HomeMy WebLinkAbout02-07-83 (3)
.
REV-1500 EX + (9-81)
BUREAU OF EXAMINATION
PENNSYLVANIA DEPARTMENT OF REVENUE
P.O. BOX 8327
HARRISBURG. PA 17105
INHERITANCE TAX RETURN
RESIDENT DECEDENT
-h
File Number o:? 1- 7 cf - 4/ t)
Decedent's Name (Last, First, and Middle Initiall
Decedent's Address
CHECK
196-12-5962
1. Original Return C
June30,1978
2. Supplemental Raturn W
152 West North Street
Carlisle, Pa. 17013
Date of Death
APPRO-
PRIATE
3. Remainder Ratum 0
BLOCKS
4. Life Estate 0
6. Decedent died testate 0
(Attach copy of WillI
5. Federal Estate Tax 0
Return Required.
7. Decedent maintained a living 0 8. Number of sefe daposit 0
trust (Attach copy of trust) boxes inventoried
CORRE-
SPONDENT Name
All correspondence and confidential tax information should be directed to:
George F. Douglas, Jr., Esq.
Telephone No.
Address
717-243-1790
City
State
Zip
Recapitulation
1. Real Estate (Schedule AI ( 11
2. Stocks and Bonds (Schedule BI ( 21
3. Closely Held Stock/Partnership Interest (Schedule C) ( 31
4. Mortgages and Notes (Schedule 01 ( 41
5. Cash & Miscellaneous Personal Property (Schedule EI ( 51 ----2- 6 7. 00
RECAPIT- 6. Jointlv Owned Property (Schedule FI ( 61
ULATlON 7. Transfers (Schedule GI ( 71
8. Total Gross Assets (total lines 1-71
AND 9. Funeral Expenses Administrative Costs/Miscellaneous
Expenses (Schedule H) ( 91 R? nn
TAX 10. Debts/Mortgages/Liens (Schedule I) 1101
11. Total Deductions (total lines 9 & 10)
12. Net Value of Estate Wne 8 minus line 111
CALCU- 13. Charitable Bequests (Schedule J)
LATlON 14. Net Value subject to tax Wne 12 minus line 13)
( 81
267 . 00
1111
1121
1131
(141
e2 00
185 . oe
'25 no
Computatioo of Tax
15. Amount of line 14 taxable at 6% rate (15) 1:8500
(include values from Schedule KI
16. Amount of line 14 taxable at 15% rate 1161
(include values from Schedule KI
17. Principal tax due (add tax from line 15 plus tax from line 161
18. Total Prior payments:
(el Amount Paid
(bl Plus Discount
(cl Minus Interest I1BI
19. Balance Due Wne 17 minus line 181
Make Check Payable to: Register of Wills, Agent
* * * PLEASE RECHECK MATH * * *
x.06=
1 LolL
x.15=
1171
11.11
(19)
1] 11
Under penalties of perjury, I declare that I have examined this raturn, including accompanying schedules and statements, and to the best of my knowtedge
and belief, it is true, corlllct, and complete. Declaration of preparer other than the personal representative is besed on all information of which preparer has
an nOwl~ge:. /, ~ "A~.J e ,(lI'-&' _~...
S N TURE Ol-PERSONAL REPRESENTATlVE(S)
rA.
ADDRESS
/ / / /6/ J-'3
, 6A TE,
");,1]
/ !Ir., In
DATE
REV-I508 EX+ (9-81)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE "E"
CASH AND MISCELLANEOUS
PERSONAL PROPERTY
FILE NUMBER
William Coleman
(All prop.rtv jolntlv-owned with the RIght of SurvivorshIp must be disclosed on Schedul. "F")
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT
DATE OF DEATH
2 Eisenhower Uncir. Silver Dollars (1971)
4 Uncirculated coin mint sets value 1.84 (1972)
3.00 cash old bills
1 Uncirc. Mint set 1964 - .91
8.00 Buffalo nickles
4.00 silver halves
14.00 old silver dollars, 7.00 silver halves,
.40 old silver dimes, 49 old pennies, 1 foreigncoin
1.60 old silver dimes
The coins and bills were appraised by Clarence L. Fauf't,
Faust Coins, 19 S.George St.,York, Pa., for $267.00. The entire
group of coins and bills were subsequen-tly sold to
Clarence L. Faust for the appraisal price $26a.00
TOTAL (Also enter on line 5, Recapitulation)
$
267.00
(If more ,pece I, needed In..rt additional sheets of 18me size)
REV-1Sll EX+ (9-81)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE "H"
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
FILE NUMBER
Iv; 11 ; ~m C:n 1 pm-"ln
ITEM
NUMBER
DESCRIPTION
AMOUNT
A. Funeral Expenses:
1.
B. Administrative Costs:
1. Personal Representative Commissions
2. Attorney Fees
C. Miscellaneous Expenses:
1.
Commonwealth Na't. Bank, drilling open safe deposit
box
G.F. Douglas, Jr., Esquire
Filing inventory
47.00
25.00
10.00
TOTAL (Also enter on line 9, Recapitulation)
$
82.00
(If more apace 11 needed Insert additional sheetl of SlIme size)