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'788.'
NO. 21-80 .
PETITION FOR LETTERS OF ADMINISTRATION
IN THE ESTATE 01<' ..,..O'ORO'l'HX...J.l,.....OMOHIlNDRQ............ DECEASED,
To .....!1~X..,!;;,....,~~~I;'!,'....,.............."......,.................,.........,..,..,........""........,..
Register of Wills for the County of Cumberland, in the Commonwealth of Pennsylvania,
The Peti tion of ...., ,~Jf',h,<:,: 1?,g...Q)),9.h,1,!~.g,;: g.... ....... ,......,.. ......' ......",..,., ,,, ,....,....".......,.."...... ...,..... ...........,
,.......,.... ....... ,.... ............ ..............., ,.." respectfu lIy showelh tha t ",!?g,F,.9,!;,1:\y....1;! ,', ..,9.\1.9.!:m,I}g.,F"9",..,, ..............
was a resident of ,....,J.l,l?p.!i!,j;...l}..;I.,:j&l)..............,........;~=p ,Cumbcrland County, State of Pennsyl-
vania. and a Citizen of United States, and departed this life intestate in the County of .......,........,...........
......CUlllbe.l:laxuL,..., and State of ,....",r..'i:nl),l?y,;I.y,~T.\i,.,a,.,..,....,.......,...."......"..,....,..,....,..,..,..,."............,....,..
on .....!-!,~,~~,F.~!?,!?~..g,~.. the .........,~,?!,:,~..,......,........ day of ,......,f.,~?!?,?,<:':!:.Y..................,.., A, D,. 19..~,Q....,
at the age of ,..............' ~'ears.
That the said .......I!.9.!;.9.t,hy...,H.,....9ffi9,h!:l.!'!,<:!);:9..,................ deceased, left surviving the following
named widow or husband, heirs and next to kin, to wit:
Name Relationship
..,..,~.~g.h!-!,*.9...9m!?,h~~.g,;:!?..,..,........ ,...~,1,!~.?.~~,g....,............,',..
....,.M.ark,..E.~...l)lll~bJ.llJ.Q.l:O.......,....,. ...,C.hi;l.,('L.......,......,..,......
......lSl1l:t,h~j,r..~...F.l.......9,I))9.h,1Jr..g..;:!? ,..,~.hg,<:!,.............,....,......,
..,..:r~Q.d..,I?,....9m9.bJ.lT.\9.x:!;l.............. .... ~,h,~ ;J,,<:!.......... ...... ........,..
Residence
'~~in~~f'~~~~r'g~~~~!....I7'(JS'5
,I?,amt;1....,...........,..............,.....................
Same
...,.....,.,....,.,........,...,.,.,.....,...,....,..,.".......
Same
...,.,....".,....,....,...,...,.....,...,..,......."..,.,.....
...,....,..,..,..,...,....".........,.............."..."..... ",....,...,......,...",..,.....,..........
.......,...,......,.................."...,...."......,...,...,
.....,.,.....,.....,....,..,....,.."."...".,..."...,......., ".....,....,......,.,..,......,.....,.....,
....,.....,..,.,..........,...,...,.,...,.....,......,.......,..
.....,.......,.....,...".....,....,..........,',.,............. ....,..."........,...,....,.....,.......,.,
.,.....,.".,.,.,.,......,.."........,',.......,."...,..,.....
....,............,...,.....",.....,............,.....,...,..... .,.,....,.,..........",.......,.....,.,..,'
...,.."..,.,....".....,..,.,.."...."..".....,..,......."..
...............,..."....,........,...,.....,',....".......,... ,.....,.........,..,...,....,....,..."...,.
............,.."..................,......."..".......",..,..
That those above named include all of the next of kin, so far as known,
The said decedent was possessed of personal property to the estimated value of $lJ,O,Q,Q,..Q.Q.............
and of Real Estate, less incumbrance, to the estimated value of $:",Q:::....,....,............,.... as near as can be
ascertained,
That the said Real Estate in so far as is known is located in ..........................................,.....,........,......
.............,.....,.....,.."..,.....".....,..,......,.....,...."...,.".."...."....,..,....".."..,",....,...,.,....,....,.....,.,...,...,..,.."...,.."........,.,.",.,......
Therefore, your petitionerkll respectfully apply(iesl for Letters of Administration in the above
named estate,
Dated ....!?~,S!?,~!?,L2.........,............ A, D" 19....~,g..
Signature and Address
Wr~ :DQ~
of Petilioner(s)
.............,......,...,.......,~.~k
RICHARD OMOHUNDRO
J.~~..,~~,~,~~.~X...I?E~.y:~..........,........,....................
..,~~~.~,~~,~S~p.~;,'i!.!....I?~..,..,~,~,9..?,2,.....................
..",....,..,......,............"........,...........................,..,..............
COMMONWEALTH OF PENNSYLVANIA 1S8:
COUNTY OF CUMBERLAND
...,',.".....,',...............,..~lCJ:U\.EP,..QI1QJ:\\iNP,RQ................."....,.................. ,............,."...."....,.....,....,.....,.... named
in the above application being duly ....,SW.O.l:lJ...,.......................... according to law, say that the facts set
forth in the above application are true to the best of ..his....... knowledge and belief.
............5l1!O.l:IJ,...t.O...,.............,.."..... and subscribed
before me,
Dec. 3 '30
.........1)It.Z4.f,j..(2..,.., .. &(...~.,t.,.:..,..............,
r1 Register
Filed: ..,..,!?,~9,~)))!?,~,!:......~:.~..~...!,~,?,g..,................, Attol'ne~':
(over)
,-C)..;..Ii............n.....~..........J)..........................
.~,~.t:::2"/W;.~,~"
.".,.,.............................,.."."...,.........,.....,.......,...........,...,
!"P/t
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,........'.. ........ ,.. 'H~~'1:h:" 1;'; "'1'\:1:1 ~t\... ...E'srr:........'..,
Keefer, Wood. Allen & Rahal
,~~,~~~.~~~.~9.;..~~,K....,~.?~.?,~...,.,',.,
iJD. '
!';.;~7 .3 s
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21-80 '7!~f'
No.".......,......................
Renunciation and Request
-----------
In the Matter of the Estate of ......p.t>1.11.1?:I.')(.....,..H.......QM.QHIJN..D.~.~......................,..............,.....,....
To ........,M.Alt.,....C..,....J..It..WJ..~.............................................................. Esq,. Register for the Probate of
Wills and granting Letters of ^dministration for the County of Cumberlaod. in the Commonwealth of Pennsylvania.
......,....'. the undersigned. being the ....fU:t,ILDI.l!N......6,F.........})ECI5.b.i:Irl.r,.....NIP......,..........,..,
.JJep/Jr.......,P.~.....AC.E........................................................................................,.........................,.........,..........
...............,.............".........."...............,,',.........,.,...........,..............,...........,...........,.........,...,.,...................,.......".............,..........
,...,. ,....,..,........................,..........,........".,....,...............,...........,....................................,...,..,.,..,...,.....,....,...".,........,...,............
,..........."..........,........................,...........,........,..........,..........""...................,...........,........,...."...................,......,.....,.........,......"
do hereby renounce ...............O'..v..~........................,........right to h.ve Letters ..tJ/?...It).M.'NJ.~,r:IlA1)~
........................,................................................. on said Estate issued to .......li.f...............................,.........................,....
.....,..................................,.........,.........,......................,............. ................................... and do hereby request you to grant
the s.me to ...(J.CH.Af(.J>.........l)~D..t/llJJI//JAQT.....W.I,T..HD..IJ..r..,.&KP.....~,R......Q..TH.1!~
-sect)"'Tl
Witness............... ...h.nd.......... ..... ,and seal....... ....... ..this....... ...... .... ........ ......,.............. ....,......................................
day of .......................,.....................................-^. D, 19,.......
Sealed and delivered in presence of
..i4J!.A.jLf9.tJC!,~~.,~,...."..,....
.,................,....................,......................,.--..........,...
'-.P' /7;, ',/.'( (''; J!
. Z.ICZ".."..l?J!.,....ll..,:..~21t.LS."',..,......,.... (L, S,)
'1-h.t1.&I.JJ. .Y!f. :.,.C.!(?:.1!L............... (L, S.)
,t'f!;f/{t!.(.J.)..'I?L<1..4:.lk,...,..,.....,. (L, S,)
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, ; ';.('/., L~,- /' . /'
e,,:....,6,..,..,,4;.............. '" "..1...,.....(L,S.)
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..0".~1LJ~dt~LJ.,,";7...,",.,...
,?!jC':1i.41I.'::.? 0.:!rl,aJ:.I~L!:::!:dJl~
.................................u..,......,.........,...........,.,...........
..,..."."..,...,..........."..,............,.........,.......(L.S,)
......................................".....................,.........,-.......
.,.....,..,..,....,...,..,..",..".......,.."..............,.,(L.S,)
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RESERVATION: In the event that any future interest in this estate is transferred in possession or enjoyment to
collateral (Class B) heirs of the decedent after the expiration of any estate for life or for years, the
Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful
collateral (Class B) rate on any such future interest
Purpose of Notice: to fulfill the requirements of Section 709 of the Inheritance and Estate Tax Act of 1961 (72
P.S. seclion 2485-709).
Objections: Any party in interest not satisfied with the appraisement. allowance or disallowance of
deductions. or assessment of tax <including discount or interestl as shown on this Notice
must object within sixty (60) days of receipt of this Notice,
Objections may be made as follows:
_ by written protest to the Department of Revenue, Board of Appeals
_ by electing to have the maller determined at audit
_ by appeal to the Orphans' Court
If any tax due is paid within three (3) months after the decedent's death. a discount of
five percent (5%) of the tax paid is allowed,
. the discount period is calculated in calendar months. Example: date of death 1-15-82,
discount period expires 4-15-82.
Except for tax on a future interest. inheritance tax becomes delinquent 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 date of death of the life tenant or annuitant
Interest is calculated on a 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 any unpaid balance.
Interest is charged at the following rates:
Discount:
Interest:
Delinquent Date
Annual Interest Rate
Daily Inlerest Factor
5/27/43 to and including 12/31/81
1/1/82 to and including. 12/31/82
1/1/83 to and including 12/31/83
6%
20%
16%
,000164
.000548
,000438
Estates that become delinquent on or before December 31, 1981 will maintain a
constant interest rate. The rate in effect when the tax first becomes delinquent will remain
constant until the delinquent balance is paid in full,
Estates that become delinquent on or after January ,. 1982 will contain a variable interest
rate. Thus, taxes that remain outstanding from calendar year to calendar year will
be subject to different rates in effect on each January ,.
NUMBER OF DAYS X
DAILV INTEREST FACTOR,
. If a tax balance remains outstanding for more than one calendar year, a separate interest
determination must be made for each year at the applicable rate. (Only one calculation
is necessary if the estate maintains the constant interest rate.)
Any Notice issued after the tax becomes delinquent will reflect an interest calculation 10
fifteen (15) days beyond the date of the assessment. If payment is made after the
interest computation date shown on the Notice, additional interest must be calculated,
To Remit Payment: Detach 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 book.let, "Instructions for Inheritance Tax
Return tor a Resident Decedent."
, Make check or money order payable to: Register of Wills. Agent.
INTEREST = BALANCE OF UNPAID TAX X
REV-111.7 EX (12-88)
...... '"
COMt,jIO".[Llt~ Of P[""SVI\(AhIA
DtP"n.lI.I[~' or Rhltiut
t4URlAU or 1";)"'I~hIAl TAXES
O[n 2flJ(iOl
","'RRISIIW'\oi rt. 17l~8.0(j01
~,
,~i:'.; . ", i NOTICE OF INHERITANCE TAX
~(.:~;.,~ \ APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
.' OF DEDUCTIONS, AND ASSESSMENT OF TAX
~
ACN
101
ESTATE OF OMOHUNDRO
DATE OF DEATH 02=J.j!-80
NOTE: TO INSURE PROPER CREDIT TO
PAYMENT TO THE REGISTER OF
DOROTHY
DATE 10-02-89
FILE NO, 21 80-0788
COUNTY CUMBERLAND
YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX
WILLS, MAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT",
H
REMIT PAYMENT TO:
'~
RICHARD OMOHUNDRO
PO BOli 510
HBG PA 17108
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
I Amount Remitted
I
,
,
9~! _A!-9~~ _ !Hl~ !-!N.E. _ _ _ .>>:: _ .!'I~'! ~I~ _ ~c?'",!~R_ !'9~,!19~ _ ~O_R_ y~~~ _ F!E~9!l~~ . -:c.. - - - - - - - - - - - - - .
REV-1S47 EX (12-BB)
NOTICE OF INHERITANCE TAX APPRAISEMENT.
ESTATE OF OMOHUNDRO DOROTHY
ALLOWANCE DR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
H FILE NO,21 80-0788 ACN 101 DATE 10-02-89
TAX RETURN WAS: ( ) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: I SUPPLEMENTAL
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
S. Cash/Bank Deposits/Mise, Personal Property (Schedule El
6. Jointly OWl'1ed Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(X 1 CHANGED - SEE ATTACHED NOTICE
RETURN
(ll
( 21
( 3)
( 4)
( 51
( 6)
( 7)
"
,000,~
640,00;:'"
.O~;
.Oe"
.00.
.00
.00
cxi
'0
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:.~~;;
:~~8
Co'?
....,
-0
N
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(B) ,,'.
N
640.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses! AdministraUlJe Costs/Miscellaneous
Expenses (Schedule H)
10, Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12, Net Value of Tax Return
13. Charitable/Governmental Bequests (Schedule J)
14, Net Value of Estate Subject to Tax
NOTE: If an assessment was issued previously, lines
reflect figures that include the total of ALL
ASSESSMENT OF TAX:
15, Arnount of line 14 taxable at 6% rate
16. Amount of line 14 taxable at 15% rate
17, Principal Tax Due
TAX CREDITS:
( 9) 3,515.06
(10l .00
3,515.06
2,875.06-
.00
.00
(1;)
(12)
(13)
(14)
14, 15 and/or 16 and 17 will
returns assessed to date,
(151
(16)
.00 X,06=
.00 X.1s-
(17)
.00
.00
.00
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST (-)
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE .00
INTEREST .00
. IF PAID AFTER THIS DATE SEE REVERSE FOR CALCULATION
OF ADDITIONAL INTEREST TOTAL DUE .00
(IF BALANCE DUE IS LESS THAN $1 OR IS REFLECTED AS A "CREDIT" (CRl. NO PAYMENT IS REQUIRED)
t"
".
RESERVATION: Estates of decedents dying on or before December 12. 1982 -- If any future interest in the estate is
transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate
for life or for years. the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes
at the lawful Class B (collateral) rate on any such future interest.
PURPOSE OF
NOTICE:
PAYMENT:
To fulfill the requirements of Section 1740 of the
Section 1740).
Oetach the top portion of this Notice and submit with your payment to the Register of Wills printed on
reverse side.
--Make check or money order payable to: REGISTER OF WILLS, AGENT.
All payments received shall first be applied to any interest which may be due. with any remainder applied
Inheritance and Estate Tax Act, Act 255 of 1982 (72 Pa C,S,
to the tax,
REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application
for Refund of Pennsyivanla Inheritance and Estate Tax" (REV-1313l. Applications are available at the OffIce
of the Register of Wills. any of the 24 Revenue District Offices, or from the Department's 24-hour
Forms Ordering telephone lines in Harrisburg - (717) 787-8094. In Philadelphia - (21S) 560-2065.
or in Pittsburgh - (4121 565-360 "
OBJECTIONS: Any party in interest not satisfied with the appraisement, allowance or dIsallowance of deductions. or assessment of
tax (including discount or interest) as shown on this Notice may object within sixty (60) days of receipt of this
Notice by:
--written protest to the PA Department of Revenue, Board of Appeals, Dept 281021. Harrisburg. PA 17128-1021.
--election to have the matter determined at the audit of the account of the personal representative, OR
--appeal to the Orphans' Court.
AOMIN-
ISTRA TIVE
CORRECTIONS:
INTEREST:
Factual errors discovered on this assessment should be addressed In writing to: PA Department of Revenue, Bureau
of Individual Taxes. ATTN: Post Assessment Review Unit,Dept 28060 ,. Harrisburg, PA 17128-0601.
(717) 787-6505.
See page 3 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV- 1 50 1) for an
explanation of administratively correctable errors.
If any tax due is paid within three (3) calendar months after the decedent's death. a fIVe percent (5%) discount of
the tax paid is allowed,
Interest is charged begInning with first day of delmquency, or nine (9) months and one (1) day from the date ot
death. to the date of payment Taxes which became delinquent before January ,. 1982 bear interest at the rate of six
(6%) percent per annum calculated at a daily rate of ,000164, All taxes which became delinquent on and after
January " 1982 will bear interest at a rate which will vary from calendar year to calendar year with lhat rate
announced by the PA Department of Revenue, The applicable Interest rates for 1982 through 1989 are:
~ Interest Rate Dailv Interest Factor Year Interest Rate Daily Interest Faclor
1982 20% ,OOOS48 1986 10% ,000274
1983 16% .000438 1987 9" .000247
"
1984 11% .000301 1988 11~C1 .000301
1985 13% .000356 1989 11% .000301
DISCOUNT:
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice issued after the tax becomes dellnquenl will reflect .m interest calculation to fifteen (15) days
beyond the date ot the assessment. If payment is made after the interest computation date shown on the NotICU,
additional interest must be calculated.
1(...,1470(110..' t\~l'.^
nTi ~~
-.
, . COI..MONWEAlTH Of PENNSYlVANIA
DEPARTMENT Of REVENUE
BUREAU Of INDIVIDUAL TAXES
DEPT, 200601
HARRISOURG, PA 17120.0601
DECEDENT'S NAME
SCHEDULE
ITEM
NO,
H
B-1
INHERITANCE TAX
EXPLANATION
OF CHANGES
filE NUMSER
Dorothy ~)rllohunctro
ACN
R(1-(1 ~A
(1
1l55t't.r. .
Reduced to S6l.n.00. r-'amilv e'S:f~t:lptii')Il enn only be claim('d 8gainst probate
" o:i
n~\ _.:0
'0 ~"rT1
5.::1 Pl("")
a;-,' CZl 720
(r:t1
fTir- ...... -<0
?:l ~. -0
r- :~ ~,..,
?-::- N 7.J
'0 :,
c" ,
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a
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N
PAGE
EXPLANATION OF CHANGES
TAX EXAMINER: ~'~::~B~t!_ 5_z0 lJg_~y~__~__~_~__~__.__,___
/1- 110 - oL
,A: llNHERITANCE TAX RETURN I'LENUMBER 'J{-I?O-07ff
.t:.w~ RESIDENT DECEDENT
COMMONW'Al1HOf PENNSYlVANIA (TO BE FILED IN DUPLICATE
DEPARTMENT OF REVENUE
HA~~I~~~:~~I"?f,gl'l317 _ WITH RE_~ISTER OF WILLS) COUNTY CODE YEAR
DECEDENT'S NAME (lASI. tIRST, AND MIDDLE INITIAll DECEDENT'S COMPLETE ADDRESS
REY.1500 EX. 12.87)
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NUMBER
DATE Of alRTH
III tJ,TTfHJY 'DR,
f'ilEel-! fltJ IcSlluR6-,
'PA
170fi'fJ-
VMO\-l0N'J)RO
SOCIAL SECURITY NUMBER
-:Dol< o'Tt-J '/ H.
~OfDEA'ti
I -a.f/'~!~O
lJ 2, Supplemental Return
OIl 1-'d-8- 'd-dOfi'
~ 1. Original Return
o 4. limited EsTate
C.,,,, cUMe~""AtJj)
[) 3. Remainder Return
(for dole. of deolh prior 10 12,13,82)
o 5. Federal Estate Tax
Relurn Required
.-L8. Tolol Number 01 Safe Deposit Boxes
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Chock here if you arc requesting 0 rofund of your ov~rpQYn:'lent,
'5'117/3'1
o 40, Futuro InTerest Compromise
(for dole. of deolh alter 12,12.82)
}&1 6. Decedent Died Testate 0 7. Decedent Maintained a Living Trusl
(Allo<h <opy of Will) (Alloch copy of Tru,')
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME COMPLETE MAIliNG ADDRES~
l? I C Ii FWD
TElEPHONE NUMBER
-p, 0, '80)( '710
HAF1R\"5oURG-, PA
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1710B
DMOH LJI-fDRO
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1. Real E"o'e (Schedule A) ( I)
2. S,ack, and Bond, (Schedule B) ( 2)
3. Clo.ely Held Slock/Por'nership Inlere.' {Schedule q (3)
4. Mortgages and Notes Receivable (Schedule D) ( 4)
5, Cosh. Bank Deposits & Miscellaneous Personal Praperly( 5)
(Schedule E)
6, Joinlly Owned Proper'y (Schedule F)
7, Transfers (Schedule G) (Schedule L)
8, Total Gross Assels (total lines 1.71
9. Funeral Expenses, Administrative Costs, Miscellaneous ( 91 ~J..{.~7-.Jj_LQb__
Expen,e. (Schedule H)
10. Debts, Mor'goge Liob;!;'ie., Lien, (S<hedule I) (10)
11. T oto\ Deductions Itotal lines 9 & 10)
12, Net Value of Estate (line 8 minus line 11)
13, Charitable and Governmental Bequests ISchedule Jl
14, Net Value Subject to Tax (line 12 minus line 13)
15. Amount of line 14 taxable at 6% rote
(Include values from Schedule K or Schedule M.I
16, Amount of line 14 taxable at 15% rote
(Include values from Schedule K or Schedule M.)
17, Principal tax due (Add tax from line 15 and from line 16.)
18, Credits Prior Payments Discount
~~!
Fi~.:
00
"Q ~:::o
- ------rrI~
(7)0
E: ~);o
Wi ,~~
I '~:i9
'D
',-1
,-q
-.~
'I
.,.;:)
"'.'
G/.{O, 00
-
( 6)
( 7)
-
;E
VI
--.J
( 8) ..--t,.5..0. 00
(ll) _'if.J.s:.1Z.(,
(12)
(13)
(14)
-
x ,06 =
x ,15 =
117}
118)
119}
+
19. If line 18 is greater than line 17, enter the difference on line 19. This is the OVERPAYMENT.
aD
20, If line 17 is greater than line 18, enter the difference on line 20. This is the TAX DUE.
A. Enter the interest on the balance due on line 20A.
B. Enler the tolal of line 20 and 20A on line 208. This is the BALANCE DUE.
Make Check Payable to: Register of Wills, Agent
. .BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH..
Under penalties of perjury, I declare that I hove examined thi, relurn. including accompanying schedules and statements. and to the be,1 of my knowledge and belie(
it is true. correct and completo. I declare that all real estate ha, been reported 01 true market value. Declaration of preparer other Ihan the personal representative is
based on all information of whkh preparer has any knowledge.
S1GN~SP ca:.L;N 'f'fqOO'~rd::. ~ fit 170%' O~ l'ff'(
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE ADDRESS DATE-
';-" /
,
(15)
(16)
Interest
120)
(20A)
(208)
t ~
I
I
I
ei
I
.. ..,",
LAST WILL AND TESTAMENT of
Dorothy and Hichard Omohundro
This document is to be .the last will and testament
of Dorothy and Richard Omohundro, this date residing at RD 2,
Mechanicsburg, Pennsylvania, in the event of their deaths.
The children of Dorothy and Richard Omohundro, Mark,
Katharine and Todd, are to be the sole heirs of the estate ~md
are to share equally upon reaching legal age. Until reaching
legal age, the care and welfare of the children are to be
the responsibility of Mr. Omohundro's sisters, Mrs. John D.
Raynor of Rockville Centre, L.I., N.Y., and t~s. John Roy
of LakeMohawk, N.J., who would be expected in carrying out this
responsibility to consider the wishes and consult with Mrs.
Omohundro's mother, Mrs. Elizabeth F. Hollenbeck of Schenectady,
N.Y.,.and Mr. and rfurs. G.N. Omohundro of Newark, N.J., the mother
and father of ~~. Omohundro, so long as they shall be in sound
mind and body.
~ ~~JLJ2T(r
. (t...., "":;J...~J &I c::Q,. Aj -'-'_~. ~.v_"
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(date)
V1ITNESSES/""7
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77.Aw 7L, "~ &L~
7YtM~I,I~Gr
lDate
REV1$09U.13,8bJ
COMMONWfAUH Of PENNSYlV,\N'A
INHUllANCf TAX RETURN
RUIDEN' DECEDENT
SCHEDULE F
JOINTLY _OWNED PROPERTY
ESTATE OF
-.Do R (JTlI 'f 71. OM ofj III J'J)r~ <'
FILE NUMBER
',1 (_ 'f.?-' ?nY
Joint tonont(.):
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ADDRESS
If 'i'1 ,'00 K .:-r,
H () r J rJ'1 e /..01 CJ iJ 'I'
!-'f} \ 703G
RELATIONSHIP TO DECEDENT
q \J~lIAII'\)
NAME
A, 'f< ICI-IP.f,;'j) O~WIfIJ"I"JlR ()
B.
c,
ITEM LmER DATE
FOR TOTAL VALUE DECO'S DOLLAR VALUE OF
NUMBER JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST
TENANT JOINT
1, A. ')f71 'Re.-:i \ 'C,~,J.'~ AT :[I t7 '0 ()C;? rOtr'!- F-;.(!a'/1PT
- ,0
\II PllTNJY 1jt ,
f'p e:;;:rtNJ [cst3uRG-
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a, Pr '111f 0. S. 5A11/,J~ 81>,,1) erf7'? fo,l7~ 5Z>9D ~eM?T
#c (}0105'0'a-':J'l1 ~
~. .p,. /O(7e " ,0;;. '5 Pr\ll ",6oS llo,Jl) (O(7F 70(,7&. 00 '% ~"eHtPT
'#: c'UP7ba.6'/ ~7{ ~
"f. A l'a.l7v V.S. S~VI~~S ~o~ 1<J.og 6'P% ~I'~PT
tJ:.c ~o?6~S"I"~ E: , '<rI?i'
.fJ. A. ,17'1 V.OS, ~1't\J1~6-5 ~ooJJl 1/7'1 7~,7b 5'"o~ Etr;M1T
#- c ~07q 9 '6''5''i~<; E
6. p... ~/7'f 11.'5. 6'Ij-VI iJ~ 'BoiJ J) a/1' 1~ . 'to{ 5'0% ~eMP7
-ft:.CW7"'fq~S-!JO'1e:
'1, A, '((?'! (). G, -6/tVl"'6-S '/Jo-.ID '1/79 77, fo ,ZI"lll Gti< fii>fIlP'/
#-c. a..o ~35?1(J5'7JZ
~, Pr. ~h~ 1.7.S, Skill ~G-? 'f.oIJJJ ff7'! 7b,5"~ 5V% ;;Hl~ pr'
#-c ~31G fl'i7'i e
'1, p., .,(?'I lJ."j, -SAVl "'60S 00'-'11 1//'1'1 15'.76 ooro t::><-S'M l'T
#- c ~qG~5'5 6r'l e
10 Fr, I?r-h'l U ."5. :5A\J, "'G-6 'BoA.!) Ia.{?,/ ?5': 5"Cl 5"'0% ~pT
"(F-c. ~91fH'ft'5'i e
II, n. Q/7'f V.:S. ~ProJltJon -p"ollD cr(-;<f 7G:a,'? S1J"lo ~I?MPT
1t'-c 8d'r?fH'71QQp
GotJT'!lVli@-1> c;/J 'PA~e e-)
TOTAL (Also enter on line 61 Recapitulotion) S
Jolntly..owned property:
(If more space is needed insert additional sheets or same size)
'5cI\-eDUFE r:= - 'i'PtG-;;:. 'd-
I~, A. G!7q V.S, SlTtJnJP5 ao"j) 77. I Cl- ~ c;,ceMH
if:. cc:J'a-olj'316 8'7<f7e.. 6/71
/+, s-h? l),-s', "5A-\J,tJG>? 8()~ s-h~ 7?'I'I ~% G><~ 1'1
13. -#= c ~O~?I n?J%1f.
/'1, A. 7/77 COMMOIJuJGI\"TH lil'tll~"'~L ~ 7o.DD 5710 tpl</?1 Pi
~o\lJlI ctt(;C~/"'~ A~~"T
'#= 1Ia.-/O?~01'3-o
IS-; PI, -J(n cOMMOlJUJelll-n+ JJPr Tlplif/ L S?/.oo ~~ l'l<e.lt rr
llfII:H 5 ~ \I. "&-5' ftCco~.rr
* 1/- O(}'a-d'fo'l-O
IG, /'t 7/77 H-A-RRI'5 ~M(,",t9$ ~5ocl"'TlO).l 1~~,Cl:J 6l1% z::;)(j';jAPT
"'Cco~Jf/.# !-'{Of}D5'
17, 1'1 fi'/70 l#<i~(./15 qA-'iIIJ,0 frs5OCfFtnOv ('alq,oo srJ% ~~PT
c.eRil F' c P,. '1'e- i7P Jle.pOS-I T
#' /-O'f-\'H71!>-