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HomeMy WebLinkAbout94-00420 ~--- IJETITION HlR IJROHATE Ilnd GRANT 01<' LETTERS C.I'/CI/(' 0/ .f.!~!1(4" . &J:.l}; No._.~/_-gl:L::.!:f.ftQ-- al.l'o knoll'n a,\' ..... ... To: _...___.__.,.._. . .. Rcgistcr of Wills for Ihc ____._.._........ 7'.7 - ."7 ..... fil'<'<:fl-I'('(I, County of _.__..n......______ In thc Social &l'lIrlll' No. _n ,J. ~ / r. :. 'I ':J(, In.. . Comlllonwclllth of I'cnnsylvlInlll Thc pctltioJ\ of thc undcrslgncd mpl'ctfnlly rcprcscnts thut: Your 11I:thloJ\cr(s), whols/arl' IH ycars of ugc w:,oldcr IIn,thc cxccuuc___._____ nllmed Inthc IlIst will of thc IIbovc dccl'dcnt, dlltcd .. ..I'.'.,,_~.-..'"-,.Lj-..---.----.---. . 192.1_ IInd codlcll(s) dntcd . n .. ..._...~____.__..n_.____ '__.__n_~_____..__..__.____.__' _ __________'nm__ ____ ._.._ ,_"'___..'n"~____'__'__'__._ ____ .._.._n__________.... ..' __ h_______ _~_____. _ _ -.....-.. -- .-.- - ----.~- -_..-- ----- __.__..m._..______.___......._ ------------.... ... .--,--- --- ----------.-..-.~-- btull' Il'lc\'unt drl'lIl1h'llllCl'~t l',~, rClIlIl1cllllhlll, dl'lllh of C~CCtlltlrl ell',) Deccndcnt was domlcllcd lit dl'alh in._C~!!:./;"'~'_/ ., ,.I. __ ('OUllty, I'cnnsylvunlll, whh 1~g:;)~::~2r:~I~(:r,!;'i~ICi;'l1lltidCI~~~lt2u~_~~~,.'!-I, .-, \J\&~_&:r.s.L..!?.r~. (lh! \Ul'l'l, IIl1lllbl'r und lIIunclplIlily) lit ~ec.~I~:}!I!~2;'}uq 1(.j~T"I)'gC,dIC(~.._,~.:~-==~~...:.~ ~~~---, 19 'I r : Exccptlls follows, (h'ccdcllt did 1I0tmany, WIIS 1I0t divorccd IIl1d did 1I0t hllve II child born or udopted lifter cxeclltioll of the will offcrcd for problltc; was 1101 thc victim of 1I klllillg 1I1ld WIIS ncvcr udjudicllted Incompctcllt: . ,,__.___n._____..____ Dcccndcllt lit dCllth owncd propcrty with cstimated 1'1Ii1lcs liS follows: (If domlcilcd 111 I'll,) All pcrsollal property (If 1I0t domlcilcd illl'a,) Pcrsonal propcrty ill I'cnllsylvllnlll (II' 1I0t domlcilcd 111 I'a.) I'crsollal propcrty 111 ('Ollllty VlIluc of rcal cstalc ill I'clIllsylvalllll sltlllltcd II,S follllws: $. 17. , $ $ $ V l' l __..___....... _..._._,...._._.~_..__.___._._____u_.._.____._____________ ____._ ,__.__,... ._____.._..n__ ,'0 ____ ___ __._ ...._'_._n.' _...__.__.m_ WHEREFOllE, pctitlollcr(s) rcspcctfully rcqllc~(s) Ihe(probule of thc last will 1I11d codlcll(s) prcsclllcd hercwith IInd thc gllllll 01' lellcrs_/ ,;.\ f, ., '" '.' \J ,-- . (ll'SIIlIllClIllIrr; If'dl1llnlslrllllnn c,t.n,;lldllllnlslrnlloll d.h.Il,'c.l.lI,) theroll. ;; 11 L ._ <1'. DE '" c '0,9; ~." ~~ lf~ ~o ~, Iii \f/.II,.., [ 5.:.I/u ----7'::??,---,- ?---:r711J;-;:--- _~.t..c..{{.1..~_-_.--~C2;~----'-- __,_(u.L~ln".>~"'.-ato~'.~hn---- -- -t??-9"""pj,~ . . -....,b~"c,,/. 0;"-1 ?i.S.<L-_____ .~. ., r ..,' ---.--?-{~&< .r.'--,"'_I'U 1- '.._.n.__ .... ---' _._._._..__..____m_.n_.__._.____ ..-. -. - ~ ---..-...-.-. ----.- --.... ..._-.--- -..-.-- OATH OF PERSONAL REPRESENTATIVE COMMONWEAI:I'II OF l'ENNSVI,v ANIA lHH COlJNTV OF ..__~UMe~Bl;I\N.Q.______-_ J Thc pctitiollcr(,) lIbOI'C'11I1lI\cd swellt(s) lit' IIffinn(s) thUllhc stlltCII\ClltS in the forcgoing pctition ure trllc IIl1d Cllt'l'l'Ct to 11\l' beq of tlic kllowlcdgc IIl1d bclicf of pctltioller(s) IIl1d thllt liS persollul rcprcsel1' tlltll'c(s) 01' the abOVl' dl'cedellt petitlol1cr(s) will wclland truly IIdl1lllllstcr the cstlltC according to lull'. Sworn to l'l IIffinlll'd ulld sllhscrlhed I (/l~lt~.a..:_t.J~i!&_____ en bcforc II\l' tlih 3rd. dill' of .nn..__.._.____.__ ~' 'H~ ~~B~;r,r~ 1::,~,,", 1::::::::-::~- ! /4 '~)O- I No. 21-94420 Estate of MADELYN K. SADLER , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW M..lU"...2.t. 191!....... In consideration of the petition on the reverse side hereof, sui Is factory proof having been prcsentcd bcfore mc, IT IS DECREED that the Instrurnent(s) dutcd may 21, 1979 described therein be admlttcd 10 probule und fIIcd of record as thc lusl will of Madelyn K,S,,<'llpr' Testamentary william Po. Sanlpr und Letters __ urc hereby grunted to 't1llno e, ft.1J"'~ OJ. a c\, - ~ - R.sl.I" 01 Willi .~ FEES Probate,'Lellers. Etc. ......... $ 50.00 Short Certlfleules(l ) . . . . . . . . .. $ ~ . 00 _ Renunciation .,.".,.",..". $ Al1'ORNP.V (Sup. CI. 1.0. No.) Xpages & JCP $ 8,00 TOTAL _ $ 6l.00 Filed. ...... M~Y. .~.r.l.9,~.~............. 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'!, ,I: " ," ".U,' ., "'" ,j,; I' ,d, -,',r' '.:",\" .,1' .'." ,1,,', " I, - " ,. " , i "", ,~ .~ ~' ')1 ,," ~ 11 \, . " la V,l~ulJ I.. t II ,.r"1 . . . 1:1, I.' I (. ' I INHERITANCE TAX RETURN RESIDENT DECEDENT W"",otIWIMlIlllf '"",mv..,,^ (TO BE FILED IN DUPLICATE 1991'.-00!.20 IlrrAR'MHH c." RlVHWF t ~ t lIA",sIU:J. t~o~l,ao6ol WITH REGISTER OF WILLS) COUNTY CODE YEAR NUMI ~....,,==~.tlr.;i;lfiirmmlrm;';im:-mi;i(iuiifriimf~tr~='~'~c~,",='~' 'IirtlliillT'iz5futrftXii1Jlift===-~==.==, ffi 1lADTJEn, J.lado1yn !C. 6201 \'l?stover Drive (' ....u~ !~'~5~~~i~.;~~~~~--",u'~._'I!J~~~(~3~~~~.,ur-^~?~5~~3' (o'''''r.I'leo~::~:;~::., PA .u17~~:__. rJ l:lll l. 0lln1nal Rnlurn 'I 2, SUl'plnmnnlol Ruturn I I :1, Rnmolndnr Rolu,n 'l: ~ (I", dell.. of doalh pilar la 12.13,' :.: 21 I I I I I I I u_ ~, lImllod Ellal.' ~a, FulUln Inlo.oll Coml',oml,o . 5, Fod.,o Ellal.la. ~~g Ifor dalol 0' doall. alior 12-12.a21 Rolurn R.qulr.d g;1Il ~I 6, D.c.d.nl DI.d Tellal. LJ 7, [locodonl Molnlnlnod a lI,lng IruII ._Q a. lolal Numb.r of Sol. D.po.1I Bo <<( I^"ach copy af Will) (Allach copy 01 T,uII) AifcORRESPONDENC! AND CONPiDENTIAi:TAXINFORMATICIt'i'SHOULP 'ilS-OIRECTfiITO;' - --------. jW,il-..---'-.-..-..-. .,__.u___. .-" . ,.._._._.u.____. (,("U'it i1i'hriiim.ABiilm----------.-----..---.---- I l:l ~Q &i ill J. nObel't I3taui'.!'er, A tty. Harkot SqUB.l'O Bldg. 8 ~ m!piiONffiU'l.iilR -.-.-------------.---- _.u '.on_". Neohaniooburg, PA 17055 -._.~.. =L:l.~J..-Jo_=~:;;,2~I2.o,==,,=..o =,..,='o=~....,='''c===~, .",-=-~=,.=,.===,~-.ct=,=~=,=-_ 1, ROell E,lal. (Schodul. AI I 11. ._.0.00.. 000 2, Slack. nod Bond. (Sch.dul. BI ( 21 ........._,....._._.___ 3, ClolDly H.ld Slock/Pa"no,d,lp Int.ro'I(Sch.dulo C) I 3). . ,.. .,.. ........_9..9.9_. 4, Morlgog.. ond Nol.1 R.c.l,ohl.ISch.dul. D) ( 41.- . ._.. _,..9.,.9.9._ 5, Ca.h. Bank 0.1'0,111 & MI".lIon.oul Pe"onol Praperly( 51_.....".. ..:l..3..,.9.4,;I,,4(L (Schedul. E) 6, Jollllly Own.d P.oporly (Sch.dul. F) ( 6).._ _, .._.____0._00_ 7. Trando" ISchodulo G) (Schodul.l) ( 71. . ....O,QO... a, Tolal Grall All.', IlolnlllllOl ,.7) 9, run.,ol E.p.ns.l. Admlnl,',nli,. COllI, MI".lIoooou. ( 9)_. E 'p.IlI.' ISch.dul. H) 10, D.hll. Mo"gogo lIohlllll.,. L1enIISch.dul. II (10) .___ 11. Tolal D.duclio." (lolollln.1 9 & 10) (11) _____..___,.7.,_Q3.6_..QJ.' 12, N.I Yalu. 01 E.lal. (1100 a rnlnUllln. 111 (12) -----------3.,ll.Q.1.46 13, Cloa"'ohl.ood Go,ernm.1l101 a.qu.'llISch.dul. JI (131 ______m__.Q.!.Q(' 1~, N., Yalu. SuhlocI 10 To. (1111. 12 mlnullin. 13) (141 __.__...___.--3,.80J..4( .-'" . ---- -.--.-- -------.-------.----------.- __._un .____._..m____. ---.--.--.----.--'----------'ll-- 15, Amouol 01 Iln. 14 lo.ohl. 01 6% rolo (151.u_____ ---3,J3.Q.3..46._l< .06 a .".____._____..J~~.!?J (Ioclude volllo, from Schodul. K 0' Sch.dul. M,I 16, Amouol 0' IIn. 1 ~ lo.obl. al 15% ral. (Includ. voluOl from Sch.dul. K 0' Sch.dul. MI 17, Principal 10. duo IAdd lox from lin. 15 and from Iioe 16,) 10, Cr.dlll Spou.ol Po,.rlr Cr.dlt Prior Parm.nl' D"eounl 101.,..1 o llO 0 00 0 00 0 00 ... .___.,..L._... + ,..__..1..., +_.......1._.. .u,_._"....__. 19, II line lB I. gl.ole, Ihoollo. 17, .nl., Ih. diff.r.nc. on IIn. 19, TIl" illh. OVERPAYMENT. li!D 20, IIlIn. 17 I. g,.ole, Ihon 110. la, .nl., Ih. dlff.r.nc. on 1100 20, Th"" Ih. TAX DUE. A. EoI.r Ih. Inl.r.,' on Ih. holo"e duo on 1111. 20A, B, Enlo, Iho 10101 01 1111. 20 ood 20A on IIn. 20a, Ihl. II Iho BALANCE DUf. . .... .._..... _1.\~....C~!~k!.~Ya~I.!o.l_ R.!~I.!.'.r.!'f \Y1~1!,."g.nt --,. --- .--.--. .. .. BE SURB TO ANSWBR ALL QUESTiO'NfoNRE\iERSESi'DEANO'roRICHEC":MATH .-.'4i-=--==:~ U,;d~~ j~~n-~iij;,~fr'~-rT~;y~.i (i~~i~~~lh~iil1;v~-~lno~I-~lil-ioi;;;-f~:I~~i~~i1~'r-;l~'~O~II-~;;:;i;;g','(h~'JCio,-"C;~;f~~~;l~on';:-o~cri~th;j~ii~r';'yk";~;;';i~d9;-O-~Jl~'i i II It lillO, (onnct clIHI complejo, I dodnre Ihot 011 ronl olloln hot btln" 'opalln( Clllruo II1W~lll vtlluo, DoclOlntion of prnpnror olhor than tllO pO!1onol represenlolivf' bus(ld on ollln'or,"ulion ('If which prnporer hal any kllOwlodge. liiifj'HjRi~!JN1im6il!i;[f'-'''Hd'ORfiiJlij-' . --"i(JIEI\6201 \.his tovar'DrIve"-- -----...---.. oAf,' ----.- n~.R~~~~i~ All i l iV! . .Mlil'mi:\~i-l~~~~~~~~~~JBr~g.;no;;5- ...---- 5~I_':l/!.=fY~ ~/L?:;;;:I;lJ;;.~.j1-4<~ ,_' 1'loohalliosbW'lk l'A J.705;;u.u_.u_//.Lf!.:::,f$l~._.___ // IJl , . ' \, ,;', ~ ,.,1...,)'.... 'II,., \' ',' -, 'OR DATlSO' DIMH AmR '~/31191 CHICK HI II A SPOUSAL . POVIRTY CRID" IS CLAIMID 1.1 Pill NUMBjA" -,. --,_.- -._- -... ". .---- -.-,.- z o r- :5 E ~ ... 7.IB3.Q~9.Q._ ( 0) ..__._..__~~~~k!!M .____.Q,O.Q., z o r- g ... :l; o u ~ ... O,OC (161.-_,..___________.Q...QP._l< ,15 a _._ .______,___._.__.__ (17) _._._.___h.__._,fgQ!gJ O.OC' II al___. _. _.__ __.____...._._ (19) _._._._______.J!..Q0 ctlnck 'HUO If you (110 HHIUC\linU CI re-fund ,of your ovorpuVlnt'111. 1201..____ __._...__. ._.?J.~.!.?1 120A)__ .---_".__._.__~-..Q9 (20al ._._.......??_.'?1 " '. :.I SCHEDULE H t 1l3:t;~ FUNERAL EXPENSES, COMMONWlAllll OJ pUHlmV^,~I^ ADMINISTRATIVE COSTS AND .._.__ .__ _ ~]m~~!E!,'t{~~!~r~~_. _____. ..__~~~~_EL~~NEOUS EXPENSE~ . PI.a.. Print or T~ IITAirOF---.---------. ['IU NUMBIR I1ADElI,YN lC, SADLElR 1994 - 00420 .,_ ..' _~_.r ._.H__O ..._______.-__.________.______.________________ ----.--.---- '-'TiM-I'----- - . NUMBER DESCRIPTION AMOUNT 11I"'''11''. pUJ A. 2. B, -0 _______ __________________ -..---------.--.------.--.-.--.~----,---------- .---~.----- 1. Fun.ral bpon"ll Hyers Funeral Home, Ino., 37 Eao t Natn st., Meohanios burg, PA, tuneral expenses. $ 4,932.00 Harrisburg ~~aAt Oemoter, Harrisburg, Pennsylvania, opening CUld oloo'.ng Ell'ave. 795.00 1. Admlnlltratlvo COlhl Porsonal RoprOlenlalivo Commlulons Social Security Number 01 POllonal Ropresenlalivo: __ Year Commllllons paid ____'_'_'__'_' 2. Allorney Feol J. Robert Staufter, gsq. 35.00 3. Family Exemplion Claimant \ig:l:.~~!ll__JJ:.__.El_~dl~~ Rolalionshlp Husband Addr.u of Clalnwnt at docodont's death Slroot Add"u _E29]._jf(J.~ t9.y~1._.Pr;lv_~_____,____ City __..l1(l.Cllll!.ll~Q~_l:>1.!;r.[L___._Slule ..1'1\_ Zip CodeJ_W.5__ 4. C. 1. 2. 3. -i. 5. 6. 7. 8. 2,000.00 Probale Feol Register of: Wills 01' Oumbel'land Oounty, Pennsylvania, Lotters Testamentary. MI.collanooul Explnllll Register of: Wills, tiling Pennsylvania Inheritanoe Tax Return. 61.00 15.00 -.----.-- -------..-------.-....-------- 7,038.00 TOTAL (Alia entor on line 9, Recapltulallanl S (If mar. Ipace II need.d, Inl.,t additional .h..1I of lamft II...) RI":;;'47 EX AFP (08-94* /1/. ,'/(1- / / '.cOttHOHWEAL TH OF PENNSVLYAHU I DEPARTt.EHT OF R[VEHUE J.,' BUREAU OF INDIVIDUAl TAXES DEPT. U06DI tlARRISBURO, PA 1712'-0601 UTAT!! OF SADLER--~ K~~- FILE NO. 94-0420 DATE OF DEATH 04-27-94 COUNTY CUMBERLAND NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF TNIS FORH WITH YOUR TAX PAYHENT TO THE REDISTER OF WILLS. HAKE CHECK PAYABLE TO "REDISTER OF WILLS, ADENT" REMIT PAYMENT Tal (/ HOTICE OF INHERITANCE TAK APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAK ACN 101 DATE 01-30-95 - J ROBERT STAUFFER ATTV MARKET SQUARE BLDG MECHANICS BURG PA 17055 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISL@O'A 1]013 :IJ -, 01 \{ri ::0 fil -j- l.! "I!'I_ p::1:oou~ Rlnl~ l~, ~ ~ P~.~ _ ~ ~ P.~~. JJ!!~. _I:.! ~~.. _. _ _ _ ~ _ _. .~.~! ~ ~!L ~P.t!. ~~ _ !.~~J.~ ~~. !..~~. X~~~.. ~~p_~~ ~~_... ~. ~~ _.... ~ ~.. ~..... _ _._ REV-lS47 EX AFP (08-941 NOTICE OF INHERITANCE TAX APPRAISEMENT, A~OWANCE.9R : DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF :TAX _" :.. " MADELVN K FILE NO. 21 94-0420 ACNi!~Ol .:, DAfh:.01-30-95 Ul ( I CHANOED ESTATE OF SADLER TAK RETURN WAS. I X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL 1. Rill E.tltl ISchodull Al 2. Stook.lnd 80nd. ISohldull 81 S. Clo,"l~ HIld Stock/Plrtnlrlhlp Intlr.lt tSchldull C) 4. Horta.o../Not.. Rlollvlblo ISchldulo 01 S. CI.h/Blnk Dlpo.ltI/HI.c. Plr.onll Proplrt~ ISchldull E) 6. Jolntl~ Ownld ProPlrt~ ISchldull F) 7. Trlnlflrl I SChldull 0 I a. Totol A..lts UI 121 151 141 ISI (6), 171 .00 .00 _..A .00 11,641.46 .00 .00 101 11,641. 46 APPROVED DEDUCTIONS AND EXEMPTIONS I 9. FUnlrll F.xplnl../Ad.. COlto/Hllc. Expln... ISchldul1 HI 10. Dlbt./Hcrtglgl Lllbllltlll/Lllnl ISchldull II 11. Toto! Dlductlcn. 12. Nit VoluI of TIX Rlturn IS. Chlrltlhll/Oovlrn.lntll 81qUlltl ISchldull JI 14. Nit VIlu. cf Eltltl Subjlct tc TI. (9) (10)_ 7,838.00 .00 1111 U21 USI (4) 7,838 nn 3,803.46 .00 3,803:46 If an assellment was ielued prlviously, lines 14, 15 and/or 1&, 17 and 18 will refllct figures that include the totel of 6hh returne alsessed to date. ASSESSMENT OF TAXI 16. Anount of L1nl 14 It Spoul.l r.tl US) 16. Anount of L1nl 14 t...blo .t Llnl.l/CIo.. A r.lo (6), 17. ^nount of L1nl 14 to..bl. .t CoU.lorol/Cl... 8 rot. (17l 18. PrincipII T.. Ou. TAX CREDITS: PAYHENT DATE 11-14-94 NOTEI .00 K'OO. 3,803.46 K .06._ .00 x' 15. (8) .00 228.21 .00 228.2J RECEIPT NUH8ER MM91 172 DISCOUNT INTEREST (+1 (-) .00 AHOUNT PAID 228.21 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 228.21 ,00 .00 .00 I IF PAlO AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITtDNAL INTEREST. IF TOTAL DUE IS LESS THAN tl, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CHEDn" (CRI, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF TNIS FORH FOR INSTRUCTION..) , RESERVATION I E.t,tll of dlcldent. dying on or befar. DlOt...r 12, 19" ... if any future Int,,"t In the ..tat. II trlnlflrrtd In ,0.....10n or .nJoy..nt to etl.. . (col11',r.l) bln.ftcl.rl.. of the dlCldlnt .ft,r thl IMPlrttlon of tny ..t.t. 'or l1f. or for v..r" thl C~onwt.lth hlr.by IMpr...lv rll.rVI. the right to appr,I.. 8nd ...... trln.f.r InherItInG. TINt' It tM llM4'ul C1II. . (coll,t,ra1) rlt. on Iny .uch future lnt""t. PUAPOSEOf NOTICE I To fulfill thl r,qulrlur,t. of s.otlnn ZlttO 0' the Inh,rittRn Ind Eltat, TIIM Aot, Act 22 of 1991. 72 P,S, s..llon 2140. PAMMY I Detach the top portion of thlt MotlOI and tUbtit with your ply..nt to the Rtuhtlr 0' wUtt prlnt.d on tM r.v.r.. .Idl. .,Koko chock or ..no. ordor po.oblo to. REOISTER OF HILLS, AOENT AU Ply..ntl reoelvld ,hell flr.t bt .ppllld to any Int.r..t whleh "Y bt ckM with any ".tlnder .ppll.d to thl tiM, RlFUHI) (CA)! A rl'und at II tlM credit, which wu not r.quI.tld on the Tax Retul'n, ..y bl requllted b~ catWIllUng an "Applleetlon 'or Ae'und 0' PeM.~llianl. Jnherlt.nc. end E.tate TIM" (REY-ISIS). Ippllc:etlon. art Iv.lllbll ftt thl OffiCI 0' thl R.gI.tlr 0' Will., Iny 0' thl ZS RIVlnu. DI.trlot Of' Ie.., or bv ollllng thl 'PIClll Z4-hOur an.werlng .uvlc. ~r. for 'or" orderlngl In P.oo.vlvtnl. 1-8OO-562-Z05O, but.ld. P,nn.vlv,"ll Ind within 10011 Hlrrl.burg Ir.. (717) 787-8094, TOOl (111) 17Z-lZ5Z (H..rlng IIPllr,d Onlv), OIJECTJONSI Anv plrtv In Int.r..t not ..tl.fl,d ..Ith thl appr.I....nt, allO"lno. or dl.llloMlnC' 0' d.ductlon., or ......tent of tlX (including dl.count or Int.r,.t) a. .hown on thl. ~otlo' IU.t obj.ot within .Ixtv (60) dlv' of r.c.lpt 0' thlt Notlc. bVI -.wrltten prot,.t to the PA n,plrt.,nt 0' R.v,n"., Board of App..I.. DfPT. Z.10ZI, H.rrl.burg, PI l11la-l021, OR .-.llotlon to hlv' tht .ettar dat.r,ln.d .t ludlt of the account of the Plr.on.l r.prl..nt.tlvl, OR ..IPPlII to the Orphan.' Court. ADIIIM IITRATlI/t CDRRfCTlDNS. DIICOUNT, Factual .rror. dl.cav.r.d on thl. ........nt .hould b. addr....d In writing tot PI Olplrt-.nt 0' Rlvlnue, lur,eu 0' Indlvldull TlIlII, ATTNI Palt A......."t R.yl... Unit, DEPT. 210601, H.rrhburg, PA 17121"0601 rhon. (717) 787-6505. S'I pagl 5 of thl bookllt "Inltruatlon. for Inharlt.nc, T.x R.turn for. Allld.nt DectcNnt" (REY.15011 for an IMpltn.Uon of IdIIlnlttr.tlv.h correctabll .rrorl, Jf Inv tlX dUe I. plld Mlthln three (]) olllnd,r .onth. .ft.r thl d.cld.nt'l dt.th, . ,lvI p.rcont (SX) dl.count 0' the t.x plld I. .llcwtd. IKT[R!11 ; Intlr..t I. chlrttd b.glnnlng with 'Ir.t dlv 0' d.llnquencv, or nine (9) IOnth. and one (I) d.y ,rol the dat.o, death, to the dl" c, plv"nt. TUII whleh blo... dtUnqutnt b,'or. Janutrv I, 1'8Z baar Intlrtlt ,t the nt. 0' .IK (6X) perctnt plr annul olloulat.d It I dlllv rat. 0' ,000164, All tIM.. Nhlch bICI" d.llnquent on Ind "ft.r JenUlrv 1, 1'82 NIII b..r 'nt.r..t at . rlt' which will Ylrv 'rol olllnd.r y.lr to ell.nd.r v..r with that rltl announc.d bv tM PA D.part.lnt of A.vlnue, Th. .ppllclbl. Int"rllt rlt.. for 1982 through 1995 lrel '!!!! Int.rllt Attl DIIIV Jnt.r..t Flctor !!!r Intlrllt Rltl DIllv Int.r..t Flotor 1911 lOX .000541 1917 9X .0001\7 un I6X .OOOU8 1911'1991 IlX .000501 191\ IIX .000501 109l 9X .0002\1 1985 UX .0001!l4 1991-1991 7X .000191 1916 lOX .ooom 1991 9X .0002\7 ulnt..rut 1. ollculltld .. 'OllCMI1 INTERE'T . BALANCE ot TAM UNPAID M NUHBER OF DAYS DELINQUENT M DAILY INTEREST FACTDA -~Inv Notl.J1 Itlu.d Ifttr thl tllC blco.., dlllnquent will rlUlot In Int.rllt cllculltion to 'lit'", (1) d.V' btvOhd thl d.t. of thl ......Hf'lt. If PIVMnt II .IM ,ftflr thl lntertlt eOllPUtltlon dltl Ihown on thl Hotlc., ~ltion.1 Intlr..t tU.t bl clloullttd, 9 f.- (., .!/ ,7( t'~) ,; v' ~rA!US_.B.~POH'l' UNDEH HULE 6,12 Name of Decedent I __~.~]~IJYN Ie. SADI,lm Date of tJeathl_~1)1'1l_271. 1991~_ Will No. __,~91~ - 00l~20,_____._ Admin. No. PurBuant to Hule G. 12 of the Supreme Court Orphans' COUl't Hules, 1 report the 10] low.lng with respect to completion of the adm.lnlstrat..lon o[ the nbuvl1-capLionod ostatel 1. State whether admiflistration of the ostate is complete I Yes _._Jt___ No _.._____ 2. I f the nrlflwer ls No I state wll€ln the personal representative reasonably believes that the admlnistration will be complete I .__.__._ 3. If the answer to No. I iA Yes, s tate the following I a. Did the personal representative file a final account with the Court 7 Yes No :It p, 'fhe soparatl1 Orphans' Court No. (if any) [or tho personal representative's account is: c. Old the personal representative state an account infol'mllliy to thA par-Uss in interest? Yea x No.__ PerRonal reprBoento.tive is sole logateo and benef'iole.l'Y of Estate. . d. Copies 0 [ receipts I releases, joinders and appr.ovals of formal or informal accounts may be filed with the Cerk of the Oi'phans' Court ami may be attached to this report. <'J '/}) ,/) /J// Date: I,. 't:I.. '/1/ ,~"'~".~..; / p-lLk:::-~ Signature l1illlam E. SadloX' Name (Please type or print) 6201 Westover DrIve l1eol1nnioaburg, PA 1'7055 Address---.-'-.----.-- L__J...7.'J.,1::1M~~31._.__u__.___.____, 'fe I. No. '.)0 Capacity: X .personal Representative Counsel for per.sonal representnLive (MAli I rmf / AM3 )