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',\,' , " " ,"'1' , " .,,J .. " I"'. I',. 'I" , ,.,. " , ;\ ", " 'I. '" " , 'I .r ~ i . , :1 '" 1'.\ " , ' 1,1,\1 (I' , , I' - C / ,I - If/ - /0 .OlDATlSO.DIA1HAml 12/31191 CHICKHIRI ,~, I~,'~l,.~ INHERITANCE TAX RETURN ~o~::~n:~DllIl CLAIMID 0 ". RESIDENT DECEDENT IILINUM~----'------"--- CO.l\M"NW(.'"110' PEtlN\YlVA"'A (TO BE FILED IN DUPLICATE "1 ~ J J CJ ..... / ., llf.r^RTMENT or AEYfNUE 0(. I ...., "" --'-- IIA,",,~:~:b.~~nhao.~!, WITH REGISTER OF WILLS) COUNTY CODE YEAR ",,_, ~\lM~!~ ,""om';::', '":;;~~~"~~""m<r ... - . .~:"j;;';:;~;::';~," ',""A' SE~~~:~~~::~~';' un ur~'~:~:~----TA:E~::~-~-m-- C,":,h i ppe~::~:~ ~a~~ 17257 ... 'm___"_.'__,_ ,_, '._.u_.'''_m.._..____-._._,____, __,_'L._,_____,____________, lXII, Orlolnal ROlu,n [] 2, Supplomonlal Rolurn [J 3, Romalndor R.lurn ..... (for dolo. of d.olh prior 10 12.13,821 I I 4, lImltod F..lalo L 140, Fuluro Inlo,..' COOlp,omho [] 5, Fodoral E,'a'o To. (lor dolo. of d.alh alto, 12,12,821 Relu,n Requlr.d I I 1>, D.c.d.nl Oi.d Tollol. I] 7, D.codonl Mulnlolnod a lIvlnO T,uII _.8, Tolal Numbor of Solo Oopo.1t 00'0' IAllarh copy of Willi (Alluch copy 01 Tru.l) ALL CORRIIPONDENCE ANDCONPIDENTIALTAX It~FORMATlON SHOULD BE DIRECTED TO. tji.-';if"---' --.--.--.---.----. OMPLETE MAiliNG ADDRES~ R1V.l~,(lO[~t (11.1111 . ' I- ;Z o 1<1 t':I I!! .(,~ ~iY.:.t. u,n..l.J :coo ug:ul 0. <{ I ~~ '" t:l o Z I) 0 n. .Jerry A. Weigle, Esquire 11' [rit"()tiniLiMillR-H--~---- .--...--.- ----------.--------------- NARK, WEIGLE AND PERKINS 126 East King Street 17257 ,.I '.'. vir (I' (.1 , il z o ~ :J I- 0: ~ lU '" Shippcnsburg'~h - II' "", I, Rool E"alo ISchedulo AI ( 1) .....unm...._u___,_. , 2, Slack, ond Bond, (Sch.dulo 81 ( 2) ____u___..___, ,_,_ 3, Clo,oly H.ld SIock/Pa,'oo"hip Inl.r"IISchodul. q (31 __,______, 4. Morluag.. and Nolo' Roc.ivobl. (Schodulo 01 ( 41 _____ 5. COIh, Bank 0'1'0,111 & Mlsc.llon.ou. Po"onol P,ape,'y( 51 . 0 (Schod.lo EI 1>. Jolnlly Own.d Properly (Schodule FI 7. Tron,I." (Schodul. GI(Schoduloll 0, Tolal G,o" A"ol. IIolalllno' 1.7) 9. Funo,al Expo..e" Admlnlslroll.. Co,,", Mhc.llan.ou, ( 91 _ __> 2,969.25 E.pe..e. (Schodulo H) 10. D.bl., Morloage llablllllo" L1... (Schedule I) 1101__---1.194.25 II, T 0101 D.d.cllo.. (Iolalllno. 9 & 10) 12. Nol Value 01 E'lal.(lIn. 8 mlnu.lino 111 13, Chorltablo and Govo,nm.nlal B.quo," (Schodul. JI 14 ,~lol-"alu~ubl'CI 10 ~~I,""..!.7.!nln~,',~!!~.~-._, Amount of I1no 14 taxablo at 6% rato Ilncludo valu., "001 Schod.l. K or Schodulo M,) Amounl of IIno 14 laxnblo 0115% rato I'ncludo voluo, from Schodulo K or Schodul, M,I Prlncipol 10. cluo (Add 10. Irom Ilno 15 olld IIIIm IIno 16,) Croellh Spousol p('ll/orly Cr(JcJ!, Prior Peymon" Discount loloroll + L "'__n>_'n ,___,_..,_,,'" 111100 10 Is g,oal.r Ihan IIno 17, .nlo, Iho dill.,.oco on IIno 19, Thlll.lho OVERPAYMENT, al] o ( . ,rtLL-~,~~2~~J.88. ----~._.._-----._..-._- - __.______ __________n___ L. ?":--: I (h .., r.J \.~ '.~.. ~;. f.\ ( 61 (71 "or. ~;:l ( 81 15. 16, Z 0 r: 17, <( ,- III :, 0- :.; 0 1'1, 1I ~ ,- 20 Ill) 5,163.50 (12) _--1i, 163.50) (13) _______.._._ (14) (2,J6..h~_9L M ,06 = NONE - INSOLVEll..'!:.__ (151__.______ (161 n>u.._________~__M ,15 = 1171 __m_____"___"'___..._ (181.,,_m_m""....__._._... (191 .._,.._....,....,_.._____"... Chvc~ Ilore If VO,", 0'0 requesting n rofund of your ovorflnY01onl. II Ilno 171s g,oal.r Ihon IIn. 18, onlo, Ih. dill.r.nco on IIno 20, Thh I. Iho TAX DUE. (201 ____.,____un..__'__..-. A Enlo' Iho Inl.ro'I on Iho holonc. duo .n IIn. 20A. (20AI ______,,_,_..,__"_"..m"_. 0, Elllor Iho 101,,1 ollino 20 and 20A on IIn. 20B, Thi, II Ih. BALANCE OUE, 120BI 'um_.,_._...._m~________.. , M.~Ic!,E.h!..c~Pny"bl. 'nIRegllte~,of!JJ!1 ~,...~@!..oL_ _...,.._._...__,__ _.____..___, .... ... Bi1UAE'T(fA-NSWifR-ALL-alfEsTloNfOtfREVERSESIDI A-ND TO RICHICK MATt'-." --.-__.___0-- ill1dn~-pll~;ll'illl-:lf illlriu~y:'id~CT;;~lh~Til~~~-'~;~;I~~dlhi,-roh,7n:I.n-~;ri~-r C1mmpnnyt~n ,~ho'duIOl nnd 'IOlulI10nll, and 10 tho bon 01 my knowlodgo and bollnf, 111\ IIUII, (orWi! nnd wmpltllo. 1 docloro Ihol nil rOClI 0111110 "01 boon roparroc ollruo morkol valuQ. Docloratlon 01 proparor olhnr than Iho pananal roprotonlallvo I, ~(""~;~;(lIllli,,,,:'::~~':::i:;~~f~2nt!~~~~f:";'~; ,~,',;;, knOWI?(~~:::~\;c ~ R. I'ed",' ;/, H f1C;;:';~'(:~;:~:;~:~;:~PI;~~9:~:,[g:r~~;:-~;?~~9J ""t')'" ," I'"' I''''''~ 6il11~ flifJ'lPiCS IA"" P,~~~~:'S;A. IVeigl (l, 1261;.-K-i;';'~~, ,~I;i~-p~I;~~lIr~:f-~~-~;~~~--- ~ I~ I ,p'hm-h_uu'n-f1_17-~:> 1/ , I," ( , .. PLEASE ANSWER THE FOLLOWING QUESTIONS BY, PLACING A CHECK MARk (I") IN THE APPROPRIATE BLOCKS. . . 1, Old decedent make a transfer and: a. retain the use or Income of the property transferred, ,...................................... b. retain the right to designate who shall use the property transferred or lis Income, c. retain a reversionary Interest or ., tt.. It,... .,. ,.....,.. .t.", II...'. ......,. It... ...... "". .t...., d. recelvo the promise for life of either payments, benefits or care~ ....................... 2, If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate conslderatlon~ If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ..,.......,..,................................... 3, Old decedent own an 'in trust for' bank account at his or her deathL.................... ,\,IS, NCl x X X X X X IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. I I; "" I '" , UV,tJIIIC. VlIfl mATI OF A, ITEM NUMBER 1, ~:I~'~I\ ...5fi~ COMMONWIAIlH 0' PINNIYlVAN'A INHII11ANC/TAX R/lURll RUID!N1DICID/NI SCHEDULE H L " FUNERAL EXPENSES, ' , ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES " PI' P I I T 1 eo Ie rn or vpe LI NUMBER Anna S. Pede DESCRIPTION AMOUNT Funllal hpenlell Cremation Society of PA 834.25 B. Admlnlllratlvl COlli I 4, C. 1. 2, 3, 4, 5. 6. 7, 8. -- 1. 2, 3. Perlonal ReprelenlallYe Cor,lmllllonl Social Security Number of Perlonal ReprelenlallYel Year COmmllllonl paid - , Attorney Feel Mark, Weigle and Perkins 125,00 Family Exempllon Clalmanl Charles R. Peda " , Relallonlhlp _ Spouse 2,0000'00 Addrell of Clalmanl 01 decedenl'l dealh 348 McCulloch Road Streel Addlell Clly Shippensburg Zip Code 17257 _,__Slale PA Probate Feel Mlleellaneoul bpenllll Register of Wills, Cumberland County - filing Insolvent PA Inheritance Tax Return 10.00 TOTAL (Alia enler on IIno 9, Recopllulallonl (If mall Ipacell n..dod, Inllll oddltlonallh.... of lame 1111,) $ 2,969.25' ~ltV"1547 EX AFP 110093* COHltOHl/EALTI' Of PENNSYIYANIA DfPARTI4EHT OF REYEHUE IUREAU OF INDIYIDUAl TAXES DEPI. 280601 NARRISIURD, PA 1712a-06Dl NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, ANO ASSESSHENT OF TAX ACN 101 DATE Q5' 09-94 DATE OF DEATH 08-20-93 ~~h~T~O. CUMBERLAND NOTE I TO INSURE PRDPER CREOIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITlt YOUR TAX PAVHENT TO THE REGISTER OF WILLS, HAKE CHECK PAVABLE TO "REGISTER OF WILLS, AGENT" REMIT PAYMENT TOI JERRV A WEIGLE ESQ MARK ET AL 126 EKING ST SHIPPENSBURG PA 17257 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 r A.ount Ro.Ubd =l CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS .... RiV: isljj "Ki( -AFP" i ilj: 93"1 - Nci'fi or-o F- INti iifi i' A;(C'i-YA'x - APPRA- i ii iiiENr; -A LlD'wAifcii - aIr - - -.. - --- - - - - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF PEDE ANNA S FILE NO. 21 94-0012 ACNQlf01 DATE ,,05-09-94 I TAX RETURN WASI ( ) ACCEPTED AS FILED I x) CHANOED - SEE ATTAOHED NOTICE RESERVATIOH COHCERNINO FUTURE INTEREST " SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. Rool e.tot. (Sohodulo A) 2. stock. ond Bend. (Schodulo B) 3. Clc.ol~ Hold Stock/Portnor.hlp Intoro.t (Schodulo C) 4. HartooO../Noto. Roooivoblo (Sohodulo OJ S. Co.h/Bonk Dopo.it./Hi.c. Por.onol Proport~ (Schodulo EJ ~. Jointl~ Ownod Proport~ (Schodulo FJ 7, Tron.for. ISohodulo G) B. Totol Ao.ot. (ll ,OQ (2) ,00 m ,00 (4) .00 IS) . OJ!.. (6) ,00 (7) ,00 (8) ,00 APPROVED DEDUCTIONS AND EXEMPTIONSl 9. Funorol Expon.o./Ad.ini.trotivo Co.tol Hi.collonoou. Exp.n.o. (Sohodul. HI 10. Dobt./Horto.oo LI.bilitio./Lion. ISchodulo I) 11. Tot.1 Doduction. 12. Not Volu. of T.x Roturn 13. Ch.rit.blo/Gov.rn.ont.1 Boqu..t. ISoh.dulo J) 14. Not Ualua of Est.to Subjaot to Tax 19l (10) 969,25 2,194,25 111) (12) (13) (14) 3,163.50 3,163,50- ,00 ,00 If In a.....m.nt wa. i..u.d pr.viou.ly, lin.. 14/ lS and/or 16 and 17 will r.flact figur.. that inolud. tha tDtal of ALL r.turn. a......d to datI. ASSESSMENT OF TAXI - 15. A.ount of Lina 14 to..bb at 6% r.t. I1S1 16. A.ount of Lina 14 t.x.bla .t 15% r.t. 1161 17. Prinoip.l Tox Du. TAX CREDITSl PAVHENT DATE NOTEI ,00 ,00 X.06 . K.1S . (171 .00 .00 .00 RECEIPT NUHBER - DISCOUNT (tl INTEREST ('1 AHOUNT PAID TOTAL TAX CREDIT BALAHCE OF TAX DUE INTEREST TOTAL DUE -1__ .DD .00 .00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATIDN OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN ai, NO PAVHENT IS REQUIRED, IF TDTAL DUE IS REFLECTED AS A "CREDIY" (CR), YOU HAV BE DUE A REFUNO. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,) I .. , , RESERVATJONI E"lt.. of dec'dlnt. dying on or bt'or, OtCllblr lZ, 19.t -- If InY future Int.r..t In thl I.t.t. I, trln,flrred In po.....lon or .nJovaent to Cl". I (0011",r.l) bln.flet,rl.. of thl dlc.d.nt ,'t,r thl IMPlr.tlon of any ..t.t. for' 11'. or for Y~'r., the CO'IORW'llth hlr.by IMpr...1y r...rvI. thl right to ,ppr,l.. Ind II"" tran,'.r InheritInG' 'IX" It the I.N'ul Cl... I (co111'.r.l) rat. on any .uch future I"t.r..t. PURPOSE OF HaTlCEI To 'ulUll thl r.qulr'Hnh 0' Seotion 2140 of thl Inheritlnct Ind E.t.t, hlC Aot, Act 22 of 1991. 12 P.'. Sletion 21"0. PAVMENT, DetlCh thl top portion of thl. Hotlel ~ lub.lt with your p,v..nt to thl Rlgl.t.r of Will' prlnt.d on thl r.v.r.. .Idt. --HIle. ch.ck or ..n.. ord.r p...bl. to, REOISTER OF HILLS. AgENT All ply.tnt. r.oQlvtd .hlll flr.l bt ,ppllld to .ny Int.r..t which ..y b. due ~tth .ny r..alndtr applltd to the t.x, REFUND (CA)I A r.fund of . t.x orldlt, whiCh w.. not r.qu..t.d on the T.x R.turn, "Y ba raqu..t.d by eOlplatlng an "Appllc.tlon for R.fund of Pann,Ylvanl. tnh.rlt.nc. .nd E.tat. Tax" (REY-1SIS), Application. .r. .valllbla at the Offtc. of the Rltl.tar of Will., any of thl 25 Rt~.nue Ol.trlet Off Ie.., or by calling thl .p.clal 24-hour an.w.rtng ..rvlc. nulb." for for.. ord,rlnSII In P.M.ylvanl. l-eOO-562.2050, outlld. P.nn.ylvIr111 .nd within Ineal Harrl.burg .ra. (117) 787-8094, TOO. (717) 772-22Sl (H..rlng I.palrad Only), OBJECTtONSI Any party In Intar.at nut .atlsfl.d with the appr.ll...nt, .llcwlnc. or dl.allowlnc. of d.ductlon., or ........nt of tax (InclUding discount or Jnt.r.st) aw .hown an thl. Hotlot IU.t obJ.ot within sIxty (60) days of rlcllpt of this Hotlc. bYI --written protl.t to thl PA D.part.tnt of Ray.nu., Baird of ApPllh, DEPT. Z81021, HlIrrhburg, PA 17128"1021, OR ....I.otlon to have thl ..tt.r dltar.lnld .t audit of th. Iccnunt of th. p.r.onal r.pr...ntatlv., OR ".apPlal to th. Orphan.' Court. ADH1N ISTRATlVE CORRECTIONS I DISCOUNT' Faotu.1 .rrar. dl.oavor.d on this ........nt .hould b. .ddr....d In writIng tal PA Otpart..nt of AIVenut, Burlau of Indlvldu.1 TIX", ATTN. Po.t ,.......nt R.vl.w Unit, DEPT, 210601, Harrl.burg, PA 17128-0601 ~honl (717) 187-6505, Sa. pag' 5 of the bookl.t "In.truotlon. for Inh.rltanc. Tlx Raturn for. A..ldant Don.dent" (REY.ISOI) for an .xpl.natlon of adllnl.tr.tlv.ly corr.ctable .rror., If any tax due J, p.ld within three (5) cII.ndlr lootha aft.r tha dleadlnt'. dlath, a five p.reent (SX) dl.count of the tlM paid I, allowed, tnt.r..t I. oh,rgad b'nJnnlng with flr.t day of d.llnqulncy, or nlnl (9) Icnth. and one (1) day frol thl detl of d.eth, to thl det. of ply.ent. TaXI' whloh becI.e dlllnqulnt blforl JanulrY 1, 1982 baer Intlr..t et thl r.', of .Iw ('~) pere'nt per .nnUR calculatld .t . dailY rite of .OQOI64, 'II taM" which bvc... dlllnquent cn .nd .Iter Jar.u.ry 1, 1982 will blar Intar..t at . r.t. which will vary fre. calendlr Y.lr to c.llndar Ylar '11th that rftt. tnnouoe.d by the PA Depart.lnt of A.venuI. The appllelble Intere.t rat.. for 1982 through 1994 arl. INTEREST, '!!!t Inter..t Aat. D.I1Y lnt.re.t ractar !!!or Jnterllt Aat. DIllY tnt.rllt F~ 19'2 lOX .ODOS48 1988 lOX .000274 I98S 16X ,000431 1987 9X .000247 19" IlX .OODSOI 1988.1991 m .00OSOI 1985 UX .ODD!!6 1992 9X .000241 199H99<\ 7X .000192 ....Inter..t I. c.lculet.d .. follow'l INTEREST . BALANCE DF TAX UNPAID X NUHIER OF DAYS DELINQUENT X DAILY INTEREST FACTDR --Any Hotlol I..u.d after thl t.x bloo", dellnqu.nt wtll r.fllct In Int.r..t caloul.tton to 1lftl.n (Ill dlYI btWond thl d.t. of thl ........nt. If Ply-.nt I. .ada Ifter thl Int.r..t oOlPUtetlon dati .hown on thl Notlo., additional lnt.r..t .u.t be e.leul.ttd, PROBATE: JBA: DATE. ~h 5- 9iI 1l"'.WHi lUll ~ ~ ~ ~:'{y,(;;!, COMMONWEALTH Of PENNSYLVANIA DEPARTMENT Of REVENUE BURlAU Of INDIVIDUAL TAXIS DEPT. 280601 HA~RIS8URG. PA 17128.0601 DECEOENT'S"NAME SCHEDULE ITEM NO. II JI-] INHERITANCE TAX EXPLANATION OF CHANGES l'(~d I.' I /\1111:1 II. eXPLANATION OF CHANGES Hedu<:lHl l:n t(J.()(J, l'ilJl\[.I' l'x~'n ll'ion <:1111 nnl" If' 'lLJfWtU. rA'ICLENNUM8ER L ~:I~II"O(l1 :' .'( " r.~ " :'t \:"5 __,:U , I, .'i ) , " I..:J TAX EXAMINER: __---L'd'[~L.J.\L.iILdlill;,;J.UlL__...._... .......__n.'_____._'....."h___.' PAGE ,_ ....,__..