HomeMy WebLinkAbout94-00240
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P~:TITION ~'OR IJROHATE and (;nANT m' LETTERS
Estate of _i1N!!.iJL_ltL__Pdli.tJl,u)j' I-!o. ___d2L:_?_Lf- (;(J.f()
also kllCIIVII a,\~dI/LLlLt2d'hLu?.J:__,_".__ 10:
11A/,v;. /1/, a,'JIiI!.f:IJJ",.IJ"",v"I:._.~',J2lt.M/AU'.J Regist'lr of Wills for the
.-;tI"'AI t+1, v..J~'e-!.c, __ _ ,,__. /Jecea,H'lI. I Couuty of _Q."".!{I~.e, 4N'l>
Social Semrlly No, ____L~1._=_.~,_=.,}J3.?l___ Commonweuhh of Pennsylvunla
The petltiou of the undersigned respectfully represcnts that:
Your petitiouer(s), who is/ure 18 ycurs of age or oldcr un the cxecul.Rl"e
In the last will of the abovc decedcnt, dutcd --.J2i!.'!.L_2-1_
and codlcll(s) datcd __.,,_________________
In thc
namcd
,192L
(\lllIC rr.'IC\'UI11 dr~IH1l\llllll'C~1 ~',g, rClIlIl1cllllloll, death of l''(ccUlor, ell',)
IJccendcnt was domiciled Ul death in .____c..~~d.Q....___ County, Pcnnsylvania, with
hltti_lasl family or principal rcsldcncc at_ 100" 0L,__~ .'" I'll S'r,
___~1'I4' I $,~. ~1._JJ. t:> I ~
(Il~l 'lreCI, l1ulI1ber IInd Illtll1cillilllty)
lJeccndent, then ftp ycars of uge, died ___1<' c ~<'II!. ;J.. , , 19. <) ,
at_,~&UL.lJ.>.02!?----1iE!!.~__.LlU!.~ ,.;. j~ vULfr,., c',"/rl!u's"- /'" OC)/ 3 .
Execptas follows, dcccdcnt did not murry, was not divorced und did not have a child born or adopted
after cxccutlon of the will offercd for probate; \\'ns notthc victim of u killing and was never ndjudlealed
incompetent: _______________________________
Deecndcntat death owned property with estimated vulucs as follows:
(If domiciled In I'n,) All personal property
(If not domiciled InPu.) Personnl property in Pennsylvania
(If not domiciled in Pu,) I'ersonul property in County
Value of real estate In Pcnnsylvanlu
situated as follows: ~_,________.
$ t,"o. C'"
$
$
$
WHEREFORE, petitioner(s) respect fully request(s) the probate of the last will and codlcll(s)
presented herewith nlld the grunt of lellcrL..1e,[T,of ",<".,1111'4'1'
,
(IC'illtlIlClIlar)'i udl1llnl'itrnllon C,l,a.j admlnluratlon d,b.n,c.1.8,)
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OATH Of' PERSONAL REPRESENTATIVE
COMMONWEALTH Oil I)ENNSYLVANIA } 88
COUNT\' 0.' _......LllMRFRI ANn ___
The petltloner(s) nhnvc'lIulllcd s\Vcllr(s) or nffirm(s) thutthe sllllements in the foregoing petition are
trlle nnd correct to the hest of the knowlcdge and belief or petitioner(s) Ilnd lhat as personal represen.
tatlve(s) of the nbove decedcllt pctltioncr(s) will \ ellund trll yn , er the estate nccordlng to law.
, ,
Sworn to or nrfirlllcd and S1.lhscrlhed ~ ". _.., h ~" ,_
before me this "'-1:-._-.JQIU,u- day or c' ~(.L;. ,_
'=n!a--/t2~L?H,BR~A~h,~/J.,9!b J();ff;;-------
l/i~-6t~-l~~~/=~--- "'R(,~;~~l' t71/-==--
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N 21 - 94 . 240
o.
Estate of ANNIE 'G.DESHIELDS a/k/a ,Deceased
ANNI~ M. DESHIELDS
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW _______MARCH 11, ___ 19....1L... In consideration of the petition on
the reverse side hercof, satisfactory prouf having been presented beforc mc.
IT IS DECREBD thut the lustrumclII(s) datcd_JUNE 2 , 197Y
described therein bc udmltted to probate and flied of record as the last will of
ANNIEG. DESHIELDS a/1LLANNIE ,M. DESHIELDS
and Letlers TESTAMENTARY
are hereby granted to __--1lli.N.~ LOU I SE KLAUS and NANCY SHUMAN
_,_i
? ,,,,,,, .~f.'-'im/1t; Ifg
MARY C. LEWIS
FilES
Probate. Letters, Btc, ,........ $ 18 . 00
Short Certlflcates( 2) . , , , '" , ,,$ 6.00
Renunciation ..........".... $ 5.00
JCP $ 5;00
TOTAL __ $-2.1.00
Piled.." ,~~.R.G~. ,1,1", J~,~4.,.",., ,',', I.
ATTORNEY (Sup, CI, I,D, No.)
AOORBSS
PHONB
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,Maned 1ettersa'nd order ,to Nancy Shuman on March'11; 1994
REV,llOO EX. 111,91)
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
'OR D^,I,!.O' DIATH AnlR 12/31/91 CHiCK HIR~
I' A SPOUSAL
POYIRTV CRIDIT II CLAINlID 0
.ILI HUMIIR
)/
COUNTY CODE
"BENT'S COMPLEU ADDRESS
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':~'\~;,;!I
COMMONWEALTH Of PENNSYlVANIA
DEPARTMENT Of REVENUE
OEPl,1B0601
HARRISBURO, PA 17128,0601
'NAME llAST, FIRST", AND M1[lOLf I
DE' SHIH [),;, 1I"Jlvl: ,1-1.
OClATIICURTfyNlj;;m-p:-.J-'-7AffOfOlAlHiDATE Of 1,Rl"il-
/"7 'f .:_': r. l S" 3 II ;I . ). 'n I Ii. t7 . U-' ''""''
M. 1. Original R.lurn [I 2, Supplemenlol Relurn
[] 4. Limited Ellole [] 40, Fulu" InlerOlI Compromhe
(lor clole. 01 d.olh oher 12,12.82)
[) 6, Decedenl Died Te.lole [] 7, Dotedenl Molnlolned 0 living Trull
Alloch copy of Willi (Alloch cO,Ey of Tru'l) _
ALL COI.IIPONDINCI AND CONPlDINTIAL TAX INPORMATION SHOUI.D BI OIRICTID TO.
NAM =OM l {MAILING ADDResS
(J14<tL [. ~ NIl.vC" "J. S/-/<It>1;l,v /lfo;J. (~,'~ADLe'l ])1(. AI/3
flTIPlIONE NUMIER .-- . ------ C f) ;Q L l.s L t;: / p;.) / 7 c:J , 3
Ll'2) )~~I5~'fl{b ~ =
9<1
YEAR
,';21(0
NUMB~B
IOOiJ IJ. S""'tll .h.
(' (1/2 LiS l !--, fll /? 0 , '3
( f)'''(HEJ...~,..J.)
rJ J, Remainder Relurn
(for dol.. of d.oth prior 10 12,13.82)
[) 5, Federal Ellole To.
Relurn Required
08, Tolol Number 01 Sof. D,pollI Bo.OI
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3
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1. Real E.loleISchedul. AI ( 1) ,__ ___._,_.______.____,__,_
2. Slack. and Bond. (Schedule B) ( 2) _._..,_,,_______.._______,_
3, Clo.ely H.ld Slock/Porlne"hlp InlerOlI (Schedul. q (3) ___.______________..
4, Morlgog" and Nole. Receivable (Schedule D) ( 4) ___..,__.._".._.._____..___,_
'" "}
5, Co.h, Bonk D.polll. & MI"ellonoou. Pe"onol Properly( 51 __IC..':L1U '"
(Schedule E)
6, Jolnlly Ownod Properly (Schodul. F) ( 6) ______.
7, Tronlle" ISchedul. G) (Sch.dul.LJ ( 71__ __,__
9, T 0101 Grall All," {Iololllne. 1.71 ~
9, Funeral E'p.n..., Admlnl'lrntlv. Call" Mhcolloneou. ( 91 ~L!? ')..,~LiL,___.
E.penl" (Schedule H)
10, Debll, Morlgoge liobllltl", lie" (Schedul. II
11. T 0101 Deduction. Ilololllno. 9 & 101
12, Nel Value 0' E.lole (IIn. 9 mlnu.llne 111
13. Chorlloble and Governmenlol BequOlI. (Sch.dule JI
14, Net Volu. S~~~~~"'!~Q!ne 12 mlnu.llne 131
15, Amounl of Iln. 14 lo,oble 01 6% rol.
(Includ. voluOl from Sch.dule K or Schedule M,)
16, Amount of IIn. 14 lo,obl. 01 15% role
(Includ. voluOl from Sch.dul. K or Sch.dul. M.I
17, Principal 10' duo (Add 10' from Ilno 15 and 'rom line 16,)
18, C"dill Spou.ol Poverty Crodll Prior Poymenll DI"ounl InterOlI
.. ,___,_".._..__... + ___..__._ + _..______, - .___LQ...'/..__
,CONU.
19, If line 19 I. grooler Ihon line 17. enler Ih. dlHerence on llno 19, Thl.l.the OVERPAYMENT,
li!1J
20, If line 17 I. grooler Ihon line 19. enler Ih. dlHerence on llno 20, Thl. Is Ihe TAX DUE,
A, Enler Ihe InterOlI on Ih. balance duo on IIn. 20A,
s ()Z
(181______'----___..___
(191
(201 _, _!...3_~2.L___
120A) ___________,___
(20B) ___..___n____.____..
( 81
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(10) _________
(11) _..1..l';)3. J'J'
(121 StY)., 3.2. ___
(131 -..---------
(141 I.!.), :3.L
,16 ) '{) '< '" - Jl' 3 'f 'f'f
(15) __,___IL"..!-"'-,,",___ M .06 a ..' __
(161_..____.___M .15 a
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Chock llC,r if you CUO ffJ(luc\lill(J (J rvfuncl of YOlll ovorpuVlUent.
B, Enler Ih. 10101 of llno 20 and 20A on IIno 20B, Thl, " th. BALANCE DUE,
_____u__!'\oke ~h..~avab~.. tal Relll.t~r of Will.. Allen'
- .... 81 SURI TO ANiwlR ALL QUESTIONS ON livIRSI SIDI AND TO RICHICK MATH....'
Under Plnelt1" of ptrjuryt I declare Ihol I hove examined Inll telurn, Including accompanying Ichedull1 and 'talemenll, and 10 Ih, b,,, 01 my knowledge and bell.f,
It illruI, (orrecl and complele, I declorelhal all realellate hal bun reported allrue markot value, Oeclaratlon of pr.parer other than the per.onal r.pr.s.ntatlv. II
baaed on 011 Information of w arer hm ony knowledge,
!iOt umiHERSO fOR liNG RETURN AoilRm---------.------- IiAfr
. 1'1 l'J 6'1..-10"'11 Jlll.. 1t1/3 ('/lio!LIStl' f',ol OvtJ 1. " " '(
wRmN;A';!'h - .....-.oomr---...-------------...----.---....J--- DATE
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1,\l.1S1, fh 11''''
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COMMONWIALTH O' 'INNmVANIA
INHIRITANCI TAK R1TUlN
RISIDINT DICIDINT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Plea Ie Prln' or Ty e
IITATI OF
ANNE. M.
ITEM
NUMBER
A. Funeral Expenlll'
1.
D~ 5;/1 EL~j'
DESCRIPTION
AMOUNT
B, AcImlnll'rotlve COI'"
1. Perianal Reprelentotlve Com million I
Social Security Numb.r 0/ Plrsonol Reprllenlotlvel
Year Commllllonl paid
2, Allorney Feel
3. Fondly Exemption
Claimant Relotlonlhlp
Addrell of Claimant at decedent'l death
Street Addrell _
City State Zip Code
4, Probate Fell
C, Mllelllaneoul Ixplnllll
S II /J.,IJ H 11, ToDD . f-lv ,"'~ , l!,/tfIO,1l1
1. M€MEI2IAL..
2, Geo(.!.(J"':S (:"C.Cl'.J c?ta J II "'3",~-'7
l<EG I sr",..€. , r, 3'1.00
3. OF WILe....s
, ol1 '4o,(J{)
4, STOTT f G'R. iJ v f'
12({/frJU(E SFflJlck, a.-
s. .:c NTf-A. N Jl (.. ;1..),O,OD
r-.
6. , ('(! m(/. 7Yla. {I 8?, S1.>
l,J..}(l.S 1(11.1 NI')7'e Il.
7,
8,
TOTAL (Alia enter on line 9, Recapitulation) sit ;J.,f.({- f
(If mall .poel I. nil did, Inllrt addlllonallh"'1 of lame .lle.)
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COMMONWeAlTH m ,'NNsnVMlIA
INHII/fANCI lAM lI'UIN
IUIDIHfDlelDINI
SCHEDULE J I .
BENEFICIARIES ~.
PILI NUMBER
ESTATI O.
ITEM NAME AND ADDRESI O' BENEPlCIARY RILATIONIHIP AMOUNT OR
NUMBER $HARE O' ISTATE
.---
A, Ta.abl. 8.qUIlIII D.4<< "tI T€ .e .L
I. N If,.,) ('Y T. S !h.(h/A,,) I, "1-
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11-
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ITlM
NUMBER
NAME AND ADDRESS O' BENEPlCIARY
AMOUNT OR
SHARE O' ISlATE
8, Charltabl. and Gav.rnmln!al 8.<\UIIIII,
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TOTA~ CHARITA8lEAND OOVERNMENTAl8EQUESTS lAlla .nl.r an IInl 13, Recapltulallanl S
(If mare Ipau II need.d, Inlt" additional .h.I" ., lam. lilt 1
3 -1'/05 I
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Rl!V01547 EX AFP (08094'.l
COHHOHHrm" OF prNNSVl VAHIA ACN 101
OEPARTHENT OF ,rVENUE NOTICE OF INNERITANCE TAK
8UREAU OF INDIVIDUAl TAXrS APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
~~:~is:~::\A 1112H601 OF DEDUCTIONS AND ASSESSHENT OF TAK DATl! 12-26-94
mill OF DESllmllS - ANNTr for FILl! NO. "94-02""4'0
DATl! OF DEATH 12-02-93 COUNTY CUMBERLAND
NOTE I TO INSURE PROPER CREon TO VDUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAM
PAVHENT TO THE REGISTER OF WILLS. HAKE CHECK PAVABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAVMENT TOl
.._=
PAUL E SHUMAN
1402 BRADLEV DR AI13
CARLISLE PA 17013-9746
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
r=u_nt RaMI_t==-::J
CUT ALONO THIS LINE ... Rl!TAIN LOWER PORTION FOR YOUR Rl!CORDS ....
R"EV: iSiij- EiC - AF ji- filii: 94'" -NOT i cr. e F. YIiHEifif AilC E - TAX - A-P PRAY 9 EilEN r; -A [rewA NC E. iili - -...... -. - -.....
DISALLOWANCl! OF DEDUCTIONS AND ASSESSMl!NT OF TAX
l!STATE OF DESHIELDS ANNIE M FILE NO. 21 94-0240 ACN 101 DATE 12-26-94
TAK RETURN WAS 1 I X I ACCEPTED AS FILED
CNANGED
RESERVATION CONCERNINO FUTURE INTEREST - SEP. REVERSl!
APPRAISED VALUE OF Rl!TURN BASED ONI ORIGINAL
1, R..l E.tata (Schadula Al (1)
2, Stook. and Bond. ISchadul. BI C21
5, Clo..ly H.ld Stook/P.rtn.r.hlp Intar..t ISchadula CI 151
4, Hortg.g../Nota. Rac.lv.bla CSchadul. 01 (41
5. C..h/B.nk D.pa.lt./HI.c, P.r.onol Prcporty (Schodula E) (51
6, Jointly Dwnod Proparty ISchodul. F) (61
7, Tron.far' (Schadule G) 17)
&, Totol AI..h
,00
,00
.00
,00
2.411 ,20
,00
..JlJL
lal
2,(,11,20
APPROVED Dl!DUCTIONS AND l!XEMPTIONSI
9, Fun.rol E.p.n.u/AdM. Co.to/Hllc. E,p.n... (Schodulo H) (91
10, D.bt./Hortg.g. Llobllltlo./LI.n. (Soh.dul. II liD)
11, Totl1 Daduotlon.
12, Not Volu. of To. Raturn
U, Ch.rltobl./Govorn.antol B..uuh CSch.dula JI
14, Not V.lu. of E.toto SubJ.ct to ro.
1,828,88
.00
Ill)
(12)
U51
U41
1.A'A AA
582.32
,00
582,32
will
NOTE I If an ...e'lment wa. i.sued previously, line. 14, 15 and/or 16, 17 and 18
refl.ct figure. that include the total of Ahh return. a....sed to date.
ASSESSMENT OF TAXI
15. AMount of L1na 14 .t Spou.ol r.to US)
16, Anount of L1na 14 to..blo at L1nool/Clo.. A roto (16)
17, Aeount of Llna 14 t...bla .t Coll.ter.l/Clo.. B rota (17)
1&, Prlnolpol T.. Duo
,00 M'OO,
582,32 K ,06,
,00 K ' IS,
UBI
,00
34.94
.00
34,94
TAX CREDITS I
PAVHENT
DATE
09-13-94
RECEIPT ~ DISCOUNT
W~"_:I '""""
MM912938
1+ )
(-)
,07-
AHOUNT PAID
35,01
TOTAL TAX CRl!DIT
BALANCl! OF TAX DUI
INTl!REST
TOTAL DUI
34,94
.00
,00
.00
. IF PAID AFTER DATE INDICATEO, SEE REVERSE
FOR CALCULATION DF AODITIONAL INTEREST,
IF TOTAL DUE IS LESS THAN II, NO PAVHENT IS REQUIREO,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAV IE DUE
A REFUND, SEE REVERSE SlOE OF THIS FO~H FOR INSTRUCTIONS.)
";
RESERVATION, Elt't.. of decldent, dYing on or blfor. D.e.llber 12, 1982 -- 11 IHlY future Int.r..t In thot IIt.t. 11 tr.",ferrld
In po.....lon or IlnjOYHnt to ell.. B (coll.t.r.U btneflcl.ril. cf thv dec.dent .ft.r 'th. IKplrlthln of Iny ..tat. for
11ft or for y..r., the Co..onwe.lth her.by '.rr,..lv r...rv.. th. right to appr.J.I Ind I..... trtn.flr InherltlnGl TI.e.
It tM IlNful ell.. . (oallltlr.U r.tl on Iny .uoh futurl Inter..t.
PURPOSE Of'
NOTlCEl Tc fulfJ11 thl r.qulrHlntl of Slatlan 21-.0 of thl Inhtrltenol and E.tat, T.le Aot, Aot 22 of 1991. 12 P...
StotJon 2UG.
PAVHENTI Offt.ch the top portlon of thll NaHo. IIInd .ub.1t with your PIYllnt to thl A.ghhr of Will. pl'lnhd on the r.v.r.. llde.
"Heke chick or lO""y ordo, pueblo tel REDISTEA OF MILLS I AaENT
All PlVHnh rlc.lv.d .hall flr.t bl appll.d to any Inter..t whh:h .,y b. due with Iny rill.lnd.r IflPUld to the till.
REFUND (CA)I A r.fund of I till cr.dlt, which WII not r.quuttd on thl Tt. R.turn, IIY b. r.qUl.ted by oOIlPI.tlnll an "Appllo.Uen
for A.fund of P'MI'llvantfl Inh.rltane. Ind Estat. Tu" (REY-UU), Applleltlon. '''I aVlllabll .t thl Offlc.
of thl Rlllht.r of IfIUI, any of thl 2S A,v'nUl Dhtrlct Offh.., or by cIlllnll the .p.ol.1 Zit-hour
en.WlrJng ..rvlo. nUllbtr' for for.' orderlnlll In PIM.ylvlnl. 1-'OO-362~2050, out.ta P.nn.ylvllnl.."d
within IOClI H.rrltbUrg .r.. (117) 781-8094, TDOII (117) 172~22SZ (Hllrlng h.p.lr.d OnlY).
OIJECTIONSl Any PlI'ty In lnt.rl.t not ..U.flld with the .pprll....nt, Dllow.no, or dl..UowtnCl. of d'ducUon., or u....unt
of till (lnoludlnll dlte('Ut'lt or Intlrllt> a. .hown on thll Notice lU.t obJ.ot within .hety (60) dlY. of rlo.lpt of
thlt Notle. bYl
-.wrltten prot..t to the PA O,plrt..nt of R.v.nu.. !Io.rd of ApPIII., DEPT. 281021, Hlrrhburll. PA 17121-1021, 0111
--.llatlon to h.v. tM 1Il.".r dlter.ln,d It audit of ttM account of the p.rlon.1 r.prlllnt.Uv., OR
.-Ipptll to thl Orph"," Court.
AIIIIIH
IITRhTlYE
C_CTlOIISo
DISCOUNT 0
FlOtual .rrorl dl.cov.r.d on thl. ........nt .hould be .ddr....d In writing tal pA D.p.rt..nt of AIVtnUI,
lurl'" of IndlvJdu.1 TIllII, ATTNI po.t A.......nt A.vl,.. Unit, DEf'lT, Z1060l, Herrhburg, pA 17U'~060l
Phon, (717) 7'7-6505. S.. pt.. 3 of tM bookl.t "lnltrUClUanl for Inhtrltunc. T.ll A.turn for. Auldlnt
Dteodtnt" (REY-ISOl) fcr IW'l ..plenltlon of .iMlnhtr.Uv.h carrlotllbl. .rrore.
If any tl. dut h p.ld within thr.. (]) oahMar IOnth. .ft" tht dloed."t'. dllth, . flv. perolnt U:O dhaoW\t of
the t.. p.ld h IUowd.
INTEREIT I
Interllt II ch.rlld b.glnnl", with flret d.y of dllllnqu.rlOY, or nine (9) .onth. end on, (1) dlY frol the d.,. of
d..th, to the dlt. of paYHnt. T.lllI lithlch beeHl dtllnqu.nt baforl January I, 1912 bllr Intlr..t It tho rat. cf
.Ill (6X) ptre.nt p.r IMUIl ulcul.tld .t I dailY rltl of ,000164. All tl.1I whloh bla... d.Unquant an end .ftar
JllI'IUtry 1, 19IZ will b.lu' Int'r..t .t . r.t. ,",leh Mill vary fr~ cII.ndlr Yllr to oal.ndar Yllr with thlt rlt.
lMOunO.tt by thl PA Dep.rttttnt of Rlv.nut. Th. Ipplloablt Jntarllt rltll for 1912 through 1995 Irll
!!!r Jnt.r..t R.t. D,lIv Jnter..t hotol' !!!r Interllt A.t! 0.11y Inter..t FlGtor
1912 lOX .ooom 1911 9X ..oonl
1915 16X .000031 1911-1991 m .OODSOI
aM lIX .000101 1991 9X .0001\7
1915 UX .000156 1991'19~ IX ,000191
1116 lOX ,Doom 1995 9X ,000147
ulnt.rllt II c.loul.tld .. followll
INTEREST . BALANCE OF TAX UNPAID X NU"IEA OF DAYS DELINqUENT X DAILY INTEREST FACTOR
-.AnY NoUo. IlIued .ft.r the till b.oOM. delinquent will raUtot 11M Int.n.t c.leul.Uen to flftHn (11) diy,
beyond thl at. of thl ......_nt. If P.v.."t h .tdt .ft.r the Intarll' c~t.tlon at. shown on thl
Nottel, tddlUonal Intlrll' ltU.t be c'lcul.ttd.
PURPOSEOf'
NOmE.
PAVlENT ,
(
,..../, ...
II "
"
\"
To fulfill the r.qulre'lnts of hotlon 211\0 of the Inherltanct and ".tlt, '1M Aot, Aot Z2 of 1991. en PIS.
seotlon Z140).
Detaah thl tap portion of thlt Hatle. end tub,1t wJth your plvl.nt to thl Rlght,r of W1111 printed on the
rlVlnl .1eM.
.... HIk, chick or lonlV ordtr pavabl, tOl REGISTER OF WILLS, AGENT.
All Plyantt r.cI!vld .hlll flr.t bt IppU,d to Iny Intlrnt whloh ..y bt dUI, with any r...lnd.r appU,d to the tlllt
REFIHI (CAli A r,flWld of . tlx crtdit, which WII not r.qullted on th41 tlM r.turn, "'Y bt nqultt,d by cNlPl,Ung an "AppUcIUon
for Rlfund of PennlVlY",la Inherlttnol end E.t_t. 'alC" (REY-1SUL ApplJoIUonl IIr, IYlUablt at thl OfficI of
thl RIlIht,r of 141111, any 0' thl; Z3 Rlvlno, DlItrlot OffiCII or by calling the 'Plolal 24-hour .n,wlrIng ..rv'jot
nuMber. for for.. orderlnll In Ptnn.vJvanle 1-800-362-2050, out.lde Penn'Ylvanla and within local
Hlrrhburg Ir.. (7171 787~ao94f TDDI (717) 772-tz52 (H.erlng IlIpllr.d Only).
D8JECTIOHSI Any plrty In Intlre.t not ..tJ.fl.d Nlth thl appral....nt, .llowano. or dl.alloNanot of deduction. or a.......nt
of t.1C (Including discount or IntlrllU II .hown on thlt Notiu ..y objlot within .lKtv (601 d.v. of nc.lpt C'f
thh Motlc. by.
uNrlttll" prot..t to tht PA O.part..nt of R'v,nu., Bo.rd of Appeah, D'l't, 211021, Harrltburo, PA 17121-1021, OR
--.l.ctl~ to h"". the uttar dttarelntd at the audit of thl .ocount of the parlonal rtprellntatlv., OR
....lPpa.1 to the Orphan.' Court
ADllIN"
ISlRITlYE
COIIRfCTIllffS'
DIICOIMT ,
INTERUTI,
F.ctual irror. dl.cov.r.d on thl. ........nt should b. .ddr....d In ~rltlng tOI PA D.part..nt of R.vanu'.,
Bur.au of Individual TIW", ATTHl Po.t A.....eant R.vllw Unit, DEPT. 2.0601, Harrl.burg, PA 1712a~0601
Phone (717) 717"6505, SH Pile 5 of the booklet "In.truotlon. for Inherltano. Tal( A.turn for a Allldlnt
Deoldent" (REV-IS01) for an .~pl.n.tlon of .~Inl.tratlv.lv corr.ctable error..
If anv ta)( due I. paid within thr.. 13l cIl.ndlr lonth. aft.r the dlcldlnt', dl,th, 0 flvl pero.nt (S~)
dltcOWlt of thl tax paid II aUow.d,
Int.rllt II ch.rged b.glnnlng with flr.t dlv of dellnquenoy, or nlnl (9) lonth. and on. (1) dlV
frOll the dltl of d,a'h, to thl da" of Ply..nt. TaK" which bee... dtltnquant blfore J.nuary I, 1912
belr Int.r..t .t thl rlt. of .he (6~) p.rcent p.r IMU. oalculated It . dllh rat. of ,00016,..
All t.M.. which blc... d.llnqu.nt on or I,t.r Janu.ry 1, 19.2 will b.ar Int.ra.t at a rata which will virv 'rOl
calendar v..r ta oalendar ya" with th_t rata announc.d by the PA D'Partaent 0' A'v,nu., The 1pp110tbl.
Int.r..t rat.. for 191! through 1995 Irll
'till: tnhr." Alt, D.U" Inhr..t F~tQr
~
Intlre.t R.t~
Dill" Int.r..t Factor
1961
1911
19"
1915
1916
....Inter..t
20X
16X
llX
UX
lOX
II calcul_t.d ..
.000541
.000451
.000101
.000556
,000274
followl'
1917
1911-1991
19'/2
1991-1994
1995
9X
lU
9X
7X
9X
.000247
,000101
.000147
.000191
,000247
INtEREST . BALANCE DF TAX UNPAID X NUWlER DF DAYS DtLINQUENT X DAILY INTEREST FACTOR
....Anv Notlo. lttued .ftar the tlX b.eo... dell~t will tlflltet an It\t.r..t cllculatlon to flftten US) daw.
bevond the deta of the I.....eant. l' Plyaant I' IIda .ft.r thl Intlr.~t coaputltlon dl" .hewn on thl
MoUat, IdcUUonal lnterllt IlUlt be o.lcullteel.
..
./--A __
"
,"
'~ '
PAVIEHT,
D,tlCh the top par'tlan of th" Hotlcl and luaU with your plv.'nt '101 ply'bll to the n... and Iddr"l
printed on the rlv.r.. 'Idt.
HIl<. .hock or "no~ ordQr p...bl. too REGISTER OF WILLS, AGENT.
All plv..nt. r,celved ,h,l1 b, IIPPllld Hr.t to any Int.rut which IIV b, due wlth any r','lndlr IPPlJtd to the tflll.
REFlIID eCA) I A refund of . hlt credit, which WII not r.qu..ttd on the 11)( Rlturn, "Y b, r.qullttd bv conpltUnll an
"Appl1alUnn for R.fund of P,"nlyl"'I"lo Inh.ritancI and f,tat, Tlx" (REV-UU), App1Jc~tJO"' lire Ilvllhbl, It
thl OfficI of thl RIghttr of NUll, any of tM 2S Rlvlnul OJ.trlot O'flc.. or fro. the D.p.rt.,nt', lit-hour
.nl",.rlng ..rvlel nUllbeu for for.. ordlrlngl In Plnn.vlvanla 1-&00-]62-2050, outlldl P,nnlylvlnJI
and wlthln 10cll HarrhburQ Ir.. (717) 187-8094, TOOl (111) 772-1252 (Hlarlnv I_palrld onh),
REPLV TO,
Que,Uon. rtlgardlng Irror. contalnld on thh noUel .hould bl addr"'C1d tOI PA DIPartllnt of RIVlnYI, BUrlau
of Individual TaXII, ATTNl POlt A.......nt Rlvlew Unit, Dlpt. 280601, Harrhburg, PA 171ZI!l~0601, Pllone
(117) 717-6505,
OISCOlJHT,
If IIny tax dul II paid within thr.. (~) calendar Ilenth. aftlr tht dtudtnt'. dlath, a flvI plrclnt (SiO dllcount
of thl tax paid II allow.d,
IHTEREST'
Intertlt It charg.d blglnnlng with flr.t day of dellnqulncy or nlnl (9) lonth. and one (1) day frol the dltl of
dtath to the dati of paYllnt. fa)!U which ble..1 dlllnqulnt b.forl JllnUary 1, 19B2 be.,. Intlrut at thl rat. of
llIe (6)0 plrclnt plr .nnUl calculatld at U dally rate of ,000164. All taxII which btcut dlllnquent on and aftlr
January 1, 1982 w111 be.r Intlr..t at a rat. whlth will very frol oallndar Yllr to oal.ndar Yllr with that rat.
announced by thl PA Dlp,rta,"t of Rlv.nut. Th. applloabll Inttrl.t rat.. for 1912 through 1995 arll
~ Inttrllt Aat. DailY Int.r..t Factor :!!!r Intlr..t Ratw Dally Int.r..t Faoter
1912 20X ,00e541 1917 9X ,000247
un 16X .000433 19U-1991 IlX ,000301
1934 IlX .000501 1992 9X ,000247
1915 UX .000556 1991-1994 n .000192
1936 lOX .000274 1995 9X ,000247
nJnttrll1t I. cllculttld at foUowll
INTEREST . SALANCE OF TAX UNPAID X NU"SER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
..Any NoUc. IIIUld .ftlr the telC btCOIlII dlllnquent will rlfhot an Inttrllt cIlcullUon to flftl," (15) diY'
blyond thl dati of thl .......ent. If paYI.nt It lad. aftlr thl Intlrllt oOlputaUon dati shown on thl
NoUcl, odcUUunll Jntir..t IUlt bl calculatld.
PAVICNII
'"
DttlOh thY tOft port lun of Hili HlItlOI and 'UNIt with your PIy..nt _ad, payable to the nu. and add'....
prlntad on thl reYI'" .Ide.
.. HI'" ,hI,k " I''''' Older p.,lhll to! ~EGISTE~ OF WILLS, AGENT,
All PlY""" rICII!",d tholl h, IIppl I.d flr.t to any Int.rut whlClh ..v bl dUI with any r...lnder applied tq thl tlX,
Rr,UHO (CAll A r.fund af " tu or.dlt, wllleh NU flat rtqu..tltJ on tht Tilt Rlturn, "OJ bl rlqu,.t,d by cOlpltting an
"Appllutlon 'or H,hmd of PIMlvlvlnll Inh.rltlnel and E,t,t_ Tax" (REV.UUl. Appllcltton. ar. IVflUabll .t
thl OfficI of 'hi Nt,'.'.r of Will., MY of thl U Mlv,nut Olltrlot Offlul or fro. tht Dlp.rt.,ntl, Z4~hnur
'""111,11,. ..,vlce ntlllbtr. for 'or... urd.rlnCII III Penn.Ylvanl. l-aOO~361.20S0, outsldl PlnnIYIIII"!_
Itnd within toul IItrrl'burlllt... f 1171 ''''"IW'-', 1001 11ln 112-2252 lHI.tlng tapalr.d onlY),
REPlV 10.
PIICOUHI I
IH!!IUlI
Qu"tlon, r"lrdln, .rror, contlln.d on thl, not 10. .hdyld b. .ddr....d tal PA D.ptrta.nt of R.vlny., Bur.eu
of Indlvh~utl ru..., AtTHl pa.t ........n' R.vl." Unit, n.pL 280601, Itllrrllbyru, PA 11U8-0601, Phon.
111/1 11"6101,
If MY t,lC dyt I. 11"ld wllhl" thr.. OJ cahOOtr tonthl aft.r thl d.o,dlnt', d.nth, a flv. p.rt.nt (!IX) dhoount
af thl hie J"tld II ,Uowld,
Int.r..t " eh.rg.d h'llnnlng wUh Urlt IlIV of d.llnqy.noy or nln. (lH lIonthl and on. 01 dav fro. the d.t. of
d.,th to 'hi c1,t, 0' Jll'IVllnt, ".11 which h.c:... d.llnquent eMlfor. Jlnulrv I, 1982 bllr Intlr..t at the rlt. of
IIac (UI p.ra.nt p.r IfIrlU' antoulat.d It It tllllv rat. of ,Q00164, All tUII whloh b.e... d.lInqu.nt on end aftar
JlnUtrV I, Ifal "Ill bllr Inttrllt ftt II tltte which wlll VlrY fro. cQhnder vur to oahnder Vllr with thet rata
lMDunc~d by 'h. I'A nl,.rtllnt uf HI..,IMlII, th41 JPPllflable Int.rllt r.", for 1982 throygh 1995 arll
~ Intlrllt If"t~ !!!lli Int.r"t Faotor Vur ~'ltRI" pally Inttr..t Faoto~
1911 lOX ,OOOS~I 191' OX ,000247
1911 I6X ,000"18 1011. 1m IIX ,000301
IOI~ m ,000101 1991 OX ,000217
I'll m ,000lS6 19'].19Y4 IX .000112
1116 lOX ,QOOl'" 1995 OX .000217
. .In'trllt II ulayl,t.d e, fol1o"ll
INTE~EIT . BALAMCE or rAM UNPAID M NUHIER OF OAVI DELINQUENT " OAILV INTEREST FACTOR
..Anv Hottu IUIl.d ..ftlr the tllC b.eo... d.llnqu.nt ,,111 refl.ct an lnt.,.., calculation to flftten liS) d.n
btyoud 'h. date of th. ........nt, If PIVHn' 11 _ed. .ft.r the Intarllt oo.putatlon d.tl thown on thl
No'lot, .ddltlon.1 Inten.t IUlt bl o.lcullteel.
/
'f'
.'
"
. .,
STATUS REPORT UNDER RULE 6.12
Date of Deathl
rn. ~s.h/~( hs
:t),c t'A<t\k ~ I 1'7 'i-.1
linn ',1"
.
Name of Decedent I
Will No,
Admin. No.
(('--I - :)1-/0
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 I
1. State whether administration of the estate is complete I
Yes f..,/'" No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete I
3. If the answer to No.1 is Yes, state the followingl
a. Did the personal representative file a final
account with the Court? Yes ~NO__.
b. The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did the per-sonal representative stat~ an
account informally to the parties in interest? Yea ~ No
d. Copiea of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and maYQb' ,'t',h.d t; th1. r.port.
Datel 1-), 6-~f.e, _~~,~ L /('~<4
gnature .
NI1I1t: ~JU; S e k Lllu 5 I
Nam~ (Please type or print) I
!:f.f,N ~nk-i:. .]J~. LlktL.I\A,c(II::s.~ 7 I
Address I
/113) f3d-/7ck) I
Tel. No. i
, J('1
Capacity:
----
(/' Personal Rapresentati va
_____Counsel for personal
representative
(MAH I rmfl AM])