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HomeMy WebLinkAbout94-00505 ~_. PETITION FOR PROBATE and GRANT m' LETTERS Estate of J. LEI!_ ULSH____________ No, 01.10 known as _______._.____ To: .__.____ Register of Wills for Ihe _ .- __~ Deceased, County of _ Cumberland In the Social Security No. ...189-09-=4172 _____ Commonwealth of Pennsylvania The petition of Ihe undersigned respectfully reprcseuts that: Your petitioner(s), who is/are IN years of age or older an the exeeuel's In the 11151 will of the IIbove decedent, dated SeQtember 25. and codicll(s) dated none 21-94- S ".,,Ii named , 19.1.L- (Slllle relevant drCllnntancc.s, e.g. rCllllndalloll, death or execulor, eIC.) Deeendent was domiciled at death in Cumberland County, Pennsylvania, with h Is last family or principal residence at 36 Ellst Mllln ~tr""t, PI.lnfIA!", PA (WAst ..EellDsbnrn '1'nwnshlp) (11sl street, number and munclp.1llty) Decendent, then years of al!.e, died May 19, ,19 94 at Thol'nwald Horne, 442 Walnut Hottom Road, Corlisle, 1'0. , Except as follows, decedent did not marry, was not divorced and did not have a child born or adopled after execution of the will offered for probate; was not the viet 1m of a killing and was never adjudicated Incompetent: no exceptions __ Decendent at death owned property with estimated values as follows: (If domiciled In Pa,) All personal property $ unestimated (If not domiciled in I'll,) Personal property in Pennsylvania $ (If not domiciled In Pa,) Personal property in County $ Value of real estate in Pennsylvania $, unestimated_ situated as follows: 36 East Main Street. Plainfield, (West Pennsboro 'fownshID), Pa. WHEREFORE, petitloner(s) respectfully presenled herewith and the grant of iellers theron, request(s) the probale of the last will and codlcil(s) testamentary (leslam,n1ary; administration c,l,a,: admlnlslratlon d,b,n,c,l,a,) i ,,~ 'i1" "Ii '\l,g .'il ~.. ~'o ~ Vi ~~(<V~ L h.t l~ ~ aye. U:Sh ' . CY. ox 5 Plainfield, PA 17081 (;" . (, \ l; l '/ " , .(L L ,Il lb' ,', .L.{;!(U,'( ,. Carolyn I,; aldwln 1I6 Alter Road Carlisle, PA 17013 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH O)' PENNSYLVANIA }' ss COUNTY OF CUMBERI,AND The petitloner(s) above. named swear(s) or affirm(s) that the statelllents In the foregoing petlllon are true and correct to the hest of the knowledge and belief of petltloner(s) and that as personal represen- tative(s) of the above deecdent pClitioner(~) will well and truly administer the estate according to law, ~, ,~i}~, ,( .. .YJ'''j -"_; 1,&/;;;, III 00' I ~ Sworn to ~r uffirmed lIntl snbscrihed {' before nle this ___lsJ;_ ____ day of ,1119'(' \~. 4 ---';, "---,---' )~\ .' e. "'-l"\.L.W_ '11:..0.. ~ry C. Lewis~ Re Ister'\. ., ._,.......--.."'....,,_~.. ~-'.... " N 21-94- 505 O. Estate of J. LEE ULSH _I Deceased DECREE OF PRODA TE AND GRANT OF LETTERS AND NOW JUNE 7 19~, In consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the In51rument(s) dated September 25, 1985, described therein be admitted to probate and flied of record as the last will of J. Lee Ulsh and Lellers Testamentary are hereby granted to Wayne L. U1sh and Carolyn I.. Raldwln. 'j)P"o Q.. 'o(~ ~A\1A R'Blller or WillI . FEES Pro bale, Letters, Ete, """". $ 2 3 5 . 0 0 Short Certlflcates( 3)."...".. $ 9.00 Renunciation ., II , . . , , . . I . . ., $ JCP. $ ~.oo TOTAL _ $249.00 Filed,,,.,, ,y\l.l'l~, ,7",. ~,~?.4,.."""" Frey and Tiley Robert M. Frey #06274 A TIORNEY (Sup, CI, 1.0, No,) 5 S. Hanover St" Carlisle. PA 17013 ADDRESS 717-243-5838 PHONE '1 , \ I , . r--. ., " c 't.' ,.( ," , , r ,'" ,. I ;"j 'J l-J -, ., I l1: ".. {J', ,."} :..:i l)t.) iii'"'I, This is III n:rlifr Illilt till' illlol'lll.lllllt\ IWfl' gin'lI l~ t(JI1('t ll~' l(qlJt'd IIHIlI ,III III i,1',IIl,d It'llilltd{(' If! lIt..lll.1 .dlll~' filf'd with lilt' a!'i Lm:ill Rcgis!r.lr. Tht origill.d n'rrifk.lll' will Ill' fOl'\\,;Il'dcd [1J till' Sl.llt' "it.d HI'lllld" ()i1ill' Illl" pl'l'In.llll'lll fdlllg. WARNING: It 18 Illegal to duplicate this copy by photostat or photograph, Fee ftll' thb,(('I'ltlir,'Il:, S:>,O(I 2j~"lJ;,^, ~,~~_~~\~\~t~ 1.(I(ill Hcgi:arilr 2419289 M^Y :~ 0 19U4 No, \lill(' "'I>>,'/.J~,m COMMONWEALTH OF PENNSVLVANIA' JSPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH .T ~T .. 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"" 't', .,_., ',C'l~' 1.-''-' I.r' t........~ Ill, 'IIU""', II." "1...,...1 "..,....., U"_''''' ,...t,."'" I""~ '~'""UIlJ '''4 ~-I"^" n I'''''' ,..OtC:I.LII,UUIdAiCOIlOtclill On 1Ile...... .1......../1111001.....01 ''''Ullt''*', III /Ill "'''''''''. dllll\ Occ~"t' 11 'I'l. ,,"",. ..It...... ,11C...1\Cl ~v, 10 "" uvltlll'l\Cl "'IMtll.'''I........... . ,.. " .... _. ,_, .."... ".."...""......."" ". .,.. '" II 0'11 ~..I()IlII~'.llrJ..I.\I"I~ '~\;lS~~~~~~'l;\s.:._____._ M,~M)I " LAST WILL AND TESTAMENT OF' J. LEE ULSII I, J. LEE ULSII, widower, of West Pennsboro Township (mailing address: P. O. Box 51, Plainfield, Pennsylvania 17081), Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for. my Last Will and Testament, hereby revoking and making void any and all Wills by me at any time heretofore made. 1. I direct my hereinafter named Executors to pay all of my just debts and funeral expenses as soon after my death as may be found con- venient to do so. 2. All of the rest, residue and rp.mainder' of my estate, real, personal and mixed, and wheresoever. the same may be situate, I give, devise and bequeath in equal shares to such of my two (2) children as shall survive me by a period of ninety (90) days, but should either of them fail to so survive me then the share such deceased child of mine would have received shall pass to such of his or her issue as shall survive me by a period of ninety (90) days, per stirpes, and if there be no such issue the same shall lapse and be added to the share of the other child. I am the father of the following two (2) children: l~ayne L. Ulsh, of 5860 Village Plaza South Drive, Indianapolis, Indiana 46219, and Carolyn L. Baldwin, of R. D. #9, Box 508, Carlisle, Pennsylvania 17013. 3. Any and all payment or payments of any sum or sums, whether in cash or in kind and whether for principal or income or services rendered, payable to any legatee hereunder shall be made upon the sole receipt of the respective individual to whom the payment is made, and free and from anticipation, alienation, assignment, attachment and pledge, and free from control by the creditors of any such legatee or beneficiary. All shares of principal and income herein given shall be free from anticipation, assignment, pledge or obligations of any legatee or beneficiary, and shall not be subject to any execution or attachements. 4. I hereby nominate, constitute and appoint my said two (2) children, Wayne L. Ulsh and Carolyn L. Baldwin, or either of them, as Executors of this my Last Will and Testament and I further direct that neither of them shall be required to post any bond to secure the faithful performance of his or her duties in the Commonwealth of Penn- sylvania or in any other jurisdiction. IN WITNESS WHEREOF', I have hereunto set my hand and seal to this my Last Will and Testament, written on one (1) page, this 25th day of September, 1985. fit-/,. (SEAL) J. Signed, sealed, published and declared by J. LEE ULSII, the Testator above named, as and for his Last Will and Testament, in our presence, who, in his presence, at his request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. fz,,('/1..':- L . j, "< ,) /7 r'- ilL"1 J J,~-~//,/!\;,:.,:,,1. 1/ ':lTXr" I~':::l;-""-I 'Ill! ifii\~\L~-:,~?:;"j ::.;;: '_'1,' , . '~l t l'~;/ ;,\ I, . f "_ I..,!", !<~\~':.}_'i~.I/:~,,,.'; ;:,_ ' " t~~t:'\i~:i,~':?I,~_,., " li,I,f;ll,.,(. (I.>; H ; .',11 ~\'t, .p- ,\. '~Y~~~~.~!l~'~!;/;-:':' ,::,-' _:,1 < ': I.~' <l~' m",..:O.",:I' .. ~\;;e'J~ll~ll::/,',;~ /. ;,~. 'I ~ .,' .It, ja). 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': "I' , I, ~ ' ,i";, ','i, " ,i.I;,' ." " , d'" (;, '1.1. ,,, ", ,i' ii' I" ", ,-' " "I' .' " " " , I, I' '\' ." " ,.. " ,: " I ~,I, I. l '" " , 'I,' ,,' ',t, " I: " ..,'I ',-,' ,,: '<i-'" " ':" ,\ 01' ". 1,1' , " ;',.. - ,. , ~ I , \; '.' , " 'I', ,I: ":, ,(I " " I' " " ~ ' (' " , " 01 '\ ;",' . ,. " ',I, "',' " ~' , " , , , , " , " ,.' ,:', ,., " ,! 'I:, '. ~, , ;"" N -A ',' " "\ ,,2':: C:J, I"'S' 10 ", ,t ,. ,'~' r .\' " "i I,'" ,I'.." ." ,;,/!~; iiL,., '~ ' I :i'(:',:: "I'" II, " " :1' (,I'. , ' , ' t,' I' ~ ".' " " 'i, ". ,,;"~:Ig-l ',1'1:"1,;,,::,, .., II; 6,' I,: '1"1. " '<I", ,_ I ,', ,- :,' " ',." '" "" ,.I' l::' '0 ",. i 1:- ,II' 1,,' 1.1_/ l1S II' :' ;';i!,:,~:' " ". 1 "iI" , 'I ~ - " II';" " -: ",')1, \ " 'J:' ,;',j',,'':,'.', i\I;'-:Ji\ '( ~I'-l ::- I , i, ,;! ,'. " " ,;', \"11', '''I'''.;';i .'-;,\i. """', d, ,'. ",\' , " ':i..' " ," 'I ,I', I,: .... c :r: ","" ........ -......, JUN 2 0 1995 .JJ'Y' IN REI ESTATE OF J. LEE ULSH DECEASED NO. 21-94-505 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PA ORPHANS' COURT DIVISION ~E AWARDING REAL ESTATE AND NOW, this ~l day of June, 1995, at O~k'j't .M., It appearing that the First and Final Account and Schedule of Proposecl Distribution of Wayne L. Ulsh and Carolyn L. Baldwin, Executors of the Last WI11 and Testament of J. Lee UIsh, late of West Pennsboro Township, Cumberland County, Pennsylvania, Deceased, have been filed and advertised in accordance with law and Rules of Court and the same havil1~ been confirmed absolutely by the Orphans' Court Division of the Cumberland County Court of Common Pleas on June 20, 19951 and it appearing that the said Executors claim distribution to themselves of the hereinafter-descrlbed two tracts of land in conformity with the afore-mentioned First and Final Account and Proposed Schedule of Distribution, it Is ordered, adjudged, and decreedl THAT ALL THOSE TWO certllln truClS of Innd situnte in the Villnge of Piainfield in West Pennsboro Township, Cumberlnnd County, Pennsylvunin, more particularly bounded und descrihed as follows: TRACT NO....J.: BEG INNING ut u point ut the norlhwestern corner of Truct No, 2 hereinnfterdcscrihed which is n point in the centerline of the Stnte Highway leading fromlhe Borough of Carlisle to Newl'ille known us Pennsyll'unin Route No, 641, which 15 nlso known ns Mnin Street in the Vllinge of Pluinfi~ld, which point ut Ihe Plnce of Beginning is 232 feet west of land formerly of Allen IV. Shullo und Inler of R, Smilh Reese; thence from suid pointlll the Pluce of Beginning along Ihe western line of Tract No, 2 hereinafter described, South 12 degrees 30 minutes West u distnnce of 176,7 feet to line of properly formerly of Bertie Ellioll: thence nlong line of suld IWld now or formerly of Berlie EIlioll, North 77 degrees 30 minutes West n distance of 75 feet to a point in line of land now or formerly of Hnrper Kell; thence ulong the enstern line of suid lund now or formerly of Hurper Kell, NOrlh 12 degrees 30 minutes Eustu distance of 176,7 feet, more or less, to u point in the centerline of said SlIlte Highwuy now known as Muin Street; thence ulong Ihe centerline of said Main Street, Sonlh 77 degrees 3D minutes Eust a distunce of 75 feet to a point nt the northweslern eorUer of Truct No, 2 hereinnfter deserihed nl the Pineo of BEGINNING, Tim AlIOVE.descrihed TraCI No, I hus thereon erected a hungalow lInd other improl'ements und is designuted ns 36 Enst Muin Street, Pluint1eld, Pennsylvllnia 1708 I. Tim AIIOVE.described tl'llct of land is ull of the lund which C'nrlisle Trust Compuny, a eorpol'lltiun, by its deedduted Novemhcr 30, 1940, und recorded Novemher 30, 1940, in Ihe Offiee of Ihe Recorder of Deeds in and for Cumherlund County ut Cnrlisle, I'ennsylvaniu, in Deed Book "0", Volume 12, I'nge 139, grnnted nnd coaveyed 10 Johal.. Ulsh nnd Mirinm S, 1Ilsh, husband and wife, The snid Mirillm S, Ulsh having died on Fehruury R, 19K I, title to th,' same rcmulned vested by operntion of Inw solely in hcr surviving spouse, John I.. Ulsh, The snid John L. Ulsh was also known as J, Lee lJlsh und wus one und the snme person, TRACT NQ...l: BEGINNING aliI point in the cenlerline of the SllIle Highwuy leading from the Borough of Carlisle to Newville, known as pennsylvaniu ROUle No, 641. which is 1I1so known as Main Streelln the Vllluge of Plaiafield, at the northwestern cornel' of I.\lul now or formerly of Roben Yinger, and whieh point at the Plnee of Beginning is 100 feel west of lund formerly of Allen W. Shalto and Inter of R, Smith Reese; thence from said point al Ihe Place of Beginning along Ihe western line of said land now or formerly of Robert Ymger, Soulh 12 degrees 30 minutes W=st a distance of 176,7 fectto 1I point in line of land now or formerly of Bcrtie Ellioll; Ihence along line of said land now or formerly of Berlie Elliolt, North 77 degrees 30 minutes West a dislanceof 130 feet, more or less, to a point at thc soulheastern corner of Tract No, I hereinabove described; thence along the eastern line of said Trnel No, I hereinahove described, Norlh 12 degrees 30 minutes East a dislance of 176,7 fcet, more or less, to a point in the cenlerline of said State Highway now known as Main Street; thence along the centerline of suld MaIO Street, South 77 degrees 30 minutes Eas' a distance of I n feet, mnre or less, 10 a point Ul the Plaee of BEGINNING, THE ABOVE.described Trael No, 2 is the western ponion of the tract of land which Mary Ellen Roberlr. and John Roberts, her husbnnd, by deeddnled April 21, 1949, and recorded April 21, 1949, in Ihe Office of the Recorder of Deeds in and for Cumherlnnd County at Carlisle, Pennsylvunia, in Deed Book "0", Volume 14, Page IRS, granted undconveyedlo Miriam S, Ulsh andJ, Lce Ulsh, her husband, The said Miriam S, Ulsh having died on FebruUlY 8, 1981, title to the same remained vested by operntion of luw solely in her surviving spouse, J, Lee Ulsh, The said J. Lee Ulsh was also known as John L. Ulsh IInd was onc und the sallie person, IS hereby awarded to Wayne L. Ulsh and Carolyn L. BaldwIn, their heirs and assigns, as equal tenants in common, with mailing address c/o Wayne L. Ulsh, P. O. Box 51, Plainfield, PA 17081. THE Recorder of Deeds in and for said Cumberland County Is directed to record thIs Order among the deed records In his office and to Index the same in the Grantor index In the name of Estate of J. Lee Ulsh, Deceased, and In the Grantee index In the name of Wayne L. -2- FIRST AND FINAL ACCOUNT OF WAYNE L. ULSH AND CAROLYN L. BALDWIN, EXECUTORS OF THE LAST WILL AND TESTAMENT OF J. LEE ULSH, LATE OF WEST PENNSBORO TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED May 19, 1994 LETTERS TESTAMENTARY ADVERTISED, CUMBERLAND LAW JOURNAL July 1,8, and 15, 1994 DATE OF DEATH I ESTATE NO. 21-94-505 THE SENTINEL June 28, July 5 and 12, 1994 PRINCIPAL RECEIVED Accountants charge themselves with the following principal amounts received: 1994 June 1 Massachusetts Mutual, pension check 14.34 8 Balance Dauphin Deposit Bank &. Trust Co. checking account N008686530'[ Acorued Interest to May 19, 1994 4,762.69 1.45 16 Balance Meridian Bank Certificate of Deposit 1#3094095233 Accrued Interest to May 19, 1994 16 Balance Meridian Bsnk Certificate of Deposit 1#3094101213 Accru~d Interest to May 19, 1994 16 Balance Meridian Bank Certificate of Deposit 1#3094104191 Accrued Interest to May 19, 1994 16 Balance Meridian Bank MMA 1#3242-5534 Accrued Interest to May 19, 1994 20 Proceeds sale of 1984 Chevrolet Sedan 20 Auto Insurance refund 20 Nationwide Insurance, refund July 15 Thornwald Home, refund Aug. 19 Commonwealth of PA, real estate tax rebate 19 Prescription rebate 19,808.01 264.16 8,061. 68 138.56 5,831.78 195.47 851.42 .04 1,200.00 34.20 9.80 .1,213.80 72.19 100.80 -1- DlSBUHSEMENTS Accountants claim credit for the following amounts paldl 1994 June 1 Register of Wllls, Letters Testamentary and 3 short certificates 249.00 1 Checks cleared after death 3,265.50 9 United of PA, telephone 11. 36 23 Cumberland Law Journal, advertising Letters 40.00 24 Hoffman-Roth Funeral Home, funeral services 5,065.90 27 Westminster Cemetery, engraving 87.1\0 July 21 Emerald Drug, prescriptions 82.84 25 Deborah W. Piper, real estate and personal taxes 163.75 25 Thornwald Home, account 2.85 25 R W Emergency Physicians, account 8.54 25 Roberts Medical, Inc., account 13.61 25 Carlisle Imaging Associates, account 2.37 25 Roberts Medical, Inc., account 17.63 25 Carlisle Hospital, account 684.55 Aug. 17 The Sentinel, advertising Letters 75.56 17 Register of Wllls, Pa. Transfer Inheritance Tax 5,673.00 1 '[ Wayne L. Ulsh, reimbursement for grave opening 650.00 Nov. 25 Dr. Gulstwlte, account 80.70 25 Massachusetts Mutual, return of pension check 14.34 Dec. 16 Register of Wllls, flUng Pa. Inheritance Tax Return 15.00 1995 Feb. 24 PA Department of Revenue, 1994 Fiduciary Income Tax 3.37 Wayne L. Ulsh, family allowance 2,000.00 Reserve for filing and recording Decree Awarding Heal Estate and reeording DeEld 40.00 -3- I 1./ (" ~. /,-' -.~.S ':l, -. I () IUV.1500 EX + P \.Qll .~ I \ " ,) .\ ~.(:'I."l ~".\11i.;,(\ COMMONWEAlTti Of PENN~VlVANI^ DfPARTMENT Of REvENUE DEP1.280601 .H~~RISBURO PA 11128.~601 ,I . A INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) .01 OAtIS O' PlAtH AmI 12/31/91 CHICK Itlll If A SPOUSAL POVIUY CIIDll IS CLAIMID [I hL'-NUMUI -- ------ --------.--- 21-94-505 ICOUNTYC()~L NT' .oMPlffi ADDRE$S YEAR flUMBER M I I 111 ffi ULSH J.LEE __J____ _SOC~A~_~E~_~t:Nlu;;~__=_=-~~-I:;ll~~~'~-~.~~T;:~,-~;~'! 9_1 ?. l!! kl1. Origlnol Rolurn [] 2. Supplomenlal Rolurn ~f~ ~29 ..lO II. cl: [J ~a. Futuro Inlo((,,1 Compromii8 lIar dolo' of doalh altar 12.12.82) [0 6. Docodonl Diod TOIlalo lJ 7. Decodonl Mainlalnod a living Tru,' IAilach cap of Willi (Allach copy 01 Tru.') ALL CORRISPONDINCI AND CONPIDINTIAL TAX INPORMATION sHoiifD-liilllRecuDTo, ~ t; NAM! - rOM~p IMiilITNOADDRESS ii/ C:I Frey and THey 5 South Hanover Street ~ ~ l PH NENUMIER -------- Carllsle, PA 17013 _ v 2_+~ R:~17ElIalolschO:~I::18~B -(-;~~_~=="-:~iQQQ-:~:O---- 12. Slack. and 8and, ISchodulo BI ( 21 ____ ____________.__.... ---__ 3. Closely Hold Slack/Parlnwhlp InlorOlllSchodulo C) I 31 _______________..__._ 4. Martgag.. and NalOl Rocolvablo ISchodulo D) ( 41 ~________________.___ 5. Cash, 8ank Dopa,it. & MilCollanoau. Porsonal Proporly( 51 '~__h..!i, 58lh.l1.ll.___. (Schodulo EI 6, Jalnlly Ownod Praporty (Schodulo FI ( 61 _.______________ 7. Transfors ISchodulo G) {Schodulo LI { 71 __~________________________ .. 8. Talal Grall Allolt (lalallinOl 1.7) Q, Funeral Expenses, AdmlniSlrallvo Calls, MhctllaneouI ( 9) _ Expen... ISchodulo HI 10. Doblt, Mortgage llabllillOl, Lions ISchodulo II (10) ~_______ 11. T 0101 Doduclians 110101 linOl 9 & 10) 12. Nol Valuo of E,'alo (lino 8 mlnu.llno 11) 13, CharJlabl. and Gavernmonlal Boquo.It {Schodulo JI 14. Nol Valuo Sublect 10 Tax (Iino 12 mlnullino 13) 15. Amaunl of lino 14 laxablo 01 6% ralo Ilnclude valuOl from Schodulo K or Schodulo M.) 16. Amaunl of lino 14 laxablo 01 15% '010 (Includo valuOl from Schedulo K or Sch.dulo M.) 17. Principal lax duo (Add lax from lino 15 and from lino 16.1 18. Crodll. Spousal Poverly Crodil P,lar Paymonll DilCaunl ~_______ +_Q.Il'l_3J.o_O + _.26Ji.ll.L. 19. If lino 181s groaler Ihan lino 17. enler Iho dilleronco an lino 19. Thl' Is Iho OVERPAYMENT. D[]l z o i z o ~ S ~ 8 g 36 East Main Street P. O. Box 51 Plainfield, P A 17081 C'.~"" Cumbtirland----h----- _____~_____ [J 3. Romaindor Rolurn Ifor dalOl of doalh prior 1012.13.821 [ I 5. Foderal E"alo Tax Rolurn Roqulred J.. 8. Talal Number 01501. Dopa,lI 8ax.. [] 4. L1mitod E.lalo (8)_. 106,588.60 17 952.09 ----_._~----.--.._..._-- (11) (12) (13) (14) 115) _____~~.~~Jl_,~l..__..x .06.. 17 , 952.09 88,636.51 88,636.51 L116...UL_ (16) _________.__ ...x .15 .. (17) InloroU (18) _____..___l..ll_!l._~__ 20.72 (191 . _______________m___._______m Check Ill'u' if you (If~ tllc!ucsting (I rcfund 0' your ovc'FHlymcnl. 20. II Ii no 17 Is groaler Ihan Ii no 18, enler Iho dilleronco an lino 20. Thl, I. the TAX DUE. (201 ______.__ ___.______ ___ _________ A. fnlor ,ho inlerOlI an Iho balanco duo an lino 20A. ,(20AI. ___..___mm 8. Enl.r Ih. talal of lin. 20 and 20A an IIno 20B. Thll Is Iho BALANCE DUE. . (2081 _...__ __ _ Mako Chock Payable to, Regl.te, of WI~.,_Agonl_ .. _ . _ _ .... _____.._______ .. II IURI TO ANSWIR ALL QUESTIONS ON-REVERSiifijiANDTO IiEcHeciCMATH" ...' Under penaltje, 01 perlury, I declare Inall hove uamined Ihls ralurn, includjllH occornpanyin'g seho'dulls and ,Ialflmon", and 10 tho bell of my knowledgo and belief. it Ii IruI, correct and complete. I declare thaI all real IIIale nos b(l\'>1 reporlod at true murkel value. Dnclaralion 01 preparer olhor than the perlonal ,eprllenlalivl il ~,~I~~d~i~~';'~~sO' whi E ~~;~.~I~~.k:OWI.d~;i>Rfss- .....- n - .. .-------- oAlr----------- f P. O. Box 51, Plainfield, PA 17081 Dec. 1(. , 1994 ffiiNATUW6nlu."lfofHn-IHAN-miffsHifAff"C.... .---),oo"ss-- .. . oiiW . u_________ _m.G..~_:__4.\.,__.:b.-.~--- 5 S.lInnovcr St., Carlisle, PA 17013 Dec. 16,19_9~____ ...,.--'. """ '..... ....,......, AEV,U02 EX+ 113.851 '*' COIolMONWEALTH 0' PfNNS'l'lVAN,,, INtl(IHIANCf lAX RfTURN A(SlDWIDrCrOENI SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER J. I,BE ULSH 21-94-505 (Proplrty lolntly.ownod wllh Right of Su,vlvonhlp mu,l bo dllClo..d on Schodul. F) All reol 11101. .hould b. repo,l.d ot 101, mo,k.1 volu. which" doflnld 0,1101 price at which property would bl .xchangod botwlln a willing huyer and a willing ..lIer, nollher bllng compellld 10 bu.y. or ...II, bath having "a.anabll knowlldge of the rellvanl foch. ITEM NUM8ER DESCRIPTION VALUE AT DATE OF DEATH 1. ,\1.1. THOSE TWO ",'I\alll 1,.Il'1\ of I.md \lIuale u, Ih,' VilLI!!,' of I'lalllfield In We'l PcnllsllOro Towll.\tllfl. ClIlI1her1,IIHI ('OIlIIlY. I't'nmylvilllla, 11l01'l' p.lt!l(lIl.III~' hllunded and described liS follows; IRA.l:IJille-l. BEG IN N I NG at it p01ll1 .11 Ilw IH1I111westcI1l comcr uf Tr,lc! No ~ hert~lI1.\ftl'r dcscrihcd which is a paml In Ihe celliNI Int' of Ihe Slale Highway leading f",m Ihe Borough of Carlisle 10 NeWville known liS Pennsylvilllitl ROUIl' No. 641, which is al~o known as l\-1alll Sllcet III thc Village of Pltllnfield, which fWIlI allhe I'lace of Beginaing is 232 fcel\\'esl of land fomlerly of Allea W. Shallo aad laler 0 It Snlllh Reese; Ihenee from saal 1'01111 al Ihe Place of Beginning along Ihe western line of Truel No. 2 hercinafler described, Soalh 12 degrees jO miaules Wesl a dislance of 1767 fcello line of propeny fonnerly of Benic EIlIolI; Ihence along line of said IlIod now or foonerly of Denie Ellioll, NOllh n degrees 30 minules Wesl a dislanee of 75 feel 10 a poilll in line of land now or fomlerly of I la~1Cr Kell; Ihenee along Ihe eaSINn li'H' of said land now or formerl)' of Harper Kell. NOllh I ~ dq'''."., 30 minules Easl a dlSlanct. 0117(1.1'7 feel. morc. or less. 10 a poinl in Ihe cenlerline of said Slale Highway no\\' known as Mam SIr,'el. Ihence along the ccnlcrlirlt' "f ..;;,id Main Strect, South 77 degrees 30 lllillllll'S Enst a dISlil/H:l' of 75 fCCllo a poinl al Ihe nonhwe"em comer ofTrac! No.2 hereiaafler described IIllhe Place of II E GIN NING. THE ABOVE.deserihed TraI'l No. I has Ihcreon ereeled a hongalow and olher improvements and is designaled as No. 36 Easl Main Slreel in lile Villagt' of Plainfield. THE ABOVE.described Iracl of land is all of Ihe land which Colrlis,," TOISI Company. a corporation. by ils deed daled November 30, 1940, and recorded Novemher .10, 1940, in Ihe Office of Ihe Recorder of Deeds In and for C"mberlaad CounlY "~I e" I"",. I't'nnsylv:Ulill, in D""I Dook "0", Vol "me 12, Page 139. granted a"d cnaveyed to Joh" L. I\lsh and Miriam S. LJlsh, husband &nd wife. The said Miriam S. LJlsh having died on FebnlmY 8, 198 I. lille 10 Ihe same remained vesled by operatioa of Inw solely in her survivlOg sponse. John L 11Jsh. The said John L. Ulsh was also known as J. Lee lIlsh and was one aad Ihc same pc,,,,,, I.BAl;T NO.2: BEG INNING alII I'oml in Ihe cenlerline of Ihe SllIle Highway h'admg fromlhe Borough of Carlisle 10 Newville, known as Penasylvama Roule No. 641, which IS also known as Main Slreel in Ihe Village of Plainfield, allhe nOllhweslem comer of land now or fonnerly of Robert Yinger, and which 1'0101 al Ihe Place of Beginning is 100 feel weSI of land formerly of Allen W. Shallo and laler of R. Smillt Reese; Ihence from snid poilll al Ihe Place of Beginning aloag Ihe weslem Iiae of said land now or fonnerly of Rohen Yinger. Soulh 12 d,'gret's 30 minules Wesl a dimnee of 176.7 feel 10 a poi III In line of land now or foonerly of BCltlC Ellioll; Ihence along line of said laad now or fonnerlr of Bertie Ellion. Nonh n degrees 30 101m"" Wl'SI a dislanee of 1:10 (celt more or less, (0 a pOIlH at the !<lOIIlIH,'aS!t'm corner or Tracl No I hl'II'llIaho\'c descrihed; thence along the eiHaern line of smd TIllC! No, I hereinahove dc...ndwd. North 12 degrees JO minutes Easl il distance of 176.7 fCl~1, Il\or<~ 01 less, 10 a JloilU III 11I1' fl'/IIL'r1mc of said Slille Highwny now known as Main Slrcct; lIwnrc along the t'ClllCllil1c of ",lid Malll Slrcel. South 77 de~rces 30 l1linlltc~ East a distlllll'C Ill' 1.12 fCCI, morc 01 leli... 10 it [1(11 11 ! al lht' Place of Bf.GlNNINC;. TilE ^nO\'I':'d(,~l'rlhed Tral't Nil 2 ,.. I Ill' \\'l'slern PClI!loll ,dill!' !"tet of land Wllll'll Mill}' Ellen f{ohcr1S c1nd J(llll1 Rohcf1s, he! 1111..11111111 hy deed dilled ,\ 1'111 .11 11)41), lInd recordl'd ^IHlI ~I, 1949, mille Ofll(C of the Rccordl'r ollll'l'd, in ilnd for CUt '\'/],111,1 Count\' at Carh'ilc, Penllsyl....lOliI. III Deed lIook "D", Vllllllllt' 14, I',t~~l' IH\ ~ranlcd lIllt! 'Il\l'\\'d In Miriam S (II.." and J. Lee lJ"h. hl'l husballd Tire ,."d M"",," S. Uilh Ira"inl: died, '" l'rlrlll.IIY X, 1"8 I. IlIle I" tilt' 'iarne rClllillllcd vested by opcrutlCUI of law Sllldy in IWI surVI\'llll' "PUll' ('. 1 I.Cl' Ulsh, Till' liilHI1. Let' tllsh was al.\o known il' John I. III\h and W,l\ ol1r and lilt' \.11111' 1'1'/\011 Per attached appralsah 62,000.00 62,000.00 TOTAL IAlro onlor on lino I, ~.Cop,'ulallonl (If mor" SPUCft j, needed, mlerl oddilionul "leoh 01 lamo ,in.) s 62,000.00 UV.lSO'<<_. n,'" * l SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Ploolo Print or Typo FILE NUMBER 21-94-505 COMMONWEAUtl O'~!NNmVANIA INHIIIIANCI!A InURN UIIDIN! 01 DIN! ESTATE OF J. LEE ULSH (All proporlV lolnllv.owntd wllh tho Righi of Survlvollhlp mu.t b; dIICI!"d on Sch.dul. ') ITEM DESCRIPTION VALUE AT NUMBER DATE OF DEATH 1. Balance Dauphin Deposit Bank checking account 1#0086865307 4,762.69 Accrued Interest to May 19, 1994 1.45 2. Balance Meridian Bank aiD 1# 3094095233 19,808.01 Accrued Interest to May 19, 1994 264.16 3. Balance Meridian Bank C/O 1#3094101213 8,061.68 Accrued Interest to May 19, 1994 138.56 4. Balance Meridian Bank C/O 1#3094104191 5,831.78 Accrued Interest to May 19, 1994 195.47 5. Balance Meridian Bank MMA 1#3242-5534 851. 42 Accrued Interest to May 19, 1994 .04 6. Pension check, Massachusetts Mutual 14.34 7. Proceeds sale of 1984 Chevrolet Sedan 1,200.00 8. Auto Insurance refund 34.20 9. Refund from Nationwide Insurance 9.80 10. Refund from Thornwllld Home 1,213.80. 11. Balance Dauphin Deposit Bank CID 1#8000082748 2,000.00 Accrued Interest to May 19, 1994 28.21 12. Pa. rent rebate 72.19 13. Prescription rei mbursement. 100.80 ,. S 44,588.60 IAuoch addltlonalSVJ'1 )( 111/ ,heell If more 'pace h needed.) Merldl8n PO n'I< 11O? Ill' Illmq "A I~lfi():l _Meridian TO. Robert M. Frey ADDRESS. Frey & Tiley Attorneys At Law Five South Hanover Street Carlisle, PA 17013 July 13, 1994 RE. Estace of. J. Lee Ulsh Q.ate of Death, May 19, 1~94 Accounts and Balances on Record as of Date of Death. ACCOUNT # /lCCOUNT TITLE CK 32425534 J. Lee Ulsh CD 3094100116 J. Lee Ulsh CD 3094101213 J. Lee Ulsh or Miriam S" ulsh CD 3094095233 J. Lee Ulsh CD 3094104191 J. Lee Ulsh I' KV /elg/82 CK a Checking SV . savings CD a Certificate of Deposit XC a Itoliday Club VC . Vacation Club CL a Commercial Loan DATE OPENED DATE CLOSED 01/06/83 06/17/94 03/10/86 09/13/93 ,01/06/87 06/16/94 07/08/85 06/16/94 11/24/87 .06/16/94 MERIDIAN BANK PRINCIW ACCR. !l:!:L.... 851.42 ,04 8,061.68 138.56 19,908,.01 264.16 5,831.78 195.47 .,' . \ "!0dJ, ((,U"... 2.~"/'1 2;;:(St'1.. Katharine VanVelsor (610) 655-3352 IL a Installment Loan DB a Discount Brokerage PL a Plus Loan PH a Student Loan SD a Safe Deposit TR . 'rrllB t WL a Will LT a Living Trust MO a Open Line of Credit MCl a Mortgage LA a Auto Leasing lfV.ISH U. f1.'" DTATI O' ITIM NUMBER ~~ ~ SCHEDULE H FUNERAL EXPENSES, . ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Pllall Prlnl or TvpI ell Nl1iXSIR - 21-94-505 COMMONWEAltH o. 'eNN~YlVANIA INHERITANCe TAX UTUlN mIDlN'DICIDIN' J. LEE ULSH DESCRIPTION AMOUNT A. Punlrallxplnllll 1. HoCCman-Roth Funeral Home, funeral services Westminster Cemetery, engraving 5,065.90 87.50 B. AdmlnlllratlYl COlli I 1. Plnanal R,prl..nlatlv. Com million I Saclul S.curlty Numb.r of P.nanal R.prll.ntatlv'l Y.ar Com million. paid 4, C. 1. 2. 3. 4. 5. 6. 7. 8. 2. AIIDrney F... 5,329.43 3. Family Ex.mptlan Claimant Wayne L. Ulsh R.latlan.hlp Son 2,000.00 Addr," of Claimant at d.c.d.nt'l d.alh Str..t Addrm 36 E. Main Str,!!et, P. O. Rox 51 City Plainfield Stat. Pa. Zip Cod. 17081 Prabat. F... 249.00 MllClllanloul Explnllll Checks cleared after death 3,265.50 United oC PA, telephone 11. 36 Emerald Drug, prescriptions 82.84 Deborah W. Piper, renl estate and personal taxes 163.75 Thornwald Home, account 2.85 R W Emergency Physicians, account 8.54 Roberts Medical, Inc., account 13.61 Carlisle Imaging Associates, account 2.37 TOTAL lAlla .nlor Dn IIn. 9, RecapltulatlDnl S (If more Ipac. II n..dld, Inll" addltlanallhltll of lam. 1111.) SCIIEDULE 11 FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES ESTATE OF I ITEM NUMBER , J. I,EE ULSlI FILE NUMBER 21-94-505 , DESCRIPTION AMOUNT 9. . Roberts Medical, Inc., account 17.63 10. Carlisle HospItal, account 684.55 , , 11. The Sentinel, advertising Letters 75..56 12. Register of Wllls, fIling Pa. inheritance Tax Return 15.00 ., 1" 13. Notary Public fee 6.00 14. Reserve to file Accoun t 100.00 15. Cumberland Law Journal, advertisIng Letters' 40.00 16. Wayne L. Ulsh, reimbursement for grave op.enlng 650.00. 17. Dr. Oulstwlte, account 80.70 . , , ' ," I I, I' .. ,. " ,. ,\ ,I" '., I'i I' ,. , , , , ,I' d ,. ,. , .,' " , .' ,I' .", ". , ' ,. " , '. .,' ,I ., ' TOTAL 17,952.09 Ilv,uhn.ll'l1 \ L FILE NUMBER SCHEDULE J BENEFICIARIES ~~ CO~,Io\OtlWIAl1lt 01 ,lwunVANlA IN",RIlANCI tAl U1UIN . ___~'N!..DIClD~Nt ._~~____ .____ - u_ __..... -- -_....-------:-~ 21-94~505 ESTAlI OF _._u.__-- J. LEE ULSI{ AMOUNT OR SHARE OF ESTATE --------.----- RnATIONSHIP _._-~----"-' ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY ---. ----_._--~._---------_.._--~._.. Son 1/2 residue of estate 1. A. TOK"ble Beque.": (iaync L. Ulsh P. O. Box 51 Plainfield, PA 17081 Carolyn L. Baldwin 116 Alter Road Carlisle, PA 17013 Daughter 1/2 residue or estate 2. " . " ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Charitable a"d Gavornmental Seque,", 1. NONE : ' , ' , , ---. - TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Ail a en'" an line 13, Rocapltulallonl s --.--- .---- III mare .pace I. n..d,d, Inoo,I additional .h.... of .ame .Iu) IlIVlUltlll"'11 \ ~., I 1I;~:::l1:\"11 ""m"(I.""::"'.'::~"O\"I^"" SAFE DEPOSn "OX I llft\~I"llIl W '(YIUtll INVENTOR" 11/IIIMII:,ljI' 'A'C JlIVIIIO" , =---==-_ ItA~~::~:~~:J_~~:;~~_.-..~,:..~:~~:::=-_;;:~~.:.~~.:::.=:.:.~._~:~_:.'::':'_=:":':':'~':~ _ ',. l... Please Print or Typo MUSI nE COMrlFTEO nv REPREsrl""IIVE or rll~AtICIALII'SII1UIIO'1 WII[RE SM r Ilfl" 'III RI)' "LOCATED AND RETURNED TO ABOVE ADDRESS COUNTY CUDE --gTiie-fiiii.iDER -------O.soi:iili i~<:iIRiiY OR OEATH CERTIFICATE NUMPER _. _ _ ';;{ I I.. _ Cf 1./__ 0').J!5_1. I :)" I C'~C1 . ~_( 1 do, IJEcEliIiH's NAME I'^" ""I. I.""""! - DATE orDUilH _JAL~J::L_____S_ _ j=:/~-t;_ ._______ __ 5-11:.5...'-1 _0 ADDIESS OF UECEDEtH IIIRI") 1'011 n IIIAlE! IZIr CODE! fi..; u/" ,,) I~I,I I \r.'I\o''-C t( 'f'J. . tJ(:,(},u..</ ';-'<-1(, ,. ,a,1 {IN h~ 00- 17<;)'3 tiAi,irANo-ADOiiEssofriRsoll RiiluEsii,jej TliEurEiliNo oOF iiiEsAfEiiiriilil 80X INAMEI. __0 .___o_(0l~~\~{'\ '\.:.~k_,t'\(. fv:'t'l___ (1'''1 ()#'~~:0---. tSIRHt ^"0R[~SI 1'11'11 ~) j I.l,'~l:._tr._( ~i- d;,J' l.....s~. /'~4 ~;?Q,.j .*_"... ..____ .. . ,. ~_ ______...___~_._u._ NAME, ADDRISS_~_N.!'_~~I\'ol_()t1SllIr(!_~_A~_VII_()--"~CEDEtl~,_OF.~~~~':!J~PRESEI1I AT "~E BOX OPENING a. (NAMfl (l'~l^lI()llSIlIPI i\liiii~SitOl\J~~ 1-:u..~jJ\U'----T- - ';:I,(f;! ( c:~.J:u'\ p D _ (?, _~~t: _ 0 >-1 0 o_______..:f_~~_" (<,\:d c/_ rq b. _I~~~~~d. (;~{ Lf __ _ Ct~::r;PI___ IIIREEl ADORE III ( ~ I' ".q U 9 s 1- ,r,.J<,Jcr ':;,,7" C.1~'r I. J~' ~ rl I ] Q I,] --.--...--........---.- . .---....-.. ----.-...---. ... . t. INAMEI (llfI^110IlSIIII'1 I"AHI (liP COOl) ISTAHI 1.1-0'<:; IIIP COOEI II!AlEI 11IP COOEI 111 REEl ^OtlREISI 11'1.,'\ ISIAHI 11.IP COOEI NAMI ANoADDiiss"OF FIN^t~Cl^.l-jNSTliuii6;.rWiIERiiliESAfE DEPOSIT DOY. I~ IOtATED INAMn-----------.--. .---------.----.. jiiRfiI AO~~I....j'!':o':' -- ~;:;c l'~~ - - -- . -- 0- - _____u_ . I' " ,,-- IIIAHI :,L tV.. I/"r.h ...s7..<cc~ [?/111/':,{.P tp,'J. 170 I'" I NAMIO'-PIRSON MAKiNOiASnmRY---I----.-.----- __o_on. m DliTi AND TIME OF LAST ENTRY G~ I ..iy'- ~~/d~tv, _^!....________n__. ____~--..Io--Ailii 7J I " II '-f DAlE OF CONTIACT to lENT COX NUMBER OF ~OX tITlE '''IllER WHICH BOX IS IEGlmRID /20 ~__'_H_3 _____ 0 :9()U3 . _ ,) )0!,i(,. . e NAME AND ADDRESS OF PERSOIl(SII4AVING ACCESS 10 BOX .. INAMEI ------ --~ ---- b.it,;;i.lf! I"PCOOII S:",,,Jl, IS1RiifAoORlSlj- __0. (Si~fii'^iiiillr r,~1 iCffiI------ - - m--jiii,iii----iiii COof! iCiivi- ISIAlI! 11IP COOII HilMI ANOoiii1EO; EMPioYE i"KiNO-iiiiiNVENioRY--------- __yl,.",-~..... .s;t.::~~_1;:'..~~'1 _o?f~~_c__ .__0_ 0 WAS A WIU IN TIlE BOX! "HI I 'NO 1/ VtI, n. 0.1. 01 will, b. Nam. and odd",,, of 11".onnl r.p"untallvl, If "am.d In the will INAMII i~lR'(E,-^u[Jii(ssi---'. (.'1'1 IITAHI 11IP COOEI t. N~-~;.~~~r;dd;.;.-~r~,i~;~.,y;.Ii"Q~V..-- -_..- ----.---.-. IN^MEI jitAiii!;UtlRfsij----... - 0 -.. (fll ~I IIlAlll IIIP coorl -------.-....-..... . .. ---'-' --.---.--.- /;/ (/', - y c/ EV-1547 EX AFP (12-94'. CDHIlDNWEALTH OF PENNSVLVANIA ACN 101 DEPARTNENT OF REVENUE NOTICE OF INHERITANCE TAM BUREAU OF INDIVIDUAL lAMES APPIAISEHENT, ALLOWANCE OR DISALLOWANCE :~miS:~~~lpA 17121-0601 OF DEDUCTIONS AND ASSESSHENT OF TAM DATE 03-06-95 o FILE NO. 94-0505 DATE OF DEATH 05-19-94 COUNTY CUMBERLAND NOTE I TO INSUIE PROPEl CIEOIT TO YOUI ACCOUNT, SUBHIT THE UPPER POlTION OF THIS FORN WITH YOUR TAX PAYHENT TO THE REOISTEN OF WILLS. HAKE CHECK PAYABLE TO "REOISTEN OF WILLS, AOENT" REMIT PAYMENT TOI FREY 8 TI LEV 5 S HANOVER ST CARLI SLE PA 17013 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 E haunt Rid Hid j CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiEV:i54-i.ii{"AFp.m-:94-r.Nij'ficr-o~.i"NH!iiii'Aiicn'-Ax.ApiiiiA.iiiEHENi'~--.m1iw;iifcE.b.li--n--_.__...---. DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF ULSH J L FILE NO. 21 94-0505 ACN 101 DATE 03-06-95 If .n ......m.nt wa. i..ued pr.viou.ly, linB' 14, 15 and/or 16, 17 and 18 will raflact figural that include tha total of Abh return. a..e..ed to date. ASSESSMENT OF TAXI 15. A.ount of Llnl 14 It Spoulll r.t. 1151 16. AMount of Lln. 14 tl.lbll .t Lln..l/C1I.. A r.t. 116) 17, AMOunt of Lln. 14 tl.lbl. .t Coll.tlrll/Cla.. Brat. 1171 II, Prlnolp.l Ta. Du. TAX CREDITS: PAYHENT DATE 08-18-94 02-27-95 TAM RETUIN WAS I I X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE XNTP.REST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL 1. R..l F..tatl ISohldull A) 2. Stookl .nd Bondi ISohldul. B) 3. Clollly HIld Stook/Partnlrlhlp Intlrllt ISohldul. Cl 4. Hortg.g.I/Notal Rlcllv.bl. ISch.dul. Dl 5. Cllh/Bank Dlpolltl/Hllc. P.rlonal Prcplrty (Sch.dul. E) 6. Jointly Ownld Proplrty ISchldul. F) 7. Trlnlf.rl ISoh.dull 01 I. Totol Aluto APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funlr.l E,pln.al/Ad.. COltl/Hllc. E'Plnlll ISch.dul. HI 10. Dlbtl/Hortgag. Lllbllltlll/Lllnl ISchldul. 1) 11. Tot.l Dlduotlonl 12. N.t VIlu. of TI. Ilturn 13. Ch.rltlbl./Oovlrn.lnt.l Blqualtl ISchldula J) 14. Kit V.lul of Eltatl Subj.ot to T.. NOTE I IECEIPT NUHBER MM912834 REFUND DISCOUNT I.) INTEIEST 1- I 265,91 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOl CALCULATION OF ADDITIONAL INTEREST, ) CHANOEO III 12J (3) (4) IS) (6) (7)__ ()(.J C -- . ~~ ~rl ~51 62,000.00 . 00 :'\~; :-0 ,DO I .OQ.. 0\ 44.~88.60 TI . ,.00 -- UL 00 .. )"" " - -.., (8) 1...1 :0 4(lttl ;~) (,', .," (.l ., ." 1 U.' ~;~, 106,588.60 17.QCi? nQ 88,636.51 .00 88,636.51 ,00 5,318.19 .00 5,318.19 5,318.19 .00 .00 .00 IF TOTAL DUE IS LESS THAN fl, NO PAYHEHT IS IEQUIIED. Jf TOTAL DUE IS IEFLECTED AS A "CIEDIT" ICR). YOU HAY BE DUE A IE FUND , SEE IEVERSE SIDE DF THIS FOlN FOR INSTIl\JCTIONS,) (9) nO) 17,952.09 ,DO CU) (12) (13) (14) .00 M ,00. 88,636.51 M .06. ,00 M .15. 1111 AHOUNT PAID 5,073,00 20.72- TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE .1 I' ',I,l ,.., I' , " , , \, AlBERYATIONI E.t.t.. of decedent. dySng on or blfar. Deatlblr 12, 1"2 .. If InY future 1nt.r..t In thl I.t.,. I. trln.f.rrld In po"...lon or In,1oYMnt to CII.. . (ooUltlr,U an.floS,rl.. of'th. dHldtnt .fter the 'lCplr,Uon of InY ..tlt. far llf. or for YI.r., the Co.-anwlllth htr,bY llepr...lv r...rv.. the right to .ppratl' .nd ...... tr.n.f.r InhlrltinC. 'alCI. It thl llWful ell.. . (coUat,rl1) r.t. on any luch future lnt.r..t, ' _EOF HOTICEI To fulfill thl requlr..-nt. of Slctlon 2140 of the Inherltlnce and E",t. ilM Aot, Aot 22 uf 1991. 12 P.I. S..\lo. 2l~0. PAYNENTI D.ttoh thQ top porUon of thll Hotlc. Ind .ub.U with your ply..nt to thl R,gllt,r of W11l1 printed onthl rlv.r., lidt. "1Iak1 chick cr _I' crder pI.obll ICI IEOISTEI OF HILLS, AOENT All P'YMntl rlOllv.d .hlll fir.' bI appUtd to My In'.r..t which 'OY bt due with II1V r..llndtr .ppU.d to the t.lC. REFUND (CA)I A r.fund of . talC oradlt, whloh w.. not rlqullted on tha Tlx Raturn, .IV be r.que.ted b~ coep11tlnt In "Applloltlon for Aafund of,P.nnlvlvlnll Jnhlrltlnol and ~.tatl Tlx" (REY.1S1S). Appllcltlon. era Ivell.bla et tha O"lc. 0' thl AIII.tlr a' Will., II1V a' thl Z5 Rlvlnua Ol.trlot O"laa., or bv ollllng the lpeclll 24~hour anlWlrln. ..rvlol nuIbIrl for forll ordlrlngl In Plnn.vlvanll 1~800~36Z~20S0, aut.ld. Pann.vlvanll and within looal Htrrllburg .ra. (111) 781~1094, TOOl (111) 77Z-Z25Z (Ha.rlng Japllrad Only). OBJECTIONS I Anw plrtv In Int.rl.t not .atl.'lld with thl apprllll.tnt, IlloWlOOI or dl..l10wano. of daductlonl, or ......-.nt 0' till <lnoludlng dlloount or IntlrllU .. Ihown on thlt NoUol MIlt obj,ot within Illlty (60) dlV, of reo,lpt 0' Ihh IkttlCI b., ~-wrlttln protllt to the PA DIPartl.nt of Aavenul, loard of ApPIIII, Dapt. 2110Z1, H,rrllburg, PA 17121-1021, OR ~~lllOtlan to hlv. the ..ttlr dltlr,lnld .t audit of the .ooount of thl par.onal rlprl.antatlv., OR --tPPeil to thl Orphanll Court. llIItlH IITRATI\II! CORRECTJOHII FlOtUll error. dllcavared on thll .........,t lhould b. acktreu.d In writing tal PA Dlptrt..,..t of RavlnUll, IUrlllU of JncUvldull TIll", AlTNI POlt A...II.."t RIVllw Unit, Dapt. 280601, Hlrrllburg, PA 17128"0601 Phone (717) 787-6105. Sla p'" S 0' thl bookl.t "In.truotlon. for J~rltenea Tall Raturn for. R..ldent Dtotdlnt" (REY"1501) 'or an Illplanltlon of adtlnlltr.tlv.1V corrlOt~l. arror.. tf ,"y till due I. Plld within thr.. (3) o.llndar .onth. Ift.r the d'cld.ntt, dlath, I ,Iva plrclnt (I~) dllGount of tM t.x Plld II allowed. DIICOUIT. IHTERt!ITI Inter..t II ohlrDtd blglnnlng with flr.t dlV of dtllnqutnov, or nlnt (,) IICH1th. end one (1) d.y 'rM thl ct.t. of dotth, to thl d.ta of ply-.nt. T'llll which bee... dlllnquant b,'ar, Janu.rv I, l'IZ b..r Int.r..t It thl rat. 0' Illl (6X) perctnt plr annul o.louleted It I dallw rate of .000164. All tlxa. whloh b.cI.. dlllnquent on Ind .ft.r Janulry 1, 198Z will ba.r Int.r..t It . r.tl which will vlrv fro. o.landlr v..r to oal.nd,r v..r with thlt rlt. .~.d bw the PA DIPlrt.lnt 0' R.vlnue. The appllclble Intar..t r.tl' for 198Z through 1995 .rll !!!r Interllt Alt. D.IlY Int.r.,t Fattor ~ Jnterllt Aat. O.llv Jnt.r..t Flotar 1m lOX .ooma 1117 9X .0001~7 1m I6X .ooml 19"-1991 m .000501 1m IIX .000101 1991 9X .0001~7 1911 UX .000lSa 1995-19" 7X .000191 1916 lOX .ooom 199. 9X .00OZ~7 --Jnt""t II c.lcul,tld II followlI INTERIIT . BALANCE OF TAK UNPAIn x NU"BER OF DAYS DELINQUENT X DAILY INTRREST FACTOR --Any Matloa 1.lutd aft.r the t,ll beao.a. d.llnquent will rlflact In Int.r..t o.loulltlon to fl,t,,"'(11) ..v. beyond thl d.t. 0' the .....IIInt. If p'VI.nt I, ..dl ,'ter thl Intar..t oOlputltlon dltl lhewn on thl ~Uct, eddlUon.l Intarllt au.t ba olloul.tad. 'I. .1 )( t PA'lltENT, Dlteoh the top I'OrUon 0' thlt NoUel Ind NNilt with your PIVMnt ... PIY.II to tI'M' "... Ilftd add".. printed on thl rtVlr.. .lde. If RUIDt:HT Dt:CEDt:NT lok, ._ or _ ordor pI.1II11 tOl REGISTER OF WILLS. AGENT. If HOH-Rt!IJDENT DECEDENT ,okl 0_ or _. ordor PI...,II tOl COIttONIlEALTN GF PEHHSYLVAHIA. All pIYMnh recetv" ,hill be IPPUtd flr.t to MV Inhnl' which NY be due with any rHllndlr ~111d to the tile. RfFtIm eCA)1 Ii r.'und 0' . tl. credit, which WII not r....ted on the TI)( R,turn, -V be r~.ted by c~l.tlnt In "AppliGlUon for R,fund 0' 'IM.vl",,"1, tnhorltlnol Ind Elt,t, Tlx" (REV-UU), AppUCIUon. er. IIYIlIeb11 .t the Off101 of the AIIII'" 0' Will., any of thl Zl R,venue DI.trlot Dfflc.. or fro. thl Dtp.rtlent'l Z.-hour .",werlng ..rvlel nu.btr. for for.. orderingl In PennlYlvenl, 1-800-]62-2050, out.Jde Penn.vlv,"., 1M within IOClt HlrrhbYrg .,.. (717J 717-1094, TOOt (717) 712-2252 (Hllrlng r.,udred onh), DIICOUlT I blttont ,.rdln, .rror. contllned on thl. notle. .hould be Idd""ed tal PIi Dlpl:-t.."t 0' AIVenue, lur.", 0' Individual TIM", ATTNI Po.t AI....lent A.viIN Unit, Dlpt. 2'0601, Hlrrllbur., PA 1712a.0601, phone (717) 717'6\05. If eny tlM due .. pIld within three (]) clllndtr IOI1th. ,'hr thl cMcIdentl. dHth, . flvt percent (5:0 dhcount 0' the tlM Plid h Illowed. Rt!PLY TOI IHTEREST , Int"nt h chtr.ed belinning with flr.t d.y 0' dtlJnquency, or nln. C') wonthl end OM (1) dlY frOll thl dU. 0' dtlth, to thl dl" 0' P.~tnt. T.MII which Mo'" dtllnquent before ..........ry 1, 1912 bl.r Int.rut It th. rlt. of .IM (6:() ptrolnt plr ~ ellcul.ttd at . dellY r.t. of .000164. AU talC.. which ble... dtllnquent on end .ft.r JtnUlry 1, l.a2 w'11 bI.r 'nt.r..t .t I r.t. which will very 'rOl clllndtr y..r to c.llndlr y..r wlth thlt r.t. ltlftOuoced by thl PA Dep.rt.."t 0' RIYInUI. ThI JPPllcabll Int,,"t retlt for 1"82 through 1996 I'll Vllr Intlrnt Rlt. nlBy Intlr..t Factor V.., Int.r..t R.t. DIlly Int~r..t FlOtar 1912 20X .000541 1917 n .000247 1915 16X .00043" 1911-1"1 m .000101 1914 IlX .000101 1"2 tX .000247 1911 ISX .000154 1'191'1994 n .000192 I'" lOX .000214 1"5-19" 'X .000247 "lnt"e.t I. cllcul.tld .. 'ol1o.ll1 IHTERElT . BALANCE OF TAX UNPAID K NUNBER OF DAYB DELIRqUEHT K DAILY INTERElT FACTOI uAnv Notlc. luutd .ft" the tlM blOOM. dtlln41Uent N111 r.fllct ." lntersllt ulcullUon to 'if teen ClI) d1,. beyond th. d.t, 0' thl ......lent. l' PI,tent I. IIde .,t.r the lnt.,..t o~tltlon d.tl .~ on thl HoUc., .dcUUon.l Int"ut lU.t be cIlcullted.