HomeMy WebLinkAbout94-00503
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No,
To:
Regisler or Wilh ror Ihe
, . Deceased, County or Cumberland _ in the
Sodal Secllr/(y No, _ 191-26-6651 __ Commonwealth or Pennsylvania
. The petilionof the undersigned respectfully represents that:
Your pelltioner(s), who Klare 18 years or age or older an the exeCUIMlL
~~~:~~=above decciWf!;d~~dPATTi~JON 3RENOUNCES IN FAVOR OF
VERA G. LLOYD A 1iAMED EXECUTRIX IN TH"E WILL
PETITION )<'OR PROBATE and GRANT 0)<' LETTERS
21-94- .563
EslIIll' oj _ Jessj_~_~1.rnir..!l Patterson
also kllOll'1I as .J. Elmira P!lnersgn
_ named
HETe ~r~
(stall' Tclnsnl clrCllm\lnncc~) t,g, rcnuncJnlioll, death or C\CCUIlH, Cl~',}
DecendeJlI was domiciled at death in Cumberland Counly. Pennsylvania, wilh
h.,er laS! family or principal residence at the Church of God Horne. 801 North
Hanover Street. Carlisle, PA 17013, North Middleton Township
(11\1 street, number and mundpality)
Decendent, then...J.!!.._ years or age. died __~l?ri1 4 . 19 94
at the Church of God Horn~rlisle. ~orth Middleton Township" ,
Except as follows, decedent did not marry, WIlS nol divorced and did not have a child born or adopted
after execution or the 11'111 orrered ror probate; was not the victim or II killing and was never adjudicated
Incompelent:
Deeendent at death owned property wilh estimated vlllues as roilows:
(lr domiciled in PII,) Ail personal property
(Ir not domiciled In Pa,) Personal property In Pennsylvania
(If not domiciled in Pa,) Personal property In County
Value or real estate in Pennsylvania
siluated as roilows: ---21~? Rrnnhmnrl ~trppt
Held jointly with t e decedent and her siaters Vera Llo d and oi
Pattnrson. Date of Death Value $48.000.00 7 3 = $16,000.00
WHEREFOR~, petilloner(s) respectrully requW~tA~bNR~~te of the last 11'111 and codleil(s)
presented herewllh and the grant of lellers~.-..,-",~~...
(le\IUmClllary; admlnl\lralion c,t,a., admlnlstrnllon d,b,n,c,l,a,)
164.202.84
$
$
$
$
16.000.00
Iheron,
i~ 'tlM ?!J!1.I<- j! ii;J~t{
~~t^r ~ G. Lloyd
'O,g 264 Pine Hill Road
~'il Marysville, PA 17053
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OATH 0)<' PERSONAL REPRESENTATIVE
COMMONWEALTH 0... PENNSYLVANIA }' 88
COUNT\' OJ: CmlBERLAND
The petitioner(s) abow,named swear(s) or arrlrm(s) thllt the statemrnls in the roregolnj,1 pelltlon are
true IIntl correct to the bcst of ',he knowledge and belier or petltloner(s) and that as personal represen.
tallve(s) or Ihe llbol'e del'edent petitioner(s) wlllwcll and truly administer the eslate according 10 law.
Sworn to 01' arrlrmed anll subscribed ~"ll.' ~~' , ) III
before me thi> ) ,NO ~a of ,era G 1.1" d 00'
-~<L JUNE_/I'19 9 ~
'OJru:.r. () 1:!H... L),/)J, . :1' ,u,i;{-- ~
ARY C. LEWI S Rexisler / -(f--- -, ~
14--~ ;,)(.5 - to
No. 21-94- 503
Pa t terson
. Estate of Jessie Elmira Patterson, a/k/a J. Elmira ,Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
. ANI IV JUNE 7 I 19.1L, In consideration of the petition on
the re~. ,,' ,Ide hereof, salls factory proor having been presented bero" ,,~,
IT IS DECREED thai the Inltrument(s) daled July 3, 1984
described therein be admitted to probate and filed ot'record as the laSI will of Jessie Elmira
Patterson. a/k/a J. Elmira Patterson
and Lellers M~ TESTAMeNTARY ,
arc herehv granted to 'Vera G. Lloyd
.~ 2LJ1~ PH- (J~[lt;/J/~'
R..i1I.rofWIIII
MARY C. LEWIS
FEES
Probate, Lellers, Etc, """'" $
Short Cerltrlcates(4 ) . . , . . . , , ,. $
Renulwlllllon ...,....,.",.,. $
x-page
JCP $
TOTAL _ $
235.00
12.00
5.00
;l.00
260-: 88
Ro~er B. Irwin 006282
ATTORNEY (Sup, Cl, 1.0, No,)
60 West Pomfret Street
Carlisle. PA 17013
ADDRESS
FUcd ..... AV~.E. . ~ J. .1.Q~~. . . . . . . . I. , . . . .
(717) 249-2353
PHONB
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City
Called attorney on 6-7-94.
H10& 112 n[v Ull
l'EEFOOltWI
CERTlFICAn; 12001
WAflNIN<l: IT I!I ILI.EeiAt. W AI. nil I HIS COpy nil
TO PIJPl.ICAH I1Y PHOTOSTAT Oil 1'1I0TOOIIAI'II.
COMMONW~AL TIt OF P~NN9VLVANIA
DEPARTM~NT OF ItEALTtt VITAL R~COADS
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
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Sex _L,__soc al se~urity No,_LiWl'_=d,~ '~--T~,-J2u n,___Dato of ~l2h\':4k-H.~{~-1q
0"" 01 Blrth~lM.tltj-'!ij , rthpl~" .. ..... '1tf%~:{1;-1/'i l;t.,--c.-~.._. I
Place of DQ r ~I...U 1,- /t (I.. . . J~--_J~Uf~L,.J=..~J.J '''!!.L... J Penn~rl'Lfl!]!il_ I
Racel& I f;';'~~~~t ~1;)-::;Z?k.LArmOd For:~,;~q~~'~';'~'~'_-IL1____ __ I
M,"'" s'"'rJt"" (, O::'~;rm,".h' if. -I/~. ...h J.k.i!ud;.~ II
'o'"m,", ~A', I. '1 I F"'~;;:'D"O;:' . " .'1t~Zi'ftk'~ ,
~~~e~a~n:s~~~~~s~~~t ~(.L. ',-2~t1~,,+_-J.L ~.)J~~-il~; Ji'0 flt-- I
: Interval Betwe
Part I: Imm;:)iate CH e. (''''-::::'LVh-t:1~~,~___.._____________L~~set a:Death _
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Describe how' ury occurred: 1 j .
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CERT, NO. 2167085
(b)_
(c)
Part II:
Manner of Death:
Natural -er--- Homicide
Accident 0
Suicide 0
Pending Investigation
Could not bo Determined
Name and Title of Certifler.__li.,.Q 1 . .__________________
Address.J!Juij_ )...1L----------- ~/,J/L.Lc&A~h--_-..f~M,D,~,O,. Coroner, M,'~
This Is to certify that the Information 11Oro given is correctly copied from an original certificate of
death duly filed with me as Local Registrar. Tho original certlflcato wiil be forwalded to the State
Vital Records Office for permanent filing, ~ 0 J
r:;../1,t;~". ~"',l.r/'1l-' ; ~2-22t!
1/ -- t -- f Y 2!);" 1'J,1fi(ll"' ~;;'.'i"""- ,;,," II""" - - - - -- -,;;;ie,u,;' mn
D~'ll flN:"I\.r1 I1f lO\.1i ll~i,liJl--- ~:u.,:t~'lli1:t F;{I;~ml~~ -. - .-(;,TI--li.;;!~Li[;t't;;...-MIii"i;_.--.-.-
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!,1I6'r NII,l, ,T1Nq_.'l't~S'J1I_~EN'l' .
OF
~~SIli.H&RA PA'l~l'!iR~lg!i
I, .mssm J::I.MIHI\ PA'l"l'F:nSON, also l:nOlID us J, glmira
PattGrson, presently residing at 2lG2 13rookwood Street, Harrla-
burg, D1\lIPhin County, I'ennflylv/lnill, do horcby mako my I,ast \~i11
and 'l'oBtament, rovoking /Ill tont.ament:!lry diaposi tionfl horoto-
fore Inade hy me.
1. I cHreat that <Ill my just debts nnc1 fUlleral
oxpensos be paid by my horoinafter nllmec1 Executors as uoon an
it can conveniently be dono.
II. I give all my estato, roal and porsonal and
whore soever situate, a,fter I:he payment of: tho aforementioned
expenses, in equal ahares, to my slsterll, HlSR IJois n. Patterllon
and Mrs. Vera G. Lloyd. If oi ther of my said sisters should
predeceaae me, my estate shall bo taken by the sister surviv-
-lng me. If both of my sistern prcc1eccC15o me, I diroct that. my
estate shall be disponed of as fallows:
(a) One-third (1/3) to my brothllr-i,n-law, Jamos J..
r.,loyd, if he survives me.
(b) 'l'hs blllllnct1 of my fJstllto ShelH ue distdbuted,
share and Ahare alike, among the tlhildron of' my oistor I VE1ra
G. I,loyel, who survive 11\0.
I nominate, conBti tub) and appoInt my two'. siators ,
Nlss 1,0113 H. Patterson Ilnd ['It'll. Vera G. Lloyrl, to bo the
Executorfl of this my LaRt Hill nnd 'l'estament.
IN WI'l'NBSS WlIImF.:OP, 1 hav(J herountD set my hand and
i
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'CERTIFICATION OF NOTICE UNDER RU~E 5.6(a)
'"
'.11
Name of Decedent I Jeesie Elmira Patterson a/k/a J. Elmira Patterson
, I LI ,[
Date of Deat.hl Apr il 4. 1994 ('I..
/1
Will No. Admin. No. 21-94- 503
To the Regis Lera
I certify that notice of beneficial interest required by
Rule 5.6 (a) of the Orphans' COlll't :Rules was served on or mailed to
the following beneficiaries of the above-captioned estate on
April 21. 1994 I
, -
Name
Address
Vera Llovd
264 Pine Hill Road. llll.r.ysv ill e . PA 17053
Lois R. Patterson
306 North Seventeenth Street. Camp Ilill~ 17011
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except
Date I April 21, 1994
,/I?~ I,?, c:&l.-
Signature ()~.
Name Roger B. Irwin. Esquire
Address 60 West Pomfret Street
Carlisle. PA 17013
Telephone ( 717) 249-2353
Capacity I
Personal Representative
x
Counsel for personal
representative
COMMONWEALTH OF PENNSYLVANIA
COUI41V'Of CUM.ERLAND
}
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Mrs. Vera G. Lloyd
'SWORN
b.ln\! d~ly .ccordlnv to I.w, do pOI" .nd "YI th.t she -1R rhR RVllcllrrh
__,_,____ of th. Elt.t. of .JESSIE E,!-MIRA PATTERSON
I.t. of _fu>.r.lli.l1!qIiJJ1j:Qo..:I:Q!m~lli____, , Cumberl.nd Co~nty, P.., dmllld and thlt the
wllhln II .n Iny.nlory m.do by _..Mr.fl,<-'lllru G. Lloyd ,_ __,.,__, the 1.ld. Executrix
of the .nllro o...to of uld docodonl, conlllllng of .11 tho plrlon.1 properly .nd 1'..1..111., lNo.pt rill .It.t. o~tald.
Ih. Commonwealth of Ponnlylv.nla, .nd thai the flg~rll oppolll. o.oh lI.m 01 Ih. Inv.ntory r.pr.unt lt'l 1.11' v.I~.
.1 of the dolo 01 d.oedent'l dealh.
SWORN
July
19
91,
s. Vera G.
En' ofti' i <<...1bKIx1llu/1lD(
{f:f-
.nd I~blcrlbed bel or. me,
64 Pine Hill Road
Mnrysville, PA 17053
Add'l"
D.t. of D..lh
04
DIY
04
94
Month
v..,
INSTRUCTIONS
J. An Invenlory m~lt b. flied wllhln three monthl .lter .ppolntment 01 petlon.1 tlptll.nlltly..
2. A I~ppl~ment Inv.ntory mUll b. flied wllhln thirty d'YI 01 dllcomy of .ddlllon.1 .11....
3. Addltlon.llheeta m.y b. attached II to p.t1onalty or realty
4. S.. Artlcl. IV, Fld~clerl'5 Act of 1949.
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1. Real E 1I0le ISchedule A) I I)
2, Slack. and Bond. ISchedule BI I 2)
3, Clo.ely Held Slack/Partnership Inlore.I (Schedule C) (3)
4, Morlec'e" and NolOl Recelvobl. ISchedulo DI I 4)
5, Ca.h, Bonk Dopa.!" & Mlscelloneov. Po..onol Propenyl 5}
(Schedule EI
6, Jointly Owned Proper1y (Schedule 'I ( 6)
7, Transle.. (Scheuule GI (Schedule l) ( 7)
8, Tolal Grall Allel. (lolollinOl 1.71
9, Funeral hpenuu, Administrativ. Call', Mhcellaneoui ( 9)
Expense. ISchedule H)
10, Deb", Moneaee Uabllili... lIenllSchedule II (10)
11. TOlol DeduCllons (lololllnOl 'I & 10) ,
12, Nel Value 01 E 1I0le (line 8 minusline 11)
13, Charlloble and Governmenlol BequIII' (Schedule J)
lA, Nel Value Subject 10 Tax (line 12 mlnu.lln. 131
1.5, Amount 01 fine 104 taKable at 6% ral.
(Indud. voluOl from Schedule K or Schedule AI,)
16, Amounl 01 line 14 toxohle 01 15% role
Ilndud. valuOl from Sch.dule K or Schedule M,)
17, P,incipollax due (Add tax from line 15 and ',om line 16,)
18, (redi" Prio, Poymen" Di"ounl
+ 57-
1'1, II Ii.. 18 I. 9real.. !hon line \7. onte, the dilloren" on line 19, This Is the OVERPAYMENT.
rJ:J
20, II line 17 I. erealer !hon line 18, onter the diller.." nn line 20, Thh Is the TAX DUE,
A, Enlel' the Inler.1I on the balance due on line 20A,
B, Enler the tolol o'IIne 20 and 20A an line 20B, Thl. Illhe BALANCE DUE,
Make Chock Pavable to, RogI.tll 01 WillI, Agen'
.. lit IE SUR[ TO ANSWER ALL QUESTIONS ON RIVElSE SIDE AND TO RECHECK MATH..
~nd" pfno!li,. 01 p.rjuty, I declar, tholl hc",. .Aotlun.d ,hi, fllurn,includmg o((omponylng ,ch.dul" Clnd I'ClI.m.nH, and 10 lh. b.1I of my .nowl.dg. and btli.~
b~' 'due, (Oll'~(ll and comp,I'lt. I de do" thai 011 ,eal"IOlt ha, bun "porled al true markel yalue, Oeclolol!on 01 prepar" olh., than the p",ol'lol rep,e..nlali.e II
It on a n olmOhon () which P"PO'" ho, any bo"l.dge.
IlGNA1Ull 01 'U~"iTih'ON~iiiTn5rTiii'NGiTfijIl'~ AOOIIU$ I>A1I
.}) '<I... .'~' 1./( 264 Pine HHl Road, Marysvi1lc, I'A 17053 07-05-94
~ , f~ e;i~i/."'t'tTI~~ . AiTv1 ADOlllI fiA"
60-WESr~JI.El'JTg"M' ,
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
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1I11IIUMBIR
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COMMONW\Al1H 01 PfW.J~YIVANIA
OIP.u: MINt or RfV(NlJ!
~O$l OlllCllOI IJH
HAUIUlJIlG. PI. I7ID! en'
tCl'b1mTNAM( IlA~T.1'iRTI:'"""'HtJ MIDDit "./Ill-All
COUNTY CODE
OfCIDEN1'$ COMPLrtl AOORl$$
801 North Hanover Street
Carlisle, PA 17013
CUMBERLAND
21 -
94
503
YEAR
NUMBER
PATTERSON JESSIE ELHIRA
R>1iil1fCuRITY NuM'fr-----loAlrorofA-;~ffOTilRfii-
--1il~?,p,::f2.~L-_____24-04-1994 _jQ~-31-19
~ 1. Orieinol ROlurn 0 2, Supplemental Relurn
COyflt
o 3, Remainder Relurn
(for dolOl of death prior to 12,13,92)
o 5, Federal Ellole Tax
Relurn Required
_ 8, Tolol Number 01 Safe Oepo." Box..
OdD. fvlvre Inlerel! Compromise
Ifor dol.. 01 deolh all.. 12,12,921
o 6, Doted..I Di.d TOIlolo 0 7, Detedenl Mainloined a living Tru.1
IAlloch copy 01 Willi IAlloch copy 01 Tru.')
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
N,W:r-- OMP\lH MAiLiN'OADDRU$
IR\oIIN, IR\oIIN, & HC KNIGHT 60 WEST POKFRET STREET
I H N NUM [. CARLISLE, PA 17013
04
limillld ['Iole
7 7~9 - '1~3_
11.428.16
%
o
5
E
...
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..
166,679.21
16,000.00
( 8) 19~ .107.37
16.974.84
793.20
111) 17,768.04_
(12) 176,339.33
(13)
(14) 176,339.33
)( ,06..
176,339.33 )( ,15 or 26,450.90
(17)
Inlerlll
(15)
(16)
Chlcll here If you are ,.quelling a tefund of your ove'pDymenl,
(18) _---1,322.55
(1'11
25,128.35
(201
(20A)
(20b)_
25,128.35-_
IIV, 1109 I.. 17,1l1
. CO.....ONwIAllH 0' 'INNIVlVANIA
INHfll1ANCf 'I.. I/'UI,..,
, IUIDINl DICID NT
SCHEDULE "F"
JOINTLY.OWNED PROPERTY
1ST A TE 0"""'-
JESSIE ELHIRA PATTERSON
PILl NUMBER
21-94-503
Join' '.non'I.ll
NAMI
A. Mrs. Vera G. Lloyd
ADDRESS RELATIONSHIP TO DICEDINT
264 Pine Hill Road Siater
Msrysville, PA 17053
.. Lois R. Patterson
306 ,North Seventeenth Street Sister
Camp Hill, PA 17011
c.
Joln'lv..wnod prop.rtyl
-
ITEM LmlR
'O~ DATE TOTAL VALUI DtCD'S DOL~ VALUI O' .
NUMBII JOI T MADI DESCRIPTION OF PRO.IRTY OF ASSET ~INT. DICIDI T'I lNTlRIIT
TENANT JOINT
.
I. A & B 1-04-85 2162 Brookwood Street 48,000.00 1/3 16,000.00
Harrisburg, PA
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TOTAL (Ah. o.tor 0.1i.. 6, Rocopllototlo.), S 16,000.00
III "0" .pOCO " n"d.d 101lr! oddili.oo,.ho.I' ., '0'" ./..)
,1j'tlUI'U.,1U,1I1
UlATE OF
ITEM
NUMBER
A.
B.
1.
2.
3.
..,
C.
1.
2.
3.
4.
5.
6.
7.
8.
9.
~~
COMMONWIAlIH Of PIImmVANIA
INHllllANCllA',llUIN
1[IIOI~,OICIOfNl
SCHEDULE H l
fUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES _ P11!!" Prlnl or Tvpe
IPill NUMBER
--Dl-94-S03
JESSIE ELMIRA PATTERSON
DESCRIPTION
AMOUNT
1,
Funltal bp.n"'l
FACKLER-WIEDEMAN FUNERAL HOME
Thank you Notes & Stamps
Funeral Luncheon
FACKLER-WIEDEMAN FUNERAL HOME
. .
. . I . . . . . . I
. .. ... I
$6,378.00
25.00
55.00
75.00
. . . . .. . I
. . .
. . . . . . . . . I
Admlnl'lratlvl Co.l.. No
Per.onal Rlpre'lntatlve Com million.
Social S.curlty Numb.r 01 Per.onal R.prllenlotlvel
Ylar Commlulon. paid
AHornlY Fill IRWIN, IRWIN & MCKNIGHT .............
9,700.00
Family EMemptlon
Clolmonl No
Add,," 01 Clalmanl at decedenl'. deolh
Streel Addreu
City
Relotlon.hlp
Slate
Zip Code
Probate Fell Letters Testamentary
260.00
MI.c.lIanlou. bpln...l
Register of Wills - Filing Fee . . . . . .. .. .....
Phone Calls f , , . . . . .. . .
Roger B. Irwin, - Notary Fee .,........ .. ..
Cumberland Law Journal" Advertising Letters Testamentary ..
Sentinel - Advertising Letters Testamentary . . . . . .
Church of God Home - personal property donation . . . .
IRS - 1993 Income Tax . . , . . . . . . . . .
PA Departmant of Revenue - 1993 Income Tax .... .. . .
PA Department of Revenue - 1994 Estimated Payments . .
25.00
30.00
12.00
40.00
68.84
50.00
6.00
200.00
50.00
TOTAL (Alia Inler on line 9, Recapitulation) S 16,974.84
(If mor, .0" I, IM....d/ "'"11 .ddUlDnol ,~..h .f .om, II..)
\
....'-,_.....,.-.......... ........
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$'-;~Ii c) .. J
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;1./ __ ,;{!!f
RIY-1147 III AFP (01-94*
tON!OHWrALTH OF PENNSYLVANIA
Dr:PMTIlEHT OF REY1!HUE
IIJREAU OF INDIVIDUAL TAXES
Dr:PT. 280601
HMRIIIURG, PA 17121-0601
D
ACN 101
NOTICE Of INNERITANCE TAX
APPRAISEHENT, ALLOWANCE OR OISALLOWANCE
OF OEDUCTIONS AND ASSESSHENT OF TAX
DATI! 11-21-94
-
FILE NO.
DATE OF DIATH 04-04-94 COUNTY CUMBERLAND
HOTEl TO INSURE PROPER CREOIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAN
PAYHENT TO THE REgISTER OF WILLS. HAKE CHECK PAYABLE TO "REgISTER OF WILLS, AGENT"
REMIT PAYMENT TOI
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ...
Aiii': iS47 - iie -AFP"'- os"'.: 94 r - Nci'fi c i- -OF -'"fNiliiiii' AN"ca" 'fAx - A"PPRXiiiifliNr; -A trliwANca" iii"".".. --. - -" -".""
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ISTATE OF PATTERSON JESSIE E FILE NO. 21 94-0503 ACN 101 DATE 11-21-94
TAX RETURN WAS, I X) ACCEPTEO AS FILEO I l CHANGED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISID YALUI OF RETURN BASED ONI ORIGINAL
I. R..I E.t.t. ISoh.dul. A) II)
2. Staak. and Bond. ISah.dul. 81 12)
S. Cla..ly H.ld Staak/P.rtn.r.hip Int.r..t (Sch.dul. C) IS)
4. Hart...../Nat.. R.a.iYabl. ISahldul. Dl (4)
I. C..h/8ank OIpadh/Hhc, P'rlonll Prop.rt~ ISch.dule E) II)
6. Jointl~ OWn.d Prop.rty ISch.dul. F) (6)
7, Tran.f.r. ISch.dul. GI (7)
a, Tat.l A...h
'APPROVID DEDUCTIONS AND EXEMPTIONS I
16.974.84
.. funer.l ENpon.../AdR. Co.t./Hi.o, ENP.n... ISch.dul. H) 19)
10. llIbh/Hartllll' Li.bUiUII/U.n. ISch.dul. II liD) 793,20
II. Tut.1 llIduaUon. III I
12. NIt V.lue of T'N R.turn (12)
15. Ch.ritable/gayern.onhl &equ..h ISch.dul. J) (15)
14, N.t V.lue of E.t.t. Subject to T.N 114)
NOTEI If.n ........nt WI' 1..u.d prlv1ou.ly, 11nl. 14/ 15 Ind/or 16, 17 Ind 11
r.fl.ct figur.. that includ. th. tot.l of ~ r.turn. a......d to dlt..
ASSE~SMINT OF TAXI
IS. AI....t of Lin. 14 .t Spoulll rato nl)
16, Aoaunt of Line 14 taNabl. .t Lin..I/Cla.. A r.t. (16)
17, Aoaunt of Line 14 taNabl. at Call.t.raI/CI... 8 rata 1171
II, Prinaipal T.N Due
TAX CRIDITSI
PAYHENT
DATE
07-01-94
IRWIN ETAL
60 W POMFRET ST
CARLISLE PA 17013
RECEIPT
NUll8ER
MM886250
OISCDUNT 1+)
INTEREST 1-)
1,322,54
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
F
J
Alount R.ni Had
.00
11.428.16
.00
.00
166.679.21
16.000,00
,DO
fa)
194,107.37
17.7~8 04
176,339,33
.00
176,339.33
wUl
. DO N ,00.
.00 N.06.
176,339.33 N,15.
(18)
,00
.00
26,450,90
26,450,90
AHOUNT PAlO
25,128,35
TOTAL TAX CRIDIT
BALANCE OF TAX DUE
INTER 1ST
TOTAL DUI
PAYMENT MUST BE MADE BY 01-05-95..
I IF PAID AfTER DATE INDICATED, SEE REVERSE
'0_ CALCULATION 0' ADDITIONAL INTEREST.
26,450,89
,01
,00
.01
IF TOTAL DUE IS LESS THAN .1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS _EfLECTED AS A "CREDIT" ICR), YOU HAY IE DUE
A REf UNO , SEE REVERSE SlOE Of THIS fORH FOR INSTRUCTIONS. I
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A!Il!RYATlOMI E.toto. of doGodonl. dYing .. or bofort Doo_r 12. 1912 .. If ..,~ luIurt Inl.r,,1 In 1M ,,1.1. 10 Iron'I..r_
In po.....lon or enjoVNnt to CI... . (oolht.r.ll beneflol.rlll of the deClldent .ft." thlllCplr.Uon of InW IIt.t. for
11f. or for Vllr., thl COIIOnWIllth hlrtbw .xpr...lv r...rv.. thl right to apprll.. end ...... trln,f.r Inherlteno. 'I..'
.t the I...,ful CII.. . (coUlterll) rat. on .nw such fut\lr. Interllt. '
P\JRIlOIl!OI'
MOTJClI To fulfill thl requlreuntl of Slotlon 2140 of thl Inhtrlteno. and Elht. Tlx Aot, Aot 22 of 1991. 72 P.I,
S..lIon 2m.
PAVHENT, o.tlOh the top portion of thit Notlc. end .ubltt with VO\lr PIYNnt to thl R.ahter of WIll. prlntld on the r.v.r.. .lcIt.
"1401<0 ohook or ....~ ord" p.,oblo 10' REOISTER OF MILLS. AOENT
All PIV","" recllyed shlU first be 1PP1ltd to IIlV Inter..t which "V bI due with anv r...lndlr epplhd to the t.x.
REFUND (CR) I A r.fWMf of . tlM orldlt, which WI' not reque.tld on thl Tlx R.turn, IIV be rlqulttld bv COllJlIIUng en "APJl1Joiuon
for R.fund of Penn'Ylvenl1 Inheritance end E.t.tl TIM" (REY.ISl!). Appllcltlon. Irl Iv.llabl. .t thl OfficI
of t~ RIII.t.r of Will., InY of the 25 R.v.nut Ol.trlot Offlo.., or bv cllllng the .pIOIII 24.hour
In.Nlrlng .lrvlcl ~r. for far.. orderlngl In Penn.vlvtnl. 1.'00-562~Z050, out.ldl Ptnn.vlvtni_ and
Nithln 10011 H.rrltbur. .r.. (717) 7d1-1094, TOOt (717) 772-2252 CHI.rlng 1IPllrld Onlv).
QIJeCTlOHII Anv pertv In Interllt not IIU.flld with thl epPrlhlHf'lt, .UOWInG. or dl..UowlnO. of dtduoUon., or .........,t
of 11M Clnoludlnl dlteaunt or Int.rllU .. .hown on thll NoUel IU.t obj.et Nlthln 11JCty (60) dlv. of nCllpt of
Ihto HoII.. b~,
"'-Mrltt", protllt to thl P" DlPtr"lnt of R.v.r""., lo.rd of APPAll, DEPT. 211021, Htrrllbur., PA 17uewlOU, OR
"""lltoUon to h,vI thl ..Uer d.terllnN .t ludlt of the ICCOunt of thl p.rson.l repr..ent.Uv., OR
......"..1 to the Orph.".' CO\lrt.
, AOMI"
tsTRATlYE
C_CTlDHI,
INTEIlEIT'
"otu.l .rrors dlteovertd an thll .......ent .hoUld be Iddrlnltd In wrlUng tOI PA OIPertllf1t of AIVtnUII,
lur.eu of Indivldu.1 TIM", ATTNI po.t A.....llnt RIVIIN unit, DEPT. 2.0601, Harrl.burg, PA 1712....0601
PhonI (717) 117.6501. 1M p... S of thl bootcl.t "InltruoUon. for InhtrltlnCll TIIM R.turn for. Allldlnt
Dec.dtnt" CREV-1S01) for en 'Kpl.nttJon of tdllnlltr.tlvllw correottbl. .rror..
If InV ttx due It plld within thrlt U) elltndtr eonthl .fter the d*<llcftnt'l de.th, . fin Plrcent U:O dl.oount of'
1M 11M ..Id to 111_, .
Inter..t It chlrgtd bellnnl", with flr.t day of dlllnquencv, or nlnt (9) IMH1th. end OM (1) dlw frOll thl Ntl of'
deeth, to thl dltl of P'YlllMt. T'M" Mhleh bICI... dtllTlqUlMt bIIforl J.wlrv 1, 198' bier Interllt It thI ret. of
.IM (6X) percent plr tnnuI Clloul,tld It e dlllv rat. of .000164. All t.XI. which ble... dtl1~t on end Ift.t
JlI'IUarv 1, 1912 Nll1 blar Intlrllt at a ret. which wll1 verv frol ollender Vlar to clltndar v.ftr with th.t rete
IIMOWMlId bv thl PAi Dlpart""t of RlvlnUI. The eppllctbll Interllt r.t.. for 1912 thrOUgh 1," .,11
PISCIIUHT!
'!!!! Intertlt Ret, Dallv Intlr..t FlOtor ~ Inter..t R.te Ull1v Inttr..~
1912 20~ .000541 19.. IO~ ,000274
1915 16X .000411 1917 9~ .000247
19" IIX .000501 1916-1991 IU .000501
1911 I'~ .00OUIt 1992 9~ .000247 "
199'-1994 7~ .000192
".lnterllt II ollcullttd II followlI
XICTllllBlT . BALANCE OF TAM UNPAID M HU"BEll OF DAYB DELINqUENT M DULY INTEllBlT FACTOR
"An~ HoII.. I"uod oft" 1M 11M b.._. doll_I .111 rofl..1 on Int",,1 oolouloll.. 10 fill_ 1II1 d.u
"Yond thl dltl of thl ........."t. If PI,.."t I. Itdt Ilttr thl Inter..t caputtUon dati .hctNn on thl
MoUCI, lddiUont1 Intertlt ""It be cllculltld.