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""/"'1"1 " ,,' " ,\ ~ ',fl," , , , ' ,', ~ ..I !l' " , ,,' I,', II '," ,I." :,': lIt. " , " II, , , " ',' ,,;., .:'!:;'" .' " ,~ 1, ' , '.'\: :L " ,'1/ . . 1 .' ,'i,;, ,y.,. I' I , : . . ,'r t ,.' ," , ... . ,'l \ " "II," '~' ,~ '....' ' '0 ,; , '{, " " " ,; " j" I:' '" , , " (:' . , ! ,~ ., " "i,I,' J' ',':'" .' " ., , , n " ,." <i" .,\' , ... " I f:/~,i,: " '1\ ,,1. I, '.," 'i, " ,1,\ , '"I' ';'J":"r ,'jl.'/ ,', 1/; ,"1', '. ". ,n" , 1(' , " ,~ , , I'. " 1,,0> " i ,I' ','" " \ ;'1 " .,,1.... I " " I;' , :\ " .h, , .' . " " " i ,. " " " " '. ,p, ,. " " I ~ ' ' ": PETITION .'OR PROBATE and GRANT 01<' LETTERS Estate of _~.!:.!-liiTamr~-~ffo~ft~x~~- No, _~jAif - 3/3-_ also known as _'I!_ ~am....r.-1~':.:..();,.~'y.__ To: ._____..___.._____ ReglSler of Wills for the ______~_, Dl'('('ased, Counly of Cumberland In the So('/al Secllrlty No, _.159,,24"'6323______. Commonwealth of Pennsylvania The petition of the undersigned respectfully represents thllt: Your petltloner(s), who IS/lire IN yellr' of IIge or older IInthe exeeul.t:UL. In the last will of Ihe IIbove decedent, dilled .._____. JlUgusL4___ and codlell(s) dilled --IJ.iE.___________..___...._________. nared , 19-1L- ------------------------ (~IIIlC fcIC\'lllll cirL'lIImllll1CL'~, e.g. renunciation, dCRlh or c"rCUlOf, cle.) Decendent was domiciled at dellth In ______ ~rland h is last family or prlnclplIl residence lit .3805 Lamll.l'ost Tnwn"hi p, _ClJlIIbeclancLCOunt~~lvania- (Il~l meel, numher 1I1ll1l1ltlllclplllllY) County. Pennsylvania, with Lane I ('.Limp Hi]], HampnAn Decendent (hen. 71 _._ yems of IIge, died _,,____ JanuarLJ 4 , 19 94 at HarrisbufSL!j9spita!J Harri'!bu!:9, Dauphin CounJ;y" Pennsylvania . Except as follows, decedent did nolmllrry, WIIS not divorced and did nol have II child born or adopted after execution ofLhe will orrered for probate; WIIS not the victim of II killing and was never adjudicated Incompetent: J] a .. Deeendent at death owned property with estimated values as follows: (If domiciled In 1'0,) All persollal properlY (If not domiciled In I'll.) I'ersonlll propcrty In Pennsylvania (If not domiciled In Po,) I'ersonlll property In County Value of real estale In I'ennsylvanill situated as follows: ____ $ $ $ $ 35.000.00 0.00 n nn 0.00--. WHEREFORE, petltloner(s) respectfully request(s) the probate of the last will and eodlell(s) presented herewith IInd the grunt of lellers---Test-1lmcmt-1lry (lC~IUIl\CnlarYi admlnlslrallol1l',I.a.j admlnlsuallon d,b,n,c,l.a,) theron. -;: i L 'fl ~ >:8 1l,g ~'il -;:.. l;'~ a 0 ! Iii ci L" ,/ .-.-', y"~ ,I ,~ -- , (.1(k!.~ ".{ A ~,\,/t Dorothy Laffff Y f 3805 Lam Post La e Camp Hill, PA 17011 OATH 0.' PERSONAL REPRESENTATIVE COMMONWEALTH 011 PENNSnV ANIA }' ss COUNTY 011 ..QIMnP.RT.AND The petltloner(s) ahove-numed sweur(s) or uffinn(s) thlllthe statements In the foregoing petition arc true and correct to the best of the knowledge and br.llef of petltloner(s) nnd~h2s personal represen. tntlve(s) of the Ubov,e decedent petltioner(s) will well a,n/dt1l1Y ndl~'in!stert~~,~t:, a:~r,.dlng ~ law. Sworn to or .nfflrl..ned .alld...Sllbscrlbed~.' L.L_~'''' (~ '(I' (~ \(l before me Ihis ___,_~!!_/~._ dll~ of. ..~..rotbL.. ffor.ty ('}' tr!, I' //~tjt:~j')1d~J(dl(l1r)l, =_.___. __' "';MAR,i(f C. L E W 1 S RI'RI,I'/er,/ X ~ 11./ ..'. )( " ... \., "'0( J,v () N 21 - 94 - 313 o. Estate of WILLIIIM J. LAFFERTY , SR. , a/k/a WILLIIIM, Deceased J. LAF1''ERTY DECREE m' PROBATE AND GRANT OF LETTERS AND NOW APR 1.l2...._ 191.9_, In consideration of the pctltlon on thc rcvcrse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the Instrument(s) dated August 4 , 1982 described therein be admitted to probate and filed of record as the last will of William J. Lafferty, Sr'L-a/k/a William J. Lafferty and Letters l'estmllAnt"ry are hereby granted to I1nrnthy II'- T ",ffArty FEES Probate; Letters, Etc. ",."", $ Short Certlflcates(1) . . , , . . , , " $ RCDllIwlatlon "",'.."...... $ x-~ages I~.UU JCP -- $ 5.00 TOTAL _ $ 120.00 Filed ....'".. ~PM ~,,~. , ) ,9,9.4" " " " .. 70.00 33.00 ,I Lowe 1 R. Lowell R. #46779 g() '~ /hh ~fJcb RcglllerofWIII. MARY C. LEWI~ () Gates, p.e. Gates, Esq. A TTthORNBY (S4P, Cr. J.D, No,] 600 N. 12 Street, Suite 2 Lemoyne., PA 17043 ADDRESS 717-731-9600 PHONE I- ,; ',( ) , \",1 ,ill. ,I (~ (I r,. ,;," I 1'" If' I", , , i'I Ii' "I i~ Wll' , I)' _Ill :3. CC ," UU Mailed letters, and order to attorney on 4-5-94. I I. I ITEM IV: I nominate, constitute and appoint my son, William J. Lafferty, Jr., Trustee of the speci fie bequests pro- vided for in Item III hereof, on the following conditions I The sum of $12,000.00 for the benefit of Maurffen shall be used solely for purposes of assisting Maureen in the completion of her educa- tion. It is a condition of this trust that Maureen must attend an accredited college and complete her education period of four yoars ithin a five year period, and said education must be completed on or before her 24th birthday, except in the event of illness or inability, or other independent reason which would prevent her from so doing. This educatiom1 fund shall be used for her educa- tion and maintenance during the course of her attendance at said accredited college and any disbursement for room and board shall e restricted to dormitory residence only. These same provisions hall apply to the trust for my daughter, Colleen, except that olleen must commence her education by the age of 24, and this rust shall be void in the event she does not commence her educa- ion by said age of 24. All other conditions as applied to Maureen hall apply to Colleen under this trust, except that her educa- ion shall be completed by tha age of 29. In the event said trust lapses, or there are funds remain- ng at the time said trust terminates, then the same shall become art of the residue of my estate and be distributed in accordance ith the provisions of this will. ITEM VI I give, devise and bequeath all the rest, residue nd remainder of my estate of every name and naturemd wheresoever i,tuate to my wife, Dorothy Lafferty, provided she shall survive -2- COMMONWEALTH OF PENNSYLVANIA I ) SSl COUNTY OF DAUPHIN WE, WILLIMI J. LAFFERTY, ~ilj I.S ISod( arid !An1PA/tJ. I.i. 1Io<lj~"'/"'1 , the testator and the witnesses, respectively, whose names are signed to the attached or foregoing Instrument, being first. duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the Instrument liS his last will, and that he had signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the wi tnesses, In the presence and hearing of the testator, signed the will /IS witnesses and that to the best of their knowledge the testator was at that time eighteen ye/lrs of age or older, of sound mind and under no constraint or undue influence. i. Q~ ,;// " , - /. ~ t/' '-C-t c'::L.e.-,. '---" ('1.. J ~ """ Testator ~. ~ k~a2, 15, ?r,,~c... Wi tness ' /") UCLlli"i (/ 7/"7<'V 1 ft., Witness SUbscribed, sworn to and acknowledged before me by WILLIAMJ. r.AFFERTY,.,1 the tes~lltor, ilnd susbscrlbecl/lnd sworn to me by j{t4//I / 6. ()",ot.,.(' 1/1 and flW1ol>l.tA,o, ld"tup,rft,1 witnesses, this 1"- day of ~(1ft~1 '1982'~, ,I/ft ,'I.').l_ / -....- ;!'1fi (.t. ~ ,L Npt ry Public Janet,Rj If . My 'C omm I s s ion ~;<dllMl ,B p. NOTMy rUBLIC ." t,on !"/,,, St, ,I, 1985 HI~I.IU~I,: tA . O,U'hln ~~"" r' I , " , .1 c.- FOA DATESOF DEATHAFTEA 11/111" CHECKHEAE IF A EPOUSAL 0 POVEAlYCAEDIT ISCLAIMED FILE NUMBER INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FilED IN DUPLICATE WITH REGISTER OF WillS COUNTVCOOE OECEOENrs NAME (LAST, FIRST, AND MIDDL.E INITIAL) OECEOEN\'S COMPLETE ADORESS Lafferty Sr" William J. 3805 Lnmp Post Lane Camp Hill, PA 17011 AEV-I.IOOE~'Il\-"1 I ~ I ~ ~t~ o 41. ~uturo Intorosl Compromlso (lor dstes 01 doalh aher 12-12-a2) o 7, Dooedonl Malntalnod a Uvlng Trust (AUach a copy of Trust) COM~~~:t.\~\\OF::J~'W~ ~ANIA HARRIS8B~~,~A i~12'~OlSOt SOCIAL 8ECURIT'l' NUMBER 159.?4-6323 X 1. Orlglna' AolUrn o 4. Umltod F.slalo Caunly Cumberland []) e. Docedont Died Toolalo (Ahach copy 01 Will) 06, All. CORAESPONDENCE AND CONFIDENTtAl TAX INFORMATION SHOULD BE DIRECTED TO: C P o 0 R N R 0 E E 5 N - T TELEPHONI: NUMBER R E C A P I T U l A T I o N T A X C o M P U T A T I o N 2194-0313 "EAR NUMBER 0,00 X, 15. 3. Aomalndor Aoturn (10' datos 01 doath prior to 1~-13-a2) Fodera' eslate Tax Return ~.equlred Total Number 01 Salo Doposit Bo.o, 8. COMPLETE MAIt.lNQ ADDRESS Mette, Evans & Woodside 3401 North Front Street Harrisbur , PA 17011 None 39,600,50 None , None 181.,317,09 . J (8) 223,917,59 717/232 - 5000 1, Aoel Estato (SOhodule A) 2. Stocks and Bond, (Schodulo B) 3. Clo'ely Held StocklPartllorshlp Inloroat (Schedulo C) 4. Mortgage. and Notes Recolvablo (SChedulo D) 6, Co,h, Bank Depo'lta & Ml,collonooua Pstacnal Proporty (SOhedulo E) 8, Jointly Ownod Proporly (Schodule F) 7. Tronalors (Schedule G) (Schodulo L) a, Tots' Gros, As,ol' (tolalltnos1-7) 9. Funo,ol E'pon,o" Admlnl,l,alivo Cost" Mlscollaneouo e.penso, (Schodulo H) 10. Dobla, MortgEgO Uabltillo" Lion, (Schodulo I) 11, Total Doducllon, (Iolalllllos 9 & 10) 12, Not Valuo 01 ESlale (It no a mlnua 11110 11) 13, Charitable and Govornmenlal Bequo,l, (Schodulo J) 14, Nol Veluo Subject 10 Tax (IIno 12 mlnu,lIno 13) 16. Amoun' 0111110 14 taxoblo 016% 'alo (InclUdo valuo, from Schodulo K or SOllodulo M,) la. Amount olllno 14 t..,oblo at 15% ralo (Include voluo, from Schedulo K or Schodulo M,) 17, Principal lax duo (Add tax Irom IIno 15 and from lino 16,) 18, Crodll"Sp Povorty P,lo, Paymenls Discount + 12,000.00 + 631.58 19. IIlIno 1a I' g,oalor Ihan IIno 17, ontor tho dllleronoo on lino 10, This i, the OVERPAYMENT, ~ 0 ICheck hell II you .ra requI.t1ng a rllund 01 your OVlrpe'i!!!!!!!:! 20, 1111"017 i, g,oslor Ihan lino 18, enlor Iho dllloronco on lino 20, This 1,Ihe TAX DUE. A, Enlo' Iho inlo,ost on tho balanco duo on IIno 2M. B. Enlor Iho tal., 01 line 20 and 2JA on IIno 20B, Thl' 19 tho BALANCE DUE, Makl Chock Pa able to: RI I,t.r 01 Wills A Inl ~ ~ BE SURE TO ANSWEA ALL QUESTIONS ON PAGE UND TO AfiCHECK MATH .. .. (I) (2) (3) (4) (6) (8) (7) -0- None (11) (12) (13) (14) 11.442.62 212,4'14.97 None 212,474.97 12,748,50 (9) 11,000,lq )( .06:l 0,00 (17) 12,71.8,50 (10) 442,52 (18) (19) 12,631. 58 0,00 (16) 212,1.74,97 (20) (2M) (20B) 116,92 0.00 116,92 (18) Inlore't Underplnllll" 01 p.tjury,1 clltla"lhall nave ,x"mined llll'lflurn, H\Cludlllg accornplnYlng sCh'dules Ind Itlllm.nll, and 10 lnt 111.101 my Ilnowl'dge Iond blll,l, II IltfU', COHIC1"nd camplll.. I a,ela,.lhl,,1I rule.I.I. hu bun "porltd _llHlt mlrllet vAlul. 0,,1"'"110" 01 prepI'tI oln'r lnMI the p",O""IIIPI..,nl.l\l"'" bUtd on "" Information 01 ""hlchprIPlfllrhUI"yknowltdQI. SIONATURE O~ PEASON AESPON!;IIBLE FOn FILING RETUIUl AoonE55 Al,~?L OAT( 7. r,j ..J I-I '( c- O CnpYflghl(C) 1\1 (.J REPRE5ENtATlVE ('. t) /' .' .j,' (. (~~"""I ) lorm soli..,...'. only CI"I:' PttCalOllWI.I, Inc. ~~:q~: !~~~P: ):~~:d~~:~::::::::::::::::::::::::::::: Camp Hill, PA 17011 AOORE9S Metto. Evans & Woodsido ji;ai' ~iori:h. "Fr;;rit' s.ti.o;;t...."'."..'.'.......... ils.rr ls"buri;":.PA" Tiaii.""".......".....""" -..,.". SIGNATURE or PREPA /7 ( :'f{ DATE .<;;,0) 5:t! l.l' ) I, 1 Fnrl'\l 1500 In...., 114ill -"'-"!:~._-:'4 ..'U:":\..:".~:~,.~, :~, \....ll ;~"..,;-o"u___'--' .' ......"1", -..~~:-''''-~'.''~~.a..,:~'r_~.~-;~"'.'''':l :.....~;"".~..',,: ,:",... ITEM IV: I nominate, constitute and appoint my son, William J. Lafferty, Jr., Trustee of the specific bequests pro- vided for in Item III hereof, on the following conditions: The sum of $12,000.00 for the henefi t of Maure'en shall be used solely for purposes of assisting Maureen in the completion of her educa- tion. It is a condition of this trust that Maureen must attend an accredited college and complete her education period of four years ithin a five year period, and said education must be completed on or before her 24th birthday, except in the event of illness or inability, or other independent reason which would prevent her from 80 doing. This educatioJ:al fund shall be used for her educa- tion and maintenance during the course of her attendance at said accredited college and any disbursement for room and board shall e restricted to dormitory residence only. These same provisions shall apply to the trust for my daughter, Colleen, except that olleen must commence her education by the age of 24, and this rust shall be void in the event she does not commence her educa- ion by said age of 24. All other conditions as applied to Maureen hall apply to Colleen under this trust, except that her educa- ion shall be completed by the age of 29. In the event said trust lapses, or there are funds remain- ng at the time said trust terminates, then the same shall become , , . . ' . , art of ' the residue of my estate and be distributed in accordance ,~: . : , .. .;:.1;3 ',' ~~:,',., ......1'.:':. '.~:):~:l. ith the provisions of this will. ", ITEM V: " . ' " .,; , I give, devise and bequeath';'all thereat; residue . , , remainder of my estate of every name and nature md wheresoever 'l'hl;1 \:~;I"':::::-::::1<~ :~3t::l1r.1,bn!.:, ':I,";';"i~~.:t:~~:~; .';;~: ~_~~_::' .~:~..~ ;":'~i:. ~':~',j"., ituate to my wife, Dorothy.Lafferty, provided she shall survive . " A,V-'"1 ex. IS-III SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES COM~IR;!\1~~~~~W~/hYANIA ESTAn! OF William J. Laffert Sr. ITEM NUMBER A. Fun.1I1 Expen..l: SS# 159-24-6323 01 14 94 DESCRIPTION 1 Myers-Harner Funeral 1I0me, lnc, 2 Rolling Green Cemetery, Brass Plate and Vase 3 Rolling Green Cemetery, Grave Opening/Closing 4 Funeral Reception, Kitchen Works ($355,10) Beverages ($21.00) B. AdmlnlatrllUv. COlta: Poraonal Represontalivo Commissions Social Security Number 01 Porsonal Roprosentalivo: Yoar Co"""sslons pold _ 1, 2. Morney Fees Mette, Evans & Woodside Lowell R. Gates, Esquire 3, Family exemplion Claimant Dorothy Lafferty Addross 01 Claimant at decedont's dooth Street Addross 3805 Lamp Post City Camp lIill Slale ~ Zip Code l70n Rolalionshlp Spouse Lane 4, Probato Fees C, Mlao.llln.ou. Expanaea: 1 Cumberland Law Journal 2 The Sentinel 3 Mette, Evans & Woodside Reimbursemsnt for out of pocket expenses 4 Reimbursement to Dorothy Lafferty for travel, telephone, postage, etc. TOTAL Also entor on IIno 9, Reca i1ulailonl (11 rroro spaco Is noodod, Insert additional shoots 01 same slzo,) CoPVrtghllc) Iii! farm lollw."nnlv C.nle, PI 'c. Softwar., Inc. , Please Print or T 0 FILE NUMBER 2194-0313 AMOUNT 5,192,00 692,00 360,00 376.10 1,500,00 {,SO,OO 2,000,00 120.00 40,00 150,00 120,00 s 11 , 000 , 10 Form 1500 Scntllulo H IA...., 7-811 A'V.llll ex +i'ooul , , SCHEDULE I DEBTS OF DECEDENT MORTGAGE LIABILITIES AND LIENS COM~ll\l~~{\'~~W~ANIA E8TAlll OF William J. Lafferty Sr. SS# 159.24.6323 01/14/94 ITEM DESCRII'TION NUMBER 1 Harrisburg Hospital 2 Susquehanna Surgeons 3 Andrew, Patel & Conroy 4 Dr. Gaither 5 Church of the Good Shepherd (Pledge) 6 Moffitt, Pease & Lim 7 Pulmonary Critical Care . 8 A.Z. Ritzman & Associates 9 G1amm Anethesia " TOTAL Also onlor on IIno 10, Roca Ilulallon (II more spaco Is noodod, Inson addillonal shools of SSI110 slzo,) COPVllghllc)lltltl 'otm lohw.,. only e,M., rife, SoIIWI'" Inc, FILE NUMBER 2194.0313 AMOUNT 279,117 17,93 27.01 22.92 75.00 2.16 2,76 10.92 4.35 $ 442.52 ~or", 1&00 SenlOUI, 11A.'/. 7-U\ \ REV-1547 EX AFP (08-94* COMMONWEAL HI OF PENNSVLVANIA DEPARTMENT OF REVENUE BUREAU Of INDiViDUal TAlCES . OEPr. 280601 UARRlSllURO, PA 111Z8.0601 mATE OFL=,trF'tIl"'V===~-WT[lTA ~J~'-'====='====o FILE NO. DATE OF DEATH 01-14-94 COUNTY CUMBERLAND NOTE. TO INSURE PROPER CREDIT TD YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX PAYIIENT TO THE REGISTER DF WILLS. HAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT" REMIT PAYMENT TOl J,.) 0' D";), 1'1 - ;V \' . Y NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHEIIT OF TAX ACN lOWEll R GATES STE 2 600 N 12TH ST lEMOVNE PA 17043 C- 101 DATE 12-12-94 REGISTER OF WIllS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 [__~~.ount R.nl Hid -3 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .... REV: iS47 " Elf" A j: ji" i os": 94 Y" Niiff c r"O' F - "iNHEifff AN"C E" TAX - A-P PRA- is EHENr; "A L l"O'WANC E - cili -"" - - -""""".""""- DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF LAFFERTY WILLIAM J FILE NO. 21 94-0313 ACN 101 DATE 12-12-94 If an aeeessment was issued previously, lines 14, 15 and/or 16, 17 and 18 will reflect figures that include the total of abh returns assessed to date. ASSESSMENT OF TAXI 15. Anount of Llnl 14 It Spou.ll rltl 115) 16. Anount of Llnl 14 tl..bl. .t Llnl.l/Cl.l. A r.t. 116) 17. Anount of L1nl 14 toxobll .t Coll.torol/Cl..s B r.to 1171 IS. Prlnolp.l T.. OUI TAX CREDITS: PAYHENT DATE 04-12-94 08-31-94 TAX RETURN WAS I (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST . SEE REVF.RSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL 1, RI.l E.t.t. ISohodull Al 2, Stooks .nd eond. ISoh.dul. BI 3, Clo..ly HIld Stock/P.rtnlr.hlp Int.rlst ISohodul. C) 4, Hortg.gls/Notls R.cllv.bll ISchldull 01 5, C..h/Sonk D.poclts/Hlso, Porsonll ProPlrty (Soh.dul. E) 6. Jointly O.nld ProPlrty ISch.dul. F) 7. Trlnslors (Sohodul. G) S. Totol As,"ts APPROVED DEDUCTIONS AND EXEMPTIONS I 9. Funorll E.pons../Adn, Co.h/tllso. E.pon..s ISoh.dul. H) (9) 10, Dlbh/Hortg.gl LlobllHlu/L1lns ISchodull II llO) 11, Totol Dlduotlons 12, Nit Volu. 01 To. R.turn 13. Chorltlblo/Gnv.rnn.ntol Blqulsts ISchldul. J) 14. Nit V.lu. 01 Estot. Subj.ot to To. NOTEI RECEIPT NUHBER XA885954 MM91289~ DISCOUNT (+ I INTEREST C-) 631.58 ,DO ( ) CHANGED (1) ,DO (21 39,600,50 Ul ,DO 14) ,DO 151_lli..l17 , 09 16) , DO 17) , DO IS) 11,000,10 442.52 Ill) 112) 113) 114) ,OOX,OO= 212,474,97 X .06= .00 X .15= IlS) AHOUNT PAID 12,000,00 116,92 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 223,917.59 11 ,44? 6? 212,474,97 ,DO 212,474.97 .00 12,748.5'ii""" ,DO 12,748,50 12,748.50 .00 ,DO ,DO . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU HAY'BE DU, A REFUND, SEE REVERSE SIDE DF THIS FORH FOR INSTRUCTIONS,I " ,. ., RESEAYATlON, Estlltll of d,a.d.nt. dvlng on '01' b.fara O,clflber 12, 1952 .... If anv future Int.rllt III the lltate II tr,n.f.rrld tn Po.....ltn or .nJoy.ent to Cla.a a (oollat.rel) b.neflolarll' of the dlc.d.nt aft.r thl expiration of .ny ..t,t. for lIf. or for VII", thl Co..onw'IIth herebV Ixpren1Y re..rv., thl dght to appralu and ...... tronlfer Inhlritlno' 1IKII ot thl I.wful Cl,.. a (ooll'tlrol) rlt. on any .~h future Intlr..t. PURPOSE OF NOTICE I To fulfill thl requl"ul."h of S.ctlon 2140 of thl Inh.rltaMCl' Ind E.tatl TaK Aot, Aot 22 of 1991. 12 P,S. :llctlon 2140. PAVMENTI O.tech the top portion of thlt Hotlc. and ,ublJt wJth your Ply..nt to the R.ghter of Wllh prlntld on the rev".. IIdl, ....Hlk. chick or lonlV order Ply.bh tOI REOISTER or HILLS I AOENT ~II Ply..nt. recllv.d Ihall flr.t bl eppllld to ~v Int.r..t which ~ay bl due with any re.elnd.r applied to thl taK, REFUND eCR)! A refund of . tex oredlt, whloh Wit not requllted on the Tax R.turn, "'V be rlqullted by co.phtlng In "Applloltlon far Rlfund of Plnn.vlv.nl, Inherltlncy and Elt.tl r.x" (REY..1313), Applioatlon. .rl avallabl1 at thl Offloo of thl Algt.tlr of Will., Iny of thl 23 ReVlnul DJ.trlot Offlol., or by oalling thl ,plclal 24-hour an,wlrlng ..rvic. nUMb.r. for fcr.. ord.rlngl In P.nn,YI~.nla 1-800-362.2050, out.id. Plnn.ylvlnl. and within 10cII Harrhburg .r.. (717) 767.8094, TOOl (717) 772.ZZ52 (Hearing l.p.lred Only). OBJECTIONS I Any p.rtv In interllt not ,.tllfJ.d with thl .Ppr.i....nt, allowlnc. or dl.allowlno. of d.duotlcn., or ........nt of tlX (Inoludlng dl.count or Int.r..t) .. .hown on thll Hotle. ftu.t Object within .Ixtv (60) d.y. of r.c.ipt of thl, Notlol bYI ..wrltt.n prot"t to thl PA D.part...nt of Rlv.nue, Board of APPIIlt, DEPT. 281021, Hlrrhburg, PA 17128.1021, OR ....I.ctlon to have the ...tter dlter.lned at .udlt of the account of the personal r'Jlro..ntatlvl, OR ..apPlal to the Orrh.nl' Court, AD"I" ISIRATlVE CORRECTlO"S, OISCOU"I, Flctull .rror. dl,cov.r.d on thl. ....'...nt 8hould bl .ddr....d In writing tOI PA D.p.rt..nt of Rlv.nu., aurnu of Indlvidu.l TaxII, ATTHI Po.t A......ent R.vI8W Unit, DEPT. 280601, Harrltburg, PA 17128.0601 Phon. (717) 787'6505. S'I page 3 of thl bookllt "In.truotlon. for lnhlritance T.x Alturn fcr . RI.ldlnt Olo.dlnt" (REV-IS01) for an .xpl.natlon of Id.lnl.tratlvely ecrrlotabl. .rror.. If any tl~ due I. paid within thr.. (3) oal.ndar ~nthl ~ftlr the dlcldlnt'. de.th, a flv. plrc.nt (S~) dl.count of the ta~ paid Is '1Iow.d. 1"IERESII Int.r..t J, ch.rgld blglnn\ng with fir.t d.y of dellnqu.noy, or nln. (9) .onthl Ind on. (1) day frOl the date Qf d.,th, to the dlt. of plY.lnt, T'~'I which blea.. d.llnqu.nt b.fcr. Janu.ry I, 1982 b.ar Int.r..t .t the rlt. of Ilx U;O perolnt plr annu. calc:ulatld at . d.lly rltl of ,000164. All tal(lI whloh blcalll' d.lInquent on end _ftlr J.nu.rv I, 1982 will b..r Intlrl.t .t I ratl which will vary frOM c.l.nd.r ywar to cal.ndar Y.lr with th.t rat. ,nnouno.,1 by the PA D.part..nt Qf R.v.nu.. Tho applJcabl. Int.rl.t rata. for 1982 through 1994 .rll '!!!!: Inter..t Ratl Daily Intlrllt Factor !!!r lnt.rnt Ratl O.lly lnter..t faotcr 1982 ZOX .00m8 1986 10% .000214 1963 I'X .000~38 1981 9% .000241 1m 11% .000301 1981-1991 ll% ,000301 1985 m ,000356 1992 9X , 0002~1 1993-190~ 7% ,000192 1995 9% .000241 ."lnt.r..t i. e.tcul.tld .. follow, I INTEREST . BALANCE OF TAN UNPAID N NUNBER OF DAYS DELINQUENT N DAILY INTEREST FACTOR '.Anv Notlo. I..uld aft.r thl tax b.eo... dlllnquent will r.fl.ct an intlr.,t calcul.tlon to flft'ln (IS) dIV', beyond thl dltl cf \tll 1I.......nt. If Plv..nt I. tadl IIfttr thl Interut cc.putetlon dati .hown on thl NoUel, IddlUon.1 Interllt .u.t b, ellloulatld, \ COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMIn-LAND . 'I ., ',' \ \ , ~.. ",' ~ 'r ",..' \ ' } .1 Dorothy Lafferty .eeo,dln9 to I.w, d,poul end UYI th.t sh. is Executrix 0' the Eri.I. 0' William J. Laffertv , Sr. I.t. 0' Camp Hil.1___ ' Cumb.,l.nd County, ,." d.u...d .nd th.t the within II .n Inv.nlory m.d. by ~orothy Laffertv _ _ , the uid Executrix 0' the .nllre ....I. 0' uld d.e.d.nl, conlhlln9 0' .11 the p.rlon.1 p,op.,rty .nd ,"111"11, IIUpI rill .ri... ouhld. Ih. Commonwlllth 0' P.nnlylv.nl., end th.llh. flgur.. oppollt. lIeh 111m 0' the Inv.nlory rep,.unlll'l ,.1, v.lu. II 0' t~. d... 0' d.e.d.nl'. dllth. JJ _/.. /J ' . / / JAt<--I,t;(::; rr#~ ,>-1:Llt1-'i _:/.) '//" .nd IUblCrlb.d b.'ore m., Dorothy Lalfferty-(~~~cutrix 1I.1n9 duly sworn _19 ;/i/ , E....ltr . MMi.llt,.t" 3805 Lamp Post Lane Camp Hill, PA 17011 A~~,," 0.1. 0' Ollth 14 1 94 D.y M..th YII' INSTRUCTIONS (iC-' I. An Inv.ntory mUll b. fII.d wllhln thr.. monthl ,'ft, .ppolntm.nt 01 pmon.1 repr.ltnlltlv.. 2. A suppl.m.nt Inv.nl~ry mUll b. fiI.d wllhln Ihlrty d'YI 0' dheoYlry 0' .ddillon.IIII'''. 3, Additlon.lshll" m.y b. .H.eh.d II to pmon.lly or ,..IIy .. S.. Artlel. IV. Fiduelerlll Act 0'19.9. I, ~ I!! . 1 ~ Vl .. ~ . ... ~ . . >> u . ~ III o W j.J C " ~ ex: ~ M I ... ..l II. III M , .... .... . 'I II. ..l ~ 0 .... :x: L LIJ 0 0( ::l . ~ % '" "" ~ 0 c m c . ~ - VI Z " u 0 ex: 0( .. % ... El ... '" "ll .... c . M ... 't M 0 .... J '" .l E "ll . . c:l it .... - c'