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HomeMy WebLinkAbout72-0556~. ~a~ - ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ROBERT CHASE _ ::: MELLON BANK N.A. P 0 BOX 7899 ROOM 193 PHILADELPHIA PA 19101 REV-1547 E% AFP (01-02) DATE 06-17-2002 ESTATE OF HART WILSON C DATE OF DEATH 10-23-1972 FILE NUMBER 21 72-0556 COUNTY CUMBERLAND ACN 102 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS -~ ---------------------------------------------------------------------------------------------------------------- REV-1547 EX AFP (01-02) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF HART WILSON C FILE N0. 21 72-0556 ACN 102 DATE 06-17-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: REMAINDER RETURN 1. Real Estate (Schedule A) (1) .00 NOTE: To insure proper 2. Stocks and Bonds (Schedule B) (2) 66 , 543.27 credit to your account, 3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion 4. Mortgages/Notes Receivable (Schedule D) (4) .00 of this fora with your 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .00 tax payment. b. Jointly Owned Property (Schedule F) (6) .00 7. Transfers (Schedule G) (7) .00 8. Total Assets (81 66,543.27 APPROVED DEDUCTIONS AND EXEMPTIONS: .00 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00 11. Total Deductions (11) _00 12. Net Value of Tax Return (121 66,543.27 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 6 6,543.27 14. Net Value of Estate Subject to Tax (141 .00 NOTE: If an assessment was issued previously, lines 14, 15 andior 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) • 00 X 00 _ . 00 16. Amount of Line 14 taxable at Lineal/Class A rate (16) •00 X 06 - .00 17. Amount of Line 14 at Sibling rate (17) .00 X 00 - .00 18. Amount of Line 14 taxable at Collateral/Class B rate (18) •00 X 1 5 - .00 19. Principal Tax Due (191= .00 DATE ~ NUMBER ~ INTEREST/PEN PAID (-) ~ AMOUNT PAID TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 ^ IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ~ ,. .=. =t - „- s•l r; I fCR^A':S Of C:,:TH s~~.R 1:;~ 1;91 C: • < +:. _ G.-CT.Gj t' ~ D~ I tr Q JpCU.~i/SL .-- ~ ^ n-~'~~ j lNr~=>2;TANCE TAiC R_ I URN PCvERT'f cREOrr rs c:arMEO _~ -~~- I RESIDENT DECEDENT fiLE NUMBER (:OM,wQN`NSA(iM Of -ENNSY!'JANIA ~ (TO BE FILED !N DUPL-1CAT"c 21-72-0556 OE?AaTMENi QFREYENUE °`°' 29C~' ~"~iTH RcG157tR OF WILLS) Hiss:,d~~G ~, t~::a.ca;r COUN'Y CCO°_ Y°~~ "t',u3;~ ~~. ....5^.r; ~~ 5 IlA1i, Ha,t, •rr~ .,NCO.' ~ti~;~~U OEC:CEN r'; .HMV!; CE •JCa: S; Hart, Wilson C. i,GCUt SECOxi r7 NUMdE3 10.+;E CF OE.+;n OAfE Cf drR7r+ W W G w Y 6 N V `,.- Y w " _ C - ~Q,m N W ~a G - C C U y 0 a J d c 10-23-72 c~~~,. w .••,.e..nn ,~ ~-~ ~. , .wr-~ ~..'e ~usr, rulr •w0 rioo~t n.rt,•q I ~,.u+t ~e~~.u ~ r. u~..aen Cumberland N; REC:I`~EJ (SEE +NST~UClCN CI 1. Origincl Return Lf :, Supplemental Return ~ 3. Remainder Return (ior does cf decth pricr to 1Z-1:,-dZj d, limited Eacte ^ dc. Future Interest Comcromise C S. i:adercl Estate Tcz Return Recuired - (ior does of doc:h titer 12-12.8Zj 6. Decedent Gied i asrere ^ 7. Decedent Meintcined a Living Trust ~ 8. Tote! Number of Sc'a Deposit iioxes (Arcch copy al Wiil) (Attach copy of Trust) ALL:'CORRESPONDFNCE AND CONFIDENTIAL TAX tNFdRMATION SHOULD BE D1R~C7ED TQ: ' NAME y~j2 i 1 OA 13 d; K, ~ . 4 . C,^,MVlE1E MAILING AcCZ_'SS ATi'N: Re' z C'haca I`lellon Bank, N.?. 'Elc?HGNENUMSER Tax Officer P•0• Box 7899, R„ 193-0205 1215 1 5,~_n~nA Philadelphia, PA 19101-7899 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Neld Stock/Portnership Interest (Schedule C) d. Mortgages and Notes Recaiva'tle ($clsedule D) 5. Cosh, Bank Deposits S Miscellaneous Personal Property {Schedule E) b. Jointly C?wned Property (Schedule F) 7. Transfers (Sutsedule G) (Schedule l) 8. fatal Gross Assets (total Lines 1.7) . 4. Funeral Expenses, Administrative Costs, Miscellaneous Expansos [Schedule K) i0. Debts, Mortgage liabilities, Liens (Schedule I) 11. Total DeduCions (total Lines 9 ~ ICJ I2. Net Value of Estate (line 8 minus line 1 I) 3. eritc_ie anal Gcv.,-nmentcl Bequests (Schedule J) l d. Net Value Subject io Tax (Line 12 minus line 13) 0 a >- a 0 U x 4 ~-- IS. Spousal Transfers (for dates of deatfi after b-30.9d) See In:trvctions Far Applicable Percentage on Reverse Side. [Include valves from Schedule K or Schedule M.) 16. Amount of Line ld taxable at 6°.5 rote ' [Include values from Schedule K or Schedule M.) 17. Amount of Lina id taxable a! 1544 rate •' ()nclude values from Schedule K or SuSedule M.) 13. Principal tax due [Add tax from Lines lS, 16 and 17.) 19. Credits Spousal Poverty Credit prior Payments (1) - (2j 66.543.27 _. ' (3) (d) (S) (b) {7) 66,543.27 (a) (q) (10) .. (1lj ' (12) 66.543.27 . (13) 65,543.27 {1SJ . (i6) (T 7) Discount Interest + + - 20. 1f Line 19 is greater lficn Cine 18, enter the difference on Line 20. This is tfss OVERPAYMENT. .~~ ~ 1. If Line 1 B is greater than Lina 19, enter the dirference on Line 21. This is the TAX DUI:. A. Enter the interest on the bclance due on Line 21A. 8. Enter the total of Line "tl and Z1A on Line Z16. ibis is the BALANCi: DUE. Make Check Payable to: Register of Wi11s, Agent (1a) NONE x. ` __ x.06= x .1S NONE (18) _ (19) (20) (21 j NONE [2 t A) (z 1 Bj NONE ~ ~- 3 St1'2": TO A~iSrti'„K ALL QUFai70NS ON R~'~5: SIDE A',1D TO REC}-i_CIC h1ATN -•~-~ •r penetties of oarjury, t dec'.are that i have examined this return, including accompanying schedule: end s:ctemena, cnd to the bast of my fcno~.fadge end beliri, ve, correC and complete. I de<iore that all rocl estcte has been reported at true mcrxel value. Declcrction of preparer orher than the personal reoresentativo is ..dd on al! information or which preparer hcs any knowledge. LIRE Of PERSON RESP/Q+hSJbIE F FiIING REi N AOORESS D ~7- ;r.AtURE OF IREfARER O1MER iMAN REIRi 1A.IYE ADDRESS ~ CAiE d-^i r _ _ REV.t507 EX ~ (a.861 ~; CC)MMONWEAITN Of PENNSYLVANIA ~NNERITANCE TAX RETURN 4ESIDENT DECEDENT SCHEDULE B STOCKS AND BONDS ATE OF Wilson C. Hart NUMBER 21-72-0556 (All property jointly-own~o with Righc of Survivorship must be disclosed on Sch~dul• F.) state valua*_io^ Da~° cf Death: 02/09/2002 val•~atier~ Date: 02/09/2002 Fr:^cess~na Date: 03/08/2002 Estate of: HART w C Tjw ACCOUl~t : 1 017051 0 ~~i7 Report Type: Date of Death Nur::ber of Securities: 1 'ile ID. 0517~n% Shares Security Mean ~/or Div & Ins ~ecu__ty ;,: Far Descriptio., `r:ighi.~sic Low/Eid Adj'ments Accruals Value 1) 5=90.07 i4PR.~4 :DS T~ (53130`3?7) EALANCcD FD NASDAQ G2/OS/2002 11.01000 aid 11 . G10000 b~,5--o.c7 .~ ~C 1, S~-'.O 07 ~', "~~i6,~c C-6~ s 4 5, } i Fage 1 This report was produced with Lstateval 2000, a produce of Estate Valuacior.s & ?ricin~ Systems. Inc. Zf you have questior_s, please contact EVP Syste-~s at (S1o) 3'_3-6300. (Revision '.0.4) ~:~ TO~~! P~G~. ~~ vw~ REV_IS 17 F%. ~~-R7~ ~:~" :`'t~ SCHEDULE J COMMONWEALTH OF VENN$Yl`/ANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Wilson C. Hart ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY I RELATIONSHIP AMOUNT OR i SHARE OF ESTATE 1. A. Taxable Bequests: I i I i ~ ITEM NUMBER NAME AND ADDRESS OF SENEFiClARY AMOUNT OR Si1ARE OF ESTATE B. Charitable and Governmental Bequests: 1~ Eberly's Mills Church of Cod 22 181.09 Camp Hill, PA 2. St. Theresa's Roman Catholic Church New Cumberland, PA 22,181.09 3. Boys Town 22,181.09 Boys Town, NE TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recopituiation) IS 66,543.27 FILE NUMBER (If more space is needed, insert additional sFEeets of same sire) L'~ ' ~ ~0 ~" ~ d 3Sy~ 1 174200.4 03168 oo~ O~~Q.J~ ~ q C HART T/M 70 l6 INV.OFF. (ACCT. MGRI AONI.OFF. (TRUST OFFICER) 72 ~'- i I I i I I, WILSOS C. HART, OF Lower Allen Township, Cumberland County, Pennsyl- vania, Wake, publish and declare this to be my Last will and Testament, hereby V revoking and making void any and all Wills by me at any time heretofore made. i 1. I direct the payment of my just debts and funeral expenses as soon l after my decease as may be convenient to .my Executor hereinafter named. i 2. I give and bequeath One Thousand Dollars ($1,000.00) to St. Theresa's I Roman Catholic Church, :vew Cumberland, Pennsylvania, in memory of my wife, 2•fary Elizabeth Hart. 3. I give and bequeath One Thousand Dollars ($1,000.00) to my niece Rachel B. Winn. 4. I give and bequeath unto Edwin E. Hess such of my household goods as he may select. S. All the rest, zesidue and remainder of my estate, I give, devise and bequeath unto Harrisburg ~;ational Bank and Trust Company, in trust, for the following uses and purposes: A. To convert into cash and invest and re-invest the same in { investments selected in its sound discretion, and to administer the same i.. accordance with the Fiduciaries Act of Pennsylvania; i B. To accumulate and re-invest the income until Edwin E. Hess ~I attain the age of b2 years, and thereafter to pay the income Cato Edwin E. Hess and ?farjorie R. Hess, his wife, or the survivor of them, flaring the life of the said Edwin E. Hess and i'.arjorie R. Hess and the survivor; provided, hoc•ever, (i} that in tae event ether shall s+affer any disability, the trsstee may at its discretion pay the income or any portion of the principal it deems I reasonably reouired to or `_or the benefit of the beneficiary suffering sac: disability. I: Edwin E. Hess shall fail to attain the age of 62 years, I -1- direct that the trustee at his death distribute $2,000.00 to his widow, i_` she survives, and pay her thereafter the income and any portion of the principal deemed by the trustee to be reasonably required for her co-..fort and support. (2) At the death of the survivor of Edwin E. Hess and ".arjorie R. Hess, I direct that the trustee distribute the balance in its hands equally among the following: Eberly's Mills Church of God, Camp Hill, Pennsylvania St. Theresa`s Roman Catholic Church, New Cumberland, Pennsylvania, Boys Town, Nebraska (3) In the event my death shall occur within 30 days alter the execution of this Will, I direct that the trustee distribute the fund in its hands to Edwin E.. Hess on his attainment of age 62, or if he shall fail to attain such age, to Marjorie R. Hess, and if neither survives, to such person as the survivor shall appoint the same by his or her Last Will and Testament. 6. I appoint Harrisburg National Bank and Trust Company to be the Executor of this Will. IN WITNESS WHEREOF, I hereunto set my hand and seal this 7 '~' day of ',~\ , 1969. ~f~ :~.c"rzc Cam. !-7c~~.~ (sF1sL) Signed, sealed, published and declared by the above named Testator as and for his Last Will and Testament in the presence of us, who, at his request, in his presence and in the presence of each other, have hereunto subscribed our names as witnesses. ~n../~:.,/ LT~ / ,/ -'-