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J 1505610243
REV-15W EX
Deoedert's Sociel Security Number
��'•��: Price,Wllllam W.
r�cnPrruumoN
1. Real Estate(Schedule A)....................................................................................... 1.
2. Stocks end Bonds(Sc1�edWe B)............................................................................. 2.
3. Cbsey Hdd Corporation,PaAnership a Sole-P�oprietoiship(Schedule C)......... 3.
4. MoRgages&Notes Receivabb(Sdredule D)........................................................ 4.
5. Cash,Benk Deposits 8 MiaceManeous Pereonal Properry(Sd�edule E)............... 5. 92 ,924 . 74
8. Jdrrty Owned Property(Schedule f� ❑ Seperate Billing Requested............ 6.
7. Inbr-Yvos Trerrehvs 8 MisceNan�.wus�{-P�obate P�operty
(Schedule G) U �Peiate Bdling Requ�ted............ 7.
8. Tafal6rws Aueb(total Lines 1 th�ough 7)........................................................ 8. SP,924.74
9. Funeral E�enaes and AdmiMStrefive Cosls(Schedule H).................................... 9. 2,515.00
10. Oebts of DecedeM,Mortgage Liabilfties and Liens(Schedule I)............................ 10. 19,849. 00
11. Total Deducqom(total Li�es 9 and 70)................................................................ 11. ZZ�364.00
12. Nat Valua ot Eshb(Line 8 minus line 11).......................................................... 12. 70,560 .74
�3. Charilable and GovemmeMal BequesWSec 9113 T�usta for which
an eleclion to tax has rat bean made(Schedule J)............................................... 13.
14. N�t VaNw SubJ�et to Tu(Line 12 minus Line 13)............................................... 14. 70,5 60 .74
T/U(COMPUTATON-SEE INSTRUCilONB FOR APPLICABLE RATES
15. AmouM of Line 14 texable
at the spou881 t3x iate,ot
vanatersu�sec.s»s 0. 03 �e. 0. 00
(a)(tz>x.00
ts. nmamtorunetataxan�e 70,560. 71 �s. 3,1T5 .23
atlfneal�ateX .W5
17. Amountoflinet4taxable 0. 00 ��. 0 . 00
at sibNng wte X.12
�a. nmounc or une u��awe 0.00 �a. 0. 00
at colleteral rate X.15
�s. rnx oue................................................................................................................ �e. 3,175.23
20. FILL IN THE OVAL IF YW ARE REWES7ING A REFUND OF AN OVERPAYMENT. ❑
Slde 2
L 1505610243 150561D243 J
REW 1506 EX Pape 3 FiN Numbw 21-12-606
DeCedonYa Complete Address:
oEC�oEarsr�
�,vsn�m w.
-
STREETADDRESS
700 Walnut Botfom Rwd
- - - - - - - -
CI7Y STATE 2�P
Carlisls PA 170i3
Tau PaymeMs and Credits:
t. Sax Due(P�2,llne 19} {t} 3.i75.23
2. CredttslPayments
A. Prior Payments
B. 4�couM O.OQ
� Tofal Credita(A +g) (2) 0.40
3. IMe�st (3j `
4, If Line 2 is greater ihen Line 1�Line 3,eMer tlre dMference. This is ttie OVERPAYMENT. (q)
Cbeck ba7c on PaW 2.L6w 2G ta r9quast a teiund
3, If Lfne 1 +�ine 3 is greaMr than Lirie 2,er�ter the difrerence. 7his ia Me TAX DUE. i5) $��75.'�$
Make Check P�ble to REGISTEtt OF WF�LS, At3ENT
p `.._.-,.i... xra .,�v.. . . ..yyryex�vn% fayy��'6rt�N'ex95M M✓-Yh'MV4�4%e.�n. mMOb'°[9ba
s'^Y�es.ry�mx'?„Y ..cc. 2
PLfJ0.$rE ANSMIER THE FOLl4VY1NG QUESTIONS BY PLAC4NG AN"X"IN THB APPROPRIATE 81.00K3
1. Did detadeM make a Uansfer 8nd: Yaa No
a. rv�ain die use a income of the pioperty Uafroferced�............................................................................... � �
b- retain tt�e riglk fa deei�s�e who sF�t�ae Mie pm{�ty§ansfened nr G.s itxxwme:._...............................
a retain a�e�Etonary irrtere�;ac..........................................._..._°........._................._......_................_..
d. reo9ive the promise for We of eitl�er paymeMs,6enefi[s or care?.............................-.............................
2. Ii Oesth occurred after Dec. 12, 1882, dkl decedenk transfer property wiNin one year of death without
+eceivtnse6aquakecwra�eratior,?......................_...._...._...._.................._.___....................__......................._... ❑ �
3. Ditl dacerkM o�xi an 9n Wst ft�r" or PeYBMe Won desth bank accouM or eea�rity et his or her deaih4....... ❑ �
4. Did decedent own an individuel retirement acwurrt,amrWty,or dher non-piobate property'which
contaMta a 6enefidary designedon9.................................................................................................................. ❑ �
IF THE�UlBWER Td AMY OF T}�ABQYE ffUE8TFOtt3 I$YE8,YtSU�RlBT COAAPt.fTE SCMEDULE G At�F�E Cf A$?ART�Tt#RE7tlfCli.
For datea of deeth on or aRer July 1,1 fl94 and befare Jan. t,1995,the tau rete imposed on the net value of trsnsfe�s to or far the use of tha surviving
spouse q 3 perceM(72 P.S.§9t16(a){t.i}{i}�.
�ardeies ot�ath«�or aRer Jenuary t,t99F,.ihe tax rate inrposea on me net vaiUa of transfera m w#orme we otme swviva�p spawe is o parcgnt
(72 P.S.§9116(a)(1.1)(N)I. The atalule does nM emmpt a trer�afer lo a surviving apqute from hvt,e�d ihe atelu[ory ieqWremeMS for d'isdosure of
assets and iNirg a tax ieWm are atiH appliceble even if the sqMving apouea ia the only Geriefiaary,
Fw Cates of doath ai w alkr JWY 1.20W:
+TM tau rete imposed at the net value oitrerrekra irom a dgeeased d�fd 2tyeara of age oryounger ai deaih to ar fartbe uae of a nstwal parerM,sn
8doptiv6 p8f8M,a a atgpperoM M d7B chiW i5 p pe�cent[72 P.S.§9116(a)(1.2)J.
r The tax rete lmpoaed on the net vaWe of trariafeia to or for the use of 1hG decedeni"8 lineal berpalidaries ia 4.5 pe�oent,ewcept as naCed in
(72 P.$.§8118(a}{7)j.
.The i�mte impoaed qn ihe net vahie of iiana�ers ta a far the use M the tlecetlenPs sibrings is 12 pe�cent(T2 P.S.§6118(a}{7.3}. A
aibling fs deflned uncNx Sedion 9102,as an indiuidual who haa at leael one pare�t in common wkh the dNCedent,rN�ihiar by�qr adoplfon.
'IW-7(M EXt(77•t0)
scNEOU« E
pennsylvania CASH, BANK DEPOSITS, & MISC.
DEPARTMENT OF REVENUE
INHERITMICETAXftEfURN PERSONAL PROPERTY
RESIDEifr DECEDFM
ESTATE OF FILE NUMBER
Price Wflliam W. 21-12-606
i�a,e�n» wi�yq�p�.mu.arm.a���•air.apy m.wm.
�W�WM1Y �W�11tlM�1pMafwMw1WP�M/tMAhdONdMK1�IW�F.
ITEM VAIUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Md�T Bank-Aeca�rk 98A8971803 62,905.38
2 Natlorwl Psnn Bank-AccouM 21731�618-0 10.018.36
TOTAL(Ako enOx on Une 5,Recaplluhtlon) 92,824.74
(M marw eP�4 nssCeE,aAtlitlaiN WOn d IM seme sire)
CopyrigM(c)2010 fo�m aoMv+a�e only 7'he Ladcner Gmup,Inc. Fortn PM1600 Sdiedule E(Rev.11-10)
'�.,",°"„"" 3CNEDULE N
p�en�nsy�ran� FUNERAL EXPENSES AND
"RE's',�.��c� ADMINISTRATIVE COSTS
ESTATE OF F���
Prics,Wllliam W 21-12-806
DecedenPs debb must be�eporEed on Schmdule 1.
ITEM DESCRIPTION ���'�T
A. FUNERAL EXPENSES:
B. ADMINISTRATIVE CO8T3:
1. Personel Rep�sentebve's Commisaiais
Name ot Peisonel Re�eseNative(s)
StreetAdMeas
Cily � _ �
Year(s)Commissan Paid
2, nnomev�a Fees Thomas E.Wiener ��•�
3. Famdy Emmptlo^: (If daoedeA's add�ess is not the same as deimaM's,aGach explanetion)
Claimant
Street Addreas
City � �
Relationshio of CleimaM to DecedeM
4. Probete Fcea �.�
5. AccamtaM's Fces
6. Talc Retum P2pa�s Fees
7. Olhe�Adminis6ative Costs
TOTAL(Aleo aiker on Nnt 8.RecapiWl�tlonl 2.515.00
CopyngM(c)2009 fam soMrem aih'The Ladcne�'Gro�.Inc. Fam PR-1S00 Sdedule!1(Rev. 10-09)
' -_- �- .. _ .__ . _ _ ..
AwM612IX��t2-0f} �■,� ! !
��iYY�i ■
pennsyivania DEB7S OP DECEDENT,
DEPqRTMENT Of REVENUE
w�r,a�vuc,�„ 1NORTGAGE I.IABILITIES AND LIENS
RE910INT OEC.�ENT
ESTATE OF FILE Nt�ABER
�.,w���n w. z�-�2-eas
«��..���.��.ma..���....e,.�.�.��d.a..�,,....,�...e..�.�....
iTEM VALUE A7 DAtE
NllMBER DESCRIPTION 4F DEATH
7 Nuraing tiotne-Finai SUI 19.849.00
TOTAL�Also pnMr on Urve 10,Wcsq�tlon) 79,8A9.00
{�nqeq�ar is naWea..aa�FOnw papes atlis same aiss}
CupyrigM(c)2008 foim kaftware ony The Lackner Group,Inc. Fam PA-1600 Schedule t(Rev.12�A8)
f
'�u.�a��o�.�ow.»!
pennsyhrania $CNEDUL.� J
DEPARTMEPlr OF REVENUE
MIERITMICETAXRCiTAtN BENEFICIARIES
1+EBIDBIT OECEOENI'
ESTATE OF f�E NUTABER
PNcs IIIVliliam W. 21-72-808
���E�� REUlT10NSHIP TO ��ESTATE QF ES7ATE
Nt7M8ER PERSONtS1 RECEMt+�(3 PROPERTY DECEDENT (Words} {jfS}
I TAXABLE DISTRIBUTIONS a�a�trigM�spousal�
haro
� Sec.911 a 12
SarklriliE.Ptice Dau�etr A� T4,6$0.T4
6123lqwar Yoric Rosd
New H�#pe,PA 18938
Totil 70.560.74
EtKar far ' ataann above a�b�ea t5 18 an Rev 15IXt ar,rpt aa
NON-7AMA8LE O�STR -
II. A.SP04�SAL DISTRIBUTIONS NDER SECTION 9113 FOR WHICN AN ELEGTION TO TAX IS NOT TAKEN
B.CHARI7ABlE A/�i GOVERN�AENTAL�STRIO#lTtt7NS
T!DTAL N-ENTER Tt}T �NOF�TRXABIE�571218tJTtONS O!#l�130F I�V-1640 CO!VER
CopyrigM(c)2010 fam ady Trie Gmup.inc. Fam PM500 Scheduk J(Rerr.01-10)
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