HomeMy WebLinkAbout05-13-10REV-1513 EX+ (01-10)
pennsylvania SCHEDULE ~
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RFSiDENT DECEDENT
ESTATE OF:
ANGELINE SEILER
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under
Sec. 9116 (a) (1.2).]
i. RAYMOND SEILER
704 S BROAD ST
MECHANICSBURG, PA 17055
2. BARBARA J COOKE
7624 TANEY PL
MERRILLVILLE, IN 46410
3. SHAWN E COOKE
3919 CEDAR RIDGE RD APT 2C
INDIANAPOLIS, IN 46235
4. MATTHEW S COOKE
1500 GAY RD #3-A
WINTER PARK, FL 32789
FILE NUMBER:
- j~~- ~~~
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
Do Not List Trustee(s) OF ESTATE
SON ~ 99.86%
DAUGHTER ~ .08%
GRANDSON ~ .03%
GRANDSON ~ .03%
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
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TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. I $
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