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HomeMy WebLinkAbout94-00273 ~ PETITION .'OR PROBATE and GRANT OF LETTERS No. <:.'-/ - q ({.:...Ji 7 :3 To: __.._____. Register of Wills for Ihe ~ Deceased. CounlY of. Cumherland in the Social Security No. 1 OI!.:1~N,I,l Commonwealth of Pennsylvania The petition of the undersigned respectfully represellls thut: Your petltloner(s), who is/ure 18 yenrs or age or older IInthe exe~~Ull' In the last will or the IIbove decedent, dllted _. Nurell ,), and codlcll(s) dilled N / to Estate of lieI'm J. also known as Corgan Np'med , 19-2- {,tate relevant drclIllHlnnccs. c.l(. renunclatloll, death of executor. Cl~,) Decendent was domiciled at dcath III Cumberland County, Pennsylvania, with his last family or principal residence at 18 Chn. t nil t S trnn '", Nn,,,, i 11 n , Nowv'dle 1I0rour.h, PennsYlvania 172/11 (1111 IIIC<!. number and m"ndp.llly) Decendent, then, 65 yenrs of age, died February 15, at 38 Chestnut Strcch.J:!ewvilll!. Cumberland County. PA Except ns follows, decedent did not mllrry, was not divorced and did not hnve a child born or adopted after execution of the will orrered ror probnlc; was not the victim or a killing and was nevel adjudicated incompetent: First marrlar,e, to Laura Steventon Cor an ended in divorce on 5/26/76, Second marria,;o, to I.i 11 ian (lrizer Corp,an, onder n [ vorco on 2{/1/1I0. Deeendent at death owned properly with estimllted values as rollows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personlll property in Pennsylvania (If not domiciled in Pa.) Personal property In County Value or rcal cst lite in Pennsylvnnia situated as follows: ,19911 -, 3:',000.00 $ $ $ $ WHEREFORE, petltloner(s) respectrully presenled herewith and the grant or lellers Iheron. request(s) the probate or the last will and codlcll(s) 'l'es tamentary (ICl'amen'ary; admlnhuallon c.I.a.; admlnl.trallon d.b.n.c.t.I.) L ~.\)~lQ1\~C~~- ~'ff Steo)1On H. Coman = ..,.g 1760 ~lerchantdlilL~_ :'a PnnnQ;1Ilknn9 NT -0..8110 f~ ( 609) 665- 5/,5 _0 1'11-/,0-7107 ~ Vi OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA }" 88 COUNTY 0)0' Cumberland _ The petltloner(s) nbove-nllllled swcnr(s) or nfflrlll(s) thlltthe statements In the foregoing petition are true IInd corrcctto the besl or the knowledgc IInd bcllcf or "ethloner(s) and that as personal represen. latlve(s) or thc lIuove decedent pelitioner(s) will wcll and lruly adml~ister t~ estate according to law. Sworn to or nrrlrmeq, nnd subserlbcd { ~'~\...L.\2!' - ~ I~ (, '\ (vv l:1 be\.O}N}7~hiS'~-=-19~h:rl'~ I i' (/ u~l5!rtl.J;h,~_ r:.Uiz.../m,JuJJ{~ I I' lIen/lfe -----. o!C. ;"/99-/().. ~-'''-' "....."'.,..... ._-.. "'.~ "., No. 21-94-273 Estate of IIorm J. Corr.an , Deceased DECREE OF PROBATE AND GRANT OF LETTERS . AND NOW MARCH 22 19-2L., In consldtratlon of the petition on the reverse side hereor, satisfactory proof having been presented before me, IT IS DECREED that the lnstrument(s) dated Narcl~ 29, 19119 described Iherein be admitted to probate and flied of record as the last will of lieI'm J. Corr,an and Lellers Testamentarv are hereby granted to Stnl'1lllIL.ll. Cnrgn" JAt FEES Probate, Letters. Etc. . . . . . . . .. $ 70 00 Short Certlflcates( )..".."" $ 6.00 JIIi'il\llllllllllNK XMI!AGES.,..... $ h 00 _ JCP $_5.00 TOTAL _ $ 87.00 Filed .l'fARCII. .Z2, .1~9~. . . . .. . . . . . . . . . . . Hichard L. Webber, Jr,. (Isquire 1/1196 311 A TIORNEY (Sup. CI. 1.0. No.) 11 W. Uir, Sprinr, Ayonuo JL..U.-Dox ~IO. Wgl"'i11~. P^ 171Ql-:,OOlIO, ADDRESS (717) 776-n~6n PHONE , ~- -r"~ -'. ~ .'f () "'ir.l. rn , ,r-. , C,. , ,..- C'-l r}, :i:!" , ., , , '.1 " t" g '11 u.: tl Q) a: p' UC) " I', . 21-94~273 ,.' IDa~t lIill anb QJrstClUtent OF HERM J. CORGlIN I, HERM J. CORGlIN, residing in the'l'own of Walton, County of Delaware and State of New York, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking any and nll other wills and codicils by me at any time heretof.ore made. FIRST: I direct that all my debts and funeral expenses be paid as soon after my death as practicable. SECOND: I give, devise and bequeath all my estate, real, personal, and mixed, of whatever kind and nature and wherever situated, of which I may die seized or possessed, or in which I may have any interest or over which I may have any power of appointment or testamentary disposition, to my beloved son, Stephen Richard Corgan. THIRD: Should my said so~, Stephen Richard Corgan, not survive me, I give, devise and bequeath the said property to his issue surviving, in equal shares, per stirpes. FOURTH: I nominate and appoint my son, Stephen Ri~hard Corgan, of Pennsauken, New Jersey to be the ex!wutor of my will. Should Stephen Richard Corgan fail to qualify as executor or, having qualified, thereafter cease to act as executor, I nominate and appoint my daughter in-law, Debi Corgan of Penns~uken, New Jersey, as my substitute or successor executrix. None of my executors shall be required Page 1 of 3 21-94-273 REGISTER OF WILLS OF Cllll1h~rlnnd COUNTY OATH OF SUBSCRIBING WITNESS Gary J, Grayson and lIarbara J. Drllmm lOOdI\lIr< (each) a subscribing wilnm to the will presented herewilh, (each) being duly qualified according to law, depose(s) and say(s) that thl'Y were prescnt and saw lieI'm J 0 Corp,an VI Ihc leslat or , sign the same and that each __ signed us a wilnes\ utlhe request of teslal.llt:.- in h i 9 presence and (In the prcscnce or each other) (inlhe presence or the olher subscribing witness(cs)). ~ ~ Sworn 10 or arnrme~ )!);d subscribed berorr ~~~.L__._ me this __ .Y day of ./ ~_n L12.t'tv) t!-... 19_~ Wa1t~n , New York 13856 ~./)1'1~ C .~!t?_'1/u.--cr- ')Ad r s) R'fMH/i!l! ttUJv4J---' Notary Public (NOllie) ....:=.~IIII'iIIdl Wal ton , New York ~~~~ ~~~ . "I ':::-'1 4 l30 ./<7." 13856 REGISTER OF WILLS OF COUNTY OATH 01<' NON-SUBSCRIBING WITNESS (each) u subscriber hereto, (euch) being duly qualified nccording 10 luw, dcpose(s) und say(s) that familiar with the signature or codicli 10SIlIl_ or (ono or Ihe subscribing whnesscs IU) Ihc will prc,clued hcrcwilh aud codicil thut believes the signature on Ihe will Is in the handwrillng of testat__ believes the signature or the will presented herewith and thut codicil believes the signature on the will Is In Ihe handwriting or to the best of knowledge and belief. Sworn to or affirmed and subscribed before me this day of 19_ (Nallle) (Address) Register (NOllie) (Addm:\) CERTIFICATION OF NOTICE UNDER RULE 5.61a) Name of Decedent: IInrm .I. Cornan Date of Death I February 15, 1991, Will No. 1991,-00273 Admin. No. To the Regis Len I certify that notice of beneficial interost required by Rule 5.6 (a) of the Orphans' Court :Rules was served on or mailed to the following beneficiaries of the above-capt.ioned estate on _~.-f.h_) 991, I Name Address Stephen R. Cor gun 1760 Morchantvi11e Avenue, Pennsaukon, NJ 08110 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except N/A Date: Aoril 28, 199t, d~~jA. tl~i!__1 Signature I ' Name Richard L. Webber, Jr" Esquire Address 11 W, Big Spring Ave" P.O, Box 1,0 Newville, PA 17241-0040 '" '\"#-1' , >1 I': /1 . "', (',1 ~'" i \.-' " C <v C- ?~ rc I- ::~ :1 UU Telephone( 717) 776-6566 Capacity: x Personal Representative Counsel for personal representative 11.,"'( 'II -~"".'! '1' '''"...,.'''rJ'!'.....~_......__..,...... i~.......,-,-_.','._4 '"I b. - ~. "~"l' COMMONWEALTH OF PENNSYLVANIA I. COUNTY OF CUMIIRLAND J UI ._Uh_. _ .........---..___.);toph9n.ltL(;.o~!\all .... _. __......___.__._. .__________ bolng duly _~Iil!m..._._. .-.... according to low, dopo,ol and IOYI that he _1" F~",,"tw::__._. _____ --.-. ------. ..-.. .... ---- __h. 01 tho Eltoto 01 -.lliu:nLJ. CorUilIL- lale 01.... . Nowvi 110 llorollr,h .. __h__. _.._, Cumborllnd County, Po., deceased and thet the within Is on Inventory modo by. . .S.tephcll..I\. CUl:l:i\/I_. .. __ __ _. .____, the laid Exeolltor 01 the onllro uloto ollOld decedent. conslltlng 01 all tho perlonol propdrty and rulestate, except re.1 eltete outsldo tho Commonwealth 01 Pennlylvanla, and that tho I'guro. oPPollte noch Itom 01 the Invontory reprosent lt'l lair volue 01 01 tho doto 01 docodont's dooth. /I1~y )...1,,.,( 19 _9.!L_ c-~\ ~~ .~--==~~~ ~'-vo- e 1- _ e.tcutor ' Aclmlnl.'rato, Str. dWll ':, Cor~an 11-G!L:1utQl1il.lUYi 110 Avo IlllL... l'ollllsau!lon, NJ 08110 swnrn __ and sublcrlbed bolore mo, J Adclroll Dote 01 Death --_.1.L.._. PlY Fob.r\H\ r.Y....____ Month 1994 VOl' INSTRUCTIONS I, An Invontory must be IlIed withIn throe month. altor appointment 01 perlonal r.presentatlve. 2, A "Ipplement Inventory mu.t bo IlIed within thirty days 01 dlsoovery 01 add/lIonallll.". 3. Additional shoats may be attoched II to perlonalty or roalty 4, Seo Arllcle IV, FiducIaries Act 011949. ~ I!! r:: .c: 1 ~ ~ nl ill , ~ g OJ) ~ OJ " " 0 u . .., ~ 0 IJ OJ III ... W U 0 Q ~ . " i!: g; U. III .. ~ ~ .../ . U. .../ i1i 0 .., dJ .... ~~ W 0 ~ a: .... i: ~ S .... .~ :c o Q dJ ~ c " - ffi ~ :r. .. cj 0 dJ ~ -l Z Z .... "ll '0 C " ... .. nl 0 11 .c: " ~ 1 "tI .... .~ " 0 lY. j " it 0 () Clll 1. R.al Ellal. (Schldull Al ( II 2. Slack. and Bond. ISchldul. B) I 2) 3. Cia Illy H.ld Sla,k/Pa~n.nhlp Inll'"1 lSchldul. C) (31_ 4. Marlgao" and NaIll Rmlvabl. (Schldull 01 I 4) 5. Ca.h, eank Dlpallll & Mllcollan.aul Plnanal P,ap.~y( 51 (Sch.dul. EI 6. Jalnlly Own.d Prap.~y lSchldul. F) ( 6) 7. Transf",ISch.dull 0) (Schldul. LI ( 7) 8. Talol G'OIl AIIIII (Ialalllnll 1.7) 9. Funaral Exp"n'"I, Admlnll!rallvl COllI, Mllcollanlaul ( 9) ExplnIlIISch.dul. HI 10. Dlbll, Mo~gao' Llabillll", L1.nllSch.dul. I) 110) 11. Talal D.ductlon.llalalllnll 9 & 10) 12. Nol Value of Ellallllln. 8 mlnUlllnl 11) 13. Cha,lIabl. and Gavornm.nlal e.qu.". (Schldull JI 14. Nol Value Subl"ct 10 Tax (IInl 12 mlnu.lln. 13) 15, Amounl of IIn. 14laxabl. 016% ral. (Includ. valul' from Schldul. K or S,h.dul. M.) 16. Amaunl of IIn. 14 laxabl. 01 15% '011 (In,lud. valul' from S,h.dul. K or Schldul. M.) 17. Principal lax du'lAdd tax from IInl 15 and from IIn. 16,) 18. Crodill Spaulal Pav.~y C"dll Prior Paym.nll . + -- +- 19. If IIno 18 II gr.al" Ihan IInl 17, .nlar Ih. dlHarlnco an IIn. 19. Thl.lllh. OVIRPAYMINT. DIU ?,O. If lin. 171. g"allr Ihan IIn. 18, .nlar Ihl dlHar.nco an IIn. 20. ThllII Ih. TAX DUI. A. Enl" Ihl Inl'''11 on Ihl balanco dUI an IInl 20A. B. En'" Ihl 10101 of IIn. 20 and 20A on IIn. 20B. ThllII Ihl BALANCI DUI, .__~ak. Chock Payabl. tOI Rlgl.t.. of Willi, Ag.nt -...-.-.-...... ...... BUURE TO ANSWIR ALL QUEStiONS ON RIVIRIE SIDIAND TO RlCHICK MAlif... ... nd-II-r-~nalll.. orp-;;j~;y~ I doclar. Ihat I have '.llomln,d thl. rllurn, Including accompanying Ichedul.. and tlalem,nh, and 10 thl b.11 of my knowledge and boliui II Iruo, (omu:1 and ((1mpte'e. I dlclar. Ihal all rial .lIalt has bltn r.portld ollru. matk.1 valu.. D.clofollon of prepare' olh" Ihan the plnanal represenlativo h (u,d on alllnformallon 01 which pt. ar" hat any knowl.dg.o. F...., ~n~.. HI 11m UYlJ.H rlA~Dm'17('0 Morchantvlllo ^VOl\ue DATI ; ~ll Pennsaul\On , N.J 011110 ~ 1'l4-/ Q'1' u illTl ADDlfb DA" - v 6/' f/'i"f v l'o.l!~. 1'1.9'1 , I ~ ~fS ~ii -._-- mffi .. ~ 82 .", ..., ~....., ........... . ....... /.:/, ~ ; ..~r-J',~ :. "~Wj". COMMOHWIAllH 01 P1"HIVlVAHIA D!rAllMINT 01' VII~UI om 20000 H""I!U~~'c'A 1112.,0601 _ III -I'11-/,).J INHERltAN(:E TAX Rl:!TURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) YEAR IORDAnlO'DUTMAmR '2/a,'" CHICKMln I' A .fIClUIAL fIClYII" UIDI' II CLAIMID 0 PILI NU~IIII 911 0273 NUMBER 21 COUN'Y CODe ~'DU II 38 Chestnut Stroet .1. iPAII or DIATH F Newv ill 0, P^ 1721,1 2/15/91, L.!Jll/29 c.., Cumberland o 2. Suppl.m.ntal Rllurn 0 3. R.malnder R.lu,n (for dalll of dealh prior to 12.13.82) o 40. Fulura Inlorlll Camp,omlll 0 S. '.deral E,lall Tax (for dolll of death ahl' 12.12.821 Rllurn Raqulrod UI 6. Doc.d.nI DI.d Tallo I. 0 7. Doeld.nl Malnlaln.d a Living Tru" .Q... 8. Totol Number of Saf. Dlpalll BoxlI (Al\ath copy of WillI IAllach ,apy of Trull) AUCORAUPONDENCI AND CONPlDINTlAL TAX INPORMATlON SHOULD II DIRICnD T01 NAM - - CorRan lIorm ~m;cbii'v HUMIU 101,-21'-/lltIll []X1. Original R.lurn o 4. L1mlt.d Ellal. Riehard L, Wobber, .11'" Esquire Mill 11 W. BiB Spring ^vonuo P.O. Box 40 Nowville, PA 17241-0040 716-6566 ()(I ,. '11 33,2111. 77 z o 3 ~ ::l UI ( 81 33.2/,1. 77 5 ,1,06,69 224,06 (151_ 27,611.02 (11) (12) (13) (1~) M.06 . 5,630,;5 27,611.02 27.611.02 1,656.67 116) M .1S. z o a s ~ o u a (17) 1,656,67 Dllcounl Inl""1 (18) (19) Chuck'horo if VOl,! fife W'Il/~~tin9 n ,('fund 01 your ovrt'lHI\!mf'nt 1 t ()'j6. 67 (201 (20A) (2DB) \ , " .... W'j ,,_.~.' .... '..~ . "'1'" , - - ~ .-.. --- - ..- ---. ~.- -. --~ ---- -- ._, -~ .-.~ _..- .....- .._-.' .__ ~.._ __.. _., ,~__ "_On _." __......_ ._'-' _ _~ ___. , , , ", I'll! "1'111"1\" '.,'" ~1,1",I, I J" \j"f""j""'! "'{II .'\.'ll' 'f~il r It \". H<' .\', I'" \".' "~f'" " ',,;i'.),; ;;~ If)' Ij:D\.'t j\(~ ,/,()J;~ll'li<!\ :;~I'_" (l""'~ l"~ "tFfi, ') 'I~ h'!V'I'~J(,:;.~~JU~,,~~t\f,:(!,II~l~{'/' i~'\~illtJ\~:t'i "jl. ;., (.ifrf',M i 1(1\;~~/~'~H~\~,1)J1E'i~"it',~\: \, /1' J"~,I..,. "'IIA',,,,'\;~\rl~~\'jnl,,,.ll~"~\~hfIH1Ii""" I ~l ~ Il',1~ tIp) rbtl'l' II 'fl, Jllt.!' (\..:.tl~ .\.... ~'l lit ' "';~ ,. I,.,' .', 1\' ,q',1 ,Ill ~ [t..". \. ,,) ".:i~..,\J'f"'.~ 1\ '~"'''~ . ~.". I I' , , .", .. . . '1~ I ji!,' k'" ,,\/ .1"'';' ~"T~'I l:~" \r.d:lp~!." f.~! Ir I. .f. I .rh~' IY ~ :' . : ::.:~::;~~\~M~~\?~':()~~~3.~ .:~jllll,~~~ll,lX.f,t~t~I~,'\'~'ir:N~. ~~~ ~r: ,q11/r'\(If/l:m, ~t~ ~\ 'i~M1', " \" i:'. .,;\ ". .'J~ , "I" 1..1.;..." ','IlI>,\ ...,"'!WI.'~M~'l:!"".',.~.~aJ.~.'If'~ .~:t\'~"'\!!!l~.'!'('M\ 1,,~Ll.!,,~\dl!.~&~. _ . .Il!,lfll' \.,!,,;j~l~' RECEIVED FROMI FJ ACN AssEssME NT fl' CONTROL 1;.1 NUMBER AMOUNT I I I I I 'I , . I Ii , :- fOIOHfU WEnDER RICHARD L JR 11 W. Dla SPRING AVENUE P. O. BOX 40 NEWVILLE PA 17241 --.---ro-I .1.65c:,.67 ESTATE INFORMATION, fa E M m II m 81-1994-02?S BBN OF DECEDENT IlASTI ---,'""Ifiif~ CORGAN 'HERM J ATE OF PAYMENT 1()4~e4-44"1 " y CUMBERLAND IE OF DEATH 02/15/~ REMARkS STEPHEN A. CORBAN. REGISTER OF WILLS m TOTALAMOUNTPAID _~1.~l56.6? . ~ DO) ,/, ';II' . L,.-". v RECEIVED By /~. (}.. '.. 0:;' ONA R MARY C:. I.E~il. REflISTEI~ OF WILU3 SEAL CHECK" 105 ;,"..r--~-"~ --- .-... --~., ~~.~ '-',-;-' -~- ~ -.-. ,_...._..M.'...:- .t,..,.- ___ ,_~.,. ':~'_' ,___, _.._ ....__ ___ .__.. , "- .~.~.. '- -.- "--' .....,... -..- -~... -- - --- " I I .1 ,I' ~ A Ij'l' "\ ,\ I , , I ,. . , '. . . '.'. '-" .........- .,.,......._.._~_..:.~.""'"'..Jd. ~ 4f"~. .~.~. \ . \ 3 --J(,o -/0 '~REV.lllt7 !X AFP (0..94* C_AlTH Of' Pf_nVAIIIA Dl!PAlTHI!HT Of' I!fVEHUE . iURl!AU OF IHDIYIDlJll U'EI Dl!PT. 210601 HARRIIIURO, PI l7IZI.OIOI J (I ..- 1 q (/ ~ p ;i.- NOTICE Of INItE~ITANCE TAX APP~AISE~ENT, ALLOWANCE ON OISALLOWANCE Of DEOUCTIONS AND ASSESS"ENT Of TAM ACN 101 DATI 11-21-94 FILE NO. DATE OF DIATH 02-15-94 COUNT V CUMBERLAND -- NOTE, TO INSURE p~OfeR CREDIT TO VOUN ACCOUNT, SUBHIT THE UPPER PORTION Of THIS FOR" WITH YOUR TAX PAVHEHT TO THE REGISTER OF WILLS. HAKE CHECK PAVAILE TO "REGISTER OF WILLS, ADENT" REMIT PAVMENT TOl RICHARD L WEBBER JR ESQ 11 W BIG SPRING AVE PO BO)( 40 NEWVILLE PA 17241 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 r A.ount RI.ltbd - CUT ALONO TH1S LINI ~ RETA1N LOWER PORTlON FOR YOUR RECORDS ... iiiV' :iiW" iirA Fiji of os": 9fii "illj'r"i c r of" i"NIi iiiifAtfc! "TAx" A"P'PRAi s ii"'EilT~""A L l"liWAifc! "jili""..".."""".""""" DISALLOWANCE OF DEDUCT10NS AND ASSESSMENT OF TAX EITATE OF CORGAN HERM J FILE NO.21 94-0273 ACN 101 DATI! 11-21-94 TAX RETURN WASI (X J ACCEPTED AS FILF.D () CHANDED RESERVATION CONCERNINO FUTURE XNTEREST " SEE REVERSE APFRA1SED VALUE OF RETURN BASED ONI ORIGINAL - 1. Rill Eltltl (Sohl~ull A) ll) 2. stookl Ind lond. (Sohldull Bl (2) 5. Clo,"I~ H.ld Stook/Plrtnlrlhlp Intlrllt (Soh.dull C) (5) 4. "ortglg,"/Hotll Rlollvabl. (Sohldull DJ (4) 5. C..h/BlnI< Dlpoalla/Hlao. Plrlono1 ProPlrt~ (Schldull El IS) 6. Jclnth Dwnod ProPlrt~ (Schldull F) (6) 7, Tronlflrl (Schldull 01 (7) 8, Toto1 A..lIa ,DO ,DO .00 .00 33,241.77 .00 .00 III 33,241. 77 APPROVED DEDUCT10NS AND EXEMPT10NSI t 5,406.69 9, Funlrll Expln.II/Ad.. CCI 1/"llc. EXPln.l. (Sch.dull H) (,) 10, Dobh/Hcrtlllgl LllbUIUII/Llonl tSchldul1 II llO) 224.06 11. Toto1 D.ducUcnl llll 12. Not VIlul of Tlx Rlturn ll2) U. Chlritlbll/Dcvlrn,,,,,,,101 Blqu..ta ISohldull J) llO) 14. Hit VIlul of E.totl Subjlct tc TIX ll4) NOTEI If .n ......m.nt w.. i.au.d pr.viou.1Y, lin.. 14, 15 Rnd/or 16, 17 .nd 18 will r.n.ct figur.. that inolud. the total of lli r.turn. .......d to dat.. ASSESSMENT OF TAXI 15. A..unt cf Llnl 14 It Spoulll rltl (IS) 16. A..",t cf L Inl 14 taxabll It Linul/Cl,," A r.tl (6) 17, A..unt cf Linl 14 toxabll It CoUlh,'ll/Cl..1 Brito U7l 18. PrlnolPll Tlx DUI TAX CREDnal PAV.,ENT nATE 07-06-94 r;. ti.~o. 7~ 27,611.02 .00 27,611.02 .OOK'OO. 27,611.02 X.06. .OOK.15. lIeJ .00 1,656.67 .00 1,656.67 RECEIPT NUHIER MM886257 DISCOUNT INTEREST (+) (-) ,DO AHOUNT PAID 1,656.67 TOTAL TAX CREDn BALANCE OF TAX DUE 1NTEREST TOTAL DUE 1,656.67 .00 .00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FO~ CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN 81, NO PAVHENT IS REQUINED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU "AV IE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS.) , ,Ii A!UtcYATlONI Elt.t.. of dto-*h dvJng on or before DR....r 12, 1912 -.. Jf eny 'uture 1nter..t In tM ..t.t. I. trM.ferred In po.....lon r1r '"JOYMnt to CI... . (oolllt."lJ b'MfJo!lrJ.. of tM He.dent .fter the INplr.tJon of My ..tit. fC'r 11'. or for VII", thl Co-.onw..Uh hereby IlCpr..llv ""rllll thl right to eppr,l.. Ihd ...... tren,'er tnhtrSteno. TIICI' It thl l.w'ul e.... . (aoUete"l) "tl on 1M lue,", '\AtUrl Inter..t. _Of' NOTICE I To 'ulfill thl requlr'Hnh of Station 2140 (I' the Inhlrltlno. and E.tltl T'I( Aat, Aat zz 0' 1"1. 72 P.'. ,..tlon 2140, PAYfENTI Dlttch thl top portion of thll Natla. end 'ublit with vour Ply..nt to thl Rlllthr 0' NUll printed on thl river.. .Jde. --".k. check or ...... ordor "ubI. to. REOISTER OF HILLS, AOENT All P.~"tl rlGllvld 'MB flr.t be IPPllld to any Intlr..t ..,",Iall -.ty be due with any "'llnder appllld to thl tll(. Rf,UND (CA)I A r.'und of . tll( oredlt, Which .... not r.quelted an the T.IC Return, IIV b4I rDqUlltld by aOllPlItlng en "AppllolUon tor R.,und of PIM.VIVMh Inhlrltlnol end Elht, TII(" (REV~UU). AppllceUon. Irl IVIUlbl1 It the Offlol 0' th. Righter of WUlI, MV 0' the U ReVlnut Oiltrlot Offloll, or bv cIlIlng thl .p.ol.1 24.hour an'll,rlng ..rvle, nuMMrI for for., ordlrlngl In Plnnlyh:lnlt 1-800-562-2050, oyt.ld. Plnn.vlvlN1JI Ind within loc.1 Harrhburg Ir.. (717) 787-1094, TOOl (717) 772-2252 (H..rlnll I.Pllrtd Only). OIJe:CTJONII Anv plrh In Intlrl.t not ..U.fled with thl apprelt...llt, l11o...ncI or dlsallowlnOl 0' d.duotlan., or ......ltInt of tllC (1MlucUnll discount or Inter.." II .hown on thlt Notlel autt obJtct wltt'lln .bty (60) dlV' of recllpt 0' thlt NoUe. b~1 --wrltte" prot..t to thl PA OIP.rt..nt of RIlI.nuI, BOlrrt 0' APPlllt, Df;PT, 281021, Htrrltburg, PA 17128.1021, OR ....l.otlor" to hlvl thl .athr dlter.lnld .t audit of tM acco~t 0' thl per.onll rtpr..lntaUvl, OR -......1 to tM Orphan.' Court. ADltIN IITRATI'I! CORRt!CTlllNS. INtrR!ITI F.otu.1 trrorl dlleovtr.d on thlt ........nt Ihould b. addr....d In writing tOI PA DIPlrt.."t 0' "'VInUI, BurlIU 0' Indlvtdu.l 'aJC", ATTNI POlt h.....'"t Rlvl.w 1:..It, OEPT, 210601, Herrhburll, PA 1712'.0601 PhoM (717) 78'-650&. S.. ptQfl ) 0' thl bookllt "Inltruction. 'er InhtrltBnOI T.JC Atturn 'or I R..ldtnt Otctdlnt" (REV.1Ull for In IICplanlUon of .dlIln"tr"'I~.IV oor"etebll .,rort. II My tl. due It Plld within thrll ()) c.llndar .onth. I'ter thl dlcld.nt.. d..th, . flvl pere,"t (5l() dltOCKWlt of the taJC Plld It IUc...d. Inter..t It chlrlld blglnnlng ..lth fJr.t dav 0' dlllnquMOy, or nlnl (9) IIOnth. end on. (1) dlv 'roe thl d.t. of dllth, to thl a,. of PIYMf1t, TII(" Nh1ch btc... delinquent b.fore Jll"IUery 1, 1912 b..r Jnt"..t It thl rlt. of 11M (,:0 ptrcent Plr ItrnM c.lcullttd It t dllh rlt. of ,000164. All hxOI Nhlch btc... d41l1nq"lnt on ~ IHer JtnUlr~ 1, 1"2 wllJ bl.r Intlr..t It a retl which ..Jl1 vary froe olltnd.r Vllr to clllnd.r ~..r with thlt r.t. InI1IXmld bV thl PA o.partttnt 0' R.VIMM. The Ipplloabll Inter..t r.tl. 40r 1912 through 1994 .rll DIICOUNT, '!!!! Inter..t A.tl DailY Int.r..t Flotor l2r Int"..t Altl nllly Int.rl.t Factor 1911 2U .OOUU 19IA lOX .000274 1m I6X ,000111 1917 9X .000:47 19M \IX ,000101 1911-1991 m ,000101 1m \IX ,000156 1992 9X ,OOO;!47 1991-1994 7X ,000192 ..Int""t I. o.loul,ttd I' follow'l INTERClT . RALAHe! OF TAX UNPAID X HUHBER OF DAYS DELINQUENT X DAILY IHTEJEST FACTOR "An~ Notlal '"ued ,'ttr thl hJC b.oo... dtllnquent will r"lltClt In Interllt cIleulatlon to f1ft,,,, (15) diY' btvond thl dlt' 0' thl ........nt. If PIV""t It IIdt .ltlr thl tnter..t coeput,tJon dltt .hewn on thl Notlcl, Iddltlonal Int.rl.t IUlt be ctloullttd. AND, 1 do hereby stipulate that in order to Iwoid t.he expense and time involved in the filing of a formal Rccount Rnd schedule of distribut.ion, I consent to distribution boing made without the /'lUng of an account Rnd schndule 01' distJ'i but..lon , the SRme to be with tho same forc!' and effect as i I' he hud been filed Rnd confirmed by t.he Orphan's Court Division of the Court of Cumber- land County, Pennsylvania, TIIEREFORE, 1 do h(H'eb~' remIse, release, Cjult.claim and I'ol'evel' dischRrge the said Exocutor of and I'rom the suid estate &nd from all uctions Huit.s, PU~'In<Hlts, /lCCollnts, l'ocltonin!lH, cluims, Ilnd demunds whatsoever for 01' by I'euson thel'eol', 01' 1'01' uny other use, mutt,el', cuuse aI' t.hlng whutsoevor, t.ouching upon the ost.ut.e of the Haid decedent, nnd 1 do furt.her horeby covenunt. Rnd agree t.hut. should uny liabilit.y come duo to t.he estute of the said doc(,dent. lifter till' signing of' t.hls ngreemont, J hereby covennnt and agree with euch other und t.he uf'orl!snld personul reprosent- atlve, thllt. I will cont.I'ibute pro-I'ut.u my shure of t.he est.ute to saUsfy uny and ull clnims, delllunds, sllit.s, or cuuses of uction which muy be successfully pl'osecut.ed ngnin;;t. the suid ostute or the afol'e!.wid pel'<:onnl represenLut.tvp ufter t.he signing, sOlding and delivery of thin I'lIndl~' sott.J('lllent IIgrel!mont. and final release. IN ~!:I'NESS 1'HEHEOF, the pnrties hllve signed this A~p'eement this ~'dll~' of ..P().Y..!f/o1.d.g.e_..____.___, lHH", intending to be legally bound hereb~', W it!ll' fHI :_~ ~ /' . ~:t2-_n s~~\~.~..~ ACKNOWLEDGEMENT STATE OF N& W -::re. A's 6 y COUNTY OF C,(JHl>~,J On this, t.he ..:l..e..'--IJ.'ctll~' of' _cY~~€_~_4.~=~_._____.._.., IH!!", before me, a Notary Publ Ie: in Ilnd fOl' SlIld Count.~. and Stat.e, the undersigned offlcor, personally uppenred STEPHEN R. COROAN, known to me (or satisfactorily proven) t.o be the porson whose nume is subscribed t.o t.he Idt.hin instI'lllnent., IInct ucknow.ledged t.he foregoing to be his act and deed IInel defli I'cd tho sume t.o be rccorded 11S such, S8. IN WITNESS WHEREOF, I IWI'ounto set. my hllnd nnd of't'iciIlJ soa1. ~~_._~~__ !IREAL) Pago ~ MllEVA BONCle NOTARY PUBLIC OF NEW JERSEY Mv Comf;':~"inn 1\ 'jrn' '.~n, '~, 1 "r')9 ~OF PRINCIPAL Q.\l ne n t V..lll!.u!.' Fiduciary Acauisition Value 1. Farmers National Bank checking acco~nt '16-611-6 $ 6,667.33, 2, Farmers National Dank savings account ,60019tl4 Accrued interest to date of death 161373.59 3, Blue Cross - refund 68.12 87..86 66.98 273.00 424.90 4. Value Rexall - refund 6. Internal Revenue Service - 1994 tax refund 6, U.S. Steel & Carnegie Pension -.pension check 7. 1992 Ford Sedan, Serial #2FAP74WBNX131069 11,300.00 Total principal receipts $33,241,77 DISBURSEMENTS OF PRINCIPAL , DEBTS OF DECEDENT 2/20/94 H & R Block - Preparation of 1993 tax returns 67,00 3/20/94 PP & L - final electric bi 11 10B.82 3/20/94 United of PA - final telephone bill 48.24 $ 224.0~ ADMINISTRATIVE EXPENSES 3/21/94 Cumberland Law Journal - legal ad 40.00 Page 6 '"