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HomeMy WebLinkAbout81-00784 (pufo III IIIl' 1';~IIIlII (lr~ggj,li\"ij""llollal,~;l(l.UiJh,,,..,,,:,...., <I"I'I'II~I'I\. Micl1l\cir'~f1l:ildiiei-'--"'-' , ",."""""";..,,,...,;;,,,,,,,,,,,,,,",.,;''''''''''''''''',,.,.,,'""""""" I'lltllllll(l'r~,'" '1II1o~o(~) Ihlll; I~ ' ~I)I 1. l'olllllllll'rH>) ~ 111'''(11)''(11''' )'11111' (lIIIW' (II (11MI' 1111<1 IIl'plll'~ f(ll' \,,111'" (If lillmllll~llIItllll\ ?W.L~~~,~~.~~!::9."~,'!!~!,,,;....'''''''''''''''''''''''' III thll IIhll\'\' 1'lIplllllll'lll'Hlllh!, , 2" 1)"",,<1"1\1 1111,<1 1111 ..,,,....,,,M,II\.~,,...J.t:..,,,J.~\..~,L,,..,,..,,,"'" III ~,:~:,~,\L^,M,hl th" Clllll\ty III CUml;wl.l:land:,,,,,,,,,,..,..,,......, SIIIIII III ,,,l'!lilnnsy.1.vlilnicll',,,,,,,,,,, III th," II~II Ilf "..,....~..b.."",,, )'I'"t', llllvlng mlllhl .."~$r.,,. 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" TI",rol"tl\, plllllllll1tor* r\"I1I'<,trllll)' 11\>\>11". for (prohllt" "r Ih" 11'111"1""8\'11"'" hot"wllh nll~ lur) Iot,I"r, (II I1dlnlnl'trllil(Jll"""~":~"illi1!;'l!lr.@.T.lj;Ii1",I!,I)r.\,l\l,&Q"IA",,,,,,,:,,,,,"""'Il,,:1\r'''''' ' PilI Ill\; ,,1?~8,~.m)?g,t'H,g2,~ 19d1 SIA""II, ",', J/,~U, ,,, t\(t(li'(!"": "'5'4' "maa:ci"1-\a1.'n"'aereat::"" "~'I ~" ;""'!"'" ..R /-:111- 7' tf 1f- ,.': n ~I \ IS' ' o77.J.-\ Newville ,PA 17241 " " I., !i u . I- 1'::' L e "L' I' _~..\,.,J_ A~ I f~'jL ~ :,((; fi'" ~t: :;..Ir. il~; ~:: t~: ..-.J v, ~ ",[1\ .., If, '\:9' :t: il,~!5 '" F ~lol c..'I _I t.l '~V,ISOO I~+ (11<88)' II ..\~,(." 'I .~'JIt...~ INHERITANCE TAX RETURN "C.~ RESIDENT DECEDENT ...... cOM::~~mft~~~~~~~NIA, ~ n.(;~T~E;~~'~T~ g~p~~tJr ,~9~~:!~:~~~.7a4 .r~~R I \lOl~l3nbaU~~MU99il) m, - ~Ti!7.miNO'~CQ~~T;f1~id Strel3t i locI'Arm:OlfiTV1'IllMlti'" ,.- '---fAl!'Ofli!A",U n'\"^IEOrtitH'flr _n' Nl3wvilll3, P1\ 17241 .. nn._'__' .m:.74_~.~.0-_~,~.0 ~ _,.. . ,__~_ ~51.~.:~_a_l _.._ .__10~1~~:~= a ~~IL .C_\\~_(3!__~~:~~, .._.~______.__.._____ ~,I!!~ ~1. Original R~lVfn 1]2, Suppl.m.ntal R~lu'n 1'13. ~~~3~7~:~IRJ~~I~prl~rlo 12.13.021 I.l<l. 4. Llml,.d el,lal' I,J 4a, FUlu",.lnlo'OII,c.mp,oml" ' ['J 5. F.d.ral e',la,l' Ta~ , . (I.r dal.. .f d.alh oli., \2.12.B21 R.IUrn R.qVlrod , flI') 6. O~cod.nl Olod Tolltllo 1<:1 7, O.c.d.nl Malntaln.d a Living Tru,' ~B, ToIUI\'Jumbor.1 Safe Oop..JI B.... ..~n ,.., A~pifJ,R~C*~NO~ON'tOINTI~~'Tl~II~~~GM~T(if~lIHOU~l)II~~~.tlfl),TO"" "',' i,;,.",..Vy,!,I;\. ' il ,8,,/ll,lY J. Winder 701 Ela,ac" ng Street ~ flIDWm NUMIIR __",_,_~,______'n~_---'- Sh~.l?l?enaburg I P1\ 17257 _______--'_' ( 717 L.Y32,...9.47!L__~,==_====~~~=.~"'"==T-'""~...'" .. .. I. R.al E1lal. (Sch.duloAI' ,( 11. ~lO'~f3,.. ,~--...,.,"',. 2. Slack, and s.nd, (Schedul. B) (21 -----,..,. ,..-,.-....'--.~.... 3. CI.,oly H.ld SI.ckIPattno"hlp Inl.r.1I (Sch.dul~ C) (31 . .--,,,. ,...... .,.,..- 4. M.rlga~o, and N.le, R.c.lv.blo (Sch.dulo PI ( 4) m....___,.,..___..........,~., 6. C.,h, Sonk D~pollll & Mllcollan.ou~ pim.nal Properly( 5)}_10, !.9.~.7'.9}~n' -, (Scnedulo e) .. 6, J.lnlly O",~od Pr.p.rly (Schodulo P) (61--,... ......-....,...-......-- 7, fran,le" (Schedulo 0) (Schodulo LI ( 71.. ,..---' ...'_.......m........ ' a. T.I.I Or."A"ell (1.lolllnol 1.71 9, Funerdl e.pon,e', Admlnlllrall'" C.III, Mli,ollano.u, ( 9) e.p.",~, (Schodul. HI' , 10. O.bll, Mor,g.ge LlablllllOl, LI.h, (Sehodul'll (101-....., ".--.. r.-......... $5806.25 11. T.lol Oeduell.nl (191allln.. 9 & \0) (11) ......,~.~......-~--.~..~ 12, Nol Voluo .1 1,lal. (II no 0 .mlnUlllno 11) (12) JJ,.5~I..aO..4...q.~~._.....-- \3. Charltabl. .nd O.".rnmonlal BoqU.1II (Schodulo J) 0 .43442 (13) '...,_...... .....,..............._....c .,_' ,.14, .~el Valuo S_u_blo"I!> Ta~ (u._~IK'X\Hvl_J~:.. l,...t.fe eat!\Cl3 hocor! 114' ..,.,...$.9J},':.. 29 ...~--..', _ _ ,'-"ID'-_~ .. ,n....: . """[;rj.5:21l"..--....-..-c----....l.:.2L.;;-:-if4.0.4T1~--..' 16, Am.unl 01 IIn. 14 'Ia.ablo al 6% r.'o , (15) on ..f_U,("......, ...,....._.,..X .06. ..,------"'~.--,........'--., (In,lud. va,luOl Ir.m Sch.dulo, K .r Seh.dul. M.I \6; Am.un' .f IIno 14 la..bl~ a' 15% ral' , (Include "dluo, Ir.m Schodul. K ., Sehedul,o M,) 17, Prlnclpo\l.. duo (Add la' Ira'" IIn~ 15 .nd frQ~ IIn. 16,) 1 B, Cr.dlll Prior Paymonll Ol".unl flU NUMB'A ~IU1!I)lE.R I $5806,25 $21,310.34 ( 0) .-'-,......._........~_______......., (16) .-. _-T,--._L~,..'r~--;--'----'_.')(" 16;. ~..~_.,..;...c..,..._;..,_.~_._,.---T-'---.J"'"..~~- 19; If IIn. lBllgrelll.rlharillne 17, onlOI Ih. dlllol.ne..n IIno 19, Thl,lllh. QVERPAYMENT. II[J_'+"'_I_'hB~ml..u.IH'~"1II11-'."'.~,"-'.IIIII_.....III~,~IIII11II-' ' 20, If line 17 II g".ler Ih.n IIn. la, onl~, Ihe'dllfo"n.o .n IIno 20, Thl'I'lh. TAX OUE. 120) A, Inl~r Iho InlO'OII .n Iho bal.l1ce duo on IIno 20A, (20AI ,- ,S. Inl.i:lh. '.1\,1 .llIn. 20 and 20A an IIno 20S, Thill. Ih. BALANCE DUE. 120S1 .. Make Chock Payable 101 Aoglitor .f Will" Agent .. ::,",:.:c.._,-;L' r2i!t' "1i:iUl\itqAN'WtB..An'Q(II!1JdN$'~~. R'V"ilij.ipi~p'T~]"~~~ MATH....!i~,.,;t,'fY,i;;, "',::~ Undo, pOI,altlo, 01 p,e'lury, I d.da". 11t",11 IIQv. ,O,"mln.d 11111 "t~rn. '",ludlnA, a,coml,onylng "hodul.. and lIal.m'''"' and 10 tho b..t 01 my knowlodge and b.II,/. II h,ltuo, larrotl and complote, I dodaro thot all.feol 011alo hal been roporleu allrue markolvolue, Doclarallon of preparor ol,her than thu p,r,onal,teprolonlallya I' ~d~~,o~r"),~'WAs"~~~~5~hzrl;PEr,iZ!~~~f~Rf~';"Ma,i~"'st~~"~~~vrll~';"i>Ai7'24i',- om"-7)i/1t...n . I/' 'k.7t~':1 ]B'J!:~m'''"'"'-'m''~-:-~;~~ ;'t.;Si~~~;,,,u~,~:>^_{7 2 rJ'f~Z;?;ii.- I ~ 1171 Inlor.'1 .--,-.----<. .-----+--.--. +, ~.,.. 11 9) 11'11 $404.12 ..H61~~IB. .___ n$86q.60~ . PLEASE ANSWER THE POLLOWING QUESTIONS BY PLACING A CHECK MARK (~) IN THE APPROPRIATE BLOCKS. ' , , 'ViT NO 1. Old decedent make a transfer 'andl a, retain the use or Income of the property transferred, "".""",,,;,,,,,,,,,,,,,,,,:,.,,,,, b, retain the right to designate who shall use the property transferred or Its Income, c. 'retain a reversionary Interest or II 1111' '11'" j 10' 1'1111'11"" III' '1"111111' II" III t 't"" ,.. III j f I " d, receive, the promise for life of either payments, benefits or care' """'"'''''''''''''' , ~. If death occurred on o,r before December 12, 1982, did decedent within two years preceding death transfer property without recelvl~g adequate conslder~lIon' If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration' ""II.."Il.....II~II""IIIIlIItHIlIl,"I..1I11 3. Old decedent own an 'In trust for' bank account at hli or her death'""".""""",,,,, , x ~.~- .-- "'___ _K. "_,-. .i._ ~.~ .~ K --- -~. ..~ , IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, , , YOU MUST COMPLETE SCHEDULEG AND FILE IT AS PART OF THE RETURN. " ,~., - I .' u.J t~ ,; p~ I \, \ \ ) I - ,:~U, . If ~,,' ",w,,'9r INHERITANCE TAX RETURN 't~ ReSIDeNT DECEDENT cOM'1,~~~I~~'H'~l'/tli~'lJrANIA (TO BE PILeD IN DUPLICATE IIAR!llml~, h 1'Ihs.ollOI " , , ' WITH REGISTER OP WILLS) c.oUI:HY COO1. VEAR 'H:~I,;:~~ ~~~:~i,Si, ~~;;~:illl;t.il~-'-' u_-'--]~)~t~'S ~;:~~[f1~Rr~s ~ ,uw iof.l.Uli:URifl'1l'UMffi' "'IDAlr or beAW 'jl'AII 0' b1Rlli ' Newv illo, 1'1\ 17241 174- ;W-4 30 8 5/12/81 LO/16/1898, Cumborland ____.,.,_._"~.~.._"_.._,._~_.".__ _ . " ~ovnll _ . _. _+" _ _.. ..._...._....._____._____. .__ ["[ 1. Orlolnal Ro!urn [ [ 2, Supplomon!nl ROlu,n ~ 3, Remqlnder R"urr. , . liar dolo. 01 deal. prior 10 12.13.821 II 4, Llmllod hla!. I [4n, Fulurolnloro.1 Campramh. , II 5, F,doral e.lalo Tn. , , '(lor dalo. 01 daalh allor 12-12.821 Relu,n Roqulrod ~ 6, Ooudo.1 Olod To,!ato II 7, Oocedont Malnlalnud a LlvlnO TrUll ~ 8, Talal Number 01 Solo Oopa,lI Ba.e. ~~ of Will) __ Alla,h co y 01 TIUlL._ ' .-'__, I JkrQW'l'.qN.P;~~ANDCON"DINTlAH X L.U1J~Tiolh OULDfliillICTlDJ91-" ',', , ,,' ,',' .' . ' _ i I Sally J. Winder 701 m/.\Be l<in~ Se. ~ ~ nmrlCim-mnmIi-.--.--.- - .- "...,.-.-- ShipponBburg, 1'1\ 17257 -, , - ,..-, ..._t,?-~~,-.J.~~ ~_;;;2o~Zc~~='" '.= ".0. '. . -"cc", "="c,=",,,,,=,,c,,~,,~','=,",=,,~,,, .. ',=oc...,""~,~"'==~,,=,~,====,,,="," RIlI"~"IX., I'l'..' ..+ ", 19, II IIno lBI. o'oalor IhCln'lIno 17, onlor tho cllfforunu an IIno 19, Thl, I. !ha OV.RPAVMBNT, .liIfJ 20,11 IIno 17 I. oreal or than'lIno la, onlor !ho dlfloron,o on IIn. 20, Thl.l. tho TAX DUB, A, Enlor tho Inlor..! a. !ho bCllanco duo a. IIno 2M, B, Enlertho 10101 01 IIno 20 and 20A on IIno 206, Thl. I. tho BALANCB DUB. Make Chick Payable la, Regilt., 01 Will" Agonl .....~_..-.-;;c-""OF'"~'....ji iuiiiT'i)'AN.wiR.~LQU'IITION.ON nBVIRli' IIDj' "N~ TOR'C:HICKMATH... '" "'-~":''-'''---;; Underp~hnltlo-,~ofl);rllity~r daciare thall, hnv;.olt(imln~dTh~;I~,ln.cT~cllno..C;ccomi~nYino.,7j;;,dulo,uqn(j i.jiijemri;;;'i,7~n(il~lh_;.~'bo"_;;my knnWTodD~ and bullof, II 11 true, cClrrttcl und comploto. I declure lhal nil tonl e'lutohcn bOM rOflo'Iod allruo markOI vulUG. Ooclarallon 01 prolHHor othorlhnn Iho porsonul reprOtQnlnllvo II hmodon alllnformallon 01 whl~h proparor hn& nnyknowIAdg', l,oHAflJRfdnH!orHWol-/flOlr 'oHllll<1nfllfllJ./....' "'iilloRCI ' , !Yt~/U J ''I U...J.....q.A-,cLr~A~Di~{ ~lain Be. I IION^~R.L;jl~Rtr:JAII91Irr'R,\,'ft!4f/mmtJ./'A'lv,',f.",' "'~;!I",,--' ~-1tien ' ,~J.)Iv"{(" "" ~OlE.King I .-. ..---....-..-.. il~ PILI HUM'U 21~Bl"7B4 NUMSER ,._-,~-,- -.." I \. Real ellalo (Schodulo A) II) $10 }33) ,3.3, 2, Slack. and Band. (Schedule 61 ( 2) 3. Clallly Held Slack/Parlnollhlp Inloro"ISchodulo q I 31 4, Marlooo" and Nol.. R.celvablo (Schodulo 01 I 4) 5, Cl~~\.:~~I~ ~ipa'II' & MllCellane"u. Pm"nal ~raperIY( 5) $10,977.01 . , 6. Jalnlly Owned Propor!y (Schedule F) I 6) 7, Tran.lm (Sche~ule 0) (Schodule LI ( 7) B, Talal G,a" A"ell (Ialallln.. 1.7) 9. Funeral e.panll', Admlnhlrallve Co.lI, MllCeUanoau. ( 9) hpenll' (Schedule H) , " 10, Dobll, Matloooe L1ablllll.., Lie.. ISchedulo I) (10) $5806.25 11. Talal Deduclla.. (Ialalllno. Q& 101 (11) $15 50'4.09' h 12, Nel ValuuHllale (IIno B mlnu.llne 111 (121 . _..I ,.. . _.~ __.._ 13, Charllable and Governmon!al Bequo'"ISchodulo JI (131, '.'n"_ 1~~!. Valu!.!u.~I~5!.!Cl.!'!~J~~Jmtl'll!l~~kR~m!'lJndor ..g.!'I9j;OE__0_~,~~.~~, UI~L.,-, $ 0 7U ij. 80 .c.-=..n.; 15. Amaunl alllno 1410.01>10 a! 6% ralo 1151 ,$,~7(i8. ijO X ,06. ,$5~6;13.. (Includo valuo. from Schodulo K or 5chodulo M,I 16. Amount of line 14 ,a.ablo 01 15% rat' (IDcludo valao. Iram Schodulo K ,or Schodul. M,) 17, Principal to. duo (Add lax from 11.0 IS and from IIno 16,1 1 a, Crodlll Prior Paymonll OllCaunl $5806,25 I B) ,:?2.1., no,!}~.,_ (16) ,x',15. I ~ (17) $526.13 Inluros' (181 (19) Cllllllc horn I' Villi 11I0 IUqUUltlllU U ,o'uIIII III YUill llVllfpllVllIlJllt. $526.13 1201 (20A) 12061 ,$1.50.17, $676 ;20 bAlt'"'''''-' ,---. Newvillo, 1'1\ 11241 7/I/Qt. ';' ,... b7,rr ",,",.", st:" Shipponsburg, 1'1\ 17257 1/1 !"i'l . __1, ~ ,__. '" '-~ _. .__ _". _.._ '_'_' ,_ .. _. \ , RIV-11~7 IX APP 11-91) "* COHHOHlIEAiTII OF~,E,H HlnV,AHIA ",' PEPARTHEHT PP REVEHUE , IUREAU OP lHDIVIOUAi TAKEI hIPT. 1a0601 IIARRUIURO, PA 17111'060\ NOTICB OF INHBRITANCB TAM APPRAUSHSNT, ALLCWANCSOR DUALLOWANCP. O~ DBD~OncNB, AND ABassaHSNT OF TAM ACN 10,1 ' IlAT! 10-20-92 ...... IIATI CP lATH 08-12-81 ' S~bftT~O. C MBE~LAND NOTBI TO INBURB FROPBR CReDIT ,TO VOUR AOCOUNT, BuaHIT THB UPPsR PORTION,OP THII FORH WITH VOUR TAM PAVHSNT TO THS RBGUlaR OF WILLI. . HAMB cllSCK PAVAPLB TO "RSGUre~ OF WILLI, ADS NT" . RBMXT PAVMBHT TOI SALLV J WINDER 701 EKING ST SHIPPENSBUR8 PA 172U7 REGISTER OP WILLS , CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 IITATI OPHOUENBAUllH MAllGIE E PILI NC. 21 81-0784 AON "' TAIt ,RE1URN WAil ( ) AecllFTnD AI F;LBD e XI CHANDSI! RIIIRVATION CONCIR~t~1l PUrURI 1~IIT · 811 RIViRII' APPRAXSID VAI,UI OP RITURN JlAIID CNI ORIGINAL RI;TURN 1. R..l Slt.t. eloh.oull Al ' 2, Itook. .nd Bond. eloh.dul. BI S, 010..1~ HIld ItooK/F.rtn.rlhlp Int....t eloh.dul. Cl ' ~. Hort...../Not.. R.o.lv.bl. eloh.dul. 01 I. Cuh/Bank D.poaltt/l1ho, p.r.on.l Prop..ty eBoh.dull Rl 6, Jointly OWnld ProP.rty c loh.dul. F I, 7. Tr.n.f.~1 (Ioh.dul. 0) I, Tot.l A.,.t, (II (21 eSl I~I CII (6) 11l 10,333.33 .00 .00 .00 10-,997.01 .00 l-DO ell 21,3:50,34 APPRovaIlDIDUC'l'XoNIAND IXlMPUON81 9. Funar.1 sHP.n.../AdMlni.t..tIV. COlt.1 11110.U.n.ou. UHP.n..' eloh.dul. HI ' , 191 ~. 806 ,2S.. 10, O.bb/Hort.... Ll.bIUU../LI.na Iloh.dul. u (10) . DO U, Tot.1 D.duotlon. CUI 5,806, as 12. N.t V.1U. of T." R.turn IUl 1&, 524, 09 U. ohlrH.bl./Oov,rn",.l\tal Baqu..ta (eah.dull J) CU)' DO l~, 'N.t Valu,'of, s.t.t. aubJ.ot to ""K e141 15, 624, 09 NOTal, If'n ..,...m.nt wa' i.au.d pr.viou.1Y, lin.. 1~1 11 IndIaI' 1~ ,nd 17 will , 'r.n.at'1'~aur'a that inlllud., th. tatll1 Of ~ rnUrn. .......Clia dat.. AIIIUMINT OP TAXI " , ',' " U, AMclunt of Lln. l~ t.".I. .t 6X r.t. (111 6,735 , 29 1t,06 · '404,12 16, AMoUllt of Lln. 14 t.".bll .t UX r.t. 1161 ,00 1t.1I · .00 17, PrlnolpllTIKDu. '1111 404.12 TAlCCRIDITSI PAVHdNT OATS RSOexFT NUHIBR DIIOOUNT I+l INTBRSST (.1 AHQUHT PAID 07.01-92 07-o1-9,~, '712729 71272B 508,78. ,00 865.60 676.20 TOTAL 'tAlC ORlDIT IAL NCI OP TAX DUI lNTlRllT TOTAL DUI 1,056,02 ,6:51 ,90CR ,00 6S1,90CR M IF PAID AFTSR,DATI INOICATID, sSB RSVBRIU FOR CALCULATIOHOF ADDITIoNAL INTIRUIT, ( %p 'TOTAL DUB 11 LBSI THAN tl, NO PAVHENT IS RIQUIRSD. IF TOTAL DUI 11 RIFLSCTBD AS A "CRSOn" eCRl, VOU HAV BI DUI A RSFUND, SIE REVIRSI SIDE OF THIS FORH FOR INSTRUCTIONS,) RU.RYAllOHI PURPoaa OF HOTICI, PAYHaNTI ,R'FUNO (CR)I OlJlC1l0NII AOHIN IITPAllYI commoN" OIlCOUHTI INIIRm! , I e:st.". of dloldtntl,dv1netcm III' bilarlPIOlltbtr 11, 1982 .... if anV futyrt lnt"rll' In thl ..tit, 11 ,\rln.firr',d In,po.....lon or Injov..nt to Cl... I (Qol1~'.r.l),b'n'flol.rt.. of thld,aldlnt ~ft.r thi Iwplra'lo"'o' tnw ..t.t. I1f. or for v..rl,th. co..onw..lth h.~.bv ..prl..tv rl.trv.. thl rluhtto apprtl,. and ......,\rln.,... Inhtrlt.not .., thl ItMfLli Cl'" . (OaU.'I..IU rltt an anv ,uoh lutur. In'lrllti ' f., hMII To fUlfill Ih. "qul"..nlo .f ...Ilon 1140 .f Ih. Inh.,II.n.. .nd ElIoI. T.. A.t, ..1 161 .f 1911. 11 P., C.., 1..tI.n 1140, , OIUOh,thl to, p, portion of thll NoUCI', and .ub.Jt HUh vour plv.,nt to thl R"htl" of WJU, prlnt,d-on t'" river.. lid,. ,--,.k. .h..k".' ..nlV o.d.. p...bl. 10' REGIITER OP "I~~I, AGEHT !, , All p.II"nlo ".lIv.d .h.1I lI..t b. .ppll.o I. 1Il\. Int....1 .hl.h ... b. ,duo .llh .nv ,,'.lndor .ppll.d I. tho t.., A tifund tlf I '1M orlcUt, whloh w"ncJt rl"u..ted,C11\ th. TIM R.turn, ..ybe ..equlltid pyoollPl.Una an "AppltClIu'on f.' R.fund.f p.nn..ly.-l. Inh..II.n..'.ndl.t.l. T.." (PIV-llll). ,ppll..II.n. ... .V.ll.~l. .tlh. ,Off I.. .f tho R'II.t., .f Will" ,ny .f Ih. 14 Rov.nu. DI.I.I,t Off I'", .. bv ..lllnl tho 0,....1 a'-h.u, on....lnl ...vl.. n\lOb'" f., fo.o. ..d..lnll NEW In PEWN'Y~V.,I, 1-,00-S6.-aOaO, .ul,I.. ponnlylvonl. .nd , .lthln 1...1 "...I.bU...... (7111 111-,0'4. ' Any ~Irtv In lnt.r..t not .Itltfled with, thl IPprll...tnt, allowlnot or dl.11ioN.nOt ofdldUCltlon., or ..,~....nt of \e)4 (lnolUdlng dhol1unt or lntlrut) I. .hawn an thll HottOI .u.t abjlot within .hctv (60) d.y. af rtOllpt,of thll,.t... by, ' -...IIt.n p.ol..t 10 Ih. p, D.po.tllnl .f R.y.nu., D.... .f Ippo'lo. DEPT, '.IOII,lIorrl.bu... PA 11\11.1011. OR .....l.oUon to, hlY' the .ett.r dltlralPld .t ludlt af the loaou"t of thl plr.at"U rlprlllnhUYI. OR ...,~..1 to tht Qrphan.' Court. peatull 1"1'01" dl,coy,rld an,thl.,........nt,.hould bl ~r,..td In wrlt1ng t~, :PA D.plrt..nt ofRlvtnUl, IU'''U Of IndlvlclU.l To.... ATTN' Po.t A.......nO.vl.. Unll, DEPT, El0601. ,,,..lobU", PA, 11U,-UDl Phono (?l117a1-UoS, I.. p... S of Ih. b..~ht "In.l.u.ll.n. for Inh".lI.n.. I.. R.lu,n for . R.,ldont O...dtIlt" (REY-UDI), f., on "plon.ll.n .f .dolnlol,oUv.l. ',.....t.blo ....... ' If .nv t.. duI 10 oold .lthln Ih"" (8) 0.1."".. oonlho .lIor Ih. d...d",t'od..lh". IIV. p....nt (a~) dllOO\Il1t.f thO I.. pold I. .U...d, ' Tnto...t 10 .hor"d bI,l...ln, .lth ,flrot do. ilf d.llnquon.., .. nln. I') ..nth' ond 0111 (P d.. f'.' lhO'd"t. ., d,llh" tll, tho dot.' llf p.v-t. ..I.... Ifhloh b.._ d.lln"".nl bofll" Jonuor. T. I'll bOO' 11I1o...t .t Ih. rot. .f ",I. (6XI p".ont p.. .nnu. a'laulotld.t . d.II.,.I. of ,000164, All I.....hl.' b..... d'llnqu.nt ,n,.nd .It.. Jenu..y I, I'll .111 b... Int....t .t . ,.t. ohlah .111 v... f... ..Iond.. .... I. ..I.pd.. .... .Ith th.t ..1. _UII01d by tho PA oop.,t..nt.'f R.venu.. Th. oppll..bl. Into...,t rol.. f.. 1981 Ih,.uth 1991 or.. 'tUt lDttr"t Altt ,Dlll~ Inter"t Faotor xur tntlrllt ',Rlt' DIl1~ tnttr..t peo1!.t , Ult 10. ,00014, m6, lOX .000114 1911 16X ,000411 1917 OX .0001~1 1914 IU ,000101 ""-1991 11M ,000101 IUS \IX ,OOOlS6 199a OX ,Om~1 "-lnt_rut I' otloull'ld .. follow" IHT.RIIT . SALAHa. 0', TAX UHPAtO K HUHSER GP OAYI a.LIHqu~HT X OAIL~ IHTER.IT PAOTaR --An. ,0U.. luu.d Ifl.. ,Iho 't.. b...... ~.lInqu.nl .111 rofl..t on Int....t ool.ul.Hon t."I/I..n ClII d.y, b...nd \h. d.l. of tho .......ont. II p,v"nt I. ..dO .11" tho Int....t .0000I.llon dot. '110"" .n tho Notl../ oddltlon.1 lnto,..t lU.t b...loul.l.d, . I.V.11OC) '.+'112.'" I ~l I' 1/ .:,'(,(, II INHERITANCE TAX RETURN 'R'SIDENT DECEDENT cOIMb~~.nI~\'~'il'rJl~WANIA (TO 8e " ILeD IN DUPLICATe HAIIlIlIIlo, ~A ~'",06OI WITH REGISTeR OP WILLS) . '". 'lli'.~Hll'it$;' '1iWI~li"'u' HollenbaUQh, Maggie H. ' 106 Fairfield S~; 174. ~l~~ B.=.'~~__J:1~;:{~i~~;'.:'J.~I~'l.r~~!.:~'i=~ ~~;::.:.~~~ ;.r ~ ~?~ 7241 {J 1. O,lolnal R'tllrn [I 2, SlIppl.m.nlcil R.turn ~3. R.mqlnd.rfR'IIIIn ,. ' _. (lor dol" 0 d,alhprlorlo 12.13.021 o ~. Llmll.d hlate U 4,"' ful~rolnloroll Comproml.. LJ 5. f.deral E,'al' TaK ' , (lor dale' 01 d,alh alter 12.12.82) Relurn R.qulred [I 7, D.cod.nl Malntalnod a 1I,Ing Trull _ 8. Talal Nllmber 01 Safe D'pa,1I80KII Alla,h ,a 01 Trull o(,-"'-DiiiOliTTO," 701 mast tUn'il ,St, ___ Shippenabur'ill Ph 17257 IILn HUMI.. ~.. 2)-1I1-7B4 ~O!lN}JfgD~ XEAR NUM&eR 'j!,;i;ir~ioo:~fIIIII Sally J. Winder 532-9476 ....,...,...;:=-..-=.:~ --.... .- , - 1. Rtal E"al,aISchedlll.II) ( 1) _,.$.11LL.~.nL~_~._._um 2. Slock! and Dond, (Sch,dllle 81 ( 2) .'.-- n_'....._,_._._'--."- , 3. Clo,.ly H,ld SlacklParlne"hlp Inl"al' ISchedul. C) (3) ,-_.. ..--- ,._p.~n."-_' ~. MO,loagll and Nal" R,c,I,abl. (8ch,dlll, DI ( ~)---~----_.__._"--~ 5. C"~h:3~~aWa'I" &M"c~lIan.auI Perlonal Praperty( 5) __JJ.g 1~1.7.~O l.._...'._e~ II. Jointly Own.d Prop.rty (~chedul. f) I (I) ,-4 ."- -.... me__.' ....,.......,...- 7. Tronll,,, (Sch.dula OIISch,dlll$ L) ( 7)__~......,_........."_..,.......,,..' 8, Tol~1 Grall A"ell (Iolalllnll 1,71 . ('B) J}l, 310.34 ., $580625 9. fllReral EKpen"I, Adr;.lnlltratl,. Co,II, Mllcollan.ou, I 9) .........e'___..".!....... IKpan..' IS,h,dule H) , 10. D,bll, Martoago Llabllltl.I. L1tn1 18ch,dlll. I) (10) ~..___..m""_""'''''__'___ $ 0 5 11. Tolal Deduction' (lolalllnll9 & 10) (11). ~.8 6.2 . 12. Nt! Valli' 01 e.lale(lIne 8 mlnu,lIn. 111 (1~1 .. $"fs, 50 4. 09 13. Chathabl. and Ga,ernm,nlal D"iuo"', ISchedllle J) (131 ......-. 14, N,I Valua SII~ fclla ~m!l1m~inder faotor 0.56558 (14) -$07680 BO 15. Amounl of IIn. 14 la.abl. 01 11% 'Oil (15,.$.87,68.80 ---.....--.,)( .011- .._~$.s:~.13 (Incllld' valu.. from 8chedule K or 8chodul. M.) Ill. Amollnl ai/In. 141aKablo 01 15% ,rail (Ill) ...'e_____,.._.......m.._...:'.....~..)( .15- (IMllld. vo u.. I,om S,hedlll, K or S,h.duloM.) , I 7.Prlnclpulla. dll'IAdd lo.t,am IIn, 15 alld Irom IIn. Ill.) 18. C,.dlll P/lor Poym.nll Ol,caunl Inlerlll _~.m_'.."__' .' ..........____.._,.._. ,'''w........_.. (IB) --... 19. If 11110 lo~orlhQnI,ln.,'7, on,ler I~' ~!If.renc. on IIno 19, Thl' II Ih. OVERPAYMENT, (19) ..-...... II[)UIIIIIaJW"'!I'~"fi......::IU'~il.mmlll'l~ " $526.13 ~O. If IIno 17 II o,eo", Ihon IIn.,IO, .nt.r 'h. dlfl.renca.n IIn. 20. Thl,h tho TAX PU~, (20) .. ,-- ,.._-~-- A, Enllr ,h. Intor,,1 on ,h. balanc. duo on IIn020.A, (20AI __.....~_lJiO....lL...:-.._- 8. Enler th'lotal 01 IIn, 20 and 2M on IIn.,208, Thl, II ,ho 8ALANCI DUE, (20B) .._u..$6.7-6-..aQ-, ' Mak, ~h.ck. P~Y.l'jla ~~l.J'~!'t"~,~LW~I'L~.@!~'.... ..".... .............. ". G;Jl~;;n~it,~'oip~,iury,~. al~1 ~II h~" e~~ln.d ~I' ,~~u~~~~!~ln1!'~~p~~~I~:~~h~~~~ta~~ .~~o~~nll.~n KIO I : b..t 01 my nowle 0' a~~ e 1.1, III. IruI, '011"1 ond,ompllI', I d.do" Ihal 011 re,,1 e.lolo ha. b..n r.porl.d 01 trUI mork.","lu., O.c1o,ollon 01 prepa,er olher Ihon Ih. p."onal.repr"entoIlYlII ~~I~~'~~~~1.~~,~~~:N~::~~~:;~~i~..~;:.:...~~~vi.~'~~'1-;:~-'~;241'''~- b~1 7/1 /f I -- J;'~~"'r m~,~~,.",-::;~~'."-"i;;;;::~~;;~~n~;;;i · -'A 1 7 257 ....'1, (r? (1 i), ___.:1ll6... 13 ~