HomeMy WebLinkAbout81-00514
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l\nd ]?ub1.in1\ thia ~r l,lln't, vl:t1J. /In<1 '1'OlJtrunon~. horohy 1'Qvoldnf', nnrl makinI': void
't~ll'.'r ll\l(l nlJ. fol'lner wi).:1.o by mo lIt lln:r time h01:'oto:('01'O mn,de.
]"IHS',', I <11.1.'oot I,,~r horoinnf.'t(H' ll!lfiled J1xoou1;dx to pay nl1. Iny' .J\.\llt (lebto
'And funDl'Al oXp0!100n an Aonn M conven:lont:W 'ML~r UO l\fto1' tlr,TdtloeMe.
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f\1,LJ.Oon, nbSolutolY.
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ALLISon, tho Dolo ~;xooutrix 01' thin my l,nst IH.n Md 'rootnmor\t.
Jloun'ru. P1.'ov:l.da(\, h017eV01', thnl; if nw nnid \rifo, nMA1UJJ,A Al,LIBON I
nhoull1Dl'qdooo(.\no l1',(l 01' if' \Tl'Jllho\\J.'] dio in ",col1ll!\on <1:1.00.Ul,Or, than in oithe1.'
or nl\:\.il avonto, I l~ivo, (]ovl,no nnd'llQI],uo!1.t!l 11,11. lilY D1'op01't:r, roal, pernohn).
(\nd mi.l(ou, Ilho.tnoovc1' 1.\1\(1 \Th01'Il,AOOV01' oi t1\nl.o, o.n :f'oJ.~O\ro I t r~i vo o.nd batlueo. \
nH tho hO\lIlOh()lc] 1'Ul'ninhl,nr,1l t!lll~ I own lit tha time or Ill:r dOOOnAll t6 mY oon,
HOmm'l' IUCIli\NI, AJ.],H10N \ l\nd 1 r,:\. vo, rlovbo nnd 1IoqW~a.th a.n thll reot, raoid.lie
and romni\ldor or Tny f:ntlj,to in .~,J/) 0"'\\0.1 ohnrclA', oh7\l'e o.nd "hu1'e o.lillo to Il\Y,
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two Ilh:\.~,dren! nnmel~r, 1l0lmn'r IIICl\/Il~L !\J.JLISOU o."l] nonO'rlIY ,J!JJ/I!~ Hlt.l30tt" 1'I\OVIPl~!
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mo ' 01' if \'0 ohO\\l(\ dill in n, oommon (11n(tstor, than :tn oithor or Iln.id. eVents, I
!lel'ahY nominn.te, oono tHuto llnd 111'1'01 Ilt'J~Itl!:J'IHA'r IlNl'IOl)Al, U!\NK 'OJ' 131lIl'l'lmSUU1 0,
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lny" Attil\ lcXoOlltor to hn.vetul1 pOV01.'I\ncl n\\tl1ori t~T. to <10 !\IlY ll\ld e.llth:LMtl
"eoanoo.1":/ rOt' tha oomploto !\(lnt:Ll\5.Btrntit1n "r ",v ooto.to, i\loJ.ud:l.nr, the pOW01' t
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~r:tt.ho't\t n.nv Orr1(H~ ['I f.' fillY Ct1tll.t,.
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OATH m' Pl~RSON^I, Rt;I'Rt;,mNTA'I'IVt:
COMMONWEAI.TI-I OF PENNSYLVANIA SSi
COUNTY OF CUMBERLAND
Bofore me, the Re~lster for the Probate of Wl\Is and granting of Lotten of Administration' In and for the County of
Robart M1ehno.\. All:lson
Cumberland, personall}' came
who, bolns duly sworn
of the last Win and Testament of
,do os depose and say that as
Robart H, I\lUson
gxoclItor
deceased
hA . wl\l well and truly administer the soods and chattels, rights and crodlts (lfsald deceasedaccordlns to law, And
also will dlllgently comply with the provisions (If the law rolatlngto Transfer Inhorltances, sworn and subscrlbod boforeme,
. July 14. "..-A,D" 19..]L{U.e..< / < ,] 'l~ (?(? (ll'<Id!?-. I .
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DECREE ..
ne II remembered that on the a4th. day of .
August
,A.D..19 al, Ihere was probated Ilnd
"
r~eqrded the last Wllland Teslllment of
Rober~M. All~son'
, latoof
BM,ppeneburg
Deceased. lettcrs "Tes t~mentary were sranted to
Witness my hand and (If(lclalseal the.~ay and Year af(lreSlIld,
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, Cumberland COllnty, Pennsylvania,
Robe~t Michael AJ.lison
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'7 ' -. " Register
Inventory 01 the "01 and p~r.ol1ol ..tate 01
_1\ob,C:'!.t:., HL~Al:.1:.~.o.!)L_~~u ._.+.~.m_.."."'_u.....m'.~-' d~c.a ..d,
_=~~"'_,,;,~;-.:.:.::.n.;.;-;:-~-::::-,:~;~-.:":=:~;-;;~~=-'...:::'.-;;-~_.~.-..:-;;:.~..;.;.:;._;;:;;;";-::_,,;;:::;.n:..::;.-;-~--;.~:.:-._~"",,,_"::"~'::::~~
Household oontents~ . Bile npp1.'lliaal
The Peophs'Nadona~ nank~' ChQc\tingAccount 1110-414..0
The Peoplea Natio\'laf nank~ Badntls Account IloJ.O~4J:4-0-20, nElmes of Robert
M. Allison and DQrothY J. WUson werll nddod Novembor l~, 1979
Th!1PeQPlea Nat1Qnal n!lnk-cortificnte of Deposit 114041, dnted 1/15/Bl, held
in \'lames o~ Ropsrt M. Allison, Robert M. All.:lson nnd Dorothy J. Wilson
The Peopllla National Bank- Cert.ificate of Deposit 114041, interest to datil
of dQa tih
The PeOp:t.esNlltional Bank- certificate of DeposH 11472B,dated 5/15/81, held
. in names of Ropert M. 1\11:1.son, Robert M~ f\llison and 'Horothy J. Wilson
The Peoples National Ilnnk- CliIrtificate of Deposit 11472B, intersst to date of
death .
Con\mon~ee.lth Nationalllank- Savings 'Account 114l-1059461~3, i.n name a of
Ropett M. Allison, Robert M. Allison and DorQthy J,. Wilson
Commonwealth N!ltional Bank- Savings Account 114l-~05941-3, interest to date of
dlilath
Oommonwealth Nntional BAnk~ Certificate of Deposit 1141-1000149-0, in names of
Robert M.Allison and Robert H. Allison
Commonwealth N!ltional Ilank- Oertificate of Doposit 1141~1000149-0, interest to
date Qf death
$50 U, S.SedsllEllond IIL200~79631E, datod 7/75 in Mmos of Robert M. Allison
or Sarah E. Allison
$50. U. s. Serbs it Bond IIL2020985759E.,' dated 9/75, in names of Rob.ett H. Allison
or, 8arah E. Allison .
$50 U. S. .8eHea ~ llondllt202B152038tt, deted 12/75, .in nam(;ls of RtlbQrt M.. AHiaon
or Sarahl\.All:lson
"
$50 U. '8, $adesE Bond IIL2028443192E, dated 2116, in names o~ Robert M. AlliSon
ot Sa~Qh E.A11ieon
$50 U, 8. S~ties tt Bond IIt2049204~55R, datad 4/76, in names of Robert H. Allison
or Batal" E. Allison
TOTAl,
5,120 00
658 10
2,556 28
26,042 14
1,703 46
43,206 96
B40 58
1,165.20
15 lB
42,935 12
1,279 15
52 28
'52 2B
'52 ~.6
50 76
50 76
125 780 41
COMMONWIAUH OIlPBNNSYI.VANIA I
COUNTY 01' CUto181RLAND J
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"R.~b~rt M~.Clh~~lAl~l~i~o,l) n .__, ~ '" "____._.____u.m'_'_m___~__+_~,__.
beln\ duly ",-J!~orn__ __".." acoordlnll to law, dopolOI aild UYI that ho __,_,,_ is_,!:~~o._"_,,,,_,,_,.,._,_.___
___,~~:ut~.:_."."",u__,,_ _ ",,_,_.'"'' of tho ftlhto of Roport M. Allison _._._, _
.Iato of llorough of ShipponfJPllrR ,_.__, Oumborland Oounty, Pa" doooued and that the
within II an Inventory madoby " Mm...-_,,,'_m~_"________~__'_cn___' the uld2K~~'!toL_.~_
of the entire OItato of laid deoodent, conllltlnll of all the perlonol prop'~rty ond rool OItote, eMo.pt rool OIhte outsIde
the Oommonwealth of Pennlylvanla, and that tho "Ilur" oppollte each Itom of tho Inventory reprOlent It'l felr velue
el oJ the deto of docedont'l duth, '
Sworn to - and lublorlbod befofe ~e, '.l'~ ~'j~...d~&!l, t1._e Q.~~'::S.~_________
~~,..;,... ...."1SO'/} 1/ ~.~~t..) 19 (fJ-J ~~Pft~t 1l~;dI1l1e~"~lYfsMmlnllH.to'
-1hl~,IOY A~~but,Q~: N,. o;marv 'pu~'<-'f-t,~",,' 'j ShipP$nfJbli'rg,-P~n,--hlr@7\:ir::-'
$hlpp,n,bu'Q, PA Cun'b.rl.nd County
M, Coinmllllon bpi". D'''lnbet 271 1982 ' '-"---"'-"""~--'-Addr..-'
29 th ,June
, De'. of Duth _~_~_."'_"_nn____~____~~_____'_"
D., Month
1981.
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INSTRUCTIONS
I, An Invontory mUll bo flied within, three monthl olter "ppolntmont of perlonol r.prelOntotlve,
a. AIUppleme~t Inventory mUlt be flied within thirty days of dlsoovery of eddltlonol amh,
3. Addltlonallheeh tn.y bo ~,tt'ahedftl to personalty or rulty
~, SeeArtlql,IV, Plduolilrl" Aqt i~f 1949,
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p~NNSYLVANIA I~~ERJTA~CE TAX GENERAL INFORMATION
L ~SPO~SIBLEFOR RETURN
Section 70.1 of the Inherltijnce and Estate Tax Act of 1961 provides thai the following persons shall prepare M.d file
a return: . .
a. The personal representative o.f the estate .of the decedent as.to properlY of the decedent administered by.hlm
and such additional property which Is or may be sublectto Inheritance 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,
Incl.udlng a trl.lstee of.prop.erty transferred,ln. .trust, provided that no separate return need be made by the transfer.ee
of property In.cluded In the return of a personal repre~entatlve. '
2. PLACE FO~ fJW
Thl! reMnlsto be flied In duplicate wllh the Register o,f Wills of thecounlY wherein the decedent resldqd.
3,TIME POR FILI!!9
The return Indue nine months 8./ter the decedent's ~eath, unlens an extension for filing has been applied for and
granted by the Secretary of Revenue w.lthln thenlne;month period.
A. E811&~E TOf.lb.E RETURN
Section 791 of tha 1961 Statute provides that H. . .any person who Willfully falls to file s, return or othe(raport
required of him.. .shall be person~lly liable. . ,to a pen~lty 0.1 25% of the tax ultimately found to be due or $1,000
whlcheveris thnlesser to be reco.vered by the Department of Revenue as debts Of like amount are recoverable by
law."
'5,~
InMrltanoe Tax Is payable atthe.rate 016% on transfers tOI,lneal descendants, such as father, mother, husband, wife,
son, daughter,grandchlldren, grandparent,son.ln.law anddaughte!'in.law and at the rateof)5% as to all others,
6.'~
,1'hQtax assessed on the transfer of property reportedlh the return Is due 9monthsafler.tM decedent's death. Interest
~l '.he rate. of 6.% por an.nu.m acc. ruesthere.afler until payment I. s m.Ode, All Poymen.ts. recel ved ar..e fI rst tlPPlled to anY
Intere.st which may bo due WI.th ~ny remalnde.r..oppiledto .the ta.x.lfTAX IS PAID WITHIN 3 MONTHS AFTER THE
DEC~PENT'SDEATH, A DISOOUNTOF 5% OFTHE TAX PAYMENT IS ALLOWED. .. . .
" ." ,.--' -, -,
All chacks. should he m.a.d. a pa.y ablato the.Raglster Of. .WIIIS of the.. county wherein the decedent resided end ~re
received sUbjact to tha fl.naldatermlnatlon,of the Dapartmant of Revenue.
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~h:t~~~~Sal~nnSt~~e~~~~~:rb~~~\~~~ I~ t~~rl~t ~1~~~anXo:r~:y I ~en :eodh f6~a~I;I~s~t~nY ~~~h p~~reA~n\~I~~~~:J~~~~~,nstll
estata or agalnst.any proparty belonging to a transfer~e lI.able for tha tax. .
8. FIl.IN GO FF ALSE RETU RN
Any persOn ,who will fully makes a falsaretum or reporUaQ41red of him shall, In accordanCe with Sactlon 793 of the
1961 Stalute" be guilty of ami sdemeanorand, on convlctlonlhereof, shall ba sentenced to pay a fine notexceadlng
$1,000 or undergo Imprlsonm~t nolexceedlnR one year or both.
tiQJ.li: Oompansatlon paid 10 all ostata t~presentallve: llamely, an executor or administrator" for servl,ces po'rformed
In admlnlstarlng an astate.ls raportable for Pannsylvanla Income Tax purposas. This taxabla Ihcomeltem should be
reported on form P A.40.lndlvldunlll1come Tax Relurn. .
,
QUESTIONS CONCERNING PROPERTV TRANSFERS
,
1. Old decedent! wlthlnt ,wo years of death, make any transfer of anymaterlalllarl of hlsestatewlthollt receiving
valuable and adequate consideration? (Answer IIYes" or lINo".) ~o ' .
2. Dl,d decedent, within two yea"rs of doath, transfer P, roperty from himself/ herself to hlmself/hetself'and another party
or parties (Including a spou~e) Inlolnt owner~hlp? (Answer "Ves" or "No",) No
3. II the answer to one ortwo ,above Is "Ves" and the transfers ara claimed tq bo nontaxable, provide the following
Information:
a, Age of,deoedQnt at time of transfer,
b, Copy of de~th certl fI cate,
c.Affidavll by the attending pl1Yslclan Indicating the state of decedellt'shealth at time of transfer.
d. All other Informatlons~pportlng nontaxablllty of transfer, .
4. .Dld 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 orenloymQnt at or.aftQr his/her dQath? (Answer "Ves" or "No".)..J\!L-
a. Was there any possibility that the property transferred might rQtum to transferor or his/her estate or bfl subject
to his/her power of disposition?, (Answer "Ves" er "No".) No .
b;What was the \ransferee'sage at time of decedent's death?
6. Old dece~ent ,In his/her lifetime make any transWr without receiving a valuable and adequate consideration therefor" .
under which transferor expresslY qr Implledlyreserves'fqr hls/hQr life or IIny period which does In lact end before hls/hQr
death:
a. The possession orenlqyment of or the right to IncomQ from the property transferred? (Answer "Ves" or lINo".) No
b, The rlsht to deslsnlltQ the persons who shall possess or enjoy tl1e property transfe.rrQd or Income q)QrQfrom? .
(AnSWer liVes" or IINo".) No
6. ifthe answQttollve b. abovQls "Ves," was the right resorved In deCedent alone ( ) or decedent and others ().
7. Old decedent In hls/herllfQtlme make a transfer, tho consideration for which wastrall~feree's promise to pay Income
" to or for the benefit or care of .\lensferor? (~nswer "Vesll or "~o" ,)~n
8. Old d~oed~nt,at any t1me,transfer property, the bmeflclal enjoyment of which was subject tochanije, because ef
a reserved pewer to alter, amend, or ravoke, er which could revert to deoedentunder terms o.f transfer or byeperal\?h of
law? (AnsWer "Yes'.'. or "No".) No, "
9. L lithe an.s..wer 10 eight aoo..ve Is "ves\" was the power to alter, amend or revoke the Interest of the benellolarY resorved
'In the decadent alone ( lor decaden and others(), .
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COMMONWIIIL TH Of PINN8VLVANIA
, PIPARTM8NT Of RaV,NUI
TRAN8flR INHIRITANoI TAl<
RI81PINT PIOIDIN"
estate of , I'o\)ertM. 1\11ison
SCHEDUl.E "0"
BBNl!PICIARIl!S
*'
!!mII'lIM/pm 011 ROV0f8D S/(/ol
811Nilp101AR11l8 AND AODRI!S8IS Rl!LATIONSHIP ,.SURIJIVED DATil 01' INTl!ReBT Ol'.1teNIlP1CIARV
DeCBDeNT . BIRTH
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DI\UlI.h ter , .'
302 Taylor Avenue ,
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rill ebDve beheflelerl'I.'" \lvlnget.thll time &lloept flit the follQwlngl
NAMa
DATI! 01' DIlATH
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WiIRUCTIONS FOR COMPLETING SCHEDULE "E"
Sohedule "E" must Inolude ell property, rOtll tlnd perspnul. owned by tho docedunt jointly with onother
party or pertles as joint tenents with right of survivorship. Both tanglblo tlnd Intunglble property are to bo
Included. List reel estate first,
1. Desorlbe ell.re~.1 property es Indloated ih tho Instruotlons for llchodula "A", Dosorlbe elll1arsonal property
as Indloated In the Instruotlons far Sohadulu "13", Includo tho nomo, oddross and rOlatlonshlp to the
deoedent qf the oo.owner (st and tho dato thalolnt ownarshlp was astabllshod,
,
2. Indloate tho total market value of tha lolntly ownod profJorty.
3. Indloate the peroentege of tho dooedent/s Interest.
4/ Indloate tho market velue of tho deoedent/s Interost.
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9~NEeAL INl;iE61TANCE TAX 1t:l~06MAT~
Un8lltl,fle~ lIabllltlas Inourred by the deoedent prior to his/her death are deduotlble ogalnst his/her taxable estete,
In addition to debts Inourred by the decedent or estete, other Items are olalmable,lnoludlng the cost of admlnlstretlon,
attorney fees, fiduciary fees, funeral and bl.lrlal expenses Inoludlng the oost of a burial lot, tombstone or grave marker,
All debts being olalmed against un oatate are subleot to the approval of the Register of Wills with whom the
Inherltenoe Tex Return Is filed,' Evldenoe to support the deoedent's or the estats's IlablllW for the debts being olalmed
should be attaohed to this sohedule,
A family exempt!ql1 of $2,000 maybe clelmed by a spouse of a dscedent who dl,eddomlolled In Pennsylvania,
If there Is no spouse, or If the spouse haB forfeited his/her rights, ,hen any ohlld of the deoedent who Is~ member of
the same household oan olalm the exemption, In the event there Is no suohspouse or ohlld, the exemption oan be
olalmed by a parent or parents who ore members of tho same household as the qeoedent. The familY oxamptlon I,
allowable only sgalnst asaatS whloh pm by e will or by the Pennsylvania Intestato LawS,
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INSTRUCT'ON~ FOB COM!l.Il.TINQ SCHEDULE "~ .
. " If the fall'illy,exempt!on Is belngolalmed, Indloate the olalmant's n~me, addreSS and hlB/hor relationship to the
deoedent, Enter "family exemption" II) the remarkB oolumn and the amount olalmed Ih the amount oQlumn,
2, ASBlgnoonBecutlve I)ull'ibers to eaoh Item listed, . .
3. ~nter thedeta on ,whloh each debtwaS IrtOurred and/or paid,
4, Enter thenameBofoeoh payee,
6, Provide a brief sxPlaJ18tlon In the remarks column for eaoh debt Qlelmed,
a: EnW tt\ll amount of 8aoh debt baing olalmed.
7, The form muat be signed by the porsOl1who has essumed the rasponalblllW for peylng the debtB,
HtV.4g~ EX I (J,HOI
coMMONWEA~ TH Of PENN8V~VANIA
, 08PARTM8NT OF ReVeNUe
TRANspeR INHeRITANce TIIX
RUIDeNT DeoeDeNT
SCHEDULE "F"
STATEMENT OF DEBTS
AND DEDUCTIONS
Pur,o II
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Estats of Rober~ M. ^1~h9n _ Date 01 DeQ\h,_6.=4!ldiL_F1Ie No,_
WHEN CLAIMING THE FAM'l.Y IiXEMPTION, COMPLETE THE FOLl.OWING:
,
Claimant
Claimant', Address
Ralatlonshlp tD Decedent
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I~~~ DATH , NAMe OF PAvse , REMARKS AMOlJNT
III
.. The ,___I. ,_ >>na"~ "01 ' 1lC)~p1 ta1 h'I" '0 , n
""p1A1 D. H'l,.~hAY Appl1ah~1 of 11\l\.tul101d . " fin nn
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ChamborsburR, Hospital ,,, nP U_a.'." ldl1 ' 01,' on
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1981 l1ede1.'al nnd Stn to Fiduda1'Y
Roturns I 150.00
.
Robert M. Allison Execu tor I A Commission 6 ?B9.02
, Restlrve , , Prepq1'<l Clop of Final }1:lduc:lary
. , 1\etU1.'nB and Tax " 100 . 00
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. TOTAL THIS PAGE I $'21,l93.37
I herebY certlly that to the best 01 my knowledgo and bellsl the loregolng Is a jusl Bnd true slotement 01 debts, funeral
expElI1SeS and ~xpensesof adrnlnlstratlon submitted to \heestate as doducllon5 for I"helllance Tax purpose~o
'~Oud'I1'lffI.d.~Ld t1.e,O~(\'\.) , a~~~.\.~ ,lQ,.J
: ~.~'~~I;~NArar.~t A~TOnNI!YIFIDUCIM~Y ... DATtt
OFFICIAL USE l. . .'
OgaTa AND DeDUCTIONS ARE ALLOWED IN THE SUM OF $
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AT
PE ROENT,
RI:OI5T1~I~ nl~ WI'Ll.S
DATI!
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Q~NERAL INH~R1IANC6 TAX INF013MATI~
Unsatllfled lIebllltlea Inourred by the decedent prior to hll/her deeth are deduotlble agel nIt hll/her taxable esteta,
In addition to debtslnourred by the deoedent or eatate, Qther Items are claimable Inoludlng tha oost of administration,
attorney feea, ,flduolary feas, funaral and burial axpenlea Inoludlng the OOlt of a burial lot, tombltona or grava marker,
All debtS being clalmad against an altata ara lublaot to tha approval of the Regllter of WillI with whom the
Inharltanca Tax Raturn Is flied, I'.vldenc,e to lupport tha decedant'I or the estate'I liabilitY for the dable being clelmed
Ihould be attaohed to thlllohadula,
A family examptlon of $2,000 may ba olalmad by a Ipouae of a dacedant who dIad domlollad In Pennlylvanla, '
.If thera II no aPOUle, or .If tha Ipouae hee forfeited hla/har rlghtl, than any ohlld of tha decedent who II e member of
the same houlehold Oan olalm tha examptlon, In the event thare II no luoh spoule orchlld, Jhe examptlQn cen be
olalmed by a parent or parenti who ara mamben of tha lame household as tha deoedent, The familY exemption Is
allowable only agalnlt asletl whloh pm by a will or by the Pennlylvanla Inteltate LawI,
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l.WIJRUO!ION8 fOR COMP\'l!TING 80HEOU\.& "1="
If th8famlly exemption (8 being olalmed; Indicate tha olalmant'. name, addre" end hl./her relatlon,hlp to the
deoedent, Enter "family eXllmptlon"ln the remarks oolumn and the emount olelmed In ,the emount ,o9lumn'
Aulgn ,oonaeoutlve numberl to each Item listed, '
Shter the date on which eaoh cebt wal Incurred and/or paid,
enter the names of eaoh payee.
Provide a brlof explanation In the ramarks oolumn fof Baoh dabt olalmad,
Entar the amount of eaoh debt being o,IWned,
Thaform must be 81gned by the person whO hae assumed the re8Ponllblllty for payIng the debtl,
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INFORMATION
thl. daoum.nt I., Ihe Natlo, r.qulred 10 be glv.n und.rSeotlan 10~, of th. Inherlt.no. .nd Ett.t.T.~ Aot
oH981 112 ,p,S, Itotlan 248S),
If Ihl I.x" P.ld wllhln Ihree (31 manthl efter the dlo.denl'e dUlh, . dleoaunt of SII of thl lex peld Ie .lIaw.d,
InherUeno, T.x bloamel dlllnqu.nl nine (SI ma,nlhl eller ,the deoedlnl'l duth.. 'Inlerell II Oharged It Ihe
tate of, elx (S) pera.nl per ennum an th,e emaunt of unpeld \IX, (SeE eX/>.MPLe SeLOW) .
eXAMPLe, If e blllnO' of 'Ix due of u,od(),oO II In . d.llnqulnl 111M from 3~3.80, Ind plyment II mlde
an 11.23-80, Ih. Interut le,olloullltd,1 Indlo.ltd b.l,awl
Inl.r,.\ftam3-03~SO to S~23-80
Relull. In' .
2 Manthe. ,010
" ' aO P'Ye . + '~m
~et. of Int.rl" , . ,
8.llno' of Ilx due
RalA of h,ter..t
INTeREST
U,OOO,OO
x ,0 ~(l3S
. ' 8,70
snp (I
Add the Inl.r..t
to Ih. b.l.no. of
tix dUI,
B.I.noe a f \IX due
PIUI In\lr.i1t 10
~n,f p~y~~p\\+l.
, Ix.n .
Inltre,1 ,10 PtI.
of PIYment "
82,000,00
8 "28,70
SUP 1
PfI.rmln. the r.1t of
Inltr,.t fra,m thl IIble bilow,
STlP a.
Mulllply the blllno. of
\Ix dUe by the r.le of
Intetllt,
82,028,70
~~~--~~~----~--_._-------------~~--------,-----~~---------~--~-~*-~~---
I 'month ,o~s 4 month I ,020 1 manthl ,0315 , 0 month, ,OSO
2 'month. ,0 0 II month. .02t1 8 month. ,040 I I month. ,ogtl
3 month' ,ote 8 mantha ,030 9 manthl ,046 '2 monthe ,0 0,
I dlY ,0001.7 It day' ,00188 Hd.y. ,OO~!l2
2 d.y. ,00034 12 d'YI ;00203 22 deY' :OOSS
3 diye .000S1 13 dm ,00220 23 dive .003BS
4 d,YI .00068 14 d'YI ,OO~31 24 dive ,00403
S d.vi ,OOOas tll d'ye ,00 so 2S diYI ,004\20
6 d'YI ,00'01 18 d.y. ,00267 26 deya .00431
1 d,YI ,001 HI 17 dm ,OOaa4 21 d.ye '80484
8 d'YI ,00136 Ie diy. ,00301 28 dlY' ,0471
9 diye ,001112 19 dlyi ,003111 2 9 d.y~ .ogm
I 0 diye ,00189 20 d.y. ,00336. 30 d.y, ,0 SOO
~----~~--,~-----~------~~---------------------------~~~~--~-----------
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AnY Pitty Ih Inl,telt,inaludlng the Can\monwealth .nd the petlonel t.pre"hl,lIve, not "lIlfled With the
,pptilnment .nd,.......m.nl rneyobl,CI Wllhin Ilxty (60) de~e.fter reaelpIQf thIS Nalla' .. provided by
B.alla~ 1001 of Ih. Inh,tl\inO' .n~ e"lte Tex Aot of 196 I (72 P,B, Ita, 24815 ~ 100 l).
.. MAl<I CHICK O~ MoNIV (I~DIII P~V~.~~.TOI "lIloatall 0' Wl~~', ~1I.~u
oeTACH THe 'rOP 'PO~TION OF THIS FORM ANo 6UBMIT WITH VOI,JRPAVMeNT TO THE ~t;Glml\ OFWI4~8 FOR
THe COUNT V SHOWN ON THE REveRse,SEe THe INHeRIT AN(lE TAX IN8TRU(l't10N BOOK POA~DORE8S, ...
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Lt,.: ;',:' \) 11 ,1, ^: r \) In;: j'J'I\III;~/f.P
r, l':()Hl;l~':_\ 'f. J\LlIJnn'-l, of' 1(; j':fl.~lL HUl"\ nLl'llnL, fHd.rpnnn\lIlr(,~, Cllrnbf})'lll.l\ll
C()\1!1L~' t llullnn."l1fHnl Il, h(dlll~ () [' ~i(J\ll\(l IlrllHl, l'\OI.10)',',r l'llcl nndCll'fl Lltl\'lJ.ng t flo Pinho
Im1 l?Il'nlinh thia r.(',' l,n.ot Hill. 1\11(1 'J~nll~llJnOn~, hUl'Ohy l'tlvoldng o,nd m!\kinf.\ void
any and all formor wil10 by mo nt nny timo horetoforo mndo,
l'1Rs'r. I di root In:' horo~l1nrtor named DXlloutrix to 1'10/ nll m:r J'ust
!i.ltd fllncH'nl oxpllnaoll aa $onn tIn oonvElnillntlyww be lItter lTI;''' dlloel\.lle.
'alilCollD. .1 r,iv", dav1$e I.l.t1cl \lo'1ueo.th 0.11 MI! ll1'opel:\t:r, relll, personal
and mixed, whntoollve:t'Md \rhoroDOIlV01.' ni t,untll I to m:r beloved 'wHe. BAllA ,lnJ:.LA
ALJ:.I80a, nblloJ,utel~r.
'l'HIm). ,I hereby nom:l.nate, oonatituta nnd n)?pointm:r sf;lid wife.
Al;LI8011, the oO,le JJ:xo,outrix ot'thin II\Y I,nst Hill and TIlBtnment,
.l"Ot;P.'.l'lI. . Providod, hovevor. thnt it rn,v Dnid \Ti:l'e, SMA ELM AJ:.L180if"
,
nhould :(lredeool\o<l me or i r 1"0 nholtld die ~,n 11 ClOll\ll\on ,dhcinter, then in eithe:t'
of nnid aVrJntn, I tt,l,vQ, dov1.ol) nnd 'nottllenth nl1. I~Y pro"lli"ty, ronl, pUBonnl
nndmi:ced., ,~hntnoovor nnd whoreaoeVer D~t'~nto, nn f.Ql10WD,1 I r,ivl!!
all the hOlloe!\old fut'niA!\inBlI tho.t I mm o.t the t:l.me 01' m:' dllOllll.lHI'"tl'l m,v lion,
RQllER'l' IUOll/ll!lL A):.LlaOi~ I an,\ I !live. doVl.'!o ll\ld beq,\\ue.th all thll rolft.
and, rl;lmaindQrot '~:r I~B1;a.te in t1W OCl\lo.l ahnroD, dhnr~ and ahora e.J,:l.ke ,1;0 m:r
,. ,- i
two oh;l.ldran. h!U1\al:y, ROl3Tm'l' IlIOIIAmr, ALIlISOIl ll\lll })ORO'rlri Jl:1M Husorh ~RQVIPEl
\
M'l'I\liJR, thll.t in the event tJr,t' ollid 'A'ito, SAltA EJ:.LA ALLISOll. Ilho\lld prlldeoee.so
mil or l. f ~'o 01l0\11d dio in n oOJnmon (ll.flnntor I thon, in, oHlUlr or Qnid $Vo\,\tn, I
hlll'e'W M"innto,oonntitlltfl t\l]r\ nppnlnt 'l'i1W FInn'p IIATIOlIAr, UANKOP' DIlP)/.'Il'lIDll
.' .S11i!lI111M\)urr:, Pllnnaylvl\n1n no the Exooutoi" of' th1o. tflY' 1.nllt Hill, MId Teetl1lllent
lTI;'/ saia E;(ooutorto hnvo tull !?OliOI' nnd ll.\ithor1 t~1 to do nny and ll.J,1 tWiMD
nllooBBlU':f for thB ~om]11otQ Itlllitl.l'I1Btrntion of 1\" o13tntll. inoJ,\\d.in<< th, 1'01l'er t
Doll MY o.nd 11.11 ronl nnd :!loraol1nl llroport:ror lrhioh 1'ma.Y die /leiud, at
publio 01.' pl'1vnte fltIlon I lthiohovor in their, ,dioot'otion the:ydllem :tlt'oper. Md
Wl.thout ~nv Order or nn1 COllrt.
III \nTllmfll'/Jl~:llfolOP, ~, 110ni~n'.t' It. ALl/toOlh hn'lll heroto /let ~ hlllld
to thiB N' Lnnt H:l.a nl\(\ 'l'ontnrnont, "ritton on tuo Ul) lil\oet or pt\pltr. thh
-Y / · rln~' of Horoh I 197n.
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fHr.m(l{l, Bon loti t rnt\.ll.JlIlIotl (!.Ill.l
docln,l'n'l \>:' 1l01\Jm'l.' I' ^J.I':WOil,
tho '.Pnn\"rd,olt t It!\ Tllld f'()l~ 1I1~\
IJI\r\-t. Hl~l and 1[,lrJotrunullt, '(Il'itlioll
Oll t"o (;!) nhoot;n c-, t' pltJHH', In
tho 11I'I:HlOIlOe of UO "ho hr.vo.
at hio rr,<1uullt. nirned our lllunon
M "j,tn~llaell hereto in the pre~
nonOll 01' the 111\1\1 '.L'entntor nnd
01' 8Mh other.
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