HomeMy WebLinkAbout04-28-06
REV.1.')00 EX (6-001
*"' . COMMONWEALTH OF
~ A . " PENNSYLVANIA
, ~ " '.' , DEPARTMENT OF REVENUE
. " DEPT. 280601
.~ ,- ,"' HARRISBURG, PA 17128-0601
REV-1500
OFFICIAL USE ONLY
FILE NUMBER
21 05
INHERITANCE TAX RETURN
RESIDENT DECEDENT
I-
Z
W
C
W
()
W
C
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
LAURA BEATRICE YOHE
DATE OF DEATH (MM:DD-YEAR)
08/01/05
0979
COUNTY CODE
YEAR
NUMBER
SOCIAL SECURITY NUMBER
I 178-50-4929
DATE OF BIRTH (MM-DD-YEAR)
10/10/58
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST. AND MIDDLE INITIAL)
N/A
w
I-
:.::5:cn
uC:::'::
w(LU
::1:00
uC::...J
(Llll
a.
<{
~ 1. Original Return
[J 4. Limrted Estate
[J 6. Decedent Died Testate (Attach copy or Will)
[J g. Lrtigation Proceeds Received
D 2. Supplemental Return
o 4a. Future Interest Compromise (date" death after '2.'2-8~
D 7. Decedent Maintained a living Trust (Altach copy of Tru't)
D 10. Spousal Poverty Credit (dale or death hetween 12.31.91 and '.'.95)
o 3. Remainder Return (date of death prior to '2.13-82)
o 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
D 11. Election to tax under Sec. 9113(A) (Attach SchO)
I-
Z
w
c
Z
o
a.
rn
w
c::
c::
o
u
tl-lI$$/Et'l'IONMtJ$tt:l~qQMPy;'tl:b,Aijl;(';9RRl:$#ONP~NtgANo'CoNflP~NTmWtAXINfQRMA1t()N$f-<<)Ul;I)t:l~I)IR.#tt~[)'f()~
NAME COMPLETE MAILING ADDRESS
KARL M. LEDEBOHM, ESQUIRE P.O. BOX 173
FIRM NAME (lfAp~icMlel NEW CUMBERLAND, PA 17070-0173
TELEPHONE NUMBER
(717) 938-6929
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation. Partnership or Sole-Proprietorship
z
o
~
.....J
::>
t::
a..
<(
()
W
0::
4. Mortgages & Notes ReceIVable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
D Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
8. Total GrDss Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent. Mortgage Liabilrties. & Liens (Schedule I)
11. TDtal DeductiDns (total Lines g & 10)
12. Net Value Df Estate (Line 8 minus Line 11)
(1)
(2)
(3)
(4)
(5)
39,247.50
0.00
____________________________________________._______b......_.._____.._._....-..._.___
0.00
0.00
0.00
. -()FFICIALI.i'$E ONL.Y'
(6)
~-;.~.)
C'
)
(7)
0.00
(9)
(10)
(8)
13,889.03
0.00
39,247.50
(11) 13,889.03
(12) 25,358.47
(13) 0.00
(14) 25,358.47
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject tD Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
x .0 _..~
(15)
z
o
i=
~
::>
a..
:=
o
()
~
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line ~-' ~~xable at sibling rate
18. Amount of Line 14 taxable at cDllateral rate
19. Tax Due
20.D
>'.>BESURETOANSWERAU:..QUES"".ONSONREVERsESfllEANORECHSCKMAfl-l.o;<.>
...-..-...-..'....,.,.,.-.---.-.-.....-..........-........,-.........-....-...-....,......-.......-...-.-.......-....,','.-.........._.__.'_._'..-.",'...'.'.._'...'..,.,',.,',.,.,.,..............'.'.'.'.','..'.'...','..,.,.............-.".-..,-..------""".,...
m mm..?8,3~8A7 x .0 45
1,141.13
(16)
.. m..m X .12
(17)
nnn nnnnn X .15
(18)
(19) mmm.____m__m..__................_____...__.........1_'-H:1:.nm____
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Decedent's Complete Address:
STREET ADDRESS
69 WEST MAIN STREET
----.
P.O. BOX 69
CITY NEW KINGSTOWN -~--
I STATE I ZIP
PA 17072
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
1,141.13
Total Credits (A + B + C ) (2)
0.00
3. InteresUPenalty if applicable
D. Interest
E. Penalty
4.
TotallnteresUPenalty ( D + E )
If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
(3)
0.00
5.
If line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
(4)
(5)
1,141.13
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + SA. This is the BALANCE DUE.
(SA)
(5B)
0.00
1,141.13
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: . Yes No
a. retain the use or income of the property transferred; ................................................................................ 0 [i]
b. retain the right to designate who shall use the property transferred or Its Income; ............................................ 0 [K]
c. retain a reversionary interest; or....................................................... ................. ................................................ 0 [K]
d. receive the promise for life of either payments, benefits or care? ............................................................. 0 [K]
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. D [i]
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ............. 0 ~
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ 0 [K]
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of pe~ury. I declare that I have examined this return, induding accompanying schedules and statements, and to tl)e best of my knowledge and belief, It is true, correct and complete.
Dedaration of pre parer other than the personal representative is based on all Information of which pre parer has any knowledge
SIGNATURE OF PERSON RESPONS!BL~ FO~FILlNG RETURN
~~ If: &-IlL
ADDRESS ~----_..
69 WEST MAIN STREET,' P,O. BOX 69, NEW KINGSTOWN, PA 17072
SIG.N........ OF.....\\REVfiH.E~T.'.R. Pf1SENTATivE'
~ -", ,-,'.: ~- ""---
DATE
1/-:_ ,;Z Ie -- .;< (j [5 tP
DATE
'1- 2. '-f-c) 6
17070-0173
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3%
[72 P.S. 99116 (a) (1.1) (i)]. '
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (ii)].
The statute does not exempt a transfer,to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a 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 rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parenl, an adoptive parent.
or a stepparent of the child is 0% [72 P.S. 99116(a)(1 ,2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal benefiCiaries is 4.5%, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116(a)(13)]. A sibling is defined, under Section 9102, as an
individual who has at least one parent in common with the decedent, whether by blood or adoption.
~EV-1502 EX+ (6-9B) ~.
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
FILE NUMBER
21-05-0979
ESTATE OF
LAURA BEATRICE YOHE
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be
exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F.
1.
DESCRIPTION
APPROXIMATELY TWENTY-ONE ACRES SITUATE IN SILVER SPRING
TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA, KNOWN AS
PARCEL #38-06-00009-010, BEING UNIMPROVED LAND. ASSESSED
VALUE AS OF THE DATE OF DEATH IS $156,99000 FOR THE
PROPERTY. DECEDENT OWNED A 1/4 UNDIVIDED INTEREST ALONG
WITH CHARLES W. YOHE, JR., LINDA K. KING AND EDGAR G. YOHE. A
COPY OF THE LEGAL DESCRIPTION FOR THE PROPERTY IS
ATTACHED HERETO AS EXHIBIT 'A' AND MADE PART HEREOF.
VALUE AT DATE
OF DEATH
39247.50
ITEM
NUMBER
TOTAL (Also enter on line 1, Recapitulation) $
39,247.50
(If more space is needed, insert additional sheets of the same size)
KI::V-1508 EX+ (6-98)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
LAURA BEATRICE YOHE
FILE NUMBER
21-05-0979
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship mu-;t be disclosed on Schedule F
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
NONE
TOTAL (Also. enter on line 5, Recapitulation) $
0.00
(If more space is needed, Insert additional sheets of the same size)
REV-1509 EX+ (6-98)~",cQ.
~-
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
LAURA BEATRICE YOHE
FILE NUMBER
21-05-0979
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME
ADDRESS
RELATIONSHIP TO DECEDENT
A NONE
B.
c
JOINTLY-OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUM3ER OR SIMILAR DATE OF DEATH DECO'S VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD_~~,~_~_~!'.!ATE. VALUE OF ASSET INTEREST DECEDENTS INTEREST
1. A NONE
TOTAL (Also enter on line 6, Recapitulation) $ 0.00
(If more space is needed, insert additional sheets of the same size)
~EV-1510 EX+ (6-98) \'
W
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
FILE NUMBER
21-05-0979
ESTATE OF
LAURA SEA TRICE YOHE
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM DESCRIPTION OF PROPERTY
INCLUDE THE NAME of THE TIWlSFEREE. THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE
NUMBER THE DATE OF TRANSFER ATIACH A copy OF THE DEED FOR REAl ESTATE VALUE OF ASSET INTEREST I'F APPlICABLEI VALUE
1 NONE
TOTAL (Also enter on Ime 7 Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX+ (12-99)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
LAURA BEATRICE YOHE
FILE NUMBER
21-05-0979
ITEM
NUMBER DESCRIPTION AMOUNT
A FUNERAL EXPENSES:
1. MYERS FUNERAL HOME 8023.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
'~:Jme of Personal Representative(s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State _Zip
Year(s) Commission Paid:
2. Attorney Fees 2,000.00
3. Family Exemption: (If decedent's address is not the same as claimant's. attach explanation) 3,500.00
Claimant ANNA E. YOHE
Street Address 69 WEST MAIN STREET, P.O. BOX 69
City NEW KINGSTOWN State ~ Zip 17072
Relationship of Claimant to Decedent MOTHER
4. Probate Fees 154.00
5. Accountant's Fees
6. Tax Return Pre parer's Fees
7. ADVERTISE ESTATE TO PATRIOT NEWS 137.03
8. ADVERTISE ESTATE TO CUMBERLAND LAW JOURNAL 75.00
TOTAL (Also enter on line 9, Recapitulation) $ 13,889.03
Debts of decedent must be reported on Schedule 1.
(If more space is needed. insert additional sheets of the same size)
,V-1512 EX. (6-98)
'*'
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVP.NIP.
INHERITP.NCE TAX RETURN
RESIDENT DECEDENT
STATE OF
AURA BEATRICE YOHE
FILE NUMBER
21-05-0979
Include unreimbursed medical expenses.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
NONE
TOTAL (Also enter on line 10, Recapitulation) $
0.00
(If more space is needed, insert additional sheets of the same size)
:EV-1513 EX+ (9-DO)
~.,~~
~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
:STATE OF
.AURA BEATRICE YOHE
FILE NUMBER
21-05-0979
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(sl OF ESTATE
[ TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2})
1. ANNA E. YOHE MOTHER 100%
69 WEST MAIN STREET, P.O. BOX 69
NEW KINGSTOWN. PA 17072
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18. AS APPROPRIATE. ON REV-1500 COVER SHEET
II NON-TAXABLE DISTRIBUTIONS:
A SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(If more soace is needed. insert additional sheets of the same size)
i j
'1
1 '\ ..: ..,
'.
J
,--
, J .
\>
I {
;
.r
v
I
t
t\.i
0'
~ -,
,-y
"-U
~
f ~
~
~
<V
""J ~>
C
M J
t'l). t
'.)
D
i'
,
HI
.""
~.'
I, .
10,.
.
If'
II RII 18TATS 01' LUTU A. YOH.!:, ..
LATS OF THe TOW)lOIP OF MOIIROJ/:, 11
COUNTY 01-' QUMSl!3'It.ANI> UP S'l'ATS or ..
PENJlaYLVUIA. I>EOU~EI>. I.
..
IN 'HE OOUR't UP COKMOI JlLIAI 0'
CtIMBlRUNP oouln. lJUlJIaltl.VAIXA
ORPHANS' COURT DIVI8tOI.
NO. 21 · 14 · 111
AD~Pt(l~TIO!i MID'l)EC'fIE'e AWA.RDING J\pL,!8TAH
AKD MOll. tb.!.(M 4&7 or R~v ' ' '. 1"$, ~,
0' aloole. H.. .ea.,.... O&,U:,bt S&Y11l& 'fl_.
no obj.lttona haylnR bten tl1e4to the '1.., and Pinal "OOUbt aD6
at"'~nt ot Propo..4 Otltribu~lon or An~Kae Yobe. S.eout.lX or
the Lut V111 and'r..hllllU\\ ot Lute. A. Yob.. !tea....... yUbl" W
UN fix.d 'by tbo Rul.. ot 001U't, ui4 AOOOU1'lt la hlt'eb, oollt1rM4
ab.olut.17 and the Sohedule or Pro~'e4 Dlltplbutlon 11 bet'e'bJ
.ppro9.4 anA Dl.'rlbutton t. awarded in aoeordMno. t~r.wl'b.
IT IS ruRTHSa ADJUDGEDAKD DECREED. tbat 11l ..oordan.. wltb .-.
..i4 tlnal Aooount and St...ment ot propo..4 Dl.t~lbU'lon .. ..ftt~
b7 ttw OWl", t;ba' t;bII Dlatl'lbuUon ot' th_ toll.ovlnS hal .a.at. of
th.d...4'nt '0 CHARLE8 W. YOKE, JR., LINDA K. YOBB, lWOAR O. YOU
, ' /
and LAtmA a.. 'talUS, abare an4.hare alUc.\!. '.nant. in OOllllllOII. it
M'l'Ibl oonfll"M4 an4 tha .... II hereb,. a"aJ"<11d to. thl .dd OHAftLU
v. Yon,n., LINDAX. YOKE, EDGAR O.YOHI and t..\tIRA 8. YOKE. a
d..orip'lon ot wblah 1. al tollow., to "It'
ALL 'l'HK UlIDIVIPKtl I'lv.:ht. tl tie anll lnt....ttI wbat.on.r or
the <<...4.nt. ln a!14 to tho.. tvo (2) adJaoent ton (1,0) aon
traot"ot woodland. .1tuat. in the Town.hip ot 811,.r aprlDe.
Count,ot cumberland and 8t.,. ot P.nn'J1vant.. 'bound.. &n4
dnorllMd .. tollow', to v1tt
'.
'.
'rRAC'r 110. 1. .. liEG!1U{tlfO at . point on tn. ConocloplM' CH, .Ie.
IUId lan4foJ'NJ"l,. ot Chl'llthn Jtaurr.n. now or ~'o at tM
hank .K. Stolle. helr., thence '}los-tll 69 4lt8"" 10""1 18 1'''.''
to .. po.t. thence SQUtb 10")/4 d.egr... Jl:..t. along undo now
or late ot Jo..pb Ebel'll! 77.2 parollel to .. Red O.k, th.no. "
8out~27 dogr... JJ:.... ia.' p41rQhea,o .. atoM, tben_ Sou'b .
13~)/4 d.~.. w..t. 22.' perone. to the Conodosulnet C....,
: :, ,'thano. along .ald Cl'.ele" llortb. l~ c1I1P..' ....". 34.0 perabea
~ .. to a. pOln'. theno.Nortn 12~ degree. W.." 32.0 p.robtl \0 .
po,tntl theM. ~C)..th 12")14 degre.. Welt, 26.0 peroh.. to .
AolntJ tneno. North 2) d.egr... We.t. 5.0 perOh.. to 'he
pboll of 8l:.'Q~NNINQ.~Qll1'A:UllllO 1.0 '0):'0' and 4.6 P'l'obe..
1Il0l"tl..-'Op.. H...... It.
., . . .....~...> ~~..~,t t 14 .".
I
l .
I
i'
J'
,~
J
I
,
J
I
j:
" " :
IOOiZJ26 'ACE 13
-1-
ld W~!S:60 S00G !0 '^ON
,.....;""" i ,- "j(
t-,:~~,., I) f:
!996SvcL!L: 'ON X~d
stlUlOM: j,.()~.:l
1OJ!02ht 14. .1
'" ,-,~._._.,',..........._.._-~~
.. t<UI'l : WUL;- r RS
FAX NO. :7172459661
Nov. 1211 2'<M':> \il'::j:::'lHI'1 ...'"
'"
.
\~";-:--::'"
, .~"."'-'.'.,- - ...--.-,----............:......".'.. '~- ^.,-
. ~:~... ....,
r
I,
I
TRAe! we. 2 . BEOtJNIJO ., . polnt on the a..t Ban~ of ~
Conodogut.n.t Or.ele, at oorn.. ot land to~..17 ot '..ank L.
atok.., now T.aot No. 1 he...thabove de.orl~od, thine. up
tlM bank 01' .at4 Cr.ek, t.be following OOUl'.o. e.n4 dl.tano...
to vltls No~tb 23\ de~ee. W.at, 2$.0 perohelJ KOI'~h )"
<<.~.. "..t, 30,0 peron-a, and llorth So..)/4 4egre.. W.at,
20.0 perohel to .. potnt) tbeno. by land. tormerl;r of Oh:t'l.Uu
Rupj), now or tOJ'1llel'11 of tbe MUton C. I>1.n Mi.r., KOl"tb
~6 It 4.pe.. Bu" 20.S peroM' to . Whit. OeJc 6twa.p1 tMn_
'bJ land of tl>> aa"., Soutb ,oa. d.g..... ia.t. 19.2 perobe. ,.
. *OM' and thenOt! South 36-'14 4egren Ka", 29.2 peNh.. ..
. .flone a1l oorner or land. hCN oS' tomer'll of )bo.. Ol,'er"
BeU'., 'heM' -.,..1\\ llndo, 201s1 de~..' a..." 23.7,ol'Obll.
t. .. pine ,..... an4 'bltno. South 10-3/4 d.&l"" Bad. 10.8
"l'Obe' '- .. poat.. OOI'Mr' or land fOrMl'1, ot hank L.
1\0'-.. now TJo..tlo. 1 be"1asabqve d..\l.iMcll 'beDO' _, 1&16
1-' aw'b " lSepM' W.... 18.0 pel'Clwtl to 'bII pla.. of
UODJaIO. OOJl'l'AIlIIO 10 "'HO all4 ~6 peI'O"'I. '
~
.A-
I, tal. GO\1J".
"
~1 ,~ ']. ~~d-:r.
1)
, '.. J ..~.. ...t4.
. , " '. 5" 1 ~~.. ~
,.r'..Jtt'.. ...~ lilt .. ~ ...... .....
"" .,It ~ ....."'~ ~ w "'_'"
~ ,.q t~:r,.,),a'l A-\-W~).,"'.-'CS !'.~
.... ....... .... ~..'- ~ ~ " ,
~~~ '" ':, $~'~d~ ,.tl~
\ '~J'"
,!It'f.~':
J.$i'."i '.'L~ mi 'I, "- ~ (
, '!'~ I " !II -, ~
A TRUE cqi~'4R&~~!RE~oftO;:;
In T'ltl~\1Ihel'eOtl:\ ~IoMt"'Y IIIncI
lIIICl '" ..... Wd ~ ~t CMI4III, ",. ,
:AlIt. .;.~ Ll-' '~' . ' , "i'f:~;'1l
, . ,.,. . . .ic.-...l~tf,~~ ( ,
~,... "'"'U' ~~.
, ~ "~A;.:~.: ~ic'.\f'~:I,.
, ('\ h.:\..... tfi':""'" CbWt.......t.
'UtI \ .' , Ilf,CNIlIl
-.....
. ...., ..., .. 1M .......
.. ... ... tI ...... c.......
~~=~'.{~h~
. , .~'. ...N',1J' ,
, '
" "
""*'J"
-a.
I
, l!
i
\
j
r
\
l ;
i :
-
~.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128.0601
REV-1162 EX(11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
RECEIVED FROM:
YOHE ANNA E
PO BOX 68
69 W MAIN ST
NEW KINGSTOWN, PA 17072
------- fold
ESTATE INFORMATION: SSN: 178-50-4929
FILE NUMBER: 2105-0979
DECEDENT NAME: YOHE LAURA BEATRICE
DATE OF PAYMENT: 04/28/2006
POSTMARK DATE: 0010010000
COUNTY: CUMBERLAND
DATE OF DEATH: 08/01/2005
NO. CD 006623
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $1,141.13
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: ANNA E YOHE
CHECK# 2646
SEAL
INITIALS: GFS
RECEIVED BY:
REGISTER OF WILLS
$1,141.13
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS