HomeMy WebLinkAbout02-0868
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COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 1712B.()6()1
/
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFiCIAl USE ONLY
1/- 90- /.;)/
FILE NUMBER
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COUNT'l'COOE YEAR ~
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DECEDENT'S NAME (LAST. FIRST, AND MIDDLE INITIAL)
ORNDORFF ROSELLA P
DATE OF DEATH (MM-DD-Yew)
SOCIAL SECURITY NUMBER
DATE OF BIRTH (MM-DD-Year)
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
04/20/2000
(IF APPLlCA.BLE) SURVIVING SPOUSE'S NAME (LAST. FIRST. AND MIDDLE INITIAL)
SOCIAL SECURITY NUMBER
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[Xl 1. Onginal Return
o 4. Limited Estate
06. Decedent Died Testate (AlIachcopyofWll)
o 9. Litigation Proceeds Received
o 2. Supplemental Return
o 4a. Future Interest Compromise (daleofdeathm12-12-82)
o 7. Decedent Maintained a Living Trust (AlIac/l copy of Trust)
o 10. Spousal Poverty Credit (dale of death between 12-31-91 and1-1-95}
03. Remainder Return (dale of death prior to 12.13-82)
o 5. Federal Estate Tax Return Required
_ 8. Total Number of Safe Deposit Boxes
o 11. E_ntotax under Sec. 9113(AH_SohO}
THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFlDENTlAL TAX INFORIIAllON SHOULD BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS
SALLY J. WINDER 9974 MOLLY PITCHER HIGHWAY
FIRM NAME IlflwK:alJlej
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TELEPHONE NUMBER
717 532 9476
SHIPPENSBURG
PA 17257
--- - - OFFIClAL.USEONLY'-
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3)
4. Mortga9es & Notes Receivable (Schedule D) (4)
5. Cash, Bank Deposits & Miscellaneous Personal Property (5)
(Schedule E)
6. Joindy Owned Property (Schedule F) (6)
D 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 & Admin~trative Cools (Schedule H) (9)
10. Debts of DecedenL Mortgage Liabilities, & Llens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental BequestslSec9113 Trusts for which an election to tax has not been
made (Schedule J)
4,063.80
(B)
4,063.80
2,825.00
(11)
(12)
(13)
2,82500
1,238.80
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
(14)
1 ,238.80
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
16. Amount of Une 14 taxable at lineal rate
17. Amount of Une 14 taxable at sibling rate
18. Amount ofUne 14 taxable at collateral rate
19. Tax Due
x _(15)
1 ,238.80 X ~(16)
X .12 (17)
X .15 (1B)
(19)
74.33
74.33
20. 0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
Decedent's ComDlete Address:
STREET ADDRESS
34 SANDBANK ROAD
CITY I Sf ATE I liP
SHIPPENSBURG PA 17257
Tax Payments and Credits:
1. Tax Due (Page 1 Une 19)
2. CreditslPayments
A. Spousal Poveny Credit
8. Pri(l( Payments
C. Discount
(1)
74.33
Total Credits (A +8 +C) (2)
3. InteresUPenalty ~ applicable
D. Int...esl
E. Penalty
T otallnt.....UPenalty ( D + E ) (3)
4. If Une 2 is greater than Une 1 +Une 3, ent...the difference. This is the OVERPAYMENT.
Check box on Page 1 Une 20 to Illquest. refund (4)
5. If Une 1 + Une 3 is greater than Une 2, ent...the difference. This is the TAX DUE. (5)
A. Ent~ the int...est on the tax due. (5A)
8. Enter the total of Une 5 + 5A. This is the BALANCE DUE. (58)
Make Check Payable to: REGlSTER OF WILLS, AGENT
0.00
74.33
74.33
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN 'X' IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes
a. retain the use (I( income 01 the property transfened; ........................................................................... 0
b. retain the right to designate who shall use the property transfened (I( its income; ........................................ 0
c. retain a revQonary int...est; or ...........................................................................................:........... 0
d. receive the promise for I~e 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 lIIdividual Relirernerll ACCOlinl, annuity, or other non-probate property which
. contains a beneficiary designation? ....................... ........ ......... ...............;............................................... 0
No
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IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penaties of perjury, I decLn tha I have u.nined this retum, includ~ ~ying schedules em stalemenls, end to the best of my knawIedge iIld belief. it is true, COfIllC'I iIld complete.
DecIa'aIion 01 pftlpftfothEfthal \he personal representaIive is based on a1lmlormalion ofwhich prepqrhas lr'ly knowledge.
PA
9 MOLLY PITCHER HIGHWAY
SHIPPENSBURG
~
PA 17257
DATE
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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) (i)).
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to orf(l(the use of the surviving spouse is 0% [72 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 lax relum are slill applicable even ~
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)(1.211.
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 P.S. ~9116(a)(1)].
The tax rate imposed on the net value of IraIlsfers toor for the use of the decedent's siblings is 12% [72 P.S. ~9116(a)(1.311. A sibling is defined, under Section 9102, as an
individual who has at least one parent In common with the decedent, wheth... by blood or adoption.
REV.,.."."." '*
COMMON'NEAlTH OF PENNSYLVANIA
INHERJTANCE TAX RJETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTL Y.OWNED PROPERTY
ESTATE OF
ORNDORFF ROSELLA P
K an ...et was made joint willlin ono _ollllo _. _ 01_. k must be.....rllld on Schedule G.
FILE NUMBER
SURVlVING JOINT TENANT{S} NAME
RELATIONSHIP TO DECEDENT
ADDRESS
A. ROSE MCBETH
B
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34 SANDBANK ROAD
SHIPPENSBURG, PA 17257
DAUGHTER
JOINTLY.QWNED PROPERTY:
lETTER DATE DESCRIPTION Of PROPERTY lOOf DATE OF DEATH
ITEM FOR JOINT MADE Include nane rifilBlCial institution nt birlk a:counl number or simil... identifying number. Alta:h DATE Of DEATH DEros VALUE Of
NUMBER TENANT JOINT deed b' joinlly-held real estate. VALUE Of ASSET INTEREST DECEDENTS INTEREST
1- A. 9/28/95 REAL ESTATE AT 34 SANDBANK RD 4,220.10 50. 2,110.05
SHIPPENSBURG, PA 17257, tax parcel 39-13-0106-D55
assmt of 270 X 15.63 (CUMBERLAND CTY CLR)
2. A 5/14/97 REAL ESTATE ALONG SANDBANK RD, tax parcel 3,907.50 50. 1,953.75
30-13-0106-056, assmt of 250 x 15.63 (Cumb.Cty CLR)
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TOTAL (Also enter on line 6, Recapitulation) $ 4063.80
(If more space is needed, insert additional sheets of the same size)
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.... 08/~7/2002 13: 00 FAX 7J7 264 9326 F'U TRUST
717 263-6026
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SALLY .J. WINDER
Aitonrey lit Law
701 E, Kin.. Slrtct
ShlpPeasbllrl:. PA :7251
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TAX PARCEL NO.:n-/3 -O/o,,-<is3'-
TIDS DEED
MADE THE .~ day of 1tfli"~/1...,. in the year of our Lord one thousand nine
hundred ninety-five (1995).
BETWEEN
ROSEI.U P. ORNDORFF. of Southampton Township, Cumberland County,
Pennsylvania, hereinafter ""Ucd
GRANTOR
AND
ROSE McBETH alld JOHN D. YOUNG, as joint tenants with right of SUlVivorship of34
Sandbank Road, Shippensburg Pennsylvania, hereinafter called
GRANTEES
wrrNESSETlI. that ror and in consideration of the sum of ONE and 001100 ($1.00)
DoUars cOllSideration. in band paid. the receipt whereof is beJ"eby acknowledged. the said Grantor
does hereby grant and convey, in fee 5imple, 10 the said Grantees, their heirs and assigns,
ALL that certain triet of land sillJale in Soulhampton Township, Cumberland County,
Pennsylvania. as shown on a survey ofland of David Stine Estate dated November 21, 1994, by
Carl D. Bert, R.S., being more particularly bounded and dellCribed as fohows, to wit:
BEGINNING at an <:1tistiog railroad spike al the edge of Sandbank Road (ToWll$hip
Road T -317) and lands now or formerly of Glenn H. Omdorlr along said lands of Orndorlf, North
:; twenty-four (24) degrees nineteen (19) minutes lhirly-ei8ht (38) seconds West a distance of two
'i hundred ninety-semi ami twenty-one hundredths (297.21) reet passing tbrou8b an iron pin set
i; thirty and no hundredths (30.00) feel from the aforesaid railroad spike to an <:1tisling iron pin;
! i thence along lands now or formerly of John K Lynch. Jr.. North fOlty-nine (49) degrees eisJucen
I. i (18) minlltes thirty-six (36) seconds Easl a distance of eighty-nine and ninety-eight hundredths
I (89.98) feet 10 a dJirty (30) inch pine; thence along lands BOW or formerly ofRosd1a P. Orndorft',
I South twenty-four (24) degrees nineteen (19) minutes thirty-eight (38) seconds East a distance of
three hundred twenty and thirteen hwtdredths (320.13) feet to an existing railroad spike pamng
Ibrough an iron pin set thirty and no hundredths (30.00) feet from the afuresaid existing railroad i
spike in the roadway of Sandbank Road (Township Road T-317); thence over Towmrup Road T-I'
317 (Sandbank Road) South sixty-four (64) degrees three (03) minutes thirty (30) seconds West a
dislance of eighty-six and thirty-seven hundredtbs (86.37) feet to the <:1tisling railroad spilte, the
point and plllCCl of BEGINNING. .
MO~. 133 Mc,1100
Sep 04 02 11:4Sa Hoskinson & Wen~er
0$/27/2002 13:00 FAX 711 264 9326 F&M TRUST
717 263-6026
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BEING the same property which the Progress Rod and Gun Club con~ed to David
Stine by deed dated December 16, 1949, recorded in Cumberland County Deed Book 'E',
Volume 14, Page 50S.
BEING the same property which Margaret Kelley and Gladys Warren, by deed dated
and recorded in Cumberland County Deed Book . Page
granted and conveyed to Rosella P. Orndorff.
AND tbe said Grantor covenants and agrees that she will warrant specially the property
bereby conveyed.
IN WITNESS WHEREOF, said Grantor has hereunto sel hee hand and ..al the day and
year first above written.
Signed, sealed and delivered
he presence of::
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ROSELLA. p. ORNDORFF
(SEAL)
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COMMONWEALTIlOFPENNSYLVANlA :
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COUNTY OF CUMBERLAND
ON tbis, the U day of ~"'/ur -.... . 1995, before me, tbe undersigned
officer, personally appeared ROSELLA P. ORNDORFF, known to me to be the person whose
name ja subscribed to the within instrument, and acknowledged that she executed 9IlDIe for tbe
purposes therein contained. 1I..;;,;,...,,\,!U~~I.!!'{':';'i~' _~_;'~.
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IN WITNESS WHEREOF, I hereunto set my band and official '_I.'~~~-' ..l>--?;,";"..J..
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, ,.Npponsburg Twp., C_d Counly
: ..~ '';ommissloA Expires Feb. 13. 1999
I do hereby c:ertiljr that the ~recise .rfjlidenCf and complc~~t ~~ ~~s of,the 111I
within named Grantees is: "5'1' ~ {Li 0 ,~ i:F"~ .rf't-
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:1 THIS DEED
': i MADE TilE /#/) day of MAY, in the year of our Lord one thousand nine hundred
': ninety-seven (1997).
IlETWEEN
ROSELLA I>>. OltNDOltFJi', single woman, oCthe Township of Southampton, County of
, Cumberland, Commonwealth of Pennsylvania, hereinallcr called
GRANTOR
AND
ROSELLA P. ORNI)OI~FI', and I~OSE MAI~m McIlETII, of the Township of
Southampton, County of Cumberland, Commonwealth of Pennsylvania, hereinafter called
GRANTEES
WITNESSETH, that for and in considcration ofthe sum ofOlle alld 00/100 ($1.00)
Ilolla.. consideration. in hand paid, the receipt whereof is hereby acknowledged, the said Grantor
docs hereby grant and convey, in fee simple, to the said Grantees, their heirs and assigns, as joint
tcnants with the right of survivorship, and not as tenants in common,
ALL that certain parcel of mouIltain land now or formerly with a small log dwelling house
thereon erected, situate in Southampton Township, Cumberland County, Pennsylvania. bounded
and described as follows, to wit:
BEGINNING at a point in a public road, being the road leading from Lees Cross Roads
to Big Pond; thence by line of the Progress Hunting Club, northwardly twenty (20) rods to a pine
tree; thence by land now or formerly of John Shannon, eastwardly nine (09) rods to a private road
at land now Of formerly of Thomas Russell's heirs~ thence by the private road. southwardly
. nineteen (19) rods to a point in the public road aforesaid; thence by the said road, westwardly nine
(09) rods to the place of BEGINNING
BEING the same real estate which Nancy 1. Shew, et ai, by deed dated June 10, 1975,
,and recorded June 12, 1975, in Cumberland County Deed Book "C", 26, Page 325, granted and
conveyed to Rosella P. Orndorff, Grantors herein.
TillS transaction is between parent and child and is therefore exempt from realty transfer
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AND the said Grantor covenants and agrees that she will warrant specially Ihe propel1y
, , hereby conveyed.
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IN WITNESS WHEREOF, said Grantor has hereunto set her hand and seal the day and
] ! year lirst above written.
Signed, sealed and delivered
: 1 in the presence of:
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ROSELLA P, ORNDORFF ,) ,
, COMMONWEAL TII OF PENNSYLVANIA
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COUNTY OF Ll/ 171~>.2'//,,: ~
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ON this, the }tJ!l, day of MAY, 1997, before me, the undersigned ollieer, personally
appeared ROSELLA P. ORNDORFF, known to me (or satisfactorily proven) to be the persoll
, whose name is subscribed to the within instrument, and acknowledged that she executed same for
the purposes therein contained.
IN WITNESS WIIEREOF, I hereunto set my hand and official seaL.ft;~~~';3~t''\
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SaJIv J. WInder. NoIaJy PubIIo
Sh "Iburg ..CumbiltMdCOUllly
. M~mmlll'I~)(Plr88 Fob. 13. 1Q99
: I do hereby certify that the precise residence and complete post Qfli<;e address of the
'withil1llamed Grantees is: - ':i!5 <)tt..y,lb,[.~,-L ('-1.. <:; "'AJ!JY/,~.d>,- ,,'" pp\
. '3t.f r7J.S;! ' ,j
. Date :'11'1 j5J
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
ORNDORFF ROSELLA P
FILE NUMBER
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. FOGELSONGER-BRICKER, FUNERAL BALANCE 2,400.00
2. BILL GRUVER, MINISTER'S HONORARIUM 60.00
B ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (5)
Sodal Security Numbe~s) I EIN Numbero! Personal Representative{s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees SALLY J. WINDER 350.00
3. Family Exemption: (If decedenfs address is not the same as c1aimanfs, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees REGISTER OF WILLS, FILE TAX RETURN 15.00
5. Accountanfs Fees
6. Tax Return Preparer's Fees
7.
TOTAL (Also enter on line 9, Recapitulation) $ 2 825.00
(If more space IS needed, Insert additional sheets of the same size)
REV.'5'3EX>t*
COMMONWEALTH OF PENNSYLVANLA
INHERITANCE TAX RETURN
RESIDENT DeCEOENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
FILE NUMBER
,..,,,...., t4C
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Ust Trustee(s) OF ESTATE
I. TAXABLE DISTRIBUTIONS pndude ~ht S~I dislributioos. and transfers under
Sec.9116(a (1.)]
1. ROSE MCBETH DAUGHTER 100%
34 SANDBANK ROAD
SHIPPENSBURG, PA 17257
.
.
I
"
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.
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 $
(If more space is needed. insert additional sheets of the same size)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128.0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTAT
OFFICIAL RECEIPT
WINDER SALLY J ESQ
9974 MOLLY PITCHER HWY
SHIPPENSBURG, PA 17257
n___n_ fold
ESTATE INFORMATION: SSN: 000-00-0000
FILE NUMBER: 2102-0868
DECEDENT NAME: ORNDORFF ROSELLA P
DATE OF PAYMENT: 09/25/2002
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 04/20/2002
TOTAL AMOUNT
REMARKS: SALLY J WINDER ESQUIRE
CHECK# 2360
SEAL
INITIALS: AC
RECEIVED BY:
REGISTER OF WILLS
REV-1162 EX(11-961
E TAX
N( b. CD 001651
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------.
101 $74.33
II
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PAID: $74.33
MARY C. LEWI~
REGISTER OF VI ILLS
\-/
'?-9o-d COMMONWEALTH OF PENNSYLVANIA -
BU~fAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601 NOTICE DF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND AS:;ESSHENT OF TAX UY-1547 EXAFP UI-IZ)
DATE 11-1 -2002
ESTATE OF ORND RFF ROSELLA P
DATE OF DEATH 04-2 -2002
FILE NUMBER 21 0 -0868
-, -- Cl:/UNTY CUMB RLAND
,
SALLY J WINDER ACN 101
9974 MOLLY PITCHER HWY Amount ~...iited
SHIPPENSBURG PA 17257
MAKE CHECK PAYABLE ~ND REMIT PAYMENT TO:
REGISTER OF WI LS
CUMBERLAND CD OURT HOUSE
CARLISLE, PA 7013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiE"Y=is'4-j-ix-"FP-foFozY-Ncii"Ici--oF-i:iiiiiRfrii"-clrT"AirApjiRAIsiiiEN;:~--"Ll -wiiicE-ifi-----------------
DISALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF ORNDORFF ROSELLA P FILE NO. 21 02-0868 ACN 101 DATE 11-19-2002
TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Esiate (Schedule A) (1) .00 NOTE: To insure prop
2. Stocks and Bonds (Schedule B) (2) .00 c....di t to your accou
3. Closely Held Stack/Partnership Interest (Schedule C) (3) .00 sub.ii the upper por
4. Mortgages/Notes Receivable (Schedule D) (4) .00 of this form with y
S. Cash/Bank Deposiis/Hisc. Personal Property (Schedule E) (5) .00 tax paYllent.
6. Jointly Owned Property (Schedule F) (6) 4 06 .80
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 4,063.80
APPROVED DEDUCTIONS AND EXEMPTIONS: 2,82 .00
9. Funeral Expenses/Adm. Costs/Hisc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deduciions (11) ;>.8;>1; no
12. Net Value of Tax Return (12) 1, 238.80
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Est.ie Subject to Tax (14) 1,238.80
NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 wUl
reflect ~igures that include the total o~ ~ returns asses ed to date.
ASSESSMENT OF TAX:
lS. A.ount of Line 14 at Spousal rai. (15) .0 X 00 = .00
16. Amount of Line 14 taxable at Lin.al/Class A rate (16) 1,238.8 X 045 = 55.75
17. Amount of Line 14 .i Sibling rat. (17) .0 X 12 = .00
18. Amount of Line 14 t.xable at Collateral/Class B rate (18) .0 X 15 = .00
19. Principel Tax Due (19)= 55.75
TAX S:
rA' K=~='" " (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN rAID (-)
09-25-2002 CDOO1651 .00 7 .33
TOTAL TAX CRED T 74.33
BALANCE OF TAX UE 18.58CR
INTEREST AND P N. .00
TOTAL DUE 18.58CR
. IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN $1, o PAYMENT IS REQUIRED.
FOR CALCULATION DF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DU
A REFUND. SEE REVERSE SIDE OF HIS FORM FOR IN~TRlrTTnN~ 1
er
nt,
tion
our
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REV4470 EX (&.88)
'* INHERITANCE TAX
EXPLANATION
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG PA 17128-0601
DECEDENTS NAME FILE NUMBER
Rosella P Orndorff 2102-0868
REVIEWED BY ACN
Deborah Washington 101
ITEM EXPLANATION OF CHANGES
SCHEDULE NO.
Lineal heirs are taxable at the rate of 4.5% for dates of death n or after 07-01-2000.
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