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'/ .' . ,'i, ,il " " .' ~ , Ii ,,' ,.' , )1" " " " , , /' ..i',I,", ,I ,. w.. o ,; .' " " 'I: . , ,. " 'i " ,:,' ,,' I'; I, ':lr " " ....f .... .tn ..... " " " "'\'1' " , , ,,' "', " 'fl, 'I,' " , ... ,,' " ." " ': ,', " " " " " ,', ". ',I '.,;', ,I., ,'1-. , I'" ,,' ',:f':' ,\1'1 , ,") ,I', " ,~ ,I t-P ~ 1::1'11111' of. ,Paulino II. 'J'rIY\Jf: III,w km;lI'I/II,\'. PETITION FOJ( PIWUATE IInd (;J(ANT OF I,KrnmS No.,.')/' 'll/.,~ "':;!i".~:~.."" To: Ih'glslel of \\'111, for Ihe {'Ollllly of CUIIU)0r.J.illl~l. ,,111 Ihc ('OIlIlIlOIlI\'eallh o[ PellllsylvlIllill I /J('('ll(/,Wr/. SO('/1I1 SI'(,II/'/IY No. . . .l 30,,52,-,1597 . The pelllloll of Ihe 1Ill1lelSlglIL'd le'peelflllly lellleSl'III' Ihlll: YOIII pelllloIlN(s), wlrllls/lIle IN Yl'lHS olllgl' III olrkr IIl1lhe l'xeellL, or.."""".u,,_u.._,..__, IIl1med IlIlhe IlIslwilll'l' Ihc IIhlll'C dCCl'dl'lIl, dlltcd" J:tll:c1l2Q,. .....''.''..'''.,..,_..'''''..___, 19_89..._ IIml codicll(s) dlllcd " _, u". . .. ,.......-.u"_u,..,,,..,..__o_, (\tilll' 1{~ll'\llnll'lIl'III11\tlll'l'~''', l',~, Il'uuudulltlll, tll'lIlh (If l',<;n'lIttll, l'le,1 IJccclldelllwll' dOlllklkd III dl'lIlh 111 .. C\Ulu:(J):land.. .. ,..,,, COllllly, PellllsylvlIlIllI, with h.QL,._.III'1 fllmlly 01 prllldplllll'sllkllce 111 ..~i~/~~~~~I~~g\f~,,:EnQla,_.l'lL.17.025:--, "-'.'-"".".".".'.. .., ,.. ",_,.Jl,..",.._,,,..__,.o._~...._ (Ihl \lIn'l, 1II11l1hCI Ulld 11l11l1dpaliln lJecclldelll, Ihell, 114 yellls ofllge, died. AprIl .5 "'''.,..._."..., 19.9A__, 1I1...""J~.(\c1e.l.'.Nlllosillqlloll1e .. .". n..'.......",,_,u. lixccptlls [ollows, deeeiklll did 11011111111 1', was 1101 dlvllIl'cd IIl1d did 1I011r1ll'e 11 child horll or IIdllplcd lifter l'xecIIIllIIIlI[ thc willlllfcll'd 1'01 plllhale; WIlS 1I01lhc vklllllof II klllillg IIl1d WIlS IIcver IIdJlldlelltcd IlIeOlllpl'!CIII: . ."""".'_ "__",, IJceelldellllll dl'lIlh 1l\\'IIl'd \lIl1pl'IIY willr 1',llilllllll'd VII!lIes liS lollo\\s: (If domiciled 1111'11,) ;\11 persolla! plopl'IIY (I[ 1101 domldled 111 I'll,) 1'1'11011111 plOpl'lly IlIl'ellllsylvlIlIllI (I[ 1101 domiciled 111 I'll.) I'l'rsolla! plopellY 111 ('ollllly VlIllle of lelll cslall' ill PClllllyll'lIl1ill sltllllled liS [ollow,: $ JCi'",?H.,j.:hmLll,lillQ,. 00 $ ,"""...,-"-,,,_._,--- $" -""'_'_0'.___- $---..,---- WHEREFORE, pl'llllollel(s) lespe('lfllily leqlle,\t(s) Ihe plohllte o[ Ihe lust will IIl1d codlcll(s) presclllcd hcrl'wilh IIl1d lire grulll (If il'IICIS....'1'Q5.\:i1!ronl.:m:y,__..",__,,,_______.__ (ll'~lllllll'lIll1l Y;lIdllllul,1 Inlltll1 c,1 ,/l.; ncll11lnhlrllllllll d,h.n,c.I./l, 1 Ihcron. ~ j E ,W-t1~~lt~~{;J~t*: 'tlg ,,_..,_J\plL)Q'L,. ..., ;~ _____Enalu'H,pIL,,17025 1hi __pb.n.W71.TJ2::0577m i __,_,11,8.,.11 15"/-2<1-9'131 Iii -_______._..____ _..__.... ... ....+ _... .0..0..._.....,___._______...____. --~._+_..._-_..,'+._._._.__._.__ ._.__._..___. ,.... ..,. .._...... ___ .......h.... OATil (W PlmSONAL ItEPltESI';NTATIVE COMMONWI';ALTII OF I'ENNS\'LV ANIA 1. Hi! COlJN'I'\' OF ,CUMBERLAt'lD. J The I'elltlollel(s) IIh(lVl"lIlIlIled Sll'eill(s) (II alfillll(s) 111111 IlIe sllIleI111'1I1.I ill 1 lie [ol,'golng pellllonllre Irne IInd eorlC~1 10 the he\1 (Illhe kll(lll'ledge IIlld helll'l oll'ellli(lllel(s) IInd IlInlns 1'1'ISOllnl rcprcscn- Inllvc(s) 1I1111e nhOI'I' dcn'd~lIll'l'IIIi(lllel(s) will 1I'l'lInl~d IJllly ndllllnlSlel: eslnte n~cordlng lolu\\', SI\'~lIn 10 or .1I1111111,I'd 1"lId \1I11\('lIhed I itfIlLt./t!)) ',"[4#L ,-" ~ ~,clole n~c Iris ]1 I L \ ~Ir!y (II 43 H:SIS~<y CUUI:L /17", ~ ~'~Y;'H"~'(!I"';'/ t~I/'I(,~ ^pL 30'1 ..... ..,_._" i:1 1/ <1...'1. . . ,_'tc.I".' f'" ',. , . I); ,1,,' EllUl,l, ol'{lP~)25 . ~ MAR, C. LEWIS JlI'!!ilfl',l/ it..{ Pit, /I (Ill) 731.-0571 '" III. ,,}/,\! , ,.', . 0 ,/ S,~;, II ISl-/.4-9t\lJ ~ Thi.', i.. \(Ict'I'lily lh.ll tIll' ini"i'JiJ,Ili'IIlIIIII l'I\(lil, (,'II"fl, '1'\'1' Iii 'III "I '1111'ill') "illlH,ill ,t! ,11,1/11 did) lilc,l \',HIt JI\(' ,I" I,(j(',lf Itl'I'I"ll,11 TII(' (llil'.IILd1llldh,lIl \',1111" t"".' II,!( I, ,II, ,! t' \ il ,'II, ,II lIlli" I;'i), till jlllllllilllll' WARNING: It III III "SI 11 1 10 dllplll:l1l,' 111110 cnpy lIy plH.lnlll1.11 '" I'lwlnO'I1I'Il, FIT 1'111" rh", l'I'lllli\,I!I', \.J_{l() No, "J,;(,I. _, .","'\"~\1I1 (JII'/~; . ',' \' "1 . ~t'~~,:r.,~. . ',~~.,i.' '} ~;\\ \"~'p ,\~ .,~'" 1'1.'1/ '<~'.~IrNII\\ )'~~~;;> '1'. ""f.,,'f /) ,.' 1 I, ,',"" 4,' . , ...-' "'1 ,'.: t'/ .;. " - /'\ ,1 I".' " ,1'('" 'I.. I. 1",,d''1l\t'l'I',lllil 1'1 ~ ';"l'.(~'" "':"""'j'~"" ,(} 2260888 (..I'll Ii : \!i'J4 I)"", '\uJJ" COMMONWEALTIi O~ PHNNSYLVANIA 'lJHI'AflfMCNT Of f1UAI,!II. VIl^" f1UCOflflS CERTIFICATE OF DEATli !U.MI!OflO(UOCNlt'ul "illfT'1I1 Pauline ,tMlhlltll"'llfll H. T rigg~____ _. , . , ;i~UIfJ~11 fl..I:i.~.~~t::i~,~t.,~"..=' 4 5~7 J~"A~~j"t'5.:., ~994 O.l.llOf/l1H11I I IllfllW'IACI,' ',~.. "1.1.1' '.,"f'f~III~I".';""'" "'."~""'''I""ll'''''~1 ,~~,'I,(",'l"1 l'dttth"'JA'trllir,y 1111....1',1,. '. jUfitEA-'" .__ _u_ .___________ 5/30/09 N J t 1"1"'."11 "~\^~j"!"'~ I llClI>ll ::;,~'Jpc', 111...."..11 ~~/:r"'II"1 CITY BOlIO Tw~ofiiiAfii-- -.liAT'II/;jIAl,lll!'~.~":. ',. ",""..1 j,},',,, I;.j . rA,oj/li(;lllcijf()fm~I\lITlI"JOii;\iii1l' ;iACl''''''lI,.unlrooJlln.o''(t'Mlol.,tlC IXI II I',..",) Cumberlan:l Oamp Hill J,uII:lur IIU['1I1I1/\ Homu ~;".",:::,,,,,:::'.~~""'~'" White '11, ClECr~t!I!SUAlOCCUP.l.TIO!!_ ~~NlJQ[ti.@iF{"i!];"lIr!~1f{N tit r""'llJlffl.il/II,llll.l! l"I~I)II/'tlll~~'~r~m - -/ i:i.l.Hlr.l.l-lI-iAiUi~~- lL SUf\VIVI/KlSPOIIS( If. .ll\CI')"'ull~)<"'''d''llH'>'il II AfllJln"l!Jr":"iI lli\' 'n'/.'1{1~'.t''VI\I'''~''''J , '1.,""'t"..."Wdu..", 1'1..". .....\,~\I.Iv<t""".,1 O.'.<ilI<nQlJ..liQnulLU"",,11 I J ,., '1 1"".'U"il~'''h'I'~ 1^<v",II>\...~.1 1.11.--.!i~fe Ul___. '0' Ij, 1"/1 tJr Ill. II Widow "'c'843.'M:i'1"~~~""'d~'~'~t''''''"'' f.~mt: i ".'~"" I'll IIIlIIY \' V 1111111 ~:::..,. "X~ '..'~,~~:;~:~,~'-~,J'!~[_,~ n!1sbo ro __.._._,., Enola, pa 17025 :',~'7.I';:'~~'I" OUlIltHUqlllHI :::':;I~" I, AOI!II.1l8do.,. 84 y" UNDEfllYUIl ul/uenI OAY ~-~f.l'1IUl.41 1., I'''! I ~~',,~~,r:',~~~~, ___...____.____ "'HEn"".",.. ..... ,,,' Wal te r Pill t~(~~ky - . ..<!~ ~'."1. .""" n'"..,iii"" ",.;;ii,:,;:,,;:~,~, Mary A:lams Donald .1. 'P r 1~~nl~;"'""il;~~"3;'i'M;;ni;;~"!)o~'H~"," F.nola I Pa 17025 ltlOOOf 015/>0 mOfi -~'-..- ~lljdi-ll( 1'!~I'II'ifl~)11 I~I;" ill f~',i'i)i,;(",'I;j ',;;,~'~r(;.m'I.I, C..nlllllfr lCX;AIIOII'C~I"Q"n, SlllI,lopCOdf 1l.....1KX CI''''At''1Il1_1 l\.n"hl!r'()"'~II,,11 .~I .11. I'" ""I ~,._r.."111. ""''''~'',I-h__''n._", _. . . II . Apl'll II 1()~4 lit. MLlry'B Oemetery ." Bellmawr, N.J. ""'''~o~'::::;'';il' Ill. - J:;,:""':"i\";'lllIB)/ ";,... t:\I~l~rlr~':~"'P':Il. 51 N. F.nola Dr. Bnola .,J.t~W'I,,'~:tii;;;..,i.,." ,,,,,>I,,. ~'~''''f'If''~:t :Ioi!; ""'.-'.: t I!.~t,;, ~. --- -. . -,- IICOIiE tnll,lIltA O.t.T( SKI/IEO ,'.v""'",,, ,'I "..I ,~I",~" (I.>, y..." .4fTltl'~"'utjbt'0f!tIlt11db'j' ~if1Ji.-...nl._. 11I1(II;hi~II>II'''''llllf:.hlij;~.I''';''''I.- -"--~'_..~,- ~.CAS(rtHUlflH)JOl.ltOlcAlf)(.l.l.lI'IUllt~otj(j'h ",,,,",..",~~.,,.,," . IL_./Q ; ~Q./. ~ It... .. n _ " nn ......,____.___11. ... r:J ,~I~' n, MAl I' !Mt' 1I'ltl).NIHl. "'''''.., 01 Compl<llog". '111"'<1, Clu",' II.. .IUII, (-, "'~ ,,,'"'' - ""... "1,,, "V.,. "'1 "',,..(,~ 'Uj"I'oI,,'f,,' II....' 0' '''1'1 ".'" A9l"o,.....I. 'A,Al II; 0I1'lt1 ''\11''"'<'''1 CUnd<tomf (Q'WI>liIIl1"g tQdll!~ but L>IIor.'JQ""~"".OIl'''''I,.. o~t...ool"'...." l\fJIr"...."Illn11'ltu....,.,Iy"lQ"...."'.nrnp.l.m' """1111</""1'" . C-J f\ --- ..--~.-'OI(~I~'IA.( UI'.l.,.,'1 I~ 1 (~) It"_.._~_. .-litl[~~,!~..I.CI~..l'~II'~ I r~l -------------- ! n'.__ I' ~.- .-n-Oi.il'iOI\~I-A';.I.r'i'~j',HMII'1 f~1 1_, W~flE A,UTOf'<15'';''II/(~i<<tD-!'.i~Wil'i(itTII''.I.'ljr - ,,-, _.. -~,.- ,---.. "-'-'.~""" h'..;ri~iliJij;lr-'~-'-';'l[I~( (~ II.;;,L -. .I.1lf./LA,8tlPfllOf\IO ~I ._, Ill, ft""1 grot~~.W>NOf(;.I.U51 '141....1 I\of'" If,.'..... I J ' -"...,,, f I 1 ~, '.''''.''Il''''''''~' , I ~u II 'N II 'N"~'" II 1""""'("'''lt''..' I J ~"IIHII'jIU{11 A",..,,,,,,jl""~~;fli'!'(lVlrll;'<.-~h.Iis..-LOC4jiOti(~I'~C~i;'~_.____ ,.. ------!!- . -_ h ",' ,. -"_h !;t<~ ~~,~\~~ 1:_1_. JOI CI~Jr~~=v~~~~:etlHII'I,"'..'n'''!IoI,.v"~,..,'/,...,.n,,,.,.,,,,,'1"11 ."" It "I'.' ",..1,1,."". I.", 1""""""11, ....-..-.----.5iOTIiil -OHILEOfC Ilfl~ (") 'DIhIIN4IItI""~lIOwINtt'"'lI\OU'ItI'''''''fO~'h,''(II'IIfl~otMI/..t.'I''' \J I ~ 1~~'iSl ;'UI.tOf ]~fiSlolltOI~/- ~r\i,;;i------- "l'IOffOUl+CmaAtIUClI'l""IHQi'fiUICI"H,IIo,.. .."r'"'IH,..,..."~,,~,,..I'''''''''I''''~.'',I,''''' I II 0 ~t..13o u) L.J" i.J ,.""'W'.OlJll'.IOll.\tdtt,flHlfI"(IOUIllIlIN.lrII.,....,....,It4.,."".......Itl.''''N/fI.nr.1",."".,.../.".. II~ _ __ _,___ ____ 11L...~l __ -l-_L_~____ jl.l.U[ AlW~lJ{}fIIS50FPEnSON'l'mOCOMPL(nOCA,USE Of'OE.I. It 111",,,;'IITrr"OIPnnl .,.. f 11,. L ....OICAlIIIA..INIRICOROHIR ...J I c. _ r'\ On 1114 b..ltoll.,mlMllon Ind/O' IIlwulIg.Uon, In m1 Dplnlom,/t.llh <t,'~.,." II 1111 11Nt1, 11'11, ....1 plOCI, 111ft d.. tlllh. "IlUI'I_net .^ 'l.lnMne"..lItttt,....,.,,,.......... "'" '" .. , '" """ ",,,',' '''''' ""'" "'''''' J I If "t.Ol \~I.)'y.'\1 H"I, RlOIS' 'U"ONAJIIflE"''''OHUI,lUllr-----'---_...'' -- ---'''---'-.'.-'____.4__ (jri{;ilTii";i~'II, (\1, "","I -:-- l..il 11oot'11 I II ;J Z~t.~,d".~lI'/::<'="", ._-----------~- _.__.-._---~- tHJUnYA.!VlUIIKl Ot:&CflIO( HOW IIlJUfl'( OCCUflflEO ~. 1:1 ...1:1 L"~f 1\, \\ PI_ 1'10~~' "~~Ll .I / '19 '/ 21 . 94 - 542 ," " " " , " " , " " '" , " " ,', I. " \, '1 " ",'1 , ;.,"j I, II , " " ':'1 ,/ I'.. "Ji ; \\~::i:: fJ.. ,', " 11" " ,. , " 1-' ~ I I' ,", I;~,:)it, '1,1 iI v',.. r.1,. I' " , 11\ tl" "'jf ~~9 " ';0. ,', " '-~ t I!', tI-, ,Ii, I Hi \' .,. ,\. 'I', " '. ;,l , " ./, " ill ,;'\ 1'1 ,. "Ii, 'I> , ......,.(;' '''' '1 ' ;1,:} ,J.. j'\\ , '/I'j' " ".1 j'-l )1~~ v,(,j' 1\,' . .' , , " HI , . Ii I. I!. " , , , q It" " ... i' ", , , " I' .' " H' lj' ,. , ,'" ,. I,';'" ,/ (I, .. "\', " Ii, ,. , 'U, II' ,I i,l '" , " ,'''i' 'p .,1, '" I' ,I' I" , 'Ji; , , ,.' " ,.. I, ~ " ; " "nl',' O' , :'/, r il" "', " <1,- " " " 1.(; " ." ." ,. " II , ,. " '; iI' P " . (f" " 1,1 ,. jl ,I fl,. " '.,'i",! " , ,. j', I' " " 'I' " ,,' " " ,I'" ", "", " :1\,:;1 ,. , , " " 1,1" , " , , , , , , " ,\ I', , " " II' I 'I " , I ',. " , " "i' , I /, ii' '(.1/1; n: 1'1' '" ,. ,'," '1;" " " , ", ,,' " , Ii I, , " ," " 'I ,. ',i" " I, .' . ' , ".I " 'I" I" " " " . , .. ,. " ": " , I; " " ,,' " ,. i' '" ,. .' \'j "1 . 'I ;1' " d' " ;'" " I,,' 01\ ,. q ",I' " j,I' '.;, , '1 d" ,,,'J' ,I' '", "~I, I' 1\' II ,', ,. I' " 1'" d' " , /h " " I: ,," ., " ': ,: , " ,. " " " ,. ili 'i';/' , " I' " Ii, ,," " (::,' "\',\. to" ;'; " ,. " " " I' 'I tl'l , " ;if,' "~"~I, to, I. "I. ,) ,. " Ci " ,I,' \! i'> ,/)1 ~ \ ,;) ':''l)U ,; I, ;'1 ,.; " '" '. " " Ii: '!, '" " " is - 110 - 110 - ~ Ul ]JJt " .ea [g ~ 1 'ia~J ~\ ~ " ~ t" ~ . ~ . III ~ ~ . "~ LJ r " .' ""il~;:t1 tS ~ ~ i fl 7~ \' ,~ ~ :l; ;',i\-!, ,'I,' . \. '" ,rnm'i'it',.AljI>fuIl<i'i,;. "i W~;;' ~':'fl\\..~r", I' , ' ,-r LAST WILL AND TESTAMENT BE IT REMEMBERED THAT I, PAULINE 11. TRIGGS, a resident of cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my LAST WILL and TESTAI1ENT, hereby revoking any and all wills and Codicils previouslY made by me. I I direot that my debts and funeral expenses be paid as soon after my death as is praoticable by my Executor out of my residuary estate, but not from any assets, funds, death benefits or insuranoe proceeds which are otherwise excludable or exempt from my gross estate for federal estate valuation or tax purposes. II I direct that all estate, succession, legacy, inheritance or other transfer taxes, however deoignated that shall become payable by reason of my death in respect of all property oomprising my gross estate for death tax purposes, whether or not such property passes under this LAST WILL, shall be paid by my Executor out of my residuary estate, but not from any assets, funds, death benefits or insurance proceeds which are otherwise excludable or exempt from my gross estate for federal estate valuation or tax purposes. III I give, devise and bequeath all my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment to my son, DONALD J. TRIGGS, provided that he survives me by thirty (30) days. IV If my son, DONALD J. TRIGGS, shall predecease or fail to survive me by thirty (30) days, I give, devise and bequeath all of my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment, to my nephew, EUGENE FEDOR, of sayreville, New Jersey, per stirpes. ,I '1/.1' .:.1 " , i I (, I L IHv I~OO f~t l1,Q~) / 'i. ,/ , INHERITANCE TAX RETURN RESIDENT DECEDENT COMMm'WEAllt.mPENNIV<V^,ilA 'TO BE FILED IN DUPLICI-ITE [IEPARIMH" Of REVENUE \ 21 94 tlARRllm:b, \~orJl1906o, WITH REGISTER OF WILLSl WUfllY COOl YEAR .. '~'~~;~;~~M; I'~~~~~~~" ;;:OIITt""'~----'''--''---''-'-----IU'C,,",lf~~;\P~~~'~'~:~ - ~~~;~'~'~-;:;)t-:"'~04 ffi 50CIAI S!CWIII1 tWM8[ll IO'\lE Of llf^Tti I(JAII Of AI~H1 Enol" (East Pcnnsl.:oro 'l\..rp.) P^ ~ 138-52-4597 4-5-94 5-30-09 C,,,,, CwnI.X3rlilnd 17025 ,,__~ '" ~"'''''''~' :c.;' ",~i"""";,,,, "", ,,\1 '''''' ",""" I""'" '!CUiI" ,,"..,.. ["'''''111 RI(,,/H, I'" ''''''UC''~''" w lXI 1. Orlglnol R.,ufO [ I 2 5uppl.m.nlnl R,'"n I I 3, RomnlndOl R.I"o ",;S", 110/ dltlOl 01 d.nlh 1'110' 10 12,13.B21 bllEri [..14. lImll.d ellol. [ 1,\" Fu'uro lol.roll Comp,omllO I 15, F.d.,,,1 e,'n', Tox R.I"n R''1u1rod ",cog 110, dnlOl 01 d.nlh nhor 11,12.B21 u~m lXl6 Docodenl Dlod Tollolo ( ) 7 Doctldont MIJinloiMd 0 Uving Tru11 Jt B Tolal Numuor of ~ofo Onpolll BolCo~ "n,'.__'_ _ IAII"ch copy 0/ Willl'______'___I.~I~n:~~_~I,~~~~IL__m__..nu___.,_.._""_..,_,_,_____",___..__ ALL CORRISPONDENCe AND CONPIDENTlAL TAX INFORMATION SHOULD BE DIRECTED TO, " t3E NAM( ---.-.- -----TIOMPlf'TM.\iLii-mMiLqE~S- l:i!i Chilrles E. Shields, Ill, Esquire 2 \'1, ~Bin Street B~ ffiiPii6fii il"i,;,' .. . .' .., ~1cchanicsbllrg, Pennsylvilniil 170.55 ___,h,"_ =J..n 7)J6fi~cn09. ., none . . ~~) . ..t~,~'c~~':ili:?~"'"~C"C'- 1. R.ol EIln" ISch.dul. AI II I, . ", () none ,I 2. Slock, nnd BondIISch.dul. BI 121, 3. ClolOly H.ld SlocklPo,'nollhlp In'"nll 15ch.dulo Cj 131 none b:J 4, MOflgogOl ond NolOl Roc.i"bl. 15ch.dulo 01 I ,'I ,none :::i S. Co,h. Bonk D.po.III & Mlre.llnnooOl P.llonol !"opOlly 151 $ , 970..94 ' I ISchodulo El ',,' 6, Jolnlly Ownod p,opOlly 15ch.dul, FI 161 $1,836.22 -l" 7, T,onlfOlI15th.dul. OIISch.dul.lj 171 none )> ;~ 8, TOlol 01011 All.II IIololllnOl '.71 18} Q, Fun",,1 e'p.nlO'. Admlnitlloli" Co'", MlreollnnooOl 191 $3,402.00. hp'nI" 15ch.dul. HI 10, Dobll. Moflgog. lIobllitl". lI.nI 15ch.dulo II II. To.ol D.d~ctlonl Ilolollln" 9 & 101 12, N.t Voluo 01 e,'ol. Illno B minOl lIno llJ 13. Charllablo and Governmental aoquOII$ lSchodulo Jl ____ 14, N., Vnluo 5ublecl 10 To, IlIn~,E,m,lnOl.lI.~~~3j,.,. 15, SpoOlol T,onll". 110, dol., 01 d.olh air" 6,300941 See Inllrucllonl for Applicable Perconlago on Roverlo Sid., linclud. volu.. /rom 5th.dul. K 0' Sch.dul. M,I 16. Amounl 01 line 14 taxable at 6% ralo Ilnclud. volu., I,om Sch.dul. K 01 Sch.dul. M,I 17, Amounl of line 14 fOllablo ot 15% rolo (Include valuo, from Schodule K or Schodulo M.l 18. Principal lelll, due IAdd lox from linol 15, 16 Clnd 17.) lQ, (rodlll Spoulal Povt1rly (rodil Prior Poymonu -0- -0- ... ..... .. + ~. ..~,',~ 'r.. ,..1.\ . " ''''''~ ~ I 'OR DAllS OF DIATH Ann 11131191 CHICK HIRI I" A SPOUSAL pOVIRTY CRIDIT IS CLAIMID [ I PIli NUMBIR 542 NUMOER ", z e 5 E ~ '" -'J '" r'<l 0\ $~ ,BQ7 .l,L ... .-to 1101 $l,18D.6S I1IJ ,$4!582...6L,_..u..,_ 1121 -D-,,_p n, ,,' .. .."', -0.- {13} """P_"_'''n._'''.''.''_. ,.. m ,,_.., nu_'.m__mn_'''n_'_'_'__'__'n_'..J~~!.--,-"" .,~D.~.=,,-_______ z co fi .. ~ . co u 1151 -0.- 1161 -0.- 1171 -0.- DlIeol/nl Inloro,' + -0.- - -0.- .. K,o___.= nn.-Q-:- X ,06 = ...-0.- x .15 = -0.- I1BI -0.- 1191 -0.- 1201 -0- .. .. .... 121J -0.- 121AI -0.- 12101 -0- ~ .. 20, lllin. 19 it groolor Ihon linG 18, nn'" ,h. dill".n.. on llno 20, lhit it tho OVERPAYMENT. iii [I CI1C(~ tlCW if you mc fCCluosling n rcfund of your ovcrpuymcnl. 21. II Une 19 i, greotor than Lino 19, onlllr Iho difforonCIJ on Lino 21 Thi, it tho TAX DUE. A. Enlor the inlerest on Iho balonco duo on lino 21A B. enlor Ih. 10'01 01 lIno 21 and 21 A on lino 21B JI,I, II Ih. BALANCE DUE, ..Mo,kt _Ch'..oIc..~oxobl., I., R.gl,'or .f Will., Ag.nl __um"n_'_'mu_j."'~ BE SURE TO ANSWER 'Ai{aUESTloNS'O'ifREVERSE"siiiEANDToREcli'ecK MATH <( <( Under pOlloltlel 0' perjury, I declare thai I hove oll.omlned thit rolum, includinl' oecomponylng tchodulol and Ilalomont', and 10 Iho bOil of my knowlodge C1nd bollef, II h Hue, (orroct and eomploto, I declare Ihot 011 ronl 011010 hm hoon rnporlOC at Iruo mnrkot vClluo, Declaration 01 propnrOl othor than tho porlonal reprosentallvo h boted on olllnformotlon (If which propnror hm any knowlodno \'G~~~"'~'Jf"~iiiO/'t~~~~~i'~~) ~'H)" ^""""~14 3, M:Jli SSi! Cl:., 1/304, I\nolil, P^ 17025 o^,iH .,~ :.. ;7~j-,~~'- "0"::1'1' I. AO 'If' ';;Y~i')1"'t, _,., '"M";', '"'' ,f ",/ / '1'5 . VfIIft- ~ ". ./:#t42/ft ;) 'zfJ 2 \v. /'111 n St., ~lcd)ill1icsbllrCJ, P^ 17055 , .:, RrV,U09Ut lllbl SCHEDULEF l JOINTLY.OWNED PROPERTY ~STATI O~_~~~_ll.~~:~~~_~_~_~'_",~~~~~~.._~,~~,-=~ -- --lLe :~:~542 ,(OWMOIIWlAlltt 0' mUUnVMjl.4. ItUlUIIA~tl lU WU~N UIIDINI DlClDlPll Joint '"non'(.I, NAME ADDRESS RELATIONSHIP TO DECEDENT _______~________._________.___, ._._________..~___..._.._..__. ........__ u__..___,_ .,__._--,.-0__-0_______ A, Donald J. 'l'riggs 843 Melissa Court, Apt. 304 Son Enola, PA 17025-1501 B, c, Jolntly.ownld propII'YI - --~-'---'--'---'----_._--'--'._- ._._-,~._-_._, ITEM LETTER DATE FOR TOTAL VALUE DECO'S DOLLAR VALUE OF NUMBE JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT, DECEDENT'S INTEREST TENANT JOINT --.--...-...--...---..----------. -,--..----- -.-- 1, A. 7-23-8 ~1eI1~::.er I s fo'ederal Credi t $ 26.93 50 $ 13.46 Unior, Acct:. 73305-00 (&lvings) 2. A. 7-23-8 Member's Federal Credit $ 9.18 50 $ 4.59 Union Acct. 733-5-11 (Checking) 3. Fl. 2-4- 88 Mel1~:>er' s Federal Credi t $3,636.34 50 $1,818.17 Union Acct. 73305-05 (see letter attached) TOT AL IAl,o onlo' on IIn. 6, Rocarllulatlanl S 1,836.22 __...._.___-0__,_________ _~._.,...._____~ (II ma,. 'flue. I,,,..d.d 1111.,1 addilionul ",..,, 01 sum. Ii,.) UYUlIl_t 1'.Ut . . . SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES COMMDtlW[MtII Of PEtHl~nYMII^ IWURlfMIC[ ,^x R[lURtl R[SIOHll ()[CEOftll ISTATEO{'-"'"'''''' ,,"'- ,,'j' Pleala Prlnl or Type 'jiirE NUMBEM P^ULINI~ 11. 'l'IUGGS 21-94-542 ITEM NUMBER ----.--'" ,.~.__.-..~._---------------~-------~.~--- A. Funeral Expenlll' 1. 2. DESCRIPTION Sullivan Funeral 1I0nE New Saint lIayes cen-etery 1. B, Admlnlllratlve COlli' 1. 3, 4. C. 1, 2, 3, 4, .5, 6, 7, 8. Perlonal Reprelenlallve Commllllonl Donald J. 'l'riggs Social Securlly Number of Porlonal Reprele"lallve, ___, Yoar Commllllonl paid _'''m___~_ Allorney FeOI Charles E. Shields, III Fomlly Exempllon Claimant _____._,__.._ Relallonlhlp Addre.. 01 Claimant 01 decedenl's death Slreet AddreS! Clly ___ SIale Zip Code Probate Foel (reimburserrent to Charles E. Shields, III) .Mlleellaneoul Expen18" Filing Inheritance Tax Re~urn , " TOTAL (Allo onlor on 11110 9, Recopllulallon) (II more 'pace II neoded, In18rl addltlonallh..lI 01 lame Ilu.) AMOUNT $2,995.00 $ 215.00 waived $ 150.00 waived $32;00' . $10.00 S 3,402.00 ,\ . y I nomJpnto, oonllt.ltuto nn<l npllolnt my lion, 1l0IlAI.Il;/, 'l'fUOO!!, If 1l0llAJ,I) In no ExooutOI' or. thin I.AWI' WIl,I" to no,'Vo without bun<1. lInnblo or unwilling to not In thnt onpnoity, thon Ilomjnnto, oOlistituto nnd nppoint my nophow, f.lIm:tlf: rEVOlt, ns Executo!', to nsrvs without bond. If ElIOEllf: is unnblo or unwilling t.o sot in thnt ospsoity,thsn I nominnto, oonDtitute ond oppoint TilE FIRST nAIIK AIIIl 1'RlIS1' COMPAIIV' OF m:CIIAtI1CfJIIUHO, ns f,XOoutOI" or this I.AS'I' WILL, saryo without bon<l. III WI'fIlESS WIIF.fH:OF, to 'thls I.AS'f WII,I, thiD ;), 'I I. PAUI,IIlF., II. 'I'HIOeS, hnvo .>1,' I) dr <lny or , ,19n9. \ '11"" l'AUI.uIE . I -" (; "LP"~' i n." 1I,'I'RIoes " , , " ,. , ," ,.J' " ",1/ ,. " I': I'! ,. , " ,', " Dot my hnn,d " ,", I" " " .. " ." to I;, " '" 1,-1,1 '1' " '-" ., " " '" " /1/ (,':){ / (,' / /1/, ,)/ l j I );/REV-1S47 EX AFP <12094* .~ COHHONWfAL "1 OF PliNNSV"ANIA ACN 101 OEPARTHEN! OF REYF.NUE NOTICE OF INHERITANCE TAK BUREAU OF INOIYIOUAl lA'liS APPRAISEHENT, ALLOWANCE OR DISALLOWANCE ~~~~iS:~~~~lpA 1111...601 ' OF DEDUCTIONS AND ASSESSHENT OF TAK DATE 05- 08-95 ESTATEOF -1R'IO(fs~=r.c==cl'J\uTmt~c It "....0..'- mE NO~ '--~'W'9~ll'm DATE OF DEATH 04-05-94 COUNTY CUMBERLAND NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAK PAVH~NT TO THE REOISTER OF WILLS, HAKE CHECK PAVABLE TO "REGISTER OF WILLS. AGENT" REMXT PAYMENT TOI J: oo~ l/ CHARLES E SHIELDS III ESQ 2 W MAIN ST MECHANICSBURG PA 17055 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 EAnou~li~~Tfod j ._----------- CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .... R 'EV: iS47' E;C -Ai: ji' (i'F 94 yo iloYi c r -OF' YNHEiii;: iiN-C E - YA X' A"P'pilA"i S EHENr;- Ai:. i:OWANCE .oR..... - - - - - - - - 0.0. DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF TRIGGS PAULINE H FILE NO. 21 94-0542 ACN 101 DATE 05-08-95 TAK RETURN WAS I I X I ACCEPTED AS FILED I ) CIIANGEO RESERVATION CONCERNING FUTURE INTERES; . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. Rool E.tato ISohodllb Al III 2, Stook. and Bond. ISohadllla B) (2) 3, Clouly Hold Staok/Partn..".hlp Intar..t ISohodlllo C I 13) 4, Hortuauo./Nota, Roool.oblo ISohodulo D) 14) 5, Cosh/Bonk Dapo,lt./Hlso, Por.onol Proporty (Sohodulo EllS) 6, Jointly Ownod Proporty ISohodulo Fl (6) 7, Tron.for. ISohodulo Gl 17) 8, Totol A.sot. Q(I l:, f; \'.' '11 :11:" ,00 ,00 . DO ". ,00 1,:1 970,94 1.836,22 ,00 ).... (811 ,J 2,807,16 APPROVED DEDUCTIONS AND EXEMPTIONS I 9. Fun.rd Explnus/Adll, COlts/Hila. Explnll. (Schedull HJ (9) IG, Dobt./Hortuouo Llablllllo./Llon. (Sohedulo II IIG) 11, Totol DoduoHon. 12, Not Voluo of Ta. Hoturn 13, Chorltablo/Goyornnontol BOlluo.t. (Sohodulo J) 14, Not Voluo of E.toto Subjoot to TI. 3,~02,00 1.180,65 (11 ) (12) 1131 1141 4,58? 65 1.775,49- ,00 1.775,49- If an assessment was issued previously, lines 14, 15 and/or 1&, 17 and 18 will reflect figures that include the total of Akh returns aBfteBBed to date. ASSESSMENT OF TAXI 15, Anount of Llno 14 ot Spou.ll rlto 115) 16, Anount of Llno 14 tl.lblo It Llnoll/Cll.. A rlto (161 17, Anount of L1nl 14 to.oblo It Co11ltorol/Clall B roto 1171 18. Prlnolpal Tax Duo NOTEI ,00 ,00 ,00 K ,00= K ,06= K ,15= (18) ,00 ,00 ,00 ,00 TAX CREDITS I PAVMENT DATE RECEIPT ----1 NUHBER -l- ~ DISCOUNT 1+) INTEREST 1-) AHOUNT PAID TOTA~ TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE ,00 ,OU ,00 ,00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATIDN OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN fl. NO PAVHENT IS HEQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAV BE DUE A REFUND, SEE REVERSE SIDE OF TNIS FOR" FOR INSTRUCTIONS,) " RESERVATlOth Eltet.. of d.c.d.nt, dYing on or b.for. O,clllb.r 12, 1982 H If any futur. Intorllt In thl utlt. II tran,flrrld In po.....lon nr .nJcy_.nt to Cia.. B loollat.tall b.n.flclar\l~ of th. dle.dent aft.r the ,.plratlon of any .,tat. for 11ft or for y."r., th. Co_.onw.nlth h.rlby eKpr..,ly rQ'Qrv.. thl right to appral.. and a..... tran.f.r Inh,rltancl TaK.1 at th. lawful Cia.. 8 lcollateral) rat. on any such future IntArut, PURPOSE Of NOTICE I To fulfill th. "lqulrlll.nU of seetien 2140 of th. Inheritance and f..ta" Tn)( Act, Allt 22 of 1991. 72 P,S. SleUen 2140, PAYMENT I O.tach th. top portlen of thh Hotlcl and .ubllllt with your pay"ent to th. RlIghhr of Willi printed en thl rlu.r.. lid,. .~Hakl eh.ck or "en'y order payable tOl REOISTER OF MILLS, ^OENT All paY_lInU rlcllv.d .h,,1I flr.t bl app11Qd to any Intlro.t which uv b, due with any r..aJndu Ilppllld to thl tu, REFUNO leR)1 A refund of a taK crldlt, which loin. not rlque.tld on thl Tax Rlturn, lay hi r.quI,ted by eo.plttlng an "Appllcatlcn for R.fund of P.nn.yluanla Jnherltonel nnd E.tatl TnIt" (REY-13IS), Application. IIr. avalhbh lit thl OffiCI of th. R.ghtlr of Will., tmy of th. 7.3 Rlv.nu. Ohtrlet Offlc.., or by enlllnll the .peolal 24-hour anlwarlng ..rvlel nUlber. for forll ordlrlngl In Plnn.vlvanla 1-800"362-Z050, out.ldl Plnn.ylvlnla and within local tlarrhburg aru (7171 781~8094, TOO' (717) 11Z"2252 (tlnrln" hpalrld Only), OBJECTIONS I Any party In lntlrllt not latllfl.d wlth th. appraltulnt. a11owan(:1 or dl.allowance of dlduetlon.. or a........nt of taK llncludln" dltcount or Intlrll\) a. .hown on thll Notlcl lIlu.t abhot within .I)(ty (601 dlV' of rtcllpt of thlft Hotlet bYI ~~wrltten protut to the PA Olpar\lllnt of RIv,nuQ, 80ard of ApPlalt. Dlpt, 281021, llarrl.burG, PA 17128~\021, OR .41110tlon to havI the IUltter dltlrllnld at audit of thl account of thl per.onal rop,,"ntatlvI, OR 1-apptal to the Orphan.' Court. ADHIN ISTRATlYlO CORRECTlONSI Faotual errors dltcOYlrld on thls n.......nt .hould b. addrOlud In writinG tOl PI. D.p"rtllnt cf RIYlnUI, Bureau of lndlvldual TaKOI. ATTNI POlt A.....llnt Rlvllw Unit. Olpt, 280601, Ilarrllburll, PA I7IZ8-0601 Phont (717) 7Al~6505, SUI pall' 3 of thl bookllt "Jnltruotlon, for lnherltancl Tal( Rlturn for II Ruldtnt Ole.dlnt" (REY-150tJ for nn Il(planatlon of adllnl.tratlYl1Y correotabll Irror.. IHTEREST. If rlny tal( dUI 11 Pllld within thrll (31 calendar lonth. after the deCldlnt', duth, a fly. putlnt (5%1 ctlteount of thl taK paid II allcwed. tnter..t 11 charged b'1l1nnlng with flr.t day of dlllnqu.ncv, or nln. (9) lonth. and on, (1) dllY frol the dati of death, to the dah of pay..nt. Tu.. which btca., dtllnqulnt b,fort January 1, 1982 blar Intullt at the ratt of .JK 16%) perolnt per IInnu. calculated at q dally rata of ,000164. All hu. which blealt dlllnquent on and lIfter January 1, 1982 will bur Interllt at a rate whlClh will vary fro. cal.ndar ytar to ca1tndar yur with that rat. announctd by the PA Olpart.,nt of Rlv,nul, Thl appllcablt Interut rat.. for 1982 through an artl DlSCOllHTI '!!!r Intl"'lt Rat. Dally Intlrllt Ftlctor :!!!r Jnter..t Rllte DllIlly Intlr..t Flletor 1982 lOX ,000548 1987 9X ,ooom 1983 16X .000438 1988"1991 IIX ,OOOlOI 1984 IIX ,000301 199Z 9% ,000241 19B5 15% ,000356 199~-Jl)1J1i 7% ,000192 1986 10% ,ooom 1995 9X ,000241 ....Jntlr..t II caleultltld al followlI INTEREST' BALANCE OF TAX UNPAID X NUKSER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice luutd aftlr tht talC bloo... d,llnqulnt will reU.ct an Inler..t calculation to f1ft..n (1S1 day I beyond the dati of th. U'''I..nt. If paYllnt It tadl after the Intlrllt oOlputatlon dati thown on the Nottet, additional Intlr..t IN.t b. ealcuLatlld,