HomeMy WebLinkAbout81-00423
.'
; 0: ~ 0(
\lJ:l ~
:l 0 ~ Ll ::i
c(..I ~:..l
Ul 8 w.; W I- ~ ~
,00( , :z
. co '~~:Z I'l
U l1:: :r: i ~I (5
~ r... I~ ~ ~ '" to
\!Jill '
j 0:\lJ~~~
~ l) . I/)
0, z 0( ~ -
i'\4 \lJ ~ ,.J
~ 0:
LL 6
, I
. ,
.
c
.
AIV.IDOO IX + (,,11)
COMMONWI!A\.T,H,'OP P'l!NNBV\.V Ati',AL" ' SO~aDVLa 110,211',
INHI!RITANQE TAX RETURN PARTNERS~IP
RI!BIOENT DEO,lloBNT ," INTEREST REPORT
ESTATe OF
1'1~/lln, (). IlCI1Hom,
~t~fll"'45IfE NUMBER
Addren
Feder~1 I,P, Numbet
IAI pet Form 1(66)
Data aUllnen Commonoed
" Nomoof Portner,hlp_
aUllnon AotlvllY
2. Clonlfloatlon of Portnonhlp: 0 Oanerol
D\.lmltad
o Othet _
"I"!"'"
DBOodont wal a
partnor. If dBOedont WI! a limited partner, ptovldo Initial h,veltmtlnt $
3.
Partnet'l N~mel
% of Inoome % of Ownotlhlp
!lelorV
B~IBnao of Cepltel Account
A,
B,
C.
0,
4, E.tlmeted value 0/ dlOedant'l'lntatett bV o,tate: $
-
6, Amount of ,oompanv Indebtodno81 to deoedent at date 0/ death I $
6. W.. thete IlIe Inluronoo payaplo, upon the death o,f dl"ledont, to lhepattnetlhlp?
DYe,
o No
II Vel, ealh Buttender Value: $
Not ptocoedl payablo: $
7,. Wel thete a wtltten pertnetlhlp ogteement In effeot at the time of Ihe deoedent's death?
If vet, ettachoopV 0/ agreemont. II no, ptovlde explanatIon,
DVel
DNo
10, W.. the decedent telated bV blood otmettlege to env 0/ the olhet pertnerl?
II vel, expleln:
11. WII the pertnel1hlp ,dl'lolved or liquidated after decedent'l doeth? 0 VOl 0 No
II VOl, topptle!l the ttlloled Infotmotlon, elpeole!lv Including ooplel of tho 1'10101 Agreament ond/ot Soulolll,ont Shoet,
DVel ONo
o VOl DNo
DYel DNo
8. Old'the partnetlhlp heve an Intetelt In onvothet pertnotthlp. or ootpotMlon.~
II VOl, teport tho nlOellary Infotn1otlon on a ,epetete Ihoet,
9. Old tho decedont'IIntet8lt In tho partner.hlp ohango In tho lilt two Vootl?
If yet, expleln!
M~.IIOII.t 1...11
COMMONW~A\.TH OP PINN.VL'lANIA
INH~RITANc~ TAX RITURN
R~81DINT D~CIIDINT
IlST TIl 0
SCH&DULIi "Ii"
, OASH ANI) MIScel.LANBOUS
peRSONAL PRopeRTY
Pt'lllRTJ C. RCII~IQIHJ
o a olnll -0 nld wllhh. AI .1 01 'Utvl~Otlhl ,mUll ba dl..lolld on ..hIdUI....P")
ITaM
NUM8eR
I,
2
(;
3
4.
5
6
PI!SCRIPTION
,Cash (pj:'oosede of Sooial security payment nnd two pnnsion
payments)
,
Savin\ls ,/'IOoount # 1-093173 Cumberland Vallsy SavJn\ls and LOIlll
Carlisle, Pennsylvan i.a
CaNnOilwsalth of Pennsylvania Senior Citi~lln RebatoChllck
prqosede from 'auction of dlloedsnt I e psreonal property
Settlsment of WrongfUl DSllth 1\otion
. Savin\ls' Bonds
TOrAL (AI.o enter on line 6. ROC.pltulatlon)
III mOrt IP'" I' nOtdtd Inllt! .ddlllon,llhHIl of 1In1. 11..1
MSER
VALUE AT
PATE OP DIlATH
$
531.86
56.07
346'. 50
11"'40,00
14,250.00
323.55
. 17,447,98'
m.11OO ,.; 11,'"
OOMMONWBAl. TH 01' PBNN8Vl,.VANtA
INHeRITANOe TAl< ReTURN
Re8lPBNT PIIOIPINT
SCHIlDULI! "F"
JOINTL V oWNED PRopeRTY
aa'1'ATE OF FILE NUMllE
Pl~I\Il[, C. flCIlHOIll, ~lHn'_4a
tThl. .ohadul. mUll ;'plllad If Ih. d..Oilanl, .t Iho tlm. of hl..r h.r dutll. own.d .nv n'opOlIY .. 0 ,.Int ton.nt with Iho ",Ill of ,urvlvO"hl".1
-
J!llnt tenant(,):
NAME
A.
Clyde sohl1\ohl
AOORE88
I~. P; 13, BoX 406, Carlislo, l'
1701.3
REI.ATION8HIP TO DEO CIlNT
son
So Anna Mee Harbold
R. P. 4, llil1aburq, 1'1\,17019
llaughter
Q,
J!llntlv owne~ pt!lperW:
ITIlM E TER
LETTER FOR D!:80RIPTI.ON OFPROPllRTV TOTAl. VAI.UE OECED~NT'8 OOI.I.ARVAI.VB OF
NVM8ER JOIN\TIlNANT OF ASSET % INTI! E8'1' DECEOENT'S tNTflRIl8T
1, A,
Savings Bonds 563.05 1/2 $ 2S1.53
~. B ~oney Market certifioate
No. 654-6 4,100.00 1/2 2,050.00
3. A" B Sav insg /\ooount No. 1-
093192 cumberland
Valley Savings " Loan
Carlis1s, 1'/\ 17013 2,008.57 1/3 669,52
4. B u.S. Savings Bonds 557.90 278.95
TOT A\. (Also entet on 1,Ine 8iRIlC~pltulatlon)
.
3,;180,00
IIf mota ,pa.al' nlladld In..rt oddltldnll 1118111 of ..molllll
NV,IIOt.. f IU'I
COMMONWIAL TH OP P.NN_VLVANIA
INHIRITANCE TAl( RITURN
RIIIPINT PICIPINT .
SI1HEDULI! "p"
JOINTlV OWNED PROPERTY
.,..,tQlll;.'.:=~-.. ,,'':-._........_'.;~''V' ..: ..:=t=.;=-=~-;-"-=:;
IsTATe OF
.' .....__._._..,'_,_,=---.._~_.._;.. __.~,,......~..=,'''''ri~'''-:;l;.-~
. ...-..-.-... -- .-._.~! /i~IIl]W"PR--
1'1':I\IlI. (~. IlClltlnlll,
......,....--.-.__....__....._..._...._~_._.~...~'~T _.~ ___.. _,.,_... _~ ___ L~,' _~.,.,_,.", ~_., .1.-. .".. ,'.-- .,,~_,_.,. "..~.-__._............___...---..
~Thl' ,d1Idul. If',"1t hi "0111'11"..111111. dt4lftllnl,AI _hi tlm,1l1 hit III IIIIf lilith,' f1wlI"I.nv !null.r,v IU . Inlnl "lilll'11 wi I" Ih. ,Wltl fit IlHvlvor.hl",1 ,
-_.- ..'--_._---~.._..',.. ,.,--_...... ~._......_,~..'-_.._-,. -
,.0. .+_.___ ..-...___, __~~~_.__ ,_, ..<-..~_.. _,,_..,..,~ .,.._"';...,...k....~.....~_.___
B~ 1\1111.1 Mea Ilnrholc1
Il. 1\. 'I, \)1 \ '"bllr</, I'll j'/lll'l
1/"'1</111:".'
0,
Jolntlv owned profl8tW:
ENTER .....---......". - -'--"--' -"-
ITEM LETTIiR FOR OESCfHPTION OF PROPERTY TOTAl- VAl-UE DfiOEOIiNT'8 DOLl-AR VALUE OF
NUMBER JOINT TENANT OF ABSET %INTEREBT OEOEOENT'SINTERIlST
-
I. A,
, SIIV!.lIgfl Ilolldn 563.05 ]/2 $ 2f11.53
2. U Monoy Mar.kot Cort I rloate I
No. 654-6 4, ]oll.Oll 1/2 2,O!iO.00
3. II ~ Il Sav Ir,sg /lccount: Nt,>, 1-
09]] \l;! cllmborl,lnct
Vlllloy SllvIng" .~ llonn
CIII'll.sla, I'll 1701 ] 2,000.57 1/3 669.52
4. 11 U,A. Rllv!.ngs Ilonrlfl 557. 90 27[1.9'j
,
,
,
-- ....44
" TOTAl. (Allo entet on IInl 8, Roolpltulatlonl . $ ],;mo.oo "
III mOil "'10. II nHdad In...' Iddl\l.n.' ....... of uml"")
INFORMATION
Thl.~ dooumlnl I, Ihe NoUQe req~irea 10 b. given under $ecUon 709 of Ihe Inherllanoe .nd ES\8le T.x Aol
of 1961 (72 P,$, ..oUon 24851,
If Iha "xl. paid wllhln Ihree (3) month. "Ie, Ihe deoede~\'. d"lh, a dlloount of 5% of Ihe I'X p.ld I. allowed:
Inherltanoe Tax baoom.., dellnqulnl nine (91 monlh. alter Ihe decadenl" d.elh. Inler..1 . I. oharged al Ih.
tate of .Ix (61 peroanl per annum on Ihe amounl of unp.ld lex, ($EE EXAMP~E aElOW)
EXAMPlS, If. b.lano, of I.~ due of 12,000,00'1. In . dellnquent.talua from 3-3"80, .nd pavment I. m.de
on 5-23-80,. the ,Inler..t Is oaloullled II Indlo.ted uelow, --, ,
snp I
Oel.rmlna the rile of
Inle,..1 nom the lable below,
STIP a
MUlllplv Ih, b.l.noe of
lax due bV Ihe rele 01
Interesl,
STIP fl
Attd Ihe Inlerest
10 Ihe b.t.nOe of
lax dua, '
Inte,..t from 3-03-60 to 5-23,-80
R..ulta 1111 -~
2 Month.. .010
, 20 D.V' . + .0Rm
Rele of Interesl ' . '.0
Salanoe 01 I.x due
~.I. of IntBrslt
INTEREST
$2,000,00
x .01335
I 26,70
a.l.noe of I.X due
P1i1i' Inter.st 10
_Sllill ~f p.virenl 1+)
TOTAl' .x an
'Intet..t 10 Oil'
of Pavmenl
12,000,00
, 26,70
12,026,10
-----------------~-_._------------------------------------_.._---~.-----
1 mOnth ,005 4 monlha .020 7 monlha ,035 '0 monlha ,080
2 monlh. ,010 6monlhs ,025 B monlhs :040 " monlh. ,06ll
3 months .0'6 6 months ,030 9 montha .045 1 2 montha ,060
1 dav .00017 " d.va ,00\86 2 1 day. ,00362
2 d'y, ,00034 12 a.va ,00203 22 dlV' ' ,00369
3 dava ,00061 '3 davI ,00220 23 days ,00386
4 days ,00068 14 days ,00237 24 'dava .00403
8 dava .00066 15 d.y. ,00250 2ll d,yS .00420
6 daya .00~10 1 1 6 a.ys .00267 26 d,Vs .00437
7 dava ,00118 \7 dsvu .00284 2 7 davs .00464"
B dava ,0013ll' 1 B day I .0030\ 2 B davs .00471
9 day. ,00152 1 9 d.VS ,003\B 29 dAya ,0046e
10 d.y. ,00169 20 dav. ,00336 30 dm ,001l00
_M'____________________~______________________________----------------
Any par\v1n Inll,..I. Including Ine Commonwealth .nd Ihe purson" repreaenlellve. nol aalllfled with In.
,ppr.l,amenl and .ue..menl m.v object wllhin slxW (60) d.va ,Iter reoelpl of Ihl, Nolloe II prtlVlaedbv
S.ollon 1001 of Ihe Inhet\I,~oe .nd ,Elllle Tax AoI of 1961 I72P,S, 810, 24B6 . 1001),
MAKI CHICK OR MONIV O!lOIRPAVAB~B, TO I "RIG1Snfl Of \/l\.\.S, AGINT"
b(;TACH THE TOP ,PORTION OF THIS FORM AND SUBMIT WITH YOUR PAYMENT TO THE REGISTER OF WillS pOR
THE COUNT V SHOWN ON THE REVERSE, SEE THE INHEMANCE TAX INSTRUCTION BOOI( FOR AOORSSS,
IIV.l600 IX. \.111
~;i""'IiIIl'"''
H~lfl{lIloa
INHERITANCE TAX RETURN
RESIDINT DICIDENT
(TO II 'IUD IN DUPLICATE
WITH REGISTER OF WILLS)
PILI NUMIIR
,'":1)' b~ I .. 'I ':>_3
.. ,---~""-' -. .,-_..,.'.y,. ,_., -.-.
I B{Jhl1\~,hl., I'ullrl. C,
lWAHlmllV1W~U.----\liIill1lTDI~'H --~._.__..-
1.02-22-5200 7/2/81
_~ _.- _.................--...---- ._ ~______._~ ~JYMf._-------.--~~--...... ..._.o.-+---o_,_.......~......----._.-.._k --_.~-
al-'
II
47 N. 1':III1t: Ht:" (;<1rliu1u, 1'/1
01. Original Ratur~ liJ a, lupplllllantal Rllutn 0 3, RtIlIolnderRllurn
o~, ~II. 111~Ia 0 ~a,fulUt. Inllrl.I Compromlll 0 I. fedl!al htall TaK
Rllurn R"lulrf,d
Do, Deced.ntdlad /"tat. 07, Decedtnl mal~Ialntd a living ttuII _S, Totol Numbll "'.. dtpolllbaKII
(AH!!ch ~aPtL't!llL__.~,_J6.!!!!~~w..!!!,.tt~..!!L~......_-_.... ,.~---
tthIGO....POIiDIlt'lAmt~QI1P.IQI~TIALTAX JNI'ORM~T p.LD..U..RIft~IIl,IQL--~
--
Rollor\: t.. O'llrluil, lCI3Q.
'111_1 NUl"''' ----.
717-24U-(iU73
12U fl. IIl1ilUVllr flt., CurHlllo, 1'/1 1.701.3
--.
,~h"""'1- ~ ,_
- =~
~
. Slrt._,~.= '
--
_ 1~~T1
lIP
1, ."1 'Italt Ilchedul. AliI)
2, Slo4l and landlllchtdull 'I I 2)
3, C:la..l~ Held Ila~klPonnerthlp Inlttllt (I~hedull Cl .( 31
~, Mangag.. and Malll Rec,tlvabl. II~hedull D) I ~)
I. c,tcIJ:S~1 ~1pallh .. MIIClIIla,,"UI Perianal Prap.rty( II I [j , 2 ~ 3 . PI)
6, jalntl~ owned Prapany ISthldul1 f\ t 6\
7, lton"'rI (Ichtdull 01 (Schlllull ~I I 7\
S. lalal Grall AIl.II (Iatalllnll 1.71 ? ,41 .1 . 00
9. fUB:p~ln~m~:&~~~rlllratlVI Cam~ Mllcellan"u' I 91-
10, Dtbtl, Mangag. Uobllltlll, Ulnl Ilchtdullll 11,0)
I, ,., ~atal Ptductlonl Itatolllne. 9 & '01
12, Nil Volul oIlltall (Ilnl" mlnu. line 1 II
13. Chorl1abll and OavernlMtltal hqullh Ilchtdul, JI
1~. Nt! Valullub eclla IOK 11110 12 mlnullln. 13
la, Am~~t of line 1~ laKobl1 at o~ ratl Ilal . ,
Ilftllud, ValUII ftom 'lh~ul. Ie at Ichtdull M)
16, ~_nt """, I~ taKabl1 .~t 16~ rail 1161
U"lludl valu.. flom Sdltdull Ie 01 Ilhodult MI
\7. I'rllldpallaK dUlladdtaK /tom IInl IIplu. taK fram \lno 161
Ie, Total Ptlor paymlnlll Amaunl pQld PIlCau"t Inll,II'
I II " 1I\,:m. 00
2,41.1.00
]5,B~2.00
(Ill
(12)
1131
"
W,Q6 ·
II ,1a.
117\
lS,A22.00
.
':J4"J ","i'
+ II~
19, IIlInl 10 groal.r ,han IInl 17/ enler th.lItfflrlnce an line 19, Thllll tho oV'.I'AYM'NT. 119)
A, QC:heck hera II yau art roqulltlll\l 0 rolund of yaur overpay_t,
20. If line 1711 O!'tot.r than IInl II, .nltr tho d~lnlo an line 20. ThIII',lhaIAlA"CI DUI, laol
A, Inllt tho IntltOltan th. balancl duo an line 2Q". 120AI
I, hter tht 10lal of IInl 20 and aOA an 11", 201, 12011
. Iko C,,"k'. 0""'" II ''''I.f Ill. A Inl -
...~~ lUll' ~O ANIW'" ~LL QUllno", oN .JV.... SlDI ANti TO..'CHlCk MATtI......
Undolptnah'-, of P:trI~ry.1 dtd qreJloOtl, hhoVOOKOll"nocfiiiii~" re 1IIdu, ding aCcompanying Ml1tdultl and llat....ftll, ond to "" bell p' "',~ knoWltdoi, ' and balltl.
h 'I 1M. cerlre~::tcOmDlt!., I dIClat. thot all r"'",all a. rtpOrllCI at tru. ma"'8l vol~a"b8cIar.tlan of pIIfHI'" aIhtf ",an ltlI plrlonel rtpro....tatlv.'.
bated on 01 In Ie~ blwhlch prapotOr hal ony know 'i
l)4~. 32
s
949. J;!
'ION~'UII Of r1110N .moNIIIII fOIl'IIINOo"URN
'~~'~i"~~
~VOAU'
~A"
12.'5' ~(lMN-l"'" $~
.111
C,,^~b :PA.. '2//1 J"'-~.
\)e.13 ~An
"~I t;> l 4 \ . ~,,".J
...- .'-_.~ "..-...-
.IV,11OIl Ut 1""1 II' ,.
C~ T ,*"111"",
'\ HA. j' I 710$
~ "~
". Illlnl IUJ 1,,"1" Ihan IInl 17, onlOl the dlHollnct .n.llnt 19, Thl.l. thtOVIIl,AYMIHT. (191
/;. Qchtck h.,1 If yOU art loqU..t1ng a to/undol yoUt ov"pay_,
2(1,IIIInt 171. ll1eol0l than IInl", 1t\I0t tho d"",,"c, on IInl 20, Thl.l. tho .AIANel pll..
/;, Inl.r th' Inl"..1 on thl balanet duo on lint 20/;,
I. Inlor IhllOIOI 01 line 20 and 20/; on line 201.
~ Moko C"",, Povolllo tolll..latol " W~I.. A.,"I
, .....1 au nOAHIWIULL QUllnONI ON IlIYIIISIIIDUHD TO Ille ICk MATtI "
U. poMIlIlI' of ~u " II I I I hav. 'ka",,~' l.wrn, I;::l:.r a.....nyl"llChodull.and .Iotofll"",, and to , illY kllOwll and boIiif.
MI~!~, COl:",W .' Ih r. thai all rlOlk ,.11011 a. bMn t 01 lrut "",tilt! VolUI, lloc\alalltn of ptopOlII othor thon jMrIOftQl rtplMlnlatlv. I.
bO_ an au m ,ltn wh~ ptoporlr ho, ony now "
I
--
illl
.--._"
II
INHIRITANCI TAX RITURN
RlltDINT DICIDINT
(TO II PlLID IN DUPLICATI
WITH RI~.ISTIR 01' WILLI)
PI"I HUM".
,f}l. -Sf bot/La.
aohm6hl, Poarl C. 47 N, 1':out Ill:" clIrlluh, I'll
;rmu.IlVllIMlr---l~ATf1srlifA'!lr'""-_"'---'- . .'
1~~:~2 ~5200_ .___ _ 7/2/0 :___.___.__ ~lri__.-------'-----~
0" Orllllnollletuln [J 2, Suppl.mlnlallletutn 0 3, lI""aln"t lIetutn
rJ4, LIf. "loll 0 .0. fulur.lnllr..1 Compl'llmhl 0 5, redlral hlall Ta.
. 1I11utn lIoqulred
ICldlnl dlld ".101. P 7. DlCedl"l malnlalned a living Iru,I _ e, TOlal Number of tof...11 box"
""ach cgJ!y_~.'t{!!II___.__~~.!sh~~t!lJ!Y.!!l--.- -....,--_-. -
MUSltlflRlljIIM..lAl11i1'.Q1MA M~_DIIIICTlD.nh
Robart I" O'lwion, ~oq, 128 8, 1I11110vor S\;., curliole, I'll 17013
'm_' Hijlollt. --
7l7M24U-GB73
CI~L
ltATI
lIP
-
" 11..1 111011 (lcbed~11 AI ( 'I
2, Slock. and lupd. (Ichedull I) ( 2) -
3. Clollly Held St~klParlntllhlp Inlerlct ,Ichedulo C) I 31
.. Morlllall" and ,Note. 1IlCllvobl. (Schedull DI ( .)
5, c'l~=a~1 ~tpO'III" MI.cellonlOu, Plttonal ProfMl'lY( 5) 1", 2p. DQ
6, Jolnlly Owned Proplrly (Ichedull P) .16)
7, Tro,",," (Ichedul. 0) (Schedula LI ( 1\
., Tolol Oro,. ""111 (Iotalllnll ,.1\
2,41l.0n
9, 'ui:',.:lnf:ntM:ll~t~rlttrot!VI Call., MltcellonlOu, ( 91
10. Iltbtl, MaltlO1l1 Walllllllll, UI~' (Ichedull I) (10) .,
11, Total Deductlonc (tolalllh.. 9 .. 10)
12. Net \lalUI01 1.lal., (lInl . mlnolllnl I I)
13. C1la~lobll and OaVllnlllOnlal loqUtll. tachedul. JI
101. Nfl \lalu. wb la lak IInl '2 mlnu. IInl 13
15, "lilQunt oIl1nl I. taMobl1 o16~ rGi., (151'- /
tlnclu" valu.. fraln Ict,odul. K or Iched~11 M) , ,
", "e. m" IIf\11. IOX,bll all5~ (all . (161
1M ude valuo.l,aln IlII,;ul' K at echedull M)
I 7, ~lIdpalloM dUI (add lox ram lint ,. plu\ lax from line 16)
II, Total PIlot paylllOmll AiIIOum Paid DllCOunl Inllr..1
eel
"'"
~I) ::n
f"?'
'" )
-""
lil,:!':J
, ,\ ~
1~ r!
"\-<'
.
0'
,.'1
.r-~
, 'r'\
'::':'1
riJ<'
1""",
;'(
, ~
_,I
qj
t5
'1;i
',.oJ
'"
( e)
in, 23,!j\OO
2 ,411. 00
1-5,82?'QO
(111
(12)
(131
,.
II .06.
II .15.
l5iB22.00
.
~q'JfJ~'
111\
a
1201
.120")
(201)
94\),32
949. 32
ADOItIlI
PAil
lIONA1UU Of ",.ION .1I1QN",\1 _ IlLlNO "TUIH
~~~~"~T~
.........__'.._,..".' u_...._,
12.'6' $.=~,,-o:S1
C~k€J~ -'-0 -Z J,., iI.i
" I ('1::1. I
'11-:> t 'l~ . ,d'7.J
....'....~,'I...
"A~Ci<<~Wh;IOI
+
19.11 Iina Ie Ilgttoltr thon lin. '7, anltr thl dlffartncl on Iinl 19. Thlllllh. OVIRPAYMINT.
A. OChack hera II you ora ttqu.ltlng 0 ralund 01 your ov.rpoymant,
20, If IIna 17 II g'lOlIt thon IIn. le, .nt.r th. dlHarancI on Iinl 20, Thll II tha.ALANCI DUI.
A. ent.t tha Intarlllon tho ~olonc. duo on IIn. 20A,
B. ent.r tha 10101 01 IIn. 20 ond 2(lA on IIna 20B.
Milk. t~I.Ho olil, III It. 111,",1 WIIIIAI.nl
_' ..... IUR' TO AN'WIIl AI.LQU'STlONI ON,IlIVI"" SlDI AND TO IIICHICK MATH!.
Undar panoltlll 0 pltlury, I dllt, qr. that I av, a"amlna t II t.t,urn, Including accan\panylng ,chad II on lIallllltMII/ and 10lha 'II 01 my knawlldgl ond b,llial,
It Illtua, cat/.el ana complata. l,d~latl Ihal ,ali rlOl allala o. ~..n raportld 01 trua motllll valua, ~atatlan of preparar othtt than IhI pltlanol reprallnlQllva I.
balld on olilnlotmatlon 0 ,which prapQrar hOI ony knowladga, ,
I
iN
~I
INHIRITANCI,TAX RITURN
. RISIDINT DlelDINT
(TO 81 "ILID IN DUPLICATI
WITH RI~ISTIR 0.. WILLS)
r-)) oC"'l _ 'I ) ?
/;~".'-" ,,' II ", '._,1
PILI NUMB.II
47 N. l~aRt nt. / Carlisle, I'll
Balunohl, Pearl C.
1BH~_S~~~m 'IOAT~~;;~~;~______ ~__
01. Original Raturn [] 2,. Supplamantal Ratu,n
OA, Lila e,tota 0 Ao, PulUta Inll,"t Campro.,111
06. O.cadlnt diad tlllall 0 7, OK.dant molntulnld 0 living trull
Atloch co of WII~ (Atloch coPY 01 tMII
~tfRINCIAND C~fiRI.tlJ1M1AlUli .
o 3. Ramolndar Rtturn
o S, Pld.ral eltatl Toll
R.lu,n Required
"'- 8. Tatol Number 01 ,01. d,polli boXII
Ropert I" o'Orian/ t~sq.
HI HUM"~ ,----.--.,------'------,
7l7~~49~6B73
~ DI"lalpTOI
l~B B. lIanover St, / Carlisla, I'll 17013
"\
II'
ITATS
CITY
c
-
'''',
Al~
1"1(')
(;'0
;-;;t3l
(.,..,1
1"'\
-I'
~.
i~
t~
I
1. Rlol e.tal. ISchadul1 A) ( 11
2. Stockl ond Bondi (6chldull B) I 2)
3. Clollly H.ld Slock/Partnanhlp InterllllSchldula C) I 31
A, Matlgagll ond Notl! RlcalYabla (Schldul. Dl .. ( AI
4. C"~~:3~~.~tPOII" & Mllc.llonlOu, Parlonal Proplrty( 4) ~A. ~ 3 3 . 00
6, lalntly Ownad P,oparty (Schldull P) 161
7, Tronlllr. (Sch.dull G) (Schadula l) I 71
8, Total Gro.. A..al' (lolalllnll "71, ~ / 411 .on
9, Pu~:~~ln~rrG:~:&~:~rlltratlv, Co.t./ MllCallonlOu, 191 .
10. Plb", Mortgaga Llabllltlll, L1lnl(Schedul.II 1'01_
11, Totol O.dUellon. (lololllnll 9 & 10)
,~, N,t.Val~. 01 811011 (lint e mlnu. IIn. II)
13. Chotlta~l. and Oavttnmantol "q~t1" ISchldul1 II
lA, Ntl Volut .u~ael tcitax lina 12 mlnulllnl 13
1~. Amount 01 11"1 IA lo"obl, ai6,. tOil (15)"":':""
IIMclud. volulI Iram 8(hadul. K or Sch.dul. M)
16. Alnoun' al,lInl 1A Taxobl. ailS" ratl (161
(Induaa valutl I"", &~hadull K or&chedula MI
17. 'tlnclpollox ~u'ladd,'ax ram IIn. lS plUllax Irom IIna161
18, Totol Ptlor poymantll Amount Pold Dllcounl
,"
n};l"\
",",:1
, 111 ",~
1'1',-
"I'
1--......
"
"
"
':',
,;)
~
..
0;'-'
(181
(191
B
(201
(20A)
(20SI
949. 32
949,JC
OAT!
IIO"ATU~1 or 'U'OH ~lIpOHII'LI pO~ rIllHO mU~H AOP~11I
~~~~~".' ~;~~~-"2-Z;~-l(LA\~ :,:;.~
, 1P~IIIHTATI r , "D ~11I '
-z I,l lr.i
,
C'lAQ""b' ',1'1
n(113
'7t7 l4~'VnJ
REV. 1847EX IOa.84)
j aUREAU OF ACCOUNTS SETTLEMENT I NOTICE OF INHIRlTANOI TAX !
P~NNSV"VANIA DEPARTMENT OF REVEN\JE I APPRAlIEMeNT, A~~OWANCE OR PISA~lOWANOI IACN 101
HARRrs~u~gx p~90~ 11 Ob i OF tlIPUQTlON~" AND AUlIlIMENT OF TAX, M~ 3, "~~",
~ _.w_ IDatl.. .... _...._
UTATE OF SOHMOHL PlllTlR!. C FI~ENP, 21 el~0423
PAU.DF DI~TH 01M02wBl..______.___.~__,____. ..,gQ\lliT1__QII.lIllEm.ll.t/.R.c..
Non I TO INSURE PROPER CREDIT TO YoUR AOCOUNT SU8MIT THe UPPIII PORTION OF THUN(ITICe WITH YOUR TAX
PAY MINT TO THe ReGUTIR OF Wl~~' OF THIABOVE OOUNTY, MAKE CHeOKs PAYABLe TO \'RlaISTER ~F W~~lS,
AGINT", '
ROijll)RT L OBRIEN ESQ
126 S HANOVER aT
OARLISLE PA 11013
PLEASE RETURN THIS
PORTION TO REGISTER OF
WILLS IF PAYMENT DUE
QlJt _A.J.9~~_ tHJ~ _L!~I_. .._ _"':. fln~I~_,"~W~Ro B9~!19~}.~R_ Y9~A .~l!i9.9!'1PL:-_ . . " -. . - - .. .... .. '.. .
NDTIOI OF INHIRITANOI TAX APPRAiseMENT, A~~OWANCe OR UISA~~OWANoe DF DeDUCTIONS AND ASlIeSSMINT OF TAX,
RIV. 1I1471X 1 oa.u I
IITATI OF SOHMOHL PETlRL C FI~E NO, 21 81~042 3 AON 101 OAT! 04M30-94
TAX IIETURN WAS: 1'>: I ACCEPTED AS FilED I CHANGED
BESIRVATlpN cDNCaRN1NQ FUTURE ~Il8l11~llJ..JiIYl8I.l
APPRAllIlD VA~Ue OF ReTURN 8AIIO ONI 1 SUPPLEMENTAL RETURN
I, Rill E,t.te ISohedule Al 1 1) .00
2, Stooks end Bond. (Soheaule ~) 1 2) . 00
3. ClolllvHela 5tooklPlrlnetlhlP Inter..t (Schedule CI 1 31 .9~
4, Mottg.gn In,d Nol'a(Sohellule 01 ( 4) .00
&. C"h & MI'cell.~,ous Plr.on.1 P'opertv ISohldule EI ( II) 111,233.00
e, JolnllY Ownlll Prcped\> (Schldule F) 1 61 .OCI
7; Tranlferl leoh.dul, G) ( 7).. .00
B. Total Auets ( III
18,233.00
APPROVID DEDUCTIONS AND IXIMPTIONSI
9. F~nltll ExPln".IAamlnlstrtUV' CtlIllIMI,o,".n.ou. (' 9)
e~p,n.e. (Soh,aul. HI 2 ,411. 00
1 0, O,bUIMo'tglglll~l.ns ISOhlaul. II 1 I Ol . 00
, 1. Totll DldUOllons (1 II
12, Net Vljue ,of T.. Return (12)"
13, CharlUbillGovltnmenlal Becl...ts (Sohedul. JI ('3)
14. Nt,t Value of em" Subjeot 10 Ta. II A)
'NOTEI If a" ..1...I1Itt\t W.., pr.vlollaly la,IU.d. 11".114. 18 .nd/or 18 and 17 Will
r.f '.Clt f 11111r.. that , nol llCllth. tot. 1 of.&.ll r.tllrna, "......d to date.
ASS8SsMINT 0' TAXI
15, ArI10unt oflln. \ 4 II~abl~ II' eo/, rtl'
1 e. Amount 01 IIn. I 4 ,,~,bll at 1 ll% tile
17, PtlnolP.1 Ta. Du.
TAX eft.OlTSI
~.411.00
111,822.00
.00
113,923.14
(151
(16)
63,923.74
.00
X.06o'
x. 1 6.
(17)
3.235.42
.00
3,236.42
PAYMeNT
DATD
04"'01"'82
02~13w84
02wl1.,.94
II!CeU'T
/I
010616
AaATED
029952
DISCOUNT (+)
INTEReST. (-)
AMOUNT PAID
.00
306.36-
1. 14w
2,2915.10
306.36
960.00
INTER~ST IS CHAaGEO FROM 02-18-94 TO 06w1&-84
AT THE aATlllS APPLICABLE AS OUTLtNEO'ON THt
RlllVERSE SIDE OF THIS FORM..
. IP PAID AFTER THIS OAT~ See ReVERSe FOil CAlCULATIO~
OF ADDITIONAL INTeREST
TOTAL TAX CREOIT
8ALANCE OF TAX DUB .46
INTBRBIT .01
TOTAL Due .47
lif Ballnoe Que II I... thIn I \,00 no p'vment I. rlculradl