HomeMy WebLinkAbout94-00396
". ''''''.', .. ..
, ""'. .
I."
,",
'.' ""
..,
I"
','
.
"
',' 'j
11II
"',,
"
, .,
".',
",;
,I,
"
"
,
I"
" ,I
'\,j
. '
"
\' ",,'
':'
., , ; ~ I',
.,
...
.',
',\.'",
, t",
, .
1 ~
"
'",1'
L,,"
, ~ I'
. "
,II'
I';'
,("
."
,
, ," '~'
I',
~..'
,,",,;
,r'"
,,'\'
, ,
"
f'
L,
;~::I:r,,~',\~,\ ,:;':::
I,;,;, ,
,;.: ' I, 1. ~ ,.
.;', "',',:"
I,'" 'I'" i I,
11'" " " "
; , ~/': ;::' ",I', I I'
I~I".'I :l I' ,';/1 ,
;',1' ': ,t', "',::
l~t,i, ,'" "."
I,
"
("
,.
'1/
,',
,':';
,if
"",1
I,,"
I'
, ',I
,,'
,;,
,I\r,
';',\,4
,,,:
""I
,
'.'
,
,.
'I,
\.,.
"
"
"
,,"
"
" 1,,1
'"
'"
.' r'
"
"
, ,I'
",}
y
, ',\
,
"
",
",
'"
"
':
'" "
, I"
" ,
,I'
,'.
."
p
\" ~
'I"
"
"
,',..
,',I,
,
,"'(,
'~, '"
..,,'
"',"':1
'.
, ,
'"
),,,,:
,""
"
",;'
I'
,',
I','
'"
\.: ,,,'
".'"
,,'
,f'
"
',.
,,;'
" ,;,,,
',' (I
\."
"
"
"
'I: /I',
. I
, i ~
,\.1
.'.
,.t',
1'.\
'"
.,'!
"",;,\'
,
"
'(,.
"
"','
":\
."
""
I,' , \1'"
r 1\ '~;.;.', :
.1"
'.1
'\
", " ~ : .'
:\1
. "
fl,',".'"
", ,,\
\'IV:
"
.. ,
',/,' :1.'
I, '1",
~' ::,:: ) ~:' , I ,
",
1.",,\ \:
:,',>(1,' " ',., \'
11,1
:;,'//\',,1,;',:,';'; ,
",' If"
"
'! "
',':';;'/\."\.
, I'
" ,
"
'"
,"
r." "
,. ,
.,'
\"i "
, ,
,.'" ,I'
, , ~,1':' ,
,,:,
!.
!:
,"I
"
"
':
"
,': "
'I.,,'
'"
, , ~ '
d' .'
'..
"II
,.
"',.1."
" J'
'I','
, "I
.,';1,
, ~ 1; ~:
IL'
,"
",
1 "
\.
,I.
, ",
"
,I
,.
I.
"
,.'
,','\ "
"
1 ~, '
': '
'"
"r.'
)'
'1'
,; '.'1
''\ '
"1
"
',,',
i'
, ,
,I
':
."
I'
.....
",0
"
:U
,
it;
W
I I ~
it: I'
I,
"
,
1'"
'"i,,'
'1";\
,,'
.';,;::
,eJI'
.", I
.,'
:ell :1
'",
,p "
:'1,:
,"
)~ ,'\
""1:'
,1'/"
.',':,'\:
,OJ
:1
,.
"
:/'1.
'::
"
:,',"1
'.' ,"'.',
'i' ~ ~ "
,.
'<\"";',,
..
.. ' ' I, ~,'
,..
;,"
';,'
,', ,
"
. "
," "
,
,J',.
.'
',' .'
."
i"
,
"
;'(t,
'"I
".
"
\'1'
:" ,'L:
1:\"""
, .."
"
"I. ,
,"
,.
"
.''1
",'
"
, "
"
,"
"
""".)\:,\'
',0
',',(,.'
"
,;",
....'1
"I",
'i'"
," "
"
',0.1"",,,
,\;. 'I; 'J II " ,
"I "
. " ~ !",. I , ,1:/
.' ,
'h' I'
'J, ,j ,\1,': ,',;-
I. ".:"",
",'
.."
'"
"
,
,.
:,l,
'"
',1
":',
'I,'
I,
" ;'.
,
l'j'
"
, ,~ ..
,
, ,
'1\
., ,. ,
"
\ J.
Ii,
:1'
'I
I" ~, 1
,
"
, :(',
\,,
,
",I
11/ t,
"
"
,,i
',',
\.
'"
I.
, "
lIi
", ~ " ~;
... '"
',II
"'01 .,
\'1'
I'
" ,
"
,"
"1"
, 1
" (.,"
;'d'.. ':u~
,,~ '
'I'
, '.;1,:','
'I,.', ",
"/"'\ ',"
'/.1, \', '~i '
"~I
,~ ,"
',"
',j"
"
I"~
,I'
q'
,
"'\
'I
,;\'
, ,
,
,', ,
I"~
}~';": '
,
,
'"
\.
,1\
I'
,':"",,',.
V,: \ \"
II
I' "
II. I':
t,I,.
,
I C'
, '
.','"
"
.. ;'\
, ,
" "
" "",'
"
',"
',"'-':
',1/
,,; "
.; ~
',J
'.',\'
1\:",1".
~" ,
',' "
\,
"
"
':';,
,', ~ ';; iI'
, "
'.',.'
'1'
\' i
';,'
"'ill'"
",'
, "
,1/'l!",
"II
"
J:l'
,','
;,
"
'.
',{,
.,
,
,J
',.+
'.,
"
I ;'t;
: ';1 ~ i, I;:
,,',
" "/,
,"
, '.\It
,,,
,I
;1
'.\
','
"
"l
" I,'
:1>
I. ,
.;i'J 1 ,.
,.1 .'
"
"
. '
,',
,
1;,1"1,1
I' ","{,
"
,'. d'"
"
,,:. I'
,'.
,
I"
,I
'I ",',1;',
",
I
I,
','
I,ilj
'," ",,
''',
:",.
, "
, ",I
.;1::/.",
',,"
I'
, ,
"
'"
" '
.'
I'
"
"
" ,
d"
,",
"j
I'
I'
/; ,
. '(1"1:
"
'01'
i'l
I' ;"
I..'
"
No. 21-94-396
Estate of JOHN C. MOWERY
I Deceased
DECREE OF .PROBATE AND GRANT OF LETTERS
AND NOW APRIL 29th __ 19~., In consideration of the petition on
the reverse side hereof, satisfactory proof having been prelcnted before mc.
IT IS DECREED that the Instrument(s) dated DucoJ!iliur )3,L1989
described therein be admitted to probate and filed of record as thc lust will 01'_
,John C-..Mownry
and Letters TORtnmAntnry
are hereby granted to susan M. Campbo 11
----
Will Book N
Page
'n~ t', y:u~ "Ii. (1 f1 ,(1.f:7.~I1r.hl,. DtlJL'7
Regl.Ie' or Wills
FEES
Probate, Letters, Etc. ",' , , , ,. 5 305.00
Short Certlflcates( )",..".,. S 12.00
~.2.:,<.,PAGES"" S ~,nn
.1CP S 5.00
TOTAL _ S 328.00
Filed ,. M',lH\., ,2,9.. , .1,9,9.4. . , . . , , , , , . . . , , .
John E. Slike, Esquire #06262
ATIORNBY (Sup, Cl, 1.0, No,)
~. Box 737, Camp Hill, PA 17001-0737
ADDRBSS
. (717) 737-3405
PHONE
; , "
;r.J
71'1 Dl
(\/ .':i'
00
~; n'
:.
~;}
(,',
,:'1
1'.)
;1'
),
.'
vi (
.(.,
:lj,__;
~,~'I' ,..\,
i,~) I
,I.':_
11
LETTERS AND ORDER MAILED TO ATTORNEY 4/29/94
21-94-396
This i.. III (erl ily tlMl lilt' il1(nrlllallllll 1lt'll' ,L:in'll 1:-. till rt'( II~' (1IPIC,II!'Olll .ill (jll,I:1I1,1l1 ('llItH,II(' (II 111,'.1111 llidy filt'd Wldl lilt' ,I"
J.orallto.:'..!i'iulIl' 'l'1H' migillal fL'nifil',llt' will hl' "1l1 w,lldl'd III 111(' SLltl' \,il,d HI'l (11t1~ (II/II C' 1111 j'l'IIII,ltlCIII filill.t-'..
WARNING: It Is Illegal to duplicate this copy by pholos!at or photograph,
Fcc (II' Iii" (,,,,,ilk,,,,,, S,!,IIII
/) j
'1\.vu '" .{\.,,<-l- li'(,~'(. ~W.tl.
I.ol'id 1{1:,~~I..trill (j q
23.34158
No.
. a,{Ut<..e, J '?'I.t~ ? Y....__
U 1J,ll<'
::["r~ IIJ .It / s sAp., t.I b,'
JlII,.:/f1 E. /no~ve~7
-.lIt - !i),1 (! tA!!\!, r (! I? lima
. I,I!,
HIO$\4I""""
COMIlONwrALTH 0' PINNIVLIIlNIA. OI""AIMINT 0' HULIH' VITAL ArCOIlOI
CERTifiCATE Of DEATH
".......,
"
HMWlINI ~
IUCIl.. I,
..
..
'*"' ..."""t.f!GNXIN......~.... tlPCoJII
}02. M""..b" pr
.\.. 170'(
-""
..
'7 -
, .
~
I /.~.
<.
i
&
I
-." Wf,--- ../. r;;J;!!L......... ..,
-...- : ~() , 'J..:l ..0 "IlJI
_N................"-..c.......IlfIdl~,.."'.... ~ ............... 'fI'9,twCIl..UI~.!""'" ..,..,.,....."""lAA,tt ....... ., cw. ....................
l..iN<f.._illI........ ~MlMM ........~..~_...."""I
1-..-
~'U4lII'.. )
=,=. 1:~::~=;~:;~7~c~~~~ ..~....:t. . :~.., f,k __~
~'MlflQ' IlU.IIHUClOfAfIl CWI Of lfi,lVl\y I HM'!Y H.MlOI'Mlf'tFlI [""-tcMILUnCltt.lifND
:::'itFJZ.. I:;,,' ~ -... ['J .....",.., .. [I ..(J
'~_P"~,:: ~-~-~~. t~_..:L__==~ -~.: ~~~r..~'.':;;::"J;-:':I~:~=- ,
'C:aIltlt........nllClAll~I"'...I.""'~l_o,f"'..."".......'.,.......)"'H...........,It""...,,,.'.I..,,,".~lj, rj - ( 1 .
"........,...........,..MI_...._.....'hMll'f....../I/'.U..t&f... ,,", ,......, , . lL__ '!1':!-L.:..~:J=..:,..- _______
t((1tM 1(" CloffI_OI""'..O"....1
'r c ~"lQU(lc&AIIt'_"n""lut',ll,....*'l..,'""..., 'u~,.."..I<,'".. #""~.Jt", 1 I ( J I I "I
,...llMl...,......,. ...11I....,.,,"........ ~.It ...,~... ~M.....m"tll....,.).......UIIfI... [1111_~!l \:it\ ~.'l... ,:' .... ._~. t1~:I~_ -::01._1_ ._._
~~"Of,.,I~W1IOCOW\lIOCAUWOllOf...H
'-.:r.7Cr ~"i1 , T.r.~:..
n.11iI;;;oiiio-.:;l/lf--------- -----... --- .-.---- LJ ili&,g:z.k~ c."'(/f.lL&.i
a.-~r.t.",- &.~; .__.__ .__._______ ~lLt<<JIu1) ._" /lcl.i:.~91
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
}
Ul
SUSAN M. CAMPBELL
being duly sworn._ eccordlng to law, de pOle I and says thetS ho is Executrix
01 tho fltate of John C. Howery
Camp Hill Borough
lete of --...__,..:".___....,.. ,---. , Cumberland County, Po., doceased and that the
within Is an Invontory mede by her ., tho IOld executrix
of Iho enllro Olldlo 01 IOld deoodenl, consisting 01 all tho perlonal prop'.rly and rOil estoto, oxcept real estotli ouhlde
the Cummonwealth of Pennsylvania, and that Ihe figures oppollto oach Ilem of the Invontory roprosont it'l fair veluo
41 of Iho d.to of docedent'l death. '
Sworn to
_ and lublcrlbed beloro moo
J
~
19 94
~
c/o 2109 Ilarket Street
NO IARIAL SG\L
THElMA S, McCAUSLIN, Nolary PubliC
Camp Hili, Cumberlana Counly
My Commission fxpircs ,Iul)' 3 1996
_..._--~
Dete of Deeth
Camp Hill, PA 17011
Add,,,,
Day
April
Month
..'
1994
Vea,
INSTRUCTIONS
I. An Inventory mUlt be flied within thre. months alter appolntmonl of personal roproltnletlvo.
2. A supplemont Inventory must be flied within thirty days of discovery 01 additional allels.
3, Addltlonellhooh mey bo alleched 01 to personalty or reolty
4, See Arllole IV, FlduclerlOl Act c11949.
.
0
ffi U)
l! ~
~ ~ 0
>J ~ ~ .
~ 0 o~
2 g 1'1< 0
~ 0 g
~ w (Q Q llIH ...
iE 0 o":! 0
l1. -' ::::: ~ . l1.U) E
u. ,,;
U. ..J jj 0 l1. 0
W . H . ~
> o <( a:: u I::l i: ~
z
Z 0 Q ::r. c S
(:l 0
- VI ~ :r.l ~
0 C( 6
z w 0 ~ 0
l1. I") ." t-:l
c
... ..
';::
0 ..
.0 ." ...
0 e
... 0 0
j " it 0
0 ...
cOM~~~X~~~.\\ocf/~liJ'rJMAN'A
1.210101
HARRIS 0, PA 17120,0601
.-
/l/-Jog-s
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS
COUNTY CODE
c...
REV-l&OOEX+(lHlll
FOR OATES OF DEATH AFTER 12"1181 CHECKHERE
IFASPOUSAL 0
POVERTY CRED'T IS CLAIMED
FILE NUMBER
I
~ I r
at g
K K
S
DECEDENT'S NAME (LAST, FIflST, AND MIDDLE INITIALl
MOWERY, JOHN C,
DEcrOENT'S COMPLI;TE AOOF1ESS
102 November Drive
Camp Hill, PA 17011
SOCIAL SECUAlTYNU~~E OF CEATH
179-12.5220____~~
Xl, Ollglnal Rolurn LJ 2,
CouI11y Cumberland
Supplomonlal ROIi,rn
2194-0396
YEAH
NUMBER
o 4, L1mllod Eolalo
[]J 6, Docodont Diad Toslalo
(Attach copy 01 Will)
04a,
o 7.
3. Romalndor Rolurn
(lor datos 01 doalh prior 10 12-13-62)
o 5, Fodoral Esloto Tax
Rolurn Roqulrod
o 6, Tolal Number 01 Sofa Dopr311 Boxo,
Futuro Intomst Cornprornlso
(lor dalo' 01 doalh attar 12-12-02)
Docedonl Malnlalnod a Living Tlu,t
(Attach a copy 01 Tru,l)
C P AI.L CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
o 0
R N
R 0
E E
S N
T
717 '737-3405
1, Roal E'lalo (Schodule A)
2, Slacks and Bond, (Schodulo B)
3, Closoly Hold SIOck/PortnolEhlp Inloresl (Schodulo CI
4, Mortgago, ana Nolos Rocolvablo (Schodulo 01
5, Cash, BanK Doposlls & Mlscollanoous Porsonol Proporly
(Schodulo E)
6, ,Jolnlly Ownod Proporty (Schodulo F)
7. Translors (Schodule G) (Schodulo L)
8. TOlal Gross Assols (lololl"oSI-7)
8, Funoral Exponsos, AdmlnlstroUvo Cosl', Ml,collanoou,
Expon,o, (Schodulo H)
10, Dobts, Mortgogo L1abIUUos, L1ono (Schodulo I)
11, TOlol Doducllons (Iolalllnos 9 & 10)
12. Nol Valuo of Eslalo (II no 6 minus IIno 11)
13, Charllablo and Govornmontal Boquosls (Schodulo J)
14, NOI Valuo Sublocllo Tax (IIno 12 mlnu,"no 13)
15, Amount nf IIno 14 laxoblo al6% ralo
(Includo valuo, Irom Schodulo K or Schodulo M,)
16. Amounl 01 linn 14 laxablo at 15% ralo
(Includo voluos from Schodulo K or Schodulo M,)
17. Pllnclpallax duo (Add lax Irom IIr,o 15 and Irom IIno 16,)
16,Crodlls/Sp Povorty Prior Payments Dl,count
+______ + 1,'176,91
19, IIl1no 16 I' groalor Ihan IIno 17, onlor Iho dllforonco on IIno 19, This I' Iho OVERPAYMENT,
ILl 0 IChlok hero n you aro rlquaatlng a relund 01 your ovarpaymliii:!
20. IIl1no 171, groalor Ihan IInol6, enlor Iho dlHoronco on IIno 20, Thl,I9tho TAX DlIe,
A, Enlor Iho Intorest on Iho balanco duo on IIno 2M,
B, Enlor Iho 101.1 of IIno 20 and 2M on IIno 20B, Thl' I' 1110 BALANCE DUE,
Make Cheok Payabla 10: Reglsler 01 Wills, Agent
.. .. BE SURE TO ANSWER ALl QUESTIO~S ON PAGE 2AND TO RECHECK MATH .. ..
Under penalllts O~ perJ'Jry, I declarelhall hav'I~lmlnlld lhl~ return, oIlcludlllD "ccomplnyln~ schedulu and sta!emenlS,.nd 10 the but 01 my knowledge and bIllet, II II tru.,
correct and compl.'., I dlclar.thal_II,ul ulal. hu been fepo/led all,uI m.r~'1 valoJl, Declarallon 01 pl'Plrll oll1al lh3n the plroon.1 IIpreunlall"" il bUild on allin/ormation 01
which prffpllflt hu.nyknowledgt, l ~J .?J' 7'7
910NATUAEOFPEASONAESPoN9InLEFOAFlLlNonETunN. ^ 1116SS (l ,J ~n DATE
1.,'\O..:Io...~.l1.. .Q..l" _ ~................
5 Plumtree Rond
Be-iiiir-: . MD. .. hog...... ,....... -.......... -.....
ADDRESS
Saidis, Guido, Shuff & Mns1nnd
h09 .Mlirke.t. St.reet............ -.......... - -.....-
Cni,ip .iiii i': 'pi,:'.i ]cjii"".. -. ...... -.. ........ -....
NAME
John E, Slike, Es uire
COMPL(TE MAILING ADDRESS
TELEPHONE NUMBER
Saidis, Guido, Shuff
2109 Market Street
Cam Hill, PA 17011
None
333,076,00
None
None
174,599,51
R
E
C
A
p
I
T
U
L
A
T
I
o
N
(1)
(2)
(3)
(4)
(6)
(6)
(7)
Nono
Nono
(9)
1/,,062,23
(10)
1,310,50
(15)
492,302.78
T
~
(16)
0,00
C
o
M
e
I
b
N
Intoro,t
SIONATURE O~ P
'PAnE F\ OTHER THAN Rf.PHE~ENT A liVE
P IL/..
COPYllghl(cll0~ I ,1'1\ ,oftwlre only Cent" Plate SClllwarl, Inc,
\
& Mna1and
(6)
507,675,51
(11)
(12)
(13)
(14)
15,372.73
',92,302.78
None
492,302,78
29,538,17
)( ,06 1:1
X ,15:1
0,00
(17)_
29,538,17
(16)
(19)
1,476,91_
0,00
(20)
(20A)
( 20B)
28 ,061. 26
0.00
28,061.26
DATE
7 Ie'; 'Ty
Form 1600 (R.v, llMgll
'REV-II'IEX> (He)
COM\t11~~W~ANIA
I!8TATl! Of
SCHEDULE B
STOCKS AND BO OS
04/21/94
JOHN C. MOWERY
SSII 179-12,5220
-
~I
ITEM
NUMBER
oln -owned wl1h RighI of Survlvollhlp mual ba dllOloHd IIn 8ohadul,',1
DESCRIPTION
--
1
Smith Batney Sheatson Investment Account
I"
"
",',(;
'"
!;I
,
"
" ,
"
(>, I'
"
"
"
, ,
"
, "
','
..
"
l't,
",
,I'
'I.,
"
"
R
2194.0396
VALUE AT DATE
OF DeATH
333,016,00
'I
,
"
",'
',\.
,.1
"
,.
1.\"
, ,
" "
.1 I' ,
,
" ('t
"
,
,
" ,. .
;.' ,
". '!
I'
"
" ,
"
"
0'.'
,.
"
"
',;
,I
,.
"
':'.
-
TOTAL Aleo enlll on line a Reo lIulatlon
(II ITllIle Ipall needed, Inlllrt addlllonll lheel1 01 11l11IIllze,)
C'PIllgM(.)'1I1 form 1011'''" onlV Conlll P'... 8011",", lno,
"
" Ii
. 333 076,00
porm 1800 eoh.dul'II (R.v, ,-II)
A~iI'1&11 EX' (1-11)
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSE
Pleue Print 01' T e
PIL! NUMBER
2194-0396
COM~\l\l~Th~~ANIA
ESTA1li! OF
JOHN C. MOWERY
ITEM
NUMBER
SS# 179.12-5220 04/21/94
DESCRIPTION
AMOUNT
A. Funeral Expen...:
1
2
3
Neill Funeral Home
Susan Campbell . reimbursoment for Cunorlll oxponses
Gingrich Memorials - inscription
4,030.00
640.00
75.00
So' AdmlnletreUvl CoIIII
1. P8IlOnal Reproeenlallvo Oomnllllonl
Sod~ Soourlly Number 01 PellOnal RoplulMlnlallvo: 1!!.8. 32" 3039
Vefl CorlV1ll88lonl paid _
2- AMrney Foos 8,315.00
3. Family Exempllon N/A
Clall1llnt Rolallonlhlp
---
Addrll88 of Clalmanlll dOO8CMIIII', doalll
Stroot Addr888
city Sial' Zip Code
4. Probalo F_ 328.00
C. MllCtlllnaoull!xptn...,
1 Registor of Wills. fLlin/\ fllos 25.00
2 Cumborland Law .Iournnl - 1.0 gal lids 40.00
3 Patriot. Nows Co. . logd lids 59.23
4 Ruerved for tllXOS nnd futlUro dobts 550,00
TOTM. 1\180 on\Qr on line 9, Reo Ilulollon
. (II 111010 BfllOO Is Il8'Idod, In&or! IddlUonal sheets of same elle,)
Cop~rlaht(al tltt 'olm IOUW'" onlv C.n'" '~.n ftllftw.".IIIO,
. 14 062.23
Form 1800 S,h.dul. H (Atv, 7-111
tf "' /''1 t+).l7 .. I
'JoY'
c..
AEVo1547 IX AFP (08094.
COHHOHWEAllH OF PENNSYLVANIA
DEPARIKENI OF REYENUE
BUREAU OF INOIVIOUAl lANES
DEPI, za0601
HtRAISIURO, PA 1112840601
HOTICE OF INHERITANCE TAM
APPRAISEHENT. ALLOWANCE OR OISALLOWANCE
OF OEOUCTIONS AND ASSESSHENT OF TA~
ACN 101
DATE 11. 28-94
FILE NO.
DATE OF DEATH 04-21-94 COUNTY CUMBERLAND
NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBHIT TNE UPPER PORTION OF THIS FORH WITH YOUR TAM
PAYHENT TO THE REOISTER OF WILLS. HAKE CHECK PAYABLE TO "REGISTER OF WILLS. AGENT"
REMIT PAVMENT TOI
JOHN E SLIKE ESQ
SAlOIS ETAL
2109 MARKET ST
CAMP HILL PA 17011
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
CUT ALOND THIS LINE .. RETAIN LOWER PORTION FOA YOUR RECORDS ~
iliV: is,,?" iie "AFP" " f 0'8-:94 T "NoYi Ii ni,; ""iN'Hiifii' AileE-TAx" APPRAi BiiliNT ~ -"A i: 1 o~Ailc E "i:ili" " -"""" -"" - _"" 0""
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF MOWERV. JOHN C FILE NO. 21 94-0396 ACN 101 DATE 11-28-94
l
AnouMt Rlnl Hid
J
TAM RETURN WAS I (X) ACCEPTED AS FILED
RESERVATION CONC.ERNING FUTURE INT!REST " SEE REVERSE
APPRAISED VALUE OF MRN BASED ilNl ORIGINAL
1. Rill Eltltl ISohldub Al (1)
2. Stook. IMd Boodl (Sohldub B) (21
5. Clollly IIlld Stook/Plrtolr.hlp Int..llt (Sohldull C) (5)
4, Hortglgl./Notl. Rlollvlbll (Sohldull D) (4)
S. CI.h/B..." Dlpoolh/Hho, rlrlon.l Prop.rty I:;oh.dull E) (51
6. Jointly O.n.d Prop.rty (Soh.dul. F) (61
7. Tr.n.for. I Soh.dul. G) (7)
B. Tohl AII.h
I CHANGED
APPROVED DEDUCTIONS AND EXEMPTIONS,
14.062.23
9. Fun.r.l E.p.n.I./Adn. Co.t./HI.o, EXPln... (Soh.dul. H) (9)
10. D.bh/HortgRg. LI.bUIHII/l.l.n. ISohldulo I) (10) 1.310,50
11. Total D.duoHon. Ill)
12. N.t VIlu. of T.. R.turn 112)
U. Ch.rltlbl./Gov.rnnlnhl B.qu..to ISohldul. Jl 1151
14. H.t Volu. of E.hh Subj.ot to To. (14)
NOTEI If.n ......m.nt wa. i.su.d previouwly. lin.. 14, 15 and/or 16. 17 and IB will
r~fl.ot figural that includ. the total of ~ r.turn. a......d to dat..
.ASSESSMENT OF TAXI
15, Aftount of Lln. 14 .t Spou..l rot. 1151
16. Aftount of Lln. 14 t...bl. .t Lln..l/Cl... A r.t. (16)
17. Anount of Lln. 14 t...bl. .t Collot.r.l/Cl... B r.t. 1171
Ie. Prlnolpll T.. Du.
TAX CREDITS I
PAYHENT
DATE
07-13-94
.00
333.076.00
,00
,00
174.599.51
.00
,00
Ie)
507,675,51
P,.~7' 7~
492.302.78
,00
492.302.78
,00 M'OO.
492,302.78, M .06.
,00 M .15,
llel
.00
29,538. 17
.00
29.538.17
RECEIPT
NUHBER
MM886287
DISCOUNT (. I
INTEREST (-)
1.476,91
AHOUNT rAID
28.061,26
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
29,538.17
.00
,00
.00
· IF PAID AF12R D~TE INDICATED. SEE NEVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
( IF TOTAL DUE IS LESS THAN .1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). YOU HAY DE DUE
A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INST~UCTIOHS.)
" j
RCSERVATlDN, E,t.tll tJf dlcldent. d'flng on tJr before Daclabu 12, 1'182 ... If an';' future Jntullt III the ..tilt. I. tran'lIrrld
In po.....lon or enJoYllnt ttJ Cl.... I (eolhh_rall bln.fled_rllI tJf the d,cldent aftlr the Illplratlon of any IItnt. 'or
lIf. or for ytar., the COlIMonwlalth hlrlby IlCpr."ly ......rv.. thl right to appralu and a..... tran.flr Inhlrltance TalCII
It thl lawful Cia.. I (colleteral) ratl'o" an'f .uch futurl Intere.t,
PURPOSE Of
HOTICEI To fulfill thl requlr"I"" of S.ello" 2140 of thl Inherlhnce and 1:lt,te Talt Act, Aut l2 of 1991. 12 P.S,
Stctlon lUO.
PAYMENT, Detach the top portion of thl, Hotlcl and 'ub_1t with your paYlllont to thl Rogl"lr of Wills prlntlld on thl reyu.. ,Id.,
--Makl ch.ck or lon.y ordlr payabh tOI REOISTER or MILLS, AGENT
All pay..nt. r'cII~'d Ihall flrlt b~ applied to any lnt.r..t which .ay bl due with any rl.alndlr appllld to the till.
RCfUND (CR)1 A r.fund of a tell cradlt, which Wit not r.qullted on the TalC Rlturn. IUY b. rlqulltld by cOMphtlng In "Appllcntlon
for Rlfund of Plnn.ylvanh lnhlrltnocl and EltDtI Tu" (REY-UUI. Appllcatlon. arl aVDlll'lbll at thl OffiCI
of thl Righter of Willi. arlY of thl 23 Rly.nu. Olttrlct OffiCII. or by calling the ,plolnl Z4-hour
an'wlrlng ,ervlc. nUlblr. for for.' ord.rlngl tn ~lnn'Ylvanla 1.800-36Z-?OSO, outllde P.nn'Vlvanlu ~nd
within .ocal ttarrlsburg arn (717) 787-8094. 100' (717) 77Z-lZSZ lilllllrlng IlIIpaltld Only),
OBJECTlOHSI Any parh In Int.rllt not utl.flld with thl apprllls..lnt, nltowancl or dlsallowancl IIf deduotlonl, or a.......nt
of tall Ilncludlng tJhcount or Interlltl III ,hown on this Notlell IUlt Object within s!lcty (601 day. of r,celpt of
thlt Hotlce bYI
"wrlthn Jlrotllt to thl JlA Dlpart..nt of R.vlnul, loard of ApPlftll, DEftl. 2UOZlj Itarrhburgj PA ITll8-IOU, OR
--Ihetlon to havI the .attu dltar.lnld at audit of the lIccount of thl Plrlonal rlprlllnhtlv., OR
--appul to the orphan,' Courl.
AOHIH
ISTRATlVE
CORRECTIONS,
Fllotual urarl dhc.ovlr.d on thl. a.....llll1nt 'hould bl addr....d In wrltlng tal PA D.part..nt flf R.vlnul,
Illrull of IndJvJdual Tallll, ATlHI POlt A......ant Rlview Unit. DEP" Ze060l, tlarrhbYrg, PA 11128-0601
Phon. (717) 781-6S0S. Su pagl 3 of thl bookllt "In.truotion. for Inherltancl TaM Rltur" fa I' a RIIld'nt
O,old.nt" (REY-ISOIJ for an IllplllRatlon of adINlnhtratlvllY correctabll error..
,DISCOUHTI
If any talC dUI h paid within thru (3) clll.ndllr ",onth, Ilfhr thl dlc.dlntls dllllth, a flvl p.re.nt ISin dhcount of
thl tlM paid It allow.d.
IHTERESTI
tntlt'lt I. charged b.glnnln; with first day of dlllnqulncy, or nln. (9) lIIonth. and one (I) d.y fro. thl dati of
duth, to thl dat. of pay..nt. TaMil which bllCIIII dellnqulnt b.fore January I, 1982 bur Inhrllt at thl rlltl 0'
1111 (6%1 Pltclnt p.r Ilnnu. Clllclllat.d lit a dnlly rate of ,000164, All tant Which blca... dlllnqu.r,t on and after
January 1, 198Z will blllr Interllt at II rat. whiCh will vary frol callndar yur to callndar yur with that rat.
atlnounCld by the PA O'Pllrtlllnt of Rlv.nu., Ihl appllcabll lnt.r..t rat.. for 1982 through 1994 IIrll
'!.!!r tnter..t Rllt. Dully Inter..t Factor ~ Int.r..t Rate DIlIlY Internt Flloto~
1911 lO% ,000548 1906 10% ,000214
190) 16% ,000438 1987 9% .OOOZ41
1904 !IX ,000301 1988~ICJ91 !IX ,000501
I90S 13:C ,OO03S6 11)~Z 1)% .000247
11193-11)94 7% ,000192
"lntutlt It calculat.d o. 'ollowII
INTEREST . SALANCE OF TAX UNPAID X NUNSER OF DAYS DELINQUENT X DAILY INTEREST FACT DR
--Any Hotlce luu.d .flu th, tllll bIC:O.II dlllnqulnt will rlfl.ot IIn Interut calc:ulatlan to flftun (151 daY'
b.yond thl dati of thl ....Ill..nt. If payunt I, udl after thl Intlr..t c:olllpuhtlon date shown nn the
HotlCI, Ilddltlonal Intu.,t .ust ne olllculat.d,
~ATUS REPORT UNDER RULE 6.12
Name of Decedent I (~ ~~/~'
Date of Deathl ~/. rf
Will No. ~/-9tf. ~9&:' Admin. No.
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the fOllowing with respect to completion of
the adminiBtratioll of the above-captJ.oned estatel
1.
State WOsther administration of the estate is complfltel
Yes V No
-- ---
2. I f the answer is No, state when the personal
representative reasonably believes that the administration will be
completel_
]. If the answer to No.1 is Yes, state the followingl
a. Did the personal repr~sentative file a final
account with the Court? Yes No ~.
b. The separa te Orphans' Court No. (if any) for
the personai representative's account iSI
c. Did the personal representative sta~ an
account informally to the parties in interest? Yes ~ No
d. Copies of receipts, rel~ases, joinders and
approvals of formal or informal accounts may be filed with the
Datel
J' gn!'ture
Jo 1-1 II Ii ' S l. , K-.€...
Name (Please type or print)
I.CJ.4~><.. 157 e~~;o MtJ..-
Address .
(1,7) n.J. 3t/aJ"-'
Te l. No,
o~
'"
.<"..
I' "
".
bl:
1::4
-"1..
"
(I,:,;
.'.
CapacitYI
Personal Representative
~ounsel for personal
representative
co
<?
\Ll
I' ~
(MAHI rmt,{AM3)
',~" ~ ( ,}
1.,/,' , :1
I... ~, ' ~
~&: ~~8