HomeMy WebLinkAbout94-00115
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No, 21 - 94 - 115
Estate of Elizabeth B, Berkley
a/k/a E11zabeth Bell Berkley
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW February 9. 19..2L.., in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me.
IT IS DECREED that the instrument(s) dated November 4, 1993
described therein be admitted to probate and filed of record as the last will of Eli zabeth B.
Berkley a/k/a Elizabeth Bell Berkley
and Letters Testamentary
are hereby granted to Robert W. Berkley
FEES
200.00
Probate, Letters, Etc. ......... $
Short Certificates(5 )'.. .. .. .... $ 15.00
Re~u?>ciation .....",........ $
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JCP 70TAL _: ?2tss-
Filed . g~.R.~~~.Y..~!. .1.~~~....,.... .....
up. Cl. J.D. No.) 16453
on, Esq.
Carlisle, PA ADDRESS 17013
(717) 243-0123
PHONE
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Letters and order put in attorneys file in Prothy. on 2-9- 94
'This is mn~nily Ihar tilt' il1/'urmatiun hl'l"l' .l:i\'l'1I is mITt'cdy copied from ;In original cenificate of (buh duly filed \~.ith me iHi
I.oe:]1 n.cltislrar-. Tht' tll'iginill n:rtifk',Ul' will he ftlfWJr,k'd 10 llll' Stall.' Vitill RL'L'{lrds Office fOf peflll3lH:nr filing.
WARNING: It Is Illegal to duplicate this copy by photostat or photograph.
Fl'f.' for tl1ls't:l..'rtificillt:, S2.00
---_.225.8..19.L...___
No.
avn.;./!24;;a:t:~p-
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._____,..__~1\~_L~ 1994
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COMMONWEALTH Of PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
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LAST WILL AND TESTAMENT
OF
ELIZABETH B, BERKLEJ(
also known as
ELIZABETH BELL BERKLEY
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I, ELIZAEETH B. BERKLEY, also known as ELIZABETH BELL
BERKLEY, of the Borough of Camp Hill, Cumberland County,
Pennsylvania, being of sound and disposing mind, memory and
understanding, do hereby make, publish and declare this as and
for my Last Will and Testament, hereby revoking all other wills
and codicils heretofore made by me.
FIRST: I direct that all my just debts and funeral
expenses, including my grave marker, shall be paid from the
assets of my estate as soon as practicable after my decease.
SECOND: I give, devise and bequeath the residue of my
estate, of every nature and wherever situate, to my Son, ROBERT
W, BERKLEY, providing he shall survive me by thirty (30) days.
Should my Son, ROBERT W, BERKLEY, predecease me or die on or
before the thirtieth day following my death, I give, devise and
bequeath the residue of my estate, of every nature and wherever
situate, to the children of ROBERT W, BERKLEY, per stirpes.
It is my desire that my Son, ROBERT W. BERKLEY, use a
portion of the inheritance he has received hereunder for the
benefit of his Brother, my other Son, THOMAS H. BERKLEy,
I have made no provision herein for my Son, THOMAS H,
BERKLEY. I have not done that however as a result of any lack of
love or affection for him, Rather, I have left my entire estate
to my son ROBERT K. BERKLEY with the request that ROBERT W,
BERKLEY take care of his Brother, my other son, THOMAS H, BERKLEY
and that he use a portion of his inheritance for THOMAS H.
BERKLEY'S benefit,
THIRD: I direct that all taxes that may be assessed
in consequence of my death, of whatever nature and by whatever
jurisdiction imposed, shall be paid from my residuary estate as a
part of the expense of the administration of my estate,
FOURTH: I nominate, constitute and appoint my Son,
ROBERT W, BERKLEY, Executor of this my Last Will and Testament.
FIFTH:
not be required
their duties in
I direct my Executor and his successors shall
to give bond for the faithful performance of
this or any other jurisdiction.
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STAn: OF
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COUNTY OF
PENNSYLVANIA
CUMBERLAND
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AFFIDAVIT IN SUPPORT OF CLAIM AGAINST THE ESTATE OF
ELIZABETH B. BERKLEY CASEI 21-94-115
Deceaslo
Wendy Cline
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for l""1";"u,",,,
PO Box 29112
, Accaunc Rlpr.s.ncac1vl for Claimanc, Manclomary
claim af ch. EscacI af
Ward Ca" Inc" P. O. Bax 29112, Shawn.s K1ss1an, Ka. 66201, 913-676-4086,
ELIZABETH B. BERKLEY
,DICIUld, NeM,
che sum ot Seven hundred fifty dollars and ninety nine cents
($ 750.99), as Ividlnced by chi fallav1ng camplsc., limicld iCsmizacian
and ocher accached dacumencacian. There are no addicianal credits ar
offsets dUI chi accaunc excepe those seaced, Thl basis af our claim 1s,as
follows: Revolvinq charqe accaunc. 119-301-033
Openecl March, 1991
BILLING DAn: CHARGES PAYMEIl'I'S
8/93 8.00 50.00
9/93 8.00 1393.00
10/93 1150.00
11/93 8.00 46.00
12/93 8.00 21. 00
1/94 8.00 21. 00
2/94 8.00 42.00
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Subscribed aud sworn co before ml this
,~ .'"rAE~'~-'ElTON
~ Notaf1i-',,;)lK:. :;:abcf~a
UV";:>;~ .:xr.lift. t>~ .,
CREDITS FINANCE CHARGE
22.71
15.63
498.00 0.00
11.59
11. 59
11. 45
11. 26
BALANCE
1520.98
151. 39
803.30
776.84
775.38
773.78
750.99'
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Accuunc Repr.s.utae1ve
ShBwn~~ ~;C~;M" ~_ ~h'n'
(Address of Claimanc)
7th
March
,1994,
day o~
\ 'dJci.rm.da...
iiOtary Public
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Hy cDmDiasion axpirls
t I " I SEHO PAYHEHT T!. FIRST CMU P.O. TI509S WILHIHOTDHL.OE 199Bt-S08B
I ~~50 417 DJrass I - P.O. SOH 044, UHIOI<<IALE, HV Im-09911
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ELIZPBET BERkLEY
39 H 31ST ST
CAHP HILL PA 17011-2914
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01/21 1022802018A21 PAVHEHT - THANk YOU FOR YOUR PAVHEHT
. . . .
YOUR FIRST CARD HAS HO AHHunl FEE -- IT'S THE ONLY CMO YOU REALLY HEEOI
. . . .
PLAHHIHO A TRIP S00H7 YOU'LL RECEIVE AUT~TIC TRAVEL ACCIDEHT CDUEAADE AT
HO COST TO YOU LIIIEH YOU CHnflOE YOUR COHHOIl CMRIER TICkETS TO FIRST CARD.
FIRST CARD IS FIRST IH URLUE.
. . . .
'!'~ 0.0 IS ~ 9'f't'St ~ "J ~" -- {',~ ~ _ .. O{~ IMm3
u.. VOI)l CllIIll. Ul'Tl1 nltSl t:MO. ~ I'IIE tlJIlIJlUI rlJlltff IH>IJ1lOIZ'ElI ~
TMIT APPEAR DH YOUR ACCO~, UHlIY.E SOt1E ono CMOS 'TlIAT HOLD YOU RESPllHSI8lE
FOR THE FIRST S50. CALL TO REPORT A lOST OR STOLEH CARD IMMEDIATELY AT
I-BOO-862-93S8.
. . . .
SHOULD YOU SHRED YOUR CREDIT enno CARBONS? YES! THIEVES DOH'T ALWAYB HEED
YOUR CREDIT CAno TO t1A1'E UtfnllTllOR17ED CHAnOES -- ONLV TIlE IHf'ORt1ATlDH DH IT.
105.00
4,l45.89 .00
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PRIIHOTlOHIlL FIMT CMO CllECk
AllVntlCES rnw.1 Tn 08/24/9) II rltfnl<<:E CHntIOES
PURCHASES PRIOR TO OB/24/93 a FIHONCE CHnflGES
1.521.95
l74.05
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Attorney or Party Without,Attorney
(Name & Address)
For Court Use Only
Filed for approval.. ......
Date
Duplicate mailed.... I' "1.
Date
Presented to court for
DISCOVER CARD SERVICES, INC,
P,O. BOX 8003
HILLIARD OH 43026
1-800-347-5516 XI004
Approval. , . I t I . I , . . . . I , . . I
Date
SUPERIOR COURT OF
Street Address
Mailing Address
City and Zip Code:
PA COUNTY OF Cumberland
Courthouse
Carlisle PA 16336
ESTATE OF (NAME) :
ACCT , :
Elizabeth B Berkley
6011 0023 2652 324810
CREDITOR'S CLAIM
CASE NUMBER 2194116
DECLARATION OF CLAIMANT
1. Total Amount of the claim: $422.07
2. Claimant (name): DISCOVER CARD SERVICES, INC.
a, an individual
b. an individual or entity doing business under the
fictitious name of (specify)
c. a partnership. The person signing has authority to sign
on behalf of the partnership.
d. ~ a corporation. The person signing has authority to sign
on behalf of the corporation.
3, Address of claimant (specify): P.O. BOX 8003, HILLIARD OH 43026
4. 'I am authorized to make this claim which is justly due or may
become due. To my knowledge there are no offsets or payments
that have not been credited.
I declare under penalty of perjury under the laws of the State of Ohio that
this creditor claim is true and correct.
Date: March 17, 1994
KIHBERI.Y BRUSH, UNIT MANAGER
II' ...... II .... It ...... II II.....
(Type or Print Name and Title)
,(Items 5-10 to be completed
Date of issuance of letters: '
This claim was presented on (date):
Estimated value of estate:
___ Claim is allowed for $
___ Claim is rejected for $
by the personal representative)
9. ___ The representative is
authorized to administer
the estate under the
Independent Administration
of Estates Act.
5,
,6.
7,
8.
. .... ....,. ". ,.. .......... II....
(Type or Print Name)
(Signature of Representative)
____ Rejected for: $
10. ~Approved for: $
Date:
(Signature of __Judge __Commissioner
11, __Number of pages attached: __ Signature follows last attachment
- p- /-/.3
...'
REV.'500EX.I'~,881. j IV - / ~8 - / d... FILE NUMBIR
'~.. J:,_,,'~'~ INHERITANCE TAX RETURN
-~ RESIDENT DECEDENT
; '-"COMMD~~"'I~~T~T~J/llt~W~AN'A (TO BE FILED IN DUPLICATE 21
'.' "~"ml!;lffii~, _. WITH REGISTE. OF WILLS) <O,,~=,
I- 0 CEO NkI'S NA.ME 1!.~~ I. flR}T, AND MIDDl.E INll)tl~ DECEDENT'S COM L . A
Z Ber ey, El1Zabeth B., alKla
~ ~v.JU.~th Bell
t.LI SOCIAL sEcuifl'fr NUMBER DATE m DEATH .iATE oTiiRiH"--
hl
o 220-20-5923 1/19/94
~ [XI 1. Original Re:urn 0 2. SupplomenlClI Rolurn
lie_ill
u",lIe 0 0
w"-CJ A. limited Estate Ao. Future Interel' Compromise
529 Ifor dales of deo,h ofter 12.12.S2)
tea Q9 6. Decedent Died Testale 0 7. Decedent Maintained a living Trust
0( (Alloch copy of Will) (Alloch copy of Tru.tl
A,LIi:CORRISPONDENCEAND CON"OfNnALi TA')( INFORMATION$HOULD ,8E,OI.
NAME COMPL T MAlLIN AOOR S
19. If IIn. IS i. S"OI" thon Iin. 17, .nter ,h. diR".nce on line 19. This is ,h. OVERPAYMENT.
ElD
20. IllIn. 17 I. g"ot" ,hon lin. 18, .nlt, tho diff".nce on lin. 20, This i. tho TAX DUE.
A. Ent.r th. inte,.it on the balance due on Iin. 20A.
8. Ent" tho tOlol of Iin. 20 ond 20A on Ii" 20B, Thi. is th. BALANCE DUE.
Mok. ChICk Poyobl. t., R.gl.,.. 01 Will., Ag..'
1i~,o,!:'.C:'..U IIIU,'IO AMIWIlIAU. IIDI
Und.r peno . of per'ury, I d.clor. that I h xomlnld this r.turn, including accompanyln; schldul.. ond Itat.m.nh, and 10 the b..t of my knowl.dgl and blllef,
it II trul, c:t d ""pl.t.. I dl . th 0 1'.01 "'01, hal bltn repanld at tru. mark" \lclu.. D.claration of prepare' olh.r Ihan !hl perlonal repr...ntat~ II
ba~d on I m 10 Ich ar h any knowl.d;..
N " II ims 1- f/:. / /, /, DATI ~ fjfl/
. Irr S'-, L~rrlll. ;:?1-//o11 /MIJ/r
7 West Piiiifi'et Street OAt! ;p 'tf/
Carlisle!_ PA 17013 , /~ '111'1;
I. Reol Estole (Schedule A) (1) 83,000.00
2, Stock. ond Bond. (Schedule B) 1 2), inc. on Sch. E
3, Closely Held Stock/Portnership Interest (Schedule q (3)
4, Morlgoge' ond Nole. Receivobie (Schedule D) ( 4)
5, Co.h, Sonk Deposits & Mlscelloneoul Personol Property 1 5) ~ 019.68
(Schedule E)
6, Joinlly Owned Property (Schedule F)
7, Tronsfe" (Schedule G) (Schedule L)
a, Totol Gross Assets (tolol lines 1.7)
9. Funoral Expenses, Administrative Cosls, Miscellaneous ( 9)
Expen..s (Schedule HI
10, Debts. Mortgoge liabllllies, lien. (Schedule I)
11. Totol Deduction, (tololline.9 & 10)
12. Net Volue 01 E,'ote (line S minus line 11)
13, Choritoble ond Governmenlol Seque.tslSchedule JI
14. N.t Volue Sub ect to Tox (line 12 minus line 13)
15. Amount of Iin. 14 taxable 01 6% rote
(Inelud. volue. Irem Sch.dule K or Schedule M,)
16. Amount of line 14 taxable at 15% rote
(Inelud. volue. from Schedule K or Sch.dule M,)
17. Principol tox duo (Add tox Irom Iin. 15 ond from Iin. 16,)
18. Cr.dits Prior Paym.nts DJlcount
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Ronald E, Johnson, Esq,
lE H NE NUMBER
243-0123
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YEAR
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NUMBER
39 N. 31st Street
Camp Hill, PA 17011
Coo", Cumberland
o 3. Remainder Return
Ifor dOl.' of deolh prior to 12.13.S2)
o 5, Federol E.lote Tox
Return Required
!....a. Total Number of Safe Deposit Boxes'
D:JOil.~ \';\~~:,;.;~i'~~1~~,\1:'X~: '::::;),:~IM~,i,~}-,1i;1.;t'~.?~~';, $I"
78 West Pomfret Street
Carlisle, PA 17013
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( 6)
171
6,357.15
1 SI
87.019.68
110)
50,427.86
(15)
30,234.67
Ill) 56,785.01
(12) 30,234.67
113) -0-
(14) 30,234.67
x ,06 = 1,814.U~
_x ,15 =
1171 1,814,08
(16)
Inter"t
c~C(~ ~l'rc If you .or(' It'qut.....'mq 0 I()lvnd of you, OIH''1H1vmt'nt
(181
119)
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(20)
(20A)
(20B)
1,814,08
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1,814,08
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I
LAST WILL AND TESTAMENT
OF
ELIZABETH B. BERKLEY
also known as
ELIZABETH BELL BERKLEY
I, ELIZABETH B. BERKLEY, also known as ELIZABETH BELL
BERKLI!:Y, of the Borough of Camp Hill, Cumberland County,
Pennsylvania, being of sound and disposin~ mind, memory and
understanding, do hereby make, publish and declare this as and
for my Last Will and Testament, hereby revoking all other wills
and codicils heretofore made by me. '
FIRST: I direct that all my just debts and funeral
expenses, including my grave marker, shall be paid from the
assets of my estate as Soon as practicable after my decease.
SECOND: I give, devise and bequeath the residue of my
estate, of every nature and wherever situate, to my Son, ROBERT
W, BERKLEY, prOviding he shall survive me by thirty (30) days.
Should my Son, ROBERT W. BERKLEY, predecease me or die on or
before the thirtieth day following my death, I give, devise and
bequeath the residue of my estate, of every nature and wherever
situate, to the children of ROBERT W. BERKLEY, per stirpes.
It is my desire that my Son, ROBERT W. BERKLEY, use a
portion of the inheritance he has received hereunder for the
benefit o,f his Brother, my other Son, THOMAS H. BERKLEY.
I have made no provision herein for my Son, THOMAS H.
BERKLEY. I have not done that however as a result of ,any lack of
love or affection for him, Rather, I have left my entire estate
to my son ROBERT W. BERKLEY with the request that ROBERT W.
BERKLEY, take Care of his Brother, my other son, THOMAS H. BERKLEY
and that he use a portion of his inheritance for THOMAS H,
BERKLEY'S benefit.
,THIRD: r direct that all taxes that may be assessed
in consequence of my death, of whatever nature and by whatever
jurisdiction imposed, shall be paid from my residuary estate as a
part of ths expense of the administration of my estate.
FOURTH: I nominate, constitute and appoint my Son,
ROBERT W. BERKLEY, Executor of this my Last Will and Testament.
FIFTIl:
not be required
their duties in
I direct my Executor and his successors shall
to give bond for the faithful performance of
this or any other jurisdiction.
SS.
I, ELIZABETH B. BERKLEY, a/k/a ELIZABETH BELL BERKLEY,
Testatrix, whose name is signed to the'attached or foregoing
instrument, having been duly qualified according to law, do
hereby acknowledge that I signed and executed the instrument as
my Last Will and Testament; that I signed it willingly; and thet
I signed it as my free and voluntary act for the purposes therein
expressed.
Sworn or affirmed to and acknowledged before me by ELIZABETH
B. BE~LEY, a/k/~ ~LIZABE1H BELL BERKLEY, the Testatrix, this
tj day of tV$!~h~ ,1993.
L)
ix
r.....-.............~,. .".. ,,"~" ........."'................_........,....
i ~a ~ : . '. : 1 : .\ " : ~ ','
I I,' ,';,\l,;; I ,';:"'.~ i.\~. ';::'1' '\;": :: I
I I'I~W:~I:: t,r.!'li' (:'!~lii: ':: ,~'\:' \ r "',: {
r,A,,' :,!)MI~~j:~,J.:;.; l\~:nr;: ({!tl:l~: ~ ',;",':
_f\_~_._..,............."'.,"......._..,.....
:\;'1' FIil1UC
,t.;!'l \':OUNTY
',:(i~EIl9, 11'9\
COMMONWEALTH OF PENNSYLVANIA)
COUNTY OF CUMBERLAND
Fion<l. P~,ttev.r(!rl.
We, ROll.il:.B Ei. .JOIIllE;GN and P'et~.LkP m ,\1 P r ,
the witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, do depose and
say that we were present and saw Testatrix sign and execute ths
instrumsnt as her Last Will and Testament; that ELIZABETH B.
BERKLEY, a/k/a ELIZABETH BELL BERKLEY, signed willingly and thet
she executed it as her free and voluntary act for the purpose
therein expressed; that each of us in the hearing and sight of
the Testatrix signed the Will as witnesses; and that to the best
of our knowledge the Testatrix was at that time 18 or more years
I of age, of sound mind and under no constraint or undue influence. .
~lIer.ftY"l Sworn or a, ffirme,Cl,dJ:. 0 !!6d subscribed to before me by R0IlAl:.1l n-dHc;!.
I E. ae~!eN and ~~ d7ntC',?' , witnesses, this
,I r' day of V~/k ~ , 1993.
I
I ~ \\~ .
i .,~ll,."'~~~~"',-<(SEAL)
RS11G:J ~. :S~Rt?~, Witness
/'
55.
t?EAL)
ss
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PSEGlP,
PfNNSYLVANIA
STATE EMPlOYEES
CREDIT UNION
~
~:
April 4, 1994
Mr, Ronald E. Johnson
78 West Pomfret Street
Carlisle, PA 17013
ACCOUNT STATUS AS OF DATE OF DEATH,
Account Name- Elizabeth B. Berkley
Jt Owners Name- None
Account Number- 0220205923
Date Established- 031577
Date of Death- 011994
Date of Birth- 120626
ACCOUNTS BALANCE ACCRUED DIVIDEND
savings/Sh 1 $ 881. 50 $ 1.37
Checking/Sh 4 1,434.54 1.51
LOANS * BALANCE ACCRUED INTEREST
L1/Personal Serv $3,273.03 $13,88
L9/VISA 1,186.85 0,00
*Those loans had no insurance coverage. We transferred funds from
savings ($1,060.76) and Checking ($1,468.38) to the loans
effective date of death. Then we transferred $1,920;62 from the
Estate Account #256440266 to payoff the personal service loan.
If I can be of further assistance, please call me at
1-800-237-7328, extension 6-2227.
Sincerely, '
'~flt'f/I :. ,.J,-,,-~,/l.~
" A._f...LI...<..l._-7ft. ,
~ea ie Fairfax,' ~SR I
Fin nce Support unit
Main Address: 1 Credit Union Place, Harrisburg. PA 17110,2990, (717) 234-8484' (800)237-7328
Mailing Address: p.o, Box 1006. Harrisburg. PA 17108,1006, (717) m.21OO(TOO)' (800) 472.1967 (TOO)
~ -.JIr _ <ClIO 1100,000 '" "" _ C<tdl UIlon M...."",
SMITH BARNEY SHE/\RSON
May 4, 1994
Ronald Johnson, Esq.,
78 W. Pomfort Street
Carlisle, PA 17013
RE: Estate of Elizabeth B~rkley, Decea~ed 1/19/94
Dear Mr. Johnson:
At the request of my client, Robert Berkley, this letter is
to confirm that the following securities are worthless or worth
less than $10.00 according to our records.
NAME
PRICE a/o 5/3/94
. .
TRANSFER AGENT
Agent Unknown
Tosco Corporation
Massachusetts
Investors Growth
Stock Fund
$6.125
No Price
Mass Financial Data *
Services
50 Milk Street
Boston, MA 02109
Agent Unknown
The Cyprus
Corporation
· We tried to contact Boston's directory service to obtain a
telephone number to no avail for Mass Financial Data Services.
No Price
We hope this information will be helpful to you.
Sincerely,
/ "
~- t///C'x;---,;?;/--..- /
l 0.< ;i;~7- / 4~l'r</r:~7
, athleen A. MO-;.{~~c~;--"1---
Financial Consultant
KAM/ljg
"r'[ IrlrOR),\^jl0~j H[R[!~J fi^S /,~t~l
" "fRC'1 ",(>U~ctS WE ~,lI<vt
("[01 P !I"l. .', <Or', j'DQ "I"j "'JI,RM1lfl
l;~ L~ U~I,\t~l '.' ." '7," 'l<<
"" AC C;lt~.CY 0;( Cot.'.r',mr< _0,
'.
CCI Robert Berkley
liMmt PAR~E\' SlIrJARSON NC
STRAWPEllRV Sl)IJARE
II NORnI 1lllRD STREETS
lND fUXlR
IlARRlS8l:RG. VA 11\(11
(txl) 2S7-t'OO Toll fl't'C
(717) 2U.2{19n f". Num,*,
1'"
UV.1SIIUCtI1.1I,
, .
E T OF
ITEM
NUMBER
A.
1.
2,
3.
4.
B.
2.
3.
4.
C.
1.
2,
3.
4.
5.
6.
7,
8.
-!~
COMMONWEAlTH Of PlNNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Plea.. Print or Typo
ILE NUMBER
ELIZABE:1'II B. BERKLEY
21-94-ll5
DESCRIPTION
AMOUNT
Funoral Expona,..
Myers-Harner Funeral Hane, Inc. - Funeral
Stephenson's FICMers-Funeral FICMers
Mt, Calvary Episcopal Church Cerretery-Internment
Hardings Restaurant - Funeral Dinner
1,309,00
55,65
550,00
77,00
Admlnl.tratlve Coata:
1.
Personal Representative Commissions
Social Seeurily Number 01 Personal Representative:
Year Commissions paid
Attorney Fees
Andrews & Johnson, Attorneys
1,617,00
Family exemption
Claimant Rnh"rt N R<>rkl "y Relationship
Address 01 Claimant at deeedenl's death
Streot Address 39 N. 31st Street
City Canl> Hill State PA
Son
2,000.00
Zip Code 17011
Probate Fe.. Register of wills
226,00
Mlae.llanooua Exp.naoa:
Recorder of Deeds - Record Deed 13,00
Notary Public Fees 4.00
Federal Express--OVernight Mail 15.50
Don Paul Shearer Assoc.--Real Estate Appraisal
Reserve for Closing & Accounting 250.00
Register of wills - Pa, Inheritance Tax Return Filing Fee 15,00
TOTAL (Also enter on line 9, Recapitulation) S 6,357.15
(If more apaco la n..dod, Ina.rt additional ah..to of aamo al..,J
.' '~V':''''''I'''''I.
COMMONWUUH 0' PlNNUlVANIA
INHUITANC! ,.... _ErUIN
USIO(Nf DECEDENT
, ESTATE OF
10,
ll,
12.
13,
14.
15,
16,
17.
18,
19,
20.
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE L1ABLlTIES AND LIENS
ELIZABImf B. BERKr..EY
FILE NUMBER
ITEM
NUMBER
DESCRIPTION
1;
Wendover funding, Inc.--Mortgage loan No. 4414593894. First
IlDrtgage on property situate at 39 N, 31st Street, Carrp Hill,
PAr (See letter attached)
PSECU--Personal Svc, Loan--Account No. 0220205923 (See letter
attached)
Dauphin Deposit Bank & Trust Ca11?any--Installment Loan No.
13830358001, Joint with Robert W, Berkley. (See letter
attached)
Date of death Balance: $124.95
One-half allowable as a deduction
PSECU VISA Account (See letter attached)
AT&T Universal Master Charge Account No, 5398-6000-1028-4996
(Claim filed against the Estate)
Montganery Ward Account No, ll9-301-033
(Claim filed against the Estate - January 1994 Balance)
AARP Bank One VISA Account No. 4408-0399-9843-4813 (See
statement attached)
First Card VISA Account No. 4250-437-033-274
(Claim filed against the Estate)
Discover Card Account No. 6011-0023-2652-3248
(Claim filed against the Estate)
The Bon TOn--Qpen Account No, 062-561-055 (See statement attached
John WanaI'Mker--Qpen Account No. 300-011-76
Beaver Fuel Oil & Heating, Inc.-Dutstanding Account
PP&L - Electric Bill
Patriot News Co.-Past-due Account
Bell of PA-Final Telephone Bill
Waste Managenent-Final Trash Bill
AT&T-Phone Rental Bill
PP&It-Final Electric Bill
PA A1rerican Water Co.-Final Water Bill
R. D. Hackmm--Roofing repairs - contracted by decedent and
perfomed. prior to date of death
2.
3.
4.
5.
6.
7.
8,
9.
TOTAL (Alio ent.r on lin. 10, Recapitulation)
(II more 'pam iI nHdR in,.rl odcl;tionol ,~..t, 01 10m, ,j,.)
21-94-ll5
AMOUNT
35,530.82
3,286,91
62,47
1,186.85
3,355.41
773.78
538,35
4,298,59
422.07
111.20
50,92
345,31
82.04
14.40
110,08
33,45
19.74
50.00 '
55,47
100,00 ,
$ 50,427,86
PSEQ"i,I"
~ Ii \
~..... t
PENNSYLVANIA
STATE EMPLOYEES
CREDIT UNION
April 4, 1994
Mr. Ronald E. Johnson
78 West Pomfret Street
Carlisle, PA 17013
ACCOUNT STATUS~ OF DATE OF DEATH
Account Name- Elizabeth B. Berkley
Jt Owners Name- None
Account Number- 0220205923
Date Established- 031577
Date of Death- 011994
Date of Birth- 120626
ACCOUNTS BALANCE ACCRUED DIVIDEND
Savings/Sh 1 $ 881.50 $ 1.37
Checking/Sh 4 1,434.54 1. 51
LOANS * BALANCE ACCRUED INTEREST
L1/Personal Serv $3,273.03 $13,88
L9/VISA 1,186.85 0.00
*These loans had no insurance coverage, We transferred funds from
savings ($1,060.76) and checking ($1,468,38) to the loans
,effective date of death. Then we transferred $1,920,62 from the
Estate Account #256440266 to payoff the personal service loan.
If I can be of further assistance, please call me at
1-800-237-7328, extension 6-2227.
~_:n~cerel~' ...lit"
/., u..L-~ It,
~~a ie Fairfa~, sk I
Fin nce Support it
Main Address: 1 Credil Union Place, HarriSburg, PA 171'0'2990, (717}234-8484 '(8001237,7328
Mailing Address: PO, Box 1006, HarriSburg, PA 17108,1006, (717) m2100 (TOO) '(800) 472.1967 (TOO)
St~ """"'.."" '" 10"00000" '" _, C'ICIl ~ __,
STATE OF
AAKltUI
COllNT'r OF
., " "FFIllAVI'l' 1:1 SUi'POR'l' OF CUL'l AGAL~S'l' rnt ES'l'A'l't OF
ELIZABETH B. BERKLEY CASEI 21-94-115
PENNSYLVANIA
CL'}\BERLAND
llece.uCl
,
. ,
liendy Cline
Accounc Reprl',ucac~ve for C1A1m&ac, MoucSaatrr
~"l i\ i')J ' " ';;,:'J,~
If fin . '. iI.....J '.
~Qol
"'na Co., IIIC., P. O. Sox 29112, Shaw.. Miuioll, It.a. 66201, 913-676-,,036,
claim of chi Escac. of
ELIZABETH B. BERKLEY
,OICIUld. NCll,
thl sum of Seven hundred fifty dollars and ninety nine cents
($ 750.99', a. evidellced by Che folloVlng c~lecI, limicad icemizacion
alld Other attached docu:&lIcacioll. 'l'here are 110 addiCioll&l credit. or
, ~ffsecs dUI che.ccount U:cepc Choll .tacla. 'l'he baau of Our claim is .,
:0110107': llevolnng c:harae ac:c:ount. 1l9-301-033
Openld March, 1991
3ILL::1C DA'l't CliARcts PA'lMENTS
8/93 8.00 50.00
9/93 8.00 1393.00
lOIn 1150.00
11/93 8.00 46.00
12/93 8.00 21. 00
1/94 8.00 21. 00
2/94 8.00 42.00
Subsc:::.~ It! .,~d :VQt'U :c bftfol'1 me t:l~'
/. ~Af.l,',7.':\:\ltLTON
. . t.rt14rs'::'~ ~ ti:a14oucanu,
r U~"''),'" :\_~ '1';',' .I<~
~ , .~
CltED ITS F'INANCE CRA1ct
22.7I
15.63
498.00 0.00
11. 59
11. 59
11. 45
11.26
BALANCE
1520.98
151.39
803.30
776.84
775.38
773.78
750.99'
(Siguacure o'
Wendy Cline,
for r-1.<f""JlPt,. \
..0 Box 29112
/ VQ
Uimall C)
Acc:ul1:lt aeprelun:ll:tvl
Sha~8_ M,..;"" .. ~~'n,
(Addre" ot Claim&uc)
7th
dlY oh. :-larch
,1994,
:J
,At "n'l..t.€n... ~-r,
Noca- I'UbUco
", \'
My coau'ion laZliin. 0~) 'f(,
PO BOX 182151
COLUMBUS OH 43218
\-\10i
-,"
.
,,,.,,.... 'X'
Account Statement
. ..
,...
'v
C'l ..
..nct 555,25
"hi
MinimuM 32,00
~:r'b"J. 16,00
P'~""nl
D",,')' 03-12-94
" "
Am"u"l
Inti....
.m.
'tlnl Chlngl 01 Addt... e.low
--Phon'
1.1.
.
tcounl Humber
4408-0399-9843-4813
440803~~~843481300555250D0320D
Mill ',vm,nl Tal
AARP/BANK ONE
PO BOX 182153
COLUMBUS OH
43218-2153
ELIZABETH BERKLEY
39 N 31ST ST
CAMP HILL,PA 17011-2914
helD.. Thl, Coupon Wllh Vour Plymtnl.
Mike ChIck In U. .. 0011',. "Ylblt To;
BANK ONE,COLUMBUS, NA
1,1"1"11",1,1",111..1,,,1,111I110101,,,11,,,,111
b~i
AARP VIII Account Summlry
CCOUII urn I
4408-0399-9843-4813
"
m
f. v,..
011 .1, "n .1, t"tlnct NumOlr
4000
NONE
O"CfIPllon
Amounl
02-17 02-17
eum
LATE FEE
llL.U llf: X2IIB PAYNENT llQIj fAll 1m ~
1000
ENJOY THE CONVENIENCE AND VALUF OF YOUR AARP VISA CARD. GET CASH WHEN
YOU NEED IT AT OVER 60,000 AUTOMATIC TELLER MACHINES AND OVER 300,000
PARTICiPATING FINANCIAL INSTITUTIONS.
'Vlll' .- "'" n 'r"" It.. '"
IIIIO"'"l1iOI\ In. Adv.I\CU Aclj\lf1lT1tnlf ("'III
'\Inti.... US.15 0,00 0.00 10.00 1.70 1~4,85
C"Il-"'f\Inc.. 405.20 0,00 0,00 0.00 5.20 ~IO,~O
f"" nl.ss 0,00 0.00' 10,00 '.90 SS5,25
w " . .. .,. '11+ . ,,, 0 ,
"NANCI "IIl(".llIt.nt. ANNUAL PUCINfAD! UTI
CNA~DU .'".... r........... ''''1'''''' r.....''''''
Arte"tl/I.". to.Ol AND ABDVE I.S000% I.SDOH u.noo Yo 15.'000 Yo
pu....1( IU It(VfAS[ 'lor
FOR Ool!ICIUNH INFORMA1101f
IIn4l1111 UtlS ACCOUllllf SUMMA"V fOil "OVA .(CO.OI
If YOl,jf tlrg 1.10.1 Of Itol'n. till
1.'PHU."" tou ,~U
~. .. 0" ,
(H...ltOn 'UCINTAOI "AT O'Ur 'tlll(!p,1 '.1.1'1(' "tiUGl$
'1If'(,,"" 11.5211% IS1.leS
e............"'.. 1S.....% leOO.OO
'AVM(~" .rC[I\10 I(fOAr "AIrI4 QIil A 'VII~nl O....V WIlL
Ir CArDlUO.I Of ff([ 0.'1 "(eIIVIO '....\'M[NTI.rC(r\U
A"U HAM \II!lU I. c.rolno 'loll 'OUOWIIilO eUII"tUI DAV
N 1 0' 1" RC 00~00S2 STNWO~
For ellllom.r "Met In ~lIr Ifll. till
,",OUU'\lH ,,'(AIIA'l.E,. Ii01,l.'
1.70
5,20
TIIIPhonlng will not prU'M your "O'lt to allpull
blllino 'frO'1 S,n" billing InQlllrlU to
'0 .ox I1t11'
C:OU,lulvl 0101 .""
",,,
I I' I I
Ot/fO pnY~IO' FIRS' r^lI" P.O, 90" J50SB W/lHIHDIONz..Qg___19!!VO-S09B '
~1!li0 "l1'nrm-' '-.._U...."'Ut_.,,_, ".,...ll;'.ll1llfn;(4,-URfOHORrE'fIfVll~J:oSS9
r..._. .....h. "'h~f .','h, I..n. I..~t., ."..", ..... ,lun ,.,1, h'" ..,.". .h..,
r:----w~7U'lar--r-u'lll!}n.--'r - g;;UU ".l-FmJ~gU:gll!: 1-518'2S8-7200
11'1111., .~" -. . III" '_'.1 t." '''''' l'" ~ r.. ron'.... "'''''' I. ".t, "., "' .......
t ..,iiii;.;..,,"'i"i7';;;;;------- ~ " ..., It lit' ... ""... ,IU" "'II
.. U: I~:':~ r:.':~: I ::~.::': !::' ::~ :i1, .::':: ::: :~:n";:'~' 1~1~~:~.:.~.::;.:..:~a :~~r;.1:' m.u~~m.I.........tI...
I FIRST CARol
4~J_033 274
[II:,..,
'.o'i/DB/94
F
"Inl_UIII ;r"
'hlll,"t Du. """,
89.00 ~,298.59
,
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~250 437 033 274
r::r.:.,
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CJ'..III.....;...'frn.........'...'.,.IO......, ......,.....
.-
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Ilh,U.', "".,.
,,,- . " ~25~nln3274000 42985909900
h..."'..".... ...... ........... "'1'1> '''u' "1'"'' ... 'h.. 11".
ELIZABET 9ERkLEY
39 N 319T,9T ,
CnHP HILL PA 170l\-2SI~
..........
........... "M'" ""'UI"'" ..".",....
fF'Tor.. ............,'1..'.... .h.......
110..1....'..... "'" "UI"
01/21 1022802018A21 PAYHENT . THnHk YOU FQq YOUR PAYMENT
. . . .
YOUR FIR9T CAIIU HAS HD AHHURL FEE OM IT'S THE ONLY CAIID YOU REALLY HEED!
. . . .
PLAHHIHD A TRIP SOON? YOU'LL AECElVE AUTrHATIC TRAVEL ACCIDENT COVERRGE AT
HD COST TO YOU WilEN YOU CHARGE VOUR COHI1OH CAIlR IER TICkETS TO FIRST CAIIO.
FIR9T CARD IS FIRST IN VALUE.
....
!~ tJIIIQ IS ~ 9I'tSt 0ll'lQ ~ ~" - t'.~ ~ """ III ~ \IIlm1J
011 ~ tAlC. WIN nm tnID. ~ ~ aJI,lEWE1)"" iliff ~mol1zm 0ftlGEll
'ImT APPEM 011 YOUR ACtO,,",. ~ ll:E SOlIE OTlG CARDS 'THAT HOLD YOU IIESPOIISI9LE
FDlI THE FIRST 150. CALL TO REPORT A LOST OR STOLEN CARO IMHEOIATELY AT
1-800-882'S358.
. . . .
9HOULD YOU SHREO YOUR CREDIT CMO CAIlIlOHS? VESI THJEVE8 DON'T RLYAY8 HEEO
YOUR CREDIT CAIlO TO HAl<E UHnUlHOR I ZED CHRnOES .. ONLY nlE IHFORHIlTTOH 011 IT.
105.00
~r.!.,.,
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4,345.89
.00
57.S0
105.00
4,298.59
4.277.94
19.00
18,2411
H .
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'1.32511
1.85011
1.32S11
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15.1I0011
PRONOTlOHAL FIRST CARO CHECt(
ADVnHCES PRIOR TO Oe/24/S3 I FIHAHCE CHAR0E9
PURCHAS~S PRIOR TO 08/24/S3 I FIHANCE CHARGE8
3.521.95
374.05
381.S4
Em-~Af1EHT TO' FIRST Cffi.Q---.l."g.!..J'JlXQ:50~ I!fLH1HOTOII6R8i IM~018
4250 ~J7 t .-0-. 1Ill1f ll~ ,UHJ LEI 5 '09S9
1..._......... I.",........... '"H,...... .,."'".........,.""............,,,...........
I 02/09/114 I 03/08/94 ClJ;m--r-'-800-832'2S05 1-518'288'7200
........... .....-,... _....!:!!!.'..!!:!_~..:,".....,,,.,..,.,,,.. ","....
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,
rl.:.U~.lAll'flrr~:"'o'.>Jt.lt'. r,
Attorney or Party Without Attorney
, (Name & Address)
For Court Use Only
Filed for approval.,.. . . . .
Date
Duplicate mailed."..,.,..
Date
Presented to court for
Approval. . , . . . , . , . . . . 'f I I . .
Date
.
< '~ISCOVER CARD SERVICES, INC.
P.O. BOX 8003
HILLIARD OH 43026
1-800-347-5515 XI004
SUPERIOR COURT OF
Street Address
Hailing Address
City and Zip Code:
PA COUNTY OF Cumberland
Courthouse
Carlisle PA 16335
ESTATE OF (NAME): Elizabeth B Berkley
ACCT ,: 6011 0023 2652 324810
CREDITOR'S CLAIM I CASE NUMBER 2194115
DECLARATION OF CLAIMANT
1. _ Total Amount of the ~laim: $422.07
'2, Claimant (name): DISCOVER CARD SERVICES, INC.
a. an individual
b. an individual or entity dOing businsss under the
fictitious nsme of (specify)
c. a partnership. The person signing has authority to sign
on behalf of the partnership,
d, -X- a corporation, The person signing has authority to sign
on behalf of the corporation.
3. Address of claimant (specify): P.O, BOX 8003, HILLIARD OR 43026
4, I am authorized to make this clai~ which is Justly due or may
become due. To my knowledge there are no offsets or payments
that have not been credited,
I declare under penalty of perjury under the laws of the State of Ohio that
this creditor claim is true and correct,
Date: March' 17, 1~94
KIMBERLY BRUSH, UNIT MANAGER
6.
6.
,7.
8.
........ .... It.. .......... I.,.. t
(Type or Print Name and Title)
(Items 5-10 to be completed
Date of issuance of letters:
This claim was presented on (date):
Estimated value of estate:
_ Claim hallowed tor $
___ Claim is rejected tor $
(Signature 0
by the personal representative)
9. ___ The representative is
authorized to administer
the estate under the
Independent Administration
of Estates Act.
. ....... It II .... ....... .... II.....
(Type or Print Name)
10. --Approved tor: $
(Signature of Representative)
_ Rejected tor: $
Date:
(Signature of __Judge __Commissioner
11. __Number of pages attached: __ Signature follows last attachment
~ I 0
,
THE BON 'TON
P,O, BOX 2285
YORK, PI. 17405 1363~
CLJSTOMERSTATEMENT m{i:'i;'~~~ 'Ni'l~ir"Hi
il~/' c:?MMi:.l nITr '0' ~r... I!
BiLl CLOSINO OATE ACCOUNT NLJMeE~..,"l_, ,r"rMr~:' rlU~,"^H
~"'N. I~. 15194 (' 06a~56":,l!tlIH.';:~,;;:Fn,'ill+.':.J99~"
NEw Bti~;~o:i ~!~I~~~'r~~Y:j;)ll 1,01CATI 'MOU'T I'CIOSl01
"E ASE 'NOI C" IE WHE/oj' MAKINCl !j~lID1Flr'flt.l!^S't!"lliV~'"''''
. CHANCE OF AOORESS OATll;W$TORUhAfoIO :'REFERENCENUMBEII,
P H 0 H ( , ~
1",111,"111",,"11,"11,,1,11,1,""11,1"1"11,1,1""1,11'
ELIZABETH B BEAKLEY
39 N 31ST
CAMP HILL PI. 17011-291~
2~
-
-
Ob25b1055 00111200002000
PlE A.S! DC I ACIo1 HfF;f
..-... ...-
.. - -., ~ - . . . ~ .. ... ~ ~ - . - . .. . .. . . . .. - ., . .. . .' .. .-- .
DATE
12130
!I'n~, '
11(1"
II
'R/"JSAC'JON DESCRIPTION
!PAYMENT, THANK YOU
i
I
I
I
U HA & ,f'''YMI~T, IifTIIRN<;
HAFt
50
2503233
20.00
RING IN THE NEW YEAR WITH STYLE AND VALUE. OUR CERTifiED VALUE
MERCHANDISE GtTS THE GOLDEN STAMP Of APPROVAL AS OUR BUYERS'
CHOICE fOR EVERYDAY QUALITY. VALUE AND LOW PRICES. WE ARE
GUARANTEEINC 199~ TO BE A VERy SPECIAL YEAR WHEN YOU SHOP WITH USI
PArvlOus IUtA'-Cf 'TAl 11M IiA~ ~ I 'UTt.L rfHOllS i TOTAL PAYMINU ftHAHCl 'HIS " VOUII PAYMENTS THIS IS mUM
HIli HA I C AMC . .. Mt'-IMUM UM T
129.~) 0.00 I 0.00 20.00 1.77 111.20 0,00 20.00
,
hHU,tl "AIDDI!. AN'NU'''t ACCOUNT INFORMATIO'/ I ACCOUNT NUMBER Bill ClOSING IBlll n051JjC OAlI
. , .. , OAT , RATl AT N rr MI'-Tt(
118.03 ~ 1 .5' 18.0' CREDIT LINE 5800 062-561-055 1/1~/9~ 211 ~/9~
I AVAIL CREDIT $688
'.
R -1547 EX AFP (08-94*
OHttOHWEAl TH OF PENNSYLYANIA
DEPARTMENT OF REVENUE
BUREAU Of INDIVIDUAL TAKES
DEPT I 280601
HARRISBURG, PA 1712a-0601
ILl-I f5"-/?-
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
ACN 101
DATE 01-24-95
I
U
FILE NO.
01-19-94 COUNTY CUMBERLAND
NOTE, TD INSURE PROPER CREDIT TO YOUR ACCDUNT, SUBHIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS. MAXE CHECK PAYABLE TO "REGISTER OF HILLS, AGENT"
REMIT PAYMENT TO:
RONALD E JOHNSON ESQ
78 W POMFRET ST
CARLISLE PA 17013
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLlSLE2~ 1~13 :0
3 ::' O'i :0
Allount ReIlUt1iCl ()
$J:
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS 0: ~ ~~,. ',j
iiE'v:is4'7-Ex-iiFP-foa-:94Y-ilfificE""li,,-i"NHEiiiTAiicE-TAx-jippiiAisEH€il'r;-iii:iliwAiicE-ifi-----3;-~:.--- - ---
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OP T~X ~ :j: <:1
ESTATE OF BERKLEY ELIZABETH B FILE NO. 21 94-0115 ACN ~U.l ~ DATf' SllI-24-95
If an .......ant wa. i..u.d pr.viou.Iy, lin.. 14, 15 and/or 16. 17 and 18 will
r.fl.ct figur.. that includa the total of ~ r.turn. a......d to date.
ASSESSMENT OF TAX:
IS, Aoount of Line 14 ot Spou.ol ,oto 1151
16. Aoount of LlhU 14 to.oblo ot Llnool/Clo.. A ,oto 1161
17. "ount of Line 14 taxable at Collat.raI/CI... 8 rat. (17)
II. Princip.l rax Due
~i"
TAX RETURN HAS: I X) ACCEPTED AS FILED
I ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL
1. Rool E.toto ISchodulo Al II)
2. stock. and 8on~1 (Schedul. 8) (2)
3. Clo..l~ Held Steck/Partnership lnt.r..t (Schedule C) (3)
4. Hortgag../Nota.Racalvabla.ISchadul. OJ e41
S. C.sh/Bank Oeposits/Hisc. P.rsonel Property (Schedule EI (5)
6. Jointly Own.d Prop.rty (Schedul. FI (61
7. Tran.f.r. eSch.dul. G) (71
8. Tot.l As..t.
83.000.00
.00
.00
.00
4.019,68
,00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. F~n.r.l EKP.n.../Ad.. Ca.t./Hi.c. EKpens.s eSchedule H) ("
10. Dobt./Ho,tgogo Llobl1ltlo./Llon. (Schodulo I) (10)
II. Totol OodUctlon.
12. Het Velue of Tax Return
13. Cherltable/Govern.ental leque.t. (Schedule J)
14. N.t Value of E.t.te Subject to TeK
6,357,15
50.427.86
1111
1(2)
In)
(14)
NOTE:
.00 X, 00.
30,234,67 X ,06.
,00 x.15.
118)
TAX CREDITS:
rAYHENT
DATE
10-18-94
RECEI~T
NUttiER
"M913091
DISCOUNT It)
INTEREST 1-)
.00
AIlOUNT PAID
1,814.08
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
. IF rAID AFTER OATE INDICATEO, SEE REVERSE
FOR CALtulATIOM-Pf ADDITIONAL INTEREST,
':'--$3 -, ~
'-t' ,,:~
(t) ~..'
.'. ,"
87,019.68
1;6.701; n1
30,234,67
,00
30,234,67
.00
1.814.08
.00
1,814,08
1.814.08
.00
.00
.00
I IF TOTAL DUE IS LESS THAN .1, NO ~AYHENT IS REOUIRED.
If TOTAL DUE IS R.FLECTEO AS A "tREDIT" leR), TDU IlAY aE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.I
STATUS REPORT UNDER RULE 6.12
,
Name ()f Decedent: EIi.?d6t:M A', /J~r..f/ey
Date of Death: 1~/7;1~fC
I I _
Will No. ~/ - /??f'-//J Admin. No.
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
yes+- No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. If the answer to No. 1 is Yes, state the following:
a. Did the personal representative file a final
account with the Court? Yes No X .
b. The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did the personal representative state an
account infoli!!J,illly '.;9; the par~~~.i.n interest?, Yes No X
//le q. Mf /ne nJA:? p~f7(:ft:)I'V f ~t?t hPi pt:Il~eciZL ,~
d. Copies of receipts(, releases, joinders a~?d~
approvals of formal or informal accounts may be filed with th ~
Cerk of the Orphans' Court and may be attached to this epo. ~
Date:_?jrfL
Tel.
Capacity: ____Personal Representative
~ Counsel for personal
r---representati;re
(MAR I rmf/ AH3)