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HomeMy WebLinkAbout94-00262 IHO!ll1111fV 8-t!1l 1~[E fon HUS CUllJfICA-IE 1100) WIIIlNINCi: I r I~; Ill.LllAI. TU AI.IIIi IIII~; CUPI' UIi TO lIlJPIICA 11 r11' PliO ros r A'I (Iii I'll<rf nOHI\I'11. COMMONWEM.TlI or I'ENN9VlVANIA UEPAnTMENT or HEAl.TH VITAl. nrconoa LOCAL REGISTRAR'S CERTIFICATION OF DEATH CERT. NO. 2120880 ~f!r.M#J,.jl/r qqi/._ l.\lflfltIUI'OIr, ,t'I\{",/rl\~'I"l:- Name of Decedent _._.____~llJ.1t.k.?I)/J{:-:.. . hi. .hn'".' _.. .__.fJM7!:8....__..____ 111~1 I.'''U" 1,1.1 Sex _._n:L_____Soclal Security No_./7d._-:O/-:...7tztJZ_._.. h.Dato of Donlh...Jh-:'._?-f.s!-_.__. ::t:eo~fB~::t~.~Pa.~;:-l;X:~hPlae{~ ~~)f4f~~UfL;L.... .h... /~.....;::~;~;-~~.:-~-~~ __ _________._lIC . AL f);fJ}J/L-,j)tllj2JjjNL/l: _lixc__ ._ ........_Y....IUJ!. Race 7b F~:~~m:t1on ",='>t:tUI r! .- I/~"'" Armod For::~;"'~'~~' ~';'~': _.1Al1!L/t..___.. P......____...l..._.A_.___ ..._...... . .. ()...._._...._._ ______ t ' L Decedont's j).f J/(, . / ,- 1- -.tI. /70 - Marltnl StntliJ 't()/ bi1iLt2'.__...../aillng Address,-,,;,;~,;;.-.jJI)Y.:SIj.Nt;;h-..bM)~'J'{A.--~!?""""._--_ ~~~::~~ 11fr~)J~/)~}~LCOjjf!thii Funoral Dire~:;; ,u/JU ill /kt.C~. fi(l~ffiJl:tWlj._-_...... Funeral Establlsh~J.l/JllYJi_LS_...):"}L'L./)1i /!L-'l-tyJi j. &{.d~l!lnl~~J:~"~-t;~-V-n'B~t~ee;;-- Part I: Immediate Calise : ~nJet nnd Death (a) -J1Lilj}L1lJt;l;fl:.~jf/f/(lltF. .... _ .m... hU... _n_.._.._u.._.ny!.I-~LLtL_______ (b) ~j I t. _!JJ.JjIJLl!lt'.tJ/....IJ..~_. Ilvf..IJt..'f/ 1.lI'd..nh._.....______._..!__lILJ_____ (c)_fJtJ1J2NjL_/~eJLb?J.I..1---_..~T_~lJ.e~C....._.____._;-iU'(L._____ (d)_(!IM/1~<( __4JJiEf!..({;~S(!kti{JJ{s._.u.__._____.___._,j_ /1 JQ..____ Part II: Other Significant Cond' Ions Manner 01 Death: Natural ct Homicide 0 Accident 0 Pending Investigation 0 Suicide [1 Gould not bo Determined 0 Describe how Injury occurred: Name and Tille of Certifier .____.____.jJl!./)f'.../;,~.Jgt:!.r{Qn.__.._.......__......___.__u.__.__.____ Address _..1..~~o _.~OI:![JO!.J..bde<!-._t!J.._~/!]f:!:IJtxI..(9It/l){12.(~~~'..' =o~:~~oner. M,E,: This Is to certify thnt the information horo qivon Is corroctly coplod Irorn un original cMtiflcate of denth duly filed with me as Locnl Roglstrllr, Tho . qinnl cortificil(lO III be forwardod to the State Vital Records OttlGe for permanonllilin\], .. ':b /- . ~ . ..7. ..,__' It:lJl.l&110_Z _.. .., _', .."" . _ !&~;o.r;d ~; - . ..' ,., /,,,,41,, f . . .'t1t!~;:;/~_ t,1.. 1....,111.<111 h( I.'" ,II IINirIM!'~ 7 . .'" 'l.fI!'l, L II 1I"",,,!.t, lo...nv,'1' ~ CERTI FICATION OF NOTICE UNDER. RULE 5.6 ( a) Name of Decedents Clarence W. Powers Date of Death. March 8, 1994 Will No. lQQ4-00767 PA No. 2194-0262 Admin. No. To the Registers 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 of the above-captioned estate on M:ilr"("h 'J~ 1 Qqd S Name Address 17055 Ronald W. Powers 39 Presbyterian Drive, Mechan icsburg, PA Barry W. Powers 270 N. Harrisburg Street, Stee1ton, PA 17113 Bet ty Mae Fishel R.O. # 2/ Box 131A Di11sburg, PA 17019 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except N/A \A " Ja e M. Alexander, Esq. 148 S. Baltimore Street ress Di11sburg, PA 17019 ., () 0, , " '1".,( 1;1. f " , . Telephone(7171 432-4514 i, i..... 1'1 Capacity I Personal Representative 1-" ~ ~, j " " (()I)" 1I: . .~~ 1 f)\, ~:!:i UU __~ Counsel for personal representative t ..:/ '/ ., ~/ ~EVol!l47 EX AFP 112094'. CDMl'fOHWUl TIl OF PEHHSVI.VAHIA DEPA.THEN! OF .lVEHUE NOTICE OF INHERITANCE TAX BUREAU OF IHOIVIOUAl UI" APPRAISEHENT, ALLOWANCE OR DISALLOWANCE ~~:~is:~~:1 PA 111!8-0601 OF DEDUCTIONS AND ASSESSHENT OF TAX DATE 05- 08- 95 mATE OF P~ERS - CLAA!N -.~ "= - FILE NO. 4::-0-26"r-- DATE OF DEATH 03.08-94 COUNTY CUMBERLAND HOTE. TO INSURE PROPER CREDIT TO VDUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FPRH WITH YOUR TAX PAVHENT TO THE REnISTER OF WILLS. HAKE CHECK PAVABLE TO "REGISTER OF WILLS, ADENT" REMIT PAYMENT TO: /'1 /111---/ 0J; ACN 101 JANE M ALEX^ND~R ESQ 148 S BALTIMORE ST PO BOX 421 DILLSBURG PA 17019 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 l A.a~nl '~ltt.d CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ... REV: is'(.-i" E;C "A j:;;" n '2"= 94 Y" NOT i c r"o F - "iNti ER i T A1fcE" TAX - 'iiPPRifi S EifENT ~--A L rowAN"c EO oli- - -" - """ no -"" - -. DISALLOWANC~ OF DEDUCTIONS AND ASSEDSHENT OF TAX ESTATE OF POWERS CLARENCE W FILE NO. 21 94-0262 ACN 101 DATE 05-08-95 TAX RETURN WAS I ( X) ACCEPTED AS FILED ( ) CHANDED RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE OlJ \ (~ :n C i .orl<'1 APPRAISED VALUE OF RETURN BASED ON: ORIGINAl. RETURN " ," " I. Rill Elt.t. (Sah.dul. A) (1) 56.000.00 2. Stackl .nd Bond. ISeh.dul. D) 12) .00 ::.~ 3. Cle,"I~ H.ld Steek/p.rtn.r.hlp Int.r..t ISoh.dul. C) 13) ,00 I 4. Harty.g.I/Nat.. Rle.I..bl. ISohodul. D) 14) ,00 U\ 5. CI.h/Blnk nlPeolts/Hlse. Plrlonal Property ISohldul. El IS) 33.805.57 6. Jalntl~ Ownld Prap.rt~ ISchldull f) 16) ,00 ". 7 . Trlnsfer. CSchedule 0) 17) ..",; 00 " ,~ Ol. j . -' 89,B05.51 B. Tetel Alllts IB) APPROVED DEDUCTIONS AND EXEMPTIONS: - 13,403,81 9. Funerll EXPlns../Adn, Coati/Hila. Expln... ISohedull H) (9) 10. Olbts/Horiglgl 1I1blll tI.I/Lllns ISehodule I) (10) 2.032,78 11. Tohl O.duetlons (11) 12, Hal V.lul 01 T.. Rlturn (12) 13. Ch.rlteblo/Dov.rn..nt.l BlqUllts ISeh.dule J) (13) 14. N.t V.lul 01 Estete Subjlot to T.. 114) NOTE: If an assossment was issued previously, linos 14, 15 and/or 16, 17 and 18 will reflect figures that inolude the total of Ahh roturns assossed to date. ASSESSMENT OF TAXI 15. AMount of L1n. 14 .t SpoulIl rot. 115) 16. AMount 01 Lln. 14 t.x.bl. .t Lln..l/Cllss A rll. (16) 17. AMeunt of L1nl 14 tax.bl. .t Collaterll/CIoII B r.ta 117) lB. Prlnelp.l T.x Du. 1~.4~~ ~9 74,368.98 ,00 74,368,98 ,00 X .00. 74,368,98 X .06. ,00X.15. 1181 .00 4,462.14 ,DO 4,462,14 TAX CREDITS: PAVHENT DATE 06-02-94 10-03-94 , RECEIPT NUHBER MH886143 MM9n027 DISCOUNT (') INTEREST (-) 195.00 .00 AHOUNT PAID 3,705.00 562.14 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 4,462.14 .00 .00 ,00 . IF PAID AFTER DATE INDICATED, S~E REVERSE fOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN .1, NO PAVHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) II II to' " , " " " ,.. REHRYAlIOHI Eltlt.. 0' cleoid."" dvlng on or blfor. OIOIIlbIl' 12, 1912 .... 'If any future Int.rll' Ir'\ the utlt. II tr""'lrred In po.....lon or .nJoy..nt to Clan. (ooU,t,r,U ben.flahr... of the dlCldlnt Ifter the IlCplraUon of any IItlt, for 11f. or far Yllr., the Couonw..1th herebY IMPrlnty r...rvII the riaht to IPprah, and lilli' trlntf,r Jnhtrltlncl YIIC.' It thl lIv'"! Clell . (colla'lral) rete on any .uch future Int.rut. P\JRPOSE Df' NOTlCEI To fulfUl the requlr...nt. of Station 2140 of the Inheritance and E,t,t, h)( Act, Act 2Z of 1991, 72 P,S. Sectlon 21~0, PAVI<<HTI Oetloh the top portion 0' thil HoUel and tub.11t wUh your PIY,.nt to the Rlght,r of ..1111 printed on the r.v.r..llde. --Hoko ehoe. Dr oDn" Drdor po.obl. \01 REGISTER OF HILLS, AGENT All PIY'lntl received ,htll flrlt b, ,ppll,d to Iny Int.r..t whloh .ay be dUI with any r"eJndlr appllld to thl tiM, REFUHD (CA)1 A r.fund of a tax arldlt, whJch w.. not rlquuhd on thl Tax Rlturn, ..y bl rlque.tld b~ caapllUng In "ApPUcIUon 'for R.fund of PIM.ylvanl. Inherltancl and E.tltl TalC" (REV~lU5), ApplloeUonl Ire IveUable It thl Offio. of tI'M Allhtlr of WUI., any of thl 2S RIVlnUI Dlttrlot Offlo.., or by cllllng thl .plel.1 Z4~hour an....rlno ..rvlce nulbtrl for forll ordlrlng, In Plnn.vlvenla lR"OO~362~2050, out lid. Pemnlvanla lnet within 10cII Harrhburg arll (711) 787RIID9tt, TDDI (717) 77Z~2Z52 (H..d"g IlIPllred Only), OIUECTJDHSI Anv partv In Int"ut not sathfled with thl epprelt"lnt, 11lowanc. cr dhallowanCl of deduction., ar .a.....unt of tl)c (lnoludlng dhoouf\t or Interut) II thoMn on thh Notlcl .u.t obJlot within I1lCty (6OJ day. of reulpt of thlt NOUo. bYI ~"writt." protllt tc thl PA Dlp,rt.ent of R.v.nuI, loerd of Applal., Dept, 211021, H"rhlxlr;, PA 17121"1021, OR R".IIOUon to h.vI the 'Itter d.ter.lnld at audit of thl Icaoont of the plrtonal reprllentaUvl, OR ....."..1 to thl Orph",.. Court. ADltIH ISTRATlVE t_tTlDltS, FlOtuII errorl dhcov.rld on thh ......Mnt .hould bl addreuld In writing tOI PA Dlpartl."t of R.vlnue, IUrllU of Indlvldull TGI(", ATTNI po.t A.......nt R.VltW Unit, DIPt. Z80601, Herrhburll, PA 17121~0601 Phone (717) 7a7~650S. S.. plitt 1 of the bookllt "In.tructlon. for Iohtr1tancI TIIC Rlturn fer I Auldent DtClRent" (REV-lSUl) for an Iwpltnltlon of lollnlttrltlv'lY corrlctable errort. IHTERIST, If any tllC due II plld within thr.. (I) cIltnd" aonthn Ifter thl dtcldent'. delth, I flv. PtrCI"t U~) dltcount of the tlIC peld II IUOMId. Intere.t It cherlled bqlnnJng with flnt dlY cf dllInqulncy, or nine (9) ttOnth. end OM (1) day frH thtl dlt. of death, to thl dltt of payaent. Tawu which beo.. delinquent blfore Jlf'lUery 1, 19.2 blllr lnttrllt It thl r.te of lhe C6~) perclnt ptr ~ cllculated It' I dellY r.te of .00DI64. AU tl>tll which blCHI delinquent QO and .fttr Jenuarv 1, 1982 will bl." Intlr..t at . rate which wUl VlrV fro. callnder ~..r to celender Yllr with that rete' tntKHJnc.d by thl PA Dlpert..nt of AIVlnue. The IPPllclbll Int.rl.t rltel for 19.2 through It95 Irl' DIItDUHT, ~ Jntl,,'.t Altl DIJly Jnter..t Factor ~ Intarllt R,t. Dllh Inter..t Flotor 1912 lOX .OOOS\I 1917 9X ,ooom I9IS I6X .ooom 1911.1991 IIX ,000lol 191~ IIX .000101 1992 9X .DOom I9n UX .0001S6 1991-1994 IX .000192 1916 lOX .ooom 1995 9X .ooom ""lnterut It allcullttel .. folloWII JNTEREST . BALAHCE OF TAX UNPAID X NUMBER OF DAVS DELINQUENT X DAJLV INTEREST FACTOR ....Any Notlct luutd Ifter ~he t.lH:tICO'" delinquent wUl rlfllot: In Inter..t cllcul.tlon to fifteen (15) dlY. bftvond the det. of the ......lIMt. If PIYltnt J. lid, ,ftlr thl Intere.t co.putatlon d.,. .hown on thl NoUCI, additional Interllt BUtt be cIlculltect. JANE M. ALEXANDER ATTORNl!V AT LAW , U 80UTH BA~ TIMOR. 8TRnn P.O. BOX 41' 01l~8BUR(l, PINN'V~YANIA '70'1.041' ,. ~JV"1' ',\' I I' 'I" " " " , ,', 4_........_......~....,...u..'". . :ffi....,".........,...;~".'". ... -. .\... .,,, "(V:.,',:,:,.:I,f' I "1(' ,',d' I,' 'r.. t I, \", ,,' t 'J ]"I_"I{'''",<''1 ',"I,", .' ".t",: "1 !',',! 1'1." ,-. ,I" " " \ \ " ;t .,..:....... ", '7....... _,0' - .' "~", .1, -, ..... ' ~ ,..: , \. i' ,. :1. " ',,' I, II u' ," 1'1.1,. ': , , I' r;".,.... '(:'.1"'1)'/ ., ..., :, ~ .1lI1l -. "'...I[J'JA "'~"'.....- ., ..................~ ...... .......""".".. Register of Wl1\s Cumberland County Courthouse . Hanover & High Streets Carlisle, PA 17013 . I' .. 1.1~R'lA""fTrft1 " , " II" " ',," " 1 ..' :"1' ,I', 'u " ,-..;.~,.,: I" 'Jj' "( .' ".-:"1'''''''' i.II',I," \1,1. I.," -I 1\," j. " . ,; 'j ',';';~;', ~ . , " , " " 1',' " "',J' , , I' .'1, , I. .',i " " " ,f' ,. ., I, 1",111",111"",,11,.11-",;'.1 1",111111,1/11",11",1,1111,1,11111 ,. \.1. .j", ,i, . '"!,1,'" ....... :" , . !~,*I"~"'~""~r+---c,', ,,',- ,,"., ).t'!'-l' ", "I,,'! ,'1,; '_:,'1, ""'i-"" i .",F' 'I :,',1;1'';: '/.' __I .. 'I.' ..1 .. j "r " . .. flf' , .' ;". '." ,- '." . " l' ,-{ ',t. "1"',\ . "'. ,; , .~, I oJ< " , J ,::' 'j~ij~, ~'. . , , . ,..,: I' "'.,. , ,t, ,. , 'I ~ " ~ . ._' "t.!.f'.. ~ . I,', _ ,I ~_, .' ','i' 'IL,' I~~~-" 'I 'If i'" .J. ii", r . "",;~ " j 1 . ~,. "I ;;:1,'1'1','-;""" ,.,.- '/"" .. I"':",';"', l-,.' "'''': -, '-f' ,:"\''j; 'J '!i~ ',' 1 .\lIf , '~jH: I I", , 'I", I, "( ..';'; " " I. ,! (, ", 11" " '~ 'I,':' , '" ~ r, ,j " .. l.1,",',, , .j \. , ~; '1' I"'" (~ ; ,I' " ',.l' '. ',j.t " ,'1 . 'I'" (, i . I K t . )' " I"'" '1 ;'\(' Ii;, ,', , , I,,", .11., J"~': " (.41Ii" , .,' ,J.. ,_ " ~.. ~.. '... . ...' .,~ , ~~..__. '-~- -..-. ._-~ -- -,. ..~. -.". ....- .-.,-, ....- -_... I .--- '-"-" .--.., .....- ...... ""- ... ,- --.-... ._- -'--' ._~., ....-. ~-- ......- -.-- --- -- ..-...- RECEIVED FROMI & ACN ASSESSMENT 'l' CONTROL 1:.1 NUMBER AMOUNT .' ALEXANDER JANE M 141:1 8 BAL TI MORE ST 101 ,! ,70::1. 01) DILLSBURa PA 17019 ---- saN 17/'.!-01 -'/997 M -- IV ,,!Q2/94-. CUMBERLAND A Of DEAnl 0:3/08/94 REMARKS RONALD W. POWERS -~- REGISTER OF WILLS m TOTAL AMOUNT PAID ':il, 705.00 "'E1",~m1 /J, :.:J ,tij , '-(I.!. ~1'ir~ MARY C. LEWI I REGISTER OF WILLS , I , ...... .._.c .--.. :...:-. ...,- ....... --._ _.... :-._ __ .,._..:--_ -,-,.,.J ,. I , ,1 ,\. " SEAL CHECt<;fI I Q '1 ";"""- "."'"7' ~~.- .".~~ ._-;- .,...... ..... ._-- -7', '.,-''':', ~.-. ,_.. "~." .',:._~ n_..' _._._ ...~_ _'.... h. '\,' , " ~+) ";' f ,. . .. . ,........ i~ , "'.~ I '- _"~.. I. .-'.---.,' ....~~I' - - , .1 , \ " ! , RELEAS..! KNOW ALL MEN BY THESE PRESENTS, that Ronald W. powers, Barry . powers and Betty Mae Fishel, being the heirs of Clarence W. owers who died March B, 1994 intestate, do hereby acknowledge hat we have had and received of and from Ronald W. powers and powers, Administrators of the Estate of the said W. powers, deceased, our full and respective istributive shares as set forth in the First and Final Account. WHEREFORE, we do, by these presents, remise, release, uit-claim and forever discharge the Said Ronald W. powers and arry W. powers, their heirs, Administrators or ExecutorG, of the the trust imposed and from all actions, suits, accounts, reckoni.ngs, claims and demands whatsoever for r by reason thereof. IN WITNE~ WHERE F, We have hereunto set our hands and seals 'f.l \ his ~?aay of ~ , 1995. ITNESS: ., f ~~' , , /-""? ,,~, ~/IJ..",JJ/ 1-~./ l'r.;."._.(.- onald W. .' \ .. :' ", " " i',I" 1'.'\" " ; ~ ,I ' -' ' , " '\:, ' I J, ...... i~;;:;;,:\:,;""~' .'::~ !~'~'.'lJ,\ _,I' , ;~t~;:~;:,\.'i_,\~ :. ",'! ,;< ",,1" "i'" , , ',1, " " , ,II' ";?i' II ,'II" '" 'I:' -i-I,' ;',,1', , ,. '{., ';'il-I' "'_.,'" ill "' " ' ~ .. ' :',. ~, ',\: I; '"~I ,'!. ." . " I ' '.',' ~ ~ ' !O.' l ' !.,' ,I .11; "'11"1 I ,I" , I', ,I' .\' " " ,/';,' , I,; "I, <, " '" , .-: ~ ," ,. ,", .'. . 10' , " ,I;. I,) ."" " ,1,)\, " ,. 'r",;: ,; " ,I \' " " ", " ". '. , ", I"" " I. \!). '. ", 11,1," " '_I' 1'" 'Ii"'i' .,,' ,'~' , 'I. r, NJ /,;.:,'~:;., '" :'1 "':~ '''I', ',',I' , " "Sl:'~': J ' 1') ~, :0 . I I C) '" I" , ,.'1. ,II. "". 'I' " " , " ,,' " , ' ;', 'f', t.I' ,. 'I', " " '., . "", ,; ,I , I,', ,',,1',:';'-" .,' , ,,,' " , ,!;' I. I' J;I.' " 'I,{ " \ ~~, "I ' ~ ' '~\' .Cl ~d 'i' h ,I' ," , ,. "fI, '!'" " " " I ,I, ,'.\ I" ,"' " " :"~ ", ,'I' " I. " , 'i,Io,- .(.,' , , , "j', 'j 1,1,' I ~I J 'I"J I l ,,', , '" ., ,. j \,,\. I, " , , " " " ",. " " ,.' I', I.' , 'p.' " j, " , ,. '. ,f", " I"" , I, ~ ~ j '{I I!" I,' '01 'I '",I' ". ,. ,,-' ,I" "l' " (-', \1" :,'.lli. I' ,'/", , 'J" f ~ . " '" il" ',< I,',' ,I;;' " I, " " t"_1 i}t 'I) "J I': " 'ii! , I' " ", ,.,/,'1 'i-,', 'i, I, Ii' ,. ';' 'i.,:', ,'1""1' I,';' "I, \,' " , , ,i',: :'" ,I',' , '.'1' I. ", '., ", ',10. 'II" .' "{. I) ", p': ;\1' ',j-" , , ';1' \, d'-. ,. ',I" , " " "~I' :,:.;, I ,. '':''-''''-/'1'-,1 I' 1",\, "!' " ',>.', " I. "j." ". ',1. ., (, I, \~: ,_, I \,.' ",: -"," ~" .' _ \\':~ ',,' ' '(r,':",j " , , ." : ~ u, , .' f ,,101, ',I' ! :', I ;t,' ,,-' " ".-j .., ,': ':1 "'_0',' ," , ,," "d' ,t' ;,,: ;:',--":\:'. "',i' \., "', "'!' '\'1\;":', "," ., , , ,\ I ~ /,. t" '. i~ ~jl .,. '.' I. i', '" \,1 'I ,. ,'I .. ,'." ,"" ,,", ,\", '. , " t'I, " I ,. ',\! ,ii",' ',,' "'!,'I'I, f' " " ,. ',I' f' '1,1',", '''I :J,'~:ih~\'~_:'>', " '''" ,I; 1',._ ,; ",.',/ ' 'j, """-,; ':,'j,,', 1: ".r/ I , '.',\\1" " , :1 J~ "I :.'i~/ :;,' ,,_ "'i, :,,;":,,-,: ,',' 'f'l' J.,'f,1 1'.1 "'\\"' "~"~ '\'-( ,,' ", , " .',;-",1;' " ,',' .,\ " ," " j'. )i .,. ,. , . ',', , ""1 " " il '''''1 ',:1,;: ,. "I;'. ,':t, "I! '" ,. -,I, ",:1,',' :'~ 1, _: ,",1. " ',. f' - I'" " , ". , 1\' .',:,-, ,l'1 'i' , " '-,,'-' " ';;, ' , ,', i.!.,:~ 'I {; ',," p"" , ','hi,' (,'.' AfV,1300 (1I. II I,VI) I I I , COMMOIIW!Atrtl 0' I"W'SYl'IAt",\ I 'TO BE FILED IN DUPLICATE OflARlMEtlf (H "V!flU' \ E . 21 ._. ~1~~"lfJ:U~O\~:," 06(" I WITH R G.ISTER O.F WI~LS)... ~oU.~!~~QQ.e.__. UOT;::rfmAMr1WrmBr';imi~\tODifl~jm1.ir--------jECfDeN,'s cGM1[lHAorins~ PCMEHS CI )\HFNCI~ W. 308 Shady I.<lne lociAllfcu.",V'lU'M8ii .. .-. 'IOA'( 01 01.\IH..... ../DAH 01 B"'" . - Enol a, PA 17025 172-01-7997 3/8/94 7/7/1916 .___..... _ ___ _.____._._~_.~__ . _ _ ___ ___.._____ __. c~! ~ ~ 1. Original Rolurn U 2, Supplomonlol R.lurn 0 3, ~itg [.14, llmi'ud ~II"'O [ ] ,I" i,~'rud'o:;:'~"~:;'~h~;~;;"I;.12.B2) [J 5, _J:_.. ..[_:).6 ..f;I~~~'I:nc'a~~o~IT~:I'Ii" ]. 7_.L;,;~;nc'a~;'~;'T~~.,~tli~in9.Tr_U\l.__._..__= 6, ALL CORRESpONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO, TIAMr.-----u-. ._.n_..._u..., -..., -.,.. .... ,- ....-----...--..!-(6:~\f~_n(~iAHiN(r:.\DDRnr_.. :~-,~~:1"::::~~:,,"1":_-=:::1:;;~;;:;, ~r i~;;, "co" Iffi ~ Q o Z U ~ ,. 'OR OATIS 0' OIATH AnlR 12/31/~1 CHICK HIRI " A SPOUSAL . POVIRTY CRIOIT IS ClAIMIO [1 ;ILi NiIMOIR"---.""'-. .1, ,!., 1. .\"" ,. : ~ ' /. INHERITANCE TAX RETURN RESIDENT DECEDENT 94 YEAR 0262 NUMBER I Romalnder R.I"n lIar do'.. 01 doo,h prior 10 12-13.B2) F.dorol EIIOI. To, Rolurn R.qu/red Talu/ Number 01 Solo D.po.11 Box.. % o 3 E ~ 1. Roal Ella'o (Schodulo AI 111..56,000..00.. ..._..._ 2, Slack! and Band, (Schodulo 81 I 2I....__._.Q~OO..___. 3, ClolOly Hold SlacklPor"lOllhip In'oroll ISchodul. q (3) ..---....._....0.00.._.__.._.__._._. 4. MongogOl and NalOl Roc.ivablo (Schodul. DI I 41 _............. ..2.:Q..q..............._.__ 5, Co.h, Bank D.pa.i" & MilColl,'n.ou. POllanol Prap.r'y( 5) _.n.L~Q~.( 57......._._ ISch.dulo EI 6, Jainlly Ownod Propor'y (Sch.dulo FI 7, Trantler, ISchodulo GI (Schodul. lJ B, Talol Gro.. A..." ('a'allinOl 1.71 9. Funeral hp.n,OI. Adminillro'ive Call', MilCollonl'oU{ I 91 ...IJ. 4.03 .8L... ....._ hp.nlOl (Schodul. HI 10, D.b", Morlgog.liobiliti.., lion. (Schodul.11 1101. ?,032:7~.., ....._____ 11. Talol D.ducllan. ('olal/inOl 9 & 101 111) ____..._l;;_,13Ji.....19._...___..... 12, N., Volu. 01 EllolO (Ii"o 8 >ninu. lin. 111 1121 __'0._.1~' 368.98 13, Chorllob/. ond Govornm.n'ol Bogu"" (Sch.dul. JI 113) '__......Jl...00 ~.NeI..Y.oJ~.u.S\Jbj.'~I~!a.'(!,~uJ2.l11in\J'_I",....~L._..._ .. .... ..____. 114) _._.. .7~,_~~8 '.9B_. 15, Amaunl allin. 14 'uxob/o a' 6% ral. 1151. 74, J.Q~.,9.e, ._ ..._..._K ,06" __4.,462.14 (Includo volu., from Sch.duio K or Schodu/o MI 16, Amaunl allin. 14 'o,obl. a' 15% ""0 (16) .....'O~'O_O ......... ....__....... K ,15 = 0.00 (Include voluoI from Schodulo K or Schodule M.l 17, Principal lax duo (Add 'ox Iram lino 15 o"d Iram Ii". 16.1 18. CroeHr, Spousal Povorty Cradit Prior Parmonll DhcolJnl ,.. ..0,.00, + .3,.7Q5__ + __19.~,.._ _ ._______.._. ., ( 61 . _... . .0. 00. _....__.__._ I 71 ._..... ..Jl.~OO___..___. I B) 89 r805.57 z o ~ S .. ~ o u g 117) _____1.t~0.62. 1..1..______ lnterasl 19, IIlinu 18 II 9,uolor ,han I,nu It, ."101 ,h" dillnron," an lino 19. Thi. i'lho OVERPAYMENT, Lli"l lie) 1191 _.....h900.00 0.00 Ch.c~ h.ro If you arQ roquestlng a to'und of your oyerpaymont. 20, II iin. 17 i, 9,uOlOr ,I",,, I,no 16. ".Ior ,h. dillnron" on lino 20, Thi. i"h. TAX DUE, (201 .........._.___...~_6..?..J.'!_._.___ I" Enlor tho inln'''1I on lhe balo/lco duo on lino 20A. 120Aj ___.____~___ 0,00 __ B, Enlor Ih. 1010/ 01 lin. 20 and 20.0. on Iin. 20B. Thi, Is 11.0 BALANCe Due, (20BI ___.._ ._~.!i.f....LL.__ _____....,IoI~~. Ch.~k~.!'J~~I~IOI ~0~1"., ~f~IIII,.~!!.!"'._. _. "__n_ ... n .....______ -----.--..-.8E- SURe.TO ANSWER AlCQUeSTIONsoiIR'E'VEflsE'siDDANDTo-ilECHiCK MATH.... under p.naijj"I;1'pe'r'j~,y~'i.dll~r,~7~.ih~-'I-.htlY" o~u'n;-i-n,,~ri~',t. ~l'I~'n~-i;:~i~'{II;'g~~(;;~r;'I'~';i~~'.I~I,.~jviDi-~J~~crij~i;~ond 10 ,hi bill of my knewl.del Md bill. I, 1llllruI, cemocl and ~ompl(lt&, 1 dt'c1Clllllhol olt 'filii C1lfOll'l hClI bOClTl 'dponed allrVII mflflolll v"lutl Doclortltlon 01 preparer other 'han lhe p"rlonal repr.l.nlat'....e 1, ba'td on alllnlormCllion of which fH(>pCllor hOI OilY knuwlodg/l -reNAfUlfOfP1R~otnHp6N$18ltT6IifiilfjCJ R'fluilN. ~--'.^Ol>~d3S.-"._..'---' .....-.....- -- u.._...._h_._....__ - DATE aid I. P 6~H~_ii^;~~).r;s<b~,~;r:si~~~r_i~~,_.~~~~n.i_~~~~~~~~_~~.~:__ ~i~~~-;5\'..i1- ~~~t-~;td191 N~~.rrisbur:CJ. Stre~!:.St.ee.~I:..c:n..,..~~_l?.1.!L.....__ _ \J~;;//,~ /lljI rx~' fltq. 148 S. Baltimore Street, Dillsburg, PA 1.7019 (I" , . " ',1 I TOOBTIIBR with IlIlnd Ilnaullllhe W"Y", wlten, WIIO,-<:ourlOl, rlahll, " llbenlll, prlvlllaos, IIoredlllmlnll Ind IppUrllnanm wltlllOfver Iherounlo bolonalna, or In InywllI Ippcnlllilna, Ind 1110 reveralons Ind rlmlllidera. renll, IlIuel Ind prOnll IhOllor; ,nd 11'0,1111110 rlahl, 1111., Inlcrell. properlY, claim Ind demlnd whalloover ofli!C .lld CLAR/JNCB W, POWBRS. d.'....d, Ir,llw, equity or olherwlac howlOller, of, In Ind 10 or oul of Ihe limo; 10 have Ind 10 hold Ihe lAid IIoredlllm,nll " /, " Ind promllOl hereby aunl.d or menlloned, Ind Int.nded '0 10 be, wllh Ihe " II IppurlOnsnm, U/110 tho IIld PRANK B, ZBTILBMOYBR Ind VIOLA 1.1, ZB'rrLBMOYBR, hi. wife, tholr IIolu Ind IlIlan. lorover, " ,. ,. . " " AND the IIld RONALD W, POWBRS Ind BARRY W, POWBRS, 'i Admlnlllulou, do covenlnl, promll', aUnllnd "areo, 10 Ind wllh Ih, IIld FIVINK 0, ZETILBMOYBR Ind VIOLA M, ZETILEMOYBR, hi. wlf" Ih.lr h,lu Ind , ' IlIlans, by 1h.1O presenls, Ihllllloy, Ih, 1.ld Admlnlstrllors, hive nol done, commlll.d " or knowlnaly or wllllnaly suffer.d 10 be done, Iny ICI. miller or Ihlna Whllloov,r. whoreby tho prom IllS .Iormld, or Iny plrllllollof, II, 110, shill or m.y be chlraed or Incumbered, In 111I" chara' or 0I1I1e, or othorwl.. howsOfver. ! " , . IN WITNBSS WIlBRBOF, th, said RONALD W, POWE= BARRY W, POWERS, Admlnhtrllors, hive hereunlo "llholr hinds and leal IY Ind year " lbove wrlllOn, ~ " " ADM[~ORS OF THB ., ESTATE OF .' NCB W, POWERS .-' ~ "~I ..,::-> . ... . "fl./' J.../.-.l...........o;L.__.-. d' '\7) R~ W, Powen " , ~~~ BIIl}<~'~Wlrs , " . " " . " I, .' ., " /," ...., , ,~,) 'I " I, " ,. , "... ,., \ , , "I '"j ., ," ". . , " ,. , ;;"j. ,/, ," " ,. ~ 1 ' , \. .'" ,. ',,, ;,'" I'" " " , I: " , , ", ,.' " , " " , ,I I' . " " \- , , ;'1 " ,., 1"- II " " . . I. .. j', il'; , " ' ',", ,. '. 'I' I " ;-1' , , " " " " " to"~ " COMMONWIALTH OF PENNSYLVANIA L COUNTY OF CUMIERLAND J III Ronald W. Powers and Ba~~x.J!.:_powers being dulV sl>l:>rn___ according to law, deposes and savs fh.t theY _ are hlministriltot1L____._________ of tho eslete of Clarence N. Powers lete of ____.E,<i.s~..pen~e.bo!oTowrlS_~ip . Po.. - . ________, Cumbarl.nd County, P.., d.c....d .nd th.t the within Is .n Inv.ntorv made bV ___t:!1an __.___.____.. ,._______, the said. klministrators of the entire est.te of said decedent, conshtlng of .11 the ptrlonal proplrfv and reel eshte, exc.pt rell estate outsld. the Commonweelth nf Pennsvlv.nla, and that the figures oppollte etch If.m of the Inventorv repment It'. f.lr v.lue II of the date of decedent'. death, 19Y'5/ ~A./ 0' ~ _2--_ Ronald W. Po Admlnlst...., 39 Presbyterian Drive ro.o..M8G'Riose'~~~ _ . ~ ~- .\-.. J~)~'./~ Vv-=-'- Barry ~I.~~ ~ Administrator 270 N. Harr:teburg Street Stee1ton, PA 17113 .1.__ 94 M.nlh V", _ and subscribed before mer I:." 'I " l~l:;t , ':'~'" 1 1\ II', t, I 1',:( ,'.' if)' r, t-<'<1 I': !\;IJ h.;, '1(.';r,C4.."Xlity l , "~~'(':j',,.,,:, b: r(r',ll.~ I\h .1, 1005 I " ,i,'iI;;:i:f'....A\~o.:;.;i, tili;.;';;:J:i,; ;.-;rm;.;l;" Dele of Deeth ___ 8 DIY INSTRUCTIONS I. An Inv.ntorv must b. flied within three months after appointment of personal representative. 2. A suppl.ment Inventorv mUlt be filed within fhlrtv davs of discovery of .ddltlonallluh, 3. Addltlon.1 shuts m.v b. attached as to personaltv or realtv 4. Su Article IV, Flduol.rles Act of 1949. 1 'I Gl ~ ~ ~ j 1 N ~ . 9 lil ~ . d .. 'OJ' ~ t j : ~ ~ III ~ ~ . ... ..I LL :. ~ G ..I ,1j 0 .,. LL ... ~ W 0 ~ '" f ~ ~ 2 o Q - ~ ~ d 0 ~ ~ Z ... ." . ~ . ... i: 0 Jl . e ." .... .. . J j , it ()