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Home My WebLink About80-00712 (.. " " ij~ . ,,'-. ,l:' ," -':- :,~ .' , ' , ./ .' j', <d' ~ ;. i ,,' ""';-""'. -I,,",. .:,;,\ ~ . ~ . , i >< ~ ~ .. ~ ~ ~ ~ ~ ~ ~ . ~ :s . N ~ 0 r.. ~ M ~ ~ r- ~ ~ .., 0 .... 00 0 , " - J! C"'4 . J! ~ 0 t1i z , . '"' < z . r t ~ f@ ;J 0: >- - ~ W en . ~ t z . .... ~ . Z tJ ~ III l;l IL ~ ~ a. j ~ 0 ri ~ z . '" z ~ j ;:E: ~ 0 to ~ ~ 0: ~ Z ;; III 0 m N , ::< :a :J U ~ Z , . .. OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF CUMBERLAND Before me, the Register for the Probate of Wills and granting of Letters of Administration in and for the County af Cumberland, personally came Chester L. Richwine who, being duly =rn ,do es depose and say that as Executor of the last Will and Testament of Hazel M. Richwine deceased he will well and truly administer the goods and chattels, rights and credits of said deceased according to law. And also will diligently comply with the provisions of the law relating to Transfer Inheritances. ~m and subscribed before me. e [4-~b, rf ,P; (utu'( ~~Ud (J.. rp4~;J ;;1 Register October 31 80 A.D., 19_ :..,; c~ : <U OJ: :"' en :<0 :~ I :<U :0 LL ~, OJ: 0 *1 I'l: .>: 1"-1 N .-J 1\ 0 \.<: .-<: 0 ~ 1"-: ~ <u: r- I: .-J - ~~ c: - .. .~ u: OJ: - j>jj ~ QJ: I: $ E-<: :>: .-<: :En I:: rill 0: I'll .~ z: .., N: Q ......, <U 0 QJ' .., <1', 00 ~j ... I'l: Z 0 . " ~~ : - .s <U N ... <U 11 <0 bO 0 ~ .., ~ - I:: .~ "' ~ Z r.:l <0 DECREE Be it remembered that on the 7th day of November ,A.D.,19~, there was probated IInd recorded the last Will and Testament af Hazel M. Richwine IlIle of New Cumberland ,Cumherlllnd County, I'ennsylvllnin, Chester L. Richwine Deceased. Letters Testamentary were granted 10 Witness my hand and official seal the day and year aforesaid. . /A'02 /)1 '-/ / 'dJ <-I rS, ( (/ ':;{ . / r'/~,,( ( ',r:,/" / loAW O""'ICE8 . JON f1'. L...FAVER ~17 THIIIID .TIllt:l!.T NEW eU....I!:..uHD. P.... . .. . IN WITNESS WHEREOF, I, Hazel M. Richwine, the Testatrix, have unto this, my Last Will and Testament, set my hand and seal this ~j.tt( day of I January, A. D., 1969. ! I I i I \1 I I I )( 1\, i , ., i./" / ...." : , " I , I , 1/ " I ) I I I . (SEAL) , ,-- SIGNED, SEALED, PUBLISHED and DECLARED by Hazel M. Richwine, the above-named Testatrix, as and for her Last Will and Testament in the presence of us, who have hereunto subscribed our names as witnesses at her request, in the presence of the said Testatrix and of each other. ,y' '-. ~2-_ j! 1.~<-1-r "'" J{,',tt--dC-. ,//~ J 'Y/l \ ./ '2' r;'. ! "..-A .? t--'...-t:.c I.-;J /' ,;;2;/'/t2,?~~ I I I \\ i i I , I Page two of two Pages INFORMATION To insure proper credit to your account. thtJ name of tho p.state and t.le number should be clearly print- ed on the check or money order. This assessment is made in accord an co with Section 708 of the Inheritance and Estate TRX Act of 1961172 P,S. ~ 2485-7081, To the extent that inheritance tax is paid within three (3) months after the d~ath 01 the decedent. a discount 01 live (51 pe,cent is allowed 172 P,S, \ 2485- 7161, Inheritance Tax. other than tax on a future interest. is duc at the date of the decedent's death and becomes delinquent at the expiration of nine (9) months after the decedent's death (72 P,S. ~ 2485.711). Inheritanco Tax on a future interest is payable within three (3) months alter the transfer takes effect in possession and enjoyment and is delinquent thereafter (72 P.S. S 2485-712). Calculate interest from the delinquent date shown on the face of this form to the date of actual payment using the following interest table: _____________________ ______ ___ _ ___ ___w_ __ _______ - - --- - --- -- ------ -- -- -- - -- -- 1 month ,005 4 months ,020 7 monthS ,035 10 months ,050 2 months .010 5 months ,025 8 months ,040 11 months ,055 3 months ,015 6 months ,030 9 months ,045 12 months ,060 1 days ,00017 11 davs ,00186 21 days ,00352 2 days ,00034 12 days ,00203 22 days ,00369 3 days ,00051 13 days ,00220 23 days ,00386 4 days .00068 14 days ,00237 24 days ,00403 5 days ,00085 15 days ,00250 25 days ,00420 6 days ,00101 16 days ,00267 26 days ,00437 7 days ,00118 17 davs ,00284 27 days ,00454 8 days ,00135 18 days .00301 28 days ,00471 9 days ,00152 19 days ,00318 29 days ,00488 10 days ,00169 20 days ,00335 30 days ,00500 -- ------------ ------- --- - --- ----- --- - ---- - - ---- ---- - -- - --------- ------ Any party in interest. including the Commonwealth and the personal represent3tive. not satisfied with the assessment may object thereto within sixty (601 days after receipt of this Notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961172 P,S, \ 2485.10011, Make check or money order payable to: "Register of Wills. Agent" Mail to the address listed below: j .._.... __ --......__ ~. '"'-"-__.. __....... -:'"ll. =- _a 1 >>'REV~lll2 EJF....: . ~, .'., ." : ~j~~~;K;;;'OiO::Oc'.>O'<4;:'O<:3'. "', ", "COMMON:~A~~J~T~~ :e~~~ESYL VANIA, , j '~t~;kO:;'- ,', ,OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX I . '1 'II 'I I :: I~ ,I I I, I I RECEIVED Cbestel.' L. RiahwiDe '"I FROM . II ii' 317 '1'h1I.'d. '~n.~ ' ADDRESS i I i! , , I I 11 , I 2 I ; I 3 I , -- 2.105.26 TAX AT 6% TAX AT 15% . TAXAT_% ESTATE TAX IfW Cu.beI.'laD4, pa. 17070 TOTAL TAX CREOIT '--eSTATEINFORMATiiiN70Gt0be;-29--i980------- DATE OF DEATH · 21-80-712 105.26 FILE NUMBER Jal\J,,""" 9, 1981 LESS DISCOUNT DATE OF PAYMENT NAME OF DECEDENT BAZBL M. RICIftWII CUllbedlUld m m PLUS (FROM % INTEREST TO_I COUNTY i TOTAL AMOUNT PAID I 2.000.00 , ~------------------------------------ ; POSTMARK OoW'iAJrl O. ACCOUlft- 1"-' SEAL / RECEIVED BY .' t REGISTER OF WILLS PENNSYLVANtA INHERITANCE TAX GENERAL INFORMATION 1. PERSONS RESPONSIBLE FOR RETURN Section 701 of the Inheritance and Estate Tax Act of 1961 provides that the following persons shall prepare and file a return: a. The personal representative of the estate of the decedent as to property of the decedent administered by him and such additional propelty which is or may be subject to Inheritance Tax of which he/she sh311 have or acquire knowledge; b. The transferee of property upon the transfer of which Inheritance Tax is or may be imposed by the 1961 Statute, including a trustee of property tr3nsferred in tnlst, provided that no separate return need be made by the transferee of property included in the return of a personal representative. 2. PLACE FOR FILING The return is to be filed in duplicate w:th the Register of Wills of Ule county wherein the decedent resided. 3, TIME FOR FILING The return is due nine months after the decedent's death, unless an extension for filing has been applied for and granted by the Secretary of Revenue within the nine-month period. 4. FAILURE TO FILE RETURN Section 791 of the 1961 St3tute provides that" . . .any person who willfully fails to fi!e a return or other report required of him. . .shall be personally liable. . .to a penalty of 25% of the tax ultimately found to be due or $1,000 whichever is the lesser to be recovered by the Department of Revenue as debts of like amount are recoverable by law." 5. TAX RATES Inheritance Tax is payable at the rate of 6% on transfers to Iine31 descendants, such as father, mother, husband, wife, son, daughter, grandchildren, grandparent, son-in-law and daughter-in-law and at the rate of 15% as to all others. 6. PAYMENT OFTAX The tax assessed on the transfer of property reported in the return is due 9 months after the decedent's death. Interest at the rate of 6% per annum accrues thereafter until payment is made. All payments received are first applied to any interest which may be due with any remainder applied to the tax. IF TAX IS PAID WITHIN 3 MONTHS AFTER THE DECEDENT'S DEATH, A DiSCOUNT OF 5% OF THE TAX PAYMENT IS ALLOWED. All checks should be made payable to the Register of Wills of the county wherein the decedent resided and are received subject to the final determination of the Department of Revenue. 7. FAILURE TO PAY The taxes imposed, together with any interest thereon, are a lien upon real property, which lien remains in effect until the taxes and interest have been paid in full. The taxes may be sued for against any reat property in the decedent's estate or against any property belonging to a transferee liable for the tax. 8. FILING OF FALSE RETURN Any person who willfully makes a false return or report required of him shall, in accordance with Section 793 of the 1961 Statute, be guilty of a misdemeanor and, on conviction thereof, shall be sentenced to pay a fine not exceeding $1,000 or undergo imprisonment not exceeding one year or both. ITEM NO. , \ '1 I I i I I , , I I I I \ \ REV04!50 EX+ (3-80) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" REAL PROPERTY . (Instructions on Revcrse Sidc) ESTATE OF Hazel M. Richwine DESCRIP'TION ESTIMA'T ED MARKET YALUE DEPARTMENT V ALUA nON (OFFICIAL USE ONLY 1. House and lot - situate in the Borough of New Q.lrnberland, Cunberland County, pennsylvania - being kn= as No. 426 Bridge Street, and also a vacant lot on Oyster Alley. sold to Theodore A. Rabena on March 17. 1981, for (see Deed Book 12-B at Page 209 and also 2l-C at Page 43) 7r~o, 34,000.00 TOTAL THIS PAGE 34 000.00 INSTRUCTIONS FOR COMPLETING SCHEDULE "A" Schcdul~ "A" should includc a dctailcd dcscription 01 all reol property located in Pennsylvania and held solely by the decedent or held jointly with onother individual (s) as tenants in common. List the decedent's percentage 01 owncrship and the cstimoted market value 01 the decedent's interest. (Property held as joint tenants with the right 01 survivorship or tenants by entireties should be reported on Schedule "E".) All real e~tate located in Pcnnsylvanio should be described by lot and block number, street address, number 01 acres and general description 01 land and buildings. Also, include the book and page number in which the deed is recorded and the exact titlc as indicated on the deed. If the properly has been sold, ottach a copy 01 the settlement sheet. If the property is subject to a mortgage encumbrance, include the name 01 the martgagec, date, rote 01 interest and the outstanding balance an the date 01 death and attach a statement from the mortgagor verifying the outstanding balance. Property taxes and interest an mortgagcs as 01 the date 01 deoth, assessments and other encumbrances should bc listed on Schedule "F". Do not deduct them on Schcdule "A". REV~51 EX+ (3-80) COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "6" PERSONAL PROPERTY *' (Jnstrucrions on Reverse Side) Estate of Hazel M. Richwine ITEM ESTIMATED DEPARTMENT DESCRIPTION UNIT MARKET VALUATION NO. VALUE VALUE (OFFICIAL USE ONL Y) l. CCNB Bank. N. A, Checking Account fF73S-976-3 S10.3V 2. CCNB Bank. N. A. Savings Account lIOO6-045651-4 24.666.30/ : I i , TOTAL THIS PAGE 25,176.61 .<.S; 11(.,1./ -; <Ccc~~ l:C:3 MAIN OFFICE 331 BRIDGE STIlEET NEW CUMOERLAND. PENNSYLVANIA 17070 17171774.7000 CCNEI lJANI<'. N.A. Date November 25, 1980 TO: Jon F. LaFaver 317 Third Street New Cumberland, PA 17070 RE: Estate of Hazel M. Richwine Name of Decedent The following is a complete record of ~he above decedent's accounts as of October 29. 1980 Date of Death Account No. Type of Account Balance on Date of Death Names on Account Date of Creation Principal Accrued Int. (All Owners) of Joint Ownershi 735-976-3 Checking $ 510.31 !lone Paul R. Richwine Hazel II. Richwine Unknown 006-045651-4 Savings (124,589.95 076.35 Paul R. Richwine Hazel II. Richwine 10/10/69 Sir-nature 1. Did decedent, within two ye~rs of de~th, m~ke ~ny lransfer of ~ny m~telial p~rl of his estate without receiving valuable Rnd adequate considemtion? (Answer "Yes" or "No" ,)-- 2. Did decedent, within lIlll years of death, transfer ploperty tram hims!!I!' hersell to 11Imsell/herself and another party or parties (including a spouse) in joint ownership? (Answel "Yes" or "No".) - 3. If the answer to one or two above is "Yes" and the tl~nsf(;fs ~re t.lJllned 10 bc nontaxable, provide the following infOlmation: a. Age of decedent ~t time o( tr~nsfel. b. Copy of death cerlificate. c. Affidavit by lhe altending physici~n indicating the stale of decedent's h~"lth ~t limc oftransler. d. All other infolmation supporting nontaxability of tr~nsler. 4. Did decedenl, in his/her lifetime, m~ke any tliillsfm 01 property willlOllt receiving [, vJlu~hle 01 ~deQuate consider(ltion therefor which was to take effecl in possession or enioymenl alai after his/her deatll? (Answer "Yes" 01 "No".) a. Was there any possibitity that the property tr:ms!erred might return to lr~nsleror 01 his/her estate 01 he subject to his/her power of disposition? (Answel "Yes" 01 "No".) b. What WRS the Imnsferee' s ~ge at time of decedent's de'lth? 5. Did decedent in his/her lifetime make ~ny transfel without receiving a valll~ble ~nd ~dequate consideration therefor under which transferor expressly or impliedly leserves fOI his 'be! Ii fe or ~ny pericll which does in fact end befOle hi s/her death: a. The possession or enjoyment of or the right 10 income tram the properly transferred? (Answer "Yes" or "No".) - b. The right to designate the persons who shall possess or cnjoy the property tiansferred 01 income therefrom? (Answer "Yes" or "No".) 6. If lhe answer to tive b. alXlve is "Yes," state whether the righl was IP.sclved in decedent alone or others. QUESTIONS CONCERNING PROPERTY TRANSFERS 7. Did decedent in his/hel lifetime m~ke a transfer, the consideration lor which w~s liansferee's promise to p~y income to or for the benefit 01 care of lians(eror? (Answer "Yes" or "No".) 8. Did decedent, al any time, liansfer property, the bcnefici~1 enioymenl 01 which w~s subieclto change, because of a reserved power to alter, amend, or revoke, or which could rever I to decedent under terms of transfer 01 by operation of law? (Answer "Yes" or "No".) 9. If the answer to eight above is "Yes," was Ihe power to ~llel, ~menLi or revoke the i~teresl of tile benefici~ry reserved in the decedent alone or the decedent and others? (Answel "Yes" or "No".) REV0453 (1.80) eOMMONWEAL TH OF PENNSVLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT OECEOENT SCHEDULE "0" BENEFICIARIES ~~ 1t~ (lnstructiol1S on Re'lerse Sic/e) Estate of Hazel M. Richwine BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED DATE OF INTEREST OF BENEFICIARV DECEDENT BIRTH - 1. Chester L, Richwine Son Yes Adult (be-half (1/2) residue 5 Melwood lm1e Mechanicsburl! . PA 17055 ? D~ . . F. Richwine Son Yes Adult One-half (1/2) residue ---- c---'-- ._-~-_. ---- ---- -_.~-- ---_.~.._.__._--_._- , - , --- ---- I - --- ~_.- The above beneficiaries are living at this time except for the following: NAME DATE OF DEATH - oREV-454' EX. (3.80) /to.lt... COIOlMONWEAL TH OF PENNSVLVANIA SCHEDULE "E" DEPARTMENT OF REVENUE - TRANSFER INHERITANCE TAX JOINTL V OWNED PROPERTY RESIDENT DECEDENT (Instructions on Reverse Side) Estate of Hazel M. Richwine TOTAL PE VALUE OF DEPARTMENT ITEM OESCRIPTION MARKET \ DECEOENT'S VALUATION NO. VALUE INTEREST (Official Use Only) T I I , I , i i ! , , I ! i I ! i i I I I I I I ~ ! , I I I i I I I : i , TOTAL THIS PAGE 0 0 ...&p~ INSTRUCTIONS FOR COMPLETING SCHEDULE "E" Schedule "E" must include all property, real and personal, owned by the decedent jointly with another party or parties as joint tenants with right of survivorship. Both tangible and intangible property are to be included. List real estate first. 1. Describe all real property as indicated in the instructions for Schedule" A". Describe all personal property as indicated in the instructions for Schedule "B". Include the name, address and relationship to the decedent of the co-owner (sl and the date the joint ownership was established. 2. Indicate the total market value of the jointly owned property. 3. Indicate the percentage of the decedent's interest. 4. Indicate the market value of the decedent's interest. c ..., a n > '" > :;; z > 0 0 a r.n C - C'l n c: a -; z .... Z t'" t'1 t=1 ;r. Z ;;:l > 0 - 9 t'" - Z z "1 -; tT1 -; ~ , 9 t'1 0 ..., -< r.n r.n Z 0 r.n 0 ..; 9 ." ." ,:: ~ ~ 0 'rl 5 'rl - z Q -...; ;.- ::J.. ~ , t'" a ~l~~ c: Zo en r- ~!~ t'1 - .- ~~ 0 ,-- -It... ::r >: Z o~ ,. "" ,\;5 t'" v." x:; -< 0- ~:r: -< -< u'" "'::> ~ w'" .- ~u t=1 tT1 a:C: 50 > > '-' ,:: " , REV-454 EXt (HOI INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONL YI 21-80-0712 File Number Estate Name Hazel M. Richwine Date 01 Death October 29, 1980 Social Security Number 209-36-3899 REPORT OF INHERITANCE TAX APPRAISER m Qri ginol o Supplemental o Remainder I, the underslgnod duly appolntod Inhorltanco Tax Approlsor in and lor tho County 01 Cumberland Ponnsylvonlo, do respoctfully roport that I hovo oppralsod tho roo I and porsonol proporty os reportod In tho loregolng retum at the values set forth opposite each item in fhe last column to the right in Schedules IIAu, liB", ..cu, and "E" Dotod: April 8, 1981 iff' M:,' rI?/l'llI1ki) INHERITANCE TAX APPRAISER INVENTORY ADJUSTMENTS (HARRISBURG USE ONLY) REMAINDER APPRAISEMENT CODE R.ol Proporty (Schodul. AI P.rsonal Property (Schedul. B) Jolnt.Hold Proporty (Schodulo E) Tran,fe" (Schedule C) VALUE AS APPRAISED CODE $ 34,000 00 00+ 25,176 61 10+ none 2lH none 30+ 59.1}6 61 40- TOTAL GROSS ASSETS Leu D.bt. and Deduction. (SCHEDULE F) CLEAR VALUE OF EST ATE o Lilo Estate o Annuity RATE FACTOR PRINCIPLE FOR LISE OF REGISTER ONLY TalC on $ ~ 6'. " TalC on $ 15~o TalC on $ Tax on $ Tax on $ e.emptlons Total Estate TOTAL TAX INTEREST FROM BALANCE TO Leu Cf"dlts DATE OF PAYMENT INTEREST AMOUNT PAID DISCOUNT S + S 5 + INTEREST FROM BALANCE DUE 8ALANCE TO S S S 92+ 93- VALUE CODE \ COMPUT A TION OF TAX S S S S $ $ $ $ = $ = TAX CREDIT -'0-- . REV0457 (1.80) COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT INHERITANCE TAX APPRAISEMENT * Estate of Maze1 M. Richwine File No. 21-80-0712 County Cumberland Date of Death October 29, 1980 In the eVilnt thet eny tuturl Intarlst In thl.ostate I. tflndened In pou.onjon or enjoyment to collater.1 heirs of the decedent .ft.r thl expiration of Iny utatl for life or for years, the Commonweslth hereby exprealy rOloOrves tho right to epprll~ end assess transfer Inheritance (:Ixes at the lawful coll.ter.1 rete on any such future Interelt. PROPERTY REPORTED BY THE ESTATE DEPARTMENT'S APPRAISED VALUE $34,000.00 25,176.61 1. TOTAL REAL PROPERTY - SCHEDULE "A" . . 2. TOTAL PERSONAL PROPERTY - SCHEDULE "S" 3. TOTAL TRANSFERS - SCHEDULE "C" . . . . 4. TOTAL JOINTLY OWNED PROPERTY - SCHEDULE "E" none none TOTAL REPORTED PROPERTY $59,176.61 PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH TOTAL UNREPORTED PROPERTY TOTAL GROSS ASSETS $59,176.61 LIFE ESTATE OR ANNUITY CALCULATION I do hereby certify that the above appraisement is made in conformity with Pennsylvania law and has been filed this day with the Register of Wills. .J/jlM/,' )-If'fl;~.J ) APPRAISER April 8, 1981 DATE <( ~ Q) ... p.. ~ ~ ~ r:: Q) ! Q) . .. "" ;z: ~ ~ ... r:: 0 >- >- tJ en '" .,.., M ~ l'l Q) .. "" Vl OIl Q) r:: '" ;::l . ..., .0 I1l '" ;;: .,.., g M "J .. .. <( M '" <.J Q) - Q) ~ U ;z: .. '" ~ M - 0 I1l N 8 M VI '"' - :>: ... z M M M '"' ~ 0 0 ~ '"' '"' In 0 Vl 0 ;z: 0 lU Vl >- E- o - ~ E- ~ ;z: ;z: ;z: ~ :l 0 - 0 ~ 5 ::<: ~ lU ::;1 0 U I.:l ;z: 5! :z; fj; ~ 8 0 <( ;z: ~ lU Q p,. :l GENERAL INHERITANCE TAX INFORMATION Unsatisfied liabilities incurred by thc decedent prior to his/her death are deductible against his/her taxable estate. In addition to debts incurred by the decedent or estate, other items are claimable including the cost 01 administration, attorney fees, fiduciary fees, funcral and burial expenscs including the cost of a burial lot, tombstone or grave marker. All debts being claimed against an estate are subject to thc approval of the Register of Wills with whom the Inheritance Tax Return is filed. Evidence to support the decedent's or the estate's liabilitY for the debts being claimed should be attached to this schedule. A family exemption of $2,000 may be claimed by a spouse of a decedent who died domiciled in Pennsylvania, If there is no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is a member of the same household can claim the exemption. In the event there is no such spouse or child, the exemption can be claimed by a parent or parents who are members of the same household as the decedent. r' ..., a n > t=1 >- as z > 0 0 U r.n 0 C'l n c: a -l z ::: z t=: m > 9 0 tT1 ;r. :z; ,:: - z z '" .., '" -l Z P 9 -l -< r.n t=1 - Ii> Z 0 Vl 0 ..; ." " 9 ." ~ '- ':'< ~ 0 'rl , O. -' 5 'rl ;- "" Z n c.. -, - ~.. 0' "-;'-. > .~ ..,:, 0'-. I -, t'" \.&Ji.I.; 0, j:;-J c:: c,1-- Q.::V' c... at:5 en 0(3 c:: .:",x t'l <.ow --~ 0 ~o:: (:;5 ~ ~u Z pc u ~ -< -< tT1 t=1 ~ > S; " I I INSTRUCTIONS FOR COMPLETING SCHEDULE "F" 1. If the family exemption is being claimed, indicate the claimant's name, address and his/her relationship to the decedent. Enter "family exemption" in the remarks column and the amount claimed in the amount column. 2. Assign consecutive numbers to each item listed. 3. Enter the date on which each debt was incurred and/or paid. 4. Enter the names of each payee. 5. Provide a brief explanation in the remarks column for each debt claimed, 6. Enter the amount of each debt being claimed. 7. The form must be signed by the person who has assumed the responsibility for paying the debts. ._-___ __ _ ~ __ . __a ,-""ac __ _M~~N~,~,l~t<.:/.,.. . ,,' . ....COMMONWEALTH OF PENNSYLVANIA . . . . ~i~K:ii';~~9.~~16FFIC'AL R~CEIPT' PE~::~~~~~~~FI::=~~:ANCE AND ESTATE TAX \'0"""" l ,'. ,',',' '" . . " e. ~ ,.."" . ~~g~VED \ TAX AT 6% Ch.e~ L. aiohwine Jon .,. L....ver. Seq. TAX AT 15% TAX AT_% ADDRESS 317 "'1$6 It. ESTATE TAX JlIIW c,,-~l.ncll. l'A 17070 '--ESrATEINF(iRMATj(iN:-o;~bU-i9--i980------ DATE OF DEATH · TOTAL TAX CREDIT n.138.43 DATE OF PAYMENT 21-80-712 Hay 4. 1981 B...l H. Richwine FILE NUMBER ---------------------------------------- COUNTY CWlberl.nc! m m LESS DISCOUNT PLUS % INTEREST (FROM TO_I NAME OF DECEDENT TOTAL AMOUNT PAID '1.138.43 POSTMARK DATE I REMARKS, -PAID 1M roLL" SEAL RECEIVEO BY /. , ",Y' /)/2.1/1- (.f (: . t}:LN-c.a./' tI SIGNATURE I REGISTER OF WillS ------- ----------------.------- INFORMATION To insuro proper credit to your accounl. tho namo of tho f!Slil1H and fllt~ number should be cloarly prInt- ed on the check or money order. This assessment IS made in accordanco wIth Sewan 708 01 tho lnhoritance and Est.ltc Tine Act of 1 961 (72 P.S. ~ 2485.708). To the olttent that inheritance la:( is paid within three 131 months after thtl death of the decedent. a discount of five 15) percent is e\lowed 172 P.S. ~ 2485.716). Inheritance Tax, other than tax on a future interest. is due at the dD1C of the decedent's death and becomes delinquent at the expiration of nine (9) months after tho decedent's death (72 P.S. ~ 2485.711). Inheritance Tax on a future interest is payable within throe (3) monthS alter the transfer takes effect in possession and enjoyment and is delinquent thereafter (72 P.S. 9 2485-712). Calculato interest from the delinquent dato shown on the faco of this form to the date of actual payment using the following interest table: ------------------------------- --- ------------- - - --- - ----------- -- -- ------- 1 month .005 4 months .020 7 months .035 10 months .050 2 months .010 5 months .025 8 months .040 11 months .055 3 months .015 6 months .030 9 monthS .045 12 monthS .060 1 days ,00017 11 days .00186 21 days .00352 2 days .00034 12 days .00203 22 days .00369 3 days .00051 13 days .00220 23 days .00388 4 days .00068 14 days .00237 24 days .00403 5 days .00085 15 days .00250 25 days .00420 6 days .00101 16 days .00267 26 days .00437 7 days .00118 17 days .00284 27 days .00454 8 days ,00135 18 days .00301 28 days .00471 9 days .00152 19 days .00318 29 days .00488 10 days .00169 20 days .00335 30 days .00500 -- --------- ---------- --- - - - - -- - -- -- - - - --- -- - --- --- - - - - - --------- -----~ Any party in interest. including the Commonwealth and the perso;"lal r~presentati...e. not satisfied with the assessment may object thereto wilhin sixty (60) days after receipt of this NOlice as provided by Section 1001 of the Inheritance and Estate Tax Act ot1961 (72 P 5 ~ 2485.10011. Make check or money order payable to: "Register of Wills. Agent" Mail to the address listed below: