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Home My WebLink About80-00807 ..:.J,"":'. -.,'< Co I .. " t{~:.. i . ti .. . '''~t' '. .. .. . ~{f~l ~ , ~ m . ~"'- '~- '.' ;...p:-f.... f . .t~::!:( -, , . ~ , ~ ';~ .- . I~. , t- ~ , ~ , ( 0 . i . ctJ . : Q w- oo 0 . - N ~ - ~ . I'D \0 0 - Z .:': \' -l~t ~ I ~ . ~ -. \ z ~ tIl - '" H \.U - f>:l i-:o ~ ... e II) V) . 110I Z '" CI < ~ . !,! ....I ~ ~ t>+ i ::il ::: 0 '" I~ ..t; ~ ~ ~ c U "'. ~ Q tIl ~:z~. to> <; r-f ~ f>:l ~ H ~:J ;; l.:-.,\ ( ~ ~ ~ g . ....,~' ~ \' ~ ~.. ~~j {S U . .......... . J .. . ." " .I - ., , .J'" . LAST WILL AND TESTAMENT OF CHARLES M, NELSON I, CHARLES M. NELSON, of the Borough of Carlisle. Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make and publish this instrument of writing as and for my Last Will and Testament, hereby revoking and making void any and all wills by me at any time heretofore made. FIRST _ I give, devise and bequeath unto my wife, MARY DA VIS NELSON, all of my estate, real, personal and mixed, of what nature or kind soever and wheresoever the same shall be at the time of my decease. SECOND _ In the event that my wife, Mary Davis Nelson, should pre- decease me, I give, devise and bequeath all of my estate, real. personal and mixed. unto the FIRST CHURCH OF GOD, 705 Glendale Street, Carlisle, Pennsylvania. THIRD _ I nominate, constitute and appoint the FARMERS TRUST COMPANY, Carlisle, Pennsylvania, to be the Executor of this, my Last ./ IN WITNESS WHEREOF I have hereunto set my hand and seal this jk" Will and Testament. day of November, 1975. . .:' /1 )'--17'72 f 'J (;ltd/z-U'.y fl I Ltf..La.C' /L./ (SEA L) , Charles M. Nelson Signed, sealed. published and declared by the above-named Testator, as and for his Last Will and Testament, in the presence of us: J " ( (j., A 1..') ~1,{ ri-;"1 ~U:-P(( &'1/'//(, Ztitu ~. ~dt~ ..6f5~ .. OATH OF SUBSCRIBING WITNESS COMMONWEALTH OF PENNSYLVANIA I ss: COUNTY OF CUMBERLAND f This _:2& '11/ day or December A.D..19 80 , berore me, Register for the Probate or Wills and granting letters or Adminislration in and ror said Counly of Cumberland, in the Commonwealth of Pennsylvania, personally came Hyman Goldstein and Edna C. Goldstein lhe subscribing witnesses to the foregoing instrument of wrililog purporling to be thl la,t Willllnd Teslament of Charles M. Nelson November 18, 1975 Dated lale or Borough of Carlisle Cumberland Counly I'a., decclIsed who belllg duly sworn according to law, depose and say, that they were present, IInd saw lIud hellrd the te,tll lor Charles M. Nelson sign. seal. publish, prouounce IIlId deelllre the slIld instrument of writing as and ror h is Ill' Testament and Last Will, and at the time or so d[)iu~ was or sound and disposing mind memory and understanding, to the besl or I h e I I' -r- ,",wl.d.., o:~~:::" "d "I":~ ~_~ and subscribed berore L : t:JJf1' ~, rf'~ Register AFFIDAVIT OF llEATH COMMONWEALTH OF PENNSYLVANIA l ss: COUNTY OF CUMBERLAND f Dennis C. Caverly, Senior VI' & TO Farmers Trusl Co, being duly sworn says lhat as nearly as can be ascertainerllhe said decedent GlwrlcH ~I, Nel Hun died on Friday the 2ls t November 80 A.l>.,19_, day or at or about 8:10 o'clock. ~M. , ~'V / ) ,/ / /. L Sworn and subscribed lhis 3rd day or December 19, t)r;l~ ,-<<J Register 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 Dennis C, Caverly, Senior VP & TO Farmers Trust Company who, being duly sworn es executor , do depose and say that as of the last Will and Testament of Charles N. Nelson deceased they will well and truly administer the goods and chattels. rights and ere t~ of said deceased according to law. And , also will diligently comply with the provisions of the law relating to Transfer Inh rit/nces ; December 3 A.D., 19~ Ut.v :/ Register :od ~d :'" 0): :~ Ol :", ,-4f :" :'" :Q <:1': L1.. <Xl: 0 ~':l z: i..... 0: ..-: -' "': 0 ~) ,...,: 0 "': !Xl I ClJ -' z1 - .. - u: '" - -' .~ E-<: ~ ~: s: ~: . ",: c:: c:: ",: rtl o;jj .~ .., <Xl: I-:l 0 <: '" 0): 0 "': 'E .0: CO Z '-': 0 ~F j I " - '" N g ... ~ 11 0 .5 .., - <Il c:: os r;:; Z [.1:l os ~ DECREE Be it remembered that on the 2nd January , there was probated and 81 ,A.D,,19 day of recorded the last Will and Testament of Charles ~. ~elson late of Carlis le , Cumberland County, Pennsylvania, Farmers Trust Coropany Deceased. Letters Testamentary were granted to Witness my hand and official seal the day and year aforesaid. ~y(? ~ R~ister .r .- i , ! 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 the estate of the decedent as 10 property of the decedent administered by him and such additional property which is or may be subject to tnheritance Tax of which he/she shall 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 properly transferred in trust, provided thot 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 with the Register of Wills of tile 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 Statute provides that" . . .any person who willfully fai Is to file a return or other report reQuired of him, . .shall be personally liable. , .to a penalty of 25% of the lax ultimately found to be due or Sl,OOO 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 lineal descendants, such as father, mother, husband, wife, son, daughter, grandchildren, grandparent, son,in-Iaw and daughter'in-Iaw and at the rate of 15% as to all others. 6, PAYMENT OF TAX 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 Ii rst appli ed to any interest which may be due with any remainder applied to the tax. I F TAX IS PAl D WITHIN 3 MONTHS AFTER TH E 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 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 wi II fully makes a false return or report requi red of him shall. in accordance with Section 793 of the 1961 Statute, be guilty of a misdemeanor and, on conviction thereof, sholl be sentenced 10 pay a fine not exceeding $1,000 or undergo i mpri sonment not exceeding one year or both. R~V-451 EX+ (3.801 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "B" PERSONAL PROPERTY *' (Instructions 011 Reverse Side! Estate of CHARLES M. NELSON \,; ESTIMATED DEPARTMENT ITEM DESCRIPTION UNIT MARKET VALUATION NO. VALUE VALUE (OFFICIAL USE ONL Y! 1 Certificate of Deposit 23242, Farmers Trust Co. 20,00O.oev 2 Interest to date of death on Item 1 552.72/ 3 Statement Savings Acct. 1 281514 Farmers Trust Co. 5,365.8Y 4 Interest to date of death on Item 3 16.22.... 5 Refund, Pennsylvania Blue Shield 38.98 6 Refund, Medicare 155.92 7 Refund, Church of God Homes, Inc. 1,155.00 TOTAL THIS PAGE 27,284.69 .;J.. ~ u'f; to "f ~ "F.v...2II'801 SCHEDULE "C" COMMONWEALTH OF PENNSYLYANIA TRANSFERS DEPARTMENT OF REYENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT ESTATE OF _ CHARI.E!; ~l. NEI.!;01I * INSTRUCTIONS: 1. Answer the questions on reverse side. 2. If the answer to any of the questions on the reverse side is "Yes," provide a description of the property transferred per Schedules "A," "B," or "E," its estimated market value at date of death, dates of transfer, to whom transferred and relationship of transferees to decedent. Attach a copy of any trust deed or instrument relating to the transferred property. ITEM ESTIMATED DEPT. VALUATION NO. DESCRIPTIOI'! MARKET VALUE (OFFICIAL USE ONL YI NONE TOTAL THIS PAGE M.,,, oj ,)(I~ QUESTIONS CONCERNING PROPERTY TRANSFERS 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 himself! herself to himself/herself and another party or parties (including a spouse) in joint ownership? (Answer "Yes" or "No".) t.!!L- 3. If the answer to one or two above is "Ves" and the transfers are claimed to be nontaxable, provide the following in formation: 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 nontaxabiIi ty 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 after his/her death? (Answer "Yes" or "No".) no 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 "Yes" or "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 "Yes" or "No" .) no b. The right to designate the persons who shall possess or enjoy the property transferred or income therefrom? (Answer "Yes" or "No".) M 6. If the answer to five b. above is "Yes," state whether the right was reserved in decedent alone or others. 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 "Yes" 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 "Yes" or "No".) nn 9. If the answer to eight above is "Yes," was the power to alter, amend or revoke the interest of the beneficiary reserved in the decedent alone or the decedent and others? (Answer "Yes" or "No".) . . . . REV04S4 EK+ 13.80) COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEOENT SCHEDULE "E" JOINTLY OWNED PROPERTY * (Instructions on Reverse Side) Estate of CHARLES H. NELSON TOTAL PE VALUE OF DEPARTMENT ITEM ~ NO. DESCRIPTION MARKET DECEDENT'S VALUATION VALUE N INTEREST (Official Use Onlv) T NONE I TOTAL THIS PAGE M~ "'. ./OJ '! IL . . INSTRUCTIONS FOR COMPLETING SCHEDULE "E" Schedule "E" must include all propertv, real and personal, owned by the decedent jointlV 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 petsonal 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 jointlv owned property. 3. Indicate the percentage of the decedent's interest. 4. Indicate the market value of the decedent's interest. c '" c; n > t'1 > :s :>- 0 0 0 en 0 Z ,.J Z Z t'1 Cl n c::: 0 :> ... t'"' t'1 ;0:: Z 0 - !=l t'"' :;:l - Z z rn ..., t'1 .., ~ !=l !=l ..., -< Vl t'1 Vl Z 0 Vl 0 ..., I 0 "'1 "'1 ;::: ~ I ~ 0 ~J , ":j ~ .-':. 5 ":j u t-'o- - .., ~ t_l '. Z n u ,~ ;; C>- ~bU t:.- :1.:,:> t'"' l_ r- ...:::.... '-...... ::t:'< c::: 0' - ~....I Vl ~... a.; o~ t'1 01-- tt: 0 c::c.n ~C) 0- Z UCl --'- ""w -::> :< - :j<.> r,:O:; co -< -< . <.> ~ rn t'1 :>- ~ :;:l \ REV_414 I!.)(+ IHO) tNHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) IE] Original o Supplemenlol o Remainder File Number 21-80-0807 Estate Name Charles M. Nelson Dale of Death November 21, 1980 Social Security Number 021-22-5937 REPORT OF INHERITANCE TAX APPRAISER I, the und.rslgn.d duly appointed Inheritance Tax Appraiser In and fo, Ihe Counly 01 Cumber1f,nd Pennsylvania, do ,espectfully reporlIhatI have opprol.ed Ihe real and p.rsanal property as ,eparled In the aregoing r.tum at tho values let forth appallte each Item in the last column to the right in Schedules IIAu, "B", "e", and "E" Doted: April 8, 1981 '.' .,.,. f" ~i..JJ.r.,..)., J .....,,'rr1)/1''r t ~ INHERITANCE TAX "PPRAISER INVENTORY VALUE AS APPRAISED CODE ADJUSTMENTS (HARRISBURG USE DNLY) REMAINDER APPRAISEMENT CODE R.ol Property (Sch.dulo A) Perlonal Property (Schodule B) Jolnt.Hold Proporty (Schedulo E) Transfers (Schedule C) $ None 00+ 27,284 69 10+ 20+ 30+ 27,284 69 40- 92+ TOTAL GROSS ASSETS 93- Le.. D.hts and Deductions (SCHEDULE F) CLEAR VAL.UE OF ESTATE o Lile Estate o Annuity Eill FACTOR PRINCIPLE VALUE CODE I FOR USE OF REGISTER ONLY Tax on $ ~ COMPUT A TION OF TAX S S S S 6% Tax on $ 15% Tax on $ Tax on $ S Tax on S Exemptions Total Estato TDTAl. TAX INTEREST FROM BALANCE TO $ $ $ TAX CREDIT s ~EV'518 ~O (7.BO) ~~ COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE BUREAU OF FIELD OPERATIONS NOTICE OF FILING OF APPRAISEMENT Mr. Dennis C. Caverly Farmers Trust Company P.O. Box 220 Carlisle, PA 17013 RE: Estate of County of File No. Charles M. Nelson Cumberland 21-80-0807 Deor Mr. Caverly: You ore hereby notified thot the original opptaisement in the estate of Charles M. Nelson hos been filed in the office of the Register of Wills of Cumberland County on April 8 , 19 ~. Soid opptai sement reflects the following yaluations: Real Estate Personal Property Jointly Owned Transfers Total None $27,284.69 None None $::>7 I 284 _ 6q As to such tax that is paid within three months from date of death, a fiye (5%) percent discount is allowable. As to ony tax that temoins unpaid after nine (9) months (fifteen months when death occurred ftom December 22,1965 to June 16, 1971, inclusiye; and twelve months when death occurred prior to December 22, 1965) from date of death, intetest at the rate of six (6%) percent per annum is charged. Any patty in interest who is aggtieved by this notice may object thereto within sixty days after receipt of said notice as provided by Section 1001 of the Inheritonce and Estate Tox Act of 1961,72 P.S. 2485-1001, P.L. 373. Date April 8, 1981 Signed c-)Yh"ti,1 / -I?r.,Il,}~j ) Ti tl e Chief ADPraiser NOTE: This is not a bill. Rl'iV.457 (1...80) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX nESIDENT DECEDENT INHERITANCE TAX APPRAISEMENT ."'" .t . " ,~ " Estate of Charles M. Nelson File No. 21-80-0807 County Cumber land Date of Dp.ath November 21, 1980 In the event that any future interest in thll estate il transferred in possossion or enjoyment 10 collatoral heirs of the decedent after the expiration of any estate for life or for years, the Commonwealth haroby expressly reservGS tho right to appraise and aSiMS transfar inheritance taxes at the lawful collateral rate on any such future InterOlt. PROPERTY REPORTED BY THE ESTATE DEPARTMENT'S APPRAISED VALUE None $27,284.69 None None 1. TOTAL REAL PROPERTY - SCHEDULE "A" . . 2. TOTAL PERSONAL PROPERTY - SCHEDULE "B" 3. TOTAL TRANSFERS - SCHEDULE "C" . . . . 4. TOTAL JOINTLY OWNED PROPERTY - SCHEDULE "E" TOTAL REPORTED PROPERTY $27,284.69 PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH TOTAL UNREPORTED PROPERTY None TOTAL GROSS ASSETS $27,284.69 LIFE ESTATE OR ANNUITY CALCULATION I do hereby cerlify lh~tthe ~bove ~ppr~i5ement is made in conformity with Pennsylv~nia law and has been filed this day with the Registcl G: '.;n:ls. jhl,M la )'fBl";'OHiJ ) APPRAISER April 8, 1981 DATE Ql ... .>: C") \0 <:: .... ~ 0 ll-o 0 ~ tIl ,... ~ ~ ~ .-l bD ~ Q) t. Z ::l .0: ~ IOl ~ .0 ll-o >- Ul '0 :;: .... ~ ~ t. (ll Vl tIl t. ~ M ;:l Q) '" Ul t. .-l ::c .... Ql ~ If) ~ ,.l t. ~ ~ ~ t-- < '" ~ t. ~ - .<:: 0 '" U Z u CO '-' U - 0 '" '" - 0 ~ ci ~ '" '" E-< 0 tt:l 0 Z ci Vl Vl >- !-< ci - IOl ~ Z Z E-< E-< ~ Z ,.l ci - d E;S p:: 13 ~ IOl ~ ,.l Z ::;: Z 0 U ~ Z ~ ~ '" ~ 0 0 ~ - ~ U Q ,.l ._ u.~_.~ ~-=-=--.______._....~ .' HEV.455 EX. tJ.I\OI COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "F" STATEMENT OF DEaTS AND DEDUCTIONS ~--~ Estate of CHARLES H. NELSON Dale 01 Dealh_uL2ill.O_Fi1c No. 11 RC Rn7 WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING: Claimant Relationship to Decedent ___ Claimant's Address ITEM DATE NAME OF PAYEE REMARKS NO. 1 12/29/80 Register of lUlls Certified Harria e Cft. 2 Mas1and Assoc. Inc. Ba1aDl:JLd"e 3 1/5/81 Register of Wills Letters Testamentary 4 1/6/81 Ewing Brothers Funeral Home Funeral expenses 5 1/6/81 Kenneth Guistwite, H.D. Balance due 6 MGM Pharmacy Claim 7 Carlisle Radio10RY Assoc. , P.C. Claim 8 Heffelfin er's Memorial Stone 9 1/9/81 The Evening Se.ntine1 advertisin Letters Tes tamen tar 10 Cumberland Law Journal advertisin Letters Testamentar 11 1/20/81 HGH Pharmacy Balance due Res rved: Harion R. Lower Es At torne fee Farmers Trust Co. Commission Filing and Closing CDS ts AMOUNT 27.00 2,984.00 697.00 14.40 77 .00 750.00 18.00 18.00 15.96 /} TOTAL THIS PAGE 7,660.82 I hereby certify that to the best or my knowledge and beliel h'ei~rlg " s ;iust and true statement of debts. funeral expenses and expenses of administration submitted to the e t~te as d fliO?!> I, Inheritance Tax purposes. ! ,'1' m / . vC"..:(t, , ..Jill/PI SIGNATURE or- ATTOR IDUCIAIH' / ~,,(TE OFFICIAL USE ONLY DEaTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S AT ~. PERCENT, #-/(/;-/1 rJATE 'Slqap a41 6u!Aed JOj Al!l!q!suodsaJ aql pawnsse seq OqM uosJad a41 Aq pau6!s aq lsnw WJOj ali.l . L 'paw!elo 6u!aq lqap 40ea 10 lunowe a41 Jalu3 '9 'paw!elo lqap qoea JOj uwn\oo s~JewaJ a41 U! Uoneue\dxa japq e ap!^oJd 'S 'aaAed qoea 10 saweu alii Jalu3 'v 'Pled Jo/pue paJJn~ul seM lqap qoea qO!4M uo alep a41 Jalu3 '€ 'palS!! wall 40ea 01 sJaqwnu a^!lnOaSUoo u6!ss'lf .~ 'uwnlo:> lunowe alii U! paw!el:> lunowe alii pue UWnIO:> s)jJewaJ alii U! "uO!ldwaxa Al!wel.. JalU3 'luapaoap alii 01 d!4suopelaJ Ja4/S!li pue ssaJppe 'aweu s,luew!el:> a41 ale~!pU! 'paw!el:> 6u!aq S! uondwaxa Al!wej a41jl . ~ ..:I" 31n03HOS ~NI.l31dIlllO:) ~O:l SNOIl.On~.lSNI '" '" n 03 ,.,r- ",::0 <<: <<: c", ~ ",~ ~ ~ .,.;0 ~ m~ "'0 ~ ~ >- ;+\ U'):;o "'C' _,e> Z :n;E; :D ;:')("'1": r-." ~ ',c; 0 ?:= .n .t.l.... .-J ~ {:J:: .., '" '.") . '-., :l I:'r..n " , o-l , ;:-, ~ ," -<<: .~, :; - '. U Z - 0 ~ ~ - 0 ~ 0 ~ t:. c.:: t:.. E- O '" 0 Z 0 '" '" >- E- O - ~ Z E- ~ E- I>J Z Z ::j 0 ~ 0 -<<: c.:: z ~ ~ I>J Z Z E- O :l U l? Z ~ 0 '" 0 0 0 <<: :i -<<: I>J < U 0 "" 'sMe1 alelsalul e!ue^IAsuuad a41 Aq JO II!M e Aq ssed 40!4M slasse ISU!e6e AluO alqeMolle S! UOlldwaxa Allwej ali.l 'luapaoap alii se PI04asn04 awes aliljO sJaqwaw aJe 04M slUaJed JO luaJed e Aq paw lei:> aq ue:> UO!ldwaxa a41 'P1!4:> JO as nods lions ou S! aJa411Ua^a alii ul 'UO!ldwaxa alii w!elo ueo Ploliasn04 awes a41 jO Jaqwaw e S! oliM luapaoap a4ljO Pl!li~ Aue ualil 'S146!J Ja4/s!li pal!ajJOj se4 asnods alilj! JO 'asnods ou Sl aJa41!1 'e!ue^IAsuuad U! paI!O!WOP palP 04M luapaoap e jO as nods e Aq paw!elo aq Aew OOO'~$jO UO!ldwaxa Al!we! 'V 'alnpa4~s S!41 01 palioeue aq Pln04s paw!ep 6ulaq slqap a41 JOj AI!I!qe!l s,alelsa a41 JO S,luapaoap a411Joddns 01 a:>uap!^3 'pal!! S! uJnlal:l Xel. aouewa4uI a41 W04M 41!M SII!M jO JalS!6al:l a41jo le^oJdde a41 olloa!qns aJe alelsa ue ISU!e6e paw!elo 6u!aq slqap II'V 'Ja)jJew MeJ6 JO auolSqwol 'lolle!Jnq e jO ISOO a416u!pnIOU! sasuadxa lepnq pue leJaunj'saaj lue!:>np!! 'saal AauJone 'UOlleJlSlu!wpe jO ISOO alil6ulpnlOU! alqeW!elo aJe swal! Ja410 'alelsa JO Iuapa:>ap a41 Aq paJJnou! slqap 01 UO!llPpe UI 'alelsa alqexel Ja4/S!4 Isule6e alq!\Onpap aJe 41eap Ja4/s!4 01 Jopd luapaoap a41 Aq paJJnou! Sa!I!1!qe!l paljS!lesun NOI.l'VWl:lO:lNI X'lf.l30N'If.l1l:l3HNI 1'V~3N3~ ._-__, ,. ~~ ~ ~ on __ __ -..::=- .-.--.. ~:~!okrl6().90' OFFICIAL RE:~I:~:~=~~~f~~~~I~~:~;::~::~ ESTATE TAX I ' -- . 'II II = 111: ,~ , TAX AT 6% TAX AT 150,i. l , , RECEIVED FROM TAXAT_% Famere :rRllt COIIIpany " P.Ollox 220 Carlillle, Pa. 17013 '--ESTATErnFORMAT~N7-------------------------- DATE OF DEATH llTov. 21, 1980 ADDRESS ESTATE TAX TOTAL TAX CREDIT 1,177.43 FILE NUMBER 21-80-807 Febnary 17, 1991 CHARLES M. NELSON CUlIIberland 1,118.56 DATE OF PAYMENT LESS DISCOUNT PLUS % INTEREST (FROM TO_J 58.97 NAME OF DECEDENT m m TOTAL AMOUNT PAID COUNTY POSTMARK DATE ~MARKS: .PAID ON ACCOuur- SEAL RECEIVED BY ,- / t REGISTER OF WILLS .:.....------------------- -----------.--- INFORMATION To insure proper credit to your account, the name of the cstalO ilnd file number should be clearly print. ed on the chock or money order. This assessment is made in accordance with SectIon 708 of the lnhcritancu ilnd Estate To)( Act of 1961 (72 P,S. ~ 2485.7081, To the extent that inheritance lax is p..id within three (3) rnonths after the dcmh of the decedent. a discount of five (51 percent is allowed 172 P,S. 5 2485-71 Gl Inheritance Tax, other than lOX on iJ future interest. is due at IIw date 01 the deccdenfs death and becomes delinquent at the expiration of nino (9) months after the decedent's death (72 P.S_ S 2485-711). Inheritance Tax on a future interest ;s payablo within three (3) months after the transfer wkes effect in possession and enjoyrr.ent and is delinquent thereafter (72 P.S. ~ 2485.712). CalculJIC interest from the delinquent date shown on the lace of this form to the date of actual payment using the following mtorest table: ---------.--------------------- --- ---------- ---- - - -- - --- -------- ------ ----- , month ,005 4 months ,020 7 months ,035 10 months ,050 2 months -010 5 months ,025 B months ,040 11 months ,055 3 months -015 6 monthS ,030 9 months .045 12 months ,060 1 davs ,00017 11 days ,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 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 LInd the personal representative, not satisfied with the assessment may object thereto within sixty (60) days 3her receipt of this Notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961 (72 P.S 9 2485.1001) Make check or money order payable 10: "Register of Wills, Agent" Mail 10 the address listed below: I~ t'-. 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