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HomeMy WebLinkAbout81-00549 .~ H ~ .~ >< ,CIJ ,J ~ r>:l p. . P. .N H r< II: ~ H III ~ i &l .., 0 ~ r< . I<: ~ III r>:l ..:l li;l t: ~ r>:l '~ ~ III r>:l ~ ~ p. ; p. u ::> .., IJ) .,.. ex) - . ''-' 0 C\I ~ ... \Q . j -1. No. 21-81 PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY 549 In the Estate of Charlotte K. Juvitz , deceased. , i , , I I I I i I I i i To Register of Wills for the County of Cumberland, In the Commonwealth of Pennsylvania. Petltloner(s) Is (are) the execut ors named In the Last Will and Testament of Charlotte K. Javltz dated OctobeT' 27, 1980 Decedent was a citizen of the United States and a resident of Untoer AJ 1 "n Township (Borough), Cumberland County, Commonwealth of Pennsylvania. Decedent died on Wednesday the 26th day of AUf(ust A.D.19~,lnthe vania County of Cumberland ,Stateof Pennsyl/ at the age of....J2Lyears. Decedent has (has not) been married and has (has not) had children born to him (her) since the ex. ecutlon of the above described Will. Decedent was possessed of personal property to the value of $"00.00 and of real estate to the value of $1",000,00 as near as can be ascertained; said real estate situated as follows 11 acre tl'll.ct of land in Wayne C01mty, Pennsylvania. Therefore, your petitioner(s) respectfully apply(ies) for the probate of the said Last Will and Testa. ment and for Lellers Testamentary theron. Dated September 9, ,1981 Name and address of Petltloner(s) (fdA ~(trr( [J Y{lA./(f) 9 H,. Gf 11111UV' 110A VinZ Stl'eet COMMONWEALTH OF PENNSYLVANIA } COUNTY OF CUMBERLAND Shiremanstown, Pa. 17011 ss Charlotte D. Yanno and John Yanno named In above application. being duly nworn statements set forth in this petition are true to the best of ::iworn and Subscribed before according to law say(s) that the the!1:...- knowledge and beliet. ,19 81 --;- --:-) /'" ~. '/~ ('i111 {ecrU l tlrl../o. A" i\ '! 'j /~h' LI{1111\~- , ./ Flied: September 9 J 1981 AttorneY'J Robol't ::tllHffer //- J)fj i I I ! i I I ! <',' , . - c'. <=: If,.C. ;;~c..,; "", 0\ " :1:;:1 L..~I I .J~ -i LlJl.l. U. l.l~ U:: 0'('. W ('w Q:tn "" .',.~ oe' ti:,..:... <>.... IlJ:,:) ....'" - ..J<> lY- se U \c~ .~'Y e' Sisned, sealed, published and declared by the above named, Charlotte K. Javitz, as and for her Last Will and i I . I , . J i , I I Testament, in the presence of us, who have subscribed our names hereto as witnesses, at the request of said testatrix, in her presence and in the presence of each other. -2- 460 " , ',. f." ~. ... <: .. '" .<::~ , I ;:':1. i' \A;(;l e, L.::;/ t;;'"Jf- bS 1,-'lW n:.v> , co c(.-;; '.:::.._- '-'w e;:...-:, ~cr ~ h!n co -" . u OATH OF PERSONAL REPRESENTATIVE COMMONWEAL TH OF PENNSYL VANIA 55: COUNTY OF CUMBERLAND Before me, the Register for the Probate of Wills and granting of Letters of Administration in and for the County of Cumberland, personalll' came Chnrlotto D. YannI) nnd tJohn Yllnno who, being duly sworn , do of the last Will and Testament of .depose and say that as Charlotte K. Yanro gxecutors deceased the Y will well and Iruly administer the goods and chatlels, rights and credits of said deceased according to law. And also will diligently comply with the provisions of the law relating 10 Transfer Inheritances. Sworn and subscribed before me. September 9, (I/Lttl f~tn f: 9 rev !JcL1v~Ifi~ V J .4..0., 19~ U((AA() /J ~1i.:1 e~. .r"/7~. Reglsler :-d i:ll .,.. '<'J :Q) f'O'lr : CJ \.0: :QJ ;Q co: ;.-j n oS :co .....,~ "':0\ u.. - ;.o"':r-t S:n ~("'): 0 ....x __0: 00, ~ (.I"l~: ... iJ~~ .' IC".O'\ 0) O'j N; 'r:; l'lr.,,: .lI: ~~~~ ,.,. o:1l .:;t. [-,.: 8 I , :'" tti ..J H: ~': :J:' '0 ~:, Ql ~ I: h..: t:Q ~;-.o ~ . .-j: ..J .::t:: ~'", ;e ":e 00: 1-:>; - .1 'Ql ~ - I: - ;:..., .-j: ~ .. ... '" .': C. N; ~~ .5 ,.:>.. :Ql T"": ro.); ",: t' ex) [-l: "C I/l: E., : QJ ~: . : 0 1: ~ 8: Z " 0 >-0' " ~ S (l ~ : ~ ] .<:: ~ .s :r: : ] 0 <, . ~ .- ., ': ~ z r.:l <'J DECREE Be it remembered that on the gth day of Scpterlber 81 ,A.D..19_, there was probated and recorded the last Will and Testament of UrperAllen Township ChRrlcttc K. JBvitz late of Deceased. Letters "',,~ t,AI"P'1tllT'V were granted to Witness my hand and official seal the day and year aforesaid. ,Cumberland County, Pennsylvania, ChRT'lot'e D. YRnno and John Yanno J . . ,,' ')'} () ..- ,'". >, 1 j ~., //1/," (I, . I ,/ 1/ ,,/ ....), ",/)/t:...A/./-.;.:/' / 462 , , "'- '.:) ~ " ~ ':>:S \. ,'-., " ... '.J' ,\ ',] " :: " \'l1 ( "n ?:! lit 'Ti z tt> ~ D :., -; -< i-I ""0 .,. '1 (11 ;D .'.' .~; ::: :i1 iT\ Z Z ..., -; D ~ ~, ;T'! .Tl I I .'.l ~'J . ,", ,~ ...... S '- :.; ". r- ""t' ::D .:..' D , ;D , A' ~ :..' :::,. 1-;, 1: _ ;I','~.-i .r -! :i1 .'.' ;;; .~j ~ "- .~ J: Z ~ ".; .-, 8 ~ ~::'. "', <: .,. '- .- .... ~~; r. 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REV"4!,O EY.t (10"1\0) COMMONWEAL TH OF PENHSYL VANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT DECEDENT SCHEDULE "A" REAL PROPERTY i. "* ~ i~ .,1"-It\.-, ~, '1"~p-.iWJ~'~~, ' , ,'lV~" il'l': , ;0 .,~, ..,:~I. P""j\.,'"~~I:..,,.... : '.. .' :~-'.\.v. iI' '- I ,,;., (In!ltructions 011 RCVN~C Side) ESTATE OF Charlotte K. Javitz '""C"'~==;I ESTIMATEO MARKET VALUE OEPARTMENT VALUATION (OFFICIAL USE ONL Yi ITEM DESCRIPTION NO. -= (1) ALL THAT CERTAIN TRAC'I' of land s Huate in Damasc JS Township, Wayne County, PennsylvlInia, described as follows: BEGINNING at a point in the middle of Pennsylvani Route 962, which leads to Narrow::Jburg, Now Yo!'k; thence South 34 deerees 30 minutes 'dest, 661.9 feet through the lands now or late of John Y. Lassley, Sr., et ux, llnd through the lands of Wol Inieir to a point on the said line; thence South 34 deer es 48 minutes West, 918.95 feet continuing along the lands of Lassley and Wolfmieir to II point at a stake and stones for a corner; thence North .54 degrees 36 minutes West, 32.5.00 feet along lands of Lassley and Jensen to a witness tree and a point for a corner; thence North 32 degrees .59 minutes East, 1310.00 feet along the lands of LasBley and Kravitz to a spike for a corner in th middle of Pennsylvania Route 962; thence South through the middle of Pennsylvania Route 962, South 71 degrees 02 minutes East, 118.2 feet to a oint in the middle of Pennsylvania Route 962 for a corner; thence continuing through the middle of Pennsylvania Route 962, North 88 degrees .56 minut s ast, 13.5.4 feet to a point in the middle of ennaylvania Route 962; thence continuing through he middle of Pennsylvunia Route 962, North 76 egrees 36 minutes East, 209.8 feet to the point nd place of BEGINNING. CORTAINING 11.1 acrllS, ore or less. EIJlG the same premises which fldam J avitz and harlotte Javitz, his wife, by their Deed dated ecember 21, 1971 and recorded In the Hayne ounty Recorder's Office in Deed Book Volume o. 275, Page 1196, granted llnd conveyed unto harlotte Javitz (also known as Charlotee K. avitzl the within decedent. Assessed for local tax purposes for the yellr 1981 at $3,010.00 Appraised by C~ntur'y 21(v;rl Lht Real Be tu te of' Route 6, opposite Rt. 6 Ploza, j;oncsdale, Pennsylvania, as aprroxiloately ~24.,OOO.0\,. :1> 24,000.00 TOT Al :$ 24,000.00 ",,'1 tI*"~f) If addilianal space is neces~a'y. use 8'," . 11" .heets. REV-4!12 EX+'CS-1I0. COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "C" TRAHSFERS Estate of Charlotte K. Javitz INSTRUCTIONS: 1. Answer t:le questions on reverse side. .2. If the answer to any of the questions on the Ie verse side is "Yes," provide a description of the property transferred per Schedules "A," "B," or "E," its estimated market value at date of death, dates of transfer, to 1II10m transferred and relationship of transferres to decedent. Attach a copy of any trust, deed, or instrument relating to the transferred property. ITEM HO. DESCRIPTIOH ESTIMATED MARKET VALUE DEPT. VALUATIOH (OFFICIAL USE ONL Yl None None TOTAL None .......,.....t. II additional space is necessary, use aW' . 11" sheets. 1. Did decedent, within two year5 01 death, make any transfer of any malerial part of his estate wilhout receiving valuable and adequate consideration? (Answer "Yes" or "No".) No 2. Did decedent, within two years of death, llansfer properly from hil11sel f! hersel f to himsel f/hersel f and anolher party or parties (including a spouse) in joint ownership? (Answer "Yes" or "No".) ~ 3. If the answer to one or two above is "Yes" and the transfers are claimed to be nontaxable, provide the following information: a. Age 01 decedent at time of transfer. NI A b. Copy of death certificate. c. Affidavit by the attending physician indicating the state of decedent's health at time of transfer. d. All other information supporting nontaxability of transfer. 4. Did decedent, in his/her lifetime, make any transfer of property without receiving a valuable or adequate consideratiq~ therefor which was to take effect in possession or enjoyment at or after his/her death? (Answer "Yes" or "No".) 0 a. Was there any possibility that the property transferred mig11t relurn to transferor or his/her estate or be subject to his/her power of disposition? (Answer "Yes" or "No".) No b. What was the transferee's age at time of decedent's death? N/ A 5. Did decedent in his/her lifetime make any transfer without receiving a valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for his/her life or any period which does in fact er,d before his/her death: N .. '" ",,"';.."' ."ymrot,'", .. d~' t, ,,"" fro' .. ,ro,"" ,,"",,,,,,,, (II,,,,, "y,," "' "'0".) ~ b. The right to designate the persons who shall possess or enioy the property transferred or income therefrom? (Answer "Yes" or "No".) No 6. If the answer to five b. above is "Yes," was the right reserved in decedent alone ( ) or decedent and others ( ). 7. Did decedent in his/herlifetirne make a transfer, the consideration for whi ch was transferee's promi se to pay income to or for the benefit or care of llansferor? (Answer "Yes" or "No".) No 8. Did decedent, at any time, transfer property, the bllleficial enjoyment of which was subiect to change, because of a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of law? (Answer "Yes" or "No".) No 9. If the answer to eight above is "Yes," was the power to alter, amend or revoke the interest 01 the beneficiary reserved in the decedent alone ( ) or decedent and others ( ). QUESTIONS CONCERNING PROFERTY TRANSFERS Rf.V-4S3 tX+ IJ.aOI COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE , TRANSFER INHERITANCE TAX RESIOENT DECEDENT SCHEDULE "0" BENEFICIARIES ,~ ~ {/nstructkms on Reverse Sidu} Estate of Charlotte K. Javitz BENEFICIARIES AND ADDRESSES RELATIONSHIP SUHVIVED DECEDENT DATE OF BIRTH INTEREST OF BENEFICIARY Charlotte D. Yanno OA Vine Street Shiremanstown, Pa. 1 all Daughter Yes ~- Entire Estate -~--_.,..__._._-~----- -'-'- ----- --.---------- -._~---._._-~--- -".----. _.~--~_..._-- -..........-..-.------. ---- ----- - ----------- --------- ---.---.-..---.-..-..------ --------. ---------. ---l==~-'-' ! The above beneficiaries are living at this time except for the following: . .-..- ."._--". - NAME DATE OF DEAHl ----...- ..~--,.------ ---_.._---_.._._-----,--~- INSTRUCTIONS FOR COMPLETING SCHEDULE "E" Schedule "E" must include all property, real and personal, owned by the decedent jointly with another party or parties as joint tenants with right of survivorship. Both tangible and intangible property are to be included. List real estate first. 1. Describe all real property as indicated in the instructions for Schedule "A," Describe all personal property as indicated in the instructions for Schedule "B." Include the name. address and relationship to the decedent of the co-ownerls] and the date the joint ownership wa1 established, 2. Indicate the total market value of the jointly owned property. 3. Indicate the percentage of the decedent's interest. 4. Indicate the market value of the decedent's interest. l"" ;;: " I"l 6 t"I ;I> $.; z 0 0 <Jl Z " - Cl I"l e " :-l ::: z r' t"I t"I ~ Z ::<l -- ~ ~ r' Z Z t"I o-l t"I o-l Z ~ ~ o-l 0< <Jl t"I - Z 0 <Jl 0 ~ ~ "'1 I "'1 ::<l -', ~ .. C'o-. - 0 ... c.. ," Z S: '" . .. CJ I::j u.;-.' 0' . .:::.~ ;;-n.: a~.t'; Z: "/w 0- u'" :,:~~ ...w "- ' ",,'" - '..:J::> ~ -3(~) U 0< 0< t"I t"I ;I> g; ::<l I \ REV-4f14 EX+ tHOI INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) GJ Original o Supplemental o Remainder File Number 21-81-0549 Estate Nome CI1~l"] oU" K. Javit% Dote 01 Death August 26, 1981 Social Securlly Number 119-01-2458 REPORT OF INHERITANCE TAX APPRAISER I, tho undorslgnod duly appolntod Inhorltonce To. Appraiser In ond for the County of Cumberland Ponnsyl.onlo, do respectfully 'oport that I ho.o appraised the real and pe"onol property as ,eported In the fo,egolng retum at the .oluos set forth opposite each Item In the lost column ta the riJlht in S~dules "A", "B", "C", and "E" Doted: PSl:llmbgr 1(;, J gel .' ..:w;{ftA "". ITANCE TAX APP AISER ADJUSTMENTS REMAINDER APPRAISEMENT CODE INVENTORY VALUE AS APPRAISED CODE (HARRISBURG USE ONLY) Rool Proporty (Schodulo A) $ 12+ Personal Prop.rty (Schedule 8) Jolnl.Hold P,oporty (Schodulo E) Tran.lor. (Schodulo C) 30+ TOTAL GROSS ASSETS Z4, L.u O.bt, and Oeductlon' 40- n. (SCHEDULE F) CLEAR VALUE OF ESTATE o Life Estate !!!!! FACTOR PRINCIPLE VALUE CODE o Annuity . FOR USE OF REGISTER ONLY TaM: on $ ~ ~MPUTATION OF TAX $ $ $ $ $ 6% Tax on $ \5% Tax on $ Tax on $ Tax on $ e..."ptlonl . Totol Eltote TOT AI.. TAX INTEREST FROM BALANCE TO $ $ $ L.n Credltl DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST TAX CREDIT 5 + $ $ . $ . 8ALANCE 5 INTEREST FROM TO REV...S7 EXt (7"'l101 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT ....... ~'~.JZ;~..~. '~\~ ,. ~-1'( ~ ...;~~;~, l '. l.:.', :':~~~dr"'~''''A,.,t. INHERITANCE TAX APPRAISEMENT QORIGINAL o SUPPLEMENTAL Estate af Cl1al"] at te K --Jay.itz File Na. ~81-0~~._____. County _~mberlaJ1d Date of Death August 26, 1981 In the event that any future lntereit In thl. utate Is transferred In possession or enjoyment to collateral heirs of the decedent offer the expiration of any eltate for Ilfo or far years. tho Commonwoalth hereby oxpressly rOll!rYOfl the right to oppralse and OlSen transfer Inheritance tOlCel ot tho lawful collateral rate on any such future Interut. PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH ASSET SUMMARY DEPARTMENT'S APPRAISED VALUE 1. Total Real Property - SCH. "A". . . . .. $ 2. Total Personal Property _ SCH. "B". . .. $ 3. TotolJointly Owned Property - SCH. "E" $ 4. Total Transfers - SCH. "C". . .'. . . .. $ ?4 . noo_nn 400.00 506.53 None Unreported $ Unreported $ Unreported $ Unreported $ $ 24.000.00 $ 400.00 $ 506.53. $ None $ TOT AL GROSS ASSETS , 24 906.53 --D LIFE ESTATE DANNUITY OREMAINDER TOTAL VALUE s I do hereby certify that the above appraisement is mode in confonnily with Pennsylvanio law and has been filed this day with the Register 01 Wills. .. ..P:.' I) /" _ ~(~t...,/.k~,..., December 16, 1981 ~/ AP#i:iSEfIl DA'I~ l[) l[) 0 t-- '0 .... N I1l ..., 0 I 'M '" .0: ~ > 0.. ::l ~ ~ I1l OJ ..., .... - I1l be ;z: >-'-l ~ . '0 ... 0 :>- :.: <: " OJ ,0 ~ OJ .... III III ..., .... 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'paw!Clo fiuiaq Si uO!ldwaxa ^liWCI aq, Ii 't ) ,,:I.. 31003H:JS DNI131dWO:J l:lO:l SNOll:JOl:l.LSNI ~ ~ .-,: .-,: ~ w w ~ ;.. ;.. o:l ~,,~ Z >) '.'1(") C :~~ .7.) W ::>: . ,:'.1 " ,'-~ 1Il ,-, ;:l 1 ..l .;.~, < - u Z - C I:.. I:.. - C !;:( ~ Il:: ~ 0 ~ ...' C '" C ;i~ 0 1Il '" >- r- 0 - w Z Z ... '" r- w z :j 0 - 0 .-,: Il:: Z ~ ~~ r..J Z ::;; Z r- 0 ;:l U \.? Z ~ ~ '" 0 0 C < :i w < u 0 "" 'SMIll a,elsalul c!Ue^l^suuad aql Aq JO II!M e Aq ssed qO!qM Slassc ISU!efie AIUO a\qeMolle S! uo!,dwaxa Allwel aLll ',uapaoap all' se Ploqasnoq awes 8L1110 SJaqwaLU aJe OLlM SluaJed JO luaJed e Aq paW!elo aq ueo uOlldwaxa aLII 'PI!L1a JO as nods qons ou S! aJaql ,UMa aql UI 'lloildwaxa aLllLU!ela uea p\OLlasnoLl awes aLII ~o Jaqwaw e S! OqM Iuapaoap aLII 10 pl!qo Aue uaql 'SILl6!J JaLl/S!q pal!ajJol seq asnods aqll! JO 'asnods aU S! aJaLlI ~I 'elUe^IAsuuad u! palio!WOP pa!p OLlM luapaoap e 10 as nods c Aq paw!ela aq Aaw OOO'lSlo uo!,dwaxa Al!wel V' 'ai"paLlos ~iLlI 0, paqoene aq PlnoLls paw!e\o 6ulaq s,qap aLII JO~ ^1!!!qe!1 s,alelsa aLII JO s,luapaaap aqllJoddns 01 aouaP!^3 'palll S! UJlllal:l xel aouel!JaLlul . aLII WOLlM q1!M slIIM 10 JaIS!6al:l aqllo le^oJdde aql 01 ,aa!qns aJe alClsa ue ,sulc6e paw!ep BUlaq Slqap IIV' 'Ja~Jew a^eJ6 JO auoIsqwOI 'Iollepnq e jO ,soo aLII 6u!pllpu! sasuadxa lepnq pue leJaLJn~ 'saal AJc!Onp!1 'saal AauJOne 'UO!leJIS!U!Wpe jO ,soo all' 6u!pnIOU! alqew!elO aJe swali Jaqlo 'alelsa JO luap~oap aLII Aq paJJIlOU! Slqap 01 UO!I!ppe UI 'allllsa 91Qexel JaLlfS!L1 ISU!e6e alq!lonpap aJe L1leap Jaq/s!L1 01 JO!Jd Iuapaoap aLII Aq paJJnau! sall!l!qell pa!lS!ICSUO NOI.LVWl:lO:lNI X\1.L 3:JN\1.L1l:l3HNI Wl:l3N3!) \ REV, 1S47EX I 1 -821 BUREAU OF E),AMINATION NOTICE OF INHERITANCE TAX ,ASSESSMENT . PENNSVLVANlA DEPARTMENT OF REVENUE, APPRAISEMENT ALLOWANCE OR DISALLOWANCE I CONTROL NO, 101 P,O SO), 8327 ' , HARRISBURG PA 17105 OF OEOUCTIONS, ANO ASSESSMENT OF TAX i ___ ,_~,.,or.,._..,_...._".. ".". _h_' " ..__.."...._...'' ...._,.".... .,._"....... '.'_ ,...,.',."... ......_~!':~T;_ .~l.Q.~1,4.:...~~ .."..-......".-. ESTATE OF JAVITZ CHr.RLOTTE K FILE NO, 21 81-0549 DAT.L9.fJEA nLj)67.~5.::6L_____... ._._. ._..__ ........._ .... COUNTV...,C;VI111EHLANP---...------- NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS OF THE ABOVE COUNT V , MAKE CHECKS PAYABLE TO "REGISTER OF WILLS, AGENT," IF TAX PAYMENTS ARE MAOE WITHIN 3 MONTHS OF THE OECEDENT'S DATE OF OEATH, A DISCOUNT OF 5% OF THE TAX PAlO MAY BE DEDUCTEO, J ROllERT STAUFFER MK~' SQ BLDG MECHANICSBURG pr, 17055 CUT ALONG THIS LINE - - - - - - - -. - - - .. -. ~ - . .. . - - - ~ PLEASE RETURN THIS PORTION TO REGISTER OF WILLS IF PAYMENT DUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF OEDUCTIONS AND ASSESSMENT OF TAX DATE 10-14-82 ESTATE OF JA VlTZ CHARLOTTE r FILE NO.21 81-0549 --.----.---.---------.--. ______. T A!:..5..EIlE1.~_..Y.' AS_..J..lU~~CE.P..!E.'O_A~..!''!,E[)_.._ APPRAISED VALUE OF ESTATE: 1. Real Estate (Schedule Al 2. Stocks ind Bonds (Schedule 8) 3. Closel\, Held Stock/Partnership Interest (Schedule Cl 4. Mortgages and Notes (Schedule 01 5. Cash & Miscellaneous Personal Properly (Schedule El 6. JOlntlv Owned Property {SChedule Fl 7. Tra'lsfers (Schedu:e Gl 8. lotl\ Gross Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9, Funeral Expenses/Adminlstntllre CostsJrv'liscellaneous Expenses (Schedule HI , O. Debts/Mortglges/Llens (SChedUle Il , 1. Totll DeductIons 12. Net Value of Estate , 3, Charitable Bequests (Schedule J) 14. Net Value Sub)e':'t to l,a)l: ASSESSMENT OF TAX: 15. Amount of Itne 14 tlxablp. 'I 6% rIte , 6. Amount oi hne 14 II.able at 15% tlte '7. PnncIP11 Tn. Due TAX CREDITS, :PAVMEN1-1.---- REcEiPT.... ! DATE I tt I---.---_...~-~ ...- ..-.---. ......--..-. DISCOUNT 1" INTEREST I-I .00 05-24-82 i , 010742 THIS ASSESSMENT IS BASED ON 1 SUPPLEMENTAL RETURN NO INTE~EST IS DUE IF PAID BY 05-26~82 IF PAID AFTER DATE INDICATED SEE REVERSE FOR INSTRUCTIONS ACN 10l I CHANGED .-..-. --.....-. ----..-- --.----.--.--- --...---.---.--- I 11 ...__..____.._..02.__ I 21 ____._..____ .J2.Q__ I 31 __.__..____,_,9.9__ I 41 ____________,.9.9_ I 51 __..___...."'Q'L__ I 61 _______.....__-' 00 _.. 171.....______..&Q.._ 181 _.__........:..9.'L I 91._..____ ___,.QO..._ 1101 ._5&61",2_8..__ '111 _2,863.li_ 1121 __.__~.!3El..o25..:- (131 ... ....___-------'9_0_ I 1 41 ___ ..~..2J.Qi~,1.!L I I 51____.1~!Q~_~~8 _J.06' ____.1..L142~.L 1161_______....___,..Q0 ),.15=_______---'.9.2_ 1171_1L1~~ AMOUNT PAID 1,142.60 TOTAL TA' CREDIT . '---'---l-;~2.~~--i BAL~~E_~F T~DU.!_.___ _=~==-~.~.' 01CR 1 (If B,l,net" Our IS less lh,n $1..00 1"10 p,vmern IS r,QUlfed) REO AIN THIS PORTION /-OR vOUR RECORDS RI.r:r I: I::!I' 'R'.' ( 1'1'[ "(, '.'1 This document IS the Notice required to be given under SecheM 709 of the Inheritance and Estate Tax Act of 1961 (72 P.S, ,ecllon 24851. INFORMATION If the tax is paid wIthIn three (3) months after the decedent's death, a discount of 5% of thE' tax paid IS ,allowed. Inheritance Tax becomes delinquent nine (9) months after the decedent's death. Interest IS charged at the raIl" of SIX (61 percent per annum on the Ilmount of unpaid tax. (SEE EX,AMPLE BELOW) EXAMPLE: If a balance of tax due of $2.000.00 IS In a delinquent stalus from ~~.:-80. and payment IS made on 5-23-80. the Interest 15 calculated as Indicated below: -- STEP I Determine the rail" of mterest from the table below. STEP 2 Mulllply the balance of tax due by the rail" of Interest. Interesl from 3-03-80 to 5-23-80 Results In: .. .010 + .00335 -~013-35 Balance of 11); due $2.000.00 Ra!LQLID1ele;L-~_.Y_.Q.L3-3..L_ INTEREST $ 26.70 2 Months = 20 Day, = Rate of Interest = 1 month 2 months 3 monthS 1 day 2 da,. 3 day, 4 days 5 day, 6 days 7 days 8 days 9 days 10 days ,005 ,010 .015 4 months 020 7 months 5 months ,025 8 months € months ,030 9 months 11 da~'s .00186 12 days .00203 13 da~'s ,00220 14 days ,00237 15 days 00250 16 days .00267 , 7 days .00284 18 days 0030\ 19 da\'s .00318 20 days 00335 STEP 3 Add the Interest to the balance of tax due. 8alance of tax due $2,000,00 Plusmterest to _Datull!i!!lent 1+) $ 26,79. TOTAL t.ax and Interest to Dale of P.yment $2,026.70 -------- - - .. - - - - - '" .' ~ - .' - - - 035 ,040 ,045 10 months .050 II months .055 12 months .060 21 days ,00352 22 dlvs .00369 23 days ,00386 24 days ,00403 25 daiS .00420 26 days ,00437 27 days ,00454 28 d.vs .00471 29 days ,00488 30 oa\'s ,00500 '" - ~ - ~ ~ ,00017 ,00034 ,00051 ,OOOG8 ,00085 00101 .00\ 18 .00135 ,00152 ,00169 Anv party In Interest. including the C0TT1monweI1tt'l and the person.1 represent.tlve. n01 &llIsfled With the appraIsement and assessment m'V obJecl wlthl" SI>.t" (60l days after receipt of thtS Nollce a!. prOVIded bv SectIon '0.01 of the Inheritance and Est.tf' T.. Act of 1961 (72 P,S, sec, 2485 - 1001), MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT" DETACH THE TOP PORTION OF THIS FORM AND SU81~IT WITH VOUR PAYMENT TD THE REGISTER OF WillS FOR THE COUNTY SHOWN ON THE REVERSE SEE THE INHERITANCE TAX INSTRUCTION Boor FOR ADDRESS. PAYHENT: Detach the top portion of this Notlc. and .ublit wlth your paYlent lade payabll to the na.. and addr... print.d on the r.v.r.. .ld.. If RESIDENT DECEDENT lake chick or won.v ordlr payabl. to: REGISTER OF WILLS, AGENT. If NON-RESIDENT DECEDENT eak. check or IIM\.V order pllyabl, to: COHHONWEALTH OF PENNSYLVANIA, All p'~ent. rlcelvld sholl b, applled flr.t to any Int.re.t which ..V be due with anv re..lnd.r applied to the tax. REfUND (tA) I A refund of . tax cradlt, which w.. not r.qu..tN on the Tax Rdurn, lIay tHI r.....t.d bv cOllpl.tlna .... .Appllcatlon for R.fund of Penn.ylvanla Inherltanc. and E.tat. Tax. (REY-1515). Application. ar. avallabl. at the Dfflc. of the R.ul.t.r of Will., any of the 25 R.venue DI.trlct Dfflc.. or fro. the Depart..nt's 24-hour an.werlng IIrvlc. nu.bera for forI. ord.rlroa: In Pennsylvania 1.000.562.Z0S0, out.lde Penn'Ylvanla end within local Harrisburg ar.. (717) 787.I09lt, TOOl (717) 772.2252 (H..rlng lap.lred on!)'), REPLY TO: Quutlon. r.gardlng .1"'1"'01"'. cont.lned on thh notice should b. addre..1d to: PA D.p.rt.ant of R.v.nIJCI, Burleu of Indlvldull Tax.., ATTH: Post I.....-.nt Revl.w unit, Dept, Z10601, Harrisburg, PI 171ZI.0601, phone (717) 7.7.6505. DISCOUNh If eny tax dutI h paid within thr.. (5) c.lMd... ItDRths aft... the d1c.d.nt'. de.th, . flv. percent (SiC) dhcount of the t.x paid I. allowed. INTEREST: Inter..t II ch...gld b.glnnlng with flnt dlY of dtllnquency, or nine (9) IIDnth. and one (1) dn frCNI the date of da.th, to the d.t. of p.~t. Tax.. whlch bIcIee d.llnquent bafora Jenuery 1, l'IZ be.r Int.r.st at the rlt. of .he (6in percant p.r annwt calCldetlld et . dll." r.t. of .DODl64. 111 tlX" which b.c... dlllnquent on and aftlr Jenuary 1, l'IZ will bear Int.r..t at . r.t. whlch will vary fro. calend.r y..r to calenda.. v..r with th.t r.t. MnOl.InCM by the PA DaplrtHnt of Revenu.. The eppllclbl. Int.r..t ret.. fo.. I'll th,.ough 1995 er.: Y.ar Int.r..t Reta D.Ily Int.r..t Facto.. Y.... Int.....t Ret. Dallr Int.r..t Fecto.. 1912 ZD~ .0005(,1 1917 OX .00Dl'" ltaS lOX .OD0411 1'''.1991 Il~ .000501 I'" Il~ .00OSOl I'" OX .0002'" 1..1i ISX .oous. 19n~l99ft n .OOat92 I'" ID~ . ODDl74 1"5 .~ .oouru nlnt.,....t Sa c.lcul.tea .. follC*'1 IIlTDEST . IALAIlCE or TAX \llrPAlD X Il\JI\BER OF DA ya DELINQUENT X DAILY INTtREST FACTOR ~.'"w Notlc. I.tued .ft.r the tl. ~. a.ll~t will r.fJect '" Intar..t calcul.tlon t. fifteen (1') day. be.... the at. .f the .........t. If P.~t II .. .ftar the Inter..' COIIPUt.Uon dlta ShOwn on the Notl~, "'Itlonal Int...a.t ~.t be c.loul.t...