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HomeMy WebLinkAbout07-20-87 f:EV.i500 f):': 16.85, FILE NUMBER " W INHERITANCE TAX RETu..." - RESIDENT DECEDENT . 21-86-398 COMMONWEAlTH Of PENNSYlVANIA (TO BE FILED IN DUPLICATE DEPARTMENT Of REVENUE POS1 OfFICE lOX 8317 WITH REGISTER OF WILLS) HARRISBURG, PA 17105-8327 DECEDENT'S NAME (LAST. FIItST, ....ND MIDDlE INITIAl! DECEDENT'S COMPLETE ADDRESS .. Z MUMMA, ROBERT M. 49 Hillcrest Road 1M Q SOCiAl SECURITY NUMIU DATE Of DEATH Wormleysburg, PA 17043 ... u ... April Q 195-07-1889 12, 1986 COltlltv Cumberland 1M Ga 1. Original Return 0 03. .. 2. SlJpplernental Return Remoinder R.turn :Il(:!~ U...,. OA. Umited Estat. o Aa. Future Interest Compromis. llil 5. Fed.ral Estate Tax ......u :00 Retu,n Requir.d u...... ..... ug 6. Oec:edent Died T.stat. 0 7. O.cedent Maintain.d a Uving Trust 1...8. Total Number of Safe C.posir ... C (Attach copy 01 Will) IAttach copy of Trust) ALL CORJESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE.8IRECTED TO: I .. N~ COMPlETE MAILING ADDRESS "'Z ...... thur L. Klein, Esq. c/o Morgan, Lewis & Bockius "'Q "'z TELEPHONE NUMln 2000 One Logan Square 00 u... ( 215 I Philadelphia, PA 19103 963-5444 I. Real E.tate (Schedule A) ( 1) 3;930,607. 25,638. " 00 '" 2. Stack. and Band. (Schedule B) ( 2) ~~ -.j :-Z;rT1 S'::U "'0 3. Closely Held S.ocklParl..rship Inter.., \Schedule C) ( 3) 9 ,279,621- CJC) '~:,.:;: ~r~:U 358,451- co, = .-"-9, 4. Mortgages and Nores Receivabl. (Schedule 0) ( A) ~~,-~' = 5. Cash. Bank Deposits & Miscellaneous Personal Property{ 5) 1,871,251- .'- ~-,i_ N , (Schedul. E) 0 Z - 0 - 0 6. Jointly Owned Properly (Schedul. F) (6) .J ;:; - 0 - C 7. Tran.le.. (Schedule OJ (Schedule L) (7) ... :::l 8. Totol Gross Ass.ts (.otallin., 1~7) ( B) , 15,465,568. .. ;: 9. Funeral b'gen'el; Administrativ. Costs, Misc.llaneous ( 9) 560,040. C u Expenses ( chedul. H) ... '" 4,614,191- 10. O.bts.. Mortgag_ liabilities. Uens (Schedule I) (10) 11. T otol O.dudions (total lin.s 9 & 10) (11) 5,174,231- . 12. Net Value of Estat. (line 8 minus lin. 11) (12) 10,291,337. 13. Charitobl. and Governmental Sequests (Schedul. J) (13) - 0 - I 14. Net Valu. Subj'd to Tox (Iin. 12 minus line 13) (14) 10,291,337. 15. Amount of line 1.4 taxable 01 6% rot. (1S) 10,291,337. x.06 111 617,480. (Indude .alue. !.om Schedule K or Schedule M.l 16. Amount of line 14 tax obi. at 1.5% rat. (161 lC .15.. Z (Indude .alue. Ir_ Schedule K or Schedule M.) 0 17. Principal tax due (Add tax Iromlin. 15 ond from Ii.. 16.) (17) 617,480. s:: ~ 18. Cred;,. Prior Paym.nts Discount Int.r.st :::l 40n non + 21. 053. - (18) 421,053. ... ::e 19. If line 18 is gr.ot., than line 17. .nt.r the diff.r.nc. on Iin. 19. This is the OVERPAYMENT. (19) 8 A. 0 Check he,. if you are requ..ting a r.fund of your overpayment. - )( ~ 20. If tiM 17 is greater than line 18. ent.r ,ti. diff.rence on line 20. This is the TAX DUE. (20) 196,427. A. Enter the int.rest on the balanc. due on lin. 20A. 182 days x .000247 Daily (20A) 8.830. B. En.er the total 01 line 20 and 20A on Ii.. 208. Thi. ;. ,he BALANCE DUE. Int. Rate (20B) 205,257. - Make Checlc Payable to: R.g,ster of Wills, Agent I eX. - ICl \ - \:::J . . BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH" .- Under penaltie, of perjury. I d.dar. that I have examined this return. including accompanying schedul., and statements. Dnd ta the b.st of my knowledge ond .i;': if i. tru., correct and compl.te. I doedor. thol 011 ..-at .stote hell been reported at true market value. Declaration of prepar.r oth.r than the. peno I r .s ntatl baSfd on all information of which Flr.par. r has any knawled e. 49 Hillcrest Road qGH UR! Of R$ON ESPO IILE f It f NG RETURN ADDRESS Worm eys urg, . DATE 1065 Tilghman Court ayne, Morgan, Lewis & Bockius 2000 One Logan Square Philadelphia, PA 19103 u. DAn --fl1.JV/) 6. /luna. ~'f " u . PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (....)IN THI APPROPRIATE BLOCKS. 1. Did decedent make a transfer and: a. retain the use or income of the property transferred, ....................................... 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 on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate consideration? If death occurred after December 12, 1982, did decedent transfer property within one year of d h . h . . d 'd' 2 eat wit out receiving a equate consl eratlon. ................................................. 3. Did decedent own an 'in trust for' bank account at his or her death?...................... YEL.li9 ,X X X Ix J X IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND fILE IT AS PART OF THE RETURN. -' . REV.1502 E:'::... (7-831 . , . I l' , COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECfDENT SCHEDULE" A" REAL EST ATE ESTATE OF FILE NUMBER ROBERT M. MUMMA 21-86-398 (Property jointly-owned with Right of Survivorship mu.t be di.clo.ed on Schedule "F"l AU ,.al utot. .hould b. ,.ported at fair market value which is defined as the price at which property would be exchanged between a willing buyer and a willing seuer, neither being compelled to buy or .ell, both having reasonable Icnowledge of the relevant facts. I ITEM NUMBER DESCRIPTION VALUE AT DATE Of DEATH 3,930,607. I. See Schedule A Attached c?~: TOTAL (Also enter on line 1, Ret.opitulotion) (If more space is needed insert additional sheets of some size.' S 3,930,607. , . Item No. 1. 2. 3. 4. 5. 6. 7. ESTATE OF ROBERT M. MUMMA REAL ESTATE SCHEDULE A Description Property known as Pennsboro center, wormleysburg, Cumberland County, Pennsylvania, per appraisal by James L. Helsel, Realtor See Exhibit Binder Property known as 1505 South Nineteenth Street, Swatara Township, Dauphin County, Pennsylvania, per appraisal by James L. Helsel, Realtor See Exhibit Binder Property known as South Nineteenth street, landlocked, .1813 acres, valued at cost Property known as Fulton Bank Building, 599 Twelfth street, Lemoyne, Pennsylvania, per appraisal by James L. Helsel, Realtor See Exhibit Binder Property known as PMA Building, valued at purchase price on 12/27/85, settlement early 1986. Property known as Grove, Dickenson Township, Pennsylvania; value based upon purchase price on 12/4/85, property is vacant land used for sand and gravel extraction by pennsy supply, Inc. Property known as Bender, Dickenson Township, Pennsylvania, 195.733 acres, value based upon purchase price on 12/23/85, property is vacant land used for sand and gravel extraction by pennsy Supply, Inc. ,.:}/ i,.."..() Value at Date of Death $1,500,000.00 740,000.00 1,007.00 500,000.00 925,000.00 117,439.00 144,000.00 , , Item No. 8. Description Property known as Leadville, Colorado, vacant land, 167 1/2 acres, valued at cost Total real estate 'l "J ,"""1 / Value at Date of Death $ 3.161.00 $3.930.607.00 Rl".'~'1X+ \~.<m, ' COMMONWEAL:rH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE "B" STOCKS AND BONDS ROBERT M.-MUMMA (All property Jolntly-owned with Alght of Survivorship mu.t be dl~tosed on Schedule "F"\ ITEM NUMBER FILE NUMBER 21-86-398 DESCRIPTION' VALUE AT DATE OF DEATH 1. See Schedule B Attached 25,637.80 -'v (><' 0 TOTAL IAlso entar on lina 2. Recapitulation) $ 25,637.80 U1 more .pee. I. needed In.ert edditlon.1 .heet, of IIIme ,Ize) , " Item No. 1. ESTATE or ROBERT M. MUMMA STOCKS AND BONDS SCHEDULE B Descriotion 740 shs. Dauphin Deposit corp. NASDAQ Dividend of $.27 to sor 3/27/86 payable 4/25/86 Total stocks -, ,... 'f unit Value 34.3757 Value at Date of Death $25,438.00 199.80 S25.637.80 REV'll$~.EX; '(7..e,3) , COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE "C" CLOSELY HELD STOCK, PARTNERSHIP AND PROPRIETORSHIP ROBER'i-M. MUMMA FILE NUMBER 21-86-398 (Schedule "C-l" Of Ole-zoo must De attac.hed for each bus1ness Interest of the decedent, other than I proprietorship.) ITEM NUMBER DESCR1PTION VALUE AT DATE OF DEATH 1. See Schedule C Attached 9,279,621. 30 TOTAL (Also enter on line 3, Recapitulationl $ 9,279,621. (If more spece II needtkt inl.,-t additional Ih..tl of ..me tize) . . Item No. 1. 2. 3. 4. 5. 6. 7. 8. ESTATE OF ROBERT M. MUMMA CLOSELY HELD STOCK/PARTNERSHIP INTEREST SCHEDULE C Descriotion 28 1/3 shs. Derry Aire, Inc. See Exhibit Binder 5,000 shs. High-Spec, Inc. per acquisition value 4/85; represents a 50% interest 5,000 shs. Lebanon Rock, Inc., per acquisition value 12/85; represents a 50% interest 5,000 shs. Pennsylvania National Turf Club, Inc., exchanged for 3 notes on 8/1/86 for $2,500 each 700 shs. Pennsylvania supply Company See Exhibit Binder 10% interest as an individual partner in Floridian Stable, Ltd. Value represents interest in capital account at 12/31/85 See Exhibit Binder 1.818000% interest as an individual partner in American Rehab Center - Camp Hill. Value represents interest in capital account at 12/31/85 See Exhibit Binder 1.818000% interest as an individual partner in Penn 21 Associates. Value represents interest in capital account at 12/31/85 See Exhibit Binder unit Value 794.1177 1.0000 10.0000 1. 5000 Total closely held stock/partnership interest 31 Value at Date of Death $ 22,500.00 5,000.00 50,000.00 7,500.00 9,144,473.00 25,575.00 10,025.00 14.548.00 $9.279.621.00 REV-15M fX+ (7-13) COMMONWEALTH Of PENNSYLVANIA rNHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE "C-1" CLOSELY HELD CORPORATE STOCK INFORMATION REPORT mATI OF FILE NUMUR ROBERT M. MUMMA 21-86-398 1. No... of Carparatlan Derrv Aire. Inc. Addr..s 1001 Paxton Street, P.O. Box 3331 Harrisburq. PA 17105 S~ of Inc. pennsvlvania Dato of Inc. 5/23/75 Total N.mber of ShaRholdors 2. Fodorol!. D. N.mber 23-1951979 (As pot Form 1120) B.sinon RopanIng Voor Januarv 1 to December 31 3. Typo of B.si.... 4. service Prod.d Transportation 5 EJtimated Value of Deced.nt's Int.r.st STOCk TYPI '8lMrUVll\r PAll VAWI .~ Coon_ 85 28-1/3 ,.."... UNIT VAWI TOTAL 22,500 Provldo 011 rights and _s portalning to ooch don of stock. 6. Wo. docodont _ployod by the C....,.,.otlanf Dv.. ~No If Y." Polition Annual Salory $ Time D.....otH to busin..s 7. Amo.nt and typo of company indobtodn_ to dococNnt at date of death: $ 102 ,124 8. Was1l\ore li!.s inwr<snco payable, upon death 01 d".d.... '0 the corparatio'" Dv.. ~No If y.., Ca'" S.rrondor Vaw.: $ Ownor of Policy Nol Proc:ood. Payablo: $ 9. Did tho decodont soli or tTansfor stack 01 this company within ano yoor prior to death if tho da" of death was an or oftor 12/13/82 or within two yoors * the date of death was prior ta 12/13/82.0 V.. ~ No If yo" I'~-I 1llA_ oa PUIlCIlASIII AMOUNT DATI 12. Did tho corparation have an intorost in othor corparatlon. 0< partnonhip.' DVo. I!INo \f yet, report tn. MCMIGry information on 0 MpOrote sheet, including Schedul. "e.1" or "C-2" for each int....st. Was thoro a writton .haroholdor'. ag_ in ofl.d a' the time of the docodon,'. dooth. Dv.. ~No If y.., allach copy of ag_. Was tho docodont.. stack soIdt Dv.. lUNa If yo., provido a copy of the 09_'" 01 sale. ole. Was tho corparatian dluo/vod or liquidated oftor tho docodont'. death. DVo. ~No If y.., provide 0 breakdown of liq.idatian disrribution., ole. Ploo.. submit the fallowing information: A. A detailed doscriprian sllawing the -"ad of oomput<stIan utIIlxod in the valuation of the docod""s stode. Index B 10. 11. 13. u. B. Comploto copies of financial .....1...-'" or complete copies of tho Foderal Tax Rotum. {Form 11201 for tho yoor of death and 4 procoding yoors. C. A "or_ of dividends pold ooch yoor. U" those dodarod and .npaid. NONE D. U" No.... of Officers, Salaries, Bonu... and any athor bonofits rocoivod from Corparation. - see F E. If the Co!nP.ony owned Real E_, Ivmi... a list sllawing the complete address/o. and ommatod Fair Market Val../.. If Rool Estai Appraisal. hoVo bMn secured, plea.. attach copi... None Robert M. Mumma - 28-1 3 shs . .. ., Robert M. Mumma, II - 28-1/: F. Us! pnnapal stackholdors or do.. of death, n.mber of "'or.. hold, and rolat,an.h,p ta decodont. h 2 1/3 h carlton Hug es - 8- s s. AU OTHU INFOllMAnON RlLATIVI TO AFFIXING THI TRUI VALUI OF THI DICEDINT'S INTlREST SHOULD ACCOMPANV THIS SCMIDUU. 15. *Secretary - Treasurer .*President REV-ISO.s EX. (7.13) , ,COMMQNWEALTH OF PENNS)., ANIA . 'INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE "C.l" CLOSELY HELD CORPORATE STOCK INFORMATION REPORT ESTATE OF FILE NUMBER ROBERT M. MUMMA 21-86-398 1. Name of Corporation Hiah-Soec.. Inc. Addr.ss 1 n01 PrlXTOn ~trF!!et. P.O. Box 3331 Hrlrrisbura. PA 17105 Stot. of Inc. Florida Oat. of Inc. 4/26/85 Total Numb.. al Sha,ohalden 2 2. Fed.rall. D. Numb.r (As p.' Fa,m 1120) n-2346013 Busin... Reporting Year January 1 ... December 31 3. T yp. of Busi"." Rp.a1 EstrlTF!! Produd 4. srOCK nn T8lM . SMAIU 'AI VALU. . SMAIU=ID 'ANDINO It D INT C- 10,000 1 5,000 I'rnn.d 5 Estimated Value of Decedent's Inter. UNIT VALU. TOTAL 1 5,000 P,ovid. all rights and rollriclians portaining 10 oocIl do.. allladc. 6. Was doe.d.nt .mplay.d by the Carpa,a"an' lEly.. DNa If yes, Position President Annuai Salary S NONE Time D.voted to bUlines. Part 7. Amount and type of company ind.btMlnesl to decedent at date of death: S 177,124 8. Was fh.re life insutanc. payabl., upon dRth of decedent, to the corporation' DVe. ~No If y." Cash Surrender Value: S Owner of Policy 9. Did fhe decedent sell or transfer sfocl of this company within on. year prior to death if th. dot. of death was on or oft.r 12/13/82 or within two years if the dot. of death was prio,.a 12/13/82,0 Y.. KJ No If y." Not P,OCHds Payable: S . o' SHAin TlANSfUlI 01 'UICIlASEI AMOUNT DAn A. a. c. D. E. F. 15. 10. Did the corporation have on inter... in other corporation. or partnership.' DYe. IitlNo If ye., report the nec.ssary information Oft Q wparat. sh..., induding Schedul. "e.1" or "C.2" for each int.r.,t. 11. Was there a writt.n .har.hold"". agrMm.nt in .Hect at the time of the decedent's death' Dy.. {ilNo If y.., anadl copy of ag,.._. l 12. Was .h. deced'''',lladc soIdf Oy.. IDNo .f yes, provid. a copy of the ag'_ of sal., otc. 13. Was .h. ca'pOt'a~an diuawed Ot' liquidated ah.. the doeed.n"s dea.hf Oy.. ~No If YM, prO'fid. 0 brllClkdown of liquidation di.tribution., etc. 1 A. PI...e submit the following information: A d.tailed d.scription showing the method of computation: utilized in t~ ~alualion of the decadent'. stoa. Compiot. capi.. 01 Rnanciai Slat.....ts at complot. capi.. of the Federai Tax Retu,ns (Fa,," 11201 fa< ,he yea, of death and ~ p,eceding years. A .tCltement of d'ividel'ld. poid' each yeor. Li.t tho.. dedored and unpaid. U.t Name. of Officers, Salaries, BonUM' and any oth.r benefit. recei~ed from Corporation. If .... Comp'ony owned Real Estot., furnish a Ii.. .howing the compl... addre.s/.. and ..timated Fair Maneet Value/so If Real Estat. Appraisal. have bHn secured, plea.. attach copi... U.. principalllaclchaiden at do'. of death, number 01 sha,.. held, and "Iatianship to doeed.... ALL OlMER INFOllMAnON REUmVI TO AFFIXING THE TRUI VALUE OF THE DECEDENT'S INTEREST SHOULD ACCOMPANY THIS SCHEDULE. 33 14. , ' A. Hill:h-Spec. Inc. Cost C. None D. Officers R.M. Mumma. President R.M. Mumma II. Vice President-Treasurer W.D. Roswell. Secretary E. Address Sailfish Point Rlvd.. Stuart. Florida Lemoyne Square. Lemoyne. Pennsylvania F. Stockholders R.M. Mumma R.M. Mumma II 3'1 Shares Held 5.000 5.000 Attachment Schedule C - 1 Salaries. Etc. None None None Fair Market Value Cost 1985 $ 396.000 Cost 1986 $ 300.000 Relationship Decedent Son tfV.1SOS EX... (1.IJ) . COMMONWEALTH OF PENNS..,ANIA . 'INHERITANCE TAX RETURN . RESIDENT DECEDENT SCHEDULE "C.1" CLOSELY HELD CORPORATE STOCK INFORMATION REPORT ESTATE OF ROBERT M. MUMMA FILE NUMBER 21-86-398 Date of Inc. pennsvlvania December 6. 1985 1. Nam. of Corporation T oh~n(')n ~nr.k Tn!.": Address 1(\(\1 P:::.yt-nn C;t-r,:.,:.t" PO Rnx 1111 St",. oIln<. Harrisburg, PA 17105 2. Foderall. D. Number 23-2383628 (As p.r Form 1120) Tatal Numb.r 01 Shar.holden Busine.. Reporting Year January 1 f to 2 December 31 3. Typ. of Business Quarry Product Crushed stone 4. STOCk TYPE '8Mi · SHAIU .... V....UI · W:U&lm1D T..NDING C- 10,000 10 5,000 P,.......1Id 5 estimated vatu. of Dec.dent'. 'nt....at 10 TOT"L 50,000 UNIT V"LUI Provide aU "ght1 and I'MtricrioM pertaining to each dall of stock. 6. Was decod.nl employed by Ih. Corporation! [;9y.. DNa If yes.. Position President Annual Salary S NONE Time Oevoted to bus.ineu Part 7. Amount and type of company indebtedne", '0 dKedent ot dot. of death: $51 .445 8. Was th.r.life insurance payable. upon death of decedent, to the corporation' DYe. U9No If yes, Cash Surrender Value: S N I]:J. Net Pracood. Payabl.: S N fA Owner of Policy NfA' 9. Did the decedent seU or tran.f.r .tock of this company within one year prior to death if the dot. of death was on or aft.r 12/13/82 or within ,,"0 y.ars ;Ith. dol. of death was pr;ar to 12/13/82,0 Y..@ No IF y.s: , Of SHAin TUNsn... 01 .UICHASEI AMOUNT DAn 10. Did ,he corporation hay. an intere.t in other corporations or portnen"'ip" DYe. (!lNo If ye., report the necellary il\formotion on a separate sh.... induding Schedul. "e.1" or "C.2" for .ach interest. 11. Was th.re 0 writt.n shareholder's Cl9r.."'."' in eRect at the lime of tbe decad.nt', death' Dy.s ~No II y.., onaell copy 01 agr_nt. ) 12. Was tho decod...... .tocIt sold' oy.. IilNo II y... prarid. a copy of the agroom.nt 01 ..I.. etc. 13.. Woo tho corpora..... di.solvod or liquidated ak.r tho decod.nt'. death! oy.. I[]Na If Y". provide a breakdown of liquidation di.tributions. etc. 1 A. Plea.. submit ,t.. following informotion: A detailed deSCription showing the method of computation utiliz.d in ,he valuotion of the dec.dent's stock. Complete copies of financial stal.men's or compl.te copi.s of the Fed.rol To.. Returns (form 1120) for the year of demh and .4 preceding years. A ,tot.ment of dividend. paid each year. Ust those d~IClred and unpoid. Wst Nome. of Offic.rs. Salarie" 8onuse. and any other benefits receivad from Corporation. II tho Company awned Rool Estat.. Furnish a list showing the camplet. addr..s/.. and ostimaled Fair Market Valuol.. IF Rool Estat. Apprai.al. have b..n secured, plea.. attach copie.. U.. principal stockhold.rs '" dot. 01 dooth. number of shar.. h.ld, and r.latian.hip 10 decod..... ALL OTHER INFORMATION RELATIVE TO AffiXING THE TlUI VALUI Of THI DECEDENT'S INTEREST SHOULD ACCOMPANY THIS SCHEDULE. A. a. c. D. E. F. 15. ::J .: " 't.-' 14. A. Lebanon Rock, Inc. Cost C. None D. Officers R.M. MU1lIIlIS, President R.M. Mumma II, Secretary-Treasurer E. Address 201 Prescott Road, Lebanon, pennsylvania F. Stockholders R.M. Mumma R.M. Mumma II Shares Held 5,000 5,000 3~ Attachment Schedule C - 1 Salaries, Etc. None None Fair Market Value Cost 12/85 $ 357,000 Relationship Decedent Son RfV-I.sO.s EX. (7-1:1.\ COl.1MONWEAlTH OF PENN, .VANIA INHERITANCE TAX RETU~N RE51DENT DECEDENT SCHEDULE "C-1" CLOSELY HelD CORPORATE STOCK INFORMATION REPORT ESTATE OF ROBERT M. MUMMA FILE NUMBER 21-86-398 1. Name of Corporation Pennsylvania Supply Company State of 1nc. Pennsy 1 vania Date af lne. June 21, 1921 Add,e" 1001 Paxton street, P.O. Box 3331 Harrisburq, PA 17105 5 Total Numbe, of Shoreholden 2. Federat I. o. Numb.r (A. por Fo,m 1120} 3. Type of Busine" 23-0961310 July 1 June 30 Busine.. R.port1~g Yeor to Real Estate Rental Prodvcl .01. 5. e,timatMi Valu. of D<<.d.nt'. Int.rest STOCK TV" T8f,Al . SHA,:: 'AI VAlUI . SHAIIS 0_10 TSTAHDI I' OICIOINT C- 712 $50 700 ".ft,rr~ UNIT VALUI TOTAL 13,063.53 9,144,473 Provide aU rights and restriction. pertaining to each do.. of stock. 6. Was decedent employed by the Corporationi ~Y., DNo If ye,. Position President Annual Salary S 26,000 Tim. O.voted to business 7. Amount and type of company ind.btedneu to decedent ot dote of death: $ None 8. Wos ,here life insuranc. payable. upon death of dec.deru. to the ~porotion' !!lv.. DNa If ye~~'h 5urrondo, Volu.: S 56.587 Not Proceod. Poyobl.: S 248,557 Owner of PolicyPAnnsvlvartia Supply Company 9. Did the deeed,nt sell or transf.r stock of this com9ony within on. yeor prior to d.ath if the date of death was on or aft.r 12/13/82 or withir two years if th. dot. of death was prior ta 12/13/82,0 Yes Kl No If Y'S: Part . OF SHARn TRANSFEUE 01 PUICHASEI AMOUNT DATI 10. Did the corporation have an int.....t in otn. corporations or partn.nhip,' ElVes DNa Kim Company-B3 If Y'I. report the nec.ssary infonnotion on 0 separate sh..t, including Sch~ul. "e-1" or "C.2" for each int.r.,t. Middle Park, I' 14.28\ Was th.r. 0 writt.n shar.hold.,', ag'Hm.nt in .Hect at the time of the deced.nt', death' DYes K]No 1/ y... onodl copy of og,.....nt. l woo ,h. docod...'. IIodc IOld. Dy.. ElNo If y.., proviclo 0 copy of rho ogr......nt of 101., otc. Wa.,ho corporotlo. di..alvod or liquidotod ofr.r th. decod.nt', dooth' ~Yo. DNa If Y", provide Q breakdown of liquidation distributions. .tc. Please lubrftit the following information: A. A detailed d.scription showing the method of computation utilized in the valuation of ,h. deced.nt's slock. I. Compl.te copi., of financial statements or complet. copies of the Federal T OK RltturM (Form ll20) for the year of death and 4 prececling yean, C. A ,to1em.nt of dividend, pGid each year. Ust thOM dedared ond unpaid. D. Ust Nome, of OHicers. Salaries. Bonus.. and any other ben.fit, received from Corporation. E. If the Company owned Real Estate. furni.h a tist thowing ,h. complet. addressJe. and .stimated Fair Mark.t Value/.. If Real Edah Apprai,at. hove been secured. pleas. attach copi.s. f. Ust principal uodr.hold." at dot. of death. numb... of .har.. h.ld. and relationship to d~edent. II. 12. 13. 1.01. 15. ALL OTHER INFORMAnON RELAnVE TO AFAXING THI TRUE VALUE OF THE DECEDENT'S INTEREST SHOULD ACCOMPAN1 THIS SCHEDULE. 37 14. Attachment Schedule C - 1 Pennsylvania Supplv Company C. None D. Officers Salaries. Etc. R.M. Mumma. President R.M. Mumma II. Vice President B.M. McClure. Secretary P.G. Smeltzer. Assistant Secretary B.McK. Mumma. Treasurer R. Lehmann. Assistant Treasurer $ 36.000 (1985 W-2) None None None None None F. Stockholders Shares He 1d Relationship R.M. Mumma 700 Decedent R.M. Mumma II 3 Son S.M. McClure 3 Daughter L.M. Roth 3 Daughter L.M. Morgan 3 Daughter :':0 ,-.-,,6 lilEV-BaS EX. {7.81\ COMMONWEALTH OF PENN. .VANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE "C-'" CLOSELY HELD CORPORATE STOCK INFORMATION REPORT ESTATE OF ROBERT M. MUMMA filE NU....llER 21-B6-398 1. Nom. of Corporation Middle Park, rnc. State of Inc. Colorado Dot.ollne. Aug. 29, 1957 Addre" 315 N. Front Street, P.O. Box 3787 Harrisburq, PA 17105 Total Numb.r of Shar.holde" J:;, 2. F.d.,oll. D. Numb., B4-0509083 (A. p.' Fo,m 1120} Typ. of Business Rental & Land Develoornent aulinen Reporting Year April 1 to March 31 3. .. STOCK TV.. TmA!. , SWA..I .1.. VALU. . SHAIIS OWNED UlST ANDINO ay DICEDIIIT c-_ 700,000 No Par NONE ',m~ Buildinqs and Land r '~=::;"1"= Provide all right, and restriction. pe"oining to eoet. cloll of stock. Was decedent employed by th. Corporation' /EJy.. DNa Produd 6. If Y." Po\i.ion Pres.. -Treas. Annuol Salary S NONE Time O."oted to businell Part 7. Amount and type of company indebtedness to decedent at dot. of death: S None 8. Was there life insurance payable, upon death of deced.nt, 10 t". corporation' DYe. ~No If Y.s, Ca.h Surrend.r Valu.: S Owner of Policy Net Proc.ed. Payabl.: S 9. Did the decedent s.ll or transfer stock of this company within one year prior to deatn if the date of deoth 'Wos on or aker 12/13/82 or withi two years if the date of dea,h was prior to 12/13/82'~ Ve,O No If yes: , OF SHAlD TRANSFERIl OR 'URCHASER AMOUNT DATI 75,000 Boba1i Corporation 24,950 5(03(85 410,024 Middle Park, Inc. 136,395 5(03(85 10. Did the corporation hay. an inter.st in. other corporations or partnerships' IiJYe. DNo Bobali Corp_ - 100\ If ye., report the neeellary infannotion on a '.parate sh.... including Schedule "C-1" or "C-2" for each int.rest. 11. Was the,e a written shareholder's agreement in eHed at Ih.'im. of tbe declldent's death' DYes ~No 1/ Y." allaell copy 01 09'''_"'' ) 12. Wa. m. doted....'. slock said. Dv.. KlNo If ye., provide a copy of the a9r"""'" of .or., etc. 13. Was the corporation dissolved or liquidoted oft.r the decedent's death' Iily.s ONe If Y.', provide a breakdown of liquidation distributions. etc. Merged with Subsidiary lA. Plea.. subMit the follcwing information: A. A de'oiled d.scription showing ,h. method of computation utilized in the valuation of ,he decedent's stock. I. Compl..e copies of finoncial statements or complete cop'-' of the Federal T 0)( Return, (form 1120) for the yeor of death and .4 preceding yea" C. "statemet'lt of diyidend, paid each year. list thoM declared and unpaid. D. lilt Name, of OHicers. Solari." BonUM' and ony oth.r benefils receiyed from Corporation. E. 'f th. Company ownltd Real Estat.. Furnish 0 list showing the camplet. addr.ssle, and estimated Fair Market Value/I. If R~I Eslai~ Appraisals hoye b..n secured, please anao copi... f. Li.t principal siockholden at date of death, numb... of shares h.ld, and relationshi, to decedent. 15. ALL OTHER INFORMAnON RELAnVE TO AFFIXING THE TRUE VALUE OF THE DECEDENT'S INTEREST SHOULD ACCOMPANl THIS SCHEDULE. '.. ., .. '".1 ! 14. Middle Park. Inc. A. Cost C. None D. Officers R.M. Mumma. President-Treasurer G.R. Miller. Secretary P.G. Smeltzer. Assistant Secretary R. Lehmann. Assistant Treasurer F. Stockholders Pennsylvania Supply Company R.M. Mumma II B.M. McClure L.M. Roth L.M. Morgan I' I() Shares Held 100.000 150.000 150.000 150.000 150.000 Attachment Schedule C - 1 Salaries. Etc. None None None None Relationship Decedent Son Daughter Daughter Daughter RfY-1.S0.5 EX. {l-U\ COI,AMONWEAlTH OF PENN~. ./ANIA . INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE "C. 1 " CLOSELY HelD CORPORATE STOCK INFORMATION REPO~T ESTATE OF ROBERT M. MUMMA FILE NUMBER 21-86-398 1. Nome of Corporation S',-,h:ll; l'nrp("'Jr:1r i nn State of Inc. pennsyl vania Add,." 1001 Paxton Street, P.O. Box 3331 Harrisburg, PA 17105 Dote of Inc. 7/09/69 Total Number of Shor.holden 1 2. Federoll. D. Number ?":t_171771.? 8u,iM'~ Reporting Vear April 1 (A, perF on. 1120) 3. Type of Business Land Development & Rental Produd to March 31 A. STOCk TYPE TQ1'Al. . SHAin PM YALUI . SKAIIS OWNED OUTST.....DI..G IY DICIDINT e-_ 10 100 NONE Pr.""eeI i '"-:::: l' ':: Provide all rights and r."riction, pertaining to each cia.. of stock. Was decedent employed by the Corporation' []Ye. DNa 6. If yes, Pesition Pres. -'1'reas. Annual Salary S NONE Tieu Oevoted to busine.. 7. Amount and type of comf)Qny ind.btedness to d.cedent at date of d~th: S NONE 8. Was there lif. insurance payable, upon death of decedent, to the corporation' DYe. (!No Part If yes, Cash Su-rrender Value: S Net Proceed, Payable: S Own.r of Policy 9. Did the dec.dent seU or transf.r stock of this compony within on. yeor prior to d.ath if the date of deoth was on or oh.( 12/13/82 or with" two years if th. dot. of d~th was prior to 12/13/82,0 V.. Ii] No If yes: 10. Did ,h. corporation hove on inter.st in other corporation. or partnership" DYe. fJNo If Y'S' report ,h. nee.nary inf()rmation on a seporat. sh.et, including Schedul. "C-1" or "C.2" for each int.rest. 11. Was ther. a written shar.hold.,'s agreement in effect at the time of the dtc.den,'s deo,hf OVes Ii]No If Y", anach copy of ogre.ment. ) 12. Wo, ,he docode.", "ode $Old' DYe. ilNo If Y'S, provide a copy of the agreement of sale, elc.. 13. Wos the corporation dissolved or liquidated aft.r the dec.den"s death' DYe, li1No If ye., provide a breakdown of liquidation distributions. etc. 1". Pleas. s"bmit the foUo.."ing information: A. A detailed d.scription showing the method of computation utilized in the valuation of the dec.d.nt's stock. , OF 5.....115 TIlANSFtIlE OR PURC.....SER AMOUNT DATI I e. Complet. copi.s of Financial stotem.nt, or complete copie" of the Fed.ral TaJC Return, (form 1120) far the year of death and A preceding yean. C. A ,tat.ment of dividends paid each year. list those declared and unpaid. D. list Names of OHicen, Salari." Bonuses and any other benefit' reeeiveel from Corporation. E. If the Company owned Real Estat., furnish Q list ,howing the complete addresJe, and estimated fair Market Vall,le/.. If R_I Ettet. Appraisals have been MCUred, pleas. attach copie.. f. Ust principal ,tadcholde" of date af death. number of .harel held, and relationship to decedqt. U. ALL OTHER INFORMATION RELATIVE TO AFFIXING THE TRUE VALUE OF THE DECEDENT'S INTEREST SHOULD ACCOMPANY THIS SCNEDULE. , .I 14. D. Attachment Schedule C - 1 Bobali Corporation C. None Officera Salaries. Etc. R.M. Mumma. President-Treasurer B.McK. Mumma. Secretary P.G. Smeltzer. Assistant Secretary R. Lehmann, Assistant Treasurer None None None None E. Address Amity Hall. Duncannon, Pennsylvania Pennsboro Center. Wormelysburg. Pennsylvania 19th Street. Harrisburg. Pennsylvania 111 Agnes Street, Harrisburg. Pennsylvania 169 Paxton Street, Harrisburg. Pennsylvania Cameron & Elmerton Streets. Harrisburg. Pennsylvania F. Stockholders Shares Held Relationship Middle Park. Inc. 10 Parent of Corporation 1./:.;, IIIEV.150.5 EX. {7.8)1 COMMONWEALTH OF PEN" .YANIA , 'INHERIT ANeE TAX RETURN RESIDENT DECEDENT SCHEDULE "C-1" CLOSELY HELD CORPORATE STOCK INFORMATION REPORT ESTATE OF FILE NUMBER ROBERT M. MUMMA 21-86-398 1. Name of Corporation KIM Company Stat. of Inc. PDnn~yl'Trlnirl Address 1001 Paxton Street, P.O. Box 3331 Oat. allnc. 8/25/47 Harrisburcr. FA 17105 Total Number of Shareholders 6 2~ Federal I. o. Numb.r (A. p.r Form 1120) 3. Type of Business 23-1447837 Business Reponing Year July 1 Ia June 30 Rental ProdUd Real Estate 4. r -:::'.'T'':: Provide all rights and reunctions pertainiPlg to each doss of stock. 6~ Was decedent employed by the Corporation' lily.. DNo If yes, Position President Annual Salary 5 13,000 Tim. Oevoted to busiMU Part STOCK TYPE TOTAt. , SHAIIS 'AI VAl.UI . IH....I~ OWNID OUtStAHQING IV DI EDINT c...- 8,680 $10 NONE Pr.f.rr'ld 7. Amounr and type of compony ind.bt.dness to deced.r'lt ot dot. of death: S NONE 8. Was ,h.r.life insuranc. payabl., upon death of d~d.nt, to the corporationf KlYes DNa If y~::~a.h Surr.nd.r Yal..., S 61,997 N.t Proc..d. Payabl.: S 415,345 Own.r of Policy Kim Company 9. Did the decedent sell or transf.r stock of rhis company within one y.ar priOf' to d.ath if the date of death was on or ofter 12/13182 or wirhir two years if ,h. date of death wa' prior to 12/13/82,0 V., 0 No If Y'" . OF SH....U TIANIFf.EI O. 'U.CHASlR .&MOUNT DATE I 10. Did the corporation have an int.,est in other corporations or partn.rship" KJy., DNo If yes, r.port 'he n.cessary information on Q dporate sheet, including Schedul. "e-1" or "C-2" for eoch int.r..t. 11. Wasth.,e., wrinen shar.holder', agreement in .H.d 01 rh. ti"'e of the decede"I', deaf"" DVes GiNo If Y.', anach copy of agrHment. .,. 12. Wa. .h. dococl..",. slade said. Dy.. GlNa If Y.s. provide a copy of the og,"",ent of sal., etc. 13. Was tho CClrpara_ dlualved or liquidated ah.r the doc.d.nt'. d.ath' lXlv.. DNa If YM, provide a breakdown of liquidation distributions, etc. 1". Please sub",it the following infofmCllion: A d.railed description showing th. method of computation utilized ir'l the votuation of th. decedent', stock. Union Quarie~ Inc. - 50\ Nine Ninety Nine, Inc.- 10\, Pfd. -40.95\ Corn A. I. C. D. E. f. 15. Comple'. copies of financialsrallmenll o( compl.t. copies of the Federal TalC. R"urn1 (Form 1120) for the year of death and" preceding yean. A slatement of di__idends pClid each yeor. list those declor.d and unpaid. lisr Names of OHicerl. Salarie., BonUM' ond any other b.n.fits received from Corporarion. If the Company owned Reol Estat.1 furnish a nst showing the compl... oddr.st/e. and estimated fair Mark.. Value/.. If R~I Estat. Appraisals ha__. b..n MCuredl please Gftoch copie.. List principal .tockhelde" ot dot. of dRIb, number of shar.. h.ld, aMI relationship to deced.nt. ALL OTHER INFORMATION RELAnvE TO AFFIXING THE TRUE VALUE OF THE DECEDENT'S INTEREST SHOULD ACCOMPANl THIS SCHEDULE. 'I" ""..",.> ., 14. Kim COlll1lanv C. None D. Officers R.M. Mumma. President R.M. Mumma II. Vice President B.M. McClure. Secretary P.G. Smeltzer. Assistant Secretary B.McK. Mumma. Treasurer R. Lehmann. Assistant Treasurer F. Stockholders pennsylvania Supply Company R.M. Mumma II B.M. McClure L.M. Roth L.M. Morgan B.McK. Mumma 1/, I 4.;.. Shares Held 7.241 334 333 333 333 106 Attachment Schedule C - 1 Salaries. Etc. $ 13.000 (1985 W-2) None None None None None Relationship Decedent Son Daughter Daughter Daughter Wife REIf.1SQS EX. 17.83) COMMO~WEAlTH OF PENNo..VANIA . INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE "C.1" CLOSELY HELD CORPORATE STOCK INFORMATION REPORT ESTATE OF FILE NUMBER ROBERT M. MUMMA 21-B6-398 1. Nome of Corporotion Union Quarries, Inc. Add.... P.O. Box 686 Carlisle, PA 17013 State of Inc. P~m'~ylvi=ln; i=I Oat. of Inc. 7/7/61 Totol Numb.. of Shar.hold... 2 2. Federal I. D. Number \.0., p.r Form 1120) 23-1623849 a",ine" Reporting Vear July 1 to June 30 3. Type of Bu,iness Quarrv Produd Crushed stone ,. srOCK TY" 'm'Ol . SHA.O 'A. VALU. . SMA.as OWNID UTSTANDING ay DICEDENT c-_ 100 $100 NONE Pref.,..,", r'~::"I"= Provide aU rights and restrictions pertaining to eoch dOli of stock. Was de<edent employed by the Corporationf DYe. (]No 6. If 'f.s, Position NONE Annual Salory $ Time Oevoted to busin... 7. Amount and type of compony indebtedness to deced.nt at date of death: S NONE 8. Was ,her. life insurance payabl., upon death of ~d.nt, to the corporation' Dv.s IIDNo If yes, Cosh Surrender Valu.: S Own.r of Policy 9. Did the decedent seU or transfer stock of th's company within on. YeGr prior '0 death if the da'e of d.ath was on ot after \ 2/13/82 Ot withi two y.ors if the dot. of death was prior to 12113/8210 V.s Kl No If yes: Net Proc..d. Payable: S . OF SHA.O T....NSFI... O. PU.'MAS" AMOUNT DATI 10. Did the corporation hove an int.re't in ot"'... corporations or partnership" DYe. 6UNo If Y.'. report rhe nece'tary information on a '.parate sh.et, induding Schedule "C.1" or "C.2" for each int.re'I. 11. Wo. ,her. a written shar.holder'. agriMm4H\t in effect at the rime of the dec.dent's d.arh' DVe, ~No If y.s, attach copy of agreement. l 12. Wo, tho decedent', 'lOci< $Old' Oy.. [lNa If yes, provide a copy of the og.......ent of .ole, etc. 13. Was the corporation dissolved or liquidated after the decedent', death' Dv., ~No If yes, provide 0 breakdown of liquidation distributions, etc. tA. f'teo.. submit "'. following information: A. .. C. O. f. f. 15. A detailed description showing the m.thod of computation utiliz.d in the valuation of the decedent', stock. Complele copies of Financial stotemenlt ot compl.,e copies of the Federal T ox R.turns (Form 1120) for the year of death and .4 preceding years. A ,totement of dividends paid each yeor. List those declared and unpaid. List Name. of Office", Solari.s, Bonuse. and any othe, benefil. received frOM Corporation. If the Company owned Real estat., furnish a li.t showing the complete add,e../e. and estimated fait Mark.t Value/l, 'f Real Estat. Appraisal. have b.." secured, plecue attach ~,. List principal ,tockholden at date of death, ,.umb., of share. held. and relationship to decedent. ALL OTHER INfORMAnON RELAnVE 10 AfFIXING THE TRUE VALUE Of THE DECEDENT'S INTEREST SHOULD ACCOMPANl THIS SCHEDULE. '-/$- 14. Union Quarries. Inc. C. 6/30/84 6/30/85 6/30/86 $ 15.000 15.000 75.000 D. Officers R.N. Perry. President-Treasurer R. Collins. Secretary D. Fahnestock. Assistant Secretary E. Address Spring Garden Road. Carlisle. Pennsylvania RD No. 20. Rheema. Pennsylvania F. Stockholders Shares Held Kim Company 50 E. Narford. Trustee H.C. Hempt. Grantor Trust 50 Attachment Schedule C - 1 Salaries. Etc. $ 24.471 43.476 None Relationship None REV-1505 EX. {7-131 COMMONWEALTH OF PEN/ .VANIA , INHERIT ANCE TAX RETURN RESIDENT DECEDENT SCHEDULE "C-1" CLOSELY HELD CORPORATE STOCK INFORMATION REPORT ESTATE OF FILE NUMBER ROBERT M. MUMMA I. Name of Corporation Nine Ninety Nine, Inc. 21-86-398 State of IftC. Pennsvlvania Addreu 1001 P~xton ~rr~pt. P 0 Rnx 3311 Date of Inc. Mn~' t; 1 Qt;A Harrisburq, PA 17105 Total Number of Shareholders 5 2. Fed.ral L O. Number (A' per Form 1120) 3. Type of Business ?"l._1t;'1t;&;7h Busine" R.porting Year Ju 1 v 1 to June 30 Produd 4. STOCX TYPI lOTA\. . S11AI" PAl VAl.UI ' SHAIIS OWNED OUTSTANDING .Y DleIDlNt c:-- 2 117 S 100 NONE ".f.tnd ~~. , ~~A P'~RR r '~:::'''T'':: Provide 011 rights and r..triction. pertaining to each clost of stode. Was decedent employed by the Cor",orationf bGJV., DNa 6. If yef, Position Pres. -Treas. Annuol Solory $ 84,600 Time O....oted to busin.1I Part 7. Amoum and type of company indebtedn." to decedent at dot. of death: S NONE 8. Was th.r.life insurance payable, upon death of decedent, to the corporation' [!lYe. DNo Net If ye., cash Surrender Volu.: S 11 n. 449 Net PrCKeed. Payable: S 343,187 Owner of Policy Ni np- Nin~tv Nine, Inc. 9. Old the decedent sell or tfonif.r lotodc of this company within one year prior to d.ath if the date of death was on or after 12/13182 or withi, two yeors if the dote of d.ath was prior to 12/13/82,0 Ves 0 No tf y.s: . Of SHARES TRANSfEREE OR PURCHASIR AMOUNT DATI 10. Did Ih. corporation ho.... on interest in other corporations or partn.rship.' E9Ve. DNa pennsy Supply, Inc. - 100% If Y." report the necessary information on a separate sh.et, including Schedule "C.1" or "C.2" for .ach inl.rest. 11. Was ,here a wrinen shar.holder's ogreement in effect at the lime of the dec.dent's d.ath' OV.. []No If Y." anac:h copy of ogr..ment. 't 12. Wo, the decedent', stode ,old' DYe, l!INo If Y.'. provide a copy of the agreement of sol., etc. 13. Was the corporation dissolved or liquidated after the d.cedent's deathi DYe. lIDNo If Y.', provide a breakdown of liquidation di.tribution" etc. 14.. Plea.e .ubmit the followin9 information: A detailed deKfiption ,howing the m.thod of computation utilized in the valuation of the decedent', stoclc. A, I. C. D. E. f. 15. Complet. copies of Financial statement, or compl.,e copies of the Federal ToJC R.turn. (Form 1120) for the yeor of death and' preceding YRrs. A statement of dividend. paid each YRr. li.t those declared and \lnpaid. u.t Nomes of Officen~ Solari.., Bonu... olld any other benefits received from Corporation. .f ,h. Compony owned Reol Estat., furnish a li.t .howing ,he compl.,. add,.../e. and .stimot.d Fair Market Valu.I.. If Real Enate Appraisal. hove b..n secured, plea.. ottach c.op"" Ust ,"ncipal stockholders ot date of death, numb.r of .hare. held, and relationship to decedent. ALL OTHER INfORMATION Uu.nVE TO AffiXING THE TRUE VALUE Of THE DECEDENT'S INTEREST SHOULD ACCOMPAN'I THIS SCHEDULE. tJ 'J ..' \, 14. Nine Ninety Nine. Inc. C. 6/30/85 $ 26.976 D. Officers R.M. Mumma. President-Treasurer B.McK. Mumma. Vice President B.M. McClure. Secretary P.G. Smeltzer. Assistant Secretary R. Lehmann. Assistant Treasurer F. Stockholders Shares Held Common 10% Pfd. 8% Pfd. R.M. Mumma II B.M. McClure L.M. Roth L.M. Morgan Kim Company 314 312 312 312 867 1.100 ," , 103 61 103 Attachment Schedule C - 1 Salaries. Etc. $ 99.600 (1985 W-2) None None None None Relationship Son Daughter Daughter Daughter " REV.1S0SEh {7.13. e::OMMONWEALTH OF PEN"- .VANIA . 'INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE "C.1" CLOSELY HelD CORPORATE STOCK INFORMATION REPORT ESTATE OF FILE NUMBER ROBERT M. MUMMA 21-86-398 1 June 30 3. Type of ausin." Rnildina Ma.terials Concrete, Asphalt, Sand, etc. Net Proc..ds Payable: S 1. Name of Corporation Pennsv Suon 1 V I I nc . S.at. of tnc. ponT'\c:w1't7rlriia . OF SHARD TRANSFEREE OR PURCHASER AMOUNT Address 1001 Paxton street, P.O. Box 3331 A/nQ/R,l Did the cOt'pOfo.ion hove on int.r..t in other corporation, or partnershipsf IE] Y., 0 No If Y.'I report the nKa.lory information on a sepora'. she.t, including Schedule "C.t" Of "C.2" for each jn'.r.st. Was th.,. a written mor.hold...', agr..men' in .ffect af the lime of the decedent'. death' DYes GUNo If Y.S. attach copy of og,..ment. 't woo .he d..,od..... stock sold' DYe. 01010 If ye., provide a copy of 1M ogfMtnent of sol., etc. Was the corporotion dillolved or liquidat.d oft.r the decedent', death' Dy.. (i}No If Y." provide a br~kdow" af liquidation di'tribution" etc. tA. Pleo.. .ubmit the following information: 10. 11. 12. 13. A. I. e::. D. E. f. 15. A d.tailed deKription ,howing the method of computation utilized in the valuation of the dec.de,,"s stock. Do,. of Inc. Harrisbura, PA 17105 Total Numb.r of Shoreholde" Buaine.. R.porting Year Ju 1 y 1 to Part If yes, Cosh Surrender Value: S Owner of Policy 9. Did the decedent s.1l or transfer stock of this company within one year prior to death jf the dol. of death -.os on or aft.r 12113/82 or withi two years if th. dote of death was prior to 12/13/82,0 Yes g] No II Y." 2. F.deroll. O. Numbe-r (A. p.r For.. 1120) 23-2188015 Produd 4. r ..~::. J I' "::~ Provide 011 right. and res,ridion. pertaining to each dOh of stode. Was decedent employed by the Corporation' mYel DNa If ye.. Position Pres. - Treas. Annual Salory $130,000 Time Oevotled to business STOCK TYPE tOTA\, . SMAlas Pl.. v....U. ' SHAI.S OWNID OUnJANOtNG IY DKIDINT c:-- 2 500 100 NONE P'r.fwrre>d 6. 7. B. NONE Amount and type of company indeb,edne.. '0 decedent at do,e of death: S Was ,here life insurance payable, upon dea.h of decedent. to ,he corpora'ion' DYe. I!JNo DATI Elco Concrete Products, I 100% Kim and Kin, - 100% Robert M. MulC rne. - 100' Comple'e copies of finonciallfoteMentt or compl"e copies of the Fed.ral T OJll Returns (Farm 1120) for the year of deoch and 4 pr~ecIin9 yllan A ,tat.m.nt of dividends paid each y~r. U.. thas. d.dated and unpoid. Us, Nomes of Officers. Salaries, Bonuse. and any oth.r benefit' received from Corporotion. If the Compony owned. ReGl estate, furnish a list showing the complet. addre../e. and estimated Faw Market Volve/.. If Real Estot4 Appraisals hove been dCUred, pleas. a"ach copies. Us. principal s'ockhold.... Of date of death, numb... of .hares held, aAd r.latioftship to decedent. , .1...7 ;~4 '-, ALL OTHER INFORMAnON RELAnVI TO AFFIXING THE TRUE VALUE Of THE DECEDENT'S INTlREST SHOULD ACCOMPAN1 THIS SCHEDULE. 14. Pennsy Supp1v. Inc. C. 6/30/83 6/30/84 6/30/85 6/30/86 $ 18.950 63.000 246.000 525.000 D. Officers R.M. Mumma. President-Treasurer H.G. Lake. Jr.. Executive Vice President R.E. Nye. Vice President-Sales. Asphalt and Stone w. Rice. Vice President-Operations B. Stahle. Jr.. Vice President-Sales. Concrete G.R. Miller. Secretary-Assistant Treasurer P.G. Smeltzer. Assistant Secretary R. Lehmann. Controller E. Address Sand Bank Road. Mt. Holly. Pennsylvania F. Stockholders Shares Held Nine Ninety Nine. Inc. 2.500 .$(') Attachment Schedule C - 1 Salaries. Etc. $ 298.248 84.500 79.000 84.500 45.000 44.900 23.720 42.700 Fair Market Value $ 226.000 Relationship '. REV-lSO.5 EX. (7-IJ) -COMMONWEALTH OF PENNSTlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE "C.l" CLOSELY HELD CORPORATE STOCK INFORMATION REPORT ESTATE OF FILE NUMBER ROBERT M. MUMMA 21-B6-398 t. Name of Corporation Pl ('"Ii ('()nc:n~te Products. Inc. Stat. of Inc. Pennsylvania Address 1001 Paxton Street, P.O. Box 3331 Harrisburq, PA 17105 Oat. of Inc. 5/19/82 Total Numb.r of Shar.holders 1 2. Fed.ral I. D. Number ?1._7?C'l7c:.Q'" IA. pe, F.,m 1120) 3. Type of Rusin." Manufacturinq lusin." Reporting Year Ju 1 y 1 '0 June 30 Produd concrete blocks & ready~mix concrete ~. r "~::::"T"= Provide all rights and r.strictions pertaining to .och dOli of .tock. 6. Was decedent employed by the Corporationt g]Yet DHa If ye.. Position Prp~ i dp-nt Annual Salary S NONE Time OevOlitd to bu.inesl STOCl< nPl TOTAL' SHAllS '''1 y....UI . SMAln irN1D OUmANDING Iv DECE NT eo...... o ....M 10 NONE 't.~rred Part 7. 8. NONE Amount Qnd type of company indebtedness to decedent at dote of death: $ Was 'here life insuronce payable, upon dea,h of decedent, to the corporation' Dy.. ~No If yes, Cash Surrender Value: S Owner o,f Policy 9. Did the deced.nt seU or 'ronsfer stock of this company within on. year prior '0 death if the date of death was on or aft.r 12/13/82 or w"hil two years if ,he date of death wos prior to l2113/82'O Yes I!I No If yes: Net Proceed. Payable: S . OF SMAlU TRANSFEREE 01 'UICMASER AMOUNT DATE 10. Did the corporation have an interest in oth.r corporations or partnerstlip,' DYe. ~No If ye., report the necessary information on a separate sh.et, including Schedule "C. 1 " or oC_2" for each ,n'erest. 11. Was ther. a written shotehold.r's ogr.,,,,ent in effect at the tim' of the decedent's deathf DYes g]Na If yet, attach copy of Qgfeemem. 12. Wa. ,h. decodent'. ".de sold' DYe. ON. If y.s, provide a copy of the og'''''''''' of sol., etc. 13. Was the corporation dissolved or liquidated offer the decld,nt', deathf Dves ~No If Y'" provide a breakdown of liquidation distributions. .te. 1.(. PI~.. submit the following information: A detailed description showing the m..hod of computation utilized in the valuation of the decedent's stock. A. I. C. D. E. f. 15. Co",pletl copies of Financial stote"'enll or comple'e copies of the hd..ol T ox R.turn, (Form 1120) for the year of death and'" preceding yean A stattm,nt of dividends paid lOch year. list those d.clared and unpaid. U.t Nome. of OHicets, SoloriH, Bonuse. and any other benefirs ,.c~ved from Corporation. If the Company owned Real Estate, fufftid\ a list showing Ut. comple.e address/.. and e.timated Fair Mon.t Value'l. If Reaf Eltat4 Appraisal. hay. be.,. secured, please attach copiel. U.. principal stockholders at do.. of death, number of shor.. held, and relationship '0 decedent. ALL OTHER INFORMAnON RELATIVE TO AFFIXING THE TIlUE VALUE OF THE DECEDENT'S INTEREST SHOULD ACCOMPAN' THIS SCHEDULE. .$/ 14. Elco Concrete Products. Inc. C. None D. Off icers R.M. Mumma. President H.G. Lake. Jr.. Executive Vice President G.R. Miller. Secretary-Treasurer P.G. Smeltzer. Asaistant Secretary E. Address Prescott Road. Lebanon. Pennsylvania F. Stockholders Shares Held Pennsy Supply. Inc. 5.000 ~.". Attachment Schedule C - 1 Salaries. Etc. $ 20.250 None None None Fair Market Value $ 150.000 Relationship REV.l.505 EX+ {1.8JI . COMMONWEALTH OF PEN' .VANIA . . INHERIT ANC, TAX RETURN RESiDENT DECEDENT SCHEDULE "C-'" CLOSELY HELD CORPORATE STOCK INFORMATION REPORT ESTATE OF ROBERT ~1. MUMMA FILE NUMBER 21-86-398 t. NaMe of Corporation Kim and Kin, Inc. State of Inc. Flnr;nr:i .Address 1001 P~Yrnn ~rrp.p~ p n ~nx ~1~1 Harrisburcr. PA 17105 Dote of Inc. S/1l/81 Total Number of Shoreholden 1 2. Federal I. O. Number IA. por Form 11201 23-73';/>\17 Bu,iness Reporting Vear Julv 1 to June 30 3. Type of Business Rental Produd Eauioment/Real Estate i '-:::'"'T'''= ~. STOCK TYr. TOTAl" SHARU 'AI VALU. . SHAIIS OWNED OUTSTANDING av OICIDINT c-.... 500 100 NONE 'r.f.rTltd 6. Provide 011 rights and r.,tridions pertaining to .och doss of sloclc:. Wa, decedent employed by the Corporation' iiJYes DNa President NONE Time Oevoted to business Part 7. 8. 1]11'10 If y.s. Cosh Surrender Value: S Owner of Policy 9. Did ,,,. deceden' $.11 or transfer stock of this company wilhin one year prior to death if the date of death wa, on or after 12113/82 or with two ."eau if th. dale of death was prior'o 12/13/82,0 Ves I!J No If yes: Net Proceeds Payable: S . 0' SHAlES TUNsnlEE OR PURCHASER AMOUNT DATE 10. Did th. corporation have an interest in other corporations or partnersnip" DVe. {g]No If yes. report the necessary information on 0 'eparate sheet, including Schedul. "C.l" or "C.2" for each in'.rest. 1 t. Was '''ere 0 written 1ohareholcler's ogr.ement in eHe" ot ,he ,ime of the deeeden,'s deolhf oVes GaNo If yet. attoch copy of og,.ement. .. 12. Woo ,ho decedent'. .tock .old' DVe. 01'10 If yes, provide a capy of 1M agreement of 101., .tc. 13. Wa. ,he corporation di,solved or liquidated aft.r the decedent's dealh' DVe, WNo If ye.. provide a breakdown of IiquidQ~;ol'\ distributions. .tc. 1.t. Pleos. ,ubmit the following informatiol'l: A detailed description showing the method of computation utiliud in the valuation of the decedent's stock. A. I. C. D. E. f. U. Compl.,. copies of financiol $lct.m.m, Of compiere copies of the F,d,ral Tax Re,urns (Form 11201 for ,he YiIOf' of death and 4 preceding year. A slalement of dividends paid each year. Ust those dec.lored and unpaid. Li,t Nomes of Officers. Solarie,. Bonuse, and any other benefits received from Corporation. If the Company owned Reol Estate. furnish a list showil'lg the compl..e addressle, and e'timot.d Fair Morket Value/s. If Real Estal Approisol, ha.... b..n MCur.d. please anach copi... Ust prindpol stockholders at dote of deoth. number of share. held. ond ,-'otionship to deced.nt. ALL OTHER INFORMATION RELATIVE TO AfFIXING THE TRUE VALUE OF THE DECEDENT'S INTEREST SHOULD ACCOMPAN THIS SCHEDULE. .(<- .... boo' ...,.~', 14. Kim and Kin. Inc. C. None D. Officers R.M. Mumma. President B. McK. Mumma. Vice President B.M. McClure. Vice President W.D. Boswell. Secretary-Treasurer F. Stockholders Shares Held Pennsy Supply. Inc. 500 ,,5 '-I Attachment Schedule C - 1 Salaries. Etc. None None None None Relationship lEV. 1505 EX+ {7.8JI COMMONWEALTH OF PENI .VANIA , INHERITANCE TAX RnU~N RESIDENT DECEDENT SCHEDULE "C-1" CLOSELY HELD CORPORATE STOCK INFORMATION REPORT ESTATE OF ROBERT M. MUM.'V\ FILE NUMBER 21-86-398 1. Name of Corporation Robert M. Mumma, Inc. Slate of Inc. Dote of Inc. Pennsvlvania A.ddreu lQnl P~vrn~ ~rrAAT p n ~nY 1~'1 5/29/79 2. Fede,all. D. Number 23-2103264 (A. pe, Fo'm 11201 Busin." Reporting Year T o.al Number of Shcneholde,.. July 1 1 U""yo....;C:!hl1YlJ'. on 171r11i, '0 June 30 3. Type of Business Rental Produd PUC Hauling A. STOCK "n tOTAl.' SHAW 'AI VALUI . SHAIIS OWNID OUTSfANDIHG a' OICIDIN1 eo- 1,000 10 NONE 'r.~ r '.~::::~r"= 6. Provide all rights and restrictions pertaining to ea<h clan of stock. Was decedent employed by the Corporation' e9Ye, DNa President If y." Position Ann",,1 Salary $ NONE Time aeVoted '0 bu,inelS part 1. Amount and type of company indebtedness to decedent at dote of deoth: S none 8. Was 'her. life insurance poyable, upon death of decedent, to the corporationf DYes I])No If yes, Cash Surrender Value: S Not P,oceed. Payable, $ Owner of Policy 9. Did th. d.cede"t ,.U or tron,f.r SIO(. of this company within on. y.or prior to d.ath if the dote of death ..,a, on or oh.r 12/13/82 or withi two years if the date of d~th was prior to 12/13/82fO Yes ~ No If y." . OF SHAlas TlANSFfREf 01 'UICHASfI AMOUNT DAn to. Did the corporation ha.,. an interest in other corporations or partnerShipsf DYe, GiNo If Y.'. repon the nec.ssary information on a ,epara'e sheet, including 5thedule "C. 1 II or "C.2" for each in'erest. tt. Wa, ,her. a writt.n sharehold.r's ogr..ment in effect ot the rim. of the decedent's deoth' DYe, I!lNo If Y". attach copy of o9reem.nt. l 12. Wo. th. deced..... .tocfl sold. Dy.. DNa If y.s, provide a copy of the GgtMf'Mnt of ,01., etc. 13. Was the corporation diuofvecl or liquidated aft., the dec.dent', death' DVes iilNo If y.., provide a brea.down of liquidation distributions. etc. 1 ". "eas. submit the 'oNowing informa'ion: A. A cf.tailed d.scription showing the method of computation utiliud in the valuation of the dec.dent's stock. I. Complete copi.s of financial stat.menlsor campi... copies of the federal Tax Returns (Form J 120) for the year of death and'" preceding yean C. A ,tatement of dividends paid each year. list those d.dared and unpaid. O. List Nam., of Offic.n. Salaries, Bonuses ond any oth.r benefil' receiyed fram Corporation. E. If the Company owned Real Estate, furnish 0 list showing the complete addre.lI.s and e.timated Fair Market Valu.lt. If Real Estot Appraisals ha.... been MC",red~ please attach copi... f. List principal stockholden at date of death, number of shares helcl~ and r.lotioft~hip to dec:.dent. U. ALL OTHER INFORMATION RELATIVE TO AFFIXING THE TRUE VALUE OF THE DECEDENT'S INTEREST SHOULD ACCOMPAN" THIS SCHEDULE. .s..t;, . , 14. Attachment Schedule C - 1 Robert M. Mumma. Inc. c. None D. Off icers Salaries. Etc. R.M. Mumma. President R.M. Mumma II. Vice President G.R. Miller. Secretary-Treasurer P.G. Smeltzer. Assistant Secretary $ 7.500 None None None F. Stockholders Relationshill Shares Held Pennsy Supply. Inc. 1.000 "r" '" ;;; (:1' RfV-1500fX+ (8.BJ) L' , CO'MMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE "C-2" PARTNERSHIP INTEREST REPORT ESTATE OF FILE NUMBER R()RF.RT M. MUMMA 21-86-398 Addren 7C;h~ ~(mTh ~r.",.h=, 'Rn.=..d i7 Fod.rall. D. Numbor 31-1033923 (A. p.r Farm 1065) Date Business Commenced 4/23/81 L Name of Partnership Fl nri rl;;='Tl ~t-",.hl po T t'n T..=tkp- Wort:h. Florida Business ActiYity 2. Classification of Partnership: Decedent was a Limited OGeneral fillimited o Othor partner. If decedent was a limited partner, praYide initial investment S 40 1000 3. PARTNER'S NAMES % OF INCOME % OF OWNERSHIP SALARY BALANCE OF CAPITAL ACCOUNT A, M 10% 10% NONE 25 575 8. c. O. ~. Estimated Value of decedent's interest: S 25 I 575 5. Amoun, and type of partnership i"de~tedness to decedent at date of d~,h: $ NONE 6. Was there life insurance payable, upon the death of deced.nt, to the partnership' OVes fiClNo If yes, Cash Surrender Value: S Net proceeds payoble: S Owner of Policy: 7. Was there a written partnership agr..ment in effect at the time of the decedent's death' GCJVes DNa If yes, attach copy of agree",ent. 8. Did the partnership have an int.r."t in any other partnerships or corporatjon~ DYes DNa If yes, report the necessary information on a s.parare sheet, including Schedule "C. 1 " or "C-2" for each inttres.. 9 Did the deced.nt's interest in the partnership change in the year before death if the dote of death was on or after 12/13/82 or if death occurred prior 10 12/13/B2 in ,ho last two years' OVe, e9Na If yes_ explain: 't 10. Woo tho decedont relaled 10 any of tho ather portno,., KJyo. DNa Ilyes,.xplain: Wif~. Ri"lrhara Mck. Mumma if; also a limited partner 11. WQS the partnership dissolved or liquidated after dec.dent's d.ath' Dyes liJNo If yes, reporl all the related informalion, including copies of the Sales Agreem.nt and/or Settlement Sheet. 12. Woo ,ho decedont'. ,tad< ~ OV.. 5iINa If yes, provide a copy of the agrHmenl of sol., etc. 13. Please submit the following information: A. A detailed description showing the method of computation utilized in the yaluation of the decedent's intere.t. capital Account a. CampIelecop;.. of financial stat_ or campleto copies of die Fedoral Tax Return. (Farm 1065) far ,ho year of death and A prKeding years. C. If the Company owned Reol estat., furnish a list showing the complete addressJes and estimated Fair Market Valu./s. If Real Estate Appraisals have been secured, please attach copi.s. lA. ALL OTHER INFORMATION RELAnVE TO AFFIXING THE TRUE VALUE OF THE DECEDENT'S INTEREST SHOULD ACCOMPANY THIS SCHEDULE. :; ') "" IEV.1,506 fX. (a.a3) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE "C.2" PARTNERSHIP INTEREST REPORT FILE NUMBER ESTATE OF ROBERT M. MUMMA 21-86-398 1. Name of POr1nenhip Jl.mpyi r"rlTl 1=h:~h.=:lh rpnt-Ar-r.=:l1'l'lfl" ,-Ii 11 F.d.,all. D. Nurnb., 23-2315281 IAs p" Fa,rn 1065) Date Business Commenc.d 4/27/84 Address 423 North 21st street Camp Hill, PA 17011 Business Adi....ity 2. Classification of Partnership: OG.neral lID Llrnitod OOth.. Dec.d.nt was a T ;m;1-A~ partn.r. If dec.d.nt was 0 limited partner, pro....id. initial in.....stm.nt $ 1 A. non 3. PARTNER'S NAMES % Of INCOME % Of OWNERSHIP SALARY BALANCE OF CAPITAL '-CCOUHT A. Robert M. Mumma 3% 1.8182% NONE 10,025 8. c. D. 4. Eslimaled Valu. of d.c.dent', int.r.st: $ 10,025 S. Amount Clnd type of partnership ind.~tedn.st to de"edent at dot. of d.Qth~ S 5,159 6. Was there life insurance payable, upon the death of decedent, to the partnership' OVes [1gNa If yes, Cash Surrender Value: S N.t proceeds payable: S Owner of Policy: 7. Was there a wri"en partnership agr..ment in .ffect at the time of the decedent's death' !!JVes ONo If yes, o"ach copy of ogre.ment. a. Did the pOr1nenhip hove on interest in any other partnerships or corporation' OVes 0 No If yes, report the n~essary information on a seporo'e sheet, including Schedule "C-1" or "C_2" for each interest. 9 Did the deceden"s interest in the partnership change in the y.or before death if the dote of death was on or after 12/13/82 or if death occurred prio,to 12/13/82 in .h.la......o y...,,' OV.. KlNo If yes, ekplain: ) 10. Was th. docod.nl '''aloe! ta any 01 ,h. atho, pann...' OV.. lUNa If yes, explain: 11. Was the pannership dissolved or liquidated after decedent's death' OVes e:JNo If yes, report all the related information, including copies of the Sol.s Agreement and/or Settlement Sh.... 12. Was .h. doc:odont', ,'ock ,old' OV.. lEINo If yes, provide a copy of the ogrHment of sal., etc. 13. Please submit the following information: A. A d.'oiled descriplion showing the method of computation ulilized in the valuation of the decedent's inter.st. I. Campi... copies of financial statements Of complete copies of fh. Fed.ral Tax Returns (Form 1065) for th. year of death and'" preceding years. C. If the Company own.ed Real Estat., furnid\ Q. 1;'1 showing the compl.1. oddressles and .stimated fair Market Value/s. If Reol Estot. Appraisal. hove bHn Malred, plea.. onoch copies. U. AU OTHER INFORMATION RELAnVE TO AFFIXING THE TRUE VALUE OF TltE DECEDENT'S INTEREST SHOULD ACCOMPANY THIS SCHEDULE. ~ <7 ,.; ( -' RfV.I.506 E~ + .f8-831 COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE "C.2" PARTNERSHIP INTEREST REPORT ESTATE OF FILE NUMBER ROBERT M. MUMMA 21-86-398 1. Name of Partnership Penn 21 Associates Address P.O. Box 1967 Federal I. O. Numbe, 23-2102801 (As p.r Form 1 (65) Date Busin,sl Commenced 4/27/84 HarriSburg, PA 17105 Busin.ss Activity 2. Classification of Partnership: Deced,n' was a Lirni ted OG.n.ral [] limited DOth.r partn.r. If dec.d.nt was 0 limited partn.r, provide initial investment S , c; nnn 3. PARTNER'S NAMES 'llo OF INCOME 'llo O' OWNERSHIP SALARY BALANCE O' CAPITAL ACCOUNT A. Robert M. Mmnma 1, ."""'~ 1 010. M"'''' 1 ^ ~^O I. C. D. A. Estimated Valu. of decedent's int.r..t: S14, 548 s. Amount and type of partnership i"d.~tednell to decedent at date of d4lGth: S NONE 6. Was there lif. insuranc. payable, upon the death of dec.edent, to th. partnership' Dv.s ~No If y.s, Cash Surr.nd.r Valu.: S Ne' proceedl payobl.: S Own.r of Polky~ 7. Walth.r. a writt.n partn.rship agr..m.nt in eff.d at the time of the deced.nt's deotht G9V'1 DNo If Y'I, attach copy of ogr..m.nt. 8. Did the partnership have on int.r.s. in any oth.r partn.rship. or corporation' Dyes DNa If y.., report the nec.ssary information on a separot. Ih..t, including Sch.dul. "C.1" or "C-2" for each int.r.st. 9 Did the deced.nt's in..r.st in the partn.rship chang. in th. y.ar b.for. d.ath if th. date of d.ath was on or ok.r 12/13/82 or if death occurred prior to 12113/82 in ,h.lastlwo years' DY.s 6iJNo If y.s, .xplain: ~. 10. Wos .... docod.tu r4loIod to any 01.... 0Ill0r pon..,,' Dv.s IIDNo If y.t. .xplain: 11. Was .... portnonltip diuolvod or Iiquidolod oIl.r decodo.t's dealhf Dv.s IUNo If Y", report all the ....ated information, induding copi.. of the Sol.. Agr..m.nt ondlor Settlem.nt Sh.... 12. Was tho docod....s stock sold' Dv.. DNo If yes, provide a copy of the ogr..m.nt of sal., etc. 13. Pleas. slIbmit the following information: A. A. d.tailed d.scription showing the method of computation utilized in Ih. valuation of the deced.nt's interest. .. Compl... cop;.. 01 Rnancial stat_s or complet. copies of"'. Fod<<al T ox Returns (Form 1 (65) for.... yoor 01 dooth ond A preceding yoors. C. If..... Company owned Reol Estat., fumish a list showing the compl... addres"es and ..timated Fair Marle.t Valll./s. If Real Estat. Appraisal. have b..n MCurecl, plea.. attach copi'l. lA. ALL OTHER INFORMATION RELAnVnO AFfiXING THE TRUE VALUE OFmE DECEDENT'S INTEREST SHOULD ACCOMPANY THIS SCHEDULE. $-9 REV-IS01 EX+ (7-83) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE "0" MORTGAGES AND NOTES RECEIVABLE ROBERT M. MUMMA FILE NUMBER 21-86-398 (All property Jolntly-owned with Right of Survivorship mu~ be dlsclOHd on Schedule "F") ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. See Schedule 0 Attached 358,450.90 TOTAL (Also enter on line 4. Recapitulation) $ 358,450.90 (If more ,~C. I. nMd.~ InMrt. edditlonat sheet. of ..me .In) (po Item No. 1. 2. 3. 4. 5. BSTATB OJ' ROBBRT M. MUMMA MORTGAGBS and NOTBS RECBIVABLB SCHBDULB D Descriotion Demand Notes given ~2/~7/85 by Derry Aire, Inc. to Robert M. Mumma; payable ~2/~7/a9 with interest @ ~~% per year unpaid principal at dod See Exhibit Binder Demand Note given by Kim and Kin, Inc. (subsidiary of Pennsy Supply, Inc.; liability for Note is shown on that company's records) to Robert M. Mumma; paid 9/18/86 unpaid principal at dod Demand Note given 12/23/85 by Lebanon Rock, Inc. to Robert M. Mumma; with interest @ 9.5% unpaid balance at dod accrued interest Demand Note given 12/17/85 by American Rehab Center - Camp Hill to Robert M. Mumma; with interest at prime rate plus 1% unpaid principal at dod accrued interest See Exhibit Binder Demand Note given 6/13/84 by David M. Dolezal to Robert M. Mumma; interest payable June 15 and December 15 @ 10% unpaid principal at dod accrued interest See Exhibit Binder ;;) $50,000.00 1.445.00 5,000.00 159.00 2,400.00 78.00 Value at Date of Death $102,~24.00 20,121.00 51,445.00 5,159.00 2,478.00 , . Item No. 6. 7. Description Demand Note given 6/9/85 by High-Spec, Inc. to Robert M; Mumma; with interest @ 9.5% unpaid principal at dod accrued interest $20,408.00 L63LOO See Exhibit Binder Demand Note given 1/15/86 by High-Spec, Inc. to Robert M. Mumma; with interest @ 8% unpaid principal at dod accrued interest 152, 18L 90 2.903.00 Total notes receivable to .J Value at Date of Death $ 22,039.00 155.084.90 $358.450.90 COMMONWEALTH OF PENNSYL' "'A .INHE,RlTANCE TAX RETUPI . . RESIDENT DECEDENT ESTATE OF SCHEDULE "E" CASH, BANK DEPOSITS AN' MISCELLANEOUS PERSONAL PROPERTY ROBERT M. MUMMA FilE NUMBER 21-86-398 (All ~ JoIM'V....... ..... ... "ltht of lurvlworMlp mloM be dlllClOMd on Schedule "F") ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH See Schedule E Attached 1,871,251.19 . TOTAL (Also enter on line 5, R_itulltlon) . 1,871,251.19 <<If more IIPeGe .. needed "'"" adcH1\oNI ....... of _me II..) (.,3 . , Es'n.TE OJ' ROBERT M. MUMMA CASH. BANK DEPOSITS' MISCELLANEOUS PERSONAL PROPERTY SCHEDULE E Item No. Descriotion Value at Date of Death 1. Dauphin Deposit Bank and Trust a) checking acct. #62-23-3211 dod balance checks clearing after dod $ 24,718.21 ( 3.121.10) $ 21,597.11 See Exhibit Binder b) checking acct. #62-23-3041 dod balance checks Clearing after dod 17,864.84 ( 186.08) 17,678.76 See Exhibit Binder c) checking acct. #10-019626 dod balance deposit in transit checks Clearing after dod 7,928.89 10,000.00 ( 16.433.18) 1,495.71 See Exhibit Binder 2. Hamilton Bank a) checking acct. #61312285 See Exhibit Binder 5,528.78 /:j ;0, Item ...l:[Q..... Descrintion 3. Dauphin Deposit Bank and Trust Co. agency accounts: 4. 5. 6. 7. a) checking acct. #10-01-9758 See Exhibit Binder b) checking acct. #10-00-7288 See Exhibit Binder c) checking acct. #10-00-7237 See Exhibit Binder d) checking acct. #10-00-2073 See Exhibit Binder e) checking acct. #10-00-1956 See Exhibit Binder f) checking acct. #13-82-0508 1985 Mercedes coupe See Exhibit Binder 1981 Mercedes coupe Tangible personal property i~cluding 21 club medallions, player p~ano, grandfather's clock ($1,000), painting of .Entrepreneur., painting of .Speedy Somolli., clothing, jewelry ($200) and miscellaneous office furniture at Amity Farms office 1975 Formula motorboat /" .,.)~ $ 19.00 87.18 100.00 55.44 140.00 99.95 Value at Date of Death $ 501.57 36,000.00 19,000.00 10,000.00 1,000.00 Item No. 10. 11. 12. 13. 14. 15. 16. 17. Descritltion 8. De1ray Club - refund on certificate 9. Horses: a) Mares b) Racing c) Yearlings d) Foals e) Stallions The mares, racehorses and yearlings were all sold and are valued at sales proceeds. The foals are valued at breeding fees paid. The stallion shares are valued at cost or recent acquisition value per share Pennsy Supply, Inc. net bonus Kim company net salary net commission Nine Ninety Nine, Inc. net salary Robert M. Mumma, Inc. - consulting fees Elco, Inc. - consulting fees pennsy Care - health insurance medical reimbursement U. S. F. & G. - health insurance premium refund pennsy Supply, Inc. Bender property royalty 5/14/86 - March royalty ~(., Value at Date of Death $ 4,400.00 $339,054.00 135,963.00 241,820.00 62,900.00 855.800.00 1,635,537.00 135,475.20 -0-* 791. 50 67.674.62 68,466.12 5,000.00 7,500.00 20,250.00 51.62 159.40 3,550.74 " Item No. 18. 19. 20. 21. 22. 23. Descriotion Floridian Stable - reimbursement of expenses Speedy Somolli - first quarterly distribution 1986 Commercial Travelers Insurance Co. - premium refund Southern Bell - disconnection refund Lago Mar membership certificate Barbara McK. Mumma, the surviving spouse of Robert M. Mumma, is receiving payments from an unfunded plan providing for benefits for her as a widow only and these are not included for pennsylvania Inheritance Tax purposes Total cash, bank deposits and miscellaneous property *Bonuses totalling $135,475.20 were granted after death and are not includible for Pennsylvania Inheritance Tax purposes. } I' ',:) Value at Date of Death $ 9,550.00 1,451.00 29.59 3.79 2,500.00 -0- Sl. 871. 251.19 RfV~ 1511"EX +' (5.~5J .. SCHEDULE "H" FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Please Print or Type COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN ReSIDENT DECEDENT ESTATE OF ROBERT M. MUMMA FILE NUMBER 21-86-398 ITEM DESCRIPTION AMOUNT NUMBER A. Funeral Expenses: 1. See Schedule H Attached 34,765.13 B. Admirtistrative Costs: 1. Personal Representative Commissions Lisa r1.. Mumma ..... e..stiIllll..ted 225,000.00 Social Security Number of Personal Representative: Vear Commissions paid undetermined 2. Attorney Fees Morgan, Lewis & Bockius - estimated 185,000.00 3. Family Exemption Claimant N/A Relationship Address of Claimant at decedent's death Street Address City State Zip Code - 4. Probate Fees C. Miscellaneous Expen..s: 1. See Schedule H Attached 115,275.00 . ~'l TOTAL (Also enter on line 9, Recapitulation) $ 560,040.13 (If mCH'e space I. nMClec:l, In.ert adclltlonal.h..t. of same size) . ' ." ~ Item No. ESTATE OF ROBERT M. MUMMA FUNERAL EXPENSES. ADMINISTRATIVE COSTS and MISCELLANEOUS EXPENSES SCHEDULE H Descriotion A. Funeral Expenses: 1. Myers Funeral Home 2. Stephenson Green House 3. Penn Harris Motor Lodge 4. Ben Whitten - Music 5. Friends of Jazz - Music 6. Market Square Concerts - Music 7. Matthew winter - Minister 8. Estimated expense in connection with mausoleum C. Miscellaneous Expenses: 1. 2. 3. Estimated additional administration expenses: Int. on Federal & State Death Taxes Misc. other administration costs Helsel, Inc. Realtors - Appraisal fees Lucker, Kennedy & Felmeden - Accountant fees - estimated Total miscellaneous administration expenses i 'I v:J $ 5,545.00 2,544.00 226.13 250.00 100.00 100.00 1,000.00 25.000.00 $11,000.00 14.000.00 Value at Date of Death $ 34.765.13 25,000.00 30,275.00 60.000.00 $115.275.00 oPtEV.o<l512: E~J\- '(1:83;' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE "I" DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS ROBERT M. MUMMA FILE NUMBER 21-B6-39B ITEM NUMBER DESCRIPTION AMOUNT 1. See Schedule I Attached 4,614,191.00 -k:c, . " TOTAL (Also enter an tine 10, Recapitulation) $ 4,614,191.00 (If mOt. 'loac.. it needed in58r11u1rl,,.lonl'll ,I-I_,.""f '11'1"''' 'Ii,.,,) ~" ,< Item No. 3. 4. 5. 6. 7. 8. 9. ESTATE OF ROBERT M. MUMMA DEBTS. MORTGAGE LIABILITIES. LIENS SCHEDULE I Descriotion 1. Pennsboro Manor: Pennsylvania Power & Light Riverton Consolidated Water 2. Pennsboro Center: Pennsylvania Power & Light L & L Janitorial Services Kerry's Lawn & Garden - Mower Repairs united Power and Apparatus - repairs Riverton Consolidated Water Truman E. Horner - refuse removal American Express - bill Beachley Hardy Seed Co. - bill Catalano's - restaurant bill CoreStates Bank - Visa card bill Dauphin Deposit Bank and Trust Co. - Visa card bill Country Club of Harrisburg Quality Cleaners - bill 7/ $ 230.90 146.79 $2,256.35 1,049.60 411. 30 42.09 43.35 63.93 Value at Date of Death $ 377.69 3,866.62 1,023.75 148.00 126.00 1,081.58 3,125.50 43.03 21. 00 ~ . Item No. Descriotion 10. Horses: Lana Lobell Farms - stud fee for -My Media- S.E.Q.S. - training expenses Amity Farms - training & boarding expenses Hanover Shoe Farms - training expenses Van Gundy Agency - insurance 3/6/86-4/12/86 Beissinger Racing Stable - training & boarding expenses Fox Den Farm - horse maintenance 11. Pennsy supply, Inc. - Reimbursement for expenses paid on behalf of Robert M. Mumma: Personal Pennsboro Center 1505 S. 19th st. Pennsboro Manor Pennsylvania Supply Company 12. Sailfish Point: Florida Power & Light Southern Bell 13. Internal Revenue Service - 12/31/81 assessment 14. Lucker, Kennedy & Felmeden - services through 12/31/85 15. Morgan, Lewis & Beckius - pre-death legal fees and expenses 16. Bruce Rohrbach Productions - piano player 17. Sailfish Point Golf Club 18. Sailfish Point Country Club 19. PMA Building: Patriot News - advertising 7::( $10,000.00 1,697.44 40,623.44 35.00 414.20 4,653.09 61. 00 $10,832.55 26,913.60 5,739.20 425.20 3.517.00 $ 33.45 278.76 Value at Date of Death $57,484.17 47,427.55 312.21 274.82 2,435.00 4,217.00 120.00 168.89 2,935.38 2,163.00 .<, Item ..J!Q..,.. Description Value at Date of Death 20. Social Security Administration - return of payments Asprey's - purchase of silver $10,473.00 21. 12,530.00 22. Robert M. Mumma - reimbursement to other co-tenants of bank accounts 358.00 23. Barbara McK. Mumma - reimbursement for loan 38,691. 00 24. Internal Revenue service, Pennsylvania Department of Revenue and city - net balance due on 1985 individual income tax returns 43,367.80 25. Ann Beissinger & crownstable, loan 8.9% secured by 1 sh of wDefiant Yankee,w paid-off 9/22/86 accrued interest to 4/12/86 5,000.00 272.00 26. Ann Beissinger, 6% loan secured by 10 shs WSpeedy Somolli,w paid-off 12/86 accrued interest to 4/12/86 27. Baltic Farm, Inc., 10% loan secured by 1 sh wBaltic speedw paid-off 1/87 accrued interest to 4/12/86 28. pine Hollow stud Farm, Inc., 11 1/2% loan paid $15,000 annually, secured by 1 sh wSeahawk Hanoverw accrued interest to 4/12/86 29. pointsetta stable, Inc., 10% loan secured by 1 sh wRalph HanoverW payable 32,975/yr. including interest accrued interest to 4/12/86 20,000.00 434.00 30,000.00 715.00 30,000.00 2,684.00 82,003.00 3,640.00 30. wColt 83w, 10% loan secured by 1 sh in Stallion wPrakasw payable 31,250/yr. paid off 10/10/86 93,750.00 31. Lisa M. Morgan, 18% demand loan interest paid monthly accrued interest to 4/12/86 50,000.00 300.00 ./.3 ...... . '......' . Item ~ DescriDtion 32. Kim company, demand loan accrued interest to 4/12/86 33. Middle Park, Inc., demand loan paid-off 8/27/86 accrued interest to 4/12/86 34. pennsy Supply, Inc., demand loan accrued interest to 4/12/86 35. Pennsylvania supply Company, demand loan accrued interest to 4/12/86 36. Harris savings & Loan Association Mortgage on personal residence 6% payable $700 month, balance due at 4/12/86 See Exhibit Binder 37. York Federal savings & Loan Assn. 9% Mortgage on pennsboro Center payable $9,231 month no interest accrued as payments are made 12th of each month See Exhibit Binder 38. Fulton Bank prime rate mortgage on Fulton Bank Bulding, paid-off 9/25/86 accrued interest to 4/12/86 39. Pennsylvania Manufacturers Association 10.67% short-term loan on purchase of PMA Building. Refinanced through Fulton Bank after 4/12/86 40. Barbara HeX. Mumma, 14.6% loan interest paid monthly aocrued interest to 4/12/86 41. Dauphin Deposit Company demand loans at Prime (9% at 4/12/86) See Exhibit Binder accrued interest to 4/12/86 ') I ..1" $200,000.00 231,000.00 237,500.00 169,000.00 19.938.00 Value at Date of Death $476,700.00 29,680.00 33,155.00 3,148.00 199,374.00 2,863.00 15,750.00 1,480.00 5,348.00 402,434.00 140,000.00 420.00 900,000.00 405,000.00 1,971.00 857,438.00 3,153.80 1 .......,,'.. ~ . ' Item No. Descriotion 42. Hamilton Bank, various demand loans: a. 10% secured by Derry Aire aircraft b. Racehorse loan paid-off 8/27/86 c. Racehorse loan paid-off 8/27/86 d. Racehorse loan paid-off 8/27/86 e. Racehorse loan paid-off 8/27/86 f. Racehorse loan paid-off 12/18/86 g. unsecured, paid 12/31/86 h. Racehorses paid 9/25/86 i. Racehorses paid 9/25/86 j. Borrowed to pay for Bender & Grove properties. Originated 1/15/86 $3,551 paid monthly including interest accrued interest on items a-j to 4/12/86 See Exhibit Binder 43. Hamilton Bank on behalf of Dauphin Co. Industrial Development Authority Lease purchase agreement on property known as 1505 South Nineteenth Street Balance outstanding as of 4/12/86 See Exhibit Binder Total debts, and mortgages and liens 'Ie , ... $ 95,150.00 8,533.00 10,400.00 11,200.00 8,533.00 40,000.00 50,000.00 22,400.00 18,667.00 246.576.00 Value at Date of Death $ 511,459.00 1,436.00 71.811.79 S4.614.190.58 '-Ev.:a.n3 EX'" ('43) I ~_. _.'..... . ... CofIWOHWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE "J" BENEFICIARIES ROBERT M. MUMMA FILE NUMBER 21-86-398 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE ,. A. Taxable Bequast.: Barbara McK. Mumma 49 Hillcrest Road Wormleysburg, PA 17043 wife $ 45,800. 2. Lisa M. Morgan 1065 Tilghman Court Wayne, PA 19087 Daughter $ 19,000. 3. Robert M. Mumma, II R.D. #1 Box 58 Bowmansda1e, PA 17008 Son $ 1,200. 4. Trusts under Articles VII and VIII of Will for benefit of spouse and issue with very remote contingent remainder to charity in default of issue (see Will). c/o Estate of Robert M. Mumma Box 3331 Harrisburg, PA 17105 $9,585,856. ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Charitable end Govemm...,.1 BequestS ,. None 7b TOTAL CHARITABLE AND GOVERNMENTAL BEaUESTS (Also enlBr on line 13, Recapitulationl $ - 0 - (If mor. tpae. i. neMied IMen .ddltlon.lthMt. of Mmt .Ize' WASHINGTON NE.W YORK Los ANGELES MORGAN, LEWIS & BOCKIUS COUNSELORS AT LAW 2000 ONE LOGAN SQUARE PHI LADELPHtA, PENNSYLVANIA t9103 MIAMI HARRISBURG LONDON TELEPHONE:(2IS) 963-5000 CAaLE ADDRE.SS: M ORLEBOCK TELE;<;:83-1315 July 17, 1987 HAND DELIVERY Ms. Mary C. Lewis Register of wills Cumberland County Courthouse Carlisle, Pennsylvania 17013 ':""} n~ S:;n ...:,.-;- l,~ ~ -j , :;-, ~;- o:l --..J ;ry~ C'}O i.,.'C') ,',7;:'." . ,':) r~ ;-;:::) Re: Estate of Robert M. Mumma Date of Death: April 12, 1986 will No. 21-86-398 Dear Sir or Madam: On behalf of the Executors of the Estate of Robert M. Mumma, please find enclosed for filing duplicate copies of the Pennsylvania Inheritance Tax Return together with a check in the amount of $205,257 representing the tax due as shown on the return including $8,830 of interest. Also enclosed are Exhibit Binders A and B, which contain supplemental documents relating to the return. Please note that an approved Extension of Time to File and to Pay to July 12, 1987 (see copy attached) was granted the Estate. The Pennsylvania Inheritance Tax Return is being filed after the last day for filing under the extension (JUly 13, 1987, as July 12 was a Sunday) due to a mixup in the mailing of the Federal Estate and Pennsylvania Inheritance Tax Returns on July 10, 1987. The late filing and payment was due to reasonable cause and not willful neglect. Attached are the following in support thereof: 1. A copy of the original cover letter with the Federal Estate Tax Return sent by mistake to the Register of Wills, Cumberland County, PA which was date-stamped by the Register'S office and returned to the undersigned. (The date-stamped letter, along with the check made out to the Internal Revenue Service, was received in the mail by the undersigned on Thursday, July 16, and was the first indication that there had been a mixup in the mailings. ) 1/0_3 MORGAN. LEWIS & BOCKIUS Ms. Mary C. Lewis Register of wills July 17, 1987 Page 2 2. Copies of certified receipts for the certified mailing on July 10 showing that both mailings took place on that date. 3. written statement pursuant to Reg. 9301.6651- l(c) showing reasonable cause for late filing and late payment. Please acknowledge receipt of this letter and the attachments and the enclosures by stamping the enclosed copy of this letter and returning it to me in the envelope provided. Thank you very much for your cooperation. Very truly yours, -PJJ/-h 6. ?)UY)jUV[' Ruth S. Nonack Estate Administratorj Legal Assistant jrkb Enclosures cc: Mrs. Barbara McK. Mumma Lisa M. Morgan, Esq. George W. Hadley, Jr., CPA Arthur L. Klein, Esq. Rosalynn Vine, CPA L/ 0 '-I --- M~.' ..'~-"V .' .~ ~vMMONWEALTH OF PENNSYlVA"',A DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES POST OfFICE B0X 8327 HARRISBURG, PA 17105-8327 February 6, 1987 IN YOuR RfPLY PltASf RUER1(j Ms. Ruth S. Nonack Morgan, Lewis & 80ckius 2000 One Logan Square Philadelphia, PA 19103 Dear Ms. Nonack: Re: Estate of: Robert M. Mumma File No.: 21-86-390 This is in response to yuur request for an extension of time to file the Inheritance Tax Return and request for extension of time for payment of tax for the abov8 estate. In accordance with Section 1736(d) of the Inheritance and Estate Tax Act 255 of 1982, the time for filing the return is extended for an additional period of six (6) months. This extension will avoid the imposition of a penalty for failure to make a timely return. However, it does not prevent interest from accruing on any tax remaining unpaid after delinquent date. The return must be fi 1 ed wi th the Regi ster of Wi 11 s on or before JUly 12, 1987. Because Section 1736(d) of the 1982 Act allows for only one (1) extra period of six (6) months, no additional extensions(s) will be granted that would exceed tile maximum time per- mi tted. In accordance with Section 175u of the Inheritance Estate Tax Act of 1982, we acknowledye receipt of your request for an extension to pay any liability which may be due on this estate. However, the Department cannot make a determination on granting such an extension to pay until the Inheritance Tax Return is filed with the Department and the assessment of tax has been issued. At that point the Department will review the estate record to determine if the request has been made for reasonable cause, and if approved whether or not a bond will be required to protect the interest of the Commonwealth. Should you have further questions, please feel free to con- tact me. Sincerely, a. ~ John C. Murphy, Chief Inheritance Tax Division S-IT: INH93 L3:304 t../(~~" c:" ,; ,',,) "- Department of the Treasury Internal Revenue Service Philadelphia, PA 19255 ( ,,, ~ Date of this Notice: ..2-' -ll ') Taxpayer Identifying Number: / OJ <;'-0 ? -I g" g "J Form: '/'71. '1 Tax Period: bb ,-!--/:2-E ~ {Jvct~ X. ,:u~~/ ~, /11 (j.{..r-;r--/ ~ _L~t:-t..~ 'i- 'i3 (~I.A-' ~ 00 0 (Jvn..L-- ~ ~ ..1-r"'\JU-' -P.t.;.1~;J-~ / Pfl J / f / () 3 -I~ ~~'t /7/. In /v~ r!!d.t..h./ Dear Sir, Enclosed are the approved applications for Extensions of Time to File and to Pay. If additional time is needed to pay, Forms 4768's must be submitted prior to the date fixed for payment on the previous request. Sincerely, 16 I ;!.i./f'Y1A/,,J.o- Tax Examiner . </ {) (~ 10. " '. ,-. 4768 :: .ppllcatlon for Extension of Tint (0 File U.S. Estate Tax Return and/or Pay Estate Tax (Section. 6081 and/<< 6161 of tM lntarnal Ravanua Coda) OM8 No. 1S4~181 U:N.... 7-31-87 !t, (Ilow._l985) ~ottM TfUIUIY IrrterNI R.....1'\Ult SINd Identification ~I'& 'lnt nltne _net mlddllllNtilI Robert M. ,.". of aP91iatiClr'l 'i.., Arthur Oeetdtf'lt's Last nllne Mumma o~. at de.lh April 12, 1986 Decedent's social secunty numbel L. Klein. Esq~ire Add,.. 01 applieatlOn Iii., (Humbef and me.t) 2000 One Logan Square Clty.S_....ZlP~ Philadelphia, PA 19103 Extension of Time to File Sec. 6081 You must attach your written statement to explain in detail why it is impossible or impractical to file, reasonably complete return within nine months after the date of the decedent's deeth. Extension of Time to Pa See. 6161 .,. .. You must attach your written statement to explain in detail why it is im~j~ o~~p~" to pay the full amount of tne estate lax by the estate tax return due date~'l ~ ;., ~ i ., e;;.' January 12 f 1987 ExttnSlOft date requested July 12, 1987 ExtenSIOn date requested July 12, 1967 1 Amount of estate tax estimated to be due . . . . . . . . . O.} {\ -7.iQJj -0- 2 Amount of cash shortage claimed . . . . . . . . . . . . . . . . . ; . 3 hlancadue (subtroc:t line 2 from IIna I)(Paywlththl.appllc.atlon.) . . S -0- Signature and Verlllsetl'1l1lA ". ~O J ;>.0 Ifflled by executor-Under penalties 01 pe~ury.1 declare that to the best of my knowledge and....lief. the statements made herein and attached are true and correct. --..---------~Ui;~.~~~-------_._._--_._-_..._._--.------..-.- .-.---------.r~.----.__._--.- ---.----..-~----_..---- If flied by someone other than the ..ecutor-Under penalties 01 perjury. I declare that to the best 01 my knowledge and beliel. the statements made herein and attached are true and correct, that I am authorized by the executor to lile this application, and that I am (cheek box(es) thaI applies): E9 A member in good standing olthe bar olthe highest court of (specily jurisdiction) ~ . Penns'! Ivania ...................... o A cert~ied public accountant duly qualified to practice in (specify jurisdiction) ~ ......................................... o A person enrolled to p 'ce belore the Internal Revenue SeN;ce. D A duly authorized ent olding a power of attorney. (The power ofattorney need not be submitted unless requested.) .....~.~..l.(ff.2................ Oate ---.......---........... i1......s~(.~..U;;~)..__.._........_.._..........._...-_...._- ~J Notice to Applicant-To be completed by Internal Revenue Service 1 The application lor extension of time to lile (Part II) is: iJ""'Approved ? -I <:. - S' '7 ,!INAL EXmNSXOli D Not approved because ................................... 2 The application for extension of time to pay (Part III) is: GYApproved ? -I:z. - go ? o Not approved because -........-....--.............----.... ........-.....................-................................-.......... .....-.-.-..........-.......................................--....-..... D ~h.;;............................................... ._..._.....__.._._._.__.._..a._____.____.______.. [J ~er .._............................................... .___.......___..___a___._____...___...._.__..__._...~_. --.....--..--.--.--------....----.---.--.-----.---.---- .---.-----.--..-----------.---..-.--.-------.-.-------- .__...__..___..__.________...__.__._a_____._.__...___._ 1.1 ()? ~ (/ .,2-1') ? 0... ~ J (, r 7 Int~SeMeaofficill ,,------.:.(-"-;'--/~'./ /~ ,. /, .' /" l _ _~'. o. Form - ., ~ r ( , ESTATE OF ROBERT M. MUMMA SOCIAL SECURITY NUMBER 195-07-1889 Part II Extension of Time to File (Sec. 6081) The Estate of Robert M. Mumma is comprised mainly of closely held business interests. Because of the many properties involved and because of the death of the public accountant for the companies. it is not possible to file a reasonably complete return by the due date of the federal estate tax return. Accordingly. an extension of time to July 12. 1987 within which to file Form 706 is herewith respectfully requested. ~f .. . ,- ( , ESTATE OF ROBERT M. MUMMA SOCIAL SECURITY NUMBER 195-07-1889 Part III Extension of Time to Pay (Sec. 6161) Although it appears that there will be no federal estate tax due with the federal estate tax return, because of the marital deduction, the Executors do request an extension of time to pay federal estate tax, which would be due if the state inheritance and estate taxes were to exceed the amount of taxable estate covered by the unified credit and state death tax credit. Accordingly, an extension of time to July 12, 1987 within which to pay federal estate tax is herewith respectfully requested. 409 . MORGAN. LEWIS & BOCKIUS WASHINGTON NEW YORK Los ANGELE.S COUNSE.LORS AT LAW ONE LOGAN SQUARE PHILADELF'HIA, PENN$Yl-VANIA 19103 MIAMI HARRISBURG LONOON TE:I.CPfol 0... E., (2.IS) 963-S000 CA&LE AOCRESS' MORLE80CK TELEX: 63-1;315 July 10, 1987 CERTIFIED MAIL RETURN RECEIPT REQUESTED Re: Estate of Robert M. Mumma S.S.N.: 195-07-1889 Date of Death: April 12. 1986 n cd nr- ",::0 c,." --J ,.,,"" :"!:~ ~g '-" , c..:: (n~ r"~ .~ ','.:J i;;=:'~l , -., -,' q;::-l - W d_ " '-' . . . ~ Internal Revenue Service 11601 Roosevelt Boulevard Philadelphia, Pennsylvania 19255 Dear Sir or Madam: On behalf of the Executors of the Estate of Robert M. Mumma, I enclose for filing the Federal Estate Tax Return (Form 706) together with a check in the amount of $44,654 representing the tax due as shown on the return including $1,959 of interest. I also enclose Exhibit Binders A and B which contain supplemental documents relating to the return. Please note that the return and payment is being filed under an approved Extension of Time to File and to Pay to July 12, 1987, a copy of which is in Exhibit Binder A. Please acknowledge receipt of the enclosures by stamping the enclosed copy of this letter and returning it to me in the envelope provided. Very truly yours, ~'\--\'\~ . IYJYYl0.~ Ruth S. Nonack Estate Administrator jrkb Enclosures cc: Mrs. Barbara McK. Mumma Lisa M. Morgan, Esq. George W. Hadley, Jr., CPA Arthur L. Klein, Esq. Rosalynn Vine, CPA '!I I', f /) ,,0.,-' f8.tgtsttr of BtUs null (!Ilerk of tlte Ql)rp4nus' (!Iourt (!!lIunty IIf (!!umberlanll COURTHOUSE. CARLISLE. PA 17013 MARY C. LEWIS Register of Wills & Clerk of the Orphans' Court JERRY R. DUFFIE, ESQ. Solicitor TO: Morgan, Lewis & Bockius, Attys. One Logan Square Philadelphia, PA 19103 Attn: Ms. Nonack Date: July 14 1'lR7 Dear Ms. Nonack, As our office is not an agent for the Internal Revenue Service, we are returning the enclosed check in the amount of $44,654.00. Encl: Check Yours truly, il~ . ~(!.~ Mary . Lewis Regi ter of wills l' 'II,' .. 1,1 "-----"-,;-'- P 282 552 491 :~f"'E~f" ; \'_:~t " i:~ I \' .', " .. '. "",- l .":? fHr ~.; H -, ';; ~ :#.(1 tl.l -.:>"-- Mary C. Lewis Register of Wills Currberland County Courthouse Carlisle, PA 17013 ., . . ... .... ,,~ '.: 7.5'5 .7{; /illfi _ .70 ,.5,Jr:L ". .'-_..__,_ .:..'"'..Lt.~~~.~'~ ~ . ' -- P 282 552 490 " ~ f: " . ..'- ~ l..O -,"'0. .:~.. .... .".' - .~ ~ .'; ~\1 1'1;1:; :t' 6' .~--AA EiU "1 ;:l: ("] ~::~ .,,~ '-~ ,tJ~ ~:: :,(' u~ 1- ro x t: (;. 0 ~~ Z "1 11601 Roosevelt Blvd. Philadelphia, PA 19255 ,__._.~_.~_+2.~ .,.. i r f.- . t--'-.~ ['C' . "e.... .' .'.' ! -""""'--- -+----- ........, ". N. C.' .._ __. '-'C.-" <<<,.~ ~ " - ,e.,:''',' ~ ,\':i'.-' '!'.;;\ ;b -.' ., ..:--....:-7):1:..;.\ .d. _ '.. \\",...;""'l '~1: ..-:t: ~""...'::';:I.'S::> '\-'i. ,~:. -7 . '-..,:b'lll,{.'.\"-V ~ "'_ - .--' Internal Revenue Bve. ., ~ ro '" 5 , '" c ~ . . ESTATE OF ROBERT M. MUMMA. DECEASED (Social Security No. 195-07-1889\ Written Statement Pursuant to Req. ~301.6651-1(c\ Showinq Reasonable Cause for Late Filinq of Federal Estate Tax Return (Form 706\ and Payment of Federal Estate Tax Robert M. Mumma died on April 12, 1986. Extensions to July 12, 1987 to file the Federal Estate Tax Return and pay the federal estate tax were granted. See copy of approved extension attached. The Federal Estate Tax Return was completed and signed by both Executors by July 10, 1987 and returned to the Philadelphia office of Morgan, Lewis & Bockius for mailing to the Internal Revenue Service Center in Philadelphia. The Pennsylvania Inheritance Tax Return was also completed and signed and returned to the Philadelphia office of Morgan, Lewis & Bockius for mailing. Because the returns with all attachments and associated indices were so voluminous, there were no envelopes large enough to accommodate them at secretarial work stations and each return with attachments and associated indices and the appropriate address label was taken to the mailroom at Morgan, Lewis & Bockius by the undersigned who prepared the cover letters to the respective taxing authority. After envelopes in which to send the returns were constructed and the returns with attachments and indices were inserted therein, a mailroom employee inadvertently switched the labels - putting the address label for the Internal 1/3 Revenue Service on the envelope containing the Pennsylvania Inheritance Tax Return and the one for the Pennsylvania Inheritance Tax Return on the envelope containing the Federal Estate Tax Return. Both envelopes were mailed, by certified mail, on Friday, July 10, 1987. It was not until Thursday, July 16, 1987 that the error was discovered. On that day the undersigned received back from the Register of Wills of Cumberland County, who had received the Federal Estate Tax Return, the Estate's check for $44,654 (the amount shown due on the Federal Estate Tax Return) made out to the Internal Revenue Service. See copy of the letter dated July 14, 1987 from the Register of wills attached. The returns were retrieved from the wrong addressees as promptly as possible. In light of the foregoing, it is respectfully requested that no addition to the tax be imposed for the failure to file the Federal Estate Tax Return on time or for the failure to pay the Federal Estate Tax on time. This statement is made under penalties of periurv. -RDWI h. lJ{JYY~V1 Ruth S. Nonack Estate Administrator/ Legal Assistant '111'--1101 ~ -2- i)! i.) MORGAN, LE.WIS & BOCKIUS COUNSELORS AT LAW ONE LOGAN SQUARE PHILADELPHIA, PENNSYLVANIA 19103 T~LE:PHONE: (215) 963-5000 WASHINGTON NEW YORK Los ANGELES J MIAMI HARRISBURG LONDON CABLE ADDRESS: MORLEBOCK TELEX: 83-1315 July 10, 1987 CERTIFIED MAIL RETURN RECEIPT REOUESTED Ms. Mary C. Lewis Register of wills Cumberland County Courthouse carlisle, Pennsylvania 17013 Re: Estate of Robert M. Mumma Date of Death: April 12, 1986 will No. 21-86-398 Dear Sir or Madam: On behalf of the Executors of the Estate of Robert M. Mumma, I enclose for filing duplicate copies of the Pennsylvania Inheritance Tax Return together with a check in the amount of $205,257 representing the tax due as shown on the return including $8,830 of interest. I also enclose Exhibit Binders A and B which contain supplemental documents relating to the return. Please note that the return and payment is being filed under an approved Extension of Time to File and to Pay to July 12, 1987, a copy of which is in Exhibit Binder A. Please acknowledge receipt of the enclosures by stamping the enclosed copy at -chis let"ter and returning it: to me in the envelope provided. Very truly yours, ~ 6 "'l)cl\<1d~ Ruth S. Nonack Estate Administrator jrkb Enclosures cc: Mrs. Barbara r1cK. Uumma Lisa M. Morgan, Esq. George W. Hadley, Jr., CPA Arthur L. Klein, Esq. Rosalynn Vine, CPA I.//s~ 'p'.. .-' '-'--'"'' i3'<~::, ~0 (.,)\..1.; \..l.J(~. '" . ~, N . . -; ." ~_l ~cc_ ..::r....J I g:. :<..~.- (L.? L-'U -' U r- ~ -