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HomeMy WebLinkAbout94-00258 ~. PETITION .'OR PROBATE and GRANT 0)<' LETTERS No. .Ji{L~ qLj.-oc:J.S8 To: 1.1/- /tj8-11 . Register of Wills for Ihe ._._. D('('('a.\I'I/. County of Cumber land In the Saclal SeL'llrllY No. _ 1 99_-:-l.!!.-069 0 .___ Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petltloncr(s), who is/arc 18 years of age or older anlhe exeeut ri x In the last will of the ubove decedent, dated ~Iay 8 _ and eodlell(s) daled (none) . Irene R. lIi..0?ensteel was orlqinall'y' alternate executrix. lieI' husband. --!'JaynT> C. llippenstcuL-.IlliIna.r.y.-CJ<ecut'or. rlieel ,1111\' 4, 1986. Eslale of M^,: s. 1I0Kll_____ also kllown as __"_____.____ named 86 ,19__ (slate rclcvlllIl drl.:IIllHlilIlCCS, e.g. rcnunclnlloll, dClllh of C.'(CCUIOC. etc.) Decendent was domiciled at death In Cumberland County, Pennsylvania. with ~_Iast family or principal residence at.-i2.LState Strc,et , \~est. I'airview. I'll 17025 (Ihl street. Ilumhcr and 11l1lllcipallty) Decendent then 89 years of age died ~Iarch B _.,19 94 at f1uly 'Spirit lIospital. Camp '11111. I'll , Except as follows, decedent did notmmry, was not divorced 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: Deeendent at death owned properly with estimated values as follows: (If domiciled in Pa.) All pcrsonal properlY $ 215,000 (If not domiciled In Pa.) Personal properly In Pennsylvania $ (If not domiciled in Pa.) Personal properlY in County $ Value of real eslate in Pcnnsylvanla $ 50.000 situated as follows: 456 State Street \~est. I'airview, I'll 17025 WHEREFORE, petitloner(s) respectfully presented herewith and Ihe grunl of letters theron, request(s) the probate of the last will and eodlell(s) t.estamentary (Icstnmelllary; ndmlnlllrntloll e.l.n.; ndmlnhtrnllon d.b.n.e.I...) E B 'O_ r "I i!.~ .'il ~o. 'tr~ 30 a Iii ./1., " il. f/el($t.J;). ~R. 1Tf&~ steel 620 N. Front Street IVormleysburq, I'll 17043 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OJ! PENNSYLVANIA }' 88 COUNTY OJ. ___ . The petitloner(s) above-numd swear(s) or lIfflrm(s) thlltthe statements In Ihe foregoing petlllon are true and correct to the best of th,: km'wledge and belief of petltloner(s) and that as personal represen. tUllve(s) of the above decedent p"lilioner(s) will W]I~d Irul~ admlnlsl.er the e9tat~reordlng to law. Sworn 10 or lIrnrl11e~nd snbs~rib,ed i' 'I4:N .r/( j.)1;fWim/;;}!.. III b f. I'. IT. d' liT;- ~. /)v, (_~ J~k}h/":7ij~;t.:--T9!Jll' ==--=--_. - IS f/(.(l/Uj. 7/ IIl.-,u)fJ,) t%~,..._ '___d. g (j f _ r . R('/i;Slcr l ~ " 't.' I"',,,., " "J ,_ .," [.' ," " l", , " . " ': 'J ,', " -,.' " ,I" .'n' 'I, ,"I '" , ,,' ,. ~., .,. '",',1 " \" ,II., ";1' " . :' " \',~-\1 ' 'Ii , ,"1' '" .. 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OJ'" ,./, :' ',; 1\,1 ' .,"'1' \ I ~' ' ",' .;,'. .:.1\ 'I,., i' ," ". ,. , ',-' , .-i/-, ;,.-,' ''', ,.",' I', :", "',!' ",. " e, _ ,L. I' e U 'f,......,r -, "'//'\\, d,~ -1 ,-,'" I'; i ,,: '~"i.~-, 1.1'1,'IIl~F.', l'.'l , ", CALDWELL & KEARNS A. PROrESSIONAL CORPORATION ATTORNEYS AT ~AW THOMAS D. CALDWELL, JR. . RICHARD L. KEARNS CAAL Q. WASB JAMU R. CL.IPPINOCR CHARLU J. DIHART, III JAMU D. CAMrar.LL, JR. JA"'U L. GOLDSMITH TIMOTHY I. MARK ",AIoiU Q. NtALON, III M;.TTHlW A, GaYlER DEBORAH A. CAVAelNI TIMOnlY W. ROMaCROt" 31531 NORTH F'RONT STRtET HARRISBURG, Pll:NNSYLVANIA 17110.1!l33 Band Deli vllred Mary C. Lewis Register of Wills and Clerk of Orphans Court COURT OF COMMON PLEAS OF CUMBERLAND COUNTY Cumberland County Courthouse One Courthouse Square CarliSle, PA 17013 Re: ESTATE OF MAE S. HOKE NO: 2194-025B Dear Ms. Lewis: May 24, 1994 , ........ -.' ,.~~. '" .,. .,-.,-.... --,.... gQ \d =l q~ ,J::", I , " 1.;..... ..eJ '-. " r,) C', .. :.] I 1"..) ;p" U\ ,...1. ().J . .-:~"!...~.-;I 717,.31.7061 'A~l 717'13"..'80 -0 :0 . 0> , fil (\ ,I' 'I ", -. " "'t 'e Please find enclosed herewith a check in the sum of $39,615.00 in payment on account of the inheritance tax for the Estate of Mae S. Hoke, who died March B, 1994. 'JDCJr/njd Enclosure QI\D^TA\JDC\99999\90D\'1027.1 Sincerely, Q, (J (-,~AI. f LS-~es D. Campbell, Jr. CALDWELL &. KEARNS (I( - ('1/.' - I ( INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) AIV.Il00 lK. 111.911 1. Roal E"olo (Schodulo A) ( 1) 2. Slock, and Bond, (Schodulo BI ( 2) 3. Clo,oly Hold SlockJPo~n...hlp Inlo,o,l (Schodulo q (31 A. Mo~gogo, and Nolo' Rocolvoblo (Schodulo 01 ( A) 5. Ca,h, Bonk Oopo,lt, & MI"ollonooUl Po"onol Propo~y( 51 (Schodulo EI 6. Jolnlly Ownod Propftrty (Schodulo F) ( 6) 7. Tronlf... (Schodulo 0) (Schodulo LI ( 7) B. T 0101 Oroll Allel' (Iololllnll 1.7) 9. Funeral Exponll', Admlnl'lrotlve Co,I" MllcellonooUl ( 91 Expenll' (Schedule tll 10. Oebl', Mo~goge lIablllUo" lien, (Schodule I) (10) ,1. T 0101 Oedudlon, (Iolallln.. 9 & 101 12. Nol Value of ellate (II no B mlnUl IIno 11) 13. Charitable ond Ga,ornmenlal Boquo", (Schodule J) lA, Nol Value Subjed 10 Tax (IIno 12 mlnUlllne 13) 15. Amollnl of lino 1 A loxoble 01 6% ,ale (Includo valulI from Schedulo K or Schedulo M.) 16, Amounl of line lA lo,oble 01 15% rolo (Includo valuOl I,om Schodule K or Schedule M.) 17. Principal lax due (Add lox from lino 15 and f,om line 16.) 'B, Credit, SpoUlol Povorty Crodil Prlo, Paymenl' Ol"ounl Intoro,l + _39,615.00 +----L,980~5 _ ___ 19. If lino lB I. greator Ihon line 17, enlor Ihe dlfferonce on lino 19. Thl'l'lho OVERPAYMENT, riD 20. If line 17 I, grealor than line lB, onlor Iho difference on lino 20. Thll lithe TAX DUE, A. enlor Iho Inlore" on Ihe bolunce due on line 20A. B. entor Ihe 10101 of IIno 20 and 20A on IIno 20B, Thl, 1,Iho BALANCE DUE. Ma~o Chec~ Pavable tal Rogl,t" 01 Will" Agont .. .IIUO TO ANlWII ALL QUUTlONI ON aMRII IIDI AND TO IlICHICK MATH". Under penalllo' of porjurv, I declaro Iholl hovo oxomlnod Ihl, relurn, Including accompanying "hodul.. and ,tolemonl', and to Iho be" of mv knowledgo and bollof, It IslruI, corr.ct and compl"I, I d,c1of.thol all r.al IIlal. has b",n '.ported ollru. marktl valul. D.c1aratlon of pr.para, oth., Iho., thl plrlonal "pres.ntatlv. I. balld on alllnfo,mallon of which preporor a' on knowledgo. UA I ~ U ADDAlIl .-- DATI JHA" I ".1,'tt,' .. 620 N. Front St., \~Drml<'ysburg, I'll 17043 :',)1,,1-1'1 'TIW1~HmIN!A'IVI ADDAII~ DATI (J '-:y_ II, r 3(dl N. Front St." IlarriHburg, I'^ 17110 '/r';'''f.r'r' I I!! ~j~ ~$i1 II ~ ! z ~ I ~ .OUAnJO.DlAfHAnIl12131/91 CHICICHIRI .. A II'OUIAL I'OYII" CIIDIT II CLAIMIII 0 PILI HUMIII 21 ~, " , ~.J#~ COMMONWlAllH O! PlNNIYIVANIA DIPAA!MIN! 0' A\VINUI om 21060 IlAUIIIU!O. 'A 17121.0601 ~ 's HAM! I~A~T, flU', AND MIDDU INITIAL) HOKE, ~IM: B. 94 0250 COUNry CODE -us 456 Atate St. \vpst l;'nj rV.1ew, P^ 17025 YEAR NUMI!R SOCIAL secumv NUMIU ~DmH-fml'Ofiii H ,2/8/94 I 2/2/()<i o 2. Supplemenlol Rolurn o 40. Fulure Inlorlll Compromho (for dal.. 01 dealh ahor 12.12.B2) o 7. Oocodenl Malnlalned a living Trull (ANach co al T "'I) L TAX I 11OtIIHOULD .. D1IICT1D TO. M 199-38-()690 ~ 1. Original Relurn o 4. limited E,'ale COlin! Cumberland o 3. Remalndor Relurn (for dalll 01 do.lh prior 10 12.13.B21 o 5, Federal ellalo Tax Return Requirod _ 8. Total Numbor of Safe Dopa," Bo... rxJ 6. Ootodonl Died T..lale (ANach cap of Will) ALL COIRIIf'OtfOlNCl AND CON" I Campbell, Jr., EHquir0 3631 N. Front. Stroet Harrisburg, I'll 17110 N M 717 -~ 232-7661 69,3C:~5.85 19,481.27 \ ,II , 207,886.56 21,000.84 ( 8) 296,723,68 2,511.56 (11) 23, 512..40 (12) 273, 211.28 (131 __-300.00 (1 A) 272, 711.,28 (15) ___M .06. (16) 272, 711.28 M .15.. 40,906.69 (17) 40,906.69 41,595,75 C"l'(~ fll'll' II VOU (Ill' INIUl'\llIIfj U Il.fund of VUU! OVt"puvnwnl (lB) . (19) . 609.06 (20) (20A) _ (20BI IIAFCU'M DEFENSE ACTIVITIES FEDERAL CREDIT UNION ADMINISTRATIVE OFFICE 5275 E. Trlndle Road, P,O, Bo" 40 Mechanlcsbur9, PA 17055.0040 Tel: (717) 697.1161 1.800.283-2328 SHARE SAVINGS ACCOUNT: 1 2 Account 'Number/Suffix 3054 -00 N/A Date Opened 9-14-5/1 Principal Balance at Date of Death $3,191.39 Accrued Interest to Date of Death $2.20 Name of Joint Owner, if any None CHECKING ACC~: Account Number/Suffix N/A N/A Date Opened Principal Balance at Date of Death Accrued Interest to Date of Death -- Name of Joint Owner, if any INVES1~ENT SAVINGS ACC~I Account Number/Suffix N/A N/A Date Opened Principal Balance at Date of Death Accrued Interest to Date of Death Name of Joint Owner, if any CERTIFICATES OF DEPOSIT: Account Number/Suffix N/A N/A Certificate Number Date Purchased Rollover Dates, if applicable Value, including Interest at Date of Death Name of Co-Owner, if any Maturity Date Interest Rate Accrued Interest to Date of Death fUeial Estate of MAE S. HOKE Date of Death 3-8-94 Social Security No. 199-38-0690 3-24-94 Date Prepared Claims Representative Title ~:~ COMMONWIAIIH 0' P1NNlnVANIA INHUtlAHCI 'AX mUIN IlIlOINl OICIOIN. J 5CHEDULI H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES 11'1.111111'1'-"1 mATI 0' MM: S. f10KE: 21 94 0258 ITEM NUMBfR A. DISCRIPTION AMOUNT 1. Punll,1 bpln..., (I'unoral Prepaid) ROlling Groen Cemetery 575.00 1. Admlnl.II,Ilvl Co.I., Parlonal Repl'lllnlallYl Commllllons Irone R. Hippensteel Social Security Number 0' Plllonal RlprellnlallYlI 205 - 09 9411 1994 V.ar Commllllons paid 10,000.00 II, 2. Allorney Fees caldwoll & Kearns 10,000.000 3. Family Ex.mptlon Claimant R.latlonshlp Addl'lll 0' Claimant al d.c.d.nt's death S'ree' Addr," City 4. Probal. Fees C. MI.c.llaneou. bpln.", 1. Carlisle Sentinel 2. Cumberland yO. Law Journal 3, 4, 5, ., 6, 7, 8. S'at. Zip Cod. 317.00 68.84 40.00 TOTAL (Also Intll on line 9, Recapitulation) (If more .pacI I. neerllel, 'nHrt aeldlllonal .hHII of taml .1.1.1 S 21,000.84 '! WILL , I OF I' I MAE S. HOKE d I, MAE S. HOKE, of the Borough of West Fairview, Cumberland County, PenmlVlvania, doolare this to be my last will and revoke Hny will previoUflly made by me. ITEM I. I direct that all my just debts and funeral expenses, includin~ my gravemarker and all expenses of my last Illness, and any and flU Laxefl and nfIseflsments imposed by any governmental body as a result of my death, whether en property Pflsslnli under this will or otherwise, shall be paid from my residuary esLate as soon as ,~ '" practicable after my decease as a part of the expense of the fldminisLration of my It- " \,0 , p,: ~ !I I I 1 .:~ II \J (~ (' estate. ITEM II. I gi ve and bequeath all of my household RoodS, flutomobiles, jewel ry, find all other artioles of household and personal use, equipment and ornament, tORether wHh all insurance thereon and relating thereto, to WAYNE C. HIPPENSTmL of Wormleysburp;, Pennsylvanifl, provided he survive my deflth by six\~y (60) days. Shculd the sflic:l Wavne C. Hippensteel predeoease me or be deceased on the sixty~first day after my death, I gi ve, dev ise, and bequeath all such items and insuranoe thereon to IRENF. R. HIPPENSTEEL of Wormleysbur'g, Pennsyl vania. ITEM III. I gi ve and bequeath the sum of Fi ve Hundred ($500.00) Dollars to the UNITED METHODIST CHURCH of West Fairview, Pennsylvania. . l, 2. 3, 4. 5. 6. 7, 8. 9. 10. 11. 12. D. 14. 15. 16. 17, Inventory 01 the real and personal estate of 1I0KE. MlIE S. deceased 456 State St., West I'airviow, PlI 19 U,S. $1,000 Savings Donds, series 1111 ,DAFCU Share Savings Account ~3054-00 f1l1RRIS Savings Dank Certificate of Deposit PNc Bank Checking lIccount ij5140114104 PNc Savings lIccount ~5130110825 PNc Certificate of Deposit ~1003160012828 PNC Certificate of Deposit #1083160012829 PNC Certificate of Deposit #1083160012830 PNC Certificafe of Deposit #1083160012831 PNC Certificate of Deposit #1083160012833 I'urniture, I'urnishings, personal efCepts' I'ederal Income Tax Refund Pa. Income Tax Refund Blue Shield Refund Donegal Mutual Refund of Insurance Premium Bell of PA Refund '. , ..'~, ~_'~ 1.( ~"': ,,', ';(1. .. r-",' , /u, '.... , t') . } '.'l i .i.~ i .",1. LC , ,.:'1 S , uq " , #10-13-818755 I , :11 . .~.,. .,' I, i I ..' '" III 69,355 85 19,481 27 3,193. ,59 26,481 50 111,025 97 16,179 86 10,510 27 10,510 27 10,510 27 11,430 70 6,378 92 1,000 00 409 00 88 71 93 33 69 50 4 67 296,723 8 COMMONWEALTH OF PENNSYLVANIAl COUNTY OF CUMIIRLAND /~Z/''-<.-y SlI _'_._ ._J~e!~__I~_~i!:!,enste.:.!:...___.__._______. being duly ___~!..'!___ _.____ according 10 law, depol81 and "YI Ihat she is the __.!::~::?utrix _,___u..______o.___....._ 01 Ihe Ellalo 01 ~lae S. lIoke leI. 01 _.t.!'e,~.()~()..u~h..()f_.W.()s_t ..r.~~.rv.~().V<..__. _....._________, Cumberland Counly, P.., d,cellld .nd th.t the h d b her h Id Executrix wit In II an Invenlory ma e y ,,-______........____._____._ ____', t . II 01 Ih. enflr. "Iale 01 uld decedenl, conlhllng 01 all Ihe pellon.1 prop'~rly and real "lat., .xc.pt rill ,,"I. oullld. th. Commonwllllh 01 Pennlylvanla, and Ihel the IIgur81 oppolll. uch lIem 01 the Inv.ntory repr...nt 11'1 1.lr v.lu. u 01 Ih. dal. 0' decedenl'l dulh. -~t. lIugus~q, 19 ~) NOf/,AIM SIl.l rAYL POI1lIGl H. Not'IY Pulllie Ilarl;\bulg, ll~uOhin Counly C rnmiSI'nn hplfCIJulfj1, 19% DIY 94 _..Jk1U "f ~u>~;t;:L ~. . A1Imfnlrtrm, Sworn and lublcrlbed belor. me, __ Irene..B.~pensteel 620 N. Front St., Normleysburg, PA 17043 Add"" Oal. 0 March Month 1994 Vu, INSTRUCTIONS I. An Inventory mUlt b. lIIed within three monlhl alter appolnlment 01 pe/lonal repr"entatlv.. 2. A luppl.ment Invenlory mUll b. flied wllhln Ihlrty daYI 01 dllcovery 01 addlllon.1 lII.h. 3. Addlflona'lheell may be a"ached " 10 pmonally or really 4. SII Arflcl. IV, Flduclerlu Acl 01 1949. .c1 0> ~ 0 1 ~ I!! H r2 ~ g. g ) j 1 (), w ~ III l,. ~ .... I ..I j!; g. ~ u. ~ i 0 0 !:l .... U. ..I 111 :I- o ~ 0 ~ j '" ~ :xl o Q , ~ ~ - ~ ~ III III ~ ~ g. ~ J '0 I ~ ~ 1 I REV-1547 EX AFP (08-941* COHHOHWEAl HI OF PEHH!iVlIJAHIA DEP,nTHEHI Of REVEHUE NOTICE or INNERITANCE TAX SURE'U Of INDIVIDUAl mES ' APPRAISEHENT, ALLOWANCE OR DISALLOWANCE ~\:~isi~:~~lp, 111/a-R601 ' or DEDUCTIONS AND ASSESSMENT or TAX DATE 12-19-94 mi\ffOJ: HaRE ~ = FI~E NO. -0258 DATE OF DEATH 03-08-94 COUNTY CUMBERLAND NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION or THIS FDRH WITH YOUR TAX PAVHENT I'D THE REDISTER OF WILLS. HAKE CHECK PAVABLE TO "REDISTER OF WILLS. ADENT" REMIT PAYMENT TO: 3 -/5;),-1 1,1 d,f' 1) ACN c.. 101 JAMES D CAMPBELL JR ESQ 3631 N FRONT ST HBG PA 17110 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLIS~E. PA 17013 Eount R.ftl~hd l CUT ALONO THIS ~INE ~ RETAIN ~OWER PORTION FOR YOUR RECORDS .. iiiv: is,jj "Eie" AFii - f OS-: 94 Y - tlo"fi cnifi - INHEii i TAN OE. "fAX. AP PRAiSEifE'NT ~.. At UiwAi(oE" iiFi -"......". - - -" - -- DISA~~OWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX MAE S FI~E NO. 21 94-0258 ACN 01 ESTATE OF HOKE TAX RETURN WAS I I X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VA~UE OF RETURN BASED ONI ORIGINAL 1. R..l E.t.t. ISoh.dul. Al ~, Stook. .nd Bond. ISoh.dull BI 3. Cloally H.ld Stock/Partnlr.hlp Intar..t ISchldula CI 4, Hortglgl./Notl. Rloalvlbll ISchldull DI 5. CI.hiBlnk Oapo.lt./HI.o. Plr.onal Proplrty ISehadula EI 6. Jointly O.nad Proparty ISchldula F) 7. Tr.n.flr. ISchldula 01 8. Tohl Aluh III 121 131_ 141 151 161 I7l APPROVED DEDUCTIONS AND EXEMPTIONS I 9. Funlrll Expln.../Adft. Ce.h/Nhe. F.xPln... I Schlduh HI 191 10. Dlbh/NoFtglgl LllbIlIH../Lhn. ISehadull II (10) 11. Tohl DldueHon. 12. Nit VolUI ef Tax Rlturn 13. Chlrltabll/Dovlrnftlntll B..u..t. ISchodull JI 14, Nit VIlul of E.tat. Subjlct to Tax NOTE I RECEIPT NUHBER MM886116 DISCOUNT I') INTEREST I - I 2,045.33 o \' .. CJ 69, 3i55 :,85 ~ 19.4&11.:27 1'4 ~::: ... "'!l~0 207.8atl;;$6 .00 .00 lBI \CI ,"'" DATE 12-19-94 :Do> (0 (J f~,'l , - .' .' ~:. ' } en -.I ~ ~, 7.-::\ U) ~?. 296,723.68 2) ,000.84 2,511.26 Ill) n.~!:' 40 (121 _273,211.28 1m 500,00 (1'1) 272 , 71 !..:1! ,00 X .00, . 00 X ,06, 272,711.28 X.15, (1B) ANOUNT PAID 39,615,00 TOTA~ TAX CREDIT BA~ANCE OF TAX DUE UITEREST TOTA~ DUE If an assessment was issued praviously, lines 14, 15 and/or 16. 17 and 18 will reflect figures that inolude the total of abh returnl assessed to date. ASSESSMENT OF TAXI 15. Anount of Llnl 14 at Spounl rlt. 1151 16. Anount of Llnl 14 taxabll It Un.al/Ch.. A rato (16) 17. Aaeunt ef Llnl 14 taxabll It Cellat.rll/Cll.. B rltl 1171 II. PrincipII T.x Dua TAX CREDITS I PAYHENT DATE 05-26-94 .00 .00 40,906.69 40,906.6..2- 41.660.33 753.64CR ,00 753.64CR . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TDTAL DUE IS LESS THAN .1, NO PAYNENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU HAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,) RESERVATION' Elt,t.. of decedent. dYing on or b.for' O,clMi.r 12, 1982 .. If any futura Int.r..t In the ".tata It trlln.flrrld In po.....lon or .njoY'lInt to Cla.. I (colllt,r.l) b.n.flcJ.rl.. of the dle.d.nt after thl 'Mplr.tlon of any a.t.t. for lIf. or for VII", the COHonw..lth her.bv IlCprelltv r...r..... th. right to appr,h. and ...... tren.hr Inherltanca Ta)(l' It tht J...fuJ Cla.. I (colllt"t!) rat. on IIny such futur. Inter..t, P",POSE Of MOTlCEI To fulfUI the requlre",ntl of Station 2140 of the Inherltanc. and E.bt. Tu Act, Act 22 of 1991. 72 P,S, S.ctlon 211t0, PAvttENTI O.t.ch the top portion of tnlt Notlct and lublllt with ycur pay..nt to the R.gltter of WUII prlnt.d on the ,."."a slda, "HIke eh.ck or 1I0n.v ord.r pavabl. tOI REGISTER OF MILLS I ADEMT AU pay..nt. rae.I....d .nlll flr.t b. appllad to any Intarllt whlch..y bt due with anv r..alnder appll.d to thl t.lC. REFUND (eA)1 A r.fund of , tlIC crtdit, which WII not rtqullt.d on tl\a TlIC A.turn, ..av bl raqu..tad by cOIIfII.Unll an "Applloatlon for A.fund of ponn.vlvanl. Inhlrltancl and E.tat. TalC" (REy-nUL Application. arl av.lhbl. at th.Offlc. of the Algl.tlr of Will., anv of thl 23 R.v.nu. Ol.trlct OfficI., or bv calling tha .p.olal 24-hour anllftrl"g ..,...Ic. nUlblr. for for II ordlrlngl In P'MlYlvanla 1-800-562-2050, ouuldl PIMlvl...enl, and wUhln looal Hlrrhburg ern '117) 711-11094, TOOl (717) 772-ZZS2 (Hltrlng hlPllred Onh), DIJECTIONSI Anv party In Int.r..t not ..tltfl.d wltn the appral....nt, allowlnCl or dhallow.ncll of dlduotlon., or ........"t of tlIC (Including dl.count or Intlr..t) ~I Ihown on thll Notlo. IUlt objlct within ,'_tv 160J dev. of rlcllpt of thl. Notlcl bVI "wrlttln prot..t to thl PA OIPart.tnt of Ravlnu., !laird of Appull, DEPT. ?81OZI, H"rhbur" PA 1712.-1021, OR ...llotlon to ha.... till ..Uer daterlJn.d ot audit of thl account of thl perlonll rllpr.untltlll., 0" --'PPIII to thl Orphlnl' Court. IDltm ISTRITlVE CORRECTIONSI FlotUI' .rror. dl.cov.r.d on thJ. ........nt Ihould b. addrl...d In writing tOI PA CIP.rt.lnt of RIV.nul, Burlau of Indl...ldu.1 TaMil, ATTNI Po.t A.......nt R.vl.., Unit, DEPT, Z1I0601, Htrrlluur" PA 17128-0601 Phon. (717) 787-6Sn. S.. pa,1 ] of thl bookl.t "Inltruotlon. for Inhtrltanol Tile Rlturn fa, I A..ld"nt Olc.dlnt" (kEy-tsOlJ for an IlCplao.tlo" of adllnhtrltlv.lv corrtotablt errl'Jrt, INTEREST I If IIMV t'M dua 11 paid within thr.. (]) cal.nder lontl'll .ft.r the d.cldent'. d..th, a flvI perclnt (S~) dhoount of thl t.lC plid I. Illo...d, . Inter..t It fhlrged bel1mlF'll with fir.t dav of dtllnqvencv, or nlnt (9) IOnthi and OM (I) dlv fro. thl dlt. of death, to thl dlt. of PIVMf\t. TIM" which b,ol.. delinquent b.fora Januery I, 1912 b..r Intlr..t It tht rat. of lhe (6~) parc.nt ptr .MUI o'lculattd It I dilly r.t. of .000164, All tau. which blOH' del \nqulnt on Ind aftar Janulrv I, 1912 will bltr Inttr..t It . rltl which will vlry frol c.l,nder v'lr to o.llnd.r v.., with th.t rntl announced by thl PA O.plrtl.nt of Rlvenul, Th. Ippllcabll Interllt r.t.. for 1912 through 199tt aral DISCOUNT I !!!! Intlr..t A.t. Dllh Inter..t flotor :!.!!! Interllt R.tl O.llv Int.r..t Faotor 1.11 lOX ,OOOS48 1.16 IOl .0002/~ 1915 III .00045. 1'17 .l .0001~7 19I~ III .ooom 1911-1991 III .000SOI I.U lSl .00OSS6 1991 .l .000247 199H'" 7l .0001.1 1995 .l .000247 -~Intlr..t 1. c.lcul.tld II follow. 1 INTEREST . BALANCE OF TAX UNPAID X NUNBER OF nAYS DELINQUENT X DAILY INTEREST FACTOR "Anv Notlc. I..ued Ifter the \1M beco... delinquent will rafllet an Int.rt.t Cllculltlon to fllt'en CISI dlY' blvond the dlt. of thl ........nt. If PIV,"",' It IIdl Ift.r thl Inter..t COIPUt.t Ion dati .hown on thl NotlCI, Icktlt!on'l Inter..t .u.t b. cIlculttld. , llti\,rI\l3J,~S!/'I:'I":' -'.',' - fi(,:;,~;., \1'; ;'$11';.,:1,,1 .' ~;I" ,'t j~ '\-:L'"l(",t. ,.' U, ' " \ I'; I ' L;I,!~/~',,;'/,:'nfl~j,_:, - '" ' I 11"l. i'lr'l/ ~.'J~.~:r\i)'" ,/' ,,' 'f'!~r ~l? ~I '\ \l \ \:., , ' ,I , J~ J~l'-J~l \,,, \ :'.. \ (,.II',,', 'ti;I!, \'" \\{!, ,J, {, I, ;',1' !J,t"~!~"'~lll" i,.~I!".!,11 ", hi' ~~'jlll'/"" \\"'1)'(1/'. \', ~I, tl~(."'t';.I'..I' "':,l \ 'j\~"I4. I. 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I"~, .,j' ~0 . 11' 1\>1 ;::' " u " r,': I' ~ , I) ,J., , (\. ~ ) (J l-:-J ~OL I:; '.;l -..) :0 :JJ CD \\. '.) :,', C, ,) iii' (1 ..-t. PIVItENT, O,tlch the top portion of tht. Hotlc~ Bnd subMit with your plv..nt led. paY'blt to the na.. end addr... prl"ttd on thl rIVlr.. .Idl. If RESIDENT DECEDENT uk, chick or loney ord.r paYllbh tal REGISTER OF WILLS, AGENT. II NON-RES1DENr DECEDENT .... chock or ..n.. order p".b1. to, COMMUNWEALTH OF PENNSVLVANIA. All Ply..nt. r.cIJvld .h,11 b, a~pllld flr.t to any lnter..t whJch .ay b, due with Iny rll.indtr apPlled to the tlK, REFUND (CAli A r.fund of . t.~ orldlt, which wat not requI.tld on th. Ta~ Rtturn, .ay b, rlqul.t,d by cOlpl.tlng en "AppllcatJon for R.fund of Plnnl.,.lwlnJa Inherltancl Ilnd Eltata TlIlC" (REV-U13), Application. ar. available lit the O'flc~ of thl Rlgl.t,r of Wlll'., any of thl 23 Rlv.nue DI.trlct OffJoI* or froR the D.part'tnt', Z4-hour anlwlrJng ..rvlct nu.b.r, for for~. ordlrlngl In Pann'Ylvanla 1-800-36Z-205Q, outlld. P,nnlYlvanle and wlthJn tocal ttarrhburg arn (111J 7&7-8094, TOOt {7ln 772-Z252 (Hurlng hpftlr.d only). REPLV TOt OuI.tlO'" regarding errort contalnld on thlt notlc. .hould bl eddrUlld tOI PA O.purtl.nt of R.vllnu., aur..u of Individual Taxll, ATTNI POlt AII..I..nt AIlIVllw Unit, Dlpt, 280601, tlftrrllburg, PA J7J2&-060I, phon. 11171 181-6505. DISCOUNTI If any taM dul J. paid within thr.. (3) callndar tonth. nftlr thl dtc.d.nt'. a.ath, a flv. p.rcent (S~) dl.nount of the tax paJd I. allowld. INTEREST I Jnterllt It r.hlrged blglnnlng with flr.t day of dtllnqulncy, 01 nlnl (9) lonthl Ind one (1) day fro. thl d,te of d.ath, to the date of pey..nt. TalC" which blea.. dl1Jnqulnt blfore Jenuary 1, 1981 bur Inter..t at thl rat. of .tIC (6iO perclnt plr annul calculatld at a dally ratl of ,000164, All tau. which blea.. dtllnqu.nt on Ind aH.r Januery I, 19&2 will bur Inter..t at n rate which will vary frol cal'ndar Ylar to cahndar Vlftr with that rat. announc.d by thl PAl n,part"llt of Rlvlnul. Th. appllcatlll Int.reu rat.. for 1982 through 1995 ar" Vur Jnterllt Rat. DailY lnt.r..t Factor VlIlIr Inter..t Rlt. DeilY Int.r..t Fnctor J98l lOX ,000548 19117 91: .000l41 19U 16% .000438 19U'1991 11% ,000101 1984 m ,000301 1992 91: .000241 1985 131: .000156 1991'1994 '/'I, .000192 1986 m .000214 1995 91: .000241 .-Inter..t I, o.lculated e. folloWIl INTEREST . BALAHCE OF TAK UNPAID K NU"DER OF DAYS DELINqUENT K DAILY INTEREST FACTOR -.Any Hotto. I~.u.d bftlr the taM bloo... d'llnqu.nt will r.fllct an Int.r..t calculation to 'I't..n (15) ~.y. beyond thl date 0' th, u......nt. If ply..nt It .ed. aftlr th, Int"..t coltPutetlon det, .hown on tht NoUc., addJtlonll Inter..t IU.t b. oalculat.d. '"WoO, ,. STATUS REPORT UNDER RULE 6,12 Name of. Decedent I MM~ S. 1I0Kg Date of Deathl 3/8/94 Will No. 21 94 0258 Admin. No. ------------ -- Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I roport the following with respect to completion of the administration of the above-captioned estatel 1. State whether administration of the estate is complete: Yes x No 2. If the anRwer 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 fOllowing' a. Did the personal representative file a final account with the Court? Yes No x b, 1'he separate Orphans' Court No. (if any) for the personal representative's account iSI c. Did the personal representative state an account informally to the parties in interest? Yes ,x No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. \.}l / () ( (/ / ~.lgna ture . 1/ JamT>S D. Campbell, Jr., gsq. Name (Please type or print) Caldwell & Koarns 3631 N. I'ront St., lIarrisburg, PlI 17110 AddroSS-- Datel 1/11/94 0 15~ ~- ~ 0(1) fll~3 oq- o . :'> n.. '.1 ri ~l ,. 'I~ "U ... " \ (J ... ,,'0 ,1., l. 1- .,j> l'~ ~ , ' ~g U :.) .. ."..-. III ~ gl ~ ~s a:CI: ~ ~2J. 23(.-7661 Tel. ~-----. CapacitYI ____Personal Representative x Counsel for personal representati ve (MAHlrmt/AM3) " ~ ~