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HomeMy WebLinkAbout81-00161 'j, iiP <, ,. '" ,'i j, , " j;!' .' .' . H_ " t' .' !', " i 6 " , I , ; I " .' It " I" !I .J " ';1 !",; i I"li . ';' . " '0 ji J ~ J' I' I I, " 'OJ; -!= " P.EtOOYL'iliNlAJHtillUIArlOE I/\XGIiliEllAL INFORMATION I, .e1RSONUgSPOtL~IBLEFQlLRETUJlli " 8eollon 101 of Iho InhorllnncD nnrJ Eslolo Tll~ Acl of 1961provldos Ihl1llho followlnp, parsons shl1l1prapore and rile II return: 0, Tho porsonl1l roprt'~Ql]llIlIvo ol'tho oslnlo of Iho docodonllllllo proporly of Iho docodonll1dmlulnlored Ily hllll nnd such Illldlllonn/proporly which Is or ml1Y ho sulljocllo Inhorllonco Tax of which ho/sho shill I hnvo or ,norlulrn knowlodp,o; Il, Tho Irlll]sforoo dl PIO/)orty uponlho tmns/or of which Inhorll(inoo Tnx is or IIIny Ilo Imposod Ily Iho 1%1 Slnlute, " Includlnp, otrustoo 0 PropllIly Irnllsrorred in trusl, prov/dod Ih(ll no sopnfnlololurn nomlho mudo Ilylho trunsferoo ofpfOporly /ncludod /n Ihu rollllll of n pOlsoll(l1 roproslllllnllvo. , " ' 2. PLACE roll FILING ..,....---.....--- Tho rolunlls 10 bo filod hI dupllcnlo with 'ho floR/storol Wills orlho cOllllly wh,orolnlho deoodont resldod. 3. TIME FOil FILING - ... Tho roll/rnl!) dllo nino 1110111118 nflor lho decedollt's d0l1111, unlolls 1111 oklonslon for fIIhlp, hos bean oppllodror and . Rronlod by IhoSoorOIUry of RovolJllo wllhllltho 1I1110-1I101l1h pOrlod., 4, W1.~R.t TO. FILE RnUIlN Secllon 79101 Iho 1961 Stlllula provldos (flUt ", , ,III1Y porsoil who wlllflllly foils to Ilia II roturn or othor roport roqlllrod 01 hi 111. , .811/111 hoporsonl111y lIablo. ,,100 ponolty 01 25% of lho lox IIllllllftloly found to he due or $1,000 whlchevor Is Iho losser 10 ho rocovorod by Ihe Doportmont or flovenuo os dohts of IIko 1II110llnl oro recoverable by law," . 5, IAX RATES 10horll0l1co Taxis poynblllnllho rl1lo (If 6% on tronsfors 10 1111001 dosollndol1ls, slIch as folhor, mother, hllSbol1d, Willi, son, dauRhlor, grandchlldron, r,rondpl1lOlIl, son'ln.low tlnd dl1l1llhlor.IIJ.low Ilnclotlhe rolo of 15% oS to 011 others, 6,', ~NTOFTAX , .:rho tax nssossod on tl)otlflnsfor otprop.erty roporlodlnlhorolllrrJ Is dllo 91110nths after lhodooedon(lsdooth, Inlerest at tho rato 0 f 6%por nnnumnccrllos IherooflerunlllpOYl\lOntI s modo, All pnY"m0l11S rocol ved ore fI rst o[lpllod 10 any I,ntorost Whloh mAY ho due With any r,ollWlndor apPllod,lo,lhO I/lX, IF TAX IS PAID WITHIN 3 MONTHS ~FTER THE DECEDENTrs DEATH, ADISOOUNT OF 5% OF T1iE TAX PAYMENT IS ALLOWED, ' . . ' , All chocks should be ,modorOynhlO to Iho RORI slor 0 I Will s of Iho ooun ly whorolnlhe decedenl resl ded and, Mil reoel~od suhjoctto the fino dotormlnAtlon ollho Doparlmont 01 Hovonue,. ' , , " 7., F~ILURE TO PAY , TllO toxas Imposod, lop,othor willi onylnlorosUhQroon, ore a lion IIpon rOol proporly, whloh lion rOOlolnsln e,' (001 until , ,tho Inxosond Inlor~st hovo boorl paid In hill, Tho tnxos may bo sued for aAalnsl any roo I proporly,ln tho decedent's eslolo or ollalllstlll1Y proporty bolonRlnR too Ironsfotoo IInblo for Iho tnx, 8. FILING OF FALSE RETURN ---- .... , Any Ilorson who willfully 1I10l\Os a folso rolurn or ropOr! rQl1ulrill1 or hl/ll shl1l1, In accordance wllh SoCII on 793tlf Iho 1961 StnlU,\e,.ho Qullly pi u ilifsrJomemlor And, on COilVlcllon Ihoroof, slliIlI bo sontenood 10 pay 0 fine nol exooodlnn $,1rOOO or undorp,o hnprlsoilttlont not oxcoodlnA OilO yoar or both, "t'V"lb3IJ.OOI ' nOMMONWeALTH OF reNNSYLVANIA DePARTMENT OF ReVENue TRANSFeR INHaRITANoe TAX ReEIDeNT DeoeDENT SCHEDUL6 "b" BENEFICIARies *' 6st"\0 of M, ERLE MOYER I1II9/rl/Ot/ollN 011 Rllv"rsl! SirkO BBNeFIOIARles AND ADDRES8BS RELATIONSHIP SURViveD DATa OF INTBRESTOF SBNBFICIARY DecEDeNT BIRTH - Earl .!d12.Xer_~.~_,"_____ _.JQJL.m~_._~ ...-:.._._-u..tL, _ -'-'.I.----------~ lOO"l 20 W. Lauer , Lane Camp p~---- -."':"'""""'"--.........-----r.~.....-.......-- ...~.---'"""'............--., - Hill. , , --- - ....- ------ --..........- ..-........... ------.- .".....,-----..---. " , , , - --~ ,', , , , . -- . " " , ..--- -, , " , - " - , " , , ....~........__..... ~_n . - I' ~;---~~~,-~.~_......... ....~-'"- "_"'.__._"~'_---~',.~..' .... ---~----- ";'_'T.,.."._.~_____.-.;_ ____m..'_ _.....___. .~_...._ ...,-t,- n__~...._____ ...,.---. "._~---"''''''''''.--.--_. a_...._--..........---. - ,. , , , - . - .- - , " -------_._-+- ----.----'-----. . , " , . , - - , ---- --...-----. ,,' , , -- ............,..._~,.--_..------~,~-_.._. "'H_-+'..u~_._ _ ..,._._.._._.~_,...,_. _n__. ','_~._~'~h"___ __'_.n._.u.._'~~_ ~_.._.~_.'"_........~_~~~_~~n_ .~.___....... , " --~..-~._~~---,......;,.-++_........-...-.---.-,..~. .._-_.1.;. ----~,..-----...-.._~~........ ._-.--._r......._~__..__R ___..___,.,_._ __~''''''~.._n.. ..~". ,- -.-'--- ...._._".~.~u____. ___,.__... " , , , . ~ --~--.---- - - , , . " I------~---.....:.;. - . -- - , " , " ---,-..-.- ...-...... .......--.--.. ,---- - " " -- _........_~_................_-- .r._~~..._---._ - -----....--- -~-~~------ ,i.', 1 , , " " , , ,. - .- . , , , --..1..-- ~, -' , , , - " ----~ -~---------...------.-.-_------ --.-----,--- .' , . - - --------- , ;..._--~-- .~--- ----------.-..- , -- , ,. .' " , , . .- " T~e .above boneflolllrles are living "tthls tfma exoept for the following: NAMB .......-...-.. DATe OF DeATH "...."...- "I;,',:'('\.Ii' 'i , . ~TIONS POR COMpLETINq so~eDULE "e" SCh,dule "e" mlllt lr10lUdeell property, real andpnrlonnl, ownod by tho rlllClo(lant 10lntly with another party" or, partlel all,olnt tenanU with right of lurvlvorRhlp, Both tangible andlntllh\1lblo proijer\V are to bo ,! InOI~dlld,LI$t raal.o.tateflr$t, 1, oelorlbe all real proporlY al Incllcatedln tholnslruotlon8 forSohocluln !''A'' , Dnsorlbo all por$onlll proporty a. Il'idloatoclln th,e Inl(ruatlons for Sohedulo "B", Inoludo tho nome, nddross ontl relollonshlp to tho decedent of the oO,'OWner (a) ,ond thn dote Ihol(1lnl ownorshlp WlIa lIatnbllahod, , 2, Indicate tho totalmarkot va,luo of the 10In1IY,oWr1OdProperty, " 3, Indlcato tl1liporoenta\1~ of thodecedont's intorost, 4, Indloate lIie mllrket valuo of tho deoadont's Interost, ~~-~........-.-- [:; ~ ~ c"'l ~ ~ ~ !l ~ ~ 0 Yo Z r:: Q t;l .... ~ " p ~ p Z 'L B. ';1 p 0 tJo ~. , ~ 0 VI 0 P 'T! 'T! ~ I 0 ~'" , ::I' ~ ,0 i i 1I1 Ll" t 0 "", ..-' (.' . ...' Cl. i,',t\, Z ~ (,: ' ,""I l ',,,; ,'~, ~ l ~, o. r.. ,'J':~ ~ p: ,,\" I I:~ ~'I' I-' :/::1 l~ 11-' Zl' tl~Ii' ~ . l'l C~I-~: I"'}l~ ~ 1):'0, ... Bilj ~J/. p. ~ it ~ h!Iw 1tI~ ii5 \IJ~ CIl _IU r:t fj' "" ~ ~ ~ (ll (1)' t;; rt INHERITANCE TAX SUMMARY SHEET ~H'414 _,K.I"'OI (BUREAU USE ONt..Y) . fill. Humb.r ___.~",.__._.ll:Ill.,:,.O.ll\L~-.---._:~-'-_..-- Ellal. \itam. _____._._.}!L:.~r1!:'..11~J..!l!__-..~--...,,--- O'al.oIO.alh "June lll, 1980 __-'_____"_~........~_~~_____"-~-~~----..-..-.r>T--.~....,--T.~---. Soo I 0\ S.cu rl Iy N um ber ' ____l:?,~~"_0_1.:0/1 ~.?_.."m________ ------~ 'R~PORTOP INHERITANCe TAX APPRAISER I, theun4trlloned duly appolnt,d Inheritance TaK Appral..r Iii and lor the C:ounty 01, ciwnbi\l~ll1nd P'nnlylvanla, do r..pectlullV r,por! that' \Iav, appra\..d tho r,al and poraonol property al tfP.ortiilln t~, lo,.goln~ retum at the valu.. ..t lorth oppualt, ,ach Item In tho IMt aolumn to the tight In Sah,dule. uAu, ull", "C", and 1 I!" Pottdl AprH1Q. 19R1 .<J;I/t't P" / .IJ))'".l/u ,'IIf ) INllaRlrANOK 'r.K M"R",un ~ .~.....-----.........- AOJUITMHHTI (HARRIIHURO UIe OHLV) IHVIIHTORV VA~UH AS APPRAlIHO COOl _...________.___.t,.________. -_._~ '''~- -....- Rool P,op.rty (Sah.dul. M P."an.1 Pr.perly ('ahedul. II) Jolnt,Held Pr.p.,ly (Soh.dul. H) Tr.n.f." (Soh.dul. ~) TOTAL OROn A$SB't5 ,. S none . 00+ 721 00 10+ ....l2.._ 1111+ _._~- 30+ __,~_6i 633.. ~.L,",-" ".......n___~..__.~.___~_ .....---- 4(1- ;:=~..:::--:::=~_ == =17.."'::: _.. -- I.... D.bte .n~ ,D.~uq".n. (5tH llDUL.B P) CI.BAR VAI.Ul!OP'B5TATH o I.I/e Bltot. o ~n"ulty, M.ll! fACIQB PRIHCIPI.H ..---- r---:--, .-- -. ~.__r~l - FOR,USI! Off REGISTER ONLY T.. .n $ T.. .n $ To. on $ To. on $ ;....,-- Tn. on $ , h.mp".n. ,11'0101 Boto'. Wi -- 6% t 5~p '- - = TOTiU. TAX IHTaRfiSTFROM __-'- TO BALAHC,E L... c,.dllo pAn ()~ PAVMEHT AMOUHT PAID DISCOUHT ItiTHRUT . -- - s +$___-$ 0 - + - AALAHce I -~ IHTBREST PROM~..______ TO I IlALAHCE OUl! EEl Original o Supplemontal o Remainder _. R~MAIHPHRAPPRAIIEMHHT copa - 82'1, --..............-.-...--------..- g~. VALUB - coDe COMPUTATIOH Of TAX $ S, , $ ------ .---- --~- $ --..,.....- , s--, $- $ $ ---' --- ,TAX CRBDIT s . .-._~----- " I' ,; e ~. ~ 1 'Z III 0 ~ \101' . J i ~ " ~ ~ Ql '" i ! , . ~ ::l ~ iEl .-l !,. . ,~ ~ ~ ~ 19 0 ~ ~ i ~ z 0 :z. i ~ 0 ~ ~ ~ :z. ~ ~ 8 ;, ~ .1 ..I I. lN~ORMATION To InDuro~ro"or orodit 10 VUlIr nUDow.l, 11\0 nomo 01 Iho 081010 nnd fllo nllmbor Ihould bo cloorlv prlnl' p,d on Iho ohook or monovurdor, ' ' 'This Olfo8Qmonl 18 nlodo In ooon,dnnoll with Bllollon 708 pI Ihu Inllorllonoo nnd 811010 Tax Aol 01 " 1961 (72 p,a, 6 2406.7081, 'To 1110 oktohl Ihol'lnho,ritonoo lox Is "old within 1111011 (3111l0nlhs 01l0r,1I10 deSlh 01 Iho doCod.m, 0 dl8counl 01 IIvo (61 "uroonlls cll.owod('l? p,a, 6 2406.7161, In110rllo"00 Tox, olhor 1I1/1n tox on n ftllllrn Inlhrosl, II duo 01 Iho dolo of Ihe deoodont'l dOOlh snd becorrle. ~.lInquenl 01 Ihe oxplrallon of flIne 19) monll!1 ellpr Ihe dooedent'. dOolh 172 P,8, 6 2486'711), Inhorllanch Tex en 0 fUturo intoroat 18 povoblO wllhln Ihroo 131 'monlhs ollor Iho trnnslor tOk88 offocl In p088888lon and onJovmenl end I. dollnquent Ihoroofler, 172 P,S, 6 2480.7121, Coloulolo Imor881 from tho dellnquenl dale .hown on tho 1000 of Ihls form 16,lhe dOle 01 aotllnf pnV'nenl uelnu tho folloWlnu Inlorollloblol H__......__.......__ ---........--..... ............-...--.. ......... ..__.... __ ......._~_.._ _... ......._ _ ......~ ---,tot___..._ 1__.. _ _ ---!'"'t 1 month ,006 4 monlhs ,020 7 monlh. .036 10 monlhl ,060 2 monlh. ,010 o months ,028 a months ,040 11 month. ,066 3 monll,. ,016 o month. ,030 9 monll\. ,046 12 monlhe ,060 1 dove ,00017 11 days ,001ao 21 davs ,00362 2 <laYI ,00034 12dlly. ,00203 ,22 dol'. ,00388 3 day. ,00061 13 dove .00220 ,23 dovs ,00386 4 dol's ,oooa6 14 dsvs ,00237 24 dsys ,00403 6 daV' ,00066 16 doV" ,00260 26dov. ,00420 a doys ,00101 10 dovs ,00267 26 days ,00431 7 dove ,00110 17 dOVe ,00204 27 dOVe .00464 8 dOVe ,00136 1 Bidov' ,00301 29 dav' ,00471 9 dol" ,00162 1 B dovs ,00310 29 dnv. ,004BB 10 davs ,0016S 20 days ,00336 30 dove .00000 ..- --------- ..........--..-...... --- ....-...- -- --..,....--.... ............-....-.. -.....,-- -- - --- ---"",..-...-.. -...-..... ' ; " ... , Any parlV 11l"lnlerUI, Inoll/dlllS lhn Comlflollwoo/th and Iho "ntsollol tllP,osofllollvo, nol ullaflod With Iha S88oesmefllmov obloOI 1I1Orolo, within elxly (BOldoVo aftor reonllll 'of Ihls Nolloo oa provided by'aoollon 1001 ,of the Inhsrltanoo lIfld n'lole TlIx Aol of 10Ul 112 P,S, ~ 24U6.1 0011, " Milke chllok or monov order poyobla to: "ReglRter 01 WIIIR, Agent" Mull 10 tho uddru9R lIuiod bolow: , I, ! '/ I , I ! I I , C.lENE~1\L INHE~ITANOE TAX INFQRMA~ , ' Unlotllflod Ilobllllloa Inoul'rud by tho cleoodollt pl'lor to hla/hur dooth 01'0 doduotlble "lIolnst hls/hor taxablo oltoto, In addition to dobts Inourroel by tho decedollt 01' estoto, othol' Itolns 01'0 olllll11l1blo Illclutllno tho OOlt of ncHnlnlltl'llllon, attorney fall', f1e1uoIIlI'Y foos, funoral,ollcl burllll OXpOIlSOS 1Il0ludlno tho ouat of 0 burial lot, tomhstonoor grove markoI', All debts bolllg oleltnscl lIgolnstllll ostote 01'0 subjoot to tho opprovel of tho Reolster of Wills with whom tho InherltenoeTox Ralllrn Is flloel, E,vlelonou to support Iho elocuelent's or the ostoto'llIublll(y,for tho elobts bel no olslmod Ihould bo ftltsohed to 'this sohuelulo,' , , A famllV oxemptlon of $2,000 Iney bo olulmuel by u spouss of 0 eleooelont whoellseldomlollod InPonnlylvonlo. Ilthore Is no spouso"or If tho spOUSo has forfoltod hls/Iior rights, thon any ohlld o( tho dooedontwho,lso,membor of the 8llmo houloholfj oon olulm tho oxomrltlon, 111 the ovontthuro Is no suoh spouso or ohl,lel, the oxemptlon oon bo 'olulmeel by o'poront or poronls who ore mombors of tho aome housohold os tho dooodollt, Tho family oxomPtlon.ls ' allowoblo only ogolnst DSSOts whloh pOSO by 0 will or by tho POllllaylvlIllll1 Intostotll Lows, ' ~ ~ '''Cl ~ 8 ~ ~ ; ~. :.- z z m ,e;') ~ l:l tTI !;l P 0 z t;j , Z Ii P 0 ~ , z 0 0 P ." ,." 5 Z - o ~ ~ o 9 L, ',.1 I', . 1-'- ~) ~:;t"'j r,:;lln 0=1/ )3i" WI,LI M~ ..- ~. , '~}~I; 'r~)r': .~~(;1 ~t{ :-j~ i\~ ...'1" ~? ~',.j t!i~I'j ~l mti s ro- I I F '~ 1, INSTRUOTloNS FOR COMP,LETING SOHEDUl.E "F':, If tho femlly oxomptlonls bolMg clolmed,lndloote the ol.elmont's namo, adelrell and hls/hor rolotlof1lhlp totha deoo. elent, Snter. "family.. exomptlon" In t.he remorks oOlum.. n onel the amount olelmedln the omQl,lnt oolumn, Asslgnoonsooutlvo numpers to eooh Itomllsteel,. ' Enter.the dateQrl whloh oooh elebt was Inourred and/or paid, Entor tho f1ames .01 oooh payee, , Prpllldea brief ox planation In tho romorko oolumf1 for oooh debt ololmed, Enter the omouf1t of eaoh debt baing olalmael, The form must bo signed by the'person who has ~ssumad tho responsibility for paying the debts. 2. 3,' 4. 6. 6, 7, .It{tOI\MlIllQN. To \nOIllIl IIIUIIIII mollll 10 VO", 'I<""HIflI, 11111 HOIfl" III 1110 IISllflo umllilo numh", .hol<ld ho oloorlv Ilrlnl' 'o~ 0" tho clluck ,I< IflOHIIV "rllo(, Thla r"oOUlllUm 10 rf\O,Ii, III IIII"U/dnneo wilh 811o\lon 700 01 1I\1l lnhorllonoo on~ nGIOIO Tax Aot .of 1001 1'/2 P,B, 6 2480,7001, To 1110 oxlOfll 111111 Iflhorllonco tn, Iu f10ld WillI In IlIroo (31 months oft"' Iho donth 01 Iho, dlloodonl, 0 tllooounlUlllVII (8) f1oroomls IIllowm! 1"/2 Jl,6, 9 24UIi.'/18\, Irlh",lIar'cu Tux, I<llwr Ihlllllox on II luluro loloro'ut, I. d\lo ot tho 110111 01 tho lIoollrJont's dooll\ and I>ooomoo ~oIIlHIUOf\1 01 "'0 oXfllro\lcHI Hf IIlno (61 monlllu olior II'" dlleorJool'S ~ooll' (72 f1,6, Y 2400.7111, Iilhorllonoo 'fo, on n h"'"o IlIlmllst III I'nv"hlo wlll\ln IIHOO (31 monlh. oftur Iho 'Irllnulor IIIK'" OIlOlll In pou,uulon oh~ IlIillYi1lllnl IIIIlI 10 ,h,IIrl<luont thoroollll' (72 Jl,S, 6 2400.7121, C"louloto lolo,oul Irom tho dollnquonl ~olo ohown 1111 tho 11100 01 11110 1"'/11 10 Ihu '101" 01 .1Ioluol pllVf\lonl ,'/slny Iho fDllowlnO 1010rDsllilhlo: .. ............__..,.. "'" ...."" ......" ..__'*..... ~,__., ......_....... .......N. _,~~... ~._'__.~ _ _.._... ,.. M - -.... ~- ...--...- ,--....--- -- -- -.... - -.. -- 1 mllnlh ,000 4 monlhu ,020 '/',null\hu ,030 10 monlho , ,060 2111<1<11111 ,010 O,"unll's ,020 B flHHlll1U ,040 11 months ,066 a mOlllh. ,016 e r\lOn1l1l1 ,030 b II\Onll1s ,0<16 12 mOnlhs ,000 ._--~._---_.... 1,laVI ,0(10\ 7 11 dnvs .00106 21 dnva ,00362 2 dava ,00034 12 dnvs ,00203 22 dnvs ,00300 3 davs ,ooor,1 13 dovs ,00220 23 ~ova ,003ao 4 dove ,00000 1 <1 day. ,00237 24 dovs ,00403 ~ dRVa ,00000 \ 6 davs ,00260 26 davs ,00420 o dilVa ,OQ101 Ie doyo ,002e'! 20 day. 00437 '7 dovo ,00,11f1 17 dove ,00284 27 dnvo ,00464 o ~ovo ,00136 1 e dnvs ,00301 20 deVe ,00471 o dovs ,00162 10 dovs ,00316 20 dovs ,00400 10,iove ,001eo 20 davo ,00336 30 dovs ,00600 '1'. -.""..,-- "'T """'7'-.......... ...--...- -;'"_..- i7..............;., -- -- ........ -.... -... - --...... ......---........... '.. ~- - - - - -....-...---...-- ........ Anv l'o'lV In. Inloroul. Innh,dlnu .Iho Commonwonllll ond Iho parsonol l~proso"lallv., nOI oollsllad Wllh tho oUllu,nonl moV ohlllotthorotn within .lkly 1601 driy. nllor ',ooo'pl of Ihls Nolloo os provided by a.cllon 1001 ullhlllnl;o,lIl1noll nnd Uellltll Tax Ant 011061<(721',5, fi 2406,10011, Mnko ol1ook or mOl1oy orclor pnyoblo \0: "Roglntor of Wills, Agont" Moll to Il1u udclrons IIstotl bolow: