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HomeMy WebLinkAbout81-00140 " 'f; " J_ " I:" ~I " I' f. H , . i 'I; , ' " , , , ' , 1 " I' , . - ,I, Il_ I.' " ,!- I ' ~ ~.~ 11\10111 COMMOHW!ALTHOP P!HtUY~V"HIA OIPARTM'H~OP~'VIHUR BURUU OP PlJLo OP!RATIOHI TR"HIP!R IHHPRITAHCI TAK OIVIIION , INHERITANCE TAX rmTURN ' POR INSOLVEN'r mSTA'('E:S o'NLY OF' RESIDE:Nr D8CE:DE:N'I'S :J.~.J.(ril ~~- '~ . COUHTY OP ,J~J1.MP..lE,N!AtlJL~,,,",, Thll IIlu," mUll b. 'oompll,.d 1/1 d.'.II.nd fII.d In dUI,lIo.,., wl,hll,. H'UI.,., of Will. In Ih. C.'mly wh.,. Ih. d.,nd.nl ,..I<I.d wllhln nln. m."tl.. oft., d.l. .f d..'h, unl... 0" ..10'\11." ,10 U'<ln,.,1 hI II,. So".I!,'1 <II H,"'"'" Will ' (I -~~-"--~--- 38.24Ci:\r.t.if\9tl lIo\.tsel'5Frve"-- I\dmn, NII&L:'/I.L:!~IL_".... I, _,_.;r1.I!':lIC!1L};!.J?!WH~.,.., . ....,,' ,.~I,\I]lP.lIghPt\.LJ7qH 'It/MoIIH Ifd'!lI0filll MIHII' aha huhl" thill' '\\'Urn II 1I1111f11innIII hill, 111I11IIOUH IIntl 0111" Ihlll ~Io Ih. ,,_.,_fiI,!:\l:v,t'lin~L.@palnla, .. .., .,. , il_I_LL" ADM" LI-\II\II\L, hle,l III' Ihu uollllu IIr.,__()OUt1~,AS H. DI\VIS IlIlu III' IIfln\pqen. , . .. .. " - - , -- ---- -- ---- --- - -- fi~)O)(J(OCot~ooX'''1 towt/!1I11f11 tlouulIKutl,lIntl.lhlll t1illll'hlllu ..,Ihl' I\HIIIIII "' Kllhl IIIIO.tlullI, wh.. IlIutllln . Junl'l ,,6, :t.\laO ttI^fU UIIIIKIKlud III' Iho IIKKOIK IlK Iud hlllll,1I' IInd Ihllll,lIl1l1'lIhlll tlllhl" 1I11t1,llItliwlllIlIO O\llIHllh,tI Ihu 11111' "'"I~III 1'1I111.\' '" III<' """"1" 1I11t1 1111 PUIIII'I'll'lInlll '1'I'III1.f~1' Iilhllrlllllll'O TIIX I. tllIll. Swo,n and ,.h,crlb.d huf.,o n," .~J/ ., ;;:.. 'VI Iho~"__ d<ll ol_,_t".a!';Jo~1'.t, lL,L_.. .......-~~_),:I ','l_M,........,J.......!... '..:.;.~~~~:~~____..'.-..pm T "jeA I > R.~I'Iff6'A'WWl>P &.p n~ rlfd, al/lOOI P!Juauvo"..lhtlv 0 IInb"land OO,Ull) H.Td" .Prop, or ' T'~n,f.,. ~. fl. ..' . ' " (,' .' ~,Jc.-~(.,..,......, / "C ,t:-'liHl..J / IGltJt-lA1IJUIH aaniOlil L. Pavia E111r.viving SpOUSe;! f lilt I ~ I MUll (Alhull! Q~dlllonQf;h~;it.1f nlcDHQfV) Oourlplloll Qf A...' O.thlllllotl MI'Hkol VO'hl' -- DOllfVln1'IIj ~uJ~~tl9J,_ CAlmo~ (DQ nol WIlla Inlhll . Ifllle) Pers. prop. 15 Ser.ies "m" Bonds (See attaohed list) 4~ shares - General Motor.a carpor.ation commonStook @ 44.500 p/ah. 1980 Buiok sky1ar~ Ge'nera1 Motors Savings program - Caah 959.4 1,913.5 6,500.0 338.80 " ~~____._".n_._._.. _.~_.;.,.."H-+,___.....'....".n_. 9,711.72 '1711,7a..J ItIll'ollT OF INlIlllm'^NcH T^X ^l'l'lt^ISEll . I. Ihu tll1dorH.lgl1otl duly IIPPllllllutlll1hurlllllloo TIIX (\11\;rl1l.ol' 1I11111d fur Ihu IIhllVO Clllltlll' dll !:~"pOlllftlllv rU(lllrl Ihll11 hill''' . npp. ml."tllho I'unl nll.d pur.ollRI (lrn(lurll' nil rO(ll1rlod 11I1,hO fllruUlllllU och~dlllu IIllho vIIIIIO' .ul f{1IhtPltll~llc olloh Ill"".I." Iho In.1 ul1lumn III Ihu rluhl,. ' ,~. .-&.l!.ilJir..I../J.-!. 'iI'h ilA"i.d:...L.._~_,_..,,,_ i . I>nlotl: ..,..Mar.Qh~.1.9_f_1.28.1_..___ ('NI'Hlllr~NC" r"x'm'r.",,'i5'tn' .!lHPT5 "HP,PUQ.Y.QJlQlli. An,,""1 Hotv,. o'Clolm CIQhnod TOTALS Nam. of POY'~ Amoun! Allflluvod Ly Rogl.lot Janioe L. Davis Family !llKemption General Motdra corp. - Automobile Automobile Loan Loan No. 62,.0721-33566 Harris Saving.B Asaooiation 2,000.00 5,908.89 Mortgage Aooounts - DRM 14579 - $2,934.19 - DRM 19417 - $16,927.~ One-half 9,930.70 .....__--+~___~.._,...,.~,. ..~"'_";~''''~_u_,,__ TOTALS 17,839.59 I, tho IllIdorHlgtlud tltlly 1110 dOcluotlutlK 'ItI Ihu 1Ii11(1t11,11I In Iho liI.1 unlutlln lu ,Ihu t " /' (A nUlonr ^Mrnvlllt ' lWI'Olt'l' ()JI TilE IUWIS'I'Elt OJl WII.I.S , IUd Iluullllur III' Will. In 1I111J'l'tlt Ihe !lhllvO Ci,"ttly, tin rO'lloolflllly rllPlIrllhlllllllll'u 1I1111\\'ud ol.1nl'lh hi qlu IIhnvoHllhocllllouH olllllllod, IIxOO(l1 whol:1I1 hllVII .ul fllrlh I' UI'II,,11I1' In 1011001,1111"'"111 hi whloh grolllur ur IU'lIl1r IIl1lnllnl r,ul,lrollunlH IIIl' H1~"11 111111'01111. II tlucllllllllll /" , " " ' ~ J tlL._' ~ ,f). lIalUnRQ ~ -.-?j" i~ / 4j;-i-l -~., .;.;.---~-- ~-' . ; ! i, I' I.' i , ! I I 1\, I, I " \ ~ r:t ~, ~ 0 ~ '!I M III "'" U C 1,IJ' .a< I? "" ~ e r-t 1 ~ !.ll .(.., ~J ,~ ~ IV '~ ~ w '0 ffl ~ ~ ~ .~ g~ ~ ~~ w ~ e~ j: ~ i!! ~ Q. ill;" ,", ~ ~ 1 ~ II .. i 8 I .u,:g 0 m /ll'" .~ II': E ~ J.;!1 \n~'fJ' , (..,' ; ',J ~.,) ;~. 0 Cl. IIllQ ~: ~i~ 0'1 (:;! <- oi' 8 '~ ~ I~l ~. 'il oS t- ~r-t~ !'J" ~l D:l b(fI ;a *~f, Itl ~ m ~al '~ ... 0 , ~ I 'Ill~ " "5 1:' II) , u 6 ~O~ .. " ~ ~~ ..I U U JNE.Q1I.MAI1QN. To Inluro propor oroullto VOllr oooollnl, IIlll nlll1\lI 01 Ihn ,,"11110 onu filo nll/nhor ohrnild "" oloorlv prlnl, o'u on tho ohook or mOllov ardor. ' , ,Thl. onosomBnt IB mndo In oooorrlonoo wllh Sonllun 700 IIf 1110 Inllllrllonoo and l\&IOIO tax AlII of 1981172 p,S, fi 248a.7081, To tho oxtonl thot Inhorltonoo lox 1& paid within IIHOII 131 monlhs IIflor 11111 doolh of tho dooouont, 0 UIBnount of flvo (51 poroontlo ollowod 172 PiS, fi 2~85,7181, InherllenooTox, olhor thon lOX on 0 IUHllo IntoroRl, Is dllll oltho dOlo ollho dooouonl'l doolll ond 1,000moR delinquent 01 Ihe oxplrallon of nino (91 monlhl altar Iho dooodont's doolll 172 P,S, fi 2~85. 7 11 j, Inhorllonoo Ta~ on 0 fuluro Intoresl IB povohls within IIl100 (31 monlhB IIhor tho tronalnr lokos offool In P088olllon end onlavmonl and Is dollnquonl Ihoroal,lol 172 p,s, 6 2480.7121, CololllolO InWOBI 'from lhll uollnqllonl dBIO Bllown on thO fooo of thlB form 10 Ihodel" of 0011101 pOVl1\ont IIBlng Iho followlno Inlaroallnbln: ' ___....__..,...__ __.........___ool...W.........___...... ...-... - --- ....,..-....--.---........ ,- -..... ""-- -.....--....-.....- --.. - - -- -- lmonlh' ,005 4 monlh& ,020 7 monlllB ,036 10 monlhB . ,080 2,monthl ,010 8 monlha ,025 a mnnlh& ,040 1 I monlhl ,088 3 monllll ,015 o monlhs ,030 9 munlha ,045 12 monlhs ,080 ._-- 1 dBVI ,00017 1 I dovo ,00108 2,1,doVB ,00382 2 dOVB ,00034 12 dllva ,00203 22 dOVI ,00389 3 dlYI ,00081 13 dova ,00220 23 dOVB ,0038.8 4 dOVI .00088 14 dovo .00237 24 dllVB ,00403 8 d.VI ,00088 15 dllVo ,00260 25 dova ,00420 8 days .00101 10 dllvo ,00207 28 dova ,00437 7 dBVI ,0011 8 17 dOVA ,00~,04 27 daYS ,00484 8 d~VB ,00136 1 B dovo ,00301 28 d~VB ,00471 9 daVI ,0015~, 19 dOVD ,00316 29 d~VB ,00488 10 dOYB' ,00189 20 dovs ,00336 30 dav. ,00800 ~_ _ ___ __...,_____ ____......._ ........_ _"...... _.~ ........ __'_... __............_... ......_ _...._ _ _.... _ _ __.._.._..._... _..._ ....4 Anv pOIIvln Inl~r~sl, Inolqdlno Iho 90",rnqnwoollh IIn<l Ihfl "o'flC,nol roprolonlllllvo, 1101 AolI.f1tJd wllh \ho o"ooBmonl mov oblo.,' Ihorulo wllhln .'XlV ,1601 <lflV. nflor roofllpl of 1111. Nulloo 08 provldfld bV Soollon" 1001 of Iho Inhorllanoo and Eololfl Tux AOI 01, 1001 (72Y,S, fi 2406,10011. Muko ehllClk or !noney order pnyahlo to: "Roglalar of Willa, Agont" Mull to tho nddroos IIstod below: lli!IR~~JI.o_~~ To Inlur.o propor crodll 10 yovr occounl, tho 1I0mool tho oalolo and 1110 numbor ahauldho cloarly prlnlo(1 an Iho chock armonoy ardor, . This dotormlnallan and assoumonl II m(ldo In occardunco wllh Socllon 421 and Soctlon 732 ollho Inhorl,lancoond Estalo Tax A.ct 011961,72 p,S, 2485-,4~1, 732. Tho oaloto tax Imposod by Soctlon 4211aduo ollho dulo ollho (Iocodonl's do(i1h but shall' .. not bocomo dollnquont unllltho oxplratlon 01 olUhloon (18) months ollor docadont's doath provldod thot a~y ost(llo lox occoslonod br a IInal chunga In tho Fodolul roturn or of tho tux duo Ihoroon 'shall not b'ooomo dollnquonl untl Iho oxplrotlon olano (1) monlh (Iltor Iho porson Ilahlo to pay , tho tax rocolvos Ilnol nollco 01 tho Incroaso, Culculolo Inlorosl from tho dollnquont dolo shown oHlho loco 01 Ihls lorm 10 tho dolo 01 paymont using tho 101l0wlll0 Intorosl lohlol _"~~______~__________________________________~_~_____________~N___________~_~_____ ,- -- . ,I ,005 4' monlhs .020 71110nlhs ,035 10 months ,050 .010 5 months .025 8 monlhs .040 11 months ,055 ,015 6 monlhs ,030 , 9 months ,045 12 monlhs ,060 1 month 2 monlhs 3 monlhs ___.........~._.__.',_..--r_~_.....~_.-.-_ I day ,00017 11 day s ,00186 21 days ,00352 2 day a .00034 12 days ,00203 22 da y s ,00369 3 daYI ,00051 13 day s .00220 23 day s ,00386 4 daya ' .00068 14 days ,00237 24 days ;00403 5 daya ' .00085 15 days ,00250 25 days ,,00420 6 days .00101 16 days .00267 26 day s .00437 7 day a ,00118 17 day s ,00284 27 days ,00454 ,8 days ,00135 18 days .00301 28 days ,00471 9 do ys .00152 19 days ,00318 'l!J days ,00488 10 days .00169 20 days .00335 30 days .00500 ,- -- ._---~----------------------------------------------------------------------------- Any party' In Intol'ost, Including Iho Commonwoqlth and tho porsonal ropresonlatlvo, not satlsllod wit!) tho assossment may obi oct thoroto,wllhln sixty (60) duys olter rocelpt 01 this noli co as provldod by Soctlon, 1001 01 tho Inhorltanco and Estato Tax Act 011961 (72 p.S, " ij 2485-1001) Mako ohock or 1110noy order payablo 101 , "Roglstor 01 Wills, Agonl" Mallia Ihe addroRs listed balow: INSTRUCTIONS -,_%,.--,-,~_.......-. --~,'7"""-"''''':''''''-.-:o.----------- ----.......-...- -----...,..--...--- ------.........- ----~- --- ---- --- -..-- ---... --- --- To Insuro prop or crodll .10 your account, tho numo of Iho ostolo (IUd 1110 'Hii1\bor should ho cloarly prlntod on 11\0 chock 01 monoy ardor, This dotorllllnatlonond a88088m01\t Is modo In.uccorclunco with Socllan 421 cllld Soctl.on732 of tho Inhorltnnco and 6slnlo Tax Acl 01 1961, 72 p, S, 2,IU5,.421, 732: Tho oaloto lox Imllosod by Soctl~n 42118 duo 01 Iho dulo 01 tho docudonl's doulh but Bhall uot bocomo dollnquont until Iho o~plratlon 01 olghloon (10) monlhs of tor dacodont's doulh provldod that anyostdft) ta.x occaslonod br (1 Ilno.1 chungo 111 Iho Fodorul rotum or nf tho I(IX duolholoon sholl nolboeoll\o dollnquenl un.1I tho oxpfrallon pi 0110 (1) monlh altor tho parson 1I0blo to pay th~tax rocolvos Ilnall1otlco. of Iho Incroaso, Culculnlo Intorosl Irom Iho dollnquont data shown ,on tliolaco of this form to Iho data 01 poymontuslng tho 101101'111\0 Inlorost tab'ol Il1llnth .005 4 1I\0nlhs .020 7 month s ,035 10 months ,050 2 months ,010 5 mOlltha ,025 . 8 monlhs ,040 11 monlhs ,055 3 months ,015 6 mOl11h, ,030 9 month.' ,045 12 months, ,060 _.-..._-..........,..._._......--~~ ~..__._----- 1 day ,00017 11 doya .00186 21 days ,U0352 2 days ,00034 12days ,OO20~ 22 days .00369 3 day I .00051 13 day s .00220 23 day s .00386 4 doYs ,00068 14 days ,00237 24 days ,00403 5 days .00085 15 do y s ,00250 25 daya ,00420 6 days ,00101 16 days ,00267 26 day s ,00437 , 7 dClya ,00118 17 day a ,00284 27 days .00454 8 days ,.00135 18 daYs ,00301 28 days ,00471 9, daYS .00152 19 d~Ys ,00318 'l!I doya .00488 10 days .00 W) 20 do y a ,00335 ~O days .00500 , .." ,--"~~~----------~------_..._-~---------~-------------~-----------------~------------ Any parly In Intaresl,lhcludlno the Coml11onwoolth and Iho porsonal roprosontatlve, not satisfied with theassossmonl may obloet Ihoreto within slxly(60) days alter rocelpt 01 Ihls na't1ee 0$ provided by Section 1001 of"ho Inhorltance and I!$tato Tax Act 011961 (72 P,S. fi 2485.., 1001) , Make chec,k or ,money order payable tal ,. "Raolster 01 Wills, Aoanl" Mall to Iho oddross Ilstad bolOi'll " " "