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HomeMy WebLinkAbout81-00425 COMMONWliJAl/1'1I (W' 1'1';NNHYLVANIA eOUN1'Y 0\" elJMtll~l\1IANIl \ HH 1 "",.."".",;,.;""."",,;.,,,,,,,,,,,,,.,,,;,,,,,,,'" tu\mod Jqll1 c\t~ -Ii:. I",nho,,",-,l ""..";,,,,....,,,,,,,,,,,,,,.,....,',""""''''';',.....,'''',,.."-,.."";",,,..,,....,"';' tlll' rllulH Kol In the 1I11\1vU IIPl11\t1l1t1ou hlllulI dub' ..,!!,;'1m:,!'!.............."..,... 1I1'1101'dlulI \0 IIIII', 'HII)' \hill forth in Iho IIhnl'o IIPlllIllll\!OIl lIi'l\ ,\l'lll! to till' IIIIHI of..l,l,~U'..,... kllowlodllll uud hl.Jiur, ",,' ." ,.."","', 1 Defore mo, . "J.l).~,}{.""",,,1.0..,,,,,,,..,""',,:..,",,.., A, Il,; Ill"f),L, ..."..:.&2far.a....~~;;;.. Flied I ..,,,.il'.\\;\.y,.,J.~,',,.,:j.9.a.:j.,,,,. ,...."".......,',., .,,,,,, '" ,. ,;" ':;::> "~""'''''. ~~' "~:"",, "t; '" ',i" D-'-:~" d." '" ," ":--~"~"; :.~-;' ,,,,,,,..,,. . I . t' ,.1" ./i. -' .(,. ,'" '''' .... J'<'~'<'{;"'-('-"""'" .'ft.., "1,,~./t11.' l"d.. """" 1;.,.,...''''''1 F'- . , "".".",..,..""""""",."";""",,,,,,"""',.,,.,,'""",..""""",,,,, '1....".""..~}~4Ir~.rlT.\"'"",;"""\",,,, ,.;"",..,,,,,,,.,,.,,,,,,,.,,.,..,..,,,,,,,,,,,,,.,,,,,jj,"",,,,,,,,,,.,,,,,,,,.....; A llol'IlU)'1 ,J', Hnhol't; ;t;t~lrr'o11 """"""';"""""""""';"'gtJ;l''''''''~';''''''''~~ . -~~ ~ T'~"" ~ 'r~." t' .'r...; ::tiP = t'_H-~1.J r'-'c:;' "'!:;.] ?~~T "-' "", 'I'> ~.. ", " "i OATH OFPE:RSONAL RE:PRE:SE:NTA1'IVt. u ... ., COMMONWE,f\LTll ol~ l'IGNNSYLV ANIA COUNTY OF CVMUERLAND }Kl w being duly ,,,"',,Q,1'IS!l;',n,.,,,,,,,.,,,,,,,...,.....,,,,,H"'" Recording to In\V doo.ri"....." JanjcA r,~, r,Aho'ld , , . . Ii . , , , . . I . , . . , , . , , . . , . , , , . i . , , I , . , , . , . , , , , , , , . . . , , , , . . , I , , , , , . , , , , , , , , . , , . , , II . . . , , ~ ' , . , . , , . . . , , , ; . , , . . , , \ ; . , . , , , , . , , , , , , , . , , , , , . " , '.' , . , , ,I , , . , . , , , , . , , . , , potlUoner(s) depose IInd SIIY .thllt ilK the dn lnls'r~" 'I f 'h I t f n""'l n J'In'''l-'''' , " . : f\ ..' ." ... ",,-,'2.. .:e"",,,,, 0 ... (1 eM n e 0 "1.',10.,,, "......"",,,.,... ..,,,,,,,,,....,,,,,,.""1..""'''....,,,,,,,,,,,,.....,,.......,,....,,..,,....,,' ..".,..,..,...."....1'.';..,......,..,',...,"',.,',..,.""..",.",.."..".."",.,.....,...,...,""",..,..,.,..."",..,.,..."..,."..".,.,..",.,."..,."..,.".,.,111""" deceaKed ........"..r,..r..~,.... wll\ woll und truly IIdmlnlstol' the lloodH IInd chllttelB, rlghts.lltHI credits of sll\d decoased, accordh111 10 lilli',. AmI IIIHO will diligently comply with the provlKlon~ of Ihe law rellltlnll 10 TrllnKfer Inheritances, lll,"'II.fl~~p.r:X\ l'"'''' "tI' ,.. '"'' It ,,,,,,,,.,., and 8ubRcl'lued #/, - " Iu' ~?Ir'!. . 11, '<" p -<::.. (' .c. C.-L.. -' .'~ -c..- ....,...", .f,',..l.hl.."..I"""'I,I.. ""~J-. nro i"~""'tI""""""""'1l beforo me. ,/:t:l~;I., ."......I./'i:.."...:..""...."'..'" A, D.,. 1o"t1L" m~/~ '? .'J 'Re'iiR'(er'~l i ,,,,r..:;...'. / ~/...'(,~........."',,.. .".......""..,,,,,,,,'''''I,'....Jl',.,,.,,.,,,,,..Il......'''''''..,..''.lllll1""lI',hH DE:CREE Be it romembered that 011 the .........,;\,~I;~l:I...."...." dll~ of ....."....""".....J:).l.J.Yo.."..".".... A. '0., 19..,ll.J". Lettors of AdmlnlKtratton In the eRtate of j.J,J!,)},\l~".r;.^,..I~,O,~n~.ci1"...""."tt""'".II"..".j...II."""....",',,,,,,,,,,,,,,," Into 0 r .. hl f,',r. ),\ /"J.ll;\ ;(;.n )~.'J.'\iU" "., '.'" ......,..'" i .,. "1.";";'; II.".! Ill'" were grnnted to "".j1.n.ut~\f}",m~j1J,\Q.\HiJIt(;\."."..'.';"'H""I!. .'''ill...''llI'.....''.."""".-..""..........,'',..,''''".."..;;''''..''1.. Culnberhmd County, PennKylVl\l1iR, deceased, ,."....."..,,,...,...,,....;;,,..,,......,,,,,...,,....,,..,.-.,..;;',....,,,,,.......,,,...,;..,,,,..Ii,,.....,...,...,,;,,,.....,,,,.,.,...,,''',,'''''';;1I.,.....,.,,,"';"..IHII"t1 Witness my hllnd al1doffiCllI1 Kelll the day and y.alll' IIrOreSl\id~/. ~ ' ,/ 1:') , {....y/ 1/" ,,,,,.,;,,,,,,,.,.,,;,,, "'"?,?2tt..f1I-."j;"" .... ,. .. ......".". ( . tI ,Register \\ \~tl ............---...' .._-;-,,;--~ LlolHUllT\Onl Vnluutllln 1011 lei"' U.o Onlvl nitll1\nU1tl MUI'kol VtthUl PERSONAL PRopeRTY _ 1.111 0\1 l.nul~l. 0",1 Inlonulhlo 1'."'11\01 ,,101'0"'1 "wntld IndlvldllllllVI.V i11D "Otlll' dent pt Iho tlmo 01 (IOllth, ............---- ~- !In\1U''\W'J cl 1'\1)"1\'\ "hl..1\e:,.' 1,0""1.,,,'1,1 n '1",11\ (I"n,'" !\ I' I: l~' ",,11 "'J Bt1'oot, V",ohrln\o",',HI"', ]''''' ",nY"I! !",,] i,',' !~, ,-"d, il,.\,,1,o!', J\',\otlOl.\f!(1T; !\nr1 \)",,1,{);: In "'\I'!,' i',,-,,,,I 1',011''',''-''' "'"""",, !\On!!, l'tonrl Ltn.t C-~J 'HJI'C t r'nnn ;1:["\ v n-,\ 1 n . 1.971 ArnoT':' 08':1 \,'1'\;""'1 >!,,"n,d, "",.I,'} "" 1;f\;iH'!' U 1', "l'1"'III,,,,d 1)':1, F.()~. l';nc1nnr! (11' i\l',I(\l'!Ollrl ,,1'01'" of' '".(.;-,,,n !'~'11,'1,.~.; 1 i ~)~ ~,-t (J( '(()O.O!' Tolnl - JII1INTL v,OV/NIlO PROpeR'rv .. LI'I .i1 '''01 .nd "onnnol "",,,o,,y ownoll bV Iho dooodonl wllh onolhorl.1 01 lolllll.honll wll" 'IUhl "I ,u,vlvonhl", :\;1 CJ '~r--' on l'-" f,.-..... Il; I!l1hTHltUcl Ooparunont _V8Iu~tI()n Mark.1 Volu. (0111.,.' Ut. Onlyl - Chocid.n(; Aoco1.1l1t\ No. ll'.1,~:30~? o!,(,n"d 1.'ov',r,""o)' 1:'" 1 (J'7') wU;h '1'1'10 F:lT'p\', P.(1111~ find '1""l'!! (1 GOnll'nny 0(' H")I)'ilml (wln\r'l':' pa q in th0 ,Jo1.nt. nn\Mn () f' ,Tn,,-II.',I) .I_~. L,-,T,old. Ilnd i{n),'I C'; 1'1001'1'1, b0.1/.111(\0 ":1 Of' ;r'I1t)<1)~:, 1 '.'in . . . . . . . . . . . . . . '. . . . ",' ,) "1 1. (, " 'II ( fI;'; I. .. .J/,- rotol ,;, 'c1 3' 1 .6? EUlma1Qd M.r~.1 Volu. ", TRI\NSpeRS .. LIIl'b!! ,..1 ond p."on.l p,o\,.rlY t,.n.f.rr.1I wlll,ln twn y.." 01 d..lh, - Non!) Pi NorjO, Totol llnnn LI,IO!! ..fo dO"OlllboK.' ,oglll.,od In Ih. d.o.d.nt'.,"dIYldU.' n.mo, 0' lolnllv wllh, 0' .1 .n '0."1 0' d.pulV 01 onolhe" 0' In d.o,rlonl" Indlvlduo, nen,. with tlg"\ 01 ...... ~V onolh., o! .U.'" Qt d.pIIIV, Inolud. Ih. n.m. .nd .d,J,O" ollh. ~o"k.' olh., Inllllullon wh.ro tho ..f. d.P.,1I bOKI. 100.1.11, Iho nom. III 111 "",Ioh Iho ~o. " regl,lo,.1I ond' Iho ,.1.110","1" atlh. lolhl hold." \0 t". d.c.II'nl, Namt end Addto.. of funk or Dther In.tlhl\Ion In Which oeoed,mt Mllln\all1ld .. 8M. Oepotlt Dot( Nllin18 or Nclttlet In Whltlh Gafil Dopo"lt bo)( It l\ogluerild R'lil\lo-"'hlP at JDlnt HoltHH' to OlKlffdenl NOhO ~- - ,~OTBI 'I'"u moy nJiP.dll. Iho p,oCOlllng nflhl. 'OW'" by IlIlng ~11\1I .nd .' n p.,1 01 tho IOlu,n, 1.11." ,from tln.nolol 1"1\lIl1llon, 0' ''''Orlu.oo holllo", Clrlltylnb \0 omou,," on d.11ol11 .,r .,w.d IlV 1h. d"'od.n1 B' ()I Ih. dOl. 01 d..lh" suoh 1.\1." mllll I" \lO".d hV · ,.,p()nll~l.olflt.t 01 \h. IIn.".lo' InlllMlon or mOl1uogo "old.' o~d IndloOl. ol.o,ly amoun\l 01 prln.l"ol nnd Inlo'oll In Ih. d...d.nl'l ot.ou"1 .1 1ho dm nl d..lh .ndtho IVp. of ...ounl, ftl;:count numbor ahd the iX.ot nama or namO'i'ln which the acoouM It rOQlttOtfld, oil .. . , " llENEFIOIAlHSS - IU':t~'II~:~~,\~~.~NT:~I~~~:"~~~l~f"~ '. Irg.~i~~~llu~~rF-~~;~~~~-]'~ m~w;i;~~ .....- ~Wfp~~~A~~ .I\h., y"ltd, oonlll110111 Of nlh" """.111 8TATe YES ANNUITANT8 IN eSl'ATH Oil NO AT DUATIt or ______,___---n..'.' _.. .->_~",,"_'_"'. H___.H____'-' .... _m'_~ - m _ .. Jl!l.2J19m...-- ~ --- J (l,!1l:,~:...S!.]~,,<.:_l\J.'l'L.._. " ,. .__ _ . ,__,. _ -'::';,.,' ..\.-: T ".--..--, ,1,:'-'.':L!:.:' lill !'1\ e'L- V~,(," Ii_" ~ L~ t h!n~~T,.i_' ,E:~~lr-~~-_\!--~_:_"--,-,,-----~ ..___ - w_____.o. ---~ --~.., ,',---- _ ~ ~_. ""'--' _ . .. ,.n .--'-"~~., .,........---- Me 0hnn:l,o_Hl~.lY~i-1~J~~~!--_1In--~~~:~ __~_.____~...__ _"_.,..~_ _______ .._'_T_____-<.___._ H~___~~ ~~~,.....",.-,--_P~-._-.~.-n"---~.-~~-'-<'"-.~----+-~. ..---,......,.,-~~-._'---~.. --,,"""'-"-"--'~' ~-~~'--'--'~---"""""""- -- _----~..........~---.~~~.~-.-..r~--Lb..~----~..~.-"'.---....<r-----' ~.;_~_.~_,,~a..___r.~ "_ ,,_____"" _'_...~~_ ~_.__..--..__----,._.T-_-.","__--_ ~.~_._.--- ~_,-,,-,__.~___~"""'T____'_'__~~'-"~-'-~-'-_.- ~.._--+.......~__~_,,..."__ -~~.--,-~--,,~- _~u________~._______________.._.---_ - - .' ----- _..,.,,-+-,,~_.~~,~_--~_~_,~_,'--_h--~_""_T __L_"~",...-..~,";"___a~ _........_n..,-___~---:_ .-__,~,.,._~-<------'O. .........____._-.----'-"---"-__.___..__._~~~._.,~~______.~r_____L _________._~____'_ f-~-~'--~~'---~ ~~..-...-------- .,..--~~~__m~__'~_______~'~ ~~_ __~..~__________..,.,-~ .._..-,-,-___u.._. _._ _._-.------'-"~_._____ .' ~ ~~. -- t"" ~ a 8 ~ ~ ~ ! ;2 l<l ~ 0 lJ: F m 111 ~ II' jlo :lJ 'i Ii' II ~ ~ II 0' 0 !!\ "" "" ~ 0 ;2 ..:.' , , ~.I , i, el. , ~r 11'_ ~ ;r'.-! -"I :1::-;( c)t ,.,.., ~'; .-.J "J' ... q'n~ (;;)1." ""5 \'~i<J ;\7; 'Ill ~r.,-k ~ - ms F ;"'IU W , -< gl :lJ ~ ~ ~ m i ~ INFORMATION PLAOll POR PI LING _ Tilu lolurn Is 10 ho filed ,111 duplicate w,llhlhe Reulslor of Will' of lho COUl1tY wl\oreln lhn decod0l11 rosldod, TIM!! POR PI LING _ Thu ieturn .Is dun l1!no monlh, nltor Iho denodol11'S doelh, unles.llll exlol1.lon' fnr fllll1U,h.s hoon oppll,ocl for ol1c1. grol110d bV tho SocroWV of Reynnuo wllhll1 tho nlr10,mill1lh porlod, PAILURE TO Fl\.E RETURN _ Soctlon 191 of tl10 1961 S\o\uloprovldo' \hOI ", "onv por.ol1 WhowlllfullV foil. 10 1110 810lum or 011101 rOflOr\ roqul,od of him, , , ,hall ho por.onollV 1I0blo , , ,\0 a pOl1oltY 01 26% 01 1110 lox ullll11ololV found 10 bo duo or $1 ,~OO whlchover Is \110108801' \e borocoyorocl bV Iho Ooporll11onl of RoyohUO as doblS of IIko nlOo\lnl oro rocoyorohlo bV low." RBv.eu 1'0 ('1.80) . COMMONWEAl. TI~ o~ PENNOVl.VANIA oBPARTMENT or I\BVBNY. IUABAU OP PIB\.OOPBAATIQNB 1-10TICl!OP PILING OF APPRAISeMl!l'lT *. JlUlioe Ill. IAIXllc.'\ ~264 st.rat:hrrQte Drive Mechanioeburq I PA 170~5 ReI Eatate of County of Pile 1-10, h11~ (1.. twvo.Y'A Clll\'bQrland 21..Bl..04~5 O_ar MIl. IAIXllc.'\t You a,,~.reby natlfl_d that the Ol:',~Q"l'\al____- appral..men\ln the ..tat. of , 1b!Q:i ('!. ~p;l hal b..nfll-d In Ihe o,ff1ceof tho Reglltetaf Wills of C1t"""",,,',,nd County on ' "'IP"~" 18 ,19 on. Sold appral'..ment refl.ctlllhe folloWing valuation II Real eltat. Perlonal ~roperty , Jointly Owned Tranlfer. Tolal Mt'W'lA l,g55.00 '2,341.62 Nsl,ne -a,296.G2 '" AI to luoh tall Iholll paid within thre.monthl from dOl' of d,olh a ,live (5%) perc.nt dlloount laallowable. AI la, any lOll Ihal "main. unpaId ofte, nlnl (9) manlhl (flft..n monthl whend.ath oocu,,_d from Dto.mber22, 196510 June 16, 1971, InclulllvlI, and Iwelve monlhl when d,ath oocu"edprlar to Deoember 22,1965) from dale of death, Inttrttll at Ihe We of Illl (6%) peroent per ,annum Ilchorged. Any party In Inter..t who,il oggrlev.d by thl, notice may ablect th',reta within IllltydoYI after tlo.lplof laid I\,atlo. 01 provided by Section 1001 oHhelnherllonc. and Elta,e TOll Acl of 1961,72 ".5. 2485~1001, P,L, 373. ", , " , ' 4' Dot' ........11' I'" Ii,,,, ~ .~ Till. qhief AI;lprll~'"'' "',' l'lOTl!I,Thll II not a bill., IlEV.lUOo EX t (11,811 " BUR_AU Of eXAMINATION PENN8YLVANIA DEPARTMENT OP REVENue P.O. dOX 8327 HARRI8BURG. PI\ 1710E Pdc8denl'I Nlme (L I Fllll, Ind Middle Inltllll 0.0 DEOBASED SoclelSecurlty mber , .. 4, Life Bllete 0 6. Fuderel Ettete TaK 0 ' Rdturn Required, , SLOOKS 0, Opcedent died tlllate 7. Oenedent mllntalned a living 0 0, Number of ..fe d,pollt 0, ' (Attaoh 00 v of WillI trUlt (Allloh oopv of trulll bOKII Inventoried , All eOlrelpondenoe In,rl oonfldentlll tlK Informltlon Ihould bedlrooted tOI oORRe. SPDN,DftN'rNome OHEOK I I I I APPRO. PRIATE INHERITANCIi TAX RETURN RIiSIPENT PllCEPIlNT File Number REOAPIT. ULATION AND TAX CALOU. LATION Oeoedent'I AddrHI .-------............-. Ooto of Ol.tll 01- "'(5'..~1 ~, 8uPPI~ment.1 Roturn 0 3, R.mlln~or R.turn 0 1. Orloln.1 Return 0 Addrell Tolophone No, Olt 8tato ROlllpltuletlon ,. R..I ~~tete (Sohedul. Al 2. Stookl end BondI (80hlldulo BI 3, CloloIV HOldSlock/Pe"nol1hlp Int.rott ($ohedule CI 4, MO"otOollndNotol (Schedule 01 6. C..h & Mllcellanoou, Petlonel ProPerty (8chedul0 81 S, JolntlV O\\'nod P,opertv (Schodulo F) 7, ' -Tronlfot! (Schedule 01 8,Totel OrollAlnll (totellin.. 1.1) 9, Funorol,QWPOnlll Admlnlltrotlvo COllI/MIICOII.noOul EWPellle. (S.lIodule HI 10, oebtl/Mortg.g"/Llenl (90hedulo II 11, Tolel Deduotlon' hot.lllno'9 & lDI 12. 'Nel VelUe of Qllato (IIn8 9 mlnu,lIno 111 13, Qherlteble BequOll' (Solledulo JI 14. Not Vlluo,ub/eot to tOK Wne 12 mlnuI line 131 (1) ( 2) ( 3) ( 4) ( 61 ( 81...:..- (7) , (61_ ( 91 (10) ---- (111 (121,-,-- (131 ' (141 OompulItlQn of TIK . 16. Al1loun\ofllne 14 tOKlbleOl8% reta (1&1 Onolude v.luoI fro In Schodulo KI 18, Amount oflinef4 tlK.bleot 16% rlto (16k (Include vlhlll from Soh.dul. KI 17, PrincipII I'K due (Idd tlK from IIn"8 'pM tlK from line 181' IS. Tptll PrIOrP'YI1l'ntl: (.1 Amount P,ld (b) Plul oll~ount (01 Mlnullnterelt (18) _ 19;', alline.Olle (Un.1? mlnuI IIn.,81 M.k.,Ch"kPIV'~lo tal R.gllter'of WlIIliAgoll1 · · 'PLllAS_ AROH_OK MArH .. . K,oe" " K,16" ,1171 '.'f' 1191_ , Under penllll'l of plrlurv, ,I de,cllrothlt I h,lve oK.mlnod ,Ihll r.turn, Inc,ludlno eoeompenVlng lohedulol Indltll8mentl, .rid to tho bill of Iny knO\VI.dgc end b.llef. IUI tru.. corroot, d obmpl.,.. Decllrotlon of propll8r othQt thin Ih. porton31 tlprelontltlve II blled on In Infolm,tlon of whloh preplrer h.. InvkhCwledgo, ADDReSS JJ/J~ft- SIGNATURE or PREPAR8R OTHER THAN R8PRDSENTATIVE ADDR8S8 -- z -- ... Unlalllllod lIabllltlos Il1currod by Iho docodont l!tlor to hls/hor doath aro doducllblo agall1st hll/lw taKublo ..talo, 111 addition 10 dobts Incurrod by lhodocodont or ostato, olhor Iloms aro clolll1ablo Il1cludlng tho cOil 01 admlnlltratlon, attornoy I.es, fiduciary 1001, lunoral and, burial OKp0l11al Il1cludlno Iho cORt 01 a burial lot, tOl11bltono or grave. ",urk.o,' and'othor ,Ietat,d 'burial eKPunlOl, , ' All dobts bel~o clalmod agalnlt on OIlato aro sublect to tho approval 01 tho Reglltor 01 Will. with whom tho Inherltanco Tail Roturn II Iilod, Evldonco to support tho docodant's or tho ostato's liability lor tho dObll boll1g clalmod Ihould bo attached to thlllChoduloi A lamllyoxomptlon may bo clalmod bya SpOlJlO 010 decodent who died domlcllod 111 Ponl1lylvanla, 1/ thoro II no spouse, or II tho opouse hal larl.lted hls/hor rights, then any child 01 Ihe decedent who Is a member 01 Iho samo houlehald oan claim tho ex.mptlon, In tho ovol1l thoro Is 110 Iuch IpOU80 or child, Iho OXll11ptlOI1 con bo claimed by a,parent 01 parol1llwho are momberi 01 the lame household 01 tho docodont, Tho family oKomptlon II allowablo only against auetl whloh pass by a will or by the Ponnlylvanla Il1tes!ate Lawl, ' t. . F , . NOTEI Componlatlon paid to an estate reprosentatlvol namely, a~ executar or administrator, lor sorvlcOl perlormed In admlnllterlng on OItate Is reportablo lor Pennlylvanla Income Tax purposol. Thlllaxable Incomo 110m Ihould bo roported on lorm PA.40.lndlvlduallncome TaK Roturn. ' , , -_1 . I. J;) ~ z p :: frl z p ~ ~ 8 ~ '~ e; '~ I;;l~ 0,.: ~ o .." ~ ~ ~ 1.'1 . z ,,' Cl .. ;' , . ;, N .- I t.l. _.j . ". Cl ':->t~i .." ~ I! r IT;' ,'-I ~;:. L UJ Ii'::;- ~ ~ ll~ ~ 11.';., , -, <.: .r , INSTRUCTIONS FOR COMPLETI~G SC~" 1, 1/ the lomily oxemptlon Is bolng olalmed, Indlcale tho claimant's nome, odd rOil and hls/hor relatlonlhlp 10 the decedonl, Enler "family exemption" In Ihe remarkl column and tho amount clolmod In the amounl oolumn. 2. ASSign conucullve numbers to each Itern Ilsled, ' 3. Elller the date on whloh each debt wal Inqurred and/or paid, 4, Ent., tho nameS of each payee. ' 5, Provide 0 brlof oKplanallan In tho romarks column 101 each debl clalmod. 6, Entor tho amount, of each debt being clalmod. 7, Tho lorm musl be signed by Ihe person who has assumod the responsibility lor paying the debls, IF ADDITIONAL SPACE IS NECESSARY USE 8W' K 11" SHEETS, ~ ;~ ., r....~l (~" ~';,~ "1('1 I~!m " ~~It n-, ;:i'l L J EJ , INFORMATION Thll dooumonl ", Ih', NOIIOO reqUired 10 be glvon under Seollon 109 of Iho Inherli.noe ond ellalO Ta, AOI Of \ 9S1 (12 P.S, "ollan 2481\), II Iho lax la paid I'..ilhln Ihr.. (3) mqnlha all., Iho deoedonl'l d.-Ih,,' dlloounl 01 1\% of the, IIX paid la III owed, Inherlt,nOI Tax booom.. dolinqu.nl nino (91 monlha afte, Iho (jooedon!'a <llllh, In,aroll la oh~,g~cl .1 Ihe r.la of alx (S) paroent par ,nnum on Ihe, amOunl 01 unpaid la" Isee eXAMPL~ aeLOWI eXAMPLE: It a balanoo of la, cluo of $2,000,00 la In a d,llnqu.nl $Ialul from 3-3-80, '.nd paymOnl I' mado ' on 1\- 23-130, Il1e Inleroll la oaloul,'od aa indloal.d b,low: STEP 1 Ott.,mlno Iho 'alo of Inll,.$1 flom'lho labia bOlow, STEP a Mulllply Iho balan~o, of t.x cluo by Ihe lal. of in,.reat STEP B Add Ihl Inloro$l 10 tho' balOnoo of \Ix duo, Into, III f,om 3-03-BO 10 6-23-90 l'I..ulll In: 2 Monlnl. ,0 I 0 , 20 Oava . + ,(LOa.a ,1'1011 of Interoal . , ,Ol~3fl a.lanoo of laK duo $2,000,00 1lI',e of In\ttltL-......J ,01336 _ INTeREST $ 26.70 aallMo oHlx duo PIUI Inlo/O$I 10 ~t of P'V~,0I11 (+) fOTA \IX an Int".., 10 Oa\o eof Paymonl $2,000,00 $ 26,10 $2,.926:10 ..______.__.._______~_._._____'~__~M~~__~__~__~~,____~.._.~__~~~__,_~._ I monlh ,006 4 monlhl ,020 1 monlhl .036 10 monlhl' ,060 2 monlha ,010 6 monlhl ,026 B monlhl ,040 11 monlhl ,066 3 montha ,OIS 6' monlha ,030 9 monlhl ,046 12 monlhl ',OBO 1 clay ,00011 1 I daYI ,001B6 2 I daya ,00362 2 clIVI ,00034 12 daYI ,00203 22 dlYe ,003B9 3 clIVI ,00061 1 3 d.ya ,OO~20 23 \llyl ,003116, 4 claYa ,OO06B 14 dlYI ,00231 24 day I ,00403 1\ clfVI ,000B6 16 day a ,002110 26 dm ,00420 . 6 claye ,00101 I 6 daya ,00261 26 dava .00437 7 cloya ,00,118 1 7 claye .00284 21 dlYI .00464 B daYI ,~01311 1 B claya .00301 28 dlVl ,00471 9 cllyl , 0162 19 claYI .00318 29 claYI ,0048e 10 clm ,00169 20 clOYI ,00336 30 claYI ,OOIlOO ._,______________~-~-~--.-~-.-------------...-.M~'-.M._NhM___M____~~~~__ Any party In Int",lt, In~lucllng Iho Commonw,.lth and tho po"on.1 rep"untlllva, not ""llIld w,'h tho aPP"'umont and ......mont may ObjOCI Within IlxIV 160) daYI Mlar toooiP\ of thll Notlco .. ptovlclOd by Saotion'l 00' 01 thO Inharllanoo and Eatlto TaK Aot 01 '961 172 P,S, nc, 24B6- 1001). MAKI CHICK Oil MONIY OROIR MVAbLI TOI "ReG1ITlR OF WILLS, AGeNT" OITAQH THe TOP PORTION OF THIS FORM AND ,SUBMIT WITH YOUR PAYMeNT TO THI RIGISTIR OF WILLS, FOR THe COUNTY SHOWN ON THe I'IIVII'ISe, see THe INHIRITANCE TAX INSTRUCTION aOOK FOR ADDRess REV, lU71X (lO-S.1 BUREAU OF ExAMINA110N . h:' NonCE Of INHBRITANOI TAX ' PENNSVLVANI~,gE:~,~, T~;~,J OF REVIlNUE APPRIIIBIMI,N, T, ^~~OWANCI OR DI8A~~OWAN, or AClN 101 _ HARRIIlBUR(l,PA_~.~~ '. Of ~IOU::~.:..~~. A"~~~:.TAX I ~Qo;aJ3"B2,,","\",,_-:_ IITAlI Of HOORE RUsY C fl~~ NO. 21 81-0425 DAtA. OLJlJATI:LQ.Q:.U:.1lL__....___ ,__._...___..__.__......,.......n....._...~JQUtf!'.t....Q.U.MI3,~Ri,.l\lirL...___'._,.__ NI.)'rll TO INIURI PRopeR OREOIT TO YOUR AOCOUNT' SUIMIT THI UPPER PORTION Of THill NOTICE WITH YOUR TAX PAYMINT TOTHI REIUSTlR or WI~~s Of THI AnOVI OOUNTY. MAKI OHIOKS PAVAILI TO "RIOIITftR Of WI~~S, AaINT", ' J RC'IlER'l' STIIUI'l"liJR HI\RKli)'l' flQ BLDCl MIi)CHAIUdf.H1URCl PII 17055 PLEASE RETURN THIS PQRTJON TO REGISTER OF WILLS IF PAYMENT OUE QY'LAJ.9t11<:J _ 't:.1-!I'- .LIN.8n u . . . n . un _ _, n" _ __ . . . . . _ no _ . . _ c . _ __ . _ .. . , . . . _ un n NOTIOI D~ INHIRITANOI TAX APPRAIS.MENT, A~~OWANCI OR OISA~LOWANOI Of DEOUOTIONIANO ASSIIsMINT or TAX RIV, 114?fX ( lD"SS) UTATE Of MOORE RUBY C fl~E NO.21 81"0425 AON 101 OATI 10~25"82 ..."'._...._. .,--,___..~~~._~~~.~....o.-......~.__.~._"_...____,..,~,.__.......----------.-..._~._....~~.---.--"",,""-- .__~.___.1bx H~!.l!.!1JY~L..l)tL.~ff~,~TED _~.!!.IiJ!.P.._...!.,_} CH~~9f!?_._...__"_____.._.____._. APPRAISID VA~UI Or RETURN BAseD ONI 1 SUPPLEMENTI\L 1. R..I Ea,a'. (6ch.dul~ A) 2, 6100ka '.nd Bond. (6chodul. Bi 3, CloaelV Hold lllock/Pa,tno,.hlp InIO"SI ($ch.dul. CI 4, Morlgauea .nd Nol.a (Sch.nulo O) 6: Cash a. Mlacoll.nooua Porton.1 Property ,(Sch.dul. .1 ~, Jolnlly Owned PrOperlY (S,'hodule FI 7, Tren.lora (llch.dul~ O) a, T 01.1 Anti.' RETURN ( 11,_..____.1 00_ ( 21 ____.__.__~L_ ( 31 --'_._'-. .00 ( 41 ___.~&Q....... ( 61.__..J.&~5. OQ___ ( 61 .__...1Jl!U-.i.qL ( 7)_~~__!.QQ.._. ( al .___..h?_~~~. APPRoveu OeDUOTIONS AND exeMPTIONS I 9. FUl1or.1 Exp.nuaiAdmlniatr.llvo Colla/Mlacoll.nooua e.pen..s (6c~'dulo HI 10, DonIS/Mortga9U/Llons (Sbhodulo'lI 11. TOlllQodUollono 12.' Nol V.lu. 01 T.. RtlUln 13, Charllftbl./Govornn"nt.1 ~.quotlO (Schodul. JI .14, Nol Valu, 01 EaI.11 Stlbl,el '0 Ta. (9'_~. .00 1',O}~..-----..J.OO _ (\ 1) 1121 (13) (14\ ____.00_ 4,296'91., ..__,_--1..QQ.. ------...&Q.. A~.ESSMIHT 0' TAXI 15. Amollill of line 14 ta..bl. ,I 6% rll. 16, AmOUl11 01 IIno 14 ".ablo .1 I 5% rei. 17, Prlnolp.1 Ta. Du. 'fAX CRllllnl r'~" PAYMENT .:.,-~~ I bREST -IB CH1\R~EDA.T2o--PERJENT F~'.--;;39--_LT-TOT~'=- TAX~RE~~ _==-=---=.QQ......~ DI\YS FROM 03-16-B2 TO 1l~OS~B2.. PBA~ANOE_~-"-!!:~ OUI ......___....ill..dlQ._ INTEREST 33.76 ...--....-..- ---....... ---------1 . IF PAID AFTER THIS PATE SEE REVERse FOR CALCULA110N TOTA~ OUI' 291. se; OF ADDITIONAL INTeREST -'" ._..,_u..........__~___._______.__1 IIf B.I.nce Due IS Iou Ihan $1.00 no o.ymenl la roqUl"d) RITAIN THIS PORTION POR VOUR RICORDS (151__ 4,296.62 ~x.06-. __257.80 I 16)___ ---.:_~.Q....x. I 6- __._____1_QQ.. 1171 2117dtQ.., ''''''1seEI''1 I -----OIGCOUNT1+I- # '1' INTEREST 1-1 _"':"'"_._.;____4._.,...;..... ..___-,-_"""":_.__--'--_,........ " AMOUNT PAID