Loading...
HomeMy WebLinkAbout94-00251 "1',,\1'1 ':,,\'\' (,' , ,I I" ,I,' r '\1" I'" 'I'"" ,I' ,; " '; , I/'l , , '! I, ",.f, ;,1' " , , , " , :1'," :1": j, " . ~', I': , .' \,' I ~ ' , '): r ,~: J':, I, h, '[:".,,,, , i.~ . "if' " ',I,:..' .:',1 ," :"~';',, " :Ij " ;, ~;\.~~>.';, ' (/ '\ . ~ /. " :l '. ~ \,/[j':"l,';' I ;~i,~':) ".:(!", "" ,.,,,,/ . 'I: :,1", 1\, !.':,:."j" , ~ f: :'i, ,I, .,/, :,' '"t; I',: .'" . , ", , "'", " " If,1' ", I, ',. ",' 'r " I ~!< l , \'j, , \, \ ", \ "",,.',1,, ,)' ',':':';"",' I'll ;"""'\," 1,1 yl,~', "1\' )_1'" ':-'::, j~,'.i,">l'( ,I ""'.'. , }, ";',:1 I'" d' , " " " ,I" " , ' , ,J, " .;"/,11 '1\ "II: :',f ",.:.\' ,i,'.'! ',I, ,:\ ':'/" ",r,,' ., 1"1.'."'" '", I It',', " 1,"'\' '\' , >,' ~ , . ~, " . j" ! ,I, ' "~:::;',:",:,::,,:,,~~;'.: ',,. , f'H'i' ,. I' ':,', "i\' >.',:"L; '\: ", ' I, ", j', "I., ,.,1 :'I;'i',\.,,': '..,,' , .f . ]r'i"~:' ",.::r:,\1 ',! '..,'.' 'oj:' '::',:.'; ":\'i" :',' " ':1' ,:1" " '~I " . ,.'1 :1' " ~ ", \ \ "i' tl ',' "l} ( d' ,,' 'i.l: ,II: 'ii' ", r',;.:,): l!II.'I", I'" " " '" ,,' <), "j, !, '11 ~ .", I <, "" Jo,' :'J ':,01 'I 'jl' ',,1,> . , ~;(,'I;i,'i:"(,:, ~,< I,J" :., 'i i';i~,i.';)\!,\~,:,"" { " ,',,,!l" """,-;. I, :?~ii,:,:;:,:/}'I .' :~';""i' \~~:~ \~':~.:'" 'l.~',:" .'~":: ,,' " 1,' II" "j,... , {~!":>""\~ : 'I~I;':. '. ','" i ~ 'I :', 'S':';,;\:,'::::'>'-,',:\' ""11 .'110" 1'ldJI\, I'J ", f'\,""l'I'I,IY'?('~il "I.}I.. '( '., \;\f~I" ~ /,':.' (J .'''' 1:":".'J"j"',\,(,,' 'tf;' "\~",' -t." ' , Ii .~)},,:,;~;:;,:::It." t'::; '\': ~d~."', I,' " . ".' ~ I ,fl ; , I:(:;!;.:',:,:::.,;:,. :','.p" f . . "'~ I " " 1:( ;(11'. " , " . , ;1, "~I ','" ~) ! " ,Po ,11'," , p. II., " 'I i", ,,' ,. 'I '" , ' " ,,] ,., ~.' ',..... ' 1,0,' I, ,," ~ ; " ,,'. " '.1' , " , ,,' . a 1ft, IU ~ ;1 ~ . ", :1 " , , , ".. ",':'; " " 1,"'\' '(" ""1 " " \'.' " I' ,I, ". "1" , I, i I:", ,~: " .1 ( :// ',1'" I.':l\":" ',1"'1 I,Y ." , , I ~ ,(.; ",' " " ",; 'I,: I','" ;':i,' ',Ii,' ,j,' ,:" ,'" , \, " , " " , , ., " "" ,t':'" :,J .j'li , " ,\,'/, , '. ,', " " " '.' ,"j' ,I' .'-' /'1". , ;',/11 \1, ,<.I, " ~,~ J,;": ,'"' , , ,',J ,I, '\" ',':,/l...,' I' ,.1,' , ~ \~, ',',' li,';';',," ,,': l~ . , ",;':" I,; '1, ,:'1 ,i"r,ii~' "),,,',.1, ., , ','t '\'.: :,1;\ 1.! " ,,', :! " It! ',",'1 "" '/ i' ,'I'. f" ,,' "'1 " """ ",,' j; ';.Al '.',,). " I" ,i\ I,' "." " ,',I' .1:' " ',I ~j ,;', '''.,' , , " , ". " ,.. " ,',d.',' "I" '" ,I ,,' I' "'1 ,,' J .,' , Ilf",', '" " , .'. . , " ,",{, I, " ,"1 ,-, ~. ,,' ,'"P, , '11, ,,' ,;",1- "VI\ '" , ~: 'I.IJ" ('I"',', 'I',' ,I,:, (',' ii"~ " ','r ,I: ',Ii 1\',' ,"', '." " ; " ..1 ~ .' '!".l ,. ...,':....' 'Il' '. " .;;" /;'state of __jl(l.~,-.L!..jL_LL'c_'-,:j.._..__._ 11/.10 known as __________'.on_____.__.____'__,_____' PETITION FOR PRORATE Ilnd GRANT OF LETTERS No, ______o2L~_1~L:'.P< SJ.-_.- To: ____h__'_,____,____.-__,______._U_. Register of WlIls for the __'____..___....-..,--'u-_. DI'C('II,wd, County of .L~kd_ In thc Sodal Secllrlty No, D.J..:.C:...i...:c.::..2.::""__ Commonwcalth of Pcnnsylvanla Thc pctltlonllf the nndcrslgned respectfully reprcscnts thllt: Your petltloncr(s), who is/urc I K YCllrs of IIgc or older IInlhc cxccnt.L. , / In the, IlIst will of II~e IIho~~ d~edenthdl~'.ed 1.._D_!,~1Jl:.C,.. , . (" ,,( IInd codlcll(s), (htlcd ..,~.~/_____,_._L.1L..1~__.=-:--_,-__ I ..J~_...lJ....J,___..L":,l'--C:.L..:...."'_j.:,;...o.:...J..,:.I.L.',L:..c:._L~-'" "" l.,~ named ,__,19L'L (\ltlle n.'IC\'illll drCIlI1HIlIIIC~'\, ,,',g, H'l1l1/1dnllnll, dClIlh uf c:-:ccUlor, ctc,) ))eeendcnt wu,s domiciled lit dcath In....f'-'-"l4..J""'.L____ Conrtly, Pennsylvania, wllh In~_._.llIst fUl)llly or principal rcsldencc lit __,~' " I ~ ('iLL:_..L1 (j" /"'" /'!,L- 'Ul-Jl."---_1:l__Llij.d._J,.:.'-Ll'_,-'-_,JLL~L__L.iL__LlI' ,I / (llil \lrl'CI, lIulllhcr lInd 1lI11lldpalltYI Djhlcnt, ~hcn.___'L~._._ yelll's of Ilgc, dlcd ________._1 I 1 ,\ , 19 "~I '\ , at Execpt ~\r;;ilcI;;':;(d~~I~ieliididl;;,'/i'~I;rry ,;;:us -,;m-~Ii\'~rced-;;i~I-d1d nOllla\'~ a child born or adopted uftcr execntlon of Ihe will offered for I'rohllte: was not the \'lctlm of II kllllllg and wlIsllcver IIdjudlelllcd Incompctent: ____._._______,. .___,...._._________. ___, Dcecndentut dcuth owned property with estlnlllted vulues ns follows: (If domiciled In Pu,) AIIIll'rsonul property (If not domlcllcd In 1'11,) l'ersonul propcrty Inl'ennsylvunlu (If not domiciled In I'u,) I'ersonlll property In County Valuc of reul eSlntc In I'cnnsyl\'unin sltualcd as follows: --I>:J.'i....________, ,; '~ r,( 'I(), (1, I $ $ $ $ WHEREFORE, petltioner(s) rcspectfully request(s) the prohntc of lhc last 11'111 and eodlcll(s) prcscnlcd herewith und the grnnt of lellers_L:::..,L" ,"e ,,'il'..L.1- (lC\UllllCl1lnr~;i lIdllllnhlrnllon C,l,lI,j admInistration d,b,n,c.I,a.) theron, ! ~. rl tJ 1,1 I'.'" .ii.-.\," -, \ '. d ~i Ji2.~_ c' 1-L......Jk~J...c~__ ]:~ ~d,\\ \ /','1' I1c'LL .__ ... lI~ ~o ~ u_______ Iii ...c2tr,v jJ, /;' (h^,},.J,~ji. -'-'-.._~~------_._--- -------- ----,---- OATH 01<' PERSONAL REPRESENTATIVE COMMONWI~AI,TH OF I'ENNSYI.V ANIA L ss COUNTY 01' _-1l!!1I)JRLAllil....__._____ f The pctilioneJ'(s) uhove.lII.med swcur(s) or ufflrl1l(l) thutthc sllltcments Inthc forcgoin8 Ilclitlon IIrc true und corrcct to the hest of till' knowledge und hclicf of pelltloner(s) and thllt 11.1 pcrr-onal represcn- tutlve(:;) of lhc nho\'e deecdent petltlllner(s) willwellllnd truly IIdl1llnlster thc cstatc aceordln810 law, sworn. to or nfflrl1led und ,suhscrlhcd ~('!.I. IJ 'L/'.3,'___LL0:c.'L~~Ji ~ he fore ml' thlSid. ..__,141II.u dnyof .u..uu.__.____________, ~ .~}rl.'--/~- ~^~CH, J. ~IPPJl~)CJii ),&,' ...- .__uu________. i:! ~~'f(jtEW I ~'u,)t .. ... . /~(:ci\7.~. {- '!~: ...::~~=:==_=:-- ~ 6 No 21 - 94 - 251 . Estate of HAROLD A. BOWERS , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ___. MARCH 15. 19~, In consideration of the petition on the reverse side h~reof, satisfactory proof having been presented before me, IT IS DECREED that the Instrlllllcnt(s) dated ,MAY31, 1979 described therein be admitted to probate and flied of record as the last will of HAROLD A. llillIERS TESTAMENTARY ANN B EBERSBACH and Letters are hereby granted to !fJ FEES Probate, Letters, Etc, ,,',',,', $ 305.1.00 Short Certiflcates( 1 p, , , , , , , , " $_AOO Renunciation "","""",,' L X-Pages JCP ___ $ 6.~~ TOTAL __ $ '34hO ""'" MA~~~. ,19., ,m~""".,:" MARY C, LEWIS ~L ',1\ MI\f.'l' C~yNG f, '375 i ATTORNI!Y (Sup, CI, 1.0, No,) S ~ 0 I 1vLil- rlu::t ';-,1. 0:eL''''f.LlL \ I j?(/. 1 '1 ~ 1/ ADlJRBSS (, n) -; 3 "7-ot( b 'I PHONE Filed ro-i " ,,- 1,1:' ',::..;( 0 /q , ~ Ll.; , ~. n. '<J' ,~ " Si1 , ; , :c '\ '.II " (.) tH . ,:.1, OJ a.; , ''J' 'E cr:: PI da Ma1led letters and order to attorney on 3-15-94. / 1/ . , CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent I Harold a. Bowers Date of Dea till February 17, 1994 WiU No. 1 99t.-nO?/i 1 Admin. No, To the Registerl I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court :Rules was served on or mailed to the fOlloWing beneficiaries uf the above-captloned estate on July 5, 1994 I ~ Address Ann Ebersbaoh, 426 Orrs Bridge Road, Camp Hill, PA 17011 Calvary United Methodist Chur~1lElven~lfarke~reet8, Lemoyne, PA 17043 Humane Society of Harrisburg, Ino'-L-??~_lL9r.a'y'son Rd, Harrisburlil, PA 17111 Christian Childrens Fund, Inc, , P,O, Box 261>,1.L Richmond, VA 23261 Notice has now been given to all persons ontitled thereto under Rule 5,6(a) except, N/A Dlltel 7/1"1 Li sa Mar e Coyne, Esa. Address 3901 Market Street , 'tl In .", :',~ ; : I 1 " 1 I'! , I., ,,I ~J c5u Camo Hill, PA 17011-4227 Telephone ( 71 '1 737 -0464 Capac it y I Personal Representative x Counsel for personal representative i: , ,j , , : ;,~;~~u,) HENRY F. COYUE c9Uotluy ai .tlllV 3901 h!a:dtet Street Camp Hill, Po. 17011 ~ ,A__......_.~__~__ ..J , , i' 1/., " \ ,I, ,._.-'1'\"",_~""""""., ",' , , " " !"-"f'; ) -(~'}f~ ~ j:.',IJ,,_1~ 1\ ~f"-\Il~~t'~y~r'r\~l',{~'~' ftX~ 'i')1 .,1\" / , , '!: HF ~_r;''fi'\Ft{ f n f.~J't~"t""Nt',~".:: ~ '~-. ,-, >Ie. _I' -, , cfll :"'CCL/ ~;). SI ' . " , , 'I I, \" 'I-,.J ,. ",.~-,..... ~_.....J.-."-~V."'''''''-_:U:~~.'-~~'_'''''~-'-'~7'_'''''~~_'_'~~~' '~'_" , , ....,....~..-..,......,--'---~:..,,,\:....~.;..........;,..__t_~ I, I ,.".. ,. ,I, " " III ';l~ '\\ , , 'I' " " " " " .' " 'I, ,': \/ , I.' , " ,. . " ,/ 0; "j, ,',; " " '1Ii' ',' , ' HBG,PA " "" \. l Ii, _L.....,._. ,_.'.... " .It ',C, ;". r.e-'"'' ""',_ . (,':';,;') , )' ,....., IH~ I" mi""'Zcrrqo \1' jl: (,.',1 , \ l ,l,\n\ " ';......~, .~ ,I" ;1 "\1" 1 'I '~' ,,,_u '. . ':'/i - ~'.: ".":.: , , '. ., " .' 1 SS!t\3' 05/\ ,Y94 i() , iJ ," ~:'~,X)j)8 - IUllllulllllllll1l1l1l1,ulllulllul,I"I,IIIII,1 ('III" , ,) -,... 1'\ 'Iii /' / , .,..--,.._..-,................_.~..~............1IIIIft '.1' " l'l,1 ,,' , " Ii " li II fJ: " , " ., . " '''''in ,.-'. " ,I ;.1 ,,' ." " r'I 1,; ,;(-, ,I , ,', .,..'''.......-.., ", "I' " ,'-',..."._-. , , " I..-.,..~.--~...... , ! '" :.~; , '. " . . ' "\ ~", 'l: " ',1 ' : ,'( 1''''',\ .', I . ",', 'II"~ "~,i',,,t '.1 It\' '," ". '1"'-' ' "'.. ~. "," f\.., . ;-',i'. " ,( ;l,',f',.. ,'.', ;' ,i.lI;.~' , '. ,r, -"I~) I,', \ ..-,.,. " -"1"; .... :,1 'I~. ',"',;',','f' ",'I..'..,. j''-I. '" ,1' II, "-'.1'_'\ ,,' I., '!;';'-;' ,"~ ", (',I ,;., }", ;;';'!I'.' "--Y" I j'l ,j '." il~ , ! \' -, , I, " ,,' . f"'40 I,'j. -, I I " I 'I' ., \ ./: " /(1,';'\ I , ' \1, ," f\:"; 'l; ,,' '1,1, "'i " . .;~" ...... . ;' , , .,,,._,, '.. 11~'i1:~.<{ !:.: /.I \;, . ,,!,~'I~ARr~. ~':"~':") 1/\ ' I " '. !ll/III 1 'I I' , ,h , I, /}"A-- . March 22 I 1.994 Henry F. Coyne ATTNI Liaa Marie Coyne 3901 Max'ket St. Camp Hill, PA 17011-4227 RII ISTATI OF HAROLD A. BOWBU SOCIAL SICURITY NOMBIRI 198-05-0302 DATI OF DIATHI Pebruary 17, 1994 ACCOUNT NUMBER: 0801108559 0206134315. 0106106916 TYPE OF ACCOUNT: Passbook 1>loney Mkt Svgs Money Mkt Svgs OPENING DATE: 11/17/86 8/10/90 6/25/86 ACCOUNT TITLE: Individual Ann Ebersbach or H A Bowers or Thomas Ebersbach Ann Ebersbach or Harold Bowers PRINCIPAL BALANCE AT DATE OF DEATH: $5,008.23 $65,567.34 $10,132.96 ACCRUED INTEREST TO DATE OF DEATH: $5.83 $90.09 $12.98 TOTAL BALANCE AT DATE OF DEATH: $5,014.06 $65,657.43 $10,145.94 INTEREST 1/1/94 $253.96 TO DATE OF DEATH: $16.45 $36.59 - '--"~'t 234 NOnTlI SECOND SIRElT . 1',0, OOX 1111 ,IIAllI1ISUUI1G, P^ 17100 ' (:'17) 232,fiOOl f~~Q~~F.;~ U<'j"y ,~('"j ~ (I.i.u,,+ l 'I III AI! .)'( , --. . I, N~~~~l~ Harris Silvillgs Opl'raliulIs Cl'lltc'!' Ii:lr. Nllrth 1~lh Sln'!'1 J,1'1II11j'1I1!, 1"'1l11Hyll'Hllia 1704:1 7\'117:11.14411 71717:1\ .0Hf>1I Fax Mar.oh. 21, .1994 Henry F. coyne 3901 Market Street. CampHill,PI\ 17011 \ I 1\" '\ '\ \\!:: I, "1 ') 3 '\ I, WIll {. "\\ I tL.--~~ " I .' I I "II " , , " 1 , i , VJ I~ Tho inforr.1at,ion which :'ou requootorl on the Bowers Deoeased (!iodlll 5,n~uri ty Humber l\ccount(o) of Harold 1\. 198-05-0302 ) is liS follown. Account !lumber(s) 05-56-226471 Clas/\ of Account 1 Yr. Cert. Date Oponed 3-7-92 Principal Dnlnnco $50,000,00 Accrued Intcrcot 76,93 Dalllnce lit 50,076,93 Date of Death Account Joint Ownorllhip lIame of Joint I\nn B. Owner, if IIny Ebersbaoh Dn te Ownnrship 3-7-92 'tI"s Estnblinhl'd Additionnl Infor- mation RCl)\1nutcd ~in erely, .~,,~;t,,(..,,~) ('~~.~ retchen L. Ca le customer Service Teohnioian Checkina Accounts: Number Date Opened Balance at date of Death Name of Joint OWner, if any Savinas Accounts: Number Date Opened Balance at date of Death Name of Joint OWner, if any certificates of Deposit: Number Date Value at Date of Death Name of Joint ~~er, if any Maturity Date Interest Rate Interest paid Quarterly, Semi-Annual, etc. Debts: Others: 51-4012-3312 4-4-89 ~4.773.63 .J :"., 51-4011-9065 11-1-82 _$139.047.79 Ann 8 Ebersbach 168749 Ann 8 Ebersbach Thomas R, ~borsbach "I ~ I " /' I, '.') II I' ,!, ,.. I " . ,/ ,,~ I "I 1;( MA I 1994 I i ,11\\ Y j Ii il II 'If I' , " 1_".. ., -" ...11,/ 168750 9-22.93 $50,000.00 Aced Int $149.79 9-22-93 $50.000,00 $149.79 ann ~ Et>9rfblth ,A.An a li99r&BaeR 3-22-95 4.0500 Mnnthly J 22 9i 4.0500 Monthly or Sa ings Associat {' of RIII1'"'''' ,.bruary 17. 1994 "v.un".I'''1 ESTATE OF Harold ITEM NUMBER A. I. B, 1, 2, 3, _..n....__~t.alO ,.P'!!nl !!! Typ!... ,.,.,_._ ]ILEmmiiER -- ),/- 1994-0251 ~-- -,- ..-- - - ..-...-.- ---'--~'-'----- - DESCRIPTION Il~:'~'~l\ .\01 Sf/ll>> (OMMONweAlltt 0' 'eNN~YlVANIA INH!RIIANe! lA' WURN RIlIOrNIO!CrOrNI SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES A. Ball/era Funeral EHp.nllll . .....-.-.--..----..----..-.----.--,- 2. Musselman Funeral Home, Inc. 324 Hummel Avenue LemoYl)e, PA Minister 3. Cemetery Lot 4. Heads tone Adm"lIl',allv. COlh, Pe"onal Representallve Commllllons N I A Social Secu,lIy Number of Personal Reprosenlatlve: Yea, Commllllons paid __,__________ Allorney Feol - Hen ry F, Coyne, Esqu i re Family Exempllon Claimant __-1U.fL___...__ Relallanlhlp Add,oll of Clalmanl 01 docedenl's death Streel Address ___________.__._____________ Clly ,____5Iale Zip Code 4, Proba'. Foel C. Mllc.llan,oul EHp.nlell I. Legal Advertisements: Patriot Newe and Cumberland Law Journal i 2, Return Filins Fee 3, Auto Repairs to sell 1986 Pontiac 4, Advertisament to se 11 1986 Pontiac 5, Death Certificates 6, Postage 7. Cleaning of Apartment 0, Reserves .~-_._._-_._---_._._-,-.,-..-.-_.__._--_.,.,._-_._. TOTAL IAlso onlor on IIno 9, Roeapllulallonl (If mo,. Ipaul. nlld.d, In'..1 addUlenal .hll" of .am. .11..) AMOUNT 5,418.50 75,00 300.00 60.00 15,323.71 346.00 102.65 15.00 421.38 22.00 23,00 29.00 50.00 1 ,000.00 $ 23,186.24 EV-1547 EX AFP (080941* CO""OHWUlYIl OF PENNSYLVANIA OEPART"EHf OF RE~EHUE BUREAU or IHDIVIDUAl TAxES DEAl. lB060l IlAPRJSlURO, PA 17128-0601 ESTATE OF BO'\lm ~ FILE NO. DATE OF DEATH 02-17-94 COUNTY NOTE I TO INSURE PROPER CREOIT TO YOUR ACCOUNT. SUBHIT THE UPPER PONTlON OF TNIS FORH WITH YOUR TAX PAYHENT TO THE REOISTER OF WILLS, HAKE CHECK PAYABLE TO "REGISTER OF WILLS. AGENT" REMIT PAYMENT TO: 3- / :,() - /., / / /(/- ///(-)' r '- ACN 101 NOTICE OF INHERITANCE TAX: APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX HENRY F COYNE ESQ 3901 MARKET ST CAMP HILL PA 17011 DATI! 01-03-95 - REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 I-r,;OUntiionI ttod. J CUT ALONO THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV: i547' Eir AF P - i o8':9(ii' iioY iCE- 'OF' "iNtiE iii;: ANC E - YAX 'APPR ii is EHEiii'"; -At DiwANCE - OR - - -' -' - -.-. - - - . -. DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BOWERS HAROLD A FILE NO. 21 ~4-0251 ACN 101 DATE 01-D3-95 TAX RETURN HAS. I X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED aNI ORIGINAL 1, Rill Eltoto ISehldulo A) 2, Steeks ond Bonds ISehldulo BI 3, Clellb Hold Stoek/P.rtnorshlp Intorut ISehodulo C) 4. Hertglgos/Notos Rleolyoblo ISehldulo DI S. CuhlBonk aoposlts/Hlso, Porsonll Proporty ISohoduls El 6, Jointly Ownod Preporty ISehodulo FI 7, Trlnsfors ISehldulo GI 8, Totol A..lts APPROVED DEDUCTIONS AND ~XEMPTIONS: 9. Funlrol Explnsls/Adn. costs/Hila, Exponsss ISohldull HI 10, Dlbts/Mortgogl Llobllltlos/Lllnl ISehodul1 II 11. Totol Doduetlenl 12. (lot Volul of Tox Roturn 13, ChorUoblllOoYlrnnlntol BlqUllts I Sehldulo J I 14, Not Voluo of Estoto Subjoet to Tox NOTEI If an assassment was issuod proviouslY, lines reflect figures that inolude the total of ~Jb. ASSESSMENT OF TAXI 15, AMount of L1no 14 ot Spounl rlto IlS1 16, AMeunt of Llnl 14 toxobla ot L1n..I/Clus A roto 1161 17, Aneunt of L1no 14 toxlbla ot CellotorollClo.. Brito 117 I lB. Prlnelpol Tox Duo TAX CREDITS I PAYMENT DATE 05-12-94 11-16-94 RECEIPT NUHBER XA886075 MM913191 DISCOUNT (') INTEREST I') 1.507,54 ,00 I ) CHANO~ ? [ , :n :""}\,I ~j :' ',11 " ("/ I (,;". " " , t_ , ,00 2;: 22.255:00 ~ I ',,00 0'1 .00 -0 ~',:: l 279: 35L'85 '" lir (\ 183 1IJ; , 45 i..') -" 97.299,58 lO 181 582,626.88 (1) (2) 131 141_ IS) (6) (7) 191 liD) 23,186,24 324,14 1111_ (12) (13) 1141_ n,~ln ~8 559,116,50 .00 559,116.50 14, 15 and/or 16, 17 and 18 will return. aSBe.sed to date. , 00 X' 0 O. 559,116.50 X ,06. ,OOx,15, (18) ,00 33.546,99 ,00 33.546.99 AMOUNT PAID 28,643,35 3.396.10 TOTAL TAX CREDIT BALANCE OF TAX DUE 1-- INTEREST C TOTA~ DUE 33.~46,99 ,00 ,00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, IF TOTAL DUE IS LESS THAN .1, NO PAYMENT IS REQUIRED, IF TOTAL DUE 15 REFLECTED AS A "CREDIT" ICRI, VOU HAV BE DUE A REFUND, SEE REVERSE SlUE OF THIS FORH FOR INSTRUCTIONS,) RESERYATIONI E,t,t., of d.c.dlnt, dYing on or b.for. O.elDblr 12, 1982 .- If any future Intlrllt In thl 'It,t. II trln.f.rr~d In POI....len er .njay..nt to Cia.. B (coll,tlr,l) bln.flclarl.' of thl dlc.d.nt aft.r the .~plr.tlon of ,ny 'Itltl for Ilf. or for y..r., the cee.onwlalth hlrlby I~pr...ly r...rvI. thl right to appral.1 and al.'" tran.f.r Inhlrltlnc. Ta~'1 It the lawful Cl,.. B (collateral) rate on any luch futurl Interl.t, PURPOSE Of' HOTlCEI To fulfill thl rlqulrl..ntl of Sletlon 2140 of tht Inhlrltance and E,trlto Tax Aclt, Aet 22 of 1991. 7? P.S. Slotlon 2140. PAYHENTl Oltech thl top portion 0' thls Hotlc. .nd '!.lbelt with your paYIII.nt to thl R.gitt.r of wills prlntld on thl r.v.r.. .Idl. ..Hakl chick or 10nlY order payabl. tUI REGISTER OF' HILLS, AGENT All p,y'lnt. r.e.lvMd Ih.l1 flr.t bl appll.d to any Intlr..t which eav bl dUI with any r..alnder appllld to the taK, MEFUNO (CR)I A r.fund of I talC crldJt, which Will not requlttld on the TalC Rlturn, 11I'1 b, "qu..ted b'f cOlplltlng .n "Application for Rlfund of P.nnsyl....nla Inhlrltancl .nd Eshte hI<" (REV-UU). AppJlc3t1ons IIr. 8..,alhblt .t thlO"Iel of the Righter 0' WIlIt, any of tht 23 R...,.nu. Dittrlct OffiCII, or b'f clIllJng the Iplclll 24.hour Inswlrlng IIrvlc. nueb.rs for for.. ord.rlngl In Plnnlylvanla 1-800-36Z-Z050, outlld. P.nn.vl...anl, and within local Harrhburg aria (717) 787-8094, TDDI (717) 712-Zi!S2 OlllrlnD IIPalrsd Only). OBJECTlOHSl Any party In Int.r..t not ..titHld with thl IIppral....nt, allowanc. or dlUll1owrlllc. of d.ductlon., or ........nt 0' tel< (Including dl.count or Inttrll.t) a. shown on thl. Hotlc. Ilu.t Object within .ll<ty (60) day. of rlcllpt a' thls Notlc. bVI ~-wrlttln prot..t to the PA Depllrtunt of RI..,.nuI, Board 0' Appu11, OEPT. 7.&1021, Hllrrllburg, PA 17IZ8~1021, OR Ulllotlon to ha..,. the utter dlterllln.d at audit of the Ilccount of the Pllr.onll r.pr,...ntlltlv., OR ~-.Pp.al to the Orphanl' Court. AOKIN ISTRITIYE COlIRECTlONS I Faotual .rror. dl.coV"l1d un thl. 1I1......nt .hould b. addr.s..d In writing tal PA D.p.rta.nt 0' R.....nu., Burnu of Indl..,ldual TaKl', AnHI Polt A.......nt R.vllw Unit, DEPT. 280601, Illlrrltburg, PA 111Z8~0601 Phonl (717) 717-6505, S'I page ] of the baokl.t "In.tructlon. for Inhlrltanc. Tal< R.turn 'or a R..ld.nt O.c.d.nt" (REV-1501) for an IlCplllnatlon of ad.lnlttratl...lIly corrtctllbh error.. DISCOUNT I If IIny tal< due I. p.ld within thr.. (3) cal.ndar .onth. a't.r the declld.nt', dlath, a flv. plrclnt (SX) dl.count 0' the talC paid I. allowlld. INTEREST I Intlr..t I. chllrg.d olglnnlng with flr.t dav 0' d.llnqu.ncy, or nlnl (9) .onth. Ind one (I) day froe the dlt. 0' dnth, to the dati of plye.nt, TUII which blCu, d.llnqulnt b.forl January I, 19a~ b.llr Intgrllt at thl rat. of .11< (6:<) p.rclnt per annullI clIlCUlatld at It "nlly rat. 0' ,000164. All talC" which bloa.. d.lInqulnt on and .ft.r January 1, 191Z will bur Intllr..t at . rllt, which will vary fro. clIlIndar vlllr to callndar yur with thlt rat. announcld bV th, PA nIPart..nt 0' Allvlnul, The appllcllbl. Int.r,.t rllt.s 'or 1912 through 1995 ar8, '!!!r Internt Aata Dally Int.r..t fnr.tor Vlllr Inttrllt Rllt. Dally Inttr..t Faotor 19&Z 20X .QOO~48 1987 9X ,000241 1983 16X ,OOOU8 1988-1991 11% .000301 19&. llX .000]01 1992 9X .000247 19&1 lJX ,000356 1993-1994 7X ,000192 1~&6 10% ,000274 1995 9% ,000247 -~tnttrllt I. calculated .. folloWII INTEREST . BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINqUENT X DAILY INTEREST FACTOR ~-Any Hotlc. IlIu.d after the talC b.co... d.llnqu.nt will rI'lect 11/\ Interllt calculation to 'Ift"n US) dlV' blyond th. dlt. of thl ........nt. If pay..nt I. IIIlldl aft.r the Interllt co.putatlon dlt. .hown on the Notlcl, additional Int.r..t IUlt bl calculatlld. PtJRlIOIE Of' NOTICE I PAYIlENT, REFUND (CRh To fulfill thl requlr..."tI of Stctlon 2140 0' thl Inhlrltlnol and E.t,t, TIM Aot, Aot 22 of 1991. (72 P.I, Seotlon 2140), Delloh thl top portion 0' thl. Hotlcl and 'vb.lt wIth your ply..nt to thl Algl.t" 0' Willi printed on the rlVlr.. .Ide. -- "aka chick or lonly order Ply'blt tOI REGISTER OF WILLS, ACENT, All pay.,nt, r.o.lvad ,hall fir.' ~. appllld to any Int.r..~ which .ay b, dUI, with any r...lndtr IPPlt,d to thl '1M. A r.fund 0' . tlM crldlt, which was not 'Iqul.tld ~n thl tlX raturn, .ay b, r.quI.t,d by co~l.tlng In "Application for R,fund of PIM'Vlv,nl. Inherlt,ncl Ind E,tnt, TaM" (REY.!!!!!), Application. ar. Ivall'blt at thl Of,IcI of tn. Algl.t" Q' Willi, anw of tho 25 RIYlnUI Dlltrlct O'flc.. or by cll11ng thl ,plclal 24.hour an,wlrlng ..rvlo. n\NIblr. for for.. ord.rlngl In Pann'Vlvanlt l-aOO-36Z-Z0S0, out.ldt Plnn,vlvanla and within local Hlrrhburg erll (11) 187.1094, TDD' 0171 772-Z2SZ (Hurlng IIpalred Only). OBJECTIONS I Anv partv In Intarllt not ntlsflld with tha apprals...nt, allcwanca Dr dlnllowanca of dlductlon. or I".....nt of tlX (Including dl.count or lntlrl,t) a. .hown on thl, Notte. ..y obJ.ct within ,Ixtv (60) day. of rlcllpt of thh Notlco bYI ~"wrltttn prot..t to th. PI. D.part..nt cf R"/lnu., Board of Appul., D.pt. 281021, Uarrlsburg, PA 17128.1021, OR HII.otlng to hlv, thl ..tter d.t".ln.d at the audit of the Iccount of the p.rsonll repr...nt.Uv., OR ...pp"lto thl Orph.n,' Court AOHIN- ISTRAlIVE COllRECTlOIIS, DISCOUNT I IHTEREST I Flotual Irror. dl.oav.r.d on thl1 .,......nt .hould b. .ddr....d In ~rltlng tOI PA D.part..nt of Rev.nue, .urltv of Indlvldull Tax.., ..TTHI Po.t A.......nt R.vl.w Unit, DEPT. 280601, H.rrl.burg, PI. 17128.0601 Phon. (717) 787.6505. 5., p.gt 3 of the bookl.t "In.truetlon. for Inh.rltancl Tax R.turn for a R"ldent Dloed.nt" (REY-IS01) for In .xpl.natlon of .d,lnl.trltlvelv corr.otable Irror., If Iny t.x due It Pftld within thrll (]) calend., .onth. .ft" the dlc.d.ntlt dllth, I flv. perotnt (S:O dhoount of the tex ptld II .llowld. Int.r..t I. oh.rged beginning with flr.t dlY of dellnqu.nov, or nlnt (9) .onth. and on. II) d.y fr~ the d.t. of de.~h, to the dlt. of ply.ent. TaKI' which b.e... dlllnqu.nt b.forl JanUlry I, 191Z bl., Inttrllt It the ratl of .Ix (6~1 perc.nt ptr annul c.loultt.tI at . d.lly ratl of ,000164. All tlllU which b.ot.. d.llnqutnt on or afhr Jlnuary I, 1911 will bur lnterllt at . rat. which wlll vlry fro. ell.ndlr y.ar to Oll.ndlr y..r with that ratl announc.d by the PI. D.p,rt,.nt of R.vlnul. Th. Ippllnabl. Int.r.,t r.tal for 198Z throuOh 1995 .rll 'till: Inter..t Aat. Dlllv Intera.t Flolar Xur Intera.t !iI1I Dallv Inttrut F'oter 191! lOX ,000548 1981 9X ,000141 1915 I6X ,000438 1981'1991 \IX ,ooom 198< m ,000301 1992 9% ,0002H 1985 m ,000356 1993-1994 IX ,000192 1986 lOX ,000214 1995 9X ,000247 oatnt.,ut I. ~llcul.ted ,. followlI INTEREST . BALANCE OF TAX UNPAID X NU"BER OF DAYB DELINQUENT X DAILY INTERE8'1 FACTOR ~.Any Hotlc. Ittuld .ft.r the tlx blco", dellnqulnt will r.fl.ct In Intlr..t cBloul.tlon to flftlln (151 dlY' blyond tho dati af thl ........nt, I' ply..nt I. ..d. .ftlr the Int.r..t co.,ut.tlon d.t. .hown on the Notlc., additional Intln.t ItUlt bt cllcul.hd. PURPOSE Of NOnCE. To fulfill the r.qulrl..nt. of Olotlon 2140 of the Inherltlno. and Eltat. Till Aot, Aat 22 0' 1991. (72 P.S. S.ot Ion ZlItO J. paVItENT, D.tton the top portion 0' thlt NoUo. and tub.it with your pIYI.nt to the R,uhhr of NUll prlnt.d on th, rllllr" llde. -. H,k. ch.ck or lonlY ord.r payable tOI REGISTER OF WILLS, AOENT. All Ply..nt. r.c.lv.d .h,11 flr.t b. appll.d to tny Int.r..t which ..y b. dUI, with any r...lnd.r appll.d to the t.~. REFUND (CA) 1 A r.fund of . tlK or.dlt, whiCh WIt not r.qullted on the tlM r.turn, '.y b. r.quI.tld by oo~pl.tl"g an "Appllcltlon for R,fund 0' Penn'VllIl"" Inh.rltanc. and E'tat. TIM" IREV.ISIS), Appllc.tlon. IIrG avall.blt It the Of,lc. of the RIlIllhr of Willi, any 01 the 23 RIlI,nu. Olltrlot OffiCII or by calling the IPflolal l'.'hour .n''''lrl"" ..rvlu nu.b.r. for for.. ordlrlngl In Plnn'vlvanla 1.800.562-2050, out,ldl P.nn,Ylv.nl, and within 100.1 Harrllburg ftru (117) 787.809(., TOOl (117) 772.2252 lUurlng t"pnlrod Only), OBJECTIONS I Any Plrty In Intlrut not utllflld with the appralu,unt, allowancl or dlullowanc. of d.ductlon' or a"""lnt of tax (Inoludlnn dl.count or Int.rl.t) a. .hoMn on thl. Notlc. 'IY obJlot within 'Ixty (60) day. of r,cllpt oi thlt Notlcl bVI u'IIrlttln prot..t to tho PA O'Plrt"ent of Rlvlnu., Bo.rd of Applal., n.p\. 281021, Ihllrrllburg, PA 17128.1021, OR ull.otlnll to hlv. the ..ttlr dltar.ln.d It thl .udlt of the Icoount of thl Plr.onal raprallntltlv., OR ..app.,I to thl Orphan.' Court aONIN- ISTRATlVE CORRECTIONS. Flatull .rror. dl.ooVlrld on thl. ........nt .hould b. .ddr....d In wrltlnll tal PA D.part..nt of Rlvlnul, Burllu of Indlvldull TIWU, AllHI Po.t A".lIunt Rlvl.w Unit, DEPT. 280601, Ihlrrllburll, PA 17128-0601 Phona (717) 787-6505. Saa pig. 3 of thl booklet "In.truotlon. for Inhlrltlnol Tax Raturn for a Rasldlnt DICldlnt" (REV.1S01> for .1' Ixplanatlon of ad.lnl,tratlvlly corrlotabla Irror., DISCOUNT, If .ny tlx dUI Jg paid within thr.a (3) c.llndar lonth. aftlr thl dlCldlnt'. d.lth, I flvl p.rclnt (5%) dl.count of thl t.x Plld I. allowld, INTEREST, Intlr..t I. ch'rllld blglnnlng with flr.t day of delinquency, or nln. (91 lonth. Ind ona (I) day fro. thl data of d..th, to th~ d.t. of ~'Y.lnt, T,M" which blel'" dallnqu.nt baforl January I, 1982 bl.r Int.r.at .t thl r.t. of .Ix (6%) Plro.nt plr annul calculat.d at ft dillY rata of ,000164. All tIM" which blel.a dallnqulnt on or aftlr January 1, 1982 will bl.r Intere.t at I rata which will varv fro. oll.ndar y..r to cal.ndar YI.r with that rata announoed by th. PA Dep.rt.ant of Rlvlnue, Th. .ppllclbla Intlr..t rlt.. for 1982 throu;h 1995 ar'l 1982 19" 1914 19U 1986 ....Int.r..t 20~ 16~ m lS~ 10~ I. c.lculat.d ~. ,000541 ,000458 , ~OOSOI ,000356 ,'00214 followlI :!Ill tnt.ru' Rita ~ Inter..t Factor 1911 9% ,000241 191ft-1991 1I~ ,000501 1992 9~ ,000241 1993'1994 IX ,000192 1995 9~ .OD02U 't.Ul Intarut !hit. 0.1111 Inter..t Flotor INTEREST . BALANCE OF TAX UNPAID X NUHSER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Anv Hotlol I..ued aft.r th. t.M ba~o.t. dtllnqulnt will r.fl.ot In Int.r..t calculltlon to flft'ln (lS) dav. blyond thl dl\' of th. a.......nt, If pay.ant I. ..d, .ft.r thl Int.r..t co.put.tlon d.t, .hown on thl Notte., addltlonl1 Interllt .u.t b. caloula\Yd, '. :..... , ... . PIIR1'OSE Of NOTICE. To fulfill the r.qulr..."t. of S.otlon 2140 of thl Inh.rlt.nol and E.t.t, TaM Aot, Aot 22 of 199.. (72 P,S. SlOtS on 21401, PAVlteNT, Uttlch thl top portion of thlt HoUn and tub.1t '11th vour Plv,.nt to thl Rluhtlr of NUll prlnt.d on tM r'Vlrl' lila, .. "ak. oheck or .onlY ord.r plyabl. tOI REOlSTER OF WILLS, AOENT, All ply..nt. r.o.lv.d thlll fir.' bt ~ppl1.d to any Int.r..t Mhlch "'1 b. dUI, with any rl..lnd.r appll.d to thl tax. REFUND I CR II A r.fund of . tlM or,dlt, which wa. not r.qullt.d on thl taM r.turn, "'1 b. r.qul.t.d by co.pl.tlng 5" "Appllcltlon for R.fund of P'Mlvlv.nl. Inh,rltanc. and E_tab TalC" (REY-UU), Appllutlonl ar. .....llIb1. It thl Offlc. of the R"ht.r of Willi, any of thl 23 R.v,nuI Dlttrlot OffiCII or by cllllng thl 'Pichi 24-hour .nlwnlng ."1,1101 nullberl for for.. ord.rlngl In Plnn.vl...lnll 1-800-362-2050, outlldl P.Nt,y!Ylnl. and within 10cII Hlrrl'burg ,r.' (717) 717.8094, TDDI (717) 772.2252 (Hlarlng Ilpalrld Only), OBJECTIONS I Any pllrty In Intl"lt not ..thH.d with thl apprallll..nt, al10wancI or dhallowancl of d.ductlon. or 11III.....nt of taM (Including dllcuunt or Int.rl.t) I' Ihown on thl. Notice .ay obJ.ct within .l~ty (60) dlY' of rlcllpt of this Notlc. bYI Hwrltt,n protut to th. PA O.partllnt of A.v.nuI, Board of Applall, DIP\. 281021, Hlrrhburg, PA 17128-1021, OR .-.llotlna to haVI thl litter dlt"llnld at thl audlt 0' the account of thl per.onal rtp"untatlv., OR --IPPI'! to thl Orphln.' Court ADNIN' ISTRA1IYE CORRECTIONS. FICtUI! .rrorl dl.coy.r.d ~n thl. a"'III.nt should b. addr....d In writing tOI PA D.part'lnt of R.vlnu., Bur.eo of Indlvloull TalC", ATTNI po.t A.......nt Rlvl.w Unit, DEPT, 280601, Harrl.burg, pA 171U-0601 Phone (717) 717-6505. S'I page 3 of thl bookllt "In.tructlon. for lnh.rltance TalC R.turn for I R..ldlnt Olcldlnt" (REY-ISOI) for an 'ICPlan.tlon of adelnl.trltlv.IY correctable Irrort, DISCOUNT, If any tile dUI I, paid within three (5) cal.ndar lonth. aft.r the dlcldlntl, dlath, a flv. p.rc.nt (SX) dllcount of the tile p.ld I. allow.d. INTEREST. Inter..t II ch.rged blgJnnlng with flrlt day of delJn~ncy, or nine (9) IOntht and one (I) day fru. thQ d.te of dl.th, to thl dati of pay..nt. TaICI. which bICI.I dlllnqulnt blfor. Janu.ry 1, 1912 bear Int"ltt at the rIte of 11M (6iD perctnt plr IMUIl calculahd at 1 dally ratl of .000164. All tu.. Ithlch blo", d,1Jnqulnt on or aft" January I, 1912 will bur Intertlt at .. rltl which will Yary froe oalendtr y..r to otlendtr year with that rate announc.d by thl PA Olpart.lnt of AIYlnUe, Th, aapllclbl, Jnt.rt.t r.te. fer 1912 through 1995 ..rll I9IZ 1.15 1..4 1'15 1..6 --Inter..t ZOX lOX IlX m lOX It CIlcuhtld It ,ooom ,000451 .000501 .000356 .ooom fol1owlI xur Intlre.t A,t. Dally Interut Flator 1'~7 9X ,ooom 1988-1.91 1IX .000501 1992 9X ,000217 19CJ3-19'" ]X .000192 1.9S 9X .0007\7 'tu.t Intlrnt Aatl 01111\1 Intlr..t Factcr INTEREST . CALANCE OF TAX UNPAID X NUNBER OF DAVB DELINqUENT X DAILV INTEREST FACTOR uAny Hotlce IlIued Ifter the tile blco... delinquent will "fleet an Intertlt ulcul.tlnn to flft'In US) diU blvond the det, of the ......HOt. If plYHnt It odt after the Interltt oQIIPut.tlon d.t. tho,," on the Notice, Iddltlon.l Internt IN.t b. c.lcuhtltd. , .' ~ PIJRllOIEOI' NOTICE I To fu1fll1 the requA,..."t. of SeotJon Z1~O of the Jnherltlnc, and Elt.,. hlC Aot, Aot U 0' 1991. (12 P.Il s..Il... mOl, PAYMENTl Detach the top p~rtlon 0' this Notfol end tub_It with your ply.ent to the Rlgl.t,r of Willi prlntld on the rlVlr.. "de. .. Hike check or loney ord.r p,vlbl, tOI REGISTER OF WIllS, AOENT. All pIYHnh r.celvld .hall fI...t b, .pp!lId to any Intlr..t which uy b, dUI, with any ,...Indtr applied to the hlC. REFUND (CA)1 A r.fund o' I taM orldlt, which WI' not requt.tld on the tlM r.turn, .IY bt requllttd by COlplltlng an "Appl10ltlon for R,fund of P,nn.ylva"l, Jnh4rJtlncl and rltat. rile" (REV. ISIS), Appllcltlonl ar. aVIII'bl, It the Of,IcI of the AIgI,t,r 0' Wtlll, any of the ZS R.vlnut Dlltrlct Dfflc.. or by cllllng the IPlolal 24-hour ,n,wert"; ..rvlol ~rl 'or for.. orderlngl In P.nn.vlvanll 1~800.562~2050, outsld. P.nn.vlulnl, .nd within 100.1 Hurhburg 'rll (717) 787"8094, TOOl (117) 172.2252 01..rlno l,p,lr.d OnlY), OBJECTlONSI Anv plrtv In Int.rtlt not "thUld with tht appral....nt, Illowanol or dh.llowlnoll of d.ductlon, or ""uHnt 0' tlM (Including dl.oount or Int.rl.t) .. .hown on thl. Notlcl r.av obJlct within .IKtV (60) daVI of rlcllpt of thlt HoUCI bVl ~-wr1tttn prottlt to the pA O.p.rt.lnt of R.y.nuI, Bo.rd of AppUll, OIPt, 281021, l1.rrhburg, PA 17121.1021, OR ..,lieU", to hay. thl "tt.r d.t.r,ln.d at the .udit 0' the RCCount of the p.r.onel rtPrll.ntttJY., OR ..app..1 to the Orphen,' Court ADltIN- ISTAATlVE COIlRECTlllNt. Flctu.1 Irror. dl,covlrld on thl. "'I"'lnt .hould be .ddr...,d In wr'tlno tOI pA O,p,rtl.nt 0' Rlvlnue, Burlau of Indlvlctull TIKI', ATTNI Po.t A"I....nt R.vlew Unit, DEPT. 2'0601, H.,rrl.burll, PA 1712'-0601 Phone (717) 787.6505. S.. p.~. 5 of the bookl_t "In.truoUons 'or Inh1ritMWlI TaK R.turn 'or, Rllldtnt OIoedlnt" (R~V-1501) 'or nn .~pl'"ltlon of ndllnlltr,tIY.lv oorr.atlbl. Irror., OISCDUNT. If MV tu dut It p.ld within thr.. (5) e.lIndar ,onth. .'tlr tM dlc.dlntt. dllth, a flYI plre.,t (S)() dllaount 0' thl tdK p.ld I. allowld, TNTEREST I Intlrllt It chtrpd b.glnnl", '11th first dl", of dlllnquencv, or nine (,) lonthl and one (1) d.v frOl thl d.t, 0' dl.th, to thl dltl 0' PlVllnt, TIKI' whleh ble..1 dlllnquent bl'or. Januarv 1, 1912 bltr Inttrtlt It the rell of IlK (6;() Plrelnt pu annul alleul,tld It a dlllv rat. 0' ,000164. All tIMI. which bla... dlllnqulnt on or a,t.r Jenua~y I, 1'82 will bllr lntlrl.t at . rlt' which will v.rv 'rot clllndtr vI,r to oll.ndar v..r with th.t r.tl announctd bv thl pA o.p.rt'IOt 0' R.venul, The Ippllclbl. Int.r..t rat'l 'or 1912 through 19'5 ar'l xuc Inbr..t Rat. D.Il", Intlr..' Flotor xur Interllt Alt, Olllv Inttr'lIt Factor 1912 20X ,000541 1917 9X ,000247 1915 16X ,0mSI 1911.1991 IlX .000501 19" IlX ,000101 1992 9X ,000247 1911 lSX ,000556 1995-1994 7X ,000192 1916 lOX ,000274 1995 9X ,000247 ."Int"nt 1r clloulatld u folloWII INTEREST . ULANCE OF TAX UNPAID X NU"BER DF DAYS DELINQUENT X DAILY INTEREST FACTOR ....Anv Hotla. I..utd .,t.r the t.K bICOIt. delinquent will r.fltct 1M Jnt.r..t cIlculltlon to 'Ift.-n (IS) dlv' beyond the dltl of thl 11'1..ltnt. l' pIVwent II .Ide aft.r the Int.r..t coeputltlon d.t, .hown DR the HoUel, tddlt1on.l lntlrut ault b. a.leulltld. PlMPOSl: Of HOTlCE. PAMNT. RlrUND ICAlI 0: '" I . . To fulfill Ih. r_Ir_1t 0/ S..Uon 1lI0 0/ lhe InhorU..... one! E.llt. T.. Aol, Aot Ii 0/ 1991, (71 P,I, S..Uon 11401. D,tlClh the top porUon 0' thll NoUol Ind .tbllt with your plyetnt to thl R.,ht" 0' WIUI printed on the nv.,.. ,Ide. ... fWt, cheek or .oney order pIVlbl, tal REGISTER OF WillS, AOENT, All pIY.."h rlcll"td ,hall flr.t bl .ppUId to any Inter,.t which "V bo dul, with any re..lndtr .ppll.d to the tiM, A rlfund of . taM orldlt, which WII not nq.~..t.d on thl tlM r.turn, ..y b. requested by oOllPl,Ung an "AppllCllUon for R"W\d of Ptnnlylvanl, Inh.rltlnol and E,t,t_ TIM" IREV-UU>' Applleltlan. Ir. 1",1I1Ibh It thl OfficIo' the ~..lItlr of NUll, any of the 2] RIV.nul Dlltdet OffiCII or by clUing the ,plol,1 24'hour ."...erlng '.rvl01 ~r. for forll orderlngl In Ptnn'vlvlnll 1"800"362-Z050, ouhldl PlfvlIylvanl, Ind ..tint" 10081 H.rrhbur. .r.. (717) 787-1094, TOO' nl11 112-tts2 (Hurlng IIIP.lr.d Onlv). OIJECTIOHSI Any p.rty In Intl,..t not .athftad with the .pprlhl..nt, .1loNln~1 or dlllUowlnol of dlductlon. or ........"t of tax (including dheount or Intlrut) .. .hown on thh Hotlu ..v obj.ot within Ihh (60) daVI of rlnlpt of thlt Notlol bVI ....written pro tilt to thl PA OIP.rt..nt o' "IVlnul, BOlrd of App..lI, DIP," 2&1021, Harrhburg, PA 11121-1021, OR .....I.ClUng to hi'" the ..tt.r dlt.r.lnld at thl ludit o. thl ICOOunt 1J' the p.r.ontl raprlllntatl"., OR .....,..1 to the Orphan.' Court AlIllIN' IITRATlVl! C_CTION1. DISCOUNT. INTERrIT. Factu.l .rror. dl.eo".rld on thl. ......lInt .hould bt Iddr....d In writing tOI PA Oep.rtNent of A.VIOUl, lurtau of IncU"ldull Tallll, ATTNI POlt '.......nt R."I... Unit, DEPT. 210601, Harrllburll, PA l1ua"0601 PhonI (717) 717-6105. $.. plge ! of tM booklat .In.truotlon. for IntltrltWlCI Tax A.turn for I Auldent INcident" (AflJ-150l) for an .lfplenfttlon of adIIlnlttrttlvlh eorr.etabl1 "rei". If MY tlX due I, paid within thrH ()) ultndlr lonthl aftlr the dle.d.nt'. delth, I flv. p.relnt (S~) dhcN\t of thl tllC plld It IUovad. Intlrllt II charged bqlMlnt with ftrtt dlV of dellnquenoy, or nln. (,) 'onth' and ana (1) d.y frOll thl data of delth, to thl dlta 01 PIY""t. TaxII which b,,,... delinquent b.fe" JllnUary I, 1geZ bllr Interllt ',It tM rtte of dlC (6~J Plrll,"t par ~ oaloul.ted It . dailY rtta of ,001'164. AU t.xII which bleHU 1Jt1lnquant on or 1ftI' Janutry 1, 1912 will bllr Jnt"ltt .t a rttl which wUI "try frOll ellandar Yllr to clland" yur with thlt rtt. InHouncld by thl PA Dlp"t""t of Aavenua. ThI applIoabll Intarllt rat.. for nlz through I'" "" UK Int"..t A.tI Dally tntlrllt Flctor UK Int.rut ht. n.lly Inhrut Fletar 1911 lOX ,QQO"' 1911 9X , QQDI\I un 16X ,0QQ~I' UII.ml lU , QQQlDl 19" lIX ,QQIlOI 1992 9X ,QQQ2~1 un llX ,OQQU' 1993'199~ 7X .QQQ191 UN lOX , QQQ/I~ 1991 9X ,QQQUI "'Interllt h Cl1culltod .. follows 1 IHTnUT . IALANCE OF TAX UNPAID X NUHIER Dr DAYS DELINQUENT X DAILY INTEREST FACTOR ,,-Any Hotlee 1..UId .ftar thl t'K bloOltI dell~t will r.fllO' an Intar..' a.lculatlon to fifteen (IS) dlW' beVond thl data of thl ........"t. 11 Ply.."t II Hdt aftar thl Interll' CotIPut.t1on dlt. .hown on the NoUn, adcUtlonal Intlrllt .,.t be ealcuhtad. go '.... ('tl ~ \ ' I' '-'I -,I '1" :T.l . J ,11 Ijl ,') , f.) 'f'., 'u ;u I .,. ~'.t -" 'I)' (', ~.t, PAVItENT, UI ., 'J..', I'''> DetlCh thl top portion of thlt NoUcl and tub.1t with your ply..nt .,dt PIY'blt to thl na.. Dnd .ddr~n printed On thl rlv.rll ,ldl. If RESIDENT DECEDENT ..k, chick or lonlY ordlr Ply_bit tOI REGISTER OF WILLS, AGENT I If NOll-RESIDENT DECEDENT ooko chook or oono. ordo, ,,,oblo tOl COHHONWEALTH OF pENNSVLVANIA, REfUND eCR)1 A r.fund of . tlM crldlt, which "I' not r.quI.tld on thl TIM Rlturn, ..y bt r.qulttld by co~l.tlng 8" "Applloatlon for R.fund of PIMlvlY8nla IllhtrlhnClI end E,tat. Tlx" (REY-UU). Appllcltlonl .r. IVIUabll It thft O"lcI of thl Algl,t,r of Willi, .ny of thl 25 RIVlnut Dlltrlet O"lc,. Dr frol thl O.p.rt..nt', 24-hour IntWlrlng I.rvlol nueber. 'or for~. ordtrlngl In Plnn,vlv,"l, 1.800-562.2050, out.ldl P.nnlylv.ola and wlt~ln 10011 Harrhburg .r.. (111) 717.1094, TOOl (717) 772.2252 (Hllrlng Iapllr.1I only), REPLV TOI Outlt1onl r.glrdlng Irrorl contalnld on thll r.otlo. .hould b. addr....d tOI PA DIPart..nt cH RIYlnul, BUrllU of Indlvldu.1 TeXII, ATTNl POlt A.......nt Rlvllw Unit, DIPt, 210601, H:!rrhburg, PA 11128.0601, pnonl OI1l 711-6S0S, DISCOUNT' If any tl)( dUI II paid within thr.. (1) oalandar aooth. aftar the daudlnt'. dllth, .. flv. p.rc.nt U:() dhcount of thl tax paid II al1owld. PENAL !VI Th. 15X tax a.n..ty non.p.rtlclpaUon Plnalh II coaput.d on thl total of the taM and Int.,...t .......d, end not paid blfcr. JltlW'Iry 18, 1996, the flrlt day .ftar tha InCl of thl taM .lIOtlty plrlod, INTEREST I Int.rllt II chlrl1ed baglMJng with flr.t day of dlUnquency, or nlnl (9) aonth. and on. (I) dlY frol thl data of de.th, to the data of paYllnt, TaXII which b.o... deUnquent beforl JanulrV 1, 1982 bur Intar..t It thl r.ta of 11M (6X) Plrcint plr annul caleul,tad at a dally ratl of ,000164, All t,XI. which b,c"1 dtllnquant on end .ftar JlnulrY 1, 1982 will blar Jntlr'lt at . rlt. whleh will Vlry frol ellandlr Vlar to c.llndlr Yllr with thlt rat. ennouncld by the PA DIPlrt-.nt of Aavlnue. Th. Ippllcabla Int.r..t r.t'l for 1912 through 1997 Ira I V..r Interllt Rite Dlllv Int.rllt F.otor Vllr Interllt R.t. Dallv Intarllt Faotor 1911 20X ,OOOS41 1911 9X ,000147 19U 16X .00045e 1911-1991 III ,000101 19" lIX ,000501 1991 9l ,000141 I9IS UX .0005S6 1915-1994 n ,ooom 1916 lDl ,000274 199H99T 9l ,000241 "Int.r..t h ollculatad II folloWl1 INTEREST . IAWU1CE OF TAX UNPAID X NUHIER OF DAYS DELINQUENT X DAILY INTEREST FACTOR "'Any Notlc. IlIutd .ft.r ';hI taM becHtI delinquent will rafl.ot an Intarllt caloulatlon to flft"" U!\) daVI bevond thl dlt. af thl 1II'..IHn'. If PIYHnt II IIda .ftar thl Intar..t caputaUen date lhown on thl MaUel, IdcUtlonl1 Intlrll\ IUlt be cllculattd, PAyttENT, a.tlch thl top ~ortJon of thl, Notlel and lub,lt with your Ply..nt lad. plyablt to thl na.. and .ddr... print.d on thl rev.r.. Ilda. If REst DENt DECEDENT .... chock or .onay ard.r p.,.bl. tOI REGISTER OF WILLS, AGENT. If NON-RESIDENt DECEDENt ..k. chack or .on., order pO"bl. tOI COMMONWEALTH OF PENNSVLVANIA, RE~UHD (eA)1 A r.fund of . tlX crldlt, which WI' not raqua.tad on thl Tax Rlturn, I,Y ba r.quI.tad by cOlpl,tlng an ftAppllcltlon far R.fund of Plnn.vlvanla Inhtrltancl Ind Estate Tlx" (REV.1313), Applications .r. Ivallabl, at t~ O"lcI of thl Algl,t,r of Willi, any of thl 25 R.~.nu. DI.trlct Off1c,. or frol thl Oepart.,ntl, l~.hour Inlwlrlng "rvlel ou.b.r. for for.. orderlngl In Ponnlvlvlnl. 1-800-362-2050, out.lul PlnnlVlvanl. Ind within IOClt Harrhburll Irll (71n 767-8094, TOO' (117) 772-2252 IHurln; I.pltt,d only), REPLV TOl Qu.,tlon, r.gardlng .rror. contalnld on thl. notte. .hould b. addr....d tOI PA D.part..nt of R.v.nuI, Bur..u of Indlvldull hMtI, ATTNI po.t Allu'l.nt R.vl." Unit, O.pt. 280601, Htrrhburg, PA 11128.0601, phon. 17l7l 767-6505. DISCOUNT. If any taM dut I. ptld within thr., (3) cal.ndar lonth. nft.r the dICldl"t'. d.ath, a flv' p.rclnt (5~) dl'c~unt of the ttM Plld It ,110w.d. PENAL TV. Th' !SiC hit tMllty non"partlclpetlon p,nalty It eOlput.d on the tohl cf thl taM Ind Intlrut .......d, and FWIt Plld b,fon JlnUary 18, 1996, the flr.t d.y aftlr the Ind of till taM alnuty p.rlod. INTEREST I , Interllt II chirlltd bllllMlng with flr.t doy of d.lInqulncy, or nln. (9) lunth. ilnd ona (1) day fro. the d.t. 'of delth, to thl Qatl of pay..nt, TIM" which b.ce.. dlllnquent before Janulry I, 1982 b.ar Int.rl.t It the rat. of lhe (6iC) plrclnt plr annu. Cllcullttd at a dillY rltl of .000164, AU tlMU which bec".. dlllnqu.nt on tnd .ft.r Jenulry 1, 1912 N111 bllr Intlrut It I ratl which will vary frol ell.ndar Yllr to alhnder Yllr with th.t r.t. announc.d bv the PA DIPert..nt of Rlv,nut. The IPplJClbl1 Int.r..t r.tl. fer 1982 through 1991 Irl' Vetr Intlr..t Rat. Dilly Int.rl.t Fectar Vllr Int.rut Rat. DIllv Jnt.rut Factor IUI lOX ,000548 1987 tX ,ooom I9n 16X ,000436 19ee-It9l llX ,000301 196\ IlX ,000301 1991 9X ,ooom 1981 UX ,000356 1993'1'~ 7X ,ooom 19" lOX .000176 1995-1997 9X ,000147 -~Inttrut II cIlculet.d II followlI INTEREST . BALANCE OF TA~ UNPAID ~ KUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR "AnV NoUu InUld Ifttr tM t'M beCOIU d.llnquent will r.fl.ct an Intnllt cIlculltlon to flft"" UI' dlV. beyond thl dlte of the ......Hf'lt. If PlYHnt it tide Jlfttr the Int.rut Co.putlUon dirt. .hown on thl Hotle" tddlUon,l Intlrllt IUlt bt cllculetld. f)11 _t..~ /~ (. 0 '? - pal) 1.1 / - '/ I_ ;/" STATUS REPORT UNDER RULE 6.12 Name of Decedent I HJIht!oL D A t?>tJtU Bt:' \' Date of Deathl 2-17-'IL Will No. 1?'1l!- OCJZ,SL_ Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of tlll3 mlmin.lstration o[ tho above-captioned estatel 1. State whether administration of the estate is completel YesJ,,__ No___ 2. If the allAWOr is No, state when the personal representative reasonably belieVE'S that the administration will be complete I _____.." 3. If the answer to No. 1 is Yes, state the [ollowing I a. Did the personal representative file a final account with the Court? Ye!l___, No--X-.. b. 'rhe 80para to Orphans' Court No. (if any) [or the personal representative's account iSI c. Did the personal representative state an account informally to the parties in interest? Yes )( No , .' -- d, Copies of receipts, releases, joinders and appr<lvals of for.mal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. \!) t ,0( - 1", ::!o (2 U v<tl ;":'1. ~.l ".. ,Qa to It,] 7 m 1I1J q S- -tlj. .(9/l.li!. ',," '.) '. 0 N ;.1 ~ ~ .::... , ;" )/51'1 /ltll-tZ/E ('cvAlc Name (Please type or"print) 3'lPI ,t(a.,./cd SI. (~'''YJ I'll/Ii Address J 17f}) '737-0(/(, 1.( 'reI, No, ill " ~ \ " I:' III (.) ilJ <llCC cc ~~ " Xl iu t:: GO ,/ (MJllflrmf/AM3) CapacitYI Personal Representative ~counsel for personal representative