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REV.U61 EX' .
:,i".", .' ... COMMONWEALTH OF PENNSYLVANIA ..
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"N'({:' ' .. . .. DEPARTMENT OF REVENUE
,.::,: 99J~30~FICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
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~ AMOUNT
Assessment Control No.
Probate
35,92
RECEIVED FROM:
r:: Glenn S. M~ick " Harry N. M1.n1Jiid
c/o H. AnthGnv Ad~2-,E8q..__
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sMppenabu.rt,l..-pa. 17257
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ESTATE INFORMATION:
FILE NUMBER
NAME OF DECEDENT
DATE OF PAYMENT
POSTMARK DATE
COUNTY
DATE OF DEATH
REMARKS
LAST
FIRST
MI
[ihoTAL AMOUNT PAID
35.92
RECEIVED BY
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SIGNATURE
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REV, leD7 (AS)
DEPARTMENT OF REVENUE \ACN
BUREAU OF ACCOUNTS SETTLEMENT INHERITANCE TAX I
P,O, BOX 2055 STATEMENT OF. ACCOUNT
HARRISBURG, PA 17105 DATE
ESTATE OF MINICK SARAH C FILE NO, 21 80-0761
DATE DF DEATH _ 7- COUNTY
NOTE: TO INSURE PROPER CREDIT TO YOUR ACCDUNT SUBMIT THE UPPER PORTION DF THIS FORM WITH YDUR TAX PAYMENT
TO THE REGISTER OF WILLS OF THE ABOVE CDUNTY, MAKE CHECKS PAYABLE TO: REGISTER OF WILLS, AGENT,
101
H ANTHONY ADAMS ESQ
PO BOX 653
SHIPPENSBURG PA 17257
PLEASE RETURN THIS
PORTION TO REGISTER OF
WILLS IF PAYMENT DUE
CUT ALONG THIS LINE
- - - - - - - - - - - -- - - . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
.. INHERITANCE TAX STATEMENT OF ACCDUNT ..
ESTATE OF MINICK SARAH C FILE ND, 21 80-0761 ACN 101 DATE 10-11-83
THIS STATEMENT IS PRDVIDED TO ADVISE OF THE CURRENT STATUS DF THE STATED ACN IN THE NAMED ESTATE, SHOWN
BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, THE APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND,
IF APPLICABLE, A PROJECTED INTEREST FIGURE,
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-05-82
8,792.21
PRINCIPAL T AX DUE:....,.,..........,.....,.....,.....,...,.............................................,............,.,...,....,......,.........,......,.............
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT
DATE NUMBER
04-20-81 029449
08-18-81 029722
06-01-83 097046
09-17-83 097333
AMDUNT PAID
DISCOUNT +
INTEREST (-)
.00
15.00-
35.52-
.63-
475.00
8,000.00
332.21
35.92
INTEREST IS CHARGED FROM 09-18-83 TO 10-26-83
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM.-
TOTAL TAX CREDITS
8,791.98
BALANCE OF TAX DUE
.23
INTEREST
.00
TOT AL DUE
.23
(If Balance Due is less than $1.00 no payment is required)
. IF PAID AFTER THIS DATE SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST
RETAIN THIS PORTION FOR YOUR RECORDS
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Interest:
If any tax due is paid within three t31 months after the decedent's death, a discount of
five percent (5%) of the tax paid is allowed.
, the discount period is calcul.ted in calendar months, Example: dale of death 1-15-82,
discount period expires 4-15-82.
Except for tax on a future inter..~ inheritance tax becomes delinquent at the expiration of
nine (9) months from the date of death.
, Inheritance tax on a future interest becomes delinquent at the expiration of three months
from:
_ the date of election to prepay or
_ the dale of death of the life tenant or annuitant
Interest is calculated on I daily basis from
_ delinquent date to date of payment on any tax unpaid on delinquent date
_ date of last delinquent payment to date of payment on sny unpaid balance.
Interest is charged at the following rates:
Discount
Delinquent Date
Annual Interest Rate
-
Dailv Interest Factor
5/27/43 to and ,nclud,ng 12/31/81
1/1/8210 and including, 12/31/82
1/ 1/83 to and includ,ng 12/31/83
6%
20%
16%
,000 I 64
,000548
,000438
, Those estates that become delinquent on or before December 31, 1981 will maint.in
a constant interest rate, The rate in effect when the tax first becomes delinquent will
remain constant until the delinquent lax balance is paid in full.
, Those estates that become delinquent on or .fter January " 1982 will contain a vari.ble
interest rate, Thus, taxes that remain outstanding from calendar year to calendar year will
be subject to the different rates in effect on each January 1.
Interest is calculated as follows:
INTEREST . BALANCE OF UNPAID TAX X
If a lax balance rem.ins outstanding for more than one calendar year. a separate interest
determination must be made for each year at the applicable rate, (Onlv one calculation
is necessary if the estate maintains the constant interest rate.)
NUMBER OF DAYS X
DAILY INTEREST FACTOR.
Any Notice issued after the tax becomes delinquenl will reflect an interest calculation to
fifteen t 1 5) days beyond the date of the notice. If payment is made after the
interest computation date shown on the Notice, additional interest must be calculated,
To Remit Payment Oetach the top portion of this Notice and submit with your payment to the Register of Wills
of the county shown on the Notice.
, Address information is listed on page 13 of the bookle~ "Instructions for Inheritance Tax
Return for a Resident Decedent"
. Make check or money order payable 10: Register of Wills. Agent
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Ja,at1lJ:tUanh &sfamtn1nf Sarah C, Minick
I, Sarah C. Minick, of R,D, #1, Newburg, Pennsylvania, being of sound mind, memory
and understanding, do make publish and declare this my Last Will and Testament, hereby
revoking all prior wills and codicils made at any time before by me,
FIRST: I direct that my executor hereinafter named pay all my funeral expenses as soon
as convienently possible after my death,
SECOND: I give, devise and bequeath all my property, real, personal and mixed, of whatsoever
kind and wherever situate to my husband, Arthur W, }linick, to have and to hold absolutely.
THIRD, I nominate and appoint my said husband as the executor of this my Last Will and
as such executor to serve without bond of any nature or kind.
FOURTH: If my said husband should predecease me or if we should die in a common disaster
then in either of those said events, I give, devise and bequeath all my property as follows:
(a) All my real property which is now being used as a farm I direct that the same be
appraised by two independent appraisers and that it then be offered for sale to my son,
Harry N, Minick for the average of those two appraisals. Such appraisels shall be based
upon the usage of the property for farming and not upon the best use. If such election
is made by my son, he shall pay into my estate such monies equal to the average less that
part which would be his share if the proceeds had been divided equally upon the purchase
of the property at the average price by a third party. The cost of such appraisal shall
be paid by my estate. Said son shall not share in such monies paid into the estate,
(b) The rest and residue of my estate I leave to my four sons, namely Harry N. Minick,
Glenn S, }linick, Donald B. Hinick and Arthur William Ninick, share and share alike, per
stirpes.
F,IFTH: If my said husband should predecease me or if we should die in a common disaster,
then in either of those events, I nominate and appoint Harry N. }linick and Glenn S. Minick,
as the executors of this my Last Will and Testament, and as such to serve without bond,
IN lnTNESS WHEREOF, I, Sarah C, Hinick, to this my Last Will and Testament, written
on a single sheet of paper, set my hand and seal this
day of
,1978.
/L:"''l,vL C l')tc",,-:..c 1c
(SEAL)
Signed, sealed, published and declared by Sarah
C, Minick, as her Last Will, written on a single
sheet of paper and signed at the bottom and so
done in the presence of we the witnesses who sign
in her presence and the presence of each other
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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 of
Cumberland, personally came
Glenn S. }linick and Harry N. }(inick
Executors
who, being duly sworn
,do
depose and say that as
Sarah C. }linick
deceased
of the last Will and Testament of
thev will well and truly administer the goods and chattels, rights and credits of said deceased according to law. And
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also will diligently comply with the provisions of the law relating to Transfer Inheritances, sworn and subscribed before m~,
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Be it remembered that on the
8th
DECREE
December
day of Nml!~X
,A.D,,19~, there was probated and
recorded the last Will and Testament of
Sarah C, }linick
Hopewell Township
, Cumberland County, Pennsylvania,
Glenn S. Minick and Harry N, }linick
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Deceased. Letters Testimentarv were granted to
Witness my hand and official seal the day and year aforesaid,
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,~~,,!~\}m~~i:<:"'"'' ,~,,""" . . .COMMONWEALTH OF PENNSYLVANIA
r 4 ~No*l\:-297,22" ..' . DEPARTMENT OF REVENUE
I I.nil!'}'>' .... OFFICIAL RECEIPT · PENNSYLVANIA INHERITANCE AND ESTATE TAX
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1,1 r...... ADDRESS 132 E. JCin st.
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I .... .- ESTATEj"NFORMATi(iN:---;~----b i--i98~----
\. <~ . DATE OF DEATH 21v-eeDlO_ er761
FILE NUMBER
-----_....,.
----~...
-
TAX AT 6%
TAX AT 15%
TAXAT_%
ESTATE TAX
TOTAL TAX CREDIT
'8, OOO.OO~
II
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LESS DISCOUNT
% INTEREST
TO_I
DATE OF PAYMENT
Au et 18 1981
NAME OF OECEDENT
PLUS
(FROM,
COUNTY
TOTAL AMOUNT PAID
POSTMARK DATE
. i REMARKS,
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"PAID ON ACCOUN'l'"
SEAL
RECEIVED BY
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- tJ SIGNATURE
REv-an l ,o-n)
APPLICATION TO
TRANSFER SECURITIES
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATiON
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~!iu~~~MBER: L~/-S^O _ '74/
REVENUE
NOTE: THIS APPLICATION MUST BE FILED IN TRIPLICATE WITH THE REGISTER OF WILLS FOR THE COUNTY
IN WHICH THE DECEDENT RESIDED AT THE TIME OF DEATH,
DATE
April 16, 1981
Nome of Decedent: Sarah C. Minick
Dote of Death: Novmnber 7, 1980
Ad dress of R. D. ill
Decedent: Newburg,
PA 17240 Cumberland County
(CITY, BOflOUGH) (STATE) (COUNTY)
Description of Securities:
1. Stocks 0, 87
tNUMBER OF SHARES)
b,
common
(CLASS OF STOCK)
Value
American Tel. & Tel. $4,611.00
c,
(NAME OF ISSUiNG COMPANY)
2, Bonds 0,
b,
c,
(MATURITY DATE)
(FACE AMOUNT)
(INTEREST RATE)
d,
(NAME OF ISSUING COMP"'NY)
The securities ore registered os follows: Arthur N. Minick and Sarah C. Minick Tenanta b
(NAME OR NAMES IN WHICH CERTIFICATES ARE REGISTERED)
Nome of Applicant: H. Anthony Ad8lllll, Attorney for Estate of Sarah C. Minick
Address of
Applicont:
132 B. King Street
Shippensburg, Pennsylvania 17257 , Cumberland County
(CITY. BOROUGH) (STATEI (COUNTY)
~'~~'~F
(SIGNATURE
CONSENT TO TRANSFER SECURITIES
I hereby consent to the transfer of the above securities and waive the filing of 0 certificate certifying to the
payment of the transler Inheritance Tax,
!jIr.d-,.;7cJ, /1 fl
(DATE)
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GISTER OF WI S)
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)1 db'If.:'''l'l'V' ;~\p:x>;,:: '.. COMMONWEALTH OF PENNSYLVANIA
~WJ,;.oI>^'29449 .
4 'NO' \1if,~ . .' ' DEPARTMENT OF REVENUE
\ ,.~t~{' :\~;",;':: ' .' OFFicIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
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TAX AT 6%
TAX AT 15%
TAXAT_%
132 s. ICin It
shippen.burg, fA 17257
ESTATE TAX
TOTAL TAX CREDIT
1475.00
'--esTATEIN-FOfiMATiON7------------------------..-
DATE OF DEATH .oveJlber 7 1980
21-80-761
, COUNTY
C"-~ land
m
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LESS DISCOUNT
PLUS % INTEREST
(FROM TO_I
FILE NUMBER
NAME OF DECEDENT
April 20. 1981
sarah C Minick
DATE OF PAYMENT
-------------------------------------------
TOTAL AMOUNT PAID
'475.00
: POSTMARK DATE
REMARKS:
RECEIVED BY
"!'AID OR ACCOUH'rM
SEAL
t
REGISTER OF WILLS
------.------.---.---.-----.-------...-
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REV-1500 EX ... (9.01)
BIlREAU OF EXAMINATION
PENNSVLVANIA DEPARTMENT OF REVENUE
P,O. BOX B327
HARRISBURG, PA 171Q5
De~edent's,Na~e (Last, F~t, and Middle In'liall
DECEASED " 0 r '
SOCIal Seeullly Num~er Oate of Dealh
a.O ,0.3' q'-fq,3 lI'01-~b
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
File Number .;t, - '3 0 -D1141
Decedent's Address
'R.'"D .1, VOx. YIP!.>
N eu.\blLr P fl n~ if D
CHECK
1, Original Return [XJ
2, Supplemenlal Return 0
3, Remainder Return 0
APPRO.
PRIATE
BlOCKS
5, Federal Estate Tax 0
Relurn Required,
6, Decedent died testate ~ 7. Decedent mainlained a living 0 B, Number of safe deposit 0
(Attach copv of WillI ~ trust (Attach copv of Irust! boxes invantoried
All correspondence and confidential lax informalion should be directed 10:
4, Life Estata 0
CDRRE.
SPDNDENT Nama
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Recapitulation
1. Real Estate (Schedule A) ( 11 \()'l 1'\00.00
2, Slocks and Bonds (Schedule BI ( 21 ,
3, Closely Held Stock/Partnership Inlerest (Schedule CI ( 3)
4. Mortgages and Notes (Schedule 0) ( 41
5, Cash & Miscellaneous Personal Propertv (Schedule EI ( 51 tf~;6(J..2'f
RECAPIT. 6, Jointly Owned PropertY (Schedule F) ( 61
ULATIDN 7, Transfers (Schedule G) ( 71
B, Total Gross Assats hotal lines 1-71
AND 9, Funeral Expenses Administralive Costs/Miscellaneous
Expenses (Schedule H) ( 91
TAX 10, Debts/Mortgages/Liens (Schedule Il (101
11, Total Deduclions hotallines 9 & 101
12, Net Value of Estale lline B minus line 111
CALCU. 13, Charitable Bequests (Schedule JI
LATION 14, Net Value subject to tax liine 12 minus line 131
( B)
(111 \~ 'S''5~,1\
(121 IL\i.: 5~c....'i!~
(131
(14)
Computation of Tax
15, Amounl of line 14 taxable a16% rate (151
!includa values from Schedule K)
16, Amount of line 14 taxable a115% rate (161
!include values from Schedule KI
17, Principal tax due ladd tax from line 15 plus lax from line 16)
lB, Total Prior payments:
lal Amount Paid
(bl Plus Discount
Icl Minus Interest (lB)
19, Balance Due lline 17 minus line 18)
Make Check Pavable to: Register of Wills, Agent
... PLEASE RECHECK MATH'"
x,06=
x,15=
(17)
(191
Under penalties of perjury,l declare that I have examined this return, including accompanying schedules and statements, and to the best of mv knowledge
and belief, it is true, correct, and complete. Declaration of preparer other than Ihe personal representative is based on all information of which preparer has
any knowledge,
SIGNATURE OF PERSONAL REPRESENTATIVEIS)
ADDRESS
OATE
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
ADDRESS
DATE
PENNSYLVANIA 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 lhe estate of the decedent as to property of the decedent administered by him
and such additional properly which is or may be s\lbjectto Inheritance Tax of which he/she shall have or
acquire knowledge;
b, The transferee of property uponlhe transfer of which Inheritance Tax is 01 may be imposed by the 1961 Statute,
including a trustee of property transferred in tfllSt. providco that no sepmale return neeo be made by the transferee
of property included in the return of a personill representative.
2, PLACE FOR FILING
The return is to be filed in duplicate w:th lhe Register of Wills of tlle county wherein the decedent resided.
3. TIME FOR FILING
The retum is due nine monllts after the decedent's death, unless an extension for filing has been applied for and
grilnted by the Secretary of Revenue within the nine-month period.
4, FAILURE TO FILE RETURN
Section 791 of the 1961 Statute provides that" . , ,any person who willfully fails to file 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 er $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 rale of 6% on transfers to lineal 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 lite return is due 9 months after the decedent's death. Interest
at the rate of 6% per annum accrues thereafter untit 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 lite Register of Wills of the county wherein the decedent resided and are
received subject to the final determination of lhe 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 real 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
Sl,OOO or undergo imprisonment not exceeding one year or both,
. REV"04~O I '''a,ol
COMMONWEAL TH OF PENNSYLVANIA
DEPA~TMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "A"
REAL PROPERTY
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(Instructions on Reverse Side)
ESTATE OF -5araILC,Jlinick_
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ESTIMA TED DEPARTMENT
ITEM DESCRIPTION MARKET VALUATION
NO, VALUE (OFFICIAL USE
ONLYI
Farm land & house thereon being 96 acres at R.D, Ill,
Newburg, Cumberland County, Pennsylvania 17240
conveyed to decedent at Cumberland County Deed Book Z
Volume 23 Page 617 no encumbrance. $ 95,000,00
Mountain landsunlmproved Hopewell Township, Cumberland
County, Pennsylvania being 13,5 acres more or less, conveye(
at Book Z Volume 23 Page 617 no encumbrance, 13,500.00
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i TOTAL THIS PAGE $108,500,00 / rl 7,,f/tJ h1 .A
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SCHEDULE "B"
PERSONAL PROPERTY
*'
REV..t51 (1;80)
CO'MMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
(Instructions on Reverse Side)
Estate of
Sarah C, Hinick
ITEM
NO,
DESCRIPTION
UNIT
VALUE
ESTIMATED
MARKET
VALUE
DEPARTMENT
VALUATION
(OFFICIAL USE ONL YJ
1. Cumberland Valley Savings & Loan passbook
account l/l49850 $ 128. B $ 128,8
2, Interest to d/o/d on cVSL passbook
account 1/149850 13.
3. Commonwealth National Bank checking account
1/412-519840-0 306.
4, Commonwealth National Bank saving account
1/41-1095454-4 2,214.14
5, Personal Property sold at auction 11,047,8 11 ,047.8
6. AT & T stock, common 55~ per share 87 shares 55,5 4,828.5
7. PP & L stock, connnon 16 5/8 per share 204 shares 16-5/ 3,391.50
8. Cumberland Valley Co-op common nine shares
@ $10,00 share 10.0 90,00
9. Investors Funding Corp, of New York 0, 0,00
10, United States Series E Bonds together with
interest thereon 10,387,2 10,387.24
II. Household articles distributed in kind estimated
value 870,4 870.40
12, 1977 Pontiac Catalina automobile book value 2,300.0 2,300.00
13. Trust Fund account at Commonwealth National Bank
1/30529-01-0 10,000,0 10,000,00
.,
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TOTAL THIS PAGE
45,578.35
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INSTRUCTIONS FOR COMPLETING SCHEDULE "B"
Schedule "B" must include all tangible and intangible personal property
owned individually by the decedent at the time of death, Property owned
jointly with dnotller party or parties should be listed on Schedule "E" . . Jointly
Owned Property, Intangible personal property, titled in the name of the decedent,
but paYJble at death to another party or parties, including but not limited to
P. O. 0, U, S, Savings Bonds and Tentative Trust Accounts, must be listed on
Schedule "B".
Tangible personal property should be listed first. Examples of tangible
personal property are jewelry, wearing apparel, household goods and furnishings,
books, paintings, automobiles, boats, snowmobiles, aircraft, etc,
Intangible personal property includes cash.on.hand and in the bank, stocks,
dividends, bonds, mortgages, treasury certificates, notes, together with accrued
interest, salaries or wages. insurance payable to the estate or fiduciary in said
capacity, partnership interest, etc, An interest in any undistributed estate or
income from any property held in trust under the will or agreement of another
even though located outside of Pennsylvania at the time of death should be
listed on Schedule "B",
A completed Partnership Interest Report (REV.894) must be attached for
each partnership or joint venture, and a completed Closely Held Corporate Stock
Information Report (REV.893) must be attached for each closely.held business
interest or sole proprietorship reported on Schedule "B",
1. Did decedent, within two years of death, make any transfer of any material part of his estate without receiving
valuable and adequate consideration? (Answer "Yes" or "No" ,) No
2, Did decedent, within two years of death, transfer property from himsell! helsel f to himsell/hersel f and another party
or parties (including a spouse) in joint ownership? (Answer "Ves" or "No",) .Jill-
3. If the answer to one or two above is "Ves" and the transfers are claimed to be nontaxable, provide the following
information:
a, Age of decedent at time of transfer,
b, Copy of death certificate.
c, Affidavit by the attending physician indicating the state of decedent's health at time of transfer,
d. All other information supporting nontaxability of transfer,
4. Did decedent, in his/her lifetime, make any transfer of property without receiving a valuable or adequate consideration
therefor which was to take effect in possession or enjoyment at or aller his/her death? (Answer "Ves" or "No" ,) Nn
a, Was there any possibility that the property transferred might return to transferor or his/her estate or be subject
to his/her power of disposition? (Answer "Ves" or "No" ,) No
. _': b. What was the transferee's age at time of decedent's death?
5, Did decedent in his/her lifetime make any transfer without receiving a valuable and adequate consideration therefor
under which transferor expressly or impliedly reserves for his/her life or any period which does in fact end before his/her
death:
a, The possession or enjoyment of or the right to income from the property transferred? (Answer "Ves" or "No" ,) No
b. The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?
(Answer "Ves" or "No" ,) No
6, If the answer to five b. above is "Ves," state whether the right was reserved in decedent alone or others,
QUESTIONS CONCERNING PROPERTY TRANSFERS
7. Did decedent in his/her lifetime make a transfer, the consideration for which was transferee's promise to pay income
to or for the benefit or care of transferor? (Answer "Ves" or "No" ,) No
8, Did decedent, at any time, transfer property, the bEneficial enjoyment of which was subject to change, because of
a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of
law? (Answer "Ves" or "No" ,) No
9, If the answer to eight above is "Ves," was the power to alter, amend or revoke the interest of the beneficiary reserved
in the decedent alone or the decedent and others? (Answer "Ves" or "No".)
AEV-453. (1.ao)
COMMONWEALTH OF PENNSYLVANIA
SCHEDULE "D"
R
'*
. OEPARTMENT OF REVENUE BENEFICIA IES r~\
TRIINSFER INHERITANCE TAX , ,.
RESIDENT DECEDENT (Instructions on Reverse Side) ,
Estate of Sarah C. }linic k
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED DATE OF INTEREST OF BENEFICIARY
DECEDENT BIRTH
Hn~~" N. R.n 111 ~.on Voo lIb. Upqt'pn
Newburg, PA 17240
n' .n....-.- Onn VOQ , II.
N"wburO'. PA 17240
nMnU B }fini~k R. n. 1/1 Onn V"Q I ,/["
Shippensburg, PA 17257
\ D n i/l Onn Voo ' II. 'M.~A
i
1 Newbur" PA 17240
I
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The above beneficiaries are living at this time except for the following:
NAME
J-
\
DATE OF DEATH
i
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I
1
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I
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SCHEDULE "E"
JOINTLY OWNED PROPERTY
*'
REV-454 (1'.80)
COMMONWEAL.TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFlOR INHERITANCE TAX
RESIOENT DECEDENT
(Instructions on Reverse Side!
Estate of
SArAh C, Mini"k
P
TOTAL E VALUE OF DEPARTMENT
ITEM R
NO. DESCRIPTION MARKET <t DECEDENT'S VALUATION
VALUE N INTEREST (Officia' Use OnlV)
T
Cumberland Valley Certificate of Deposit
with Glenn S. Minick (Son) Newburg, PA 17240
1114-709317 $10,000,00 50% $5,000.0
Interest on above to d/o/d
certificate #14-709317 23,27 50% 16.6
TOTAL THIS PAGE 1$5016.64
I
,.~
,
,
,
Schedule "E" must include ali 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.
INSTRUCTIONS FOR COMPLETING SCHEDULE "E"
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 (s) 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.
t: ." v n :<- t'1 :<- :::
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REV.455 (l.ao)
COMMONWE~L TH OF PENNSYLVANIA
'I;lEPA1l1",ENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT OECEOENT
'ULd
~HEDULE "F"
STATEMENT OF DEBTS
AND DEDUCTIONS
-~--_.._-
--_.-._~--,. ----------------- --.
--
..
Estate of _Snrnh C, ~ffnipk Date of Death Nm,,'mhpr 70 tqRO
WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING:
File No, :( 1- .\"^"rll
.
Claimant
_ Relationship to Decedent
Claimant's Address
ITEM DATE NAME OF PAYEE REMARKS AMOUNT
NO,
. ~"n ,1 nF 1 "~. Ii~.on
2. 2/lq Ip.~H~10 I tn' nF 1 .> n. ~/. cn
3. 2/19 Masland Assoc. o.xnense of 'Act illnpcc onn nn
--!f. ?/10 . 1 nF '"~. <l1nM~ '.n nn
C o /?o DM_1 .\ .nn nn
&. 0/00 "o~..< n 1>nno 1 . 1 CCD cn
7, 4/13 arah Cline, Clvde Haeee,
& Michelle Minick [~abor for public sale 901. 00
8. 4/13 "ews Chronicle nf r:~Ant nf 1 1< nn
9. 4/13 umber land coun tv Law Journal ~dvertisement of Grant of 1.etters 'R.on
10, 4/13 ale Real Estate 1Annraisal of land I.n nn
11. 4/13 ublic Oninion ~dvertisement of Sale 1~4.RO
1 ? I. /I. n.n<01 Uo~cho.. Ifoo fn~ ."nHnn .. "'o~" 1 11R Rn
.
10 ~/?n ,10'.>0 I'h_.n < "' .C .. nnn 0/.
II. R/1 ,F<noo~c au nn
I~ Merri 11 l-nmmicsion cale nf ctock aI, <D
16, Evecutors f"pc ~orr" N Minick cnn nn
17. 'c fppc ~. A. Ii nnn nn
18. Court Fees Oeeister 58.00
10 1'1, < Minin" c_ onn nn
TOTAL THIS PAGE 1$12,558.11
I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement of debts, funeral
expenses and expenses of administration submitted to the estate as deductions for Inheritance Tax purposes.
( ..J 'v),,^,';;""(;""'/ff,JCiJ'/
SIGNATUR F ATTORNEV/FIOUCI RV ') .I0ATE
OFFICIAL USE ONLY
DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S
AT
PERCENT.
REGISTER OF WILLS
DATE
GENERAL INHERITANCE TAX INFORMATION
-.
Unsatisfied liabilities incurred by the 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 of administration,
attorney fees, fiduciary fees, funeral and burial expenses including the cost of a burial lot, tombstone or grave marker,
All debts being claimed against an estate are subject to the 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.
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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 amollnt of each debt being claimed,
7, The form must be signed by the person who has assumed the responsibility for paying the debts.
REV. 1547EX 1\-B2)
BUREAU OF EXAMINATION i NOTICE OF INHERITANCE TAX ASSESSMENT
PENNSYLVANIA DEPARTMENT OF REVENUE I APPRAISEMENT ALLOWANCE OR DISALLOWANCE CONTROL NO, 101
P,O. BOX B327 '
HARRISBURG PA 17105 I OF DEDUCTIONS, AND ASSESSMENT OF TAX
" ,DATE 04-05-82
ESTATE OF MINICK SARAH C FILE NO, 21 80-0761
DATE OF OEATH 11-D7-BD COUNTY CUMBERLAND
NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX
PAYMENT TO THE REGISTER OF WtLLS OF THE ABOVE COUNTY, MAKE CHECKS PAYABLE TO REGISTER OF WILLS.
AGENT." IF TAX PAYMENTS ARE MADE WITHIN 3 MONTHS OF THE DECEDENT'S DATE OF DEATH. A DISCOUNT
OF 5% OF THE TAX PAID MAY BE DEDUCTED,
H ANTHONY ADAMS ESQ
PO BOX 653
SHIPPENSBURG PA 17257
PLEASE RETURN THIS
PORT ION TO REGISTER OF
WILLS IF PAYMENT DUE
~~I~~P~Q_~J~~!~~-------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ACN 101
DATE 04-05-82
ESTATE OF MINICK
SARAH
C FILE NO. 21 80-0761
I CHANGED
TAX RETURN WAS: (X) ACCEPTED AS FILED
APPRAISED VALUE OF ESTATE:
,. Real Estate (Schedule A)
2, Stecks and Bonds ISchedule BI
3. Closely Held Stock/Partnership Interest (Schedule C)
4, Mortgages and Notes (Schedule 01
5. Cash & Miscellaneous Personal Proper tv (Schedule E)
6, Jointly Owned Property ISchedule FI
7, Transfers ISchedule G)
a. Toul Gross Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative Costs/Miscellaneous
Expenses ISchedule HI
10, Debts/Mortgages/Liens ISchedule I)
11. Total Deductions
12. Net Value of Estate
13, Charitable Bequests ISchedule JI
14. Net Value Subject to Tax
ASSESSMENT OF TAX:
15. Amount of line 14 taxable at 6% rate
16. Amount of line 14 taxable at 15% rate
17. Principal Tax Due
TAX CREDITS:
PAYMENT
DATE
RECEIPT
#
DISCOUNT (+ I
INTEREST l-l
04-20-81
08-18-81
029449
029722
.00
15.47-
THIS ASSESSMENT IS BASED ON: ORIGINAL RETURN
NO INTEREST IS DUE IF PAID BY 08-18-81
IF PAID AFTER DATE iNOICATED SEE REVERSE FOR INSTRUCTIONS.
III
( 2)
131
( 4)
151
I 6)
I 71
10B,500.00
,00
,00
,00
45,57B.35
5,016.64
.00
181
159,094,99
(9)
(10)
,00
12,558.11
(Ill
(12)
(131
(14)
12,558,11
146,536,88
,00
146,536,B8
(151
(16)
146,536.88 X,06=
.00 X.15=
(17)
8,792.21
,00
8,792,21
AMOUNT PAlO
475.00
8,000.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
8 459,53
332,68
RETAIN THIS PORTION FOR YOUR RECOROS
Of Balance Due is less than $1.00 no payment is required)
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REV, 1547EX (1-82)
BUREAU OF EXAMINATION i NOTICE OF INHERITANCE TAX
PENNSYLVANIA DEPARTMENT OF REVENUE I APPRAISEMENT ALLOWANCE OR DISALLOWANCE
P,O, BOX B327 '
HARRISBURG, PA 17105 OF OEOUCTlONS. ANO ASSESSMENT OF TAX
ASSESSMENT
CONTROL NO.
101
OATE
ESTATE OF MINICK SARAH C FILE NO, 21 80-0761
DATE DF DEATH n-07-80 COUNTY CUMBERLAND
NOTE: TO INSURE PROPER CREOIT TO YOUR ACCOUNT SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS OF THE ABOVE COUNTY, MAKE CHECKS PAYABLE TO REGISTER OF WILLS,
AGENT," IF TAX PAYMENTS ARE MAOE WITHIN 3 MONTHS OF THE OECEOENT'S OATE OF OEATH. A DISCOUNT
OF 5% OF THE TAX PAlO MAY BE DEOUCTEO,
H ANTHONY ADAMS ESQ
PO BOX 653
SHIPPENSBURG PA l7257
PLEASE RETURN THIS
PORTION TO REGISTER OF
WILLS IF PAYMENT DUE
~~!~~P~Q_!~~~~~-------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR OISALLOWANCE OF OEOUCTIONS ANO ASSESSMENT OF TAX
ACN 101
OATE 04-05-82
ESTATE OF MINICK
SARAH
C FILE NO,21 80-0761
I CHANGED
TAX RETURN WAS: (X) ACCEPTED AS FILED
APPRAISED VALUE OF ESTATE:
1. Real Estate (Schedule Al
2, Stocks and Bonds (Schedule Bl
3. Closely Held Stock/Partnership Interest (Schedule Cl
4, Mortgages and Notes (Schedule D)
5. Cash & Miscellaneous Personal Property ISchedule E)
6, Jointly Owned Property (Schedule F)
7, Tronsfers (Schedule Gl
B. Total Gross Assets
APPROVED DEOUCTIONS ANO EXEMPTIONS:
9. Funeral Expensesl Administrative Costs/Miscellaneous
Expenses (Schedule HI
10, Debts/Mortgages/Liens (Schedule n
1 1 . Total Deductions
12. Net Value of Estate
'3. Charitable Bequests (Schedule J)
14. Net Value Subject to Tax
ASSESSMENT OF TAX:
15. Amount of line 14 taxable at 6% rate
, 6. Amount of line 14 taxable at 15'7'0 rate
17. Principal Tax Due
TAX CREDITS:
PAYMENT
DATE
RECEIPT
#
DISCOUNT (+)
INTEREST H
04-20-81
08-18-81
029449
029722
.00
15.47-
THIS ASSESSMENT IS BASED ON: ORIGINAL RETURN
NO INTEREST IS OUE IF PAlO BY 08-18-81
IF PAID AFTER DATE iNDICATED SEE REVERSE FOR INSTRUCTIONS,
( 1)
( 2)
( ~)
( 4)
( 5)
( 6)
( 7)
10B,500.0D
.00
.00
,00
45,578.35
5,016,64
,00
( B)
159,094.99
( 9)
(10)
,00
12,558,n
12,558,n
146,536,88
,00
146,536.88
( 11)
(12)
(13)
(14)
(15)
(16)
146.536.88 ~06=
,00 X,15=
(17)
8,792,21
,00
8,792.21
AMOUNT PAID
475.00
8,000.00
TOTAL TAX CREDIT 8 459.53
i BALANCE OF TAX OUE 332.68
(If Balance Due IS less than $1.00 no payment is required)
RETAIN THIS PORTION FOR YOUR RECORDS
.. -,.' ,,'....~
~--- -- --- - - - -- _.- - - --. --- --- .----.- --- -_.- -.- -.-'- -- --'-
--'-'-- -
-.-',-
-
~E\q\fI2_EX::':)-_"':','" ~', ,'" "
\~;~'i;{;+;'/:'<;':' '. COMMONWEALTH OF PENNSYLVANIA
'NCiT()9 70 A. c:: '" DEPARTMENT OF REVENUE .
;y::/L. . 1:tf!FICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
""'."
m
m AMOUNT
~
Assessment Control No.
Probate
332.21
RECEIVED FROM:
r:: Gl1enn S. & Barry~MiniCk___1
~JntQo!.lY_M~_S.L__~Jl.q.--- .--.--'
P.O. Box 653 .__._.____._._.___.__
Ship'Den.~.L_n____11UL-- ---
L .J
. ESTATE INFORMATION:
FILE NUMBER 21-80-761
NAME OF DECEDENT MINICK SARAH C.
J.ASnTe 2 l..f~T
DATE OF PAYMENT JU .,,~;s
POSTMARK DATE June 1 1983
COUNTY CWllber1and
DATE OF DEATH Novlllllber 7. 1980
MI
mTOTAL AMOUNT PAID
332.21
REMARKS
SEAL
" /
~.' ,
RECEIVED BY
.---------- ------ - .---- - -- ~_. -----------
REV. 1B07 (AS)
DEPARTMENT OF REVENUE
BUREAU OF ACCOUNTS SETTLEMENT INHERITANCE TAX
P,O, BOX 2055 STATEMENT OF ACCOUNT
. HARRISBURG, PA 17105 DATE 7--
ESTATE OF MINICK SARAH C FILE NO, 21 80-0761
DATE OF DEATH COUNTY LAND
NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX PAYMENT
TO THE REGISTER OF WILLS OF THE ABOVE COUNTY, MAKE CHECKS PAYABLE TO: REGISTER OF WILLS. AGENT,
ACN
101
H ANTHONY ADAMS ESQ
PO BOX 653
SHIPPENSBURG PA 17257
Iq-Y ~
~ q-
(fJ ' I..gSfj,
PLEASE RETURN THIS
PORTION TO REGISTER OF
WILLS IF PAYMEWT DUE
~1:!~ _A.!-9~~ _ ~Hl~ _L!~E_ _ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
.. INHERITANCE TAX STATEMENT OF ACCOUNT ..
"