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'''~ :,,'~ i:;., ;. .,',1 '.'.;, I ',' . , u' ", ..e\' , PETITION .'OR PROBATE and GRANT 0.' LETTERS IMate vf tjJ!tJ1J,jj~_.T.__~Cj1"J.!- -,- No, ____..c?L~-9-LL-::-;3i'J Cllso kllOII'1I CIS ___......__._....__ .. ._...__.__ -. ..---..--- To: m___________..___.__ ___.____._____.__.__...__ Register 01' Wills 1'01' thc ------..-----.---..---7- ?)'-,)7('--c:" {Jl'cl'asecl, County 01' ___ClIt161RlMUL- In lhe Sodal Secllrlty Nv, .___._._~_____.~_....2_~,;!,...-------.. Commonwcalth 01' I'cnnsylvllnlll Thc pClltion 01' thc nndcrsigncd rcspc.,tl'ully rcpresents thllt: , Your pcti~i01m(s). who is/nrc IR years 01' II~ t)1 oldgr,lInlhe exceot....8J__)(,_____.___lIl1ll\ed In thc IlIst IVIII 01 the IIhovc dcmlcnt. dlllcd ...2IL..'i..LX:I.:....----...---------------. 19_ IInrl eodlcil(s) datcd ____..._....________..._..__________..__..____.___n__________-------- -_.__..--~~~-----------_._---'_..~- ~-- ---~-~._------_._-~.--_.-...... --- --.-------.-.-------.---------.----.----.---- '. ----~_..-_.._._~-~----~--- ___------------...-n~.-. n_..m____.._._.._._~._.u___.___.___.._._.____.__~. bUill' rc!e\'lI111 drl'lllllStullI:C', c.~, rCllunchllllln. death Ill" C\l'cllttlr, CIC,) Dcccndcnt IVIIS domicllcd ut dCllth in nc:.I!!'!../z..-c!..7;fgM:i.----.- '--PJ conntYel'cnnsylvllnlll. with h,bL--- IlIst I'lImily or principal rcsldencc)],~1:t-11 tv'/ /J2-1 ~7-! wo PT1-lc.'J~ ___,_____...___ ...__n__ _._, n_____"_'_ ___ _____ _________.___~_?__-"J-J-------- .---.---- - t1i~1 'Ired, lllllllhcr llnd 11l1l1ldpalltV) l~eemlcnJ, thcn _j_r--_ _ ycars of a~c, dic\1 /l/ILr?'a--...---.-.------.--. 19 7"1 III _:IlILI.:.M.kL_/I"5.?tL I/:&_____C /tIrLJ.~J:.J!_--J..l.-{I-:--------, n_"__ ' Execpt as follows, deccdcnt did notmurry. was not divor.'cd and did not have u child born or rldopled lifter exccution of thc willoffcrcd for prohatc; wu' not the victim of a killing and 11'11' never adjudicated incompctcnt: _____ .._n ___.._.._____.._.._.__.....__..________n_____ Dcccndcnt Ul dcarh owned propcny wirh cstimatcd valucs as foilows: (If domldlcd in I'a.) Ail pcrsonal propcrty (If nol dOll\icilcd in I'a.) Pcrsonal propcrty In I'cnusylvaniu (I[ nol domicilcd in I'a.) Pcrsonal propcrty in County Yuluc of rcal cSlUtc III I'cnnsylvania situatcd as follows: __.___.__n_.._._________.__.___.____ L.2..00"'OO $, $ $ --- ----------------_._~.._-~_.---_._----~------_.-~- -- -_._---~.._..._._------_.._----~--------_.- WHEREFORE. pctitioncr(s) respcetfuily rC(ll'cstL') the prohate of the IlIsl will and codlell(s) prcsented hcrcwith and thc grunt of tcllers____. I ESTAMENTARY (lcslUlllcnllUYi IIdl11lnlslrnlloll c.I.l\.j lldmlnlstTiulon d.h.n,c.1.n,) theron. i Ii ,,- ,- . ~- ~ ";2 ",- g." ~~ "~ ~o ! Vi _l;';~fr(~?c/d:~T I~;:;;' )1LlPrJ..c:WOOd ,4<)~ _..'M d- i.ll:1f/ j ~-I2.!:iTJ--, f',r.Z?().~~!- ------------. ~ ------- ------------------ ____d_~_. ------ --------..~--- Thc pctiti\1ner(s) uhovc-uamcd swcar(s) or affinn(s) thlll thc statemcnts in thc foregoing pelillon arc lruc and corrcct IOrhc hcst or thc kuowlcdgc and hclief of pctilioner(s) and lhllt liS pcrsonlll represen. lUtlvcls) of thc ahovc dcccdcnt pctitioncr(s) wlil wclland truly udmlnister lhc cslllte according to IIIIV. Sworn to or affirmcd and SUhSCrihed~. /~t~__~!tl-6..(&4-1!.. ~ hcforc me this ._ _ '-,' ...-'" "~r..Of -------.-.--.....---------.----- ~ 'l!f'fif,1f:Ol:: ,,;r!;.f _-=.~~~_.=:- . ! )L{,-~)f?~? . OATH 01<' I)ERSONAL REPRESENTATIVE COMMONWEALTH OF l'I<:NNSYLV ANIA } 88 COUNT\' OJi __GUMBERLAND ,-' No. 21 - 94 - 399 Estate of CHARLES T. SCHOLL , Decellsed DECREE OF PROBATE AND GRANT OF LETTERS AND NOW APR I L 29, 19~_. In consideration of the petlllon on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the Inslrument(s) dated MARCH 18, 1992 described therein be admllled to probate and flied of record as the last will of __ CHARLES T. SCHOLL TESTAMENTARY EILEEN M. SCHOLL a/k/a EILEEN MARY SCHOLL and Lellers arc hereby granted to aznfito &fr FEES Probate. Lellers, Etc. .,.,.",. $ Short Certlflcates(1 ) , , , , , .. . " S Renunciation .......,,,,,,... $ JCP 40.00 ~ nn ATTORNEY (Sup. Ct, 1,0, No,) $ 5.00 TOTAL _ $ 48.00 Flied ...,., .~PRI.~ . ?9,. , 1 ~,9.4 . , . , , , , . . , . ADDRESS PHONE ,'" ., 'l'~ ".( , , .) I,"',) "...r!.. 1.1 [".I' i, . ( "'. ('oj 1')1 ;'; \l~ fJ.: ~ ;( .: n:' p\ ..~ :3 UU Mailed letters and order to Executrix on 4-29-94. ~. .l )...AST WILL ANDJF.sI' AMENT OF CHARLES 1'. SO:IOLL I, CHARLES T, SCHOLL, of the Borough of Mechanicsburg, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and underSlllnding, do make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all prior Wills by me at any time heretofore made, , \ \ I I , . , I I. \ I, . I' 'I" \ \. I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can conveniently be done, 2. All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and whtlresoever situate, I give, devise and bequeath to my beloved wife, Ellecn M. Scholl, to her own , use and benefit absolutely. 3, In the event, however, that my sllid wife should predecease me, or should die at about the same time as 1 die, such as in a disaster common to both of us, 1 give, devise and bequeath my said estate in equal shares unto my children, Cheryl Frisch, Patricia Kopay, Susan Zimmennan, and Linda Scholl, 4, 1 nominate, constitute and appoint my wife, Eileen M. Scholl, to be the Executrix of this my Last Will and Testament. In the event that she should predecease me or for any reason be unwilling or unable to act as sueh Executrix, 1 nominate, constitute and appoint my daughter, Linda Scholl, to be executrix in her place and stead, 1 further direct that they shall not be required to file bond or other security in the Office of the Register of Wills for the purpose of administering my ~tate, IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~-,J , A.D. 1992. 18'M day of _ d~,1: ~1/ (SEAL) Signed, scaled, published and declared by the above-named CHARLES T, SCHOLL as and for his Last WlIl and Testament, In the presence of us, who at his request and in his presence, and In the presence of each other, have hereunto subscribed our names as witnesses, a;-~I~ "~, ,!:'...\,' ",1' ,I,: "l< .,',\ ,,'(-,. r",,'", t,l ',\',.\,1.,., 'il , :1::' " , II' .' 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',,'i, ,II" ',\'1'1 '!', "I: ",," ',I,'.' :."1\ j',' .' " , I .' \, \"f ,. ',;1 ,;,"t,' !' I,",. ~ 1 ~' 'I, I , (i,'"J ,.. " " ',1' ". " ""1'1 " 1\ ,) .:(1 ,I', "[' '" .. "J, ,,' ',,!, , ,.,' ,': I"~, ',' ,J I, " ','" . f.: ,. , ,. ," ",!" . I;! I ~ . i, L i. ,,-:, " I' .:.,1 I, ,',::1.. , " ", I :,;((.:, n~, ',' '. "r' "<':'."',:;, ;~,('-';.':~rl' ,,"1,_' , ",.", :.,~,\,ti,:" . ;',l,,/. 1'" r,. , ' ,I j,,' . ;1' ~ ! "':. " " ., . " " '.' " ," '1 'I". j '\l","'" " , "~" , " '::,':( I' ),'1 ,'1',"'[\11'" 'i J, 'II, '\':\':::;: 'I,ll '.1" " "(,,.:: , r~;li ; ~ '. :':;, 1 ~ '!'! ,'." {'I: ,,:,I';',"!, " .'1' 'oi' '\, 'J.e ,-,,\\ ',,1' ~ '. ,1,'1' ',~~i Id'lf :t~'. .,'.\"", {:;,I' 'I, 1/:,' ',,' ',r '1', :'j ,,' !( . {"{,.) '.'; al) " , Ii' " .. '.. ", 1 ~. " ,\' '" I' "" ":/," , (> 1, .I'l, '\ ,f":'}',';' ; , : .~ 1 ; ! I,..;.., ,". .' " \"',1 .di, , I- , ,,-; ',~ , , i ',,", ,.. .".,1'" 'f" " . ,',': i." . 'I " " , ' ~ '!" " , , " (, 't" il ,'I' ".,,' ',. ,,', ',' ',"',,"i . ," , ,"I , "': ',I','i, .;' :'\, ,,1- {~ ' , I,," '~~ '. , ,. .' " \',' W' ""L~' ':),' ,~. ~o 1'';':'','" ,'", , "'04",!', " ,,,' I" I "; , ,"1' 'I" ,l.j. I'" :"j',j ". , ,", h./', I, . ,', , . " ," , .. '.,<1' ,Ii"~ , ;,.', 'Ii i ,. ,P, ..,i, 'I " ,; ,,', " {I"" "'.'.', , j " ,~ " ",-, :11:,/, ".{ l ,\'1 ]r '" " I'" ILf- ,~og- 't RfV,flOO EX. 11\.9l1 'OR DAlU O' DIAlH AnlR 12/31191 CHICK HI" ~'I~IV INHERITANCE TAX RETURN ~oAv::~yUmDIIISCLAIMID [J "~\\W;,~ RESIDENT DECEDENT ,iLl HUMiiiit-'2i%::039Y..-..--....- COMMONWEMltlOf PWNSYIVAN'A (TO BE FILED IN DUPLICATE 1991 -O()3(i9 UEPAR1MflH Of REVENUf \- IlARR'Sm:bJ~ri\'B 0601. WITH R~GISTER _ OF WIL~~L. C()UN!!.SODI'..L 'YEAR. .__ NUMBER -..-- , IIAS1. F1R!pnODlf 'N'1IAII jr;mlJlflFITllmlmAmrn i SOllOL]~, Ohm' lea '1'. 112 1\ ll. a t !.laplellood A va tJr' ~ ~omrm:URimmM!l;--..---..rAf!Ofiii^lii.-..-r'l!6nIRiIl.-.- Jt!aOhll.lliOsburg, PA 170;x) _~__ .J.n:.?1~~02)g_____...._.__1t!~6NL 2 (3!}o. ,~"IL ....-----..---.------.- I!! IK.II. Original Rolu,n I] 2, Supplo",on,nl Rolu,,, [.13. Romalndo, Rolurn X~S (10' do,o. 01 doa,h prior 10 12.13,82) lJ:- [] A. Llmilod E,'alo r:J Aa. Fuluro Inloro.' Compramllo [] 5, Fodoral E,'a,e To. 02 (lor dolo. 01 doa,h ahor 12.12.82) Rolurn Roqulrod g;il IX! 6. Oocodonl Olod To.la'o [I 7, Oocodonl Maln,alnod a Living Trull .Q.. 8. Ta'al Numbor 01 Solo Dopo.i1 Ba.el (\ (Alloch copy of Will) _ IAllach cOPl~ T,~'!L-__--._- ALL CORRESPONDENCE AND CONfiDENTIAL TAX INfORMATION SHOULD BE DIRECTED TOI ""'--;. n;~"t st'"ff':.~ t~. T":::::::-:::: Dldg. "':~;~'''~6::;"JJ ------~~~-~ ",oh,",,,b,,,,.. p~ 110S5 1. Real El'alo (Schodulo A) ( 1) .__..u......__._____.._Q...Q,Q.. 2. S,or,k, and Band. (Schodulo B) ( 2)..._..un-.....-...--Cl..L00- 3, Clo.oly Hold SlocklParlno"hlp In'ore.1 (Schodule C) (3) __...._______..-9_!Q_Q.. A, Marlgago. nnd Nolo, Rocolvablo (Schodulo OJ ( A) ---'-'" ,-.--.-.-.--.~.!p-~- 5. Ca.h, Bank Oopa.I" & MI"ollanoou. Pe"anol Ploperly( 51 ___,______.([,,9..2B .16 (Schodule E) 6, Jalnlly Owned Prapor,y (Schodulo F) ( 61 _..______....._.__.._0 ..9.2... 7, TraOllo" (5chodulo GI (Schodulo L) ( 71__.......______...._0. 00 B. T 0101 Grall Allo" (,ola1I1n.. 1,71 9. Funoral ERpon.o., Admlnl,'rallvo Ca.,., MI"ollanoau. ( 91 _____..9.,..Q4Q.&Q- ERpon..' (Schodulo HI 10. Debll, Martgago Llablllllo., lIoOl ISchedulo I) (10) ___-...Q. 00 11. T 0101 Doductlon. I,olalllno. 9 & 10) 12. Nol Valuo of Ellnlo (IIno 8 mlnu.llne 11) 13, Char liable and Gavornmon,al Boque." (Schodulo J) lA. Nol Value Subloclla To. (IIno 12 mlnu. IIno 13) 15. Amaun, alllno 1A la.abl. a, 6% ralo (Indudo valuo.lrom Schodulo K or Schodulo M,) 16. Amaunl alllno lA la.ablo nl 15% '0'0 (Indudo valuo. from Schodulo K or Schodulo M,) 17. Principal 10. duo (Add 10. from IIno 15 and ham IIno 16,1 1 B. Crodll. ' Spoulal Pavorly Crodll Prior Paymen'. DIICaunl Inloro.1 ---------- + -----.--...- +..-..--.---. --------- 19, IIl1no 18 I. groa,or Ihon IIno 17, onlor Iho dllloren,e on IIno 19, Th"" ,ho OVERPAYMENT, mOI1mr.a!lll1ql~I."'II.IU"UItIUll.'lnn.'.lllftIft'In~I'III.'~'J..ojJW'J1IIl.I1I' 20. IIl1no 171. groa,or Ihan IIno 1B, onlor Iho dllloronce on IIno 20. Th" II Iho TAX DUE, A, En,er ,ho In'oro., an Ih. balance duo on IIno 20A. B, Enlor Iho 10101 of IIn' 20 and 20A on IIno 20B. Thil II ,ho BALANCE DUE, Makt Chock Pavablt 101 Rtghler of Will., Agtnl .... .ISURllO ANSWIR ALL QUlSTlONS ON REVERSE 5101 AND TO RECHECK MATH..... .. UnJo'r-ponOiiI;!ol porlury, I dodo,o,hol' havo o.amlno'd ,hll ro,urn, Including occompanylu9 Id,;'J;ii;. andiloiO';;;;;t.;' nnd '0 ,h. bo., 01 my knowl.dg. and b.llol, \I II ,ruo, co"ocl and complo'o, , dodaro ,hol all roal 01'0'0 ha. bo.n 'oporled o,'ruo mo,ko' voluo. p"lorollon 01 proparor a,he, than Iho po"onal ropro'onlallvo II balld on all Informatlon of whl(h preparer hat any knowledge. !JijffArt.lIT,ormWNR~jffiiJ1ili}lotrH~iibRHS 112. ill ~--iilapIe"wo ad-Avo. OAT! -, / (; ~~~v0/. ..4(..~;( Heohll.niosbUl'" PA 1"055 /)/'1/1'<./ " ","",':"'j~'9"W ~ ~-~-."""'i,"rk"Sq,iii~' 1J1dlJ;~ -- ",r / -,hLf-J-Ju/'-JA/.Ll // ,/" ...._.J1gJljl@iOSbUl'!(.....I'A_.11Q55.. 7 - / tJ.- ~ /' /.' , ' ~ffi :Ie oz 1.12 z o ~ E g C- ( 81 9.928.16 (11) (12) (131 ___ (141 (15) ____.____8UB..J.b..X ,Ob = -' 9.0IJ,Q.OO 6.8.8..16- 0.09 BB~.16 53.!.. 2 B (16).--- o LillLx .15 a , _..2..!.OO z o ~ !; ~ o 1.1 ~ (17) - ._2.:l. 2~ (181 _______.___.._Q.t.OQ. (191 ______._...._~9tOQ. (20) _..___._____2:h?/L (2M) .___.__...__"Q.~g. (20B) _._-_.._-~?}...?~ .... , ~ SCHEDULE H ~:ib FUNERAL EXPENSES, COMMONWEAll~ or 'ENNIYlVAN'A ADMINISTRATIVE COSTS AND 'N~I;:~~~~WlE~m\'tl MISCELLANEOUS EXPENSES ~!!.!rlnt or TYPI mATI Of . -Jill NUM81~ OJIATILgS 'r. SOHOLL 2191~"0399 4 ---- AMOUNT UVISII Ill. I'll, ITEM NUMBER -- _.._-~-- A. Funeral bpln..., 1. B. 4, C. 1. 2. 3, 4. S, 6, 7, 8, DESCRIPTION Hyers Funeral Ilome, Ino., 37 n:. 11ain st., Ueohanios- burg, Pa., funeral expenses. l\l 5,867.00 1. Admlnl.tratlvl CO.tll Penonal Represenlollve Commlulonl Social Security Number 01 Penanal Representative, Year Cammllllonl paid 2. AIlorneyFe.. J. TIobertStauf.fer, Esq., attorney's fee. 100.00 3, Family Exempllan Clalmon' Eileen H__ Soholl Relatlonlhlp 1,o11fe Addrell 01 Claimant at decedenl'. dealh Streel Addrell J,;t2 Eas t J.lapleHood Ave. City Heohanio~burl(. Slale J_~.L Zip Code 1701515 2,000.00 Prabale Fe.. TIer;is tel' of lVills of O\Unberland Oounty, Pennsylvania, Letters Testamentary. MI.elllanlau. bpln...' Offioe of Catholio Oemeteries, Diooese of Harrisburg purohase of oenletery lot. Offioe of Oatholio Cemetories, Diooose of Harrisburg one"hali' oos t of purohase of oemetel'Y monwnent and installation. 48.00 460.00 550.00 Rer;ister of Wills, filing Pennsylvania Inheritanoe Tax TIe turn . 15.00 TOTAL lAlla enler on line 9, Recapltulatlanl (If mall .paet I. n..d.d, In'lrt additional .hllll of .aml .1.1.) s 9,040.00 on r: ;.' ',11 e.- '. CERTIFICATION OF NOTICE UNDER RULE 5,6(a)., " ., , Name of Decedent: (')/Il/(/.. ~5 T. ..5d?~ LL Date of Death. /J?R, /6~ lf'tY Will No. cJ 1- fl/-31't Admin. No. /r'l7"- 00.3 'If 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 foliowing beneficiaries of the above-captioned estate on I Name EiLeM hi .5'c:.hpLL Addr~ //2 E. )J!/Y.P,(.ew~ocl /tile, mf'~I1I9M~J6'o'r. ?/I. 17{)-'-s" v Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: ,Altlt.. II. It7'Y . ?AI-oV,j;i;. ~MJ ' Signature Name Address //.,7 E. /Jl/;P,t,CWOi>j 4ve hi e~h/f/ll;'(.'~ bw Yr!; !'/J, /7C',F.5- Telephone (/'/7l (,1'1- /? 7C) CapacitYl Personal Representative Counsel for personal representative .j- _ ,1..0 '/ - { Jot! 101 c.. ~ REV-1547 EX AFP 108"94* COHHONWEALTH OF PENNSYLVANIA DEPART"ENT OF REVENUE . NanCE OF INHERITANCE TAM BUREAU OF INDIVIDUAL lAKES APPRAISEHENT, ALLOWANCE OR DISALLOWANCE ~miS:::~:lpA 11128-0601 OF DEDUCTIONS AND ASSESSHENT OF TAM DAT! 11-28-94 ESTATE OF SCttoLL C'fIAR1! PILE NO. rT4='~m-- DATE OF DEATH 04-16-94 COUNTY CUMBERLAND NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUOHIT THE UPPER PORTION OF THIS fORN WI TN YOUR TAM PAYHENT TO THE REGISTER OF WILLS. HAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT" REMIT PAYMENT TOI ACN J ROBERT STAUFFER ATTY MARKET SQUARE BLDG MECHANICSBURG PA 17055 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 r _~ount ~:,l_~t~ -3 CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV: iS47 "Eic"iI i:ii-fiis"-94T -NoT"i c r -eiF" INHER- i TANCf - T"" x -';iPPRiii sEifENT ~ - - iI t i"tiWAi(CE - cili' -" -- - - - -" -"."...- DISALLOWANC2 OP DEDUCTIONS AND ASSESSMENT OF TAX 2STATE OF SCHOLL CHARLES T FILE NO. 21 94-0399 ACN 101 DATI! 11-28-94 TAX RETURN WAS. I X I ACCEPTED AS FILED ( 1 CHANGED RESERVATION CONCERNING FUTURE INTERESt . SEE RfoVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL 1. Rill E.toto ISohldull Al (1) 2. Stock. Ind Bond. (Sohldull B) (21 3. Clo..l~ Hlld Stook/Plrtnlr.hlp Intlr..t ISohldull C) CSI 4. Hortglgl./Nctl. Rlcllvlbll ISohldull DI (41 5. Cuh/Blnk Dlp.llh/Hho, Plr.o"ll Proporty (Schldull EI (51_ 6, Jollolh DWnld Proplrt~ (Schodulo Fl (61 7, Trln.flr' ISoh.dull GI (7) a, Totll AD.lt. ,00 .00 .00 .qQ" 9J928.16 .00 ,00 eel , 9,928,16 APPROVED DEDUCTIONS AND EXEMPTIONS I 9, Funlrll EXPlnD../Adl. Co.h/Nho, Exp.n... (Soh.dull HI (9) 10. Dlbt./Hortglgl LI.bllltll./Ll.n. ISohldull II (10) 11. Totll Dlductlon. 12. Nit V.lul of TDx Rlturn ,\3. Chlrltlbll/Govlrn.lntll Blqul.t. ISohldul. J) 14. Nit VIlul of E.tlto Subjlot to TI. 9,040,00 .00 III I 112) IU) 114) Q.nCtn no 888,16 ,00 888.16 will If an a.....m.nt was 1ssu.d prav1au.1Y, 11n.. 14/ 15 .nd/or 16, 17 .nd 18 refl.at f1gur.s that 1nc~ude the tat.l of abk r.turn. .......d ta d.t.. ASSESSMENT OF TAXI IS, Alount of Llnl 14 It Spou.ll r.tl (151 16. AMount of Llnl 14 tlxlbl. It Llnlll/Cll" A r.tl 11.1 17. A.ount of Llnl 14 tl.lbll It Collltlrll/Cll" B rltl 117) la. PrincipII TI. ~u. NOTEI .00 53,28 .00 53.28 .00 8BB, 16 ,00 X ,00. K ,06. M .15. 1181_ TAX CREDITS I PAYHENT DATE 07-14-94 RECEIPT NUHBER MMB86295 DISCOUNT (+1 INTEHEST (-I 2, '66 AHOUNT PAID --53-:-28 TOTAL TAX CREDIT _______.___.______.~ _0._- BALANC! OF TAX DU! .____...n_..___~_.._~.__ __ INTEREST .__._._._h_._.._..~_.~_._.......__ ___ TOTAL DUE 55.94 2,66CR ,00 2,66CR . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INYEREST, IF TDTAL DUF. IS LESS YHAN fl, NO ~AYHENT IS RF.QUIHED. If TOTAL DUE 15 REFLECTED AS A "CREDIT" CCRI, YOU H^Y IE DUE A REFUND, SEE REVERSE SIDE OF THIS FDRN FOR INSTRUCTIONS,) "-'.:".j.,u ,"', \ '", ~ .. - ;" _ '-_"""t-,~,,;""'V'"'-"''''';'.~'' ........ ..... " ,.,'-......-' " 'I t", .. ',1.:\: '1 " :", Ii' , , Ii. i'l 1.',1 " ,lU " RESERVATION I Elt,t.. of dlctd.nt. dvlng on or, b.for. Deae~r 12, 19aZ -- If eny future Int.r..t In the ..tot. 10 tran".rred In po.....lon or InJoYllnt to el,.. a (oollat.r.l) bene'lol.rl.. 0' the d.Q.d.nt ,'tlr the 'Mplr.tlon of any ..tat. 'Dr llf. or for v..r., the CO.lOnw..lth h.r.by 'Mpr..,ly r.'.rvI. the right to .ppr.I.. Ind '..1.1 tr'n.f.r Inherlt.ncl T.MI. .t the lawful CI.I. a (coll.tlral) ret. en any .uch future Int.r..t. PURPOSE 01' NOTICEI To fulfill the r.qulr.,.nt. of S.ction 2140 a' th. Inh.rltlnc. Ind E.tlt. TOK Act, Act %2 0' 1991. 72 P.S. Station 214n. PAVMENT! Dlttoh tht top portion 0' thl. Not Ie. and IUb,lt with your Plve.nt to the R.gl.tlr of Will. prlnt.d on thl rev.r.. .Id.. nHllto chIck or """I' ordor pI..bll to, REOISTER OF HILLS, AOENT All peY'tntl rtc.lv.d 'h,ll 'Ir.t b. appllld to any Inter..t whloh .fty bI due with .ny t..lInd.r appll.d to the tlM. REFUND (CR)1 A r.fund 0' . t'M or.dlt, which w.. not rlque.t.d on the TIK R.turn, 'IV b. r.qu'ltld bv co.pl.tlnt an "Appllc.tlon for R,'und of PIMlylvlnl, Inherltanc. and Estl" TaM" (REV-UUl. Appl1cIUon. Ir. aVIUabl, at thl OffiCI 0' the Rlahtnr 0' Nllh, ,nyof the 2S R,vlnue District O"ICII, or bv ClUing the IP.clel 24-hour anlwerlng IIrvlo. nUllberl 'or 'or.. ord.dnSII Jn P.nn.vlvania 1-800-]62-2050, out.ld. P.nr"vlv.nll Ind within 10c.1 Hlrrllbur~ ar'a (717) 717-1094, TOOl (717) 772-2252 (H..rlng IIp.lr.d Only). OIJECnOMSI Any pith In Intarllt not ..t~.fJ.d with tha appreh...nt, allowlno. or dh.llOt1lncl 0' dlduction., or allu...,t 0' t'M (Including dlloount or Int.r..t) .. Ihown en thl. Hotlo. IU.t obJlct within .1Mty (60) day. 0' r,o.lpt of thll NoUel bYI ADltIN ISTAUI\'! COAAECTlOHS. ~~wrJtt.n prot..t to the PA Dlpart"nt 0' R'v,nue, laird to' ApP,QlI, DEPT. 281021, Harrhburg, PA 17128-1021, OR --.I.otlon to hay. tha eatt.r dat.relnod It audit 0' thl acoount of the p.rlonal rrar.l.nt.tlvl, OR -~.pp..l to thl Orphan.' Court. IHTEAEST. Flatu.l Irror. dl.cov.r.d on thl. ........nt .hould b. Iddr....d In writing tOI PA D.part..nt of Alvenul; aur.au of Indlvldu,l TIMI', ATTNI po.t A.......nt Rlvl.., Unit, DEPT. 280601, Hlrrl.burg, PA 17128-0601 Phone (717) 787-6505. S., PIUI 3 0' the bookl.t "Inltruotlonl for tnhlrJtlncl TaM R.turn for e ROlld1nt D.c.dlnt" (REV-1S01) for In' IMpllnatJon 0' adllnl.tratlv.lY corr.otlbll .rror.. If any t.~ due I. p,ld within thr'l (]) cal.nd.r eanthl I,t.r the d.cad.nt'l d.ath, a 'Iv. Plre.nt (5~) dl.oount of the tlM paid II Illow'd. Int.r,.t 1. ch.rg.d beginning with fJr.t d.W 0' dl1lnqulnov, or nln. (9) aonth. Ind ona (1) day 'rol tha d.te of d.,th, to thl dati of p'YI,nt. TaXI' which b,cl" dlllnqulnt bl'or. Januarv 1, 1982 bl.r Jnt.r..t at th, rate of .IM (6~) p.rc.nt p.r annul oalcul.t.d It a dlllv rat, u' .000164. All tax.. which b.eaa. d.llnquent on and ,'t.r JtnUlry 1~ 1982 will b..r Int.r..t at a rat. which will vary 'rol cIllndar VI.r to callndar VI.r with th.t r~t. announced bv t~1 PA D'Plrtalnt 0' Rovlnu.. Tht appllolbl. Int.r..t rlt.. 'or 1982 through 1994 .ral OISCOUHT . !!!!: Inter..t Rite Dallv Jnter..t Factor ~ Inter..t Aata pll1v Int.ralt Flotor 1'82 m .0005~8 1'86 lOX ,00021~ 1985 IlX ,OOO~58 1m 'X ,000241 I'" III ,000501 1901-1991 III ,000501 1985 m ,000356 1992 'X .000241 1995-1994 IX .000192 ~-Inter..t .. a.loulltad al follow. 1 INTEREST . BALANCE OF TAX UNPAID X "UHSER OF DAYS DELINQUENT X OAILY INTEREST FACTOR --Any Notlc. Inu.d .fter the tlM baao... dtllnClUtnt wUI reU.ct en Interllt cal.:ulaUon to ,lfttln US) d,y, bevond the-dat. of the ........nt. J, plv"nt 1. .ad. .ft,r the lnt.r..t ootputatlon d't. .hown on the Notlc., addltlon,l Int"..t ault b. elloulattd,