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IJETlTlON FOR IJROBATE and GRANT 0.' LETTERS
fswte q{ _~-1~!LR-')'!~Yr:...~-m_ No. __"dl:---q!i~li.~1-
ai,\() kl/owl/ a,I' -2/l#I"-to-"-/{~(~ [.)(__.__.. To:
_..~_m.m_.." ... .___","_",,,, Rcgi,tcr of \~II' fo~thc/. "
_______.m_""_"".__.___..._.., /J('c('as('r!, County of .-,_,!!!_,,~~~"::'._- In thc
Soda{ S('carlty No, ..1 l:;"-:.J) 2:...?Tl'L-".. Comlllonwenlth of Penn,ylvnnln
Thc pelition of Ihe nnder,igned re'peetfully repremil' thnt:
, v, -,J, 'It.{J/I~ d
Your petltloncr(,), who I;!tlrc IX ycnrs of ngc or oldcr nil IIU' execnt_1'l..~!v!"__L.\_/~r IIIUlle
In the Inst will of thc ahol'c d{,cl'dcnt, dnted m__"____ ':;:-("..__~11 tL_.._______....________, 19 ~' J...
IIIllI eodicll(s) dnled 'n . -- ...... .......-----.-.----....-------.---.-..--.-,,--..---...---.---------
.__~.._.__._~..__.__.__._ .'.,' __._.__.u___.________.._.___._._._._~~__..__._.+_._______
_.__.__..__._____~_ _u_.. __ ._.__ _.,.....___.. _..___._u,__.___.~____.__~____..__..~__~.______.____._---......----
_ _....... "._._ _._.u.________..___._...__~__u._.______.__..
('ilUll' rt'kVillll drl'lInhllIlKl:~, l'.~. rl'I1t1l1clnlloll, dl'lllh Ill' l'~l'l.~lIlor I l'IC.)
\)ecelldellt \l'IIS domidled lit (kilth ill_._.(._'i."2.Y..~jj'"vd_._..____ .___ COIlIlIY, PCIIII,ylvlIlIllI, with
IL/,;!._llIst family or priadplIl residellcc at "..."_.lJ ,Ld,"-'..".!:'__"-l!.~_L~__-_l:I,,,"'\ "'--
_______"_. "".. __ _ _"_ _ ._.___:L<:;.tl.C'::'=:L~.t:~__ __ ..1;;,> R. "-'
(1i,1 'iUn'I, 1I1111lhcI1I11111lHllldpalllyj
\)eceadeal,lhea__.r;..( .yem\ of~, died ',m. __".__/11/1(1....____-':2./. , 19"_~,
at _____._~..Ej"<d(;_'! _ ...N.IZSl.^:J_"""U"~~'ti..~'1vdL."'w'-...RrJlI'.~f!.(-Jt6~ L, ~?,/ ,
ExccplllS follow.l. decedellt did lIollllllrry, \l'as aOI dll'orcl'd nlld did 1I0t hlll'e n child born or IIdopted
:::'~~~1~~~~~11~ :~lll.~.~tl~e..\I'~IfCdrorP:(1hnl e; 11'11\ II "I_the . ~ic.tinl,,(1r~k~l~l~ 1I11(~ w 1I.1~el'er nd] udlcnt c(~
DecendclIl III dellth oWlled property wilh eSlillllll,:d I'lIlues liS follows:
(If domiciled III Pa,) All persoaill property
(If 1101 domiciled ill Pa,) Persolllll property ill PCllllsyll'allia
(If lIot domiciled ill I'a,) Persollal propcrty III COllllty
Value of leal eslllle illl'ellll\yl\'lIlIia
sl\lultcd as follows: u...."..""...,,__"__..
$_d- I);J "'0, e>O
$ ,
$-------
L
___.______~____.___~____n.___~__. .__.__ _..
WHEREFORE, petllioller(s) respectfully request(s) thc prohllte of the last will IInd codlell(.I)
pre,ellted herewith IIl1d Ihc grlllll of lellers_rl.i::=il.tt,,(.....~!" '1'(\/27"
(ll''ilillllClIlllry; adminl'ilrlllloll C.I.i1,; ndmlniSlntllOIl d,h.n,c.I.II.)
Iheroll,
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.. _....------_..~._-_...-...__.._~~-.
. __~___ .___ n._.__.._.______~__.._
OATH (W PERSONAL REPRESENTATIVE
COMMONWEALTII 01' I'ENNSVLV ANIA } HS
COUNT\' 01' "__.CUMBERLAND______.___________. ..
The p':titiollel'(.I) nIHl\'''"IHulled s\l'ear(s) or nffirlll(s) Ihatthc stntemcllls illthc foregoillg petllloll UTe
Irlle alld correct 10 the besl of the kno\l'ledge alld helieI' of pelitioner(s) lIlId Ihalll.l per.lolllll rcprescll-
Hltll'c(s) of the lIho\'e d,'cedelll petillolll'r(s) \l'ill welllllllltl'lIly lIdminl.lter the estnle according 10 Iuw.
S\\'~'rn In In .nffiTlII.e'lb~II.I.1 SlI.I.lScr.lhc.d t' /. /~'~'~.'-.~.<"" ~A. /C.. 41--------"- ~
h('lIne III" thl; e/J. H dny ot .u. ...__~~:-.z:.-_---._--- '"
lIDtli (l.)fijil.-t~~AYf u.> rJJj.{ "'Mt;;rt;.-:--:..==-=::~~"~.:::..-=:==-= ~
'/ (~RY C. LEWIS Ii"g{\(('r(-!l __n____"_____.~___ ~
~ ((
Estate of _
-~.
,.-...-:'....,.--.-....-.,.,-.,..............., .-.
N 21 - 94 - 589
o.
DAN I EL R. YORDY
I Deceased
DECREE OF PROUA TE AND GRANT OF LETTERS
AND NOW JUL Y 11, 19~, in consideration of the petltioh on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the Instrument(s) dated JANUARY 30. 1992
described therein be admitted to probate and flied of record as the last will of
DANIEL R. YORDY
TESTAMENTARY
KENNETH YORDY
and Letters
are hereby granted to
FEES
Probate, Letters, Etc. ""...,. S
Short Certiflcates( 2) , . , , . . . . ,. $
Renl!nclatlon ,.,......"".., $
X-pages $
JCP
TOTAL _ $
]
{};n. {}tt. fd?;
25.00
6.00
6.00
5.00
4' nn
AliORNEY (Sup, CI, 1.0, No,)
ADDRESS
Filed ...... ~.4~ Y ..1.1" .J,9,~t " .."...... '
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PHONE
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Mailed. letters and order to Executor on 7~11.94.
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,x~.t _ill unb 'me.tument of
Daniel R. Yordy
I, Daniel R. Yordy, also known as Daniel Yorty, of
Carroll Township, Perry County, PennsYlvania, deolare this to be my
.--
Last will and revoke any will previously made by me.
l'!;EM I:
I direot that IIY Exeoutor or alternate
Exeoutrix arrange for my funeral and burial.
ITEM II: I direot that my funeral expensos, grave
marker and the costs of the adminJ.stration of my estate be paid out
of my estate as soon as may be oonvenient after my death.
ITEM III I I direct that all taxes that may be assessed
in consequence of my death, of whatever nature and by whatever
jurisdiction imposed, shall be paid from my estate as part of the
administration thereof, to the end that no benef iciary hereunder, or
any other person, shall be charged with or required to pay any part
of such taxes.
ITEM IV: I devise and bequeath my entire estatp. of
every nature and wherever situate, whether real, personal or mixed,
to my children, per stirpes.
ITEM V: I authorize and empower my hereinafter named
Executor or alternate Executrix to convert any property that I may
own at my death, whether real, personal or mixed, at either private
or public sale, whiohever in their opinion is deemed best, hereby
'.
< . ... ,
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,
HtOSI12Rlve.aa
(ne:FO"Ytlla
CliFlTIFIC^TE '2001
WAFlNING: IT IS ILtEGAL TO AL TEn THIS COPY on
TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH.
DB~fr~~~~b';.l-UdA~Fr:;VI~:(~~~~~D8
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
CERT: NO, 2216283
March 23, 1994
--"'o,;ii)oTTiiiiii'iiT'fiii'lC.rbf,r.llon
Name of Decedent __.JM1i@L__"_..__.__ "H .._... .RL"..___"_____.
fl,;l" Mu!.!'"
Yordy
1.'11
Sex ...l!i!!~
.Soclal Security No,.._U_!'i"-:Q;i_~?l'n_"..._..._..______.Date of Death..1farch 211 1994_
Date of Birth 8/24/05
---.. Ellrthplace.~Al.~r9Y(;!," J'iL._ ______________"__________"
Place of Death Leader Nul's. & Rehab. Ctr. Cumberland
rfClIlly tlame ---"-~'- ._-------.-- ----i\";7",-r:iiu------...---
Carlisle
Pennsvl'!'llD.!!!.
r.11,floruuOrl\l1 TOil"'Ulilll
Race ~-___ Occupation_ti~cb!!!l!c/Mllch!nEo1 ..11h91',," .." Armed Forces? (Yes or No) --.N..~____
Decedent's
Marital Status _.M<l.Ldgg,_____ Mailing Address 940 Wall1l..1LI3o~1;,9JllRq<!..d_,,_____.._Car.lJsle . PA
'j'll1.l,,,' ',I'""" CI\yor 1u"'lI !I1Jto
Informant Mr. Kenneth Yorcjy_"hO.____.._m. Funeml Director
Name and Address of
Funeral Establishment -BP.hJ.!\lliLF..\,!!l!!r.l!l !iome,
.. ... ..':r.1!!@_s_.I\_d'.Q[!;~rU~J&___.
Part I: Immediate Cause
Ioc ,._ 508 C\lm!l!!I:'J,~n!1_J?_tL~~no.!'l..t~1..J10~_
: I nterval Between
: Onset and Death
,
I
(a) -.!5!n.J:i~lD9.r.rbMlJ,p...~!;m~QLal_VqaCll~gr i\cC!c;l~!lt___._______-:'"___-11~~_._
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...-."......---.-..----.----.-.___L__
---..----..--...._. _.... __d. ___.. ._._.__ ____.__.____.
(b)
(c)
-----.--.----.---...-- "- - .... ... .-.-.....-.---....--------
(d)
Part II: Other Significant Conditions
Manner of Death:
Natural lliJ Homicide [)
Acoldent 0 Pending Investigation 0
Suicide 0 Could not be Determined 0
--.---.----.---.---.--....---.-.....--...-.----.--.-.-
Describe how injury oocurred;
---.-----..-----
-.-.----.----...----.--.---------.
Name and Title of Certifier
Address
_M.'-.]Ox 2'LliL...~h~1;1!l'!!)l?9i\).f!,__P!I_
wi lliall\_S_'--'~~\ltIm?\!!I.. .11I2_ ____...____.____......______.._.._______
(M,D" D,O" Coroner, M.E.)
-- ,-.--.-,. ---.....---------.----.-.--......-....-----------
This Is to certify that the Information here given Is Gorroctly coplod from an original oertlflcate of
death duly filed with me as Local Reglslrar, Tho orl~Jil1nl {:orllflcnlo will bo forwardod to the State
Vital Records Office for permanent filing,
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1. Raol (1101. ISch.dul. A)
2. SIad. and Band. ISchodul. B)
3, ClolOly H.ld SlocklPOIln",hlp Inl."'IISch.dul. q
4. MorluogOl and NoI" Rocolvobl. ISch.dul. 01
5. Cash. Bank Doposill & Mllcollonooul Perlonal Proporly
(Schadul. EI
6, Jointly Own.d P,apOlly ISch.dul. FI
7, 1,0n,lor'ISch.dula 01 (Sch.dul. l)
8, 10101 G,an An," Ilalallln" 1.71
9. Funeral ElCpenuu, Admlniltrallve COlli, MlltollanfJoul
Exp.OI" (Sch.dul. HI
10. Dab", Mo,lgaU' lIabllill", lI.OI (Sch.dul. II
II. T alai D.ductloOl IlalalllnOl 9 & 101
12. Nel Valuo 01 E'talo (lln. 8 minUlli,,,, III
1 3, Chorltabl. and Gavornmenlal B.que." (Sch.dule J)
14, N..~ Valuo Subject 10 la, IlIn. 12 mlnUlll"o 13)
15, SpaUlal T,aOl'e" liar dOl" 01 d.a,h altor 6.30.94)
See 'nllruCllonl for Applicable Percontogo on Reven.
Side, (I"clud. valu" from Schedule K a, Sch.dule M,I
16. Amounl of line 14 fallobl, 01 6% role
Ilncludo valueI from Schedule K or Sdlodule M.I
17. Amount 01 Lln" 14 IOll.tlble 01 15% rolo
Ilncludo valuOl from Sch.dul. K or Sch.dule M,I
18. Printlpnlla, due IAdd to, from lI"" 15, 16 and 17.)
19, Credill Spa viol Poverty Crodil Prior Paymenll
.--.--. . + ------- +
'OR DATlSOf DIATIl AmR 12131191 CHICK HII
IF A SPOUSAL --
P.C?VIR!Y".c:.!lID!TJ~~L~"'~.I1..LL_..__ __
IIL1 NUMIIR
YEAR
9iI
'89
JUM81
INHERITANCE TAX RETURN
RESIDENT DECEDENT
COMMONWlAllll 01 PIHNSYlVMIIA (TO BE FILED IN DUPLICATE
DIPARIMENI 0' REVENUE
IlARRlSfJ:& Wl~bao601 WITH REGISTER OF WILLS) ~OUNlt~ODE 21
D cw'wt's ~l^Mf.l(i5'. ;UISI,--At"jU-M'IOOtf IN~',.il 01 lowl'S COMI'U!f ADOllns
YOItDY DAN I Ill. It. WALNUT 1l0TTOH ROAD
ffi WCiAI-SEcuIlhtjijjiiiA-..---------jDAl! O'O~;'iH-----h-'IO~'f6'ilRiit-_.- CARLISLE t PA
~ __.!7_~:95_~,? LU._u. _._"_. 3/1.l/'J.!L1.n n __"::~~_:!2Q~ S.OV"'(._~Utl~Eltl~~!ir~_..___.______"__._
Q I" H'l'OIlII ~u.m,wll'(JUII' '''"I (1'\1, 11'\1 M/O ~'IIl.lIlI'lIlllll SOC....l S((UIIIIY UUMIUII AMOUtll UC!IV!O IU! IU$IItUetION51
----- ---.-----------..---..' --.-...-----..-.----...--....----- ----..-.-.------ .----- -.------.-------.---.----
l!! ~J 1. Original R.lurn 1-.:1 2. Suppl.menlal R.lurn [J 3, R.molndor R.lurn
;!j . (la, dolll 01 dlalh prla, 10 12.1 3.e
~g;8 [J 4, Llmll.d (,'o'e [J 40, Fuluro I"IOre,1 Co",pramllO [] 5, Fedoral E.lot. Tax R.turn R.qullld
:C~9 Ifar dale. 01 d.alh 01101 12.12,821
U co 1
[] 6. Doc.d.,,1 Died Te.lol. .'] 7, Decode,,' Maintoln.d 0 living lru'l _ 8, Talal Numbe, 01 Sol. Dlpa,lI 8aKo
(AlIach copy 01 Willi IAlloch copy of TrUll)
- 'ALL CORRESPONDINCI AND CONPIDENTlAL TAX INPORMATION SHOULO BI DIRICTlD Tal
ch.... '~1M! "-'---'--~--rOMPLfirM.mitiO"'A01iRf~r-o
..is
._ ~ ~ _ :,~~,fb~~~J~::!!~~_YQE~~=_::"==._~-'"~~,=~~~"~:~:~~.:==_0 ,,~~~~~A~~~~~~~~I:G I' ~()AI: 7 ~ 5 5 _.
z
co
I::
~
.
B
S
III ......______..___"_...."..___
( 21_________.___.__
(3 1-------"-.-.--.-
( 4 I ___"_....__.______
(51.._2621.87__.____
(61 .____"___..
(71..___m.m"___
,
( 8) ---12..4.L. 8 7
(91 __._ltO.8.Z,..4.l._________
1101__..
(II)
112)
(13)
114)
4082..lJL
o
o
(15) .___.__.______"._K,__"'
1161
___"_.K ,06 a
1171 _._.________"_..__._K .15 a
(181
Dhcounl
Inler..'
(19)
(20)
20. 1I11n. 191, 9"01er Ihan lIn. 18, enlor lh. dllleren" an lIno 20, Thll II th. OVERPAYMENT.
mo
2L II line 18 II grooler lhan line 19, .nler Ihe dill"en" an lIn. ~1. Ihl. l'lhe TAX DUE. 121) _"__.0__.._________
A. Enter the 1/lleUIII on Ihl! bolunce due on line 21A. 121A) ____n_O_._O___._
8. Elller Ihe 10101 01 lIn. 21 and 21A an line 218. Thl, II Ih. 8ALANCE DUE. 121B) ____0__..._____
Makl ChICk .Poyo~11 I~I Rlgl.",,, ~I Will!, Aglnt. _
:...___.. ~ >:~.!\lRI TE ANS~E!.~~"~EST!~..!l!..~ti.REVIRSE SIDI_~D TO RECHECK M~TH 00( 00( .
l'ld.r penolllet of perlury, I doclure Ihul I hove ol(on1lnnd thh return, Induding accompanying IChlldulol und tlalemenll, and 10 the bet' of my knowledgfll and bell,
II ilHue, (orroel and complll''', I dllc!aro 11101 011 fflUI Olluln hOl blJon roporlod nllru" n\utklll va:uo. Declarallon of preparer olhet than the petlonal repretlnlallvn
bUled on CllIlnlorm~lion of wll1ch prep-CHor hell ony knowlodllO
~fA~if~~ri "'~01'~'/.' '(~~'iW ~;~:,<~~'~'" ;~.2'/.(.t.~f.c~~~\.-;;----;,J~Z"-,:;~,I~U t~--'- 5A~-/1 r.T::-
Ilfitlt., '0" "011'" I tW~""'A11V' ~ AI"'"'" L L:"-'''tt: --"./i"-'--~ ------- fjJf)~;-~-.:.-'
,-... _._~l.LhL~_~~~. _")L4 .-M""-----r.L'lH----------"---..- I.t~J.L.--
Choc~ he'll if you (If(.' ft''1u(!stlng (t rlJfund of YOtH ov('rpuYf11l!1I1.
.~ lhe 8anh,ofLandlsburg
U' AIU$H(O I VO]
CV.J~hll,
P.O, lOX 179 . IANOIUUItO, PA 11040
IANOI\lURO . IIAIN , SHUMANS OAII
lIJIPIIONI(717) 711.lll3
ACCOUNT:
:3601285
THANK YOU FOR BANKING WITH US
AND ALLOWING US TO SERVE YOU.
STATEMENT PERIOD
Mar 17, 199~ THRU Apr 16, 199~
31 DAY SUMMARY OF ACTIVITY
DANIEL R YORDY
RR 2 BOX LW2 APT A
PERLO RIDGE APTS
LOYSVILLE, PA 170~7-9600
SOCIAL SECURITY" 175-05-5177
--------------------------------------------------------------------------------~
STATEMENT SUMMARY
--ACCOUNT -- PREVIOUS -...-- CREDITS ---- ---- DEBITS ---- SERVICE
NUMBER BALANCE NUMBER AMOUNT NUMBER AMOUNT CHARGE
CURRE~
BALAN(
360J.285
4,690.33
1
10.00
3
4,607.82
.00
92.~
---------------------.-----------------------------------------------------------~
Account:
36012B5 REGULAR DDA
Averege Curnmt Ba lance:
706
Average
Number of Checks
3
Collected Belence:
706
DATE
CHECK
DESCRIPTION
AMOUNT
BALANCE
-----------------------------------------------_.._.~------------------------------
Mer 17 BElQlnninr;1 Statement Balance 4,690.33
Mer 17 Caah Daposlt 10.00 4,700.33
Mer 18 1392 Withdrawal 2,099. (10- 2,601.33
Mer 22 1389 Withdrawal B.82- 2,592.51
Mer 24 1390 Withdrawal " 2,500.(10- 92.51
Apr 16 Ending Statement BalancQ 92.51
----------------_...~------ --- ------ ------------ ------ -- -------------------.......-------
PAID CHECK NUMBER SUMMARY
13B9 (03122 )
It 1392 (03/18)
'," I Ind 1 cet.el!l e gep
$8.82 1390 C03/2~)
$2,099.00
in the check number BeqUQnce.
$2,500.00
. "
PLEASE NOTIFY THE BANK WITHIN TEN (10) DAYS OF ANY ERROR,
..V.UIl.... 17.111
!~
COMMONWIAIIH O' PlNNIYIVANIA
INH!!IIANCI TAX XnUIN
mlOINIOIClnlNT
SCHEDULE H
FUNERAL EXPENSU,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
PI.all Pllnt 01 TV .
tlTATE Of
YORDY. DANIEL R.
ITIM
NUMBER
DISCRIPTION
2194-0589
. AMOUNT
A, funllal bp.nllll
1.
ROHLAND FUNERAL IIOME
LEBANON. PA
4082.41
B. Aclmlnlltlatlv. COltl'
1. Perlonal Repr..entatlve Commlnlonl
Social Securlly Number of Perlonol Repr..enlatlvlI
Year Commlnlonl paid,
2. Allarney Feel
3. Family Exemption
Claimant Relallonlhlp
Addren of Claimant at decedent'l death
Street Addren ___
Clly Slat. Zip Code
4. Probate Fe..
C. Mllcellan,oul IXP'111111
1.
2. I
3.
4.
5,
6.
7.
8.
TOTAL lAlla enter on line 9, Recapllulatlon) S 40B2. 41
(If mOil Ipacell n..d.d, Inlllt oddltlonal Ih.." of lame II.e.)
'.
f\..-'"
'---,.
~
-~
~
-
1II~9t ~illlUtb 'mestumel1t of
Daniel R. Yordy
I, Daniel R. Yordy, also known as Daniel Yorty, of
Carroll Township, Perry County, Pennsylvania, declare this to be my
,-"
and revoke any will previously made by me.
r'l'FM I:
I direct that my Executor or
alternate
Executrix arrange for my funeral and burial.
ITEM II:
I direct that my funeral expenses, grave
marker and the costs of the administration of my estate be paid out
of my estate as soon as may be convenient after my death.
ITEM III: I direct that all taxes that may be assessed
in consequence of my deat.h, of whatever nature and by whatever
jurisdiction imposed, shall be paid from my estate as part of the
administration thereof, to the end that no beneficiary hereunder, or
any other person, shall be oharged with or required to pay any part
of such taxes.
ITEM IV: I devise and bequeath my entire estatp. of
every nature and wherever situate, whether real, personal or mixed,
to my children, per stirpes.
ITEM V: I authorize and empower my horeinafter named
Exeoutor or alternate Exeoutrix to oonvert any property that I may
own at my death, whether real, personal or mixed, at either private
or pUblio sale, whiohover in their opinion is deemed best, hereby
~
on
,
. ,
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedentl
bAjiJ/ J;L
. ~, .! 1- q L/
~(t.l';t
( /
Date of Deathl
Will No. 0(1- crt.{ - 58'7
Admin. No.
To the Registerl
I certify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to
the !~owing beneficiaries of the above-captioned estate on
~~'f I
Nam~ Address
, .5lt:IJ ((I'>
f; '" f>/6 1- ~fJ~rJD,J .:>11 ./1-6: ";' (toeD,.) - ~~,,~,~r<Jw,.l
/
fl:-(1/'J S.I,vc!,-"') L-f.~^""ooJ J'flt'iJ '10 (N'J L F6rl''''''a~
. /
'p~a.y"-7 (el) It! (i,1't1. f/l} L....y!-(/ r<.'~fI(l.1., 'Ja(l.4'J - C. LGP<'./A-
,
((fI"J 1D~ ).ji-' AND,.! CJrtdL fI~ ",P(r;'j ~ - !l... "'.... t $ "olVl\/
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except
Datel /DJ')-'JJo,~
I
/
~; ,;t/ ~;.(
Signature /' /
Name
/ I.
}:. 'I D((' ?
.
F XJ? C-14 ,oIL
Address If "'-'"1 &'" I'C~ SG~(I-1
,
'" ,. ..{,,;II((.!,(I u f11 F;., ,
- I
Telephone(
CapacitYI
Personal Representative
Counsel for personal
representative
REV-lS47 EX AFP (12-95~
COHHOHHEALTH OF PENNSVLVANIA .
OEPARTNENT OF REVENUE
BUREAU OF INDIVIDUAL TAKES
DEPT. 260601
HARRISBURG, PA 171Z8-0601
EsTATE OF YORDY R FILE NO.
DATE OF DEATH 03-21-94 COUNTY CUMBERLAND
NOTEI TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBNIT THE UPPER PORTION OF THIS FORN WITH YOUR TAM
PAYNE NT TO THE REOISTER OF WILLS. NAKE CHECK PAYABLE TO "REOISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
1/
,/.- :' - - J_ /' - t:
. I .
"
,-"'"
ACN
101
NOTICE OF INHERITANCE TAX
APPRAISENENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSNENT OF TAM
I(ENNETH H YORDY
4529 GETTYSBURG RD
MECHANICSBURG PA 17055
DATE 01- 09-96
=.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
r
Anaunt Rllittod
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ....
iiIV'; isc.i-iiC -A F P -i i'F 95T' NOT i c r "OF' i"N'il iiiif Ailei- TAX - A"PPR'A"i s iifENr;-A i:. DiwANc i - iili - - - -...- - - -" - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF YORDY DANIEL R FILE NO. 21 94-0589 ACN 101 DATE 01-09-96
If In Is.eBsment WI' 1..ued prev1ou.lY, line. 14, 15 Ind/or 16, 17 Ind 18 will
reflect figure. thlt include the totll of 6b1 return. I.....ed to date.
ASSESSMENT OF TAXI
15. Anount of Llnl 14 It Spou.ll rltl
16. Anount of Llnl 14 t...bll .t Llnlll/C11.. A rltl
17. Anount of Llnl 14 t...bll .t Colllt.r.l/C11.. Brit.
lB. Prlnolp.l TI. OUI
TAX CREDnSI
PAYNEN-r
DATE
TAM RETURN WAS, (X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. R.II E.toto (Sohldul. AI (I)
Z. Stook. Ind Bond. (Soh.dul. B) (2)
3. Clo..ly HIld Stock/P.rtnlr.hlp Intlr..t (Sch.dul. CI IS)
4. Nort;I;.I/Notl' RIOII.lbll ISchldul. DI (4)
S. C..h/Blnk Dlpoolh/Nloo, r.roonll Proplr\y (Soh.dul. E) 15)
6. Jointly Oonld Prop.rty (Soh.dull F) 16)
7. Trln.flro (Schldull G) (71
B. Totll AI.lh
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Funlrll E.Pln.I./Adn. CClto/NI.c. E.pln.l. ISchldull HI (91
10. Dlbh/Nortglgl LllblllUII/Llln. ISohldull II 1101
11. Totol DlducHcn.
12. Nit V.lul cf To. R.turn
IS. ChorltlblI/Dc.lrnn.ntol Blqul.to (Schldul. JI
14. Nit V.lul of E.t.t. Subjlct to T..
NOTE I
IIS1_
1161
1171
RECEIPT
NUNBER
DISCOUNT (.)
INTEREST (-)
L
I CHANGED
.00
.00
.00
,00
2,621,87
,00
.00
(BI
2,621.87
4,082.41
,00
1111
1121
1151
1141
4.08' Gt
1,460,54-
,00
1,460,54-
.00
.00
.00
X ,00.
X ,06.
M ,15.
liB)
.00
.00
,00
.00
ANOUllT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
'fa
.____l!=i
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
IF TOTAL DUE IS LESS TNAN .1, NO PAYNE NT IS REQUIRED,
IF TOTAL DUE a REFLECTED AS A "CREDIT" ICR), YOU NAY BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FOR~ PDR INSTRUCTIO~S.)
I,
,
, "
" ,
'"
f',
,\..1
"-1
\, "
{
, II'
ll\
I
,
.I;~
"
"
,: ,.
I',
I'
"
I;
.f"
I.
"
,'()
, . ' . . I
RESERVATION I E11,tll of dlc,dlnt. dvlna on or blfor. Otc.-btr 12, '.9.2 ~. I' .nv future Int.,..t In the:"t'" I. tran.flrr,d
In POlst..lon or .njov..nt to ell.. . (ooll,t.rDl) blnaflollrt.. of thl dlotdlnt .ft" the IMplretlon 0' any I.tlt. 'or
11'. or for YI.r., tht Co..anw"lth htr,bV Ixpr..llv r..,rv.. thl right to eppr.I.. Ind ...... trIM,'.r Inherltanc. '1M..
It thl llw'ul Cl... I (co11,t,rel) r.t. on tnv ,uoh future Interl.t.
PIJRtlOSEOf'
NOTICE I To fulf111 thl requlrt.tntl of SloHu" 2140 0' the Inhlrlt.nc. Ind Elt,t, TlI( Act, Act 2' of 1991. 12 P.S.
lIoHon 2140.
PAVtEHTI DltlCh thl top portion of thil Hotlc. and luaU with your Ply.tnt to the Rqittt, 0' HUh printed on thl r'Vlr.. ddt.
..H.... chock cr ..... ordor p....I. lel REGISTER OF HILLS I ADEHT
All p,yunts r,ellVId .hlll flr.t bl applied to any Interllt which ..y bl due with Inv re..Jnct.r appU.d to the tex,
REFUND (CR1\ A r.fund of D t"X er.dlt, which w.. not r.qu..tad on thl Tax Rlturn, ..v b. rlque.ted bv Qoaplltlng en "Applloatlon
for Refund of POM.vlvanle Intl,rlteno. and E.tatl Tu" (REY-1!1!). Appllc,UlN'la .r. avallabll ,t th. OfficI
of thl Rlgl,tlr of Will., any of thl 21 A.v.nuI Ol.trlct Offlol., or bv cll11", thl 'Plolal 2~-hour
an,,,,dng .Irylel nUllb.r. for forn. ord.rln,,, In PDMlvlvlnla 1-800'562-Z050, ouhJdl Plnn.vlvanla and
wIthin looal Harrl.burg .r.. (717)711-1094, TOO' (111) 77Z-2252 (Hldrlng 1~llrtd Onlv).
OIJECTI0H91 Anv party In Int.ra.t not .atl.flld with th, .ppr.ll.tent, .Ilow.nc. ar dll.llowlne. of dlductlon., or .......-nt
of t.x (Including dllcount or Inter..t) .1 'hown on thl. Hotlcl ~Ult abJact within .Ixty (601 d.v. of rlcllpt of
thlt Hotlcl bVI
--wrltt.n prot..t to the PA D.p.rt.ent of R.vlnUl, lotrd of App~.I., Dlpt. Z11021, H.rrl.burg, PA 11121-1021, OR
--.lletlon to hlYa the .,tt,r d.t'r~ln'd .t .udlt of thl 'CCOU"t of th. p.r'lN'lll repr"lntatlv., OR
--app..1 to thl Orphan.' Court.
ADHIH
lITRATlYE
CORRI!ClIOHSI
IHlEAUl,
Fletull .rror. dl.cov.r.d on thl. .......ent .hould be addr....d In ~rltlng tOI PA Dlp,rt..nt of Rev.nue,
'~r.tu of IndlvlOuDI TaM.., ATTNI Po.t A.......nt Aavl.w Unit, O.pt, 210601, H,rrllburg, PA 17121-0601
Phont (7171 117-6505, S.. Pitt 1 of the bookl.t ~ln.truotlon. for Inhtrltenc. Tax Rtturn for a Ae.ld.nt
Deetdlnt" (AEY~IS011 for Ih Ixplanttlan of Idllnl,tr.tlvtlY correctlbll .rror..
If anv t'M due J. p.ld within thr.. (l) c.llndar .enthl Iftwr the dlc.d.ntfl delth, . flYI p.rclnt (5X) dl.count of'
thl tu plid It IUowed,
Intere.t I. eh.rUld beginning with fJr.t d.v of d.llnqu.noy, or nln. (9) lonth. and one (1) d.y frol tha dlt, of
delth, to the d.t. of p.v..nt. T'M" which blca.. delinquent b.for. J.nuary 1, 1982 ba.r Int.r..t It th. r.t. of
.Ix (6~) p.ro.nt p.r annUl calcul.t.d .t a dlllv r.t. of .000164. All tawe. Which btc... d,llnquant pn and Ift.r
Janu.rv I, 1912 will b..r Int,r..t .t a r.t. which will vlrv fro. catlnd'r v..r to e.land.r VI.r with thlt r.tl
announcld by the PA D.p.rtllnt of Rlv.nua, Th. Ippllcabtt Int.r..t r~t.. for 1982 through 1996 ar'l
OIlCOUNl'
~ Inttrllt Att. O.llv Int.r..t Flctar ~ !.!l!.!!!.'.!..!!!1! Dellv Int.ra.t F.ctor
1.11 lOX .000011 1.17 'X .000241
1.11 IIX .000411 \91, -1991 m .ODDSOl
1'1' l1X .000101 199/ 'X ,000167
19/1 m . DOOl56 1993-1996 n .0001'/
1.11 lOX .000170 \991-1991 .X .000/67
ulnt"tlt I. caloul,tld a. foUow'l
INTEREST . BALANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
-~Anv Notice I..u.d .ft.r the taM b.eo.al dlllnqu.nt will r.fllct ftn Int.r..t c.leu,.tlon to flft..n (IS) dlVI
b.yo~ thl d.t. of thl .....,lent, If pav..nt II Iftd. Ifter th. Inter..t r.oeput.tlon datft .hown on the
Notle., Iddltlon.1 lnt.r..t .ult be e.lculftt'd.
.,
STATUS REPORT UNDER RULE 6.12
'I 'Iv IC P '1
Name of Decedent I ~(t: L R
. Date of Deathl 2.1 Mila 9~
Will No. iHl( -. t; ~ "''Ie Admin. No.
h 7
Pursuant to Rule 6.12 of the Supreme Court orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estatel
State~hether a~ministration of the estate is compl9tel
Yes~ No__.. .
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
completel
1.
3. If the answer to No. 1 is Yes, state the followingl
a. Did the personal r~presentative file a final
account with the Court? Yes 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 X 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 attache to this report.
Datel~.
.1\ Ij, d
Signatu e
/!GN~/L"l/f Yo~~(
Name (Please type or print)
LfS"z9 r;'e 7 l)'S!3UR.t. Rp
Addr.ess
( I
Tel. No.
I .
CapacitYI _~per.sonal Representative
_____Counsel for personal
representative
(MAH armf/ AM3)
'"
_ ........-c-_.
I"
,..... .....
-..... ...~
080459062196
ROW621
File No 1994-00589
Decedent YORDY DANIEL R
Cumberland County - Register Of Wills
Page
1
PA File No 2194-00589
Docket Entl.'ies
Date
Filed
5/27/1994 1 PETITION FOR PROBATE AND GRANT OF LETTERS TESTAMENTARY
5/27/1994 2 OATH OF PERSONAL, REPRESENTATIVE
5/27/1994 3 DEATH CERTIFICATE
7/05/1994 4 OATH OF WITNESSES 2 SUBSCRIBING
7/11/1994 5 DECREE OF PROBATE AND GRANT OF LETTERS TESTAMENTARY
11/01/1994 6 CERTIFICATION OF NOTICE UNDER RULE 5.6 (A)
1/05/1995 7 ROLL 2 BATCH 441 PAGES 20 THUR 28.
9/21/1995 8 CERTIFICATION OF NOTICE UNDER RULE 5.6 (A)
9/21/1995 9 INHERITANCE TAX RETURN TAX DOCKET 14 221 6
ROLL 6 BATCH 649 PAGES 4 RETURN ONLY
1/05/1996
10 REV 1547 NOTICE INH TAX APPRAISEMENT
Docket I 14 Book: Pagel 221.00
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