HomeMy WebLinkAbout94-00321
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PETITION FOR PROBATE and GRANT OF LETTERS
N0, _.___,:21::.jLJ.~L
Estate oj "1 i ~"beth...E. --KUnlw---
aim known as __._.__.__.___.__
Tll:
_____._.____ Rcgistcr llf Will~ for thc
_ ~ Df('('a.l'ed, ('0UII11' of _-Cumherland in the
Social Security No, __.VL6.::l9.::A.lQ~_._ Commonwcalth of Pcnnsyl\'ania
Thc pctition of thc undersigncd rcspcctfully rcprcscnts that:
Your pctitioncrCc), who is/oucl8 years of lIgc or ~dcrllnthc cxl'cut9tb.K-...---- namcd
In the last will of the lIhuvc dcccdcnt, dlltcd _._____.__t!.&I.!.'!.!=.__.B.L.J._____.__..___, 19__
lIttSk~lI!~ ------.-.---------.--..---------.--.- '-
(~llIll' rtlt'\'anl dh'lIl11,I.Uh'{'~1 q:, rcnun":lalillll, death l\f (',('culm, CILI
Dcccndcnl was domicilcd at dcath in ____hCumderlan~.__h ('ounly, Pcnnsylvllnia, with
h er__last family or principII I rcsidcnce at .l2.L_.'iDUth...2th. ~treet ._____
------ .-.-.-.---.--------L6I1\O-yna-,.-P-enllll-y-1van-i.a-.------
(h~l ~lrcl'l. Illlllltwr alld nllllll'lpalityl
Dcccndcnl, Ihcn__.(i8____ years of agc, dicd .---..Mar.ch..l.7ThUL9.4,~~x_._..
at ___.Jlo.ly....sp.iriUlDspi.tal.,__Camp -Hill T -P--enn-&)'-l-vanta
E~ccpt a, follows, dCl'cdl'nt did not marry, wa, not dilwl'cd and did not havc 1I child born or adopt cd
aftcr execution of the lI'ill0ffered for pwbalc; was n0tlhl' victim of a killing lInd was ncvcr lIdjudkllll'd
incompctcnt :.__.____.____ ____h._____ ______________
Dccendcnt at dCllth lll\'llcd pwpcrlY with cstimaled valucs as foil Oil'S:
(If domicilcd in Pa.) All pcrsonlll propcrlY
(If not domicilcd in Pa.) Pers0nal pro!wrty in Pcnnsylvania
(If not domicilcd in Pa.) Personal propCrlY in ('oulllY
Valuc of rcal cstlltc in Pcnnsylvania
situatcd a, f0l1ows: _._.______..____________. ._.____._.____.__._.
$.h--30TOOOT.--.
$._-----_.
$
$.
WHEREFORE, peliti0nciU rc,pcctfuily rcqucst(,) thc prohmc of thc la>l will~lb~\\'~~Wlt>X
prescntcd hcrcwith and thc grant of jl'ltCrs----te-8-t-arnen-t-at'V-
(le\tl101cnlllry; lHTlIlinh"alinll (.1,",; admini\lralioll d,h.n,~';I,ll,)
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.____________._.___._____._._____h._.____.____
-- -~..._.-._-------_._----- ------. -.---.'.--------.-.------------
OATH OJ.' PERSONAL REPRESENT A TlVE
COMMONWEALTH OF I'ENNSYLVANIA } 88
COUNT\' OJ! CUMBERLAND
-----.-------
Thc pctitioncr(l'! ah",\'.nnmed S\1'l'ar(s) 01 nffirm(~) that thc stalemcnts inthc forcgoing pctition arc
true and corrccl to thc hcst uf the knollledgl' und hclld 01 petili01\('r(~ lIud Ihllt as pcrsonal rcprcscn.
tativc\f) of thl' ab0\'C dc,'cdcnl pctitioncr(~ will wcll and truly adminlStcr tl\(' cstntc according to law.
Sworn to ~r lIffirl1l<;f1-Hand ,uhscrihcd . (:a7iuiLJ.-.;f..-Ji.tJICJA!1L.--- tr.
_he fore 01,' .tlus ~rRTli---.-..-_.-.--. da194' ~ .-.--..--.--.--......-.-----------.- ~.
}yJ-.--(.(J-l.:1i;il;(:,::--,,~;{~))~~(yl.~,-.f. .f{.......... ... ....... .-.---- --.------.-- ~
f~1RYc--rt\~TS..2../- - ...., S, ';::, ~,I-.-.---.. --. n_..___ -----------. ~
R(,~/.1t (I-~___.___.,_~_______._._. ~_ 2
Iii - J!i?)" :::,
No. 21 - 94 - 321
Estate of
E li z a b e.th...JL..K 1 ink Cl
, Deceased
DECREE OF PROBA n: AND GRANT OF LETTERS
AND NOW _~PRILZ..1-_________.._______' 19_JlA_, in considcratlon of the petition on
the revcrsc sidc hercof, salisfac\(1ry pwof hHl'ing hccn prcscntcd heforc me,
IT IS DECREED thai Ihc instrumcnHl\) dated--.-Atlgull1:-8,--i~9e_.----.~-
desctlbcd thcrcin be admillcd to prohatc and fIIcd of rccord as the last will of
Elizabeth E, Klinko
and Lcllers Testamenta-ry
arc hcrcby granted to n' ell therine....R....Giacahbe-
,
-,
FEES
Probatc, LCllm, Etc, .". . . . ,. S
ShOll Certificates(1 ) ., , , . . . . " S
Rcnunciatlon .,...,.,.",..,. 5
X-Pages 5 6.00
JCP TOTAL _ S---1~~
Filed . .~PRI.l,. 7". .m~,...,.",...... :..
60. Q.Q
3,00
511 Nor~h Second St,
Harrikrwt~, PA ., 7/Dg
232-8731
PHONE
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Ma1le,d letters and order to attorney on 4-7-94;
REV.1547 EX AFP (10.93* I
COHHONWEAl Ttl OF PENNSVLVANIA
OEPARTNENT OF ~EVENUE
BUREAU OF IHDIVIOUAL TAxES
OEPT, 180601
HARRISBURO, PA 171lB'D601
UTATE oF' FILE NO. 21 94"0321
DATE OF DEATH 03-17-94 COUNTY CUMBERLAND
NOTE, TO INSURE PROPER CREOIT TO YOUR ACCOUNT, SUBHIT TNE UPPER PORTION OF THIS FORH WITH YOUR TAK
PAYHENT TO TNE REOISTER OF WILLS, HAKE CHECK PAYABLE TO "REDISTER OF WILLS, ADENT"
REMIT PAYMENT TO:
\
r~I"''''1
) / ;5,.10..:3 ;)
~/' . , . d
NOTICE OF INNERITANCE TAK ACN
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSHENT OF TAK DATE
RICHARD E CONNELL ESQ
511 N 2ND ST
PO BOX 11 DB
HBll PA 171 08
C1/.:...v
101
10-11-94
--=
REllISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
~nount Rlnlt~~
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~
il 'EV'- i 54i "EiC "A F p"" i l'ii'- 9irNCifi c r 'OF" "fN'HEil"i f ilifc E" 'fAx" A"PPRiii S EMENT ~ " "Ai. 'i."oWAN"C E" oR"" --" --"""".." _......
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF KLINKO ELIZABETH E FILE NO.21 94-0321 ACN 101 DATE 10-11-94
If an as"I.ment was i..ued previously, line. 14, lS and/or 16 and 17 will
reflect figure. that include the total uf ALL return. asse..ed to date.
ASSESSMENT nF TAX:
IS, Anount of Llnl 14 t..lbl. at &% rltl
16. Anount of Llna 14 ta,"bl" ot 15% rota
17. Prlnolpol Ta. OUo
TAX CREDITS I
PAYHENT
DATE
TAK RETURN WAS, (X I ACCEPTEO AS FILED
I CHANDED
, "
RESERVATI 011 CONCERNING FUTURE INTEREST .. SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIllINAL RETURN
1, R..l Eltata (Soh.dulo A I (1)
2. Stookl and Bondo (Sohodula BI (2)
3, Clo111~ HIld Stock/Portnar.hlp Intara.t tSohadull CI (3)
4. Hortglgal/Nota. Racalyabla (Sohodula 01 t41
S. Co.h/Bonk Olpo.lts/Hllo, Por.onol Proplrt~ (Sohodula EI (51
6. Jolntl~ Dwnod Propart~ (Sohldula FI C&I
7, Tron.fars (Sohadula DI (7)
8. Total A..ats
,00
,00
.00
,00
3,150,00
41 ,346 Ill.
,00
t81
APPROVED DEDUCTIONS AND EXEMPTIONA:
9, Funaral E.pansa./Adnlnlotratlya Costs/
Hhoallonlou. Expan... (Sohodula H) t91
la, Dlbts/Hortgaga Llabllltlas/Llln. (Sohodula I) (101
11, Totol Daduotlons
12. Nit Valua of Ta. Raturn
13. Charltabla/Doyarnnantal Blquasts (Sohldul. J)
14. Nat Valul of Est.t. Subjlot to Ta.
3,446,92
87,92
Clll
(12)
(13)
(14)
NOTE:
(15)
11&1
,00
40,961,80
K.O& =
K, IS =
(17)
RECEIPT
NUHBER
DISCOUNT t +)
INTEREST (.)
AHOUNT PAID
06-08-94
886162
307,21
5,837.06
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
44,496,64
3,534.84
40,961.80
,00
40,961. 80
---:..!!J!.
6,144,27
6.144,21
6,144,27
,00
,00
,00
IF TOTAL DUE IS LESS THAN fl. NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" tCRI, YOU HAY BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS,I
t '. 'to "'1 .... ~
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RESERYATlON, E'tltll of dR,dent, dvlng on or b,fore Dt<lltlber 12, 191~ -.. Sf tny future lntlrll' In thl uti" It tr.n".rrtd
In po.....Jon or enjoyu"t to Cl... a (colla'.rel' bln,flolerlll of th. dlCldlnt ,ft'r th_ IlCplr,Uon of tnv ..tit. for'
1111' Dr for VII'.' the Co..onwlIUh h.r.bv .)Cpr.lIlY r...rv.. the right to Ippr,ht .nd I"'" trlnl,.r InhtrUIf1CII TIlllt
It the lawful Cl... a CcoUlt.rtl) rlt. on tnv luch future Intlr..t,
PURPOSE Of'
NOTlCEl To fulfill thl rlqulr...nt. of SloUon 2140 of the InhlrUance "nd Est,t' YIK loot, Aat 22 of 1991. 72 P...
Slotlon 2140.
PAYMENT I nltlch the top portion of thil HoUel and tube It with your Plv..nt to the Righter of Willi prlnttd on th', r'vAI".. .Idt,
"Hok. ch.ck cr oon.. crdor p...bh tc, REOISTER OF HILLS, AOENT
All plv_nt, rlollved 'hill fir.' bt Ippll,d to tny 1l1t.rllt whh:h .a~ be dul with an~ r..aineNr apPUld to tht t,lC.
REFUND (CR)I A refund of I tlM or.dlt, whir.h WI' not r.qu.ltud on thl 'aM R.turn, .IV b. r.qu.lt.d bv oOIPi.tlng In "Appllo.tlon
for A.fund of P.nnlvlYlnll Inhlrltlno. find Eltlt. Talf" (~E""~U1S). Applioatlonl ar. avaUabl1 .t thl Offlol
of the R.ght.r of WUlI, Iny of the 1.5 AlVlnUI D1Itriot Offloll, or by caUlng thl splohl 2"-hour
Inlw.rlng slrvlc. nUlblr. for forll ordlrlngl In PlnnsYlvanla 1-800-362-2050, outlidl P.nnlvlvlnll end
withIn Jooul Harrl.burg arl. (717) 787-809", TOO' (717l 772-2252 (Hllring IIIPllrld Only).
OBJECTIONS, Any pertv In Intlr'lt not .atl.flld with the appral'I..nt, allowanc. or dl.allowanol of dlduotlon., or 1...I...nt
of tlM (Inoludlnu dllcount or Int.rllt) II .hown on thl. Hotlc. .u.t objlot withIn .llCty (60) day, of rlollpt of
th1l Hotlel bYI
"wrlttln protut to thl PA D.pnt.ent of Alvlnul, loard of Appuh, DEPT. 281021, Hlrrlsburll, PA 17121-1021, OR
UlllctJon to h.vI thl I'tter datlr.lned at audit of thl aocount of thl plrlonal rapranntatlye, OR
uapPIIl to the OrPh.n.' Court. '
AD/UN
IITRATlYE
CORAECTJOHtI Flatuel Irror. dl.coverld on thl. ........nt .hould bl addr....d In wrltlnll tal PA DIPartl.nt of Rev.nue,
aur.au of Individual TaKa., ATTNI Po.t A.......nt Rlvl.w Unit, OEPT, 210601, Harrl.burg, PA 17121.0601
Phone (717) 7'7-6505, S.. p.,. S of thl booklet "In.truotlon. for Inher itancI talC Return for I RIIJd.nt
Olo.dant" (REY-ISOI) for In IKPllnltlon of adllnl.tratlytlv corr.ctlbll .rror.,
DISCOUNT,
If any .tu dUll 11 plld wUhln threl (Sl oltlndar lonth. .fter th. dlc.d.nt'. d.lth, II flvl perclnt (SlC) dhcount of
the tlie Plld It allow.d.
INTEREST.
Int.rllt II ch.rgld bfGlMlnSl with first day of d.lInqulncv, cr nlnl (9l lonth. .nd onl (1) dlV frcI thl dltl of
de.th, to the dltl 0' Ply..nt. TIICII which b.oa.e dtllnquent blfcrl J.nulrv I, 1912 bllr InterOlt It the r.tl of
.IM (6~) Plrc.nt plr .nnuI cllcullt.d It I dall~ rltl of .000164. All tiKI' which blua.. dlllnqulnt on and .ftlr
Janu.ry 1, 1912 will bur Int,,"t at a ratl which wUI y.,.~ fro. callndar Yllr to oltlndlr yllr with thl~ ret.
'MDUnCId bv the PA O.plrt..nt of Rayanu.. Tha IPplIcabl1 lntlrut rat.. for t982 through 199" Irll
'!m Int,,"t Rat, Dilly Intar..t Factcr ~ Int.rllt Rat. D.lly Int"..t Faotor
1912 20X .000541 1916 lOX .000274
I9n 16X .000451 1917 9% ,000247
1914 llX .OD0501 1911'1991 llX ,000501
1915 UX .000556 1992 'X .000247
1995-1994 IX .000192
--tnt~rllt I. cIloullt.d $' followlI
INTEAEST 0 BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Netic. I..u.d .ft,r th. tDK bIOO..1 dlllnqulnt will rlfllot an Int.r..t cllculltlon to flftl.n CIS) diY'
beyond the dlt. of thl ........nt, If pIY.lnt It ud. Ifter thl ,Intlrllt co.put,Uon dati .hewn on' thl
Notice, .ddltlonll Intlr..t tu.t b, calcul.ted.
e..
Oertification of Notice Under Rule 5.6(a)
.
Name of Decedent I Elizabeth E, Klinko
??P \(i . u
:'f :n(\
Date of Deathl March 17. 1994
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Estate Number I 1994-00321 . r.~)
)1;, ._j (') ,
To the Register of Wills I UI
I certify that Notice of Beneficial Interest required by
Rule 5.6(a) of the Orphan's Court Rules was served on or mailed
to the following beneficiaries of the above captioned eatate on
April 18 , 1994
NAME ADDRESS
Doris Klinko 1519 Maple Avenue. Hillside, NJ 07205
~teven Klinko 1519 Maple Avenue. ijillside. NJ 07205
Diana Klinko Bruner
5009 Brasch Road. S. E.. Port Orchard. WA 98366
Date, 4/18/94
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S gnat
Name I Richard E. Connell, Esg.
Addressl 511 North Second Street
Harrisburg, PA 17101
. Telephone I (717) 232-8731
Capacity:
Personal
---- Representative
x
Counsel for Personal
Representa tive
\.
I Y - ~D 2> . ...3
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
'01 DATil 0' DIATH A"II 12/31191 CHI~I .
IP A '~U'AL
'OVIITV CIIDIT IS CLAIMID 0
'Ill NUMllii-------.--
REV.l:1o<i f)'+ lIi.'911
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COMMONWEALTH m PErNSVlVAN'A
DEPARTMENT m R VENUE
DUlY. 21060
HAR!lIIURO. PA 17118.0001
21
9lf
0321
"!~1.!8E~
COUNTY CODE YEAR
-----.-----rni!NI'S COMPl!n'ADDREis ______u______ -.
-
,A
Klinko, Elizabeth E. 122 S. 7th Street
fOCIAl ;~R~vl ~~:;~-~--'--r~b;7'~~'-r~1;-~;2ii~i; c~::rno~::~ e: ~ a~; 04.3
_____________.________________m______. ....__1._.________________________.
[1lJ 1. Orlglnol Relurn [I 2, Supplemenlol Relurn [] 3, Remolnder Relurn
(for dol.. of deolh prior to 12.13.B2)
[J 4. Llmllod Ellole [J 40. Fulure Inl"..1 Compromile [) 5, Fedorol E.lote Tox
Ilor dol.. of deolh nfter 12.12.B21 Relurn Required
1,i<I 6. Deced.nl Died T..lole [J 7, Docedenl Molnlolned 0 Living TrUll Q.. B. Tolnl Number of Sof. Depolll BoxOl
(Alloch copy of Willi ._ IAlloc~ of Trulll
All COIIIIISPONIlINCI ANO CONPlOINTlAL TAX INPOIIMATlON SHOULO II DIR.CTlO TOI
P M ILING ADDRESS
Richard E. Connell, Esq.
!!IDHOfifNOMiER
Ball, Skelly, Murren & Connell
'--511 N. Second St., P,O. Box 1108
HarrisburR, PA 17108
232-8731
1. Reol Ellole (Schedule AI ( 11 -Q:--.----.-----
-0- 0"
2, Slockl ond BondI (Schedule B) I 2).---------.------.------.--.
-0-
3, ClolOly Held Slock/Porlnenhlp Inle",1 (Schedule q I 3) _._h_m_________.._______._.
4, Mortgog.. ond NOI.. Recelvoble ISchedule D) ( 41 - 0 ~__.u_______..
ri II I I 3 150,00
5, COlh, oonk Depollll & MllCe oneoul Portonol Property 5 _1_____.____
(Schedule E)
6, Jolnlly Owned Property ISchedu!e F) ( 6) 41 , 3 LI6 ..64
7, Trons/er. ISchedule G)ISchedule L) ( 7) ___ - --
B. Tolol Groll Allell (totollln.. 1.7)
9, Fun4,al ExpI."', Admlnlllrollv. COllI, MllCelloneoul I 9) 3.446, 92
Expen!,( !S\hedule H) .
10, Dobll,,Mortgoge L1oblllllel, LlenllSchedule II (10)
11. T 0101 Deducllonl (IOIO! Ilnel 9 & 101
12, Nel Volu. of E.lote IlIne 8 mlnulllne 11)
13, Chorlloble ond Governmentol 8equelll ISchedu!e JI
14. Nel Volue Subl"t 10 T ox (line 12 mlnu. line 131
- ..
15, Amount "f line 14 toxoble 01 6% role
'~nclude voluel from Sch.dule K 0' Schedule M.I
16. Amou~t 01 line 14 Inxoble 01 15% role
11"lude volue. from Schedule K or Schedule M,I
17. Prlnclpol tox due (Add 10' from line 15 onn from line 16.)
lA, Credit. Spou.ol Poverty Credll Prior Poymenll DllCounl
________0_______ + .___0._..._.__ +...$307...21 - .__u..__
1'0) --.i!5 ,496,64
87.92
(1113,534,84
(12) 40, 9.6..LJ30
(13) ._ ---
1141 40,961,80
(1'5) __..___________X .06" ___.____.__
(16) !!'Q.l96l-,-~.9_.__x .1.S" _L14.4..2L__
1171 _._p,14If...J_I___
Inlerest
(181.-.--- 30.7...21.____..__
(19) "'___..__..________
19, If line lB II greoler thon line 17, enler the dlll..en" ~n line 19, ThllII Ihe OVERPAYMENT,
110
20. If line 17 II greoler Ihon line lB, enler Ihe dlll...nce on line 20. Thll II Ihe TAX DUE, 120) _______5.L~3.Z~.&.....___.
A, Enl.r Ihe Inlerell on the bolonce due on line 20A, (20A) __._____.._~_O..:'___.____._
8. Enter Ihe lotol 01 line 20 and 20A on IIn. 20B, Thil II Ih. BALANCE DUE. 120B) . ____~--'.BJ.L_Qg____.___
Ma~e Chtc~ Payable 10' RIgl,t.. of Will., AgI~I .__ ___.<n. _. .._... ______._____..___ ___________
...... II SUIII TO ANIWIII ALL QUESTIONS ON-ilIVIRSE SlOI AND TO RICHiCifMATH....---.---.-----
Under penaltlos of perlury, I doclare thai I have examined Ihls return, Including accompanying scho'dulol anti ,Iclomenh, and 10 tho bOil of my knowlodge Ilnd b;llof.
It ISlruD, (omlcl ar,d complete. I declare thol all real ellole has been r'polled 01 true mark'l valuo. Declaration of proparor olhor Ihnn tho pOfsonal roprosenlallve II
bl~l.d o~tll,lnfoRfc&~~s~' whi~h ~~e:~'f,l;;;,m~ know,d2;~RES\, p. ;:;,;-- -.----.,"'2...-- '--;-}-------' DATf-------.--
.~~.; R I . . ,L Ailtt~~4:704L . '.r'U'$i!.l!iJ)j/x.:~ DATfdvU---
_________-'j"II]/~_{TIL~~~.I1.J(.__!!I:J.-&-a/~L. .~lZLf1_---
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'Schedule F contd.
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on March 27 thin Attaclmmt "A" Rets forth)
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tenant as fully reported above. '11le
other accourtt(i.e" 0908-36545) as reported
by the bank reflects a $1,000 deposit. '1be
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Giacobbe, and was the llama $1.000 which' was
withdrm from the account reported as #1
above, That $1,000 is not set forth under.
Item 2, instead it is under Item 1 and is
therefore fully accounted for as it repre-
sents the decedent's interest,
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C{lMMmlWUllH Of r'Wall'l'AtlIA
INHUIfANCI IAI( 1I1UUl
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SCHEDULE J
BENEFICIARIES
ESTATE Of
fiLE NUMBER
Elizabeth E, Klinko
21 94 0321
ITEM
NUMBER
RlLA T10NSHlf
AMOUNT OR
SHARE Of ESTATE
NAME AND ADDRESS Of BENEfiCIARY
A, TOKoblo BoquOIII,
1.
IXlris Klinko
1519 Maple Avenue
Hillside, N.J, 07205
$5,000,00
Sister-in-law
2.
Steven Klinko
1519 Maple Avenue
Hillside, NJ 07205
Nephew
5,000,00
3.
Diana Klinko Bruner
5009 Brasch Road, S,E,
Port Orchard, WA 98366
5,000,00
Niece
4,
Catherine R, Giacobbe
122 S, 7th Street
l.erroyne, PA 17043
Friend
Renvlinder
ITEM
NUMBER
NAME AND ADDRESS Of BENEfiCIARY
AMOUNT OR
SHARE Of ESTATE
--"'------..
B. Chorlloblo ond Govornmonlol Boquoll"
1. None
4________..__.. ____..~_.~.._....__._.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS IAI.o .nlor on IIno 13, Rocopltulotlon) S
.---.------------..--.______.____________..__._____o_n____. .....___._____u_.______.,._
IIf mall .po.. I. n"dld, In...' oddUlo.ol .hu" o'.oml .111)
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300B 0017
398Z Y
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STATEMENT OF ACCOUNTS
050-Z37300
STATEMENT PERIOD
FROM THROUGH
3-01-94 3-31-94
PAGE 1 OF 1
ELIZABETH E KLINKO
SR CATHERINE GIACOBBE
122 S 7TH ST
LEMOYNE PA 11043
STATEMENT SAVINGS
PREVIOUS
STATEMENT BALANCE
62,756.76
MONEY CONNECTION
OEPOStTS/ NBR
CREOITS 1
127.19
ACCOUNT: 050-237300
WITHDRAWALS/ NBR INTEREST
DEBITS 4 PAID
82,883.95 121.19
ENDING
BALANCE
.00
ACCOUNT/INTfREST INFORMATION
TAXPAYER 10 NUMBER
564.39 SERVICE FEE
146M14-430S
.00
INTEREST PAID THIS YEAR
DATE
3-01-94
3-08-94
3-17-94
3-11-94
3-2 -94
3-Z1M94
3-31-94
OEPOSITS/
CREDITS
WITHDRAWALS/
DEBITS
BALANCE
62,756.76
62,556.76
ACTIVITY DESCRIPTION
BEGINNING BALANCE
WITHDRAWAL
EFFECTIVE 03M07-94
063 0063
3549 HARTDALE ORIV
CAMP HILL
WITHDRAWAL.
WITHDRAWAL
INTEREST CRED IT
WITHDRAWAL
CLOSE-OUT WITHDRAWAL
ENDING BALANCE
200.00
127.1'1
1,000.00
40,000.00
.41,683.95
-161,556.76
41,556.76
41,683.95
.00
.00
3-01-94 THROUGH 3-21-94 ~~~
3.17%
70,873.10 v"
127.19
..~ ANNUAL PERCENTAGE YIELD EARNED DISCLOSURE FROM
ANNUAL PERCENTAGE YIELD EARNED
AVERAGE DAILY LEDGER nALANCE
.' INTEREST EARNED
~...~~~.~.~~~.~~.....~..~~~....~.~...~~...~..~.~..~~~..~~.~~
~ ~
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. Wf: OFFER DIRECT DEPOSIT OF PAVROLL CHECKS ~
~ ASK YOUR EMPLOYER TO DEPOSIT DIRECTLY TO YOUR ACCOUNT ·
. .
. .
,,' .. ~....**. ~... ....~.4 .*~~...~..~~ ~ .~..~~***. ~.**......** ..~.
At:tach~ent "e"
1
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:. . :. , : ; .', .' '." .' SALES CONTRACT A~D
',.:' :" 1;,P1~eB9of HarrlsbU'g 'i !\)\',!)~jl.'l'I,"'''.;' iIE'.' I' .TEMPORARY BURIAL AGREEMENT ..
"'~."':":POSt()ffiOOElOX3651' :', ..' "'. ..... .. . "'N' "1 . .
.:/;., ~~\!)~~rg."P,!lf'"Syt.'{arIf11.7.1()5.,"("I';i"":'DATE --:-.:.,.:.'__.~(.i?~~ 9t1 ..:......_.~::..i.~ ~ '6255
.';':" .' ~'t~~':~?~~''Ce'rneier~s':~;i1:;::;:~~gE~:E~:~~'~~~if~~~;>;~!;.i",,:,::,~o. >;,~ -~
.:':.i( ',:'-:I,;'o~:';;':J\,'}'llvJ.irj~'I:',;1/ )'..)., .'" ';II'I"IWil:"'; "'I'SAlESMA~ ~o :.'", .: ":.>,'l'1:'):,,;~: A/N K:PIN
'I" ',.,..",....'..,Ir.... '-..'." ':'1,:....,:...,.1. ,': .,J. -" 'j'- " --- --
, ;;'fllf~iJ'ri~i.:'{l;(~:'md~lIlil'II'/;:nr'I'" , , I ~JI'!lr~"JlI;'~/I.:I.I~I';."'v'i jl'lI';.,!"j,i,,'ll::' 'J", I' ~ 'I'
" .: <,1111F; ir,.N;"'~'~1 d,l',(~~d Cljll~JI'fi";l~ 1', "111; ,.j;)~ ..~ \','iJq".,~.} ,EASEMENl NO,' '. " 't' J . AIR
, .' ... . ,-/', -', 1 .,. . , .
'.;::;;~:Clil~~:'Il?1,.i~~~;~j;.~"~,I~d~~:8:?';; ,,:. i. 'j '\'1:'; . ..' ,:,:; !,,',', ,7}1~~j~7.'
. NAME _. .__.__. PHONE ( .717)
ADDRESS ':.;IA'.~'$~ '74.S~, "" ' - . . FAMIL V PROTECTION
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cr;"~ ':"',Zt?.4l;1iNi:"" .
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~;I\TE'_" ;'if;:'
ZIP CODE
i 1/?t,!.3'
<'Il',
Inteimant Sp.1ca' . .1. . @ cfl..s0~ $ ~S(},t!)O
1, Price. . . . . . ... . . . . . . . . . .. . . . . . . . '.'
$ 4/~S;c:oo
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2. Down Pa'ymont . . . . . . . ... . . . . . . , . . . . . .
.' . '. .'
Br~~~~Man;b;jal;~ /.~"@' /16:'w $ /1.5:00
Size 1& XG.
Burial Vaults . . , , . . . . . @
s
3, Unpaid Balanca 11.2) . . . .. . . . . , . . . . . . , ,
4. Finance Charge. . . . , . . . . . . . . . . , , . , , . .
6. Deferred Payment Amount (3+4) , . . . , . .. . . .
6, Total Prleti (1+4) . ; . . , , . . . . . , .. . . . . . , .'
7. Approximate Menthly Payment, , , . . . . . . . ,
8, Number of Mnnthly Payments. . . . , , . , . . . .
9. Fint Monthly Paymant Dua ,...,...,.,.,
10, Annual Parcentage Rata ,. . . . . . . . . , . . . , .
"
Foundation. . .',', . , . . . ,'. . @
$,
/!~o
, '
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Crypt Spa";,. :: . .. . . ;@
$
Othor . . . . . . . . . . ~ . . . . ; . I . . . . . . I . . . $
',,; 'C!,ec:/li.qT,.~A/ ~Mik-'" .. . ,
Sectl~n ";'.:CJ' :.")l: L'ot' '7.58 ci;av~(,I' '.,Y.3 ' ·
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Terms:
Cash
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90 Day,
block
Crypt!,)
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Selectlonrnultbe made within ~o days or cemetery will ni.kd choice'.
InStallment
_ . The payment Is due on the date stated above and the rcmaining payments on the samu d~y of each succe"di~.limcinth:' ,
_ Buycr may prepay in advance the full amount due without penalty end will bc entitled to a proportionate refund of the unearned
finance ch.arge, . ' . ,.'.' .' ,,! . '
_ Upon detault In the paymunt of any Inslallmunt duo haroundar for a puriad In axcass of ona hundred twcnty (120) days, Scllur
may. atlts option, void this agrecmant and ratain all paymcnts mad 0 by Buyer'~s liquidated damages, ,;', , " . "
. .,.. ., I
Buyer horaby acknowlcdgas recaipl of an exact executed copy of tbis agreumental thu timu of e",cl'-tion hereof. ' ..-
. ' .
_ Before an'y burial /s permittcd in this lot, or any memorial placud on tbis lot, the price 0; the grave and memoria' must bo paid
InIull.' . .
, . ' . ., .
_' Tho Purchasar(s} ogroe(s), to abido by all rulus ond rcgulations of thu cumetery now in force as well as any rules ond regulotions
. which m,oy hereaher he .dopte~1. Said rules and rogulalians n101Y bu scun upon request art',," Seller's officu, , . . . . .
_ Upon fulfillmcnt at tbe conditions of tbis agrecment and rucuipt of allthu ahove describad payments, Sellar agrces and binds itself
.to convoy to tho.Ouyer, by its cemotl.!ry C1I5l'nlCnt, for,internwnt purposos only. t~lD above mentioned number of sitos.. .
.. ". ' . ' . ~
_ YOU. ,THE PURCHASER, MAY CANCEL THIS TRANSACTION AT ANV TIME PRIOR TO MIDNIGHT OF THE THIRD
BUSINESS DA V AFTER DATE OF THIS niANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR
AN EXPLANATION OF THIS RIGHT, ' .
. . '
B~6h~c6
'. (Authorized Rcpresuntatlvel
4 tJj~MP)luu~
~, . (purchasu'r's Signaturel
NOTICE: Soootherslde for odditlon,1 intormation,
(Co,purchasor's Signaturel
BPI&m
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