HomeMy WebLinkAbout02-1162
\'1- \lD- 1\
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
REV-1500 EX + (6MOO)
CAPB
HpRL
EplO
CRAC
KOTK
ES
FILE NUMBER
~
OFFICIAL USE ONLY
o
E
C
E
o
E
N
T
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT.Z8Q601
HARRISBURG, PA 17128.0601
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Cleaver Harr L.
DATE OF DEATH (MM-OD-YEAR)
21- OCl- \\~~
COUNTY CODE YEAR NUMBER
SOCiAl SECURtTY NUMBER
SPO E'
L.EI"\ Al
THIS RETURIt MUST BE FILED IN DUPliCATE WITH THE
REGISTER OF WILLS
SOCIALS U I NU A
NAME
IRWIN McKNIGHT & HUGHES
TELEPHONE NUMBER
(1)
(2)
(3)
R
E
C
A
P
I
T
U
L
A
T
I
o
N
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or
Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Bimng 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 il (10)
11. Tolal Oeductione (total Lines 9 & 10)
12. Net Value oI.Eslate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Sub'eel 10 Tax (Line 12 minus Line 13)
DATE OF BIRTH (MM-DD-YEAR)
AM L
,Ft
,A
M'
1. Original Return
4. Limited Estate
6. Dececlent Died Testate
(Attach copy of Will)
o 9. Litigation Proceeds Received
2. Supplemental Return
48. Future Interest Compromise (date of death after 12-12-82)
7. Decedent Maintained a Living Trust
(Attach copy of Trust)
010. Spousal Poverty Credit
(date ofdealh between 12-31-91 and 1-1-95)
3 date of death
. RemaInder Return prior to 12-13-82)
5. Federal Estate Tax Retutn Required
8. Total Number of Safe DepOSit Boxes
". ElectIon to tax under Sec. 9113(A)
(Attach Sch 0)
C P
o 0
R N
R 0
E E
S N
T
C
o
M
P
T U
A T
X A
T
I
o
N
o
COMPl.ETE MAILING ADDRESS
60 West Pomfret Street
West Pomfret Professional Bldg.
Carlisle, PA 17013
COpyright (c) 2000 form software only The l.ackner Group, Inc.
None
None
None
(4)
(5)
None
None
OFFICIAl. USE ONLY
(8) 5,592.00
(11) 765.00
(12) 4,827.00
(13)
(14) 4,827.00
(15)
(16)
(17)
(18)
(19)
0.00
96.sr
0.00
0.00
96.54
(6)
None
5,592.00
765.00
None
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate. or transfers under Sec. 9116(aXl.2) 0.0.0
16. Amount of Line 14 taxable at lineal rate 4,827.00
17. Amount of Line 14 taxable at sibling rate - 0.00
18. Amount of Line 14 taxable at collateral rate 0.00
19. Tax Due
ZO.
x
X
X
X
.0
.02
.12
.15
Form REV-1500 EX (Rev. 6-00)
Decedent's Complete Address:
STREET ADDRESS
739 Sandbank Road
CITY I STATE I ZIP
Gardners PA 17324
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. CreditslPayments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
96.54
Total Credits ( A + B + C) (2)
0.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
244.77
43.01
Totallnlerest/Penalty ( D + E) (3) 287. 78
4. 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) 0 . 00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 384.32
A. Enter the inrerest on the lax due. (5A) 0 . 00
B. Enler lhe lotal of Line 5 + 5A. This is the BALANCE DUE. (5B) 384.32
. Make Check Payable 10: REGISTER OF WILLS, AGENT
mmm ::;m~i i;;i!\:~; ~:~!. ?!i:t!t;1!:~,.]!!!!1~i!1:~:t~ ,~\ii~!:i!!!:!::! " Wi i+;!'~;i';l !;~;;::i::::i::!:!!!..i::i:;:~:;:::!!!!i::!::::::!:~m~Wi .m .!!!iIWii!iIW!!!i!!I..!!!!!!!:iU:!!!!!!:!,
~!!!I!![!l!j!!::!!!]::::!:..i:!ji\;!!!! ,.!!!!!!!:!ii!!:!!\!l!!ii! ..!!!!::!!!!!!!!!!__:!!!i!;:i!!!!i!!,:!!I!!:!!:!~::!!!] ::r;~:; :':':.' ,:: .:.. Wi iil!1
PLEASE ANSWER THE FOLLOWING QUESTiONS BY PLACING AN "X"'N THE APPROPFlIATEBLOCKS.
,. Did decedent make a transfer and: Ves No
a. retain the use or income of the property transferred; . . ~~xx
b. retain the right to designate who shall use the property transferred or its income; .
c. retain a reversionary interest; or.
d. receive the promise for life of either payments, benefits or care? , . . . . . .
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? . D []]
3. Did decedent own an ftin trust for" or payable upon death bank account or security at his
or her death? 0 [!J
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property
which contains a beneficiary designation? . . . . . . . . . D []]
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE Q AND FILE IT AS PART OF THE RETURN.
Under penalties of perjury, I declare that I have examined this retum, InclUding accompanying schedules and statements, and to the best of my knowledge and belief, it Is true.
correct and complete. DeclaratIon of preparer other than the personal representative Is based on alllnforrnatlon of which pre parer has any knowledge.
. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN Mary Louise Dehoff DATE
320 Mt. View Rd.
- - M;;;:'nt-H~;ii - - -5 - ~in - ~ ',- -p;'- - -i 7<f65 - - - - - - - - - - - --
IRWIN McKNIGHT & HUGHES
60 West Pomfret Street
- - -Ca~E~ie-,-' PA-- - i i6h - - - - - - - - - - - - - - -. - - - - - - - - --
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. 9116 (a) (1.1) (ill
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 sllrviving spouse is 0%
112 P.S. 9116 (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. 9116 (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. 9116( 1.2)
[72 PS 9116(aX1J).
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% 172 P.S. 9116(aX1.3)]. A sibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether b~ blood or adoption.
Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-1 SOO EX (Rev. 6-00)
ADDITIONAL Personal Representatives
Estate of Harry L. Cleaver
**************************************************
Under penalties of perjury, the undersigned declare that they
have examined this return, including accompanying schedules and
statements, and to the best of their knowledge and belief, it is
:::,=:'~' ~d '~""'~-;o/44i -/1;~
Name
Address Line 1
Address Line 2
City, State, Zip
Rose Marie Rickrode
619 Alexander Spring Road
Date
Carlisle, PA 17013
L1c ,7 ;J ~ -=>
I ; ----.
REV-Hil0 EX + (1~97l
COMMONWEALTH OF PENNSYLVANIA
INHEAITANCETAX RETURN
RESIDENT DECEDENT
ESTATE OF
Harry L. Cleaver SS#
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
02/25/1962
FILE NUMBER
21-
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes.
DES~RIPTI<6N OF P~OPERTY 'Ife OF
ITEM INCLUDE TH NAME F THE T ANSFEREE THEIR DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE
RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER.
NUMBER ATTACH ACOPYOF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE)
1 739 Sandbank Road, 5,592.00 5,592.00
Dickinson Township,
Gardners, Cumb. Co -
retained life estate
interest, copy of Deed
attached hereto
Kose E. Cleaver d/o/d -12/18/1955
Rosie E. Durf - d/o/d-06/18/2002
TOTAL (Also enter on line 7, Recapitulation) $ 5,592.00
(If more space is needed, insert additional sheets of the same size)
Copyright (el 1996 form software only CPSystems, Inc.
Form REV-1510 EX (Rev. 1-97)
REV.1511 ex +(1.97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Harry L. Cleaver
SSlf
02/25/1962
FILE NUMBER
21-
Debts 01 decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION
A. FUNERAL EXPENSES,
AMOUNT
1.
ADMINISTRATIVE COSTS,
Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number{s) I EIN Number of Personal Representative(s)
Street Address
B.
City
State
Zip
Year{s) Commission Paid:
,....
2.
3.
Attorney's Fees IR\lIN McKNIGHT & HUGHES
Family Exemption: (If decedent's address is not tmt same as claimant's, attach explanation)
Claimant
Street Address
750.00
City
Relationship of Claimant to Decedent
State
Zip
4. Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
1
Other Administrative Costs
Register of \lills - filing fee
15.00
TOTAL (Also enter on line 9, Recapitulation) S 765.00
(If more space is needed, insert additional sheets of the same size)
CopyrIght (c) 1996 form software only CPSystems,lnc. Form REV-1S11 EX (Rell, 1-97}
REV-1513 EX ..(9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERitANCE lAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIAR IES
EST/. TE OF
Harry L. C1eavI,!r dLoLd ~_02/25/1962
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I. TAXABLE DISTRIBUTIONS [Include outright spousal distrlbutlons,and
transfers under Sec. 9116(aX1.2)]
1
Mary L. Dehoff
320 Mountain View Road
Mount Holly Springs, PA 17065
2
Daniel J. Durf, Sr.
4410 Carlisle Road
Gardners, PA 17324
3
Donald E. Durf
60 Ball Park Drive
Gardners, PA 17324
4
Joseph C. Durf
739 Sandbank Road
Mount Holly Springs, PA 17065
5
Leonard C. Ourf
739 Sandbank Road
Mt. Holly Springs, FA 17065
RELATIONSHIP IO DECEq~NT
Do Not List Truslee(s)
Grandchild
Grandchild
Grandchild
Grandchild
Grandchild
FILE NUMBER
21-02-
AMU~NT OR SHARE -
OF ESTATE
1/9 remainder
1/9 remainder
1/9 remainder
1/9 remainder
1/9 remainder
ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS,
A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
l"'nnvrlnht /,.\ 'nnn fn..... .....ft...",... ......Iv Tk.. I "'............. r-.......... I......
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET S
1::'........ ~I:'V_1~1~ I:Y {r!>~" .. ,.."\
(If more space is needed, insert additional sheets of the same sjze)
0.00
Estate of: Harry L. Cleaver
Soc Sec i/:
Date of Death: 02/25/1962
Continuation of Schedule J, Part 1
(Taxable Bequests)
Item Name and Address of Beneficiary
il
Relationship
Amount or
Share of Estate
6 Leroy A. Durf Grandchild 1/9 remainder
4075 Carlisle Road
Gardners, PA 17324
7 Robert Durf Grandchild 1/9 remainder
11R Mountain Street
Mount Holly Springs, PA 17065
8 Cynthia F. Motter Grandchild 1/9 remainder
28 Holly Street
Mount Holly Springs, PA 17065
9 R. Marie Rickrode Grandchild 1/9 remainder
619 Alexande rSpring Road
Carlisle, PA 17013
.....,.1\, '-""""""'y ''''on,
Henry JIRn. InCl., lndJana. P..
mbi!i
1!\ttb,
ftlallt tf)t 2nd day of
of our Lord one thou.sand nine hu.ndred
:August
and fif'iW.. (1950.)
in the year
Ittt\1Jttn RO<;E E. CLEAVER, in her own right, and HARRY L. CLEAVER;
her husband, and GEORGE W. RIChWINE, JR., and ROSE A. RICHWINE,
his wire, all or the Borough or Mt. tiolly springs, Cumberland
County, Pennsylvania, ,
Grantor s ,
(l,ntl. HARRY L. CLEAVER and ROSE E. CLEAVER, his wif'e, both of the
Borough of Mt. Holly Springs, Cumberland County, Pennsylvania,
1'01' the terms of their natural lives and after their deaths to
Rosie E. Durf for her life, and a1'ter her death to her
children in fee,
Grantee s :
attntllllttf). that in consideration of
one ($1.00)
Dollars,
in hand paid, the re(Jeipt whereof is hereby acknowledg'ed, the said g'rantors
do hereby g'rant and (Jonve!! to the said ,g'rantee s , the estates above
reci ted in ALL THAT CERTAIN tract of land situated partly in
South Middleton TownShip and partly in Diokinson Township,
Cumberland County, Pennsylvania, bounded and described as
follows:
'"
BEGINNING at a point in a public road at corner of
lands now or fonnerly of C. B. Mathews and E. Bixler; thence
S. 85 degrees W. 99 1'eet to a point at line of lands of
Pharoah Blumenstock; thence by the same S. 19 degrees W.
1336.5 feet to line of lands of George W. Richwine and Rose
A. Richwine; thence by the same N. 85 degrees E. 99 feet
to a point in line of lands now or f'onnerly or said C. B.
'Mathews; thence by the same N. 19 degrees E. 1336.5 feet
to a point; the place of beginning. Containing 2.77 acres.
AND BEING the northern part of the lands conveyed to
Rose E. Cleaver and George W. Richwine, Jr.,by the Executor
or Herbert J. Stannert by his deed dated July 20, 1940 and
recorded in the Office of the Recorder of Deeds of ~umberland
County, Pennsylvania, in Deed Book "En, vol. 12, page 226.
SUBJECT to the right in the owners of the southern
part of the whole tract of which the above described tract
is a part, their heirs and assigns, to the use of a right of
way or road across the above ..d.e..scribed tract, beginni~,a1._, .
the southeast corner of the above described tract and extending
in a northeasterly direction along the eastern side of the
northern half of the aforementioned larger tract lliltil a
junction is made with the public road.
~
12/18/2002 12:29
717-783-3457
INHERITANCE TAX
PAGE 01/01
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPARTMENT 280601
HARRISBURG, PA 17128-0601
Telephone
717783-0972
December 18, 2002
Marcus A McKnight III, Esquire
Irwin McKnight & Hughes
West Pomfret Professional Building
60 West Pomfret street
Carlisle, pa 17013-3222
Re: Estate of Rose E. Cleaver
Dear Mr, McKnight:
Based on the information supplied, it is the Department's position that:
1. If the decedent, Rose Cleaver died on or before 12-31-1961. the estate is controlled by the 1919
Inheritance Tax Act. That Act gave the Department of Revenue 5 years from the date of death
of the decedent to collect any potential inheritance tax due in a specific estate. Therefore no tax
is due today as the 5-year limitation is exhausted.
2. If the decedent died on or after 1-01-1962, the inheritance tax is due. The tax value is based on
100% of the fair market value of the real estate as of Rose E. Cleaver's date of death times a
tax rate of either 2% if the decedent died on or between 01-01-1962 and 12-29-1967 or 6% if
the decedent died after 12-29-1967 at 4:00 PM.
3. If there is tax due, the interest is calculated at 6% annual simple interest (.000164 daily interest
rate) from nine months after the decedent's date of death till date of payment. There will be an
amnesty penalty charges too. You should call the Department at 717-787-8327 for the exact
calculation after you determine if there is a potential; tax due.
If you have any questions concerning this letter, please contact me at the phone number noted
above.
Sincerely, .
J. Paul Dibert
Business & Trust Valuation Manager
Inheritance Tax Division
No hard copy to follow
~j
LAW OFFICES
IRWIN McKNIGHT & HUGHES
ROGER B. IRWIN
MARCUS A. McKNIGHT, {f[
JA.MES D. HUGHES
REBECCA R. HUGHES
DOUGLAS G. MILLER
WEST POMFRET PROFESSIONAL BUILDING
60 WEST POMFRET STREET
CARLISLE, PENNSYLVANIA 17013.3222
(717) 249.2353
FAX (717) 249.6354
E.MAIL: IMHLAW@SUPERNET.COM
December 19, 2002
HAROLDS.IRWIN (/925.JI)77)
HAROLDS./RWIN. JR. (1954-1986)
IRWIN, IRWIN & IRWIN (1956-/986)
IRWtN,lRWIN & McKNIGHT (1986-1994)
IRWIN. McKN1GHT&HUGHES (/994- )
VIA FACSIMILE: 787-3876
J. Paul Dibert
Business & Trust Valuation Manager
Inheritance Tax Division
Commonwealth of Pennsylvania
Department 280601
Harrisburg, PA 17128-0601
RE: Estate ofHarrv 1. Cleaver
Dear Paul:
In accordance with your correspondence to me of December 18, 2002, it has been
determined inheritance tax is due for the life estate interest transferred to Rosie E. Durf upon the
death of Harry 1. Cleaver on February 25, 1962. The interest of Rose E. Cleaver passed directly
to her husband Harry upon her death on December 18, 1955.
. Since Mr. Cleaver died after 01-01-1962 and before 12-29-1967 the inheritance tax due is
2% (since the interest passes to the Cleaver's grandchildren, Rosie E. Durfs children) of 100%
of the fair market value. We have researched the records in the tax assessment office and have
found their records only go back to 1974. In 1974 the assessment was 2330 and based upon a
25% valuation, we can determine a fair market value of $9,320.00 in 1974. However we believe
some discount can be considered since the death occurred 12 years prior. Based upon a 4% per
year increase in market values, we are asking that a reduction of the 1974 assessed value be
considered so for inheritance tax purposes we can report the value in 1962 to be $5,592.00 which
equals a 40% reduction in value.
In addition, based upon the unusual circumstances with this case we are respectfully
requesting that penalty charges be waived and payment of inheritance tax plus interest be
accepted as payment in full for this matter. Please advise if you are in agreement with our
determination and we can proceed with the filing of the Pennsylvania Inheritance Tax Return.
Very truly yours,
MAMiii/jld
THE COMMON PLEAS COURT OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DMSION
In the
Estate of
VIRGINIA M. KURTZ, unremarried
widow, deceased, late of Lower Allen
Township, Cumberland County, Pennsylvania
Social Security No. 187-14-4574
No. 1161 Estate 2002
FIRST AND FINAL ACCOUNT
AND PROPOSED DISTRIBUTION
CHARGES
Real Estate
All that certain lot of land, together with one story brick ranch-type
dwelling house erected thereon, situate in Lower Allen Township,
Cumberland County, Pennsylvania, granted and conveyed unto John
E Kurtz and Virginia M. Kurtz, husband and wife, by Deed of Robert
Leroy Wrightstone, et. ux., dated October 17, 1966 and recorded in
Cumberland County Deed Book "I" Volume 22, page 564.
Thereafter, John E Kurtz became deceased on April 7, 1994, thereby
vesting full, complete and sole title in Virginia M Kurtz, his wife, by
virtue of survivorship to tenancy by the entireties.
Value at time of death in accordance with conveyance unto Marlin E.
Nauman, et. ux., dated June 16, 2003.
$136,000.00
Stocks andBonds
Series I-IH United States Savings Bond Nos~ M4334389HH, M4334390HH,
M4334391HH, M4334392HH, M4334393HH, M4334394HH, M4334395HH,
and M4334396HH in name of Virginia M. Kurtz, dated May, 1992 in the face
amounts of $1,000.00.
8,00000
Series HH United States Savings Bond No. M4742292HH in name of Virginia
Kurtz, dated March, 1993 and in the face amount of $1,000.00.
Series HH United States Savings Bond No. X585001HH in name of Virginia
Kurtz, dated May, 1992 and in face amount of $10,000.00.
Series HI-I United States Savings Bond No. D3392607HH in name of Virginia
Kurtz, dated March, 1993 and in face amount of $500.00.
Sipesville Water Company, Inc. Certificate No. 68 in name of Virginia Kurtz,
dated March 12, 1946 for 5 Shares of Capital Stock. Value at time of death.
Penn Treaty American Corporation Stock Certificate No. PT0440 in name of
Virginia Kurtz, dated November 24, 1987 for 28 Shares Common Stock.
Value at time of stating account orS1.70 per share.
Penn Treaty American Corporation Stock Certificate No. PT2089 in name of
Virginia Kurtz, dated May 15, 1995 for 14 Shares Common Stock.
Value at time of stating account of $1.70 per share.
Penn Treaty American Corporation Stock Certificate No. PTAR0274 in name
of Virginia Kurtz, dated April 27, 2001 for 47 Shares Common Stock.
Value at time of stating account of $1.70 per share.
Series HI-I United States Savings Bond No. D3648027HH in name of Virginia
M. Kurtz, dated June, 1994 and in face amount of $500.00.
Series HH United States Savings Bond Nos. M5135710HH, M5135711HH,
M5135712HH, MS135713HH, M5135714HH, and MS135715HH in name
of Virginia M. Kurtz, dated June, 1994 and in the face amount of $1,000.00.
Series Htt United States Savings Bond Nos. X691805HH, X691806HH,
X691807HH, X691808HH, X691809HH, X691810HH, X692811HH,
X691812HH, X691812HH, and X691814HH in name of Virginia M.
Kurtz, dated June, 1994 and in the face amount of $10,000.00.
Series EE United States Savings Bond No. L459134956EE in name of
Virginia M. Kurtz, dated June 21, 1990 and in the face amount of $50.00.
Value, including interest, to time of dose.
$ 1,000,00
10,000.00
500.00
250.00
47.60
23.80
79.90
500.00
6,000.00
100,000.00
53.94
2
Personal Property
All the following items of personal property contained in and surrounding
residence of decedent, bequeathed in Codicil dated June 15,2001, with
value at time of death in accordance with Appraisal performed by Stahl's
Jewelry, Somerset, Pennsylvania dated January 20, 2003:
14k Wide Gold Herringbone Necklace; 6-Diamond Ring; Man's Masonic
Ring-Diamond (disposed of by decedent prior to death and therefore not
in possession of decedent at time of death); Lavender Jade Pendant;
Lavender Jade Bracelet; Lavender Jade Ring; Gold Coin & Diamond
Pendent & Chain; Green Jade Pendant; Silver with 2 Zercon stones Ring;
Small Green Jade Ring; Green Jade Bracelet; Large Green Jade Ring; Blue
Topaz Ring; 24" Pearls 1 strand 14k Clasp; Silver Seiko Wrist Watch; Wide
Gold Bracelet; 2 Smaller 14K Gold Bracelets; Rust Red Jade Pendant &
Gold Chain; Gold Bracelet (Kealoha); Emerald & Diamond Ring; Diamond
12 Diamonds Cluster Ring; Fresh Water Pearl & Diamond Ring; Amethyst
(Purple) & Diamond Ring; Emerald & Diamond Ring; Small Tanzanite &
Diamond Ring; 27 Small Band Ring; Diamond Tennis Bracelet; 4k Tanzanite
& 1/2k Diamond Ring; Emerald & Diamond Bracelet; Pava-Diamond Bracelet;
10 Hummel Figurines.
Painting by Graystone Sayre (Covered Wagons). Value in accordance with
Appraisal performed by Somerset Galleries, Somerset, Pennsylvania, dated
January 15, 2003.
Clothing
Lady's jade ring, scrap gold, two watches in accordance with
sale of same to Stahl's Jewelry and Hauger's Jewelry.
Waterbury Mantel Clock - Value of $1,000.00 included within public auction
sale receipts.
Checking Account No. 610071-671-6 - Citizens Bank, Providence, RI in
name of Virginia M. Kurtz.
Value, including interest, per balance in checking account at time of death.
Circle Money Market Account No. 610119-204-4 - Citizens Bank,
Providence, RI in name of Virginia M. Kurtz.
Value, including interest per balance in account at time of close.
22,405.00
75.00
No Value
126.00
32,335.52
30,030.59
Citizens Investment Services Corp., Providence, RI - Account No.
57557225 in name of Virginia M. Kurtz.
Value, including interest and dividends, at time of close.
Certificate of Deposit No. 6140-803965 - Citizens Bank, Providence,
RI in name of Virginia M Kurtz.
Value, including interest, to the time of close.
Certificate of Deposit No. 61-40-831113 - Citizens Bank, Providence,
RI in name of Virginia M. Kurtz.
Value, including interest, to the time of close.
Checking Account No. 0513132894 - Commerce Bank, Camp Hill,
PA in name of Virginia M. Kurtz.
Value, including interest per balance in checking account at time of
close.
Certificate of Deposit No. 23597 - Commerce Bank, Camp Hill,
PA in name of Virginia M. Kurtz.
Value, including interest, at time of close.
Checking Account No. 0003361367 - Territorial Savings, Honolulu,
HI in name of Virginia M. Kurtz.
Value, including interest per balance in account at time of close.
Certificate of Deposit No. 8000053934 - Waypoint Bank, Harrisburg,
PA in name of Virginia M. Kurtz.
Value, including interest at the time of death.
Certificate of Deposit No. 2474120509-46353 - First Union, in name
of Virginia M. Kurtz, dated January 26, 2001.
Value, including interest at the time of close.
1998 Lincoln Town Car Signature Sedan beating VIN
1LNFM82W6WY716759 in name of Virginia M. Kurtz.
Value at time of death in accordance with Appraisal and sale,
less broker's commission.
$ 5,849~07
16,309.31
50,000.00
739.93
13,752.28
3,250.92
10,022.26
49,352.64
11,700.00
4
One lot of used, miscellaneous items of personal property and contents
in and surrounding residence of decedent consisting of, but not limited
to, furniture, furnishings, appliances, household items, and lawn and
garden items.
Value at time of death in accordance with public auction conducted
by Charles Bricker, Auctioneer, on May 2, 2003.
Miscellaneous 925 silver ingots located in residence of decedent
at time of death.
Value at time of death in accordance with Appraisal performed by
Copenhaver Coin Exchange, dated April 22, 2003.
Motorists Insurance Companies Check No. 174879 made payable to
Virginia M. Kurtz dated April 8, 2003 - Refund on overpayment of
automobile insurance coverage due decedent at time of death.
Citibank (South Dakota), NA. Check No. 8920000630 made payable
to Virginia Kurtz, dated March 11, 2003 - Refund on overpayment
of credit card balance due decedent at time of death.
American Express Travelers Cheque Nos. RE388295465 through
RE388295469 in name of Virginia Kurtz and in the face amount of
$100.00. Value at time of death.
American Express Travelers Cheque Nos. HZ215851600 through
HZ215851609 in name of Virginia Kurtz and in the face amount of
$50.00. Value at time of death.
One used, dyed squirrel sling-cape. Value at time of death in
accordance with Appraisal performed by Charles Exclusive Furriers,
Womleysburg, PA.
Citibank (South Dakota), N.A. Check No. 8790000552 made payable
to Virginia Kurtz, dated February 26, 2003 - Refund on overpayment
of credit card balance due decedent at time of death.
United States Treasury Check No. 63704770 made payable to Virginia
M. Kurtz, dated May 23, 2003 - Refund on overpayment of 2002
Federal Income Tax Return due decedent at time of death.
12,383.75
1,076.00
52.49
35.44
500.00
500.00
20.00
282.55
1,138.00
Southern Company Investment Plan Account No. 0000565182 in name
of Virginia M. Kurtz.
Value, including interest and dividends at time of death.
The Southern Company Stock Certificate No. SC1287697 in name of
Virginia M. Kurtz, dated August 1, 1994 for 100 Shares Common
Stock.
Value at time of close.
Verizon Check No. 605971 made payable to Virginia Kurtz - refund
due decedent at time of disconnect.
Motorists Insurance Companies Check No. 193946 made payable to
Virginia M. Kurtz dated July 2, 2003 - Refund on overpayment of
homeowners insurance coverage due decedent at time of death.
Thrivent for Lutherans Check No. K669594 made payable to
Virginia Kurtz Estate, dated April 30, 2003 on life of Virginia
Mae Kurtz.
U. S~ Treasury Check No. 02179782 made payable to Virginia
Kurtz Estate, dated September 30, 2003 - Lump sum Civil
Service benefit.
Bureau of Public Debt - Series HH interest due decedent at
time of death and directly deposited to Estate Checking Account.
Delaware Investments, Philadelphia, PA Account No. 60002585503
in name of Virginia M. Kurtz, TOD John Stephens - Income
due decedent at time of death.
UMWA Health - Reimbursement for health benefits due decedent
at time of death.
Citizens Bank, Providence, RI - Certificates of Deposit in name
of Virginia M. Kurtz and John Stephens - Income due decedent
at time of death.
Waypoint Bank Certificates of Deposit in name of Virginia M.
Kurtz and John Stephens - Income due decedent at time of death.
$ 57,372.51
713.84
12.65
115.52
5,100.16
230.00
5,032.50
365.58
20.00
181.97
105.95
Charles Schwab Account No. 6170-6439 in name of Virginia Kurtz
or John W. Stephens - Income due decedent at time of death.
Citizens Bank, Providence, RI - Certificates of Deposit in name
of Virginia Kurtz or John W. Stephens - Income due decedent at
time of death.
Pro-rata share of real estate taxes due decedent at time of closing.
Citizens Bank, Providence, RI - Certificates of Deposit in name
of Virginia M. Kurtz and John Stephens - Income due decedent
at time of death.
TOTAL CHARGES
$ 460.94
435,47
361.38
982.73
$595,883.19
7
CREDITS
Costs During Administration
Register of Wills - Filing fees $ 663.50
Patriot News Co. - Advertising Letters Testamentary 217.51
Cumberland Law Journal - Advertising Letters Testamentary 75.00
Stahl's Jewelry - Jewelry Appraisal fee. 477.00
Citizens Bank - Fee for insufficient funds and account
research. 110.00
McCray Press - Laminated obituaries. 17.50
J. Robert Stauffer, Esq. - Professional services rendered. 500.00
Mark Hilbert - Appraisal of real estate. 300.00
Wonders, LTD - Rental of canopies for public auction. 275.60
William C Range - Reimbursement for copy costs, supplies
and mailings during estate administration. 1,258.77
Cohen & Grigsby, P.C - Estimated research fees. 352.00
Brickers Auction - Auctioneer, advertising, clerks, sale
help and commission. 3,600.00
Citizens Bank - Reimbursement for overpayment of
close-out on checking account. 204.00
Eugene M Hankinson, P.C. - Preparation of 2002 Income
Tax Returns. 595.00
U.S.Postal Service - Overnight mail for dosing real estate. 13.65
Commerce Bank - Medallion fees for transfer of HH Bonds. 50.00
William L. Kimmel, Esq., Costs Advanced Account -
Reimbursement for two overnight mailings. 27.30
Citizens Bank - Check printing fee. 54.84
William L. Kimmel, Esq., Costs Advanced Account -
Reimbursement for two additional overnight mailings. 27.30
U.S.Postal Service - Certified mailings. 9. l0
Olan Mills - Release for reproduction of 8"xl0" photo of decedent. 10.00
CVS - Reproduction of 8"xl0" photo of decedent. 37.05
Postmaster - Certified mailings of Series HH United States
Savings Bonds to owners. 102.75
Pennsylvania Department of Revenue - 2003 Individual Income
Tax. 304.00
Recorder of Deeds - One-half transfer tax, sale of real estate. 1,360.00
Register of Wills - First and Final Account and Proposed
Distribution for Confirmation. 146.00
Register of Wills - Reserved for Discharge. 1,500.00
8
U.S. Postal Service - Reserved for estimated mailing
charges - First and Final Account and Proposed
Distribution and subsequent distribution to heirs.
Postmaster - Mailing photographs to cousins~
$ 500.00
18.05
$12,805.92 $12,805.92
Funeral Ex,>crises
Robert H. Halverson Funeral Home - Funeral services.
Robert H. Halverson Funeral Home - Certificates of Death.
Oakhurst Tea Room - Funeral meal, including tip.
Somerset Floral Company - Flowers for funeral.
$ 6,532.21
12.00
380.00
53.00
$ 6,977.21 $ 6,977.21
Debts of Decedent:
Pinnacle Health Care - Book account not covered by insurance. $ 5.00
Citi Cards - Credit card charges owed by decedent. 828.99
PA American Water Co. - Water assessment to disconnect. 111.48
Verizon - Telephone to disconnect. 43.02
PPL - Electric to disconnect. 972.92
Lower Allen Township - Sewage and refuse to cancellation. 146.70
Comcast Cablevision - Cable to disconnect. 47.63
PA Department of Revenue - 2002 Income Tax. 81.63
Bonnie K. Miller, Treasurer - 2003 Real Estate Taxes. 433.13
MSHMC Physician Group - Last illness not covered by insurance. 77.80
$ 2,748.30 2,748.30
9
Accountant. Executor and Attorney's fee
Eugene M Hankinson, P.C - Accounting services.
William C. Range, Executor
William L. Kimmel, Esq.
$16,000.00
77,350.00
77,350.00
$170,700.00
$170,700.00
Inheritance and Estate Taxes:
Commonwealth of Pennsylvania - 15% Inheritance
Tax, less discount.
U.S. Treasury - Federal Form 706 - Federal
Estate Tax.
Internal Revenue Service - Form 1041, Fiduciary Tax
Return.
TOTAL CREDITS
$131,533.25
102,526.11
13,000.00
$247,059.36 247,059.36
$440,290~79
RECAPITULATION
TOTAL CHARGES
TOTAL CREDITS
BALANCE FOR DISTRIBUTION
$595,883.19
440,290.79
$155,592.40
10
PROPOSED DISTRIBUTION
BALANCE FOR DISTRIBUTION
In accordance with Codicil of the Last Will and
Testament of decedent, distribution/NKIND is
made, as follows:
Elsa Sutherland - 14K Wide Gold Herringbone
Necklace.
Wilma Bosserman - 6 diamond ring.
Michael Kurtz - Man's Masonic Ring (disposed
of prior to death of decedent).
Millie Lai - Lavender Jade Pendant.
Millie Lai - Lavender Jade Bracelet.
Millie Lai - Lavender Jade Ring.
Millie Lai - $50.00 Gold Coin & Diamond
Pendant & Chain.
Kay Kange - Green Jade Pendant.
Kay Range - Silver with 1 Zereon stones Ring.
Carol Friedline - Small Green Jade Ring.
Carol Friedline - Green Jade Bracelet.
Kay Range - Large Green Jade Ring.
Susanne Funk - Blue Topaz Ring.
$ 295.00
1,000.00
None
150,00
350.00
125.00
1,100.00
50.00
50.00
75.00
100.00
100.00
No Vaiue
$155,592.40
11
Lois J. Davis - 24" Pearls 1 strand, 14K clasp.
Dolores Shall'er - Silver Seiko Wrist Watch.
Ruth Sicheri - Wide Gold Bracelet.
Ruth Sicheri - 2 Smaller 14K Gold Bracelets.
Ruth Sicheri - Rust Red Jade Pendant & Gold Chain.
Arbutus Focht - Gold Bracelet (Kealoha)
Joann Kimmel - Emerald & Diamond Ring
Ruth Sicheri - 12 Diamond Cluster Ring
Joann Kimmel - Fresh Water Pearl & Diamond Ring
Joann Kimmel - Amathist (Purple) & Diamond Ring.
Terri Seip - Emerald & Diamond Ring
Viminia Rebert - Small Tanzanite & Diamond Ring
Wilma Bosserman - 27 Small Diamond Band Ring
Nancy Berke¥ - Diamond Tennis Bracelet
Nancy Berke¥ - 4K Tanzanite & 1/2K Diamond Ring
Nancy Berke¥ - Emerald & Diamond Bracelet
Terri Seip - Pava-Diamond Bracelet
John Steohens - Name is on $150,000.00 HH Bonds
these are to be given to St. John's Lutheran Church
(joint tenants with wishes of decedent honored).
$ 400.00
No Value
150.00
125.00
95.00
150.00
195.00
1,500.00
1,500.00
450.00
200.00
2,000.00
200.00
800.00
2,500.00
4,500.00
1,000.00
800.00
12
John Stephens - Name is on $40,000.00 is to be given
to Prince of Peach Church in Hawaii, Lutheran Church
(~oint tenants with wishes of decedent honored).
Terfi Seip - 10 Hummel Figurines:
Carnival
Barnyard Hero
A stitch in time
Drummer Boy
Friends
Feeding Time
Culprits
Mountaineer
Sensitive Hunter
Chopping wood with blue bird/boy
Connie Lee Kolesko - Painting by Grayson Sayre
(Covered Wagons)
Nancy Berkey - 18t choice of clothing
Viminia Rebert - 2na choice
Total Specific Bequests in Kind
$ 245.00
195.00
250.00
200.00
240.00
235.00
345.00
250.00
235.00
250.00
75.00
No Value
No Value
$ 22,480.00
$22,480.00
BALANCE FOR DISTRIBUTION
In accordance with Paragraphs 2, 3 and 4 of the
Last Will and Testament of decedent, distribution
is made, as follows:
2. Wilma Bosserman, good friend - specific
bequest.
3. Meig Kurtz, nephew - specific bequest.
4. William C. Range, good friend - specific
bequest.
Total Specific Bequests.
$ 30,000.00
30,000.00
$ 20,000.00
$ 80,000.00
$133,112.40
$80,000.00
13
BALANCE REMAINING FOR DISTRIBUTION.
In accordance with Paragraph 5. of the Last Will
and Testament of decedent, distribution is made,
as follows:
ELWOOD FRIEDLINE, cousin - One-ninth
(1/9th) share.
WAYNE FRIEDL1NE, cousin - One-nimh
(1/gth) share.
RONALD FRIEDL1NE, cousin - One-ninth
(1/9th) share.
GERALD FRIEDLINE, cousin - One-ninth
(1/gth) share.
M. JOAN KIMMEL, cousin - One-ninth
(1/9th) share.
DOLORES SHAFFEK, cousin - One-ninth
(1/gth) share.
LOIS JEAN DAVIS, cousin - One-ninth
(1/9th) share.
CHARLES FRIEDLINE, cousin - One-nimh
(1/gth) share.
CAROL FRIEDLINE, cousin - One-ninth
(1/9th) share.
Total Distribution.
BALANCE FOR DISTRIBUTION.
14
$ 5,901.38
5,901.38
5,901.38
5,901.38
5,901.38
5,90138
5,901.38
5,901.37
$ 5,901.37
$53,112.40
s
$53,112.40
NONE
WHICH EXHAUSTS THE FUNDS IN HANDS OF
EXECUTOR FOR DISTRIBUTION.
Respectfully submitted,
By
William C. R~ge,~xecUtor
August 27, 2004
15
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF SOMERSET
SS;
Before me, the undersigned authority, personally appeared W/LLIAM C. RANGE, who
acknowledged himself to be Executor of the ESTATE OF VIRGINIA M. KURTZ, unremarried
widow, deceased, who, after being duly sworn according to law, deposes and says that the foregoing
First and Final Account and Proposed Distribution correctly and accurately represents all receipts and
disbursements as such Executor, that all parties having an interest in said Estate have received a copy
of decodent's Last W'dl and Testament, and a copy of this First and Final Account and Distribution,
that all debts or claims against the decedent presented for payment have been paid and that the
Inheritance Tax assessed against the Estate has been paid in full.
Sworn to and subscribed before me
this 27th day of August, 2004.
William C Range, Exec~to~
16
: 6u,q~ eta I.o eo~ou ua~ t. ma/eR,mo/a:lmm41
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX111-96)
NO. CD 001987
IRWIN MC KNIGHT & HUGHES
60 W POMFRET STREET
CARLISLE, PA 1 ;7013
fold
ESTATE INFORMATION: ssN: oo0-00-0000
FILE NUMBER: 2102-1 162
DECEDENT NAME: CLEAVER HARRY L
DATE OF PAYMENT: 12/23/2002
POSTMARK DATE: 00/00/OOOO
COUNTY: CUMBERLAND
DATE OF DEATH: 02/25/ 1 962
REMARKS: IRWIN ET AL
SEAL
CHECK#19264
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ $384.32
TOTAL AMOUNT PAID:
INITIALS: DO
RECEIVED BY: DONNA M. OTTO
5384.32
DEPUTY REGISTER OF WILLS
REGISTER OF WILLS
/~ ~~~-~~
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
MARCUS A MCKNIGHT
IRWIN ETAL
60 W POMFRE'T ST
CARLISLE
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE DF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX RFP (O1-OS7
DATE 02-25-2003
ESTATE OF CLEAVER HARRY L
DATE OF DEATH 02-25-1962
FILE NUMBER 21 02-1162
COUNTY CUMBERLAND
ESQ ACN 101
Amount Remitted
PA 17013
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 1
----------------------------------------------------------------------------------------------------------------
REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CLEAVER HARRY L FILE N0. 21 02-1162 ACN 101 DATE 02-25-2003
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) (1) .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 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.
6. Jointly Owned Property (Schedule Fl (6) .00
7. Transfers (Scledule G) (7) 5,592.00
a. Total Assets (g) 5,592.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
765 .00
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions (11) 765.00
12. Net Value of Tax Return (12) 4,827.00
13. Charitable/Governnental Bequests; Non-elected 9113 Trus ts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 4,827.00
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 0 . 00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 4,827.00 X 02 - 96.54
17. Amount of Lina 14 at Sibling rate (17) .00 X 00 .00
18. Amount of Lina 14 taxable at Collateral/Class B rate (18) .00 X 15 - .00
19. Principal Tax Due (lq)= 96.54
TAY f_DFf1TTC•
DATE
NUMBER +
INTEREST/PEN PAID (-) AMOUNT PAID
01-18-1996 AMNP PEN 43.02 .00
12-23-2002 CD001987 273.32- 384.32
NOTE: AMNESTY NP
PENALTY ASSESSED
TOTAL TAX CREDIT 111.00
BALANCE OF TAX DUE 14.46CR
INTEREST AND PEN. .00
TOTAL DUE 14.46CR
* 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.)
RESERVATION: Estates of decedents dying on or before December 12, 1982 -- 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 Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes
at the lawful Class B (collateral) rata on any such future interest.
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 porticn of this Notice and submit with Your payment to the Register of Wills printed an the reverse side.
--Make check or money order payable to: REGISTER OF HILLS, 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, ar 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 CTT 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 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
--election to have the matter determined at 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.
OISCDUNT: 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 C9) 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 rata of
six (6%) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and 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 2003 are:
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
1982 20% .000548 1987 9% .000247 1999 7% .000192
1983 16% .000438 1988-1991 11% .000301 2000 8% .000219
1984 11% .000301 1992 9% .000247 2001 9% .000247
1985 13% .000356 1993-1994 7% .000192 2002 6% .000164
1986 10% .000274 1995-1998 9% .000247 2003 5% .000137
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NU![BER 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.