HomeMy WebLinkAbout94-00291
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PETITION FOR PRODA TE and GRANT OF LETTERS
191- qtt -af I
EJIIII' 0/ Mary C. Clippinqer
Qlso known III ,
No,
To:
Resister or ~Ug fOI the
o DfClalld, County of urn or and In the
SIX/a/ SmrjlY No, 201_1 h_ ?R"h Commonwealth of Pennsylvania
Th' !)tUllon or Ihe undOrllsned respuclfully rcprmnl. that:
Your pelllloner(", who II/Pt I'll year! or IS' or older In the emut nr named
In the laSl will of Ihe above dec'denl, deled Julv 13. ,19..2!l....
and cedlcll(s) daled n". ilr:? 1 j ,,<II, 1 Ii>
(1111. rell'.nl clrc\lm",nc", ',e. rcnuncllllon, dlllh o/.^CO~'OI, 110.)
Oecendcnl was domiciled a' death In Cl1!l1borland.. Counly, Pennsylvania, wllh
/I or IUI famllu or prlMlpal residence at 1~2 w"qt- l<innJ <::h'C"" ~hi!Jp""""IlC9"r'3,.'
PA 17257 ' ~ . r- ____
(IUIU'ctl, numbtt and m~nolpali',)
Oeeenden(, then 68 years of aae, died F'ebruary 28 I 1994
at ChairbE:(rsburo HO~J?itr'1]. ChqmlYlr~hllr". PA ,
Except AS follows, decedenl did nOI marry, was not divorced and did nOI have a chnd born or adopted
afler execulion of the will offcrcd for probale; was nOlthe victim of a killing and was never adJudlcaled
lneompelenl: '"OM
Occcndonl al dUlh owned properlY with eSllmalod valuCl al followSl
(Ir domiciled In PA,) All personal properly .
(If not domiciled In Pa.) Personal properly In Pennsylvania
(It not domiciled In Pa,) Personal property In County
Value of real eltatt In PennsYlvania
shualed as folloWl1 . hone
S 78,500.00
$
$
$
~
-
WHEREFORE, petltJoner(l) respectfully reqUell(s) the probate of the lasl will Ind oodloll(s)
presented hercwilh and the sranl of lellcrL te"h1n'<'lntClry
lh (lIl11menlt'Ylldmlnlllrlllon C.I.I.I admlllllllallon d.b.n,~.I.I.)
eron,
f, ,8># M} i~)j.{"';J'"
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-
P"l w, Cli~"l!I1
'.t~~ti~7~'}t . IHr7
-
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } ss
COUNT\' OF Currberland
Swor n 10 or
bdore me lhis
'17!J;;;;-;1'
II(...:')M~
The POlllloner(s) above. named Iwear(s) or afflrm(l) Ihalthe Slalemenlsln the (oregolUi petillon are
srue ~nd corrcctlo lhe bCSI of the knowledae and belief of pClitloner(s) ftOd thalli pcr~onal rcprclon'
lallve(s) of the above dccodenl pelllloner(s) will well and lIuly admlnislcr Ihe eSlate according 10 law,
.
affirmed and.z4~scrlbcd 1 ~;"~,e /rJ (';;151,,; ',r> ,~-
dA of .__
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living issue, such share shall be added to the share or shares of
my other ohildren.
THIRD
Any fiduoiary undel' this will shall have the fonowing powers
in addition to those vested in them by law and by other provisions
of my will applicable to all property whether principal or inoome,
inoluding property held for minors, exercisable without Court
approval, and effeotive until actual dlstribution of all property:
A. To retain any and all of the assots of my estate, real
or personal, without regard to any prinoiple of
diversifioation of risk.
To invest in all forms of property inoluding stook,
oommon trust funds and mortgage investmont funds without
restriction to investments authorized for Pennsylvania
fiduciarles as they deem proper, without regard to any
prinoiple of diversifioation of risk.
C. To sell at public or private sale, to exchange or to
B.
lease for any period of time any real or personal
property and to give options for sales, exchangos or
leases, for such prices and upon suoh terms or oonditions
as they deem proper.
D. To allooate receipts and expenses to prinoipal or income
or partly to eaoh as they fr.om time to time think proper.
E. To oornpromlse any claim or controversy.
F. To distribute in oash or in kind or partly in each.
Page 2
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~REV.1547 EX AFP (12.94).'
COHHOHWEAI TH OF PEHHmYAHIA
DEPARTMENT OF RlYENUE
II~EAU OF INDIYIDUAl TAXES
Df.PI. 210601
IIARRISlURO, PA 17128-0601
ESTAf!OP CLIPPINGER - FILE NO.
DATE OF DEATH 02-28"94 COUNT'(I(' CUMBERLAND__.
NOTE, TO INSURE PROPf,R CREOIT TO VOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FbMH WITH VOUR TAX' ~ '
PAVHENT TO THE REOISTER OF WILLS. HAKE CHECK PAVABLE TO "REOISTER OF WILLS, AOENT"
RCMIT PAVM~NT TO:
. ..' .... .....~.... -,. '''' .
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/ II J Oi.\ - t.?"
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l~(lV-
1./
ACN
101
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF OEOUCTIONS AND ASSESSHENT OF TAX
'.
F Anau... ~o~lttod --,
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~
R i;V: is''-; "Eif -A j:ii - f i '2:94 Y -NoT i lir OF - "iNHEiii;: AN-C E- TAX - jipPRiii SE if ENr; -Ai. DiwAN"CE" (ili - -".- -- -.... -"...
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
MARY C FILE NO. 21 94-0291 ACN 101
If an assessment waB issued previously, lines 14, 15 and/or 16, 17 and 18 will
raflect figures that includa tha total of 6hh returns assessed to data.
ASSESSMENT OF TAXI
15. A.ount of L1no 14 ot Spou.ol roto 1151
16. A.ount of Llno 14 to.oblo ot Llnool/Cl... A roto (16)
17. A.ount of Lln. 14 toY-.blo It Collotor.l/Cl... B r.t. (171
18, Prlnolpol T.x Duo
JOEL R ZULLINGER
STE 310
CHAMBERSBRG TR
CHAMBERSBURG
CO BLD
PA 17201
ESTATE OF CLIPPINGER
TAX RETURN WAS, (X) ACCEPTED AS fiLED
RESERVATION CONCERNING FU1'URE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETliFlti:BASED ON: ORIGINAL RETURN
1. R..I E.toto (Schodulo Al (1)
2. Stook. ond Bondo ISoh.dulo B) (2)
5. Clo.oly Hold Stook/P.rtnorshlp Intor..t (Sohodulo C) 15)
4. Hortg.g../Not.. Rooolu.blo lSohodul. 01 (4)
5. Co.h/B.nk D.po.lt./H1.o. P.r.on.l Proporty (Sch.dul. EllS)
6. Jointly Own.d Proporty (Sch.dul. Fl (61
7. Tron.f.r. (Sohodulo 0) (7)
8. Totol AliOto
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funaral Expanlol/Adn. COlh/Hhe. Expan... (Schedule Hl (9)
10. Dlbh/Hortgago Ll.bllIU../Ll.n. (Sohodulo II (10)
ll. Totol Doduotlon.
12. N.t Volul of Tox R.turn
U. Chorlhblo/Gou.rn~.ntol Blqu..ts lSch.dulo J)
14. NIt VoIu. of E.tot. SubJlct to Tox
NOTE:
TAX CREDITS:
PAYHENT
DATE
10-04-94
RECEIPT
NUHBER
MM913031
DISCOUNT (+)
INTEREST (")
.00
DATE 06-26-95
REGISTER 01' WIll~S
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013.
DATE
06-26"95
I ) CHANGED
...Q.Q..
78,500.00.
.00
.00
000.00
.00
.00
(81
79,300.00
10.079.15
.00
111)
(121
(131
(14)
10.n1Q 1Ii
69.220.85
.00
69.220.85
.00 x' DO.
69.220.85 X .06.
.00x.lS.
118)
.00
4.153.26
.00
4,153,26
AHOUNT PAID
4.153.26
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
4.153.26
.00
.00
.00
. IF PAID AFTER DATE INDICATEO, SEE 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" lCR). VOU HAV BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
,.
RESERVATION I E.t.t.. of aCld.nt. dvlnA on ar befor. DICllbtr 12, ltat u if any luture Intlr...t In the .,tet. It tr",'.rrtd
In po.....lon or .nJoy..nt to Cl... a (colhttr.l) blnlllelerl.. of the dlcldlnt ,'tlr the uplraUon of tny ut.tt 'or I
11'. or 'or v..r., thl Co..onwtllth hlr,by Ixpr...h rutry" the right to apprah, and ...... trlne',r Jnh.rHtnel Till..
at the lawful C1... B (oolht.raU rate on any .yeh future Inter..t, '
PURPOSE OF
NOTICEl To fulfill the "Clulr.unt. of Slotlon 2140 of the lnh.rltanc. and Est.t. Till Act, Aot ZZ of 1991, II P.S.
Sect Ion 2140,
PAVtENTI
Oltleh the top portion of thlt Hotlcl and lublllt with your pIY"lnt to the Ruhl,r of Willi printed on the rlYlr.. IIde.
..",kl chick or lontY order pavablt tol REOISTER OF MILLS, AGENT
lit Ply..nt. r.etlvld ,htll flr't hi appUed to any Inter..t which uv bl dUI with anv r...lntllr appll.d to thl tl)C,
REFUND (eR)1 A rtfund of a talC Clrldlt, which Mil not roqu..tld on thl TalC Rtturn, ..a., bt nqulltld b., oo.plltlng an "AppUcttlon
for R.fund of Ptnn..,lvanl. Inhlrltancl and Estatl TalC" (REV~Ul]), ",PPUClatlon. ar. IIv.Uabl1 .t thl Offlc'
of tht Rlghtlr (If Willi, an., of thl 25 Rlvlnu. District Offlc.., or b., ClIUlng the ,plolal 2t,~hour
en.wtrlng ..r'o'lol nUlblr. for far.. ordlrlngl In P.nnl.,lvanla 1-800~S62~Z050, out.ldl P.nn.vlvanla and
ldthln 10011 Harrhburll ar.. (111) 787-8094, TOOl (1171 77Z'ZZS2 (Hurlng IIp.lrld Onlvl.
O!lJECTIOHSI linv party In Intlr..t not ..tllflld with tht aparall..lnt, al10wancI or dhallowanel of dtduetlon" or ........nt
of tllC (InclUding dhcount Clr Inttrut) &1 shown on thlt Hotlcl IU.t objlot within IllCt., (60) da.,1 of rlcllpt of
thll Hotlol byl
~~",rltt.n prot..t to the PA Dlpnrhlnt of Rtvlnu., Board of ",PPI"II, D.p\' 281021, tlarrl.burg, PA 111Z8~1021, OR
....lIcUon to havI thl IItttlr detlrllnld at audit of thl aocount of thl p.rsonal rtpr...nht1vI, OR
..appul to thl Orphan,' Court.
ADMIN
ISTRAIlYE
CORRECIIONS,
fantu.l Irror. dhcovlred on thh a.......nt should bl .ddr....d In writing tal PA D.p"rt..nt of R.....nu.,
Burllu of Indlvldull TalC", ",TlHI POlt A..uu.nt R.vl.w Unit. D.pt. Z80601, Harrisburg, PA 11128'0601
Phon. (117) 1lI7~6S0!i. S.. pig. ! of thl bookl.t "In.truotlon, for Inherltancl TelC Rlturn for I Ruldlnt
O.eld.nt" (REV~lSOI) for an ..planatlon of adllnlltratlvolv Clorr.etabl. orror..
INTERESI.
If .ny tu dUI h p.ld within thr.. (5) cal.ndar lonthl after thl d,cld.nt', d.Uh, I flv. plrunt (5~) dhcount of
thl talt paid I. allow.d,
Int.rut h ehargld b.glnnlng with first da., of dtllnqu.nClY, or nln. (91 .onth. and on. (1) dav frol the dlt. of
dl.th, to the det. of pav.,nt, T~lC" which b.e... d.llnquent blfor. January 1, 1982 b.er Int.r..t It the ret. of
lilt (6;() perunt ptr Clnnu. celcultit.d at a dallv rate of ,000164. All tlM" which b.ce., d..lInqytnt on and art.,
Jlnuarv 1, 198Z will b.ar Int.r..t at II rat. loIhloh will varv fro.. calendar Yllr to cahndar Vllr with that rat.
announc.d by the PA Departatnt of R.vlnul. Th. Ippllcabll Int.r..t rat.. for 1982 thrcugh 1995 arl.
DISCOUNT'
~ Inhr..t Rate Dally Int.r..t Faotnr l!!r Int.rut Ratl DailY Int.r..t flotor
1912 20X .000S'8 1987 9X .010247
un 16X .000.38 1988-1991 llX .000301
1981j llX .ODDSOI 1992 9X .000247
19U UX .000n6 199!'199t, IX .000192
19&6 lOX ,00:)274 1995 9X ,000247
"Int.r..t II calculat.d II folio"".
INTEREST = BALANCE OF TAX UNPAID X NU"BER OF DAVS DELINQUENT X DAILV INTEREST FACTOR
.~Anv Hotlc. I..u.d aft.r tht tllC b.eo.... d.llnqulnt will r.fltot an Int.r..t oalculttlon to flft..n (IS) d.y,
b..,,,nd thl date of the ........nt, If Plly..nt It ..adl aU.r thl Int.r..' co.putetlon date .hown on thl
Notlc., .ddltlonll inter..t lu,t b, calculat.d,
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COMMONWEAllH OF PENNSVIVANIA
DEPARTMEtH O~ REVENUE
om,2B0601
HAUlseURO, PA 171'1.0601
. I .'
clippingor, Mary C.
Si IAL E URITV IIUM R
201-16-2856
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
'All
'01 DATil 0' DIATHAntl 12/31/91 CHICKNIII
IP A lPOUSAL
POVlln CIIDIT IS CLAIMeD D
PILI NUMUI --'-
21-94-291
COUN1V CODE
DENT'S COMPlETE ADDRESS
122 \\est King Street
Shippensburg, PA 17257
COO", Cumberland
03.
05.
YEAR
NUMBEB
A r DEAHl ~TOfliRH1--
2/28/94 I 3/7/25
o 2. Suppl.menlal R.lurn
o A. limited E,lal. 0 Aa. Fulure Inlel'e.1 Compromh.
(for dol.. of d.alh ake, 12.12.82)
I[) 6. Deced.nl Died T..lol. 0 7. O.cedenl Malnlaln.d a living Tru'l
(A"ach copy of Willi (A"ach copy of TFUltl
AU CORRISPONDINCE AND CONPlDENnAL TAX INFORMATION SHOULD BE DIRECTED TO.
- MPl TE MAiliNG ADDRf.SS
Suite 310 Charnbersburg Trust Co. Bldg.
Charnborsburg, FA 17201
~ 1. Original R.turn
Remalnd.r Ralutn
(fa, dale. of d.ath prior to 12.13.821
F.d.,al E.tate Tax
R.lu,n Requlr.d
Talal Number of Safe pepa.1t Boxe.
_8.
,: I;~';
',"':Sl(.~t},i ~-J 1~A,;,','
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Joel R. Zullinger
, [jPHONE NUMBER
717 I 264-6029
1. Real E.lal. (Schedul. AI ( 1)
2. Slack. and Band. (Schedule B) ( 2)
3. Cla.ely H.ld Slack/PortnOflhlp Inl.'." (Sch.dul. C) (3)
A. Mortgag.. and Nal.. R.ceivabl. (Schedul. D) ( A)
5. Ca.h. Bank D.pa.lt. & Mlleellan.ou. Pe"onal Property( 5)
(Sch.dul. E)
6. Jalnlly Own.d Prop.rty (Schadul. FI ( 6)
7. Tranlfe" (Schedule GIISchedul. l) ( 7)
8. TOlal Grall A"el. (Iolollln.. 1.71
9. Fun.ral Exp.n..., Admlni.lratlvo Co.I., MIIe.llan.au. ( 91
Expenl.' (Sch.dul. f1j
10. Deb", Mortgage lIobllill.., lIo" ISch.dule I)
11. Tolal Deduction. (Iolallln.. 9 & 10)
12. N.I Valu. of E.lal.llln. 8 mlnUllln. 11)
13. Charltabl. and Gov.rnmental B.qu.." (Schodul. JI
lA. N.I Valu. Subj.ct 10 TOK (IIn. 12 mlnu. IIn.}31
IS. Amounl of IIn. 14 laxobl. at 6% '01.
(Includ. volu.. from Sch.dul. K or Sch.dul. M,I
16. Amounl of Iln. 1 A 'aKabl. at 1 S% ral.
(Includ. volu.. from Sch.dul. K or Sch.dul. M,I
17. Principal 10. due (Add lax from line 15 and from IIn. 16,)
18. Credil. Spou.al Pov.rty C,.dil Prior Paymonll
+ +
19. If IIn. 18 II gr.al.' Ihon IIn. 17, .nl.r the dlff.r.nc. on IIn. 19. Thl.1s tho OVERPAYMENT.
aD
20, If lin. 17 119r.al.r Ihan IIn. 18, .nl.r Ihe dlff.r.nce on IIn. 20. Thl.I.lh. TAX DUE.
A. Enl.r ,h. In'.r..1 on Ih. balonc. duo on IIn. 20A.
R. Enl.r ,ho 10101 ollin. 20 and 20A on IIn. 20B, Thl. II th. BALANCE DUE.
Mako Chock Pavabl! to, Rogl.t"..f Will., Agont
78,500.00
800.00
10,079.15
( 8)
79,300.00
(101
(11) 10,079.15
09, 220.U5
(12)
(13)__
(IA) -..22.220.85
)(.06",_ 4,153.26
(15) __~~ 220.85
(16)_____
)( .15",
(17)
4,153.26
Discount
Inter.'1
(IB) ________
(19)
(20) 4,153.26
(20A) _____
(20BI _.~3.26
Cllock hero if you CUe requosting b refund of your ovorpoymc,U.
. . liE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH....
Under pencll!II 01 perjury, I declorelho!1 hove 1I1(omined lhls relurn, Including accomp~tche'dule' and ,Ial.menh, and to Ihe bell of my knowledge and belief,
IllslrulI, corrld and complelll, I declare Ihol 011 realllllole hal belln reported 01 true markol volue, Declaration of preparef olhlr than the perianal reprel8nlall"ll h
bOlod on alllnformalion of which preparer has any knowledoe.
~AiU~kr~N-~SPON6filnO.Rfi('"O",TD'~;2 ~:~o'~~ng s~o~t, -~l~iP~-nsburg, PA 1725-:;---- ~/1/~<L-
~AlU [PARCR -li ~ "AN RE NfAfI'if------.ooms .. . --.-. .-- OAffL. --
72,-- ~:~,,~)'Ui~=_?l~ Charnbersburg~l:ru:~~~ Illdg._.___._ _L~ (21----
~ _. -'r-- Charrborsbllrg I PA 17201
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LAST WILL AND TESTAMEN1'
I, Hary O. Clippinqer, of 122 West King street, Shippensburg,
cumberland County, Pennsylvania, being of sound and disposing mind,
memory and understanding, do hereby declare this to be my will,
hereby revoking any and all former wills and codicils thereto by
me heretofore made.
Ji'IRST
I direct that all my just debts and funeral expenses,
including all expenses of my last illness, shall be paid from my
estate as soon as practicable after my decease as a part of the
expense of the administrat~on of my estate.
SBCOND
I give and devise the residue of my estate of every nature and
wherever situate to my children, namely, Everett L. Miller, Jr.,
Robert E. Miller, Bonita K. Ocker, Teresa Ann Clough, Jeffrey A.
Miller, Michael C. Miller, and pamela Pevahouse, in equal shares,
provided that the share of any child who predeceases me or dies on
or before the thirtieth day following my death shall be distributed
to said beneficiary's issue, per stirpes, living on the thirty-
first day following my death, and in default of any such then-
Page 1
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living issue, such share shall be added to the share or shares of
my other children.
:\~
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"
THIRD
Any fiduciary under this will shall have the following powers
in addition to those vested in them by law and by other provisions
of my will applicable to all property whether principal or income,
inclUding property held for minors, exercisable without Court
approval, and effective until actual distribution of all property:
A. To retain any and all of the assets of my estate, real
or personal, without regard to any principle of
diversification of risk.
;,
To invest in all forms of property including stock,
oommon trust funds and mortgage investment funds without
restriction to investments authorized for Pennsylvania
fiduciaries as they deem proper, without regard to any
principle of diversification of risk.
C. To sell at pUblic or private sale, to exchange or to
B.
lease for any period of time any real or personal
property and to give options for sales, exchanges or
leases, for such prices and upon such terms or conditions
as they deem proper.
D. To allocate receipts and expenses to principal or income
or partly to each as they from time to time think proper.
E. To oompromise any claim or oontroversy.
F. To distribute in cash or in kind or partly in eaoh.
Page 2
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r i\,'f.'\'\1"7-:-:';'::~~:l'<\I..r_I',:-;!(~t9'1 '~":1.?t~IW'.
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"G. To hold property in their names without designation of
any fiduoiary oapacity or in the name of a nominee or
unregistered.
It is my desire that my ohildren retain as many shares of
orrstown Financial servioes, Ino., stook, which I hold at the time
of my death as is possible after taking into aocount the pa,~ent
of all expenses including taxes.
J'OORTH
..,
....,
I direot that all taxes that may be assessed in consequence
of my death of whatever nature and by whatever jurisdiction
imposed, shall be paid from my residuary estate as a part of the
expense of the administration of my estate.
-~
'~
rUTH
I appoint Paul W. Clippinger, as exeoutor of this my will.
Should Paul W. Clippinger, predeoease me, fail to qualify or cease
to aot, I appoint my son, Robert E. Miller, and my daughter, Bonita
K. Ooker, as co-executors of this my will.
SIXTH
No bond shall be required of any fiduciary hereunder in any
j urisdictioll.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this
my last will and testament, oonsisting of five typewritten pages,
Page 3
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.,...0\1.'. il'l'.1 ",..,' ;,; . to,t '
, , .0 INVOIQE;' "",.
'--TOM'S MOTOR SALES EI ~i~:~ROE;R
1691 R ad
exaco 0 CUSTOMER'S OROER NO
Meohanlosburg, PA 17055
(717) 691.1001 PHO C '4 ':J -.5,,''1
New & )!.Sed R. V. Sales . Service . Parts OAT! 9k / .
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NAME~ (Jj1'! ,'~ ~ u,
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CITY( , , b. . STATI /t ZIP J 7~<7
SOLD SV CASH I c.o,o. CHARa. ON ACCT'IMose. RET'O PAID OUT CREDIT
DTY, DE8CRIPTI9N NET PRICE AMOUNT
0" ' , ,
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AlCIMD IV " 0
TAX
........... .. TOTAL
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TIlUIII CU/lofNnoI cNwgt 11~ pet manlh .,., 1IO clIyI. OUr ilium polloy 1I1.a dIy.. IrwoIot NIt
rtLmed !at ..... or lMhtr nwchI.'ldlle. AtrM 8 dIy. 201(, htndIlng dlltge on III lllUm1!at CIIdt or othI,
merchlndlM. No_~WtllOdIy..' in'IllI..dalllnd (POSmvELV NO CASH REFUNOWU
BE loWlE), 8pIdII ardIlId IIIIM do notljlfl!y whIIIoewI, and 1/1 nol rtllmlblt. t20.DD ..1'IIct li1IIge for
dlIcMIIIlmIdIar..._. '
AU Cl.u. AND RI1UlUIlD CIOOllIIIUIT II ACCOIIPAHlID IV,.. IILL
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Mary C. Clippinger
ITEM
NUM."
""'UII'.. P.II'
A,
1.
2.
3.
':
~~
COMMOHWIAlIH Of IlHHSYlVAHIA
IHHI_"AHCIIOX WU_H
I!IIDIHI DIClDINI
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Pl._a.. Pllnt or TVp.
DESCRIPTION
AMOUNT
Fun.ral bp.n...,
Foge1san;er,.Bri.::ker Funeral Hare
Spring Hill Cerretery, grave opening
4,726.20
325.00
215.00
Gordon's MeIroria1s , graverrarkor
B. Admlnlltratlve COlhl
1. P'"Dnal Reprellntatlve Commlulonl none
Social Security Number of Penonal Repre..nlatlvel
Year Commlulonl paid
2.
3.
4.
C;,
1.
2.
3,
4.
5.
6.
7.
8.
Attorney F..I Joel R. Zullingar
2,500.00
Family Exemplion
Clalmanl Paul Clippinger
Relatlonlhlp
husband
Addreu of Claimant at decedent's death
Street Addroll 122 West Kio:.:J Street
City ~hippensburg Slate ~_ Zip Code
17257
2,000.00
Probate Fell JCP fee 5.00/ Cost of Letters 200.00/ extra pages
2.00, short certificates 6.00, filing return 15.00
MI.clllanlou. bpln..1I
erland Law Journal, advertiso letters
ews-Chronio1e, advertise 1ettera
238.00
40.00
34.95
TOTAL (AlIa enter on line 9, Recapitulation) S 10,079.15
(II more IpCIC' II needed, In..rt addltlonal .h,," 01 .am. .11..)
I
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STATUS REPORT UNDER RULE 6.12
Nllme of Decedent, Mary C. Clippinger
Dllte of Death, F'ebruary 28, 1994
Will No,
Admin. No. 21-94-291
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
1, State whether admlnistration of the estate is complete:
Yes x No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. If the answer to No. 1 is Ves, state the following I
a. Did the personal representative file a final
account with the Court 7 Yes No x
--
b. The separato Orphans' Court No, (if any) for
the personal ropresentative's account iSI
c, Did the personal representative state an
account informally to the partles in interest? Yes__K-- No
d, Copies of recoipts, 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.
Date, Ji9verrber 7, 1995
(.-\.- ,'" .' I, ((
sp;n'~'t~lr?' "J ( (, ( L ( ';" ( (
Joel R. Zullingor
Name (Please type or print)
Suite ':310 Chambersourg Trust Co.
Chambersburg, PA 17201
Address
Bldg.
" i
( 717) 264-6029
Te 1, No.
Capacity I
Porsonal Representative
Counsel for personal
representative
x
(MAH I rmf/AM3)
,