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(If 1101 d'llllielh'd I, Vahll' llf Il'ull'qull shullled II' lollo\\" All p['ISOIIIII property l'cI\llllal pIOp\'rty 1lIl'l'lIl1syll'lIl1l11 $ I'"",,",j Pl\1PI'rty ill ('(,llIlIy $...._~ ~~.~\'~~1~ ~~ (Av',.... .,{""', t\....~. $--._-~.~~--- G ..... ,o. ... ..~,---..-..--_...------ $..!..~J.....t6 ~ \\'IIIHI,J'(IHi', pll'S~lIll'd 1'~Il'\\'llh , Ih"/'(III, '''''''I(s) rl'Spl'ellully Yl~eSI(S) ~e plohllle of Ihe Insl will IIlId eodlell(s) " 'hI' gl'lllll 011~11~".'7'~ ...d........~_ol~_'\....-------... tl~'sllllll~.lltnry; ndllllnl\lrlllllllll'.I.lI.: ndmlnhlrllllnn d,\l,n.C,I,Il,) r,~ ~ 17 ('ii ,.'. ' ~ 11, . '~:~ _l: ,,0.. E'~ :1" ~ d.. <: <(,,~ 4,,}..f,1I ifJ .A1<4L. ,.....\,~,..." r. n____.u..____ ...__ _____..______~ d <I, Ii; __ .-----_...------_---__0_- - .-.---.-.------ OATil OF PEI~SONAL Rli:lJRESI':NTATIVE COI\IMONWEAJ.T11 OF I'ENNS\'J.\'ANIA l ('0 II Nn' (II' CUMBERLAND j HH TIll' pl'Iilioll~I(S' al""','lIillll~d ,\\ea,(s) 01 alllll11(s) Ihlll Ihe Slllll'lIl"1I1S IlIlhe foregolllg pelllion arc Irlle 1I11d "ollWI 10 Ihe 111',1 01 Ihl' kllowledgl' IIl1d hellel of !ll'lllilllll'I(') ilnd 111111 liS persl1nlll reprcsen. 1IIIIIe(s) 01 11/1' IIh"", d,',,.,!. III pCll!lol\l'II') \\;11 ~~~II....~ adl' '\ e ,.the eSlllle neeording lU Inw, SWIIIII \l,' 0' allllllll'd alld ,"hlcrihed ~(,/ ."I:C~... .. ~ .. ......:.._-. \(1 '7!Jhl'llll'III"1JI\(/)".4t~~,l? ,r~I~I<;CI, ~_( n_..~:_~=: ~ o"Vf \c,J,G.A.L{QF'-' 'f."J.1Jt, .. '''~Jf--'''''''''--- ! M RY tf. LEWIS ,'1"1:/\("1 'U u___........____.. ~ 14~c.J1,)-c.J., Estate of No. 21 - 94 466 MARY F. BRENIZER , Deceased DECREE OF PROBATE AND GRANT OF LETTERS , AND NOW MA Y 23, 19~, In consideration of the petition on the reversellde hereof, satisfactory proof having been presented before me, IT IS DECREED that the Instrument!s) dated ,1UL Y 10, 1964 described therein be admitted to probate and flied of record as the last will of MARY F. BRENIZER TESTAMENTARY RAY E. TRIMMER and Letters are hereby granted to FEES Probate, Letters, Etc, "","" $ Short Certlflcates(6 ) , , , , , , . . .. $ Re3~~clatlon ,.",. == : TOTAL _ $ MARY C. LEWIS 115.00 18.00 ATTORNEY (Sup, Ct, I,D,No,) b.UU ADDRESS 138.00 Flied MAY 23, 1994 " ,.....,..,........"..,....,.,..". PHONE CJ 'L' .:t: 'j ',-,- (I.. " (','., c' ,. 0, ,-, ~~~; '-, '.'.' , ('1(( ., ~h ) .:> (C ' L56 , " , Mailed letters and order to E~ecutor on 5-23-94. on 21 . 94 .. '466 " " ,! " .' ",' 1'" I, .' I:" ,:1 ,. Ii" .. . , " ,. '.. " 1'.' oil " j. " " ,. 'I " " ,,, I", ,. " " " ", .. " ,',,\, "j. i! ' !' ,. . ,., . !, '} i: ",' , ., ,.1, '; I' ,;: jI I'. ,! " 'Ij " " " . " " ,I' " " ,I' , .' " 'i ,. ,J' 'I" , ,. I ," ,. j, ,,;I '" ,t, 'J' ,. ,. ,I' " i,' I." " ,. , " I' ," d j '.' ,. ". " ,,' " " " ,. il,!, " .f....,_ " 'Il , I' ., \--, ,. 'ii ,I", " " \_."..1, , ;..-' I:, " , ,1 ,. II.' ',. I'; ,I 'u " ',. I" " " ,,' 'i" , ' './, 'h' ',) 'fn- I' --J I ,,(j, 'fl' ,r"} , t.<. '11\ "" I;'; 't! "C :'0 i'i'. "'f i, , ,. .\; I. 'j ~ ' ,. 'i'i , ,1; ,I ;,' 'i, " '.. ,. , '" , , ~,~ " I' " \, ".-j. " 'I' , .. I'- '1'. " p'; I ,. l" , iJ' ',', ....~. ~.... :J:t: -f' .'1, ", :". ,.'! 1_, " ;,' " \';. 'j,' \<', I.i. (~ "J Cl>h" 0::..... , j'"hl,!:i ,'; -1':!; iU ':1 !",' [3'(.) , .' ,., i_' ""'-f P,I .; j-" , . I-'ll " ;; " .' " I. iii' .' I" ., , " " ,,,, " I, ,. \', !"" .", " t,-" I}" " i' " u ,'".' I"j, ' , . L, , . , t,', '. , " .O! H 'I' 'LL,I' it ,'', ",. Ii " , I ,,' ,. \I t' 'j.. ,'1,1 ., I,'"~ \I ,,' ,. '", '1\' '" ( " 'i' ,ili II, 'I' ,.. jl" I",!' /,;, ,. ,. Hi ',';, H .' , , , " , " .. Ii, " /'. " .. I' I' \/':' Iii ,,' ., ", ., i -t' "' J'/ .' j.' it"~ 1 ., tf, " /. " >'1, ,. ,. .. Ii , I' " "I " " ,. " , " '. " .," t,< " .' " 'I' ',;' " /," , :1 , ,. '. '. I LAST WILL AND TESTAMENT OF MA,EY F. BRENIZER I, Mary F. IIrenl zer, of the Dorough of Lemoyne, County of Cumberland and state of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my last WIll and testament. L I direct the payment of a1.\ my Just debts and funeral expenses as soon as convenient Iy may be after my decease. 2. All the rest, residue and remainder of my estate, real, person- al and mixed, whatsoever and wheresoever' situate, I give, de.vlse and bequeath to my beloved husband, James n. Brenizer, to his own use and benefit absolutely. 3. In the event, however, that my said husband should predecease me, or as the result of a disaster common to both of us should die at about the same time as I do, or within thirty days from the date of my death, I give, devise and bequeath my estate to my son, Willis n. Brenizer. !~. Lastly, nominate, constitute and appoint my said husband, James n. Brenizer, to be the executor of this my last will and testa- ment. If he should predecease me, or for any other reason fall to qualify as such executor, then I nominate, constitute and appoint my nephew, Ray E. Trimmer, to be the executor In his place and stead. In the event he should also predecease me, or for some other reason Is unable to act as executor, I nomina te, canst! tute and appoint my sister, Grace I. Trimmer, to be the executrix of my estate In his place and stead. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 10Th day of JulyA.D. 19b!l. 2&:y' 't,_'t~JJ'..J...'/tI>n... / " Signed, sealed, published and declared by the above-named Mary F. Brenizer as and for her last will and testament., In the presence of us who have hereunto subscribed our names at her reCjucst as witnesses thereto, In the presence of the said test~x and ,o~~7L' other. --:-/ Cl "t.lr-il!. '~i'h-, "))0.(l.f~ ~ l;b: ) r.:,~tt:,j (SEAL) i ~~ ~ ,1_,>: '" ;\;:';,', " ,-,,1., ' ':;';,\ 11\, '\C,',,::,/:.'\.'.:" . J ~i,'" .". ""';'" H 'i,b, "" ,'-, , , .' \""!j'.,:" 'I,,"~, d' "i" I '" f'" "0\";11'111'" '1"'1 "'1), " I ',''\'', .:'; ':'.", ,",," \ ': J ' fJjf ",I ',) I" " ,,' 'I 1)' i" " , .",. '" , , """ '" , >, t'.'\",.., "'''', . "', "'I "'>1 {", ,'" p,"i' :'vjJl~"'i'f\!;\r. i), {'\l" ". I, ','" \ I, I 'I t . ('-',: ,',"1.",' , .~,,,;\,,,,.\ Ir,;, "'I .. ,vi',..',,., '''''''.''''''" ' ''''".,\,;:, "\ '" t;', I' .. .~, ",. I," I' ,,!'\, ' , '. 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"0 : , ,I, :', ." i;' " :" ~'.:l 8..'C ~i ," :q. . ::i11'1 ,.'1' " , .i" to!' '\,. " '1\' I", , I',' "It ;i. ,:It; ,I' " " . -' , ,,~ , , '." ;',1 'i I ~ "I, J'- d_'I' ;l.V,jl ,'r\ ';ii';;',' ~ ~ _II: j i}. '1',. {~":,,~ ':' ':i.. 'b ;_,ri~.\ ... ,y..:;;~;~; tl' (',': jl.: "I,' ,\1 , ,(I, !,: " , " I, " '". ':,1 >1_: " " ',. p' ,,'; " . , , ':: "J,' '. ", " "'I' ",. "j!'." ". ... J' ,', "'. " .'''..., '" '. , ) PAVHENI, Dltaoh thl top portion afthl. Notlc. and .ublllt with your paYII.nt "ad.. pllvable to the nalll and, addr... prlntld an thl r8yar.. Ildl, .. Hakl chick or lIIan8Y ard,r 1l11l'ab1o tnl REOISTER OF HILLS, AGENT, All PIlYllIllntl reallvld !Ihlll1 be IIppllod flrlt to any Intornt which IIIay bl dUI with IIny rUlllndlr IIpplll1d to thl talC, REFUND (C~)I A refund of n talC crldlt, which wnl not roquostod on tho Tax Rlturn, ~ay be rnqu8stod by cOllplatlng an "Applloatlon for Refund of Pennlvlvnnla InherltMce llnd EStlltl TalC" (REI/-Ul!), AppllotJtlonl fire llvallabJl at thl OffiCI of thl Roglster of Wills, llny of the 23 Rev8nuIiI District afflcol or froll thl OIPlln..ent', Z4.hour anlwerlng sorvlcliI nUllblrs far for~s orderlngl In Pennsylvllnlll 1-300-36Z-20~O, outside Pennlvlvllnln IInd within locnl Hnrrlsburg Ilrlll <7111 787-6094, 100' <7171 nz-zzsz Ollllrlng IlIlplllrod only), REPLV TOI Ountlan. rORllrdlng errors cantnlnld on this not leI should 110 llddrnuod tOI PA Dftpart..nt of Revenue, Bureau of Indlvldulll TllXQI, ATTNI Post hSlu"ent Review Unit, nept. Z30601, Illlrrhburg, PA 171~8-0601, Phone (717) 737-6505. OISCOUNTl 11 any talC dUI Is p"ld within three 131 cll1undl'lr 1I0nthl after the docudent', dlllth, tI five PIrC",t (S%l dlsoount of the tax Pllld Is nllowed, INTEREST I Interelt I, charged beo!nnlng with first dl'lY of delinquency or nine (9) ~onthl and one (11 dl'lY frOM thl dllt, of dnth to the date of pay.ent, Tanl which be ca., dellnqulnt !Jefore Jllnut'lry t, 1982 benr Intlrut at thl rat. of sill: (6%1 plrolnt per annulIl calculated nt II dolly rntl of .000164. All taxII whloh becllllI dellnqulnt on nnd after January 1, 198Z 101111 blllr lnteralt Ilt n rate which will vary fro~ clllendar year to cnlandllr Ylar wlth that rllte announced 11'1 the PA flepnrtlllnt of RevenuI, The f1ppllcllble Interost rlltOl for 1982 through 1995 orll !!!! Interut Rl'lta Dftllv Interest roctor Vll'lr Intarut Rllte Dally Interult ractor 1982 20% ,000548 1987 9% .000241 1981 16% ,000433 1988-1991 11% ,000301 1984 11% ,000301 }9I)Z q% ,000241 1981 13% ,000356 1993-1994 7% ,000192 1986 10% ,1I00Z74 11)9S 9% ,000241 - -Inter.. t I, calculated .. followlI INTEREST = B^L^NCE OF T^X UNP^IO X NUnBER OF O^YH OELINQUENT X O^ILY INTEREBT F^CTOR -'Any Notice luueu lifter the tit.: b,ooll" d.lInfluent 101111 refloat nil Inter..t calclJlatlon to fifteen US) dav, beyond the date of the 1I....lunt. If pllYlIlellt II lIad. ofter the Intar..t COIIPuttltlon dllt, "hown on the Notloe, IIddltlonnl Inter"'t lIlUlt b, cllleulated. Rev. 1410 fiX (0.86) INHERITANCE TAX EXPLANATION OF CHANGES COMMONWFALTH or rfNNSVlVANIA DEI'f,QIMENI OF REVENUE ~ IUlIIAU O' INDIVIDUAL !AXIS DErT,280601 DrCEDENI'~ N;~~ms~~:~, PA ?E~~I ~'-r~ --=:=f-__,-=.7~~.:.__. , /). - 1 ,''' ;' ,/i tildif.-' I ' ,. -," ~~....' (, /~:L_.L SCHEDULE ITEM EXPLANATION OF CHANGES NO, --- AbDVIi-rcflifuncud ACU(a) arc boll\l~ ndJuutoo to roflor.L ct'ro tnx duo slncu they "live 1ll1Qn rll~ort(Jd on tb', probot.f! rclUl'n. ,. " '" ",' ,.. "1 . ,I". .. ' " " ., " .. 1...11 " TAX EXAMINER: ' /) . . .' . ;.. \ ' '/ I!J,' /- I I , , ! t , I /" i i I ',' . I ~ ( I , ! I PAGE ,'1) v' c (J f\ \ / Ii );;;"'; }~REV.1547 EX AFP (12.94~1 ~~ COKKONWEALTII OF PENNSYlVANIA ACN 101 OEPARTKEN! OF REVENUE NOTICE OF INHERITANCE TAK BUREAU OF INDIVIDUAL TAKES APPRAISEHENT, ALLOWANCE OR DlSALLDWANCE ~mis:m~lpA 111Z8-0601 .__OF DED~CTIONS AND ASSESSHENT OF _TAK DATE 03-20"95 ESTATE oF~llmlIZER - 1'fAR''''-- -'"""J! - FILE NO. -rr--9"Hm- DATE OF DEATH 04-14-94 COUNTY CUMBERLAND NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF TNIS FORH WITH YOUR TAK PAVIIENT TO THE REOISTER OF WILLS, HAKE CHECK PAVABLE TO "REOISTER OF WILLS. AOENT" REMIT PAYMENT TO: RAY E TRIMMER 600 E WINDING HILL RD MECHANICSBURG PA 17055 = REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 EAoount Rlolttld CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ... il ilV: i 5f;7 " Elf"" F ii. i i if: 94 T" HoYi c r "oF - i"N'H E ifi f ANC' E. 1"1. x" 'iiP' pilifi ii EM EHr;-" L. rOWAN"C E - ejli"""."""""." -..".. DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BRENIZER MARY F ;:ILE NO. 21 94-0466 ACN 101 DATE 03-20-95 TAK RETURN WAS, I X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL 1, Rill E.tltl ISohldul. A) 2, Stook. Ind Bond. ISohldull BI 3, Clo,"ly HIld Stook/Plrtnlr.hlp Intlrl.t ISohldul1 C) 4, tlortglgl./Notl. RIOllvlbl1 I Sohldull D 1 S. Cash/Bank Oeposita/Hlsc. Perlon.l Property (Schedule El 6, JolntiY Ownld Proplrty ISohldull F) 7, Trln.flr. ISohldul1 0) B, Totll A..lt. APPROVED DEDUCTIONS AND EXEMPTIONS I 9. Funaral Expens.,/Ad", COlts/Hlsc. Expensl. (Schedull H) (9) 10, Dlbt./Hortglgl Lllollltll./Llln. ISohldul1 II liD) 11, Totol DlduoHon. 12, Nit Vllul of TI. Rlturn 13, Chlrltlbll/Oovlrnolntl1 eIQUI.t. ISohldul1 J) 14. Nit Vllul of E.tltl Subjlot to TI. (1) (2) (3) (4) IS). (6) (7) I ) CHANO~ f' ::"/ ," l'll .~ .:-Jm ." I' -' , 86.993,65 B.lq~ ~3 78.798,12 ,00 78.798,12 If an as~essment was issued previously, lines 14, 15 and/Dr 1&, 17 and 18 will refleot figures that include the total of ALL returns Bssessed to date. ASSESSMENT OF TAXI 15. Aoount of Llnl 14 It Spou.ll rlt. liS) 16. Aoount of Llnl 14 tl.lbll It LlnIII/C11.. A rltl lib) 17, Aoount of Llnl 14 tl.lbll It CollltlrII/CII" D rltl 117) lB. Prlnolpll TI. DUI NOTEI TAX CREDITS I PAVHENT DATE 01-1"0-95 RECEIPT NUMBER AA022693 DISCOUNT I') INTEREST 1-) .00 61 ,000,00, , ,00 ,,' 00 ..., . ',J ,00 9 . 512 ,88 : : 16 ;~89. 77". ,." ..'"I .00 \0 (8) 6.441,48 1.754,U5 Ill) _ 112) . 1131 , 1141 ,O~K'OO, 77,182.50 K,06, 1, 615 , 62 K' 15, (181 AHOUNT PAID 4.873,29 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATIDN OF ADDITIONAL INTEREST, ,00 4,630,95 242,34 4.873,29 4.873,29l ---~ . ,080 ,00 ,00 IF TOTAL DUE IS LESS THAN .1. NO PAYHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), VDU HAV BE DUE A REFUND, SEE REVERSE SIDE OF THIS fORH fOR INSTRUCTIONS.) RESERVATION I E.tat.. of d.c.d.nt. dying cn or blfore Dt~ttb.r 12, 1982 ~~ If any future Intlr..t In the ,.tat. I. tran.f.rr.d In PO.....lon cr tnjoynlnt to Cia.. B (oolletlral) bln.flolarle. of thl dlr.tdent aftlr the eKplratlon of any ,.tat. fcr Ilf. or for v.ar., thl COllanw.alth htrtby IKprl..ly r..erVt. the right to appral.. and a..... tran.ftr Inh.rltanot TaXI' at th. lawful Cia.. ! (0011at.ral) rate on any .uch futurl Int.re.t. PURPOSE OF NOnCEI To fulfll1 the requlr..enh of Sectlun 2140 of the Inheritance and E.tate TaK Aot, Act 22 of 1991. 12 P.S. Slctlcn 2140. PAYMENT I D.taeh the top portion of thh Notice and IUb,lt with your paYlllnt to thl Reghter of Willi prJnted on the rt"'erll .Idt. ~~Hake cheek cr 10nlY ordtr payable tOI REOISTER OF HILLS, AOENT All pay',nt. r.oelvld shall flr.t bt appllld to any lnt.r..t which nay be due with any r..alnder applied to tht taM. REFUHD (CRII A r.fund of a taM crldlt, which WI' not r.qu..tld on the raK R.turn, .~y he r.quI.tld by co~pletlng ~n "Application for AQfund of Pannsylvanla Inhtrlteno. anti Estat. TaK" (REU-ll13L AppIJoatJon. art avellable at the OffiCI of the RlgJ.t,r of Will., eny of the 23 Rlvenue Ol.trlct Offlcal, or by calling the .peolal 24~hour anlwlrlng ,.rvJc. nUlber. lor for"1 ord.rlngl In Plnn'Ylvanla 1~800-362-2050, outllde PlnnlyI",anla and wlthJn Iccal Harrisburg arlft (711) 181~8094, TOO' 1711> 772-2~52 (Hurlng IIPaJred Only). OaJECTIONSI Any party 1n Int.r'lt not satl.fled with thl apprals..ent, allowane. or dJsallowance of dbductlons, or as'lsl~tnt of taM (Jnoludlng dllcount or Int.r..t) a. shown on thJ. Notlol IUlt obJ.ct within sJ~ty (60) day I of roeelpt of thh Notice by I AOHIN ISTRATlYE CORRECTlOIlSI -~wrlthm protut to the PA Olp'rt..nt cf RlIvlnuo, Board of ApPllnll, DIP\' 281021, Harrisburg, PA 11128-1021, OR ~-.I.ctlon to have th. tatt.r d.ttrlJnld at audit of the account of thl p.rsonal rlprss.ntatlve, OR --appeal to thl Orphans' Court. Factual .rror. dl.coy.rld ~n this aftStsll'nt should be addrll..d In writing tal PA Dopart.ent of R.Ylnu., !uruu of Individual Ta~lII, AHNI Po.t Au.....nt R.vl(lw Unit, Dopt. 280601, Harrisburg, PA 17128-0601 Phonll (711) 187~650S. S.. page 3 of thl bookl.t "Instructions for Inh"ltanc. TaK Return for II RIIJdent D.c.dlnt" (REY-1501) for an e~pl'natlon uf adllnI5tr~tlv.ly oorrectftbl_ .rrors. OTSCOUNTI If any teM due It paid wUhln thr.. (]) call1ndftr f10nthll afhr thl d,cldont's death, a flvl per'JOnt (5%) dhoount of the taM paJd It allow.d. INTEREST I Int.re.t J. charg.d b.glnnJn; wJth fl~st day of dlllnqutnoy, or nlnl (9) .onths and onl (I) da~ frol thl dati of duth, to thl dah of pay..n\, TaKII which h.ca.. dellnqu.nt before January 1, 1982 bur Inhrut ftt the rate of II~ (6%) p.rclnt pnr annu. calculatAd at . Qally rate of .000164. All ta~el which b.ca.t del Jnqu.nt on and .ftlr January I, 1982 will b.ar Inter..t at a rat. which will vnry fro. calondar year to calondar y..r with that rat. announc.d by the PA D.part'.nt of R,v'nuI. Tht applicable Inter..t rate. for 1982 through 1995 arll ~ Internt Rat. Olllly Int""t Factor :!!!! Intar.st Roh Dally Inhr..t rnctor 1982 20% .000548 1987 9% .000247 1983 16% .000436 1968-1991 11% ,000301 198. 11% .000301 11,192 9% ,000247 1m 13% .000356 J!193-1994 7% .000192 1986 10% .00fl214 1995 9% ,0002.7 ulnternt I. caloulat.d as followsl INTEREST. BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTDR --Any Notlcl hSIJld after thl taK beco... d'llln'1ulnt will reUect an Inhrlllt calculation to flft..n l1S) day, blyond the date cf thl USUs..nt. If paYlllnt It lad. aftor thl InttrQlt cOlllputatlon datil .how., on thl Hotlce, additional Int""t IIUSt b. calculatld. RIY."':H" 1'1'</11 fOR DATlSOfOIATHAnlA 12/31/91 CHICKHIRI ,~ ,:;) y~ INHERITANCE TAX RETURN~o~::~u~:~OITl5ClAIMID II . ','" RESIDENT DECEDENT fill NUMBIR CO^,^,Ollw,^ml OF PENNIIIYAN'A (TO BE FILED IN DUPLICATE '.~..I _ D LJ ,- "'V.I,/., DEPARTMENT Of RfVUlUE _ 7 ( "'" ~ ~ "ARRI\m:~,~~onJl8,~601 WITH REGISTER OF WILLS) COUIIIV Will YEAR N' N M tA ,I ,A. Ml \ I IIAT ~-r(f()f~rfS(OjXPLrr( ,T)Tt~[SS --.----- , Bf{l:NI~~~--,_../'l'1~'~I"CmE', "j ~'IOh/~~~II1j~: r1Vc;'l./I/t:' ~OC1M SfCUllI1't' UUMIHR DATE Of DEATH OAH Of 811Wt '-. t;/ 1"<'\ , IV W-, ", 16 G' z'z.. 879& t{ -/'1 -9'1 ,s;-/-IM? C"""" cU'I1a,,'/tl.IL./O . d..... ___ __ .._...__.___..___~_____ ... 1><11, O,iginal Rolu,n [ I 2. Suppla",an'al Rolu,n [ I 3. 1. Rool Eslal. IS,hedule AI I 11 2, Slo,k, and Bonds (S,hedule BI I 21 3, Closely Held Slo,k/Porlne"hip InlerulI (S,hedule q (3) 4, Morlgages and Noles Re,elvoble IS,hedule 01 I 41 5. Cosh, Bank Deposill & Mi,,"lIonoous Pe"onal Prope,ly( 51, 'I 5'/ ~, tie, (Schedule E) 6, Joinlly Owned Properly ISchedule FI 7, Tronsfe.. (Schedule GIISch.dule II 8, Tolol Groll Allels 110101 line, 1.7) 9, Funeral Expenses, Admlnhtrative Cosls, Mhco!loneous I QI Exp,nses IS,hedule HI 10, Debls, Morlgoge lIabllllles, Liens (Schedule II 11. Tolal Dodu'llons 110101 line, 9 & 10) 12, Nel Value 01 ElIale lline B ",inusline III 13, Charilable and Governmenlal Beques.. (S,hedule JI _.._......_... ~:_t:iel VoIU~~~~:'!~!~Ji~ne 12 "'.lnusl~ne.!~1.. 15, Amounl of line 14 la,oble 01 6% role IIndude value, from Schadule K or S,hodule M,I 16, Amounl 01 line 14 la,abl. 01 15% rolo (Indude values from Schedule K or Schedule M,I 17, Prindpallo, duelAdd 10' I,om line 15 and 'ro", line 16.1 18. Credits Spousal Povorly Credit Prior Poymo"" + + 19, If line 18 is greater Ihan line 17, e"ler Iho dilferonce on lina 19, Thl, i,lho OVERPAYMENT, mu 20, If line 171s grealer than line IB, e"'er Ihe dlllo,ence on lino 20, Thlsl'lhe TAX DUE. A. Enter the inlorOl1 on the balance due on lino 20A. . , ~ "'iiiS lrl&O :1:...... Va.'" a. ~ ~ !Z .. "' .. Q o Z VO a. r J Ao. Fulurb Inloro\1 Compromi\o I'or dole' of doalh aile, 12.12.B21 ~ 6. Decodont Died TOllalo [ ] 7. Decoden! MaintClinod CI living Trut' _............0"0d:~PL~WilL_....__..._..LAnach ,opy of T,usll ALL CORRUPONDENCE AND CONfiDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO. NA^,fh~- C.~ I\'~-;'-~';'~-~----'" , '''ICO~~~A'iie ~~';~St~;'V ~ ';~,~- 1ft II R~-;;J'--- ~AYun 'HEPl!O~lE ~W1.\BER . ,J ;'J,r,'/ . j') /,;"~C.ktfN,c.j bur~, 1'", ,. 00 ~q; b- '; " . . ~ ~.. ." , I " . 0 (" I, (.lOO N~'h- N"N.! NON.! I' ~., .. .t'). NUMBER I ] 5 RonHlinc/or Rolurn I'or dolO! nl dealh prior 10 12.13.82) Fodoral Etlulo T 0,1( Roturn Roquirod Telal Numbor of Safu Dopolll 8011.01 .. ili ~ Q I I 4, lI",i1ed Eslale (, 7/}7J~?!:};c~:!_P,'?Lcc~.. z o 3 ~ ~ .. z o 1= g a. 2: o V ~ , ' " t., 16) I 7) I', 'fBo, No^,J ?? " :1Je ;po;:!. ~ 'frl. ~8 (10) I, 7$1(, /J,J' I 71:) ~-S" t5i 'U:U . m Iv (. f' -.. I~J (15) 17, IB'J.. S"D 1/ {'/f.''1. x .15 = x ,06 = (161 Di1Counl Inloros' t... :" z ,-.' , \1 Check here if you (HO HHluosling n '9funtl of you... ovorpaymont. (201 120AI (20BI B, Enl.. Ihe 10101 of line 20 ond 20A on line 20B, Thi. i, Iho BALANCE DUE. "Mak..C~..~k.P..avabl..tal..R.gl.tllal Willi, Agont -' -' ..... . " " ( BI "\.1 h-l h: CD $"1 '193,1'.>..1-- . .. . i." u "', (II) (121 (131 (141 8,/,,::,-. S"$ ?fl, ?9f'-,/'L (17) '1/ ~,o.fJ'" 'l'l~"Y 'I, e7 J. z.1 1181 1191 -<; f:7.3,.J? tf 7.3 , .) 9 --------...- ~-.--. - _.m,. "II SU'it-.-YOANWiIRALLQi..iESTIONS ON REVERSE SIDE AND TO RIlCHECK MATH.. D;J~';p~nnTII;;JP;~I\.try TJeclaro Ihot I hove ollomlned Ihlt -~ltturn, ~j~'ai~p (;~(;~~-~~';;yi-;;!I- ~h;'~I-;;iM(~~-(T;Ictl;;;;ni'~;I~jt; 1110 1;;;'-~;;Y knowlnc/u;Qnd beiW: lIlt Iruo, <orrga.~comple'o. I doclare !hal 011 rool ollnltl hen boon ropOrlo( III Irllo mOlkol voluo. OnclCltolion of pfOPllfO( othor thcln Iho pflrloflClI rflprolonlCllivo il bcuod.._QfJ'f'i . _formClllon gf whlc~_preparer hOluny knowledge /)1611' Al 0' PE'r' 1j<j"N6tfiE 'Ii' ''''NOm';,,,' U Al".AEil ., OA'l 9, /f.}!1.''; C, "~ ~-_._--._- c,'-'IJ C. 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TtIt awll'Mr IIISprOVldtd I ",!,I'\ Ilh ~rl/l.ll rlOOt1 10 Ww)w ~/ol'll\ll. ~0t'40IlhlIfl'\)IOYClT\l(\I:S I"dt.e ..lchlt il\Ck.Qt4et11I0M:SlSltI.f.>>trol....rIOOt1W'1""""llfIQ,..~r?JI"dIl'dt"INI't,..,lfIP(61Mr"dtl.nl\lt\lllonolII:SSllI 3 T""1Jl91at$11 ~'ll'l'lfledl:le~"ljOI. 'IOOd~!Nt"f ~by""Ftdtlll Elnt~y~nIAQff(r(orQlMl' lUI' ~.,)l'dlllSnol.dW'lINIOOII~rfOOr1.!hrIr!hrlutKISl"'~lltdl'll'llOtn~llId5l>tcIMFIoodHlllldAr.. BfCMf hi ~"'f IS JIOII Iil'ftyOI, tit 01 $fit.,.,.., no ~...,"'. 'IpI'm or ~~. /lOIIdflO tllS 6tl.tmnlIKYI. 4, ThI ~IarMr 'Ir1!1nol Q,ye !Ht'fl\l:.Vly Of IWtM tI eM *IM" 01 V\f INOe I'lIQO(ItS&I olIN pl~r1y 1\ q.eslt(ll, 1,f.1t'U speClf,C Irr~l:SlodoSOJl.h.btfnm>>tbe'ortllon1 S, The 'fIOf..,.r,.., HhrN!t.j hulve 0'....1.-4 11'I.... COfIIllO/OlChl1 rts~l I"dba'lIM lid.... ~0'\'ttl'JIf11ul tt1ir COllIr,wor,UM. TheM MO~W'YllU.lttOOtOI'N lr4ril~lsoTlN. nolbrtlollldll eOO)\l'lCIIOt\'IW11hW'ltOItltI'POIIlSol! I"d lI'II'lUllddlttly.,ftclMd 6 Thtlfl9(ll'MrlllSnolll1lflt.e'WllSollrfOOltltr1~'''''ordIt;~($lJCfl&S,l\HdtoJrl9'll1,4tQ'ICI'II<<\''''PIf1M'('Olh.lllIdolA frlitlt1, lolic absth::tt, 'IC.) oos.rrt1 ulflQ ~ flIOI(l\(:IIollt'4 'Illtel proptrty Of....1 he or IfII btl';MIlIlWllf 01 ~ IN no~l ,tMUCtl....otttdI'IPlrlQ/','M'IQIN olP9IltSIl. UlImoltltrnt mtt4...... WN /tpO(\. ....IJlOI.tUrt\a5l'11).nofrl..Olllrlllddfn Of IoNll9<<II'lI COl'\dIbOt\S 01 .... ~fC9tny or mrw f/"I\1l'OM'\1/1tM CiNi!lonl (((~ IN pltWnC. 01 /IIzlttlous ..,'11, 101lC Slbttl'(l1,f!C.) t.llllroVldn'lof;' ....~/OOtrty/N)l'. 1)f1tlS,~, I'd"'" ~"'I'N" II'C no It.Ch eO/'ldlllOl'lll'ldrnMlts I'll) IIWI'II'11or WWIlf't1. 'Qlrlmor rtOhtd,r'9lldInQ ltlteCtdhOl'\ol....p~r1y TM lW*"rfrltlnol btlf1O<<'\llb1e1ol'I'Iy MI\ CondIllON t.,jl ~ ftl,t or lor r',y tI"'qI""'1'1f'1 01 ltlt:~ ItIII ~I bt rawrt<J!o ~tcO~" 'IrflIltIer It.Ch eOl'\dlhr.flS 'utI flfC<<M 'N tp9rllWr I1nol In 'rperll/l ~ ll.id OI'~\'1IOlY!'ot1'\UI ~tllO$. fit ~'WI r.porlITt,f;I1\01 H COfdI""rtd as.... .r'YlrOl"mtnl,1 ~ft1lMnI 01"1'010" 7. Thetp9I.,,.1 OOlll~d IN I(I'O/II\I!IOI'I, tSIH'!l.lIt1. W'4 ~t.O(d f\ll '"It '11l1't$SId ro t4!WII~1 r'!lOIlI/om SOl4f~"""'1 tie 01 stif COI'$OeIt 10 Of 1'11.01. M\:l ~lIt~t1 'totm to b4 11\'1 I'd eelm!. tr.l'QllrIt/ ~'roll$SlJT\f I~,blllly 1011\1 ICcvllq ~I 51.(1\ ,ltfI'IIlI'IIl..r'~tyolNrp'rl'l1 , , 8 TJ\f ~/ItMI .111 "'01 drSl;I01e IN c~lf(lts of!tle lW'lNIl~rl 'IC~1 as ~IC~ldtd lor In !fit UNloml S!~'l'js 0' Prolnslon"l .AHI~IPflCllC' $. 1M ~r""r ~ ~tstIJ ~I' Qf Nir IUllrs.al r.pM ~ 1~!ion COt(IUSIOt\ 10111 IUIIIW INt IS It.CljlCt 10 SolL"lCloty c~IGIIC(l, 1~'II1, or IlIflll~ 01'1 IN ~ll<<I ",If e~I,llon 01 r. ~1''''Il'T'<<,N frill 04 P'lrfO/TIII~ II' frO/'l;/T\M'~t.f rT\JY\er " 10. ''''lJlOftlWIIlUII PIO_ldt Ill' or "'-r ~flor WTltltl'l CC'/\Wnl &III)(, t.lll'dtr/CIIIIII tplClI:lI1l1'1!h1 lW'tlSolI r.pen CWI dlStllbltl. !tt IJlOIIIU'rf90r1(I'\C~ conc!usION~11ht prOllQIty f....,!tIt ~rl',.r'sl1efllltt I1d proll1$lONI M~IIOl"lI.l'dr.lfr.r.c11 10 M\y profl1$lON' lfl9r~ OIQ1'lfllliMS 01 IN Ilrm fIlItI whcl'llN 4'QrllSll" 8OC1'ltil ) 101'l)'0I'It Olt\tl INn !tit bolleft.r,!tIe mortQl9ft 01111 It.CCI1$O"R "~,1J\e mor1~ If'Wlr;e~lS, ~rolM$lOfllllQCf"Sol' OIQ<<lIUIIOt\t;'Y'f SW'Of ff4tlllly IWOYl4 fN'(j" 'l'lIliMiOll, or....y ~lrMl, lQ<<'(y,OI ""'rvntntMlty Ollt\t l.Mt4 SWts or 1\, "ll. or !tit o.slllel 01 r.OIiIl'CII, I1Cfpl 11\.11 \tot ftMtrlCII.nl mty ~1'S1"blfl. IN plOCtrl'r dt1cllbon teel,i)'l of IN /f9I,/l'toNt 10 ~ll collecllon or ttponlll9 ......IC.(') 'MltIoull'\ntr'Q 10 ObIM IN 1IlI/"I"I'" ~110' frn".... eO!'lStl\I Tile ~llrwl', frn".... c~11'Id !Wlont ITVtI '110 be Obllllltd ~,forf IN 'C9/UII canbt CC~lfr'd 0, ItWOllt 10 1tt j)(,tt'c ttltWll Mf'rll$ll'lQ. Mile ItI.hOM, 1'4111, UII1. or 0/7111 medII -.---__._o____~ FI.~j!flwlt.;Fcrm439 6-93 --0-.-__--------------------.----- ''9''011 FWlt'-l.t'Forml004B6'H r"" , , ~, , '''' ., - ~'. ~... ~ .....'........,...... "'r', ""..... ,-. , , ~, 'r .IV.13~Ut (Jlbi J ' (OMMOHWULlHOI "H"'''VAH'' SCHEDULE F INHUII"NCI 'AX U1U~t1 JOINTL Y OWNED PROPERTY '"IO'HIOI"':HI _. .. .___' . . _.__ ._. ~STATE OF I3P~!!.!....~tr.,._ /J.1~r:Lf, ._____.u.______JILE27~~Er...::._~rt.~_____. Joint tenonll')1 NAME A. ~\) AtJtl 1/. I<y ptr(f.. ADDRESS -.--.-- t? 2 Z <r-,,,,,II./tN, ~. (j.tf,n",n/llM , R., RELATIONSHIP TO DECEQENT_, NI/;fC.<$ B, hJrllt'J' ~, 13(<fIJI~ $(. ~~' {);I..I/,I 1>_. tl/- m If"Jn, (nlif., 91'1l{z - !~z.- 50N , ,C. Jolntly-ownod property, ITEM LEnER DATE ",CRln'ON O. '"0"":4 TOTAL "'" FOR DECO'S DOLLAR VALUE OF NUMBER JOINT MADE TENANT JOINT OF ASSET % INT, DECEDENT'S INTEREST PN'- 13 A...", ,4",.....,d 3 '23/, l.y ----~--_. 1. A 1-I'7~ '$'0 I, "'IS'. ".'I.. , I :Ii: ~/Y ob() (P7bl (JIIN ,( A""oJ'" t ;. ", ., 30,31 sD /Ii, 8M',/S' 2, . B 3 -3/-'03 PIJ<. I:i: S"/.3=oe"G.JB " I'" TOTAL IAho .nl~~~,~.~6, R.capll~o~__ _s....(J~.L tlBO...:.?...L_ (If more Ipac. il n..d.d /...,1 addifiona',h.o" Dr lamo Ii..) -- ------- -- , ., I, II , il "j ..,I " . PUPPOSE OF HOTlCE. PAIHEHT, Ii REFUND (CR)I " " II OBJECTIONSI ,,\1 ,I II II II ,I ,I :1 'I ., I , AOHlH- lSTPATlYE COPPECTlOHS, DlSCOUHT, lHTEPEST, To fulfill thl requlrl...nt. of Soctton 2140 of thl tnherltancl and E.tatlTax Aot, Act 22 uf 1991. (72 P.S. Section 2140), 'Detach thl top portion of this Hotlcl and lublllt with ~our paYlllnt to thl Rlght.r of With prlntld on the rt....r.. ,Id,. .. Hak, chick or "onlY orQor payable tOI REGistER Of WillS, AOENT. All pay.,nts reollved shall flr.t b, applied to any Inter..t which ~ay be dUI, with any rAMalndtr applied to thl tax, A r.fundo' a tax crldlt, which Wftl not rlqulShld on thl taM return, nay b. r.qu..tld by cORPI,tlng an "Appllcatlon for R,fund of PlnnllYlvtmla Inheritance and E.tnt. Trlle" (REV-13131. Applications IIrlil 8val1able at thl OffiCI of thl Rlghtlr of 101111., fln~ of thl 23 Rlv.nu. District Office' or b~ c&111ng thl lIPlohl 24-hour anlwtrlng nrvleG nUlllblr. for forlll ordlrlngl In Plnnl~lvanl& 1-800-362'2050, outsldl Pennl~lvttnlft and within looal Harr!iburg arlll (117) 7a7-8094, TOO' (717) 772-ZZS2 (Hearing InlPalred Onlyl, Any party In Interl.t not sotllflld wltn the appralse.ont, nl10wance or dlsallowancl of dlduotlon, or a"II'~lnt of talC (InoludJng dltcount or Int.re.t) /U .hown on thlt HoticI ",ay obj.ot witnln thty (60) da~t of r,clipt of thlt "'C1UCI b~1 --written prottlt to tne PA O'Pflrll'llnt of Rlvenul, OOllrd of APPuh, O.pt, 281021, lillrrilburg, PA 171?1I-1021, OR -~.l.otlna to haVI tnl lIIatt.r dltnr/lllnld lit the lludlt of tile nocount of thl Plr.anal r.pr.untaUv., OR - - app.al to thl Orphan. t Cour t Faotul'l Irrort dlscovlrld em thlt n.......nt should ~I addrl..ld In wrlUng tal PA Dlpartlllent of R.vlnue, Burlau of Individual Tu.., ATTHI Po.t AIlu"lnt R'lolltw Urttt, OEPT. 280601, flarrhburg, PA 1712a-0601 Phone (117l 1&1-6505. S.. pagl 3 of thl bookllt "lnotructionl for Inh.rltanol TalC Rlturn for a Ruldlnt Dendlnt" (REY-150Il for an 8)(planlltlon of IldMlnl.tratllolllY correotabll IrrOrt, 11 any tllK due 11 Pllld within thru l!l calendar lIonthl aftu thl d,r.ldlnt', death, a fJv. Plrolnt (5~) dhoount of thl ta)( paid It l1110wld. Interut II ('.t1argld blglnnlng with flr.t dtly of d.llnqu.no~, or nlnl (9) ..ontht and ani (I) day fro.. the dall of death, to thl date of pn~r1lnt, TnKU which blllllllll dlllnqulnt blfore January I, 1982 bear Int'rut at thl rat. of .b (6%1 percent per nnnul! cnlculnhd at a dally rat. of ,000IM, All taM" whloh bleul d.llnquent en or lifter Jnnuary I, Iq&2 will bur Int.r..t at It rlt, which will Vlry fro. oalendar yur to cnhndllr vur wllh thnt rnte nnnounced by thl PA OI,lartlll.nt of Revlnul. Th, appllc.bl, lnt.r'lt rntl' far lqll2 through 1995 nrel 'tUr Intlrut Rete Onil'l Internt Fnctor I:W IntGrllt Ratl nail'l Int.rul FlICltQr 1982 20% .00054& 1q&7 fJ% ,000247 19U 16% ,00043& 1\'118"1991 11% .000301 1984 11~ .000301 1992 OX .000247 1985 13% .000356 1993-1994 7% ,000\92 1906 10~ .000Z74 191J5 9% ,000247 -~ Intlr..t II cn1culntld n. follo"'1 INTEREST = SALANCE OF TAK UNPAID K NUKSER OF DAYS DELINQUENT K DAILY INTEnEST FACTOR --Any Hotlcl Iuuld nftlf the inK beoolll.. tlellnquent will raHlllt nn Int.r..t ollcullt1on ttt flft..n (1S) din alyond thl dnh of thl n....lllent, If p"Vlllent I' ""Ide lifter thl Int.r..t cOllputatlon ri,te .hown on thl HottCI, IIddltlonnl Interest lIu,t be cnloulnt.d. . . .. , ' , , , ,ACCOUNTING I!STAll!01' MA1\Y 1', Bf(I!NI1J!f( " , ' Pinal A~eow\ling a' or S'plmll~122, II)I)~' , ' . ASSETS, rLlh In hank II 01 April \4, \994, '113oo740lS ' S 9.212.88 " , 1\300080638 29,130.31 '. , ~140006781 -1l1ll~ 1,1< To/.ll S 42,114,13 f(,eelpll Irom Ill. 01 house 60;010,1~ .- In..",.,umcd m.ll TOTAl, ASSETS , , $101.707,60 EXPENSI:'i, Ulilili" S 1,812,9~ M,dICllIBllh 401,\2, Uuriall;'I<"" 1,698,80 ' I'A, Inh,rillnC' TlU 4,813,29 l/ouseEs",n.." Insurance $ 194.00 ,. I~umhlnglll'al'n f(,paI" 33\.40 I'sinlin~ 1I0u.. 2,()(XI,OO ' T,",,11o In.pe<1lon )l,((l AI'\"...I 17~.OO ,', Real U'We Ta", -1m.kl .'$ I 3,110,82 ' ',I' Totallluuse U'pe",' '" MI,e.U,pen...' " I!.te~tor e~ptnses $ 3,111 \.72 i,'.- I'n>bII. \38,00 .. ,. " Legal Ads 18,68 , Fillll(ll.., I~.oo Income!>., 1,63 , , 1-, , ('h<d<. 13,1'0 Dil/)' 1.92 ,-,,! Grave mari::er 611.00 ,0 Total Mhe. S ,j,j29.'i~' lAwn Mowing, Snow .hovellng, I'le, S ., 100.00 (Marl< McCullum J TOT AI, EXPENSES Ii, 1$ lO,446,Ut Avallllhl. lor dl'lrioolion $ 82.260.61 L". panlal dillibulion.lo Willis Urenl,," April 20, 1994 I 11,000,((1 ,. " Augusl 29,\99~ 60.0001'0 71:I)OO.OCl1 Total portl'\ di'lrioolion. II " BALANCE FOR DISTRIBUTION $ 7,260;67 I'XI/IBIT'A" ,! " " ,.. " ,.., , , " " ,. , ",