Schedule D)
5, Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6 Jolnlly OWned Property (Scheduie F)
7, Inter.Vil/os Transfers & Miscellaneous Non.Probate Property
(Schedule G or L)
8 Tota' Grell Allot. (Iotal Lines 1.7)
9. Funeral E'penses & Admini,'relive Costs (Sch.dule ~II
,) / ) . ..1-"
(.\ >
,-
10. Debls 01 Decedenl. Moogage Llabililies. & Liens (Schedule I)
11. T oial Oeductlon. (Iolai Lines 9 & 10)
z
o
F.
~g
I"ll.
II
o
o
18 Tax Due
Fi.E NUMBER
~ I
CflIil11'lWI1E
(I '7
VP
/! />
V' {. 0
IIU III
,.~
19
(II
(2)
(3)
(4)
(5)
(6)
(7)
o .~-----......
t'I.--
C)
,1 ,-
+,93 / ,t>1
,-- D ;---"'
...- l) .---
, .
4-,93/.61
(8)
19)
(10)
.3,b.-3/J.63
()
(11)
(12)
113)
J,b38.d,3
l,tZqfj.~4
'/ "I.("~
j,'r3J.$q
(14)
(15)
06
(16)
(17)
(18)
~'8.1 ~
;'4- . ;:4- _
8/?;.4J
.15
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
Under Pf'lnal!ies 01 rEl1iury, I Jeclare Ihat Il1avo examined lhis rehiln.lflcluding occompanymg schedules and statements. and 10 lhe besl 01 my knowledgo and wilt'll, it i~ lrue, COfr\'C1 ilnd comolalo ~Iil(illlon nl prooilr6r oUlm
It!lC.!OO.~a(lrost)nlilllVeiSbascdoM!!J..nformationol~~~IHlsan';kn..Q~
SIGNAT~RE OF p. E~SDN ~fiPDNSIBLE FOR FILING RETURN ADDRESS '/ fl3 'T ,ALL IV "" I'::> _1-2.: II P, .._
r/1,IfC/> M/(LCI\l__.._-- .l."7If"~Vr""b II/v ._I~(I) '}fl:"
SIGNtfURE OF PRE PARER OTHER THAN REPREsENTATivE' --ADDREss-----~
DAfE-'---
~ I?
. ou l'
DA .
Decedent's Complet.e._~.ct~~essLu_um_"
STHC,ff ADOHrs" I. I' . ,( -, . ..12- .-
i',"'" "," v\(I::I
____-'-_,_LlLLi.YL-''.c:.t-.~.~~-T_.. . -.--------
(" )"
:..L1J..ili!LLu.J . ('.IN r '"
'/:/) <: U- / I --:-TmArr f:>II 'I
-++~",n&.~/(! v,l~ .':;.)~ L,,4f(AJ.~,J;.k-L {/ '.
Tax Payments and Credits:
1. Tax Due (Page IUne 18)
2, Credits/Pavments
A. Spousal Povorty Credit ..__._~______
B Prior Payments
C, Discount
CITY
(1)
8, ,) ""
N ':LiL_
Tolal Credlls( A t B t C) (21
""--. i) ---
3, InleresUPenalty II applicable
0, Interest
E, Penalty
TolallnleresUPenalty ( D t E) (3) -- 0 ,,-
4, II line 21s greater than line 1 . line 3, enter the dillerence, This Is the OVERPAYMENT,
Check box on Page 1 Line 1910 requaet a refund (4)
5, II line 1 t tine 3 is greater Ihan line 2, enter the dillerence This Is the TAX DUE, (5) 1i3..e ,4 J
A, Enler the Interest on the tax due (5A) -- t' -
B, Enter the total 01 line 5 t 5A, This Is the eALANCE DUE, (5B) /3/:, ..1-.1
_ j Make Check '):/e to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1, Old decedent make a transfer and: Yes No
a, retain tile use or Income of the property transferred; "'''' """"""", ,,"",,'"'''''' "" 0 i:8J
b, relaln the right 10 designate who shall use the property transferrsd pr Its Income; """",," ",0 I}5l
c, retain a reversionary Interest; or"", ",,""',,"""" """",,""" """,,""""""'" ,0 rBl
d, receive the promise for life of either payments, benefits or care? """""'"'''''''''''''''''''''''''''' 0 ~
2. If death occurred on or before December 12,1982, did decedent within two years
preceding death transfer property without receiving adequate consideration? If death occurred
after December 12,1982, did decedent transfar property within one year of death without
receiving adequate consideration? """""".""""" "."""."" "",,",," " , ,,0 I:8t
3. Old decedent own an "In trust for" or payable upon death bank account or security
at his or her death? ..".., ..,..""... ,0 ~
4. Old decedent own an Indlvldulll retirement account, annuity, or other non-probate property?, .. 0 Bl
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN
I 1 ,.._lr1i 41__ _ .__r . ..__ ..- ....:l
72 P,S, ~9116 (a) (1,1) (I) provided for the reduction of the tax rate Imposed on the net vallIe oftransfers to or for the use of Ihe
surviving apo~se from 6% to 3% for dates of death on or after July 1, 1994 and bafore January 1, 1995,
72 P,S, ~9116 (a) (1,1) (II) provided for the reduction of the rate Imposed on the net value of transfers to or for the use of the surviving
spouse from 3% to 0% for dates of death on or after January 1, 1995, The statute do~s not exempt a transfer to a surviving spouse
from tax, and the statutory requirements for disclosure of assets and filing a tax return are stili applicable even If the surviving spouse
Is the only beneficiary,
FOR DATES OF DEATH ON OR AFTER JANUARY 1, 1995. Please answer the following question by placing an "x" In the
appropriate space.
Old the decedent create a truet 0' aim liar arrangement which Ie eolely for the aurvlvlng apouse'a baneflt for his or her entire
lifetime? Yes 0 No El
If you answered yes to the above question, the lax on the trust or similar arrangement Is postponed untit the death of the second
spouse, at which time It will be fully taxable lit the rate(s) applicable to the remainder beneflciary(les). Enter the value of the trust on
Schedule J, Part II, In order to remove It from the calculation of the tax due In this eslate, You may wish to file Schedule 0 In order to
make the election available under Section 9'113, If the elecllon Is made, the trust or similar arrangement Is taxed In the estate of the
first decedent spouse, the portion of the trust or similar arrangement which benefits the surviving spouse Is taxed at the zero tax rate,
and the remainder Is taxed at the rale(s) applicable to the remainder beneflclary(les), If you choose to make the election, you must
attach Schedule 0 to a timely-filed lax return, along with Schedule(s) K and/or M In order to show the apportionment of the trust or
similar arrangement betweer the surviving spouse and the remainder beneficiary(les),
""'''''''''''''.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX HHURN
R. I
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
I ~-~
t-C/, R5}/l/&~~Ld::""
Oebll of decedent mUll be reported on Schedule I,
ITEM
NUMBER
A, FUNERAL EXPENSES:
DESCRIPTION
1,
,,,}
)-11'6 j?fIJP
fF/J/V -
v
l:.;x P<"/V.f>L~
.
.'
B, ADMINISTRATIVE OOSTS:
1- Personal Rap....nlallva'. CommlssklO'
Name of Personal Representative I')
Soctal Securily Numberl') I EIN Number of Personal Repr...ntallval')
SIreet Address .
CIIy Slate Zip
Yea~.) Commission Paid:
2, Momey Fees
3, Family Exemption: Ilf deced.nt'. addre.. Is not the .ame as claimant'., attach explanaUon)
Claimant
Streel Addre..
CIIy Stale Zip
Relationship of Clelmant 10 Decedent .
4, Probele Fees
5, Accounlant'. Fees
6, Tax Retum Prepare!. Fee.
7,
FILE NUMBER
~N'tjl- t)(J6J~j!,
AMOUNT
(!CI
9 -1,/4,-
I
I ~ J., '-.2-
.-c.-
-0
_____{I -
4~. t!O
.-,...
o ,-
-
0'-
TOTAL (Also enler on line 9, Recapltulallon) $
(If more space 15 needed, Insert addltlonalshaels of the sall1e size)
<-3
,.-
/5-';;'/7-,5'.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIUIDUAL TAMES
INt'lERn.NCE TAX DIVISION
DEPl. 280601
UARRISBURG, PA 1711.8"0ftOI
NOTICE OF INHERITANCE TAM
APPRAISE"ENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESS"ENT OF TAM
07-15-1998
WIRSING
10-18-1997
21 97-0962
CUMBERLAND
101
E-=uu AMoun~-RoMiTt;d'l
MAKE CllECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 11013
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ..
iiEY:is'4rix-,\i'j'--fiiF97rNiil'iciuoP-iNHijiiTANcE-YAx-XPPiiAiSEHEii'r;-ALi.-OWANCi!-OR"u--mn-nm--
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
RUBY 0 FILE NO. 21 97-0962 ACN 101
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
If an a..e..ment wa. i..ued previou.ly, linee 14. 15 8nd/or 16, 17 8nd IB
reflect figure. th8t include the tot81 of abb return. 8..e,.ed to date.
ASSESSMENT OF TAXI
IS. AMount of LIno 14 ot Spou.ol roto (IS)
16. AMount of LIno 14 to.oblo at LInool/Clo.. A roto (161
17. AMOunt of LIno 14 to.oblo at Collotorol/Clo.. B rolo (17)
la. Prin01pal Tex Due
TAX CREDITS I
PAY"ENT
DATE
04-13-1998
GRACE V BROWNE
8513 TAllWOOD RD
LUTHERVllLE
MD 21093
ESTATE OF
WIRSIN0
TAX RETURN WAS, (X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON~RIGINAL RETURN
1. Rool E.toto (Sohodulo A)
2. Stook. and Rondo (Soh.dulo B)
3. Clo.olY Hold Stook/Portnor.hlp Intorost (Sohodulo CI
4. Kortgag../N6t.. Receivable (Schedule DJ
S. C..h/Bank o.potlts/Hho. Par.onal P,'oparty CSohedule E)
6. JoIntly Owned Proporty (Sohodulo FI
7. Tronoforo (Sohodulo 0)
a. Total A.~.t.
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Fune,.al Expan..,/AdM. COlt./Hi.c. Expan... CSchedule H)
10. Dobt.l"ortgogo LIabI11tI0./Llon. (Sohodulo II
11. Total Deductions
12. Not Value of Tax Roturn
13. Charitable/Govern.entel Bequestsj Hon~elected 9113 Trusts
14. Not Voluo of E.toto Subjoot to To.
NOTEI
RECEIPT
NU"8ER
AA269948
DISCOUNT ("
INTEREST/PEN PAID (-I
.00
) CHAN~EO
UI
121
(3)
141
(SI
(61
en
.00
.00
,00
.00
4,931.ll.
.00
,00
(81
r;..-
*
(~I
UOI
3.638.63
.00
(11)
(12)
U51
(14)
UY.IU' u.,~ ,...".
RUBY
o
ISohodulo Jl
.00 M .00.
969.93 M .06.
161. 65 M .15.
(18)
A"OUNT PAID
82.43
DATE 07-15-1998
HOTEl To inaure proper
credit to your acoount,
aub.it the upper portion
of this forM with your
tax p.y..nt.
4,931.87
::\.b~A 6:\
1,293,24
161.65
1,131.59
will
.00
58.19
24.24
82.43
TOTAL TAX CREDIT 82.43
BALANCE OF TAX DUE .00
f_~TEREST AND PEN. .00
L- TOTAL DUE .00
IF TOTAL DUE IS LESS THAN 'I, NO PAY"ENT IS REquIRED.
If TOTAL DUE IS REflECTED AS A "CREDIT" (CR), YOU "AV 8E DUE
A REFUND. SEE REVERSE SIDE OF THIS fOR" FOR INSTRUCTIONS. I
. IF PAID AfTER DATE INDICATED. SEE REUERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
f"1 t-;~
.," '1/) :,1(').;
Ci (1 .- ,- ,
!if: ,
'"
.-
~ / ~ "
t~ "~;) ,;]
~' -J) ~ ., ""
<PO: ~5
II: :..)()
RESERy"nOth Est_'.. of decedenh dying on ",r b.for. Dec..ber 12, 1982' ~~ if any ~utllr. 'nt.rut In the ..teta .1. tran.t.rred
in pOt....Jon or enjoy..nt to CI... B (collataral) b.n.fiol.rju~ of the doc.dent eft.r the explratJon of .n~ .It,t. tor
11f. or for y..r., the COHonM..1th harehy 8xpr...h reserye. the right to appraise and ....ss trlln,hr lnhtrltanca Taxa.
at the l...ful Cia.. B (oollat.raU rete on IIny luch future Intor8.t,
_EOF
NOTICE I
To fulfUt the requlr..anh of Saotion 2140 of the Inheritanol and f:.t.t.,\ Tax Act, Act 21 of 1995. en P.S.
Section 914cO),
PAVMENTl
Detaoh the top pC/rUon of thls NoUoe and lub'lU with your p.'",.nt to the Raghter of tUU, prlntad on tha tavar.. I1de.
-MMaka aMok or .onay ord.t Plyable to! REGISTER Of MILLS I AGENT
~FlIID (CRll
" refund of e h)( oredit, .,hich WIlS not requested on the h)( R.turn, MIIY b. request.ti by c(IIIfllllUng an "AppllceUon
for Refund of P.nn.yl....nh Inh.ritance .nd Estllt.. Ta)(" (RCYM1313J. AppllCllltJons a"" "va11able et the Office
of thli Regitter of N11h, any of the 23 R.venu. Dlrtrlct Offleu, or by aeUlna tho ,pltedel l4MtvJur
an../IIrlng .ervice nUMber. for for. I ord.rlngl In P.nnlyl....ni~ 1-800-362-l050, out.ldo P.nn.YI....nl. end
within 10c.1 Harri.burg ere. (717l 7&7M80q4, TOO' (717l 77Z-2Z~2 \Ho.rlng I.rllred Onlyl,
OIJECTIOHS ,
Any p.rb In lnbre..t not IIltitHed with tho .pprah..ent, alluWllnce or dh.llowano. of d.duotlons, or IIH....nt
of t.K <Including ditcount or int.r..U III .hown on this NoUee eu.t Object within slKty (60) dllViI of receipt of
this NoUo. bV:
--writt.n proted to the PI. Depart.ant of R.....nu., Boarel of App.als, n.p!. 28102'1, tterrhburg, PA 17128-1021, OR
n.leotlon to h..... the ..tt.r det.r.lned lit lIudtt of the .ccount of the p.r.ontll repru.nt.Uve, OR
--epp.al to the Orphan,' Court.
AIMtIN
ISTAAlIVE
CORRECTIONS I
Factual arrors dbcovered on this ........nt .hould b. eddr....d in wrHlng tal PA n.parta'lnt of R.....nue,
lure.u of Indl...ldual TII)(es, ATTN, Po.t A.......nt Revl... Unit, Oept. 280601, Harrisburg, PA 17123-0601
Phone (717) 787-6505. Se. page 5 of the book lot "Instruction. for Inhwrlbno. TaK Return for a Re.ldent
o.c.dent~ (REV-lSOll for In e)(planatlon of ad.inl.tretlvely oorr.ctable errors.
DISCOUNT:
If eny taK due Is 1).ld within three (:!) calendar Ilonths aft.r the d.cedent', death, a fl",e p.rc.nt (!tX) dlsoount of
the taK p.ld 11 eUow.d.
PENAL TV I
The IS% t~K ..n..tv non-participation pen.lty I. ooaputed on the total of the t.~ end Interest .......d, Ind not
p.id be for. Janu.ry ta, lqq6, thil flr'lt dlY aft.r the end of tho taK a.nuty p.r iad. Thh non-participation
penalty Is appealable in the .aea Manner anel In tha the .... tl.. period 81 you would app.al the teK and Interest
that ha. bun ...a..ed e. Indlc.ted on this notice.
INTERESTl
Inter..t is chltrged beginning with fir.t day of dollnqU8nc~, or nino (q) eontl1s and one U) dllY fro. the date of
death, to the date of pay..nt. TbKU Nhlch b.o... d.lInquent before J8f\t,ary I, 1982 beltr Intor..t .t the rat. of
.IK (6%l peroent per annUlI oalculated at a dally rate of .000164. All t.)(o. Nhich b.c... lhtllnquent on and 8ft.r
Jenuary I, lq82 NUl bear intor..t at a rato which will ver~ froll catendltr !lo.r to celendar year with that r.te
announc.d by ttM f1A O.pllrt..nt of RAvenuil. The applloabl. Inter.st ,'atas for 198Z through lq98 are,
~ Intore.t Ret. Oally Int.ru'!: Factor ~ Interut Rate Oally Intere.t factor
19&2 20); .000548 lq87 9% .000247
198! 16% .0004J8 1988~lqql 11% .no0101
1984 11~ .000501 199Z 9% .000241
1985 13% .OOO:!56 lqq3M1994 7% .OOOIQ2
1986 10% .000274 lQ9SMl998 9% .000247
--Inter..t II caloulated ., folloNIl
INTEREST. 8ALANCE OF TAX UNPAID X NUN8ER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any NbUllti, I"ued aft.r the tl)( beoo... dellnqu.nt "Ill refloct an Interest calculat.loll to flfte.n US) daVs
beyond thl date of the a.......nt. If p.y.ent It .ede aft.r the Inter..t ooaput.Uou data .hoNn on the
Notioe, eddltlonal interut w.t ba c.lculated.
"J
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