HomeMy WebLinkAbout07-17-13 � �snsbinl�s
R�v-1�a o Ex�o�.�,f«,��
enn�sylva�ia dFFICW�IlSE ONLY
PA Department of Aevenue P ,� Year File Number
Bureau o#Individuat Taxes ��—� - ---�-�� ��—— -- ——-�
tNHERITANCE TAX FtETllRN � ;
Po 8ox zsosa3 }i �a,� �a g
Harrisburu PA Yy126-0601 RESIDENT DECEdENT I���
ENTER DECEDENT INFORMATION BELOW
Socfai Security Number Date of Death MMDDYYYY Qate of Birth tAMD6YYYv
__ . .. _.__. _.._._.._ .._._.. _.... . _. _. .__._..
� " r
11/27/2012 0�/08i190S
_ _
__ � __.._ ._.__ � _ __._._ _ .._._-- L_._— _...,_— _._..._
DecedenPs Last Name Suffix QecedenYs First Name MI
..._ .._ _—__.. _.___.___ ........ ._.—_..__ _ _..—_____ _..—__ _.__.. , .__. �
Dunn Sarah L ••
Qf Applicahle)Enter Surviving Spouse's Information Below �
Spouse's last Name Sutfix Spouse's Firet Name MI
._. .. _... . __ .__ . .__—_ _ - ___.. . __........___� .._ .. . ._._.. . . . ... .__ .. .. ...... . ..
� �
_._ ___._. _ .__... _. __..._._ ._.___...._._ __.__....._— ._.___..._.___'
Spouse s Social Securdy Number THIS RETURN MUST BE FILED IN DUPUCATE WITH THE
� _ #2EGISTEI2 OF W1L�S
._._______ .___ _--___._..___
FILL IN APPROPRIATE OVALS BELOW
[� t, p�iginal Retum O 2.SupplemenWi Return O 3. Remainder Retum(Date of Death
PriM Yo t2-73-82)
p 4.Limited Estate p 4a.Future interest Compmmise(date o# O 5_ Federa!Estafa Tez Rstum ftequired
death efter12-12-82)
m 6.becedent Afed 7estate O 7. Decetlent Mainteinetl a Living Trust � 8. Total Number of Safe Deposit Boxes
{Aitach Gopy of Witi} {Attaah Copy of Trust.)
O 9. Litigation Proceeds Recaivetl O 1Q.Spousai Poveifiy Credit(Data of 6eath O 11. Etectiai ta TaX under Sec.9tt3(A}
Belween 1231-91 and i-1-95) (Attach Scfiedufe O)
CORRESPONDENT- 7HIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONflDENTIAL TAX INFORMATION SHOULp 6E DIRECTED T0:
�ya� Daytime T�fyptEane Numb�'
__.
-.— ____.� —� _.._�..
Y Q __— _ ' (7i7} 2�77 `"' � r� i
Richard L. Pface , Es __� __. �' --.._-�- _�- �T�_..�-,
� R ffit�WlL��SUSE C�l'�
a r
2 Z ^x � ri �
� �; � �.i �
FirstLineofAddress . ,,,..,__ .__,_ �j 7C
. _.. ... __..... . __... O GS
PVacey&Wright ! � � � ° � ''� �
� c '
CitY w Post Offi�edress _— —__.. __ .— __ State 2IP� -� � F-- t`= �..�
3621 North Front St � � in cti
— _ _. . —....—_ ' DATE�D `Tf
Code
,__.___ . ._ . --...— __ _. _..._. .._. _._._.
__ __. __ .-- ---_. PA ' 17110
Harrisburg � __ ._ _ I
CorrespondenYs e•maii address:pw1aW(Q�ep3X.net
Untler penaWes of per e ave exa d Mis reNrn,including accompanying schetlules and s4alemenls,and to lhe besf ot my knowletlpe and beliet,
it is ime,cottecl a m ecla � n of preperer er then the personal represenWtive is basetl on all information ot which preparer hes eny knowletlBe.
SiGNAT E FOR FV�ING RN DATE
Q7112J2413
AODRESS
lCenneth G Dunn, xecutor, c/o Plac Wright, 3621 N. Front Street, Harrisburg, PA 17110-1533
SIGNATURE QF PREP R OTH N REPRESE ATtVE DATE
a7�a zizo�a
ADDREB
Rich d L. PI ey, s ' e Pla ri N. Front Street, Harrisburg, PA 17110-1533
PLEA RIGINAt P6RM 4NLY
Side 1
� 15CI561131t15 150563�4105 �
�
J 150561�2D5
REV-150d EX{��) qecedenYs Sociat Security Num6er
aeceaeotsName: Sarah L. Dunn '
RECAPITULATION
. . _._ . _.. .. .___. . . ._...... _.._,
1. Reai Estate(Schedule A). . .. ... .. ..... ..... .. ...... . .. . .... .. .. .. .. . . i. $5,900.00 .
. . .. ._ .._ . . _,. ._ ..
� 2. 5tacks and Bands{Scnedule 8) ....................................... 2. 0.90 �,'.
3. Closety Held Corporation,PaMershlp or Sole-Proprietorship(Schedule p) .. ... 3. 0.00 !
4. Mortgages and Notes Receiva4le{Schetlule D).............. ............. 4. 0.00 ��!.
5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E), .,.... 5. 31,�Y�12.64 !
6. Jointly Owned Property(Schetlute F) O Saparate BiUing Requestad ....... 8. Q.00 '.
7. inter-V"rvos Ttansfers&Misceilar�eaus Non-Probete Property
(Schedule G) O Seperate Billing Requested.. .. .... 7. �•d� �;
8. Tatai Gross Assets(tatat�ines 7 ihrough 7}............................. 8. 176,902.64 ��
9. Funerel Expenses and Administrativp Costs(Schedule H).. . . ... .. ..... .. ... 9. �. 22,455.44 �.
10. pebts of Decedent,AM1ortgege Liabili4es and liens(Schedule Ij....... ........ M10. �' -T �__ 5,114.29 '�
11. 7otal Deductions(total Lines 9 and 10)... ..... ... .. .... . .. .._......... 11. 27,5fi4.73 '
'12. Net Vaiue a£Estate{Une fl minus line'!1) ................. ............. '12. --- - 89,332.91 ���..
i3. CharitaWa end Govemmantal BeqveatstSec 9113 Trusfs for wt�ich .....,__�..,_�___..._--. -
an election to taz has not been made(Scheduie J) . ... .. . . ... . ..... ....... 13. Q��� ���
14. Net Va{ue 3ubject to Tax{Line 12 minus Line 13) ......... ............_. 14. $9�332.91 ;
TAX CALCULATION-SEE lNSTRUCTiONS FOR APPUCABLE RATEB
t5. Amount of Line 14 taxeble
at the spousal tax rate,or
transfersunderSec.911S . .__.._ _.... ._ _._....... __-�.._� r-.._. _ ..._.__.. __..._._ . ._. ...
ta)t,.z)x.o_ o.0a � ,s,' o.00
16, Amount of Line 14 taxable i .
at�inealrate X.045 89,332.91 ', �g, ',, 4,q19.98
17. Amount of i.ine'14 taxabie __ . . ....... ... . . .. �.j i . .. . .. . . ._ . .. ,
st siblEng tate X.�2 0.00 � �7.! 0.60 �.
_-.._.�..__�_.___�_.-_r :-----___ _...r._�.._.�_.._.
�B. Amount o�L.ine 14 tazable �� ��
at collaterel rate X.75 0.00 � �g,�� 0.00 ''
- -._.----.---�--�----_.--- ---
19. TAX DUE. ........................_....................._........ '19.{ Q,019.98 i
20. Fli.l tN TtiE t}VAL 3F Y4U ARE RECItlE5T7PIG A REFUPISS OF AN OVERPAYMEN7 �
Side 2
� 150561p2Ci5 ],SQS6b�205 ,�
--,
+x�v.�sao ex tFq a�e a Fim e��mea. 21 -9 2-1 248
Decedent's Compiete Address:
DECEDENTSNAME
Sarah L. Dunn
STREE7A06RESS � ^
2 Adams Street
__--_..__ __. - -�T� -
GYTY ' STATE � Z4P
Enola PA I 17025
Ta�c Payments and Credits:
1. Tax Due(Page 2,Line 19) (1)� 4,01$.98
2. CreditslPayments
A.Prior Payments 4,5QO.d0
B.Discount 201.00
T �� 7olal Credits(A+B) (2) 4,7p1.00
3. Interest
(3} 4.40
4. If Line 2 is greater than l.ine 1+Line 3,enter the differenca. This is the OVERPAYMENT. �
Fill in oval on Page 2,Line 20 to request a refund, (4) 681.q2
5. tf�ir�e 1+Eine 3 is greater ttran Line 2,enter the ddference.This is tt�e 3AX DllE. (5) O.QD
Make check payable fo: REGISTER OF W1l.LS,AGENT.
PIEASE ANSWER THE F4LLOWiNG QUESTI4NS BY PLAGtNG AN "X" IN THE AFPROPRIATP BLOGKS
1. Did decedent make a Vansfer aad: Yes No
a. retain the use or income of the property tranefarred.......................................................................................... ❑ �
6. retain the r�ht to 6esignate who shaii use the property transEerred w its income.........._.............._._....,........ 0 �
c. retain a reversionary interesi......................._..................,.........................................,......................................,. ❑ �
d. receive the Promise for life of either payments,benefrts or eare?...................................................................... [,] �
2. tf death occurred after Qec.12,1982,did decedent transfer property wifhin one year oi death
wiihout receiving adequate con�deratron9........................................._................_.............:._....___...................... � �
3. Did decedent own an"in tmst for"or payable-uporndeath bank account or secunty at his or her death?.............. ❑ �
4. Did decedent own an individual retirement account,annuity or other non-prohate property,which
crnta�s a benefic�ary desigr�a#ion7 .........................._...............,.....................___..........._._..............._................ 0 �
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEpULE G AND FILE IT AS pAR7 OF THE RETURN.
For daEes af death 4n ar after Juiy 1,1994,and before Jan.i,1�35,fhe i�rate imposed on the�ref va(ue of fransfers to or for the use of the su�vivmg spouse
is 3 percent[72 P.S.§9116(a)(1.1)(i)].
For dates of death on or afler Jan. 1, 1995, the tex rate imposed on the net valee of transfers to or for the use of the surviving spause is 0 percent
[72 P.S.§9918(a){1.1){iij}.The statute daes not exempt a transfer to a surviving spouse from#az,and the stah�tory requiremenis far disdosure of assefs and
fiiing 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 fiaz rat�impased an the nek value oF transiers from a deceased chiid 21 years of age ar younger at de.�th to or for the use of a naturai parent,an
aeaptive parent or a stepparent of the child is 0 percent(72 P.S.§9118(aj(12}).
• The tax rate imposed on the net value of transiers to or for fhe use of the decadenYs lineal beneficianex is 4.5 percent,except as noted in(72 P.S.§9116(a)(1)].
. Tt�e tae rate imposed on the net value of iransFers to ar far the�e ofi the decedenYs siblings i� 12 perce�t[72 P.S.§9118(a}(1.3}j.A sibiirag is de�ned,
under Section 9102,as an individuai who has at Ieast one parent in common with the decedent,whefher hy blood or adoptian.
rsev�isoz ex+�iriz�
'�j pennsylvania SCHEDULE A
� DEPARTMEM OFREVENIIE REAL ESTATE
INHEftiTANCE TAX 0.ENRN
RFS[OENT DECEpEM
ESTATf OF: FILE NUMS£R:
SARAH L. DUNN 21-12-124$
AI!reai praperty owned so{aty or as a tanank in ebmmon must be reperted at fair market value.Pair market value is defined es the price at whiCh property
would 6e ezchanged bekween a wil6ng buyer and a willing selVer,neither being compeileG tff buy ar seSl,bokh having reasanabie knowlec3ge oE the relevant facts.
Aeat property that is)pintiy-awned with righ!of survivorohip must Ea diaciosed on Schedule f.
Attach a eopy of the settlement sheeC if the property has been sold.
� STEM � InduQe a capy af the deeA shflwin9 decedent's interest iE 4wned as tenant in comman. VALUE AT DATE
NUMBER 3 OF DEATN
DESCRiP710N
.. _ . . _ . .. ._. . . , ,_.. ..._ . ._... _ .. .. _ ..._... . -. �,.._..,. r�m.e�:..„
1 Real estate situete in East Pennsboro Township,Cumbarland County, Pennsylvania, "
. . ....._ . _ _ _, ___. ._ .. �.. w . :. . _. . ,:L - ';
_ .
more padiculariy bounded and descri6ed in Cumberfand Counfy Rewrder pf Deeds tJffice
_._ ,. . ....� .,_..,,.. . �a.�. .m . . a„ a ., .�s,: . �».� _.... _a.� ..,.�.,... ,smex,., i.�xu,�.���s�.xu,
in Deed Book°D",Volume 17,Page 160,known and numbered es 2 Adams Street, Enola,PA� $5,900.40�
. _. __ „t�:,_.. ,w�,w:,��;�-
(Valued at price far which soid. See settiement sheet ettached.}
._. . . ... .. . .:..:� ._ .... ...>. ... . ..,.... ,^ .�. 1 e'. 1k 5'.1 '.:
.,,. . .... . .. .,. . , .,. .. ., .. ... . . a
_ ... .� , � . �.«...
.. .. . ... ..,.. .... . . ... .... _._ :.. � � .:�. .a ..x•::, •,�.
. .. ,.. ..... ..... ._ . ,.. ..
..., . ... . ........ .._,.. _..,... ........ ., ........ .:..... . _....,., rr ��rvxrs..s'. .�. .,.-,.sK;
-.._ � ._. � _. � ..�. . ..... ....... ....� .. . ... . , ..� �a „ .t .. .,, p� �r
_. . ..� .�r i.ia .... . .i - . .� . .
, . . .. ..... . ,�:,,.. ..... .:...... ....... . . <.., -.. � v..:. ^� . 3 a;::
� . . . . . .. .. . . . .. .. . . . . . ... . ..... . _ ._... . . ,... �.. ., ._.
TOTAL(Also enter o�Linp l,Recapituiation.} $ � � $��9���a�
If more space is needed,use additionai sheets of paper of the same size. V � � �� �� �� ���
REV45o8 EX+(p$-12)
�pennsylvania ��NEDI�LE E
f�iT DEPAflTMENTOFREVENUE CASH, BANK DEPOSITS & MISC.
,"HERiT^"�ET^xa�vR" pERSONAL PROPERTY
0.ESIDFkT DECEDEN7
ESTATE Op: FILE NUMBER:
SARAH L, DUNN 21-12-1248
Indude the proceeds of litigatlon and the date the proceetls were received by the estate.
Aii property joinHy own�with�igh#nf survivorshlp must be dlsclused on Scheduie F.
ITEM VALUE AT DATE �
NUMBER DESCRIPT[ON QF DEATH
. .._. __._.. .... . ..._... ._.. .. .... .. .. .. ..... , .,.. ... �.:.,.,. , .
�. FNC Bank Checking Account 51AQ017421 16,950.36 :
_.... ,.._.. ...:. ,.,,. . .-,_�_� _ .r... .�._ ' —�v+� F.r?^�,`,A�
r
2, 'PA State Employees Gredit Union Regular Shares Account 0180XXXX 5.38 ''
1999 Ford Grown Victoria val�ed at nce for w . y. � . � +
3. { p' hichsoW} — 4,004.p0:
_ . _. . .. �, �rs'°.
4, Cordier Auctions-gross proceeds March 9,2013 public auckion 8,425.p0 `
�'
_ . . . . ,. . �..,.,
5, Arcelamiftelveba-death benefit(Bethlehem Bteel pension} ,�854.00;
_. . . . . .. , . _ _..,, „
, , . .,�, ��,a�
, , , ,
g, 'Travelers Indemniry-refund autombile insuranae premium 338.00 a',
.,, . _......�.._ ,. . ,e_ �,. � .8 ..,;. vc .� �:;�,��.�+:
7, Highmark-refund
� 433,9$�`
...... ._.. ,.... ... . ....:n . .„..,..... ..>. ... ...:. .'.5. dh.i u,I:in � .!
g. 'Miscellanepus Personal Effects Np �T31uG
_ . , , e .._, ,_,.�... . . ,..a. F v �m_ � � ,.. , n �t,� �,;,, �
. . , ,,.,.. ., „ � . ;: .t, .
_ . , r,.... . .m., . _., . , �
„ ,�. . r. �.
_ _ __._ r . , �� s , .� _, _ ��
. . . .. . ... . .... ........ _.. . .... ._..,. ... ;i ... tarr.«r. '
.. __.._. .,,,.. . _..__.—.. ....... . _....,. ..—. ,,.... _....___F. , -.,., . .._ .�,: t. ',., . -..
:
. .. .. . __ . . .... .,,, .,.:, :..... . .,.._.. ...., ... '.:, .i � � ��: » :.�
. u� fl:. .� �:;; :{
T4TAL(Alsa enter on Line 5, RecapitutaEion} $ - 31,002.84
If more spate is needed, use additional sheets oP paper of the same size.
REV-I511 EX+(1��09)
ji:j' pennsylvania SCHEpU�E H
ei�� pEPAPTMENTOF'pEVENIIE FUNERAL EXPENSES AND
I^'HERR""�Err�R�"R" ADMINISTRATIVE COSTS
0.E5[OENT OKEDfNt
ESTATE OF fILE NUMBER
SARAH L. DUNN 21-12-1248
DecedenYs debts must be reported on Schedule L �
7TEM
NUMBER _ DESCRIPTION _, AMqUNT
A. FUNERALEXPENSES:
--. . —. .-- --.. , . .. .�4-;,.�,�,-
i RiGhardsan's�uneral Name . _ _ _ , 24.00'
,�.w� -�.��,b���.,,��
. . . . .... ... _ ...... ..... :.:.:. , . -_- ..:. k. .�.:... � v e.x:nx �s..si-
. -. ...: - ..�.._ .. . .. .._. .'_. .�r.-. .:.� .: .....:. ( . ., . . �:.. �.
8. �� � ADMINISTkATIVEC05T5: .�. . �.. . ._ .._.. . .. _. . ��.
f. Personai RepreseaWtive Commissians: � ��� ��
Name(s)of Personal RepresenCative(s) , ,,.`_ �_ _ __ �' `" ' ....". ` .
9treet Address-- - -`- -' --
CitY.�"_ __� _,_ -. _T State_�ZIP__,__�
Year{s)Commissltln Paid:� ___, _ __
2. Attorney Fees:
� 5 700 DO
3. faroily Exemption:QF decedenCs adoress is nat the same as elaimant's,attach explanatian.) , , „ L , .,�. .
Claimant
Streek Address
City.______ ___ _�.4 State r_,___ZIP�_,__
Relatlo�ship ofCiaimank ko OeCedent�._
4. ProGate Pees: 265.5Q
5. Aaoun#ant Fees: ... . ....
6. Tax Return Preparer Fees � ��� ��
__.. .. ..._. ...._,.. ......_ . ,_,. .. . , ,_..___ . ... . ,,. .
7. Waof AppraisaE Group-2 Adams Street,Enola,PA,maI estate appraisai 350.00
� _�. ., �.�. �.,
a. Cordier AucGons-eqmmission/net expenses March 9,2013 public auction 4,181.69,
_ �.�,.., _
a. Net settiemen#expenses te saie of 2 Adams Street,Erroia,PA . : 9.734.80 '.
.:: , ,_
. .. _... ...�._.. ,.:... . �::.: , r_ ..:.._ ..... .. . � .,:1,�.�..
�o. 'Estate Advertising-Cumbedand Law Joumal ($75.00);Patnot-News($t16.45) 191,A5''
�..: :.<,.
��. Cumberkand CouMy Register of Wil(s-shoR certificates 12.p0 i
_ _ _ .. >.
_ _ _ . ,:, v..,
t2 'Reserve for future costs,taxes and expenses 2,DOOAO-
TOTAL(A;so enter on Line 9, Recapit�tlation} # ..., u �22,4b5 44 �
If more space is needed,use additional sheets pf paper of the same size. �� � �
Rev�islz ex��(iz�lz7
�per►nsytvania ��HEDULE T
DEPARTMEN70FREVENUE DEBTS OF pECEDENT,
�NNEUT""�eT^xRET�"" MORTGAGE LIABILITIES & LIENS
aESioexr oeceoervr
ESTATE OP FSLE NUMSER
SARAH L. dUNN 21-12-124$
Report be6ts incurred try the decedent pHnr to death that remained unpaid at the date ot death,i�c4uding unreimbursed medical axpenses.
ITEht VALUE AT DATE
NUMBER pESCRIPTION OF pEATH
.. . _._._... ._. .. _._. . .._.. ... .. � . ..,::: � .R.r.-�,,.�_. �..
1 PennsylvaniaAmericanWater-debtsofdecedent{various4illings) 267.01 '
_ . _ , , y�. -�
Z Verizon-debts of decedent(various billings) 87.53 l
__ . _ _ _ � : ,,.r .
3. PAcGafferty Fotd-debt ot decedent 65.73 '
_ _ _ _r .�. „,>�,..
4. 'PPL Electric Utilities•debts of decedent(various billings) 351.61
_ _ ..» ,..,
5. Kenneth C.Dunn-reimGursement household suppiies 87.50:,
_ . _ _ .,_. .. _ _... _...__ _ � . �:: .� �.....�,f
6. AT&T-debt of decedent 36.11
_. __ . a.� ,« .
7. F.M.Qppe1-debts of decedent(hea8ng oil) 1,458.39
__ _ � .. _ : �, �, ..r . ,. �.
B. C,iant-cleaning supplieslVash bags 24.03 f
. . ,. . __ ,,x ,.!r
_ _ . . . : ..,,� , xi...�._, �a,,:
s. l.owes-household am!laam maintenanaekieaning supplies 241.87:
. _..._ __._ _. .... . _..... . ,., .<u.. .�., z�
10. Dave Neumayer-repeirs/maintenance 2 Adams Street,Enola, PA 1,600.00 '
. _ _. ___ _ _ _. � .,.: ,.,�� .. •
11,' East Pennsbwo Sewgt and Trash•quarterly debts af decedent 276.00'
_ - >,- _ d_.
: ,�� ��, � .s,m.
12. 'United States Postal Service 7.43 !
_ _ ._ __,_. ._ _.__. _ ., . _. . . .... . ,
13. F.M.Oppe(-service heating systam � 126.25'
,. _ .,_ _ ,.
. . .: _. .,... .. ..._ . __.::_ _ ._ _.. � �r: ��- --.� :.:
�4. Debbie Lupald,Treasurer-countyftawnship real estate taxes 2 Adams Street,Enola,PA 395.18 '
_ _. . , . � �z :
15. Kmart-Iewn supplies 51.49 :
_ _ ^. . .,_:;�..
76. Got Junk-frash removal 207.p0 '
._ __ _.. _._ _ , _. __. ._ _ _ r, .-_ ;„
1Z ?revelers(ndemnity-homeownets insuranea 2 Adams Street, Enola,PA 182.32 '
78. !PNC Bank-reimbursement personal checking account pveNraw 49.36 s
_ 1 _ . ,
� — — ,_ ., . '
TOTAL(Also enter on Line 10, Recepitulation} �; � 5 1 i4.29 ��
lf more space Is needed,insert edditional sheets of the same size.
aev-isia ex+�oi-io�
�pennsyEvania SCHEDULE �
INHERRHNCETAX RENRN BENEFICIARIES
REStDENi 6ECEQfNT
ESTATE OF: PILE NUMBER:
SARAH L. DUNN 21-12-12Q8
REtATI0N5Hi4 TO OECEDENT AMOUNT pR SHARE
NUMBER NAME AND ADDRfSS QF PESS6N(S)RECESVlN6 PRQPERTY 6o Not Cist Trustae{sj OF ESTATE
I 7AXABLE�ISTRIBUTIONS[Indude outright spausal distributlons antl transfers under
Sec.9116(a)(1.2).]
_....... , ,:_, _._ _.�:...,.. �.
l. Ksnneth C.Dunn,91 Ashford Drive,En�Ia,PA 17Q25 ` Son Entire Estate:'
_. ; ,
_.. _.
_ _ r
4
....I .__._ . . .. . ,:��.. ,�.
.. . . __. ._.. _.. .... .::::: �_..._.� ._._ _. . . �. . �,��, ,..:.
I •
t
� '
._ . . . . .. . _ . _ . ... . . ...._ _.... ..., . ,. .. ... . . ..,. .��. �. ..,....,:....
ENTER DOLIAR AMOUNTS FOR D15TR16UT[ONS SHOWN AB04E ON L1NE5 15 THRpUGH 18 OF kEVd500 COVEA SHEEf,AS APPROPRIATE.
� NON TAXA86E 4ISTItIBUTlONS
A. SPOUSAL pISTRIBUTiONS UNDER SEC'RON 9113 fOR WH[CH AN ELECf10N Tp 7AX IS NOT TAKEN:
. . . ... .. ... .. .... .. .. ..._.. . _.._ _.. ... . .. .,. .. , ;,;, ,, , , ,,,,,,
i.
B. CHARITABLE AND GOVERNMENTAL�DISTRI6UIIONS; � � �� � � �� ���� �
1. . ... . . .. . ._... . .. . . . .. .. . .. .. :,. .
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T6TAL OF PART II—ENTER 70TAL NQN-TAXA$LE DISTRIBUTIONS 4N I.INE 13 4F REV•1500 COVER SHEET. �� ���•�� � �
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If more space is naeded, use additional sheets of paper oF the same size,
PLACEY t� WRIGHT
RICHARD L. PLACEY A'ffORNEW`a AT LAW OF COUNSE�
Wi�L1AM K. WRIGHi 362 I NORM FRdNT SfREET CHARL£S J. DeHART; iii
f1943-1999) HARRISBURG, PENN5YLVANIA 171101533 5TANLEYJ.A. LASKpW5Ki
{7I 7l 238-9577 FAX(7I 7} 23$-08A9
Juty 12,ZO1�
Register af Wills
CUMBERLAND COUNTY COURTHC7USE
One Courthouse Square
Carlisle,PA 11013
RE: Estate af 5arah L. Dunn
EstateNo. ZI-12-1248
Dear MadamlSir:
We enclose herewith far filing, in duplicate, Pennsylvania lnheritance Ta�c Return for the
cagtioned decadent,ta$ether with check in the amount af$15.00 to cover the filing fee.
Please time-starnp the additional copy of the first page and return it to me in the enclosed,
stamped, addressed envelope.
Thank you.
Very truly yours, �, � �
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Enclosures
cc: Kenneth C. L3unn
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