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HomeMy WebLinkAbout94-00307 " , , .., I' '. tl, . j I ~ 0, " d' ,'t' j 1 .\", II" 1,',1 l' ,', " " ,", ,"" , I .' ,', 0' , " ,;1 ," " " " " \ " , , " , ,0 ..' , , ',,'" , " .' I,' , , l~ " "\' ::1, ",' ':1 1 , " " " ," >I" , " " " , 'I 1< 1 ' " , ' ""1,,,11-:' (I" , ,,' ,., ... ,r' 'I, I, , \,,::r/l .." :. , I.: .' ~ ,,' , ',\' " \ l'.~ ~ 1',- ' l',,' ". \' 'i.':,;J': ',1/1 ,', :/11 ,', .,' t, .;; " :1' , ' ,:\ I~J/I.' II,' ,t,", ," ;;'1 ',It " ,,", f I,: :" ," " ", ,I., " ,', " " I , " " "\:, , , "I,' II" ,I " " (, '.:,"',' I' , ,'I,'" ",'d' ' '" /\1 .11 I, I " " ,\1 f," I ." .,' ,,11.f,1 {'" "I .: ,.1 ,,', "1 ,,' ," ,r,' , I ,; " ',. " ;" " " ',' ;, '" .'~ ,~. .," l ~ i ! ""\' ..' ",1 ';'1':" ',I i, ",'if " , 'I " ~ I: " II' 1.1 CERTIFICATION OF NOTICE UNDER RULE 5.6(~)'ilIY~;" :,,'; Name of Decedent I KATHRYNE J. 110LLER U Date of Deathl March 19, 1994 GIIII Will No. 0307 Admin. No. To the Registerl d ,'(\ 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 o( the above-captioned estate on May 3, 1994 I Name Address Jason 110ller 246 Sandra Road, Wilmington, Delaware 19803 1803 South, State Rte. 100, Tiffin, Ohio 44883 7753 l1athaway Park Court,' Dublin, Ohio~017 14531 Ella Boulevard, Apt. #2501, Houston, TX h 77014 2171 Surr8gate Dr., Worthington, Ohio 43085 Mark Eppley Sharon Eppley Ful18rton Matthew Eppley Christoph8r Eppley Notice has now been given to all persons entitled thereto under Rule 5.6(a) except None Datel May 3, 1994 l10race A. Johnson, Esq. Duffie, Stewart & Weidner 301 Markt:Jt St. P. O. Box 109 Lenoyne, PA 17043-0109 Telephone (717) 761-4540 Capac ity I x Personal Representative Counsel for personal representative I L/ -0I0';}' -<~ INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) I ,'\ RIV.llOOIX+ (11"'1 + 19, IIlinl 19 I.g"al" Ihan IIn. 17, Inler Ihl dlH...nct an IIn. 19, Thh I"h. OVERPAYMENT, aD 20, IIl1n. 17 h g"aler Ihan Iln. 19, Inler Ih. dlHer.nct an IIn. 20, Thl.I.,h. TAX DUE. A. E nler Ihe Inl"..1 an Ihe balanct due an linl 20A. B, Enler Ih. tolal of 11n. 20 and 20A on line 208, ThI. 1.lh. BALANCE DUE, Ma~. Chec~ Payabl. tOI R.g1.." 01 Will.. Ag.nt _..J~~-', .. . . II IUD to ANIWR ML QUISTIOIII' ON RIVERS! SIDE AND TO ItECHICK MAT1I.... Under penalll.. of perjury, I d.clar. thai I hav. .xamlned lhll r.lurn, Including accompanying sch.dullS and Ilal.m.nh, and 10 th. bill of my knowledg. and b.ll, il II Iru., corrtc:l and compl.t., J declare thai 011 r.al 01101. hot been r.por1td at true mark., valu.. Declaration of '"!r'parer oln., Ihan the penanal '.prlll"latlv. bOlld on alllnformallon of ....h1c:h pr.par., hOI any knowledge. lION.TU.1 R' mlON I\IlPO'iS."!!),OR ""NO .1!U1N Aooml 947 W. Trindle Road OAlI r2<.c:..v........i '/:' !p'&l, f~etlL~'fL.. Mechanicsburg, PA 17055 7 - I ~"'l'-( '~~~~~V! AOORlll =~e~As~7~=j_~io~ lU~ OAll,/ IJ./~t/ ~ A. Johnsoo, F.sq. ~ ~I~ ~ ~i ~~ COllNTY COD! Ml ffil Church of God Hare 801 Hanover st. Carlisle PA 17013 COlln'y n MAW-I .ANn o 3, Remalnd" R.lurn Ifor dalll 01 dlalh prior 10 12.13.9. 05, Flderal E.lall To. R.lurn Roqulred L 9, Tolal Number of SaIl Oepo.1I80., HOLLER, KA'ltfRYNE J. 1~2_3~~;3;;r 10~~:~~;; l:;~I~~~ 1KI1. Original Relurn 0 2, Supplomlnlol Rlll"n o 4, llmlild Ellalt 0 40. FulUrt Inltrlll Campromli. Ifar dolt. of d.alh oher 12.12.92) ~ 6, O".d.nl DI.d T..lalt 0 7, Oec.d.nl Malnlalnld a living Tru,' IAHach cop of Willi {Mach co of Tru'll COItItISI'ONIIIHCI AND CONPlDeNTlAl. TAX INPOUAATlON SHOULD II D111C11D toa M l MAil N A Horace A. JoIu1son, Esq. 301 Mark.;Jt st., P. O. Box 109 JC>tuulm, Mfie, stewart & Weidoor ,~~ PA 17043-0109 l N N M' uo.A'.......fI~' I g '. A~I~r 9a '1,\...,. I' I..., J,.. COMMONweALTH 0' 'fNNSYlVANIA O,,.UMINT O. RlVENUI om. 2e0601 HAlRlnu.o, ,. 17121,0601 AM (tAU, f1UT, AND MIDDU INITIAll 761-4540 z o ~ ! lIII 1. R.al E.lale ISchedule AI ( 11 2, Sieck, and Bond. ISchedul. BI ( 21 3, Cloltly Hold SlocklPartne"hlp Inlore,l (Sch.dule c) I 31 4, Mortgage. and Nal.. Receivable {Sch.dule 01 ( 41 5, Ca.h, 8ank Oepo.11I & Mhcellaneou. P."onal Propertyl 5) ISch.dul. EI 6, Jelnlly Owned Property ISchedule F) 7, Tranlfer. ISchedul. G) ISchedul. l) 9. T 0101 Gro.. A...I. (Ialalllnll 1.7) 9, Funeral E.p.n,", Admlnhl,otive Co.lI, Mlleellaneau. ( 91 E.p.n... (Schldule HI 10, O.bl., Mortgage Llabl/ili.,. Lien. (Sch.d"le I) (101 11, Talal Deduction. (Iafalllne. 9 & 101 12, N.t Value of E.lalt (Ii no 8 mlnu. line 11) 13, Charitable and Gov"nmlnlal Beque", (Schedule J) 14, N., Valu. Sl,blect fo Ta'llIn. 12 mlnu,lln. 131 15, Amounl of lin. 14 la.able 01 6% role Ilnclud. value. from Sch.dule K or Schedul. M,) 16, Amounl of Iln. 14 la.able 0115% role Ilnclud. valulI from Schedul. K or Schedul. M,I 17, Principal 10. duelAdd 10. from IIn. 15 and from line 16,) 19, Credlll Spou.al Poverty Credit Prior Poymenll + 1. 700.00 Olleounl 89.47 15.381.90 I 6) I 71 2,337.80 170.78 (15) (16) 12,873.32 z o ~ !; ~ 8 ~ Cfw(k tH'fC' ., you CUI' 1I'(IUI".hIlU II lI,fund of VOlll O\l'c''1lOvml'flt. 10. DATU 0' DIATH Ani. 12/31'" CHiCK HII If A ll'OUIAL I'OVIRTY CUDIT II CLAIMID 0 'ILl HUM." . 21 94 0307 Y!AR NUMII . ,1'1:'" F - .' . ..,. "',' I', ; ~.,t:., ' I 9j 15,381.90 (11) 2,508.58 (12) 12,873.32 (13) _ -0- (14) 12,873.32 )( ,06" -0- )( ,15 II 1,931.00 (17) 1,931.00 Interelf (191 (191 1,789.47 1201 {20AI (20BI _ 141.53 -0- 141.53 , l.V.UIlII. j1.lIj , . !STATIO' ITEM NUMBER PI.all Print or T . t.~ COMMONWlAllH 0' 'INNIYlVANIA 'NHIIITANCI lAX IITUIN IIIIOINI OICIO~Nl J SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES HOLLER, I<A'ltlRYNE J. 21-94-0307 DESCRIPTION 1. A. Punltal Exp.nll" James R. Gingrich Memorials - Marker Inscription 1. B. Admlnlltratlv. Caslll 2. 3. 4. C. 1. 2, 3, 4. S. 6. 7, 8. Richard L. l1o11er, Ex"cutor 171 - 28 - 4989 P.rlonal Reprll.nlatlve Cammllllonl Social Security Number 01 Penonal ReprllenlatlvlI V.ar Comml\llonl paid 1 QQd A<<arn.y Fe.. - Johnson, DJffi", St"wart & Weidn"r Family Exemption Claimant Addr'\I 01 Claimant at decedsnl'l death SIr,,' Addren City Relatlonlhlp Slale Zip Code Probal. F... - Register of Wills - cumberland County Miscellan,oul Exp.nllsi cumberland Law Journal - Adwrtising Letters Tt~ Patriot-News Co. - Adv"rtising L"tt"ra R"gister of Wills - file Inventory & Inheritance Tax Return Reserve for close-out costs - file account & distribution TOTAL lAlla .nl.r on IIn. 9, R.capltulatlonl (If more Ipac. II need.d, Inll" additional sh..ts of sam. sl...) AMOUNT 60.00 1,000.00 1,000.00 57.00 40.00 55.80 25.00 100.00 s 2,337.80 . . lIV lHJ I.. (Jill J:.J~'~CI ."IV'~ CO"'M:)NWfAllH 0' Ift4"4~'I"'A'41" INHUllANCI I" _nURtl . _ ".~~DI.~l_OI(~OIN' SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER 21-"94-0307 HOLLER, KATHRYNE J. ITEM NUMBER NAME AND ADDRESS OP BENEFICIARY RELATIONSHIP A, Ta.abl. B.qu,,", 1. Jason Holler - 246 Sandra Rd., Wilmington, Nephew Ot:llaware 19803 2. Mark Eppley - 1803 South, State Rte. 100 Nephew Tiffin, Ohio 44883 3. Sharon Eppley Fullerton - 7753 l1athaway Park Ct Niece Dublin, Ohio 4301'1 4. Matthew Eppley - 14531 Ella Boulevard, Nephew Apt. #2501, l1ouston, TX 77014 5. Christopher Eppley - 2171 Surregate Dr. Nephew Worthington, Ohio 430B5 ' 6. Vera Eppley - 594 Lake Meade Drive Sister East Berlin, PA 17316-9326 ITEM NUMBER NAME AND ADDRESS OP BENEFICIARY B, Charltabl. and Gavernm.ntal B.qu..", 1. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (AlIa .nl.r on IIn. 13, Recapltulatlanl S (If mare .paCt I. nud.d, Inurt addlllonal.h.." of .am. .11t) AMOUNT OR SHARE OP ESTATE one-fourth Residue one-fourth . Residutl one-sixth Residutl one-sixth Residutl one-sixth Residutl Locket/ Rings AMOUNT OR SHARE OP ESTATE J .)n - / \ RIV"1547 IX AFP (08'94~ COHHONNEALTU Of PENNSYLVANIA DEPARTMENT Of REVENUE NOTICE OF INHERITANCE TAX IUREAU OF INDIVIDUAL TAm APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OEPJ, /10601 N H 'u 11 28 94 I'ARRISIUR.. PA 11m'0601 Of DEDUCTIO S AND ASSESS ENT OF T.. DATE -" ESTATE OF HOLLER -= FILE NO. 4-0307 DATI! OF DEATH 03-19-94 COUNTY CUMBERLAND NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS fORH WITH YOUR TAK PAYHENT TO THE REOISTER OF WILLS, HAKE CHeCK PAVABLE TO "REOISTER OF WILLS, AOENT" REMIT PAYMENT TOI /) 0 a- HORACE A JOHNSON ESQ 301 MARKET ST PO BOX 109 LEMOVNE PA 17043 G ri-.. ) ACN 101 REGISTER OF WILLS CWMBERLAND CO COURT HOUSE CARLISLE, PA 17013 r A.ount RI.I Hid l CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .... R iilj: is,,"i "E'j["i>. pij" i OS": 94 T "No'fi c r "OF " YNHEifii ANC E" 'fAx "';iPPRA"i sEi.fENr; "Ai. i."ciWAN"CE" iili'""""".. Om" """"" DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF HOLLER KATHRYNE J FILE NO. 21 94-0307 ACN 101 DATE 11-28-94 If an ......m.nt w.. iI.u.d pr.viou.ly, lin.. 14, lS and/or 1&, 17 and 18 will r.fl.ct figur.. that include the total of 6hb return. a.....ed to date. ASSESSMENT OF TAXI 15. A.ount of Llnl 14 It Spoulll rlt. liS) 16. A.ount of L1nl 14 toxoblo It Llnlll/Clo.. A roto 1161 17. A.ount of Llnl 14 tl.lbll It Collatlrll/C1111 8 rltl (17) 18. Prlnolpll TI, DUI TAX CREDITS I PAYHENT DATE 06-14-94 07-13"94 TAK RETURN WAS, (X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL 1, Rill Eltltl (Sohldull A) 2. Stookl Ind Bond. (SOhldull B) 5. Clollly HIld Stook/Plrtnlr.hlo Intlrolt ISohldull C) 4. Hort.I.II/Notl. RIOllvlbll ISoh.dull DI 5, CI.h/8lnk Dlpo.lt./Hllo. Plr.on.l ProPlrty ISohldul1 E) 6, Jointly O"nld Proplrty (Sohldull f) 7. Trlnlflrl (SOhldull 0) 8. Totol huto APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funlrll E'Pln.I./Ad.. COltI/HI.a, E.pln.l. ISohldull H) 10, Dlbh/Hort.I.1 L1lblll Uu/Llln. ISohldull I) 11, Totol DlduoUonl 12. Nit VoIUI of To. Rlturn 15. Chorltoblo/Ooyorn.lntol BlqUllt. (Sahldull J) 14. Nit VoIUI of Eltotl Subjlot to TIN NOTE I RECEIPT NUH8ER MM886179 MM886291 DISCOUNT INTEReST (+ ) (-) 89,47 ,00 . IF PAID AFTER DATE INDICATED, SEE REveRse FOR CALCULATIDN OF ADDITIONAL INTEREST, I ) CHANOeD (1) (2)_ m 14) m (6) (7) ,00 ,00 .00 -.:.Q.Q.. 15,381,90 ,00 .00 18) 15,381,90 (9) UO) 2,337,80 170,78 Ill) (12) 115l (4) ,.r;nA liA 12,873.32. .00 12,873,32 ,00 K .00. ,00 K ,06. 12,873,32 K ,15. (8) ,00 .00 1,931.00 l,931.Q.L AHOUNT PAID 1,700.00 141.53 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE ~,931,00 .00 .00 ,00 I IF TOTAL Due IS LESS THAN ,1, NO PAYHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YDU HAV 8E DUE A REFUND, SEE REveRse SIDe OF THIS FORH FOR INSTRUCTIONS.) ('"\ "'1: '. I ',' !",;' " " I \,1 , , ' , " " " fi., " (1(; REIIRVATI0NI E.tit.. of ~.d'"t. dVlng on or before Deo.-btr 12, 19'2 -- If env futyr. lnter..t In the I.t.t. 1. tren.f.rred In pO....,lon or .nJoy..nt to Cl... 8 (oolllt.rll) b.n.flol,rl.. of the dlClntnt eftlr the 'MPlrttlon of .nvu.tat. for 11f. or for v..r., thl Co..onw'llth hlr.bv .Mpr.I.1V r...rv.. thl right toeppr.I.. and ...... trln.f.r Inh.rlteno., TIM" It th. lawful C1I.. B (oollat.rll) r~tl on Iny 'uch futur. Int.r..t. PURfIOSE 01' HOflCEI To fulfill the r.qulr...nh of Station 2140 of th. Inhlrltlnc. and Eltatl TaM Aot, Aot 22 of 1991. 72 P.S. S.otlon 2140. PAVlENTI Dltlch the top portion of "thlt Hotlcl end lubtlt with your paY"nt to the R.ght.r of Willi prlnt.d on thl rlv.r.. .Idt. --"Il<o chock .r ..... .rdor P"llblo t. I REDISTER OF HILLS, ADENT All PIYltntl rlc.llJtd .h.ll flr.t b. epPU.d to any Interut whlah IIV b. due with IIny r...lnd.r appll.d to t~ tllC, REFUND eCR)l A r.fund of I taM crldlt, which wa. not rlqUI.tld on the TaM R.turn, .ay bl r.qu..ttd bv co.plttlng en "Applloetlon for Refund of Plnn.ylvtnl. Inherltanoa and E_tat. TaM" (REV-13l]). Applloltlon. .r. avallabll at the Dfflol of the RIgl.tlr of Will., any of thl 23 R.v.nu. DI.trlot Off Ie.., or by calling tht 'Plol.l 24-hour an.w.rlng ..rvlc. nU.b.r. for for.. ord.rlngl In P.nn.vlvlnl. 1-800-362-2050, out.ld. P.nn.vlvanla and within 100.1 Harrl.burg ar.a (717) 7&7-8094, TOO. (717) 772-2252 (H..rlng I.palr.d Onlv). OBJECTIONSI Anv p.rty In Int.r..t not .Itl.fl.d with the 'ppr.I....nt, allow.no. ar dl..llowanc. of d.ductlon., or ........nt of teIC (lnoludlng dltcount or Int.rllt> II .hown on thll Notlct 'Utt obJaat within .iMb (60) day. of recllpt of thlt NoUn bYI ADIt'" ISTA^T1VE COAAECTlDltS I "wrlUln protut to thl PA OIPart..nt of A.vlnul, !loard of APPllh, DEPT. 281021, Harrltburll, PA 17128-1021, OR --11 lotion to have the nattlr dltlr.lnld at audit of thl account of th, ptr.onal rIPr..lnt.tlv., OR --applll to the Orphln.' Court. Flctull 'rror. dl.covlr.d on thl. a.......nt .hnuld bl addr"~'d In writing tOI PA Olpart.,nt of A.vlnul, 8ur.1U of Individual T.~.., ATTNI Po.t A.......nt Rlvl.w Unit, DEPT. 280601, Herrl.burg, PA 1712'-0601 Phone (717) 7.7-6505. 51. pagl 3 of the bookllt "In.truotlon. for Inh.rltano. TeK Rlturn for a R..ld.nt Gtoldtnt" (REY-IS01) for an 'K~lln.tlon of ad.lnl.tratlvll~ corrlotlbl. trror.. DISC04JNI. If any taM due I. paid within thr.. (3) oallndar lonthl aftlr thl d~old'nt.. dlath, a flvl Plrc.nt (SX) dilcount of thl tlM paid I. Illowld. '"TEAESI. Jnt'r..t I. chargld blglnnlng ~Jth flrat da~ of d.llnqulnoy, or nln. (9) ~onth. and on. (1) dav fro. the date of dt.th, to the datil of P'Yltnt. TlKU which b,c"1 dlUnquMt bafor. January I, 1982 bur IM"ut It the retl of IIH ('~) p.rclnt plr annul calculat.d It a dailY rate of .000164. All taK" which b.o... dlllnqulnt on and aftlr Janulry 1, 1912 will blar tntlr..t at a rat. which wll! vary fro. cal.ndar ~'ar to callndar Ylar with that rlt. announoed by the PA Dapart..nt of Rav.nuI, Tht applicable Int.r..t rata. for 19.2 through 1994 ortl !!!r Intlre'.t Rttl 0.1111 Intlrut Faotor ~ lntlrut Aat. Dallv Int.rut Faotor I9Il ZOX .000511 1916 lOX .000~74 1915 16X .ooom 1917 9X ,000147 191. IIX .000101 1911-1991 IU .000501 191& IlX ,000356 1991 9;1, ,000Z.7 1991-1994 n .00019Z uJntlrttt I. allcutttld .. fol1owlI INTEREST 0 BALANCE OF TAK UNPAID K NUN8ER OF OAVS DELINQUENT KDAILV INTEREST FACTOR .-Anv Hotlo. i'lu.d Iftlr thl tIKb.co... d.llnquant will rtftlct an Intlr..t clloulltlon to flftl.n (15) dlV' btv~ thl d.t. of the ........nt, If Ply..nt I. .ad. .ft.r the Int.r..t cOlputatlon date Ihown on the Noth:., Iddltlontl Inter"t au.t bt c*lcullt.d, , l' . _~'(i. fl' _ . t,: - .. ~ ~~,; .I<""il\"i~' /,i, Vi,' h~ih\/.:'; ,}; i(.'; :.:) ~rH{"_"-i i 1.,1:'.; ',.., '~,j:Vt:!t ~~. ,",i, -',,:,\ :';':i _; ;,'-,,' ~:fr:'i)-\-.'-;I\' --I ,:;1, ~:\,J!I\;' ;:~!~ ,;'1,,_ ,';'; 'I': Ji . 'J--;"";'",- '-'.' -,' !~l :,1,:\:,',,;-1'11 ; ',I' ll""a"; ),-, ,j._" 'li~"\il'/l ',I":." '" ""I"! 11 \"lli J\I t :~ '11\\ j ,,', ': ~ I ["1', ,,1,1;' Ip ,1'1 ' AI'\P~. -..-", "", ."j.j", '}\l\-,}UHI,.i-.-.L't/;,. f'!: 1.1,;)',\,;,1:'1-1";' f:;.!\'.\(:).,,;,_lj,':'t; ~~';:L\"(;":'I."'; ',ii' 1\.1.'i-~ '.\'c- ,__,',',,1- ~-,;.%!h'-':--:',,\_':\:-!":'~:, ::-" ~~1'JiiJl:-~"_;'I!'!";: '~i /,,'.fl'\-::ijld;;'_,..., I,'> -'('- t~~:: 1\ /1,\: I ) I' ) Ijy!I'j' ,', I' ",' ..0 ,,, ~~"~.,'! ,'" \ ,"" 11" n'I'" \.11 I( , tiL', 1/V' '1'! r I';" ,', (j~ IJr, ',I i ;OJ j\' '! I ", 'f,) "\' -;-' (,~~.i!~.~;,j/~lj ??:~ ~..:'\ I, '; (,I'~!?:~' l ,\ j~ j hl"!"lf""III;,;"',V\I'-.i 1\:f?;_'~)~!.".', "',,:i'_,;~ ,n \- , "~1'; ',~:: t,- ,','- L' '; I' "'..,, nl ,.' : I. ,::IYi';':~I' :-,'; "-~:\';;";I" j'-"_ '; i: ;'~Il,' ;-', 'Llh/ ,{ " , : \." LC, Cr.. ,. "II , 'I" I,! I "'.",, " I"" , ' ,. 'I; ',,' ,j' '1'1' '1";'1 " " ,I ,",t' t, " 1.' ; d ~ . ;;:'_:j->~ q:ri.)~ " !-;-;,\(.f.)""':l'l ~-1. " l~,""}"'i,,)I'>dJr~' 'I,,:~;~~! ,',;,':!, ::Z', " '() \', , ' 'I!'i,' , ,,1;11 I r.,;1 ~,::l, ' .. F') ,.1 I:' ,''','J ;,)0 ", ,,' (, 'i,; J ;'" '~I~.O " " , " . ~ i . ~ i,J l!i ~ Ii. . I .~ I I I ~!~ ~. , !I l-:l " I i!!i ~ 'j!!j , 1-, :,\\ " :;'j\,!;; /J,::i:', \'.",\-1> 1)\,;', !'I~ ;:,!. i,' /i1/O" if'VE'\.. ;"1, )'/1' '-1-"" ,! ~Vi:\:~'-/i:' "'.i ,~.; . , , "I , . I, ,"i ,'I, 'j,'''I, ;, "I. "I" .' t_t, .. " 'j, , i' \', ',. ..i' :', " 'JI " " " " ]" ." j;' i; ,,' ," " ,j ,': ; "~"~I' , , ,'--I 'I' ~ " ", j' Ii, , >i i," I, " I 'i I: il "I" "I' " I" ," I ,': ~ ' , I' '" ilj!:' ".-1 1 ~ 'I 1-,' "I " ;, , r.. .:::. '\' ", 'll:: I' ,ll'I!1 11 .. 'I I ,I" at' eUIIl' '1 ,... I I I 11l!JU I I ..... , ..'8 '" , , " , .". r:,i" " )1 ' , , !"l 1',_" " '. 'I"~ 0" '-I , I'" ", ',' 'JI, Ii,"" '" ';1 ". " 'I., " I' " ,,>' /" i ~', I,', , . , ' I "" " .J(' ,,1/\ ' ,t" 1"1' " i ' ", ' ',~ l ' , 1,'1 '\ 'I, " " .Ii, "i 'I"~ Hi I' ~' s ~~iJ ~ ~,a ~>. 2~,! ~ I ~ ~: ~ "I. .' ,I' "": ," '" ,,: ,. ;1' ,,' I.;' ,",'-," .'t""",tl"'!'i " .' 'I ", .,tt' " " " " , , '. m 'DIE COORT OF ~ PUW; OF ctMJEIW\tI) 00Jtfl'Y PJHfilYLVANIA 00PIfAtfl' CaJRT DIVISIOO 1<<>. 21-94-0307 IN THE PSTATE OF KATHRYNE J. OOLIBR LI\TE OF tUmI KlOO~ 'lXMmHIP I\CCWNl' OF RICHMD L. OOLIER, ~ Balance for Distribution as Per First and Final I\CCOUnt $ 13,312.54 DISTRIBUTIOO TOI Jason Holler One-Fburth R€lsidue Cash $ 3,328.13 TOI Mark Eppley One-Fburth Residue Cash 3,328.13 TOI Sharon Eppley One-SiKth Residue Cash 2,,218.76 TOI Matthew Eppley One-SiKth Residue Cash 2,218.76 TOI Christopher ,Eppley One-SiKth Residue Cash 2,218.76 $ 13,312.54 STA'IDIml' OF RF.l'IS(Hl Decedent died testate Burvi ved by her sister, Vera Eppley and the four (4 ) nephews and one (1) niece named above. The locket and rings specifically bequeathed in Paragraph II of decedent's Will were not in the decedent's possession at the time of her death. The rest, re!lidue and r€lmainder of the Estate is divided among the residuary legatees in accordance with Paragraph III of decedent's Will to Jason l1o11er and Mark Eppley one-fourth each and Sharon, Matthew and Christopher Eppley one-sixth each. ..;' (LJ 'f. I. -(/.~l~- ~"Kr ..(. RICIiARD L. HOLLER, EXEX.'U'fOR , , " . I,. \' , , . , .' " , " ' " , " , ' , , " , " I , , . , '''I " .' I' "I " :6:> , , , . '1 '~t'~ ' ", I' .'. , ' ! ~.) . 01 ,~L" ' ., " , "1' I, l,,1 W' ,. ,. "1>:' " ,:"" ,;! " " .' I , 1,\'/' " I' "'i' , " i , , , , li' ,.. , , I', ., (, , , f_' "I (~~l ,. , , ) " , ' i' :.1 , , ", ",:( j :;J\'". , ;' I (;'; , bo . .~~, . \.\.u~ hUal H . + ~ I ..t..... ~ . t ~ I 111111 ~ ~ ~.. , i .~ ~ tiel,1 uhil . .~ . I 1) I !) !) ~ ~ ~ ! Q ~f~: ~ "1111 I ~ . ~ z<1Jm ~ . i ., ...i ~ ~ n ~ ! ~ I n.l.l~ .~ It 'l.i 'II . al _I, " , , ' I, ' .~ I --. .~ ) r0 '," " , " , '" .. , "",,' ,",. , \" I, " I " I', , ',I ' I '",' " , . (', .. , , , " '. , " '" , , ,i , " ,J . , . " , . . , . Receipts of InoaIe Dauphin Deposit Bank & Trust Carq:lany Interest earned on .Account No. 8000168863 from date of death to 4/22/94, date closed. $ 11.99 Dauphin Deposit Bank & Trust Ccxtq)any interest earned on Account No. 0010404716 from date of death to 4/22/94, date closed. Dauphin Deposit Bank & Trust Ccxtq)any Interest earned on Account No. 0094352364 from date of death to 4/22/94, date closed. Dauphin Deposit Bank & Trust Company Estate Account No. 10-36559-1 Interest earned from 4/22/94 to 10/12/94 Interest - November 9, 1994 .86 17.23 130.75 ?oO.72 '1btal Receipts of Incale $ .181.55 DisOOrserlent:s of Inoa1e . Reserve PA Departrrent of Revenue - estimated incone tax due on PA 41 - Fiduciary Income Tax Return for fiscal year beginning Much 19, 1994 and ending February 28, 1995. $ 15.00 Total Disburserrents of Inoa1e $ 15.00 -5- I i ......,..--. f 00 en;- ~ :nffi' R8PORT UrWEH RULE 6.12 :;). STATUS fr ~ (tip --- (II ((1 ) ill " ~.. I';, 0_ " ~i -, 1.1.' J. Holler .. " ' Name of Decedent I Kathryne c.: - 6, ,", . (:. \/ of Deathl ~'a rch 19, 1994 (, ,-' Date ;'3 , >.~ {:> /. -. :TJC 0 (,;'0 Will No. 0307 Admin. No. P;4 ~, -..--. "-' Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the followIng with respect to conlpletlon of the adnlinistratiun of the above-captioneu estate: 1. State whether administration of the estate is t:omplete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete I 3. If the answer to No. I is Yes, state the followingl a. Did the personal representative file a fInal account with the Court? Yes X No b. The separate Orphans' Cr..urt No. (if any) [or the personal representative's account iSI c. Did the personal representative state an account informally to the parties in interest? Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may DO att.ached to this report. Datel/rFU ~ ....... 110ra A. Johnson , Egg,. Name (Please type or print) Johnson, Duffie, S'I'ewart & Weidner 30LMarke~.J?j;. , P. O. Box 109 Addres s Le11'Oyne, PA 17043-0109 Un.l_16H540 __ Tel, No. Capae it}' I Personal Representative (NAHlrmt/AM3) ..x. , ,.Counsel for personal representative RW-27 .;-- /;;;.;)-/ ,~