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HomeMy WebLinkAbout94-00397 . . ", " " " \'," " " " I[~: " , " " I, d r" , , ,'I'J' , " I':' !,'}l 1,1 Ii '. , . I' .. ~' ll~ \ ;,'\11," 1,1/ ,: ~ ,". ;':;~;\.;.",~.;' II !';(; ',f ~ "". ,'" ,I ,.. :,','.1 ,,, '. 'I,. ",:., 10. 'II ..' 'I" ,<' ,'J:, d. "/ : :;~ '\ " I ::L;:,,':}:' d' ,.1, , ' " Ii, ,~' , ",,! I': ,.' j' .' , " \ I'C\" " ! '~ :1' ", ' ','I, \, \L~ '1 I , ), ,,, i" j'.f '{, ,~ I": j I ',.",/ I) : ;"; ~> " 'it .1, :: ",jt '" " ,. ". " 'l,t :1,. " , i, ", " "'. '" ~ , " " ,',I , , , " , " " " ., , ~ " , "', "I I , ,. ,. " ,. , , , ,. , ,,, , I ., " " , ,. I", " , ,. , , .' , \ " " " '\ '"' ! 1'1, 1 111, } "" , , . . '. ... \ ; , " " ~ I> , J ,'",,11" It ,',',\,' , , . '\ ,. " " I,' '" II ' .,. '\,1 I. , " , .fl,. " II ,., " , ... r ~ . ,~, ' , .-, , '" " " .. , ',\\',,1 "r.,(, ld. ,., 1\ ,,:' ." ,','.i. .. " ,. "11' "Ii ',. " , , , " 'I' , '. , , " \ " ':: ",' ,'. , ',:1', ',; " ,'.' "f,. ",I ' [, I. , ',. I ":.,I,.t.,. ' \', " "/. " 1, ',. ", /"." .,. lJETITION H)R IJROBATE and GRANT 01<' LETTERS t.:\'/uIl' of ._tf~(~=-I~L'H:'.e/1.~____._ No, ..-.C1L:.!l1j~7- aI,\'() kl/oll'lI aJ .."'::. .....__...___.._.__ To; Rcglslcl of Wills for Ihe CoUluy of ......CJ)~~J_RJ,..8~Q._ In thc Comll1onwcllllh of l'ellnsylvlInlll '_n______m.. .___n_._ ..._n__..__. /)('<,ea.\wl. Sodal 8('<'lIrlly No, .31n.L~J':L~.Q~_~____. Thc pctllloll of Ihc IIlIllcrslgllcu rcspcctflllly rcprcscnls 1111\1; Your pClllloncr(s), who is/lIrc IR YCllrs or IIgc or oldcr IInlhc cxccuL____'2.R.....____ nllmcd IUlhc IlIst will of thc IIhovc dcccdcUI, dntcd ______.__.__.I:LIJI_I/:____L7- ' 19_.tl nnd codlcll(s) dlllcd ....,,_n . "=..-..-- ___._______________.__..___. (\lill~' fl'l~'\'lIll' Chl'IIIII'ilUlh.\", q~, ''''lIl1l1dnlltlll, dCillh nf l'\l'l'lIllHt CIC.) Dcccudcnl \\'IIS domlcllcd lIIlkllth In.._C.,",,~.&.."!,r..l.~LY'A_. ___ County, PcnnsylvlInla, wilh IL~k:_.._. Ills I fllmlly or prlnclplll fI'sldcncc lit J.,~~_€lJb1d"J..e..........~ _____.._.___......shLre.~.l\ .:r'.1. t",,,,- n._.J).B.._I:t-"'.JL_____.__l:,Q!JL.~~'I'\ (Ii'il 'lUCCI, IIlUnhl'f Ulld 1Il1llu:lrllIlIY) Dcccndcnt, Ihcnnn73nh. YCllrs of IIgc, dlcd .h____________~-a..n:lli., 19.1.!t-_, III EXC~,~~11-I:l~fo\~,~:';tc~7t~lf~~I~I~'/mllf;y:\~;~-noldj;;~;~~illnd did ~~i hllvc II child born or adoPtcd IIflcr cxcculion of thc will offcrcd for problllc; WIlS uollhc victim of II killing and WIlS ncver adjudicated incoll1pelcnt; n......._,...,.,.,.... ___. ._,. ___h___._______. Dcccndentllt dClllh owncd propcrly with esllmllted vlIlucs liS follows; (If dOllllellcd in 1'11,) All persolllll propcrlY (If nol domicilcd ill I'll.) I'crsonlll propcrlY III I'cnnsylvlInlll (If nOI domicilcd III I'll.) I'crsolllll propcrlY III County VlIlm' of rC1l1 csilltc ill I'cnnsylvlInill siluated liS follows; .n._____n.._____________ $~r.O(). DC) $ $ $ WIlEREFORE, PClitioncr(s) rc\peclfully re(tuc~~S) the A1roblllc of Ihe last will IInd codlcll(s) present cd hcrewilh IInd Ihe grullt of ICIlCr\___.___JS AMENLRY___. (IC'11l111CIII!lr~'i IIdllllnlslrllllnn c.l.n.j IIdllllnlstratlon d.h.n.c.t.a.) Ihero/l. i e 'tl_ ~ ^ ",0 C "C.g ~'e ,... 11. 30 a, iii _a":'~}!;:'0&.g~____..__. , _lE.U'M....v.k/e. -/2.v.:._~-__ =-S.ldtif:'a~.ill~ ~="dllk!~_. ---------._..~~~----------_._----~-----_._.- .. ----_._--._-~..._._---..--~--.._~....---_. OATH OIi PERSONAL REPRESENTATIVE COMMONWEALTH OF I'ENNSVLV ANIA } 8'1 COlJNTY OJ! CUMBERLAND ,,_ . Thc petltio/lcr(;) ahovc--/llllllcd \wcar(s) or IIffirlll(\) thlll Ihc slntclllcnts in the foregoing pctltlon IIrc true IInd mrrccl 10 thc hcst of thc knoll'lcdge IInd helicf of petilioncr(s) IInd thllllls persolllll rel'rcscno IlItivc(s) of thc above deccdcnl pClilioner(\) 1'1111 well and Iruly ndr'llnlster Ihe esllllc IIccurdlng 10 IIIW, SIl'~1fn 10 (~r alfirlll~~TW"1 ,uh,crlbed~..tJ:.-f~I.JJc.<A..<-<' ~~_____ :., 1",I<lre lIleYI~\ . -- " . 6f),dllY 01 __";' ._..._______".. . ~ ~- --Ul-&~L~ --in: 1.;']' -f-~.j~--.--- t!n. .~w.--. o'}:LLUC,O'F-'-''' ,.'.ex 1t5f!J__ -----~_._-----..--.- a AKf!JC. LEWIS RI'!!II/('r - -. .-----__,_. ~ ~O~ - G, ,.. i" .1,' I' ~ - i I 'I' . " , , ", .... ('" ';,'; , . " ,,' '" ,,', 111'.' ,I ":' ~ I' "'" \,,' I"",';' \'., 1.,1_.'"' ' - ""j I' I'" '" ,- , I:.,', , : ~, . ~.. ,. . '-I" l' ., "1" ",I' " ",:,":' p" '1,1 I' t" ,"-'. .,. ,". t: " " ,.' ,'I "',. :\ "., 'iI' '1, . , , , , <,Ii,l :1;,\ , I,'. -.,t:.\ ,~, \i:',',l., , iil,', I" ,\,[,t\ ,'I,. " ,,\. 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" - e!-,{(),S;'- " INHERITANCE TAX REIURN RESIDENT DECEDENT (TO BE FILED IN l.lUPLICATE WITH REGISTER OF WILLS) IUV-l~UOf,l(t (11,(,111 !Z .._l__ !OCl;:~4~i~.~~~~66 '-'.=-~I~?~P~ll -. '1";~/'lB;/20 . ~ IlCi I. Original Rolurn II 2, SUI'I'IOI"onl(11 RO'Uln ~~l2 [] 4. lImllod E.lale LI 40, Fuluro InlorOlI COl1\l'raml1O 029 Ilor d(llo. 01 dO(llh (lltor 12.12.B21 !till [I 6, Decodenl Died TOIlalo [] 7. Docodonl Molnlolnod (I lI,lnU lr,,' cl; (Allach copy 01 Willi (Alloch copy 01 Tr"'1 ------.---- -ALLC("H{~SPC'NDENCe AND CONFIDENTiAL TAX'INFORMATION SHOULD DE DIRECTED Toim.-_._..~._. .-.,...----~ 'NAMt-.--~- ~---._----_.__._"'~. cb~il\lfll 1.\1111111(; ^i,iliiE~~" - .-.-...---,-....----. Frank J. l1i80ella JO/.I Glendal,!j,Dr." Shiremanot(lwn, 1'11' 17011. ~ !Z '" w '" Q o Z u 0 0.. '( ~'+I'Y 1~"'I~,j,', .(\ ",:(1:1" COMMONWEMHl or PfUNSWIANIA DEPARtMENT ur RE~ENUE om 280601 ItARRISBURO, PA 11118.0601 .. iRroif'niNAMlllAII, Fllsi: AjitilXmti(rinnI~~ . FiscelIa Helon NMI f(iEPtj6Nf-t~tiMiiER---"----'----~-----' - ~ ?1~ 7J7-l'70~ ( V lOR DAlES OF DIATltAFlER 12/31191 CIIICK HIU IF A SPOUSAL .. POYERTY..C.R.IJlII IS.CLAI~.IIlJ)___._._ FILl NUMBER ,'.( / WIIIIIY COilE ~_:.....:.;.._~ __no Iln::riili'll'5Ci~i,iiiif fr~tii;RI S5 '----... JO~ Glondale Ur. Uhirelllullfltown I 1'1\ 1'101.1 Cumberland (Lower lI11en) (UUllly 9i YfAR /1.Y/7 IjUMIIER I I 3, I 15, ROf11olndor RolUffl lIar dolo. 01 doolh prior 10 12.13.B21 rodor~1 EslClla Tux Rolurn Roqulred Tolol Numbor 01 5010 001'0.11 Do", Q,o, __.___.~__.n'_' __._._..U .__u_ _U" ...... _'_H..n. ..............-.-.----- - -----~--- .._-,-_..._--.~-.._._-*---~--- 1. Roal E.lolo (Schedule AI ( 11 2, Slack. ood Dond. ISchodulo 01 I 2) . 3, ClalO!y Hold Slock/Porlooflhlp 1010mllSchodulo CJ I 3). 4, Morlgoge. and Nolos Recol,oble (Schedule 01 ( 41 5. Ca.h, Dank DOl'o.il. & MiscollonooUl POrlonol Proporly( 51 . (Schodulo EI 6, lainlly Ownod !'rOl'orly (Schedulo FI 7, T,an.l... ISchodulo G) (Schodulo LI B, Talal Grall Allols ('01011100.1.71 . 7hll}. 9. Funoral Exponsol, Admlnhlralivo Cotls, MlscollClnoous ( 9) __O' Er.poolO' (Schodule HI 10. Dobts, Marlgage lloblllllOl, lloOl (Schodulo II 11. T 0101 DoduclloOl Ilololllno. 9 & 101 12, Net Valuo 01 E.lolo IlIno 0 mln" line 111 13, Challloblo aod Go,.romonlal OoquOlts ISchodulo J) !4. Nol Valuo Subloct 10 To~,.[~~..!.~~_~.o_!~I.__._. . _.. ..... . ...._ .. z o i= :3 E '" ~ '" z o ~ !:i '" ~ o u g )056. ( 6) ( 71 )056. 15. Amount of Ilno l~ taxoblo QI 6% rolo (Includo valuOl Irom Schodulo K or Schodulo M,I 16, Amouol allln. 14 lo,oblo 01 15% role (Includo ,aluo. from Schedule K or Schodulo M,) 17. Principal lax duo (Add lox irom lioo 15 and Irom line 16,1 1 B, Crodlls SpoUlol Pa'OrlY CrediT Prior Paymonts u..___________.___. + _____... +.. 19, II lino 10" uroolor Ihon lin. 17, onlor Iho dilloron,e on lino 19, Thil" Iho OVERPAYMENT. miD 20, 111100 17 II greoler Ihon 110010, ooler Iho dl//orooco 00 lino 20, Thl.lsl"o TAX DUE. 1201 . . .____....._..___._ A, Enlor Ihe Inloro.1 00 Iho bolonco duo 00 lino 20A, (20AI ......__ __.. ___..___. B. Enlor Ihe 10101 01 IIno 20 aod 20A 00 Ilno 200, Thl. Is Iho BALANCE DUE. (2001 ....__.__._. __.__t.\'!k-"--~eck_f.a~~bl!.'''_,_R.olJiltora!WHlI, Agont .. __n___.._..___ ---. ... ... BE SURETO-ANSWeRALL'GiUESTIONS ON REVERSE SIDE AND TO RECHECK MATH.... . ---.---.-----.- Undo;- penalijo~' porlv;Y:-l(j;J~-;;Ih;Tk~~~ -;;~~i~od thi$" ;~h;;;;~ i~~i~a~[I-;;~~~n~i;(~~ yj~!J- 'i~ iw'dui;l\ (lIId -iiCli~i\\on't,;"(;nJ I~ - ii;~ T}~,i oj ,;\y'k~~;iodun ondb;iiOf: Ills Irue, corrocl and complato. I declare Iho! nil rool otlolo hOl boon rcponod 01 Irun murklll volu('!. {)od"rnllon of proflorar olllor thclIl 1110 pOrlonal rnprlJsontallvfI h baled on alllnlormullon of which prflparor ho\ any knowledgt'J. !TcjNAjij~E of"HRs-6i-riifSPoNsiiilf.,6ffiiiNG REHHiN------"AIIDRES\..- '__n_. -- .-~ -- --- . .- . l,^lf.'- --~--+---..-...._.--. Tt~Nf :::!.~J(.{f..:.':1:;..l:~\"['I,..I,..J!-:~L,~4(: '!,,;d"_':'.B I J(r.f" ." ( ,'I (t"~ ,. (lOCk" .5II1.2'i ~luN''' U~~ Or ..I PAl'! R OHltR ltiAN II; rR :.EN ....'IVE AllOR :l~ hAlE _0 - ------ I 0) .. (101.. 7~lh. (111 _m. .... _ ..__._____.. (h)5B) (12) ..-.-. ,_____.._...._ (13)_.__.__.._. JI~L. (lf35U) _"'u_' .-,'--- (15) . K ,06 = .. , (161-- .. K .15 = (17) .__ Discount Inloro,t (101 (191 Chock I1oro If you oro roq(JOltlng (I rolund 0' your ovorpnymon . , " UV.UotIK+n"'1 . \' ~j~ COMMONWUmfl m ~INNlVlVANI^ INHUIlA CI TA nTUIN IIIID T DIC DINT eSTATE OF Fisoella Helen SCHEDULE EI CASH, BANK DEPOSITSUND MISCELLANEOUS PERSONAL PROPE'!.TY. Plea Ie Print or Type NMI FILE NUMRER iAii pr.p"ty lolntly..!.wnod with tho Right of Survlvo..hlp mUlt bo dlnt,"d on !chodulo '1 N~~~ER DESCRIPTION VALUE AT DATE OF DEATH 1 Certifioate of deposit, Harris Savings Bank $30,6. ;", " " ., ". " " , , " " L , ,. , i! . , , , 1,\ i' 1 , "" , ,.\. ", . " ,. , " II " , , ': " ,I i_j_' ,.1 " '1 " 1:,- " " , , " , ,. , , I ,. .r " . , , ~ i! " ", ,,' it " ,I 1,1 '" . , I' ", "" I, , .. , , , " ", ',i " I" , ". ,.' '! l" ,. 'I, i.' ". Clly --,--- 4. Probale Feel C. MI.cellaneou. hpln'I" 1. 2, 3. 4. 5. 6, 7. a. " UY.IJIlU+I',"I mAflI o. ITEM NUMBER A. B. '. i ' .~ ~~'l)JI COMMO~IW!AlTIl Of PINNSYLVANIA INH!RlTANC! IAI RlTURN R1SIO!NI DICIDINI, SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCEI.LANEOUS EXPENSES Fisoella NMI _ _ Plla.. Print or TVpI CD NUMBSR -------- -- Helen DESCRIPTION AMOUNT 1. Funeral EMpln..., Professional services and faoilities (*2475.) I oasket and vault (~3045.) I Minister ($50.) I Death Certifioates (:p20.) I Flowers (:jJ121.) I Cemetsry equipment ($65.) Opening of grave Granite base and marker $5776. 490, 1100. 1. Admlnl.trotlvo Co.'" Perlonal Reprelenlallvo Commllllonl , ' " , " Social Socurlly Numbor of POrlonal Roprolonlallvol ___~._-=-__._=-..::.:._ Year Commllllonl paid _ 2. Allornoy FOOl 3, Family Exompllon Clalmanl Addroll 01 Clalmanl 01 decedonl'l doath 51rool Addroll Rolallonshlp Slalo Zip Code ',48, , . ,,' . ......-.-.-..-..--..-.. ---....r-4...-- TOTAL lAlla onlor on IIno 9, Rocapllulallonl S '1 H , . ~IV,UU lilt 11"'1 ti J J ~, , SCHEDULE J ~' (OMMONWr"UII 01 'CNIUYlYMlfA. BENEFICIARIES IHHUIIANe,lAIC II'U.N IIIIOINII'ICIOINI FILINUMBIR .-.... - ESTATS o. I<'il.loella Helen NMI IUM NUMBER NAME AND ADDRESS O' BENE.ICIARY RELATIONSHIP AMOUNT OR SHARE O' ESTATE l. A, Ta.ablo BoqulI'" Frank J. Fiscella 304 Glendale Dr. Shiremanstown, PA 17011 Spouse :jJ305~. " ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B, Charltablo and Gavernmonlol BoquOSISI 1. , , ' 1< ___......~_.n._.'___..___~_.___....._...._.._._.__~. .....__..... _'_~. .. ,.__.......,._. .... . TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS IAI.. on'or an Ilno 13, Rocapllulullanl S REV-1547 EX AFP (10-93* COHMONWEAl TIl OF PENNSYLVANIA DEPIRIHfHT OF REVEIIUE NOTICE OF INHERITANCE TAX IUflEAU OF INDIVIDUAL TAlES APPRAISEHENT I ALLOWANCE OR DISALLOWANCE r.mjS:~~~~lpl 17178-0601 OF DEDUCTIONS, AND ASSESSHENT OF TAX DATE 09-13-94 DTATE OF FISCrrLA ---. HETt' ==~ FILE NO. - 21 94-1f397 DATE OF DEATH 03-18-94 CDUNTY CUMBERLAND HOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX PAYHENT TO THE REGISTER OF WIllS, HAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT" REMIT PAYMENT TOI ~68J C0 v ACN 101 FRANK J FISCELLA 304 OLENDALE DR SHIREMANSTOWN PA 17011 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 Anount Rlnltted -- -. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FDR YOUR RECDRDS ~ REV: is'(jj. i'if" AFji. [i if: 9iT. Noi'"i or"o f:. YNHiiii;: AiicE" '{AX - iiPPR A isiHENr-;"A i:. l"owAiicE -efR'" --"". _n""""""". DISALLOWANCE DF DEDUCTIONS AND ASSESSMENT OF TAX !STAT! OF FISCELLA HELEN FILE NO. 21 9(,-0397 ACN 101 DATE 09-13-94 TAK RETURN WAS. (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. Hell Elt.t. (Sohldul. Al 2. stookl Ind Bonds (SOhldull PI 5. Clo..h Hlld Stoak/Plrtnor.hl~ Inter..t (Sohldull C I 4. H.rtglgll/Notll Rlollvlbll (Sohldull 01 5. CI.h/Blnk Dlp.lltI/HIIO, Plrlon.l Praplrty (Schldull E) 6. Jointly Ownld Proplrty (Schldull Fl 7. Trlnlferl (Schldull GI 8. Totll Alletl I CHANGED ( , III (21_ ISI 141_ (51 (61 (71 .00 .00 .00 .00 3,056.00. .00 .00 (8) 3,056.00 APPROVED DEDUCTIDNS AND EXEMPTIONS I 9. Funlrll Expenl../AdnlnhtrlUvl COlhl Hholll.nloul Explnl.. (Schldul. HI (91 7 ,414.00 10. Dlbh/Hortglgl Ulbllltl../Ulnl (SChldull Il 1101 ,00 11. Totd Deductlonl (11) 12. Nit V.lul of Tox Return 112) 15. Chlrltlbll/Gavlrnnlnlol Blquuh (Sohldull JI 115) 14. Nit V.lu. of Elloto Subjlot to Tox 114) If an al.allmant wa. illuad previoUI1Y, lina. 14, 15 and/or 16 and 17 will raflect figuras that includ. tha t~tal of ALL raturnl a..a...d to data. ASSESSMENT OF TAXI - 15. Anaunt of Line 14 to"ble It 6% r.to (u) 16. Anount of Line 14 tollebll It 15% rlto 116) 17. Prlnolpll Te. DUI 7,414.00 4,358.00" .00 .00 NOTEI .00 K. 06 . , 00 K .15 . 1I7l ,00 ,00 .00 TAX CREDITS I PAYHENT DATE RECEIPT NUHBER DISCOUNT 1'1 INTEREST I-I AHDUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TDTAL DUE .00 .00 ,00 .00 . IF PAlO AFTER DATE INDICATED, SEE REVEWSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN fl, NO PAYHENT IS REqUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU HAY BE OUE A REFUND, SEE REVERSE SlOE OF THIS FDRH FUR INSTRUCTIONS,) RERRVA1ION, PURPOIE Of NOTICE, PAYII!NT, RfFlollO ICRI, OIJECTlONS. ADMIN ISTAA1IVE COARfCTIOHS. DISCOUNT. IN1F.RUT, E.t,t.. 0' dlcld,nt, d~lng on or bafor. Dlc,lb,r 12, 19.2 .. If any future Int.r.~t In thl I"'" II tr,n,flrred In pal....lon Dr ."Joy..nt to el... 8 (col1,'.r,1) blne'lolarl.. of the dlCldlnt .ft.r thl Ixplratlon 0' tny ..tat. 'or 11f. or far YI.r., thl Co..onw.,lth har.bv Ixpr..llv rl..rUI. thl right to appr,II' and ...... tran".r Jnh.rlt.n~. TI~" at thl l~ful el... . (0011.'eral) r.te on any .uch future l"ttr..t. To fulfill thl requlrl..nt. of Slot Ion 2140 0' thl Inherltlncl and Elt.t. Tlx Act, Act 22 of 1991. 72 P,S. SIOtion 21~O. O.tleh thl top portlo~ of thl. Hotlol and IUbllt with your Ply..nt to thl Rlgltt., of Will, prlnt.d on thl r,v.r.. .Ide. uHlkl ohlck or lonly order PIY'ble tOI REGISTER OF MILLS, AGENT All pav..nt. r.c.l~.d .hall flr.t bl appll.d to any Int.r..t which .IV b. dUI with any r..~lndar applied to thl t.~. A r.fund of . t.x crldlt, which wa. not r.qu..t.d on the Ta~ R.turn, lay b. r.qu..tld by cn_plltlng an "Appllcatlon for R.fund of P.nn.ylvanla Inherlt.nc. and flt.t. T.~" (REV~IS1S). Appllcatlonl arl avallabl. .t the Cfflel of the R.ght.r of Willi, any of thl 25 Rlv.nul IJlItl'let Cfflcu, ar by caUJng the .plelal Z4-hour .nlwlrlng ,.rvlel nu.ber' for f~re' ord.rlnGI In P.nnlYlvnnln l~800-362~2050, outlld. Plnnlylvanlft .nd wlthln loeel H.rrl.b~ra Ir.' (711) 787.8094, TOOt (117) 77Z~22S2 lH..rlng lapalr.d Only), Any p.rtv In Intare.t not .atl.fled with the .Ppr.I....nt, allowanel or dl..llow.nc. of dlduotJon., or "I...a.nt of taw (Includln~ dl.count or Intar..t) a. thown on thlt Notlcl eu.t abjlat within 'lxty (60) d.y. of rlc.lpt of thlt NoUe. bYI ..wrltt.n prot"t to the PA CIPlrtelnt of R.vlnu., Bo.rd of Appealt, DEPT. 281021, Harrhbura, PA 17128-1021, OR ...I.ctlon ta have the e.tter d.t.r.lned at audlt of tht account af the p.rlon.l repre..ntatlv., OR --appe.1 ta the Crphln.' Court, Flatual .rror. dl.cov.rld on thl. a.......nt .hould b. .ddr....d In writing tOI PA D.part.,nt of R.Vlnut, Bur.lu of Individual TIX", ATTNI Po.t A.......nt R.vl.w Unit, DEPT. 28U601, Harrl.burg, PA 1712&-0601 Phon. (717) 717-6505. S.. plae 5 of the bookl.t "In.tructlon. for Inh.rlt.nc. Tax R.turn for a R..ldent OIcldlnt" (REV-1SOI) for In .xplan.tlnn of adllnl.tratlv.1Y carr.ct,bl. arror.. If any t.x due I. paid within thr.. (S) anl,ndar .onth. aft.r the Dlc.d.nt'. dl.th, . flvl plrc.nt (SX) dl.count of the tax p.ld I. .llowed. Int.r..t I. charg.d b.glnnlng with flr.t d.y of d.llnquency, or nln. (91 eonth. end on. (1) 41Y frOl thl d.t. of d..th, to thl dlt. of p.yaent. TaM" which ble... d,llnquent b.for. J.nuarv I, 1912 be.r Int.r..t at the rite of .Ix (6X) p.rc.nt plr .nnue c.1au1at.d at a dally rat. of .000164. All taM.. ~hlch b.eaeo delinquent on and Iftlr JenulrV 1, 191Z wJll u..r Intlr..t at a ratl which will vary Iroe cellndar Yler ta cIl.ndlr Ylar with thlt ratl ennouncld by thl PA D.p.rt.lnt of Rlvlnul. Th. appllclbll Intlr..t rate. for 191Z through 1994 arel '!!!! Int"..t AI'" Dilly lntlrut Flletor !!!or Inter..t Rat. Dally Int"..t Factor 1911 10~ .000541 19bo 10~ .000214 1915 16~ .0004!8 1917 9~ ,000247 1914 \IX .000501 1981-1991 m .000501 1915 m .000556 1991 9~ .0001\1 1995-1914 I" .000192 "Intl".t l. calculat.d .. followtl INTEREST . BALANCE OF TAK UNPAID K NU"BER OF DAYS DELINQUENT K DAILY INTENEST FACTOR .-Any Hotlc. IlIued aftlr the taM b.ace.. dellnqulnt will "fllct an Inter..'t cllcullUon to flft"" (5) dlV, b.vond the dlte of the ........nt. If plye.nt I. lade .ft,r the Intlr..t coaputltJon d.tl .hown on the NoUn, additlonal lnter..t IU.t b. Clloulatld. 'STATUS REPORT UNDER RULE 6,12 Name of Decedent 1-1:L~ I e 'Yl P, s c:. e. I ( Ct Date of Death I 1'11I ~-. I k, I 9 9'1 ~CJ/I k(3qfr.1\ .;24 r, fn.yt> ~ I-I ~ Will No.:)I-q~~J77 Admin. No.11-9tf-197 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate I 1. State whether administration of the estate is complete I Yes$- No 2. If the answer is No, st.ate when the personal representative reasonably believes that the administration will be complete I 3. I f the answer to No. 1 is Yes, state the following I a. Old the personal representative file a final account with the Court? Yes_____ No )< b, The separate 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 receJpts, rp.leases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached t.o this report. Datel ~i,...J (~ ( f?t ,... "- t'! t.1~ o(j) '-~~ 0 '-~) l:c U' ~;.:: 0 IX) , , 'J (', " .... , '1 '., .. ',', ~ .' !i :'1 '~l (. \ ,6 1_ .. 0',1) ~ lU ~ -~~ no: .. 0: <1.1 0 J.~ ]?Ml ~{J, Signature J ,=- ra...... k J rl S ( e. (( a. Name (Please type or print) ~6f<:!V1cJQle~v s'llr~.,.""."sr0<l"'I""~ 170V Address (7/7) n7-l{7o,/ Tel. No. CapacitYI ><. Personal Representative _____Counsel for personal representative (MAH I rmf/AM3)