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'/ ',':,1/') illl 'fl ",\,,1., I, "I" ,.)11'1-1 " , ' !';:,:;;\;:~'.:'.~'r;:l '.,,' "':':. 'I..:,. 'I' ~i\ ;1 I:, " , , ". '. , I' .'. " \. ", PETITION .'OR PRODA TE and GRANT 0.' LETTERS 21-94- Lf I d----' Estate of -fiOrD R. SlllIDL-- No, also known as ________.___ To: .___ Register of Wills for the .---< Dl'l'eased, County of Cumberland In the Social Security No. 292-07-750.5.____ Commonwealth of Pennsylvania The petition of the undersigned m!,ectfully represenls that: Your pelltloner(l), who is/IIlllIS yenrs of age or older anlhe exeeut rix In the last will of the ahove decedenl, daled _.J.cllr.\ul.ry~ li~lI>>llldlfflxaatu _._____.__.__ ________0 named _,19li..- (Slale ft'!ryanl clrcllrnuallcc~1 1:.8. rc:nundali(1I1. dealh ur executo" tIC.) Decendent was domiciled at death In _ CUI~!>.erlaJ!!L.___ County, Pennsylvania, with \1 is _last family or principal rcsldence at ...l1Q...~uth,o~anover Street, Csrlisle. ' Penns y 1 v lInilL11.Q.11.J.QtQ.\lg!LQ.LC.!!r 1 i s J.e (11\\ SUCCI, Ilumber and munclpalltt) Decendent, then _~_ years of age, died January 6 ,1994 at The Allbntt..lli!ntlh..l.LQ_fullitlLJ!!!Jlovu...Street, Carlisle. PA 17013 . Except as follows, decedent did nOI marry, was nol divorced and did not have a child born or adopled afler execution of the will offered for probale: was not the vlcllm of a killing and was never adjudicated Incompetent: _ Decendent al dealh owned properlY with eSllmated values as follows: (If domiciled In Pa,) All personal properlY S 5.671.03 (If nol domkiled In Pa,) Personal properlY in Pennsylvania S. (If nOl domiciled in Pa,) Personal properly III County S Value of real estate In Pcnnsylvania S situated as follows: __. WHEREFORE, petitloner(ll) respeclfully requesl(s) the probate of the last will 1Il!!~~t) presenled herewith and the grant of lellers~tamentarv (tOltameluary; admlnlllrallon ',1 ,a,; .dmlnluratlon d,b,n",l.',) theron, t~ ..I "I:l,_ ~,~ ~~ 'E~ r 21 E1KJs-'ITj v e Boi:i~lt spr~n::;3 pA 17007 d, 5 Y / 0) 2., OATH 01<' PERSONAL REPRESENTATIVE COMMONWEALTH OJ.' PENNSYLVANIA llls COUNTY 01.' CUMBERLAND f The pelltloner{ll) above.nnmed ~wear(s) or affjrm(s) lhal the statements In the foregoing petition are true and eorreel to the best of lhe knowledge and belief of petltloner(l) nnd that as personal represen. tative{ll) of the above decedent petilloner(x) will well a~d ,t~r y adml~t the estU{~ccordln8 to law, "-. /1/ V:L Sworn to. or affirmed1,/.\od SUbscribed~ ._----1-.. C1.L" /. .. ~ .~ 1""~CIl before me thi~._ ___.'! I H a day of _---1!!!!Y Iou rove 'S' :.j./.),dOr...JlARCH, lP94 f' ~.. _ !l l!i;.1L}!/';;;c...7iLLl.:J..c!.F~,__~~m l .Tl;;,/_ ~ ( ~JRY C. LEWIS 1I1'~lsler If----. ~ t 1/. I~)I ,( o' I No. 21-94- 412 Eslale of FLOYD R. SIBEL , Deceased DECREE 01<' PROBATE AND GRANT OF LETTERS AND NOW -- MAY 4. 19~, In eOllslderatlon of the petillon on 'the, reverse side hereof, satlsfaclory proof having been presented before me, IT IS DECREED lhatlhe Instrument(s) dated Fobruary 4. 1976 described therein be admitted 10 probate and flied of record as the lasl will of noyd R. Sibe! and Lelters Testamentary are hereby sranled to Ms rv Lou Grove FEES P b 40.00 ro ale, Letlers, Etc. ""., , .. $ Shorl CertineRtes(3) "..."". $ 9 .00 ~~nclallon .......",.., '" $__'!r.eQ " $-- TOTAL _ $ 54.00 FHcd '.... l~~ Y. .~ ~ I ) ,9.~~ , . . . . I . , , . , . . , . . . 'lI/a fry Y2 . tb.GJp~_. L. C. lit /J 1U.1....} . J . o MA~~lst': olr~1s ROller B. Irwin AliORNUV (Sup, CI, I,D, No,) 60 W. Pomfret Be.. Carlisle , PA 17013 ADORllSS 717-249-2353 PHONIl \I~. C:1 I'. '" C {) !'!r.i: l,/q .. ~- rl.. : . ~ ~ ~. 'f! '. ,-" , U 'n .'.j Wcr;; ,~~ ';5 a: p,' iJ)., UCJ, " ,,' C.a11ed attorney on 5~4-94. 4 .' , . ~ \,. .... last IItll an~ mtdtamrnt I, FLOYD R. SIBEL, of Silver Spring 'l'ownship, Cumberland County, Pennsylvania, declare this instrument to be my last will and testamen hereby expressly revoking all wUls and codicils heretofore made 1. I authorize and empower my executrix to Bell any realty owne by me at my death, at either public or private sale, and to give good and sufficient deeds there for, in fee simple, as I could do if living. 2. I devise and bequeath all of my estate of every nature and wherever situate to my wife, Sara~ C. Sibel, providing she shall survi ve me by sixty days. 3, Should the gift in Paragraph No. 2 not take effect, I devise and bequeath all of my estate of every nature and wherever sHuate to my children, share and share alike, the child or children of any de- ceased child taking the share their parent would have taken if 11 ving. 4. I nominate and appoint Sara~ C. Sibel to be the executrix of this my las t will and testament; she is to serve as such without bond. Should she die before my death, renounce or refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and appoint Mary Lou Grove as substitute executrix with the same powers as are given herein to my executrix, and also without the filing of any bond. If, however, at my death Mary Lou Grove is dead or should renounce or refuse to serve 1'01' any reason, or die leaving any of my estate unadministered, I nominate and appoint Ruth N. Bier'er aa substitute executrix with the same powers as are given herein to my executrix, and also without the filing of any bond. 5. I hereby suggest that my personal representative retain the services of Irwin, Irwin & Irwin, as attorneys in the settlement of my estate. IN WI'l'NESS WHEREOF, I have hereunto set my hand f ~y of February, 1976. ., /; _/~(/.(.( 1{4{.:;{.t Fr.OYD R. SIBEL and seal this (SEAL) Signed, sealed, publiShed and declared by Floyd R. Sibel, the testator above named, as and for his last will and testament, in the presence of us, who at his request, in his presence and in the pre- ~~' 'ub,,,'b,, ou, "~mes as wJ.tnesses hereto. )~r-- /~, C'iI.4-, . f'- . 'I 'I; '" i.,', ,\ ',""1 :1,: ": I';:, , " " i", I ,,' ,I, " I"~ \/, '" I' ':i,;l,-: Ii' ,I , ' i"""! I f ~ I t ;,',,' ',-1' ,\\" I, ",' "-'j, " ii{\} II" ",' i " '" ,,1.\, II, j. ,:'i 1<, ,I" I,'i'! i;'I.i , ,-" 11\ '1 I, I \' _'I', ft " ,'- \1" ""Y'I'//)'-'" ,'t1-, ,'I'" \! " I' " " , ,,; 'I, II ; 'L I' ,I' .,' ,', " ' , " '" , 'II' , ,~ ',~ 'r, '1\ I: ',I II", I' r,' "., .', " ,Ii "," I, ;','::1, I. " ,'I, Ji , , o f'"l .. " ". , '5 I' ,!P- I, "" n'~.; \~} :~.' tl '1'1/.. , ' 'j I) '; I, " ',>,>1 ' , ':\J'~'" " ~I" j ,n,c.: < ~,. I ,/..., , '.tI't. ~ ,,"_"N ..~....,;,.. . ~ l' "I', ' \ ' , " ",/", ',,~' l;I.. ..- '.... ,~ ,~, -,.{' ,:: ..' " ~ .... . ' '! 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I, , ,,',' COMMONWEALTH OF PINNSYLYANIA COUN'rY OF CUMIIRLAND " , (f- } III MARY IllU GRClIIF. b.lng dylV JM. on according to law, d.po,.. and ..v' that she is tha Ii:l.<ecutrix' of the E,tel. of F1Qyd R. Si hA1 lata of ~gh.of..Carlialen..'._.._.._. _I Cymb.rl.nd Coynty, P.., d.c....d Ind that the wilhln II In Inv.nlorv m.d. bV MaJ:y IDu Grove " the uld executrix of the .nllre "tel. of Illd deced,nl, conllllln9 of III the perlonal prop'oIrlv Ind r..1 "III., exc.pt rill ..tal. ouhld. Ih. Commonwullh of Pennlvlvlnla, Ind Ih.1 Ih. flgyr" oppollt. ..ch It.m of the Inv.nlorv r.pre..nt 1+', fllr nlu. II of the dlt. of d.c.denl'. dulh, 19 \.-&10.:.:'-~ 21 Enck Od va Ind ,ub,crlb.d befoll m., a,ilirq Sprirgs, PA 17007 "44/111 Dlt. of D..th 06 Oly 01 Month 94 VII' INSTRUCTIONS I. An Inv.nlorv my" b. fII.d within thrn monthl liter appolntm.nt of pmon.1 IIPllllntatlve. 2. A Iypplem.nt Invenlorv mYlt be fll.d within thlrtv d.v' of dllcovery of addition. I III.h, 3. Additional ,huh m.v b. IHlahnd II to Plllonellv or ,..It V <4. S.. A,IIcl. IV, Fldyclerl.. Act of 19<49, I 8 ~ ] 1 ~ ~ !~ ~ 5 II ~ ~ . '<I' ~ w 2 III I i5 Q. .., 4-l i. :. <G 5 '<I' ll. 9' ~ ~ 0 0 ~ , ~ ' r-t > ll: ~ ~ N ll: Z o 0 ~ j - ffi ~ ~ 0 - Z Q. ." c ... . "t: 0 .8 II e ." ... 3 . 0 d if 0 . ./ Inventory of the real and personal estate of FLOYD R SIIlEL deoeased 1. Farners Trust Olecking Account 10-61429, opened 10-03-90, titled Floyd R. Sihe1 or Sara C. Sibe1 with Mary. Grove as ~ of Attoxmy. Sara c. Sihel, t.m wife of the de03ased, died ll-03-9~. Date-of-I:eath Balancez ......... . . . . . . . . . . . . . . . . . $ 1,336. 7 2. Forethought I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,671. 3 J, " ' I" ' ',' " '. ' " ,c' ,'; " , ,:" ' .Ii :, r', l:-d', H_p ('.' roo', (~ "r.': ,--j , , , , , II, (r"1 " I , .... .... , : .~;J '.< ,', , I , , j-\, ~:: 1\' (t; .:" ~h tl (.1; , '08 , , , :' .'i IJ I " " v ~ 4 334. 6 N - dO r;. 1 INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) e. 'OR OATIS 0' DIATH Ami 12/31/111 CHICK HIli IP AlPOUIAL POY"TY CARDIT IS CLAIMID 0 PILI HUMIII RfV.l!OOU. (11,911 ~ ~ Q l!! ~~~ OEi ~~ =Q oZ U2 z o ~ ! III :z: o ~ I ~ 'I \"'."~ "~.\\:,'I" .(\ " o. :(1/.. COMMONWfAllti Of PENN$YIVANIA OfPARTMfNT Of REVENUf WI /10601 HARRISBURG, p~ 17128.0601 - ';'-N ME IlM.l: 'l{~;. ANO-MIOOtf INITIAl) 21 COUNTY CODE ML 94 YEAR 412 NUMBER 770 South Haoover Street Carlisle, PA 17013 cumberland SIBELI FlOYD R. >OCiAlllCUliTnfUMirR----.--'lbA fr6rffiTH---jbAlr6TIi1fH 292-07-7565 01-06-94 12-20-1901 C,,", ..----- RX 1. Original Relurn 0 2, Supplamenlal Relu,n o 4, limited E,lal. 040, Fulure Inl.,.., Camp,amloe lIar dol.. of death all., 12.12.B2) o 6, Oacedanl Died T..lala 0 7, Dacedanl Malnlalnad a lI'lng TII"I IAllach copy 01 Willi I^"ach ~l'. of TruIII ALL CORRESPONDENCE AND CONfiDENTIAL TAK INPORMATION SHOULD BE DIRECTED TOI NAMr' -- ~J.mEMAIlINGAOO.!!! I~, ImIN & McKNIGtrr 60 W:Jst Panfret Street llirPiiONfNUM)lr--------- Carlisle, PA 17013 71Ll. 24J-2353 o 3, Ramalnder Relurn lIar dalll of dealh prior 10 12.13.B2) 05, Fadoral Ellale Tax Ralu,n Required _ B, Talal Number of Sofa Dapalll Box.. 1. Raol Ellole (Schadula A) ( 1) 2, Slack. and Bond, ISchadula 91 I 2) 3, Clolaly Hald Slock/Portna"hlp Inlarlll (Schadula q I 3)__ 4, MoHgoglI and Naill Racal,obla (Schedull D) ( 41 5, Calh, Bonk Depollll & MllCallonaoul Pe"onal Praparty( 51 5,671.03 (Schadule EI 6, Jolnlly Ownad Proparty (Schadula F) ( 6) 7, Tronlfan ISchedula 0) (Schadula L) I 7) 8, Tolol 0'011 Am" Ilolalllnal 1.7) ( B) 9, Funarol Expen,", Admlnlllroll" CallI, Mhcallonaou. ( 91_~.L719.00 Explnlal ISchadula H) 185.74 10, Dabll, Morlyaga Lloblllllal, Llanl ISchedulal1 (10) 11, Talol Daduclla.. Ilololllna. 9 & 10) (11) 12, Nal Volua of Ellola (IIn. B mlnul line 111 (12) 13, Cho,i!obla and Oo,.,nmanlol OaquII" ISchadula JI (13) lA, Nil Value Sublacllo Tax (1lna 12 II1lnulllna 131 (14) 15, Amounl of line 14 loxabla 01 6% '01. (15) X ,06 a I'ncluda ,alulI f,onl Schadula K or Schadula M,I 16, Amounl of Ilna 1410,abl. 0115% rala (16) ,__X ,15 a (Includa value. f,om Schadula K or Schadula M,I 17, Principal lax dualAdd lax from lint 15 and from line 16,1 18, Cradltl Spalllol Po,erty Cradll Prior Paymanll Dllcounl Inlerall ------- + + --- 19, If IIna 18 II greol" lhon lina 17, enltr lha diH",nca on IIna 19, ThllII Iha OVERPAYMENT. 110 20, If IIna 17 II graol.. Ihon IIna 10, tnllr Iha dlHarance on line 20, Thll Illha TAK DUE. A. Enlar lha Inla,a" on Iha balance dua on IIna 20A, 9, Enlar lh. 10101 of IIna 20 and 20A on Ilna 209, Thll II Iha BALANCE DUE, Make Check Pavablt tal Reghl.. af WI~II, Agent 5,671.03 ~.904.74 ( -233.71~ - 0 - C)tock hore If you aro rcqulldinu h w'und of your o\lc.fflOyrncnt. (17) (1 B) (191 (201 - 0 - (20A) (209) - 0_- . -. .. .. BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH.... Under pInch I.. of perjury, I dldore Iholl have uamlned ,hll ,.Iurn, Including Clccompanylng Ichedulll and Ilol.m.nh, and to the bill of my .nowl.dgt and blll.f, It II true, COfll" and complel.. I d.doll thaI all ,.allllat. has bien '.ported allru. markl'..-alue, Declaration of prepar., other than ,hi perlonal r.pr.Jtnlallv. II bOI.d on all Information 01 whil;h pr'parer ho. any knowledge. I N'w f' 5 ifffif,iT--lOlfffilNGifTU'N 'DORm OA" 21 Enck Dr., l30ilirg Sprirgs, PA 17007 Ol-(11-94 R N1A IV AOOR!SS DATI 60 W. Panfret St." Carlisle, PA 17013 0~-94 ~tI .....-._,_.04"..,._.... "~~... ~-. > ,. ...... - " . PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECKMARK (...) IN THE APPROPRIATE BLOCKS. . VIS NO 1. Did decedent make a transfer and: a. retain the use or incon,e of the property transferred, ""......................""......... b. retain the rlghtro designate who shall use the property transferred or Its Income, x c. retain a rever$lonary Interest or ""....."""..,.",,,,,,.,,,,,,,,..,,,,,,,"'....,IIIIIItI"'1t1t j I I I ! d. receive the promise for life of either paymonts, benefits or careV ............"......." 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfor property without receiving adequate consideratlonV If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration V .."......".........""........."""......." 3. Old decedent own an 'In trust for' bank account at his or her deathV...."""".......... x x X IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. I'. I;" , I,'; 'c , ,', 1.1: , , " I I , " ,~~:j , . : , " tIIu: '<i' Ie r.c . !;h _..1 ::) (.)() '..v.un u~ 17.", ESTATE Of ITEM NUMBER A. ~'J~'~ 'f'9i'J.J' COMMONWIAlTIl 01 P1NNlYlV.~NIA INHI!IlANCI TAX mUAN AIlIDINT DICIOINT SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES FLOYD R. SIBEL DESCRIPTION AMOUNT 1. funtral Exptnltll EMin;J Brothers F\lneral Ibre . . . . . . . . . . . . $ 4,364.00 '!hank You tbtes ard stanps . . . . . . . . . . . . . . . 30.00 Phone calls . . . . . . . . . . . . . . . ~.oo George's Flowers . . . . . . . . . . . . . . . . . . . . 1 .00 IJ.mcheon at Allenberry Play Ibuse . . . . . , . . . . . . . 300.00 B, Adnllnlllrallvt COil., 1. Perianal Rtpruenlallve Camml..lonl Social Securlly Number 01 Perlonol RepruenlallvlI Year Comml..lonl paid 2. 3, 4. e, 1. 2. 3. 4. 5. 6. 7. 8. Allorney Feel I lOON, lOON & McKNIGlfI' 750~00 , , . . . . . . . , " . Family exempllon Clalmanl Add".. 01 Claimant 01 deeedenl'l dealh Street Addre.. Relallanlhlp Clly Stale Zip Code Probate FUll Letters Testarrentary ......... 54.00 . . . . Mlle.llantau. bp.n.tI' Register of Wills - Filing Fee tbtary - Ibger B. Irwin, Esquire' . . .', . . . . . . . , . . 20.00 6.00 . '.' . . . , , . . . . . TOTAL (Alia tnler an line 9, Recapllulallan) S (If more .paet II nudtd, lnltll addltlonal.hUI' of .amt .11..) 5,719.00 ::. 0(~ () RIV.ll~7 IX AFF (10.93* C_ALIH Of PENNSVLVANIA DlPAAllENI Of IIfvtlM! IURUU 01' INDIVIDUAL lAKES DlPI, 110101 HARlllUlRO. PA 11111-0'01 NOTICE OF INHERITANCE lAM APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS. AND ASSESS"ENT OF TAK ACN 101 DATI 10-18-94 FILl NO. DATI OF DIATH 01-06-94 COUNTY CUMBERLAND NOTE I TO INSURE PROPER CREDIT TO YDUR ACCOUIIT, SUB"lT THE UPPER PORTION OF THIS FORH WITH YOUR TAK PAYHENT TO THE REGISTER Of WILLS. "AKE CHECK PAYABLE TO "REOISTER Of WILLS, AIIENT" REMIT PAVMENT TO) IRWIN ETAL 60 WEST POHFRET ST CARLISLE PA 17013 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 l AMount Ro.ltbd - -l CUT ALONO THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .... ii!'v: ifi;.?- iiC"APji - (i 'Ii: 93"1" -NOT i ci- -OF- I"N'Hiifi i' ANt! - TAX - A"P'PRA"i Si'HENr; "AL i-OWANtE - iiFi - --.. - - - -- - - - - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX I!STATE OF SIBEL FLOVD R FILl NO. 21 94-0412 ACN 101 DATI 10-18-94 TAM RETURN WAS, I X I ACCEPTED AS FU,ED RE8ERVATION CONCERNINO FUTURE INTEREST - SEE REVF.RSE APPRAISED VALUE OF RETURN BASED ON) ORIGINAL RETURN 1. R.ol E.bb (Schldulo Al III 2. stock. .nd Bond. ISchodull BI 121 3. Clo..ly Ilold Stook/p"tnor.hlp Inbroot (Schldulo CI "I 4. Hortg""./Hatol Rlcol.obll ISchedull 01 141 5, Cun/Bonk Dopolih/Hilc. Plrlonol Proporty ISchodull EI 151 6. Jointly Ownod Proplrty ISchodulo FI 161 7, Tren.Ior. (Sohodulo 01 171 e. Tctll h..h CHAHOED .00 ~ .00 .00 5.671.03 .00 .00 181 5,671.03 APPROVED DEDUCTIONS AND EXEMPTIONS) ~. funorl1 E.ponloo/AdIolnlltroU.o CClhl Hlool11..,.ouo E.pln..o ISchodulo HI 191 5 , 719.00 10. Dobh/HortoollO LllblllUoo/Uonl ISchodull II 1101 185.74 11. Tcbl Doduotlonl (11 I 12. Hot Voluo cl To. R.turn 1121 13. Chlrltoblo/OcYlrn.ontol Bo_"t. ISchodulo J) 1131 14. Hot Voluo cl E.toto SUbjoct to TIN 1141 If .n ......~.nt Wft. i..u.d prsviau.1Y, lin.. 1~1 II .nd/or 16 .nd 17 will r.fl.ct figur.. th.t includ. the tatll of ALL r.turn. .......d to d.tt. ASSESSMENT OF TAX) --- 15. Aotount of L 101 14 to.obll .t 6% rlto US I 16. AIDunt of Llno 14 to.oblo ot U% roto U61 17. Prlnclpul To. Duo TAX CREDITS. PAYHENT I DATE 5,904,74 233.71- .00 ,00 NOTl! . .00 .00 )(.06 . X.IS . IHI ,00 ,00 .00 RECEIPT NOHBER DISCOUNT <<+1 INTEREST I-I AHOUNT PAID TOTAL TAX CRIDIT BALANCE OF TAX DUE INTEREST TOTAL DUE .00 ,00 .00 .00 . If PAID AFTER DATE INDICATED, SEE REVERSE fOR CALCULATION Of ADDITIONAL INTEREST. If TOTAL DUE IS LESS THAN .1, NO PAY"ENT IS RE~IRED. If TOTAL DUE IS REflECTED AS A "CREDIT" ICR" YDU "AY BE DUE A REFUND. SEE REVERSE SIDE Of THIS fORH fOR INSTRUCTIONS.) .~""'. ... , , , " 'I, ',I' " " " " , , RESERVATION I E.tlt.. of defledtnh dvtnt on or before DetHbtr 12, 1912 .... Jf anv future tnterllt In the utl,t II trlf1.f.rrld, In po.....lon or tnjov"nt to Cl"t e (ool1,terl1) lJ.neftahrl.. of the daaldent Iftar the Ixptntlon of anv I.tlte for 11f, or for Vtllr., thl CalonwtlUh hereby ,xpr'..b ra..r"" tho right to apprlht and ...... tranlfar InherltlnGl Tlx.. It thl lItwful Cll.. I (ool1.ttrlll rlta on any luch futura Int.rllt. PURPOSE OF NOUCEI To fulfUl tha rtqUlrelMW\h of SaoUon 2140 of thl Inherltanca and Eltah T,ue Act, Aot 22 of 1991. 72 P..., S.ctlon 2140. PAM"TI OlftPlch tha top portion of thil NoUea and lubalt '11th your peyltnt to thl Rlghtflr of Willi prlntld on the rlyerll ltd.. --"ok. chock or oono, ordor p.....lo to. REOISTER OF HILLS, AOENT All ply..n*, reCllved Ih,l1 flrat ba appU'd to any Interllt which .av be m... with any re..lndtr appUed to thl ttx. REFUND (CR) I A nfund of . tlX ondlt, which Will not r,qulltld on thl Tex Alturn, lay bl raqutltld by COIPlatlng an "Application fer R,fund of p,nn.Ylvanla .lnherltanc. end Estate lex" (REV"I3131. ApplJc.Uonl Il'l IVIUabl. at tha Offlo, cf the RIglttlr c, lUlll, anv cf th, 25 R.v.nuI Ohtrlat OHIo.., or by oall1ng thl 'Plalal 24"hour an....rlng IIr"lc. nultberl far 'ar.. ordlrtnSII In Plnnlvlvanl, 1-800-362"2050, ouhldl PlftntvlvlOla and wtthln 10011 Herrhburg ern (717) 717.8094, TOO. 171n 772"2252 (H.arlng IIPltr.d Onlv). OIJECU0H51 Anv pub In Inhnlt not IIUlfI.d wtth the apprah...nt, allowano. or dh.UONDnCI of dlduotlon., or ....".."t of \Ix (Including dhcount or Int.,.lIt) II .hONn on thls Notlc. IUlt obJlot .,lthln .lxtv (6OJ dl~' of r.o.l"t of thil Notlc. bv I ADIU" 1I1RATlYE CORRECTIONS . "wrUten protISt to the PA nlpart..nt of RIIV'nu., IC'rd of ApPllll, DEPT. 211021, Hlrrhburg, Pol. 17121"1021, OR ....l.otlon to h,vI thl .IUer d.tar.ln.d It ludit 0' thl ItCClOunt of the p.rlon.1 rtpr...nhtlv., OR ."lpfItt1 to the Orphanl' Court. DIICWlII FaatUt1 .rrort dhccv.r.d on thlt ........nt .hould b. adclrautd In writing tOI PA n.part..nt of It.v.nue, Burlau of Indl"ldu.1 TlxlI, ATTNI POlt A.....unt R.vta.. Unit, DEPT. 280601, Harrisburg, PA 17121"0601 Phone (717) 717"6505. Sn pig. :s of thl booklet "Inltruatlonl for InherUlno. rax R.turn for I R.oldant Dac.d'nt" (REV"ISOl) for an .xpl.natlon of ad.tnlltrltlv.l~ Qurr.otabl. Irrorl. If tny tax due it Plld ..lthln thr.. (5) cII.nd.r lonthl aftlr the d,cld.nt'l dttth, I flYI parc.nt (5in dllcount of the tax Pltd h ,UoN'd. Intar..t It oh.rpd btgtnnlng with first d." of d.Unqu.nClV, cr nln. (,) lonth. and ani (1) da1 frol tn. d.ta of death, to the, d.t. of p.v.."t. TaXI' Which beo... dl1tnquent b.fore Januery 1, 1'82 bill' tntlrut at thl rlt. of .Ix (6)() parcent par '""'-- cllcullhld .t a dlilv rllt. of .000164. All taxll "'hlch ble.l, d.1tnqulnt on end Ift.r JanulrV 1, 1912 will bill' tntarllt It . rlt. whloh will vlrv frol cal.netar ~'Ir to callnd.r Yllr Nith th.t rlt. INlftOUncld bv the PA n.perte."t of Rlv.nul. Tha IPPllcablt Intar..t rat.. 'or 1982 through 1994 artl I"IERESI. '!!!! Internt R.t. Dallv Int.r..t Factor ~ Inter..t Ratl Ollh lnterllt Flotor -- 1911 20~ ,000541 1986 10~ ,000174 1911 16~ ,000451 1917 9~ ,000247 1911 Il~ ,000501 1981-1991 ll~ ,000101 1915 13~ ,000556 1991 9~ ,OOOl4~ 199H 994 7~ ,000192 ....Intar..t lt OllCUlated .. followlI INTEREST. BALANCE OF TAX UNPAIO X NU"8ER OF DAYS DELINQUENT X DAlLY INTEREST FACTOR ..An~ NotiCI tllutd aftar the tax b.co... d.lInqu.nt will refl.ot In Internt CllculItlon to flftlen (15) d.VI' btyond tha dlta 0' the ........nt. If pava"nt h IIdl Ift.r the Interut ouputatlon dlt, .hown on th41 Hotlel, IdcUtlon.l intarllt IUlt b. cIlcullt.d. ~~,I3(tL~ \10 J p\) ../ /1.,),1.0.'> ~~/'t . 1- STATUS REPORT UNDER RULE 6.12 Name of Decedent I FLOYD R. SIBE" Date of Death I 01-06-94 Pursuant to Rule Court Rules, I report the the administration of the Admin. No. 21-94-41Z-- 6.12 of the Supreme Court Orphans' following with respect to completion of above-captioned estatel Will No. 1. State whether administration of the estate is completel Yes X No 2. If the answer is No, state when the perdonal representative reasonably believes that the administration will be completel 3. If the answer to No.1 is Yes, state the following I a. Did the personal representative file a final account with the Court? Yes No X 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 X No d. Copies of rec2ipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Datel 1/-,;;/-95 ~fi.~ if /Jr REBECCA R. HUGHES Name (Please type or print) 60 Weat Pomfret St.. Carlisle, PA 1?013 Address co t:~"( ,~ ':'l D ,':'1 ,ICl': (1\ c." , .. , K) , e:: ., . ': ~ \ ~ q) " 1,.,) .1} -'_1 '.'1 III t:: ~ ., tllLe .0:;1 a: t)(.) ~7 I 249-2353 Tel. No. Capacity: Personal Representative X Counsel for personal representative (MAHlrmf/AM3)