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Home My WebLink About94-00353 PETITION FOR PROBATE and GRANT m' LETTERS ,1/ - () )(- ;.{ !;J.j Nu. _". ____.~_uL_ _.... ~~____. .-_~_ To: Estate of -4Q!.l!'J SIt1(OL...m.._.....___.___..... also known as __._________.m._..___.. ___.__~__._____._m.._.. Register of Wills I'or the _____...________4 f)"C('u,\('d. County or 'n CUJ~>Qrland ___ In Ihe Social Security No. ___l~J::O.5:::f.ll;l!L._u._....__ Communweullh of Pennsylvania The petition of the undersigned respectfully relHeselils thllt: Your petltloner(s), whUlb(lIre 1M yellrs or IIge or older lIuthc exceul.ricou. named In the last will of lI,e above decedent, dlltcd _.._..lIuQUllL4.__....___________...____., 19..ll.O- IInd ~_pmbdtcd.on /lpril.15...-129.L..and__thc_Codicil dated .J.UlliL.l9, 1981_g.!LJ,QQrn;CJL{!f.l9J:u^DLU..1~.._lm.______..___.______ (sllIle rclCVlllI1 drl'UI\l\IIIIIl'l'\, l'.M. rCl1l1lldUlltll1, dClllh Ilf l....l.\:UIIH, Ch:,) Decendenl WIlS domiciled lit dellth In ._._CUlnborlurKL__n_._ __ County, Pennsylvania, with h is last family or prlnclplll resldencc lit .fualllalLV.iUagc..._1QQJ1t.....AI..1.lJn Drivo. p. O. Box 2015. ~.9!1.11!ltm!l?lli'g._J'ls.._JI055:.fO],~_'____.____ _ (11\1 ~1rl'CI, IIlllllhcr llull IllIJllclpltllly) ()ecendenl, then _-2.L.._ YCllrs of IIkC, died _kIarlJJ:~.1?.L...__ , 192!.__, al..Messiah Vill{!gQ.._J.QQ_l1t...lI.tl9D.J?illQ....~_Q..hi!rW;~~.rgJI\. 17055 Except as follows, decedent did notmllrry. was not dlvorccd IInd did not have a child born or adopted afler execullon of the will offered for probllte: WIlS not the victim of u kllllug ulld wus never adjudicated Incompetent: __________.____.___.____ Decendent ut dellth owned propcrty with cstlmuted vlllues liS follows: (If domiciled In I'll.) All persollul property (If not domiciled In I'll.) I'crsollul property In I'ennsylvulllu (If not domlcllcd III I'a.) Pcrsollul property in County Value of reul estute In I'ellnsylvulllu slluated as follows: $---.-- $ $ L_ said WHEREFORE, petltloner(s) respectfully request (x) the probute of the liIlaXlIIHIlXlllllk codlcll(ll) presented herewith and thc/llfunt of lellcf!, Tostammtary. reinstating ot' tho (IOII,n""I111>': 11<11111111'1111111111 (,1.11.; 11<111111111111111011 <I,b,"",.I...) theron. - t ~I 'O,g ~'il .... l;'~ ~o i Iii I;~) \I)0..vl;(~I~) DORIS MAE BAIR ' sidrJDL~~ ~ ~~ND~( ."v()d____= 513 Eutaw Streot ~New- CUmbor1and..L 1'1\ 17070 112~aver_Road _Um::r~Qw;g....l'lL....-l. 7112 '- OATH 01<' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA }' l:lS COUNT\' OF CUMBERLAND The petltloner(s) above-Ilumed swcllr(~ or IIffirm(t!thlltthe stutements In the foregoing petlllon arc true and correct to the best of thc klluwlcdgc und helieI' of pctltloller(s) uud that as personul represen. tatlve(s) of the ubovc decedcllt petltiollcr(s) will wellund \~IY udmlnlster lhe.~stute uccordlng to law. s. worn to or afflrmC(.1 and sllhserlbed ~._~. '}''L0I/~.ill-,J:'tJ.,/() ~ beforc me thls_____.1ltl_____ dllY of ~_---OORIS~-IllillL_---. ~ ',1, \ .911 ,.' ., ,. ,.(,' ", "{",'.,,, t:l '-;';~-;-.c:;;'Yrl!':'f-::-:7lC/ ~~7li-r I " t't?Jj.-.,.LSIGRf5-'E. SlJNj)+~--- i:! fl., '.J.J,4. L-4--~('l~_e, . ',11" .----.-.-------if';.'/.------ ~ M RY (ct. LEWIS Rl'Rlsll'r 14 _________....____. ~ No. _ 21 - 94 - 353 Estate of JaIN Sn<<XlX , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW APRIL _15!__19~_,llt eonslderatlon of the petlllon on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED thai the Instrumen\llJ! dated June 19. . 1981 described therein be admllled to probate and flied of record 115 theillwllllbaK Codicil of t~ Last Will of John Sincox probated on I\pril 15. 1994. and Lellers Tos tarron tilN J;elnstated and "-- . Mil Bai d S' 'd E S d are herebY/llranted to ,lAJrlS 0 r an lqrl . . un av. FEES Probate, Letters, Etc. ......,.. $ Short Cerliflcales( ).......... S Renunciation ..,., I , . . , . . . . " $ CODICIL S 10.50 TOTAL _ S 10.50 FJled "," .~~.V..~" ,l,~~~,.""".",.", /)~AllL it) f1ut~ ~LL IJrtl(Bi f)4, ru ReglllC' or Will. '{/' (j MARY C. LEWIS ROBERT E. MYERS, ESQUIRE 1. D. No. I 09729 ATIORNEY (Sup. CI. J.D. No.) 100 York Road, New Cumberland, PA, 17070 ADDRESS Will Book N Page (717) 774-3163 PHONE ';\ 0 I ., . , \ ('. ,.." -, I .. , " (t. 0 ~), 0 ~i 0: G U 0 Mailed to attorlley on 5-6-94. Will _ _ _....... . ... .n_.....' nl'CI'IISl'd. So(~al Se(17rlty No._~I~Hj~~m_~ 'um'" _ . __ ...._____ The petition of the undcrsi~ned respe\~tfully rcprcscnts Ihm: Your petitloncr(s)JOq'arc 18 ycars of age or oldcr and thc cxecutrices_.._ named In the last will of the above dccedcnt, dated .._S(01ptQll)~!:_f3.,..... __n 19_J)J.._~lIlIl\Kt{ I)ETITION FOR PIWnATE lInd GRANT OF l.ETTERS No. d/~!1!f -t353 -- , To: Register of Wills for the County of ~,j.l1 the Commonwealt I1til1f~y'i\anla Estate of _._...g91j~_S.IMCOX also kllOll'lIl1.1' ..__.._...... hl~IC rclnJI\( ;II,UIII,I&III(I, c, r(fllln;IJII<ln, lleJlh ,It tIC.:ult!!, (I.:.) Dccedent was domicilcd.1I death In CUmberland County, Pcnnsylvanla, with h_uL last family or prin- cipal residcnce at _~.f;!~:j,('!h__V~tJ..<IgQ.._10Q..ML._lU1Q(LD.d\'f.l...1'_._.Q,-6mL2Q15..- MeChfl,rl ] cshllrg Pennsvlvania. .l1.Q55.:201.5..__Ll\..t'.j!_!2..L..llU c ,\ \ .._.' . (1111 IIlICI. 1l111l1hCI 11I.111111111,lpJIII ~ I Decedent. thcn 31.... n ycars of agc, died ..._.__.!1i,m::D...ll........_ at Messiah. Villago , _ 100 .Mt,_J\U9.l}j:>rlY9..... t1Qg)l@hCSpulJI....J'ennsylvania. 17055. Except as follows. dccedent did nolmany, \Vas not divorccd and did not have a child born or adopted after cxecutlon of the will offcred for prohate; was not thc victim of a killing nnd was never adjudicated In- competcnt: ___~__.n_...... ... . n.....___ ._m............____...__... Decedent at dcath owned ptopclly with cstimated values as follows: (If domiciled In Pa.) All pcrsonal properlY (If not domiciled In Pa.) Personal properly In Pcnnsylvania (If not domicllcd in Pa.) Pcrsoual propCrlY III County Value of real estate in Pcnnsylvania situ lit cd liS follows: .._r-JQn~. 1994 $ 430,000.00 $. $ L_ - WHEREFORE, pctitloncr(s) rcspectfully requcst(lIlthc probate of the 111.11 will ~resented herewith nl~dYle grimt of ICllcrs_..__'I'~~tarm[]tgr:y.__._.__________. thereon.. ~ v~J /Jtcu?-:< ~'" ,2 ~0 ","''''','''','''',,~~'~''''~~~~:''''~';::~~'''''' ____._ e DORIS MAE B^IR (.t f1 a.. > . ,'-.,. 4:t .! . ) :2 -;;; ,. ,',< ~. I} I / \.XI (.'(. Now CUmberland, P^ 17070 it~~D~i:-' s~j{,d(O~o' 112 Beaver Road . "-~~_.~== ~~ . Z;. Harrisburg, P^ 17112 So" [ Vi __ _.._~ _ ..~_ _+ .._ _ ..... _. .......____..+_u....._'._. ________"_" ..___....__.... __.___ +_h___ OATil (W I'ERSONAL ItEl'RESENTATlVE COMMONWEALTH OF PENNSYLVANIA} COUNTY OF ~ CUMBERLJ\ND ss The petitioncr(s) allfJl'c'lHlllIt'd swear(x) or alTirll1(1l) that thc statcments in the foregoing petition are truc and corrcct 10 Ihc bcsl of the knowil'dgc ilnd bcllcf of pctltloncr(s) IInd that as pcrsonal representativc(s) (11' thc above decnlenl petitioner(s) will well and truly IIdll1lnlstcr the estate according to law. ..,0'./ ) "/. . ..J \ ) Sworn to or affirmed and subsnibcd ~'.{:rl-.t,~,.7~~MA~&.fR-"<.' Vl heforc'1lcthls.u 13THda~'(lr (..J:.?,"(l. C _:J.,,(.~.- ~' ~m-(}'~c) .... . .,"t:cpJyA;fH"GIlroF~",<;~;=i7'h:, ~.) ~1f:y~1:L~~)~'kU'\U~;;:',{;;\,;~~' [(p;-t;J/,,-,-... /~L"--'-/.vJ\.,~\...~(--..{<.:~5',"" ..' '~,H III '_') (I S _" ;~: . _..,~ JI' . L . <.. .... .....J, ~(':~ii --_._-~~ \',j I', ,. :'1' 1 ,,,, " , " " ,c'-,,,; t,' ,-,,/'1 ,"',t'''1 I ,,~, '; f;ii_'; '1"""1 .jd1il ',,',,1' ",__,;!t ",liCJI li\\-II(' ...."1 ',J.! ::\:~ " !i,)q'_~" " "I~ -'," "_;1;/'f I,"', ',t~ 'i,th co , ,.,.:.; R t:~ 0.\2 :::lQ.; ,. R! ('"I 'll't:.;2' [". . ." , H~: .t,. ,,' (;; ". , I,' ,'~ 1"\' , I' I' 0- ( " " '(; , I' I " (!t '.l',' &1 ,I I 10.' i .' 'f! .l~ l;t~ . /' i , CI L~J " " ~'1I1 ~ ';~ a:cc', w . ',"-' u ,. 'I " \, " .. , I '\:-t'j' " ',1- " " i, ~ f'" I&l o I ffi ~ ~ ~ $ ., a I" III ;,: ;1 ~ . Q;': ~ ~ 51' I en ~ ~ ~ ~~ 3~ " I, ,\; ill , I. ". ".1, 'I' I I " I' I. (I I", \. , " if I"~ " ',1 ",,' , I " II, .' I ,. " I " ':1 ,',I" " 1,,- -', ..' I' . " . '. > " ,I Ii , I' i 'Ii " , "! .. '.'i,';( I"" Ii "I' , . ~ ,. ,~ " I', ~',. ,.,1. 'lil, ','I. " , I ~I, , ."t "/ 11-', 1", ','. :;,1 i: '.,!; " '", ",J :i\_/i I. " <Ii 'I, . .. ~ I RODf!RT E. MYERS (' A'r ItlnNllY ^T tAW lNl \'~~\~ HOI\I' HllW cllMllIlIU,^NU, M, 11010 If. I ,', ," ~,:'-, .. ..' ,. I':; 1 .. 'II " " ,. .' . , , . . i'l \ }. '" .,' ,. tll 11.~ ,. , r.j' ..- ,\"1 . 'I;I.~\. '" 0 ,1,1 (rl' I} :'1" 0... r " .r'.: , (,'.fl "), " m.l ,i..1 I '\'" f!;: 1_) I' ,~l:~ \ 1\".\:1 " ,,, (\ ;,,",'- . )"'l~' Cl.fJ) ,,-t .iJ!s ,i &!CC. .. f1; r..H) , (11 " " " " " ,. .,. .. " . iI' .1" ".1 ii, " ." I,..' \; ,.' ,. 'III , ,. , " . ,. , ~ j " '['I' ,. '. "'" '1 .. , ",i. ,. .; 'I ',1 ,. ., tH' ',1 'i ;-\ "t' ,. I, " '. .. (<I " .' , 1\' ,I, i .. .. " " "'1 "" :'1 ," " , " ,. i';1 "i " , ~ I , .l' "'.' " .' , 'j,',', P,-, ,I. ,I' ,'1, ,,1 I ~ ';;, ;-"'1" i' ,.Ii I;: .. " " I" ." -j 'f; '. . ,. , ';', 'I' " . ,. ." . iI! " " ,;1, i" 'I' " " ';1' ,i' "I)' I' ,'i 'j, .. " ,. 1.'( . ." . i~\ (',: ,. , ., ,. , . " ;q 'H " " ., '\j' .. " i; " . ,. " " Ii, I. ,. , ,1,._\ " , ",' ii', ., HtV.llOO IX. 111.111 '. /' ! "', ~' (, " " \ INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) I'] 4, Limilod E.lale I I 40, Fuluro Inlore" Compromi.. I'or dolo. of dealh oltor 12.12.82) Iv{;,. Oecedenl Diod To.lalo I I 7, O"edonl Mainlainod a living TrUll (Allach copy 0' Will) IAlloch copy of TrUll) ALL CO....PONDINCI AND CONFIDENTIAL TAX INfORMATION SHOULD IE DIRICTED TO, ~ i -NAMRoh~I(C [f', Y'I1j'~ r..\" ___ '-1- OMT;;A1l1N~ ~o:tyo d<- R "JtL. 8 2 'f1(PHONfNUMifR-------..-----"- -------- tle.-v ~,law(aNJI ,,oA' / 7cJ70 . __m __ -L712".LI?-t~.~~~..~.-~ _ .~~_=.~~~_~=~==_~="~~ 0- p.!..-:, 1. Roal E.lule (Sch.dul. A) ( I). . ". -..-.. ".. ,,-- . 2. Sloch and Band'ISchedulu B) I 2) _B", 3,_(.,_(.._"'. ,.J/m 3. Clo.ely Held Slock/Parlne"hlp Inler..1 (Schedule q (3).. ... -----...... 4. Morlgage. and Nole. Recoivablo (Schedulo D) I 4) _ ....---..--.. 5, Ca.h. Bank Oepo.ih & MisceiloneoUl Pe"onal Proporly( 5). __R~)_l{;l....lL.._..:!...".... ISchedule E) 6. Jalnlly Owned Properly ISch.dul. F) 7. T ranslo" ISchedul. G) (Schedule L) 0, Tolal Gron Anel. 110101 line. 1.7) 9, Funeral E'pen.e., Admlnlslrallvo CO'h, MlscellanooUl ( 9) _ ...:?7.,j:';'..I",..'....;l._I-_.. Expen.e. (Schedul. H) 10, Dobts, Morlgoge lIabllillo.. lion, (Sch.dulo I) 110) ________._....__.___.___ 11. Tolal Doduclion. Ilolalllno. 9 & 10) 1111 __-__-',{..7J...f' :2,_~_,__?_.L 12. Nel Valuo a' E.lal.lllno 0 minUlline II) 112) .~__:J,_QrfLt.:,.~_'uJO...___ 13. Charilablo and Govornmenlal Boqu..I' (Schodule J) 113)--.~--".. ... -- -....- 14. Nel Valuo Sublecllo Tax IlIne 12 mlnUlllno 13) 114) ._'f:;J,O.€fk5"_:. !Q...... ______~ ._~______._________~.______~...___..________._____._______~_~____.+_____L____ 15, Amounl olllno 14 la,ablo 01 6% role 115) ... tJ.o,5"".ft?f,.. Ui. . _ _ X .06 = __,;(.~__(,1,3'l,.o_1 (Include value. from Scheduie K or Schodule M,) 16, Amounl 01 line 14 la,able 01 15% role (Include value. 'rom Schodule K or Schodule M.) 17. Principal la, due (Add la.drom line IS and from line 16,) lB. Credll' Prior Paymonts Dlscounl .23,(;./7.S-Y + /,,xt.>/,IO ~ ~~e bl~O :z:.... V.... .. cl COUNTY CODE o"eCE Of NT'$ c"6MPlf-TE"~;ooRE5i--. <---. /I'lt1.<;.(,i" l/(lj.::\.~ . /00 MJu.<.I /1-t14..... "'D,-, ~ C,,";~~:1::~'.t_I_~o:.~-_ ______ il 3. Remainder Rolurn Ifor dolo. 01 dealh prior 1012.13.82) I j 5. Federal E.lale To, Rolurn Roqulred -'- O. Tolal Number of Solo Oopo.1t Bo,o. ffi ~ Q ~,,\t.~lS ....\V.w COMMONWEALTH Of PENNSYlVANIA OEPARTMINl o. REVENUE O!PllI0601 HARRISBURG, P" 17128.0601 DE H>ENi'~-NAME ILAS"T, fIRS-T, "AND -MH)iHf "INITIALl S/fl'1C ;lX) :]';,h." $OCIACs{cUim'f HUMeER . j"A~/~':?~~ /9'1-' cJs--f/s'6' 1~-;rlgln~1 Ro;~rn T~/~ ;,^;if .._!. . (I 2. Supplemontal Relurn z o S E ~ .. 16) I 7) 116) . z o g .. :E o u ~ InleroSl PILI NUMUR J/ (i f YEAR ()ji)"j m ._..N.U_M9E~ -"-1- ., :', IJj ( 0) ._'i!tJ,..t!.!L'-/.,..!J...I_ / ___X ,15~ (17) 015; ,)3.':-1. 0'1 (18) {19} ::<LI, i.Of(..,<'f 19, If lino 181s groaler Ihan line 17, onler ,he dilloron,e an II no 19, Thi. i. Ihe OVERPAYMENT. mil 20. If line 17 i. groalor Ihalllino 18, onlor Iho difforenco on Ii no 20, Thil i,lhe TAX DUE. A. Enter tne inlerost on Iho balance duo on line 20A. Chock 110ro if you nro roquosting (I ,oluml 01 your ovorpoymonl. 8, Enlor Ih. tolal a' IIno 20 lInd 20A on Ii no 20B. Thi. illh. BALANCE DUE. _. ... ltIa~e_Ch..c~ Po.vable 10' Regil'e,o' Will., A.gent ...-..---------- . .iisURE TO ANSWER AuciuESTIONS ON REVERSE SIDE AND TO RECHECK MATH.. i.i~dtlr pen~;;-;rperiuty-,Id~~7;lhQI I ho~;o~minocTIhi;-rol;;~~~-~i~dT;;"g--~c~.~-mr~~.yi~g_;J;~dulc~ and Uolemen", o~d 10 the be" of my knowledge ondbeii;i: il h Irue, cortncl and complole, I duel..HO that 011 roo I o\tolo has beon roporlod 01 Iruft markot voluo. Doclarolion of proparer olho, than ,he porlonal reptosonlallve il uaud on alllnformolion 01 which preparor hm cmy knowlodgo. S!GNAW"R~6i-p[RSbr:nHspON$iBlE fciR flllN'b RETUffN ADORE$S -I!' - ~~ G ,;.; . I~>' -;." -c.~ ,/) J,' /t' J J' _.Ac/ . /JKt.</~, '.~,5 -'-' f'!f'i'."I'({,y" tkU/L4.-12(('<'i'~<-_\i!J-, .J7ti,,?) GNA URE Of PRfPARER OTtlEA' TtlAN REPR{' AliVE ADDRESS I / -~1~';(,---E.--,J.!.1'~~'ft-.{i'!'-..~ ../t..). -+L~,. .......:.k-_(J.~~-~, ;j __d__0!.J. - 7t)lf. is- 120) 170A) 120B) D^'[---- - o~~-<~4~ I \, "'_\~- .:! 'I ('1'/)( --v-- ,. RlV.I40l lit 14.161 I' 1 J ~~ SCHEDULE B c0"'1~~~\~~~~{~t1~~X\rANIA.. ... STOCKS AND BONDS ESTATioF . - - - - FILE NUMBER ,J'b h.-, ()I .\),(~ Y .....1 I (14 - 035 3 (All prop.rty lolntly-own.d wllh Right 0' SUlvlv."hlp mu.t b. dlaclo..d -;'n Sch.dulo F.l ITEM NUMBER DESCRIPTION 1. lh'n.t.n('''''t\ l. "t.t'YI~' U>l.l.4V (d. (y'J() '1\,t.\.(,) l'.11l'10\O~\. ,~. tm'f\1~n uA~Jlh Cdl$J(> (""\'I("".'! '1II/'h~-t.J., ("~".,.,, ,'3 C, r? C I" t. 1-.i71 ,.....1'. ...J 1.1'1 Ii 111.' ~ \ C \0',,,,.,,, L/. 6. {.. 7- 8. 1. 10. Ji I ,~, 13. N. If: J 0 17 I ~; 1(' f. .0)0. ,)1. '~)LJ , D,dlt"tl""-"C e.er. Y L-'Jlll' 'OdrD,I- /:.:'/"'0/\ C" 'Dtlt'c e.\I\e... I-IJ/lt'- r;; /( If "ro Cr/ . {;.e'\L..(L! Adrll( l.1 t( fJ. oh/I D..../waf'.;...., O/l/O rc-I~~Oh (~Ufl'-- (/({4 T [)fdYIC.. n. f?) /..<-ey r L~)' /L_t-- flu.!'I'-. Clu., to. n t 0/\,"",_ CI t' c, p",,.-, (.~ P S', E. 'i 6-. <' . ),'/.(..u~.I.r. Co, I.J.MO'" EI<' c.:I"I'1'-. Sfl'lrtt' Cd Unoc<t.L Carf lit s htu 0'" I{~ Cll.l.(.t<i.) lNlk.V ()JI {'o .Ih D SI""I" (,J(>"","" "fd) <j.\Q... e r C....."" 0/\ 5"tn.J .sl-~.", .I fJ''''D$ Sl~.If2.1 c:..,?~ 5' "\J.'/> 80 S/\iJt\i"" &,U'j 5/'41\.1"', .)00 S11,?'16< ~{)uO g~lt<l I '~, 7.'''-- SIy..4.~1 3:Jo -S7'\w.t .3/5 SI"""-l, I ::j ;. (.., S/\;JU.J rLP / (}O C;I'<L<<_, "/C6 "t'<t 1(\ .1 4'.1 3'710 ~/~~/o ~,)J s:t\.f-1<'J G,u,) S 11,1..\<,.. t-~y d (tt,/-:le_f,f (fu.,A) 1-1 \. G.. gu'i L I7Y (.J I1t-J.,Ft-{ (p.",-< '?J/l.() II\~ '>? I( n..ut<~~ /f>.~.1-' /rlitl.';d., " - c( J ('dfV$)'<J1'\ (j;"'&IOf\ C(1/i"'..'Oh C4fl1fll0l1 l'of)\f\""\()n (A,.,'tl-1l1h 01M(\'1(lY') LIJ/HOltJl"\ COIl'lI\1l1h Co~~''''h. (1J1Y1/l\Jt' C-a/hf\"Oh (lOIlIMOh L()I-hn'llJ/l Ctn'ln'Uh C-o/ttfYl(.ln '. 31 ''f ;;c, /Ii 1~1 v.r. ,/179 ,n"s c3.?. &C;~ "'1!>f:\ 7S'Y'f- / cJYi c~ut'f .,.13% ,:;7 y,-/ ~;) ~. ..:lei i J q "Is. .56' Vl' 3i-ft~, /rl N~ J '7 Ii J;J. S7 rs;<, !OTAL lAlla Inll' on IInl 2, R.ca Ilulallan (1/ maIO 'pacI II n..dld, in I'" addil/o/,olsh..,. a'sam. silO.) VALUE AT DATE OF DEATH 11 OS-V. IT$ , 1 v, If S 3. 51) /;)1'f7t(1N 1/j1) /.:.', :; r- ID f'iD "", I . v, 110 OV\.). OD I ,,~ 7Sl.J p\) I S' ;),c;, OD ~ (J.l,u ,)j I II, <;)0. aD &, 0 '}o DC) "17 :2 .s--/.i . cJD I S/, if'f (.^ . dS 7/3,:.20. dl) fJ 1'/4 ,3g- , ",,'>1... S d 7, 7 S ,~ 'l.n. ')-0 I . 10 35'0,00 . /,j 1 'j ~ , ,)0 I "'?I?JiJ,()Q 10 'iVD. (]'v I (., ':;(/J~. " 3 , /, I~ t;': n .'l;v<J <.J. 0<1 ;J ~-. I . '~"J. <i'/_. 3"'3; VWIQ. /1 , laY-UIIIX. (7"" PI. 01. Print or ,T . R ,~ I - '1 'f - () 3 S' 3 AMOUNT ~~ COMMONWIALTH Of PINNSYIVANIA IIlHIRITANCI lAX R1!URN RUIDENI DEceDENI SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES ESTATE OF ....J 0 "'" SI ,Yl( 0)< ITEM NUMBER A, 1. ~, ~? , 1. ,r B, 1. 2. 4. C, . 1. 2. 3. 4. 5. 6, 7. 8, DESCRIPTION Funeral EMp.nl'" {;',/I~yt: tv f~'L71'IJi\",(e. rv..u!l.<t_l 110m.,.. eller/a I" ()r!i"";' 5 t :!;;rtU.{.... Cdv.'tl. voir .... Fi>vd aik.." (i"ot,...l Svc. . . (;-1es~I"h 1./ ..l-/~J'=--jI;(~QT7i'Cr--.'\--t'f"'vrCi'_. Admlnlltratlv. Colli' ", , .", 17tH'~ r t~~ &11 , Personal Representollve Commllllonl ~ (!: r,. _J.. Social Security Number of rerlanol-Rep'r~~entallve: I Year Commllllonl paid Allorney Fee, Rob~d: ~o ff\y~~ , y~,,<>~. 3. Family Exempllon Clalmont Relatlonlhlp Addrell of Clalmam at decedent', dealh Street Addrell City Stale __ Zip Cod. Probate Feel C.ocU c.d Mlle.llan.ou. EMp.nll.l II (I..x-' u/S"_. /..e tied I, I ;;, 't, 00 57J.OD 67;, (J\) ?~. 4> I 3"11iJ~ J ( 1. .... \1 ;).:/,/'>3."11.. 0, 00 '/ 'if-. 00 /0, b'V I 3Lf. ;;J.() 1'0. vO <i~. Q Q 97, 06 13 ,06 'f 00 'S 00 CJ3.(..'l , /<.. R j'/ (fef- vp t-o,..Lu.s <- Fi;u. Sta.-t. ]~t~..1.Ji(l...;'-/' 7k: W.t ~...._.' 10 I, " FvL.. N..-- /-0 (,U :r,., ~.(lo.r()1 /1, S'/ ; Fi,,~LI (I(('dl-MC' I' (.0 " , t..' 'l" h)..L {? ..d .~ ,(.I.: ,.\--. C, . ''>;''''.<Jy c ~e..M'ct- 'I'. (w /1..( 1Ou<. l0oht.vy F(..~ L ';) _tC ''''I'r.l, ~.(..... Ii 2';\1/V"""1"(.{V'. "- Lo<;f XffJ'I.e \"~ TOTAL (Allo enler an line 9, Recapltulalionl III more .pae. I. need.d, Inllrt additional ,hee" of .am. .11',' $ I{. 10, II. .' . """""I':"M'~l:'" ~~""I"l."J,..'.,,: H~fl'~ /.. 0Mtwa~ N-#SSl a.4. , I S C_/-II:' 7> /J /...E 1-1 C'.<lr.JnN/Ae::..D l/l.l/.. 5 ,,- L-t.J;-Ot.'l.~ /A.I 'f11- I,;' ;1 ,. "'d '. ., 'I,' .. ._______.__~_..... ___.__.._~____n.__,~,_, ......-_.-:~_. "-'-"-"". (' 4rp. " .. '''' " '. ?~~~~y ~ ' " '. .; " ,. " ". " '.' " ;'1 ,,:;".1. () 8' I./(., 3 b 16X 7 r- 3)llfq. 31.. $ ~7, (,1'r,?i., ---:....-.--..---.. ~ J. 7, '01(' . [;./ . . ." " .' " "I. " '. " ';1 " , llY.UUlh 1).111 ~~ tOMMONWlAt1H Of ,tNHUlVANIA INNIlIfANC. 'AI( _nUIH _UIDI".' OIClOINI SCHEDULE J BENEFICIARIES I ._1 mATE Of Jllhn " . )J m('-o)i FILl NUMBIR JI Cf~( 0.31" 3 ITIM NUMBIR NAMI AND ADDRISS OP BENIPICIARY RILATIONSHIP AMOUNT OR SHARI Of ESTATE A. Ta.ablo aoquolIlI I. [)o,., ~ {lA.(U 8'1,',. Da.uSk-k-r - I/~ 1;/3 tit f1< "'" Ave. fJlM' CA,~.I,"...,J, (?A- nOlO .;1. SI~~I'v/ [,. SIAr.>l":J ()t<<~ I<.t~,- V~I II , i}<'ItVl.... R d, ll-.uvl,'/'V.D I fA /1/1:1-. 3, J~N.ttlL c.:. r; d /Io',w J s y Ir"a I t:br "viti. {. /hie . Da<.trkX<." ~ I:nl 3 00 ' OC /VIV' UM\<-/,JJId.4vd , ('A 17010 J.{. !JP,1Ut A. Ci\.I'JW DUM.J ~, r<.'" YLf IS' /,Aid run (( d., fv'lY'e1 si:I.,-F I ('~ 1'( S1. "' . 'N 101,,_<'.-<- .) I IX1\:) . OW r: /l1tl..\.I.4. ~I "'coy - Cl,J.{r.. nil,s k.IIOW/\. ITEM NUMBIR NAMI AND ADDRISS OP BENEPlCIARY AMOUNT OR SHAR~ Of ESTATE a. C'IO/llablo and Gavornmenlal aoquOIl1I I. Cornl'<<.....{i~ UllAt;'" (U. ~:tNJi~/- Dcw .'.( 114''11 tl...,JV (..I)f(Jy_ ~tr, fJt... C.uw.-~<.l.""I.,J I PA /707iJ . .:1,4"1) . Iv TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Allo onlor an IIno 13, Rocapllulallon) S (II mOil 'poco I, n"d.d, 'nllll additional ,hoot' of ,am. """ RfY.I'.... lXi','M.l ~ W~~ ~C>9 U~<D 138 "'C> "'2 S~ /'1 '), " S., ......r; . * INHERITANCE TAX RETURN RESIDENT DECEDENT COMMONWIAlII' Of PENNSYLVANIA (TO BE FILED IN DUPLICATE DfPARIMEN' 0' REVENUE lI_mIINl<l. ~~~\'ib~060I. ..... W_IT~ ~_E~~S~E~ ~F WILLS) COliNTV CO_DE o!eeo N"~ NAM! (IAU, fIRst, AND MIDDlr INlllAl1 O[CEO(NI'$ COM'IIH AOOItU~ ~1~NU~Hpn-,.~- ---lDA.Tci'Di.iH----JDAliO,-~;I;;--- 7~~H~~~Il~j~i'~~~ Drive lli-05-8138 ,,--_L 3 27 94. JlD21.Q~__ ~ _bimicsburg, P^ 17055- II' "hl'AIIII \U~VIN~v HOUU \ I AlolII14\1. IIW Al10 lollOOllllllllAl1 SOCIAL UCUIIIY tHJMIfR AMoUNlltfeflYEc ISH INSTRUCTlONSI 8 Iil U w C> paR OATIS OP DIATH AnlR 12/31/01 CHICKHIRI IP A SPOUSAL PQY.I_R1.!..9!~_~l!HLAIMID [J PILI NUMIIR I.l 94 0353 VEAR NUM8ER Cwnborland Co. [1 I. Orlglnol R.lUrn [?'l 2, Suppl.monlat R,'urn o 4, Llmll.d E..al. 040, Fu'ure Inl"." Camp,amlll (la, da," 01 d.alh all" 12.12.92) 00 6, D.codonl DI.d TII,al. [] 7, Doc.don' Malnlalnod 0 Living Tru,' IAlloch copy 01 Willi IAttach copy 01 T,ul'l - - - ALL CORRESPONDENCE AND CONFIDENTIAL TAX INtORMATION SHOULD BE DIRECTED TOI NAME COM'lf E MAIIINO ADDRESS 100 Old York Road, NeW CUmberland, 1'1\ -Fobert E. Mvors IHHUOHf HUMIU I 717J 774-3163 I. R.al E.'al. ISch.dul. AI III _ 2, Slack. alld OOlld. ISch.dul. 01 I 2 I 3, Clollly H.ld S'ock/Partn."hlp Inll'"1 (Schedul. CI 13) 4, Motlgagll and Naill Roc.lvabl. ISch.dul. 01 14 ) 5, Ca.h, Bank Depollll & Mllcollanooul P.llonal P,op.rty 15) ISch.dul. EI 6, Jolnlly Owned P'oporly ISch.dul. FI 7, T,a"lorl ISch.dul. GIISch.dul. LI 0, TOlal G,all AlI.1I ('0'01 Llnll 1.71 9, Funeral fIIp.nlll, Admlnlllroll.... COIU, Mllcellanooul 19) E,p'''" ISch.dul. HI 10, D.bll. Ma"gag. Llablllllll, LI." (Sch.dule II II. Tolol D.ducllo" ('0101 Llnll 9 & 101 12. Not Val" 01 EI'ale (Line 8 mlnul Line 111 13. Chorl'abl. and Go,,,nm.n1ol O.quIIII ISch.dul. J) 14, N., Valuo Subl'" ~. To. ILlno 12 mlllu, Llr,. 13) 15. Spou.al T,a"I," II " da'" 0' dealh oITor 6,30.94) See InuruCllonl lor oplicable Percentog. on Rlv,,,, (151 Sid.. Ilnclud. valu_ i,om Sch.dul. K 0' Sch.dul. M,) 16. Amounl 01 Line 14 la.abl. 016% role Illlclud. valulI from Sch.dul. K "' Sch.dul. M,} 17, Amount of lInt 14 taMabl. 01 15% rol. (Includ. volu.. from S,hedul. K 0' Sch.dul. M.I 10. Principal 'a. duo (Add 10. I,om Llnll 15, 16 and 17.) 10, CIOdill Spou.al Povor'y CIOdil Prlo, Paymenl. t ___t 20. II Llno 19 II glOalor ,han L1no t8. onlor Ih. dlU.IOnco an L1no 20. Thll II ,h. OVERPAYMENT. 1110 21. II L1no 18 II glOalor Ihan Llno 19. onlor Ih. diU".llc. on Lino 21. Thll II Ihe TAX DUE. A. Enter 'n,lol.roll on Ihe balance due on Line 21A. 0, Enlor ,h,'olal 01 Llno 21 and 21A on L1no 210. Thll II Ih. BALANCE DUE. Makl Chock Payabl. la, Rlul.lor of Will., Au.nl -- - ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -<-< Under Plnolli.. of perjury. I declare Ihal I hov. uamined Ihll roturn, Including accompanv1ng Ichodul.. and lIallmlnh, and 10 Ih, bill of my knowledge and b.Il,' II II tru., correcl and comple'.. I declor. Ihal all real Itlata hat bOlln reponed allrul marko' value. Declarallon 01 propar.r olh" than Ih, portonal r'p'".nlallv. Ii balld_ 0" alllnlormatl_~~_~f_w~~e~.!P~~~_~.~' any know!lld.~_~. XN^IUIf or 'IA!.ON IU'~N51Il~POR PI NO IflUIIN AUO.U~ II \ ,/' ._.C .<-'.,dJlit jf) /:1 (. 0('.'} " ,(1, 510NATU~ ~ k HIEI ItlA~ Rf I.UW'AlIV . AODRfU "A' (", I )t'f,'ttu.. I...U(' h ~Il , 1': 'i","lll, r'/ .. II.' (J '1//' "I ' . ",.,. .!/ III ! J"~" 2 C> 5 E ~ w Ct: 2 C> ii ... '" ... 1II S S o 3, R.malnder R.lu,n (lor da'" of d.alh prlo, 1012.13.82) 05. F.deral EIlall To. R,'uln Rlqulred 1. 0, TOlal Number of Sol. D.palil 80... 17070 5,OOO.OQ . 16) 171_. ( 8) 5.000.00 1101 lit) ,.nnn on (11) (12) 5,000.00 (131 (14) 5,000.00 ,.)C,__ x .06. _ 100.00 M ,15. 118) 30..Q,.00 119) 120) 117) . Discount Inl,'''1 C.lO(~ "Of~ if you d,u fOCIU(l\linU (J Icfund of your OVf''1lC1yrncnt. . I / ' DAtI. -.I /.J' I (''1. /,,".L!f/J- /lrIJ,'r (J ' . . / _ I ,I DAf( , I", /.,/<,.n/\..i~..., /..J.:!i'L-" / /1"'/ I ' ~~,---L )/,1 '~"./. /'.,,/ .Ii"., " /",)" . Ii. ../ iA J r''((! 1"/1)?i! I ~ 'I 1 <: /1\" ~ 300.00 121) (21AI 121BI " t,. it I I ,. " , ., ./' MYERS, ROElllRT' E' 100 YORK RD NEW CUMBERLAND SI 02/06/95 2/03/95 CUMBERLAND 03/271.9/, DORIS MAE SIGRID E. , CHf;:CKll 21 " fI' 'I" BAIR ElUNDAY.. , , . " PA 17070 ., \. \:., " I. \ ,j, I,', ,', " < ., .. I ., . "-'1.' ,(".'" I': . ,"'1 "'..""", "'-'.' ,I ,. " i, ,,' ,_,'.1"'1, ,. , ........ .. '1.1',\\" ." u . , .~ ,. " ,. " " " ,. ,'-' .,1, ,. " ,I' I'll ! , .. . , "I ., .. " 1,0, 0' ,. . " ,. I>' . " ,. , .. I ,,' ,. 191' ,. . , MARVC LEWIS REGISTER OF WILLS ", ' ,..:" 'I.' 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"" ... ;/~ ';" " '.'. , '~ - J ;" ~ i, ." ,d' , '.' ,n' ,,' ,., , ., '. ,. a .~ ; i .h'!~il ! 'I.':!I~~I" ,~: '::al e~ la' a. /II' ~ ';I"~: "= ::i,.",,\.::I:E1: '" 1.\\ ;Z E :,'. t_ r 1(', ,I, 't 1':....' ,1"<0': , ':/ ' '-/;'::);r:i~ij~l' ",' ":, '~".r., ,I ,I i" : '.; :::!,:r:::;,,~',~~ i;)~ , ! '>'I:,;',!,ltll_d~\fJ .,': ',; ,~\::;;:ii~~'?{:':,(. ' , II..., :\.'(t"t" ' '_;;-';':';,\-,(;\[_:1" :'-;:'-";-;':"\\l'hOJ:~~ -, , ,'- t' ,-\"-.-,_;:'.\','r\I_;--I"p _~,' ." ',,j. ~, .,oJ;:!'I'" II ',:I\:i ;:"I!.;.1,',,;':{t -,'; . -:"'. " : ',:' :..:':,.'\".':~,t:t!;t"I::?~;!~ ','" , j".':',.",'.,:, ;! i\ 1\. j. " ~'\ l ' '.' '<';1/,:,;;:;: 1::'(;1'; ,(':/_::,:, 'l__>: ~i: I',: 1 '1" ',.I\I'/I,'r ":)' . 11 '::,jl).,'l 'I' ,'"", ;',;l,i,.'-')" 'Jf,,":, , ,I' ;-:'_/\;)'.'" .1.' /.'1';_'." " ,', <J ,_' ",' ": I." " In ~ ... 'i" ",f ,. . . '-C)". .~ I,;, '",J', " '.-' .' ",' " " "'., " I, .. . . .. , " ',' .11 , -", " '. ". ,1,1"" '.j'!, ',' 0,,,' "" ,I ",' II, .i" 1 ',j. 1 ':\' 1',1, ,. ,I'" "I' I' .,.... 1,1' : " '\ , " ,~ : . . d {, ' , '.. "",1 ' ". ." :1"r'l. 'j', .' '", ~ \! t,' , .. p' ':' ":1' " '" .' ,. ,_I":' , , I' It" '1 ",' " ,. ,:' ,. ': I' " ' .. 11,1, ,. I , , , ,'\,~, ,f .- .<i" "(, ,t', ';'1' .' .. ~ ',11: " " "" KARL M. LEDEBOHM ATIO\tNBY AT LAW' 100 Old York Road , P,O; Bo~ 236 N~w Cumberland. PA 1707Q,0236 ., ;~." . I' .. ". d, 'I " ',. 'i ",' '.'Ii'.',", , ' , ~,' , ,I' '. . , I: '1; ., ". (, " . , \ ~ '," ,jl' " , i ~ ' I ,~, '" ',. ,~ . . . . ~AHD RBLtASt I, L!Wl:llnce rocM, Pile tor of coMMUNITY UNITI!:D ME"1I0lJ IS" CHURCH, of 16th IInd btidge Streets, New Cumberland, Pennsylvania, , 17070, intllnding to be legally bound hereby, do hereby declare, stipuhtll and agrl!l! that: Communit:y unit:ed Methodist Church is one of the heirs of johh Simcox, Deceased, Late of the BorouCJh of Mechanicsburg, cumbtltlftnd County, Pennsylvania, and one of the beneficiaries tefettAd t:o in the Schedule of Distribution relerred to in t.he First: IHtd FiMl Account filed by Doris Mae Balr and Sigrid E. Sunday, Co-Ekecutrices, and t.hat it has received [rom thsm t:he sum of TWO THOUSAND AND 00/100 DOLLARS ($2,000.00), which I accept. in full tlltt:itlfltction of the monies awarded t:o Community Unit:ed Methodist: Chul:l:lh by the said Firet and F'ina1 Account IIncl all claims which it: has against the said Estate and do hereby release t:h~ said Doris Mill! bllit and Sigrid E. Sunday, Co-Executrices, of and from any and 1111 l:llaims it: may have against the said Estate and t.hem liS CO-I!:XGcutl:icAAI 1M MItM!SS khtA!br, I have hereunt.o set my hand and sell1 ~ -., M..l t -7) a4~ o' ~~t...."... r this / 199 ~. WITNESS: community United Met hod i at ~G~ . stor Lawrence l"or: ,- - , . " .. ~T AND RIL!A&~ I, boRts MAE bAIR, of 513 Eut:aw Avenue, New Cumberland, Penneylv~nia, 1707l>, lnl:tlllding t:o be legally bound hereby, do hereby declare, st:ipulal:e and agree t:hat 1 am one of t:he heirs of John simcosc, DeceMtld, Lat:!! of t:he Borough of Mechanicsburg, cumberland Counl:y, ~ellllsylvania, and one of the persons reforrod to in the Bchedulll of oistribution referred to in the Fitst and Final Accounl: filed by boris Mae Bair and sigrid E. SundAY, Co- Escecutrices, and t:hal: t have received from them the sum of NINETY TWO THoUSANO TWO HUNblttb FIFTY TWO AND 36/100 DOLLARS ($92,252.36), which 1 accllpl: in full satisfaction of the monies awarded to me by the eald First and riMl AccoUnt and all claims which I have against: t:htl said Est:ata and do hereby release the said Doris Mae Bair and Sigrid E. SUllday, Co-Executrices, of and from any and all claims I may have 4~4illst: t:he said Estate and them as Co- Escecutt!ces. ~tftTlt!!lS Ntt~aVll hereunto set my hand and sea 1 ,;,r - day of · t/ , 1994- this WITNESS I --Jj~ JlI~ 4l; /?t.v #f'''' Doris Mae lIa r I fttCIIPT AND R~~~Ast I, staRID ~. SU~D^Y, of 112 Beaver Road, Harrisburg, pennsylvania, 17112, int:ending to be legally, bound hereby I do hereby deolare, stipulate and agree that I am one of the heirn of John Simcox, DecMIHld, Late of the Borough ot Mechanicr,burg, Cumberland County, Pennsylvania, and one of the persons roforred to in the SchedulA ~f ni~tribution referred to in the First and Final Account filed by Doris Mae Bair and Sigrid E. Sunday, Co- Executrices, and lhat I havs received from them the sum of NIN~TY TWO THOUSAND TWO HUNDRED FIFTY TWO AND 36/100 DOLLARS ($92,257..36), Which I accept in full satisfaction of the monies awarded to 010 by the said First and Final Account and all claims which J have against the said ~st4te and do hereby release the said Dorio Mae Bair and Sigrid E. Sutlday, Co-Executrices, of and from any and 1111 claims I may have against the said Estate and them as Co- Executrices. lit tf%THESS tnll!:ltl!JbJl', I have hereunto set: my hand and seal t.his '~ day of _ Dt1.,t..W\b~..v- , 199_ . WITNESS: cu.s ~ ft~CBIPT AND RELtA&B I, NANCY A. COttYELL, of 8 Witman Road, Womelsdorf, Pennsylvania, 195&1, inl:ending to be legally, bound hereby, do . hereby dec1~re, stipulate nnd agree that I am one of the heirs of John Simcox, Decesslld, Late of the Borough of Mechani.csburg, Cumberland County, Pennsylvania, and one of the persons referred to in the Schedul~ dt bisttibution referred to in the First and Final Account filed by Doris Mae Bair and Sigrid E. Sunday, Co- Executrices, nnd thnt I hnve received from them the sum of NINETY TWO THOUSAND 'rwo HUNDttED FIFTY TWO AND 37/100 DOLLARS ($92,25?.37), which I accept in tu1l sntiefaction of the monies awarded to me by the said P'irst and trin!!l Account and all claims which I have a~ninst the said Estate and do hereby release the said Doris Mae Bait and Sigrid E. sunday, Co-Executrices, of and from any and all olaims I may have ngsinst the said Estate and them as Co- Exeoutrices. 1M MltME$S ""E~!Orl I have hereunto set my hand and seal this 30 -&., day of ~ ..-.~ , 199..!:(.. WITNESS: .~,ZL 14 I, ./4~y '~71<1'~f!c a, 4"-'JiL.L- . . Na cy A. cory'.1 . . COpy AtO!i" AND RE~EAst I, JaNELLE c. EOWARbS, of 1501 Brandt Avenue, New Cumberlnnd, Pennsylvanill, 17010, intending to be legally bound hereby, do , hereby declare, stipulate and agree that I am one of the heirs of John Simcox, oecell!l~d, Late of the Borough of Mechanicsburg, Cumberland County, Pennsylvania, and one of the persons refnrred to in the Schedul~ of Distribution referred to in the First and Final Account filed by boris Mae !lair and Sigrid E. Sunday I Co- txecutricesl and that t have received from them the sum of NINETY ONE THoUSAND EIGll'1' HUNORI!:D FIFTY TWO AND 37/100 Dor,IJI\RS ($91,852.37), which t accept in full satisfaction of the monies awarded to me by the Baid First and Final Account and all claims which I hllve against the Mid Estate and do hereby release the said Doris Mae bair and sigrid E. Sunday, Co-Executrices, of and from any and all claims t may have against the said Estate and them as Co-Executril:!es. iN Hi~HiS8 HH~ft!bt, t have hereunto set my hand and seal this. ."., . j) 9 d.. tiay o'f ~'n.ttA... , 199.!:/.., WITNtsS: COMMONWIALTH OF PENNSYLVANIA' Jl COUNTY OF CUMIIRLAND III ... ( ._---..lillRl.s_...MAlLUAllLa.Ild.--S.r.uR.l.D_..L_._auN.IlAL__ _____._ b.lng duly ---!'~~___n__ aooordlng to law, depol'l end lay. th.tt hey. tire t1~ EKeaurtices ___________.___._._ _,,__ 0' the Ellate 0' J 0 h n S i m cox, lat. 0' _!lQ,rp.u.9.h . of.. Mg.chan i.e~_bu <'9_.. ._._._...._____, Cumb.rland County, P." d.o....d .nd th.t the within II an Inv.ntory mad. by ..ll.O.Rll..J1All...llAllLAtlJLS.1.GiU 1L.IL....li.UllJl.I) 'the uld E K A '" II t r j eAR 0' the .ntlre .st.le 0' uld deoedenl, oonlllllng 01 .lIlhe pmon.1 prop'drly .nd rul tlt.t., 'Koept r..1 .st.t. outeld. the Commonweelth 0' P.nnlylv.nl., end th.t the IIgurel oppollt. eeeh~t. 0' th. Inv..ntory reprel.nt It', ,.Ir v.lul II 0' the d.te 0' deoedent'l de.th. '. ,l !J.,) _/- ..c-u...J-fl.U.L/ !;Js.t-o.A-I DORIS MAE DAIM Co-Executrix B W 0 r n .nd lublorlbed be'ore me, 11 .." ~ /1. ../J CJ.. .4.J V~NI. .. N'~ K.~ 1 " j ,r. 0 __ E...uto, . ~1IriInl\""" 19.1..L_ S I GRIll E. SUN D^ Y 513 Eutaw Avo. 112 Doavor Road ,- P , Notarial Soal Uaa M. Lodebohm. Notary Publlo FalNiow TwP., York County My Commission explros July 20.109 . PiIrreyI;rril AssclcilIIon III New Cumberland, ..b\ 17070 lIarritlburg, PA 17112 Add,," Oat. 0' Cuth __-2~ DIY fla reh Month 1994 YII' INSTRUCTIONS I. An Inv.ntory mull be flied within three monthl .fter .ppolntment 0' p.r,on.1 r'prll.nt.tlve. 2. A lupplem.nt Inventory must b. fII.d within thirty d'YI 0' dlloovery 0' addltlon.I....te. 3, Addltlonallheeh may be aHaohed as to pmonalty or "alty 4. See Artlol. IV, Flduclarl'l Aot 0' 1949. , . Ol ~ ~ .Q , III , J() U '<-1 a M ~ . III ~ ~ .c: 1 M U 0 ~ dJ " I ~ g r. II . ~ . .. ~ ~ ~ >< Q 1 I '" 0 .... I ~ ../' U. U 0 i rl ~ ~ 0 :;: , N ~ H .c: i ~ <II Ol ~ Q ~ - z 0 c.'l 0 ffi ~ :r. ~ Z o. 0 ~ ~ '1 III "V " ... " "I: 0 1 l 1 ... j d if J Inver.tory of the real and personal estate of JOliN SIMCOX. . deceased Dauphin Dapoait Bank - Checking Aocount # 0079121B96 Pennsylvania State Employees Credit Union - Savings H Refund - Federal Income TaM Refund - Pennaylvania Department of Revenue American Electric POWAr Co. - 600 Sharea Commonwealth Edison Co. - 414 Shares c.P.C. International - 264 Shares Delmarva Power and Light - 450 Shares Detroit Ediaon Co. - 400 Shares Duquesne Light - 500 Shares Exxon Corporation - 500 Shares General Publio UtilitieS - 28 Shares Mobil Corporation - 80 Shares Ohio. Ediaon - 600 Shares Paoific Gas and Electric - 200 Shares Potomac Electric Powsr Co. . 320 Shares P P & L - 2,000 Shares philadelphia Eleotric Co. - 2,935 Shares Public Services Enterprise Grp. - 315 Sharea Southern Co. - 1,366 Shares Union Electric - 100 Shares Sprint Co. - 480 Shares Unncal Corp. - 376 Sharea Veataur Securities - 200 Sharea Wiser Oil, Co. - 600 Shares Lord Abbett Fund Lord Abbett Bond - Philadelphia lIospital Authority - 5,000 Shares Northeast Utility - 21 Shar~s ~ \'6t.er crd ~ - B:n:l' \7,265 01 0194058138 66,393 19 691 00 79 00 19,050 00 10,453 50 12,474 00 9,506 25 10,850 00 16,000 00 32,750 00 829 00 6,260 00 11,550 00 6,050 00 7,320 00 47,250 00 81,446 25 9,174 38 26,807 75 3, 537 50 16,380 00 10,152 00 2,900 00 10,500 00 6,265 23 1, 135 13 5,000 00 25 12 !i, (0) 00 TOTAL 453, 094 31 ,'" Hstate of John Simcox Duquesne Light - 500 ShareD, Common - invontory HICxon Corporation - 500 Shares, Common - inventory Oeneral Public Utilities. 28 ShareB, Common - inventory Hohil Corporat ion - 80 Shares, C0l11111011 - inventory Ohio Hdison . 600 Shares, Common - inventory Pacific Gas and Electric - 200 Shares, Commoll - inventory P P & L - 2,000 Shares, COll1ll1on - inventory Philadelphia Electric Co. - 2,935 Shares, Common - inventory Potomac Hlectric Power Co. - 320 Shares, Common - inventory Public Services Enterprise Crp. - 315 Shares, COll1ll1on - inventory SoutheX'n Co. - 1,366 Shares, COlMlOn - invontory Union Electric - 100 Sharos, COll1ll1on - inventory Sprint Co. - 480 Shares, Common - invontory Unocal Corp. - 376 Shares, Common - inventory Vestaur Securities - 200 Shares, Common - invontory Wiser Oil, Co. . 600 Shares, COll1ll1on - inventory Lord Abbett Fund . invontory Lord Abbett Bond . inventory Philadelphia Hospital Authority - 5,000 Shares - Common - inventory Northeast Utility - 21 Shares - Common - inventory Philadelphia Water and Sewage !'OTAL PkINCIPAI, ACCOUNT RHCEIVF,D - PERSONALTY '. Page 2 16,000.00 32,750.00 829.00 6,260.00 11,550.00 6,050.00 47,250.00 81,446.25 7,320.00 9,174.38 26,807.75 3,537.50 16,380.00 10,152.00 2,900.00 10,500.00 6,265.23 1,135.13 5,000.00 25.12 5,000.00 453,116.21 Estate of John Simcox PaRe 4 I II' " Reserve for payment of possible additional Pennsylvania Inheritance Tax and Federal Income Tax, 6.000.00 57,521.06 TOTAL DISHURSEMENT ACCOUNT . PERSONALTY ,I I , , INCOMB ON PBRSONALTY DRBITS. Philadelphis Water and Sewage Hond inventory - 5,000.00 sale.5,124,68 Gained 124.68 ' . . Mobil Corporation . 80 Shores Sold inventory. 6,260.00 , , , , "I _,I sale . 6,381.83 '. , Gained 121.83 Sprint Co. . 480 Shares sold inventory - 16,380.00 sole. 17,228,33 'Gained 848.33 225.00 170.10 5.9.50 835,00 1;115.30 132.80 210.00 206 .00 16.88 98.00 Ohio Edison. Dividend P.S.E.G. . Dividend Union Electric. Dividend P.P.& L. . Dividend Philo. Electric Co. . Dividend Potomac Electric . Dividend Duquesne Electric Co. . Dividend Detroit Edison. Dividend Lord Abbett . Dividend Pacific Gas and Electric. Dividend Iltate of. Johu'SillCOIl Septembbr, 1994 Palll 6 653.95 TOTAL PBRSONALTY INCOMB DEBITS S,5S3.69 IMOCICB OMPII8OIW..TY - OUDITS . American Electric - 600 Shares Sold inventory value - 19,050.00 s.le velue - 16,533.50 Loas 2,516.50 Commonweslth Edi.on - 414 Shares Sold inventory value - 10,453.50 ssle value - 9,341.30 Loas 1,112.20 C.P.C. International - 264 Shares Sold invsntory value - 12,474.00 sale value - 11,968.83 Loas 505.17 Delmarvs Power - 450 Shsres Sold inventory value - 9,506.25 sale vAlue - 7,715.14 Loas 1,791.11 Detroit Bdison - 400 Shsres Sold inventory value - 10,850.00 asle value - 9,727.95 Loas 1,122.05 Duquesne Light - 500 8hares Sold inventory value - 16,000.00 sale value- 14,942.00 Loas . 1,058.00 .......0.........."1". PaRe 10 . Estate of John Simcoll PIlOPOSBIl SCHEDULE or DlSTIllBUTION $' 372,609.46 BALANCE FOR DISTRIBUTION ., TOI Marie Hancharik 14160 Easy Street North Huntin~don, PA 15642 2,000.00' ." TOI Community United Methodist Church 16th and Bridge Strep-ts New cumberland, PA 17070 2;000.00 TOI Doria Mae Bair 513 Eutaw Avenue New cumberland, PA 17070 92,252.36 ;, TOI Sigrid E. Sunday 112 Beaver Road Harrisburg, PA 17112 92,252.36 TOI Jonelle C. Edwards 1501 Brandt Avenue New Cumberland, PA 17070 This ahare reduced by $300.00, previOusly advanced. 1 I , 91,852,.37 TOI Nancy A. coryell 8 Witman Road Womeladorf, pA 19567 ',.1'" 92,252.37 " TOTAL BALANOE FOR DISTRIBUTION $' .372,609.46 I' , 'i .' " . COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } us -, {}, hik;';-. I (J -' O~;~ AI tl/lvIo It ,.\) . .N01'ARY P DO R I S ....M.AJ~ II A I Il a luLS.1.O.1UJLJ::..---S.lJ1l.D./I Y being duly sworn _____ according to law, depolel and IIY. th.tt hey. arn t hn E~nollrt loes -----__ 01 the Ellate 01 John Simcox, late 01 ---Il.2.~.<;>.~.9JL fl.L.t19_qJ).Il_n.Lcc~JJ.l!;.9___ I Cumberl.nd County, P.., d,oulld .nd th.t the within II an Inventory made by ..ll.OJULMA1LllUIl "Nn RT.QlUILE. RIIND4~he uld I':~nnlltr lnnll...- 01 the entire elteto 01 uld decedent, eonllltlng 01 all the pellonel proporty end reel ellete, exoept reel .It.te oullld. the CommonwOllth 01 Pennlylvanle, end the! the Ilgurol oppollte 0I2h Ite 01 the Inventory r'llrOlent It's 1.lr valu. .1 01 the deto 01 decedont's doath. . t ?J') . "'_ .-d-v-! ,?2t.M-- ~ DOR I S MM: UA I~{ C 0- P.xecu t ri x . and sublcrlbod belore me, .d v ;:~.,( , c. 4w,uila ~ c. , I ...-~ 0 _ en."!o/ . ,a;~"""1 . 19~ SIGIlID E. SUNDAY 513 Eutaw Avo. 112 Beaver Road Swor.n , Del. 01 Deeth Notarial Soal Usa M. Lodobohm, Notary Publlo FlirvlowT'Io1l" York County My Commission Explros July 20, 199 /olImlOr, I'uT6)t;rilAsaodaIIon 01 27 March D,v Month Now Cumberland, PA 17070 lIarrlsburg, PA 17112 Add.... 1994 Vu, INSTRUCTIONS I. An Inventory must be fllBd within three monthl aller appointment 01 pOllon.' reprelentatlve. 2. A lupplement Inventory mUlt be IlIed within thirty deys 01 dlloovery 01 .ddltlonelllleh. 3. Addltlonel shoeh mey be atieched 81 to peraonelty or realty 4. Soe Artlole IV, Flduclarlos Act 011949. . Cl . k :;1 .Q III 0 .... l':: M III 11 III ~ ~ .cl M 0 .. '" ~ QJ .. " I C5 ~ . ~ u . ... x " ~ w Q III :- 0\ ;; a: 0 .... : I .... U 0 . ~ ~ II. . ... ~ 0 ~ : \ N II. .cl ') ~ 0 H i:- ~ r.: VI 01 0 " c '1. e z 0 ~ " 0 - VI ~ :r. ... {j > a: Z w 0 0 W. ,...I'" .... ..., III "0 \:~,', EXHIBIT " ," I A "0 .... .. g .-"., it ... Inven.tory of the real and personal estate of JOliN SIMCOX. Dauphin Daposit Uank . Cheoking Aocount H ,0,079121896 Pennsylvania State Emploiees Credit Union. Savings H Refund - Federal Income Tax Refund - pennsylvani. Department of Revenue Amerioan Electric Power Co. . 6,0,0 Shares Commonwealth Edison Co. - 414 Shares C.P.C. International. 264 Shares Delmarva Power and Light - 45,0 Shares Detroit Edison Co. . 4,00 Shares Duquesne Light - 5,0,0 Shares Exxon Corporation . 5,0,0 Shares General Public Utilitiea . 28 Shares Mobil Corporation . 8,0 Sharea Ohib.. Edison. 6,0,0 Shares Paoific Gas and Electric. 20,0 Shares potomac Electric Power Co. . 32,0 Shares P P & L . 2,,00,0 Shares Philadelphia Electric Co. . 2,935 Sharea PUblic Services Enterprise Grp. . 315 Shares Southern Co. - 1,366 Shares Union Electric. 1,0,0 Sharea Sprint Co. . 40,0 Shares Unocal Corp. . 376 Sharos Vestaur Socurities . 2,0,0 SharoD Wiser Oil, Co. - 6,0,0 Shares Lord Ab~ett Fund Lord Abbett 80nd - Philadelphia Hospital Authority. 5,0,0,0 Shares Northeast Utility - 21 Sharon Ehi.l~ W:1ter IJrl ~ - a:n:l TOTAL deceased 17,265 ,0 1 ,0194,058138 66,393 19 69 1 ,0,0 79 ,0,0 19, ,050 ,0,0 1,0,453 5,0 12, 474 ,0,0 9,5,06 25 1,0 ,85,0 ,0,0 16 ,,0 ,0 ,0 ,0,0 32,75.,0 ,0,0 . '''. 829 ,0,0, ", . 6.260 ,0,0 - . 11, 55,0 ,0,0 6, ,0 5 ,0 ,0,0 ,',32,0 DO 41,25,0 ,0,0 81,446 25 9 , 174 38 26,,007 75 3,537 5,0 16,38,0 ,0,0 1,0,152 ,0,0 2,9,0,0 ,0,0 1,0,5,0,0 ,0,0 6,265 ~3 1 , 135 13 5,,0,0,0 ,0,0 25 12 5, (XX) 00 453,094 31 tn.,-., " .. 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' ,(," it r!~ I '1:1," 'c", f I, ~ (;- '!Ilt(~:;-" I~\ ":,_\,J,I-" < . :, . I' e \' ,1 . ;' , '+",~ '1,\ (r~ " "n' 1 I, I ,} ~ (I, fl .i"".,., , ''<", '",', '"', ( \If'l\ "i,~:{':J 1,' '(I' , ,\,;.::::_\','.' 1,'.,\\'/::t\J:~ ,j "\'_ ".",.. ";Pl"il'I/I.-',1t:,;'ll ',:\ ,.,,',".,, ," :I':\:~\:,/:V::i:i)#::;~', .. ., ,".', ' ,),(, ,,lit; , \ II, ~: '(:, \i::/:::i:;;~,:~,~ '," '" ' "1- " .-" "_;:,',,._\1~?~;" ,L\ '/ 't;.,;;' "';:-Y',\"'}'.'r,~~~jjh,l; , '_,_' '~I n-_' _ . ,," I.' '.J,(._!\{'il.fll:! , . , " ....,."" ',:' -; ;,_'-~'Jt:~.':: , '", 1" . 'II :. ."\; ~"i~ !' l' ,j \ /,:k:,....:,I;\..-:~,',:.~:i~;i;J~i ,,;!(. ,,' -I:I\~ ',.' [i;!'K:.';'il~ '1,1 .1 , " "e ,'" - (;Y":J,'~,:~:~/~ ,1,t'l\: _", "-'1;'\1 .i;.:', '", '," : 'i..::' \)',\, '1 \ ",' " I' (," ,,'" :,' " ,. i' :,\,,1, , ("ll" "ll. " ,,',v:' , , ,I.' ," ", ',',1 ::' '! '.. 'I:,. ,; " I"~ i" .,' :;,P,,:: ,:1 , 'f " "," " ';" 1\;\; ','. ", I," '. ,j{, , .:.'1 1,1; ',I \', ~ '..~( " 1" I. \ "', , " t'.' :,' ',,"" '.:,',' "; ,., , ~. I', '..\ " " 'i" " l', '." , t"'1 'i'", ,: 'j" " ,', ":'\ ':,\" " ," '" I' I ~ ' I'." "',,"", ',j' ,./', -\,.. ." ',' " ., .,' J'.',; '" '1,'(,;" 'q. ,;1',:1' , 't'" 'I', ,,' , " "'t' ',I " I,'"l """!':':;:I,':,: ;. , /i~'" .. '," ,,, t,'" 'Ii- 'i' /', " 'I,: " , " ,'1\ .. " , 'I, , " ,_:.1, 'r! .,'..' ,. ','1'.' r; 'l': ~ i;" , ':\" ;,'.. , :.' I ' ! ~" .. " '" ',' , '.' ,', y :~ 'I" .,1' '!," '". ","j " I. !' , I ~. !;I , , j,', 1","_" 1,,',"11 "I I,r,t, " "'- .':\ "', ,. " ,. " " ': " ~ . . \' ", , . ,', "I'" " :/\ " " , , " " ",' ;:,',,' '" , 'I, ,: ,. ',I" " , i,' ,. , "'t';: ,'" ,,-' ,I,' )'; '1"\' " " ,II' , .. ~ " 'i' "'I, .' " . ~ " " , ,. ", ,", ,: '. .;" " '11' " " I.", ,. ,", .\"1. " .,',J,,' " " , 'iI, . " "\,. II;' .,1 .' i: 'I ~ _i, :,: '.,' ': , "'1-.\'\)' " ,'p I"t', j" 'Ii , " , , , ~' ;, , : '" '.. '. ~ '.. ,. 1',,, f,\ '.' " "e :, ;" ," ,'\ , , \,r,.'" , ,", " , " l,i, '''' ,< ;"j' I-'fl ,;t".,,: ii, ",,'), :{ 'I,' J ,\', , "',':' ..: '~ " " ;\ ,\, ',1"1 " \,:' " ;',' , 1/.' ,I,"!'I' " , ." ., ,. ,. ~CEIPT AND RELEASE I, LaWI'ence Focht, Pastor of COMMUNITY UNITED ME'I'HOOIST CHURCH, of 16th and Bridge Streets, Now Cumberland, Pennsylvania, 17070, intending to be legally bound hereby, do hereby declare, stipulate and agree that Community United Methodist Church is one of the heirs of John Simcox, Deceased, rJate of the Borough of Mechanicsburg, Cumberland County, Pennsylvania, and one of the beneficiaries referred to in the Schedule of Distribution referred to in the First and Final Account filed by Doris Mae Bair and Sigrid E. Sunday, Co-Executrices, and that it has received from them the sum of TWO THOUSAND AND 00/100 DOLLARS ($2,000.00), which I accept in full satisfaction of the monies awarded to Community United Methodist Church by the said First and Final Account and all claims which it has against the said Estate and do hereby release the said Doris Mae Bair and Sigrid E. Sunday, Co-Executrices, of and from any and all claims it may have against the said Estate and them as Co-Executrices. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 2"1.J.6 day of .A.n'-I.~~', _ .' 199"1. WITNESS: Communi ty united Methodist Pt.' !)/J 9f"'^ L, 'atl>1l-<<~. " ~- c.~ ' stor Lawrence toe ,. " PAYIEHT, DIttO" the top porUon of thlt NoUcl and lub,it with vour ply..nt ..d, payable to thl n... and Iddr," printed on thl rlVlr.. l1eft. If RESIDENT DECEDENT 'Ik, check or 1l0nlY ord.r p.~abh tal REGISTER OF WILLS, AGENT I If HOH-RUIOEHT DECEOEHT ..k. ,h..k or ..n.y .rdor poy.bl. t., COMMONWEAL TN OF PENNSVLVANIA. All ply..nt. rec.lvld .ha11 bt .ppllld flr.t to any lnt.r..t which lay b. dUI with any r...lndar applied to thl tlX. REFUND (CRll A r.fund 0' I tWM crldit, which Wli not r.qut.ttd on the TaK R.turn, lay b. requI.tld by coapt'llna an "Application for R.fund of PlnnsYlvanla InherltancI Ilnd Ett,t. TIlle" lREV.1313), Applloatlon. 'rD available at tht OffiCI of the Rlglat.r of Willi, any of tht 23 AaVlnu. DJ.trlot Offlc.. or frol the Dlpartl'nt', 24-hour an,wlrinG ..rvlel nuabar. for fori' ordlr)n;1 In Plnn'vlvlnll l'800-36Z~Z050, out, ide Plnn.ylvanle Ind within 10011 Hlrrl.burg Ire. (717) 787-8094, TOOl (717) 77Z-2252 CHI.r!ng IIp.lr.d only). REPLV TOI QuI.tlonu r.gardlng error. tont.lnld o~ thl. not lei should be addrl..ed tal PA nep.rt.lnt of Rlvlnul, Bureau of Indlvlduel 1IKII, ATTNI Po.t A"I"..nt Hlvle., Unit, Dlpt. 280601, tlarrhburg, PA 17IZ8-0601, "hone (111) 1&1-6505. DIS,C~TI If any tlX dull It ptld within thr.. (3) c.hndar lonth. aftar thl dlcldant'. duth, . nv. perclnt (5X) discount of thl tlX plld It tHowld. INTEREST I Intflrlltlt ehlrg.d big Inning with flr.t day of dl1Jnqulney, or nlnl (,) tonth. and ani (I) day frol thl datI of d..th, to t~1 data of p'Y'lnt, I JXII which blc'" d.llnquent b.farl January 1, 1'82 baar Int.ra.t tt the rats of .1K (6~) paralnt p.r annUl aalc~lat.d at a dillY ratl of ,OOOI6~. All taKI. which blca'l dallnqulnt on Rnd aft.r JlnUlry 1, 1982 will bl.r Intar'lt at I rata which will vlry froa ollandlr Yllr to olllndar yaIr with that ratl announcld by tha PA Dapart.ant of Rlvlnua, Thl applJcable Jntara.t r.ta. for 1'~2 through 1995 ara, Valr Inhrltt Rate Oally Intlrut Factor Vaar lntar..~ Rat. DailY lnt.ra.t Faator 19&1 lOX ;00051& 19&1 9X ,000/47 1m l6X .00045& 1988.1191 1lX .000501 1984 IlX .000501 1991 9X ,Doom 19&1 UX ,000556 1995-1994 IX ,000191 19&6 lOX ,000114 199\ 9% ,Doom .olnter..t 11 calculetad .. follow'l ItITEREIT . BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FACTO~ --Any Notice luued aftar tha tll( bleo... dlUnquant will raUaet an lnt.r..t c.lcul.tlon to flft,," (IS) dlv, bavond the date of th. ........nt, If paYllnt It lid. a,tlr thl Intar..t cHPuhtlon d,te 'hewn on thl Notice, additional Inter..t ItUlt ba calculatld. / ;~17 3-/:L /1/,'.)(>.,:) - J' ~J/ VolS47 EX AFP (01094* COMOHWUI.TH OF PENNSVlYANIA DEPARTMEHT OF REVENUE aUREAU or INDIVIDUAL TAKES DEPT, Z8D6Dl HARRUBURG. Pl 1712'-060) E9TATIllF SIMCOX -----J FILE NO. 53 DATI! OF DEATH 03-27-94 COUNTY CUMBERLAND NOTE. TO INSURE PROPER CREDIT TO YDUR ACCDUNT, SUBNIT THE UPPER PORTION OF THIS FORN WITH YOUR TAX PAYNENT TD THE REGISTER OF WILLS. NAKE CHECK PAYABLE TO "REGISTER DF WILLS, AGENT" REMIT PAVMENT TOI NOTICE OF INHERITANCE TAX APPRAISENENT, ALLOWANCE OR DI~ALLOWANCE OF DEDUCTIONS AND ASSESSNENT OF TAR ACN 101 DATE 01-24-95 ROBERT E MVERS 100 OLD YORK RD NEW CUMBERLAND PA 17070 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 AlIount R.lIltt.d - - ~~-~: ~i~-;~E{-~nii~~~~-:94Y'~-icl~~~{-~Hi~~~~N~~~{1~~A~~~A-m~€~~~-~~~l~AN1E-~"'--;'-i?1- -.. -.- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF?fAX fT. n ESTATE OF SIMCOX JOHN FILE NO. 21 94-0353 ACN "101 (.. DAT!) 'ih-24-95 : ~ I ) CHANGED TAX RETURN WAS I I X) ACCEPTED AS FILED tx ) -lJ II ). 'J'~O - (2) 5, 0~;1I0 I....J l"- l!l .00 (41 ,00 IS) ,00 161 ,00 17l .00 IB) , '. RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL 01 I. R.II E.tlt. (Sohldul. AI 2. Stook. Ind Bond. ISoh.dull B) S, Clo..ly Hlld Stock/Plrtnlr.hlp lntlro.t (Schldull C) 4, Nortglgl./Not.1 RIO.I.lbll ISoh.dul. D) S. C.lh/Blnk DlPUllt./NI.c, Plr.on.l ProPlrty ISchldul. f) 6. Jointly OHnld Prop.rty ISchldul. FI 7. Trln.flr. (Soh.dul. G) B. Totol AII.to ~. ( en-C) -', 5,000,00 APPROVED DEDUCTIONS AND EXEMPTIONS I 9. Funarll Expln.../Ad". COlh/Hilc. Expln... ISQhldul. H) 10, Dlbt./Nortg.g. LI.bllltll./LI.n. ISoh.dul. I) II. Totol DlduoUon. 12. N.t VoIUI of To. Rlturn IS. Chlrl tobl./Go.lrnll.ntol BlquOlto ISchldul1 J) 14. Nit Vllul of E.tlt. Subjlct to T.. (9) llO) .00 ,00 11I)_ ll2) llS) ll41 nn 5,000.00 .00 423,568.10 If an a.....m.nt was i.su.d pr.viou.ly, lin.. 14, 15 and/or 16. 17 and 18 will refl.ct figur.. that includ. the total of Ahh r.turn. a......d to dat.. ASSESSMENT OF TAX: IS, AlIount of Lln. 14 .t SpoU.11 r.t. 115) 16. AlIount of L1n. 14 to.lbl. It L1n..I/CIoII A r.to 116) 17, AlIount of Lln. 14 ,...bl. It Coll.t.r.I/CII.. B r.tl (17) IB, PrlnolPl1 TI. DUI TAX CREDITS I PAYNENT DATE 06.'20-94 07-01-94 07-01-94 10-18-94 NOTE: .00 421,568,10 2,000.00 X ,00, X ,06, X .15, liB) ,00 25,294.08 300.00 25,594.08 RECEIPT NUNBER MM886195 MM886251 MM886252 MM913095 DISCOUNT I') INTEREST (.) 1,221.95 .00 .00 ,00 AN aUNT PAID 23,217,00 744 , 72 10,13 300.00 INTEREST IS CHARGED FROM 12-28-94 TO 02-01-95 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 25,493,80 100.28 .87 101.15 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN t', NO PAYNENT IS REQUIRED. IF TOTAL DUE IS REFLECTED A:. A "CREDIT" ICRI, YOU NAY BE DUE A REfUND, SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS.) \ , ' RESERVATION. E,t.t.. of d,e.dlnt. dying on or blfor. D,o'.b,' 12, 1982 -. If .n~ future Int.r..t In the ,.t.t. It tr.n.f.rrld In pOII..,lon or ,nJov..nt '0 Cl.I' . (ooll."r.l) bln,fle!.rl,. of thl dle.dunt R't.r tht IMplr,tlon 0' tnv ..t.t. for llf1 or for Vllr., tile Co..o""..1th i'''tby 'lCpr...lv r,'try.. thl rlght to appr,lt, Ina ...... tr.MI'.r tn".rlttnct 1IlCII It thl Ilwful Cllll I (oo11,',r.ll rlt. on 'MY lueh future lnt.r..t. PURPOSE Of NOTICE I To fulfUl thl r.qulr..."t. of Station Z140 of thl Inhtrltanc. Ind E,t.t. Till Act, ht II of 1991. 12 P.S. SlcUon 21ltO, PAYHEHT, DeUch thl top portion of thh Hotlc. Ind tub. It with your ply,tnt to thl Right" of NUll prlnUd on thl 'IVIr" lid.. uM'k, chIck or lIon,y ordn plYlblt tOI REOlSTER OF' HILLS, AGENT All PIVI.nt. r.c.lllld .hall fir., bl IPpllld to any Intlr..t which .IY bl dUI ~Ith Iny rl..lndlr .ppllgd ta the tl~. REFUND (CAli A rlfund of I tl~ crldlt, which w.. not rlq~..tl~ on thl Tax R.turn, .Iy b. r.qu..tld by co.plltlng In "Appllcltlon 'or A.fund of Plnn.yllllnll lnh.rltlncl and E.tatl TIM" CREY-1SISI. Application. Ir. allalllbll It the Offlc, of thl R.gI.t.r of Will., any of the 23 R'lIlnuI DI.trlct Offlc.., or by oal1lng thl 'Plclal 24.hour In,wlrlng 'Irvle. nu.b.r. for for.. ordlrlngl In P,nn.ylvania 1.800-362'2050, out.ldl ~lnn'Ylvanll Ind within 10c.1 Harrl.burg ara. (717) 787.8094, TOO' (717) 772.2252 (H.lrlng I'Pllr.d Onl~l. O.JECYIONSI Any party In Intlr..t not .Itl.fl.d with the Ipprll.o.lnt, allowanc. or dl.allow.nc. of d.duotlon., or a.......nt of teM (Inoludlng dl.count or Intere.t) a. .hown on thl. Hotlcl .u.t objlct within .Ixty (60) day. of rlollpt of thlt HoUe. bYI .-wrlttln prottlt to thl PA Olpert.lllt of Rlllenul, loard of ApPIIII, DEPT. 281021, Ilerrl.burg, PA 17128.1021, OR ...hctlon to hlVI thl utter daterllnld at ludlt of thl Iccount of thl pII'.onal rlp,,"ntatlll', OR ..IPPtal to thl Drphln.' Court. AOftIN ISTRAl\VE COtlRECTlOHS I OIlCOUHT I F.ctuIl .rror. dl.colltr.d on thl. .......'nt should b. addrl..td In writing tOI PA Deplrt.tnt of Rlv.nul' lur'lu of lndJvldu.1 TIXI., ATTHI Po.t A.......nt R.vllw Unit, DEPT. 280601, Harrisburg. PA 17128.0601 Phonl (717) 781'6505. S.. pig. 3 of thl bookl.t "lnstructlon. for Inhtrlt.nc. TIM Rlturn for I RI.id.nt D.Cldlnt" CREY.1501) for an .xplloltlon of ad.lnl.tratllllly corrlctabll Irror.. H ....y 1Ix dUI I. paid within thr.. (3) clllndlr .onth. after thl dlcldlnt'. dllth, I flvl p"clnt (SX) discount of thl tlX plld I. Illew.d. INTEREST I Int.r..t I. ehlrgtd blglnnlng with flr.t day of dlllnqulncy, or nlnl (91 .onth. and onl (1) dlY frol the dlt. of duth, to the diU of ply.lnt. Taxtl which blea.. dlllnqulnt blfore January 1, 1911 bur Intlrllt It the rIte of ,1M (6X) plrclnt plr ftnnUl ,alculat.d at a dailY rltl of .000164. All tax.. which blce.1 dlllnqu,nt on Ind .ftlr Janulrv I, 1.82 NIII bl.r Int.rl.t .t ft r.tl which NIII Vir V fro. callnd., YI.r to Clltnd.r ytlr with that rlt. annoonold bv thl PA Dtplrt..nt of Rlv.nul. Thl appllcabl. Int.rlst rat.. fnr 1.82 through 1995 Irll '!.!!! Int"ut Rite OaUv Intertlt Factor :!!!r Int.rl.t Rite Cally Int,,"t Flctor 191! 20X ,000541 1911 9X ,ooom 1m 16X ,00041' 1911"1991 m ,OOOlOl 1914 ll~ ,000101 199! 9X ,ooom 1m In .000116 1991-1994 n ,000191 19I1 lOX ,000114 1991 9X ,000241 . .Intertlt It cllculttld II folloWII INTEREST . BALANCE OF TA~ UNPAIO X NUNBER OF OAYS DELINQUENT X OAILY INTEREST FACTOR '.Anv Notle~ I..uld Ift.r thl t.~ b.eo.l. dlllnqulnt will r.fltct In Int.r..t calcutltlon to flft'ln CIS) dlY' bt~ond thl dltl of thl ........nt, If plyl.nt I. .,d. .ft.r thl Intlrl.t co.pu,.tlon dlt. .hown on the Notln, eddltlonll Interllt lU.t b. calcuhtld. :; -1/:;-/;)...; RI..-11;;47 EX AFP (01.94* CO~.wEALTH OF PfHNIVLVANIA O/PARTItENT OF IltI'ENUf lUIlEAU Of INOIVIDL'AL TAMES DEPT. 110601 HARAJlIURC, PA 17121.0601 I II, :-^ I)" t I ACN 101 W DATE 11-21-94 NOTICE OF INHERITANCE TAM APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIDNS AND ASSESSHENT OF TAM ~ FILE NO. DATE OF DEATH 03-27-94 COUNTY CUMBERLAND HOTEl TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PDRTION OF THIS FORH WITH YOUR TAM PAYHENT TO THE REgISTER OF WILLS. HAKE CHECK PAYABLE TO "REgISTER OF WILLS, AgENT" REMIT PAYMENT TOI CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV: iS4'- iif -AFii. i 0'8-:94") - NoYi or -op- INHiifi TAiic E - T"Ax"A"pjiilA"i ii iif ENT~" Ai. rOWANC E - 'ilfi" - -- -. - ---" - - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF SIMCOX JOHN FILE NO. 21 94-0353 ACN 101 DATE 11-21-94 TAM RHURN WAS, ( ) ACCEPTED AS FILED t Xl CHANgED SEE ATTACHED NOTICE RiiiRVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL 1. R..l eotlt. (Sohldull A1 2, stook. Ind Bond. (Soh.dull B) 5. Clo..1y H.ld Stook/P.rtnlr.hlp IntorOlt (Sohldulo C) 4. HortOIOll/Notll Rlod s'lbll (Sohldull D I S. Cllh/Blnk D.pollto/Hho. Porlo".l Prop.rt~ (Sohldul. E) 6. Jolntl~ Oon.u ProPlrt~ (Soh.dul. Fl 7. Trln.forl (Sohldull 01 8. Totol Alllto If In ......m.nt WI' i..u.d pr.viou.ly, lin.. 14, 15 and/or 1&, 17 and 11 will r.fl.ct figur.. thlt includ. th. total of Abh returns 111.1.ld to dlte. ASSESSMENT OF TAXI 15. A.ount of Lln. 14 It Spou.1I r.to (15) 16. A.ount of Llnl 14 t..lblo .t Llnlll/ClolI A rlto 116) 17. AlIOunt of Llnl 14 toxablo It CoUltlrll/CllI1 B r.ta (17) 18. Pr Inolpll Tlx DUI TAX CREDITSl PAYHENT DATE 06-20-94 07-01-94 07-01-94 10-18-94 ROBERT E MYERS 100 OLD YORK RD NEW CUMBERLAND PA 17070 APPROVED DEDUCTIONS AND EXEMPTIONS I 9. Funlrll EXPln.I./Ad.. Co.t./Hilo. Explnl.1 (Sohldull H) 10. Dlbt./HortOIO' Lllbilitl../LI.nl (Sohldull I) 11, Totll Dlduotlonl 12. Hit u.lu. of TIX R.turn 15. Chlrlt.bll/govlrn..ntll BlqU.lt. (Soh.dul. J) 14. Nit Uolu. of E.to'l Subjlot to Tox NOTE I RECEIPT NUHBER MM886195 MM886251 MM886252 MM913095 DISCOUNT (+ I INTEREST t-J 1,221.95 ,00 ,00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FDR CALCULATIDN OF ADDITIONAL INTEREST. REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLI~LE, PA 17013 A.ount RI.Ht.d 'H~ J (11 (21 (5) (4) (5)_ (6) (7) ,00 363,666,11 ,00 ,00 84,428,20 .00 ,00 (8) 448,094.31 191 0.01 27,526.21 .00 llll 1121_ tlSl 1141 '), . c;2~ '1 420,568,10 2,000,00 (110,568,10 ,00 X. 0 O. 416,568.10 M ,06. 2,000.00 x ,15._. 1181 ,00 24,994.08 300,00 25,294.08 AHOUNT PAID 23,217.00 7(,4.72 10.13 300.00 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUll 25,493,80 199.72CR .00 199.72CR IF TOTAL DUE IS LESS THAN II, NO PAY HE NT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRl, YOU HAY BE DUE A REFUND, SEE REUERSE SIDE DF THIS FDRH fOR INSTRUCIIONS,1 " " RESERVATIONI E"lt.. of dtctdent. dYing on or blfar. Dtcl.o.r 12, 1912 -. If anv future Int.r..t In the I.tatl J. trtn,flrred tn pall..,lon or enJov.."t to ct.,. I (Oo'll',rl.' bln'flot,rl,. of the dlcldent .,t.r the Ixplretlon 0' any ..tl" for 11'. or ,or V"", the Co.eonw..lth herebY eKprlllly rl.lr"l. the rtant to tppr,II' and ...el. tren,'.r lnh4rltlncl TIM I' It the llw'ul el.,. B (0011It,r.l) rat. on tny lueh future Int.r..t, PtJRlIOSE OF NOTICE I To fulfill the r.qulr..."t. of SlotJon 2140 0' thl Inh,rlt,ncl and E.t,t, TaM Aot, Act 22 0' 1991. 72 P,S. Slctton 211\0. PAYMENT I Oltleh the top portion 0' 'hil Notlel .nd tub,1t with your Ply..nt to thl Rlght,r 0' Willi printed on the revlr,I' I1de. --H,k, ,hock or "".. crder p...blo to, REGISTER GF HILLS, AGENT All pIY'.nt. r.o.Avld thftl1 fir.' be appllld to any Intlre.' which lay bl due with any r~.alnd.r appllld to the taM. AEFUJ'lD, (CR)1 A r.fUl'\d 0' .. ttlC cr.dlt, Nhtch WII not r.quut.d on 'h. TalC R.'urn, lay hi r.qullted by coapl.tlng an "AppllceUon for R,fund of P.nn'Ylvanla Inherltancl and E.t.t. TalC" (REY.lll]), Application. ar. jVtlltbl. at tho Offloe of the A.gl.t,r of Will., any of thl 23 Alv.nuG ol.trlct Offlc.., or by oalllng tho 'Plclal 2~.hour Inlw.rlng ,.rvlo, nu.b,r. for for.. ordlrlnUI tn Plnn'Ylvl"la 1.800'362.~OSO, out.ldl P,"".Ylvtnll and within 10011 Harrl'burg ar.a (717) 787-8094, TOO' (717) 772-2252 (Hlerlng tlpalr.d Only). OBJECTIONSI Any party In Int,r..t not .ttl.ft.d with the epprel"'I"t, allowanol or dl.allowanol of d.duotlon" or a......a"t of talC (Jnoludlng dhoo~'nt or Int.rut) II .hown on thh Notlc. IU.t objlqt within .lMtv (60) nay, of rec.lpt of thlt HatlCI bYI ....rltt." protllt to the PI DtP.rt"nt of A.vlnu., Board of Ipptllt, OEPT, 2111021, Hflrrhburg, PA 17128-1021, OR ..'lIot1on to have tha ..tter d.t't'lln.d at audit of the account of thl Plraonal rtpr...ntatlv., DR nl9fl.11 to the Orphan,' Court. ADltlN IITRATlVE CORRECTlOIIS I Flctual .rror. dl.cov.r.d on thl, a.......nt .hould bl .ddr....d In writing tOI PA Dlpart..nt of R.Vlnul, Bur..u of Individual TI~II, ATTNI Po.t .........nt Rlvl.w Unit, OEPT, 280601, Hurl.burg, PA 17121.0601 Phone (717) 187-6505. S.. page 3 of thl bookl.t "In.truotlon. for Inh.rltano. T.IC R.turn for I R.,ldlnt Otc.dtnt" (REY.IS01) for an 'lCpl.netlnn of adNlnl.tr.ttvely oorr.otable .rror.. If any ttlC due I. paid withIn thr.. (1) c"ll"dar lonth. aftlr thl d.c.d.nt'. d.ath, a flv. p.rc.nt (5~) dl.count 0' thl tllC plld It aUow'd. DIICOUNT' INTERUT, tnt.r..t I, charg.d blglnnlnu with flr.t dav of dlllnqulncv, or nln. (9) tooth. and 0", (1) day fro. thl dtt. of de.th, to thl dati of Plv..nt. T,IC" whIch blca,. dlllnquent blfor. January 1, 1912 blar 'nt.r.,t at the rlt. of .IIC (6X) pero.nt p.r annul calculatld at a dally rate of .000164. 411 talC.. which blc", d.llnquent on end ,ft.r January 1, 1912 will blar lnt.r.,t tt a rat. which will y.ry frol cal,ndar Ylar to callndar y.ar with that rat. aMounD.d by the PA D.pert.."t uf R.v.nu.. Thl applloable Inter..t rat.. for 1912 through 1994 "" ~ tntar..t Rat. DailY Intlr..t Factar ~ Inter..t Rtt. Dally Inter..t Feotor 19I1 lOX .ooos~a 1916 lOX .00027~ 1911 I'~ .000451 1917 9X .0002~7 19a~ m .000101 1911-1991 IIX .000lDI 1911 m .100lS6 1992 9X .000147 I99H99~ IX .000192 'ulnter..t I. c.lculat.d .. follow.. IHT!RE8T a BALANCE OF TAX UNPAID X HUHBER OF DAYB DELINQUEHT X DAILY IHTERE8T FACTGR ~.Anv Hotlc. I',uld .ft,r the talC blcce., d.lin~lnt will r.fllct an Int.r..t calaulatlon to 'Ift,.n (IS) dlV' btvond thl d.t. of thl ........nt. If p.y..nt I. .ad. afttr the Int.r..t co.put,tlon d,t. .hown ontht Hotlo., ,ddltlonal Int.r..t au.t b. calculatld. " , , r .' -, , ... ... .... ".. ."-'''~ . , '1 'L.; . ' , ' '------____-..1.._ __ _ l-- __..____ __ __ ._. _ __ ___, _ __'_ __.. ___ __''''_ __ . RECEIVED FROMI f3 ACN ASSESSMENT I!I CONTROL .w NUMBER AMOUNT MVERS ROBERT E 100 VORK RD 101 '300.00 NEW CUMBERLAND PA 17070 saN 194-01$-8138 IflRSTI (Mil " M N REMARKS ~-- DORIB M. BAIR AND SIGRID E. SUNDAV CHECK II Ie ra TOTAL AMOUNT PAID t300.00 C;:W'I ~' SEAL REGISTER OF WILLS MARV C. LEWI REGISTER OF WILLS .--t'"' -- -. ..- __ _._ .._ _..:.... _._ __ _. _ _.... _--. ..__ "'_ ._... ...__ .__. ...__ _ _. __ .._... __ __ _ _. __...--. _ __.. '/ ' , , . I 'I . . , " '.,- ..... ..........----- -....-..-............ ~- ,t,.....'!..,'). " \ \ 1 I ,I I I , 1 ,I . 1, ! I " I i ( I, I 'I' , ' , 1 I " ", " " r ( ! l , " . I I I I I I I en R a: R UJ ~ " ~ n~ ~ i ~ ~ a: 08' ~ UJ ,- III ~ " o'~ u a: ~ .., .., ,...~.,...., '-' ..~ .' I 1 1<1 III 1=1' o III I-< '~ 1<1 ::>~ 0": '(.) t:> Ct M,. (f)~CI)I"'"4 ...11-< 0 ~~~f' ~bCl)~ ::0 o,t:> (.)0<11 l'< :Ill'< oA ;;!; I-< . ~<11~1<1 ftl...1::>...1 ' I-<MO</) III r~ (.) H, H ~ '...1 Ul:r.:~~ ftlt:>z": M(.)O(.) t~l N ~~ la' " "5 ~, t.~ (,'t' .~~ ' ;, CI; ((, .....,. (! I ....~ c.;~ fl. t d ((,1 {,..I' .... ~ ..~ \'iI , ... lCl ~~ .- OJ; I" c:' Ii' ., .... ,- " , 1:0 " j il !j , t I .,-; ~'i .. CI, 1.'1' , :.J IJ.: .'!!9 a: :., UU, I' 'I, " I' "~I' _", H ..~. ., ~ = 1 . ~ - '.::: .. . . -:: ' .- .' -, - . - -, . -, . . ~ :: - . , . - -. .::" I' I I , I "., I' I. I .' " I 1 " , . 1 ,I' I I i' , I I, I , ! ' .' I, I ! I, I , , 'il II I' I I I, I ! I , "'", ", I. I \ I ,II ~ I ""', ~~, , .. ,"",1" .\\'l .( ," I I ......\ ". I " ,:..~, ',1 . Q ", I ' , ,~ ". ,; " r ,> ,I , ".' ',l,,j, ./ .,' ",l:r 1 'i"'f .\ , ,~,' .. , ~ ,I' .' . 0\ " ,- "I' ' . I / ' . , , I, ,/ , , ..-..........- ,r~ -,'...: ._....--~;-.~ ~ _ 'l~_ '''~'l''-' c' j , '