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HomeMy WebLinkAbout81-00767 Ur.V.lUOO r.X . 10,0 \I eUReAU Of eXAMINATION feNN8V~VAN1A 08PARTM8NT Dr ReveNue f,Q, POX s321 liARRI811URO, fA 1710e Ooced~r1JI NolIlO ,OoUI,l, Phll,Sl1il, ,t.lhidlo Inlllsll ~oscodonl'l Adllron . d.M.'(}(!~A .~' ~e2.-(/ e, ' DECEAseD Socll181'O'urllY 'Nunlhor -1- , Dutoo/Dollli ,(5;. . " . ,~ ,.f), J ~_~ ___..__~../1tJ:1f~~;<:i I!!I ._0'.!.tfi!::.~;t " V'/f'~/~~ ~~ CHECK 1. Orlglnel RO,IIIrn ~ 2, S~nillomonlol Rulurn 0 3, Romulnder RllurnO . APPRO, PRIATE 4, Wu allllo C-l 8, Fodolll EueloTuK D I ' Rolurn Rsqulrod. I BLOCM 0, OocodsnllUod tollelo 0, , 7, Oooodonl.mollllslnod I living 0 8, Numbor 01 1110 dOp0111 0 _~_ ~ooh cOnY of WIIL_" --2ull(Allooh copy 01 IrulIl bom lovenlorled \ All co!tolpondonco ond oonlldonllol tUK In/ormollon lhould ho dlroolod 101 '! ~WL_ #'7o-#.,tJA""""d .A'fWIIl!.. I 10= I I I INHERITANCE TAX RETURN . RESIOeNT peCEPENT Fllo Nlll1lhor ~JI.J'17t!N;1 CORRE, 8PONOEN.T Nome.) I , .A f,l "I'( Tolophono No, RECAPIT' ULATION ; AND , i't I I TAX' i ; , \ DALCU. I LATlON i I \ I! &~KAc7k;e ~'O ". eAl..f'>>N1fSlale ~fr. R,lllIpllulollon 1, Reol ellole Ulohodulo A) 2, Clockmd B on~l (SnhedtJlo B) 3, Closely Hold SlocklPorlnellhlp Inloroll (Schodulo 0) 4, MortgogOl'ond ,Nnlol (Schndulc 01 5, COlli ill Mlloolloncoul Pononol Proporty (8chodlllo EI 0, Jointly Ownod PronorlY (8chedlllo FI 7, Tromloll (Sohodulo G) 8, Totel Groll Allotl(!otal IhlOI 1,71 9, Funo,,1 Exp'onlOl Admlnlllrot;VoOOllllMllcellsnooul EKpcnlos (Sohodulo HI 10, OoblllMorluogoslllonl (601111dulo il 11, TotoIOc~I'cllon, (totolllncI 9 & 10) 12, Nct Voh 0 of Elloto (IIno S mlnulllno 111 13, Ohorltohlo DequcIII (Schodulc JI 14, Not Volllo sublcct to toK 111M 12 mlnulllnc 13) ( 11.:.....- I 21 ( 31 H) ( 81 I S) ( 71 --- (Off. :J;T ( 8) p'-ar <jj-/", n ( 91 (10) ~fYI'. ,r" (111 (12) (131 (141 ~' ... '.Ii (' -lAL..i.4:r ,00mpUlelloll of Tox ;,.~ ~ ~1t.4..d- l.i~~d: ,- (151 K,oa. ,16, Amount 01 11M 14toxoble 01 0% tele (lnolu~o VoluOllroll1 Schcdulo K) 10, Amount of IInc 14to'KOblo e116% rolo (lnclUdo volucl from SchOdulo K) 17, Prlnolpol,lox duo (odd laK from I1no 18 plol 10K from IIno 101 10, Totol Prior poymcnlll (0) AmounlPold ---~ (bh PIIIl Dllcounl (c) Mlnullntoroll 19. Belonoo Due II1nc17 mlntlSllno lB) L" MokoOhook Poyoblo 101 hog Iller 01 WillI, Agont .,. PlEASE htCHEOK MATH' .. x,10' (101 (HI ------- (19) (191 - Undor panoltlos of perlury, l,doclolO thet I hsvo oXell1lne~ Ihll rOlUrn,lncludlog Mcomponylng IchodulOl ood lIolomenll" ond 10 Iho boll of my knowledge ond bellef,lt Illruo, oot,,~t, end ccmploto. Doclorallon ot proporor olllor thon tho pellonel repr81onlotlvell bale~on olllnlormotloo of which preporer hll ooy knowledge, lJAT~ SIGNATURe o~ P8RSONAI. REPREseNTATIVE(S) 'ADDReSS- _.....~.---------------_.~ -- .-- SIONA'tURS O~ PRePARER OTHER THAN REPRESENTATIVE ADDRESS DATe , If" 0;' ,;;:t , , C ,~f ,~ ~, < I!-) ;, if C::;o., ~ ii, I 1'A,IL a:~ (..)tH , , Wtl1 FJ ;;Ji:~ '0'/ C\l INFORMATION Thlj dooum.nl I. Ih. Nollo. r.qulr.d to b. gly.n und.r S.otlon 709 of, Ih. Inh.rU.no. .nd eltlte,T'M "',ot of 1 961 172, P,S, ..otlon 24661, ' If.lh. I.M I. p.ld within ,three 131, mont~. .lIer, Ih. deo.d.ltt'. d..lh, . dl.ooun' of 6% of Ih. 'IX p.ld I. .ltow.d, Inh.rll.no. T'M b.oom.. dellnqu.nl nine 19) mOnlh. .1I.r Jh. d.oed.nl'. d..lh, .Inl.'''' I. oh~rg.d II Ih. rll' of .Ix 161 p.ro.nt p.r .nnum an tho .mount of unp.ld I~M, (see eXAMPLe IlELOWI ' eXAMPLE: ". b.l.no. of "M du. of $2,000,00 I. In , d.llnqu.nl ,t.tu. from 3"3-80, .nd p.ym.nt I, m.d. on 6-23-S0, th. Int.r..t II c.loul.led II In~lo.led below: ' Inl.rut "rom 3"0~"ElO to 6"2~-ElO RuuUa In: 2 Morilh.. ,010 , ' 20 pay. . + '%,\~35 Rlt. of, ,Inl.r.,\ ' . . , 35 STlP 9 Multiply Ih., b.l.hO. of tlM duo by Ih. tll. of Inllr..l, 6.I.noe of I'" du. Rfte9f Inter.lt , INTE,REST STEP 1I Addth. Inter.'1 10 Ih. b.I'noeof taM du., STEP 1 OOlermlne tho rll. 01 Inl.".t from Ih. t.bie b.low, $2,000,00 M ,01336 $ 26,70 El.I,nce of t.M due PIU, Int.re" 10 . of p.v~.nl (+1 laM .n IntarutlO 'O.te, ' 01 ,P.ym.nt $2,000,00 f 26,70 n,028,70 ------~----~----~~~--------~~------------------~--------------~--~---- , month , ,006 4 monlhs :020 7 monlh. ,036 \ 0 monlha ,(l60 2 monlh. ,010 6 monlh. ,025 9 month. ,040 11 monlh' ,066 3 monlha ,016 6 monlh. ,030 9' monlh. ,046 I 2 month. ,,,080 I d,y ,00017 11 d.y. ,001El8 :I f'dIY' ,003s2 '2 daya :00034 12 d.y. ,00203 22 dlya ,00389 3 dlly. ,000131 13 dlya ,00220 23 dm :00:188 4 deYa ,00OaEl 14'dIY' ,00237 24 daYI . ,00403 6 d'YI ,000El6 16 dlYI ,00280 25 dlY, ,00420 6 d.YI ,00101 16 daYI ,00267 2 B dlYI ,00437 7 d.yl ,0011El 17 daYI ,08284 27dm ,00464 El dayI ,00138 19 daya ,0:101 2 a d'YI ,00471 9 daYI ,001132 '1 9 day. ,00318 29 day, ,00499 \0 dm ,00189 20 d.ya ,00~3e 30 day. ,00600 ----~------~-~--~-----~--------------------~------------~-----~------ Any pallY In I~\i,..t, Inoludlng Ih. Commonwullh and the p."on.I,.pt..enl.tly., not ..Illfled with Ih. app"la.menl' .nd ......m.nt mlY obj.cl Within alMl,v (BO),daya .Iter "o.lpt. ofthl, Notic. II provldad by Seotlon 100,1 of tha Inh.,"ano' IIn~ e.II\' Tax Acl ,of 198\ (72 P,S, I'C, ,24El6 ~ lOOt), MAKE CHICK OR MONE~ OROIR PAYAILU TOI "ReGIST8R at' WI~~I, AGENT" OSTACHTHE TOP PORTION OF THIS FORM ANO S\JBMIT WITH YOUR PAYMENT TO THE REGI8TEROP WILLS FOR 'tHe COUNTY SHOWN ON THE REveRSE. SeE THE INHERITANCE TA,X INSTRUCTION SO OK FO,R ADDRESS,