HomeMy WebLinkAbout03-0392
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
.
Estate of ~~" ~ t~;1:'e'l- No. ~1-~-~~9-)~
To:
also known . i )L,'() Register of Wills for the
Deceaset County of in the
Social Security No. 100- (, C, - SJ 1 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, app~ for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Decendent was domiciled at death in L I J...... k" III ~ . County, Pennsylvania, with
her last family or principal residence at ~S)) fhalA p0Ar/ I f\\(7I_.J,/It, PAl J7ZtLl,uJA-
(list street, number and municipality)
Decendent, then ~ yea~s of age, died .?/ ~. ( ~ () () ~? X ,
at C A i/ e''J ib... A l 'h-, (l n\.. ( A ~. _ / ,
Decendent at death owned property with estimated values as folllows: <OO( 0C9'
(If domiciled in Pa.) All personal property $
(If not domiciled in Pa.) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal property in County $
Value of real estate in pennsYlviA $
situated as follows: Ci
. I
Petitioner_ after a proper search haS..-- ascertained that decedent left no will and was survived by
the following spouse (if any) and heirs:
Name y;/le, fJ)J7Zl{ }
~
r1i( I ffj (, Tol 3)
',~)<,( fA (llOJ})
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA }
ss
COUNTY OF CnMh~Y"lo.nJ pc: . :0
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The petitioner(s) above-named swear(s) or affirm(s) that the ~;,,: ~ ;J{ 8.
statements in the foregoing petition are true and correct to the best o. -lJ
of the knowledge and belief of petitioner(s) and that as personal <S,
representative(s) of the above decedent petitioner(s) will well and .~) ~ :::
truly administer the.estate accmding to law. }{ ~j;S ~ w So
Sworn to or affumed a. nd subscrIbed J [; 7f1 l~U -
before me this ~ day of 'tr
m~ :M ck>o3 ~
iH~/jM/ .. Ot~~.,~/ I ~
~.A2U gist r l ~
No. QI-rJ3- .39.1/
Estate of --J I ) I i CO.J A . \ r-l-A. rn . I , Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW M1\l t 7 .M~, in consideration of the petition on
the reverse side hereof, sa Isfavory proof havmg been presented before me,
IT IS DECREED that I I ZA I<- FDA m i
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to NI z.A A. -:LOll mi
in the estate of ~lIltE.., R lOA mOl
Cb~/7Z.~ k ~
r~~
FEES
Letters of Administration ..... $ /& t) 0
Short Certificates( )......0..0 $ ..:5.CJt::3:> ATTORNEY (Sup. Ct. LD. No.)
Renunciation .............. 0 0 $
n.n y:/ $ /0. t:::XJ
~ TOTAL _ $ $L, /'J6 ADDRESS
Filed ../?/11y .:J. . . . . . . . .. A.D. J9~
PHONE
-
STATUS REPORT UNDER RULE 6.12
Name of Decedent: JJ;.e ~ I Df}N 1
Date of Death: oS - OJ.. ..<no ':)
Will No.: A ) - 03 - {),"1 ? ;< Admin. No.:
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the
following with respect to completion of the administration of the above-captioned estate:
L State whether administration of the estate is complete:
Yes 1tl No 0
2. If the answer is No, state when the personal representative reasonably believes
that the administration will be complete:
3. If the answer to No.1 is Yes, state the following:
a. Did the personal representative file a final account with the Court?
Yes - No 0
b. The separate Orphans' Court No. (if any) for the personal representative's
account is: -
c. Did the personal representative state an account informally to the parties
in interest? Yes 0 No 0
c. Copies of receipts, releases, joinders and approval of formal or
informal accounts may be filed with the Clerk of the Orphans' Court
and may be attached to this report.
Date: - t '.'
1\\ I 7 A r lOANf
.
Name
~ {. 'AN ~ h (0' P r:" r(1.,<,'" s 1';.I~))71 Z f)
Address
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Telephone No. '1 7) n L '. 0, 0) t)
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Capacity: 0 Personal Representative
o Counsel for personal representative
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C~
11105.805 REV 9/86
~;1jS is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
l,t)(al Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00 Li.:- (.\. ~~~~
Local Registrar
p 9283374 MAY 2 2003
No. Date
H105.1-43 R.." 2187 COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
UNT STATE FU NUMeEA
ONT NAME OF DECEDENT IF"". Middle. I.., su SOCIAl. SECURITY NUMBER DATE OF DEATH lMonltl. 0..,. .....,
NK t. Julie A. ldani 2. F .. 199 - 66 - 5276 .,5/1/2003
AGE (La. BiftN3ay) UNDER t YEAR UNDER I OM BlRTHPlACE (C.ty and PlACE OF DER'H ICt>eQl 0Ny.".. 'iee 1fl1lruc1000S on Oltoel .,..
-1 Doyo Hours : MInut.. St.l.OIFct~CDlJl'lfrY) HOSPITAL:
21 v... Carlisle, PA '''''''"''' aJ EFIIOucpe,jetM 0 ="'0
. 7.
. COUNTVOFDEArH FACtUl'Y NAME 01 not .nsf'tUIlOn. Q/'o4 ,ltH!: ana "",",~I RACE. American IndiIIn, ~ Whit.. 1ItC:.
(~l
d,1 . Cumberland Carlisle Boro. White
IlL ...
DECEDENT'S USUAl. OCCUACI1OH MAAITAL STRUS-Married 5UAVMHG SPOuSE
(~~.:'":ac::::~::r Never Married. Mdowe4. I"..... gMt "**' fWnIIi
-~
. ttL AIMIN t~SS Distribution 12. .., Married ...Nizar ldani
DECEDENT.S......ING ADDRESS (So....~...... ZipCodo, DECEDENT'S PA "e.KJ ......__in Lower Frankford
. ACTUAL 17.. State Did ....
3515 Enola Road RESIDENCE -
lSeo""""""", ....in.
Newville, PA 17241 DnOltlerSlde) Cumberland _7 "..0 ::...~..
to. '7lo,
FAntER'S NAME (F.... Middle. LnI' MOTHER'S HAME {Fltlt. MIdclle. Malden Surrwne)
fl. Ra nd - Morehouse to. Charlet A. Warner
-'S_(1_ INFORMANT'S MAIUHO ADDRESS lsn.c. Citynown. sa.... rip Coot)
Nizar ldani . 3515 Enola Road; Newville, PA 17241
METttOO OF CMSPOSITK)H PLACE: OF CHSPOSITlOH . N.me of Cemetery, CtemMOfy LOCATlOH ,c.."....., _, ZipCQM
. _l8l c.....,... 0 .. au... .....
au... -..,. 2003 Carlisle, PA 17013
.
LICENSE NUMBER
....FD 012633 L Harre; Carlisle, PA 17013
DATE StONED
-.Doy,-,
.... .... ....
TIME OF DeATH ~ CASE: REFERRED TO MEDICAl EXAMINERlCOAONEA? Ho.fdf
03 .....0
...
SUCh as cardi.e or respiralory .n.., Ihoctl: or Man failur.. I Approximat. PART .: OtMrSigniftcanlCll:lndllicJMClllII"ICr'ibulOdMth.buI
r~~ noe rnuIt6ng in the UftdMw'lnI ceuM ~ in PAA'T I.
: 0fIMt And dMth
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OUE 10 (OF"'S' ONCO ~ I
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OUE 1OtORASA CONSOauONC.E afl ,
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Due lD (OFt AS'" CONSEQUENCE OF): !
d.
WERE AOlOPSY FINDINGS MANNER OF DEATH DATE OF INJURY TIME OF INJURy INJURY xr WORK? DESCRIBE HOW INJURY OCCURRED.
"""'lA8lE PAIOA TO lMonth. o.v. __)
COMPL.El1OH OF CAUSE ~ 0
OF llERti. -., Homicide .....0 NoD
........ 0 P~ lnvntirgatJon 0
Yooo HoD 0 o PlACE OF INJURY. AI home. farm, .,..1. 'acIDl'y, omc. ".
-... Could not be del.rmlMd
buiIcIng. etc.lSpecltv}
- ...., ZO, 300.
CEft'TlPJEII IC"<<:k aniy 0I'IeI
-CBn'urvtNQ ItHYSICIAN (PhrtlC*' c""lfylnq cause d dHth whert MlOIher pt'lvsoe.-rt has Pfonounc.d deattl aroa Completed ItIWYl 231
To ItMbntof"'y knowtedge, ..tttoceunwclduelOhCavH{...ndm.""-'...tat......"..".....,......,.......,............".........
-PfIONOUNCING AND CElITllfYtNQ PHYStClAN IPhvscen both pronouncrng oealh and Cer1Il'fV'lO 10 c~ a dea"l
Tothe blNI of my kno.....QA, .athoccurred.fthedme, dale. .ndpIK., .ndduetot....c.u..(.).ndm.nner...t.led..........................
-MEDtCAL. EXAMINER/CORONER
On the ba.l. 01 ...minetlon and/or 'nv..Ug.tion. In my opinion. deeth OCcuned a. the tlma, dala. and place, and due 10 the cau..(s) and 0
manner...t.tad...................... ........................ ..... .................. .......... ...... ..... .... ....
31..
REGISTRA.'S S/GNArU.E AND NU"")t ~llla,\ 01 ~ 6..~
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9
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: JuLie Ii Jd ?1 t1 i
Date of Death: 5 / I / :too '$
Will No, ~J - 03 - ~ OJ ? Admin. No.
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on
Name Address
JJ1v lda1'1; ~51c; pA-ld& eOild / ~;/Ie
PA, 17? i;11 UJ A
, Notice has now been given to all persons entitled thereto under Rule 5,6(a) except N/A
'I L( (20D ) t-
Date:
Signature
Name ~ldarJi'
N Address '3SJ5 Q.M J; ~ ~oJ ( Newu;{(e
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B: PAl 17L),'1 V SA
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2 ij. Telephone nl1) 3ZC tCJ~<6
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("":1 Q; ..,..0 Capacity: * Personal Representative
0.1 rc S3 ;;::>:
cr: ~~ :S
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_Counsel for personal representative
COMMONWEALTH OF PENNSYLVANIA REV.1162 EX( 11.96)
OEPARTMENT OF REVENUE
BUREAU OF INOIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128.0601
PENNSYL VANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 003441
IDANI NIZAR
825 BURGNERS ROAD
CARLISLE, PA 17013
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold ---------- -._-----
03134186 I $103.21
::,:r.-
ESTATE INFORMATION: SSN: 199.66.5276 I
FILE NUMBER: 2103-0392 I
DECEDENT NAME: IDANI JULIE A I
DATE OF PAYMENT: 01/15/2004 I
POSTMARK DATE: 00/00/0000 I
COUNTY: CUMBERLAND I
DATE OF DEATH: 05/01/2003 I
I
TOTAL AMOUNT PAID: $103.21
REMARKS:
CHECK#1593
INITIALS: JA
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
DEPUTY REGISTER OF WILLS
REGISTER OF WILLS
-
COMMONWEALTH OF PENNSYLVANIA 1. sse
COUNTY OF CUMBERLAND J'
Dorothy M. Wilson
being duly sworn, according to law. deposes and says that f4te 1.S the Executrix
of the Estate of Richard L. Wilson
Upper Allen Township
late of ----,----- ..----------- ------ , Cumberland County, Pa., deceased and that the
within is an inventory made by Dorothy M. WilsoI1- '. the said Executrix
of the entire estate of said decedent, consisting of all the personal prop~rty and real estate, except real estate outside
the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value
as of the date of decedent's -death.
Sworn to and subscribed before me,
~
this ;), day of ~f..I xx 2004 ecutor . Administrator
~'~. Dorothy M. ilson
.L- d J?%. 715 Edgewood Lane
~ ," - COMMmJlA'liAl..TI-l 01" Pi~J~ISYLVAr IA MeChan1.CSburg, FA .1/U~~
Notarial Seal
Susan L, Matrazi, Notary Public
Mechanicsburg Boro. Cumberland Cour ly Address
My Commission Expires Nov. 24, 200
Member. Penn9ylvania Association Of Notaries
C'ate of Death 19 November 2001
Day Month Year
INSTRUCTIONS
I. Ail inventory must be filed within three months after appointment of personal representative.
~"" .,.-.",
2. A supplement inventory must be filed within thirty days of discovery of additional ~~ts. d
...... -.. .c:..
3. Additional sheets may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949., ~
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SUPPLEMENTAL
Inventory of the real and personal estate of
Richard L. Wilson deceased
I I
.. .(
I. REAL ESTATE.
All that certain parcel of land improved with a
residential dwelling located at 715 Edgewood Lane,
Mechanicsburg (Upper Allen Township), Cumberland
County, pennsylvania: ~ 55,950 00
TOTAL VALUE OF ESTATE: ~ ....55,950 00
.
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--
COMMONWEALTH OF PENNSYLVANIA *'
BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE
INHERITANCE TAX OIVISION
OEPT. 280601 NOTICE OF INHERITANCE TAX
HARRIS8URG. PA 17128-0601 APPRAISEJtENT ALLONANCE OR DISALLONANCE
OF DEDUCTION~, AND ASSESS"ENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP <OH3l
DATE 05-24-2004
ESTATE OF IDANI JULIE A
DATE OF DEATH 05-01-2003
FILE NUMBER 21 03-0392
'04 ':':'Y ')I.l ":_, :C5COUNTY CUMBERLAND
11M L"T ,\~ SSN/DC 199-66-5276
CHARLET WARNER ACN 03124681
825 BURGNERS RD I '0'"0' '.oit.., I
CARLISLE PA 170~3
f'"
.,\.1,
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
----------------------------------------------------------------------------------------------------------------
REV-1548 EX AFP (01-03)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 05-24-2004
ESTATE OF IDANI JULIE A DATE OF DEATH 05-01-2003 COUNTY CUMBERLAND
FILE NO. 21 03-0392 S.S/D.C. NO. 199-66-5276 ACN 03124681
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WAYPOINT BANK ACCOUNT NO. 10131883
TYPE OF ACCOUNT: (X> SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 04-30-1982
Account Balance 1,618.49 NOTE: TO INSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 809.25 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 809.25 REGISTER OF WILLS AT THE
Tax Rate X .15 ABOVE ADDRESS. MAKE CHECK
Tax Due 121.39 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (_) AMOUNT PAID
INTEREST IS CHARGED THROUGH 06-01-2004 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 121.39
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1.62
TOTAL DUE 123.01
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. *
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
RESERVATION: Estates of decedents dYing on or before Dece.ber 12. 1'12 -- if eny future interest in the estate is trensferred
in Dossession or enjoy.ent to Cless I (colleterell beneficieries of the decedent after the expiration of any estate for
life or for ~ears. the Co..onwealth hereby expressly reserves the right to appraise and assass transfar Inheritance Texes
at the lawful Class B (collaterall rate on any such future interest.
PURPOSE OF
NOTICE: To fulfill the require.ents of Section 2140 of the Inheritance end Estete Tex Act. Act 2S of 2000. (72 P.S.
Section 9(40).
PAVPlENT: Detach the top portion of this Notice end sub.it with your pay.ent to the Register of Wills printed on the reverse sidl.
--"ake check or .oney order pay_ble to: REGISTER OF MILLS. AGENT
REFUND (CR): A refund of II tax credit. whic:;h "'.5 not reQu.sted on the Tax Return, ..y b. reQuII3t:.d by cu.pleting an "Applic:.tion
for Refund of Plnnsylvenia Inheritance and Estete Tax" (REV-1313). Applications are evailable et the Office
of the Register of Wills. any of the 23 Revenue District Offices. or by calling the speciel 24-hour
answering service for forD3 orderinvl 1-800-362-2050; services for taxpayers with speci.l hearing .nd / or
speaking needsr 1-100-447-3020 (TT only).
08JECTlONS: Any perty in interest not satisfied with the appraise.ent, allowance, or disallowance of deductions, or assess..nt
of tax (inclUding discount Dr intlrest) as shown on this Notice .ust object within sixty (~O) days of reclipt of
this Notice b:~n
'-writtln protest to the PA Depert.ent of Revenue, loard of Appeels. Dept. 211021. Herrisburg. PA 17121-1021. OR
--eloction to hevo the .atter detennined at audit of the account of the Plrsonal representative. OR
--app.al to the Orphans' Court.
ADIUN-
ISTRATlVE
CORRECTIONS, Factual errors discovered on this assess..nt should b. addressed in writing tOI PA Depart.ant of Revenu..
8ureau of Individuel Texes, ATTN, Post AsseSSMent Review Unit, Dept. 210601, HarriSburg, PA 17121-UOl
Phonl (717J 181-6505. Se8 page 5 of the booklet "Instructions for Inheritance Tax Return far a R.sident
Oaced.ntU (REV-ISOl) for _n .xplanation of ad.inistr.tiviII1Y carrectabl. .rrors.
DISCOUNT. If any tax due is paid within throe (3) calendar .onths aftor the decedent's deeth. a five porcent (~Xl discount of
the tax paid is allOWed.
PENAL TY, The 15X tax a.nesty non-participation penelty is co.puted on the total of the tax and intlrest assassod, and not
peid betore January 11. 199'. the first dey efter the end of the tax a.nesty period. This non-perticipation
Plnalty is appealable in the sa.e .annor and in tho the sa.e ti.e period as YOU would appoal the tax and intero.t
thet has been asslssld as indicatld on this notico.
INTEREST, Interest is chergod beginning with first day of dOlinquency, or nino (51} apnths and onl (I) day tro. the date of
de.th. to the date of pay.ent. Taxes which bec..e delinQuont bef.re Januery 1, 1'12 bear intorest et the rat. .f
six (&xl percent per annu. calculated at a daily rat. of .00016... All tax os which be c... delinquent on and atter
Janu.ry 1. 1912 will bear interest et a rete which will v.ry frue calendar Ylar to calendar year with that rate
announced by the PA Depart.ent of Revenue. The appliceble interest rates for 1982 through 2003 are.
Interest Deily Intorest Da ily lntorest Daily
Year Rate Factor Year Rata ~ Year Rate Factor
1982 20'1 .000548 1917 ", . 0102"'7 un 7" . 00lU2
1985 16X ,000431 1988-1991 11" .010301 2000 8X .001219
198'" 11" .000301 1992 9" .0002..7 2001 9" ,0012"'7
1985 13'1 .000356 1993-199" 7" .000192 2002 '" . 000164
1986 lOX .00021'" 1995-1998 9" .0002<;7 2003 5" . 000137
--Interest is c~lcul.t.d IS followsr
INTEREST.. 8AL.AHCE OF TAX UNPAID l( NUKBER OF DAYS DELINQUENT l( DAILY INTEREST FACTOR
-.Any Notice issued after the t~ beco..s delinquent will ref1ect an interest c.lcul.~ion to f1ft..n (IS) d.y~
beyond the date of the .ssass_.nt. If pay..nt is ..de .fter the int.r.st co.putation d.t. shown on the
Notice, additional interest .ust b. c.lcul.ted.
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BURb.\U OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 003995
IDANI NIZAR
825 BURGNERS ROAD
CARLISLE, PA 17013
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
_nn___ fold ---------- --------
03124681 I $123.01
ESTATE INFORMATION: SSN: 199-66-5276 I
FILE NUMBER: 2103-0392 I
DECEDENT NAME: IDANI JULIE A I
DATE OF PAYMENT: 06/02/2004 I
POSTMARK DATE: 00/00/0000 I
COUNTY: CUMBERLAND I
DATE OF DEATH: 05/01/2003 I
I
TOT AL AMOUNT PAID: $123.01
REMARKS:
CHECK# 3511
INITIALS: JA
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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COMMONWEALTH OF PENNSYLVANIA '*
BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
DEPT. 280601 . NOTICE OF INHERITANCE TAX
HARRISBURG. PA 17128 0601 APPRAISEIfENT ALLONANCE OR DISALLONANCE
OF DEDUCTION~, AND ASSESSIfENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS REV-I54. EX AFP (01-03'
DATE 05-24-2004
ESTATE OF IDANI JULIE A
DATE OF DEATH 05-01-2003
FILE NUMBER 21 03-0392
COUNTY CUMBERLAND
SSN/DC 199-66-5276
CHARLET WARNER .n"I.U' -') :!' 1 ACN 03124681
\..J{." u.4 '-
a25 aURGNERS RD. I A..UA' R..it'"' I
CARLISLE PA 17013
'.
('~\ ; MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
----------------------------------------------------------------------------------------------------------------
REV-1548 EX AFP (01-03)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 05-24-2004
ESTATE OF IDANI JULIE A DATE OF DEATH 05-01-2003 COUNTY CUMBERLAND
FILE NO. 21 03-0392 S.S/D.C. NO. 199-66-5276 ACN 03124681
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WAYPOINT BANK ACCOUNT NO. 10131883
TYPE OF ACCOUNT: (X> SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 04-30-1982
Account Balance 1,618.49 NOTE: TO INSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 809.25 UPPER PORTION OF THIS NOTICE
Debts and Deductions - ,00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 809.25 REGISTER OF WILLS AT THE
Tax Rate X .15 ABOVE ADDRESS. MAKE CHECK
Tax Due 121.39 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (_) AMOUNT PAID
INTEREST IS CHARGED THROUGH 06-01-2004 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 121.39
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1.62
TOTAL DUE 123.01
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. *
{ IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
~- SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
PURPOSE OF
NOTICE: To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act. Act 23 of 2000. (72 P.S.
Section 9140).
PAYMENT: Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the
reverse side.
__ Make check or money order payable to: REGISTER OF WillS. AGENT.
REFUND (CR): A refund of a tax credit. which was not requested on the tax return. may be requested by completing an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of
the Register of Wills. any of the 23 Revenue District Offices or bY calling the special 24-hour answering service
for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and or speaking needs:
1-800-447-3020 (TT only).
08JECTIONS: Any party in interest not satisfied with the appraisement. allowance. or disallowance of deductions or assessment
of tax (including discount or interest) as shown on this Notice may object within sixty (60) days of receipt of
this Notice by.
--written protest to the PA Department of Revenue. Board of AppealS. Dept. 281021. Harrisburg. PA 17128-1021. OR
--electing to have the matter determined at the audit of the account of the personal representative. OR
--appeal to the Orphans' Court
ADMIN-
ISTRATIVE
CORRECTIONS. Factual errors discovered on this assessment should be addressed in writing to: PA DepartMent of Revenue,
Bureau of Individual Taxes. ATTN. Post Assessment Review Unit. DEPT. 280601, Harrisburg. PA 17128-0601
Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-1501) for an explanation of administrativelY correctable errors.
DISCOUNT. If any tax due is paid within three (3) calendar months after the decedent's death. a five percent (5%)
discount of the tax paid is allowed.
PENALTY. The 15% tax amnesty non-participation penalty is computed on the total of the tax and interest assessed. and not
paid before January 18. 1996. the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest
that has been assessed as indicated on this notice.
INTEREST: Interest is charged beginning with first day of delinquency. or nine (9) months and one (1) day
from the date of death. to the date of payment. Taxes which became delinquent before January 1. 1982
bear interest at the rate of six (6%) percent per annum calculated at a dailY rate of .000164.
All taxes which became delinquent on or after January 1. 1982 will bear interest at a rate which will vary from
calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable
interest rates for 1982 through 2004 are:
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
i982 ~ :000548 m8-l991 """"'ii% :iiOo3Oi" 200i ~ . ii'ii0247
19B3 16% .000438 1992 9% .000247 2002 6% .000219
1984 11% .000301 1993-1994 7% .000192 2003 5% .000137
1985 13% .000356 1995-1998 9% .000247 2004 4% .000110
1986 10% .000274 1999 7% .000192
1987 9% .000247 2000 8% .000219
--Interest is calculated as follows.
INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. If payment is made after the interest computation date shown on the
Notice. additional interest must be calculated.
COMMONWEALTH OF PENNSYLVANIA '*
BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
DEPT. 280601 NOTICE OF INHERITANCE TAX
HARRISBURG, PA 17128-0601 APPRAISE"ENT~ ALLOKANCE OR DISALLOKANCE
OF DEDUCTION , AND ASSESS"ENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP <01-0$'
h PA ~ 08-02-2004
'ft 'TE OF IDANI JULIE A
\'I~~E OF DEATH 05-01-2003
FILE NUMBER 21 03-0392
COUNTY CUMBERLAND
'04 JUL 30 ~~~ 199-66-5276
JANE o WARNER 03134186
825 BURGNERS RD I Allount Rellitted I
CARLISLE PA 17013-89~\E:(k E'"
.j ,. ,-
C I nb ,".,-",) r~ oA
III eJldliU,jO,.1
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ......
----------------------------------------------------------------------------------------------------------------
REV-1548 EX AFP (01-03)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 08-02-2004
ESTATE OF IDANI JULIE A DATE OF DEATH 05-01-2003 COUNTY CUMBERLAND
FILE NO. 21 03-0392 S.S/D.C. NO. 199-66-5276 ACN 03134186
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ALLFIRST FINANCIAL SERVICES ACCOUNT NO. 87008000129108
TYPE OF ACCOUNT: ( ) SAVINGS ( ) CHECKING ( ) TRUST ()() TIME CERTIFICATE
DATE ESTABLISHED 12-29-1984
Account Balance 4,587.22 NOTE: TO INSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 2,293.61 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 2,293.61 REGISTER OF WILLS AT THE
Tax Rate X .15 ABOVE ADDRESS. MAKE CHECK
Tax Due 344.04 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-15-2004 CD003441 .00 103.21
INTEREST IS CHARGED THROUGH 08-10-2004 TOTAL TAX CREDIT 103.21
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 240.83
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 5.06
TOTAL DUE 245.89
!Ii IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. !Ii
( IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED. ~'K
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ, YOU "AY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. J
PURPOSE OF
NOTICE: To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S.
Section 9140).
PAYMENT: Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the
reverse side.
-- Make check or money order payable to: REGISTER OF WILLS, AGENT.
REFUND (CR): A refund of a tax credit, which was not requested on the tax return, may be requested by completing an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (REV-13l3). Applications are available at the Office of
the Register of Wills, any of the 23 Revenue District Offices or by calling the special 24-hour answering service
for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and or speaking needs:
1-800-447-3020 (TT only).
OBJECTIONS: Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions or assessment
of tax (including discount or interest) as shown on this Notice may object within sixty (60) days of receipt of
this Notice by:
--written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR
--electing to have the matter determined at the audit of the account of the personal representative, OR
--appeal to the Orphans' Court
ADMIN-
ISTRATIVE
CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, DEPT. 280601, Harrisburg, PA 17128-0601
Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-150l) for an explanation of administratively correctable errors.
DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5X)
discount of the tax paid is allowed.
PENALTY: The l5X tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest
that has been assessed as indicated on this notice.
INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day
from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982
bear interest et the rate of six (6X) percent per annum calculated at a daily rate of .000164.
All taxes which became delinquent on or after January 1, 1982 will bear interest at a rate which will vary from
calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable
interest rates for 1982 through 2004 are:
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
1982 ""'2ii%" :iiiiii548 'i98a-199l li'f."""" :iiii03Of ZoOi ----gr- . "D'D'iiW""
1983 l6X .000438 1992 9X .000247 2002 6X .000219
1984 llX .000301 1993-1994 ]X .000192 2003 5X .000137
1985 l3X .000356 1995-1998 9X .000247 2004 4X .000llO
1986 lOX .000274 1999 ]X .000192
1987 9X .000247 2000 8X .000219
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. If payment is made after the interest computation date shown on the
Notice, additional interest must be calculated.
COMMONWEALTH OF PENNSYLVANIA REV-1162 EXlll-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2B0601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 004335
IDANI NIZAR
825 BURGNERS ROAD
CARLISLE, PA 17013
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
n__d__ fold ---------- --------
101 I $245.89
ESTATE INFORMATION: SSN: 199-66-5276 I
FILE NUMBER: 2103-0392 I
DECEDENT NAME: IDANI JULIE A I
DATE OF PAYMENT: 09/02/2004 I
POSTMARK DATE: 09/02/2004 I
COUNTY: CUMBERLAND I
DATE OF DEATH: 05/01/2003 I
I
TOTAL AMOUNT PAID: $245.89
REMARKS: WARNER JANE
CHECK#1665
INITIALS: CCP
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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COMMONWEALTH OF PENNSYLVANIA REV-1162 EX{11-96}
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG. PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 004638
IDANI NIZAR
825 BURGNERS ROAD
CARLISLE. PA 17013
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
__uuu fold u____u__ u______
03134186 I $248.49
ESTATE INFORMATION: SSN: 199-66-5276 I
FILE NUMBER: 2103-0392 I
DECEDENT NAME: IDANI JULIE A I
DATE OF PAYMENT: 11/17/2004 I
POSTMARK DATE: 11/17/2004 I
COUNTY: CUMBERLAND I
DATE OF DEATH: 05/01/2003 I
I
TOTAL AMOUNT PAID: $248.49
REMARKS:
CHECK# 1691
INITIALS: JA
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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!
COMMONWEALTH OF PENNSYLVANIA '*
BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
DEPT. 280601 INHERITANCE TAX
HARRISBURG PA 17128-0601
, STATEMENT OF ACCOUNT
REY-1607 EX AFP 101-051
DATE 06-28-2004
ESTATE OF IDANI JULIE A
DATE OF DEATH 05-01-2003
FILE NUMBER 21 03-0392
0'.'_ --COUNTY CUMBERLAND
CHARLET WARNER ACN 03124681
825 BURGNERS Rn I -... ._;t'.d I
CARLISLE PA 17013
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV=i6"ifj-ix-AFP--('oY=oiY------...--iNi.fERITANCE--TA3f-sTA-fEME-tiT-oF'-A'ifcouiff--...---------------- -----
ESTATE OF IDANI JULIE A FILE NO. 21 03-0392 ACN 03124681 DATE 06-28-2004
THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW
IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 05-24-2004
P R I NC I PAL TAX DUE: ........................................................................................................................................................................................................................... 121. 39
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
06-02-2004 CD003995 1.62- 123.01
TOTAL TAX CREDIT 121.39
BALANCE OF TAX DUE .00
INTEREST AND PEN. .01
If IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .01
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ,
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. J ~~
PAYMENT: Detach the tDP pDrtiDn Df this NDtice and submit with YDur payment made payable tD the name and address
printed Dn the reverse side.
-- If RESIDENT DECEDENT .ake check Dr .Dney Drder payable tD: REGISTER OF WILLS, AGENT.
-- If NON-RESIDENT DECEDENT make check Dr mDney Drder payable tD: COHHONWEAL TH OF PENNSYLVANIA.
REFUND (CR): A refund Df a tax credit, which was nDt requested Dn the Tax Return, .ay be requested by cDmpleting an
"ApplicatiDn fDr Refund Df Pennsylvania Inheritance and Estate Tax" (REV-1313). ApplicatiDns are available at
the Office Df the Register Df Wills, any Df the 23 Revenue District Offices Dr frD. the Department's 24-hDur
answering service fDr fDrms Drdering: 1-800-362-2050; services fDr taxpayers with special hearing and I Dr
speaking needs: 1-800-447-3020 (TT Dnly).
REPLY TO: QuestiDns regarding errDrs cDntained Dn this nDtice shDuld be addressed tD: PA Department Df Revenue, Bureau
Df Individual Taxes, ATTN: PDSt Assess.ent Review Unit, Dept. 280601, Harrisburg, PA 17128-0601, phDne
(717) 787-6505.
DISCOUNT: If any tax due is paid within three (3) calendar mDnths after the decedent's death, a five percent (570) discDunt
Df the tax paid is allDwed.
PENALTY: The 1570 tax a.nesty nDn-participatiDn penalty is cDmputed Dn the tDtal Df the tax and interest assessed, and nDt
paid befDre January 18, 1996, the first day after the end Df the tax amnesty periDd.
INTEREST: Interest is charged beginning with first day Df delinquency, Dr nine (9) mDnths and Dne (1) day frD. the date Df
death, tD the date Df payment. Taxes which became delinquent befDre January 1, 1982 bear interest at the rate Df
six (670) percent per annum calculated at a daily rate Df .000164. All taxes which became delinquent Dn and after
January 1, 1982 will bear interest at a rate which will vary frDm calendar year tD calendar year with that rate
annDunced by the PA Department Df Revenue. The applicable interest rates fDr 1982 thrDugh 2004 are:
Interest Daily Interest Daily Interest Daily
Year Rate FactDr Year Rate FactDr Year Rate FactDr
- - - - - - -
1982 2070 .000548 1988-1991 1170 .000301 2001 970 .000247
1983 1670 .000438 1992 970 .000247 2002 670 .000164
1984 1170 .000301 1993-1994 n .000192 2003 570 .000137
1985 1370 .000356 1995-1998 970 .000247 2004 470 .000110
1986 1070 .000274 1999 n .000192
1987 970 .000247 2000 870 .000219
--Interest is calculated as fDIIDws:
INTEREST = BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any NDtice issued after the tax becD.es delinquent will reflect an interest calculatiDn tD fifteen (15) days
beYDnd the date Df the assessment. If payment is .ade after the interest cDmputatiDn date shown on the
NDtice, additiDnal interest must be calculated.
!
COMMONWEALTH OF PENNSYLVANIA '*
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDQ~C(t;~~S<\ NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISIQN< -", .__.- APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX Z80601 OF DEDUCTIONS AND ASSESSMENT OF TAX
HARRISBURG PA 171Z8-060i'- REl-15~7 EX iFP 112-D~1
i" 17 DATE 03-14-2005
!. 'f " ESTATE OF IDANI JULIE A
DATE OF DEATH 05-01-2003
FILE NUMBER 21 03-0392
o,",n' Jt' " "f", COUNTY CUMBERLAND
11rrii~;~;'4~)
NIZAR :rn.~iI;~~' ACN 101
APT 2B I Allount Rellitted I
58 S CORPORATION ST
NEWVILLE PA 17241
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS .....
ii-v =!!1."r-lx-AFP--C8r:6Jl--tiin'-{cE-oi!-YNHEiYfl'NcE-TASC-'A-PPR'A-isIMENT~--A[towliicE-c"R-----_._------ --.
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF IDANI JULIE A FILE NO. 21 03-0392 ACN 101 DATE 03-14-2005
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) U) .00 NOTE: To insure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 subIIi t the upper portion
4. Mortgages/Notes Receivable (Schedule D) (4) .00 of this for. with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .00 tax pay.ent.
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) .00
APPROVED DEDUCTIONS AND EXEMPTIONS: .00
9. Funeral Expenses/Adn. Costs/Misc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule 1) UO) .00
11. Total Deductions Ull 00
12. Net Value of Tax Return (2) .00
13. Charitable/Govern.enta1 Bequests; Non-elected 9113 Trusts (Schedule J) (3) .00
14. Net Value of Estate Subject to Tax (4) .00
NOTE: I~ an assessmen~ was issued previously, lines 14, lS and/or 16, 17, 18 and 19 will
re~lec~ ~igures ~hat include the ~otal o~ ALL re~urns assessed to da~e.
ASSESSMENT OF TAX: .00 X 00
15. Allount of Line 14 at Spousal rate US) = .00
16. Allount of Line 14 taxable at Linea1/Cless A rate (6) .00 X 045 = .00
17. Allount of Line 14 at Sibling rate (7) .00 X 12 = .00
18. Allount of Line 14 taxable at Collateral/Class B rate (8) .00 X 15 = .00
19. Principal Tax Due (9)= .00
TAX CR~D:rTS:
.. "'"..'"..~ l+J AMOUNT PAID
DATE NUI1BER INTEREST/PEN PAID (-)
09-02-2004 CD004335 .00 245.89
TOTAL TAX CREDIT 245.89
~ BALANCE OF TAX DUE 245.89CR
INTEREST AND PEN. .00
TOTAL DUE 245.89CR
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
. IF PAID AFTER DATE INDICATED, SEE REVERSE
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.)
COMMONWEALTH OF PENNSYLVANIA '*
DEPARTMENT OF REVENUE
BUREAU OF IllIIIVIOU~fF~iT) :INHER:ITANCE TAX
INtERlTANCE TAX DI'lISIQHr: ~,~":^~":-' ,- '-' STATEMENT OF ACCOUNT
PO lOX 210601
HARRISBlJRS PA 17121-0601'; REV-160l EX AFP (03-05)
iO DATE 04-25-2005
ESTATE OF IDANI JULIE A
DATE OF DEATH 05-01-2003
FILE NUMBER 21 03-0392
e:~- COUNTY CUMBERLAND
JANE (,(II WARNER ACN 03134186
825 BURlOO:RS RD I A_t R_lttlOd I
CARLISLE PA 17013-8950
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To l"su.-. proper c~:lt to your KCOWIt" ...It the upper portion of this fOrti with your tax ..~t.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ::!
......................................................................................... ......................
REV-1607 EX AFP (03-05) ... INHERITANCE TAX STATEMENT OF ACCOUNT ...
ESTATE OF IDANI JULIE A FILE NO. 21 03-0392 ACN 03134186 DATE 04-25-2005
THIS STATEllENT IS PROVIDED TO ADVISE OF THE CURRENT STA1\IS OF THE STATED ACN IN THE IlAIIED ESTATE. S.... BELOW
IS A _IV OF THE PRINCIPAL TAX OUE, APPLICATIDI/ OF ALL PAYIIEHTS, THE CURRENT BALANCE, AND, IF AP~LICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT. 08-02-2004
PRINCIPAL TAX DUE, 344.04
PAYMENTS CTAX CREDITS),
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-15-2004 CDo03441 .00 103,21
11-17-2004 CDo04638 7.66- 248.49
:
TOTAL TAX CREDIT 344.04
~ BALANCE OF TAX DUE .00
INTEREST AND PEN. .02
IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .02
.
SIDE FOR CALCULATIIIIl Of ADDITllIIlAL INTEREST.
( IF TOTAL IIUE IS LESS TIWI tl,
NO PAYIIENT IS RElIUIRED.
IF TOTAL OUE IS REFLECTED AS A "CREDIT" (CR),
YOU /lAY BE DUE A REFlHI. SEE REVERSE SIDE OF THIS FOIlll FOR INSTRllCTIIIIlS. )
Estate of IDANI JULIE A : ORPHANS' COURT DIVISION
Late of LOWER FRANKFORD TOWNSHIP : COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY
Estate No. : 21-03-00392 : PENNSYLVANIA
:
Date: 6/10/2005 : NO, : 21-03-00392
IDANI NIZAR
825 BURGNERS ROAD
CARLISLE PA 17013
NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A
HEARING PURSUANT TO RULE 6,12. SUPREME COURT ORPHANS' COURT RULE
Personal Representative: IDANI NIZAR
Personal Representative Counsel: ** NO INFORMATION FOUND **
Date of Decedent's Death: 5/01/2003
Date of Delinquency Notice: 5/01/2005
The undersigned, Glenda Farner Strasbaugh, Clerk of Orhans'
Court, in accordance with rule 6.12, Supreme Court Orphans' Court
Rules, hereby notifies the Orphans' Court Division, Court of Common
pleas of Cumberland County, that neither the above named personal
representative nor their counsel, have filed with the Register of
wills or Clerk of Orphans' Court, his/her Status Report required by
Rule 6.12, Supreme Court Orphans' Court Rule, and that the
requisite notice, pursuant to Rule 6.12, Supreme Court Orhans'
Court Rules, was given by the Clerk of Orphans' Court on 4/07/2005
and that the ten (10) day notice to file the status report has
expired, Accordingly, in accordance with Rule 6,12 the Court is
hereby notified of such delinquency and the undersigned requests
that a Court conduct a hearing to determine whether sanctions
should be imposed upon the delinquent personal representative or
their counsel,
cc: File ~..~.~
Personal Representative Glenda Farner Strasbaugh
Counsel Clerk of Orhans' Court
A hearing is scheduled for July 08, 2005 at 9:30 AM in
Courtroom No, 03. If the Status Report is filed prior to the
hearing date, the hearing will automatically be cancelled.
oJ