HomeMy WebLinkAbout94-00409
PETITION I<'()R PROBATE and GRANT Of' LETTERS
t.:vlUle oj -,-Jt.5j!JL)LLJfltolA.Ulii/ll/ii~'h No.___dJ,::-_'1~-IfP'!L--
also kilo II'" us __ __ _ .. ___ .___. To:
.------...---.-7.1-- ..-- --. - - ..- ---.- ..-- Register of Wills for thc
___ ____4_ .II.~ fif _ __. _. Oc('('usetl. County of _CUMBERLANIL- in Ihe
Sodal S~cllrltl' No. -jr.i_j'.,{il. ':i.2~7___.___ Commonwcalth of I'cnnsylvanlu
Thc pctillonof Ihe nndcrslgncd rcspcctfnlly rcprescnts tlml:
Your pClllloncr(s), whols/lHl' IN ycurs of Uuc Of oldcr unthc c.xceuL...Q@ nUlned
in Ihc last will of thc lIhove dcmll'nt, dutcd ____JPL"L1I_Jtj..r:J__.______._.__, 19_
lInd codlcll(s) dlltl,d __jl,lfl/;! ___ _____ _u__ ----.--.--------
---.-.---.----.----. ...-_. --.. .-. . _.. --.--.--..<,---..
-_.__._---~._~- -..---.--.. - .--. ..--.----------....-.--..-----.-----.--
____..______d...__.. _.._,_ ..__ _.._....n......___.._________.__._._.________._.
blllle rl'll'\'UIII \:in.:IIII1\IlUICC\, C.il. rCI1UndllllulI, dl.'i1lh (If ~"c~lIl(lr, elc,)
Dcccndcnt wus domlclkd lit dCllth In_____(1"_'tIJJJ.filbJ!'!J.!.!-''------- County, I'cnnsylvunlu, with
h.AIL__ lust family Of principal rcsldcncc ut .___lq,.i.(fl}~lL_tLLt.J.A-tl-'r m-,r,;y;;;ji A tV
__ _____jj!(Lj1tT. j;J.M.B'Y.._PI?:u:.:......__tltJ/t'M.w<<t.d-I/d..1; ----2__J::_1X#I: ..IU
(II" 'lft'CI, 1I11ll1ht'r 1I1H11Il1lIldpalil)'1
t: /'
Deccn cnt, thcn ___.1.5 __ ycars of lI~C, dlcd ___________'1...Ii.:!L;L__________, 19
lit UHIIW.///i-I-A&Ii----m.-------_----.----.- .-'
ExccpI liS follows, dct:cdcnt did nOlmarry, was not dlvolccd lInd did not huve a child horn or adopted
::~~~;n~~~~~:::~lII~~t.h~A7~~cr~d f:~~~:h~lc;:ns no~thc victim 01 a killing und WIlS never adjudicllted
Dcccndcnt lit dCllth O\\{,cd propcrty with estlmutcd vulues as follows: "I .''''
(If domlcllcd In I'll.) All pcrsonal propcrty $ <d. /J1I,
(If nOI domlellcd In I'u.) I'crsonalproperty III Pennsylvanill $ (
(If nol domlcilcd in I'a.) l'ersonulpTUpcrty III County $
VlIlue of rcal cstnlc In I'cnnsylvanlu $
sltuuted liS follows: __________./VI2A1&:._
---------_..-~--_. .--------.. -- .----.
----_._--_.__.._..._.._---~-_._.__.._----------------
WHEREFORE, pctltlollcr(s) rcspectfully rC(IUcst(S) thc ;J\robute of the lust will and codlcll(s)
prcsentcd hcrcwith lInd the grant of ICllcrL___[,flfJWtJ//, 1'/
,
(IC~,tlllllcnlnry; lI~l1lllllmllllon l',I.ll.; iuJminlslrlltloll d.h.R.C,I.a.)
theron,
i
B
-c-
~i
-c8
~:e
~o..
l1.
~ c
a
iii
~if~~{~~~~
.- ------ ------------------- (} -
I CI_7.3.VJ2.r1L12J.?._tJlffJidt3/Vi,:jZjt:!N- dI77tlfJ
----.--.. -_._---_.__.._-_..~_._._.--.-._._.._-
------------~--._-.._-----
___._h._+___._._._....__________..__.~____
__._u_._______...__._._______. -.-~.-_..---.- .
--------..---.---- --------... --..--..-------
OATH m' PERSONAL REPRESENTATIVE
COMMONWEALTH OF I)ENNSnV ANIA } l:lS
COUNTY OF ___1UM~UlLAND _______ '
Thc pctiliollcr(s) ahove-mlml'd swcar(s) or afflrm(s) that the stlltcmcnts In the foregoing petition arc
truc lIud ~orr"~t tothc hcst of the kn()\vlcd~c aUdil'll'f of pctltloner(s) and thai as personal represen-
lIltlvc(s) of thc ahovc dccedent pClitloncr(s) will wcll ld lrJIY/t!JllirflCT the cst ute accor~lng 10 luw,
SWOfU \(I ll1' afflrmcd,and suhscrlhed ~' _ it!..LL_2"LttItfPr/~e-~ !!>
heforc mc thi'j:;;)___28THfj' day of ---------------------- ~.
'=t)'t)~~RJ.I:;?,c :/;~ i--'i.:Z, j?l1~L~' ~.-n---u----- ~
IlrtA.,fC (.-c.~I------ --,~~, _ ,-----------------.--- ~
MNlY C. LEWIS RI~_ I .-----------------------....
II./ -' (~)(/i .- "-I
No. 21 . 94 . 409
Estate of
JESSIE E. LEINAWEAVER
i Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW _ MAY 3, 19.~, In consideration of the petition on
the reverse side hereof, satlsfa~tory proof having been presented before Ine,
, IT IS DECREED Ihatthe InSlTument(s) dated ,JULY 18. 1983
described therein be admitted to probale and flied of record as the last will of
JESSIE E. LEINAWEAVER
TESTAMENTARY
FRANK E. LEINAWEAVER
and Letters
are hereby granted to
FEES
Probale, Lelters, Et~. .......,. $.
Short Cerllfleates( 1).......... $
Renunciation ..""..,.",." $
X-Pages
JCP
60.00
3.00
ATIORNEY (Sup. Ct. 1.0. No.)
b.UO
74:88
$
TOTAL _, $
ADDRESS
'F~led "'" ~~.v.. ~'I ,1,~~~. . . , ,.,., , , I ,., . .
PHONE
~. t: .~(
,,- (,~',J
:'J '0 -\ n.
.... ,;
C'.
C,'")
\',1
1'1-:
,ILl
'"
f.) (01 "r "
UlU:' ;::
ll: P'l .m ::>
()()
,
&91
"
, '.
,
,.' "
......
,.... ~'J 1;;~ "
I' ,,0 III ..13 ".
fl\fi1j ,.,-
1.... 1'1.. .
.", , ....1 I' i ,
~' ,
'.J ,. I
r: " ;'. ,
" ,I,
I' (~) r,',' ,~ ,.
n.t;; ,./ ','j L
~\'i LC_ .","....)'
. .1 '\',
&! ~ ,.,,"-) " " " "
~,~', '"
0: '. "
" ,
" "
1'1' "
"I
'. '" "
,
,. "
"
I' ",
I,
'I, "
, "
I, ."
.'
" 'f .' .....-.t
, .. '~ J1
l '~l\
.- I
f - , iW' I
,II
==
-_.',
" flS ~
tilt ~
,;; =: ~ \+ot ~
1; ttt Q ~jU
~ .
r&l "
:= e1 Ifl
~ CIl
fiit ~ ! ~
...- rs
r-w. j 1~~
,.
"
I /.
"
" ,"
Ii ,
,I-
,,' ,I;
"
" .,
I ,.
", 01" (
,
.. "
I,
.' , , './,',
-//, ., ".
." "j,
" 'l(l ! , ,','
" of "
, ,
, "
,
" I,
,
,\.
" ,. "
" " " I,
,'.', "
1'1
,. " , I'
". Ii' ,,,
" ,
" .. "
I," ,. i,' .~ \ ... i ~ j
. '. ''i " , . ,:.,;.
, " 1.1, II'
,.;11" ':1 '.
" " "
'I "Ii " , ,,' .,
t."
.,. ,I., "'," ,...-.,. ':'1,';' --
., ,.
. 1.
'. .' .. .
"
tllrill12 nlV 1I.&tJ
tU,ffOfl HIIG
Cf;RTlFICAh:UOO)
WARNING: n m ILLEClAt ., 0 AI. IHl HtIH COPY all
TO OUPI.ICATE BY PHOTll!:IAI on PIIOTIJl1f1.I\PII,
COMMONWEAL Tlj OF PI'NNSYLVANIA
DEPARTMENT OF tlEAL TlI VITAL RI'COA~S
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
CERT. NO, 2125479
____(A...,,11~ 11.4._,---.-.-:_____
'.'0 (I 1"11" iiTlhll Cllr'III~'lltlqn
Name of Decedent ._~fUl.1.fL__.__----------..--__.. .E,___..____.______...____ldnaWll.llv..e.~___.
flnl ~~I~<ll,' l4"
Sex __fJt!!te Ie Social Security No.____.:!-.J?.~::9.Q.- 2 ;lPZ___.________.____ Dete of Death _..3.::j.1::-_~_
Date of Birth _;!.:J.::1~9 9 ______ Blrthplaco________p_E!J;' !'y__.C 9--'--'.__n________ .____.______
Place of Death Messiah Village
'acr"IINlrM
...Q.. u l1)Q!!.r.l~o.Q..______ M e c hen i c s bur Q
70111,1, -c:;j; UO'<):lllh (it fQII"II,II)
Pjlnnsvlvanl!l.
Race --1ih i t L._ Occupation _J.9_meJlULk.e..r___.________h_______ Armed Forces? (Yes or'No) _ No
Decedent's
Marital Status ----..l'U.J!.9.\L__ Mailing Aduress ____M.e_fi.$J_llLtil.l.a.g.e.._.___.._.M.e.c.b_Elni.c.s.b urg J:lLlLll5 5
Ij'lnll~1t !,II'.....I (:111 (lr rll#/(\ Sllto
Intormant ......El:.an k...f.c..mnaweJ!.Y..!l.!'....___ Funeral Director ___.___Q.sLv.i.d_M.LM~I.s...---_____-
Name and Address of
Funeral Establishment
(a)
(b)
(c)
M Y.El.rJLfJJJlltrf:!.~. _H.QJlHl_<_ K!lW-llQu._EJLJ.l.Q.l4.______
: Interval Between
: Onset and Death
I
I
In t e r s t! t i a 1 ~.\.ln9--IU.!lJ~.!!Jl_!L__._.______________1-.
I
I
I
-------.-. ~------_._.----_..---------.
I
I
I
I
I
I
I
.___...______.__..______...~_____l-..
Part I: Immedlato CaLise
(d)
Part II: Other Significant Conditions
Manner of Death:
Natural 9
o
o
Describe how Injury occurred:
Accident
Suicide
Homicide
Pending Investigation
Could not be Determined
o
o
o
Name and Title of Certifier ._n__L_~!..Q.y___y_mm_~.!'J1!!l.!L_____ M .0,
(M.D.. 0,0" Coroner, M.E.)
Address .___ __~.Q.~_ 20 15 l_~~.c_hl:l.!1.~c ~.b..~I_Z:.9.L.P..LF.o 5 ~____.m____._..._._______
This Is to certify that the Information here glvon Is correctly copied from on original certificate of
death duly flied with me os Local Registrar. The original cerlificate will be forwarded to the State
Vital Records Olllce for permanent filing, r; -J
_ /tJ.u/J.lt.dL<.)..l2,.~&.. ~Q:~??__
""f0::I' "'~I'llt~' 1,1 Vii 11 H..:lIrll n'~"'l:l tin
- 101. B.~,,~m,~;t St..,NewBlo,9,~,~Ml~;,t"~"f'A-.17068
~4.~.l1.,,-9.4_______.
iJ~l" '1'~;'I'.llilllf I 'If ~11!~(I"II,lr
- ..
\
,
E
:r'
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent I Jessie E. Leinaweaver
Date of Death. April 11. 1994
Will No. 1994-00409
Admin. No. 2194-0409
To the Regis ter I
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 beneficiaries (If the above-captioned estate on
Mav 6. 1994 .
~
Frank E. Leinaweaver
Address
10 Andes Drive
Miriam laRue Peters
Mechanicsburg, FA 17055
13 Center Street
Lake Placid, FL 33852
Notice has 'now been given to all persons entitled thereto under
Rule 5.6 (a) except_ None
Datel
3-10';'
:Lit f.l,(P/H#~
Signature
Name Frank E. Leinaweaver
Address 10 Andes Drive
,.- .' .,
\ .' ~ j~
.f I,)
N
,
..,.....
'i'I'
, , , ,~ r
',',' [C ,. , , ::1
., cj
0: (.)
Mechanicsburl!. PA 170~_
Telephone (717) 766-7583
Capacity I X
Personal Representative
, Counsel for personal
representati ve
, .
--
t-
/1..1-1\1(/1' 1../
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
AIV.ISOO IX. 111,11)
PILI NUMB"
~
~
Q
~I!
~I
~
!
~
I
a
.S>"~'~1I
~J,;
COMMONWIAlTH O' r1NNSVlVANIA
O"AUMINI O' '\VINUI
Ol/!,2806O
HARlIIIUAO. PA 11128-0601
N' NAM ILA~', fIRST, AND M15DifiNi'Ti"A'I)
21
COU~!V CODE
1994
VE~R
409
NUM8ER
N'
M
Leinaweaver,
tA SleURITY NUM.fIt
Messiah Village
Mechanicsburg, PA
~~ C\U11berland
17055
165-50-2307
Jessie E.
---rmroror;;-~1f151liiIT"--
I 4/11/94 I 3/1/1899
!J 2. Suppl.menlol Rolu,n
o 3. R.molnder Return
110, dol II 0' d.olh p,lor to 12.13.82)
[J S. F.derol E,Iol. To.
R.lurn R'qul"d
9- 8, Tolol Number 01 Sol. D'pollt Bo,"
[Kj I. Original R.lu,n
o 4. lImll.d E"oll
o 40. Fulure Inll"" Comproml..
lIar dolu of d.olh oller 12.12.82)
D!I 6. D".d.nl DI.d TllloII 0 7. Dec.dent Molntoln.d 0 lI,lng Trull
(Alloch copy 01 Willi IAlloch copy 01 TIUIII
ALL CORRIIPONDINCI AND CONfIDENnAL.rAX INfORMATION SHOULD BI DIRECTED TOI
NAM" M 1 MAl A
H. David Padden, CPA
3425 Simpson Ferry Road
Camp Hill, PA 17011
" N
M
763-1644
- r> -'~
--,
~I.' :~
I. R.ol E"ol. ISch.dul. A) I 1)
2. Slockl and Bond, ISch.dulo BI I 2)
3. Clololy Hold SIock/Porlno"hlp Inll"" (Sch.dulo C) (3) __
4. Morlgogll ond NaIll Ro"lvobl. (Sch.dul. D) I 4)
5. COlhl Bonk Dopo.III & MIIC.lloneoul Pmonol Properly I 5) _---1. 080.62
(Scn.dul. E)
6. Jolnlly Owned Property ISch.dule F) I 6) 22,400.14
7. TranI'''' (Schodule G) (Schodule I) I 71
8. T 0101 Grall AII"I (Iolollln.. 1.71
9. Funerol Exp.n.." Admlnl,lrall" Co, II. Mh"lIon.ou, I 91
E.p...., (Sch.dul. H)
10. D.bl', Morlgug. lIobllltlll. 11.n1ISch.dul. II 1101
11. T 0101 D.duCllon! Ilololllnll 9 & 10)
12. N.I Valu. a' blal'llIn. 8 mlnullln. 11)
13. Charllabl. and Go,ernm.nlal B.qu.", (Sch.dul. JI
14. N.t Valu. Sub "'10 To. IIno 12 mlnullln. 131
15. Amounl 0' IIno 14 lo.abl. 016% roll
Ilncludo volulI 'rom Sch.dulo K or Sch.dul. M.l
16. Amount 01 IIn. 14 lo.obl. 01 15% rOI.
(Includ. volulI Irom Sch.dul. K or Sch.dul. M.l
17. Principal lox due IAdd 10. 'ram IIn. 15 and Iram IIn. 16.)
18. Credlll Prior Poymenll DllCounl
____ + 50.24
19. If IIn. lB II grooler thon I;no 17, .nler Ih. diHmnce on line 19. Thh h Ih. OVERPAYMENT,
1110
20. If IIn. 17 I. grealer Ihon IIno lB. enler th. diHeren" on line 20. Thh" Ih. TAX DUE.
A. Enler Ih. Inler..1 on Iho bolon" due an line 20A.
B. Enler Ih. 10101 01 line 20 and 20A on II". 20B. ThllI. Iho BALANCE DUE,
Ma~. ChlC~ Pavablo tal R.glater of Willa, Ag.nt
h,t
\ ~.
( 81
23,480.76
2,489.00
4.244.81
.-
6,733.81
16,746.95_
1111
(121
113)
14
16.746.95
1.004.82
1151
16.746.95
)( .06.
1161
)( .15.
(171 1...004.82
(181 50,24
(19) _
120) 954.58
120AI
120BI 954.58
Inleteit
(t1f'cll hf'1r. if,yuu OH.' ''"'Clu(>\lin~J Uldu"cI of yOUf ovcrpnymonl.
"'",',-.' , '... ",IISURITO ANSWER ALL QUESTIONS ON RIV.;m SIDI AND TO RECHECK MATlI.... ; ".' ,
Under penchl.. of perjury, I dldor. thot I havI examined Ihll r'lurn, IncludIng occompanyln9~ehldulel and Itallmlnll, and 10 lh. bell of my knowledge and blU.t
It /slru , corrlct and campi,'.. I dIdo,. thol 011 nol,,'ol. has bun r.porled ollruI "lork.1 valve. Declaration of prepar., orh" thon th, perlonal '.preunlo!1..... i.
bait n all Information of w eh preparer hos any ~nowl.dg.,
~ l 'I ORIIlINO ,TImN AnOR!!! 10 Andes Drive om
Mechanicsburg, PA 17055 5 -jj.Cf!i
AOORI!r3425 Simpson Ferry Road OAT!--
Camp Hill. PA 17011 S-II.II'I
,--
..--
~.
,.'_4
LAST WILL AND TESTAMENT
OF
JESSIE E. LEINAWEAVER
I, JESSIE E. LEINAWEAVER, of the Borough of Mechaniosburq,
cumberland county, pennsylvania, being of sound and disposing
mind, do hereby make, publish and declare this my 'Last Will and <W.
Testament, hereby revoking and making void !Iny and all Wills or
other testamentary writings by me at any time heretofore made.
I _ I dir.ect the payment of all my just debts and
funeral expenses out of my estate as soon as may be practical
after my death,
II _ I devise and bequeath all of my estate of whatever
nature and whereve~ situate unto my children, Miriam L. Peters
and Frank E. Leinaweaver, share and share alike, per stirpes.
Should either my daughter, Miriam L. Peters, or my son, Frank E.
Leinaweaver, leave no children surviving them, the share of said
child shall go to my surviving child, per stirpes.
I \
\
. \ "aM01.D.IUu" B...n....
"TTiltJ'fI'!'I"'''''''
....,.."u....
\ ,... "............ "..
\
III _ Should there be any property of whatsoever kind
and wheresoever situate which I have the right.to dispose of at
the time of my death, including but not limited to any special
,
" .<1 E o! ·
~.H).'-l ...('.l'-t.N I~ H--< "t. f (
. page 1
iIV.I~ lit 111.111
"
~h
COMMONWIAlTH O' PINNIYIVANI.
INHUIlANCIIAX mUIN
IIIIDINT OlelOINT
ESTATE O'
SCHEDULE F
JOINTLY.OWNED PROPERTY
Join' '.nDntl.),
Jessie E. Leinaweaver
NAM.
A. Frank E. Leinaweaver
I.
C,
JolntIY'Dwn.d prop.rlYI
ADDRESS
10 Andes Dr! va
Mechanicsburg, PA 17055
I.IU NUMIER
21-94-409
RELATIONSHIP TO DECEDENT
Son
ITEM LenIR DATE
'OR TOTAL VALUE DECD'S DOLLAR VALUE OP
NUMBS! JOINT MAD. DESCRIPTION OP PROPERTY O' ASSET % INT. DECEDENT'S INTEREST
TENANT JOINT
" A 9/25/9, Harris Ssvings Bank - Premier
Checking Account Number
500027564 $ 633.52 50% $ 316.76
2. A 9/25/9: Harris Savings Bank - Savers
Advantage Account Number
560002315 $44,166.75 50% $22,083.38
,
TOTAL (Aho .nl.. on IIn. 6/ R"apllulallon) S 22.400.14
(1/ mOil Ipee. II n..d.d Inl'" addiliona' ,h.." 0/ lam. Ii..)
"V.ISHII'l'."1
ITEM
NUMBER
1I~:J~l~
-ilW-
COMMONWIAITH 0' 'INNmVANIA
INHI!ITANCI lAX IITU1N
AIlIDINI DICIDINI
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCEllANEOUS EXPENSES
PIIOII P,'n' or T I
Jessie E. Leinaweaver
21-94"409
DESCRIPTION
A. Funerol bplnll"
1.
B.
4,
C.
1.
2.
3,
4.
5,
6.
7.
8,
1,
Admln'ltrotlvl COil..
Plnonal Rlpr"lntallvl Cammllllons
Social Slcurlty Number 01 Perlonal RlpfellntatlvlI
Ylar Commlulons paid
2.
AllornlY Fils
3,
Family Exempllon
Clalmont Frank E. Leinaweaver Relationship
Addrlll 01 Claimant 01 de cedi nt's dloth
Slrllt Addrlu 10 Andes Drive
City Mechanicsburg Slatl PA
Zip Cadi 17055
Son
Proball FOil "Regis ter of W11ls
Mllc.llonloul bplnll"
Filing Fee " Register of Wills
Padden & Associates - Inheritance Tax Return Preparation Fee
TOTAL (Alia Inter on IInl 9, Rlcopltulatlon) S
(If more IpaCI Is n"dld, Inllr! additional Ihll" of lame 11.1.)
AMOUNT
$ 2,000.00
74.00
15.00
400.00
2,489.00
."
..
REV"1!l47 EX AFP (10093.
C'_IIEALTH OF PEHHtVLVAHIA ACN 101
IlEPARIHEHI Of REVENUE NOTICE OF INHERIUNCE TAX
IUREAU OF IHOIVIDUAl TAXES APPRAISEHENT I ALLOWANCE OR DISALLOWANCE
~~~~is:~:~~IPA IIIZH601 OF DEDUCTIONS, AND ASSESSHENT OF TAX DATE 09-13-94
ESTATE OF LEINAwEAVER E -= FILE NO. 7r
DATI! OF DEATH 04-11-94 COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CR~OIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FONH WITH YOUR TAX
PAVHENT TO THE REDISTER OF WI~LS. HAKE CHECK PAVABLE TO "REDISTER OF WILLS, ADENT"
REMIT PAYMENT TO:
.
H DAVID PADDEN CPA
3425 SIMPSON FERRY RD
CAMP HILL PA 17011
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
E Anou'!.t ReMitted J
CUT ALOND THIS LINE ~ RETAIN LOIIER PORTION FOR YOUR RECORDS -4l
ilt:Ii'~i~ijr!x"A~r-- 'l1U~\I,rl D~m~g~-~~c~N'~~R~~~tlg~I~~~~~~R:m~~~~NfAW'~~~CE OR
ESTATE OF LEINAWEAVER JESSIE E FILE NO. 21 94-0409 ACN 101 DATE 09-13-94
TAK RETURN WAS, ( ) ACCEPTED AS FILED (Xl CHANDED - SEE ATTACHED NOTICE
RESERVATION CONCERNIND FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Rool E.teto (Sohodulo A)
2. Stock. ond Bond. (Schodul. B)
3. Clo..ly Hold Stook/P.rinor.hlp Int.r..t (Sohodulo C)
4, Hortgogo./Noto. Rocolvoblo IS.hodulo Dl
5, Co.h/Bonk Dopoolt./HI.o. Por.onol Proporty (Sohodulo El
6, Jclntly Ownod Proporly (Sch.dulo Fl
7. Tron.for. (Sohodulo 0)
e, Totol Allota
III
(21
t31
141
ISl__
161
171
,00
.OD
.00
.00
1.080,62
22,400.14
,00
leI
23,4BO,;'6
APPROVED DEDUCTIONS AND EXEMPTIONS:
9, Fun.rol Expon.../Adnlnl.troilvo Co.t./
HI.ooll.noou. Expon.o. ISoh.dulo HI
10, Dobt./Hortg.go Lloblllilo./LI.n. (Sohodulo I)
11, Totol Doduotlon.
12. Nol Voluo of Tox Roturn
13. Ch.rltoblo/Dovornnontol Boquo.i. (Soh.dulo J)
!!t. I~tlt V.llo.l. ", n~d.t.. s"':"J..:.~ h. ':'.."
(91
1101_
489,00
4.244,81
(111
(12)
1131
elf; )
4,733,81
10,746.95
.00
lA,746.9S
NOTE:
If an a.....ment wa. ie.ued previou.ly, line8 14, 15 and/or 1& and 17 will
refleot figure. that includ. the total of ALL return. a..ee.ed to date.
ASSESSMENT OF TAX: -
15, Allour.t of L1no 14 ioxohlo oi 6% roto 115 I
16, Allount of Llno 14 toxoblo ot 15% roto (16)
17, Prlnolpol Tox Duo
18.746.95
,00
X.06 .
X.15 .
1171
1,124,82
.00
1,124.82
TAX CREDnSI
PAVHENT
DATE
RECEIPT
NUHBER
OISCOUNT (+1
INTEREST 1-1
AHOUNr PAID
05-12-94
886067
50.24
954.58
PAYMENT MUST BE MADE BY 01-11-95M,
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
1.004,82
120,00
.00
120,00
· IF PAID AFTER DATE INDICATED. SEE REVERSE
FDR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN U, NO PAVHENT IS REqUIRED,
IF TOTAL DUE IS REFLECTEO AS A "CREDIT" (CRl. YOU HAV BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,)
r
ft
"
','
"
,.
,.,1.1,
"
(,
"
RlIERYA'IOHI Elt.t,. of dtold~t. d~ln. on or btfor' Dle'lOtr 12, 1"2 If tnv future Int.r..t In thl I.tlti 1. t'In,'.rr.d
In po"",lon or .nJov-.nt to el,.. I (oolllt,rel) bln,flel.rl.. 0' the dle,dlnt .ft.r the IMplretlon of InV I.tet. for
Ilf. or for v..r" th~ COIIOnNlllth hlrebv Iwpr...lv r...rv.. thl right to appf.I,. end "'1.. trant'.r Inhtrltlnel T'MI'
It the Itwful ell.. . (0011,tlr.l) rtt. on any luch future Int.r..t.
puRPOSll 01'
NOlICEl To fu1f1l1 thl requlr..,,,t. 0' SeoUon 2140 0' thl Inhtlr Jtttnel and Eltat, TIIC Act, Aot tz of 1991. 72 P,S.
Slatlon 2140.
PAVHEHTt DetlCh thl top portl~ 0' thl, Notl01 end 'ublJt with your plv..nt to thl Rlgl,t" of Will. prlntld on thl r.ver.. llde.
"Hole. chock er ..no. erdtr ...01110 tel REGISTER OF MILLS, AGENT
All pay.t"tl r'cllved 'hill flr.t be .pplJld to any lnt.r..t which ..y bl due with any r".lnd.r applied to t~ t'Xl
REFUND (CA)1 A r.fundof . t.K oredlt, whlah WI' not r.que.t.d an the TIN R.turn, ..y b. r,que,t.d by a~IPI'tlng an "Application
for A.fund of Penn.ylvanl. Inherlt.ncl Ind E.t,t, TIM" (AEY~151~). Appllcatlonl ar. IVllltbl. at thl Offl~.
of thl Rlgl.t.r of Will', any of tht 25 Rlvlnue DI.trlot Off Ie.., or by allllng thl 'Plol.1 24~hour
an....rlng ..rvlel nu.b.r. far for.. ordlrlng, In PIMlylvanlt 1~800~56Z.20S0, outside P.nn.ylvanl, and
..Ithln 100.1 H.rrl.burg .r.. (717) 717~8094, TOO. (711) 71Z~ZZ52 (H.lrlng r.ptlrld Only),
OIJECTIDNtI Anv p.rty In Int.r..t not ..tl.fled with thl Ipprall.llnt, allowanc. or dl..llow,nol of d.duatlon., or ........nt
0' t.K (Including dl.count or Int.rllt) .. .hown on thl. Hotlol IUlt obj.ct within ,IMty (60) d.y. of r,ollpt of
thh NoUoe bYI
uwrUtln protllt to thl PA D.partlent of Ravlnu., !Iolrd of App..1t, DEPT, Ulon, Hlrrhburg, PA l11Za~10U, OR
.~'llotlon to h.vI the 'atter dlhrtlnld It audU of t~ acoount of thl per'ONl rtprt..ntIUvI, OR
~"'PP\oII to the Orphan.' Court.
AIltlIN
ISTRATlVE
CORMCTlIlNS.
Faotu'l .rror. dl.nov.rld on thl. ........nt .houl~ b. .ddr....d In writIng tOI PA Dlplrttent of Rlv.nut,
lurtlU of lndlvldutl TIK", ATTNI Po.t A.......nt R.vl... Unit, DEPT. 210601, H.rrl.burg, PA 17121~0601
Ph",,,, (717) n7~650Ji. $.. j)IW" ~ of ~h. baakht "In.truatlol., far 11111'" 1 l.n.:llt Tb" R.tu,'n lor a Rulde!"
D.c.dlnt" (IoICY-IGU1) fc,r dll 'KPI..lla,h", of IJalnl,trl'I"'lly carl'.atabll errart.
DISCOUNT,
If tny t.K due I. Plld within thr.. (5) a.l.ndar lonth. Ift.r thl dle,dent'. d.lth, I fl",. perclnt (SX) dl.count of
the t.K plld It .Uowad.
INTEREST.
Int.r..t I. ehlrg.d beginning with flr.t dlY of d.llnquency, or nJne (9) lonth. and on. (1) dlY frOl thl d.tt of
dtlth, to thl dlte of pIYHnt. TIMII wnlch blo.., d.Unquent blfore Jlnuery I, IUt bltr Intlr..t .t thl ratl of
.Ix (6X) p.rc.nt p.r annur cllcUI.tld It . dlllV r.t. of .000I6~. All tlMI' which b.ee.. dlllnquant on Ind Ift.r
JtnUlrv 1, 19'2 ~Ill b..r Int.r'lt It a r.tl which will vary frOl oll.lndtr )..r to cII.ndar Vlar with thlt rlt.
~otd bv thl PA DIP.rt..nt of Rlvenu.. Thl applicable Intlr.,t rat.. for 191Z through 1994 erll
'!!!r Interllt Ratl DIIlv Int.r..t faator !!!r Intlrllt Rlt. Dol1v Intar..t Flotor
1912 20X ,000548 1916 10)( ,000274
1911 16X ,000411 1917 9X .000247
1914 IU ,000101 19I1-l991 m ,000101
1915 lIX ,000156 1992 9X ,000247
1991-1994 7X ,000192
."Intlr..t II alloullt.d II folloWl1
INTEREIT . BALANCE OF TAX UNPAIP X NUNBER OF DAYS DELINQUENT X OAILY INTEREST FACTOR
....Anv MoUo, llIued .ftar the tlM b.oo... d.lInquent will r.flect In Inhrllt ~.lcu1tUon to fll'tl'" US) d.u
b.yond the dati of the ........nt. If PlVNnt It udt 'fter the 'ntertlt COlPutlUon dlt. .hown on thl
Hotlo., addltlont. lnt.r..t .u.t b. ollcul.ted,
"
". .
- ..-, ..... .~ ~. ...,'... ,. ...'....
~
, I
I
,I
1 1
l ,.
. ( ,I
j, ! 'j
,.!"
! 1 ~. ,.
, , " ,
I I 'III' I, ' ,
' \, I.'
III - . I
" I II "
I 0"
, ,
\ ,
\\\\\\\ I ,
, ".
I ,\,
I "
:'\', ,
0 ! ) " ~ \
i . '. -;,
\ .IlL; :'.1
(_c: \!.,) ,0 I., -
~ !
-
~ :: I
-
~ E ! 'II
' :" ..
l'."\ ~
- !
-
" .~. -:: "
~ ,
..::
, ~ ,..., -. ,I
....... '~
~ ..::
~ l
, ,
, ~
, '" -.
~ ~ ~ , "
~
Q , ,
~ .~ -s'
'1:1' . " ", "
~ , "
'-4 ,. ~
,
~ '" , ,. "
'~ ,
, .... , , .~'I \1
, \~ ..J I
I I , .
" , ~ (1.l "
~ ~ ',. I ..r~' ,
.... ',i.
I ~ I I" . ,
~ Ii " 'I
~ .1
,\ I .,l
~ , I
oj .\ .. " r' .\
, :/
., ~" , .,
I' /. ~ .
' . ,,' , -, ~'
I '. ,
" ",. , . ,. \.
,. i \ ~'
!- ., -, J
" " ,. ,~ :
.
, . ~ .', ,
.! " ., ,,' 'i,
" ,. "
" ~il "1,
','
,/ " /
I .
'I
,
'I " p-
" I " i"
.
I
~ I
I
.,_.~ ..-.. .......-
-- _w,....,.___,._.~,.....~........ JJ'q'~ -'1'~"'~~1
I ,
, , ,
\
t)
C;OHHOHWfAl Tit OF PENNSYLVANIA ~ ACN
DEPART"'NT DF REYEIlUE NOTICE OF INHERITANCE TAX
BUREAU DF INUIVIDUAL !AXES APPRAISEHENT, ALLOWANCE OR DISALLDWANCE
DEPT. 210&01 OF DEDUCTIDNS, AND ASSESSHENT OF TAX DATE 09-13-94
t1ARRlS1URU, PA 11128-1)601
mAi'E OF LErRAWEAoJEr---JtS-Sl - E FILE NO. 21 94-0409
DATE OF DEATH 04-11-94 COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCDUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX
PAYHENT TO THE REOISTER OF WII.I.S. HAKE CItECK PAYABLE TO "REOISTER OF WILLS, ADENT"
REMIT PAYMENT TO:
101
-
H DAVID PADDEN CPA
3425 SIMPSON FERRY RO
CAMP HILL PA 17011
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
t
Anount RlnUhd
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS .....
R IV: isiii -EX-A;: ii - riD: 9i Y - Nei'''- i lir -OF - "iNHEiiif ilifcE -''fAx' A P'iiRA i BEMENT ~- -AiXowilifcE .'OR - -- - -...... - - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
EllTATE OF LEINAWEAVER JESSIE E FILE NO.21 94-0409 ACN 101 DATE 09-13-94
TAK RETURN HAS. ( I ACCEPTED AS FILED I Xl CHANDED - SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1, Rill Eltltl ISohldul1 A)
2, Stookl Ind Bondi (Sohldull B!
3. Clollly Hlld Stook/Plrtnlrlhlp Intlrllt (Sohldull C!
4. Hortglgll/Notl1 Rlollvlbll ISohldul1 D)
S. Cllh/Blnk DIPOlltl/Hllo. Plrlonll Proplrty ISohldul1 El
6. JointlY Ownld Proplrty ISohldul1 F)
7. Trlnl11rl ISohldul1 D)
8, Totll Allltl
III
12l.
13)
(4)_
IS)
t6!
(7)__
.OQ
,00
.00
.00
1,080,62
22.400,14
.00
18!
23.480.76
APPROVED DEDUCTIONS AND EXEMPTIONS I
9, Funlrll Expln.II/Adnlnlltrltlv. COlt11
HholUlnloul Expln..1 (SOhldull H!
10, Dlbtl/Hortglgl Lllbllltlll/Lllnl (Sohldull II
II. Tutll Dlduotlons
12. Nit Vllul of Tox Rlturn
13, Chlrltsbll/Dovlrnnlntl1 Blqulsts ISohldul1 J)
14, Nit Vllul of Estltl Subjlot to Tlx
(9)
1I0!__
489.00
4.244.81
Ill!
(12!
1I3!
1I4!
4.733,81
18,746,95
.00
18,746,95
If an alleelmlnt wal issued previously, lines
reflect figures that include the total of ALL
ASSESSMENT OF TAXI ---
IS. Anaunt of Llnl 14 tl.lbln It 6% rltl liS!
16, Anaunt of Llnl 14 tl.lbll It 15% rltl (16)
17, Pr Ina IpoI TIM DUI
TAX CREDlTSl
PAYHENT
DATE
14, 15 and/or 16 and 17 will
returne aelelled to date.
NOTE I
18,746.95 K.06'
.00 K.IS'
1I7!
1,124,82.
,00
1,IZ4,82
RECEIPT
NUHBER
DISCOUNT I+!
INTEREST I - I
AHOUNT PAID
05-12-94
886067
50,24
954.58
I
I
PAYMENT MUST BE MADE BY 01-11-95w,
TOTAL T~X CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
1,004.82
120,00
.00
120,00
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATIDN OF ADDITIONAL INTEREST,
IF TOTAL DUE IS LESS THAN II, NO PAYHENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YDU HAY BE DUE
A REFUND. SEE REVFRSE SIDE OF THIS FDRH FOR INSTRUCTIONS,l
,
./
J
REIlRYATlON, Est_tll 0' dlCldlnt. dvln, on or blfor. OICI.' 12, 1912 ... If Iny future Intlrllt tn thl utlt. II tran,flrr,d
In po......O" or .nJov,.nt to ell" . feaUlt.rtl) bln,flelarlll of thl dlcld,nt ,ft,r thl IXplratlan of Iny ut." for
11'. or 'Qr y..r., the Co..onw.,lth hlr'bV IMPr..,!)' r...rv.. thl right to appr.I.. end 1111" trln,'.r Inherltlnol TIM"
It thl lIwful ellll . (coll,tertl} rlt. on Iny .uoh future Intlr.".
PlIIIPQU OF
NOTICE I To 'ulflll thl requlr"tntl 0' Slctlon 2140 0' thl InhlrltlnOI end E,tet. Tex Act, Aot 2Z 0' \991. 72 P.S.
lIoUon 2140.
PAYHf:HT, Oltlch tht top portion 0' thh Notlcl and tub.1t with your plin"t to thl Right" 0' WUII prlntld on tha r.vlr.. Ilde.
uHlkl chick or lonly order plty'blt tal REGISTER OF MILLS j AGENT
All ply..nt. recllved .hlll ,Ir.\ bt 'PP11,d to any int.r..t which .Iy b. due with any r,,'lnd.r appll.d to the t.~.
REFUND <CAli A r.fund of . tlX cr.dlt, which 10111 not r.C!u..t.d on the taM R.turn, uv b. r.qu..ttd by co.pl,tlng an "l.ppllc.tlon
for R.fund of P.nn,ylv.nla Inh.rltanc. and E,tat. 11M" (REY.l!1!l. Appllcltlonl nrl Ivalllbl, It the O'flcl
of th, R.gl.t.r of Will., any of thft 25 R,v'nue DI.trlct Off Ie.., or by calling the .p.cl.l 24.hour
.n.w.rlng ..rvic. nu.b.r. for forN' ord.rlng, In P.nn,Ylvanla 1-800'362-2050, out.id. P.nn.Ylvlnla and
within local Hlrrl.burll .r.a (717) 181-8094, TDD' (717) 777.'2252 (H.arlng I'Pllr.d Only).
OIJECTIONtl Any party In Int.rl.t not .atl.fl.d with the appral....nt, allow.nc. or dl..llow.nc. 0' d.duotlon., or a.......nt
of t.M (Inoludlng dl.count or Int.r..t) a. ~hown on thle Hotlc. IU.t Obj.ct within .IMty (60) dlY' of r.c.lpt of
thlt Hotic. bYI
.'wrltt.n prot..t to the PA Olpllrt..nt 0' R.v,nu., Board of Ap....lI, DEPT. 281021, Herrltburg, PA 17128.1021, OR
...llctlon to hay, the ,att.r d.t,rlln.d at audit of tha account of the p.r.onal r.pr...nt.tlv., OR
'.'PP'II to thl Orphan.' Court.
lDllIN
\STRATII'!
COIlRfC1lOlCS.
Flotu.1 .rror. dl.cov.r.d on thl. a.......nt .hould b. addr....d In writing tal PA D.part.lnt of RIVInYI,
Bur. au 0' Individual T.M.., ATTH' Po.t A.......nt R.vl,w Unit, DEPT. 280601, H.rrl.burg, PA 17128-0601
Phon. (717) 787-6505. S.. P'A' 3 of the bookl.t "In.tructlon. for Inhlrltancl TIM R.turn for e AI.id'nt
Olc.dent" (REY-ISOI) for an IMplan.tlon 0' adllnl.tratlv.lY corr.ctabl. .rror.,
OISCOUHr.
If eny \1M due It Plid within thr.. (5) caltnd.r .ooth. afttr the d.c.d.nt'. dllth, a flv. p.rr..nt (5iO dltcoI.I\t of
the tlM plid I, allowed.
INTERfST.
Int.r..t il ch.rg.d b.glnnlng with first day of d.llnqu.ncy, or nine (9) toOths Ind on. (1) d~y fro. the dlt. of
d.lth, to the d.t, 0' p.y..nt. TIM.I which b.e... d.llnquent b.for. J.nuary 1, 1912 b.er Inter..t It thl rlt. a'
Sik (6~) p.re.nt p.r annul cllculat.d .t a dlllV rat. of ,000164. All taMI' which b.OII' d.llnqu.nt on end Iftlr
Janu.rv 1, 1982 will bur interut at . rlt. which 101111 v.rv fro. o.l.ndar ynr to cII.Mn yur with thlt rlt.
announo.d by 'thl PA D.p.rt.,nt of R.vlnue. The app1lcabl. Int.rl.t rat.. fcr 1982 through 1994 Ir.'
'!!!!; Int.r..t Rate !!!!!y Int.r..t r.ctor :!!!r Int.r..t Rat. DillY Int.r..t F.etor
198Z ZOX .DD0548 1980 lOX .000274
1985 lOX .000138 1987 9X .000247
1984 I\X .ooom 1988-1991 I\X .ooom
1985 m .oomo I99Z 9X .000247
1993-1994 ]X .000192
hInt.r..t 11 c.leuht.d a, follow.1
INTEREST . SALANCE OF TAX UNPAID X HUHBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
~~Anv Notic. 1"U'd tft.r the tlM b.oo... d.llnqu.nt will r.fltct .n Int.r..t cllou1,tlcn to flftl," (IS) d.y.
beyond the dlt. of the ........nt, I' ptytont I, ..d. aft.r the Int.r..t cOlputttlon d.te .hown on the
Notlo., additlon.l Inter..t .u.t b. caleultt.d.