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RESIDENT DECEDENT PILI NUMm -. - _ u <, ~'\:,:~:,~:jii}J.I~~J_J1~~;~v:,,~_ ..._., ,~~~T~E :~M~T~~ g~P~I~~:IE ~~fv C(JOE 94 YEAR O(jO tMBEr r,r"llIil,", ffOlllrn.II.'/II!!T,.llf>1iIUUlnflmAlf . -IlilWi!i:rI'nlrnPl!1! ADD!!!r" Illm~I^N / KNJ'IIHYN M. 1 l,onqAdorf Way :,<1( '" IIWRIIY NOM!'. - . -.. "'IUAf! "F ijfAlW.h , 'IDiI!! OniAfii-""- - en r Ii;' Ie, l'^ 17013 195-07-668.7.,. 3/41 1 ?_~ ~.._.!..1(1.6! 1..~_Z. c,"\,jf.ll~~.~r I!~~l_o... ~Ol~~~ ~_...___.._____ k I I. Orilllnal Ro'urn LI 2. Supplomon'al Ro'urn [J 3. Romalnder Rolurn Ifa, da'o. of ~oo'h prior 10 12.13.02) I 1,1 1I<lIi,,,d [:.10'0 1.140 fu'uro In'o,o" Comproml,o [J 5. fodo,al E.'alo lax lIar dOlo, of doa,h oft or 12.12.02) Rnlu,n Required 11,. """"I.nllJln" T.,'oln [I 7, oocodonl Maln'alnod a living Trull _ O. To'ol Number 0' Safo oopo.1I Ooxo, ~ . ._... .l^"!'5!'..~~..~!..~!I!I..______.~lIoch copy of TrulIl JI" IL'lIHlE5PONOENCe AND CONPIDENTlAL TAX INfORMATION SHOULD BI DIRICTlD TO, ii^~'oroth~'~ -:lOV-G.;-----.-.--..------.-I'm!MA~O;~~~tCJm LanG... -- ' '''''''''"'' tlUMIHR -- -., 'h.__....._ -..-- . ..- Newv i ll&? ~ P^ 'd 17 2 'YJ:O _. L 71 z.J~-~__..?..76_:)_~5_~=====,==_.._~. ~ . " " ~ . . -- z o j ~ g I\( 1. 11<,,,1 hlalo (Schodulo AI I 1) ._...._h_________.___ 7, 5'''fl:l and 1I0nd. (Schodulo BI ( 21--.--..________ :1. 1;r""ly Held Slock/Par'nor,hip Inloro,l (Schodule q I 31______..___ '. ,I, M",I!lOOOl and No'e, Re,ol,oblo ISchodule D) ( 4) ._._n_ :.. C,"h, IInnk oopo.I" & MI"ollonoou. POllonal Prnpo,ly( 5) .50 , 177. 5 _4___.~ S (,rhodulo EI 6. Jollllly Own.d Propor'y (Schodule FI " T'OIl.foll (Schedule GllSchedulo LI II, To'ol Grall Allo" Ilo'alllno. 1.7) ~. h'nu'ol Expon,e., Admlnhl,oll,. CO"., Mlseollonoou. ( 91_--.itJ!.12..,JJl___ hi'nn,e, ISchedulo H) 10, onhl., Morlgogo lIablllll", lion. (Schodulo I) (101 3 . 77 1 . 58 ,1. T"lol ooducllon'I'olalllno. 9 & 101 17. Nu' Value a' E.latolline 0 mlnu, line II) I~. (hmltablo and Govornmenlol Ooquo," (~,hedulo JI .I~. . "'nl_Y.:'I~n Subl":!..'o..~!',,.lIif1_...]~m~!,u!.lino 13) 1 :" Amounl of line 1 A laxohlo 01 6% rolo II lid,,,',, .aluo. from Schodule K 0' Schedulo M.) 1(, {,,,,ounl a' lino 14 ""oblo 0,15% ,o'e (Indudo voluo. f,om Schodule K or Schodulo M.) 17. Prill"pol'axd"oIAcld '0' f,om line IS ond from IIno 16,) In. C,,,dil. Spou.ol Po,nrly Crodlt Prior Paymenl' ohcounl Inl"e.' - .... ...... + ....__n.____ + ____ _ __"____. I~. If 11,,,,1010 9,no'or ,hon linn 17, enlo, ,ho difference on lino 19. Thl.,. ,ho OVERPAYMENT, W,;\ll .ll!mn~IJiJT"I.'lin.m~1l,14l1~g,urrn..'''lImmnmT.I~I'I~'1'Wlutl..ml.,t!1 .---.---.--.---..-. L ;:t., ;;."': I t.d "'J '.) i,') (0 ~)- S:, ( 6).._._. (7)__.. ( 81 _J.!l_L.lll.54____ {151 _..1...0..,.19..3..",86 (11) ~218.68 (12) 41,55~_.86_____ (131__815....00 (14)_ 40, 743.B6__._--= _ >I .06" ____~f..r!. 4 4 . 63______._.... (16) __x.15.. (17) _____2,444.63 (18) ________..__.______._... 1191 _________....._.., ~O. II Ii". 1110 1I,001er Ihon IIn. 10, enlo, ,ho dlffo"nco on lino 20. Thl.,.lhe TAX DUE. (20) _3.! 4 4 i~..~..__.._..___.. ^. ""I.r Ih. Inlero" on Iho bolonco duo on line 20A. (20AI .____..________.___..______. 11. [n'., ,ho 'olnl of lin. 20 and 20A on line 200, Thl. I. ,h. BALANCe DUE, (200) -_...2L'l..1i,jjJ.___.__.... ..I.\-,,~e ~".o~.k.!"-V~I_~.I!htOI Re~!,!" "i WIJ~!, Agent _ ___.._..~ --ij:' .liii'URB TO'MfsWIR ALL QUesTIONS ON MEVEASI-SIDIAND TO RECHECK MATH....------- i jl1df'~ 111'11(1111;' I (,I f'lll it'l \'. ,. d,,; i{,;~~ii';;I.i. h(l'Io.~~nmj~~rl'hi;r(lIUm~i~~i~di.;g~o~.flanyr;;g,ch81cM;;ond .tai;;;nit,";;Ji"o Ih;-bt;tc;r;Y1~"OWi~~jgft-n.n~l.bn~nj; 11 i\ 11111", IfHI.,rt [Ill!! f"lIlpllllfl I cloclmlllhClI cllIlDnl eltnlo has bflt1n roporled tJllru'l mCH~el value. Declaration of prflparer olhef than the perlonal fllprolenlatlvo I. hlllvl (111 nlllllfllrrll'llilll1lll wldr.h propmor IHlI rmy knowledgo. l,iil,illillH 0' ri';',I;"'" i;bNI"il}6';lillUj~tiURN -"-ADD.m"~---" . h______.._____~..___._____... D.lf!""""--------- . ;JJp5.~(J'0,4?~.J. ~.(.rtf; ~~;~~. .iiltl\i(--..m-il~.~B:~~~~~. ~.~_~~i~~C' ___~()~~2~2:~_J~~__~_7.:..~.1_. DiI;~!.!9-'!............_.. .;:;( ;a'&(,...< ( i?/~",,-:~.____I~O_..~_<?..X _6 8 _~t:.I!~~x_..~!,r~_!:.~~.22~~.~_ ...!{~/9 4._____.. UVISOA fl. ".m ~ SCHEDULE E l' CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY _ Pleol8 P!lnl or Type fll,E NUMBER ~ ~;,;~ cOMlf~~~~~ll~1 ~~'!IWd~WANIA 1II10.ln OICIOINl eSTAfE Of HERMAN KATHRYN M. IAljp,oplny lolntly.ow..i;jjhjj,-; RlghloTi.'.I.o"hlp-;;;~-;ti;.dI~J;..d on 'chld.i , PI N~~~ER I 1.~ Farmers Trust Company 46,192.62 3,934.92, DESCRIPTION , VALUE AT . DATE OF DIATH Aocount * 011-47056 2. Mellon Bank Account # 122-462321 '1'1'10 ITEMS ONLY . ,. " ,. " , , ,. , , . ,. ;,,' ',' t .' " " " ". " \' , . " ; I " II j,' ,,, ", , . $50 177.54 (Allach addlllonal 8\\" .. 11" ,h..I, II morl .paco II n..dld,) , ' . I '. .. ' BrATE OF HERMAN, KA'l'HRYN M. ITEM NUMBER A. Funt/al hpln.l.. ItY.UII".,'."1 \ ~:j;~ COMMONWIAItH Of PINNSYlVANIA INtIIRIlANC! TA~ mURN R!lIDINT DICID!NT SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Pllall Print or TVpI . DESCRIPTION AMOUNT , 1. Zimmerman Adler Funeral Home Inc. 3,632.10 B. Admlnl.'ratlvl co.1I1 4. C. 1. 2. 3. 4, 5. 6, 7. 8.1 1. Pe"onal Repr8lentallve Commlulonl Social Security Number of Pellonal RepresentallvlI Year Commlulonl paid - , 2. Attorney Fees -- Patricia Brown 25,0.00 3, Family Exempllon Claimant Addreu 01 Claimant at decedent'. death Street Addreu City _ State __ Zip Code Relallonlhlp Probate Fees , . MI,clllaneou. Expln,," Heritage Memorials Inc. (Headstone) ,.. .965.00 I . TOTAL (Allo enter on line 9, Recapltul~lIonl S 4 847 (II molt .pacI I. n"dld, Inllrt additional .h"t. of .aml .111.) """""'1"11. COMMOtlWIAUH or mlH1nVANtA INIIUlI'uICltAll .. MN mtDlNIDlClOINI ~ SCHEDULE I DEBTS OF DECEDENT, . MORTGAGE LIABILITIES AND LIENS L PI"...... ,,,,. _ I'ILI NUMBER - \ ISTATI 0' HERMAN, KATHRYN M. !TIM NUMBER 1. 2. 3 . 4 . 5. 6, 7 . " DESCRIPTION AMOUNT I Cumberland Crossings Susquehanna EM'l' 2,977.30 71.18 357.00 1 '14.84 81.00 48.50 121. 76 cumberland Crossings Cumberland Crossings Internal Revenue Service Care Apothecary Cumberland Crossings SEVEN ITEMS ONLY " , , , ,. '" '<< i! ,) ,1,/(, f,il, I;, ,! , TOTA~ (Allo IIller on IIno 10, R.copllulollon) , (If more ,paco II nOleloel, 101111 oelellllono/.hOlI' 0/ lomo .IIO.) $ 3,771.58 , " 'I, U~,';U".IH'1 J 1 ~~ COMMOIIWIA,\111 01 ,tlltl\UJAtiIA IHHUnANCI IAIIIIIUIN 1III0IN'OlelDIHI SCHEDULE J BENEFICIARIES ---... -- ESTATE OF Fill NUMBER ~ HERMAN',' KNl'IIRYN M. N~~~IR NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE O' ESTATI A. Ta.able Bequellll 1. Dorothy~. Shover 27 Bottom lane Newville, PA 17241 Daughter ~0,743.86 ITEM NUMBER AMOUNT OR SIiARE OF ESTATG NAME AND ADDRESS O' BENEFICIARY B, Charitable and Gavernmenlal Bequtllll 1. Colonial Park United Methodist Church Harris Field Memorial Fund Brethern in Christ Church 615.00 100.00 100'.00 2. 3. THREE ITEMS ONLY . TOTAL CHARITABLE AND GOVERNMEI~TAl BEQUESTS (AlIa enler an IIn. 13, Recapitulation) (II more Ip~., II nttd,d, Inlt" addltlonallktt" of lam...I.., . S 815.00 I i I I I I .......'l.. '., ~. " .~. I. \ , . .._1 -- ..-. .....- -- ~ _..... ...._..... ~_, ~_ _._._ __._.. .~..~I.. .~. ~_._. ~.. .., ,_.w.. _~ .__~ ___ ._...... ,:_ __ _ _n_,...--., .-..... _ .__ _~_ __ ~_... I: RECEIVED fROM, & Ii] AMOUNT , , j I , I Dorothy.. Shover 27 Botto..'ll Lane Newville, PA 17241 101 924U.63. 'j ,10IDH.Uf IOI.HlII'~ ': , '"t. !' , '1'1 4, 1m T m TOTAL AMOUNT PAID _-UtU. Ii] REMARKS 8. s. '195.07~6687 SEAL RaOISTEFi OFWILLS 22", .I ~ , , " /' .." [~ ~ - . R""~"V .. ~~ { - - -. -- -- - ---.. - ...-... -.-. ---. ~--. ~- -.:..~ -.-. ...,.~~F'..' ,- .-... -- .~_..~ --- .--~ ---- --- .-- ,..~- .-- - - - ----r '-, ">, " ,', "-, '1-.. ~ ,," I r' , , , , '. \ :)"-_"'ri'tI"'_'~'-"U'iil-lL1t"--- .Jr. _ , '.!l'l ~',rr'Hl :",-",of"~' ~,.n;,~.,.'l;[fff"JI'''F\''!~'.~,'i"\~'li'rr~r''\~.~It..,...,~,~ I. , " .. .. , .. I. ,'.. '.' .... .~..~ .~...... " ..c;;'\, "'-.-..' 'i ,,' ,. " ". I" I. , , ..'" ",'" ., " , , '., " ", ,,' ,'; ~ . '.1 I . . l~~'n, "<.l-111'l"r\~-,;.l ",' \1' il . j,,,-,~,,'.l '\'r-.,l~"'I"".H__' ,- "......-.. -. ..... .... ,. ',' . . ,; ''-' ~;" _ t ,;..... i'c_ ;,;,'ti": ~-i', i.""-" 'i " " RP'V-1547 IX AFP (10-93_ ';OHltONllEALTH Of PENHSYLYAHIA " OEPARTItEHT Of REVENUE BUREAU OF IHOIYIOUAL TAMES DEPT, 160601 HARRISIURO, PA 17116-0'01 hTATB OF HERMAN I. FILE NO. DATI OF IlIATH 03-04-93 OOUNfV CUMBERLAND HOTE.' TO INSURE PROPER CREOIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX PAY"ENT TO THE REGISTER OF WILLS, HAKE CHECK PAYABLE TO "REGISTER OF WILl,S, AGENT" REMJ:T PAVMENT TO I NOTICE OF INHP,RITANCE TAX APPRAISEHENT, ALLOWANCE OR OISALLOWINCE OF DEDUCTIONS, ANO A~SESSHENT OF rAX ADN , DATI 05-09-94 DOROTHV A SHOVER 27 BOTTOM LN NEWVILLE PA 17241 REGISrER OF WILLS CUMBERLAND CO COURT HOUSE CARLI3LE, PA 17013 [ A.ount ROMittod Cry. if ~ CUT ~LONR THIll UN! !~., ,.j , "-"." \ '. ' ,...... , .... RITA~H ,I OWIIl 1l0llTTON FO,' VClUR "flClIIIM " . , (I., , ,'i, " ". , , ,,, 1'1 ,. , . ,,", :i ., . , .' , , . ,.1' ",'I "\.-." ,\'j ~\j / I ,:1 .." .", "l- ~' \ " I \ I I I I J ! ., 101 ,. 'I " I. '1 \. '('" I 'I , { I I . ~. ~,.".. " { ! 't", .. 'i I" I I :\. r I ,.' j,:. " .1' '..' ')' ,,'j' '., ".:' li_ ' .' j i '" ' ;. " '.. .' . '-; " -, , ' - : ' ~ -"" ',,'. il'''''~I~''':1''''~, pi ~",_.,l(~' ,,~\,J". ,.,...!J.<<.,.. b,"" 't.' ',," "',,' ',:/' ". '.. " "J' '., ,. I, (\, ;,1 'i l' '~ i, ' , " ,,' ,Ii '1\' I"~ , , " , .'1. '" I' " \, 'I ~ " ..' , ',", ,. i' 'I" ,II " ,'I ,.' .Ji . " ./ "U' , ;.1' " " I, ,'I" &' ." ,I' , '" "'I.. " '" " " ,. , " 'I" ,',' : " " j' I'" , ':K .',' " ""1\' , " , )' 'j ".1 " I' 'j , 'f. ,. ,I, /' .. I).'j' ,t.II,", i.,,' ,I' I:' '. .'1 ~' ;'1 ",' " " " " ,. d' " '. 1,:,1;: I " .I HtJ(-,l;dd "1'1 ; ,- ~ ,;! r 1\ ~.\ ~ ,,' , 'i , ,,) (I( \"IiIlB, (i' ,I 'ii. ,. ,,, 1/"; . ,: " , " ,. " ,. , .O~JiI. '/:1AY;11 rll 'r."J II if,)'( ,. ,. , " I' 1\ ,t'" 'i .d' 'j " Clo,,:'" " I' OUiYll'/"IJ.""i i ,,', '<." ,-j' " . '''t'll!! ,r,'A " O'l,!', ' " " , "'1, ., ,. " , ,.' ,. " ,. ";J' ',;., , , I' 'i " ,. '..; ,. ,I' I, in, ." I' ,." 'i ,,',i "',0" ,I' 'll , " , , ' . , I ~ ~ (i I' , " , , .,. , -\( IIi " '. ' "I,----;':.;;..11.1/H1.....,...14HMV{#1l\t_.,..l/fiiI~I;;.II\fji4,....;~If'~ i,::"', di:I", :';',-, " " ,:'; 1,'/:1 ii ;": ..lIi,. ' Ii JI I. 'I < ~ I. " ' , '~'I~":"~''''I.IIM'41l.\\l~~,fl.ll~l(!\\~~~~\1{j)",.).:,W/1.''''''~\'~'C'''''':'~ n ,,-~ '" d', .",. .. , " II I,'., " "I I. ,." \"1;' L , '! I', " '. ~ ,I' " , " .,. , I ~ \ ' ,,; ", j' :,' I'i\ '"~ "I i ",~' I: ,. 'I' I;' , , " "', ,," 'f.. , 'I , ,,' j,', .,. " , ,. 1',1,\ ;; 1,;1\'" , , fl, " ,,' Ii I!' Ii " " Ii ~\Ij , ,;\ I; , \i,'I' , ' ""1 I',l! ,I' "II;,! !I" '";,,, ,. "In ,I H' I' I, " 'J{', H ,,', , ,';.. " " _,j q~" " " ',' "t'" " ,. ';, I; " " ,. " I . ' ,. " , , .iI ,,, I, ,...~.. n I: \ " ," ." " .1 " ,-',. ,. "j' ." " " , .' " " , I , ~ '/ I" 1 ,I. ./"" " . 1'1" \ I , ! " . '~'i. '," "I' ., " 11'1'1. ,." ..-R. . DfloIly A. tIllMf I7Ilol101l1I.1111 New.tII. PA 17141 .' ' . ,',--,! -"(:1 't I ,I ;(1.,1 , " .')'1.<'; '., , " j" .',. . lr~ ',' +~~..I.,'.tllt \~i:\III'.~,J;"",'1 Mi~"I',.,i i !,;~ , . 'i. ., ...~ j'" .. ., "1'\' " ,", ,1.11'. , , " " " ~' "<"" ,.. , , , r~; ~.tJ..\'.'~r!!.J:'1 \jlr~ "\",~"'" . -'~'l \ ,:/PlI' 'l,'H' ,:," ',' "...., , 'I" l:: 'J ' . 'I ..{ . , ~, I _\ " f ..... .,,4" ,.." ~ .... . ,'!';i ,"~ lrfJ U I..... ' r:J I~ w:L(..~ : c"'....~ (!.U",'\ t, CU~~f I(~J ,I) e'~;.,L I'Jt <- ,;PI /19/J ''.i ()\ , 111\1111111111111111111111111111 ;ij t: ' n, ;:J f ,'\ ('" . j..,.., j 'I: " " " , ',. ," " " "'f; ';, , , , . ..--" ''\1 , ,. , " .,:, ""\'.r''fI\,!.',';f\,,fW(I;~m'~\~'.\i ; .' , . L. " ,. '1""'-('" ,.", ' '-., 1'~.Y('i~t'''YN\'oI'j\.\1,''.~II''''lJJ.".;.,,,,,,, '," ,," " , ,. '.", .,\ . " " I " , , " " ,;,,,, " ". ,." " "', " ',. j'll! ,j" , ,. '" -', ~, ,... .... ,\ I, 1 I \ ~ " " ',I " I; 1 i I , I I I t. ~ Rr,V-1547 EX AFP 110093* tOHHOIfWUl TH Of PEIflfSVlVAlflA OEPAA1HflfT OF REVENUE BUREAU nF IHOIYIOUAL TAXES OEPT. !10601 HARRllIURO, PI 11111-0601 . ACN 101 NOTICE OF INHERITANCE TAM APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSHENT OF TAX DATI! 05-09-94 FILl! NO. DATE OF DEATH 03-04-93 COUNTY CUMBERLAND -- HOTE. TO INSURE PROPER CREDIT TO yOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FORH WITH yOUR TAM PAyHENT TO THE REGISTER OF WILLS, HAKE CHECK PAyABLE TO "REGISTER OF WILLS. AGENT" REMIT PAVMENT TOI DOROTHY A SHOVF.R 27 BOTTOM LN NEWVILLE PA 17241 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 r- A_ount RoMl Uod CUT ALONG THIS LINE .. RETAIN LOWER PORTrON FOR YOUR RECORDS ... ili V: iS4i"iif' AFij-r Iii: m" -NoYi cii" 'oF -ytiHiiii T ANC!' YA"X' A-pjiiiA"isii.jiNi'~ - -At l"owAiicE -ciR -. -. ___m_... - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF HERMAN KATHRYN FILE NO. 21 94-0004 ACN 101 DATI! 05-09-94 TAK RETURN WAS. I I ACCEPTED AS FILED I X) CHANGE~)( '- SEE' ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISBD VALUE OF RETURN BASED ONI ORIGINAL RETURN I, Rool Eototo ISohodulo Al 2. Stooko ond Bondo ISohodulo B) 5, Clo.ll~ Hold Stook/portnor.hlp Intoro.t ISohodulo CI 4. HortGIGo./Noto. Rouolv.blo ISohodull 01 i. Ceoh/Benk Dopo.lt./HI.o. Por.onol Proporty ISohodul. E) 6, Jolntl~ O.nod Prop.rt~ ISohodule FI 7, Tronoftr. ISohedule G) 8, Totll A...to 111_ 121 IS) (41 (5) 161 (7)- .00 .00 ,00 ,00 50,177.54 , ,00 ,00 (8) 50 ,177.54 APPROVED DEDUCTIONS AND EXEMPTIOliS I " Funorol Expon.o./Ad_lnl.trotlvo Co.t.1 Hi.ollllnlou. Expon.l. ISohodull HI 10. Dlbto/Hortgogl Liobilitilo/Llon. (Sohodulo I) 11, Totol DoduoHono 12. NIt Voluo of To. Rotu,'n 15. Chlrittblo/Govlrn_ontll Soquo.t. ISohodulo J) 14, NIt Voluo of Eototo Subjoot to To. ('I (10) 4.847,10 3.771.58 Ill) (2) (IS) (14) 8.618.68 41,558.86 ,00 41,558,86 NOTEI If an .....sm.nt w.s issu.d pr.vioully, linls rlfllet figurel th.t ineludl the tetal ef ALL ASSESSMENT OF TAXI --- 15. A_ount of Llno 14 tox.blt It 6% rot'o (5) 16, Aoount of Lln. 14 toxoblo et U% roto U61 17. Prinolpol TI. Duo 14, 15 and/er 1& and 17 will returns .1~ls..d to d.t.. 41.558.86 K.06 . .OOK,U_ (171 2.493.53 ,00 2.493,54 TAX eREDlTS I PAyHENT DATE RECEIPT NUHBER DISCOUNT (+) INTEREST (.) AHOUNT PAID 01-03-94 855778 14,36- 2.444,63 INTEREST IS CHARGED FROM 01-04-94 TO 05-24-94 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM,M TOTAL TAX CREDIT BALANCE OF TAX DUI INTEREST TOTAL DUE 2,430.27 63,27 1.71 64,98 If IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $1. NO PAyHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS ^ "CREDIT" ICR). YOU HAY BE DUE A REFUND, fEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,) j AEIEAYATlOH. _Of' NOTICE. PAYIIIHTt AEFUHD (CAli OBJECTIONS. AOH1H IITAATlYE CORRECTIONS. DIICOVHT. IHTERElT. ~ Eltet.. of deoedentl dving or. or blfer, DIClIlbtr 12, 19U .... If tnv future Illterllt In thl utet. h t"nlflrt" In po.....lon or enjov.ent to CI... a (ooll.t.t.l) bln,tJol,rl.. of thl dleldlnt .ft.r 'hi Ixplt.tlon of any t.t.t. for I1f. or for VI.t., thl Co..onw..lth h.r.~t Ixprl.llv rt..rv.. thl right to Ippr.J.. Ind ..111. trlnl"r InhlrltlnCt Tlx.. It the l~'ul el... I (co11.\.ral) r.t. on ,ny .uch future l"t.r..t. To 'ulfl11 thl requlr...nt. of Slotlon 2140 of thl Inh.rlt.nct and E.t.t. llx Aot, Aot 2Z 0' 1"1. 12 P.S. Section 21"0. Detach tht top portion o' thl. Hotte. Ind .ublllt with your ply.."t to thl Reghtlr 0' WUII prlntld on tM river.. lid'. ....Hu. chick Dr loney order plyeblt tal REGISTER OF MILLS, AGENT All ply.."t. rlcllvld .hlll flr.t bl IPpllld to any Intlrl.t which ..y bl due with Iny rl.llndlr appllld to the tlX. A r.fund cf . t~x crldlt, whlth ~a' nnt rlqul.tld on the 'IX Rlturn, .Iy b. rlqu..t.d hv cDlpl.tlng an RAppllc.tlon for A.fund of P.nn'Ylv~nl. Inh'rlt.n~. and Eltlt. Tlx" (REY-ISIS). Appllo.tlonl Ir. eVIIllbl. _t thl Off Ie. of thl R.gl,t.r nf Will., Iny of thl ZS R.v.nul Ol.trlet Offlc.., er by c.lllng thl 'Plol.1 2~-hour an,wlrlng IIrvlClI flUIlblr. for for.. ordlrlngl In Plnrllvlvlnll 1-'00-362-2050, out,ld. P.nnlVlvanla end wUhln 10cIl Hurhburl ern (111) 187-'094, TOOl (711) 772-2~SZ (P,lIrlnllllp.lr.d Onlv) , Any p.rty In Int.r..t not ..tl,flld with thl .ppr.l....nt, _llow.nol or dl..llowtnel o. dlduotlon., or .....i..nt of t.x (Inoludlng dl.eount or 1ntlr..t) I' .hown on thl. Hot lei .u.t ebjlot within .Ixty (60) dlv' of rle.lpt o. thlt Hotlc. bVI --wrltt~, prot..t to the PA O.p.rte.nt of R.v.nu., lo.rd of App..I" OEPT, ZI1021, H.rrl.burg, PA 1712'-1021, DR L --.I.otlon to hlv, the ..ttlr d.t.relnld .t audit of thl Icoount of the Plr.o~.1 r.pr...ntltlvl, OR -"'lIPp..1 to the Orphan.' Court. Faotual "'rer. dhcovlrld on this ........nt .hould b. .ddr....d In writing tOI FlA a.pertllnt of R.Vlnul, Rur,au of lndlvldu.1 TIXI., ATTHI Po.t A.......nt RIVJIW Unit, DEPT. 210601, Hlrrllburg, PA 1711.'-0601 Phone (717) 717-650S, SII pI,. S of the bookl.t "In.truetlon. for Inhlrltlnol Tax Rlturn far I R..ldtnt DlDldlnt" (REV-ISOI) fOr In Ixplanttlon of Id.lnlttratlvllv corrlet.bll IrrOrt, If ftnV tlX due II Plld within three (1) ell.nd.r .onth. .ft.r the d.eldentl. dllth, a 11vI Plrclnt (SX) dl.count O. thl t.x p.td 1. .llow.d. Interltt 11 ch.rpd b.gIMln, with Ur.t dav of d.lInqu.ney, or nln. (9) .onth. end ant (I) dlV froe the dlt. o. dllth, to thl dRt. of plvunt. TlMII whloh btc... dlllnqulnt b.fer. Jlnutr~ I, 1912 bltr Inhrut It the rata of .Ix (6X) plrc,nt p.r .nnut c.leul.tld It I aallv rlt. of .00016'. All tIX., which bectal dtlin~ttnt on Ind ..tlr Janulrv 1, 19., will b.er Int~r..t It . rlt. which will v.rv fro. e.llnd.r Vllr to eallnd.r v..r with thlt rlt. tnnol.A'\Cld by thl PA Oeplrtllnt of Rlvlnu.. The appllelbl. Int.rut r.tu for 1912 thrOUgh 199~ .rll ~ Int.rut Rite Dally tnt.rut Ftetor :!!!.r Intlrut R.te DillY Inter..t F.oter 19.1 III ,000541 1916 lOX .000116 UIJ lOX .000618 1911 9X ,000161 1'14 m ,000501 191'-1991 m .OOOSO\ 1911 ISX .00OS56 1991 9X .000261 1995-1'~ IX .0001tZ -..tnt.rllt I. e,.eul.tld .. followlI INTEREST . IALANCE OF TAX UNPAID X NUHIER OF DAYS DELINQUENT X DAILY INTEREST FACTDR ."Anv Notlel IlIutd I'tlr thl ttx bloOM' d.llnquent ~1I1 r.fllot In Inter..t ellcul.Un" to flft.1n (11) dlW' b.vond thl dlt. of the ........nt, If p.y..nt I. 'Ide .ft.r thl lnt.r..t ODlPut.tlon dltl .hawn on thl Notlc., .dCUUOMI Int.r..t MJ.t be clleul.ttd. "J .. (. _lV-WOIIIU'1 .~. ,.~~ .~. "'.\1 : \' . ,..,h COMMONWEALTH OF PENNSYlVANIA DEPARTMENT OF REVENUE BUUAU OP INDIVIDUAL TAXIS DEPT. 280601 HARRISBURG, PA 17128.0601 DECEDENT'S NAME 1:1'1'11,111. L.tt hryn I~. SCHEDULE ITlM NO, "',' I 011I !j.5'91, PROIATI! JBA!' DATI. INHERITANCE TAX EXPLANATION OF CHANGES filE NUMBER ~!191,..(I004 ACN llil' EXPLANATION OP CHANGES J }',"l,:! Vl." I'hOl\l' 1'1,1.1 '\I'dl ??, 1'/')1" ,,01.' \/111. '1'/,)",101,., /llId :1 uu ~~ i '-J :\1 ')' " \ :;:!> J .J l..d " ---L '. TAX EXAMINERI__...~~I.I_~~!~~'!,:.l~~~~_- _____.__-'___ PAGE ___ ;'o4'I\j.......... ......~..\.I"J.i)'~..". !"~~-;T. .."".'1. " --.. -- .-..., -- .--., .'- -- --.~ --... .-.,. '.. -'. . -,' ......., ~.. ..... .... ." .., ..-.., ."-~. ,...; -...- .......__.... _...... ___. _~ _'--,"- _H --......._. , \~f.X\i\~~fX~~~~ll~~t\!i((~~l~.:!W!!Wi'~~'\'~~'~~~II~,r;M~'~~I' 1),\i~~)~~i~~\%1~~~r~~'11~I'~1.\~,~.I~~:Y,~iM~~ . 1",uM""'li',S'" "S' ,m~. \,'.. ,"1/, 1'iI~. ~Il H: Pl'- N"S'm(A"t~.i',1 \ ";"'\'J.!I{k,,y,,l'\\j';~R 'J 0 P, I~ 1"""..'/1 n'," I, I 'WI ..,MI."',,'I'''' l\l"'!'Pj:'\'" l; ~I . ,\ f:t:\" i"'/,I/," 'FIQ~ " Nv,l" \ 1"\" >1,11"1"'41\',4 .}f~;1. .\'\ i,,,~;< ',:"'\~ "~, a..~jcIAL.i,' 11i.J , "IN"'VI,V,&' 1~,,~ialIWA~~U~DiI~A~'~il;NI:'/I;( ~;;){;i\\!f .1. I" \ ~I ,~ft. ~,"i'. ~~ . '.' .::.:.':.: ,..,~ r'~ ,~.rr,..~,' \ ", 1 ~, M~r"."~,:~~ " j' ! ,.1, ,~ it ACN ~ ASSESSMENT '!' II CONTROL Ii:II NUMBER "II...." ;,':~'.l.' '" l\ , J<, _I' 1 ~. <; J ',I;.' , IN " (,,;,~' / (I, >': .11 ,I, , , ,',,, ,:'\\'1,.~ 'k1i\}tl" . \ . !l-fJ, '~, ....:,1:ll ll;t~ RECEIVED FROM, AMOUNT DOROTHY A. BHOVEr< t'7 DDTTDM LANE ----....-ul "b" . 'fU . Nl:WV ILl.!:. f'A 172111 '010 HUl '010 HI" f! 1"19'11, ...O(IOIt A ~DENT IlAST) HEf~Mf.!!':'..L.KIIHlHYN M. E OF PAYMENT - - SON I '1~F"(I7'.6b8'7 IFIRST' IMII o T r:lI~lflF.RI_ANn -,J.'3 1(/4/'13 REMARKS HARCll. n H. lliHnVl11l I m TOTAL AMOUNT PAID .bI. . qe Sl3 REGISTER OF WILLI' RECEIVED BY i/,'t;, "I.!~"' ;./( ,. ,/ ,ii..J / I f'sIO~~TtJR! ~,' f _' I.... ! ~ MARY C.. LEWI a i.', .'v,.' ''-''j,'':'' 3?, riE.c:J I fJTf:J<OF WI LLI.1 ' (/ SEAL CHI!r:KII 1(.,(1::, . . -.- _ -., -- _.-- ....~. ._..~ ...-- --. .-'"-- .-.. ..':..~ .,--- .---- ..-.. _.-.-. --- .---. -- --- .-.- -.-. _.. -- ..~ .-- -..... --- --- , .. . E ,.j' RIVo1607 IX AFP 110911. COI..OIft'UL TH CW PfHllSVLVAHIA llEPARTItl!HT OF AEvtHUE I/MUU 01' IHOIVIDUAL TA'ES DEPI. 210601 IWlAIII/MO. PA 11111-0601 ACN 101 :r.~HER:tTANCI! TAX STATEMENT CF ACCOUNT DATI! 05-31-94 HERMAN KATHRYN FILl NO. 21 94'0004 DATI OF DIATH 03-04-93 COUNTY CUMBERLAND HOTE, TO INSURE PROPER CREOIT TO YOUR ACCOUNT, SUBMIT TME UPPER PORTION OF THIS FORM WITH YOUR TAM PAYMENT TO THE AODRESS SHOWN. HAKE CHECK PAYABLE AND REMIT PAYMENT TO, , DOROTHY A SHOVER 27 BOTTOM LN NEWVILLE PA 17241 REGISTER OF WILLS CUMBERLAND CV COURT HOUSE CARLISLE, PA 17013 L AMount RlMI U.d ~ CUT ALONG THIS LINE .. RITAIN LCWIR PORTICN FCR YCUR FILES .... Ai'v:i6"o-i'E)f'AFii'il~9ii--'-'-ii..'-iNHE'RiTA-NCE"fAX--STAT.EHEN-f-OF--ACC-OUNT........----..------......--- UTATE OF HERMAN KATHRYN FILE NO.21 94-0004 ACN 101 THIS STATEMENT IS PROVIDED Tn ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAM DUE, APPLICATION OF ALL PAYMENTS, TNE CURRENT BALANCE, AND, IF APPLICABl.E, A PROJECTED INTEREST FIOURE. DATE 05-31-94 DATE OF LAST ASSESSMENT DR RECORD ADJUSTMENT, 05-02-94 PRINCIPAL TAX DUE, 2,493.54 PAYMENTS (TAX CREDITS), PAYMENT DArE 01-03-94 05-10-94 RECEIPT NUMBER 855778 8B6D64 DISCOUNT (+) INTEREST (-) 14.36- 1. 54- AMOUNT PAID 2,444.63 641 UI r- on '" ,,', . IF PAID AFTER THIB DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN .1, NO PAYMENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. I TOTAL TAX CRIDIT BALANCE OF TAX DUE INTlREST TOTAL DUI 2,493.71 .17CR ,00 .17CR PAYMENT. Detach the top portion of thl, Notice and Iubllt with yo~r PIV.tnt .,d, payablt to thl "..t end Iddr... printed on thl river., ,IUI, All PIy""tI rtOllliad .hlll flr.t bl lNlplled to any Int.rllt which uy bt dut wUh any rl..lndor IppUtd to thl '1M, R!:FllND ICAI. A r.fund of M tlM crldlt, which WI' not r.qultttd on thl TIM Rtturn, ..y bt raqu..ttd bv u~l.tlng In "ApplloaUon 'or R.f~ 0' Penn'vl",nl, InhlrltlMl and E.t,t, TIM" (REY-UUl, AppllcaUons Irl Iv,l1lbll .t the OffiCI u, thl Rlgl,'ar of Willi, any ~f thl 2~ Rlvlnut Ol.trlct O"lc,., or by cl111ng thl .peallt 2~.hour anlwerlng ..rvJeI nuebar' for 'nr.. ordtrlnQl HEW IN PENNSVLVANIA 1-800-162"2050, ouhldl PtnnlVlvWll1 InCI within the 10011 lI'trllbur, Ir.. (717) 117.8094. A!iPLV TD. DIICDllNT. Qulltlon, r...rdlng .rror. nontllned on thl. notlcl lhould bt .ddr....d tOI PI. D'Plrt.lnt of AIVlnue, Iurltu of IndividUal hICII, ATTNI po.t A..n....nt Rlvl.~ Unit, DEPT. 210601, Hlrrl.burg, PA 1712a~O'Ol, phone 11m m-61OS, If any tl)c dua I. p~ld ~Ithln thra. (]) callndar lonth. .ft.r the dlcldlnt'. death, . flvl parclnt (S~) dl.count of the tll< Plld II allowed. INTEHIT. Intlrl.t II chargld big Inning ~Ith flr.t day of dlllnqulnoy, or ~tnl (9) lonthl end onl (1) dlY frol thl data of daath, to thl d.tl of plYWlnt. TaKI' ~hloh blOll1 dlllnqulnt blfor. January 1, 1982 bl.r Intlrllt It thl r,tl of alle (lX) Plrcent plr annw calculatad It a dalh ratl of .000164. All tll<U which ble... dlllnquent on and ,n.r JlftUary 1, 1"12 will bur Intlrnt It a ratl which ~III vary frol elllndar YI., to callnd.r Vlar ~lth that ratl announced by thl PA Clpart.lnt of Rlvlnu.. Th. applicable Int.r..t r.ta. for 1982 through 199. arl' '!!!!: Intlrut Rlt, 0111'1 Int.rl.t Fautor !!!r Int.rllt Aat. Oallv Intlr..t Flator 1911 20X .0OOS48 1986 lOX ,GlOm 1911 16X .000618 1m 9X .ooom 198~ IU ,000301 1988-1991 llX .00UGl 1981 UX .000316 1992 9~ .ooom 1993-199\ 7~ .000192 ~-lnttrut I. calculltad al follo~1l INTEREST . BALANCE OF TAX UNPAID X NUHBER DF DAVB DELINQUENT X DAILV INTEREST FACTOR ~.AnY MoUoa IlIuad aftar thl tllC baco'" daUnqutnt will rlUlot an Intarut oalculltlon to fUtlln US) diu bayond th~ data of \tl' ........nt. If Ply..nt II .ad. aftar thl Intarllt coaputltlcn dati .hewn on thl Notln, Iddltlonal lntarl.t ltU.t bl caloulatad.