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Home My WebLink About08-31-09#~ 15Q5~C~5105~ - - ~ ~ VffIV/IM1L VJC VIYLI on Depatirnent of Reve:^:i~e County Code Year Fie Number Bureau of Individual Taxes :!~3~:~s?.T.l~(`:~E ,~.h~y ~,~.~~~~ pn any .'?cfl/tf?1 Har^sb!Irg, pp 17128-n8t)1 ~ ~ RE~l~ENT ~1EGE~EI~T ~1 / ~ 9 ~ J ~ / ~ociai 8ecunry iVumoer cote of ueatn '! 74-20-2138 d61021~009 CeE.sdsr.'s Last .ame f 'VN/~r\j6~t (!! App11Ga4218} Enter SetrYlrrittg Spelt~sla'c infsrtnati~n ~Al~x JiIVUSti 3 "LdSI IVAllitl Spec ;e's wciat Ss ud.,~ NumCer Fll.l. iN APPROPRIATE OYAt_& BEl01K ~ 1. Dri~inal lietum UBte Ot tSirti'Y 11 /09/1925 .~iiiffiX D6v3d6rit o First NaFi-i8 tVii 1 vnrnftly c JUIIUI JNUUSd~ 1'IISI IV21111d IYII THlS RETURN MUST BE Fl~ED IN DUPUGATE WITFt TFtE ~~ mom, ,sr>: FCCLaIj I GK Vt' YYILL~ 1, Supplemental Ftetum s. Kemainder Ketum (date at death prior to 12-13-82) 3- I, II~P'[t rS~,~ljP {i~- jFJ(t irP: tt1,7l,YP!Rj t:C(FTT_nrRi?1RP. Jt7AIP. tT,T -.. T,. 1^PYlPrC,11"SiTlP 't~7( KP.tS (fTi ![P,I7fNRXf death after 12-12-82) • 8. Decedent Died Testate '~: ' .~ Yj 7. Decedent MaEntained s living Tt~t . .:':~ ' ....... : u ' 8. Total Nuttkrer of Safe Dep~Slt BQxeg .. v 9. litigation ProceQCis Received ~ . ~ 1~. Spousal Haverty credit (date of death 11. Election [o tax under Sec. '311;3(,R} Y,PPayi?fi15 1~_'}1_Q1.ilrriPf i_i_4SS lAf4PiN'~ Gi:i;_ fSl Gttit3.RESPQMt?ENT - ?Ht5 5E+.°Tt4N ;M!'JS? t3l= GbtlPLE?EQ. At_!. GoR~aSPslt~IDENCE A.NQ Gi+~lFtQEMTIAL ?Px t!VFflR.MA?!4N fi!tOUS+ 9E QtREr?RD ?2: Name Qaytime Telephone Number D~t~na C, Abraharrlsen {732) ~3G-7°~6 ,•~~ cn ~ , C ' REGISTER Of ~StFk.K57JSE ONLY First line of address Siw (_rar+fl rbh*r9s t4t.a ..1...1.....x......, ,~-.,... Second line of address M~JI. I U Gity a Post dffit~ La ~a!lette State ZIP Gode f!,! n8?35 _ t__ t; .1 _ -~ rn r.,; _.t ~.._J_ ` ...W .j '~ '~ •~ DA78`fILED ~,,~ ~~ {_'.nrrca4~,s'>n~g~t'~ E,-maij alirirQgc_ abrahamsen(a~atf.net tir::fer {~ena?§ss a# ~;etr±r, ! ds~8ts mat tCtavs srarnires~ !rlis tsR.bzt; irle3t~ireG acirrrctf~rcti<<+eg schesita!ss ar:3 s#ats'r~erts, 8ia1 to tk+s of my Kno~c~e arxE s ,rua, ~ ec, ana compla.e. ~~aararan ~~ arepara, ..ran .na renal rsNrsa~ :a~lvs Is ca~aa cn a.. Imcrmaa~ ~, •W17;~ pr~t.arsr nos anp xr ~.~~cys. Si:_~TC «F p€asnN K~ c 51 E rt6tt+t €Tt~l7Pi E+AT€ nbin- inn yy~~ LlU1 L~i Li u /C~ _. _ __ _ -.__ ADDRESS SS C~~an,~ c8ntra- nee. #'{a !_ay~ll~tte; N~ G8735 _ _ wvlv(a LiKC iii rKC'rtiKCn Vi iCK i'ii-Ii: KC~KC3CiJ lilt i'vC UA C b,~sri~-^,~54 PLEASE USE ORIK3it!liil-L FORM ONLY ~~ ~ i >~ I Sv~vii~v`,i:~°~ REV-1500 EX Ciecederlt~3 70ciei ucECVrttj+ f~ititi7bBr rl....r.#f'flf C !'~,..+y,..L t..e.. 77A ?.~} nt n.G< ~ der N .:,;, .:.. ,, ~ .., ,..:, ;,.,; 1 , -,-~~-~ 1 Jv ace n s am REGAPITtJLATION 1 Real B5tSic (~;hzu'vic A j . . . ... . .. . . . . . . .................. . . . .. 1. 2. Stocks and Bonds (Schedule B) ....................................... 2. ? /^~y...,f,,. }.,r.,}.r rnmJ~!in» o_,rti?.n~i» .n RnL_A.mnr3.,}.,r,~y.i» fC.,^h..,tf.l., rr ~ al _ RRfvtfei~isa~x R iF{Fii4e it6i ~eU~Y~F6 (.Cf~SSPf4i i1r3 rSZ • ' ' ' - ' ' ' ' - - ' - ' ' - ' - ' - - - ..... - 6. 5. Cash, Bank Deposits & Miscellaneous Personal Property {Schedule E) ........ 5. E. Sur,:ly O`~Ted Pr6~r j ivChs+d'clfo ~~ voparats SiEliny P.ecusst+<,d ....... 0. 7- !n!w-.1Jivng Trtu~gfF+r~ R. RAic~rr~Ss.n€su_v Sur,>;_Prr,{u.fg Rrt,',FV'f;,: t5tiletitile ~f _ "' separate eiieng Kequestea........ 7. $. Taiai iarvsa i~sseis riocni Linns i-i i .................................... n. 9. Funeral Expenses & Ad±`t'IlnlstratEvra Gosts (S~..(1$duls H):..: , ..:...:::.:: , ::: 9, 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule i} ................ 10. 11. Total Decluctlons (total Lines 9 & 101 ................................... 11. .:ice. iici -roue vi 'r.3aai~ ~uiic .u iiiiiitia 'uilc'~ij .............................. '~i ~. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which QII OIGli11Wi tV tOJI Ila~lli~t VGT_in It1at1G Ian7UlOVUtO J7 ........ ..... w9 IJ. t4, Net Valua 3ubj4Ct t4 Tax (Lirlr~ 12 minus i=in~ 13~ ,, , ,, , , , , , , , , , , ,, , ,, , , , , 14. TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15, Am+surt ~f LinA 14 taxable ~t ~~ 11571 t3X rat?. Dr • transfers under Sec. 9116 (a)(1.2) X .0. 15, IU. ' MIIIVUIII VI ~LIIIC ~1Y Le11ldU/C at lineal rate :i .0 45 3 i 8,882.16 -iii. 1 r. ilmtxmc nF imr. id ia>mi~ at sibiina rate X .12 17. 1 B. Amount of L ine 1~ tsx°lsts dl 1.V11G1C1 QI 1Qt0 /1 IJ ^I ~V. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 1 Jill V.JL IJJJ Side 2 125,~?4U.UU l,JJL.VV fi 7t7, 317.U4 17,646.70 sod tsr'.~ vi .vtv.rt 1,311.42 322.16 1;633.58 n e ~ cam... . J 1 V,V VL.. I~V 318,882.16 14, 345.?0 REV-1500 EX Fage 3 ~$ttrga~LYii'~ vviXi~~ir`ic r~aa~s~s~c~~: [?ECEDENT'S NAME are=may E ~~t~~-#~~~ P. -_-.__.. _.._ -_____..__ ___._-__- ___...-.. ! 7sttttiti4lilittbS { ri3 ~ii•3t8 .wit. +T'r ~_GCt?{SVr'iF Tarr ~3~!67t~!'t$S 3!'!~ ~C€'i~if~~ f ~, TAX ~t~ ~~~ < < '1'.~_i ~.renirs~rayment y, ~~rfrljtiij pOYr?ft;` ~,?~t -- ~~ ~ ~~ . ~r>>::~ rs~ r :ter:: t ~ t. u _. ~.____... F t 3 .Tt- File Number DECEDENT'S SGCI~sI SEG'vRlTY NS~t;gER r 74-2~-~-i ~~ - ;;'r ,„, =f7A 17(l4'~ ,,. i;liereavrs;~iy ii ai~iiww;; tv. tnturt?St i. ~ii}cFiiti y yTotal fnferesfJPenaffd ! d + E 3 !31 ~. t" ~ i~w• i ;`~ 3r°'sl°n~ i^.457 u•^.°s %~ + irr ~.1. •°r.^!e°~C ~h° :l~mr~!'."u-<. Ti:"= :$ zt?°• ~e~`~F~s t t1 i s - . . ._ w ~. tt t_rr~tC ! t t.~i; ~ tC ~~1~ tDllSl`I trR~ ~. ~tEL"~ tt-tt~ ifrll~"u'C~tk~. T~IF~ Li ifFG fAA IllJtr- A. >=rf~r ms interest en f>,e fax. due.. n nn t >) t~Al '[ ~ -~t3rJ_3f5 a c.. ti ~ . ~r . ~ cn rl. ~,_ oe:-AUnc tore r~~°< 43 Gd3r Vic, 'rfat£~ ~harc F~~ss~h{~ Sri" 1~~f;1~T~~' ~~ it~f# I S. ~~~~~_T i~LEJiSE gi1i~WER Tf~}E FCJL.LC3UffiNt~ L,~L~1~ST~L}i1l+s_' ~Y F~F~C:Ihi~ ~E1t "?f" IN T[~jE L4P~f~f3~f2iAlTE SL~(:1('~ T : ;'~r# ~r}t m~e a ?r~r+.~frsr r yu ?~t8ir; rf-~ :.:°c •.^.r ;nCAr"° r,.€ tha 'JrG'w1°r~: tr3riS~rr°~ :................................... 1 l i ~ ) tF. r~~s;; rS~3"at to tiir; =atS; ;rp3~.; ~s'i-aH ;sea ~v ~as;sfaf~°~ ~r its ~;;cn,a: --• --------------- _ c. retain. a reversi~rtartr rr2terest:'r - -... - -- - _ - - . - ................._..._._.._..- - ...._ ~~ tX~ t2, rn#: ~r~ ,,.:F' s~4.'.iR7,:.ir tc& xis. _~ i.;s~~? r>•°.'~S?'3:ft~,.:`.a..c`1f~.:31'4s. sss, e'-.._-----------------------.-_. .......... _._i ~i ~. ii raezrii; u~x,-urreix Mier iieteriitser t2, i~oi:, tisis iiet~iierii marrsier prvperip sYririsr; urea pear ui iretiitr wiihr ~ I ant- i n: ~ rn r:n a 'i "~ r ~ <„r_,3S.t..,.~tYr~„lY'$,.k~.S't~.~l.^~r.7f ........:....................................................................... ............... _....... m..t '!7i.! t r ., .z ' - -- _ _ _ _ ,.,v ,.,.><;~~~,,..,..,, ,~::.<< t,,.,.: „R ~: ~,~r~~,., ~~~ ,K.,t.s eel,,, ~~,~,.~ YI ~~.:I,.r ~.:;,~ :~, ;.e; ,...~tF ............:::.. ,:. 4. ;,h^u 32Ct?t12!if JiY'it ar? tnui'r7.s~`$ii$tr~mt'^tt~'""tlrit, 3•.lrlt~isf, ~Ci,°d"tBrriG"i':-~i3"t38i~ j~:isr's~riy 4tfi:G°i rnnt~in_ s hanofir ¢n. stncinn~Sinn:! ' ~!. ~rir ~'ui~',°i ui t•i°.'c'atli vn ~r uft~r vuiv {. 9Q~ c°tiicrts i°tnr° ~u~u'u~ ~ 4 1©O~ 2::° ur ~'a~~T' im~~s°~ .na.°-~ ~Tc°, ~c°.a ~ctttui; Vf v'~~t~f~r.~i try ur #~r 4ha yin s~f Hta a::~~~F~.~~va`i~~t:~° rs~islrt-e far {~s~~etk"trc r.3.g'~Yfo iaf t is r j tiil• • tom.. e:f ~~,lc. i.:r..,..F: ' z E :~ ;~" ~ -ss '~hL g4f :r i.,s ~` a,..4..- r. S - ea:, a~ - '-s~.>i~. e a ta- ~ 2=-: t"~~ u~:..~ uziic t3:': t~.` .s tt: ~xacusx. ~ a~.;. ~;i ~ a t~ ~v ia. .. :~~4 L,s ~,a.~~ ~ ~ s:r~. ~;~ :a, ~ic "Yaa.`Fs.c:,a~ a:c".lE~ .a ~~u iL~E iz'~.u~: I![ t'~, ay I tg t~J r i i i s(i)i. SCfP. $i~2ttlP C1C3P_A ITnt P.ifP.(nDt a i1~flSi@f Irl a $itryty[n~ SDnir$P `tfOiiT i~~f: ADO IT[P S[~Ititt~(y (!?Qi~tf~it'}QrfLy TiN iljSiJr}Sii{'Q i3+ ~SSPI$ 3#'i(j :jii~~ ~ t~ 7~;1i?tE a ? iif ~=}~Is:~ir; ~'V{i. i{ ~+_' SzfYrVLlt~ ~Di:St' !~ L~T~ ~ FD!p ~f!~f 1r~f`y. i-C~f 8~i~`z 0? B~~L~ ets Lf 3it~f .tLt~f T. [LiUEI` !ny ~k r~ty jin,~3n ~7 fi-~y i-~f ii~,,,'I~e. gf rv~tti`3€Yp~ ~[~!?l g nom'@_ ~aae. tit;~w ~~l_!1P}~_152ia :ix;3Ka pF ~c., r~E`,tS.rai` ~t ~i{-i >_; Qi; ~~,~ :~,a~ Y5~_ ,_°, ~_ r~_~[_~ +~t._.T_.ll~ a,!5 nrlnn*i,Fa nnront „ nr.nrnnb ni ih r~n;t.+ in r %7 ii nat.-nn~ F-F 1 _ -' tiUti~i ti: oi9 ~i't r _ t i a ;a,o .i f~ 1 i r =r':Q° st9k' r~*~=, m'rl~;~,t~~ r':~ i~rts'~ s Ct`~.°m.€'TFs r>' ~"'_}" ~"r°sY izt~ ~ - :~ u~".r°~^s.r°,!'; a 'r .^ ~:Cts°-,:>^.c~f:~~ is ;~ ~~i L'~..^r.°-!"<u'i~ #_-~.~iG`°~'~:r °~'.i:°:,~i ~u F's~~•'~ 9-~ a~ ,^.:le.~felf 'Ii sf~ ne rnaee:,,.sFarl F •+ ~,4• ,.t / ;E}ru. F i aE$fmF~i~i..',°•i4I18:i,~SI~i~6.`a-~` iuSat'i..`~ii~.nz. s'ir'"'s..''sEC' •i '~ ~??$ I$;.:?•° ir['situ~:~ a=s • :c ~ :r.. Y3~i:'£ :~ cry ?,~~4-~ (~ £k' t ~ USia it€ s~?2 .~a$C,~:'YCt~'a $}b~ r3C~ ¢ s , 'S ~ ~i . ,; '`c7r. r ~ Foss:. f3isufir n a__ n.enn __.-._ -'- a, ~-... ,. 4_, I...a _--_.__ a ~..--....~__ __~a si :__ .,.z :__,__., :_c..s ,. if ..-, srx..+...~.: ,e ... , .. ~.::,-,n ..nes..ze s...v .++a.. .a: ..~ua.e w„:o-. pm. e..:: .:a w~r+eee,.K„ re.u. ss,s, u.:.-~,...,vr:.>j a:..xx.se, e+, wevues v: ssv>r}•av:e. REV-15D2 EX+ {tt-OS} i ~ pennsyivania SCHEDULE A DEPARTMENT Of REVENUE REAL ESTATE 1NHERITAMCE TAX NETIJRN FiESIUtNi DELEBENT ESTATE OF FILE NUMBER uoroiny t. Criicniey Ai! real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property J~ou,d be exchanged between a wil8ng buyer and a willing seller, neither being campelied to buy or sell, bath having reasonable knaw4edge of the relevant fads. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a caoy of the settlement sheet if the praperty has been said. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. ~ VALUE AT DATE NUM@ER OF DEATH DESCRIPTIDN 1' Hesse 873 State St, l.;emoyne, PA 17Q43 125,000.E f TOTAL {Also enter on Line 1, Recapitulation.) ~ 125,000.00 If more space is needed, insert additional sheets of the same size. REV-1503 EX+ (6-98) ~~~~~~~~ COMMONWEALTH Of PENNSYLVANIA ~ STC)CKS ~ BONDS lNHERlTANCE FAX RETURN RESIDENT GEGEDENT j ESTATE OF FILE NUMBER uorotrty ~. Gntcniey ~ f~ iY-~a ws~, right of s~s~sos~cip ss~~ ek a~sctaa~ a, ~+~e €~ (1f more space is needed, insert additional sheets of the same size) REV-~sos ex+ ts-sa~ SCMEDI~LE E I CASH BANK DEROSITS $ MASC COMMONWEALTH OF PENNSYLVANIA . , lNkERITANCE TAX RETURN ~~~~ ~Q~R~ i RrjiuENT CiEtEi~~hiT i ESTATE OF FIt.E NUMBER iivruiiry e. i~riiuiii~y -- Include the Crc»eerds bE IitiR~aBon and tl~a datu tlTe proG~ads w n3eeived by.~a r?state. - Ali ~`irji jvlrittjivili~iL~ `r`it~f ;Egt~t 3: $ur:Y{~1$(a~il~'F ii'~13it ~ ~ili~G~..i1 ScEr~di:le ~. ITEM vuuE AT 4az~ IVUM13€R D€SCRSFTi~I+i - ------ - ----- ---- ----- U€ i3€.ATM - ----- ---- 1 Sovereign Bank CD 1055372302 ~ ll 10,006.27 2 I Sovreign Bank CD 1055372286 ~ 10,006.27 _.. s ~ i'vaonowa ~hecl~ing iv iutu iu ufwy ~ 25.00 4 ~~h!jvia r~s~?d74R~t1~'#'tAR¢g7 _ 20,020.35 5 ~ PNC C!~ 31800143423 ~ 12.026.29 6 ~ PNC CD 31300273200 # 10,025.50 7 ~ PNC CD 31240196297 ~ 35,098.01 8 PNC CD 31500225641 I 25,045.25 y i riv% %u 3 l4uv~~+uvau ~ 20,045.25 1n ! Pik r,~ 3a3nn??r:~ 13 018.85 41 ~ Canters#s a# hawse ~ 5,000.00 12 ~ Automobile ~ I 1 i l 10,000.00 i TOTAL (Also enter on line 5, Recapitulation) 3 ~ 170,317.04 (tf more spaea is needed, insert additional shears of the same size} REV-1509 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHER7TAPFCE TAX RETttRt+t RESIDENT DEGEDENT SCHEDULE F .tOiM'LY-OWNED PROPERTY ESTATE OF FILE NUMBER Dor~tRy E. GritCntey Pan asset was made Fant wigun ane year of the decedent`s date of deatl-, it moat be repo~feld on Schedi+:fe G. - SURVIVINGJOINT TENANT(S) NAME ADDRESS ~ RELATIONSHIP TO DECEDENT ~~~ uonna L. H~ranamsen j,85 errand ~eniraiAve. Hpi, iu i.avaiieiie, N.i uas7s5 : * j daugnier a. C. J04kTlY OWNED PROPERTY: ITEM NlM18ER LETTER FpR JOINT TENANT DATE MADE JDINT DESCRiPTtON OF PROPERTY INCLUDE NAME Ol: FINANGAL INSTINTIDN AND BANK ACCOUNT NUMBER OF2 SiMiLAR lDENTlFYING NUABER. ATTACK DEEM t=OR JOWTL.Yk1EL0 REAL ESTATE. DATE OF DEATH VALUE ~ ASSET % of DECD'S INTERS&T DATE OF DEATH VALUE OF IIECFi~Ni'S fNTE'f~3~' t ~ A• ~ 11/13!02 ~ PNC 5140013762. ~ 11,950.05 ~ 50 ~ 5,975.03 . 2 ~ I t A ~ 1 C i ~ i 1 f ! 11!13!02 ~ I 1 ~ f { t ~ 1 f ( { PNC 5080592933 I 1 i ~ ~ i i i ~ ~ i 22,288.87 I ~ 1 ~ i 1 1 1 1 i I 50 ~ { f i f 1 i ~ ! 11,671.67 .. ~- `_ f A 1 I TOTAL {Also enter on line 6, Recapifulafion} ~ ~ 17,646.70 {ii rrxxe Mace is neeueti, inaerri auuiinxrei atrtteia ui itre acme aitnj AEV-1511 EX+(1~-93) ~ ee~~ ~~~~~Y~ CObfi`AUNW€ALTN OF PtNNSYLVANiA ~ fUNERAI EXPENSES & tr~xEArraNCe TAX AETUAAi AL?MfNIST~,TIYE +Ct3S3S ESTAi'E ~ FILE Ni~i3ER Dorothy E. Lritcniey - - ---- ' ~ or ~ ~ ~+, ~ r. - l~~nlt ~ --__~ NiEMt3ER ~ Df<SCA1PTt4N Af~t9lNVT . _ _.. ~_. t- ~ Grave Opening St. John's Cemetery ~ 100.00 ieiii anu ytavd ~iViaiiiy %5.00 I Certified c~aies of death certificate (20~ I 120.00 4 ~ Patriot News Obituary ~ 156.42 LII~IIU ~ c95.G0 s. ~ Engraving of Tombstone ~ t 35.00 ~ # Minister ~ 50.00 # ti. h1UIVIliVIJ I -(til I1IC l.llJ I J: 1. I iiii Personal Representative's Commisstons Name of Personal Representative(s) ~ a1 Cayf/ltf! ~ifl'H}IptfC;~IN }1~f~{T}}l~f flf PP(H5(1,'.]} }7PMQCPr}t,Si,{tilRfC~ , , ` ' - - I Street Address i City State Zip Yaar(cS t'.rxnmiccinn Parct: 2. ~ Attorney Fees 3. ~ Family Exemption: (ff decedent's address is not the sane as clatmant's, attach explanation) Claimant ! f e.,a_. ~aa__..., .,.. _,.,..:.:. ~ty State Zlp 4 Relationship of Claimant to Decedent 4. ~ Probate Fees ~ 3$0.00 D, AI:WUIIIdlll5 f'Ctl5 & I T v i?phlm Prpn~rpr~c Gnoc TONAL (Also enter on line 9, Recapitulation) ~ ~ 1,311.42 (If more space is needed, insert additiAnal sheets ®f thg same size) c cr . _.~.:u~ FN~+ERifAkr~ Tev a.FT~e~rh ~E~~t : ~ t:~tt;t3ttc ~~~~~~~ E)g~TS OF D~CEE3EM~', ~U~t3s~At~lE tiA~ti~.ITi'~ ~ ~i~~~ TOTAL (Also enter on Line 1Q, Recapitulaticn) 1 S 322.16 If more space is neeoed, insert aQditionai sheets of the same size. ESTATE OF FILE NUMBER l~'eST~'Fy _ E,rll~y C?C~t Rtport debts Intarred by the det4d~-t prior to daith Chit rimiinsd unp~ld ~t thf data of Ctith, Intluding Unrslmburs~d snoditil oxponses.