HomeMy WebLinkAbout05-27-05
llE\<.\OO)EX\'U.KI}
'* COMMONWEAl OF
PENNSYl'l IA
DEPARTMENT OF NUE
DEPT.
HARRISBURG. PA 1 2p,.(J601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
~
:.:I~
".."
"00
"'.....
"....
::
.ALLCORRWOMDENCE AND CONFIDENTlI\I.. TAX INFDRMATJOH SHOULD liE DIRECTED TO:
~/L":. COMPlillMAILlNGAOORESS . D.
7 ?3S' 6c.;J.A!:.Kt?;;r- /'-.D,
~/~,A.2S0G->,ec; /X; /725'7
I-
Z
W
o
W
o
W
o
7I.~
DATE OF DEATH (MM-IlD-YEAR)
2-'27 _0
(IF APPliCABLE) SURVIVING SPOUS
MIDDLE INITIAL)
crT# ~
DATE OF B1R1\\ {MM-DD-YEAR)
"3 - 9 -/J
~
~
..
III
IX
~
~ 1. Original Return
o 4. Umited Estate
Ii(! 6. Decedent Died Testate (Altactl co
o 9. Utigation Prooeed. Received
THIS SECTJOH MUST BE C
NAME 1_ :2X-<...> .lAJ
RRM NAME (1IApplicabls)
o 2. Supplemental Return
o 4a. Future Interest Compromise (date of death alter 12-12-82)
o 7.DecedentMainlainedaLMngT\1.lst(~CO]1fo1Trust)
o 10. Spousal Poverty Credit {datil afd8altl tl8tween 12-31-91 artd 1-1-95)
z
o
~
~
I-
a:
<
o
W
IX
1. Real Estate (Schedule A)
2. Stoct<s and 80nds ISchedule B)
3. Closely Held Corporation. Partnershi or Sole-Proprietorship
4. Mortgages & Notes ReceiVable (5 ule 0)
5. Cash, Bonk Deposits & Mi.cellaneou Pe""",,1 Property
(Schedule E)
6, Joi!)tly Owned Property (Schedule F)
o Separ>Ie Bi"ng Requested
(1)
(2)
(3)
(4)
(5)
/~/.::>/
(6)
Ij/Z/~. <9~
(7)
7. Int8f-VIYOS Transfers & Miscellaneous Non.Probate Property
(Schedu~ G Of L)
a. Total G_ Assets (\olaI Lines 1-7)
(8)
(9) /<?/I.ZS"
(10) ;:?~ /0. I ~
9. Funeral Expenses & AdministratiVe
(Schedule H)
10. Debls of Deceden1, Mortgage LiabiUfie . & Uen. (Schedule I)
11. Total Deductions (Iolal Lines 9 & 1O)
12. Net Value of Estate {Une8 minus Lin 11)
13. Charitable and Governmental Beques See 9113 TN5\s for which an election to lax has not been
made (Schedule J)
z
o
!cc
I-"
~
a.
:e
o
o
~
14. MelValue Subject to Tax (Une 12 m' us Une 13)
SEE INSTRUCTIONS REVERSE SIDE FOR APPLICABLE RATES
15, Amount of Une 14 taxab~ .Ilhe spou tax
rate, or transfers under Sec. 9116 (.)(1 )
'.0_ (15)
,.0~(16)
16. Amount of Line 14 taxable at lineal rate
lo8-2~c;, . ~ Z
17. Amount of Line 14 laxabie et .~ijng rat
x .12
18. Amount of line 14 taxable at collateral te
x .15
19. Tax Due
20.0
AlISWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
FILE NUMIIER
]"L-~S
COUNTY CODE YEAR
\.\ ~3
-NUiiBER---
SOCIAL SECURITY NUMBER
177 32.
::5 c;..~S-
1\\IS RETURN MUST BE FILED IN OUPUCATE WITH THE
REGISTER OF WILLS
SOCIAL SECURllY NUMBER
03. Remainder Retum/dallt afdealh prior 10 12-13-821
o 5. Federal Eslate Tax Return Required
8. Total Number of Safe Deposit Boxes
o 11. E~cfion 10 tax under Sec. 9113(A} ''''''''''''0'
f',)
-J
-,
N
j")
f"'.)
t.n
/1"zGS:? Z5'
(11)
(12)
(13)
WZI.~3
/ot?z3~. .??
(14) JOY' 2..3<::::' .9;Z-
44?70.
0b
(17)
118)
(19) 44?.70, G~
Decedent's. Complete Addre s:
ADDRESS
CI1Y
r:' "PB/lL>
I
oe ..-s
ZIP /72:5
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. CreditS/Payments
A. Spousal Poverty Credo
B. Pnor Payments
C. Discount 5
3. InteresUPenalty if applicable
D.lnterest
E. Penalty
(1)
4270. t;;<::::
Total Credits(A+ B + C) (2)
~s,S-s
TotallnleresUPenalty ( D + E ) (3)
4. If Line 2 is 9reater than Line 1 + Line 3, enl r the difference. This is Ihe OVERPAYMENT,
Check box on Page 1 Line 20 to request a refund (4)
A. Enter the interest on the tax due.
(5)
(SA)
q:: c. ?-, 7. /.?
5. If Line 1 + Line 3 is grealer than Line 2, en r the difference. This Is the TAX DUE,
B. Enter the lotal of Line 5 + SA. This is the ALANCE DUE, (5B)
Ma e Check Payable to: REGISTER OF WILLS, AGENT
~27:/.?
-
PLEASE ANSWER THE F LLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a tran r and: Yes No
a. retain the use or incom of the property transferred;.......................................................................................... D IZt
b. retain the righf 10 deslg ate who shall use the property transferred or its income; ............................................ D 13
c, retain a reversionary int rest; or.,.,..,....,.".,....,,,...,.,.,....,..,.,.,,.,..,,,.,,,,,.,,,.......,..,.,.".,..,.",..............,..,...,..,..,,'..... D IB"
d. receive the promise for ife of either payments, benefils or care? ...................................................................... 0 ~
2. If death occurred after D mber 12, 1982, did decedent transfer property within one year of death
without recei~ng adequate consideration? .............................................................................................................. 0 H
3. Oid decedenl own an 'in t st fo( or payable upon death bank account or secunty at his or her death? .............. 0 I2S
4. Did decedenlown an Indiv dual Retirement Account, annUity, or other non-probate property which
contains a beneficiary desi nation? ........................................................... . ......... ......... ....,.. ........ ........ ...... 0 l.B
IF THE ANSWER TO ANY OF THE ABO E QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
07-
SiGNATURE OF PREPARER OTHER THAN REPR SENTATIVE
OATE
~
bc:S:0 r"r6""v5.{3U..e(f
,
1% /7257
A~ ~~bGe?-
For dates of death on or after July 1, 1994 and be~ re 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 a!ler January 1, 1995, e tax rate imposed on the net value of transfers to or for the use of the survi~ng spouse is 0% [72 P.S. ~9116 (al (1.1) (ii)].
The statute does not exenmt a transfer to a survi 'ng spouse from tax, and the statutory requirements for disdosure of assets and filing a tax return are still applicable even if
the surviving spouse is the only beneficiary,
For dates of death on or after July 1, 2000:
The tax rafe imposed on the net value of transfe from a deceased ch~d twenty-one years of age or younger at dealh to or for the use of a natural parent, an adoptive parent,
Of a stepparent of the child is 0% [72 P.S. ~116(a) 1.2)].
The tax rate imposed on the net value of fransfers or for the use of the decedent's lineal benefi~anes is 4.5%, except as noted in 72 P.S. ~9116(1 ,2) [72 P.S. ~9116(a)(1)1.
The tax rate Imposed on the net value of transfe to or for the use of the decedent's siblings is 12% [72 P.S. ~9116(a)(1.3)]. A sibling Is defined, under Section 9102, as an
individual who has at least one parenf in common ith the decedent, whether by blood or adoption.
REV-'..3 EX+'(6-98* SCHEDULE B
COMMOtMlEALTH OF PENNSYLVANI STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE Of EL/ .z;46:~ ....., -' ~/O-rg- FILE NUMBER
I" <:!....
AN ~ joIntly_ with r1gM of ....Ivonhlp must be _ on Schodulo F,
ITEM VALUE AT DATE
NlHBER DESCRIPTION OF DEATH
,. f\I ~ (!PI< r? es dJ5/P Q~&:.c::./b 3: 71:S#;f. /~/'3
TOTAl (Also enter on Nne 2, Recapitulation) $ /~<7L/. 3/
(If more space is needed, insert additional sheets of the same size)
/
R",,-1509 EX" (6-98*
COMMONVJEALTH OF PENNSYL: J\NIA
INHERITANCE TAX RETUR
~eslOENT DECEDENT
ESTATEOF~ ,
~ 2';.7.6(
SCHEDULE F
JOINTlY-OWNED PROPERlY
If In unt made joint within one y,ar of the decedent'l date of death. It must be reported on Schedule G.
SURVIVING JOINT TENANT(S) ADDRESS RELATIONSHIP TO DECEDENT
~ #////r-cr
FILE NUMBER
A. ~.J/V r/.
<3S- 8UAVc-G':r- "eo ~ /l./
~;P/dTA/.5C<>>=?<1-- ~A7 ~-S7
B. ~~,;tfVI 5
'7// G ~/.v'5 s~
~fiP~u,erf F~/.
5t::P,.,J
C.
J01NTlY-OWNED PROPERTY:
LET1fR DAn; DESCRIPTION OF PROPERTY %Of DATE Of' OEATH
ITEM .FORJOINT MADE Of FINANCIAL INSTITU110tI AND BlINK ACCOUNT NUMBER OR SiMIlAR DATE OF DEATH DECD'S ....UE'"
....... """"" I FYING NUMSER. mAtH DEED FOR JCNNTl.Y~ REN..ESTATE. VALUE OF ASSET I OECEDENT'S INTEREST
1- 95 mlr fU/i//C A'er ~Z-:72 eJ/fIt€~"" IV<$ /;;Jo/S.<Y:J ~5.3 ~SS
2- 19 9- .9~ /9:r~ T &>""'..........~. ~~.S'
3' g ?-?.... .#r.' <!<J$,p ew&>>"'''t:; ~s- ;;-7~.S7 52> ~.~
~ ~,,:>"'/)7,p.,-, ~ ;.':7 5+'l!.,S
u..>s//'"...- OO/?~-7e;z>=> ~?2'SS- ::ro ~<::'zg--
~ /I '9-;7? L<.><': wr T-s (! OM" .71"1<:. /9c::.$#'-<S <:/2./$0 S~~
<::>
S- fi; 9-9t::. L r -;rea. ~?7 ;;;rA::, /9CSMes <:;;/ Z . SIb a 3c~,~
~ t9 ~_O~ &'1"';>1 S'h't /, SV.e.s' ;z..;z,? Goo $'u d~ ~.D
7 t3 9_b.!> "'&"",101 Srk /~ ~.e.s ~Z? t'$z> So
//;'<$&>
~ ~Z- Q-'" 5rk 2.:5.....~ $: .2J? /.~~
~
8 de"";?? ~<- Z >Ne.S ~ ' z.y- /.6;./
<;7 ..0 :? :;>.,:>
/.0 /'9 '-02- /74 C ~~,# 5.-..!:::. <:;:-/ SPes- lr,j>./:? .>--0 0': $'7
// g c:::-~ -9d;. is <!!OIH/J1 S'?7c::: '$DS#~ ~/.5D ~ 9' 0, 7S-
,q 1/-<?2- , Ct!)""tn~ '7Z -:;w~ ~~s;'S. ~z s;-o 117';;".~<::::
)Z eN 2=~o/V/o'
F> ~ 1/-&>;2 <::'l::>,I>? C<:"",.. .o>...;.t:: '7:':' ~ Z~S5, ~ So //7G... ~,;;.
C/v ~o/ll/='
/041- /9 9-9G: !: <rt.c.. <'0/"1#'1 ~A:. /~s#-es ~S;-5:.7'" ~ 'z~ 2-7- sS-
C:~ 0'77':;><:::'0/6
1S- t: S<-9'<::: ~ <:""~,.. ~ /Pc;7~ ~>,7e> ~ 'Z::;27.~<b'
",,"" <?>
TOTAL (Also enter on line 6. Recapitulation) $
(If more space is needed, Insert additional sheets offhe same size)
REV-1509EX"~
COMMONW'EALTH OF PEN YLVANIA
INHERITANCE TAX RN
. RESIDENT OECEr>; T
SCHEDULE F
JOINTLY-OWNED PROPERlY
eSTA'IE OF
&oz;.9~
FILE NUMBER
c!:..- c<:..../$Te-
If an ... .... m.n Join! withIn ... yea, of the _..fa dote .1 da.th, ft mat be ..ported on Schedule G.
SURVIVING JOINT TEN S) NAME ADDRESS RELATIONSHIP TO DECEDENT
A
B.
c.
c:iYv77/l/0//l/c;
JOINTLY.OWNED PROPERTY:
lETTER D/ll'E.
ITEM FOR JOtf{T MADE
NUUBER TBWIT JOINT
1. A.
DESCRIPTION OF PROPERTY
ltK1.U NAME OF FIHANOAL INSTITUTION AND BMiK ACCOUNT NUMBER OR SIMIlAR
IDENllFYING NUMBER. ATTACH DEED FOR JOlrffi. Y-HE\.D REAl ESTATE.
'4OF DATeOFOEAnt
DATE OF OEA.TH DECO'S VAlUE: Of'
VAlUE OF ASSET mEREST DeCEDENT'S IIfTEREST
IU <:!!:J;>'SPtV ~;$Y/C. ~#R.s /?:?'Z6'. ~G> "7C:C l' ./9
w/ /l:r 3
a.2:>/S",;U C<i9,n srk.. ~ ~ /93"2<:-.
"2"""///"""'5 9~. /9'
C-Ol'" ;:;r..c "~S#d" ~9~/z.
l?sottzog 7/<P7 $'0 zg ~;:e.. 0';"
tte>,M &r-/<. I""&S<:>~ ~?~O,,z $""6 ~~o.6I:;:
~.Y7/07
rlVr Cb~.P &~ .s""'<:; S7~ S"H. /<:;;'7.0 s-~ g:-?S-z.
CIV"C>o/-7$b- c::.o""'7S7""
~... GO"'" .5r,t S7<::: SIV..e- /<570<7/ ~-o 8"3": S,
/6 9'-%
/7 ~- '7~
16" /9 9-?~
) 9 g -7.::::" $:=>
20 FJ
Z-/ g
.;;;2.2-
Z~
"2#
2;?
7-C-
"'2-'7
~9P'
~ :ii!)lU~ )L..vb .M<Jr....,.9.L....""" ~ 2 ~-'7.-/
/5'9.5. 575.#eS = .6.7 3"~;~ ~;;7.- ........
resrdoe ~ ,MU7".......... .:x:"",..!>
a:c::./<~?ys#es 3=>S'3,."tIs' 5s.~ ~~6.#.?
<1o~p eo,.vj:> ~,c. ~
~,5:::b5Al /bl';b // ~3.~ ~;>'"".?c>
~ :r.,..~ B6".-'-1> #I<.>r P".vJ>
/~S$:"~~ /.z~ ~7-3!f5"
.P..-6'~.:r S.P~e."....e"""... .~ A.
/$'2~.~ ~ 1~'7?ZG;."7~ S5:~ ~2.Z->
-g~/~&; ~"N"Y tJ.,?~cr/">-'-
//'>>0,63 9"'.e.s Pj?/o..5S $'. is' 3::7:%:>.2:/
TOTAL (Also enter on Une 6. Recapitulation) $ / II;;;?:;/~ . 9:;e'
( more space is needed. insert additional sheets of the same size)
~'77 -r
--;r-;-~
RE<:'511 EX. (12.99.
COMMONWEALTH OF PENNSYlVA IA
lNMERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
ITEM
NUMBER
A
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATM COSTS
FILE NUMBER
Debts of decedent must be reported on Schedule L
DESCRIPTION
z.-
3
~
S
G
'7
B.
FUNERAl. EXPENSES'
::::;;p.e,.A/~ . /~~ Ge/J?~-?79..ey'- gG/~IVL P8lr
5, Al,N'.DR. S ~/.5<!eP/';.p<t.... a~tV-/-/fI?e1'7&>R-./;I?<-
n.. t.7A..- q".-r?~ ~.;r;e.v/C'C",Fi;E
~rV. rAh"R.I r/c-.<=<:_CI - /J-7//V.I..5T~.-e'S r(:,eJ""
,.#;es #./1/ ~.h7/!/ c:;.?.e.;-.#..ws.7" ~~
/JuC.R.. /YJe; o;e~/7"- /IamB ~/l'/1::O,e?/V .-r-6"e
5I"A?I/l/~ ".Y. ~"- ed/77er/?,//lY ~v6" ;:57..:>,ve-
A }~._ <ZO;TT<?:1ff: S r-e-e
/1./c..<AJ"" OA..-'/L".>9L..
e.57/?T&1" ,lVOT/C'-<T
?618G/d#;?:I'&>/t/
1.
1.
ADMINISTRATIVE COST :
_, Repnlsentalive's
Social Security
StreetAddress
City
Year(s) Commission Paid:
3.
2. Attorney Fees
Famiy Exef11lJlion: (n
Claimant
Street Address
City
--.ship 01
4. Probate Fees
5. Acroll1lant's Fees
7.
6. Tax Return ~'s F
'sioos
s)/EIN Number 01 Penonal Represenllllive(s)
Slate_Zip
's address is not the same as clainant's, attach explanation)
Slate_Zip
10 Oecedent
AMOUNT
/70. oc>
75. cJc?
/00. ~2>
s;o . c?L>
/2--~' 00
/L>C>'O<'>
7~'~
TOTAL (Also enter on line 9, RecapitWotion) $/~ / /' c:s-
(If more space is needed. insert additional sheets of the same size)
RE'r1512 EX+ (i:.!-03l
.
COftIMONVVEM..TN Of PENHSYl'l
INHER/TNICE TAX RETURN
. RESIDENT DECEDeNT
'7
?
9
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE UABlunES, & UENS
FILE NUMBER
prfor 10 _ which remalnod unpaid as of lhe _ of death. Including unrelmburud medlool_
DESCRIPTION VALUE AT DATE
<:!?#R.e" )( /,,~>7!5GR,;P~ <'" OF DEATH
?;/eo:}...... 2;:;/. 7C:;;;
H~7h' c!;r,< c:>r~C'r ?#'5....r- c=c- "':>"....
E9~/Vc.::-- .::7....-'. ~
/ ,4s::.s~c... ::?==~ ~ ,/"'...e""...-p ~ s-: c:;o
~.A::.Y r-ez> //W~6' :rfi'X ~~ ~52. ~C:J
oF?- ~eV€/1/Ue.
S~&/~O~ """O?:;~, oD
~x z.=~ C/
/J?Lfl>/er7L. ~//V,.(!.. cYr')4e-
WS/-r 7.f:;P&:.#/I/r'o
Sc.-u/f'/.
h"d~G:r;v <!r.<:. ?e;e::>dMPL-
C/f'.ed -;z::r6/J?..s;:
1!':>~,4.t-.. #GJma:-. Nt.-?l..J~/9,;Pif/L
/f.P7?t:!eS 2~""~
Report _Inc:unod by the
ITEM
NUMBER
1.
Z- r~<..,,<
S 'S ""T...e.?L<;-"
'I- 0S~
S- ~.A' Z>~/'
c::: ~.e#.//~
{!;4D?/ d ~o-::e. n,/l/#L .ff/~
~ $dn'"e,;;, /IP.e>/h~
(; <!A?~
4?'/' s.-c::>
/ c;;>CJ. ~
993 9~
TOTAL (Also enter on line lD, Recapiiulation) $ ~/.:::::? ,$
(If more space is needed, insert addilional_ of the..... siZe)
1
3
r,
%
..ro
~
~
I, Bli.abet 8. White, of Shippensburg Township, CUmberland
understanding,
County, Pennsylv being of sound and disposing mind, memory and
revoking any an all former wills and codicils thereto by me
o hereby declare this to be my will, hereby
heretofore made.
I direct
P'XR8'1'
all my just debts and funeral expenses,
including all e nses of my last illness, shall be paid from my
estate as practicable after my decease as a part of the
expense of the a inistration of my estate.
I give and
BBCOlm
Limoge china, my Orefors crystal, my
cherry bedroom f rniture, my walnut dining room furniture and the
car which I own a the time of my death to my son, Edwin H. Craig,
Jr.
'!'BIRD
I give and equeath my grandfather's clock, secretary desk,
two Chinese orie tal rugs and one Persian oriental rug to my son,
William S. Craig, if he survives me.
Page 1
'~.
P'OUR'l'B
I give, devise and bequeath the residue of my estate of every
nature and wherever situate to my sons, Edwin H. Craig, Jr., and
william S. craig, i equal shares, provided that the share of any
child who predecea es me or dies on or before the thirtieth day
following my deat shall be distributed to said beneficiary's
issue, per living on the thirty-first day following my
death, and It of any such then-living issue, such share
shall be added to e share of my other child.
P'XP"l'B
Any fiduciary under this will shall have the following powers
in addition to tho e vested in them by law and by other provisions
of my will applic Ie to all property whether principal or income,
including propert held for minors, exercisable without Court
approval, and effe tive until actual distribution of all property:
A. To reta n any and all of the assets of my estate, real
or per onal, without regard to any principle of
diversi ication of risk.
B. forms of property including stock,
common rust funds and mortgage investment funds without
restri ion to investments authorized for Pennsylvania
fiduci ies as they deem proper, without regard to any
princi Ie of diversification of risk.
" C. To sel at public or private sale, to exchange or to
lease or any period of time any real or personal
propert and to give options for sales, exchanqes or
leases, for such prices and upon such terms or conditions
as they deem proper.
D. To allo ate receipts and expenses to principal or income
or part y to each as they from time to time think proper.
E. To comp omise any claim or controversy.
F. To dist ibute in cash or in kind or partly in each.
G. To hold property in their names without desiqnation of
any fid ciary capacity or in the name of a nominee or
unreqis ered.
I direct tha
of my death of
imposed, shall
expense of the
SXX'l'B
all taxes that may be assessed in consequence
hatever nature and by whatever jurisdiction
paid from my residuary estate as a part of the
inistration of my estate.
8lSVlSao,r1l
I appoint Ed in H. Craig, Jr., and William S. Craig, my sons,
as co-executors 0 this my will.
BZGB'l'JI
No bond shal be required of any fiduciary hereunder in any
jurisdiction.
J
Page 3
J:. 1rl:ftlBSS P, I hereunto set my hand and seal to this
my last will and estament, consisting of five typewritten pages,
the first three
f which bear my signature in
purpose of
identification
this
the margin for the
.272!f day of
-
, 19~.
~ ~ s. ~ (SEAL)
Signed, seal d, published and declared by the above-named
testatrix, as and for her last will and testament in our presence,
who in her presen e, at her request and in the presence of each
other have hereun 0 set our hands as attesting witnesses.
,.ing at /?ff'~,~A. .,t.,.f:J,*
residing at j4-dJro ) If
We, Bli.abet
s. nit.,
)08- ~"--z.\.\.u..II'oJG~
,
and
"
-jl<),uA rn"
0., €")..)s
,
the testatrix and the witnesses,
respectively, whos names are signed to the attached or foregoing
instrument, being first duly sworn do hereby declare to the
undersigned author ty that the testatrix signed and executed the
instrument as her ast will and that she had signed willingly (or
directed another t sign for her), and that she executed it as her
free and voluntary ct for the purposes therein expressed, and that
each of the witness s, in the presence and hearing of the testatrix
signed the will as witnesses and to the best of their knowledge,
'\
Page 4
the testatrix wa at that time eighteen years of age or older, of
sound mind and der no constraint or undue influence.
0~ ~~~
~statrix
to and acknowledged
above-named testatrix
d sworn to before me
witnesses this dTt2,.
, 19 Y'S-
Not:ary Public
r='~~-'-"""-' ~.:;;J~-:':-:~::u_ -;::~~'",_-e_~~'-~~l
~ u: '3.'\. sr c,' ';;'.::r.:lEfi.~';" "'-"'. J'
. . .f'.,.....~ .~. : - - ~""-',!O'. . ...,.... :
'/ "','," --', cr.j:C", ocr ~,r'0!J: Cti.l;'C':::~ri"'i",..! Go ,PA
L.~~~~;:::::~;;~~.j~~&i'",~~Me.;~;<J3. ~~'.
.. '''.--..=-,=--
Page 5
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
CRAIG EDWIN H
85 BURKET ROAD
SHIPPENSBURG, PA 17~ 57
-----fOld
ESTATE INFORMATION: SSN: 177-32-5665
FILE NUMBER: 2105-0483
DECEDENT NAME: WHIT ELIZABETH C
DATE OF PAYMENT: OS/2 /2005
POSTMARK DATE: OS/27 2005
COUNTY: CUME ERLAND
DATE OF DEATH: 02/2 /2005
NO. CD 005372
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $4,627.13
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: EDWIN CRAIG
CHECK# 1702
SEAL
INITIALS: RSK
RECEIVED BY:
REGISTER OF WILLS
$4,627.13
GLENDA FARNER STRASBAUGH
REGISTER OF WillS