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PETITION FOR PROBATE and GRANT OF LETfERS c2/- 14 ~ ~.3f Estate 01 Catherine Miller also known as No. To: Resister of Wills for the Deceased, County of cumberland In the Social Security No. 2R7- 34- 3905 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petltioner(s), who Islare 18 years ofage or older an the exeCUI or In the last will of the above decedent. dated J u 1 y 1 9 and codlcll(s) dated , named ,19..11- (stale relevant clrcllmSllnc~, e.l. renunciation, dealh 01 executor, etc.) Decedent was domiciled lit death In Cumberland County, PennsylvanJa, with " or last family or principal residence at 327 'l'hird Street, New Cumberland, Cumberland County, Pennsylvania lUst otreet. number, Twp, or Boro,1 Decedelll.lhcn 83 yearsofa8e,dled_January 22 ,1994 at Harrisburq, Dauphin County, Ponnsylvania . Except as follows, decedent dld not marry, was not dlvorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decedent at death owned properlY with estimated values as follows: (If domiciled in Pa.) All personal properlY (If not domlclled in Pa.) Personal properlY In Pennsylvania (If not domiclled In Pa.) Personal properlY In County Value of real estate in Pennsylvania situated as follows: 327 Thlrd Street, Borouqh of New Cumberland County, Pennsylvania $ 25.000.00 $ $ $ 65,OOO:ll0 Cumberland , WHEREFORE, petltioner(s) respectfully reQuest(s) the probate of the last will and codlcll(s) presented herewith and the grant of letters t.estamentary (lestamentary; admlnlmSllon c.t.a.; sdmlnlstralion d.b.n,c.t.a,) theron, - t~ ","Ii 1:1 i~ I iiI 13 Dexter Dr., Windsor, PA 17366 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } ss COUNTY OF CUMBERLAND The petltloner(s) abov~'nt.med swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petltioner(s) and thataJ personal represen- tatlve(s) of the above decedent petltioner(s) will well an~~IY aej,mi iS~ the estate according to law, (t'{11 ,I'I/' II Sworn to or arnrmed and subscribed ' (. {I.( f. :', '. ~ before mo this 9TH day Of~ ~All on H. 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MI~LER, fail to survive me, I devise and bequeath all of the reBidue my estate, of every nature and wherever situate, in equal shares to my ohildren, FARLENE KOCH EM and ALLEN R. MILLER, or to their issue, per stirpes, living at the time of my death. ITEM III I I appoint my child who is the parent of a minor guard- ian of any property which passes, either under this will or otherwise, to a minor and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so, provided that this appointment of a guardian shall not supersede the right of any fiduciary in its discretion to distribute a share where possible to the minor or to another for the minor's benefit. Such guardian shall have the power to use pri.ncipal as well as income from time to time for the minor's support and education (including college education, both graduate and undergraduate) without regard to his or her parent's ability to provide for such support and education, or to make payment for these purposes, without further responsibility, to the minor or to the minor's parent or to any person taking care of the minor. ITEM IVI I ~ppoint my son, ALLEN R. MILLER, Executo~ of this my last will. Should my son, ALLEN R. MILLER, fail to qualify or cease to act as Executor, I appoint my daughters, FARLENE KOCHEM and GERALDINE MILLER, Co-Executrices of this my last will. Page 2 of 5 .. ., COMMONWEALTH OF PENNSYLVANIA I ISSI . COUNTY OF CUMBERLAND I I, CATHERINE MILLER, the Testatrix whose name is signed to the attached or fcregoing instrument, having been duly qualified according to law do hereby acknowledge that I signed and exeouted this instru- ment as my last will; that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein contained. lr ,--' /J I.'/' ,IH,J.t.1JCMU, Y'lklff.,(.. CATHERINE MILLER Sworn to or affirmed to and acknowledged before me by CATHERINE C 'tlr {} /l I f day of (,.(f. , 1993. (!tt-)(.~'-LL' ~~ . Notary Publio ' MILLER, the Testatrix, this NOTMI^I,[hl COII,TMlcr L. 1:,,"1' 110r^R'1 rll~llC 1lf.\J rl':\'I'~r:1 M,",'I ", .:'.. l:.r ~_I' ,'d) CO. IlY cu::::mIO:i LXI'I,,~:', t,rm lJ, 1995 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND We, -DIM i~ I ISSI I ",--. \-, ~-/,,' , andJ-,I/M In. /;)U'l,/0'Ij, signed to the attauhed or f'fegoing the witnesses whose names are inotrument, being duly qualified according to law, depose and say that we were present and saw Testatrix sign and execute the instrument as her last will; that Testatrix signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; Page 4 of 5 .. , " ...~ .. ...~ ' '....... . " " .' , , " ''I " " " . . " .' "," " " ".1 Ii'- " . " . " " I ;',;(;;' . ,'I' 1\" " (.Ii' , I' I; I' (, 1,1 ~ , , , i " " . .' " I' n " l .' \; '...... I; ,.1' ,'; ",I, " 'II ,,, , "" ,,, I" .' ~: ~ " " " ,I I I ~ I , ' ",' , '," I"~ ",,",,' ,',", " , , ' :;, , ""',,, lj\'~'i,;lI,ill'WW~i'l~I'!4"'.J''''''';:'',":,,,,,,:.,::,,,,,,,.~,,,,.,,~;."M<<W~W.~~'Ml'1iI\lJ\W.\('lil~iJtllM_';'....,~,:;"~,, LAW 0"'019 0' SrONB LAPAVBR & SrONB 414 BRIDGE BTRBET POBT OFFICE BOX E NEW CUMOERLAND, FA. 17070 " .,"''':----,,\ ./' 't./,' " ,;\,1 /1 ~:,:'f'il1 "1 ..I., ' l.', 'Mil 1')9 ^ " .... "'''''' ,.,,' ''''L, .......-. .~. '.~." M' . '~-"-'-""'" "~... 4' . -.. . ~ .." ,. '" . " i'-"'-~"", ,.,..,."....... ...-..-1.........._...,........-- ',.,., 1" '.t" ( ,- '(0:' .. r:"'l C.I, " IIRS MARY LEWIS i." .l \.) ,!' ,REGISTER OF WILLS , \'} \. r~\ CUMBERLAND COUNTY COURT HOUSE (I) Jl~ H,! 1'l" CARLISLE PA 17013 L, ' t C' ,';.; c: rr: r...\ .'l! ::J 00 III,Ir""IIIIIIIII'''''',I,',I,1 111,1111111111111111,1,111111,11111.1 ",',' -.....;.~---....._...-__,~'_."."..._..n ,-... - '" ,....>....~...H~...'._~_....,_."._._ ....-.'7' ' , , ... I", ) ,,'W " . 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II \ \1 II II :\ II I; II " II ',I :1 I . , IN THE' COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 21-94-023B - , FIRST AND FINAL ACCOUNT OF ALLEN R. MILLER, EXECUTOR FOR I, II I I ESTA~E OF CATHERINE MILLER, DECEASED, :i Ii I II 1\ I' \ I II 'I \1 ,I I \ , , Date of Death: January 22, 1994 Date of Exeoutor's Appointment: Maroh 11, 1994 Date of Advertising Letters Testamentary: Cumberland Law Journal - March 25, April 1 & B, 1994 The Patriot News Co. - March 22, 29 & April 5, 1994 Accounting for the Period: January 22, 1994 to Maroh 30, 1995 purpose of Aocount: Allen R. Miller, Executor, offers this account to acquaint interested parties with the transactions that have occurred during his administration. The account also indicates the proposed distribution of the estate. It is important that the account be oarefully examined. Requests for additional information or questions or objections can be discussed with: Allen R. Miller 13 Dexter Dr. Windsor, PA 17366 David H. Stone, Esquire Stone LaFaver & stone P.O. BoX E New Cumberland, PA 17070 \ I \1 I , . Ii " .-. ."'."-.,,,- ....'""':. ........ . .~~... SUMMARY OF ACCOUNT Proposed Distributipnto Benefioiaries Prinoipal Reoeipts Less Disbursements I . Debts of Deoedent Funeral Expenses Administrative Expenses FedeI'al and State Taxes Fees and Commissions Total Disbursements Balance Before Distribution Distributions to Benefioiaries Prinoipal Balanoe on Hand Inoome Reoeipts Less Disbursements Balanoe Before Distribution Distributions to Benefioiaries InoomeBalanoe on Hand $ 60.91 6,840.00 5,223.01 4.419.04 4.804.00 principal and Inoome Balanoe on Hand ., . .-.....- . ,., $ 47,004.30 ........... $137,751.58 S 21.346.96 $116,404.62 70.500.00 $ 45,904.62 $ 1,099.68 .00 $ 1,099.68 .00 $ 1,099.68 $ 47,004.30 ..........., " , '. ~stribu~ionB of Princioal to B6neficiar~ , TOI The following named in satisfaction , of gift under ITEM I of Will: I 09-16-94 Farlene Kochem $ 16,000.00 I I 09-16-94 Allen R. Miller 16,000.00 I I 09-16-94 Farlene Kochem in trust for I Michael Koahem 3,000.00 I I 09-16-94 Farlene Kochem in trust for Timothy Kochem 3,000.00 09-16-94 Allen R. Miller in trust for Laura Catherine Miller 3.000.00 i Total Distribution Under Item I $ 41,000.00 TOI . The following named in partial gift under ITEM II of WillI 09-22-94 Geraldine Miller S 2!1.500.00 Total Distributions of Principal to Beneficiaries $ 70,500.00 " II; " prinoioa1 Balanoe on Hand PNC Bank Estate Cheoking Aocount Total Balanoe on Hand PNC Bank Estate as follows I ill.! 03-23 04-22 05-23 06-23 07-22 08-23 09-23 10-24 11-22 12-22 Interest RECEIPTS OF INCOME Checking Account No. 50-8036-2732 $ 49.55 159.59 149..19 149.32 133.41 143.11 131. 86 49.23 36.63 42.85 1995 01-24 $ 47.22 07.-21 3.72 03-23 4.00 TOTAL INTEREST NONE DISBURSEMENTS OF INCOME TOTAL INCOME DISBURSEMENTS TOTAL INCOME ACCOUNT Balance I Principal and Income to be Distributed - $ 1,627.90 $ 1,627.90 '$ f, 099.68 $ 1,099.68 $ .00. .00 $ 1,099.68 $ 47,004.30 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } ss: Allen R. Miller being duly eccordlng to law, de pOleS and says that he is Executor 01 the Eslate 01 Catherine Miller late 01 _1.21..LlJ..ttd..~tr~e_~.1._~e.w CU.!nP.!!rland, , Cumberland County, Pa., deceased and that the within Is an Inventory made by Allen R. Miller '. the said Executor 01 the entire estate 01 said decedent, consisting 01 all the personal propdrty and real estate, except real eslate outside the Commonwealth 01 Pennsylvania, and that the ligures opposite each Item 01 the Inventory represent It's lair value as 01 the date 01 decedent's death, ~,1 Jff/~ Sworn and subscribed belore me, sworn Allen R. Miller (Z,~ -4 a2c , 19 C;s Encufor . Adminhtr.to;" Add"" Date of Death __ 22 January Month 1994 YtI, O'Y INSTRUCTIONS I. An inventory must be !lied within three months alter appointment of personal representallve. 2. A supplement Inventory must be liIed within thirty days ~I discovery of additional assets. 3. Addillonalsheets may be at!ached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. 'CI ~ r-l '" 0lI 1 u :J ~ 0lI :z; . -ti ?= ... .. w 0lI " ~ ffi ... ~I 0lI .. <Xl ~ '" .. . M a- ... u .. !:l N 0 :a CIl " 0 ~ w Q III "" '" !ij, .. ~ .. i!: a- 'CI a- c -:t ..j u. I '" .,; .. 0\ jj 0 t&l '... a- CIl 0 LI.I u. ..j :z; .cI :t: ... > 0 0( '" .... !-< >. =,0( N Z ell . z 0 " c I Q N " SI - VI Z ~ "" 0 0 '" <( ...:' U .... ~I Z UI a- u "'C c.! c .. - -.: 0 " .D .. 8 - ~ " " MILLER, fail to survive me, I devise and bequeath all of the residue my estate, of every nature and wherever situate, in equal shares to my children, FARLENE KOCHEM and ALLEN R. MILLER, or to their issue, per stirpes, living at the time of my death. ITEM 1111 I appoint my child who is the parent of a minor guard- ian of any property which passes, either under this will or otherwise, to a minor and with respect to which I am authorized to appoint a guardian and have not othen~ise specifically done so, provided that this appointment of a guardian shall not supersede the right of any fiduciary in its discretion to distribute a share where possible to the Dlinor or to an~ther for the minor's benefit. Such guardian shall have the power to use principal as well as income from time to time for the minor's support and education (inclurting college education, both graduate and undergraduate) without regard to his or her parent's ability to provide for such support and education, or to make payment for these purposes, without further responsibility, to the minor or to the minor's parent or to any person taking care nf the minor. ITEM IVI I appoint my son, ALLEN R. MILLER, Executor of this my last will. Should my son, ALLEN R. MILLER, fail to qualify or cease to act as Executor, I appoint my daughters, FARLENE KOCHEM and GERALDINE MILLER, Co-Executrices of this my last will. Page 2 of 5 , .;}~','}t:l '~~i'l-;" i:;'.>{, 'j ~ Jlt'--j"""" t\."\,I", 1'\ 11r-.LI'I/-'_"fi'.:,;j f. t, ."";'.\",, '{_, j~'\':\\" ,\',' ,j, I", I [ I, r)j\l,~1~~\l)'-P!1~{':','t'i\'i;-~'!'-;JI \,' " \." /1, . 'l~" }tI.',V1tt\ 1.\ . I' !, ,"t' '~,"~ ltl~ ' ,It, \" "i I " .' I I "j!~ tt'j' , ,,' . ,I ,\ i~ ,~\ ' i \ I ' \ . ~~~tl~~"lll:~,I:''''' II, \' 'I,J' t l.~ IIT" 'J .',\ 'It. J,I ; \ \ F, ~~'. I ^ "11/" " :' i" i , \; ~~"\.'/"I"i:""'lo ".'." " "" " " 'Ill", '.' " , f\ ~lltf,' 1\ It, ,;., " \' '( l\\,i"l{1'i.lt,lU\ ;" ~:I' . 'J', I;.. I, II, ,,01 ~r.~"~'~,r;/\,'\l~;t)\u'l.:, ,:"," ,'i':' " It ,'I ;., I ,; Il.~ 11 ,} I \' I ) I ." /, '1"',/->.1'"', '" '\'"", 'in '~~)f~,,~IJ't~f I'r..;.t~ I ',I ,Ii l{! ,,',' , 1~'i\~':.~~~\~jJ',~tl\t,f;"'~~ ';~:'," '" ,1 " I!' ''[1 'iJl ,\, \ '~"" . I' 'f ;'HI(1IlI1 ;JI'j{llll.lI'IIIP'" . I. 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" IN REI ESTATE OF CATHERINE MILLER, LATE OF THE BOROUGH OF NEW CUMBERLAND CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVIaION NO. 21-94-0238 DECREE AWARDING REAl. ESTATE \ 1\ AND NOW, this \ L\ day of o'clook ~.M., prevailing time, ,\"CL} t.. , 1995, at C;,' I, (, it appearing that the F'irst and Final Account and Statement of Proposed Distribution of Allen R. Miller, Exeoutor of the Last Will and Testament of CATHERINE MILLER, Deceased, have been duly filed and advertised according to law and Rules of Court, and said First and Final Account and Statement of Proposed Distribution have been confirmed and approved by the above Court in and for Cumberland County, Pennsylvania, oni~,d, (115---; and it , further appearing that the said Executor has in his Statement of Proposed Distribution proposed to distribute certain Real Estate in kind to GERALDINE MILLER, in accordance with the provisions of the Last will and Testament of CATHERINE MILLER, Deceased, and the Court aforesaid having decreed distribution in accordance with said State- ment of Proposed Distribution. IT IS ORDERED, ADJUDGED AND DECREED that all right, title and interest of the said CATHERINE MILLER, Deceased, in and to ALL ~HA~ CERTAIN piece or parcel of land situate in the Borough of New Cumberland, County of Cumbel'1and, and Conunollwea1th of Pennsyl- vania, more particularly bounded and described as follows, to witl BEGINNING at a point on Third Street, one hundred (100) feet East of the Northeast corner of Third and Reno Streets; thence eastwardly along Third Street, twenty-five (25) feet, more or less, to a pointl thenoe northwardly through the partition wall between the premises herein described and the premises known as 325 Third Street, a dis- -1- ." tance of one hundred forty (140) feet to River Avenuel thence west- wardlr along River Avenue twenty-five (25) feet, more or less, to the divid ng line between Lots Nos. 7 and B on the General Plan of the Borough of New Cumberland I thence southwardly along Baid dividing line a distance of one hundred forty (140) feet to a point on Third Street, the point or place of BEGINNING. BBING Lot No. U, Block K, George W. Buttorff's Addition to New Cumber- land as recorded in the Cumberland County Reoorder's Office in Deed Book "N", Volume 5, Page 500. BAVING THEREON BRECTED the western half of a double 2 1/2 story frame dwelling house known as No. 327 Third street, New Cumberland, Pennsylvania. BEING a the same premises which Mildred Jean Morrissey and Joseph E. Morrissey, husband and wife, by their deed dated August 20, 1975, and recorded in Cumberland County Deed Book F-26, Page 525, granted and conveyed unto Rush F. Miller and Catherine Miller, husband and wife, the said Rush F. Miller predeceased Catherine Miller whereupon title became vested in Catherine Miller by operation of law. is hereby awarded unto Geraldine Miller in fee simple. IT IS FURTHER ORDERED AND DIRECTED that a certified copy of the Deoree be recorded in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania, among the deeds recorded in said Office, said Decree to be indexed in the Grantor Index against the Estate of CATHERINE MILLER, Deceased, and in the Grantee Index to GERALDINE MILLER, pursuant to the Probate, Estates and Fiduciaries Code, Act of 1972, P.L. 164, Section 3536 (20 PA. C.S.A. 3536). BY THE COURT, _\-J(lA<\\': b'( - J . / / ~ -2- COMMONWEALTH OF PENNSYLVANIA L COUNTY OF CUMBERLAND J SSI f- Allen R. Miller according to law, deposes and says that he is Executor of the Estate of Catherine Miller late of _2JJ...1..hJF_d,~trl!.l!.tl._~e.w CUm?.!!rland I , Cumberlend County, Pe" deceued and that the within is en Inventory made by Allen R. Miller " the said Executor of the entire estate of said decedent, consisting 0; all the personel property and real estete, except reel utate ootslde the Commonwealth of Penn sylva ,Ie, end thet the figures opposite eech Item of the Inventory represent It's fair velue os of the date of decedent's deeth, being duly sworn Sworn end subscribed before me, (tJli, I//Idl Allen R. Miller 19 Eneutor . Ad",lnlllr.lor Add,... Date of Deeth 22 January Monl~ 1994 Vu, O.Y INSTRUCTIONS I. An Inventory must be flied within three months efter eppolntment of personal representetlve, 2. A supplement Inventory must be flied within thirty days of discovery of eddltlonel assets. 3. Additlonel sheets mey be etteched es to personelty or realty 4. See Article IV, Fiducieries Act of 1949, 'tl ~ ~ '" III ~ u :0 I:l III :z: .... , ~ ::> ~ ... 0- W III e l3 .. ~ ffi l- ei III .. 00 ~ '" " , .., '" ..l ... U N 0 VI ..l CIl " Cl III f2 Q III :z: .. 0 w 0: W ~, ~ 0 Cl iE '" 'tl f-4 E .q -l U. I 1.0 .; a\ Z -l ~ 0 III 'M '" CIl 0 W u. :z: .c .= ... > 0 ~ 0: ~I f-4 i: :%llo( N Z o Q ,... c N " SI - VI z 1=1. .., 0 0 U z ffi <( j: .... ~I '" "'ll AI c .. ... -;:: 0 " .<l "'ll ... " e - .! 0 .. " 0 -l U ti: CD 0, , /'j-/?Ift, INHERITANCE TAX RETUIN RESIDENT DECEDENT (TO BE FILED IN DUPLlCAllI WITH REGISTER OF WILLS) ~ fil u ... Q It " ~\(>.'J,'rt\ '"" ~f.tt7'J,,; COMH.ONW!ALlH m P!NNSYlVANIA u!PARIMIlNI or R!V!NUI DIP!, 110601 HAR!llIURG, PA 17111.0601 1'5 NAMIIlAII, flAil, AND MIDnUINITIAq flILLER, Gatherine I'OlIDAtDO,alAtHAma 12131/91 CHICR'fl1 1"A SPOUSAL 0 POVlm CllalT II CLAIMla P1U HUMIIII 21 94 0238 COUNTY CODE YEAR NUM; ,. 05-16-10 327 Third Street New cumberland, PA Cumberland 17070 o 40, FUMt Inltrt.t Compromht (for dott. of dtlllh offtr '2.12.821 51 6. Dtctdtnt Dl,d TOItolt 0 7, Dtctdtnt Malntalntd a Uvlng Trull (ANach copy of Willi ANoch co 0/ Tru.lt ALL CORRESPONDENCI.'AND CONPlDENTlAL.TAX INI'ORMATIOIHHOU1D:.1IUCTED TOI NAM M L AI A IAL I NUMI A 01-22-9/1 C.. 287-34-3905 :rn 1. Original R'lurn o 2, Su~pltmtnlal R,lurn o 4, L1mlltd Eliot. 03, 05, Rtmolndor Rtlurn (for dOlt. of dtalh prior (0 12.13,: Ftdtral Eliott To. Rtlurn Rtqulred Tolal Number of Safe Depo.il Bo, L8, Duvid H. Stone, E9quire llPHONI NUMIIR Stone LaFavor & Stone P . {}. BOK C New Cumberland, ~t\ .17070 774-7435 z o 3 ~ A. ~ .. ( 6) (7) 46.463.23 1. Real Ellalt (Sch,dult A) ( 1) 45 , 126 ./,0 2, Stock. and Bondi ISchtdult B) ( 2) 3, Cloltly H.ld SlockJPartnorshlp Inltrtll (Schedult q (3) 4, MortgagOl and NOlt. Rtctlvablt (Schedult D) ( 4) 5ChBkD 4,497.84 , 0', on 'poll!. & MllCtllantllul P.nonal Prop.rty( 5) ISch.dult EI 6, Jalnlly Owntd Prop.rty (Sch.dult F) 7, Tranl't" (Sch.dul. G) ISchtdul. L) 8, T 0101 Grall AU'II (10101 line. 1.7) Q, Funeral Exp.nltl, Admlnlllratlvt Co.lI, MllCtllan,oul (Q) 18,867.01 Exp.n.t. (Sch.dult H) 10, Dabl', Mortgagt Uablllllt., Utn. (Schedult II (10) 11. Tolal Deduc1lon'IIOlolllnt. 9 & 10) 12, Ntt Valut of EIIOltlllne 8 mlnu.llnt II) 13, Charllable and Govtrnmtntal Btqutll' (Schedult J) 14, N.I Valut Sub .Cllo Tax lint 12 mlnu.llnt 13) 15, Amount of lint 1A laxablt at 6% ralt Ilncludt volulI from Schedult K or Sch.dult M,) 16, Amounl of IIn. 1 A laxablt at 15% ralt Ilncludt valulI from Schtdult K or Sch.dult M,) 17, Principal to. duo (Add tax from lint 15 and /rom lint 16,) 1 B, Crodll. Spoulol PoVtrty Crtdll Prior Paymtnl. DI"ounl + $4,000.00 + $210.:21. lQ, if IIn. 18 I. gllOlll Ihan lint 17, .nttr Iht dlH.rtnct on lint 19, ThI.I. .he OVERPAYMENT. fie 20, If lint 171. gllalll Ihan lint 18, tntlllht dlfftrtnct on lint 20. Thl. II the TAX DUE. A, Enltr tht Inlllt.t an Iht balanct dot an lint 20A, B, Enlt' tho 10101 of lint 20 and 20A on lint 20B, Thl. I. ,,, BALANCE DUE. Makt Check Payable ta. R..l"tr af Will" Avent .. ...u:SUU.TQ:ANIWIJ;A1LQUBTlONliaN,IIV,...."-wvm:.ICHIClC,MATH.... dll plnollill 0' porlury, I d.doro ,hall havt t.amln.d Ihll rolurn. Including a..ampanylng .chldulll Gnd Ilalamtnll, and 10 th. b.II 0' my knowl.dge ond b",ei 1IrUI, correct and campl,tl. I dlclar. ,ha' all r.al I.ta', hal bun r.port.d at tru. nmrk., valul. Dfdarallon of pr.par.r olher than thl penanal reprOllnlOllvft I: led on 011 ! 'or tlon 0' which proparor ha. any knowl.dg., N'" UR N IN" DAle 3 Dexter Dr., "indsor, "A 17366 C' I ' f' \~, 'Ill JAH (1- \ "1'\ 60.91 (15) 77,159.55 (16) z o ;:: g A. ~ o u ~ .. (1l(~(k.llI.ft. If you C1ffJ II.(ly....llnfl II ".luod ul ycim 1I",'rflnym('1I1 iVr- (81 $96,087./.7 (11) (12) (13) 141 18,927.92 77 ,159.55 )( ,06. 77,159.55 4,629.57 )( ,15. .00 (17) 4,629.57 'nlllt.t 4,210.53 (18) (19) (20) (20AI (20B) 419.04 419.04 , UV,U~ fh (1,161 COMMO~I-NIAIItI 0' 'tUNULVANIIo INHI'tIUNr,f ~,,~ UTUI\N I\lilDUll (..fC!OI~n SCHEDULE F JOINTL Y .OWNED PROPERTY ESTATE OP Catherine Miller ~'~~~~j':-~~""'"'' "'",,~ .' __.____..._._._,.. ._... w.,. _'_"__' Joint tenanl(a), ---. ."n-"''n--''N'A-ME'n''''----- ,.-----'-nADDRiiss----'-'-- A.. Geraldine Miller 327 Third Street New Cumber1and,"A 17070, . -... .......- -, -.. . 1"'1 '1'< ...,. " ,,' .:. ~~~-::'l...~4'.~~:'_~!~':.:_. .c..:..:..'_~..... , I daughter B. C. Jolntly.ownld propertYl ~_n'_ LETTER , ITEM POR DATE TOTAL VALUE DDCD'n I NUMBER JOINT MADE DESCRIPTION OP PROPERTY o P ASSET % INT,' f) TENANT JOINT I. A 0-24-85 PNC Bank, N.A.-Saving9 Acct. 11513059919, Principal $87,712.32, Int. $116.11 $87,828,43 50% 2. A Series "E" Donds-Bond value 0 $25.00-See attached sheets 5,098.02 50% I I , I ., < " I " ' , i " . .' , I " , , ,. i , , , , i , , , , , , , , , . . I , , I , .1 _J I I ~..____~....;......__......4..' l.1ilLL.....( 'I ;'.J.. ': .. , t!e:u~i'~':"'. ;'im:,;:," $43,914.22 2.549.01 ." TC.II'AL IAllo onlt''" ,In. ,I, ;;,. :"pl"'"", ' 46,463.23 (II morl! 'pac. i, neuclOd inu'" midillollol ,hoo~, ,,( ~a'",'t dr.,,) CATHERINE MILLER ESTATE $25.00 SERIES "E" BONDS IN THE NAME OF CATHERINE MILLER AND GERALDINE MILLER 0.0.0.1 01-22-94 I Date of Bond 0.0.0. Value Interest Total Ap~il 1972 $82.34 $63.59 $145.93 July 1972 83.03 64.28 147.31 September 1972 83.21 64.46 147.67 November 1972 80.79 62.04 142.83 January 1973 81. 74 62.99 .144.73 April 1973 79.56 60.81. 140.37 June 1973 .79.75 61. 00 140.75.. Auqust 1973 . 80.70 61. 95 142.65 . November 1973 78.36 59.61 137..97 January 1974 78.43 59.68 138.11 Maroh 1974 76.14 .57.39 133.53 June 1974 77.06 58.31 135.37 Auqust 1974 74.81 56.06 130.87 Ootober 1974 74.81 56.06 130.87 Deoember 1974 75.71 56.96 132.67 Maroh 1975 73.50 54.75 128.25 May 1975 74.21 55.46 129.67 July 1975 74.38 55.63 130.01 Ootober 1975 72.21 53.46 125.67 Deoember 1975 73.08 54.33 127.41 February 1976 70.96 52.21 123.17 May 1976 71.63 52.88 124.51 CATHERINE MILLER ESTATE BOND LIST CONT nate of Bond 0.0.0. Value In.terest Total July 1976 $'11. 78 $53.03 $124.8], September 1976 69.69 53.03 120.63 November 1976 70.37 50.94 121. 99 February 1977 68.51 49.76 118.27 April 1977 68.51 49.76 118.27 June 1977 69.33 50.58 119.91 September 1977 67.30 48.55 115.85 November 1977 61. 72 42.97 104.69 January 1978 61.89 43.14 105.03 April 1978 59.51 40.76 100.27 . June 1978 60.22 41.47 101. 69 . August 1978 59.05 40.30 99.35 October 1978 59.05 40.30 99.35 January 1979 59.78 41. 03 100.81 March 1979 57.62 38.87 96.49 May 1.979 58.18 39.43 97.61 August 1979 56.21 37.46 93.67 October 1979 56.21 37.46 93.67 Deoember 1979 56.74 37.99 94.73 Maroh 1980 54.68 35.93 ~0.61 TOTAL $5,098.02 1/2 value $2,549.01 ,.MM, 'M " .......:I.~, '1\' '" ,.,,~, '~1"'''''1",~' "'''-~' ....-...'11.......... 1'.4 , I................".,...,'...,. ,"'J"~""I :"f,~-'-',"",",""""~"" " , " [nvi I' nlJr I,t \pUI,:',\ 111'IU ,~< 1\1.: LiT own lUN :lClWtI b n. '1)(.)1'[:; I' ., 1/) .' ~.,.. 'J ',',' ", (.,.. t ",') ';';1::7' 'U?ld, !:~,7801:rrH ,,:cND :: [hi I." r;Ai'IP HIL.L, Pt, J '/", 1,:',.1 'II ',~IN ~~~!,,-'~lln'?:;fl:, Pagel ll.\ll'}l 1.15,1! 11'; II..... ,,.; u",'I',u.(i5/11/C; ,:0/:'[(111."11,11, IlIi: ;1,: t:;~? ,'; 11 ti'l) I[vl I.:i lI'lF.. ':' ." '.'.'''H. ,....,...~.___...__...._...,_.,.........,..._~.. "It"III i1thl'I" I '.I <')" >'/:i:~'i(;;ii'''-''-''''''-''-----'' \ ;:-/:, . .,," I,' '" ')1",1 I" ,II "[!"y,, II !:f ",..,.,. "~'_."'''_'''''''.'M''''""_____,,,,_,.~~, ,...., "" ". C(Hn~) ,11"'1\' ('d.lI.lF:_'I',t:I": Tyf.'p Dr I 'H':::', O,7\"\.U(I; I Cj.j'."IJ r n~:jpuC'L(-~t I bYJ Datl,1 :>1' 111";[1: ;"1, [:'1:;'/1,1)1\1"1,[(\ h(','j'(O/,/(.\ (\CJPI!! Arll:ll"(;'!;r, ,.. ,,,,......, ..,. ,.,....."-..._.~----_..- 1'1 ii',;:' ,i:;; ii "".U:H CIIG:fWL !:':/"I(WJ, 1)('t1'I(\UI'; ')1';",(11;) "'1'1 I~IJI,I l)(\n:i'l (':';"(1."<'111 i .P~; 1'50- 9110 ~:/,l"~ '.'i'\,l"'I(~1.fl n....." ..,......,__.w...._.....~"..,....,..,..., .", ...... ....-... ..._.....,~.' ';',;)1 I' , , I.. il,J! I"~: I" Ill;,. " .". "I'l....::....l[j...~~i~!",..L;::,",:::',:! i. . , L~.,. .,' ',. : "......'.....,.....-.-...-,-..... ~:; . r ,.' i J ~ 1111. '-!I\.,.,ltl i ; ()Qu' C,!'.;~;a'i~lImV CHEMICAL SPONGE . 1100%1 1M y l 1.I~06 121, III " ~.Kl5"t.~ :~:~~~ CHEMICAL SPOHGE IlOOXI ,.. Si' ~ 101206 152,10; . ','I 1 9AmOltRDS ~,l CLCM! :IO@ ~i ~r l 'I ~I)O(I 110,601 4 <000 fLOOR cm~ (100/:1 lWJ SF @ 1,169Q m,v21 . WjVOW . REGULAR (LEAN , Ell ~ . 15.00 115,('01 , " 6 ~INDOW SHADE CLEAN E,\ l. 16, \~(I lIB. (/Iii 7 ~C,OR ClEAlI .~ ~ 15,00 110,Orll 5 ,:riL!':j :, !GIJ! CLEAN fA l H,r)o /4.001 Q ,~ml r~:' AGE ~i:rll 'JM rLEllN .. @ $25,1.10 S2~,OO' :.tl CON ,::.1,IT" Ch,\(q ,I ',',"., A()E! " 10 ~,EA RUG YAC,SHAHPOu,EXIRACT I" LF 'l fl'Ql~ /26,:11 " , ' 11 m FIHro )! I:J~; -,'D:'>Jr.'.: CLEAN Ell ~ 1{',00 /6,001 12 rAm,: CLEAN E,l , !~l 1)(1 Ib,OOl , " p......... [LEAII E,', ). !SIVC' 116,001 .. "'''t.:!:H,'' ! ~ ~,:,~~5:,~ ~! ~;ROR, ClEAll rA ij $4,00 14.001 '. ,IIV I,!!I.: r ':"'~r ,LEAN EA @ 17,,10 /7.001 I,' ~ ~, t... II SOl F;,~ EA @ 16,00 112.001 :"rmljr: ,'UHI', CCJNTI':NT,'S .. Tot.: I: [ 1/ (.' , .:,~: i, /9" .:,~.t ~:26c~. t: :':,I'il'l I ',C'l!' ~,). :':' "Tt'lIP"' ~, < 1::'1,(11')1 :) Oflllj f'j, I":)) f'lH!...,.1 \ J(,.t'I(l'. :5 nt'l"') ~. .~ .~. .....~." u"... ......... .,.--.-... -~-_...._'-M..........."...____..._...Oo4__.t.;:t.._..._...__,~...... ._l._~,... ......"....,....~-.........-..._\____.L__:J_ lnr.:UI ,"i': Lit,1. ,",( i 1'/ AOI? Ii ':EIII~G-pu"/Tcr' CHEHlCitL SPOIIGE i\1)(I~} 12/ F! 1,1206 115,201 12 ol~L.~";~J~:E~, CHEH!C(li. ::PO~~.:: \IO'I~1 J~2' ~r L ::06 '42.45. 11 i,iEl0M,"; ~ET CLEAN 0(10%1 ;i L~)' 1,200" /8.001 ~(I ,QOl f1..J; CLEAN :w,:n I:: SF! I, 1m m,Bll :: :;,;:. ~OO~J,'I1IlL CLEAN I; EA! 11,00 1::,001 ~2 VOOR CLEAN ) EA' 15,00 m.ool 2: iAHIHSIEIlISPIIW,: ;"ii<!NG CLEAI! 6 LF f lI,sr} /9,001 '. i4 iAlL L1GMi I fA l 14,0)(1 /4.001 CUi" I' ,I'; i ' (:il,:, "I! I, '/ 25 AREA r,~G ' YAC,3HANPOO,EXlRACT 25 !.J rp'i, ':'1 '!', <:::lil~TF;NTB " ~ 1.2612 Age /6,531 ~. i..;: l . ,'~" I ~t~b I ~'; ::' Tot" cfl,37" " . ~'I-:' "1 ',~: ,', ,'. ,. ~ !" " "!,! H ~ .....',~1,.. ':'I,!, ',"i'~I',;',,'f',',i,',:, 1"'..'(\.,'.1 I",', '".,':..1')(11, ',1, ',(11.11 ,',', , "I -" 4"..., .,.J._~,.., ."." '. ,.....""., ...........___ _l.~~~~.....,.".".....,_.., ,!.'~..'1, I ..M....."._~~. '__,,,. .~...___ ..,_ -'\q'" '"" , ,-, I"". JIr_........~........1"II "..~,,~ ., ," " .,..~W..'N4II........."........'" FJ"l'/ II I ~I 'I 'i.1 {,I,III'.'1i " ;n '.IIJWIIIIJl,1 lTl ~)[Jl! r H ::; ';~I\!1.l ',1'1'1":1,1': r P",oe , ',:~{,lll .U.(!I1I: , ~ ~., I .' II : I . I 'H .; II ~! It H' I , ." 1\1.".<.,.,U.d2!~L__, :~~~Irl~! . 'I.. "(II,Il"., , ....'. -...,.....~ -- ....- - - _. ',;IT.,il 1:11 jlll,\(l' 11\ AQ~' t JIll L (1111' "1" 61 ~IIL,_i..;lfl:"~r, ~Hr.MIC~I. ~rQ!I)[ 1I0DXI '.~ ~l~ .- i /.1206 139,591 " 62 ~ASEPar~~:;Z of;:: r,<,AII i1W~: 40 IF ~ /,:000 10,001 61 r.~m~ ,;~,l~AHPOO,CITfi~Cl IIOO~I 91 -r ~ 1.2bll 125.861 l, \4 WINDOW . .lQ~~~' mA~ 2 ~A j IS,DO 110.1'1 6S ~,,:oo, ;iI~OE :~:AlI 1 HI 1 16,1)(1 112,001 66 [I00~ :: r~!1 EA I S~,,::l 11,1.00' :, ':~uj~~ f ~c' 'lur ~F.OIUii :: ~M~ I EM ~ f2~,M '~S,NIl ',ill'll/i'l'I'" FII.\"I,oI 1 I, '/ i\~le 69 ~EO FRME ql!mhlllO VLm I EA I 19.0<" 19,001 61 :~~~':i,l: ~EDlun CLEAN I fA I 18..)0 18,001 70 CLOCY. CLEAII I EA I 1).0(' 13,001 71 OREim mf\ll 1 E~ I IS,(,n 110,0," 7, omsEt. ~J .RQ: .~UH!~ ' I Et: ! 14,00 H,OOI 7:, :'1:0.TArLE ,LEAll 1 EA ! 16,0,) 112,00' 7, LAMP (LeAII ~A ~ ,~, :I~ 14,001 '11'1"'11"1"1" .. ii,t (I 1 ,I I ~.; . Tr'~:. 'I , , :1 I ~ '111.. l,I(, t 1. (,7. ,}II, II ' :1)/ ~ ,,,!III ,..,. ,hJ.. ...t... ..-.~.Z.'..iif:!I.;__~~i!..r':I.!!.,~. n' . 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C'IEII 191 HICROWAVE STI:lO 19Z R:rtl~:~;7~~ f,rrr~lll "i'j iI,; , .I" ".' ,I, , , ' Df.\:,)l,:ili.'t-II ' ~.._,,,..,..,.. .l.H_h ., ,.~,...........,..,...." .,.., ~JTIiIILTilF,r IS3 CEILING JOIST mm IS~ ,ALLH_IUTEO te~ CO:lc~n: :'LGn~. la~ HEr; "ooolvllin !07 :ml':~ 1.:1,.' lEg ~;.I;,";;l:: Isq W1,', ~!:;~ Iq~ ,AI:\ ";.r,; llliEA~ I.. ~, ;l"I');1\ CUHI H'I '., Iq~ ,:HMf l~:' CQN~~~:~; 114 r'.'" Iot'.~ : ~ ~ ~:."~~ ';' ~':.,::.I~,' . ' :"11,' I,' , I.' tlll:1 , :l'ji.l.l" U r~. i " l j ;i d '1. " "',I ,',.! r1 . , r ' ','I'~:ll ' , . .... ... . ".l..I,.. I 'I, (", , " '1:".' I . ~ ,~'?, f ,t 'l , '" 1,1'1' .\lll. i ,j 'I" 'I,. ~ HR l :A , EA " E~ 1 !~ 1 tl1 1 . CLEAN. rWN ...! :'11 ......H.. rlti1N tlm ml1N n;ftl; I'llll , r "I'! : ' . l'il'l.i'lI ,. ~ I I I , ,,.-./ '''1' li/",,,,,},,, .~.lt4,,-,... r'(-\ga /1 v,'~: 110.0(11 (lI]~ ~2: I (If) tb I ~I~ 11,)0 112.00' /6.001 IS.OOI 15.001 16.00' /10.001 t~1 ,?O 11.\"> Ii :','10 r \:.... \.~ :.~ I.:,~ ,I r.: I . :. . .~,-.~ -.~... 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CA' ilR Ii '~A ! ,A a ;,\ ' 1 11 ('\Q~.' 16.00 /14,('0 Ih.vO H,.:.~! f~IM 172.001 1269.')01 16.001 IS. 001 1~.OOI T~d...< , tU~!.4. .:. ..,.....,.....--.-..-.. ---....~.,.. 1.'\ . ;, \,\:~ .T i;\)\ ihIII'IJll:i~l ,il'mr'IH~..,\d, , F'r t1 f 1'1' f,il.'and,' Tl-II l:: ,()a~'. .f~'~21 . " 'n,'7(14. .;, ~:II :$.' I.. r:., "0.4.', " , I, "\,y,I'" U. IJ.'" ~ COMMONWUUH 0' "NHInYANIA INN"",,,,c, '....IIW.N IlIlDIHIDlelDINI SCHEDULE J BENEFICIARIES . ESTATE OF Catherine Hiller FILE NUMBER 21-94-0238 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT SHARE OF E! A, Ta.abll 8'QUI.1I1 1. Farlene Kochem - 108-.18-6944 4952 Trivet Dr" South, Liverpool, NY 13088 daughter $16,000.00 son $16,000.00 grandson $ 3,000.00 grandson $ 3,000.00 granddaughter $ 3,000.00 daughter residue 2. Allen R. Hiller 13 Dexter Dr., Windsor, PA 17366 3. ~lichael Kochom 108-72-7432 1,952 Trivet Dr., SOLI th, Lj,verpool, NY 13088 4. Timothy Kochem 108-72-5999 4952 Trivet Dr., South, Liverpool, NY 13088 5. Laura Catherine Hiller 13 Dexter Dr., IHndsor, PA 17366 6. Geraldine Hiller 327 Third St., New Cumberland, PA 17070 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT 0 SHARE OP EST 8, Charirabll and Oavlrnmlnlal 81qUIIlJl I. NONE .' -' TOTAL CHARITACLE AND OOVERNMEmAL BEQUESTS (Alia .nlOr on IIn. 13, Rlcaailulallonl NONE LAST WILL AND TESTAMENT OF CATHERINE MILLER I, CATHERI~E MILLER, of the Borough of New Cumberland, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM II I bequeath the following sums of money to the following named personsl A. Sixteen Thousand and NO/IOO ($16,000.00) Dollars to my daughter, FARLENE KOCHEM; B. Sixteen Thousand and NO/IOO ($16,000.00) Dollars to my son, ALLEN R. MILLER; C. Three Thousand and NO/100 ($3,000.00) Dollars to my grandson, MICHAEL KOCHEM; D. Three Thousand and NO/IOO ($3,000.00) Dollars to my grandson, TIMOTHY KOCHEM; AND E. Three Thousand and NO/100 ($3,000.00) Dollars to my granddaughter, LAURA CATHERINE MILLER. ITEM II: I devise and bequeath all of the rssidue of my estate, of every nature and wherever situate, to my daughter, GERALDINE MILLER, profided she survives me. Should my daughter, GERALDINE Page 1 of 5 " it' I' II I MILLER, fail to survive me, I devise and bequeath all of the residue my estate, of eveIY nature and wherever situate, in equal shares to my children, FARLENE KOCHEM and ALLEN R. MltLER, or to their issue, per stirpes, living at the time of my death. ITEM 1111 I appoint my child who is the parent of a minor guard- I ian of any property which passes, either under this will or otherwise, I to a minor and with respect to which I am authorized to appoint a II guardian and have not othflT.Wise specifiually done so, provided that I this appointment of a guardian shall not supersede the right of any fiduciary in its discretion to distribute a share where possible to the minor or to another for the minor's benefit. Such guardian shall have the power to use principal as well as income from time to time for the minor's support and education (including college education, both graduate and undergraduate) without regard to his or her parent's ability to provide for such support and education, or to make payment for these purposes, without further responsibility, to the minor or to the minor's parent or to any person taking care of the minor. lTEM I~I I appoint my son, ALLEN R. MILLER, Executor of this my last will. Should my son, ALLEN R. MILLER, fail to qualify or cease to act as Executor, I appoint my daughters, FARLENE KOCHEM and GERALDINE MILLER, Co-Executrices of this my last will. Page 2 of 5 <~ ,./ '1 LJ ..1 " - II' (I,>. / RI!V.15ft7 I!X AFP (08.941* /1/ If '/, ~, COItIOffWULTH Of P'NWSYLVAHIA ACN 101 DEPARIHfHl Of REV'HUE NonCE OF INHERITANCE TAM lUAUU Of INDIVIDUAl TAXES APPRAISEHENT, ALLOWANCE OR DISALLOWANCE ~mis~~~~~l PA I 1l!I-Oao 1 OF DEDUCTIONS AND ASSESSHENT OF TAK flATE 12- 26 - 94 bTATI! OF-Iffi'[ER' -=' CAt " FILl! NO. 94-0238 DATE OF DI!ATH 01-22-94 COUNTY CUMBERLAND NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBNIT THE UPPER PORTION OF THIS FORN WITH YOUR TAM PAYHENT TO THE REGISTER OF WILLS, NAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT" REMIT PAYMENT TO: ~ = r-- AMount RI.I~~d 1 CUT ALONO TH19 LINI! ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ R IV =i5iii" ii[ "AFP" f oa= 94T" NOr" i c r .OF ""{Nil iiii TANoi. YAX" 'A"pjiiiA'i siifEN'f;' Ai: l"oiiAifo i. oli".."" --"....""..- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX I!STATE OF MILLER CATHERINE FILE NO. 21 94-0238 ACN 101 DATE 12-26-9(. DAVID H STONE ESa STONE In AL PO BOX E NEW CUMBERLAND PA 17070-9746 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 TAM RETURN WAS, (X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST . SEE REV~RSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL 1, RD.l E.tlte ISohedule Al 2, Stook. Ind Bond. ISchedule BI $, Clol.ly Held stock/Plrtner.hlp Intere.t eSchldule C) 4, Hortglg../Note. RICelYlble (Schldul. DI 5, C..h/Bonk Depo.lt./HI.c, Per.onll Property ISchedule EI 6, JointlY Owned Property (Schedull FI 7, Tr.n.flr. eSchedule G) a, Totll A..eh I CHANGED III 12) m (4)_ 15) 161 m 45,126,40 ,00 ,00 ,00 4.497,84 46.463,23 ,00 eal 96,087,47 APPROVED DI!DUCTIONS AND EXEMPTIONS: 18,867,01 9, Funerll ENpen.u/Ado, Co.h/NII., Expen... ISchedule HI 191 10. Debh/Norlgege LhbUHle./Lhn. eSchedule II 1101 60,91 11, Tphl DeduoHon. (11 I 12, Net Velue of ToN Return U21 15, Chlr1t.~le/GoYlrno.ntal Boquuh ISchedul. J) eU) 14. Hat Velue of E.t.te Subj.ot to Tex (141 . NOTE I If.n ....llm.nt w.. illu.d pr.vioullY, lin.. 14, IS .nd/o,. 16, 17 alld 18 will r.fl.ct figur'l that includ. the tot.l of ahh ,..turn. .lle..ed to date. ASSESSMENT OF TAXI Ii, AMount of Line 14 et Spou..l r.t. (151 16, AlIOunt of Line 14 taxebl. It Lln..l/Cl... A r.ta U61 17. ADOunt of Lln. 14 texeble .t Coll.ter.l/Cl... B r.t. (171 la. Prlno!pll Tex Due TAX CREDITSl PAYHENT DATE 04-15"94 09-/12-94 IA.9?7 92 77,159,55 .00 77 , 159 ,S5 ,00 M ,00. 77,159,55 M ,06. ,00M.15. l1al .00 4,629,57 ,O.L 4,629,57 - RECEIPT NUNBER XA885969 MM912982 UISCOUNT (+ I INTEREST I') 210,53 .00 AHOUNT PAI~ 4,000,00 419.04 TOTAL TAX CREDIT BALANCE OF TAX DUE 1 NTEREST TOTAL DUE 4,629,57 ,00 ,00 ,00 . 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 A "CREDIT" er.RI, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF TNIS FORH FOR INSTRUCTIONS.) " ,,' , " ,I " " , " ,. Rt!IERVATlOHI E...t.. of dHeantl dying on or bllar. DeeMbtr 12, 1912 ..- if any flltur. lntlr'" In the IItat. 11 1r"'lf.rnd In pou...lon or ."jOy.~t to ell11 I (001h"r.lJ blnefiol,rllI of th.de~.d.nt .'t,r the Ixplratlon 0' tnv I' tit, for 11'. or for y..r., thl COMonwtl1th h,rtbY Ixprau1v r...rvt. thl right to IPpr,1t1 I&hd ...... trlnl,.r Inh.rHeno. lIAI' It thl, htwful el'.. a (coUI"r.U rtta nn eny .uch future Intlrllt, PIl'IPOtE 01' NOTICE I To fulfill the requlrt..nts of SlIatlon 2140 of thl Inhtlrluncl and Eltat. lex -.ot, Act 22 of 1991. 7Z P.S. S..tlon Zl40. PAVMENTI Detllch thl top portion of thh Notlc. and IW.1t with your ply..nt to thl Rlght,r of Wlll1 prlntad on thl river.. llde. --"Ik. ch.ck .r llO!\Iy .r.., PIYIbI. t., REOXSTER OF HILLS. AaENT All PIYltntl r.celved ,hill 11r" bI applied to any 1nter..t which .IY b,due wtth any r...lndtr appU,d to tM tl., REFUND (tA), _ r.f~ of a talC or'dH, which WII not rlqulttld on the TeK Rlturn, ..y bl rlqulltld by cOIIP11ttng .n "ApplJeltton for Rllfund of Plm.yll1anl. Inherltlnel and Eltlt. TII)(" (REY-UUL Appllcatlonl art III.Ulbl. .t thl OffiCI of thl Rlgl.ter of Willi, any of the 25 Rllllnu. Dlltrlet OffiCII, or by calling the ,plcl.1 21t-hour an,wtrlng .erlllel nuIbIrl for for.1 ord.rlnll In Plm.yl"anl. l-100-36Z-2050, outlld. Plmlylllanl. Ind wUhin local Harrlsbur. arll (717) 787-1094, TOOl (717) 172-2252 (Htlrlng Ilpalred Only), OBJECTlONSl Any Ptrty In Intlrut not ntl.fltd with thl appralll..nt, allowanct or dhaUowlM1cl of dlduotion., or ......HOt of tl)( (Including dlseount or intlrut) II "lOwn on thlt Notloe INtt obJlot within .bty (60) dav. of receipt of thlt Hotlo. bYl ."wrltttn protllt to U,. PA DIPlrtltnt of Ralltnua, Icard of APPllh, DEPT. 211021, Htrrlsbur., PA 17121-1021, OR --alntlon ta hllla the .attlr dltlr.llled at audit of thl IIOQOOO\ of tM Plrlanll r.preuntattvI, OR ....IPfl..l ta the OrpMn,' Court. AllIU" ISIRATlVE C_CTlotlS. FaatuII Irrart dhcolllrad on thh ........nt .hould bl .ddr....d In writing tOI PA D~lrt..nt of RI"lnul, IUflau of Indl"ldut. TIICII, ATTNl Po.t h....Mnt RIlIllw Unit, DEPT, 280601, Harrisburg, PA 17121-0601 Phont (711) 11'-6505, S.. Pili 3 of the bookllt "In.truetlonl for Inhlrltenct TalC Rlturn for I Rt.ldent Dactdtnt" (REY-ISOlJ for In tllplanetlon of adltlnhtrttlYlh carrlctlble .rrort, J"TERt!IT. If any tllC due II paid within thrH (5) ollendar aonth. aft.r the dlced",t'. d'lth, a flYI Ptrclnt (5;() dltoount of the tl)( plld II allowed. Jf'ltlrl'llt II chlrpd beginning with flrlt day of dlllnquencv, or nlnl (9) IIOnth. and one (1) dlY fro. thl date of dllth, to ttMI dlta of plynnt. TIICII whloh beelM delinquent beforl Januarv 1, 1912 hltr Interllt at the ratl of IlK (6;() Plrcent plr aMUII cllculttod It . dallv rata of .00016". All taK.' which hlo", delinquent on and Iftar Jaootrv 1, 19.2.,111 bltr Int.rut tt . ratl which dll v,rv frOll cltlnd'r y..r to cIllndar Vllr with that rat. ~td by the PA DIPertHn~ of RI"lnue. lhl IfIJIlIcabll Intlrllt rat.. for 1912 through n95 ar., DIICllt.ltT' '!!!! Intorllt Ratl Olllv In~tr..t Faotor !!!or Inter..t Ra~1 Oallv Intlrl.t FIQtor 1911 20X ,000541 1911 9X ,000241 1911 laX ,000411 1911-1991 III ,OUOIOI 19" IIX .000501 1992 9X .000241 1911 IlX ,ooom I99l-1994 IX ,000192 1916 lOX ,000114 1995 9X ,000241 "-Interllt I. clleutlttd II followll INTEREST . BALANCE OF TAX UNPAID X NUNBER aF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notlne luued after the ttlC btclMHlI delinquent .,111 reUlct an Inttrllt cllculatlan to flftlen (11) de~. beVond the dati of thl U.UIHnt, If Plvant It .Ide Iftlr thl Inter.. t CNPUtttlon dati .hown on thl HotlCI, IMktltlontl tnterllt lU.t be oalculated.