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HomeMy WebLinkAbout01-0883 REV-1500 EX + (6-00) .' COMMONWEALTH OF . PENNSYLVANIA , DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17126-0601 ......, C ('7 - t - I .- '- IREV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) I- Z W C W o w c EDMONDSON, J. THERESA DATE OF DEATH (MM-DD-Year) DATE OF BIRTH (MM-DD-Year) 09/06/2001 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) DONALD E. EDMONDSON w ~ :.::: -00 1.)0:::'::: wB.1.) zoo ,,0::..1 ~Q.lD Q. c( [R] 1. Original Retum o 4. Limited Estate [R] 6. Decedent Died Testate (Al1ach copy ofWiU) o 9. Litigation Proceeds Received o 2. Supplemental Retum o 4a. Future Interest Compromise (date 01 death alter 12-12-82) o 7. Decedent Maintained a Living Trust (Attach copy of TrusQ o 10. Spousal Poverty Credit (dale 01 death between 12.31-91 and 1-1-95) OFFICIAL USE ONLY FILE NUMBER 2 1 - 0 o g 8 3 "'COuNTY'CciiiE -VEAR- - - NuMBER- - SOCIAL SECURITY NUMBER 75- 3 4 - 7 9 2 9 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER o 3. Remainder Retum (date of death plior to 12-13-82) o 5. Federal Estate Tax Retum Required Q.. 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach 5th 0) I- Z W o z o Q. 00 w 0:: 0:: o I.) COMPLETE MAILING ADDRESS 2331 MARKET STREET NAME LINUS E. FENICLE FIRM NAME (If Applicable) REAGER & ADLER, P.C. TELEPHONE NUMBER 717-763-1383 CAMP HILL z o ~ ..J ::J l- ii: <( o W 0:: 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Govemmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subjectto Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o ~ I- ::J a.. :E o (.) ~ I- 15. Amount of Line 14 taxable at the spousal tax rate. or transfers under Sec. 9116 (a)(1.2) 76,564.85 889.55 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due (11) (12) (13) (14) X 0.00 (15) X .045 (16) X .12 (17) X .15 (18) (19) 20. 0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT PA 17011 r- 70,690.00 : OFFICIAL USE ONLY 20,140.00 0.00 (8) 90,830.00 13,365.15 13,365.15 77,464.85 77 ,464.85 40.03 40.03 Add Decedent's C0mpleta ress: ST~EET ADDRESS 5110 INVERNESS DRIVE CITY MECHANICSBURG T STATE PA I ZIP 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) 40.03 Total Credits (A + B + C) (2) 3. InteresUPenalty if applicable D. Interest E. Penalty 3.07 4. TotallnteresUPenalty (D + E) If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT (3) 3.07 5. 43.10 43.10 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS No 1. Did decedent make a transfer and: Yes a. retain the use or income of the property transferred; ........................................................................... 0 b. retain the right to designate who shall use the property transferred or its income; ........................................ 0 c. retain a reversionary interest; or ...................................................................................................... 0 d. receive the promise for life of either payments, benefits or care? ............................................................. 0 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?............................................................................................... 0 3. Did decedent own an 'in trust for' or payable upon death bank account or security at his or her death? ................. 0 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................... 0 [ZJ [ZJ [ZJ [ZJ [ZJ [ZJ [ZJ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 3825 Sullivan Street Mechanicsburg SIGNATURE OF PRE PARER OTHER THAN REPRESENTATIVE PA 17050 DATE ADDRESS 2331 Market Street Camp Hill PA 17011 For dates of death on or after July 1,1994 and before January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. 99116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 99116{a){1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116{1.2) [72 P.S. 99116(a)(1 )]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX + (6-98) 'W COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER EDMONDSON. J. THERESA 21 01 0083 All 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 would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real orooertv which is fointlv-owned with riaht of survivorshio must be disclosed on Schedule F. SCHEDULE A REAL ESTATE ITEM NUMBER 1. DESCRIPTION REAL PROPERTY LOCATED AT 20 COLUMBIA ROAD, ENOLA, PENNSYLVANIA 2001 County Assessed Value. See attached Certification. VALUE AT DATE OF DEATH 70,690.00 TOTAL (Also enter on line 1, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 70,690.00 REV-150B EX + (6-98) .. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF EDMONDSON. J. THERESA FilE NUMBER 21 01 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. 0083 ITEM NUMBER 1. DESCRIPTION MEMBERS FIRST FEDERAL CREDIT UNION checking account VALUE AT DATE OF DEATH 19,240.00 2. DIAMOND EARRINGS 200.00 3. REMAINING JEWELRY 700.00 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets ofthe same size) 20,140.00 REV-1509 EX + (6-98) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF EDMONDSON. J THERESA FILE NUMBER 21 01 0083 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. B c JOINTL Y.OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. 0.00 TOTAL (Also enter on line 6, Recapitulation) $ 0.00 (If more space is needed, insert additional sheets of the same size) REV-1510 EX + (6-98) . SCHEDULE G INTER.VIVOS TRANSFERS & MISC. NON.PROBA TE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF EDMONDSON. J. THERESA FilE NUMBER 21 01 0083 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF THE TRANSFEREE. THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER. ATTACH ACOPV OF THE DEED FOR REAL ESTATE VALUE OF ASSET INTEREST VALUE (IF APPLICABLE) 1. TOTAL (Also enter on line 7 Recapitulation) $ .. (If more space IS needed, Insert additional sheets of the same size) REV-1511 EX+ (12-99) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF EDMONDSON. J. THERESA SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS Debts of decedent must be reported on Schedule I. FILE NUMBER 21 01 0083 ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. PARTHEMORE FUNERAL HOME 8,038.00 1303 Bridge Street, New Cumberland, PA 17070 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. AttorneyFees REAGER & ADLER, P.C. 1,500.00 3. Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation) 3,500.00 Claimant DONALD E. EDMONDSON Street Address 5110 INVERNESS DRIVE City MECHANICSBURG State P A Zip 17050 Relationship of Claimant to Decedent 4. Probate Fees CUMBERLAND COUNTY REGISTER OF WILLS 153.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. CUMBERLAND LAW - LEGAL ADVERTISING 75.00 8. THE SENTINEL - LEGAL ADVERTISING 71.15 9. FILING FEE -INHERITANCE TAX RETURN AND INVENTORY 25.00 10. TAX CERTIFICATION - JANE BIDDLE, TAX COLLECTOR 3.00 TOTAL (Also enter on line 9, Recapitulation) $ 13,365.15 (If more space is needed, insert additional sheets of the same size) REV-1512 EX + (6-9&) .. SCHEDULE. DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF EDMONDSON. J. THERESA FILE NUMBER 21 01 0083 Include unreimbursed medical expenses. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) ,,,,,,m.,w' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER --- .I -. ?1 01 00R3 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. DONALD EDMONDSON B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ .. (If more space IS needed, Insert additional sheets of the same size) CUMBERLAND COUNTY, PENNSYLVANIA INVENTORY Estate of EDMONDSON, J. THERESA , Deceased No. 21 01 0083 Date of Death 9/6/01 Social Security No. 175347929 also known as Personal Represenlative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We verify that the statements made in this inventory are true and correct. I/We understand that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Name of Attorney: LINUS E. FENICLE I.D. No.: 20944 Address: 2331 MARKET STREET CAMP HILL 7t;;(e~L Dated / ( If>h'J I f PA 17011 Telephone: 717-763-1383 Description Value Stocks & Bonds Closely-Held Corporation, Partnership or Sole-Proprietorship Mortgages & Notes Receivable Cash, Bank Deposits, & Misc. Personal Property MEMBERS FIRST FEDERAL CREDIT UNION checking account 19,240.00 DIAMOND EARRINGS 200.00 Total (Attach Additional Sheets if necessary) 90,830.00 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. RW-4 Continuation of Inventory ~ EDMONDSON, J. THERESA 21 01 0083 PaQe 1 Description of Inventory Description Value REMAINING JEWELRY 700.00 Real Estate REAL PROPERTY: 20 COLUMBIA ROAD, ENOLA, PENNSYLVANIA 2001 County Assessed Value. See attached Certification. 70.690.00 Subtotal $ 71,390.00 90,830.00 Grand Total $ 18/23/2881 87:14 730- 73~ft; f~A 9B95599B~8B888B8888 JANEEBIDDLE PAGE 81 T A X I N FOR MAT ION October 22, 2001 CUmberland County - East pennsboro School District - East Pennsboro Township Name as it appears in Tax Duplicate: EDMONDSON, J THERESA Acct# 09-14-0832-119 Location: 20 COLUMBIA ROAD 5110 INVERNESS DRIVE MECHANICSBURG, PA 17050 Land Improvements Total Assessment 13,500 57,190 70,690 TAX S T A T.U S Tax Year* Taxing Authority Face Amt Status Amt Paid Date paid Amount Due -------------------------------------------------------------------------------- 2001 County 125.76 PAID 123.24 04/20/01 2001 Library 7.28 PAID 7.13 04/20/01 2001 Township 62.77 PAID 61.51 04/20/01 2001 SChool 759.92 PAID 744.72 08/20/01 ==;;;:;=~=-==== Total Due * The School tax year is July 1 of the year shown, through June 30 of the following year. Both the Township and County use the calendar year. If prior year info is needed please contact The Cumberland County Tax Claim Bureau. r, Jane E. Biddle, Tax Collector for East pennsboro Township do hereby certify the above information to be the true and correct Tax Status of the above listed property. ~~ (sig d) TAX COLLECTOR fDld:3;: / ( DATE COHHON#EALTH OF PENNSYLVANZA BUREAU OF ZNDZVZDUAL TAXES BEPARTNENT OF REVENUE E&J~ INHERZTANCE TAX DIVISION DEPT. ZED601 HARRISBURG, PA 17128-0601 NOTZCE OF ZNHERZTANCE TAX APPRAZSENENT, ALLONANCE OR DZSALLONANCE OF DEDUCTZONS AND ASSESSHENT OF TAX RE¥-1547 EX AFP (01-OS) BATE 01-05-2004 ESTATE OF EDHONDSON J T BATE OF BEATH 09-06-Z001 FZLE NUHBER 21 01-0885 LZNUS E FENZCLE .... ~ COUNTY CUHBERLAND REAGER & ADLER ACN 101 2551HARKET ST Amount Remltted CAHP HZLL PA 17011 HAKE CHECK PAYABLE AND REHZT PAYNENT TO: REGZSTER OF NI'LLS CUHBERLAND CO COURT HOUSE CARLTSLE, PA 17015 CUT ALONG THZS LZNE t~ RETAZN LONER PORTZON FOR YOUR RECORBS REV-1547 EX AFP (01-03) NOTZCE OF ZNHERZTANCE TAX APPRAZSENENT, ALLONANCE OR DZSALLONANCE OF BEDUCTZONS AND ASSESSHENT OF TAX ESTATE OF EDNONDSON J T FZLE NO. 21 01-0885 ACN 101 BATE 01-05-2004 TAX RETURN HAS: (X) ACCEPTED AS FZLED ( ) CHANGED RESERVATZON CONCERNING FUTURE ZNTEREST - SEE REVERSF APPRAZSEB VALUE OF RETURN BASED ON: ORZGTNAL RETURN 1. Real Estate (Schedule A) (1) 70~690. OiO NOTE: To insure proper 2. Stocks and Bonds (Schedule B) (2) . O0 crodAt to your account, 3. Closely Hold Stock/PartnorshAp Zntorost (Schedule C) (3) . OiO submAt tho upper portAon 4. Hortgagos/Notos RoceAvable (Schedule D) (4) . O0 of thAs form wAth your S. Cash/Bank Deposits/Nisc. Personal Property (Schedule E) (5) 20; 140. OiO tax payment. 6. Jointly Owned Property (Schedule F) (6) . OiO 7. Transfers (Schedule G) (7) .00 8. Total Assets (8) 90,850.00 APPROVED BEDUCTZONS AND EXEHPTZONS: 9. Funeral Expenses/Adc. Costs/NAsc. Expenses (Schedule H) (9) 15,565.15 10. Debts/Hortgage Liabilities/Liens (Schedule z) (10) .00 11. Total Deductions (11} 12. Net Value of Tax Return (12) 77,464.85 13. Char/table/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13} . O0 lq. Net Value of Estate Subject to Tax (lq) 77,464.85 NOTE: Zf an assessment ~as /ssued previously, lines 14, 15 and/or 16, 17, 18 and 19 ~ill reflect figures that include the total of ALL returns assessed to date. ASSESSHENT OF TAX: 15. Amount of LAne lq at Spouse1 rate (15) 76,564.85 X O0 = .00 16. Amount of LAne 1~ taxab/e at Lineal/Class A rate (16) 900. O0 X 045 = 17. Amount of Line Zfi at Sibling rate (17) .00 X 11 = .00 18. Amount of LAne lfi taxable at Collateral/Class B rate (18) . O0 X 15 = . O0 19. Principal Tax Due TAX CREBZTS: (19)= 40.05 PAYHENT ] R~CEZPT D/$COUNT (+) BATE / NUNBER ~NTEREST/PEN PA/D (-) AHOUNT PAID 09-12-200~ CDO05ZZZ 2.76- 45.10 TOTAL TAX CREDZT i 40.54 BALANCE OF TAX BUEI .51CRi ZNTI~REST AND PEN-I .00 TOTAL BUE J .51CRI ~ ZF PAZD AFTER DATE /NDZCATED, SEE REVERSE ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYNENT ZS REQUZRED. FOR CALCULATZON OF ADDZTZONAL ZNTEREST. ZF TOTAL DUE ZS REFLECTED AS A "CREDZT" (CR), YOU HAY BE DUF.~ A REFUND. SEE REVERSE SZDE OF THZS FORH FOR ZNSTRUCTZONS. RESERVATION: Estates of decedents dying on or before December ZZ, lgBZ -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonaaalth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the laaful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 25 of 2000. (72 P.S. Section 9140). PAYHENT: Detach the top portion of this Notice and submit with your payment to the Register of gills printed on the reverse side. --Hake check or money order payable to: REGISTER OF NZLLSj AGENT REFUND (CR): A refund of a tax credit, which was not requested on the Tax Raturnj may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-IS15). Applications are available at the Office of the Register of Hills, any of tho 25 Revenue District Offices, or by calling the special 24-hour ansuering service for farms ordering: 1-800-$6Z-2050; services for taxpayers with special hearing and / or speaking needs: 1-800-447-5020 (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 must object aithin sixty [60) days of receipt of this Notice by: --aritten protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. ADHIN- ISTRATIVE CORRECTIONS: Factual errors discovered on this assessment should be addressed in ariting to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17126-0601 Phone (717) 787-650S. See page S of the booklet "Instructions for Inheritance Tax Return for a Res[dent Decadent" (REV-IS01) for an explanation of administratively correctable errors. DISCOUNT: If any tax due is paid within three (5) calendar months after the decedent's death, a five percent (5Z) discount of the tax paid is allowed. PENALTY: The leg tax amnesty non-participation penalty is computed on the total of the tax end interest assessed, and not paid before January lB, 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 delinquencyj ar nine (93 months and one (l) day from the date of death, to the date of payment. Taxes ehich became doIinquent before January 1, 1982 bear interest at the rate of six (62) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1982 mill bear interest at a rate which will vary from calendar year to calendar year eith that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through ZOO3 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Yea.~r Rate Factor 1982 ZOZ .000548 1987 9Z .000247 1999 72 .000192 1983 162 .000438 1988-1991 llZ .000301 ZOOO 8Z .OOOZi9 1984 IiX .000301 1992 92 .000247 ZOOl 9Z .000247 1985 13Z .OOO3S6 1993-1994 72 .OOOlgZ ZOOZ 62 .000164 1986 lOX .000274 1995-1998 92 .000247 2003 SZ .000137 --interest is calculated as folloes: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY /NTEREST FACTOR --Any Notice issued after the tax becomes delinquent mill reflect an interest calculation to fifteen (1S) days beyond the date of the assessment. If payment is made after the interest computation date sheen on the Notice, additional interest must be calculated. Cumberland County - Register of Wills Hanover and High Streets Carlisle, PA 17013 Phone: (717) 240-6345 Date: 8/03/2004 DONALD E EDMONDSON RE: Estate of EDMONDSON J THERESA File Number: 2001-00883 Dear sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel. Within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 09/06/2004 Your prompt attention to this matter will be appreciated. Thank you. Sincerely, GLENDA FARNER STRASBS~UGH REGISTER OF WILLS cc: File Personal Representative (s) Counsel Judge PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE a 6.12 FORM YEARLY UNTIL COMPLETION. STATUS REPORT UNDER RULE 6.12 Name of Decedent: J. Theresa Edmondson Date of Death: September 6, 2001 Will No.: 21-01-0883 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: 1. State whether administration of the estate is complete: Yes X No 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 X 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 No X D. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be c° attached t° this rep°rt' Datei _ . ....... Linus. E. Fenicle, Esquire .... ~: :ii Reager & Adler, P.C. ;?~ ~'.~.~ ;~:: ~ 2331 M~ket Street ~ ' D~ Crop Hill, PA 17011 (717) 763-1383 Counsel for Personal Representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '*' BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX OIVISION PO BOX 280601 HARRISBURG PA 17128-0601 INHERITANCE TAX :)C("'''nr-,,"" STATEMEN;T OF ACCOUNT , , , " Ihl J,-(1 lFFir>.,- - . '.' "h~sj ~ !../: c " REV-1607 EX AFP (03-05) 2007 JUN 29 PM ,: 2~ THERESA M ROBERTS~p~LEryK;?F 241 BOBCAT RD CUM8r6tt~f"~~URT CARLISLE PA 11013' ,0 PA DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-18-2007 EDMONDSON 09-06-2001 21 01-0883 CUMBERLAND 01153785 J T Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insu~e p~ope~ c~edit to you~ account, submit the uppe~ po~tion of this fo~m with you~ tax payment. CUT ALONG THIS LINE --------------------------------------------------------------------------- -+ RETAIN LOWER PORTION FOR YOUR RECORDS +- REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT ... ESTATE OF EDMONDSON J T FILE NO. 21 01-0883 ACN 01153785 DATE 06-18-2007 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-07-2002 PRINCIPAL TAX DUE: 13.22 PAYMENTS (TAX CREDITS): INT AT REV PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) . EREST IS CHARGED THROUGH 07-03-2007 TOTAL TAX CREDIT .00 THE RATES APPLICABLE AS OUTLINED ON THE ERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 13.22 INTEREST AND PEN. 3.76 * IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 16.98 SIDE 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. ) Cj