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HomeMy WebLinkAbout81-00664 I'" , " ,; '(, " I, '1 " , ~ I "I" . ~ . a I " , III .. ~ ,. ,= , ,., J rIIi :!:l .. " " I; 21..81 1I1.:(iI~'I'Io:1I !IF 11'11,1 ,S !IF ,,,PMm~.!U',~.Im,I\..,,.., < :OUNT\' NO, I'Wi'I'I'ION FilII 1'1I!lIIA'I'E (W II'lI.I. ANIl I.I':'I''I'I':IIS <W I\I1MINIS'I'IINI'ION <:\1\1 'I'1':sTA~II':N'I'O IINNI,:xn ' 1.1.;'I"l'I':IIS (W l\ll~IINIS'I'IIATI!lN m: 1I0NIS NON I.I':'I''I'I':IIS OF AIJ~IINIS'I'II1\'I'ION IJI': linN IS NON C\1M TgS'I'UII':NTO .\NNEX!I 11I111I"g,tlll<' 01 ,...'l:klQl1A,S....ll:,.....,Hll:li:F..NJl:lt".."""" cI""I'II\II(\, 1'1111110111'1 ( ,). .,,,Qh~.Il,I1~.l:,,,,Q:~,)1~,~in~i,:,~:::..,:,.,,,,,,,.,,.,,,.,.""",,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,, ,,,.,, 1I1l0~,'('1 Ihllll , . 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""".""",,,,.,,..:..,.,.._ ",....,.,..,,,,,,,,,,,,,,.,,,,,,,.,,,....;;,,..,,,.,,......,,,,.......,,,...,""...."",...,."""".....,.....,,,,,,,,,,,..,,,.,,,,;.-.,,,,,,,,,,,,,,..,,. IA/v /~,r .". "'" "." """" ... . , , ,.. "i" '" , ,. . ~ .. . , . , ,. .. " ,,,. "" " . .. , , , ,.."", .. , , , " " " . , , "" "....", .. , .... , " , , '" .. " . . , " , '" ,..,.. " , .. , .. " , , , , , .... '" .. .. .. .. ",.."""" .. "" " " . ,JIl*'" . Tholl'I'lrI', Iwlllllllll'I'(') r"'I"'l'Irllll~' "\'l'lit., I"r (1""I1I'h' "I Iii" will \'''''''111",1 Iwr,!wlth nlld lur) Intleu of Ildmllll,trntl"lI .....Q,!.ffi)....l;.~,ft,l;,l!:m~n.!;.~.."l!:nn!i!,lr,9..? .,,,,,,.....,,........,,,,.,,,....,,,..,,,..,,,,,..,,,,..,...., I) I I Ilrr:;; 11 "Iac/ . I /'/','1,>, ,,1- ," '7je~.. "I n (J( I ,,,,'r...'r.7...,,,,io",,\r, """" ..I. 0 SI~IIt'( : ,,,,,,,,.,4;(tJlU."';ft';f.(,,,(,,,1'1"'i''',,t'.,~,,,,,;.; ~,l...f::f..tr:-:,,,,,.. 1.1-(..; (, I ,,''//, , "'l J f'" . AiI'\rl"" ...t........,,,..,,I.~I..l.I.t.\...,,,.~~~. ,..f., .'/(.,1;,("-..,.. "'. 1/ "~7. n I, "'~--.J ".I:,~ ,._~,. .__.~~_. _0_ .,..._' ,_._,_.. 'c"~' "F~'. . __ _.. _,,;-. ~ _,.< ....- _._.._ ,,__.,,- r_P__' c_ ,._-,,- -.--"...-.--- .-lPI",'W ,',",'",.,'" " ".~+ .""T' .... tJ'l;'~'!x. ;","". . .. . .OOMMONWaA~rWOPPINNlyLItANI~ iNO\"."'1," ," " .' DaPARTMaNYOr RaV.Nlla, . " ",',. i,ll.."" ." O".lOll'L RIOIII\T' "NNI..VANI. lNHI~ITANOI ANO .ITAT. T'. \~- ""- ~ ~- :,--:-"~ _.~ " lAX M 6%__~~._'~'-'--~--- lAX AT 1f>%--.------~.~-.--.- \ RECEIVED ..'14111\ M. H..tnlll ~ FROM. ". ......11'.1. .. ".)....1'1., '1. AODRE88- 211 ,. .-,. n'l, " lAXAT_%-'- - ,---'" E6TAIE1AX 101Al.TAX,CREDll ,--fa, ..,., .4'1. . ~. ESTA'fE IN'fb'iiMMiON: ~ - ~ ~ --~-- ~--- - - ..-- ~ -- - - - -- DATE of OEMH ~"9'l't!.' Q, "lA' -' I-ES6 DISCOUNT -- Pl-US~_OA, INTEREST iH\OM ___- TO ----".I FII.E NUMllER- lIJ..U;"6U m m TOTAL AMOUNT PAID ~ DAlE OF PA YMENl DtI "NAME OF oecSOENI - ' .._-_.._._---_._~._-------_.-----_.__._-~--- COUNTY POS1MARK DAlE REMARK6 t'.; ':t~--' +' J .' /,/ / ( J It, .. ..:! i t" . .. -)..{..- ~,lJ~('~" i SK1NA lURE' / (,I ..,,,SD OM MOOWT" RECEIVED BY - flEAl. \ I\f,LJHI 1l-11 OF\NI\,LS ._._~-------~----,---------_..__...__.... . Un8otl8flod lIohllltles Incurrod by tl10 dooodont prior to hl8/hol' dooth oro doduollblo ooalnlt hl,/her telloble o,totn. In addition to debts Inourrod by the docodont or ostuto, othor lIolna uro 010111101>10 Inoludlnotho coU of odll1lnlWnllon, attornoy fllaa. fiduciary fo08, funorol ond burlol o~.ponsoa Inolil(jlno tho 008t of u burlollot, tombstono or grovo markor. All dobtBbolno olalmod ugolnst un Oltoto fltu lubloot to tho ormrovul of tho Rool8tor of WillI with whom tho' Inhorltol1ca Tox.Rqturn II fllod. Evldonoq to aupport the dooodont'a or tho oltoto's liability for 1110 debl8 baing olelmod should be atteohod to this achedulo, . p., family elltlmptlon of $2,000 may bo olalmodby ospouso of 0 dooodant whodlod domlolled in PonnsYlvania, If thore Is no 8pOUIO, or If tho 8poueo h~1 forfelteci hla/he.r rlghta. thon any ohlld of tho dooodont wl10 ,Ia a membor of the soma hou80hold oon claim thooxomptlon. In thoovont thoro II no luch spOUla or clilld. tho oxomptlon oon ba ololmed by 0 poront or parents who oro mon1bora of tho aomohouaohold oa tho docodent. Tho fOlnlly exomptlon II ollowoblo onlyogoliilt al80ta Which pala by a will orbythe Ponnsylvunla Intoatato ~owa. I:: ~ ~ 8 1; ~ ~' ~ Z G"l ~ 0 ~ I ~ rrI tT1 ~ ~, z z ~ p ~ ~ ;r. ~ p ~ ~'" ~ (;t ~ 1_.; .... ( <, 1_11\' .--" ~ ~~'t i.tl I ,n 51 .., 8L; ii-i +E l'Il .~'" ..... 1-\-,':;) ~ I.L}{) Ii'O .-.,-- <J ~ .~ ~ 1. 1~6TRUCTIONS FOR COMPLETING SOHEDULE "F" If tho family exomptlon II being olalmod. Indlcoto tho olalmant'Snol11e" addrllaa andhl8/hor ralatlon8hlpto tho decodont. Ent.er "family exomptlon" In the romarks oolumn and the amount olalmad In 'the omount otl.lumn. Assign oonlooutlve nllmbors t,o oach Itom IIstod. Entor the dote on which Bach dobt woslncurrod and/or paid. Entor tho namelof oach payoo. ' ' Provldo II brlof explonotlonln the mmarka column for oaoh dobt ololmod. Enter the,amount of oach dobt being cloll11od, rho forl11 must Ila,algnod by tlm peraon who has assul110d tho responllblllty for paying the dobt8. 2. 3. 4. 6, 6. 7. QU ESTION~ CONCfJlNIN Cl eROl'JJlIY_IRANsr'lR~ 1. Old docodon\, wlllllntwo ynM50l donlll, iU,llw IIUY IllIuslllf Ilf auy IUfllullfll part 01 his uslfllo wilhout rocolvlnR yoluablo 011(1' odoClllnlo considornllon? (Answol"Y05" 01 "No",) __._..__ . 2. Old decadont, wlllllntwo yaars 01 dontll, trnnslllIllropOlly 11011I111111501 Ii horsnll In IIi/ll501 r/hOlslJllllllllnnothor palty or parties (Incl1ldlnR n ~pOIlSO) Inlolllt ownorshlp? (AnsWlII "Yos" 01 "No",) .__._~ ' 3, If tho nnswur to O!IO 01 lwo IIlxlVO is "Yus",all(llho 11,1W;fOlSIIIH t1ailnlllllo bl) iloulnxnhlo, provldlJ lholollowlnn Inlorlllotlol1: .. .. o. ARO of docodonlnl tI/IIO of Irnl1sln[, b. Copy of dQnlh cortlficnln. c. Affidavll by lhu nllnudlnH pllyslcllln Iudicnliun Ihn stllln of d(l{:odnul'~\ h'lollh i11111111J ollinusfor. d. All olllor Inlolll1nlloll SllllPOlliuH uonlaxnhilily ollliul!,for. 4. Old docodonl, In his/liar Illotl/llll, mnklJ OilY II/lnslof I~I IHolllllly wllhollt wl:oivilln .i\ Vllluahlo or illloClllnlo .r.ollsldolullon tllaroforwhlcl wns to Inko offocl III possnssiOllor OIl1oYllllJtllnt or IIllmlns/llOr Ilontlr! (AIISIYOI "Yo," or "No".) 0, Wosthero ony I)O~slhlllty Ihallhu IHollOlly IlItllsfolfo<lmillhl fululll to \rallslordlof hls/hm ostalo or ho subluot . to 11ls/hol powor of disposition? (Allswnr "Yos" or "No",) _~__.__ b. Whot wns lho lronsforoe's IInl: nl.tllllo 01 dOCIJdllllt's duolll? __u_ . " ' ' 6. Old docodonlln his/liar Illotlmo mifkllnny hifllSlol wlllroullllcllivillH if villunhlo alld iulllquolo Cl1llsldolnliollllrororor undor which trnllsleror oxprossly or IlIIilllodly IO!lOIVOS lor his/lwr life or \'IllY pOllod which doos llllnct and helore hls/hor deoth:, . . o. The possossloll or olljoymol1t 01 ollho [If(ht 10 illeOIllO frOIll tho proporty Irifllsfullod? (Answar "Yos" or "No".) ____ ,b. Tho rlRhllo doslRllllto tho porsonswho slrnll possess ollllljiJy IIw plOporly IWllsfonod or illtomo thorrfrOln? (Answol "Yos" or "No".) ____ 6. If tho answor to flYO h. alxlVo Is "YoS," statu wholhor tho rlnht IVas IOsorvod ill decodont nlone 01 othors,. 7. Old docodolllln hls/horlifolllllo IlInku n hanslof, 1I1n eonsldornlloll 101 whldl WIIS Irnnsfllroo's plOmlso to poy Incolllo to or for the honofil or eIHo of trnnslolor? (Answor"Yos"or "No".J __ 8. Old decodont, ot any timo, lmnsfer ptopmty. Ihu bUlollcinl onjoYlllonl 01 which was suhjllCI to chnnge, hecause of o reSOlved PC/WOf to oltor, nmol1ll, or lovoko, or which cOllld rovorllo docodont undlJl lerms of tronslor or by operntlon of loW?' (An,swor "Yos" or "No",) __ . 9. If tho r\nswol to olRht abovo Is "Yos," wns lho powor 10 oHm, amond or rovoko lhollltorosl of lhobenoflcialY rosorvod 'In tho'docedont olono or tho 1I0collont and olhors'l (Answnr "Yos" or "No".),____.__._ ww.U9TIONSFORCOMPLETING SCHEDIJLE liE" !ilohlldulo "E" muet Ino\\.Ido all property, roal and poraonul, ownod by tho daoedont Jointly with anothQr p,rty or Partial allolnt ton.onts with (Ightof survlvorlhlp. Bothtonglblo und In\anglblfl\lrOporty are to bo lnoludod. Lilt real eltatO first. " Delorlbull real property as Indicated In tho Inltruotlons for Sohodulo" Ail., DOlorlbo oil. pli'rBonal.lm:l\lorty a' 111dloatod In tho InBtrllotl~1I1s lor Scl1odulo "B".. Inoludo tl1e nama, addresl ond rolatlollshlp to tho deoedent of tho co.ownar (I) ond tho dato thu 10lntownorshlP was ostabllshod. 2. Indloato tho total morkot value of tho jointly ownerJ'proporty. 3. Indloate the paroontage of tho dooodont's Interolt. 4. Indloota tho markot voluo of the dooedont's Interest. Jt, f" .",' ('-, " 0., " \I " ,: .- J:.-I; ..... '\, .~ W~\, ~ ,..,:{,;1, ClI' C."LI ~:(n .::~. Bt}; ~:i! '~-"'3 50 ""b "., (.... ._--------~.-_....-.....---"--"_..._-_. ~ 'tI 8 8 1; Ill' 1; :;; ~ ~ iT] S ~ t.:I :'-l ~ ~ Z P .' ~ ~' !=> 'Zo z :1. p ~ .-l < <fl ~ Z 0 <fl 0 P IT1 IT1 ,..., ~ ~ ~ :z ~. .~ ;j ~, '< - , \ \ ~ MBY.." BX. {totOI I'll. Numbtr Ihtat. Nom. Oat. of D.ath INHERITANCE TAX SUMMARY SHEET' (BUREAU USE ONL.Y) 21~81~O"ii4 ~ 'l'ho.J!iJll!.Jh. Heefner IIUg\111t 19, 198J -................-- SoclalS,aurlty Numb.r 179M05~Qg22. REPORT OF INHERITANCE TAX APPRAiSeR INVINTORY Rul Property (8ah.d~l. A) Por..~ol Prop.rly (hh.d~l. I). JolntoH,ld PIOP'"Y (8ah.d~I"I) Tron,fm (8ah.d~I,.C) TOTAL GROn ASSITS I.... O.bt. ond O.d~.t1on, (SCHIOULI P) CLIAR VALUI OP ISTATII o Llf. IlIta.. o Annuity POR US! OP RIQISTIRONL X Ta. on $ Ta~ an S Ta"n~ 5 Ta. on: $ TOM on $ I"mptl.~' Total a"." I.... Crodlto DATI OP PAYMeNT VALUI AI APPRAlnD COOl ~- _",.iI' NONE 00+ 10 116 25 10+ - 10 0" . 3 10+ .' NON" :10+ $20 1'(1 - '(8 \10. ~- M.U PACToR 696 \S96 TOTAl. TAX INURBST PROM _._~ TO BALANCB ~MOUNT PA.!E DISCOUNT $ + 5 + INURBST PROM BALANce DUB BALANce 5 TO $ I AOJUITM.NTl (HARRIIIURO UII ONLY) PRINCIPLB Wll INTBRen ... 5 w . BR I!I Orlglnol o Supplem.ntal o R.molnder ... R.MAINO.R ~PPRAlnM,NT COOl -- . I'- YALUB - COOl .........._, COMPUTATION 0" TAX 5 $ ~ $ $_ $ $ $, 5 ,TAX CRIOIT s ;.' ,. , i j . ~ ~ ! I. ... " ~ ! . ~< ~ I ~ H l :~ ~ <:.> 0 .:t () ?3 ~ ..... IJ" 0 ~ p ~ i .~ i :z: ~ g ~ ~ ~ ~ ~ ~ [5 ~