HomeMy WebLinkAbout94-00529
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CERTIPICATION OF NOTICE UNDEn RUL~ 5.S (~)
Nnme 'of Deoedent I Rober't p, liE! II
Dnte of DeElthr MBY 25, 19911
W II 1 No, .:.: I - cr ~ . c5 ~ cr
Admin. No',
To the Reglaterl
,I oartHy thet notice or bener 101",1 Interellt retlulrar.t by
Rule 5.8(e) of the OrphAns' Court: nulB~ w.a Berved on or maIled to
the following beneflo\arleB of. thEl above-captioned estate on
A~lguat 8 ,1994 I
t!~ Address
LeRoy Hell 833 Her'man AvenuEl, LElmoyne, PA 17043
Edwerd Hall 833 Hel'mAn Avenue, Lamoy!'''' , PA 17043
Kenneth D. Hall 273 Chergee Lane, Lea Vegaa, Neveda 89110
~allwell Hall 273 Charges Lane, Lae Vegas, Nevade 89110
I'
,Notice hes now been gIven to I'll' p~rAon~ entitled thereto under
Rule 5,6(e) elloept None
Detel~tt-I-!-N
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NAmn_-,LeRo~all____
Addre~A 833 Herman Avenue
Lemoyne, PA 17043
TAlnphona(717) 783-~223
C!lpl'lol tYI X Per!lonal Repreaentetlve
Counsel for perRone I
representetlve
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
1011 DAftl 0' DUnUmR 12'3'19' CHICKHIU
II A I'OUIAL _
POVIUT CUDfT 15 C\.AIMID L
mINUMI.. 21-g4-0529
:'.'.'o\Uf'jwf'tT~ IJ' ""H'lS'tlYANtA
: flAUMfNT 0' IlvlNUl
:!IT 11060 I
.....'Uu.a ), 17'7'-0001
.~..1;!~41 ~ 'jAMi It...~T.l'i'I1f""..r~O MtOOL( ~.III'll
:~UNTY ceo!
c.eC!OINn ::M,un "'u~lfU
'~AR
"UMI!~
HALL, ROBERT F.
. :'C:lq .!':..Alff "fUMIU
63~ Herman Avenue
LBmoyne, PA 17043
:"T( Of \I_IH
;,l,1I 01 oe.TH
5-25-94
5-21-35
171-30-6859
:~uIllY Cumbe,..l and
1(,
-),
R,malrlot, R,turn
I'or aalll or alarn Ollor.o 12.13.B21
Fldl,al EIlOII Tal
R'turn Reaulr.d
Toral Numo", 0/ Sof. 0100111 Bou.
JtlqlOOI Rttu,"
_ ~,SuDol.menlal Rllurn
- .
llmllfa Ella"
_ 5,
_ Ja. Furut. Inll'I" ComDfomu.
Ilor aarl' oi dlalh ai", /2.12,821
._ O. oIClO."' DI.d hila" = 7 O.Claln, Maintalnld a Living TrUll
IAllocn cooy of Willi .Allocn cooy 0; TrUll'
ALL COUISPOND.NCI AND CONPlDINTlAL TAX INPORMATlON SHOULD II DIRKTID TO,
-:'1A"M'r"" .COM'ltT! MAlllNO AOO"S~
_B,
--L"'~n.n:; ~'" I I
'ITfJliONN II
633 Herman Avenue
Lemoyns, PA 17043
717 I 763-4223
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1. 5'0'"' ano Bona. (SCnlaUII ill 21
), C'OIIlY Hlld Sloell/Pannlmlo Inllrl" ISCnlOUII CI I 31
4, Mongagll and No'", Rlcll.abll IScnldul1 01 ( 41 -
5, Cain, Bank Dlpallll & MI,,"lIon"oul rlllOnal ProPlny! 5) :on 1, 1cq 711
IScltldul1 EI
6, Joinlly Ownla Pro piny ISchldul1 F) ( 61
7, Trandlll ISchldul1 G) (Schldull LI I 7)
B, To.ol Grall A""II (Iolallinll 1.7)
o FunlroJ eloln.I.. Admin'"ra"," COlli, MI.elllanlOu.,( 0)
Elpln... (Smodull HI
10, Olbt., Mongagl Uobllltll', Uln. (SChldull II 110)
11. T o.pl OlduC1,on. I.orolllnl. 0 & 10)
12, Nit Valul ai Ellotl llinl 8 mlnu, "nl '11
13, ChOlllOb11 ana GO.I,nmlnlol Blaull1I ISch.du'" JI
14, Nit Valul SubllCl to Talllinl 12 minu.llnl 131
187,891.78
11.273.51
I BI
21:11,199.74
1",1A7.nn
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13,307.96
1A7,AQ1,71'
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15, Amoun. of IIn. 14 talabll or 6% raIl il51 187,891.78 x ,06.
(Indud. .aluOl f,om 5chodull K a' Sehldull M,I
16, Amounl of IIn. 14lalabl. 0115% 'atl 1161 X ,15 .
Ilncludl .alul' from Sch.dull K or Schldull M,I
17. PrinClpa'rol dUIIAdd lal from linl IS and from linl 16,1 117)
18, Crt.ill Spoulal PO'"ny Crldir Prlo, Ppymlnll Ol"ounl Inllrl"
+ B r son. no + il B)
10, If linl 18 ,. g"C11I' than linl 17, "n'"' ,hi dlHI,lnn on linl 19, Thl. i.lhl OVU'AVM.NT, 110)
riD
20, IllInl 17 ,. grlall' Inan IInl 18. Inll' Ihl d,H.,lncI on Iinl 20, Th'," rnl TAX DUE,
A. Entlr lhl in",." on ,hi balanl:1 due on jin. 20A.
11.27~,51
CIIl:fk 1ll'1I' II you 11I1' ll'fltll'\lInrl II ".I"ftcl of VClur C1Vt'fJluYJIll'nt
,20)
120AI
(2081
B, Enll' Inlrolo1 of linl 20 and 20A on IInl 208, Th', i. ,hi BALANCE DUE,
Mak. ChHk 'ayabll 101 RI,"tl' of Willi, A,"nl
.. .... IUU TO ANEW.t AU QUIST10N. ON IIVIRII SlOt AND TO RECHICK MATH....
'JnrJ.r a.nom.. 01 OIr,urV, I d.clar.lna, I ha'" I.amln.a 11'111 rllurn. 1"l:lUalng ac:comDanv1"9 "nlaul.. ano lIallmenll. ana 10 lh. bill 01 mv Ilnowl.aql ona Ollllt,
I II IrUI. COH.n ana comar.... I dKlar. fha, aU rial '11011 nal bltn ftDoMla allrul mark.. ~alul. Olclarallon of pr.par,r oll'llr ,nnn Inl Dlnanal r'arllln'all~1 II
~Ol'a 0" au InlormOllon or which elt'Darer nOI onv IlnOWIIClql,
NA N N , ~ U N ~o ;A1I
6:~
PA 1704",-
Dec.
.:oAf(
199'1
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COMMONWIAUH 0' PINNSYlVANIA
INHIRIIANCllAK RIlURN
RISIDINT DICIDINI
ESTATI Of -
ROSF::RT F. HALL
ITEM
NUMBER
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRA'rIVE COSTS AND
MISCELLANEOUS EXPENSES
PI.al. Prlnl or Typ.
liLt NUMBER
21-94-0529
DESCRIPTION
AMOUNT
A. Funllal bp.nl'"
I.
$ 5,141.00
290.00
Musselman Funerel Homa
Opening of greve
2.
3.
Gingerich M~morlal- engraving merker
125.00
8, Admlnlllrallv. COlli'
4,
C,
1.
2,
3,
4,
5.
6.
7,
8,
1.
P.rlonol Reprelenlallve Commllllonl- LeRcy Hell, Ad"lJ.n,
Sotlol Securlly Number of Perlonal Reprelenlallvel 408-14-4554
Yenr Commllllonl paid 1995
4,000.00
2, Allorney Feel
3,
Family Exempllon
Clalmanl LeRoy Ha 11
Addrell of Claim anI al decedenl'l death
Father
2,000.00
Relallonlhlp
Slreel Addreu
633 Herman Avenue
City J,.emcyne
Slole PA Zip Code 17043
Probale F.ol
Register of Wills, Ltrs of Adm., Short Certs
Mllcellan,oul Ixp.nl.l.
Legel AdvertiElng-Cumberland Co, Law Journal
255.00
40.00
Legel Advertising-The Patriot News
84.00
Notary Fee-Power of Attcrney
2.00
Frank E. Sips-Fee for Estate work(tal< returns,
inventory, aocountlng, etc,)
Closing oosts
1,000, 00
250.00
TOTAL IAho enfer on line 9. RlCapltulallon)
(If mOil Ipac. II n"d.d, Inllll additional Ih"'1 of IGm. III', I
S 13,187.00
COMMONWIALTH 011 PINNSYLVANIA
COUNTY OF CUMIIRLAND
}
Ul
LeB.2LJiliL__,___
b.l~lI duly sworn ___ .cccrdlnll to I.w, depolel .nd I'YI th.t he, Is
Admlnl..trucr___ of the Elt.te of Rnh..rt. F, Hell
lete of _.e~:;!""H."rlT1l!ll1"AY-':ml,JI!II__~Il,lllqy.n~___ , Cumberlend County, P... dec....d .nd th.t the
within II .n Inventory m.de by ____ LeRoy Hell ,_ _ " the Slid Adm I n I atrl!ltor
of the entire est.te of Slid decedent, conllltlng of .11 the porlon.1 propdrty end r..1 elhte, except real elf.te ouhlde
th. Commonwealth of Pennlylv.nl., end that the flgurel oppollt. each It.m of the Inventory reprelent 11'1 felr v.lue
II of the d,te of decedont', deeth,
Rwn... n and lublcrlbed before me,
Deoember 1994
633 Hermen Avenue
Lemoyne, PA 17043
Add"..
Oete of O..th
25
DIY
M~
Month
1994
Vu,
INSTRUCTIONS
I. An Inventory mUlt be flied wIthin three month, after appoIntment of personal rep,...nhtlve.
2. A lupplement Inventory mUlt be flied within thIrty daYI of discovery of addltlon.I'II,h,
3. Addltlonel ,heeh may b, attached II to perlonalty or realty
.. S.. Article IV, Flduclerlll Act of 19.9,
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PAyltfNT,
D.tach t~ tOP portion of thh NoUal end lubIlU with vour Ply..nt "Id, PIY'blt to the n... and wddr...
printed on thl raVlr.. aide.
If REllllfNT DECEDENT .11<. chock or .on" ordor ..,,01. 10' REQISTER OF WILLS, AQENT,
If NON-RESIDENT DECEDENT Ilk. ohock or .on.y ordor ..y.bl. to' COHHONWEALTH OF PENNSVLVANIA,
All PI...ltn'h rac.IVld ,hall b, IPplhd Hr.' to eny Jnt.rut which IllY b. dUI with Bn'" r...lnd.r IppU,d to the tiM,
REFUND eCR)l A r.fund of . taM crldlt, which wa. not r.quI.tld on the TaM Rlturn, "v h, r'qulltld by coepl,tlng In
"Appllcltlon 'or Refund of Plnn,vlvlnla Inh,rltenel and E.t,t, rlx" (REY-I]l]), APPllcltJonl ar. IVIII,blt _t
the Offllll of the R.ght.r of N11l1, .ny of the 21 R,vlnul Dhtrtct Offlc,. or frol the DIPart.,ntl, 24-hour
enlwlrlng '.rylel nueb.r. for for.. ord.rlngl In PlnnlYlvlnl, 1-800-362-2050, out,ld, Plnnlvlvant,
.nd within locll Hllrrhburg IIrn (111) 141-8094, TDn. (117) 71Z"Z2SZ CHurl", IlIplllrtd onh),
REPlV Tal OuIttlon. rlg_rdlng Irrorl cont.ln.d on thift not Ie. .hould b. IIddr....d tOl PA Dlplrt.,nt of RIVenut, lur.lu
of Indlvldull TIXII, ATTNI Po.t ........nt Rlvl.w Unit, DIPt. 280601, Harrisburg, PA 11121-01\01, p~onl
1717) 787-6505,
DISCOUNT I If .ny tlX dUI I, plld wlthJn thr.. (5) elllnd.r .onth. .ft,r the ~'e.d.ntl. dlath, I flvl plro.nt (S~) dl.eount
of the tlX Plld I. 1110Wld.
INTEREST I Intereu II ch.rg.d b.glnnlng with flr.t dlY of li,Unqutncy, or nln. (9) .onth. Ind one (1) lIay frol the dlte of
d'lth, to the dlt, of pav..nt. TexI' which bte... d.llnquent b.far. Jlnu.~v I, 1982 bltr Int.rl.t at tht r.t. of
.Ix (6X) Plrctnt p_r Innua oalculattd It . dilly rat. of .000144. All tIlX" which ble... d.linqu.nt on and .ft,r
Jlnuary 1, 198Z will b.ar Int.re.t It I rat. ~hlch will vary fro. cal.ndlr VI.r to ollendar VI.r with th.t r.tl
Innouno.d by the flA D.plrt..nt of RIVlnUI. Thl .ppllotbll Interllt rat.. for 198Z through 1995 IIrll
Vlllr Int'rllt Rite Dally Int.rl.t F.~tor V.lr lnt.rllt Ratl D.lly Int,r..t F.eter
1912 20X ,OODS41 1987 9X ,000247
1915 16X ,000451 198H991 m ,000501
1914 llX ,000501 1992 9X ,000247
1915 ISX ,000556 1991-1994 7X ,000192
1916 lOX ,000274 1995 9X ,000247
--Int,rllt I. etloulat.d a. followlI
INTEREST . BALANCE OF TAX UNPAIO X NU"BER OF DA VB DELINQUENT X DAILV INTEREST FACTOR
.-Any Notlo. l'.u.d Ift.r the tllX beeo.e. dellnqutnt will refllet an Int.r..t alloul.tlon to flftlln (15) dlY'
b.yond the dltt of the ........nt. If ply..nt I. ,Id. .ft~r thl Jnt.r..t aalPutatJon dlt. .hown on thl
Notlcl, .ddltlontl Int.r..t IU.t b, oalcul.t,d.
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REV01547 EX AFP (12094*
COHMONWEAL HI OF PEHHSYlVANIA
OEPARTHEHT OF REVENUE
8URF,AU OF INDIYIDUAl lAKES
DEPT. 28060\
tlARHISBURO, PA 11128-0601
UTAl! OF' HALL ROB FILE NO.
DAT! OF DEATH 05-25-94 COUNTY
NOTE. TO INSURE PROPER CREOI! TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX
PAYHENT TO THE REGISTER OF WILLS, HAXE CHECK PAYAB~E TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TOI
P, If S {l,'({9'I P <.:J. V
J 1/ 1)/'1.1-1
~
ACN
101
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR OISA~LOWANCE
OF OEOUCTIONS AHO ASSEUHENT OF TAX
LEROV HALL
633 HERMAN AVE
LF.MOVNE
PA 17043
DATE 02-21-95
CUMBERLAND
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
L
Amount Rlmlttld
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR VOUR RECORDS ..
REV: mot-Ex - AFP"C Iii: m- -NOT ic r -OF - "iNHEifi TAifcE - TAX -'A-p PR'A-xsEiiiilr; -A i. l"oWANc E -oR' - -- -- ---.. - - - - -..
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HALL ROBERT F FILE NO. 21 94-0529 ACN 101 DATE 02-21-95
TAX RETURN WAS I (X I ACCEPTED AS FILED I I CIlANGED
RESERVATION CONCERNING FUTURE INTERE$T . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL
1. Rill F.ltlt. ISohldul1 A)
2, stookl Ind Bondi (Sohldull B)
5, Clollly HIld Stook/Plrtnorlhlp Intlrut ISohldulo CJ
4, Hortglgol/Notol Rlollvlblo ISohodulo D)
8, Cllh/Bonk Olpolltl/Hllo. Plrlonll Proplrty ISchldull EI
6, JointlY Ownld Proplrty (Sohldull F)
7, Trlnlforl ISohodull GJ
8, Totol A..lto
III ,00
121_ ,00
(5J , 00
(41_ ,00
151 201.199,74
(61 .00_
(7) ,00
(81
201,199,74
APPROVED DEDUCTIONS AND EXEMPTIONS I
13,187,00
9, Funlrol Explnl../Adm, COlto/Hho, Explnlol (Sohldulo H) (9)
10. Olbh/Hortglgo LhblllUu/Lllnl ISohldull 1) UO) 120,96
11, Totol Dlduotlonl (U) _ 13 .307 96
12, Nit Volul of Tox Rlturn U21 187,891,78
IS, Chlrltlblo/Govlrnmlnhl Blquuto ISohldull J) US) _ ,00
14. Nit VIlul of Elhtl Subjlot to Tox U41 187,891.78
NOTEI If.n ......m.nt w.. 1..u.d pr.v1ou.ly, I1n.. 14/ 15 .nd/or 16, 17 .nd 18 will
r.fl.ct f1gur.. th.t 1nclud. th. tot.l of a1h r.turn. .......d to d.t..
ASSESSMENT OF TAXl
15, AMount of L1no 14 It SpoulIl rltl USl
16, Amount of Llno 14 tlxlblo It Llnlol/Clll1 A rlto 116)
17, Amount of L1nl 14 hXlblo It CoUllorol/CII.. B rotl U71,
18, PrlnolPll T.x DUI
TAX CREDITSl
PAYHENT
DATE
08-23-94
RECEIPT
NUHBER
MM912850
DISCOUNT (+)
INTEREST 1-)
447,37
INTEREST IS CHARGED FROM 02-26-95 TO 03-01-95
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE ~IDE OF THIS FORM
,00 X ,00,
187,891,78 X, 06.
,00 X ,15.
US)
,00
1\,273,51
,00
11,273,51
AHOUNT PAID
8,500,00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
8,947.37
2,326,14
2.30
2,328,44
. IF PAID hFTER DATE INDICATED, SEE REYERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
IF TOTAL DUE IS LESS THAN n, NO PAYHENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRl, YOU HAY BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,)
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Res~RYAnOth E,t.t.. of dlGldlnt. d~lnl on or blfarl Dlcl.blr lZ, 1912 -- if en~ futurl Intlr..t 'n thl e.tate II tren.flrred
In paueulon or InJa~..nt to ClIu . (colletlra1) b.neflol.rlll of the dlced.nt aftlr thl 'leplr.tlon of tny ..t.te for
I1fl or for yeer., thl COM.onw.llth h,r.bY 'lepr...I~ r...rve. the right to appral.e end ...... tran.f.r Inherltlnal T.le..
It thl IIwfu1 ell.. I (collatornl) rlt. on an~ .uoh future Int.rl.t.
PUlIPOSE OF
HOnCEI To fulfill the rtqui"untl of S.otlon 2140 of the Inh.rl1lnol and Eltete Tile Act, Act 22 of 1991, 12 P.S,
sootlon 21~0.
PAY"ENT, Det.oh thl top portion of thlt Hot1cl' and tub.1t with your pay..nt to th. R.gltter of W1111 prlnt.d on the rtver.. .Id..
--"01<0 ohock or Ion.. ordor PI..bl. \01 REDISTER OF HILLS {' ADENT
All ply..nt. r.c.lv.d Ihel1 flr.t ~. appli,d to any lnt.rett which 'a~ b. due with any r..,lnd.r appllld to the tele,
REFUND (eR), A refund of " tele or.dlt, which WI' nt't "quilted on thl Tal( Rlturn, .a~ b. rlqu..ted by co.phtlng tin 'IApp11catlon
for R,fund of PlnntYlve"la Inh.ritance .nd E.tltl TalC" (RF.Y-UUl. "pp!icaUon. ar. IVlllabl1 It the Offlc.
of the R.gl.t.r of Will., any of the 25 R'vlnul DI.trlct OffiCI., or by ceiling the 'Plolal 24-hour
tn.w.rlng ..rvlc. nuab.r. for for.. ord.rlngl In Plnn.Ylvanla 1-800-162-2050, out.ld. P.nnlylv.nll and
within 10cII H.rri.burg "r.. (111) 181-8094, TDD' (111) 112-2252 (H.arlng IIPllr.d Only),
OBJECTIONS I Any p.rty In Int.r'lt not ..tl.flld with the .Ppral....nt, allow.n~. or dl.lllowlnc, of d.du~tJonl, or ........nt
of t'le (Including dhcount or Intertltl II .hown on thlt Notlc. IU.t obj.ct within .Ilety (60) dlY. of rt~.lpt of
thl. Notlc. bYI '
--wrlthn prot..t to the PA D'Plrtlllnt of N.v.nu., Icard of ApPtlllt. D.pt. 28102:1, Hlrd.burg, PA 11128-1021, OR
--.llotlon to hlVI the ..tt.r d.t.r,lntd .t audit of the ~coount of the Plr.onl! r.prl.lntatJv., OR
...pp..l to the Orphan.t Court.
RaHl"
II1RATlVE
CIIIl1lECTlONS.
F.otu.. "rorl dltco\llr.d on thlt '''III..nt Ihould b, .ddr....d In writing tal PA Olpert"nt of R.v.nue,
'urttU of Indtvldull TI)(II, ATTNl po.t A.......nt Rlvl.w Unit, O.pt, 280601, ttarrltburg, PA 17128"0601
Phonl (111) 781-nOS, S.. page S of th. bookl.t "Inltruotlon. for Inherltlno. TaK R.turn for" Rllld.nt
Dlc.d.nt" (~EY-1501) for In IMpl.natlon of ftd.lnl,tratlv.ly oorr.ct.bl. .rrcrl,
If Iny tele du. It puld within thr.. (l) all'nd~r .on'hl .fter thl dl~.d.nttl dllth, I fly. pera.nt (U) dhcount of
th. t'M p.ld II alloH.d,
. 'OISCOU"T.
INTEREST.
Int.r..t It chergtd blglnnlng wl1h flrlt day of d.llnqulncy, or nJn. (9) .onthll Ind on. (1) da" fro. thl d.t, of
d..th, to the dltl of pIYllnt. T.le.. which b.o.'. d.llnqu.nt b.for. Jlnulry 1, 1982 b..r lnt.r..t at thl r.t. of
.1. (6~) p.rc.nt plr Innu. calculat.d at a dilly rat. of ,0001'4. All talCI. which blca" d'llnqu.nt on and .ft.,
,I.nulrY 1, 1982 will b..r Intertlt at e retl which will VlrY frol cal.ndar Yllr to callndar Yllr with thlt rat,
.nnoun~.d by the PA D.p,rt,.nt of R.v.nuI. Th. IPpllclbl. Int.r..t rate. for 1'82 through 1995 ar.,
~ Interllt Rite Dilly Interest F.~tor !!!! Intertlt Rlt. DailY Intl"lt Flctor
1982 20X ,OO05~1 1911 9X ,OO02~1
1911 16X ,OOO~lft 1988-1991 1IX ,000501
198~ I1X ,OOOSOI 1992 9X .000241
1985 ISX .00OS56 1995'I99~ IX ,000192
1986 lOX .00021~ 1995 9X ,OO02~1
--Inter..t J. c.loulat.d a. followlI
INTEREST a BALANCE OF TAX UNPAID X NU"BER OF UAYS DELINQUENT X OAILY INTEREST FACTOR
--Any Notlcl I..uld aft.r the tale bICC.I. d.llnqu.nt will r.fl.ot In Inter'lt c.lcul.tlon to flft..n (IS) d.Y.
blyond thl d.t, uf the I.......nt. If paY'.nt I. 'Id, aft,r the Int.rl.t ~o.putltlon det. Ihown on the
Notlc., .ddltlon.1 Int.rl.tlutt b. ollcullt.d,
1:'- tP !5'-J.-
/1,,;)./7 - ~
Iv.i607 IX AFP (12.94*
~=~\T::'DfRt!:::VLYAHU INHERITANCE TAX
~~~U2~.:~DIYlDUAL TAXEI STATEMENT OF ACCOUNT
IWllllllUAG. PA 17121-0601
ACN 101
OAT! 04-24-95
HALL ROBERT F FILl NO. 21 94-0529
DATI OF DlATH 05-25-94 COUNTY CUMBERLAND
NOTE I TO IN'U~E ~~O~E~ C~EOIT TO YOUR ACCOUNT, SUBNIT THE U~~ER PORTION OF THIS FO~N WITH YOUR TAM
~AYNENT TO THE ADD~ESS SHOWN, NAKE CHECK PAYABLE AND RENIT PAYHEHT TOI ,
LEROY HALL
633 HERMAN AVE
LEMOYNE PA 17043
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
L
Aoaunt R.oUt.d
CUT ALONG THI8 LINE .. RETAIN LOIIER PORTION FOR YOUR FILES ~
RiV:i61ii.iiC-AFP.i1z:ifiju"'.liiiii-ifliiiliii"A'ilci""TAiC8i'A.Tiiii'N'T-iili.ACCOUN'T..ii.Ii.............m"....
ISTATI OF HALL ROBERT F FILE NO.21 94-0529 ACN 101
THIS STATENENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NANED
ESTATE, SI~WN BELOW IS A SUHHARY OF THE PRINCIPA~ TAM DUE, APPLICATION OF AL~ PAYHENTS,
THE CUR~ENT BALANCE. AND. IF AP~LICABLE. A PROJECTED INTEREST FIOU~E,
OAT! 04-24-95
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 02-13-95
PRINCIPAL TAX DUE,
11.273.51
...__"......................_......__.,.....__._h__._......_..._, _............'.n.n..._....___.....__..._.__.._.
PAYMENTS (TAX CREDITS),
PAYMENT
DATE
08-23-94
02-27-95
03-25-95
RECEIPT
NUMBER
MM912850
AA022881
AA022990
DISCOUNT (t)
INTEREST (-)
447,37
1,15-
.00
:0
:rJ (I.
,Co:', 0
. (,
AMOUNT PAID
8,500,00
2,328,44
ci05
c --
.., CT:
-, .
n
"
~ Il
( ,
'.1
;!.:
. "',
,
-0 ~ .
;r.:,\
Wo
'r.
.
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTlRE8T
TOTAL DUE
11,275.81
2.30CR
,00
2,30CR
. IF ~AID AFTER THIS DATE. SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONA~ INTEREST,
( IF TOTAL DUE IS ~EIS THAN .1,
NO ~AYNEHT IS REQUI~ED,
IF TDTAL DUE IS ~EFLECTED AS A "C~EDIT" (CRI,
YOU "AY IE DUE A ~EFUHD. SEE ~EVERSE SIDE OF THII FOR" FOR INSTRUCTIONS, I
l'Joi :,C'
/
-j
..,." '-' .
PAV1t:NT,
Dlteoh U~ top portlDn of thit HoUet Ind .ubllt wUh your Ply""t HdI PI)l1011 to the ntH end IMIdr..,
prlntld on the rlVlr.. tide.
If RU1DENT DECEDENT ."". chock or IOn.. ordo,' ..,obl. tOI REGISTER OF WILLS, AGENT,
If HOfl.RU1DENT DECEDENT ."". oh.ck or .one. ord.r pI.llOh to, COIlltONNEAL TH OF pENlISYLVANIA.
All PIYlent. reo.lvld .hlll ~ applied flr.t to any Int.r..t which ..y bt due with any r...lndtr IPPlled to the tlK.
REFUND (C'1l1 A r.'lMMf of . ttlC credit, .mlo" Nil not requllttd on tM Tlx Return, g,y bt rlque.tld by co.I,Une an
"Application for R,fund of PtnnlYlvWll1 !MtrltlOel IOd Eltat, Tax" (REY-UU), Application. Ir. Iv,Ulbll at
the OffiCI of tM Rlgl,tlr 0' WUlI, ."y of the 2J R.y.~ Oiltrlet OffiCII or 'rOI the O.p.rt",,\', Z4-hcMJr
,",werlng ..rvlel ~.r' 'or for.. ord.rlnGl In Ptnn'Ylvlnla 1-800-562-2050, out,l6t Pennlylvant,
and wUhln 10011 HtrrllburQ .r,. (717) 7I"'-aOM, TOOl (1171 172-US! (H..rJnt I.,lrM only).
REPLV TOI QunUon. r"lrdlng errorl conhtn.d on thh noUn .hould be Iddr....d tOI PA o.p.rtHnt of R.vtrMJl, Bur.au
of Individual Tu.., ATTHI Po.t A..II.....t Revl... lk\it, Dept. 280601, H.rrhburg, PA 11121-0601, phona
(7111 111-6501.
DISCOUNT I If MV tlIC due II Plld within thr.. (]) cIlendar ~th. .ft.r the decedentl. dMth, I flv. Plrcent U:() dhcount
of the tlIC Plld I. .110N.d.
IHTERt!1T1 Internt 11 chtrlld betlMlnt with flr.t dav of deUnquency, or nine ('I) IIOOthl Ind OM (1) d.v frot thl ct.t. of
ct.eth, to the dlt. of pIYlent. T.x.. whloh bee... dtllnqulnt blfor. JInU.rv 1, 19.2 bier Int.r..t It the rite of
,he C6:() PIrOll1t per eN"IUI uleullttd .t I dliUv rttl of .000164. All taxII which Hcl... dtUnqJtnt on Ind Iftlr
Jenulry 1, 1912 Nlll bllr lnter..t It , rlt. which Nlll v.rv frol clltndlr y..r to c.llndlr y..r Nlth thlt 'It.
ennounc.d bv thl PA OePlrt-.nt of R.v.nut. T~ tppllolbl. Int.r..t r.tl' for 19.2 through 1995 .rll
Vllr Intlr..t Rltl Ooth Int.,lIt F.otor Vllr Int.,nt Ratl DIllY Int.r.,t FlOt~r
1911 lOX ,000141 1911 9X .000241
un 16X ,000651 19".1991 IlX ,000101
19&6 IlX ,000501 1991 9X ,000141
un m ,000156 1991-1~ 1X ,000192
19" lOX ,000216 1995 9X ,000161
"-Int.,lIt 11 ollcutltld .. fo11011ll1
INTERBlT . BALANCE OF TAX UNpAIO X NUKlER OF OAYS DELINQUENT X OAILY INTEREST FACTOR
--Anv MoUOI IIIVld .fter the ttx bteoHI dllInqutnt ..Ul refllOt 11I1 Int.,lIt Cllloul.tlon to flft"" (II) dlVI
bevond thl dlt, 0' th. ........nt. I' o.v-ent I. ,Ide ,'t.r the Int.r..t COtpUtltton dat. thown on thl
HotlcI, MenUon.l Int.rllt ",.t b. elleut.tH.
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Income Receipts
7/26/94 Intereet of PNC Ce~tifloete or Oeposit
3.55% due 12/28/94
7/26/94 Inte~e9t on GNA InvestorT~uat Gcve~nment
Fund @ 8.1% In 1994
8/28/94 Inte~eet cf PNC Ce~tlfloete of Depcslt
3.55% due 12/28/94
8/3D/94 Inte~eat on GN^ Investor Trust Gcva~nment
Fund @ 8.1% in 1994
9/28/94 Inte~eat on PNC Ce~tifloate of Depcsit
3.55% due 12/28/94
9/27/94 Intereat on GNA Investor Trust Government
Fund @ 8.1% in 1994
10/28/94 Inte~eat on PNC Ce~tlfloeta of Oepceit
3.55% due 12/28/94
10/27/94 Inte~eat on GNA Investor Trust Gcvernment
Fund @ 8.1% in 1994
11/28/94 Inte~eet on PNC Ca~tifloate of Depoait
3.55% due 12/28/94
11/28/94 Inte~eet on GNA Xnvestor Trust Gove~nment
Fund @ 8.1% in 1994
12/28/94 Inte~eat on PNC Ce~tifloate of Dapcsit
3.55% due 12/28/94
12/30/94 Inte~eat on GNA Investor T~ust Gove~nment
Fund @ 8.1% in 1994
1/26/95 Inte~est on GNA Investor T~ust Gcvernment
Fund @ 6.9% in 1995
2/08/95 Inte~eet on PNC Colonial St~ategic Income Fund
@ 8.42%
2/24/95 Inte~~et cn GNA Investor T~ust Gcve~nment
Fund @ 6.9% in 1995
3/09/95 Inte~eat cn PNC Ccloniel St~ategio Income Fund
@ 8.42%
Totel Income Receipts
5
, ,
$ 141:\.70
311.12
151.59
622.22
151 .59
622.22
146.70
622.24
151 . 59
622.22
141 .76
622.25
528.92
288.7s
528.91
344.33
$6,003.15
"
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"
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Income Oisbursements
7/aS(94 I.IIAoy Hell SeneFlclery
to 3/9!9Ei
'Tct.l Inocme Olebursemen,tEl'
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EXHIBIT A
. ,
Form ApplU1ld
O~I N. 1900.0IIJ
~ VntmllUS Adrl\imstr,ltlon . .
FEDERAL FIDUCIARY'S ACCOUNT
TO
NAI,4! AND ADORUS OF PAYEE
Frank Sips
4090 Megoulis Bl6:l.
tlarrisOOrg, Pac 17109
VII.,.n. "f~IClI 01'
NAI,4E OF VE TU~AN (Fr'lI. .II,JJlt. t..U!
vromc
P. O. Box 13:l99
Phl1...n..l Pac 19101
NAME OF D!NEFICIAAY Ilffwl ,fluc"1 VA PILE NUMBER
FRO'.1
Hl\LL, ~' F.
c- 19 087 950
STATEMENT OF ACCOUNT
INSTRUCTIONS: Ir,,~' It'"oush 7 JIO 10 be compleled by accoun13bJe official of 100111ullon or by I'~al CUllO'
dlan and returned 10 Vet",n. Servl", Officer, Show monthly amount wher, Indlcaled, In addition tn amount for
accounllng period. Ir monthly ratcs vary, enler cuneot rale in line space provided and lilt earlier rates In Ilem 4,
IIRemlllks", C~rtlncations on reverse must also be completed for accounU involving leaal ,,",stadla"s.
IMPORTANT - SEE PRIVACY ACT INFORMATION ON P,EVERSE,
ACCOUNTING PERIOD
PROM
1. MONEY RECEIVEO'
OESCRIPTION
TOTAL ESTATF. AT BEGINNING
A, OF PERIOO as of March 1994
Date a
AMOUNT RECEIVEO
B. FROM VA
AMOUNT RECEIVEO
C, FROM SOCIAL SECURITY'
lrnTHI.Y
, 1774 x 3
AMOUNT
llFillIn
~91,757.3
4, AnETS AT ENO 0' PER roo' (Com plot. R.w".)
OESCRIPTICJN AMOUNT
CASH ON HANO INO'( ON DEPOSIT
IN BANKI
.
- 0 -
5,322.0 R AMOI,lNT IN~IIECKINO ACeeMit'
MON HI-V
,
- 0 -
C, AMOUNT IN !lA VINGS ACCOUNT
38,148.0
52,566.8
0, INTEREST EARNED ON DEPOSITS
E, AMOUNT RECEIVED FROM OTHER SOURCES 1U1I1'
PURCHASE PRICE ON BAVINOS BONDS LISTED ON
REVERSE
- 0 -
F
G
H
t' IRtllr.",t;
0,
315.7
111 IF PURCHASE PRICE OF SAVINOS BONDS CHANOED FROM THE LAST
ACCOUNTING PERIOD, WERE ADDITIONAL BONDB PURCHASED?
NO __ N A
121 WERE SAVINOS DONDS CASHED DURINO THE ACCOUNTiNO PERIOD)
N A
o VES
o NO
K TOTAL IAOD LINES lA THRU IJ1
A, ROOM AND BOARD
2. MONEY SPENT'
l,lONTHL'1'
,
'198,059. 1 E,
IF
OTHER (Sp"I(y)
- 0 -
,\
TOTA~ ASSETS IMUST EOUAL
ITEM 31
1196,378.3
15. REMARKS (Am(1I .Jlillw"I,htll, If IlUflW'.IlJfld ity ''',~Ol1ltl to HIm llumbmJ
B. I CLOTHING
C, ENTERTAINMENT
0, PERSONAL USE
MONTHI. Y
rnu.a will be ycur tirat am last aoct:q. for
this caae. Pleue CD'1tl1ete this cS&:m,
after the estate ot the veteIIan has been
M1:t:led. 'Dlanka.
l,lONTHLY
E'I DEPENOENTIS) SUPPORT
F. VA APPROVED FEE, IF APPLICABLE
Q : OTl-iEA/SrrcifYJ
H Bond indemnity
I,' Bank Checks
liIDunt MDt to heirs? ($196,378.30 )
1,591.00
TOTAL SPENT IAOD LINES 2A THRU 2L)
, 1,680.88
J. TOTAL ESTATE AT END OF PERIOD
ISUBTRACT 2M FROM lKI
'196,378.3
tr
'SOl E: VA unly lequllel an JC':llunllng for VA monks. We ask thai )'(lU volunullly gtve Information of olher loure.. of Incom. and Ihe lpendlnl of olhl, thin VA monk..
TIll' Informllion ....111 be helpful In ulln puiormlnM OUI urvlCCI fur the benellclary,
I CUtIlfY TIIAT lhu II atOll! accounl of m~ \II'ud', tUlle {Ollhe period IUled. 10 lilt be" of my knowledle Ind belld.
e, CATE J, SU8"1I"EO BY {.\'Il1lQ/u1t "Hi /tilt llfrlllOfl ruhmll/"".aourIlJ
July 15, 1994 \/&".{c{rJ,/-',---- Legal Cuatodien
.
a o"n APPROVED 8. QNAT~RE 0,. VAUTATI! ANALYST
.-
,
PRIVACY ACT INFORMATION
Th, Inlomlltion ,,'alln,lo VOI",n. Admlnl.lnllon mor,lClIl "quelled und" th, aUlhority 01 Till, 38, U,S,C.. Chapt" 55, Th, inlormatlon request,d
will b, ul<d 10 ...u" Ih, proprr .dmlnlllrallon 01 th, b.n.nei.ry'. 'II&t., R"ponsCl may b, dllClosed oul.,de Ih. V A only II Ihe dlsclosu" I.aulhorized
under Ih, Privacy ACI, loeludln, the roulln. use. id.nllfl.d In VA .yU.m 01 "cord., 37VA~7, VA Sup.rvlsed Fiduciary and Benen,laries Record., VA
publilh,d In th, Federal Ro,llt", F.llure 10 luml.h Ih. "quOlt.d Inlormallon ,,'lIlnglo VA monies may r"ullln th, su'p,nllon 01 paym'nls .nd/or
the appointment or a 'Uc~cuor fiducIary.
I, CERTIFICATION OF V,S, SAVINGS BONDS
LINE SERIAL NUMSER DATE OF COST INE SERIAL NUMB En OATE OF COST
NO, PURCHASE NO, PURCHASE
1. 11,
-
2, 12,
3, 13,
4, 14,
- -.. -- -.,---
6, 11,
S, IS,
7, 17,
- --
S, IS,
9, 19,
10, lO,
1 CCRTlFY THAT the uvlnp' bondllhud above Ir' the property of the lUaU of 'he wud and lit In my cUlledy and conllol.
SIO~ATURE OF FIDUCIARY DATe
II, CERTIFICATION OF BALANCe ON DEPOSIT
-
1 CERTIFY THAT on th, 20 day 01 June , 19~, Iher. was on d'posllln thl. Instllullon an Inlerell or dividend-paying
.ceonnl "llstored as: Robert F. Hall by Frank E. Sipa, Legal Cuatodien .nd
Frank E. Sipa Custodien for Robart F, Hall
Ihu.ueh ""aunt had, balance 01 sS ee be I ow Ineludlnglnleresl 01 S 1- 190. 12 p.,d during Ih, ",ounllng prrlod, 'IVar i ou~,
2-315.75
Aceouol Number ;illll b.1Q\,1 3-463.74
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION SEAL OR STAMP OF
1-PNC-Camp Hill 5080065893 $ 38,148.03 FINANCIAL INSTITUTION
2-PNC-Cemp Hill 5080067215 52,566.89
3-Meridian Sank, Lemoyne, PA 3231-2772 105,663.38
SIGNATURE AND TITLE Of BANK C.SAlIFYINQ OFFICIAL
DAll STAMPED
NOTE: Thll COIun"Uon nlUll be ulJ10d by an appropnllO omeW 01 Ih. nnanel.llnllllullon,
tu.... c"tlnm.,u "Inll;'" 0111111 "1I-1I1.,II11UII
.
Under luthorlty liven by COllare.., VA recoall1zee you u Leaal CIIIIoIlI.. 10...... aDd .......I.IO\er V It. fUDdl for the
exclutlve bene lit or ' bellen...". the beDeOclary'. dependentl, 11 any.
Th. mOlletary bellentl you receive are 1I0t ror your perlOnallllCt. You are receMaI tbeIe fUDdl u I nduc:lary, that 1I,In
\nil\, ror the bellellt or IIICt or the bellellclary. V A reeerve. the rltbt to"" III IlCCO\IlItlq of all fund UPle, and 10,
accurl" recorcb or all expenditure. .hould be malntllned.
All mollle. not lleeded for the maintenance and upkeep of the benefidIrJ are to be placed ID an IDterett bearlllllccount It
I Stlte or Federally lneured flnanclalln.UtuUon, A eejlUlte Iccount 11 reqa1red for _h beDeflclary under your authority
u !.qal Custodian. The ICcountl.hould be eet up to .how proper OWJICUhIp of the fUDdl, .. follow.:
"(Beneficiary'. Name), (by) (Your Name), Leaal Custodian."
The ollly other Inveltlllent you may make with 'VA benelltl paid to you OIl bebaU of I beDefic1ary I. In U. S. Savini' Bonde,
Bonde may be cuhed ollly with prior approval or V It.. The bolUlllhoulcl nJlect proper OWDeflhlp IDd tbe exlltence of the
fiduciary relaUolllhlp, u rollow.:
"(Belleflclary'. Name), (Social Security Number) under custodlllllhlp '" deooIr.\1oa of VA."
You are a110 re.pol\.l1ble ror lJIurlnl that the mollle. are protected from the clalma of cndlton. Federal Ilw provldoe that
payment made to or for a beneficiary cannot be tlxed 1I0r CIIl they be....1ep11y from you by I creditor. Tb1Il.
lmportll1t to remember In the event you Incur nnanclal problelDJ of your on.
We will advlee you U It I.necelllry to obtain I corporate llUety boad.
Benetlclarlu who hive not Ittalned the ale or majority require the eenIcea of a n4ucWy. lU1y VA funde remalnlnl under
your control when tbe beneficiary reachu ale or majority mlllt be turued ttrflllO the beDefic1ary It thet time. However, 11
he or Ihe 11 round by VA to be Incompetent or under a leaal d1sabWty "'..... 01 court 1Ct10ll, V It. IJICItllDlY remain
under your control It the dlecreUon or VA.
Sbould the beneficiary lelve your custody, die or have I chlnae of IItatuI wlllch arfect. OllllllemOllt to benoflte, you mUll
immediately noUfy thI. orrlee. U you move, pleue noUfy us.., the beaeDt dIecU will be properly addreIIecL
VA will take any action deemec1l1eceuary to protect the IDtereet of the beMIIdu1lDdud.laa. but not UmJted to, the
nmoval or a !.qal ClIIIOd1an from oUlce and leaallcUone to recover f_ dial II". beeD IDlIuted or abwecl.
U you have any quelllolll reaardlnl your relpOn.lblllllu or dullu.. Lepl Cwto4I.", pleue do not healtlte to contlct thI.
ornce. We .hall be happy to provide any ...lltInce poulble. Our te1cpboae aaaIMlr .
'"
.
Nllme, eddreBs end telephone number of ell! counsel
,',
Neme
AcfdreBS
hI ef:lhons'
None
AddltlcnsllnFormstlon may be
Dete &~~i ~ lIlt!
obtained From the 'under~lgned.
"""'." ~1C'~;>hd
Neme LeR~BII ~
AddreBe 633 Hermen Avenue
Lemcy~ PA 17043
Telephone
763-4223
OepeoltYI X
PerBonal Representetlve
Counsel Fo~ personel
representatIve
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