HomeMy WebLinkAbout94-00382
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I)ETlTION .'OR PROBATE and GRANT 0.' LETTERS
/!.:~tllll' of Jj/J/le_Wcdj{tfl!:L5aadfJ:.S No, . _r2.L:..n9....'t.~._;j_s.0,_.___
II/SO kl/(I\\'I/ ll.~ m_elil.lJklh ..lIrx1t.!imdl!J?J_ To:
__.___..__m..,n.,__ __.'n .._.. . ..,,___.. Regl'ter of Will, for the
..____..__._nm._ ._._.....__..n___..., [)e"t'II.!('rI, County of __...__._______ in the
Sol'/III SI'I'/lrlly No, .,;z1_9.:n2.iil...__7.7S~_n Comlllonweullh of Penn'ylvllnill
The petition of the undersigned respectfully repre,enl' Ihlll:
YOIII pelltioner('j, who 1s/1I1l' 18 yellrs of IIgeor older IIn the execnt named
In the III,t will of the uhove decedelll, dUled _.__m___.....__.._._____ . 19__._
IInd eodieil(,) dlltcd ..___. ____._n_n_..._ _____n____.____.___.______
---------.-------.---...
~._-~-_._--.-._--_.__._-----
--.-.----..---------.---..---------.-------
(QIlIC rc:lC\'UIII drl'lIl11~lllnCC\II..~, rClIlIl\clilllon, dealh (If C'\Cl.'lIlnr, ell',)
I>eeendem wa, dOllllclled ut delll'; in _CCJmkc.Jfl.l1..d- __ County, Pennsylvania, with
hl1::__III'1 fllmlly or principal re,ldenee lit 05' t/t"mJo.cJ....OiiJt:t~J~..b""S --
_Clfpi"-A1LfnJC.~flml/?-..-m-------.- .----..--
(Ii~l \trecl, lIumhl'r lint! lIlundpalllY)
D;:e;ient, Ihen ____'J.iL. yellrs of uge, died _____.J1;f,1 1ft, ._____, 19 9(/ ,
al '!.miK:I:_D:'JIk'c/KJnLLsl2fU'.9~~.IL .
Exeeplus follow" decedent did nol mllrry, \l'IIS not divorced and did not hllve II child born or adopled
"fie, exeenllon of the will oncred for probate; WII' nolthe victim of II killing und wus never adjudicated
Incompetent: _____.___...u_
Deeendcntllt d~lIth owned property with estlmllted vulues "' follows:
(If domiciled in I'll.) All pcr'onlll property
(If not domiciled in I'll,) "monlll property in Pennsylvllniu
(If not domiciled in I'n,) "monnl property In County
Vlllue of relll c,tute in l'enn,ylvlInill
sltullled "' follows: __
LlJXJf 000
$
$
$
.r&.
WHEREFORE, petitioner(,) respectfully request(s) the probllte of the IlIsl will and eodiell(s)
presented hercwith und the grnnl of lellers
(lcslnmClllllrYi lldmllll~lrllllllJl c,I..a.; ndl11lnlurallon d,b.n.c.t.a.)
theron,
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OATH (n' PERSONAL REPRESENTATIVE
COMMONWEAl.TH OI' \'ENNSYLV ANIA } 1:18
COUNTY OF _._..J.;,~MBERLAND
The pelltloner(,) uhovc-rHlllIl,d ,wellr(,) or lIiTirm(s) thlltlhe 'tlltemenls in Ihe foregoing petition are
truc IInd correctlo the hc,l or Ihe knowledge lint! belicf of pelitioner(s) and that liS person III represen-
IIl1ivc(,) of lhc uhol'c dccedellt pClitioner(,) will wellllnd Iruly IIdmlnl,ter the eSlllle lIccording to law.
Sworn III or IIffirmcd IInd ,uh,crihcd r::::s-:.d"'t4i.W~,d p--- ~
heforc llIe thIS u U. ....~'Ot.h___.__ dill' of ._~ijt1J{~!..Q_W:...JJfN 11.($ l'
~{~~-~.ue.ii~~;(',~,41~ ~~.~==~=~====-~_______!
/II'~? _1 ' _u_u____._____._.___ '"
No. 21-94-382
Estate of ANNE WATKINS SANDERS A/KIA ELIZABETH ANN , Deceased
DECREE OF PROUA TE AND GRANT OF LETTERS
AND NOW APRIL 27 19...1!t-.ln consideration of the petition on
the reverse side hereof. satisfactory proof having been presented before me,
IT IS DECREED that Ihe Instrument(s) dated---11AY 10. 1990
described therein he admitted to prohate and flied of record as the last will ot
--AMNE WATKINS ~ANDERS A/K1A-ELIZABETH ANN SANDE~
and Letters TESTAMENTARY
are hereby gran led to HAROLD W. SANDERS
FEES
Probate. Letters. Etc. "..,...' $ 200.00
Shorl Certlflcates( ) "....".. $ '15.00
~!:~~'lf1!tJlon "."""""... $~
JCP $ '3:~~
TOTAL _ $ 243.00
Filed .~~~~~ of?" I~?~~"""""""""
ATTORNEY (Sup, CI, I,D. No,)
ADDRESS
PHONE
(Jl 'to. ~~
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l'EI! H>n'"IS
Cf"mlCAlE UOOI
WARNING; IT IS ILI.H1A1. TO Al.'fEII WI!! COpy OH
TO DUPLICATE BY flliOTOST AT OR PIlOTOOnAPl1.
COMMONWEAL HI Of PENNSYLVANIA
DEPARTMENT Of IlEAL TIl VITAL RECOllns
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
CERT. NO. 2158889
--- AP~l! ;rr..~~.rJ ~.?i~utlun
Nama of Decedent
Anne Watkins Sanders
~l'ir.r----'._-"""-~-----"--'.'."_.".-"M;(JJ~-'--_.-----'-._-_._~-------
Sex Female Social Security No._}) 9::~~:.7.753 ______.__________.Date of Death_ April 16, 1994 _
Date of Birth
9-20-1921
_ Blrthplaco____._ .!3<l~ti~;-~_, ~1a.EY1.a..ni..______.__._._______
Place of Death
5 Hemlock Drive
'1I~lh'1 ~j.m"
Cumberland
~---(.~;i;~--
Mechanicsburg
Cllf (I:)!(ILlllh t'f TI,,,,nlhlp
Pennsylvania
Race
White
Occupation _'!'.each~~_..___._______.___. Armed Forces? (Yes or No) No__
Decedent's
Married _ Mailing Address _.5-.!1,E!!1llock_P-t:..i.Y~..!_tiec~,!nicsburg, PA 17055
'~IHllhm 5tluot (;Ilyorlown
Sanders __.__ Funeral Director _li.,-Lee puga~__,____
S!~11I
Marital Status
Informant lIaEold W.
Name and Address of
Funeral Establishment
Dugan Funeral ~!?me "J:nc ~Benc!ersvill~, PA 17306
(b)
(c)
(d)
Part II: Other Significant Condltlon3
-"-_._--~~.----.,
~
: I nterval Between
: Onset and Death
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Part I: Immediate Cause
(a) _
Metastatic carcinoma of rectum.
Manner of Death:
Natural
Describe how Injury occurred:
Accident ~
Suicide 0
Homicide
Pending Investigation
Could not be Determined
o
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Name and Title of Certlflor ~ Thom?8 Andrews, M.D.
Addrass
3912 Trindle Road, Camp Hill, PA, 17011
--_._--~---_...,-_._--~-_._--_._._--~._._._---_._._._--
(M.D" 0.0" CoroneCM,E,)
This Is to certify that tho information hore glvon is correctly copied from an original certificate of
death duly flied with me as Local Registrar, Th~or !}Il,1al certificate will be forwardod to the State
Vital Records Office for permanent filing. '-_,,~);' / ", _y
..--tell ~_{.b.L~_ ____"JlJ_~_O-.!~_..
1"'~~J~1f,;f."\lll1Inr<,(H<1' '." Ol\lrultlrl
Apri 1 17, 1994 124 Rice Avenue, R glervi 11e, PA 17307
---o:i1'1I-,.;.::-;;eifti; G;:;rrt~;;t, ~i'~ ~ -~-
"~-il;I:~i^;l.i;:li; no ..
--~-H_'--"i";I-I\;:;;;-,j(i;,-i~;-I:7i,-'--.~-
SPOUSE - The term "Spouse" Ii used in thi s Will refers to Harol d W. Sanders.
CHILDREN - The term "chi 1 dren" as used in thi s Will shall i nel ude any chi 1 drlln
hereafter born to or adopted by me, and any minor stepchildren living with me
at the time of my death, as well as the children I now have, Ell zabeth Anne
Sanders, unless expressly stated otherwise in some provision of this Will.
DESCENDANTS - The term "Descendants" as used in this Will means the immediate
and remote lawful lineal descendants or offspring by blooo or adoption of the
person referred to who are in being at the time they must be ascertained in
order to give effect to the reference to them.
PER STIRPES - The term "Per Stirpes" as used in this Will mean\! that whenever
distribution is to be made per stirpes, the estate or portion of the estate, to
be so distributed, shall he divided Into as many shares as there are surviving
heirs in the nearest degree of kinship to the decedent and deceased persons in
the same degree of kinship who left Issue who survive the decedent. This
degree of kinship shall be termed the root generation. Each surviving heir in
the root generation shall lakG one full share. Those remaining heirs, I.e. the
survi vi ng issue of the deceased persons in the root generat i on, shall take the
share of t.heir deceased ancestor In the root generation, such share being
divided in the following manner: each surviving issue shall take the
fractional share that his or her immediate ancestor would have taken had he or
she survived; and when there are two or more such surviving iSSLle in the samp.
degree of I:lnship they shall divide such fractional share equally among them.
PER CAPITA - The term "Per Capita" as Llsed In thl II Will means that whenever
distribut.ion Is to be made per capita, the estate or portion of the estAte, to
be so distributed, shall be divided into as many equal shares as there are
surviving issue, standing in the same degree of kinship to the decedent.
Distribution shall be made without reference to right of representation of the
surviving Issue.
WS - The term "I SSLle" as used in thi s Wi 11 means all persons who are
descended from the person referred to, either by legitimate birth to or
adoption by that person or any of that desl:endant's legi timately born or
legally adopted descendants.
INTENTIONAL OMISSION - I have intentionally omitted to provide for any relative
or other person, not named as a b~neficiary, under this my Last Will and
Testament, whether claiming to be an heir of mine or not, unless otherwise
provided for In this my Last Will and Testament.
PAGE TWO OF SIX PAGES
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ITEM II
My EfiElCutor and/or Trustee, If app II cabl e, shall havE! the foil owl ng
powers, which are to be construed In the broadest manner consistent with the
validity of this Will and with their duties as fiduciaries. The powers stated
hereirl are not intended to be e):clusivp., but shall be in addition to those
granted by law and shall also pertain to any administrators or tnlstees who
succeed the fiduciaries I have appointed. These powers arel
a. take possession of property, to keep It safely, and to segregate
it from other property owoed or held by the fiduciary;
b. to rGtaln and to Invest In property, or a~ undivided Interest In
property, Including residential real estate, for any period, whether or not the
property be of the char'acter permissible .for investment by fiduciaries;
c. to sell, transfer, m:change, lease, rent, mortgage, pledge, give
opt Ions upon, part I t! on and utherwi se dispose of real or personal property, at
private or public sale, for cash or upon whatever terms the fiduciary deems
advisable, without notice or order of court;
d. to render liquid my estate, In whole or In part, and to hold cash
or readily marketable ser.urities of little or no yield for such period as my
fiduciary deems advisable;
e. to borrow In the name of my estate or of the trust, upon whatever
terms and conditions and for whatp.ver periods my flduclarv deems advisable for
the purpose of preserving, protecting or Improving property held by hlml
f. to pay, compromise, adjust, settle, "ompound, renew or abandon
claims held by my fiduciary and c1&lms asserted against my fiduciary, on
whatever terms hp. deems advisable, without prior cOLlrt authoritYl
g. to distribute In cash or in I:ind, or partly In cash and partly In
kind, in divided or undivided interests, notwithstanding the fact that
distributive shares may as a result be composed differently;
h. to Insure the property he holds as fiduciary against the risks,
and In the amounts he, In his discretion, deems efipedlent, and to obtain and
pay for life, health, liability and other forms of Insurance for the
beneficiaries of the trust, In his discretion;
I. to employ attorneys, accountants, Investment advisors and other
professional assistant including depositaries, profiies, agents, and appralsersl
J, to enter into transactions with other fiduciaries Including
e):ecutors or trustees of estate\; and trusts In whl ch my benef I cl ar I es have an
interest, and Including him as fiduciary for other estates and trusts;
PAGE FOUR OF 51 X PAGES
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k. to engage in the powers necessary to the effective administration
of corporate securities, including, without limiting the gen&rality of this
powerl
1. power to vote in person or by proxy upon all securities held
by the fiduciarYl
2. power to engage in a voting trust or voting agrement with
rospect to securitiesl
3. power to consent or become a party to, or participate in,
mergers, consolidation, sales of assets, recapitalization, reorganizations,
dissolutions or other alterations of corporate structure, including adjustments
in capital structure affecting securities held by the fiduciary, whethpr or not
these adJu~tments involve payments by or to the fiduciarYl and
4. power to hold securities in unregistered for'm or in the name
of a nomi nee I
1. to pay himself reasonable compensation for his services.
ITEM 12
If any part pf this Will, or any trust hereby created, shall be invalid,
illegal, or inoperative, for any reason, it is my intention that the remaining
parts, so far as possible and reasonable, shall be effective and fully
operative. My Executor may seek and obtain court instructions for the purpose
of carrying out as nearly as may be possible the intention of this Will shown
by the terms hereof, including the term held invalid, illegal or inoperative.
ITEM 13
My spouse has served in the Armed Forces of the United States. Therefore,
I di rect my Executor to consul t the l.egal Assi stance Off i cer at the nearest
military installation to ascertain if there are any benefits to which my estate
or my descendants are entitled by virtue of such service. Regardless of my
mill tary status at the ti ,oe of my death, I di rect my El:ecutor to consul t wi th
the nearest Veteran's Administration Office to ascertain if there are any
benefits to which my survivors may be entitled.
ITEM 14
, I
I have made, or may from time to time make, a written memorandum
expressing my desire to give certain items of personal property to specific
persons. I urge my Executor and beneficiarIes to respect these wishes. Such a
memorandum, if made, shall be stored in conjunction with this Will.
PAGE FIVE OF SIX PAGES
~LV 9fdi.w ~~
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Commonwealth of Pennsylvania Self-Proving Clauee
STATE OF PENNSYLVANIA
COUNTY OF CUMBERLAND
I, ANNE WATKINS SANDERS, Testator, whose name is signed to
the attached or foregoing instrument, having been duly qualified
according to law, do hereby acknowledge that I signed and executed
the i m.trument as my L.alit Wi 11, that I si gned it wi II i ngl y, and
that I signed it as my free and voluntary act for the purposes
therein expressed.
~ 9hat~~
ANNE WATKINS SANDERS
Sworn or aHirmed to and acknowledged beiora me, by ANNE
WATfONS SANDERS, the Testator, thi F; ".jL..~_.._'...._...._'
,.._4<L(L.Jl~.._.. . ..t,-..
Notary
Aff i davit
t<<ICtIW
AcleA. ~ NolIry PI.tlIc
CIItIIe IIalo, CIIrtleNnd ColrIv
My Col,., ~I E"l*Ie New,8, 1993
STATE OF PENNSYLVANIA
COUNTY OF CUMBERLAND
.~e, MdED~/JJ-JdYi{'=~JK.L., _Cr.H~g.t:?ue ,
and I'IIAI~u/fl. I't'i'Yri.s'sl{j; the wi tnesae. whose namell ar'e wi gned to
the attaqfled or foregoi ng instrument, bei rog dLll y qual i f i ed
according to law, do depose and say that we were present and saw
the Testator sign and execute this Will as his Last WillI that
ANNE WATKINS SANDERS signed willingly and that ANNE WATKINS
SANDERS executed it as his free and voluntary act for the purposes
therein expressed I that each of us in the hearing and sight of the
Testator signed the Will as witnesses, and that to best of our
knowledge the Testator was at that time eighteen (18) or mora
years of age, of sound mind and under no constraint or undue
i nf I LlanCIl!.
~1H~m' ~d..~~'
WITNESS ~
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W~Sf
Sworn or affirmed to and SUbfi?igJ;jd to beiore me
by f'1M.illJ~ ~LiiZ.I-, ..Ul~1!.... ,~~
and /'J'~D. 11'w/,~ witnesses, this. 'IJ 0
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CER'l'IFICA'l'ION OF NOTICE UNDEH HtJI,l~ j. G (a)
Name of Deceden~, I I) Aitl/ t ill. _'J/-)NDE':' ~.
Date of Deatlll /.le CI L Iv, I ~ q<{
,
Will No. 11';11 - o tJ:~ cf';z... Admin, No. PR
,? 11<1 - (t 31- 2
To the Register:
I certify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to
the following benef.icla,ries of the abovo-capLioned estate on
rlfl'r'!'iJ /~'r'i :
Name
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A,,).vl~
,'i'ilN Df/('\'
Address
...76 V c, t: ,nIl 'fl.:' j) C J 1/ E
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ff-{{:, 1'/t..Q(lLJl.ft'l U C
/1/(('f{//,l'/Ul:kl/-'/', f'l) r/6,j"J
,
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except_
Date Ih/d- .)'1 I ftt,,,
L~:U~',1 tV, 4J! _.-I. 'L..
i nature
Name
HAROLD W" ril\I\IDF.l-m
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TelephonoJlLZl'7t,b- 9:2 2 '1
, Capaci ty I, v" _ Personal Representative
. , __ COllnsel {or personal
. representative
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RfV,~I'O EX. 1",91)
v:\ INHERITANCE TAX RETURN
~ ,I~I'VA RESIDENT DECEDENT
,~:\~Wi;~'
COMMONWEAITllOIPENNlVlVANIA (TO BE FILED IN DUPLICATE
DEPARTMENT Of REVENUE WILLS)
'tARRIlfJ:& ~~\,)12e.o601 WITH REGISTER OF _ COUNTY CODE ?19iJ .... 'yEAR.OO;ill2 NUMBER
ffi im1m'I;;~~~~~ :ij~;l~~; ~DIE INIIIMI um~[rti~~~~~~~~;?~~~
~ lOOIDRUliIlYNUMi!R jiMfrorlifiiiil--'jDAf!6f8lilil uh.._ Mf'('I'nlljcAbur!~, PA 1'10%
_3___.~~-2?-775) A[l~...1("._1~91, Sop. ?O, '? (",ml, GumLor1nlxl..n..._..._...__,_....u__
~ It] 1. Original R.lvrn U 2, SVl'plomonlol Rolv'lI I I 3, Romalndor Rolvrll
<l:g (far dol.. 01 d.alh prior 10 12, 13,821
~~ [J 4, lImll.d E.lalo [] 40, Fulvro Inlo,.,1 Comp,om"o US, Foderal E.lale To.
O~... Ifo, dolo. of dealh afto, 12,12,U21 Rolvrn Roqvlrod
:till r~ 6, O".<I.nl Olod Tollalo [] 7, Oocodonl MollOlolnod 0 L1v'I00 Trv'l ,_ 8, Tolal Numbor 01 Siil,6 001'0.11 Bo...
<l: IAllach copy 01 Willi IAlla~!~5."J'L:>~!!_v-,.'L. _ "__'n __,... _ ______,
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO,
NAME -jCOMP1'WMAlliNOAbomJ
Harold H. Sanders 5 H!Jmlock Ill'ive
fffiP>I;~~NU~'~' 766-9229 ----n----~"~~=-~~:~IH!ni::~:::-PA 1'1055
1. Rual E.lalo ISch.dvlo AI I 11 _...-..0."_
2, Slack. and Bond. ISchodvlo 01 ( 21....!l~,~1~.Bhm.u..._
3, Clo..ly Hold Slock/Parlnonhip Inlero.I ISchedulo C) (31 ....- ;-0 "; .. ... ....._ u_ 'u__
4, Morlgago. and Nale. Rocolvabl'ISchodule 01 ( ~I
5, Ca.h, Bank O.po.ils & MllCollanoou. Pononal Proporly( 5) '-h':"'~U_-__u___._:_u.n....
(Sch.dulo EI
6, Jolnlly Own.d Properly (Sch.dul. FI ( 61 ..~9J ~~~..~1__......
7, Transfors ISchodvlo GIISch.dulo LI ( 7) _, :.0,: __u___,
8, Talal Groll Allol. (Iolalllne. 1-71
9, Fvneral hponso., Admlnl'lrallve Co.I., MlscollalO'ov, I 9) ..__~,6.6{).!.63. .um_U_.._,
Exp.n... (Schodulo H)
10, Dobll, MO'lgago liabllille., Llonl ISchedvlo II
11. T 0101 Doductions Ilalallln" 9 & 1 0)
12, NOI Voluo of E.lalo IlIno 8 mlnu. line 111
13, Charllablo and Govornmonlal B'quOlI. ISchodul. JI
14, Nel Valv. Svblecl to To. (IIno 12 mlnv. IIno. 131
15, Amounl of II no 14 ta.ablo 01 6% roln
(Inclvd. value. from Schodvle K 0' Sch.dule M,I
16, Amounl of IIn. 14 la.able 01 15% ,aln
(Includ. valuos from Schodule K or Schodule M,I
17, Prlnr.ipalla. duo IAdd 10. from IIn. 15 and from lino 16,)
18, Crodll. SpoulOl Povorly Crodil Prior Paym.nl' Ollcoulll
'I 600 Lao
+ _L____.... +.._______......
19, If lin. 18 I. groolor Ihan line 17, .nlor Iho dlfforellco an IIn. 19, This l'lho OVERPAYMENT.
Ii!~
20, If line 1711 groolor Ihan line 18, onlo, Iho difforenco on IIn. 20, Thlsl'lho TAX DUE, 120) , . .... U._mnm________m......
A. Enler Iho Intore'l on Ihe balonce dve an IIno 20A, 120A) __.__m'.._ u ________..____"
B, Enlor Ih. 10101 of line 20 and 20A on lino 20B, This" Iho BALANCE DUE, (20BI _'__m'M u_ ____um.._u_....
Mako Check PaV".blo '0' Rogls'or_ of WU!s.,~g.e.~~...... .._ ..._____________'_n_______.________,_,
. . BE SURE TO ANSWER ALL QUESriONilON REVERSE SiDE ANDro.RECHE-Cj(-i.iATH...... -------
Und-;, pon~jj";; of perjury, 1 docr;,r;Ii~tTh;;;;~omlnBd Ihh rOI~;~lndudjnu ~C;;mIH~~yi~{I<<il~';i~i;.-;;;;j~i~IBmenh, und 10 tho holl o'-my knowledge nod bOUlIf,
Illltruo, corroel and complele. I doclare Ihal all roollHloln has hoon rapeflod ollruo morkol ...oluo. 0" "Iorolloo of prnporor olhor Ihan tho portonal roprolenlolivlI II
baled on olllnformnllon 01 whIch proporor hat any knowlodgo.
IfO'NAfURE"'j PERSO;:riiBpON510lE H;lR "FiliNo-fHTURN--~^[j[iRE B __"0__..." -... m_ ___""__.m -. ...... ----- -..-.-.....~_..---.--.--_..-.---- DAfE----.--------
c-.~~,~A:tR~~~!f{(ifHffifFfrtiit',--...:~)~1!;'!:E-c..~r:!\~...t/J~ ( N 1Ji!J.~.L (!y_~_~,j'_'i._'__2_~_rf liA~~j,!,i!.'--!-tt-!J~
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FOR OATIS OF DIATH AnlR 12/31/~' CHICK HIRI
IF A SPOUSAL
POVIRTY CRIDIT IS CLAIMID [1
;ILINUMiiiii----------'-----
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( 81 _lu?,lllJl
110) ,_____"'__0..-.______.___
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__.______..__,J1..41 _!.~L50.~----- _
{151.... _131,L50.LO______x ,06 = ...._I,B61,QJ__
-0- -0-
1161__..____..__..___,_., .......x ,15 = ._.____________
1171 ..7,88,/.03,
In!fHo,'
(1 BI_8, ~~~; ~~_..n_____
119) .. u_n.nn__._._n.
Chock horo If you (lr0 'oqoolllng 0 rofund of your ovorpaymont.
______~._.._..______.__~_._....._+_____n_._._ ...._ ...__..__ +_0_. __ ._____ .___"_~__"O_ ____._
1_ SCHEDULE H 1
,!~:j;~ FUNERAL EXPENSES,
COMMONWEAltU Of rlNNSYlVANIA ADMINISTRATIVE COSTS AND
IN~\m~~~E~~c'E~IWN ._ _ MISCELLANEO~S .EX~_ENSES _ ____ _ fl.a.. Print or TVp.
mAim .. lnIDMbeR
ANNE H. SA Nn':HS 2l9L-OO,6~
------------------------_.,------.,---
DESCRIPTION
ITEM
NUMBER
--- -_._~-_.__.
A. Funaral bpanses,
nurnn F\mol'/ll
P. O. !lox 391
BoociorBvillo,
.tV,UIlIx.. (1.111
AMOllNT
1.
1I0mo, Tno.
PA l'(0)6
iIll,31L.oo
8, Admlnlstratlv. Casll,
4.
C.
1.
2,
3.
4.
5,
6,
7.
8.
I.
Parsonal Reprasentallvo Commissions - 0 -
Social Security Numbor of Personal Ropre.enlallval
NA
Voor Commlsslonl paid
~
In) - 10 - ,391,
2. Allornoy Foa. None
3,
Family Exampllon
Clalmonl Harold ld. Snnders
Addross of Clalmanl 01 docodent's doath
SI t Add 5 IIemlock I1rive
roo reu
CUy ~lcchoni,csb\Jrr,
Slala PA __ Zip Coda 170" $2 , 000.00
Relallonlhip llurbllnd
Probata Fool
$276.00
Miscellaneous Expensell
TelHohone (Lonp distance calls to rolntivos, friolHis nnd
neces"ary hUlliness calls)
Food for ~Iemoria 1 reI e-brntion Receot; on
~127 . 59
,~125.00
~~5.00
$706.00
~Lo. 00
~117 .0L
Prlntinr of :1'Jr,n';p.1 I1r[whure
Trove), exoonso (dsurhter frvln roll forroill.) t,o funnrl!1 sltH.
Law Journal - Lepal ndvortisoment
Cnrliale Sentinel - to pu,bl1nh lOf(nl notice
,
,
TOTAL IAIIO enlDr on line 9, Recapltulallonl
(If mora spaca Is noodod, Insart additional sheoh of sam. sl...)
Sll,C,(,0.63
t' . ,.
lIY,\tUlltt 12-11)
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SCHEDULE J
BENEFICIARIES.
"
Jt,.'J~'~
.~>ifI)tf
COMMONWI~UIt Of 'hlll~HVANIA
INHUIIANCI fAil. IIIUIH
-!mOIN10IeloIHt
FILE NUMBER
2194-00382
'"
ESTATE OF
ANNE ~1. S~NDERS
AMOUNT OR
SHARE OF ESTATE
ITEM
NUMBER
NAME AND ADDRESS Of BENefiCIARY
RELATIONSHIP
~---' .~
~--- .....-..---..----....-
---
A. T a.able B.que'l\I
1.
.. '
j,"
" ,
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ITEM
NUMBER
NAME AND ADDRESS OF BENEfiCIARY
AMOUNT OR
SHARE Of ESTATE
. ,
1.
B. Cha,ltable and Gayernmentul BequOII"
Mechanicsburr, AreA Public LibrAry
51 West Simpson Street
Mechanicsburg, DA 17055
1,000.00
',,000.00
2.
Hosoiee of central Pennsylvania
ge South Enoln Drive
P. O. Box 266
Enoln, PA 17025-0266
...----..----
TOTAL CHARITABLE AND GOVERNMENTAl BEQUESTS (Aha ontor on IIno 13, Rocopltulallon)
II.' mOil ,po.. I, n..d,d, In..,t addlllan;;i-;ho;i, of ,am' ,In)
$.6,000.00
O"'.I".y,:" ""~".~,,"",-:VUD: V,;'~ .C.&.~bU.L."'b
may.make,l~h,v,~~!1,~ ,', ~P' NOT '
:~ttempt:to'changeit, without
. QonsultingyourLe9al
,Assistance,Officer or your
Lawyer.
\,
".\.f~~~i.rn:(;r vi,;'i';-'-~'i~~':,~,:, ! ';" ", .",
" ,I t I 'I !"" (11 10 " I "
.. I ~ oj \, . '" ''''', ...
.~. ..!!df.~.' l~' I'dtp'f\" Ir,''t'fI.l! '.' I,", ,.\ ,":, ',' ',' ,'!' ~ '1 <l ' . ioll;,
Being of lawful age and Bound and disposing mind and memory and not acting
urid!l,"j>la,I)y.2~,ureilsj' fraud,:'unduadnfluence or 'InducementJof any' perllOni':I,iANNE
WATKINS, SANDERS,' also known as'Ellzabeth Anne Sanders,la domiciliary of .,. 1111",
Mechanl csburlh' Pennsyl vanl a I" I' ",,~ ' '" In
,~L ' '/
~,,, 'I.:i,l:.:
\ . ,'11,.
,:.':\~ '11I:Qj OF 'IH ',I
/..: '-~"I ,.',f,d rl 'r,' ~. ~"!'}fH'I,\:,1, ':.',',
ANNE WATKINS SANDERS I I .,
I, "':,' '1'''1
,,11,'\
,'f~II' .:. tL' \ " \ , 1,0. '
"
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ITEM I
i'"
,.11',,'1. , I' ',' II:""
,~jr.'~HiiF.eby,make,:publlsh" and, declare this my last Will: and Testament,'revo~lng
, andj;r;en~e,r.I,nq~nuN and i vol d other..,Wlll s: and cadi cll lilr heretofore, made byr me.'lnu
:h,,~l'~U.r;,,~'\r.+,~~;~f~a;rWII.lll d!,oo;""I'1' l;rt' ~'l\.','lj't:' ',' ,.' tt'\;t'd~IH hl'\~l 1~1")1;'n';":' ~f." 'n~~"~'i,~n
I:d' (~f1('j~ ~i,..t,~'I: ,',' , ',,"" ,I: ITEM 2\, ",'0'1'''. ll' .' .rl'.
I' .," "
, .
. ~ '
, I' direct 'my Executor to pay the following as Doon aHe,. my death as may be
practlcablel.
a. All of my Just debts and the expenses of my last Illness, funeral
and of the administration of my estatel but my Executor need not accelerate and
pay those unmatured obligations which, in his opinion, It might be proper and
more advantageous to retain or renew and pay as they b&come due and payable.
b. All Inheritance, tran5fer, estate and similar ta):es (Including
Interest and penalties) assessed or payable by reason of my death, on any
property or Interest In my estate for purpose of computing taxes. My executor
shall not requl re any benef I c:I ary under this will to rei mburse my estate for
taxes pal d on property passi ng under the terms of thl5 will.
ITEM 3
TESTATOR - The term "Testator" as used In this Will refers to the maker of this
Will, whether male or female.
EXECUTOR - The term "Executor" 115 used In this Will refers to the person I
appoint, to execute this Will, whether male or female.
SURVIVAL - Whenever a provision of this Will conditions a beneflclary's taking
by that benefl cl ary survi vi ng the Testator, such condit I on of survl val shall be
construed as a condition precedent to the validity of the gift, devise or
bequeath I and such condition qhall be satisfied only upon survival by the
beneficiary for a period of thirty days after the date of death of the Testator
or until this Will is probated, whichever shall be the first to occur, unless
expressly stated otherwise In a provision of this Will.
PAGE ONE OF SIX PAGES
{2r1hi~./Ia:L~ ~~
1t1U. /J R'(( /fij
1.'111,. hl~ H'"
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I'
SP~r:..: I ha.lte;~"'''spou~e,..LH~&~~i~~ft4~s''ttl-HarC:Jl'in: "tlarloft~lf.
.,," .. ,'"
CHILDREN":'Theiterm "children'" as ussd in this Will ,shall include any children
hereafter born to or adopted by me, and any minor &tepchildren living with Ine
at the time of my death, as well as the children I now have, Elizabeth Anne
Sanders, unless eKpressly stated otherwise in some provision of this Will.
DESCENDANTS - The term "Descendants" as used In this Will means the immediate
and remote lawful lineal descendants or offspring by blood or adoption of the
person referred to who are In being at the time they must be ascertained In
order to give effect to the reference to them.
PER STIRPES - The term "Per St! rpes" as used In thi s Will means that whenever
distribution, is to be made per stirpes, the estate or portion of the estate, to
be, GO distributed,' shall be divided Into as many shares as there are surviVing
heirs in the nearest degree of kinship to the dllcedent and det:eased persons in
the same degree of kinship who left issue ~,ho survive the decedent. This
degree of kl nshl p shall be termed the root generation. Each survl vi ng hei r in
the root generation shall take one full share. Those remaining heirs, l.e. the
surviving issue of the deceased persons In the root generation, shall take the
share of their deceased ancestor in the root generation, such share being
divided In the following manner I each surviving issue shall take the
fractional share that his or her immediate ancestor would have taken had he or
she survived; and when there are two or more such surviving Issue h the same
degrell of kinship they shall divide such fractional share equally among them.
PER CAPITA - The term "Per Capita" as used in this Will means that whenever
distribution is to be made per capita, the estate or portion of the estAte, to
be so distributad, shall be divided into as many equal shares as there are
surviVing issue, standing in the same degree of kinship to the decedent.
Distribution shall be made without reference to right of representation of the
surviVing issue.
ISSUE - The term "Issue" as u~lld in thi s Wi II means all persons who are
descended from the person referred to, either by legitimate birth to or
adopti on by that person or any of that descendant's I eg I t! matel y born or
legally adopted descendants.
INTENTIONAL OMISSION - I have intentionally omitted to provide for any relative
or other person, not named as a benefiCiary, under this my Last Will and
Testament, whether claiming to be an heir of mine or not, unless otherwise
provided for In this my Last Will and Testament.
PAGE TWO OF S I X PAGES
~?f.ddh>1~ ~
~ M.R /!:i1Y
I . , .. '.' "'~ I I, ,', . t.. , hi J 1 .
tllf,. j:111'd tll, tI", '!',~IIJ' i-,lIJr '..: ....Jhi l~prlq:.L.j.' i I"','" I.ltl) I 1':~1~~'flt'..:P t]Ul"l
, iJE,I.','Hr.l IJOI,U ;" 1.1, ~1~Ob;0Ll I", W~' 1"11 ,"Ii, w,"o' ;:r6bcIII Jl' ,rl' IT '.!1It! M!(lI I';;;
cfiir00: II '. L\'\I n;',I/I ,J'P! rq~L'u" ~l/I IWr,'1 11.0 IWU. "~or I niJ!! I "J:rr'li',; ~'UA qn Jql,;''!
. ." "./,)r'.'''' """;"",1,",\."-" . (I'
.' " dr, 1101'\" ""'\tJ,~'~"I'.{ , "1
\',' ,.":::l\\i' .:I.rf\<',u"pl:-~,.: '" \,~, "'(.
, ,'II:her.ebYJgive,' devise and bequeath, 11111 the rest;' residue' and remainder of
my"said estate"lInd property of, which I may die salzed 'and possellsed, and to
which' I may be entitled: at the time of my death, of whatsoever kind and nature,
IInd wheresoever it may'be situated, be It real, personal or mlKeu Including any
power of appointment that I may have, absolutely and In fee simple forevor to
my children, who shall survl ve me, I n equal shareB, and to the Issue, Ii vi ng at
my death, of such children who shall predecease me, per stirpes and not per
capl ta.
_..
ITEM 5
In the event that the above beneficiaries shall not survl ve me, I hereby
glve,,'devloe and bequeath all the rest, residue and remainder of my said estate
anll property, of which I may die seized, and possessed, and to which I may be
entitled at the time of my death, of whatsoever kind and nature, and J
wheresoever It may be sl tuated, be It rl!al personal, or mlKed, Including any
power of appointment that I may have, absolutely and In fee simple forever tOI
Harold W. Sanders.
ITEM 6
In the event that the above beneticlarles shall not survive me, I hereby
give, devise and bequeath all the rest, residue and remainder of my said estate
and proparty, of whl ch I may dl e sel zed, and pOuseased, and to whl ch I may be
entitled lit the time of my death, of whatsoever kind and nature, and
wheresoever It may be sl tuated, be It real personal, or ml>:ed, I nc I udl ng any
power of appointment that I may have, absolutely and In fen simple forever tOI
Mechanlcsburg Area Public Library, Ml:!chanlcsbury, Pennsyl vania.
ITEM 7
I hereby appoint Elizabeth Anne Sanders au Executor of my Will.
ITEM 8
I designate my Eliecutor to he an Independent Executor to the fullest eKtent
permissible under the la~ls of the State of Pennsylvania. I direct that no bond
or other security be required. I further direct that no action be had In any
court relative to the administration of my estate other than to prove &nd
record this Will and to return an Inventory, appraisal and list of claims of my
estate.
PAGE THREE OF S I X PAGES
O.Mh1~' ?l7J4~ ~J~
~;~Lf /JD k~
, :, \ ,~
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a. take possession of property, to keep it safely, and to segregate
it from other property owned or held'by the fiduciarYI," 'I":"." ii',
I ' , '! ~ ~ t .' I ~ ri '. 1 : f I " I ,
' ,b. 'I to retain :and to Invest in property, or'an 'undivided ,Ints~est<i!int~, ;;
V"" '" ',,',' property/.I ncl udlng:;resl denU(!I'.real1 e,~tatei,1 for.. anY\lperiod\~wp~,then~!?r,r,!1'~I~.'l\:. II"'.,; f,l,:,
""~'\if' ~:'f'I" i~" I' lJr.oper~~ilbet.oflithel character.l"per.!inl s!l~b1e".fortjjnVelltmentl"bV,l~:,d.dUdar.les, I ,"'" , '
"~." . ". 'IS. '\.'\!.".l( 'l't,:t'~Jfj.Trj.I.f~~l'Q.~'ll ~(;1';~ >ll'f,~i';"'''''o4l,;'''''I''7,;'\~~'''''''':\'l'' '~\\":"ltrfl\Il'~''''I~(.'I''', \-I".f ..~ .' 'I.f\! 11"(.\ jr'"h\f\'''
. tlt',,*ltf~II' .
"J :! ,-l. .~:'}~~~~.\!."".~'t.I;,'j'l"\.II':'i,.,.'1"I"l\"'.."ftJ','f 'I~.I'," 'l~o\"\""~')',J'({\'I'" ,'.'" , 'i)~'.!'~' ""ll';'f/,'I"\'ij,'; 1
""i.\J1J ;',":.. ::~,.. lif!~it"";\.'d,l;'i~~(~'l!"'\'f,')..I"";':.'",~.'1 LI:\l.,!I,~r'\~t~.i,\' "1',':.1"': " :'.' '\ ",,_fl',1 :;{''i'.I, ,':~ ,;,t,:':,lt, ,. ,
""I;,;' ;':' :;',:,):,!h"", """ c. '.".to.sell"','.tr"nshr', ,'e)(l:hange.,'Hease;,.rent;ll!mor.tgagf.l,'n~le..ge, 9",,8, ,,'.... .
"'," ' ""',options"upon, partition and otherwise dispose of real or personal property, 'at'?'\Yh"';o'",
, private or public sale, for cash Dr upon whatever termo the fiduciary deems
advisable, without notice or order of court; , ,
d. to render I i qui d my estate, in whol e or in part, and t.o hol d cash
or readily marketable securities of little or no yield for such period as my
flduci~ry deems advisable;
e. to borrow in the name of my estate or of the trust, upon whatever
terms and conditions and for whatever periods my fiduciary deems advisable for
the purpose of preserving, protecting or improving property held by him;
f. to pay, compromise, adjust, settle, compound, renew or abandon
claims held by my fiduciary and claims asserted against my fiduciary, on
whatever terms he deems advisable, without prior court authori ty;
g. to distribute in cash or in kind, or partly in cash and partly in
kind, in divided or undivided interests, notwithstanding the fact that
distributive shares may as a resLllt be composed differently;
,h. to Insure the property he holds as fiduciary against the risks,
and in the amounts he, in his discretion, deems expedient, and to obtain and
pay for life, health, liability and other forms of insurance for the
beneficiaries of the trust, In his discretion;
i. to employ attorneys, accountants, Investment advisors and other
professional assistant including depositaries, proxies, agents, and appraisers;
J. to enter into transactions with other fiduciaries including
executors or trustees of estates and trusts in ~lich my beneficiaries have an
interest, and including him as fiduciary for other estates and trusts;
PAGE FOUR OF SIX PAGES
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R!Vo1547 EX AFP (08094*
CONHOHWEAlTH OF PENNSVlYANIA
OEPIRTHENT OF REYENUE
IUREAU OF INOIYIOUll TAXES
OEPT. 210601
HIRRISIURO, PA 11121'0601
NOTICE OF INHERITANCE TAM
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
ACN 101
DATE 01-03-95
o FILE NO,
DATE OF DEATH 04-16-94 COUNTY CUMBERLAND
NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUSHIl THE UPPER PORTION OF THIS FORH WITH YOUR TAX
PAYHENT TO THE REGISTER OF WILLS. HAXE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT"
R~MIT PAVMENT TOI
HAROLD W SANDERS
5 HEMLOCK DR
MECHANICSBURG PA 17055
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
AI "NIl TilT!! UNP,
Anount Rlnlttod
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RPTAIN LOWER PORTION FOR YOUR RECORDS ~
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RIVo1547 IX AFP (Oa094*1
co ',,,,"U 1II1lf PEHllSVlVANIA
DE A ItEN! Of MEYftlUE
I EAU or INDIVIDUAL TAMES
I PT. ZII060l
ARRIIIURO, PA 11111-0601
IitATE OF SANDERS FILE NO. -0382
DATI OF DEATH 04-16-94 . COUNTY CUMBERLAND
NOTE I TO INSURE PROPER CREOIT TO YOUR ACCOUNT, SUBHIT TNE UPPER PORTION OF THIS FORH WITH YOUR TAM
PAYHENT TO THE REDISTER OF WILLS. HAKE CHECM PAYABLE TO "REDISTER OF WILLS, ADENT"
REMIT PAYMENT TO:
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ACN
101
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NOTICE OF INHERITANCE TAM
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
or DEDUCTIONS AND ASSESSHENT OF TAM
HAROLD W SANDERS
5 HEMLOCK DR
MECHANICSBURG PA 11055
DAT! 01-03-95
-
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 11013
r-
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A.ount Ro.1t tod
,
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiiiv:i5ljj-Ex""AFii-rciii:94Y"iloYicEuoP-YNHEifii'Aifci-YA'ifAPiiiiAiiiEifiili'~--AtrOWAifcnjFi--m_----u...u
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ANNE W FILE NO. 21 94-0382 ACN 101 DATE
TAM RETURN HAS, I ) ACCEPTED AS FILED I XI CHANGED SEE ATTACHED
NOTEI If an allellment wae ieluBd previoully, lines 14, 15 and/or 16. 17 and 18 will
refllct figurel that include the total of Abh returnl aele.led to date.
ASSESSMENT OF TAXI
1&. Anount of L1no 14 ot SpoulOl roto (1&1
16. Anount of L1no 14 to.lble ot Llnool/Cleoo A rlto (16)
17, Aoount of L1no 14 to,"blo ot Collotorll/Clul B .'oto 117)
lB. Prlnolpol Ta. Duo
TAX CREDITS I
PAYtlENT
DATE
06-30-94
ESTATE OF SANDERS
RESERVATION CONCERNING FUTURE INTEREST 0 SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL
1. Rlo1 Eltoto (Sohodule AI 11 I
2. Stookl Ind Bondi ISchodule BI (2)
3. Clollty Hold Stook/Plrtnlrlhip Intoroot (Sohodull C) (3)
4, Hortglgoo/Notol Rlollvlbla ISohldul1 D) (41
S. Cllh/Blnk Dlpooitl/Hllo. Porlonol Proporty (Sohodulo E) 151
6. Jointly Ownod Proporty ISohadule F I (6)
7, Trlnlforl (Sohodula DI (7)
B. Totol AOlOh
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Funorol E.ponlaI/Ado. COlt,/Hilo. E.ponlol ISohodulo HI (9)
10. Dlbh/llortgoga L1obUitlu/Llonl (Schodula II (10)
11, Totll Doduotlonl
12. Hat Valuo of To. Roturn
13. Chlrltabla/Dovornnontl1 Baquolt. ISohedulo JI
14, Nat Voluo of Eltoto Subjoot to To.
RECEIPT
NUHBER
MM886237
DISCOUNT 1+)
INTEREST 1-)
400.00
01-03-95
NOTICE
.00
84.216.84
.og
.00
.00
59.894.21
.00
(6)
144,111.00
3,954.63
.00
llll
1121 .
1m
114)
~ .Q~4 63
140,156,48
.00
140,156,48
.00 M'OO.
140.156.48 M.06.
.00 M .15.
IlBI
.00
8.409,38
.00
8,402.:lL
AHOUNT PAID
1,600.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
PAYMENT MUST BE MADE BY 01-1'-95M.
8,000,00
409,38
.00
409,38
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FrR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LF.SS THAN tl, NO PAYHENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORIl FOP. INSTRUCTIONS. I
t ".
.......,
3
RESERVATION, E.tlt.. 0' deo.d.nt. dvlng on or be'or. D,ollber 12, 191r .. I' any 'uturl Inter..t In thl e.t.tl J. trtn,'.rred
In po.....lon or InJov..nt to Cl". a (colllt.rIU beneflolerlll 0' the dlcldlnt .Iter the uplrltton 0' any IItlt. 'or
11'. or 'or Vlar., thl COMOnwtlUh htr.by upr...1v r...rvII thl right to .ppr.lI. and ...... tranl,.r Inheritance TlllIl
at thl lawful el,.. 8 (oDU,t.r.U r.t. on any .uoh future Jntlrllt.
PlJRPOSl! OF
NOTICE,
PAYMENT.
REF~O (CRlI
OBJECTIONS.
AOlllN
IITRATlYE
CDIlREClIDHS.
OIICDUHT I
INTEREST I
To 'uUIII thl r.quJr...n" of SloUon 2140 of thl Inhtrlt.nc:e .nd E,t.t. Tu Act, Aot 22 of 1991. 7Z P.S.
Stotton 2140.
Dlt_ch thl top portion cf thll NotJcl and ,ub.lt with your p'V.lnt to thl Rlglltlr 0' Willi prlntld on thl rlVlrl. side,
uH1k1 check or IcnlY ordlr plvlbll tal REGIstER OF HILLS, AGENT
All plvlentl r,cllvld ,hall flrlt b. appUtd to ~nv Int.rllt which IIV bl due with Inv rl..lnder appllld to the tt)C.
A r.fund 0' . tlX crldlt, which W'I not rlqu.lt.d on thl Tax Rlturn, .av bl rlqulltld bv oo~lltlnD In "Appllcltlon
'cr Alfund of Plnnlylvtnla Inhlrltancl and E.t.t. T'M" (REY.l]l]). Application, ar. IVlilabl1 at thl O"lc.
of thl Reglltlr of Willi, Inv of thl Z3 Aevlnue Dhtrlct OffiCII, or by cIlIlng thl 'PIOIII 2it.haur
anl>>trlng ..rvlcl nulb.r. for 'or.. ardlrlngl In P.nn'vlvanl" 1-100-362-2050, nuttldl Plnn.ylvlnll and
within IcoIl H.rrl,burg aria (111) 787-1094, TOOl (717} 772-2252 (H.arlng 1~.lrld OnIV).
Any party In Intlr'lt not ..tl.fl'd with thl appr.I....nt, allcwanc. or dl,.llow.nc. 0' d.duotlonl, or ......lent
0' tllC (lnoludlng dltcount or Int.rllt) II ,hown on thlt Notlc. lUst objlot within 'IMtv (60) dlv, of r.c.lpt of
thlt Notlc. by,
.~wrltt.n pro tilt to the PA D.p"rt..nt of A.v.nu., Baird of ApPlllt, DEPT. ZII~21, Ulrrltburg, PA 17128-1021, OR
...llctlon to hllVI thl ..tt.r aet.raln.d It audit of the account of the per,on.1 rtprlllnhtlv., OR
..~..I to thl Orphan,' Court.
Faotu.1 .rror. dllcov.rld on thlt a..e,.,,,,t .hould b. IIddr"'ld In writing tal PA Dep.rt..nt of R,vtnUl,
lurtlU of Indlv.\du.l TIM", ATTNI Po.t A.......n~ ~.vl.w Unit, DEPT. :!1060l, Hnrhburll, PA 17121-0601
Phone (717) 1.7M6505. S.. pagl ] 0' thl bookl.t "Inltructlont for Inh,rltanc. TIM R,turn 'or I Attldlnt
D.c.d.nt" (REY~1501) for an IlCpllnltlon or 'd.lnl.tratlvllY corr,ctabl. Irror..
If ,nv tllC dut I. plld wJthin thr.. (]) c.l.ndlr lonthl .ft.r the d.c.d.nt', d.ath, . flv. p.rclnt 15~) dl.count of
ttMt talC Plld It allow.d,
Int"..t h chlrg.d blglMlng with flret dav 0' d.llnqulncy, or "1M (9) lonthl and Cln. (1) day fro. thl d.tl of
d..th, to the d.t. of PlV.lnt. Tlx.. which blo..e delinquent berore Janu.ry 1, 1912 ba.r Int.r.'t .t the r.t. of
.IM UX) perclnt per annUl calculated at I dally rato of ,000164. ~11 tllC" which blc", d.llnqu.nt on .net IIt.r
Janulrv I, 191Z will b.,r Intlr'lt ot a rlt. which will vary frc. cllendlr v..r to clllndlr v..r with that rate
announc.d by thl PA D.plrtl.nt of RIVlnu.. Th. applicabl. Intar..t rote, for 1912 throuun 1995 .rl'
!!!!: Interllt Aat. Dilly Intlrllt Factor !!!!' Interllt Ret, o.llv Interllt Flotor
1912 20X ,000541 1981 9X ,000247
1915 16X ,000456 1911-1991 m ,000501
1914 lU ,00asOI 1992 9% ,000247
IllS 15X ,000556 1995'1994 IX ,000192
1916 lOX ,000274 1995 9X ,000247
..Intlrllt II caloulat.d .. fallow'l
INTEREST a BALANCE OF TAX UNPAID X NUNBER DF DAYB DELINqUENT X DAILY INTEREBT FACTOR
..Anv Hotlce I..uld IUn th. talC bIOOIl' del1nqu.nt will r.'ltct In Intlrllt Cllculttlon to flft..n (15) dive
b.vond thl date u' the ........nt, If PlVDlnt I. ud. .fter thl Intlr..t co.putltlon dlt. Ihown on the
Notlc., addl tionll tnternt IIUlt b. o.lcul.t.d.
0 t:!(
.... :<t
o .(~ ;JQ;
c:, 0
,t... ,.~ )
" ~; .1, \'~
(V"\
'.' .- ;J
'" m ij
u .' L.. .
.... 0)
U UI .0
:liUl ~ .., E
Cl:
0: G8
",
.\
PAMNTI
Deteoh thl top portion 0' that HoUel end lutMllt with your PIVHnt IRe plvlbl, to thl n... IInd addr...
printed on the rllllf'l lid..
If REIIlIENT !lECElIENT .... check or .en" crder p..obl. leI REGISTER OF WILLS, AGENT.
If NON-RESIDENT DECEDENT uk. ch.ck or .cn.. or..r ,,>obI. leI COt1HaHWEAL TH OF PENNSYLVANIA,
All PIV""t. r"calved ,hall bt applhd lI"t to any Int.rut which ..y bt dut '11th anv r...lndar IPPUld to thl tlM.
REFUND (CRll A r,'lMld of . talC oredlt, which .... not nqullttd on thl rllC Rtturn, aav b, r.quuttu by co.phUng In
"Application for R.fWld 0' PlnnlvlvlK1Ja lnhtrltlncl and Elt"t_ Till" (REV~UU). A9PlIcIUonl ar. Iv,ll1bl, .t
thl Of,IcI of thl Rlgl,tar of Will., any of thl 23 AIVlnu. DI.trict O"lc,. or 'rol the Dlpart.,nt'. 24"hour
tn,wert", ..rvlcl nuabar. fer 'or.. ord.rlnOI In Plnnlvlvanl, 1~800~S62-20S0, out. Ide P.nnIYlv.nl.
Ind within 10cII Hlrrl.burg Ir.. (117) 717-1094, TOOl (717) 17Z-Z25! (H..rlng Ilpalr.d only),
REPLV TOI Out.Uon. "girding trrort cont.lned on thlt notlcl .hould bt Iddr....d tal PA Dlpartllnt of R.vlnue, BUrllU
of Incllvldull hili', ATTNI Po.t A.......nt R.vlew Unit, Dlpt. 210601, HarrhbtJrg, PA 11128-0601, phon.
(717) 761-6505,
DISCOUNT. If any t.ll due 1. p.ld within thr.. (l) c.l,ndlr ~nth. aftlr thl dlcldent'. dtlth, a flvl p.rclnt (S~) dl.oount
ef thl till p.ld I. 111ew.d,
INTEREST I Int.r..t I. charged beginning with flr.t dlY ef dlllnquency, or ntnl (9) looth. and one (1) dlV fro. thl dltl of
death, to the d.te of PIYI."t. Tallll which b.e..e delinquent b.fore Janutry 1, 1912 b..r Intlrllt at thl r.t. of
.IK (6XI peroent plr annul calculatld at I dtllV r.tl cf .000164, All tllll. which biOI" dellnqu.nt on and .fter
JlnUtrv 1, 1911 will b.tr lnt.r..t at a rltl which wIll v.rv froe ealendtr y..r to etl.nder y..r with thlt r.tl
~td by the PA DlPart..nt of R.Vlnut, Thl tPPllClbl1 Int"..t rat.. for 1911t threulJh 1995 ar..
Vllr Int.rllt R.h Olllv Int.r..t Facter Vllr Inhrnt Ratl D"lh Int.rllt Facter
1911 ID~ .000541 1987 9~ ,DDDlU
1915 16~ ,DDD'Sa 19a1-I991 ll~ ,DmDl
19" Il~ ,000501 1991 9~ ,000167
1915 \3~ ,000556 1995-1994 n ,000191
1916 ID~ ,00017' 1995 9~ ,0001'7
"'lnhrllt I. o.loul.t.d a. follow..
INTEREaT ~ BALANCE OF TAK UNPAID K NUNBER OF DAVS DELIHQUEHT K DAILV INTEREST FACTOR
u,,"y NoUc. Juued afhr thl till b,cOMI dlllnqu.nt ..Ill r.flect an Int.r..t ctlcultUon to flftHn <1S) diy,
beyond the d.t. of the .,......"t, If p.y.ent I. lad. eft.r the Intlr..t coe,utltlon date .hown on the
NoUel, tlddlUanl1 Interllt ltU.t be c.loul.ted.
5-/qtf'~
....---
I'
~
STATUS REPORT UNDER RULE 6.12
Name of Decedent I 1-1 N /V I. IU, Sf') !.Ipr,,'J
Date of Deathl 11 r ({ J {', I q q 'I
,
Will No. , I - 'I ,/ - (, ::: J'!. Admin. No.
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the follow.lng with respect to completion of
th~ administration of the above-captioned estate I
1. State whether administration of the estate is completel
Yes No
--
2. If the answer is No, state when the personal
representative rensonably believes that the administration will be
complete I /) t' 1<, 1-/ 1->-',"0.,
3. If t.he answer to No. I i.s Yes, state the following I
a. Did the personal representative file a final
account with the Court? Yes No
b, The soparate Orphans' Court No. (if any) for
the personal representative's account iSI
c. Did the personal representative state an
account informally to the parties in interest? Yes No
d. Copies of receipts, releases, joinders and
approvals of formal or informal account.s may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Datel JnJ/,ll.,1?7.1'
1,1
c.. ~- /-'../ -rl --/.. ~ (.,( tl ..../:"I./- 4.. ~-l_'.'_ (.-,
Signature
111/1:,' I,) \.1, ,,'n (,/\\ Ft'!'
Name (Please type or print)
.- s~
- .-
01/1 ..
.- t')
tl1f.:i E: ') :'
r";> ' Go
t.;:.~ fll()
(",;1 't~ N , . '()
.-
I) '," ,.
I~ :'.' :E ' '\1
~ (II -, iii
loo..-'
8 1:1) ~ ~~
g&
a: (MAHI rmUM3)
17'-'J',-
t;,- 1/ r 'IL.i!...!:E tJ I': / II I~. jljctH./I) A
Address / '
( 7 III 76 (, - 9 ~" !
Tel. No.
Capac i ty I j,.. ,Personal Representative
___Counsel for personal
representative