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HomeMy WebLinkAbout94-00218 '\','11 J,I , , ~: t I ~ I), I II, ",", J " 't.) I ~ '{t'/','l " , '~ " :. ',"'1: " , '. ~ ~'! , . , j i:(-" \1" I~ /' "1:., ,J,'. tJ\....1 "\1', :; .~'# - 'I: '''''''j ,/I,': ,j!' ',' ~ \ f., , , ' I, I ' " ~ .; , J, " ':/,' ,I,. 'II, ,'I 'q ,j,/ ' ", l .. " ,I" . '(, ' ,~ ,,' \. . "')',r { "', ;,1<,1' :~:lj~}!~:";;'\:~;'i::~'}i:;i:" /. q~~"?Cr;,,;.' ,:'l~"II' ,I n~'~JJ..: . .",.! ~""I',IJ 'd., ,,, ,'" ~'.'i '(,I ,l '_~".,'.' .: ''''I~:.:, .b,,,/,, '\: I: ',\,. '.i , , ~ ',~ I ,', ' ':..., -'},,'.,:.'.,. ~,:."~,.i~,):;,:,;.::','.'."~'/,, . '.')' I., ..., .'{f' '. 1':/';;' {:, 111 ~,': ~ " , f I \; II ' -, (" \ ~1, ,,1 \" . " li\'~\\:;;l.r "I:: ;'" ~~?;,:(:.: \). "~,,,:\ ',':\, ,\.10:"'\"'" ,i. ':: '\~' I." L, , \11'.: \" ' .;; ,,) f,,"'ll., j. ,( ~!~'~I,::: ~:I":.(:,'! , , ,I, ", ~ ' , , '/1,"'1\, .' '~\J ' " (' ' L';,', ,: :..",~. ,. \' , :'1' .,'/. ,~ "'.',: ! ': \'," ,,' ','1 '.' lj' I""" :q .', :1 "J," i' ','1 I, ,:' .. "1. 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':;",11" ~', - I '", I " Iq" "" ./' 'I; "'i '", ,I '", I' i ~,,',' I' ,'\'l ," " " /, -\": :',11,: """ :i; ':'\ " 'I ,I' '" ,II':, -,'\": ~ l' ':. . :'1:"", ,I , ,1'- , l,' ":',l:::. . . '1" '." , ,', " I " ;'. " " I' , / " " .,:, , ,', \, '" .,. ,1,'- I" ., \r \:1.', 'l,: " , '" 'I, , .' ,,' .' .~ I '. " 1" , "'Ii", III 1\' ,;. ,~ -, " " '1/,' IIi '." , '('. ,!,'," " . " I " ',I 'I ,:1 !; I , '.1. ." ",.,1\" . <:)1\,.,1',,: ',.1(,' " , " .. ". , l"{ :, ,"'( ,. /' " ." .' 1,\1' " " "I. '1"'1; I. , I", 1 ~', "1:1' " ,~ I , ", 'I ',. " J \, I ~'!' ,:.', J V '. t . ,II, ',:'/(' I" ",' I',' ',. " " , 'I,,'.'. ',' I I,' 'r " " ", '. , "1.: ".; '" .~ PETITION .'OR PROBATE and GRANT m' LETTERS Estate of David r.. Donnelly_..._~. No, ~_../l~c:;. / fl ;'/ also known as ___..___~_ To: / 1/-_ / 15-- 't- _ ..._____ Register of Wills for the __~~ Deceased, County of _ r.llmbr.rl nnrl _ In the Social Security No. -A9.:'=.l2::B1?4 Commonwealth of Pennsylvania The petition of the undersigned respectfully represellts thM: Your petltloner(s), who Is/arc lR years of nge or older an the execut or In the last will of the above dccedent, dnted ~y 19 and codlcll(s) daled ._______ ~ named ,19_aL- (slale relevant drClUmlllnCC~1 c,y. rClllllldnllOIl, lICi\lh or executor, ctc,) Decendent was domiciled at death In Cumberland ~__ County Pennsylvania, with II is last family or principal resldcncc at Creekside Apartments, BOt N. Hanover Street, Carlisle, Pl\J19Jl...1North Middleton TCMnshir>) (li~l lilrcel, nllrn~cr and lIlundplllllY) Decendent then.... 75_, years of nge, died February 5 ,19 94 at. creekside Ar>artments , Church of Goo 11Cll1e e Except as follows, decedent did not marry, was not divorced and did 1I0t have a child born or adopted after execution of the \V~ offered f~lgrobate; was not the victim of a killing and was never adjudicated Incompetent: 0 excep, ns ._ Decendent at death owned property with estimated values as follows: (If domiciled In Pa,) All personal property (If not domiciled In I'a,) Personal property In Pennsylvania (If aot domiciled In I'a.) Personal property in County Value of real estate In Pennsylvanill situated as follows: S 21. 000.00 $ S S WHEREFORE, petltioner(s) respectfully request(s) the probate of the last will and codleil(s) presented herewith and the grant of lellers ~'eRtamfmt'flry (lcstalllOlllary: ndmllllmallon c,l.a.: ndmlnhlrallon d.b,n,c,I.I,) theron, t Sf 1l,~ ~'ij ~.. ll'. ~o ! Iii ;;%! WulI ~ IJfft/'Q Mellon Bank. N.l\.. successor by rrlr-lrgpr to rnmnru'"Iw(.':lF!.lth N11tinn;:'ll ~lnk. ] W Kin~ StrOQt PO BOl(' 4Q Ohi~pcn3btlr9, FA 17257 OATH m' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA }' 88 COUNTY OJ' cur.mIlRIIIND The petllloller(s) nbove-lIIl1l1ed ~wear(s) or afflrm(s) thnl the statements In the foregoing petition are Irue and correct to the best of Ihe knowledge und belief of petllloner(s) and thut as personal represer.. lative(s) of the ubove de~edent pClllloller(s) will welllll~IY qdminlster the estate according to law. Sworn to or IIfr1rYlfd/.,lInd ~lIhscrlbed { -1.12ii?JiJU/ '/J'1.lJ.rtJF/J('E~ ~ befole me Ihls __u..":J-jQ____ - dny of ---MP.110lLllilIlk.-~ ^ 1 I)' l/ / r~1.1 '---;--;rr~-/"'I(. 19_ -~ , .---bY--~JoAA-Schall-- Ml '\.( (~..J!.>f[,'L!).:. dl. >-I'" ' ~'1 -- --------- -i , ReR '/('V ~- ----~-- ~ -.-~_. - ~ -~~.. .~. No. 21-94-0218 Estate of DAVID L. DONNELLY , Deceased DECREE OF PRDUA TE AND GRANT OF LETTERS AND NOW M"r("h 1 nth , 19-9.L.., In consideration of the petition on the reverse side hereof, satisfactory proof havIng been presented before me, IT IS DECREED thaI the Instrument(s) dated tolay 19, 1989 described therein be admitted to probate and filed of record as the last will of DAVID L. OONNELLY and Letters Testamentary are hereby granted to Mellon Bank, N.A. FEES Probate, Letters, Etc, ,'.'"." $60.00 Sh,ort Certlflcates( 4), , , e , . . . ., $.l2...Jlll....- RrcMllIltII\lIIllA: ,.. ,jAP",,,,.. $ 5.00 x-p $ 6.00 TOTAL _ $03.00 Filed ,. ,.~!3.I,'9.11, ,~9".. ~.n~ ,,,,,,...,, 'i p. CI, 1.0, No,) Johnson ID 16453 St" Carlisle, PA 17013 ADDRESS 717-243-0123 PHONE .,~ lY.l fO') -, " u't'l " ~'i n ,', ',~! ('I (', " ,~ I ,,' ill (1' ~Il ~ i.l !., h) (II I .'0:: cjl . E: rc . \ a8 /}.dj~i~ 3-10.;;;/ O).~. I I I I I I I ~,~! ,\'\ >< ~~ ~~~ " H ') '0 '>'I ..,..,,~> - III I Q ~ (:~:)., ... ... I: ,( LAST WILL AND TESTAMENT OF DAVID L. DONNELLY I, DAVID L. DONNELLY, of the Borough of Carlisle, 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 p~acticable after my decease. SECOND: I give, devise and bequeath the residue of my estate, of every nature and wherever situate, to my Son, DAVID B. DONNELLY, providing he ~urvives me and providing further that he can be located within six (6) months of my death. THIRD: I direct that my hereinafter named Executor may retain the services of an investigator for the purpose of locating my Son, DAVID B. DONNELLY, or determining if he survived me and all of the costs of said investigation shall be charged against the residuary share of my estate. I further direct that my Executor need do nothing further than retain the services of an investigator for this purpose and shall not be held accountable in any way whatsoever for failing to locate my Son within said six (6) month period. FOURTH: Should my Son, DAVID B. DONNELLY, predecease me or should he not be located within six (6) months following my death, then and in that event I give, devise and bequeath the residue of my estate, of every nature and wherever situate, to THE LEUKEMIA SOCIETY OF AMERICA, INC.--CENTRAL PENNSYLVANIA CHAPTER with the use therBof to be reotricted to research for the cure of leUkemia and other related diseases. FIFTH: ' I nominate, constitute and appoint COMMONWEALTH NATIONAL BANK, of carlisle, Pennsylvania, Executor of this my Last Will and Testament. SIXTH: I direct my Executor shall not be required to give bond for the faithful performance of its duties in this or any other juriSdiction. -, "...... '., ,.' 3-/3lc.,-IO (' COMMONWEALTH I)F PENNSVLVANIA OEPARTMENT OF REVENUE DEPT.2101O' :iARRISRURO, PA 17121-0101 14-115-/'-/ INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) FOR DATES OF DEATH AFTI!R 12131/11 CHECK HERE IF A SPOUSAL POVERTY CREDIT 19 CLAIMED FILE NUMBER 21 1994 COUNlY CODE YEAR D<,CEDENrS COMPLETE ADDRESS 801 North Hanover street carlisle pa 17013 0218 NUMllER RCV"l!SOO EX. (11-'1) DECEDENrs NAME (lAST, FIRST, AND MIDDLE INITIAL) DECEDENT Donnell David L SOCIAL SECURITY NUMBER 495-12-8324 1. Original Return Coun CUmberland 3, Remainder Return (10' dJlU ot dll'h p,lorto 12-13-121 o &. Fedelll Eltlt. TIX Rerum Requiled J!.. 8, TollI Number of Sale Depolllt Boxee CHECK APPRO- PRIATI! BlOCKS o 41, Fulllrelnl0l8l1 Compromll8 (for dllee 01 dellh 1f1er 12-12-82) IH 8. DllOOdent DIed Teellle 0 1. Docedenl Mllnlalned I Uvlnq Tru.t (Attach copy 01 WIll) (Attach copy 01 Trull) Al.t CORRl!9POtlDl!NC!AND CONFIDENTIAL-TAX INFORMATION SHOULD BI! DIRECTED TOl'" NAME COMPLETE MAiliNG ADDRESS Mellon Bank N.A. P.O Box 1010 ~ 181-0336 TEL<.PHONE NUMBER HaITisl:m'g Pa 17108 717 780-3112 ! I ' 1. Rell Eetlll (Schedule A) ( 1) 2. Slocl<l Ind Bonde (SchGdule B) ( 2) 3, Cloeety Held Stodc/PI11OOf11hlp Inl9l88t (Schedule C) ( 3) o 4, UmI1ed Eltll. CORRES- PONDENT 4. Mortgagee Ind Notee RecelvlbIe (Schedule D) 6. Cuh, Bank Depollta & Mlecelllnoou. POIoonaJ Property (Schedule E) 8. JoInUy Owned Properly (Schedule F) RECAPIT- 1. Trll1llefl (Schedllle G) (Schedule l) ULATlOH ( 4) ( &) 21,284.37 ( 8) (1) 8. Total Ur081 AaMlI (Iotll ~ll8Il-1) &. Fun<<al Expo.-, Admlnlstrltlve Co.Is, ( 9) Ml"*ll/l8OuI ExpeM81 (Schedule H) 10. DeblJ, Mo~gage UlbIIl1le9, Uena (Schedule I) (10) 11. Tolal 0eductI011l (10111 WIl8I U 10) 12, Net Value of Eatale (WI19 8 mlnuellne 11) 13, Charitable and Govellmental BeqU..1I (Schedule J) ( 8) 21,284.37 8,745.50 627.47 (11) (12) (13) 9,372.97 11,911.40 TAX COMPlITA- TION 14, Net Value SubJec1 to TI)( (line 12 mnulllne 13) 1&. Amount of lna 14 tlXlble It 8'-' rile (Inciude valu.. ~om Schedule K or Schedule M,) 18, Amount of 111114 taxable It 1&'/0 IIle (Inciuda valuee ~om Schedule K or Schedule M.) 17, Prlnclpal tax due (Add till from Wne 1& Ind ~om line 18.) 18. Credits e~OUI.'P""tyC"'1\ Prior rlymenlJ Dlecount Inl9leet 0.00. . ___ (18) 1&. 11 Wne 181a great.lhln Wne 17, enl81 lhe dll101enc& on line 19. Thl~ Ia lhe OVERPAYMENT. (18) (~nCl1'dh""HY!ill.. raqUU1l1lll1 ratLnd'ory,jurDYlrJillVTlieiTloi'l 20. "Wne 1111 gr_ Ulan Wne 18, enter the dllfOlenc& on ~ne:la, ThIa Ia the TAX DUE. A. EntOl thl Inl8leal on lhe blllnee due on line :lOA. B. Entellhe tolll of Wne I/O Ind 20A on Woo 2OB. lhls Ia the IIALANCI! DUE. Mlk. ClIaclt p, II \0: R ltar of Willi. Agent : ",'II,i',:!!"i,:I:i, ,:li:,'II",,~!jt::.lll!,$URe TO A118WER'AtiQUl!mONll ON PAllI! lAAOTO RecHEac'NATH'. ":'I'lllliliillll'llil,,- UndH pI"'ttl" at pltjuty,1 Ucla" thall "I'll IIl.I"U"ld Ihll "Iu,n, Includ,ng IccomDlnVlno IChldulu.nd .1I1.m."tI, Ind 10 thl bll' 01 my knowlldgl and bl~.l, III. WI, cO"lctMi coltlpltt..1 dlCllfl 1I'It, III ".IIIUII hu bun rlPortld II ttu. "u,kll "tluf. nlclmllon Dt pllpl'" oth., thl" lhl pI"o"Jlflp"untlt,,,,11 "lid on aU Information 0' whICh prep.,,, .,,, Iny knowl.dgl. (1&) (14) 11,911.40x .06 . 11,911.40 714.68 (18) O.COx ,18 . 0.00 (11) 714.68 0.00 (20) (20A) (20B) 714.68 0.00 714.68 SIONATunE OF PERION RESPONSleLE FOR FILINO RETURN AOORESS see Sd1edule attached 1I0NATU"1 0' PUPAftlft OTHE" THAll "IP~IIENTATIVE AOORESS OAlF. OATI PAlIOOl NTF UGI CoP)'t'lghl FOI"" loU."1 Only, 'HI N.lGo, Ino. NUPAOOt ~ \ .~ ..,; EBtatll of: David L DcI'lI'lelly 21-1994-0218 '1b8 folltM.rq petlllCll18 lII'8 si9J'lin1 th$ ret:urri as l4u- m'ntatives of the eState: Mell~ BlInk N.A., EKlIcutar By: rob..:t)) ~ Senier Flstate, Tax AnIllyst ~-1'f-1'-f " II' " " I' , , 1,1 I, " 'I I' .( , , ;;\ , , , I 'I " " ,: , " , 'i' " I' I', II'"~ " '. " e , I , , ,,' ", ,; , , ", " I' ". ',.; " " " " I.,' " .< I' ,"" " ,,' ,I , I. .' d' , , '" '" " " " 1 " " ';, " " , , " j', " " " " " ,,' '" " " " " II'.' " " I, ,. , , '1.' '"I ': RIV-III1IX'IN'1 COMMONWEALTH OP PENNSYLVANIA INHERITANCITAlC RITURN RElIDINT DICIDINT 1 SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCEUANEOUS EXPENSES ....... PrInt 0I1')'pe FlU! NUMBER 21-1994-0218 !STATI! DfI David L Demell Il1!M NO. ,\. F__~I DeSCllIPTlON AMOUNT 1 Diirq Brothers F\lneral HeIne - statament: 4,997.00 .. AdrnIlIWo.ollv. CoIlII 1. PerIoIlll RIpIMnlIlIVI ConlnWIloIll Socll! Securtty Number 01 PerIonal Rapr_ntlllvs: y", CoIrITaIloIll paid _ 1,500.00 2, Al10rnev F_ I 1,500.00 3. FII1'My~llon ClIImtnl Addr_ 01 ClIimInllt ~nr. delth SIr... Addr_ 0.00 Ralltlonahlp CIty 61lte ZIp Code 4, Probl1e Fe. 83.00 O. MI''01ManlaUI !IpenMIs 1 Hershey Autial8llrS - fees am 8llpeI'lSeS ,! 465;50 , , " nllllhmolam law Journal - estate notice ' ' 2 40.00 3 'DIe sentinel - estate rotice 60.00 4 Closin;J costs. ,100.00 TOTAL AIao enIII on in", R Iluletlon . (It _ ~ II needed, InNIl nlllllllollll eII88la of _11I8,) 8,745.50 PAUlll NTP 1211 Cap~.ht 'orllll, 10Uwar. Only, 1'" Hllco, lno. HUPA" t Rlv-unlX'llllll COMMONWIAl. TH OP PINNIYl.VANIA INHIRITANCI TAll RITURH RIIIOINT DICIDINT SCHEDULE I DEBTS OF DECEDI!NT, MORTGAGE LIABILITIES AND UENS mAll! OF oavidLDonnell Il!M NO. 1 DtW J &'t:oker, M.D. - professiOOllI services DESClIIPTlOII 2 Assthstic' R8ca..t.cuct:ive P.C. - professiooal services 3 Elizabeth B. 01rran -stat&Dent 4 Carlisle Cardi~ Assoc. - professiooal services 5 CarHsle IJnaq!nl Assoc. - professional services 6 Carlisle Hospital - professiooal services 7 Pease ~ - statement 8 IN:: mnergency Alysicians - professional services 9 Masland Associates Inc. - professional services 10 ClUrch of God HaIlB - statement 11 0l8dt ~ at Date of Death '. TOTAl. Nto IIllIr on 11n110, ldan (It 1Me1P-1I1lMd1d, I!lIIf1lC1ftlnallhMll 0'_ 1Ize,) PAlltlt HTP 11I0 COllY'l.... P"",. ItU""" Oftty,'"1 NtJoo, Ino' NUIIAU I PI..... Prtnt Of FlU! NUMBER 21-1994-0218 AMOUNT 8.78 17.12 0.94 10.80 17.17 207.09 20.57 51.23 68.42 217.30 8.05 627.47 COMMONWEALTH OF PEN~SYLVANIA COUNTY OF CUMBERLAND J III ~lellon Bnnk, N.A., Exocutor, hy .Tohn Schnll , Trust Offlc.er baing duly sworn ___ occording to low, dopolol .lnd laYI that ho _ Exocutor __________.____________ of tho Ellato 01 Ollvid L. Oonno11y late 01 .!lOI NOE~I~l!I!~OV~r _~tr_o-E!L~l!.t:.!is1~ _, Cumborland County, Pa" doooand and that tho within II an Invontory mado by ~follQll.JLnnk I N ^.___.._ _ " the said "y,,~"tn~ 01 the entire OItato 01 laid do coda nt, conllstlng 01 all tho porlonal proporty ond roal oltoto, oxcopt rool oltato"ouhido the Commonwealth 01 Ponnlylvanlo. and that tho Ilgurol opposllo oach 110m of tho Invontory roprolont 11'1 lair value at 0' tho doto 01 docodont'l doath. sworn and lublCribod boloro ":,0, ~I0110M'A. BY:I ~a ~~~"", . Admlnlltr.lol .A)/)-<(mp/l .E 19.2!L_ (i&7.'}kf>'/~~ One Wos.t King Stroot Shipponsburg, PA 17257 Dato 01 Death ____~__ D.y Not..ui1J~'{Kd r:t.1.-1~'Y'''' 7)/lfl,r~}/ilJ'( Pl,tJc ~WJ/!) Iloro, ClJlI<lUlkHXI C"lJnIy ~ti'CO'IVT\SSl)(I [,'111\'" ~~'Y 2'2, 1!~J5 '~1lI Add"" Fohrunry 1~fl4 Month Y.., INSTRUCTIONS I. An invontory mUlt bo Iliad within throo months aftor appolntmont 01 perlonal roprellnhtlve. 2, A lupplomont Invontory mUlt bo filod within thirty dOYI of dllcovory 01 oddltlonal olloh, ' 3, Addltlonalshoeh may bo attoched at to pOrlonalty or roalty 4. Soe Artlclo IV, Fiducioriol Act 01194'9, I : "I 4i I.)U .... "2 ~ III l!! 'N ~ ~ .... ~ g ~ ~ 0.. ol u ~ co 0 0 "u ~ l.U C '" .. .... :J: <>: .. u N f- n. lH . 0.. E .' I, Z .... -' U. .0 .; ~ u. -' ~ 0 0.. 0 Ii LU 0 <( .c: ,:. ~ , > Z a: <( .... ;l ~ Z 0 ~ N 0 ~ " 0 - III Z 0 al .0 U Z <( <Q .... 0.. '" '0 'M ~ -.: 0 ~ ,.ll '" "" ~ E ~ 0 0 ~ " [f 0 -J U '" I'r I {)/5- fL/ V.1547 IX AFP (08.941* C~HWEALTH OF PEHHSYLVAHIA OfPART","T OF REVEHUE II.lIEAU Of IHOIYIOUAl TAXES OEP!. 160601 HARRIIIURO. PA 11121-0601 101 'l G - CUT ALONO THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~ ii'!v: is;;? "ix" A i: p" (ili: 94"i "iiil"f i or "OF ""itiAiii i;: ANc i ""fAx" APPRA i iiHEilr; -A iXowANC i-DR - -"- -" --" - -"" - -"" PISAL~OWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ISTATE OF OONNElLV DAVID L FILE NO. 21 94-0218 ACN 101 DATE 01-24-95 APPROVED DEDUCTIONS AND EXEMPTIONS I 8,145.50 ,. funorol EHPOII.../Adll, Co.to/Hllo, EHPon... ISohodulo HI 19l - 10. Dobh/HorlgOgo L1obUIUo./Llon. (Sohodulo 1) 1101 621,47_ 11, Totol Doduotlon. 1111 -- 12. Not Voluo of ToH Roturn 1121 15. Chorltoblo/GOVornllontll Blqu..t. ISoh.dulo JI (151 14, N.t v.lu. of E.toto Subjlot to TRH 1141 11,911 .40 r-"\ NOTEI ~ In II"II~~~WII illuld pravioul1Y, linll 14. 15 Ind/or 16, 17 Ind 18 will r'~lct ~gur..uthlt include the total of ~ returnl allellld to datI. ASSESSME"t.~F Tr\~ . c; 15, AllOIliit of L\2! 14 at 'SIlou.ll rlt. IlSI ,00 X' 00. 16. AI.Lni of LIll614 to.pl..t L1n..1/C1I.. A rot. 1161 11,911.40 X 06. 17, Aoliunt of L~ 14 toH~lI It collltorol/Cl... Brito 1171 ,01 X ,15. 18. Pr1!lt>lp.l Tiii'Du. ',6 llll () LJ n TAX CRED) ,: .- PAYNE"': DATE 1-04-94 ACN NOTE. NOTICE Of IHHERITANCE TAX APPRAISENEHT, ALLOWAHCE OR DISALLOWANCE Of DEDUCTIONS AND ASSESSHENT Of TAX DATE 01-24-95 FILE NO. 21 94-0218 02-05-94 COUNTY CUMBERLAND TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBNIT THE UPPER PORTION Of THIS fORH WITH YOUR TAX PAYHENT TO THE REGISTER Of WILLS, HAKE CHECK PAYABLE TO "REGISTER Of WILLS, AGENT" REMIT PAVMENT TOI MELLON BANK NA RM 181 0336 PO BOX 1010 tiBG PA 17108 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CA'RLISLE, PA 11013 A.ount R..I H.d TAX RETURN WASI I X) ACCEPTED AS fiLED I ) CHANGED RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE APPRAISED VA~UE OF RETURN BASED ONI ORIGINAL 1. R..l E .toto I Sohldull A Ill) 2. stook. .nd Bond. ISoh.dull 0) 121 5. Clo.lly H.ld Stook/p.rtnor.hlp Int.rl.t ISohodull C) 151 4. Hortglgol/Noto. Rooolvoblo ISohodulo 0) 141 S. CI.h/B.nk Dopollh/Hho. Por.ono1 Proporty ISohodull Ei ISl 6. Jointly Ownod Proporty ISoh.dulo f) 161 7, Tron.hrl ISohodulo GI 171 I. Total A..ah ,DO ,00 .00 .00 21.284,31 ,00 ,00 (8) AHOUHT PAID I') I-I .00 DISCDUHT INTEREST 714.68 TOTAL TAX CREDIT 8A~ANCE OF TAX DUE INTEREST TOTAL DUE 21, 284.31 Q.:\7? Q1 11,911.40 ,00 ,00 114,6B ,00 714,68 714.6B .00 ,DO .00 . If PAID AFTER DATE INDICATED, SEE REVERSE fOR CALCULATION OF ADDITIONAL INTEREST, :"" '13-1 If TOTAL DUE IS LESS THAN .1. NO PAYHENT IS REQUIRED, IF TOTAL DUE IS REflECTED AS A "CREOn." ICR), YOU HAY BE DUE A REFUND, SEE REVERSE SIDE Of THIS fDRH FOR INSTRUCTIONS. I " "; i' ., , '" " 'ii' "" " '1,' '" ,', , , RllaRVAllONI E.t,tl' 0' decldent,' dying on or bl'art Olet.b,r 12, 19.2 .. If Iny 'uturl Intlr..t In thl I,tltl I, trln,flrrld In PO..I..lon or Injoy.."t to tllll . (ooUltlrll) blnaflal,rl.. of thl clteldtnt Ift'r the IKplr.Uon 0' Inv utltl for II'. or for ytlr., 1hlCo.lonwlllth hlrlby tKpr...lv r...rv., th. right to .ppr.I., .nd ..,... tr.n'f~r Inhtrltenct 'IMI, .t the Ilwful CI... . (ooll,t.rll) r.tl on 'nV' luoh futurl Int.r..t. PUIlPOSE DI' NOTICE I To fulfIll 1ht rtqulrt.tnt. of S.otlon 2140 of the tnh.rit.nol ond Eltlt. TIK Aot, Aot 22 of 1991. 72 P.R, "0110" 2140, PAVMENT, Oltloh thl top portion of thll HoUol 'nd .ublllt with your PIYI.nt to thl Righter of Willi printld on th, rlVlr.. IIdt, --"01<. chICk or o.n.. ordor P...bl. I., REOISTER OF NILLS, AOF-NT All Plv..nt. rlollu.d.hlll flrll be IPpU.d tu AnV' Illt.r..t which ..v b. du. with anv ra..indtr applied to thl tlIC. REFUND (CFUI A r'fune! 0' , tlIC crtdlt, which 10111 not rlqUllttd on tht hIC Rlturn, IIV bt rlqullt.dbV' cOIIPIIUng In "Application 'or R.fund 0' Plnn.vluln1, Jnhlrit.noe and E.tlt. TaK" (AEV.13131. Appllo.tion. Irl IVlll.bl. .t thl Of' lei of thl RIDI.tlr 0' Will., Iny of the 23 Alv'nul DI.trlet O'flc.., or bv ellllng thl 'Plol.l 24.hour In.wlring ..rvlel nuablr. 'ar 'nr.. ordlrlngl In Ptnn.vlvanl. 1.,00.362-2050, out.ldt Plnn.vlv.nll .nd within loell Hlrrl.burg .r.. (717) 717.'094, TOOl (717) 77l.Z25Z (H.lrlng I'PIJr.d Onlv), OIJECTlON'1 AnV P'I'ty In Jnt.rllt not ..tllUld wUh the appr.I....nt, altowlnlJ. or dl..UoWlnlJl of cltduotlon., or .lItunnt 0' tlM <JnellleUn, dheount or lnt.rllt) II .hown on thlt Holic. IU.t objlot wHhln Ib111 (60) dlV" 0' rlc.lpt of thh Notlc. bYI uwrlU." protllt to the PA DIP"t..nt of Rlvlnu., loerd of APPllh, DEPT. 211021, Harrhburg, PA 1712'-1021, OR ...1tetJon to hive the ..tter dettrllJn.d It ludU 0' thl .ccount of the per,onll r.prll.nt.UvI, OR .."""1 to the Orphan.' Court. IIIftIH ISTRITlVE C~CTlOfjSI Flotull .rror. dl.eovlr.d on thl. ........nt .hould b. .ddr....d In writing tOI PA O.p.rt.tnt 0' R.v.nuI, lur..u of Indlvlcfu.1 TI.IC", ATTNI POlt A..o....nt A.vl.." UnU, DEPT. 280601, Htrrhburg, PA 17128-0601 Phon. (717) 717.6505. S.. p." 3 0' th4 bookllt "In.truetlon. for Jnherltanel T.IC R.turn 'er . R..ldtnt O.cldlnt" CREV.1501) for an IKpl,nltlon 0' .dtlnl.trltlvtly corr.otlbll .rror.. If any t,IC dUI It p.id within thrll (S) e.1tndtr .onth. .fltr the d.c.d.nt'. duth, . flvt perotnt (Sl() dltcount of the tllIC P.ld It l11owtd, Int"..1 It eharted b.glnnlng with first dlv 0' d.llnquencv, M nlnt (').onth. and OM (1) dlV 'ro. the dltl of dI.th, to the data of p.y..nt. TI.IC.. Nhlch b.e.,.. d.lInquent blfort Januerv 1, 19ez bltr Intlr..t at the retia' .IK (6j() p.reent PI' 1M..,. ellcullt.d .t I d.11v ratt of ,000164. All t'KI. which b'I1". d.llnquent on Ind tft.'; Jtnu.rV' 1, 1912 wJl1 bltr Intlr..t It . r.t. whieh will v.rv fro. e.llndlr Y.lr to oll.ndftr y..r with that rltl tnnouno.d by the PA Otp.rt..nt of R.venue, The IPplle.bl. Int.r..t r.t.. for 1912 through 1995 .rl' OISCWlT, INTER::STI !e!: Interllt Alta DillV' Jnt.r..t Fletar !!!r Jnterllt Rate O.Uv Jnterllt FlOtor 1911 lOX ,010111 1911 91 ,000241 ItI1 I'~ ,000111 1t1l'1991 m ,000101 1"4 m .000101 1992 IX ,000241 1... m .000116 1991-1994 1~ ,000192 1'" 10~ ,000270 199. 'X .000241 --lnt."..t I. ollcul.tld .. followll INTERElT . IALANCE OF TAX UNPAID X NUHIER OF DAYS DELINQUENT X DAILY INTERElT FACTOR uAny Notlct IlIutd Ift.r 1ht t'K bleo... dtllnqutnt wUl reU.ot In Inter..t ellcullUon to flft"" (11) dly. beyond thl dltl 0' thl ........nt. If PIYllnt It lid. 1ftI' thl 'ntertlt eOlflutlUon dlt. .hewn on the NoUn, addltlOh.. Inttrllt IUlt be o.loul.tld. . , . JRD/June 30, 1992/17858 In Re: Estateof DAVID L. DONNELLY Late of NORTH MIDDLETON TWP ORPHANS' COURT DIVISION, COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA Estate No.: 21.1994 - 218 No. 21.1994-218 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUFST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: Counsel for Personal Representative: RONALD E. JOHNSON, ESQ. Date of Decedent's Death: FEBRUARY 5. 1994 Date of Delinquency Notice: MARCH 13. 1996 The undersigned, Mary C, Lewis, Register of Wills. in accordance with Rule 6,12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or Its Status Report required by Rule 6, 12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6,12, Supreme Court Orphans' Court Rules, was given by the Register of Wills on MARr.H , 1 , 19..9.liand that the ten (10) day notice to file the Status Report has eAplred. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: MARCH ~9. 1996 \t&~, (I.,~",~ M.h.JlJ; );7!J)/Ui./V, f)~A M~~ ewis, eglster of Wills ~-- I . Distribution: Personal Representative Counsel for Personal Representat ive Estate File A HEARING IS SCHEDULED FOR Li~"Jv[ 719fj~ AT //:00 A./)') , IN COURTROOM NO.1. IF THE STATUS REP6RT ISFlLED PRlOR TO 1'HE HEARING DATE, THE HEARING WILL AUTOMA ICALLY BE ClI CELLED. I~ (l) (~~', l~ OuLtd.J.R.J, ~OLD E. SHEELY, P.J. \,