HomeMy WebLinkAbout12-11-06
REV.1500 EX + (6-00)
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OFFICIAL USE ONLY
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-iS00
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
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DECEDENTS NAME (lAST, FIRST, AND MIDDLE INITIAL)
Liddick, Miriam M.
DATE OF DEATH (MM.DD-YEAR) DATE OF BIRTH (MM-DD-YEAR)
06
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
180-09-6019
00603
NUMBER
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
[!] 1. Original Return
o 4. Limited Estate
[!] 6. Decedent Died Testate (Attach
copy of Will)
[]9.Li~aoonP~sR~~
o 2. Supplemental Return
o
o
o
4a. Future Inlerest Compromise (date of death after
12-12-82)
7. Decedent Maintained a Living Trust (Attach
copy of Trust)
10 Spousal PovertY Credit (date of death between
. 12-31-91 and 1-1-"95)
o 3. Remainder Return (date of death prior to 12-13-82)
o 5. Federal Estate Tax Return Required
1 8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
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NAME
Brian C. Linsenbach, Esq.
FIRM NAME (If applicable)
TELEPHONE NUMBER
717-432-9733
Schrack & Linsenbach PC
124 W. Harrisburg St., PO Box 310
Dillsburg, PA 17019-0310
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has
not been made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCnONS ON REVERSE SIDE FOR APPLICABLE RATES
COMPLETE MAILING ADDRESS
(1 ) None
(2) None
(3) None
(4) None
(5) 143,090.37
(6) None
(7) None
(9) 11,824.82
(10) 268.59
20.00
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Copyright 2002 form software only The Lackner Group, Inc.
06-29-2006
03-03-1916
(IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MiDDlE INITIAL)
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1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7 . Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L) 0 Separate Billing Requested
8. Total Gross Assets (total Unes 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent, Mortgage liabilities, & Liens (Schedule I)
OFFICIAL USE ONLY
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11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
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(8) 143,090.37
(11)
(12)
(13)
(14)
15. Amount of Line 14 taxable at the s~ousal tax rate, 0.00 x .00 (15)
z or transfers under Sec. 9116(a)(1. )
0 .045 (16)
j: 16. Amount of Line 14 taxable at lineal rate 130,996.96 x
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D. 17. Amount of Line 14 taxable at Sibling rate 0.00 x .12 (17)
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0 18. Amount of Line 14 taxable at collateral rate 0.00 x .15 (18)
><
i5 19. Tax Due
(19)
12,093.41
130,996.96
0.00
130,996.96
0.00
5,894.86
0.00
0.00
5,894.86
Form REV-1500 EX (Rev. 6-00:
Decedent's Complete Address:
STREET ADDRESS
Church of God Home, 801 N. Hanover St.
801 N. Hanover Street
CITY Carlisle
ISTATE PA
IZIP 17013
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
5,894.86
5,900.00
294.74
Total Credits (A + B + C) (2)
6,194.74
3. InterestlPenalty if applicable
D. Interest
E. Penalty
TotallnterestlPenalty (0 + E) (3)
4. If Line 2 is greater than Une 1 + Une 3, enter the difference. This is thEDVERPAYMENT. (4)
Check box on Page 1 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Une 2, enter the difference. This is theTAX DUE. (5)
A. Enter the interest on the tax due. (SA)
B. Enter the total of Line 5 + 5A. This is theBALANCE DUE (58)
Make Check Payable to: REGISTER OF WILLS, AGENT
299.88
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN ..X" IN THE APPROPRIATE BLOCKS
1. Did dececlent make a transfer and: Yes No
a. retain the use or Inco~e of the property transferred;............................:...:............................................ B ~:x
b. retain the right to deSignate who shall use the property transferred or Its Income;................................
c. retain a reversionary interest; or. ......... ...................-............. ............. ......................... ........................ 0
d. receive the promise for life of either payments, benefits or care?........................................................... D
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?........................................................ ......................................................... 0
3. Did decedent own an Min trust for" or payable upon death bank account or security at his or her death? ......... D
4. Old decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ................... ...........-.......................................... ................... .... ............ ... D ~ .
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 penallles of perjury. I declare that I have examined this retum, Including accompanying schedules and statements. and to the best of my knowledge and belief, It Is true, correct and
complete. Declaration of preparer other than the personal representative Is based on alllnformaUon of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS DATE
Ma . Liddick
~
~
3523 Hunterstown-Hampton Rd.
New Oxford, PA 17350
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE ADDRESS Schrack & L1nsenbach PC DATE
Brian ~~nba~'? ~ 124 W. Harrisburg St., PO Box 310
/' c::r-- IC.....IIIiiiiiiiiiiii ~ DlIIsburg, PA 17019
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is 3% [72 P.S. ~9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0%
[72 P.S. ~9116 (a) (1.1) (ii)]. The statutedoes not exemota 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 parent, an adoptive parent, or a stepparent of the child is 0% [72 P .S. S9116 (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.
~9116 1.2) [72 P.S. S9116 (a) (1)].
The tax rate imposed on the net value of transfers to or for the use of the decedenfs siblings is 12% [72 P.S. S9116 (a) (1.3)]. 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.
16 Elicker Road
DlIIsburg, PA 17019
ADDRESS
DATE
a:\wills8\liddick.mir( amd/isg)
ia$t )!tiJill an~ Q[e$tattt~ttt
OF
MIRIAM M. LIDDICK
BE IT REMEMBERED, that I, MIRIAM M. LIDDICK, unremarried widow, of 126
Manor Drive, Dillsburg, Monaghan Township, York County, Pennsylvania, being of sound
mind, memory, and understanding, do make, publish, and declare this as and for my Last
Will and Testament, hereby revoking and making null and void any and all Wills and
Testaments and writings in the nature thereof by me at any time heretofore made.
ITEM 1: I dire~t that my hereinafter named Co-Executo~ pay all my just debts,
my funeral expenses, and the expenses of the administration of my estate. With this
direction, I authorize and empower my Co-Executors to. expend for my funeral expenses
and interment such amounts as they may consider necessary and proper, without regard to
any limit that may be prescnoed by a court of law.
ITEM 2: I direct my Co- Executors to pay all inheritance, estate, succession, and
legacy taxes of whatsoever nature and kind, to which my estate, or the transfer of any
property passing hereunder or otherwise passing by reason of my demise, may be subject,
and to charge such taxes against my residuary estate, it being my intention that none of the
aforesaid taxes, either federal or state, on any property required to be included in my gross
estate, under the provisions of any state or federal law now in force or hereafter enacted,
shall be prorated among the persons interested in my estate to whom such property is or
may be transferred or to whom any benefit accrues.
ITEM 3: All the rest, residue, and remainder of my estate, of whatsoever nature
and wheresoever situate, whether it be real, personal, or mixed, including property over
which I have a power of appointment, I give, devise, and bequeath unto my sons, MARK
E. LIDDICK and DAVID R. LIDDICK, in equal shares, per stirpes.
ITEM 4: Should either of my sons predecease me, leaving children to swvive
them who are less than twenty-two (22) years of age at the time of my death, I give the
share of such deceased son unto my surviving son, IN TRUST, NEVERTHELESS, for the
use and benefit of my deceased son's children, for the following uses and purposes:
A My Trustee shall hold and administer said trust property,
collect the income therefrom, and expend or apply the net
income as hereinafter directed. During the administration of
my estate, the income earned by the property included in this
trust shall be considered income of this trust and subject to
distrIbution as hereinafter provided for other income of this
trust.
B. My Trustee shall pay and/or use for the benefit of said child
so much of the net income as is deemed necessary for his
2
support, maintenance, and education, and any income not so
used shall be accumulated and added to the corpus of this
trust.
C. My Trustee shall have the power in his discretion to encroach
. upon the corpus of the trust estate in such amounts and at
such times as he may deem necessary in order to provide for
the support, maintenance, care, and education of said children.
D. All of the net income may be paid to or for the benefit of the
children at least semi-annually.
E. When the oldest child attains the age of twenty-two (22) years,
the principal of the trust shall be divided into as many shares
as there are living grandchildren. Upon attaining that age, that
grandchild shall have the right to withdraw in its entirety his
share of the principal of this trust.
ITEM 5: I nominate, constitute and appoint my sons, MARK E. LIDDICK and
DAVID R. LIDDICK, or the survivor of them, to serve as Co-Executors of this my Last Will
and Testament
ITEM 6: I direct that my hereinbefore named. Co- Executors shall not be
required to give bond for the faithful performance of their duties in this or any jurisdiction.
3
of
rw;:~SAw:..EREOF, I have hereunto set my hand and seal this lJ;l-day
~ ,1997.
')1) ,-~~m ,(i?d~j,
MIRIAM M. LIDDI K
The preceding instrument, consisting of this and three (3) other typewritten pages,
was on the day and date thereof signed, sealed, published, and declared by the Testatrix
herein named, as and for her Last Will and Testament, in the presence of us, who, at her
request, in her presence and in the presence of each other, have subscribed our names as
witnesses hereto.
[i:he_ ~F J1~/ p~
~ '/It. ~~ OF 12~.f!,
4
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF YORK .: /' .Afl'
~~TA~~ ~f~~:e
and
witnesses,
respectively, whose .names are signed to the attacbed or foregoing instrument, being first
duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and
executed the instrument as her Last Will and Testament, and that she signed willingly, and
that she executed it as her free and voluntary act for the purposes therein expressed, and
that each of the witnesses, in the presence and hearing of the Testatrix signed the Will as
witnesses, and that to the best of their knowledge, the Testatrix was at the time eighteen
(18) years of age or older, of sound mind, and under no constraint or undue influence.
~ ~t 11
~ A ~~1?
I M. L DICK.
ULc~
L111~
SWORN TO AND SUBSCRIBED
, 1997.
Notarial Seal
Janet S. Gore. Notary Public
DiIIsbur\J Boro, York County
My CommiSSion Expires Oct. 25, 1998
Member. Pennsvlllanb Association of Not2ries
COMMONWEALTH OF PENNSYLVANIA
DEPT. Or- REV. INHERITANCE TAX
DIVISION DEPT. 280601 HBG. PA 17128-
0601 REV.485 EX+ 04-00
MUST BE COMPLETED BY REPRESENTATIVE OF FINANCIAL INSTITUTION WHERE SAFE DEPOSIT BOX IS LOCATED AND
RETURNED TO ABOVE ADDRESS
SAFE DEPOSIT BOX
PLEASE PRINT OR TYPE
lVBrk E
16 EI icker Road
124 W. Harrisbur St. P.O. Box 310
SAFE DEPOSIT BOX INVENTORY
INSTRUCTIONS
(1) CASH: REPORT TOTAL ONLY.
(2) STOCKS: LIST IN DETAIL EVERY COMMON OR PREFERRED CERTIFICATE, WARRANT OR OTHER RIGHTS
FOUND IN BOX. STOCKS ARE TO BE DESIGNATED BY NAME OF COMPANY, CERTIFICATE NUMBER, DATE OF
CEBTIFICATE, NAME IN WHICH STOCK IS REGISTERED, AND NUMBER OF SHARES AND CLASS OF STOCK.
(3) OBLIGATIONS OF U.S. GOVERNMENT: NUMBER OF ITEMS, DATE OF ISSUE, FACE VALUE, NAMES IN WHICH
REGISTERED AND TYPE OF OWNERSHIP, ie.. JOINTLY HELD, PAYABLE ON DEATH, ECT.
(4) BONDS: DESIGNATE BY NAME, AMOUNT, SERIAL NUMBER, OR OTHER DESIGNATION. (BEARER BONDS)
(5) BANK AND SAVINGS AND LOAN PASSBOOKS: STATE NAME OF DEPOSITOR, NUMBER OF BOOK, LAST DATE
APPEARING IN BOOK. NAME OF BANK AND BRANCH, AND BALANCE.
(6) JEWELRY, COINS, STAMPS, MANUSCRIPTS, ECT: LIST AND DESCRIBE AS FULLY AS POSSIBLE.
(7) DEEDS, MORTGAGES, CURRENT INSURANCE POLICIES OR OTHER EVIDENCES OF INDEBTEDNESS: LIST AND
DESCRIBE AS FULLY AS POSSIBLE.
8 ALL OTHER CONTENTS.
ITEM NO ITEM DESCRIPTION
I CERTIFY UNDER PENAL TV OF PERJURY THAT THE ABOVE PERSON RECEIVING COpy OF SAFE DEPOSIT BOX INVENTORY:
RECORD IS CORRECT AND COMPLETE TO THE BEST OF MY
KNOWLEDGE AND BELIEF.
.... .r-.
'l.~:~" .J'I-" <
Linsenbach, Hs ire
for Estate
NOTE: ATTACH ADDITIONAL 81/2" x 11" SHEET(S) IF NECESSARY OR USE DUPLICATES OF THIS PAGE OF FORM.
Rev.15GB EX+ (8-9B)
*
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DEceDENT
Liddick, Miriam M.
FILE NUMBER
21-06-00603
ESTATE OF
Indude the proceeds of litigation and the dale the proceeds were received by the estate.
All property Jolntly-owned with the right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Bank of Hanover - C.D. #33024146 10,000.00
2 Bank of Hanover - C.D. #33026521 65,000.00
3 Bank of Hanover - checking acct #333417 2,049.93
4 Citizens Bank - C.D. #6146-918229 35,079.14
5 Citizens Bank - checking acct #610063-847-2 30,819.89
6 Highmark - premium refund 141.41
TOTAL (Also enter on Line 5. Recapitulation)
143.090.37
(If more space is needed, additional pages of the same size)
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Fonn PA-1500 ScheduleE (Rev. 6-98)
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ACCOUNT BALANCE
Account _OO=~ Ctl2 060
Prod Type 324 .
Name MIRIAM LIDDICK
3523 HUNTERSTOWN-HAMPTON ROAD
NEW OXFORD PA 17350
Bkp Wth 0 NO
TIN Cert 1 YES
35000.00
0.00
0.00
Cust Nbr 01225132236
Nbr Sign Required 0
Memo Balance
Minimum Balance
Hold Amount
LAST TRAN TODAY: Emp ID
Tran Amount
Tran ID
0.00
CLOSING INFORMATION
User Tran
WITH PENALTY:
Current Bal
- Penalty
- Fees Due
- CIs Chrg
- Tran Chrg
- Fed Tax
- State Tax
- proj Pmts
CLS W/O AC
W/PENALTY -.
INFORMATION
Ctl3 000 Ctl4 000 Ctl1 01
79.14
Page 1 of 1
07/14/06
14:15:51
0302
35000.00
678.33
0.00
0.00
0.00
0.00
0.00
0.00
34321.67
+ACCRUED
CLOSE + ACC - - - - V--::-=. - - - -
w/o PENALTY 35079.14
PF3-Inq PF4-Hist PF5-Redisp PF6-Monetary PF12-Help PF14-S/H
http://retailportal/touchpoint/3270/emu13270.htm
7/14/2006
Page 1 ofl
BALANCE
LAST STATEMENT
33015.95
DDA STATEMENT INQUIRY 14.15.05 PAGE
ACCT NO. 060-000-0000-6100638472
DATE THIS STATEMENT 07/14/06
17350 DATE LAST STATEMENT 06/15/06
*****DDA TRANSACTIONS**..*
CHECKS/OTHER DEBITS DEPOSITS/OTHER CREDITS BALANCE
NO. TOTAL AMOUNT NO. TOTAL AMOUNT THIS STATEMENT
3 5760.04 2 3563.98 30819.89
1
IMI3 07/14/06
MIRIAM LIDDICK
3523 HUNTERSTOWN HAMPTON ROAD
NEW OXFORD PA
650
AMOUNT TYPE
38.04
2948.98
5107.00
615.00
615.00
TRANSACTION DESCRIPTION
CHECK
DEPOSIT
CHECK
US TREASURY 303 SOC SEC
DEBIT MEMO
BALANCE
32977.91
CHECK#
649
DATE
06/28
0~/30
06/30
07/03
07/10
30819.89
.,:\,,:',,' -. - -
~0819:~
http://retailportal/touchpointJ3270/emul3270.htm
7/14/2006
......
REV.1151 EX+ (12-99)
*'
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Liddick, Miriam M.
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21-06-00603
. ESTATE OF
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s) attached 7,513.27
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Social Security Number(s) I EIN Number of Personal Representative(s):
Street Address
City State Zip
-
Year(s) Commission paid
2. Attorney'S Fees Brian C. Linsenbach, Esq. 2,950.00
3. Family Exemption: (If decedenfs address Is not the same as c1aimanfs, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees 310.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 1,051.55
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 11,824.82
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
Rev-1502 EX+ (6-98)
1M
SCHEDULE H.A
FUNERAL EXPENSES
continued
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Liddick, Miriam M.
IFILE NUMBER
I 21-06-00603
ESTATE OF
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Cocklin Funeral Home
7.463.28
2
The Bon-Ton (burial clothing)
49.99
Subtotal
7.513.27
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-A (Rev. 6-98)
Rev.1502 EX+ (S-98)
*
SCHEDULE H-B7
OTHER
ADMINISTRATIVE COSTS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Liddick, Miriam M.
FILE NUMBER
21-06-00603
ESTATE OF
ITEM
NUMBER DESCRIPTION AMOUNT
1 AXA Equitable - reimbursement of contract payments made after death 64.88
2 Cumberland Law Journal - estate advertisement 75.00
3 Miscellaneous expenses - Notary, postage, photocopies, etc. 25.00
4 Patriot-News - estate advertisement 121.67
5 Register of Wills - filing fee 15.00
6 Reserve for future administration 750.00
Subtotal
1.051.55
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA.1500 Schedule H.B7 (Rev. 6-98)
Rev.1512 EX+ (6-98)
'*
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTli OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Liddick, Miriam M.
FILE NUMBER
21-06-00603
ESTATE OF
Includ. unrelmbuned medical .xp.n....
ITEM
NUMBER DESCRIPTION
1 Continuing Care RX - debt of decedent
VALUE AT DATE
OF DEATH
60.14
2 Howard Burkett, C.P .M. - last illness
30.00
3 The Church of God Home, Inc.
178.45
TOTAL (Also enter on Line 10, Recapitulation)
268.59
(If more space is needed. additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group. Inc.
Form PA.1500 Schedule I (Rev. 6-98)
REV.1513 EX+ (9-00)
'*
SCHEDULE ..
BENEFICIARIES
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
1
Liddick, Miriam M.
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS pnclude outright spousal
aistributions and transfers
under Sec. 9116(a)(1.2)]
David R. Liddick
16 Elicker Road
Dlllsburg, PA 17019
Mark E. Liddick
3523 Hunterstown-Hampton Rd.
New Oxford, PA 17350
RELATIONSHIP TO
DECEDENT
Do Not List Truateel.\
FILE NUMBER
21-06-00603
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
ESTATE OF
NUMBER
I.
Son
1/2 of residue
2
Son
1/2 of residue
Total
Enter dollar amounts for distributions shown above on lines 5 throuah 18, as appropnate. 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
0.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA.1500 ScheduleJ (Rev. 6-98)