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",,'" " " ,,,,, "'" "/,,,,,"., ''''" J"",,,,. ' .''','''''''',''i ,,,,""'" "," ,.,,,,r ",," "",:,"" ",'Ii; ,:r "'" ' "',,, "'''''" ,,,'" " ,....,.,," " "",,,,,,,,,,,, ,,"'"'' ,>. ' ' " , . '" "~I II' PETITION FOR PROBATE and GRANT OF LETTERS Estate of CAL.V/tJ e HILj./f' fYl/WI/: lJ.-I_<'r.; No, 62.~ 1'-1- s-t t a/so known as __ To: Reglstcr of Wills for the , . DL'L'elI,led, County of CUMBERLAND in the Social Security No, _'HlJ.~21..:....f2.2!LL__ Commonwelllth of Pennsylvllnla The petltloll of the ullderslgned respectfully represents thllt: Your petltloner(s), who IS/lire 18 yellrs of IIge or older IIn the execut f!- IX In the last will of the above decedeut, dlllcd _._--P-:~_.-.1 i- and codlcll(s) dated named , 19..1.t..... hllllt' rclcvunl drcllrnUllllcc~1 e,g. renunclatloll, delltll or c:..cellloT, clc.) Decendent WIIS domiciled lit death In __~~(;!-,JQ I- ,) /Jb County, Pennsylvania, with hi? last family or principal residence IIt_:Ul_.r-:r: ~/(~, v J~Kl!AI) , W e~ r Pt!:Lli!.l~~~_"'L!/!r (list slrecl. number nnd IlHll1clplllllY) Decendent, thelL lr" yellrs of age, died ~,"iU~,__~ I , 19 'I i- at -I:n 1\c.:~'~"'v'ILu.:-1.'I'.!Ut..___,_, , Except as follows, decedent did not mllrry, WIIS not divorced IInd did not have a child born or lid opted after execution of the will offered for probllte; WIIS nol the victim of II killing IInd WIIS never adjudicated Incompetent: Decendent at delllh owned property with estimlllcd vlllues liS follows: (If domiciled In I'll,) All personlll property (If not domiciled In I'll,) I'monlll property In I'ennsylvllnla (If not domiciled In I'a,) Personlll property In County Value of relll estate In Pennsylvllnia sltullted as follows: $ lINN.J/!.K.I"""""":!! $ $ $ WHEREFORE, petitloner(s) respectfully requesl(s) the j?robllte of the last will and eodlcll(s) presented herewhh and the grant of lellers__,..ltSTAMENTARY (tCSlltlIlCIlUUY; ndmlnlstrulloll c.I.a.; adminIstration d,b.n.c.t.a.) theron. - t ]1 '!l.o .'5 "'I>. I'o J /1 I =SlICJ(fI I--{, tJ;',lrE. _ ,,_-"_r).l<_~\" h11l!.i"rt' I 'M fI ,,' ,I R. '1) EL.__ ___ ____ N\f'r .\P,..\~ <"'~'r,:~.lLt.}Q5S- ~i} l _11, ",Ull.?-o'>'<1ri- ,~~/I;'hl N/~ "'... OATH OF PERSONAL REPRESJt:NTATIVE COMMONW.:UTH (W PENNsnv ANIA }' 1:18 COUNTY m' CUMBERLAND _ , The petltloner(s) nhove-nallled swcnr(s) or nffirlll(s) Ihnl Ihc stntelllenls In the foregoing petition arc true and correct to the hesl of thr knowledgc nnd hclier or )lctltioner(s) nnd that liS personal represen- tatlve(s) of Ihe nhove dec~t1enl pelhloner(s) will II'cll nnd truly administer the estllte according 10 law, Sworn to or nfflrm5~H nnd suhmihetl. '_,- ~~ll~,.Ji","~J::(l. ~\ 1/ ",. _ ~ before rntl1:Z-=~],U~~~_~~.'Iii" !<t/ifu.c.(J;;;L. __~__n A' -;-- ~ . 7lJijMAR Y C. t"tWI~---_lJ;R;,;S01V1?/=~.,_:'~ '_~=:::=,=:=--=---= ~ III~ ~()ll ,- 5 LAST WILL AND TESTAMENT I, Calvin Phillip Mitchell, Sr., of West pennsboro Township, Cumberland COlmty, Pennl'lylvania, being of sound and disposing mind, memory and understanding, declare the following to be my last will and testament, hereby revoking any and all wills heretofore made by me. Item I. I bequeath the balance in my savings account at PNC Bank to my daughter, Sheila Nance. Item II. I direQt that my large Cub Cadet Tractor and its accessories be sold for a price not less than $5,500. The proceeds of the sale of this tractor and accessories is hereby bequeathed to my son, Jack Mitchell. Item III. I direct that all my tools with the exception of a small amount that my wife, Eva Mitchell might want to have, be sold. The proceeds of the sale of my tools is to be divided equally between my daughter, Sheila Nance I my granddaughter, Sherean Nancel and my son, Jack Mitchell. Item IV. I appoint my daughter, Sheila NanCe as guardian of my granddaughter, Shereen Nance, with the direction that the money be kept for Shereen at interest until she reaches 18 years of age. ',' . ~ ' " ,I' ,.. ", . , '" " 101, ., '. "I' c, ", , ". , ,. Ill' , " " '.I :' , . " " " ':,~+I", ,.1,.', ,.' " '\ ';" \'" '. :1,_( :'j( ,. .-"/,, ':' j;- , /.! ,. ,"',ti, ':,1'- i ,,:1 " " "'f ~ \ '. >t., "'-"'1'_'" .. , I,' n' ":,Oii; " ~, ~." t, 0,:;:.. " ., ':\1' I' '.. ". ,,' " I',l', ,.. " { I:' ,.',,11, I, ',', I,,,, ':!' \, " " ." :'1' \, ( ~i. " ,. 'it .. 'I', "11 /' 01.: II, 'd' ';' (i'" i. I, I,' 1\', , :.',' .-!.I.: , .. '", " ,. , " " " 1",1',,' "1', i', .' I 'I' ''1~ ..il;., " " . , '. .' ( .' (1 ... :"}';,(' ',;, " 1,,',)1.'1 '; "': ';.". 'Oil.' :;,\.. " , ,. -II,. 'Ii , '. i . '.M~'. :/;:::\. f' \', 'j:) I' ,j',l' .. .. ", " ." 'I.' I . ,. .. !Y'j'l. ~~\J'il: " '-I '.. , j ',~, i,;~...< ,..... _\',..1':_\1': ,:-",'1, '_'1. 'I, .., '." J" " '", ,.:,-: 1",,1 ! " I:' 'i, ;, '" .' . , .\.1\ '.J,' ,. '.. '\"'" I,. , !, .'. .\;' , " "!- , 'I'" ,II' ., ., ;,. ''',': '-,1 " ~ ; . ,.;,' ,I, '! i: " ,,': :,,'!,' I' -';'?I' II t' "'I ": ',' .. ". I I,' , -'; ,. ',(l'\',', , ,r,','\1 _.',1. " , , , .. " "';,1. ... " "": . ~ I.- , , , ,1:1', ,. '''I'' i.~ ,(, "l' .'_lli "J,. .,> , : '1/ '," " li(;." '" \. '," ,r, '( , "', " '! ',". ", ,,', '. "";, ", " ..', ~f 'j'-,[, ,. '! '.' .~ ~::): . ' .r' (,1 ,. 'I I, " t '-'111\11 I". I; "j ,. ., \ " '" ,. ,.. "i, " .\" " . d.; ......1 .. ., I;"" . " I,. .' ". ',';\ ". " ",' " 'I i. , ' . ~ ;' lij':. {t :': 'I;' )~,,~_::-,:l,\~,~~;\ ", ,',-' " \ :, 'j" , 'I"'. '. '-,,,"' ',' ,.. :\, " :-l' \.." '. ., I', , J', " j.j i:' ",d' " , . I,'" , '., , '~ ! '" \. . . \0.. .A. I!' ',I' f~ I , .,.J ~:~'\"'~'/,: ." , ',.'11 '..tll . r(\ r1J. " -'.11',", w~~;" . ,.." ,">'\;:i~~' _:'j:,!:',:,;,} ,l,1 "ll~'\ ; :~, " P.- .. ." 'Ii' , ~ : I':: .( \ ::I( ". "f ::',; li:t .' ,,' '.., 'II' , " ,'I"~ .... /t! ~ ,~,,~ J ~ 2 'OR OATIS O' DIATH AnlR 12/3119' CHICK HIRI ~'lt'9, INHERITANCE TAX RETURN ~o~:=~lmDIT 1$ CLAIMID [] ~.~ RESIDENT DECEDENT 'PILI NUMliR'-..-u--'-'--'---'-'-u----'-- COM"b~~~'i\~\W,W~!NJIW~ANIA (TO BE FILED IN DUPLICATE ,.) 1'1 If - (' S J J' IIAU,uir:6. ~~riI180601 WITH REGiSTER OF WILLS) COUt:!IY CODE YEA.R ~'~I~'1 ~/)' 1?~~7:il; ;'~il-'-~'l~2~D,L; 'f:"~'1 Sf!. , DlC'O'N'~ C~M'l" rC~'~' r \ ,), \ \ " 6' c( i IO<IAII/CLI~"IU"'" AT! Of DEAIII DAlE Of 'IR'" ( I I,) I" j>"" I~'" \ ~ 'I,t)) - .2 'i, ,: _l,-j 'I ,__ .r "(\I,ll..- 2~ /7f A r: ,', '127 Coo", l"u=..62 r \ {\ t\..d I" ."prAtll! 'IJI~I'll,(lI'OlI\l ~ 1/J,1,l1 (IAII "W At/O M 00\1114111.11 SOCI ~ SEe RITY NUMBER AMOUNT IUCElVEO ISH INSUUC110NSl 1"(1' O'IOlnuIR~~(~~l---, lJ 2. Suppl.menlul R.'urn . --0 3, R.mullld.~ R.I"n -, (for dol.. of deolh prlo, 10 12,13,B21 05. f.do,ol E.lale TaK Relurn Required 20. If line 19 II orealor Ihan lln. IB, enler Ih. diff.renco on line 20. Ihl.I. Ihe OVBRPAYMENT, liD 21. If LIne lB II orealor Ihan Line 19, onlor Ih. dlfferenco on lln. 21. 'fhll IIlhe TAX DUE, A. Enler lhe lnler.lt on thfl balance due on line 21 A. B. Enler Ihe 10101 of Line 21 and 21 A on Line 21 B. Thll IIlhe BALANCE DUE, Make Check Payable to, Regl.tor of Will., Agent . I.~--- - ~ ~ II SUII TO ANIWI! ALL QUEITIONS ON IIVIIII 5101 AND TO I.CHICK MAtH -<-< Under p.nelll.. of perlury, I declare that I hoye examined Ihh relur", IncludIng accompanying schedules and Italements, and 10 the bell of my knowledge and belief, II II Iru., (orrett and complete. I declare thot all real "Iolf! has been reporltld 01 true market value. Oeclarallon of preparer other than the perlonal r.prel8nlatlve I, bated on all Information of which pre parer has any knowledge. iION.!,UIIf 9~l !lo"i fSPONSIBlf f II filiNG R!TURN ADOR~rs---' 1 l ) - DATE ,.Y .' . - AI<il ,_____..lil:_~,'!..!~~!J: l ltlH, I f1 /'W> S" 1.2./00/1~ $10NA,IUIl :I.YAIU~~HHE 1, A REPR E , li'''~ ALJDRfflS -I- O"TE I . ,..L_,=\d1d. tI... . , L.c.(..-----_____ ,. UI.lloo e.. I/.Y~I , " .' I!! ill o 40. Future Inlerel' Compromlle (for dol.. of dealh aflOl 12,12,B2) Docedanl Died ""01. D 7. Docedonl Malnlalnod a llvlno T'U11 (Allach copy of Willi (A"ach copy of Trull) &I:L:CG..IIPONDlNCI AND CONPlDENTlAL TAX INPORMATION SHOULD II DIIIClID TO." .' ifi~ _' \. COMPLETE MAILING ADORES .b'\'(~4'uf \-" \J006/..0 J(<: J-l W. H\r.\~, '-,T. fW'1l0Nl tH!MIU ~ ( I. P 1'}\-}J....t~=~_-2 -l~U 11-\ l::'~' Mlll/"3 I. Reol E,'alt (Schedule AI III _____,_____ 2, Slack, and Bond. ISchedule BI 121 __, __, 3. Clollly H.ld Slock/Pa,'nmhlp In'or.., (Schodul. q 131 4. Mo'lgaO" and Nal.. Recelvabl. ISchedul. 01 141 ___,______ 5. COIh, Bonk Depo.11I & MiI"llanoaUl Perianal Properly 1.\ I _-.-::;: S :J (~.!. () () __ ISchedul. EI 6. Jolnlly Owned P'oporly (Sch.dul. FI 7. T ,onlfe" (Schedule 0) ISch.dul. l) B. Tolal 0,0" A"ellllolal Lln.. 1,7) 9. Fun.ral EKptnlet, Adnllnhtrotlve COSh, Miscellaneous (91 EKp.n... ISchedulo H) 10. Debll, Marlgage llablllll.., L10" (Schedul. I) II. T 0101 D.ductlu" (10101 L1n.. 9 & 101 12, Nel Value 01 Ellale ILlno B mlnUl Lino II) 1~. Charitable and Oovornmonlal B.qu.," (Schedulo J) 14. Nel Value Subloc! 10 TaKILlne 12 mlnUl Line 131 15. Spaulal T,anofer. (fa, dOl.. of dealh aher 6,30.94) S.o Instrucllons for Applicable Percentage on Reverse Side. (Include valu.. Iram Schedule K or Srhedul. M.) 16. Amounl of Line 14 laKable at 6% ralo Ilnclude valu.. Iram Sch.dul. K or Sch.dul. M,I 17. Amounl of Line 14 laKable 01 15% rolo Ilnelude valu.. from Sch.dul. K or Schedul. M,I 18, PrlnclpallaK due IAdd 'OK from lln.. IS, 16 and 17.1 19. Credils Spousal Poverty Credll Prior Payments I I A 1<-V6 Llmlled Ellalo II ~ ! I g + " NUMBER _, B. Tolal Numbo, of Safe D.polll BaK" (61--"':4 7 9 3. 12- 171___ 8. ~27 ,:J'f I B) /3 , 3 '-f j, 1.2.. 1101 f,(.,'l7,.J..'f Ill} 112) (131_ (14) 4-J..L~f f-- (IS} ~ _,X._a (16) ___A2.Lfj, J~__x ,06 a .,.2f'J OV (171 x .15 a (181 __<<:L.'?. DC> Dhcount Inlerell + (191 ________ 1201 ' 011",," Ill'r.... .f you Cllf' 1('C)ut'\IIIl{J CI 1("ulHl of your OVC'lpClyrrll'Il' ^'::!. \( ,\.0'" 121) 121AI 121BI ____ '0/ J:r':3, (\ 0 ~, " " . Act '48 o' 1994 provld.. 'or the r.ductlon o' the tox rat.. Impoltd on the n.t valu. o' tran".r. to or 'or the Ult o' the .pOUIt. Th. rat.. a. pr..crlb.d by the .tatut. will btl . 3% (.03) will b. appllcabl. 'or ..tat.. o. d.c.d.nt. dying on or aft.r 711/94 and b.for. 111/96 . 2% (.02) will b. appllcabl. 'or ..tat.. of d.c.d.nll dying on or aft.r 1/1/96 and b.for. 1/1/97 . 1% (.011 will b. appllcabl. for ..tat.. o. d.c.d.nt. dying on or aft.r 1/1/97 and b.for. 1/1/98 . Spou.al Iran".r. occurring on or aft.r 1/1/98 will b. .x.mpt 'rom Inh.rltanc. tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK k) IN THE APPROPRIATE BLOCKS. VIS N 1, Old detedent make a transfer and: a. retain the use or Income of the property transferred, ..,,,.,,,,......,,,,......"....11.."."....""..'0.. v: b. retain the right to designate who Ihall ule the property tranlferred or III Income, """"'"'''' V C. r.taln a reversionary Inter.st; or 1.............,..,...,..................."...".'1.110..'............,.....,."... d. r.c.lve the pramlle for life of either paymentl, benefltl or care' '"''''''''''''''''''''''''''''''''''" 2, If d.ath otcurred on or b.fore Oetumber 12, 1982, did detudent within two yearl pretedlng d.ath transfer property without receiving adequate conllderatlon' If death otcurred after December 12, 1982, did decedent tranlfer property within one year of death without retelvlng adequate consideration'..,.......,.,..."................,.,............,....,..". 01.'..",...".",..,.,.,..,...,....... 3, Old decedent own an 'In trult for' bank account at hll or her death"'",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,/' IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. ~ - I/) 5ct OCl) 11l<,;;; N () . (.).' 0. U .~ ,,- -"'" .t~ , .' 0 1 . IT'l I' .:? .i) .1> u J ~CJ '(:;i - \....... Q ( , u ~g) '. .<1 a: a: p{ d~ , lUY.IJII,i.I'.II, 01( Iv,() SCHEDULE H fUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCILLANIOUS IXPINIES PI.a.. Print or Tv . ") ] FILE NUMBER /'hl{(I)tlCtc/l~(( .C).)!7'f-OSJf' DESCRIPTION AMOUNT ~tb COMMONWIAllH 0/ PlNNlYWANIA INHUITANCI TAX 'ITURN IU OINT 0 t.ID Nt ESTATE OP ITEM NUM8ER A. 1, Fun.rol Exp.n..., .11f tf,9~ 1. 8,. Admlnl.trallv. CO.t'l 2. 3, 4, C, 1. 2, 3. 4. 5, 6. 7, 8. Per.onal Repre.entallve Commlnlon. Social Security Number of Personal Repre.entallvel Year Commlulon. pold f'/O/V t.: Allorney fee. 6,;>u f"': G> i. F. 1':>0 U (,L t'\ \. -J ~ , [so.. SOO,.DO, Family Exemption . Claimant. r II A IL( I + (h~ Relallon.~lp ~U I P tZ' Addren of Claimant at decedent'. deal~ Street Addreu 'f;''''' K" (( S 1/ ,( (e. I!. c/ City J:liJ, ') I e Stale --& Zip CodJ 10 (3 ol, 0 DO, ()O Probate Fees ~'7.()O Mlse.llan.ou. Expen.ell ,.1.,1'"1'....1>< 0 ,~".s \),\-..J I~,...\ ?to ~ 1"-- ,.2 0 r>T A L- ~ F" 0 I) 1'-\ r r~r- 1='.., t\-<'. ,. C\. \ 8' (,. y8 1\0, pd "3~,OCJ n(U.'--;)..r'\~OA c-)..,v. -I" SO II -tR.~t ~....r 'I~ ~"''''-' ~>l.y\.:'{;....-.1.{i, ,...J;..J . Q JVV\'~~ ~l'-, -cl l. 4..."-''\ DV ("":' ~ I (~,l.v . QIW 5\.\11\\ "'.,.....'-.'-';\J,\ '~ 1~\l,'ll-'~t\"VV,'-f\JT ?I i l'" ("'" F,(\lt..\{\..((\ t w ~,'~~ '. If ~f/ 40, (.10 .,).!.'; ,~'.V l.ro, 00 TOTAL (AI.o enter on line 9, Recapllulallon) (If more .poe. I. n..d.d, In..rt oddltlonal .hu'. of .am. .lze,1 10" "L.7.2.tf COMMONWIALTH OF 'I~NSYLVANIA COUNTY OF CUM_IRLAND i. J '.____'_______________:ilLQ,la-_AI.j}} tlL'{,J&___Ilt::. 4. 5 tI-<2 t LA /-I.1l.LLLV::tln cg:___ b.lng duly _ ) LUc,l.L\_____ according to law,dopolII and "YI th..~h. _ m____'_ ______-.R.l'..~__'"'_1:..:..1L___.____ of tho estat. of (~L I \J ",\ ?-h..Jl, p ~"^ \ \ (blU' R , I.t. of __, ,. . ________,." Cumblllar.d County, P.., d.c..ud and th.t the within II an Inv.ntory mado by ,H_...._u__h~?..c___,__,____ _____, the laid /: i<.N, I (.21 IX of the entlro IIt.to of IIld d.cedent, conllltlng of all tho perlona' propdrty and real 'Itat., exo.pt real .st.t. ou..ld. th. Commonwealth of P.nnlylv~nla, and that the flgurel Oppollt. eao:JJt.m of th. lilv. tory r'plllentll'l fair v.lu. al of the dat. of d.c.d.nt', death, \ ./ ,),) I )"'7 V '_' to " tl<lt.C.e.. 5,v~.J.<L and lublcrlbed b.foll me, V...)ftJa. t271/11 k )., D-t-r...-. " u. "~:~--'-I}'" En' Nut., , Admin!.""'.', :--:--- 19~-r--,:>"Q,,.\ ~, ANC~ /.....-" \. )--t.L_~~} II) ~ i.. ..sJ, ~ .ll_A i\ (\ (\ \\J ~ f\J c. {,- 1 A (~~ ,__UPCt f\ 0 [- h ,- ~ N l'1. 0~ ,A~~'~I c; S,- "' Nolari,1I Seal AmeIA.C<-.,N.lIaIyPlNl Calt;le Boro, Culflb.3ri,ird CoontV My eomnlsSion Exporoo July 14, 1997 .2 -~ Dat. of Duth _,__ ,--==-__ -_, DIY '\ U f\ \L, M.nth I '\ c, i.f- Yet, INSTRUCTIONS I. An Inv.ntory mUlt b. flied within three month I after appointment of pellonal r'Plluntatlv., 2. ^ luppl.m.nt Inv.ntory must be flied within thirty daYI of dllcovery of additional III..., 3.' Additional shoe" may be .ttaoh.d II to pellonalty or realty 4. See Artlcl. IV, Fiduciaries Act of 1949. ffi ~ 1 ~ ~ G Po ~ G ~ . ~ w o u C 11\ " i!: g: ..J LL ,,;, :. E LL ..J ~ 0 Po ~ W 0 ~ ~ i- ~ o c c " - ~ ~ .13 0 ... Z Po "0 c G ... -.: 0 j "0 ... ~ e . J j " if 0 L. Inventory of the real and personal estate 01 ("'IlL I (\;)~,(Le ILl,T(I\~ll SlZ deosased r., rSfC l{ ~,","I<. f\ (C T Yl- sl,~~-L. 7 7'13 12- '? (.;'4f {)"0 T (< PI ( To\" ~,l..OO Do .;., 3" 'S 0 0 w (? \,. Uw Q r 200 00 I2oT'-'\I~\(' r . IDO o() A-, 5'0 t)() S C~\ A,I (\ SR ~ " " .1 ,. ,e,l' ,. , ,. '. . ,- 'I I; , ,. , ,. . '50 <1J~ () '.. jI." -" . ..," (" r.i I 1; \0. 10 OJ 'lJ u; J~) - V) N o. ,,' o I'f'\ c..'I i3 $~ 8. '-/d .llrJ I f ''''J ~ ,~ ( , ,jJ . ,I) ~d !oTAL /33H /2.- / p( fi.J.l6 13 333 "S,,;oDleV\f'(\\/'/ 1~-"1J)~)- RIV,llOO IX. (11,911 1 \ IDA DATISOIDIATHAnlA 12/31191 CHICK HUI ~. '\,~ INHERITANCE TAX RETURN ~o~::~umDITlI CLAIMID 0 '1~,lrA.!' RESIDENT DECEDENT 'Ill NUMUA ----' COMMONWIAUIl m PINNIYWAN'A (TO BE FILED IN DUPLICATE '/ <; 'I" 0 cv (J OIPARIMINI or ReVINUI I "" I' .J 0 ~ IlARRllfJ:g~On\18.0601 WITH REGISTER OF WILLS COUNTY CODE ,Y,~AR i- '"";;':,~i: :,'; '''c ':i :'~~""'h, 1/, I SA .' r"'~~~;'iiIL~'~~" {I ~ R.( ~ (j{dmfOlffiJ'~ifM\~Ir- - I rnrorlilAfH -rAT(OfifRlH---- l' t\ ill) Ie, e A, II 0 I ;, ~___ gaS - :l-8.:.~jj1____J ~.l!::~.Ii 'L_ _,_.JJ.!J.!-1__,_,~"!1______.. 0. ,,_~J2 Q (C ~~_ J.. __..___ I!! ll1. Original Relurn ~ 2. Supplomenlal Relu,n {J 3. Remolnder Rolu,n ~~ /'~ (Io,da'o, 01 dealh priOri 0 12,13.821 ~... [] 4. limited Ellale 0 40. Fulu,o Inloro,l CampromllO 05. Federal E,lale To, 52... (la, dalOl of doalh ahor 12,12.021 Rolurn Required ~Cll [] 6, Docedenl Died T..lale [] 7, Doced.nl Malnlalned a living T"'II _ 8. Tolol Number of Safe Depo,lt Bo<Ol ,___ (Allach ~~~ Willi (Allach_,~r.~L!!~!L___,__...._..,_______ ALL CORRESPONDINCE AND CONP1DENTlAL TAX INPORMATION SHOULD BE DIRECTED TO. "AMI, ----, ]WMlmrmmHOAb'''lTfi ~ I :~;:6r.~:~ ~';~~~,~1~____"," .?:~ ,.1: ~~" t~:~:~'~._ '0 1. Real Ellale (Sch.dule AI ( 1). .. ....', ....,.. '1")(') 2. Slack, and Band, (Schodulo BI ( 2) ." --~' (," ~~ ii? ~ 3. ClolOly Held Slock/Pa,lneuhlp Inlorell (Schedulo q (3),...,.. ,. _.. ,.... ...,.. ,..,,,..,~,. I,'!", . , i:t:~:~ \ , 4, MarlgagOl and No'o. RocolvlIblol5chodulo 01 (41, _,........ .....,.. i. :Z 5. Ca,h, Bank DepolII. & Mlleollan,oul Pouonal Ploporlyl 51.. >~I.,_'l..z,,:f.L_.__.. c .!. (Schedulo EI ,. ". , 6. Jolnlly Own.d P,oporly iSchodul. FI ( 6) _._,....,.._._..,_.._.._,,,_, ,..~, I . I' 7, Tran.fo" (Sch.dul. G) (Schedul.LJ ( 7)_.. __'__'''_''''''__",_,....n< ..,:t1'~ '1>;:1. 8, Tolal G'OIl AII.h 1101011100.1,71 ' (81 9, Fun,rnl Exponul, Admlnistrativo Calls, Mllcollanoovl ( 9) _._.____...___..~_______._____ E'penlO' (Schedule H) 10. Oebh, MO'lgagn lIoblllllOl, lI.n, (Schedule 1) (10) ....___...__.._....__,.._,__ 11. Talal Deduclions ('olalllnOl 9 & 101 (111 '.._'_,_".__.h._______,_.._,_,___ 12. Nel Value 01 Ellal. (IIno 8 mlnu,lIn. 11) 112) ....,__._'_.___,..__,__,__'..'___ 13. Chariloble and Govornm.nlal B'quOl', (Schedule JI (13) _._......_____..__;:.rh___.._ 14. No' Value SubloClIO Tax IlIne 12 mlnu.lln. 131 (14) ....._~:j'._f2.!~_L,___..__ -------.--.----'---..--------..--'---'----7;----..'..'-----'''- --..---,'...-,--, 15. Amounl a' II.. 1410,able 01 6% ,ole (151 "'_,_,:3..,~_(L_'.}>,~L..,_'n..X .06 ~ ,___..__L~ (l'L,_..,___ (Includ. valuo, from Sch.dulo K or Schodule M.I 16. Amounl of IIno 14 lo,able 01 15% role (Include valuo, 'rom Schodule K or Sch.dulo M,I 17. Prindpalla, duolAdd lox from IIn. 15 and 'ram Ilno 16.) 18, Credll' Spoulol Poverly Credil P,lar Paym.nh Olleounl '--..__....__,..,___, + _.._,___,_,___. +._,_,..__,___.. .. ._,___......h_.. , 19. If line 18 II grealor Ihan lI"e 17, en!" !ho dllloren" on II.. 19, Thl,l'lhe OVERPAYMENT, 1110 20, If line 17 I, greo!er Ihan line 18, .nlor Ihe dlllereneo an line 20. Thh 1,Ihe TAX DUE, A. Enler Ihe Inl"OII on Ihe baloneo due on line 20A, B, Enler Ih. 10101 of Ii.. 20 and 20A an line 20B. Thl, I, Iho BALANCE DUE, M~ke Chock Payable to, Reghler 01 ~1II1, Agent __..._. ....__ ___,__,_____.______,__,_,__ , . . -~ :'.. ..., B~5URE TO ANSWER ALL'QUISTIONS ON REVERSfslDE AND iO..RECiiECiMATH..-,--~~'-.-'-, Under ptlnoltles of perjury. I declare thaI I have oxamlned this 'tlurn, IncludIng accompanyIng Iclul'dulel a-nd Ilolomonll, and 10 the bill of my knowledge and bell.l, II h Iruo, correct and complll.. I d,clar. lhal 011 rual ollal, has boon roporlod allruo markol voluo. Declar'Jlion of proparer olhtlr I~an Ih. peflonal roprellnlaliv. 11 ~.,,,,""". ,,7,'i '~:,t~'"' :J;";,;' ~ kn.w!~ge.,_____,__,___,___,___..__.._.._..,.._.__.__ 0" n .,ONAIURE OIJ .R ,uN ,OR I N R R ADOml \ A .^;' _ _" ~ R m ~. ~~! AbI,mr------LAJJiflDLLcJ..A{~!!jl-.ltJ..1~1r_-1.IL~L ,'. ~v Il _ ,f1.~~__ly,')CY.IL~iY-_..___.__.._'hH'_'_'_,_.. _"'__,__,____ c:... z o 3 E ~ r.: ":.('J -0 ..1, L...J iii' " U '" j - ," / 5='._, ,"::,~:LL~_,L.._ z o ~ !5 ~ ~ (16) ... "'___"_ mm_..x.15~ 1171 ___._.._'___'m'___m....__'___ Intoroll Cbl'ck IlCfO if you me roquoslinu C1 refund of your ovcrpovmonl. (18) _..__.._'__,..._....,___.... _.._... ,__ (191_._, '----'__,__....,_ (201...__Lf:...l-.!.gp_",_____ (20A) ______'__,_...._.__ (20BI ___j..J,..2~..QL...__ /:UI 0" .s :3 S.::/!.6,) u III 'v'/\llr' ,.-0, C~l'''-l/~<' l..,_,\/,,~. 19 "I ':)' 0_-.-;. , L '} I fil d -!lV-f1-14-'r~'~~e"'fJ . Adm~--~- ~ , ,):/LJe..... (.,.{.1I/1L'"'!t7CV,l-Q ..,__L/:..d1l..lkc !>" , ___J-(~O\ctl"\lcl \ !)u((; (), Ilu S-":.- Add,... c"")~' r'.'" ~ . (,) d b lb d b f . .' I an .u Icr B e or. me, .-, J D.t. of Duth ____-=::2, DIY It:' Menth '1' '-1- VII' INSTRUCTIONS I. An Inventory mull be fII.d within three months after appointment of personal representative, 2. A suppl.ment Inv.ntary mull be flltd within thirty deys of discovery of addltlanel....". 3. Addltlanel sh..h may be attached a, to personalty or realty 4, See Article IV, Flduclarlu Act of 1949, 'b., ~ 11 iIo ffi ~ " ~ .. \0 u ... ~ ~ . ~ w ~ Q 1 ;- ~ ~ ~ LL i. E u. 0 ~ ~ 0 ~ cr: i- I(( o Q j - 31 ~ 0 ... Z ... "V c ... .. "C 0 .8 "V ... Jl E . J j ~ if 0 ~~.I () / /1/),,) 1- 5--- v1-11147 IlC AFP 02.94* C~AlTH OF PfMWIVlYAHIA IlI!PAllTHrHT OF RtIEIM! IUREAU OF IHDIVIDUAl TAME I DEP!. 210AOl HAllRIIIURD, PA 17111-0'01 ISTATI OF MITCHELL FILE NO. DATI OF DEATH 01-23-94 COUNTY CUMBERLANP -- HOTEl TO INSURE ~RO~ER CREOIT TO YOUR ACCOUNT, SUSHIT THE U~~ER ~ORTION OF THIS FORH WITN YOUR TAM ~AVHENT TO THE REDIlTER OF WILLS, HAME CHECK ~AVASLE TO "REDUTER OF WILLS, ADENT" REMIT PAVMENT Tal NOTICE OF INHERITANCE TAM A~~RAISEHENT, ALLOWANCE OR OISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAM ACN GEORGE F POUGLAS JR 27 W HIGH ST CARLISLE PA 17013 u 101 DATI 03-06-95 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 l A..unt R..I H.d CUT ALONG THIS LINE ~ RITAIN LOWER PORTION FOR YOUR RECORDS ~ Ri"V:i5W'~X'APP"ilz:94T"NOTici"liji-I"liiliifiTAiI'ci'i"AX'^'ppilA-iiiijiNT~-'Ai.rliwAifci'ijri'..m.......mm DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAlC ESTATI OF MITCHELL CALVIN P FILE NO. 21 94-05S8 ACN 101 DATI 03-06-95 If .n ...e....nt w.. 1..u.d pr.v1ou.ly, 11n.. 14, 15 .nd/or 16, 17 .nd 18 will r.fl.ot f1gur.. th.t 1nolud. the tot.l of ~ r.turn. .......d to d.t.. A8SESSMENT OF TAlCl 11. Aaount .f Llna 14 .t Sp.u..l r.t. 11Sl 16, AlOunt .f Lln. 14 t..Dbl. .t Lln..l/CI... A r.t. 1161 17. AlOunt .f Lln. 14 t...bl. .t C.ll.t.r.l/Cl... 8 r.t. 117) II. ~rlnolp.l T.. Du. TAlC CREDUSI PAVHENT DATE 12-30-94 TAM RETURN WAS I (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - 8EE REVERSE APPRAISED VALUE OF RETURN BASED aNI ORIGINAL 1. R..l E.t.t. ISoh.dul. A) (II 2, St.ok. ond I.nd. ISoh.dul. I) 121 S. Cl...l~ H.ld St.ok/P.rtn.r,hlp Int.r..t ISoh.dul. Cl (Sl 4. HortD..../N.t.. R.o.ly.bl. (Soh.dul. Dl (41 D. C..h/S.nk D.po.lt./HI.o. P.r.on.l Prop.rty (Soh.dul. El (S) 6. J.lntly Ownod Prop.rty (Soh.dul. Fl (6) 7, Tr.n.f.r. (S.h.dul. Gl (71 I. Totol A.uh APPROVED DEDUCTIONS AND EXEMPTIONS I .. Fun.r.l E.p.n.../Ado, Co.t./HI.o. E.p.n... (Soh.dul. HI (., 10. D.bh/Hort,.,. LI.bllIUu/Ll.n. (Soh.dull II (10) 11, T.t.l D.duotl.n. 12. Hot V.lu. of T.. R.turn IS. Ch.rlt.bl./Goy.rnM.nt.l I.qu..t. (Soh.dol. J) 14. Hot V.lu. .f E.t.t. Subj.ot t. T.. NOTlI RECEIPT NUHIER AA022657 DUCOIJNT (+1 INTEREST (-I 3,69- ) CHANGED ~~ :..1 II " U ,ci '-'I . DO d., . DO ~j . DO I ,. ..000'\ 5.550.00 "-d ~ . 7 .~.~ .12 ~_.: ).; ;'L 00 L~ (I) 8,627,24 .00 (111 (12) (UI (14) .00 M .00. 4,715,88 M .06. ...:..Q.Q. M .!S. (lB) AHOUNT PAID 403.00 TOTAL TAlC CREDIT BALANCE OF TAlC DUE INTlREST TOTAL DUE . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. -(.):0 . (TJ (1) n l") l) ~:; . (fl l' -.. 13,343,12 A.it" '4 4,715,88 .00 4,715.:!!!., ,00 283.00 ,00 283.00 399,31 116,31CR ,00 116,31CR IF TOTAL DUE IS LESS THAN 11, NO ~AVHENT IS REQUIRED, IF roYAL DUE U REFLECTED AS A "CREDlT" ItRI, YOU HAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FONH FOR INSTRUCTIONS.) ", " , ,I \; ,. '" ,. I! Ii '.. " .,' 'I " . , ','J '" I, ReIERVATION. E.t.t.. 01 dIo.dont. d.lnl on ar bolar. Doctobor 12, 1912 .. II ...'Iutur. lnt.r..t In tho ..t.t. I. tran.l.rrld' lnpa..I..Jon or InJoYHnt to CII.. I (ool1lt1r1ll benefiolar!.. of the dtaldtnt Ift,r, the .~plr.t1on of MY IIt.t. for I1f. or for y,.r., thl C~nwI.lth hereby ..prl.tIV r...rv.. thl rJtht to appr.I.. end...... trlnt',r InherltlnGl TI.I. It thl I",'ul CIIIII(ooUlt,r,U r.t. on MY .uoh future Intlrllt. PUR1>OII! Of' NOnCE, To fu1f1l1 thl rlqulr..."" 0' SloUon 2140 of thl Inherltane. and Elt.ta TIM Aot, Act 2Z of 1991. 72 PII. I..tlan Z140. PAMMTl DetlCh tlMi top portion of thh NotlCt and Iubllit wJth your Ply,tnt to thtl Rlfhtlr 0' Willi printed on the rlvlr.1 da. ..H.... ahock ar tan.. ardor p..'bll tal REOJlTER 0.' HILLS, AGENT All p.~t. r.calved .hlll 'Irl' ba applied to any Inter..t which ..y be due with any r...lnder applied to thl tlM. REFUND eCR)1 " r,fund of . tllC oredit, which WIl not raque.hd on the Tax R.turn, .IV b. r......t.d bv cOIlpI.Ung en "Appllc.Uon for Alfund of Plnnlvlvanll Inhlrltanol and Elt.tl TIM~ (REY-1S1S), Applloltlon. .r. IVIIIIbI. It the Offlo. of thl Aqht.r of wl1lt, any of thl 25 Rlvenue Obtrlot Off lou, or bv oll1lng thl 'PIOIII Z"-hour In.werlng ,.rvlol nUlGer,'or fori' ord.rlngl In Penn.vlvlnll 1-800-S62-2050, outlldl PennlylveRl. end within 1001. Hlrrl.burg ar.. (7.7) 787-8094, TOO. (717) 712-2252 (He.rlng !.,alrtd Onlv), O.JECTJOHSI Anv plrtv In Interl.t not ..tlafl.d with thl IPPr,I.-..nt, Illow.nel or dl..lloWInGI of deduotlon., or ......lInt of t.w (lnoludlng dlloount or Int.r'lt) .1 lhown on thl, Notlo. IUlt obJ.ot within Ilwtv (60) d.V' 01 rla.lpt of thlt NoUc. bVI --written protut to thl PA O'Plrt'.nt 01 R....tnUt, BOlrd 0' APPlIlI, O.pt. 281021, H.rrhburl, PA 17128-1021, OR ".I.atton to hlv, tM .,tt.r deterllnld It alt 01 thl .aoount af thl p.r.onll rtpt'lIentaUvI, OR --appll. to thl Orph.n.' Court. AONIN llTRATlI'E CORtlI!CTlIlNS. FlOtutl Irror. dl.cav.rld on thl. ......eent Ihould be eddrl..td In wrltln. tOI PA 'OlPlrtllnt 0' R.vtnUI, Burlau 0' Jndlvldull T.MI., ATTNI Po.t A...."'"t AIVllw unit, Dlpt. 280601, Hlrrl.burl, PA 17128-0601 Phone (711) 787-6505. S.. P'" 5 of thl bookllt "In.tructlon. far JnhtrltlnC' TIX Rlturn for I A..ldlnt Daotdtnt" (REV-1SOI) 'or an .xplIM'tlon of ~lnl.tr.tlv.1Y carrlGtlbl, Irror.. If Iny taw due' It paid within thr.. (5) alllnder eonth. 1ft,,. thfl dlc.d.nt'. dllth, . flv, Plrcent UX) dllcount of thl tlX Plld I. Il10Nld. Jnt.rut It ahlrg.d b.gIMIMI wHh flr.t day of dlllnquency, or nine (9) .unth. IMd ant n) dlv 'rOIl thl dlt, of dI.th, to thl dlt. of P'Yllnt. Tlx., whlah btotet dtll~t b.for. JlMUtrv 1, 1982 bill' Int.rl.t It thl ,..t. a' .Iw (6X) Plro.nt plr tnnuI aalcullted .t I dilly rltl b' .00016". All taM" whlcn bee... delinquent on Ind Iftlr Janulry 1, 1982 will bI.r Intlr..t It . r.t. which w111 vlry frot ell.ndlr Yllr to CIllndlr Y.lr Kith thtt rlt. ennounold b~ thl PA O.p,rt..nt of AIVlnul. Thlappl1clble Intlrut r.t.. 'ar 1912 through 1"1 Ir'l ' oncOONT I ' , IHTEReST. Vllr Int.rllt Aatl natly Jnt.rl.t Faatar !!!r Inti rut Alt. O,lh Interut Flator - 1912, 20X .0DOlla 1911 9X .000217 1911 16X .00001 191801991 m .ooml 1914 IIX , DOOlDl 199' 9X ,000217 1911 UX ,00Dl16 1995.1991 7X .000192 1916 lOX ,DOOm 1995 9X .ODDZU --Intlrnt I, cllcut.t.d I' 'OllCMII INTEREST . BALANCS OF TAX UNPAIO X NUftlER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Anv Notlq. 111ued Ifter thl t'M hoO'" dtl1t'tlJllnt will rtfhct an 'nt.rtlt Cllaul.Uon ta 'Ht'an UI) dlv. bevond thl d,te 0' the ........nt, If PIVMnt II I" Ift.r 1ht Intlrllt aOllputlUon dlte .hown on thl NoUn, Iddltlon.. Jntarllt lIU.t bl allou.at... . ~ - ~ (I f"- '2.. ,.J ..,. v ()I-/ /1/- J.)"I~ 6 , /'-~EV.l!47 EX AFP (12.94~' C~ALTH Of PENNSYLVAHIA DEPAATHENT Of REYfIM: \ IUREAU OF INDIVIDUAL TAKEI Df:PT, 110'01 . HARRISIURG. PA 17111-0'01 ACN 101 NOTICE OF INNERITANCE TAM APPRAISEIIENT I ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSNENT OF TAM DAT! 05-01-95 FILE NO. DATI OF DEATH 01-23"94 COUNTY CUMBERLANO NOTtl TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBNIT THE UPPER PORTION OF THIS FORN WITH YOUR TAM PAYNENT TO THE REDISTER OF WILLS, HAKE CHECK PAYABLE TD "REDISTER OF WILLS, ADENT" REMIT PAVMENT TOI GEORGE F DOUGLAS JR 27 W HIGH ST CARLISLE PA 17013-5228 NEGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 r- hount R...ittld . l CUT ALONO THIS LINE ~ RETAIN LOWER PORTION FOR YOUk RECORDS ~ RiV :iSiii- iif ""FP""n if: 9ft"!" "iliifi cir .OF" "iNil iiiifAifc! -Y AX- APPRA-i si'Hiiir;-"L liiwANc! "iili-"" -- _m. -. - - - -. DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATI OF MITCHELL CALVIN P FILE NO. 21 94-0588 ACN 101 DATE 05-01-95 TAM RETURN WAS I (X) ACCEPTED AS FILED RESERVATION CaNCER NINO FUTURE INTEREST . saE REVERSE APPRAISED VALUE OF RETURN B_SED aNI SUPPL~HENTAL 01 1. Rid Eltltl (Schldull Al III 2. Stookl Ind Bondi (Schldull BI (2) S. Clollly Hold Stock/Plrtnlrlhlp Intlr..t (Sohldull Cl U) 4. Hortglglll/Not.. Rlcllvlbll (Sohldull 01 (4) i. CI.h/Bonk Dlpollt./HI.c. Plrlonll ProPlrty (Sohedull E) (i) 6. Jointly OWnld Proplrty (Schldull F) (6) 7, Tronlflr. (Schldull D) (7) B. Totll A..lh ) CHANDEm>O c: 'F;' '" (I; :0 ..' I \\1 (II (J . '. 00 ~[~ , O{J ,00 1'.' .~--.j .00 .,", 2 '~,?~. 51 ,: .J.' ;'" 00 " .00 IJI (B) (O! I) 2.699,51 APPROVED DEDUCTIONS AND EXEMPTIONS I 9. Funlrll EKpln.I./Ada, Co.h/Hhc. EKp.nllll (Schlldul. Hl (9) 10, Dlbh/Hortglg. Lhbllltlll/Llln. (Schldull II 1l0) ,00 11, Totll Dlduotlonl 111l 12. Nit VIlul of ToK Rlturn (12) U. Chlrltlbll/Gov.rnnnhl BlqUllt. ISchedule J) (15) 14. Nit VolUl of E.tltl Subj.ct to TIK (14) NOTE I If In ........nt w.. i..u.d previDu.1Y, l1n.. 14, 15 and/Dr 16, 17 .nd 18 will r.fl.at f1gurll that 1nolud. the tatl1 of ill raturn. a......d to d.t., ASSESSMENT OF TAXI lH. AMount of Llnl 14 It Spou.ll rltl 11S) 16, Aoount of Lln. 14 t.K.bl. .t Llno.l/CI... A rlt. 1161 17, A1IIOUI\t of Lin. 14 tlKlbl. .t toU.t.r.l/Cle.. B r.t. (17) lB. Prlnclp.l T'K Du. TAX CREIIIT!1 PAYNENT DATE 12-30-94 01-31-95 03-01-95 ,00 DO 2.699.51 .00 7.415,39 ,00 M .00, 7.415,39 K' 06, ,OOM.15,_ nIl .00 445.00 .00 445,00 RECEIPT NUHBER AA022657 WRITEOFF AA022888 DISCOUNT (.) INTEREST (-J 5.81- ,38- .33- ANOUNT PAID 403.00 2,48 162,00 TOTAL TAX CREDIT 8ALANCE OF TAX DUE INTIREST TOTAL DUE 560,96 115,96CR .00 115,96CR . IF PAlO AFTER DATE INDICATED. SaE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IFrDTAL DUE IS LESS THAN '1, NO PAYHENT IS REllUlRED, IF TOTAL DUE IS REFLECTeD AS A "CREDIT" (CRI, YOU NAY la DUE A REFUND, SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIDNI.I , '. , " AEURYATJDNI flt_t" of deoedlnh dying on or bIIfar. Dee'" 11, 1912 .... If My future lntlrnt In the I..ete 11 trln,flrred In pa.....lon or enJavwent to CI... . (00111'.r.l) btnefJoS.rJ,. of the decedent .'t,r the IMPlr.tlon of en1 ..t.t. for 11'. or for VII", thl Cu.onw..Uh hereby Illprul1v r...r",. the rllht tu IPPrlll' arwt ...... trln".r InhlrltlnCll 111(11 It the lew'ul Clll1 . (coUat'rIU rat. on In)' luch future lnt".... I'\lRtlCm! OF NOTICE I To fulf1Jl tM requlrt.."tI 0' SocHa" 2140 of thl XnherJtanc. end Eltat. IBM Act, Aat 220'1991. 1Z P.I. ".lIon 21~D. PAYHlHTI PltHh thl tOi' portion of thh HoUel end .ubllt !lith your PIYI"'t to the Alght,r of NUb printed on the river.. Itde. --Kok. chock .r .cno. ardor ....bl. tc, REGISTER OF MILLS, AGENT All PIYMntl r".lv~ Ihl'lU fJrlt b, Ipplhd to ....y lnter..t ~Ich ..y be due with any rHllrldtr appUed to thl tl)C. RfFUHD (CA)1 A r.'und of . till oredlt, which WII not r.que,ttd on the 'Ill R,turn, ..y be requfltld by cOIIPlatlng WI "'ppl1oIUon for R.fWld of Penn.Yl","" InhlrAtenoa end E.tat. 'IIC" (REY-UUL AppUc.tlon. arl '''Illabll at thl Offlo. of the AIghter of N11l1, 1f'IV of thl ZS AI"lnue DhtrJ,t Offlcu, or by ClUing thl 'Plolll 14-hour In.wtrlna ..r"lel hUIbIrl for for.. ordlrln'l tn Plnnlyl"."I. 1-.00-36~~2050, out.ldl P~.yl"lnl. and within 1000II H.rrhburg ar.. (717) 717-8094, TOO. (717) 772-2252 CHa,rlng tlP.lnd t'nlyL a.JI!CTIONSl Any Plrtv In Intlr..t not "Ulflld wAth thl IIPpralu...,t, .UOWIne. or dl..Uovww:. of deduction., or ......Hnt of talC (Including dhcount or Int.rut> II .how" on thh Notlol MIlt obj.ot within .lxtv (60) dlya of recllpt 0' thit Nottea bVI ."wrIUen protut to thl PA D1part""t of R."tnUe, Bo.rd of App..l., Dlpt. Z810rl, Harrhburg, PA 17121-1021, 0" ....I.cUo" to hlvl thl 'Itter dlt.r.ln.d It audit of thl account of thl pilr.onl1 r.pr...ntatl"l, OR ~-IPPI,I to thl Orphan,' Court. AD/UK IITRATlI/E COIlRECTlOHS, FlCtual .rror. dl.cov.rld on thl. .......-ot ,hould be ~r..,ad In writing tal PA Dap,rtaent 0' RavlnUl, BuralU of IndividUal TalCa., ATTNI Po.t A"",,,"t AlvleM Unit, Dept. 210601, Hlrri.burg, PA 17IZ'~0'OI Phone (711) 7'7-6105. S.. Pili S 0' thl bookllt ~Inutructlon~ for Inharltlno, TalC Return for a AI,ldent Oto.dant" (REY.IS01) for In IlCplIn,tlon of IdIlnlatratlvlly corrlotabl. Irrort. INTEREST I If ,"v talC due 11 paid withIn thrll (5) callndlr ItOnthl eftlr thl dICldent.. de.th, I flvl Plrcent (S)() discount of thl tllC paid 11 .llowed. Intlr"t h chargad baglnnlng with flrat d.y of daUnqulnoy, or nlnl (9) ItOl"IUU Ind ani (1) day 'rOIl thl dltI of Nth, to thl data 0' paY'lnt. TIICII vhloh b1c... delinquent bafo" J....r~ I, lta2 bear Int.r..t at thl rata of Ih (6l0 PIrClnt par annu. calcullt.d lilt a dlUy ntl of .000161\. All tlMII which blc", dlUnqwnt on end .ftlr JlnUlry 1, 1912 wUI baar Intarllt at a rata which .,Ul varv frol oll.ndar Vllr to c.landar Vllr with that r.t. announcld by the PA Dlpart.ent of R.vtnUl. ThI appllCabl1 Int.ra.t rlt.1 for l'lr through 1'95 .rll DIICOIlIIT, '!!!! Int.rut Alt. Dallv Intlra.t Factor ~ Intarut Alt" DIll'l Int.rllt hctor 1912 ZOI ,DDD5~. 19.7 91 ,DDD2~7 19U 161 .0001\51 1911-1991 111 ,DDUDI 19I~ III ,DDUDI 1992 91 ,DDOl" 1915 ISl .000356 1995-1994 71 .000192 1916 101 .DDD27~ 1995 91 .DDOl~7 "lntlr"t I' calculatld .. follow'l INTEREST . BALANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR "-Any NotlcI IlIued Ift.r thl talC beOCHI delinquent will r.llact an Intarut OIlculaUon to flftMf'l (11) d.u blvond thl d.t. of tha ........nt. If P~'1.ent II ftede aft.r thl Intlra.' ooaputltlon dll' .hown ~ thl Motlea, e.ddltlonal Int.rllt ItUlt be calcul.ted. . ~~1;07 IX AFP 112"94*' VR~~ALlH llI' Pl:NNSVlVANIA IlEPARllENI llI' REVEIU IUREAU OF INDIVIDUAL IAMEI IlEPI, 210m HARRIIIURG. PA 17111-0601 1'1.- ;);)1- 6 ACN 101 INHERITANCE TAX STATEMENT OF ACCOUNT DATI 06-12-95 DATI OF DIATH MITCHELL 01-23-94 CALVIN FILl NO. 21 94-0588 COUNTY CUMBERLAND P HOTEl TO INSURE PROPER CREOIT TO YOUR ACCOUNT, SUSNIT THE UPPER PORTION OF THIS FORN WITH YOUR TAM PAYNENT TO THE ADDRESS SHOlIN. NAKE CHECK PAYABLE AND RENn PAYNE NT TDI , GEORGE F DOUGLAS JR 27 W HIOH ST CARLISLE PA 17013 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 AlIOUnt R...j U.d CUT ALONG THIS LINI .. RETAIN LOWER PORTION FOR YOUR FILI8 ~ ii'iv: ilio.j"ix" "AFP"- (12.:94")-.... ...iiii - iiiifiiiii'A'Ni:i-;:Ax'si'A'flii1itif"oF -Aifcoi:iiif" -...ti..--- - - -.- .-.. ---." -" -- DATI 06-12-95 ISTAT! OF MITCHELL CALVIN P FILE NO. 21 94-0588 ACN 101 THIS STATENENT IS PROVIDED TO ADVISE OF THE CURREHT STATUS OF THE STATED ACN IN THE NANED EITATE. SHOWN BELOW IS A SUNNARY OF THE PRIHCIPAL TAM DUE, APPLICATION OF ALL PAYNENTS. THE CURREHT BALANCE, AND. IF APPLICABLE , A PROJECTED INTEREST FlOURE, DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT I 04-24-95 PRINCIPAL TAX DUE, PAYMENTS ITAX CREDITS), PAYMENT RECEIPT DISCOUNT 1+) AMOUNT PAID DATE NUMBER INTEREST 1-) 12-30-94 AA022657 5.81- 403.00 01-31-95 WRITEOFF .38- 2.48 03-01-95 AA022888 .33- 162.00 05-24-95 REFUND .00 115.96- j III D1 ',') '.: ~( If I. . . ; ,~ I:;J ~~;; : ~ ,.1 r.lCI" 0:' TOTAL TAX CREDIT IALANCI OF TAX DUI INTlRIST TOTAL DUE '" :;, ""! :; 00 . IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST, ( IF TOTAL DUE IS LESS THAN II, NO PAYNE NT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREon" ICRI, YOU NAY BE DUE A REFUND, SEE REVERSE SIDE OF THU FORN FOR INSTRUCTIONS, I 445.00 445.00 ,00 .00 .00 PAVIliNT, DetICh the top portion of thh Notlc. and luaU with vour p,YIlt"t ..61 pIVlblt to tn. "... Ifld .delr... printed on thl rly.r.. Itde. .. 1/ RUIDEN' DECEDEN' ..k. check or .on.. ordtr ....blo tOI REGISTER OF WILLS, AGENT, .. 1/ NOf4-REIIDEN' DECEIlfN' .Ik. chook or ..... Oldtr p..abl. tOI COHHONWEAL TN OF PEHII3VLVANIA. All plv..nt. r.c.lvld ,hill bt tppllld flr.t to any Int.r..t which "V bl due with any r"llndtr IPP111d to the tl". REFlIaJ (CA)1 A r.food af . tllC credit, which "II not requllttd on the TIM Rlturn, I'V b, r.qutltld by co."ltUna WI "Application far R,fund of PIM.vlvant, Inhlrlttnel and Elt,t. TlI(" (REY-UU), 'ppltc.tlen. ar. Iv.liablt .t thl Off In of the Rlght.r of Willi, M\V of the n R'v,nue District OffiCII or frol thl D,plrtunt'. 24-hour .".werlng ..rvlel nl.Mbar. for for.. ordtringl In PIM_vlvanl, 1-100-362-2050, outlldl P'MIV!"..,I, and within 10011 H.rrl,burg ar.. (717) 717.a09~, TOOt (711) 77Z-Z2SZ (H..rlng IIP.lrld only), REPLY TOI Out.tlon. r.g.rdlng .rror. contalnld on thl. notice .hould bl Iddr...td tOI PA DIp.rt..nt 0' Rlv.nu., Bur.ty of Indl"ldu.l TIMII, ATTN. Po.t A.......nt Rlvl.w Unit, Dlpt. 210601, H.rrhburll, PA 11121-0601, phonl m71 787-6505, DISCOUNT I If .ny tllC due 11 p,ld wlthln thr.. ()) cIllndlr tonth. aft., thl dlCldlnt'. tlllth, II flvl plrclnt CSX) dhcount of thl t,lC p.id 11 .110Wld, INTeRnTI Intlrllt 11 ch.rll.d blglnnlnll with I1r.t dlY of dtllnqutooy, tlr nine (9) lonth. Ind onl (I) dlY frOI thl dltl of duth, to thl dlt. of paYHn\' TIMII which blc... dlllnqulnt b.fore JtnulrY I, 1982 bllr Int""t It the rttl of IlIC C6X) PlrClI1t plr .nnUII e.lcullt'd .t . dilly retl of .00016". All taxll which blo... d.llnqulnt on .nd .fter Janutrv 1, 1912 will b..r Int.r..t It . r.t. which will varV frol ell.nd,r y..r to e.l.nd.r YI.r with thlt r.tl ~Id bV thl PA DIP.rt.,nt of Rlvlnu.. Th. 6ppl1cnhl. Int.r..t r.t.. for 1911 through 1995 .rll YI., Jnt" lit Alt. D.llv l"tlrl.t r~Qtor VI..'r Intllro.t Anti D.llY Interllt Flotor 1m m .0Dm! \917 9X ,000Z~7 1911 IU ,0Dma ma-I991 III ,OOUOI 19I~ III ,OOOIDl 199Z 9X ,OOOZ47 1915 m ,000556 1995-199~ 7X .00019Z m6 lDl ,Doom 1995 9X ,OOOZ~7 "Interllt I, elleullt,d I' follawl' INTEREIT . ULANCE OF TAX UNPAID X NUHIER OF DAYS DELINQUENT X DAILY INTEREST FACTOR .'Anv Notle. I..u.d .ft.r the tllC bleo... d.llnquent will rlf11at an Intlr..t a.loul.tlon to fiftl,n (IS) dlv, b.yond thl dntl 0' the ........nt. If PIYllOt II ..de Ifter thl Interllt CNPutltlon dlt. .howt1 on the Notlct, .ddltlonl1 Int""t IU.t b. ulcuhtld. . . .. ,. CREDITS , The Aocountant herein credits herself with the following I Puneral expenses Douglas, Douglas & Douglas Register of WillB Homedco Room Rental and Food after Funeral . Newspaper ad to sell tractor . Evening Sentinel, advertising e.state Cumberland Law Journal, advertising estate Register of WillS, filing inventory and appraisement Register of Wills filing Unal account Pennsylvania Inheritance Tax TOTAL CREDITS I 5,488.95 500.00 67.00 86.48 150.00 33.00 86.81 40.00 25.00 150.00 445.00 $7,072.24 RECAPITULATION TOTAL DEBITS TOTAL CREDITS $16,159.59 7,072.24 ,. BALANCE FOR DISTRIBUTION $9,086.35 ,-1 ;J !. ,'S_Itv.}a, fYI, A o,JlrU Sheila M. Narice (SEAL) ... ..' '. " " ,. I: I '. ',' " ". " " ! 0.' ',( , ,. . , ., , ' ,. I-I ',,' , , I',. ,. ., .' .'/.. ,~ ~ " j.l, ,\ ;"<';," , . , . , ,. "'1, .., COMMqNWBALTH 01' PENNSYLVANIA COUNTY 01' CUMBERLAND .' " '," ,. , ~, I, .. " Sheila M. Nance, being duly sworn accordinq to law" depo8es and saY8 that she is the Executrix of the Estate of Calvin P. Mitchell, Sr., and that the averments of the within Pirst and Final Account are true and correct to the best of affiant's knowledge, information and belief. Sworn to and subscribed ,J~{ be{:lme this lida~ of-Mey; .1995 . "-<r-t ~r") ( /f,;L notary I ",;"~)31 Annf, M (,{,^ ,N.;ll/lly NiIo Ca~l~J floro, CurI't.ol1lWl CWllY My ,kJ'l:n'<ssKln E>qIreoJuly 14, 1997 ,,' ,. 'j, I" " , I' .1 .1 ,., " '.', " , ,', " ;j' "I .,. ,I.' " I. , " " " /> ') J) '/ f ,,~:i>kt,-l' Ov ,f, N Il/IVGL Sheila M. Nance " ,. , " I," I" .1 ,. I, , " 'I"~, 1< , "!. ,. ., I " I"t',', " ,d' , " " " H' .1' , , " .', Ill' ,. '!l' I, " 1"II'f,,"!' ,. " ,. I; I,ll f.; Ii" , " 'I.'; " , ,. .<,..,_.,~"" ...,IJ",m ....." !~ ". ..,......u. I' :1 I' ! , ' ", I, " ,. ", "I,,; I' !I', " ., 'J ,. 'J' , " "/ " ." " " I , , ,'i ,. " , " , , , , " " Ii II' ,.' / I' 'I 'I' I. ,. ,.j " , " ., .' " ,. ,I.'" , " ,,:.' ':' ..,,' 'i:.: i:j. " ,Id- \JI -\";':-';;;:, .L'" .(. 'Ii".'; ..' ,H' "" I :;:("" "\ 'r,' "",\"', <"j\ !.'. ,II '1\" ',r 'I' .',.; ~, i.:: ",I d," , ',JII" ,. " '. I' .1, , , ". , " " 1<: .,' ,': ',I ',:~' -' .' 'f' ',I' '\"" . " 1_". ',t' '. , J"" "',( ,'" '" .. 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""',,tl, "'I'" - JRD/JUDO 30; 1992/17858 , REGISTER OF WILLS . Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 , , NOTICE PURSUANT TO RULE 6.1Z PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULES To: Penonal RepresMlallvo SHEILA M. NANCE .Counsel: DOl1GLM, DOI1GLM, 01 DOOGLII& lI'1n::. REl &l.Ite of CALVIN PHILLIP MITCH~bLecJJed, Late or WEST PENNSBORO TWP &l.Ite No.: 21.1994. saa Date of Decedent's Death: .J\JNE 23. 1994 Pursuant to Rule 6.12, the above named personal representative or the above na!1led attornoy, If applicable, within two (2) years of the decedent's death, and annually thereafter until administration Is completed, Is required to file with the Register of Wills a Status Report as required by Rule 6.12, In substantially the prescribed form, showing the date by which the personal repre3entatlve, or attorney, as applicable, reasonably believes administration will be completed, The purpose of this Notice Is to advise )'0\1 that ualess the requisite Status Report Is filed with the Register of Wills or Clerk of'the Orphans' Court, as appropriate, within ten (10) calendar days after the date of this Notice that the Register of Willa Is required to notify the Orphans' Court Division, Court of Common Pleas of such delinquency and to request that said Court conduct a hearing to detennlne whether sanctions should be Imposed upon tho ddiDquent potIOnaI representatlvo and the delinquent personal representative's counsel, If any. AccordlnalY, If the requisite Status Report Is not flied by JULY 26 , 199fl you are hereby advised that . request wUl be submitted to the Court in accotdoo with RUle 6.12. . Date: JULY a. 1996 .-' Lv. \17 o uy R gist r fWllls Dlstrlbutloa to Estate File \, I )1 \ ~ I !I I' , r' I I , I i I ~ ~US REPORT UNDER RULE 6.12 Name of Decedentl . I I .ph ,III/J 141 tcL Ii S-R. l tl V,I1 I I Date of Deathl (,- 1.-) -111"1- Will No, 2- fell/- - \"J ~ Admin. No. Pursuant to Rule 6.12 of the Supreme Court orphans' Court Rules, I !.eport the following with respect to completion of the administration of the above-captioned estatel 1. State whether administration of the estate is complete I Yes__~' No_____ 2. If the an!lwel' is No, state when the personal representative reasonably believe9 that the administration will be complete I 3. If the answer. to No. 1 is Ye'l, state the following 1 a. Did the personal representative tile a final account with the Court? Yes X No b. The separate Orphans' Court No. (if any) for. the personal representative's account iSI c. Did the personal representative state an account informally to the parties in interest? Yes No______ ,,- d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. ~~~ Signature .... ",> .... UJ , \ \ \ Ci iIv\ r-. 000(, L f\ ) Name (Please type or print) , 0- 2.\ Lu t--\\C\~\'j,llv-rl\)kJf\ Address \ ' Datel '7 II /1 ~ ( ( o u f~ :-; t" . i~ '.J ( .". n.. " , cp ~ , " nIl) 2-l{ ~ Tel. No. \-1 ci u ,. ;l~ " . t; ; 11 ~C.! a: 0: ," p, , u "j) t= 08 capacitYI Personal Representative ~ Counsel for personal representative (MAH 1 rmf/ AM3) 11 ." ~. . , I \.